A and D Instruments UM-211 Blood Pressure Monitor Instruction Manual

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.
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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.
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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

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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

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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.

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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.

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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.

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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

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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.

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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
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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

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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.

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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

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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

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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

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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.
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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.

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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.

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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

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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.

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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

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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.

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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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