A and D Instruments UM-211 Blood Pressure Monitor Instruction Manual
- August 28, 2024
- A and D Instruments
Table of Contents
A and D Instruments UM-211 Blood Pressure Monitor
Specifications
- Device Type: A&D Blood Pressure Monitor
- Conforms to: European Directive 93/42 EEC for Medical Products
- Intended Use: Measure blood pressure and pulse rate of adults for diagnosis
- Environment for Use: Indoor
Preliminary Remarks
This state-of-the-art A&D blood pressure monitor is designedfor ease of use and accuracy. Before using the device, please read through the manual carefully.
Precautions
- Avoid using the device where plugging/unplugging of the AC adapter may be difficult.
- Device not suitable for newborn infants or pregnant women.
- Ensure the patient is relaxed and still during measurement.
- Measure blood pressure after being in a relaxed state for at least five minutes.
Parts Identification
The device includes components such as Display, DC Jack, Cuff Holder, Air Socket, Air Connector Plug, Buttons (MODE, START/STOP), Air Hose, Arm Cuff, Battery Compartment, Memory, etc.
Pressure Settings
The device displays various measurements including Systolic Pressure, Diastolic Pressure, Pulse Rate, Room Temperature, Clock Display, etc.
Symbols
The device features symbols like SYS for systolic bloodpressure, DIA for diastolic blood pressure, PUL for pulse rate, and more. Each symbol corresponds to a specific function or measurement.
FAQs
Q: Can this device be used on newborn infants?
A: No, this device is designed for use on adults only. Clinical testing has
not been conducted on newborn infants.
Q: How should I ensure accurate blood pressure measurements?
A: To ensure accuracy, make sure the patient is relaxed, avoid movement or
talking during measurement, and measure blood pressure after being in a
relaxed state for at least five minutes.
Dear Customers
Congratulations on purchasing a state-of-the-art A&D blood pressure monitor,
one of the most advanced monitors available today. This device is designed for
ease of use and accuracy. We recommend that you read through this manual
carefully before using the device for the first time.
Preliminary Remarks
This device conforms to the European Directive 93/42 EEC for Medical
Products. This is made evident by the
mark of conformity.
(0123: The reference number to the involved notified body)
The device is designed for use on adults.
Environment for use: The device is for indoor use.
This device is designed to measure blood pressure and pulse rate of people
for diagnosis.
Precautions
Installation or storage location for the device Do not use the device where
flammable gases such as anesthetic gases are present. It may cause an
explosion. Do not use the device in highly concentrated oxygen environments,
such as a high-pressure oxygen chamber or an oxygen tent. Extremes in room
temperature, humidity, direct sunlight, shock or dust should be avoided. Use
or keep the device in a stable location where there is no slope, no vibration
and no mechanical shock (including when shipping). Use or keep the device in a
location where the chemicals, medicines or gases are not present. The device
and cuff are not water resistant. Measurement may be distorted if the device
is used close to televisions, microwave ovens, cellular telephones, X-ray or
other devices with strong electrical fields. A strong shock to the device may
result in mechanical error or possible injury due to debris. Avoid tightly
folding the cuff or storing the hose tightly twisted for long periods, as such
treatment may shorten the life of the components.
Display
Confirmation before use Confirm that the device is safe and secure for
accurate operation. Operate the device using the provided specified AC
adapter. Only the specified options and consumables are allowed for use with
this device. When reusing the device, confirm that the device is clean. Do not
apply the cuff to an arm if another electrical medical device is already
attached. Do not apply the cuff on an arm receiving an intravenous drip or
blood transfusion. This device should be used at a doctor or medical worker
only. The device is not designed to be operated by a patient to avoid
accidents and ensure accurate results. Also, do not use the device for home
health care. Do not use the device in an ambulance or ambulance helicopter.
Doing so will prevent the device from providing accurate measurements. Do not
use the device where plugging and unplugging of the AC adapter may be
difficult. Clinical testing has not been conducted on newborn infants and
pregnant women. Do not use on newborn infants or pregnant women. Confirm that
there is no harm to the patient when the cuff is applied to the patient’s arm
and if the patient has had a mastectomy then avoid the adjacent arm.
Precautions during using the device When error display appears on the device
or there are some doubts in the measurement values, confirm the patient’s
vital signs by using the palpation or auscultation method. Check that the air
hose has not been bent or blocked. Should an error be displayed on the device
or test subject, stop the device and take corrective actions to regain safety.
Do not wrap the cuff on the arm with a wound. That may not only result in
reopening the wound but could also cause an infection. Ensure that the
position of the cuff is applied at the same level as the heart. (Otherwise,
the blood pressure value results in an error.) Do not start to measure the
blood pressure without wrapping the cuff around the arm. That may result in
the cuff bursting or other damage. Regularly confirm patient status when the
measurement is performed frequently or for a long time. Otherwise, it may
cause damage due to peripheral arterial disease. Use the device so that the
air hose is not bent or blocked. Using the cuff while the air hose is kinked
or bent may result in a peripheral circulatory failure due to a hemostasis in
the arm, remaining the air in the cuff. Do not apply the excessive force to
the AC adapter cable, such as lifting the device or pulling out the AC
adapter, by holding the AC adapter cable. Do not pull out or do not connect
the specified AC adapter with a wet hand. That may result in an electrical
shock or getting a burn. While measuring, do not connect or disconnect the AC
adapter or battery or perform maintenance on them.
