A&D WM:PD4000136 User's Manual
Contents
1. Page 13 Conditions When Recorder Switched On Steps for setting the display and clock This explanation uses the following examples ex After reset The measurement value is not displayed The clock is adjusted to 1997 05 27 14 28 Press and hold the Step 1 START STOP key for approx 6 seconds The recorder displays for adjusting the display and clock Press the g DO O N AUTO ON OFF key so as to display A selection where a clock is displayed only in automatic measurement Press the START STOP Press the START STOP Press the AUTO ON OFF Press the START STOP Press the AUTO ON OFF Press the START STOP Press the AUTO ON OFF Press the START STOP Press the AUTO ON OFF Press the START STOP the recorder displays the clock Parameters for the Display and Clock Page 14 key The current year is displayed key The current month is displayed key to display 5 for May key The current day is displayed key to display 27 27th day key The current hour is displayed key to display 14 14th hour key The current minute is displayed key to display 28 28th minute key to save these parameters Then START STOP AUTO ON OFF 1 y Lt m START STOP2. When the recorder can not operate all functions due to low B Low battery battery this signis displayed The clockis still displayed Please replace the batteries at once When data memory is at full capacity this sign is displayed In this case you can not perform another measurement Transfer the data save in other media and delete Then the M turns off M Full memory W Symbols Turning on the recorder 4 Turning off the recorder f Je Direction guide to install batteries Sae Direct current SN Serial number 1997 Date of manufacture A Attention symbol See instruction for use Recorder Cuffs and tubings are designed to have special protection against electric shocks Product overview Page 7 Display Features Portability a The recorder weighs approx 215g including batteries and is compact 4 The recorder is powered by LR6 type AA alkaline batteries It is possible to replace the batteries with Ni Cd rechargeable batteries Operation amp management 4 Clock and automatic measurement parameters may be set as needed 4 If you connect to a computer and use the optional software clock and automatic measurement parameters can be easily set 4 s There are three modes for automatic measurement Mode 1 and Mode 2 are preprogrammed Mode 3 is user programmable a sC The recorder can transmit data to a printer directly An adaptable printer is necessary to print the da
3. Jis displayed r and the data is transmitted When the transmission is finished is dis played Remove Remove the cable at once The clock is displayed me Ht Print sample ABPM DATA TABLE Co DIA mmHg PUL bpm ERR 65 79 88 84 87 76 82 75 81 86 Date Time SYS mmHg 97 5 17 7 43 103 97 5 17 8 00 119 97 5 17 8 30 125 97 5 17 9 00 122 97 5 17 9 30 115 97 5 17 10 00 118 97 5 17 10 30 97 5 17 10 35 116 97 5 17 11 00 114 97 5 17 11 30 122 97 5 17 12 00 123 97 5 17 12 30 Data Transfer Page 26 55 65 5 132 116 63 E 61 68 z 62 94 88 Data transmission to a printer V Data Fansmisson to a Computer Using Analysis Soft Caution 4 The recorder intensely consumes the battery power while connected to the RS 232C cable Disconnect the cable when not actually transferring data 4 Maintain the power on state while transmitting the data so that the data is not damaged Steps for data transmission Connect the cable to both the recorder and printer The Connection recorder displays Refer to Analysis Soft peas ees ware and Communication Cable about the cable Read the data using the optional analysis software Reading data Refer to the software instruction manual with i Remove the cable at once The clock is displayed Remove the cable
4. Z mt l wm 7 S x ps g wm 4 O 5 1 gt fe lt mite Q a 1 y g gt D Ho n Ho O U y gt ro e lt O Q a y 7 START STOP rm oO i y gt Cc o re e lt O Q a thi i 7 START STOP a rm a Loe AUTO ON OFF g I J C ey START STOP 1 te 1 teh Le Initializing the recorder V Selection for the Automatic Measurement This setting initializes measurement intervals that is based on the internal 24 hour clock Mode mode I 07 00 21 59 The measurement is performed every quarter hour 22 00 06 59 The measurement is performed every half hour mode II The AUTO ONOFF key is pressed at rising and going to bed so that the measurement intervals are changed and the time during sleep can be distinguished on the data When the S is off the measurement is performed every quarter hour When the S is displayed the measurement is performed every half hour mode MI The measurementinterval can change six times within a maximum of 24 hours The recorder can store six measurement intervals blocks in 24 hours A block consists of a start time and frequency Display amp key Mode m Selecting a mode Coa Swi Wee Sign of setting parameters Saving a mode for automatic measuremnt Steps for select
5. not take BP measurement The sub battery battery charges dur ing clock display mode No pressure Air leakage at the con Confirm the cuff and air hose nector hose or cuff are not damaged and are con nected correctly Maintenance Page 31 Cleaning the Cuff and Recorder M Error codes Caution The error code updates without announcement Error Meani l code eaning Status Operation and Treatment E00 No clock All parameters are lost Enter clock parameters Refer to parameter Reset status Setup of display and clock E03 Pressure zero An error code is displayed Release the air from the cuff error without cuff inflation completely E04 Low battery Measurement is stopped An error code is displayed Auto mode is quit Replace with new batteries Restart the auto mode if you use it E05 Inflation error Inflation pressure does not Wrap the cuff and connect to main reach the target pressure unit exactly If you can not clear the error there may be an air leak and repair is necessary E06 Above 320mmHg An error code is displayed Do not move and try to relax during the measurement If you can not clear the error the product will requier repair E07 Controlled stop using STOP key Air is exhausted An error code is displayed Do not press the STOP key if you do not need to use it E08 Pulsation can not be measured Measurable pulsation is searched to
6. a Itisnotpossible to completely delete data if the START STOP key is released while the beeper sounds at Step 2 Steps for deleting old data Press and hold the START STOP key until r lis displayed If you want to cancel this process press the AUTO ONOFF key Press and hold the START STOP key once more until the beeper becomes silent V Resetting the Recorder If the recorder does not work correctly press the reset key The recorder deletes all data and parameters The internal system is initialized Cauton 2 All data and parameters are deleted and preset initial pa rameters are reset a Donotpressthe resetswitch too hard Press this key gently so as not to damage the components inside a Keep foreign matter away from the reset switch hole Steps for reset Reset key Open the battery cover Turn off the power switch Step 3 Remove the batteries from the recorder Press the reset key gently Place new batteries in the recorder Step 6 Turn on the power switch The recorder sounds the buzzer four times and 00 is displayed blinking g H o nH o O O O O O O ge O J A N Step 7 Set the parameters for the display and clock Also adjust the parameters for automatic measurement Initializing the recorder Page 19 Deleting Old Data Preparing the patient Y Patent instructions Advise the patient on how to cope with mis operation and co
7. 8 Functions and Specifications 8 Activating the Recorder Replacing Batteries 12 Conditions When Recorder Switched On 13 Parameters for the Display and Clock 13 Selection for the Automatic Measurement 15 Deleting Old Data 19 Resetting the Recorder 19 Preparing the patient Patient Instructions 2 2 2nnn nn nnn nn nn nnn en nnn enenennenenee 20 Use of the Cuff Cover n 22 nrc nnn nn nnn nnn mnnn 21 Attaching the Cuff and Recorder 21 Preparation of the Carrying Case 23 Operation Automatic Measurement by Programed Time Intervals 24 Manual Measurement 24 To Stop a Current Measurement 24 Data transfer Data Transmission to a Printer 25 Data Transmission to a Computer Using Analysis Software 27 Options and
8. Data Transmission to the Computer with Analysis Software Page 27 Data transfer Options and accessories V Analysis Software and Communication Cables The ABPM Data Analysis Software is a powerful tool for analyzing ambulatory blood pressure data The following features are incorporated in this program Statistical Analysis Graphical Data Data Conversion Printed Reports On line Help Maximum Time Period Maximum number of readings Options and accessories Statistical data may be viewed in full partial sleep and awake periods by switching between clearly labeled tabs Systolic diastolic blood pressure mean arterial blood pressure and pulse data are displayed graphically to quickly determine patterns or trends in the data Data Convert feature automatically stores blood pres sure and pulse data in standard CSV file format for use with popular spreadsheet programs Custom data reports formats are easily defined and printed mini report feature automatically prints a compact summary report Built in Help feature provides context sensitive help at any time Doctor Pro uses up to one week s data starting from the oldest reading Delete the old data in the recorder A maximum of 896 readings can be downloaded using Doctor Pro Doctor Pro software TM 2430 13 includes diskette and communication cable AX K01502 Page 28 Analysis Software and Communication iv Cuffs and Other Accessories Cuffs
9. Used batteries Replacing Batteries Page 12 Initializing the recorder iv Conditions When Recorder Switched On The recorder can be turned on in 3 different modes When recorder is turned on Condition Actions The beeper sounds once and the clock is displayed Normal mode The recorder parameters You can use the re are stored corder at once The beeper is sounded once and 00 blinks All parameters are lost Set up parameters of display and clock and Automatic mea The buzzer sounds four times and 00 blinks The mode after reset All surement parameters are lost Parameters for the Display and Clock This setting selects the display during automatic measurement sequence and adjusts the clock parameters The sequence number tells you which parameter you are adjusting Display amp key Sequence number Z j I Parameter j 1 Selecting a sequence number START AUTO STOP ea ON OFF La Selecting a parameter Sign of setting up parameters for display and clock Items Sequence Value amp Meaning of parameters number range 0 Displaying clock only in automatic measurement 1 1 Displaying pressure and result in automatic a e measurement 5 00 99 Years 1997 2096 m ee 6 1 12 Month ee ota 7 1 31 Day a ee 8 0 23 Hour des 9 0 59 Minute or Initializing the recorder
10. bpm beats per minute Compliance Page 2 Before use V Precautions for Use Precautions Batteries 4 Usealkaline batteries LR6 type AA type Mignon or suitable Ni Cd batteries a Do not mix new and used batteries in the recorder a Ifthe recorder will not be used for a long period of time remove the batteries from the recorder unless there is no risk of a SAFETY HAZARD arising A malfunctioning recorder QO Ifthe recorder malfunctions contact your vendor immediately Training a Instruct the patient on how to stop the operation if there is an abnormal measurement and how to remove the cuff if there is excessive arm pain a Provide patient with basic training on operation of ABPM system Repair 4 Donotopen the recorder case Patient should avoid magnetic fields and high frequency equipment Contact your vendor for further instructions Blood pressure measurement Q This device is intended for adult use only 4 The recorder may not make a measurement when a patient has continuous arrhythmia or the recorder senses noise due to the patients movement a Please check measurement values by other methods if you Suspect an erroneous value a Do not use this recorder on a person who is in critical condition or is in an intensive care unit Q This device is intended for ambulatory patients Saving power a Turn off the power switch when not in use a Please transfer the data as soon as possible All measurement data cl