Using the Monitor
Do not simultaneously touch tUsing the Monitor he DC jack and the patient.
That may result in electrical shock. To measure blood pressure, the arm must
be squeezed by the cuff hard enough to cause some numbness and possibly a
temporary red mark to the arm. Follow local instructions specified in the
hospital when the cuff is used on several or infectious patients. Otherwise
cross infection may result. If the patient has a very weak or irregular heart
beat, the device may have difficulty in determining the blood pressure. Should
the battery short-circuit, it may become hot and potentially cause burns.
Note Do not modify the device. The patient should be relaxed and avoid moving
or talking during measurement. Otherwise that may result in a measurement
error. To ensure accurate measuring, we recommend measuring the blood pressure
after being in a relaxed state for at least five minutes.
Care for after use When the cuff is infected by blood or body fluid, it should
be safely disposed of according to local instructions or protocol to avoid any
potential spread of infectious disease. Clean the device and cuff with a dry,
soft cloth or a cloth dampened with water and a neutral detergent. Never use
benzene, thinner or other harsh chemical to clean the device. For full details
please read page 28. When carrying out maintenance on the device, turn the
power off and remove the power cable from the outlet to prevent a risk of
electrical shock. Do not spray, do not pour or do not spill a liquid on the
main body, accessories, connectors, buttons or outlet ports. Do not perform
autoclave or gas sterilization (EOG, formaldehyde gas or high concentration
ozone, etc.) on the device as this could result in degradation. The user
(Hospital, clinic, etc.) should have the management responsibility for a use
and maintenance for the medical electronic device. Be sure to perform the
specified daily and maintenance inspection for safe use.
Specified battery pack Only the specified battery pack is allowed to be used
with this device. Used equipment, parts and battery are not treated as
ordinary household waste, and must be disposed of according to the applicable
local regulations. Be sure to remove the specified AC adapter from the device
when the specified battery pack is being re-installed in the device. Otherwise
that may result in an electrical shock. Remove the specified battery pack from
the device, and keep it elsewhere if you are not going to use the device for a
month or more. Recharge the battery once every six months. Otherwise the
battery may degrade.
English 4
Be sure to use the device after the battery was recharged. Otherwise that may
avoid from proper use for the device using the battery in emergency. If the
liquid leaked from the specified battery pack gets into an eye, avoid rubbing
it and fully rinse it off using water, then immediately seek medical
attention. The specified battery pack should be used only on this device. Do
not heat the battery pack, or do not break it up. That may cause a heat
generation, catching fire, short circuit or explosion. Do not apply a pressure
or mechanical shock to the specified battery pack. That may result in an
expansion or explosion. Replace the specified battery pack with new one when
the measurement time with this device is extremely short even after fully
recharging.
English 5
Parts Identification
Display DC Jack
Cuff Holder Air Socket Air Connector Plug
Button Button
MODE Button START / STOP Button
Air Hose Arm Cuff
Battery Compartment
Display
Battery Cover MEMORY
AC adapter Specified battery AC cable
Pressure Settings
I.H.B. Symbol (Irregular heartbeat symbol)
Systolic Pressure
Heart Mark
Additional Pressurization Mark
Auscultation Mark Recharging Indicator
Battery Indicator – Year Display – Memory Number
AM / PM Mark
Diastolic Pressure C Room Temperature F Display
Pulse Rate
Month / Date Display Clock Display
English 6
Symbols
Symbols that are printed on the device case and the AC adapter
Symbols SYS
Function / Meaning
Recommended Action
The blood pressure measurement is
started when the START/STOP button
is pressed at the standby mode.
The blood pressure measurement is stopped
when the START/STOP button is pressed
during measuring the blood pressure.
The device proceeds to standby mode
when the START/STOP button is
pressed for at least three seconds.
Systolic blood pressure in mmHg
DIA Diastolic blood pressure in mmHg
PUL Pulse per minute
Direct current
SN
Serial number
Date of manufacture Type BF: Device, cuff and tubing are designed to provide
special protection against electrical shocks.
EC directive medical device label
WEEE label
Manufacturer
EU-representative
Refer to instruction manual/booklet
Class II device
Polarity of DC jack
UL Recognized Component Marks for Canada and the United States
Do Not Dissasemble
Indoor Dry Location Use Only
Consult the instruction manual
PSE Recognized Component
Warnig-Hot surface
English 7
Symbols that appear on the display
Symbols
Function / Meaning
Recommended Action
Appears while measurement is in progress. Measurement is in progress.