11. error the product needs repair E50 Pressure offset An error code is displayed Release the air from the cuff com error to measure at restarting the product _ pletely reset the product If you not pulsation clear this error repair is necessary E52 Memory error An error code is displayed The product needs repair at restarting the product E53 Battery contact is The measurement is Replace batteries correctly If you can defective stopped air is released not clear this error the product needs from the cuff and an error repair code is displayed E55 Exhaust error An error code is displayed Relax and do not move during the E56 at measurement measurement If this error occurs E57 many times repair is necessary E60 Interval setting Start time is not proper Enter parameters for the interval error interval of last block is not correctly set in the unit of 120 min E70 RS 232C error The error code is displayed Re connect the communication cable E71 during communications If you can not clear this error the E72 product needs repair E73 E74 Low battery for Replace batteries with new ones and communication restart communication E75 Protcol error due Re connect the communication cable to external If you can not clear this error the equipment product needs repair E90 Pressure zero This error code is Release the air from the cuff error for safety displayed before the completely circuit
12. frequency is 10 minutes ae Step 1 Press and hold the START STOP key for approx 3 seconds START STOP The current mode is displayed Step 2 Press the AUTO ONOFF key so as to display for AUTO ON OFF mode IIL z Step 3 Press the START STOP key The mode is stored andthe current START STOP start time of the first block is displayed ats gt fe g Q J v Press the AUTO ONOFF key so as to display 8 for 8 00 hours as the start time of the first block E gt Ps wm pa fa a yY 0p o D D D O O O op oO ns Press the START STOP key The current frequency for the first block is displayed gt S fe g re Q J v Press the AUTO ONOFF key so as to display 30 for 30 maar minutes as the frequency for the first block Se ae gt da Ho wm ie O U 7 Step 7 Press the START STOP key The current start time of the second block is displayed nI Step 8 Press the AUTO ON OFF key so as to display 22 for 22 00 hours as the start time for the second block Bi START STOP Step 9 Press the START STOP key The current frequency for the second block is displayed ui Z i _t _t AJ a 1 D gt fe g O Q J Step10 Press the A
13. parameters for automatic measuremnt not used START STOP key in this sequence START RJT La AUTO ON OFF Selecting a parameter ES Selecting a sequence number Items Sequence Parameters monitor Meaning Initial value number 01 0 23 o clock Start time of first block DE A 02 5 10 15 20 30 60 120 minutes Frequency of first block TELE 03 0 23 o clock Start time of second block tice 7 04 5 10 15 20 30 60 120 minutes Frequencyofsecondblock H430 05 0 23 o clock Start time of third block ua aed 06 5 10 15 20 30 60 120 minutes Frequency of third block Uh 7 07 0 23 o clock Start time of fourth block Hi 7 08 5 10 15 20 30 60 120 minutes Frequency of fourth block fii 7 09 0 23 o clock Start time of fifth block th ica 10 5 10 15 20 30 60 120 minutes Frequency of fifth block oe 11 0 23 o clock Start time of sixth block Cate 12 5 10 15 20 30 60 120 minutes Frequency of sixth block ie 13 0 23 o clock End of sixth block ti 7 The means not used Selection for the Automatic Measurement Page 16 Initializing the recorder Steps for automatic measurement ex First block 8 00 21 59 frequency is 30 minutes Second block 22 00 5 59 frequency is 60 minutes Third block 6 00 7 59
14. time intervals from the preset time of the internal clock Refer to Selection for the automatic measurement a Inthe automatic measurement an A appears in the upper left of the display a The recorder automatically measures the patient s blood pressure at the time that is pointed out by the frequency and the start time by the programed time intervals a When a measurement error occurs and there is 10 minutes until the next measurement the measurement is retried after approx 30 seconds a Ifa measurement is retried only the data from the retry is saved a The recorder automatically adjusts the proper pressure exhaust velocity and end of measurement a Referto Selection for the automatic measurement and Automatic measure ment by programed time intervals about operation and entering parameters Stopping a measurement a Ifyou press the START STOP key during a measurement the recorder exhausts the air and stops the measurement Concealing the measurement value 4 This function works only while using automatic measurement 4 This function does not display the SYS DIA or pulse rate for the automatic measurement but the data is saved in memory a This function can select reveal or conceal at Parameters for the display and clock Refer to this section a Ifyou select conceal the recorder displays the clock during a measurement a Ifyou reset the recorder this parameter is se