It blinks when the pulse is detected. Remain as still as possible.
Irregular Heartbeat symbol (I.H.B.) Appears when an irregular heartbeat is
detected. It may light when a very slight vibration like shivering or shaking
is detected.
Previous measurements stored in memory.
Illuminates in order from bottom when the button is pressed to add the pressurization during constant speed exhaustion at the auscultation mode Illuminates when the auscultation mode is ON.
FULL BATTERY
The battery power indicator during
measurement.
LOW BATTERY The battery power is low when it blinks.
Recharge the device using the AC adapter.
Illuminates when the AC adapter is
connected to the device.
Blinks while the battery is being
recharged.
Unstable blood pressure due to movement during measurement.
Take another measurement. Remain still during measurement.
The systolic and diastolic values are
within 10 mmHg of each other.
The pressure value did not increase during the inflation.
Apply the cuff correctly, and take another
The cuff is not applied correctly.
measurement.
PUL DISPLAY ERROR The pulse is not detected correctly.
English 8
Blood pressure monitor internal error
Means morning when the clock
AM
function is set to 12H display.
Means afternoon when the clock
PM
function is set to 12H display.
Pressure settings
Indicates the pressure value previously set by the user.
Room Temperature
(°C, °F)
Means Celsius or Fahrenheit room temperature.
of
Remove the batteries and press the START/STOP button, and then install the batteries again. If the error still appears, contact the dealer.
English 9
Mode List
Mode No.
Mode name Pressurization value setting Auscultation setting
Auscultation exhaust speed changing Clock setting Clock display setting Auto
power OFF time setting
Room temperature unit changing
Function A pressurization value at the blood pressure measuring can be
changed. A setting about whether the auscultation measurement is carried out
at the blood pressure measuring is possible. An exhaust speed for when the
auscultation measurement is performed can be switched between “Hi” or “Lo”. A
current date and time can be set.
A clock display can be switched between 12H or 24H. A time for timeout for
when no operation is made can be switched between “5” or “10” minutes. A unit
for displayed room temperature can be switched between °C or °F.
English 10
Using the Monitor
Installing / Changing the Batteries
1. Confirm that the AC adapter is removed from outlet.
Step 2
2. Remove the screws that secure the
battery cover on the rear side of the main Step 3
body.
3. Remove the battery cover.
Battery cover
4. Connect the battery’s connector while pushing the hook at the left side to the connector in the battery compartment.
Step 4
5. Close the battery cover.
6. Secure the battery cover by using the screws.
Battery
CAUTION When (LOW BATTERY mark) blinks on the display, recharge the battery. Replace the battery two seconds or more after the device turns off. If (LOW BATTERY mark) appears even after the battery is replaced, make a blood pressure measurement. The device may then recognize the new battery. (LOW BATTERY mark) does not appear when the battery is drained. The battery life varies with the ambient room temperature and may be shorter at low room temperatures. Use the specified battery only. Remove the battery if the device is not to be used for a long time. The battery may leak and cause a malfunction. Exchange the battery with new one when an operation time using the battery with this device is extremely short even after recharging. We recommend exchanging the battery once every two years. Be sure the time was reset when the battery was replaced.
Connecting the Air Hose
Insert the air connector plug into the air socket firmly.
Air connector plug
English 11
Air socket
Connecting the AC Adapter
Insert the AC adapter plug into the DC jack. Next, connect the AC adapter to
an electrical outlet.
Use the specified AC adapter. (Refer to page 30.)
AC adapter plug DC jack
Note: The device is operated using the battery when the power is not supplied to the main body from the AC adapter.
Recharging the Battery
– By connecting the AC adapter to the device, the recharging is started.
– The recharging completes about four hours after the AC adapter is connected
to the device.
– The recharging mark ( ) blinks during recharging.
– The recharging mark continues to illuminate when completing recharging.
Note: A certain amount of time is required for the device temperature display to reach room temperature after recharging.
English 12
Operation
Standby Mode
– The device goes into standby mode when the power is turned on, and a current
room temperature is displayed at the display for diastolic pressure.
– The device proceeds to standby mode when the START/STOP button is pressed
and held, or no operation is made for a regular time at all status other than
blood pressure mode and auscultation mode.
– Press the or button to read out the memory. – Press the MODE button to
proceed to the pressurization value setting
mode. – Press and hold the MODE button to proceed to the clock setting mode. –
Press the START/STOP button to start the measurement.
Measurement Standby Mode
– The device proceeds to measurement standby mode when the auscultation mode
is set to OFF at the auscultation setting mode, or the MODE button is pressed
at the auscultation exhaust speed changing mode, or the measurement is
stopped.
– Also, the device proceeds to measurement standby mode when the measurement
is completed. In this case, the device remains measurement results displayed.
– Press the or button to read out the memory. – Press the MODE button to
proceed to the pressurization value setting
mode. – The device proceeds to the standby mode automatically after a regular
time. – Press the START/STOP button to start the measurement.
A current temperature is displayed.