15. 20mmHg in constant exhaust An error code is displayed Do not move and try to relax during the measurement The error occurs when measurable pulsations are not received due to thick cloth or quick motion E10 Pulsations can not be detected because the patient may have moved In the measurement Quick exhaust is executed An error code is displayed Do not move and try to relax during the measurement E20 Pulse rate lt 30 200 lt Pulse rate E21 DIA lt 40 160 lt DIA E22 SYS lt 60 280 lt SYS E23 DSD lt 10 150 lt DSD Error Code An error code is displayed DIA SYS DSD Measure the blood pressure by other methods Diastolic Blood Pressure Systolic Blood Pressure The Difference between Systolic Blood Pressure and Diastolic Blood Pressure Page 32 Maintenance Error detects over load pressure measurement code Meaning Status Operation and Treatment E30 Measurementis Air is exhausted from the Repair is necessary because of slow greater than 120 cuff and an error code is inflation or slow constant exhaust seconds displayed E31 The constant Air is exhausted from the Repair is necessary because of slow exhaust is greater cuff and an error code is constant exhaust than 60 seconds displayed E32 Clock error An error code is displayed If you not clear this
16. 3 mmHg Blood pressure Conforming to 1992 AAMI standard 3 mmHg or 2 measurement whichever is greater aa Pulse rate 5 Pressure 1 mmHg Pulse rate 1 bom Manual measurement Apporx 180 Actual measurement number may vary due to environment and capacity of batteries Up to 300 sets of data Normal Clock Display During a measurement Pressure value After a measurement SYS DIA and pulse rate Error code function of concealing the measurement data Batteries 3 x Alkaline battery type LR6 type AA or a 3 x Ni Cd battery type AA Internally powered equipment type BF against electric shock CE Marking The label of the medical device a 5 by the EC directive C E 0365 C Tick Marking The certification trade mark registered to the ACA by the Trademark office N92 AAMI Association for the Advancement of Medical Instrumentation ACA the Australian Communications Authority CE marking and C Tick marking are labeled only where they are required Functions and Specifications Page 10 Specifications Communications Data Connected to a computer you can output the data and enter Output parameters Connected to a printer you can print the data Interface Specifications EIA RS 232C Asynchronous bi directional half duplex Baud rate 9600 bps Data bits 8 bits Stop bits 2 bits X parameter Used for computer Not used for printer Parity None Code ASCII RS 232C pe nane St
17. F key for about 3 seconds When the A is displayed the recorder starts an automatic measurement based on the internal clock and the parameters for automatic measurement Operation using mode II Sleep mode Step 1 Press the AUTO ON OFF key turning off the S when the patient wakes up Step 2 Press the AUTO ON OFF key turning on the S when the patient goes to bed Stopping or canceling automatic measurement When the AUTO ONOFF key is pressed for about 3 seconds the recorder exits the automatic measurement mode and the A disappears Conversly by pressing the AUTO ONOFF key again the A will reappear V Manual Measurement Press the START STOP key The recorder starts a measurement at once The results are displayed and stored in memory W To stop a Current Measurement Press the START STOP key during measurement The recorder will stop the measurement at once and releases the air from the cuff Automatic Measurement Page 24 Operation a The recorder transfers data to a printer or computer using the RS 232C terminal 4 We recommend analysis of the data using the optional Doctor Pro analysis software Caution 4 Cap the RS 232C terminal to prevent dust and foreign matter from entering when this terminal is not in use m Remove the recorder and cuff from the patient when the recorder is connected to a printer or computer iv Data Tr
18. TM 2430 REC ORDER FOR AMBULATORY BLOOD PRESSURE MONITOR NSTRUCTIO ANUAL Z Ambulatory Blood Pressure Monitor WM PD4000136 Rev 1 1 A amp D Company Limited This mark informs you about the operation of the product Note This manual and or the TM 2430 may be changed at any time to improve the product without notice Windows is the registered trademark of the Microsoft Corporation Macintosh is the registered trademark of Apple Computer Inc EXCEL is the registered trademark of the Microsoft Corporation Before use Compliance enon nnn nn enn ene n mene ence en ennewennewensennenenas 2 Definitions 2nnn nen nn nn nnn en en nn cen en nn nen nana nen eneenenenens 2 Precautions for USe 3 Notes on the Blood Pressure Recorder 4 Welcome Welcome and Introduction 5 Product overview Packing List and Component Names 5 Display 222 en nn nn ne nnn nn nen nn nn nen enennnnennn nen enennecenensaees 7 SYMDOIS n nnn enn eww nw eww nananana 7 Specifications Features
19. UTO ONOFF key so as to display for 60 minutes O mo L as the frequency of the second block Hi Step11 Press the START STOP key The current start time of the third START STOP me oof block is displayed Woo Step12 Press the AUTO ON OFF key so as to display 6 for 6 00 hours AUTO ON OFF mZ gp F x WI as the start time of the third block es es To next page Initializing the recorder Page 17 Selection for the Automatic Measurement From previous page Step13 Press the START STOP key The current frequency of the third START STOP me block is displayed Li Step14 Press the AUTO ONOFF key so as to display 10 for 10 AUTO ON OFF ee E a minutes as the frequency of the third block L ts Step15 Press the START STOP key The current start time of the fourth START STOP a aA block is displayed Li D Step16 Press the ISTART STOP key The recorder stores these START STOP parameters and displays the clock because the current NEE start time of the fourth block is the same start time of the first block Selection for the Automatic Measurement Page 18 Initializing the recorder Deleting Old Data Caution 2 When the data is to be deleted confirm that the data has already been transferred and saved It is not possible to recover data that has been deleted
20. accessories Analysis Software and Communication Cables 28 Cuffs and Other Accessories 29 Maintenance Checking Accuracy 30 Cleaning the Cuff and Recorder 31 Periodical inspection 31 Problem Solving 31 Error Codes 2 nn nnn nn nnn nnn enn enn ene nn n 32 Page 1 V Compliance Compliance with European Directive 93 42 EEC forMedical Products The device conforms to the following requirements European Directive 93 42 EEC for Medical Products Medical Products Act European Standards for Electrical Medical Equip ment EN 60601 1 General Safety Provisions EN 60601 2 30 Particular Requirements for the Safety of Automatic Cycling Indirect Blood Pressure Monitoring Equipment EN 60601 1 2 and EN 55011 Electromagnetic Compatibility European Standards pertaining to Non Invasive Blood Pressure Instruments EN 1060 1 General Requirements EN 1060 3 Supplementary Requirements for Electromechanical Blood Pressure Measuring Systems The above is evidenced by the CE mark of conformity accompanied by the reference number of a designated authority This device is designed for adult
21. ansmission to a Printer Caution 4 The recorder intensely consumes the battery power while connected to the RS 232C cable Disconnect the cable when not actually transferring data 4 Maintain the power on state while transmitting the data so that the data successfully transmitted 4 The RS 232C cable is required when connecting to a printer 4 Theprinter to print the data must have a serial inter face and adapt to the RS 232C protocol of the recorder Specifications for an adaptable printer Transmission EIA RS 232C Asynchronous bi directional half duplex Baud rate 9600 bps Start bits 1 bit Data bits 8 bits Parity bit None Stop bits 2 bits X parameter Not used ETX ACK Not used DSR Not used Code ASCII Command Carriage return ODh Next line ODh OAh Next page OCh ODh Printer parameters Next page Automatic Characters per line 72 min Buffer size approx 32Kbytes Data Transmission to a Printer Page 25 Data transfer Steps for data transmission Step 1 Enter the parameters into the printer so that the data Setup for can be transmitted Connect the cable to both the recorder and printer Connection Then the recorder displays Refer to Analy 2 sis Software and Communication Cable about the cable On line Set the printer to ON LINE ia Start Stop Press the START STOP key Then
22. art bit 4 Data bits Stop bits Environment spec ific ations Operating environment 10 C 40 C 50 F 104 F Less than 85 RH Transport and Storage 20 C 55 C 4 F 131 F Less than 95 RH Non Condensing Physic al spec ific ations Dimensions 72 W x 100 D x 27 H mm 2 8 W x 3 9 D x 1 0 H in Weight Approx 215 g 0 47lb excluding cuff AND TM 2430 mty N O 72mm stor L oorr C OF A 7 o 100 mm a 6 o H Mt r ee Keo Specifications Page 11 Functions and Specifications Activating the recorder __Replacing Batteries Caution m m When B is displayed the recorder can not take a measurement Please replace the new batteries before using If B is displayed during the measurement replace with new batteries at once Use alkaline batteries or the specified rechargeable batteries for the recorder Do not mix new and used batteries in the device Steps for replacing the batteries Step 1 Step 2 Step 3 Step 4 Step 5 1 3 5 Battery cover gt Open the battery cover Turn off the power switch Replace with new batteries note the direction and Turn on the power switch Close the battery cover Step 1 Step 5 Power switch New alkaline batteries Sel
23. corder remove the battery cover and turn the power switch off Remove the batteries 2 The recorder is not water resistant do not allow liquids to splash on or get into the case while cleaning 4 After each use wipe the case of the recorder with a clean lint free cloth moistened with water and a mild detergent Do not use antiseptic solutions Alcohol etc to clean the recorder hose or cuff Clean the cuff cloth and cuff cover by washing in water with a mild detergent Do not scrub or wring them by hand If the cuff cloth and cuff cover become contaminated replace them with new covers W Periodical inspection a This blood pressure recorder is a precision instrument Please inspect the functions every year periodically Contact your nearest A amp D office for this inspection V Problem solving Caution 4 Do not open the case of the recorder because it uses delicate electrical components and an intricate air unit that could be damaged m If you can not locate and fix the problem request service from your supplier or from the A amp D service group 3 A amp D service group will support authorized suppliers with technical informa tion spare parts and units L L Cause No display at turn Battery power has been Replace with new batteries ing on consumed Data lost while re Unable to charge the in Set monitor for clock display placing batteries ternal sub battery mode for approx 24 hours Do
24. ecorder and cuff are not water resistant Prevent excessive moisture wetting the recorder and cuff Do not place anything on the recorder Prevent the air hose from disconnecting during sleep Affix the air hose to the patient s body only as shown on page 24 Replacing the batteries Replace with new batteries quickly when B is displayed Patient Instructions Page 20 Preparing the patient W Use of the cuff cover Step 1 Pass the air hose through the slit Step 2 Place the cover on the cuff as shown Link them using the three velcro strips Velcro Velcro d Velcro Cuff cover common use Velcro ae Velcro Slit for air hose g ih 1 a SS SE Left arm cuff W Attaching the cuff and recorder Caution 4 The standard cuff that is included with the TM 2430 is a left arm cuff 4 If the cuff is not attached at the correct position the recorder may not measure the blood pressure correctly and an error may occur 4 The left cuff is for use on the left arm of about 20cm 31cm If you need a different cuff purchase a cuff of the proper size and arm position Refer to Option and Accessories a Do not use if the patient has dermatitis etc is Keep the cuff clean Exchange the cuff cover for each patient The cuff cover may be used for both right or left Steps for attaching the cuff and recorder Step 1 Make a circle where the end of the cuff is passed through the