The display differs depending on a setting.
Standby mode Measurement standby mode
English 13
Model UM-211 is designed to detect the pulse and to inflate the cuff to a
systolic pressure level automatically. If re-inflation occurs repeatedly, use
the following methods.
Measurement with the SET Pressure
During the blood pressure measurement, re-inflation may occur. A fixed
pressure value can be set to avoid re-inflation.
1. Press the MODE button to go to the pressurization value setting mode. The
current setting blinks.
2. Press the or button to select a pressure value about 30 mmHg or more above your expected systolic pressure from the following.
AUTO : Automatic pressurization (default value)
or
220 : Pressure value of 220 mmHg (fixed)
250 : Pressure value of 250 mmHg (fixed)
280 : Pressure value of 280 mmHg (fixed)
3. Press the MODE button to go to the
auscultation setting mode.
Press the START/STOP button to start the
measurement. The device will proceed to standby mode automatically when no
START STOP
operation is made for a regular time.
The next measurement will be performed
with the new pressure value.
The measurement Auscultation
is started.
setting mode
English 14
Auscultation Setting
1. Press the MODE button at the
pressurization setting mode to go into
auscultation setting mode. “F02” is
displayed at the display for systolic
pressure, and the current status is
displayed at the display for diastolic
pressure
2. Press to the or button to switch
between ON or OFF. The device
illuminates the auscultation mark when
the auscultation mode is set to ON. Press the MODE button when
the
Auscultation exhaust speed
auscultation mode is set to ON to changing mode
Measurement standby mode
proceed to auscultation exhaust speed
changing mode.
START
Press the MODE button when the
STOP
auscultation mode is set to OFF to proceed to measurement standby mode. Press the START/STOP button to start
The measurement is started.
the measurement. Also, the device
proceeds to standby mode
automatically after a regular time.
Auscultation Exhaust Speed Changing
Note: Select “Lo” when measuring normally. Should the patient pulse appear to
be 100 or higher, measuring at “Hi” is possible.
1. Press the MODE button at the auscultation
setting mode when the auscultation setting
is set to ON to go into auscultation exhaust
speed changing mode.
“F03” is displayed at the display for
systolic pressure, and the current status
is displayed at the display for diastolic
pressure
2. Press to the or button to switch
between Hi or Lo.
START
3. Press the MODE button to proceed to
STOP
measurement standby mode. Press the START/STOP to start the measurement. Also, the device
The measurement Measurement
is started.
standby mode
proceeds to standby mode
automatically after a regular time.
English 15
Adjusting the Built-in Clock
Adjust the clock prior to use.
Press and hold
1. Press and hold the MODE button at the
standby mode to go into clock setting mode. “F10″is displayed at the display for systolic
pressure, and the far right two digits of A.D.
blink.
2. Select the year using the or button. Press the MODE button to set the current year
Year
or
and move to month/day selection. The date
can be set anywhere between the years 14
and 59.
or
3. Select the month using the or button. Press the MODE button to set the current Month
month and move to day selection.
4. Select the day using the or button.
Press the MODE button to set the current
or
day and move to hour/minute selection.
Day
5. Select the hour using the or button. Press the MODE button to set the current hour and move to minute selection.
6. Select the minute using the or button. Press the MODE button while the minute is being adjusted to proceed to clock display. Press the START/STOP button while the time is being set to proceed to standby mode.
Hour or
Note: The device proceeds to standby mode when Minute
or
no operation is made for a regular time.
Holding down the or button
will change the value continuously.
START STOP
Standby mode Clock display setting mode
English 16
Clock Display Setting
1. Press the MODE button when the minute at the clock setting is being set to
go into clock display setting mode. “F11” is displayed at the display for
systolic pressure, and “12H” or “24H” is displayed at the display for
diastolic pressure.
2. Press to the or button to switch between 12H or 24H. Press the MODE button
to proceed to auto power OFF time setting mode. Auto power OFF Press the
START/STOP button to time setting mode proceed to standby mode.
START STOP
Standby mode
Auto Power OFF Time Setting
Set a time for timeout for when no operation is made. Either of five or ten
minutes can be selected.
1. Press the MODE button at the clock
display setting mode to go into auto
power OFF time setting mode.
“F12” is displayed at the display for
systolic pressure, and “5” or “10” is
displayed at the display for diastolic
pressure.
2. Press to the or button to switch
between five or ten minutes.
3. Press the MODE button to proceed to
START
room temperature unit changing mode.
STOP
Press the START/STOP button to Room temperature Standby mode
proceed to standby mode.
unit changing
mode
English 17
Room Temperature Unit Changing
A unit for displayed room temperature can be switched between °C or °F.
1. Press the MODE button at the auto
power OFF time setting mode to go
into room temperature unit changing
mode.
“F14” is displayed at the display for
systolic pressure.
2. Press to the or button to switch between °C or °F at the right end on
C
F
the display to switch a unit for room
temperature.