25. for serial no M0600001 to M0600500 Cuffs for serial no M0600501 or over Name Order code Large cuff forleftarm 28 36cm 11 14 inches TM2430 02 Adult cuff forleftarm 20 31cm 8 12 inches TM2430 06 Small cuff forleftarm 15 22cm 6 8inches TM2430 07 Adult cuff for right arm 20 31 cm 8 12 inches TM2430 09 Cuff sleeves Name Order code Large cuff forleftarm 28 36cm 11 14 inches TM2430 02A Adult cuff forleftarm 20 31 cm 8 12 inches TM2430 06A Small cuff forleftarm 15 22cm 6 8inches TM2430 07A Adult cuff for right arm 20 31 cm 8 12 inches TM2430 09A Cuff cover Name Order code Large cuff sleeve for left arm 2 sleeves AX 133003299 S Adult cuff sleeve for left arm 2 sleeves AX 133003137 S Small cuff sleeve for left arm 2 sleeves AX 133003298 S Large cuff sleeve for right arm 2 sleeves AX 133003460 S Adult cuff sleeve for right arm 2 sleeves AX 133003300 S Small cuff sleeve for right arm 2 sleeves AX 133003461 S Name Order code Large cuff cover 10 sheets AX 133002066 S Adult cuff cover 10 sheets AX 133002018 S Small cuff cover 10 sheets AX 13A37410 S Others Name Order code TM 2430 Accuracy Diagnostic Kit TM2430 90 Recording sheet 10 sheets AX PP155 S Carrying case Cuffs and Other Accessories Page 29 AX 003001955 Options and accessories Check
26. ing Accuracy Required equipment 4 Accurate office mercury sohygmomanometer or aneroid gauge with inflation system 4 TM 2430 Accuracy Diagnostic Kit TM2430 90 4 A rigid cylinder sized to fit the cuff pressured Steps for checking accuracy Step 1 Turn off the TM 2430 and remove the air hose from the unit Step 2 Construct the check system as this drawing not included Mercury sphyg momanometer Inflator bulb 300 369 aa 200 180 160 i l Exhaust valve and 11 Power switch A rigid cylinder adjustment screw D TM 2430 Accuracy Diagnostic Kit Turn on the power switch when you press and hold the ISTART STOP key The TM 2430 blinks the 0 of measurement value Squeeze the inflator bulb until cuff pressure reaches to 50 mmHg Verify that the difference between the blinking display of TM 2430 and mercury sphygmomanometer is within 3 mmHg Squeeze the inflator bulb until cuff pressure reaches to 150 mmHg Verify that this difference is within 3 mmHg Step 7 Squeeze the inflator bulb until cuff pressure reaches to 250 mmHg Verify that this difference is within 3 mmHg Step 8 Release the cuff air turn off the TM 2430 and remove the kit This blood pressure recorder is a precision instrument Contact your nearest A amp D office for this inspection if you need repair Checking Accuracy Page 30 Maintenance V Cleaning the cuff and recorder 4 Before cleaning the re
27. ing a mode ex Mode II is selected Press and hold the START STOP key for about 3 seconds The START STOP pe I current mode is displayed Press the AUTO ONOFF key so as to display of AUTO ON OFF mode II c Press the START STOP key The recorder stores the mode and START STOP tht ct Ial displays the clock oit Initializing the recorder Page 15 Selection for the Automatic Measurement Mode II Setiings Set up procedure Before you enter into mode Ill read the procedure below Also refer to the example on the next page for the setting procedure Each blocks starting time must match the previous blocks finish time The end of block 6 automatically equalizes to start time of the block 1 If you enter the block 1 start time in any other block these parameters are m saved and this sequence is finished When selecting 120 minutes for the current frequency you must adjust the start time of the next block so that the current block fits a multiple of 120 minutes If you do not fit to the next start time an error code is displayed The recorder displays as 60 minutes and as 120 minutes When you enter the sequence of mode M settings the recorder initializes each start time to the start time of block 1 and each frequency to To read the current settings press the Display amp key Sequence number Parameter mae Sign of setting
28. lity Using the Belt Step 1 Insert the belt into the hole of the carrying case Carrying case Pull the belt from the hole of the carrying case tep 3 Pass the belt through the ring a o D O O oO O i PO Thread the belt through the front hole and the rear hole of the hook tep 5 Insertthe belttothe ring again Using the Shoulder Band Step 1 Insert the band into the buckle Step 2 Pass the belt through the ring Step 3 Thread the belt through the buckle See illustration on right Initializing the recorder Page 23 Attaching the Cuff and Recorder Automatic Measurement Caution 4 Automatic measurement uses the internal clock and parameters of automatic measurement Refer to section Parameters for the Display and Clock and Selection for the automatic measurement for setting these parameters a Pressandholdthe AUTO ON OFF key for approx 3 seconds so as to turn off A symbol on display when the patient stops the automatic measurement or detaches the cuff If the automatic measurement mode is running without a patient arm or resistance damage will occur to the cuff Starting or re starting automatic measurement mode Step 1 Confirm the parameters for automatic measurement Refer to Selection for the automatic measurement Press and hold the AUTO ONOF
29. measurement E91 Safety circuit Patient moved during the Relax and try to quiet during the measurement If it occurs in quiet the recorder needs repair Maintenance Monitor code is displayed Page 33 Reset Turn on power switch again Error Code MEMO Page 34