3. Press the MODE button to proceed to
Pressure confirmation mode. Press the START/STOP button to complete the setting. The device proceeds to
Pressure confirmation mode
standby mode.
Pressure Confirmation Mode
1. Press the MODE button at the temperature unit changing mode to go into
pressure confirmation mode. The current pressure value is displayed at the
display for systolic pressure and diastolic pressure.
2. When the pressure reaches 320 mmHg or higher, the value indicated on the
display flashes 320 mmHg. After that, the display returns to previous one when
the pressure display is less than 320 mmHg.
3. Press the MODE button to proceed to clock
setting mode. Press the START/STOP button to complete the confirmation. The
device proceeds to standby mode.
Clock setting mode
English 18
Recalling the Memory Data
Note: This device stores the last 99 measurements in memory.
Recalling the Memory Data
1. Press the or button to display a most recent memory data. If no data, the
memory number, time, SYS, DIA and PUL is displayed in bar display. Press the
START/STOP button to carried out the measurement.
2. Each time the button (or the button to display the data in the reverse
order) is pressed, the memory data is displayed as follows.
Press or Systolic Diastolic Pulse
Most recent data
Most recent data (No.n, in the example, No.35) The measurement data is displayed.
Systolic Diastolic
Last data (No.1) The measurement data is displayed.
3. After the last data is displayed, press the button to display the most
recent data.
4. Press the START/STOP button to carried out the measurement. The device
will proceed to standby mode automatically when no operation is made for a
regular time.
Pulse A data at one time previously
Systolic Diastolic Pulse Last data (Oldest)
When the auscultation measurement is carried out and was completed, the device
displays the auscultation mark and measurement results without displaying a
pulse rate as shown in the figure at the right.
English 19
Deleting all Data Stored in Memory
Press and hold the MODE button for at least three
seconds to illuminate the
and battery mark
only.
Again press and hold the MODE button for at least
three seconds to delete the saved data all.
The device shows a display as shown in the figure
at the right when the or button is pressed when there is no memory data in the device.
English 20
Measurements
Selecting the Correct Cuff Size
Using the correct cuff size is important for an accurate reading. If the cuff is not
the proper size, the reading may yield an incorrect blood pressure value. The arm size is printed on each cuff. The arm cuff is a consumable. If it becomes worn, purchase a new one.
Arm Size
Cuff Size
Symbols
Catalog Number
41 cm to 50 cm LL cuff
LL
CUF-KS-LL
31 cm to 45 cm LA cuff
LARGE ADULT
CUF-KS-LA
22 cm to 32 cm A cuff
ADULT
CUF-KS-A
16 cm to 24 cm SA cuff
SMALL ADULT
CUF-KS-SA
Arm size: The circumference of the biceps.
Applying the Arm Cuff
1. Face the palm of the left arm upward, and wrap the cuff around the upper
arm, about 1-2 cm above the inside of the elbow. A range where the INDEX mark
can be overlapped on the RANGE mark shows a proper fit range for the cuff.
Do not roll up shirtsleeve tightly. Artery position mark
2. Place the cuff on the upper arm so that
Cuff
the mark is overlapped on the artery.
3. Wrap while keeping the looseness with the cuff around the upper arm so that it allows the one or two fingers to insert 1-2 cm between the cuff and arm.
Air Hose
Printing contents with the cuff
Symbols
Descriptions
REF
Means a code for when ordering the cuff to the manufacture.
INDEX ARTERY LATEX FREE
Index symbol Means the symbol for showing that the cuff is wrapped in a proper fit range if this symbol is within the RANGE line. ARTERY symbol Place this symbol on the artery at the upper arm or thigh. Means the symbol for showing that the latex is not included in this product.
Means the symbol for showing the conformability mark.
Means the symbol for showing a lot number for when
LOT
manufacturing.
The lot number is printed by the carved seal around this mark.
English 21
RANGE symbol The index symbol with the cuff should be in a range of this
symbol.
Means the symbol for suggestions on operation. THIS SIDE TO PATIENT Means the
symbol for the patient side.
Normal Measurement
1. Place the cuff on the arm. Sit quietly during measurement.
At heart level
2. Press the START/STOP button. All of the display segments are displayed.
Press
Zero (0) is displayed blinking briefly.
The display changes, as indicated in the All of the display figure at the right, as the measurement segments displayed
begins. The cuff starts to inflate. It is normal
for the cuff to feel very tight.
Note: If you wish to stop inflation at any time,
press the START/STOP button
again.
Zero display
3. When inflation is complete, deflation starts Starts inflation
automatically and (heart mark) blinks,
indicating that the measurement is in
progress. Once the pulse is detected, the
mark blinks with each pulse beat.
Pressurizing
Note: If an appropriate pressure is not obtained, the
device starts to inflate again automatically. To avoid re-inflation, see “Measurement with the SET
Measurement in progress
Pressure” on page 14.
START STOP
4. When the measurement is complete, the
systolic and diastolic pressure readings Systolic pressure
and pulse rate are displayed.
Diastolic pressure
The cuff exhausts the remaining air and deflates completely.
Pulse rate
5. Press the START/STOP button to carry out the measurement again. The device will proceed to standby mode automatically when no operation is made for a regular time.
Exhausts remaining air automatically
English 22
Auscultation Measurement
The auscultation measurement is performed when the auscultation setting
mode is set to ON. Also, Press the START/STOP button while pressing
the MODE button to perform the auscultation measurement.
The auscultation measurement is returned to OFF automatically when the
device goes into standby mode. 1. Press the START/STOP button to start
START STOP
pressurization. When conditions for the
pressurization to be completed will be
arranged, the device starts the constant speed exhaustion after completing pressurization.
Zero display Starts inflation
2. The device exhausts at constant speed.
Press the MODE button to confirm the
systolic pressure value. Press the MODE
button again to confirm the diastolic pressure value, and the device exhausts at Pressurizing
quick speed.
3. Press the button during exhausting at Measurement
constant speed to perform the additional in progress
pressurization while the button is being
pressed. The additional pressurization
mark illuminates in order from bottom
during the additional pressurization. When
additional pressurization is applied up to
the systolic pressure value or more, the
systolic pressure value is cleared.
Note: When the device is pressured at 300 mmHg or more, the device performs
forced exhaust automatically.
A mark for the additional pressurization
The value is fixed.
Decreasing by exhaust
The diastolic
pressure value is
4. Press the START/STOP button after also confirmed,
measuring to carry out measurement again. Note: Allow at least
the auscultation three minutes
and the measurement completes.
between measurements on the
same person.
English 23
After Measurement
After measurement, the device proceeds to the standby mode when the START/STOP
button is pressed and held (Three seconds). The device will proceed to the
standby mode automatically when no operation is made for a regular time.
Remove the cuff and record the data.
Notes for Accurate Measurement
Let a patient sit down in a comfortable position. Confirm that a patient does
not cross the legs, patient’s legs touch on the floor and patient’s back and
arms are supported. Let a patient place the arm on a table with the palm
facing upward and the cuff at the same level as patient’s heart.
Let a patient relax for about five to ten minutes before taking a measurement.
If a patient is excited or depressed by emotional stress, the measurement will
reflect this stress as a higher (or lower) than normal blood pressure reading
and the pulse reading will usually be faster than normal.
An individual’s blood pressure varies constantly, depending on what a patient
is doing and what a patient has eaten. What a patient drinks can have a very
strong and rapid effect on patient’s blood pressure.
This device bases its measurements on the heartbeat. If a patient has a very
weak or irregular heartbeat, the device may have difficulty determining
patient’s blood pressure.
Should the device detect a condition that is abnormal, it will stop the
measurement and display an error symbol. Refer to page 8 for the description
of symbols.
The blood pressure measurement may be affected by cuff position, patient’s
posture (standing, sitting or supine), exercise or physiological conditions.
The automatic blood pressure monitor’s performance may be affected by excessive temperature or humidity, or altitude.
Unplug the AC adapter
Unplug the AC adapter from the outlet. Unplug the AC adapter plug from the DC
jack.
AC adapter plug
English 24
DC jack
Removing the Battery
1. Confirm that the AC adapter is removed Step 2 from outlet.
2. Remove the screws that secure the battery cover on the rear side of the main Step 3
body. 3. Remove the battery cover.
Battery cover
4. Unplug the battery connector by depressing the hook on the left side.
5. Close the battery cover.
Step 4
6. Secure the battery cover by using the screws.
Battery
Note: Should both the AC adapter and battery be disconnected from the device, the clock is initialized.
English 25
What is an Irregular Heartbeat
The UM-211 blood pressure monitor provides a blood pressure and pulse rate measurement even when an irregular heartbeat occurs. An irregular heartbeat is defined as a heartbeat that varies by 25% from the average of all heartbeats during the blood pressure measurement.
Troubleshooting
Problem
Possible Reason
Recommended Action
Nothing appears Battery is drained.
Recharge the battery.
on the display,
even when the Useful life for the battery Replace the old battery with
power is turned was over.
new one.
on.
Battery voltage is too low.
The cuff does not inflate.
(LOW BATTERY mark)
blinks. If the battery is
Recharge the battery.
drained completely, the
mark does not appear.
The cuff is not applied properly.
Apply the cuff correctly.
The device does not measure. Readings are too high or too low.
Patient moved patient’s arm or body during measurement.
The cuff position is not correct.
Make sure patient remain still
and quiet during measurement.
Sit comfortably and still. Place patient’s arm on a table with patient’s palm
facing upward and the cuff at the same level as patient’s heart. If patient
have a very weak or irregular heart beat, the device may have difficulty in
determining patient’s blood pressure.
The battery runs The battery has
Replace the old battery with
out soon even exhausted.
new one.
after recharging
the battery.
Remove the batteries. Place
Other
them back properly and take
another measurement.