30. ntingencies Cautions during automatic measurement m m m m Patient should relax and be quiet when the recorder starts inflating the cuff Minimize noise and movement during the measurements The recorder displays the patient s blood pressure within one minute after the measurement There is the possibility of re measuring the blood pressure after the last measurement This occurs when the recorder did not acquire usable data and the frequency of the interval is above 10 minutes The patient should relax and not move during the measurement Discontinue use of recorder if the patient feels pain in his arm Stopping or canceling an automatic measurement When the patient needs to stop a measurement press the START STOP key The recorder beeps releases the air in the cuff and an error is displayed The recorder will inflate the cuff for the next time period automatically When the AUTO ONOFF key is pressed and held for approx 3 seconds the recorder exits the automatic measurement mode and the A disappears Conversly by pressing the AUTO ONOFF key again the A will reappear Manual measurement m m For the patient to start a measurement at once press the START STOP key For the patient to stop this measurement press the START STOP key Attention while attaching the cuff and recorder m m Do not drop or shake the recorder The r
31. ock parameters measurement parameters and internal system parameters are preserved by a backup battery when turning the power switch off The backup battery life is few days Cuff 4 Close the cuff fastener properly when attaching the cuff to a patient or Before use replacing the cuff cloth If the fastener is closed incorrectly inflating cuff may damage the cuff Page 3 Precautions iv Notes on the Blood Pressure Recorder Storage 4 Do not store the recorder in the following places Excessive moisture Excessive heat Direct sun light Excessive vibration Exposure to dust Exposure to corrosive chemicals Magnetic fields Before use Cover the RS 232C terminal using the rubber cap to avoid dust Confirm that the recorder works correctly Confirm that the cuff and air hose are connected properly Cuffs should be clean prior to use with patient Clear the old data before starting a new measurement Avoid strong magnetic field and static electricity Do not use this recorder near a high frequency surgical equipment Di C O O During use The recorder should be operated by a medical professional who knows it well Stop using the recorder if the patient feels pain in the arm or if the recorder does not measure properly 4 Ifthe recorder is exposed to excessive moisture do not use Immediately request service from vendor m m After use 4 Clean the recorder cuff and accessories for the next use Do not pull o
32. r approx 6 seconds the recorder proceeds to Parameters for the display and clock e When you press and hold the START STOP key for approx 9 seconds the recorder proceeds to Deleting old data RS 232C termina This terminal is used for data output to a printer or computer The optional RS 232C cable is necessary to output the data Reset key All data and parameters are deleted Packing List and Component Names Page 6 Product overview vl Display Sleep sign a Auto mode sign as 5 05005 al sere DN Low battery sign 8m H i PULSE TIME fag ees Systolic Blood Full memory sign Sign Pressure display INTERVAL Setup sign of TT yl Diastolic Blood automatic measurement cit PIA Pressure display Setup sign of eo TIME display and clock LOL pyise Pulse display cme Error displa ir Sign Name Functions B Arrow The arrow points to the kind of current display in the measure ment result and function mode A Automatic A is displayed when the automatic measurement is selected measurement When you press and hold the AUTO ON OFF key this sign is turned on or off alternately S Sleep When you press the AUTO ON OFF key while in mode II of the automatic measurement S is displayed or turned off alternately With the S turned off the time interval is 15 minutes With the S turned on the time interval is 30 minutes
33. r kink hoses Do not use organic solvent antiseptic solution etc Turn off the power switch Please use the original box for transportation of the monitor m m Periodic maintenance a The recorder is a precision instrument Please check all functions every year periodically Contact your nearest A amp D office for this inspection Environmental protection 4 Ifyou disuse the recorder remove Ni Cd battery and built in Li battery from Dy this recorder 9 a Disuse Ni Cd battery to its exclusive trash can because of recycling it Ni Cd y ea r 2 Dispose of Li ion battery in the recorder as dangerous object properly Notes on the Blood Pressure Recorder Page 4 Before use ka Welcome Welcome and introduction Thank you for your Purchase The A amp D TM 2430 ambulatory blood pressure recorder enables you to accurately take a patient s blood pressure automatically at different preset times throughout a 24 hour period Recently in the treatment of patients with hypertension there has been an increasing need to prescribe medication according to the particular blood pressure fluctuation pattern of the patient These patterns can be made more evident by using the TM 2430 recorder and an analysis by a physician This manual will explain in simple language how this recorder works Patient This blood pressure recorder is designed for an adult patient Environment This blood pressure recorder is used in a hospital and or pa
34. ring Step 2 Search for the brachialis artery using palpation Initializing the recorder Page 21 Use of Cuff Cover Step 3 Step g Step 5 Step 6 Step Step 8 Step 9 AEE EE amp Air hose plug Appox 3 cm 5cm Air socket A Main body gt Attach the cuff directly against the skin so that the yellow mark is directly over the brachialis artery and space it one inch above the inside of the elbow and the lower edge of the cuff Wrap the cuff so that the ring is within the slide range it is flat and does not slip down but has room to insert two fingers If the ring is not within the slide range you need a proper cuff Position the air hose over the shoulder and affix it on the patient using adhesive tape Assemble the belt and carrying case Position the belt so that the carrying case is on the right left side of the patient when a patient attaches left right arm cuff Connect the air hose plug to the air socket Place the recorder into the carrying case Do not disturb the cuff or air hose during the measurement because the recorder measures small pressure variations Ring Yellow mark Approx 1in 2ins Carrying case Pee Attaching the Cuff and Recorder Page 22 Initializing the recorder K Preparation of the Carrying Case 4 Use the belt or shoulder band to attach the carrying case 4 We recommend the belt be used for added stabi
35. s only Compliance with FCC Rules Please note that this equipment generates uses and can radiate radio frequency energy This equipment has been tested and has been found to comply with the limits of a Class A computing device pursuant to Subpart J of Part 15 of FCC rules These rules are designed to provide reasonable protection against interference when this equipment is operated in a commercial environment If this unit is operated in a residential area it might cause some interference and under these circumstances the user would be required to take at his own expense whatever measures are necessary to eliminate the interference FCC Federal Communications Commission in the U S A Compliance with the Australian EMC Frame work The device conforms to the following requirements EMC Emission standard for industrial Scientific amp Medical equipment AS NZS 2064 1997 EMC Generic Immunity standard AS NZS 4252 1 1994 The above is evidenced by the C Tick label Q Definitions Systolic Blood Pressure a Diastolic Blood Pressure DSD The Difference between Systolic Blood Pressure and Diastolic Blood Pressure Exhaust This means releasing the cuff air as soon as possible Exhaust velocity This means the rate of depressurizing the cuff air Measurement cycle This means a period between the start of cuff inflation and the end of exhausting the air Interval This is called a block A block consists of a start time and frequency
36. t to reveal Pressurization a The pressure is automatically selected by the recorder while in the automatic measurement mode a The first pressure is set to approx 185 mmHg This value automatically adjusts to the proper value after the first measurement If the first inflation is not successful the recorder retries twice QO Ifyou reset the recorder the first inflation value is reset to 185 mmHg Memory a The TM 2430 recorder can store 300 sets of data A data set consists of a SYS a DIA and a pulse rate a When memory becomes full the recorder displays an M Until you clear the data you can not measure blood pressure When the recorder saves data for more than one patient data management becomes complication We recommend that patient data is transferred and cleared from memory When a B is displayed the backup batteries that is preserving a patient s data are weak Please replace batteries as soon as possible ID number q If you reset the recorder the ID number is set to 1 a The ID number can be set using the optional software Specifications Page 9 Functions and Specifications Performance spec ific ations Measurement method Oscillometric Pressurization Display range 0 320 mmHg Interval measurement 85 300 mmHg Fitted Manual measurement 185 mmHg Fixed Measurement range Systolic Blood Pressure 60 280 mmHg Diastolic Blood Pressure 40 160 mmHg Pulse rate 30 200 bpm Accuracy Pressure
37. ta Refer to Section Data Transmission to a Printer for specifications of the TM 2480 printer 2 The recorder has the built in chargeable Li ion battery to keep the clock and automatic measurement parameters Analysis a The time interval may be changed as needed 4 The patient s blood pressure can be measured immediately at any time 4 Ifyou use the optional software you can analyze the data extensively Smart measurement a The measurement time is shortened by proper exhaust velocity control 4 The exhaust velocity adjustment is unnecessary because the constant exhaust is properly controlled 4 Inthe automatic measurement cycle these inflation values and stop values at exhaust are controlled to reduce the measurement time Y Functions and Specifications Blood pressure measurement 4 There are two ways of utilizing this device to record blood pressure measurements Automatic measurement This automatic measurement works in accordance with internal clock preset time intervals and preset mode The measurement data is saved in memory Manual measurement Any time you press the START STOP key a blood pressure measurementis performed immediately The measurement data is saved in the memory Features Page 8 Specifications Automatic measurement 4 This measurement starts or stops using the AUTO ONOFF key When this measurement is started the recorder begins to work in accordance with preset
38. tient s home W Packing Listand Component Names Instruction manual Blood pressure recorder Main unit Carrying case Shoulder band Belt Cuff covers for adult cuff Activity record sheets Adult cuff for left arm Welcome Page 5 Welcome and Introduction Battery cover Start Stop key Alkaline batteries type LR6 type AA Mignon The batteries are not included in this pack Auto ON OFF key Yellow mark Shoulder band Adult cuff for left arm Air hose plug Air socket Carrying case Reset key Belt Power switch Name Functions Power switch This is the main power switch In the OFF state all data and parameters are preserved by an backup battery The backup battery life is approximately 10 days with the power off AUTO ON OFF key e When you press and hold the AUTO ON OFF key the automatic measurement is started or stopped alternately e When you press the AUTO ONOFF key at mode II of the automatic measurement S is displayed or turned off alter nately This sign changes the interval for sleep START STOP key e When you press the START STOP key a blood pressure mea surement is started at once e When you press and hold the START STOP key for approx 3 seconds the recorder proceeds to Selection for the auto matic measurement e When you press and hold the START STOP key fo
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