Note: If the actions described above do not solve the problem, contact the
dealer. Do not attempt to open or repair this product, as any attempt to
do so will make your warranty invalid.
English 26
Maintenance
Maintenance
Do not attempt to open the device as the delicate electrical components and
intricate air unit inside could be damaged. If you cannot solve the problem
using our troubleshooting guide, request assistance from your authorized
dealer or from any A&D service group. The device was designed and manufactured
for a long service life. However it is generally recommended to have the
device inspected every 2 years, to ensure proper functioning and accuracy.
Please contact either your authorized dealer or A &D for maintenance.
Pressure confirmation
Example of connection
(1)
(2)
(1) Calibrated pressure gauge (2) UM-211 (3) Tank500ml
(4) Pressure generating device
(4) (3)
500ml
1. Press and hold the MODE button at standby mode. The device goes into the
built-in clock adjusting mode, and F10 is displayed at the display.
2. Press the MODE button several times to proceed to pressure confirmation
mode. * Refer to the page 18 in this manual for its setting.
3. Add the pressure using the pressure generating device once the display at
the UM-211 became 0 , and confirm the pressure at the pressure gauge and
UM-211. 0
English 27
Cleaning
Remove the AC adapter from the device when cleaning the device. When the main
body or cuff is dirty, wipe them fully by using a gauze or cloth dampened with
warm water and a neutral detergent avoiding excess water. Do not use a moisten
cloth to wipe the DC jack and air socket. The DC jack and air socket must
remain dry. To prevent a risk due to infection, disinfect the main body and
cuff regulary. When disinfecting them, wipe them gently by using the gauze or
dampened cloth with local antiseptic solution then wipe the moisture off the
surface by using a dry soft cloth. Use the following disinfectants to clean
the main body and cuff. Ethanol (70%) Isopropanol (70%) Chlorhexidine
Gluconate Solution (0.5%) Benzalkonium Chloride Solution (0.05%) Sodium
Hypochlorite (0.05%) Clean the device about once every month, basing on a
policy or instruction specified in the hospital or clinic.
CAUTION The blood pressure monitor is not waterproof device. Do not splash
water on it and avoid exposure to moisture. Do not use a organic solvent such
as thinner or benzine. The blood pressure monitor cannot be sterilized by
autoclave, EOG or formaline gas, etc.
Regular inspection
The blood pressure monitor is a precision device. Therefore, inspect it
regularly. Request an inspection to the dealer where you have purchased the
device when the device is in needs of an inspection, The cuff is consumable.
Regularly exchange the cuff with new one.
English 28
Disposal
This equipment and battery are not treated as ordinary household waste and
must be disposed of according to the applicable local regulations.
Item Package
Main unit and accessories
Battery pack
Parts Box Cushion Bag
Enclosure
Internal parts Outer case Cell battery Internal parts
Cardboard Cardboard PE
Material
ABS, SR
General electronic components ABS Nickel-hydrogen battery General electronic components
English 29
Technical Data
Type
UM-211
Measurement method Oscillometric measurement
Measurement range
Pressure: 0 – 299 mmHg Systolic pressure: 60 – 279 mmHg Diastolic pressure: 40 – 200 mmHg Pulse: 40 – 200 beats / minute
Measurement accuracy Pressure: ±3 mmHg Pulse: ±5%
Temperature unit
°C or °F
Temperature accuracy ±2.5°C (+5°C to +40°C)
Power supply
Built-in 3.6V battery (UM-211-20) or AC adapter (TB-268)
Number of measurements
Approx. 300 measurements, when built-in battery is used, with pressure value of 180 mmHg at room temperature of 23°C
Classification
Internally powered ME equipment (Supplied by batteries) / Class II (Supplied by adapter) Continuous operation mode
Clinical test
According to ISO81060-2 2013
EMC
IEC 60601-1-2: 2007
Memory
Last 99 measurements
Operating condition
+5°C to +40°C / 10%RH to 85%RH (Not condensed) 800 hPa to 1060 hPa
Transport / Storage conditions -20°C to +60°C / 10%RH to 95%RH (Not condensed) 700 hPa to 1060 hPa
Dimensions
Approx. 120 [W] x 200 [H] x 140 [D] mm
Weight
Approx. 550 g, excluding the battery
Applied part
Cuff Type BF
Useful life
Device: 5 years Cuff: 2 years AC adapter: 5 years
English 30
Rechargeable
Nickel-Metal Hydride Battery
Battery (UM-211-20) 3.6V Typ.2000 mAh
Min.1750 mAh
AC adapter (TB-268)
The AC adapter is required to be inspected or replaced periodically.
Input: 100-240 V
Output: 6 V
2000 mA
2A
Accessories sold separately Cuff
Arm Size 41 cm to 50 cm 31 cm to 45 cm 22 cm to 32 cm 16 cm to 24 cm
Cuff Size LL cuff LA cuff A cuff SA cuff
Catalog Number CUF-KS-LL CUF-KS-LA CUF-KS-A CUF-KS-SA
AC adapter
Catalog Number TB-268
Note: Specifications are subject to change without prior notice.
AC cable
Catalog Number KO1886 KO1887 KO1888
Plug Type A Type C Type BF
Rechargeable battery
Catalog Number UM-211-20
English 31
Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the following. Portable and mobile RF communication equipment (e.g. cell phones) can affect Medical Electrical Equipment. The use of accessories and cables other than those specified may result in increased emissions or decreased immunity of the unit.
Guidance and manufacturer’s declaration electromagnetic emissions
The UM-211 is intended for use in the electromagnetic environment specified below. The customer or the user of the UM-211 should assure that it is used in such an environment.
Emissions test
Compliance Electromagnetic environment guidance
RF emissions CISPR 11
Group 1
The UM-211 uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
RF emissions CISPR 11 Harmonic emissions IEC 61000-3-2 Voltage fluctuations / flicker emissions IEC 61000-3-3
Class B Class A Complies
The UM-211 is suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.
Recommended separation distances between portable and mobile RF communications equipment and the UM-211
The UM-211 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the UM-211 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the UM-211 as recommended below, according to the maximum output power of the communications equipment.
Rated maximum output
power of transmitter
Separation distance according to frequency of transmitter m
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
d = 1.2 P
d = 1.2 P
d = 2.3 P
W
0.01
0.12
0.12
0.23
0.1
0.38
0.38
0.73
1
1.2
1.2
2.3
10
3.8
3.8
7.3
100
12
12
23
For transmitters rated at a maximum output power not listed above, the
recommended separation distance d in metres (m) can be estimated using the
equation applicable to the frequency of the transmitter, where p is the
maximum output power rating of the transmitter in watts (W) according to the
transmitter manufacturer. NOTE 1 At 80 MHz and 800 MHz, the separation
distance for the higher frequency range
applies. NOTE 2 These guidelines may not apply in all situations.
Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
English 32
Guidance and manufacturer’s declaration electromagnetic immunity
The UM-211 is intended for use in the electromagnetic environment specified below. The customer or the user of the UM-211 should assure that it is used in such an environment.
Immunity test
IEC 60601 test level
Compliance Electromagnetic environment
level
guidance
Portable and mobile RF communications equipment should be used no closer to any part of the UM-211, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Conducted RF IEC 61000-4-6
Radiated RF IEC 61000-4-3
3 V rms 150 kHz to 80 MHz
3 V/m 80 MHz to 2.5 GHz
3 V rms 3 V/m
Recommended separation distance:
d = 1.2 P
d = 1.2 P 80 MHz to 800 MHz d = 2.3 P 800 MHz to 2.5 GHz where P is the
maximum output power rating of the transmitter in watts (W) according to the
transmitter manufacturer and d is the recommended separation distance in
metres (m).
Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, a should be less than the compliance level in each frequency range.b
Interference may occur in the vicinity of equipment marked with the following
symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These
guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio
(cellular/cordless) telephones and land mobile radios, amateur radio, AM and
FM radio broadcast and TV broadcast cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location in which the UM-211 is used exceeds
the applicable RF compliance level above, the UM-211 should be observed to
verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the UM-211.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less
than 3 V/m.
English 33
Guidance and manufacturer’s declaration electromagnetic immunity
The UM-211 is intended for use in the electromagnetic environment specified below. The customer or the user of the UM-211 should assure that it is used in such an environment.
Immunity test
IEC 60601 test level
Compliance level Electromagnetic environment guidance
Electrostatic discharge (ESD) IEC 61000-4-2
± 6 kV contact
± 8 kV air
± 6 kV contact
± 8 kV air
Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.
Electrical fast transient/burst IEC 61000-4-4
± 2 kV for power supply lines
± 1 kV for input/output lines
± 2 kV for power supply lines
± 1 kV for input/output lines
Mains power quality should be that of a typical commercial or hospital environment.
Surge IEC 61000-4-5
± 1 kV line to line
±2 kV line to earth
± 1 kV line to line
±2 kV line to earth
Mains power quality should be that of a typical commercial or hospital environment.
Voltage dips,short interruptions and voltage variations on power supply input lines IEC 61000-4-11
< 5% UT (> 95% dip in UT) for 0.5 cycle
40% UT (60% dip in UT) for 5 cycles
70% UT (30% dip in UT) for 25 cycles
< 5% UT (> 95% dip in UT) for 5 s
< 5% UT (> 95% dip in UT) for 0.5 cycle
40% UT (60% dip in UT) for 5 cycles
70% UT (30% dip in UT) for 25 cycles
< 5% UT (> 95% dip in UT) for 5 s
Mains power quality should be that of a typical commercial or hospital environment. If the user of the UM-211 requires continued operation during power mains interruptions, it is recommended that the UM-211 be powered from an uninterruptible power supply or a battery.
Power frequency (50/60 Hz) magnetic field IEC 61000-4-8
3 A/m
3 A/m
Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.
NOTE : UT is the AC mains voltage prior to application of the test level.
English 34
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