medicus
Gebrauchs-
anweisung
User
Instructions
Mode
d’emploi
Manuale
di istruzioni
Manual
del Usuario
쮕
2
33
64
95
126
33
Table of contents
Product features.....................................................................................................................................................................................................................35
Contents of package
......................................................................................................................................................................................................36
Quick guide
...................................................................................................................................................................................................................................37
Introduction...................................................................................................................................................................................................................................38
Blood pressure values
....................................................................................................................................................................................................40
Systolic and diastolic blood pressure value
...............................................................................................................40
WHO blood pressure cut-off values
.......................................................................................................................................40
Starting up
......................................................................................................................................................................................................................................42
Inserting batteries
........................................................................................................................................................................................42
Battery status
.......................................................................................................................................................................................................43
Care for the environment
.........................................................................................................................................................................................43
General instructions for self-measurement
....................................................................................................................................44
Preparing to measure your blood pressure
....................................................................................................................................46
Note on cuff sizes
..........................................................................................................................................................................................46
Attaching the cuff
..........................................................................................................................................................................................48
Measuring your blood pressure.......................................................................................................................................................................51
Interrupting a measurement
.............................................................................................................................................................52
Measurement display
.....................................................................................................................................................................................................53
Mains operation
...................................................................................................................................................................................................................55
Error messages
.........................................................................................................................................................................................................................56
Cleaning and Disinfection
........................................................................................................................................................................................57
Warranty
........................................................................................................................................................................................................................................57
Customer service / Disposal
..................................................................................................................................................................................58
Technical data
............................................................................................................................................................................................................................59
Calibration checks - Testing instructions
(for trained specialist staff only)
....................................................................................................................................................................62
34
Table of contents
35
Mains connector
pressure
selector switch
START/STOP
button
LCD display
Cuff
connector
Product features
Battery status display see page 43
Measurement in progress see page 52
36
Contents of package
1 boso medicus
blood pressure monitor
1 CA 04 universal
cuff
1 Case
1 Blood pressure
record card
BOSCH+SOHN GMBH U. CO. KG
FABRIK MEDIZINISCHER APPARATE
BAHNHOFSTR. 64 · D-72417 JUNGINGEN
Diese Garantie-Urkunde ist nur gültig in Verbindung
mit einem Kaufbeleg.
This warranty certificate is valid only in combination
with a proof of purchase (invoice).
Ce certificat de garantie est valable uniquement sur
présentation d'une preuve d'achat (facture)
Este certificado de garantía es válido sólo en
combinación con una prueba de compra (factura).
Questo certificato di garanzia è valido solo in
combinazione con una prova di acquisto (fattura).
GARANTIE-URKUNDE
CERTIFICATE OF WARRANTY
CERTIFICAT DE GARANTIE
CERTIFICADO DE GARANTIA
CERTIFICATO DI GARANZIA
medicus
Gebrauchsanweisung
User
Instructions
Mode
d’emploi
Manuale
di istruzioni
Manual
del Usuario
2
33
64
95
126
1 Warranty certificate
4 LR 6 (AA) batteries
1 User
instructions
Blutdruckpass
Blood pressure record card
Carnet de tension arterielle
Diario de la pressione arteriosa
Carnet de presion arterial
37
Quick guide
➡ Insert batteries, ensure correct position-
ing (P. 42)
➡ Connect cuff to monitor (P. 46)
➡ Attach cuff (P. 47)
➡ Start (and stop) a measurement by
pressing the START/STOP button (P. 51)
Measured systolic, diastolic and pulse
values are displayed after the measurement is completed (P. 53)
This quick guide does not replace the
detailed information on the use and
safety of the blood pressure monitor featured in the user instructions.
Please be sure therefore to read
the user instructions!
38
Introduction
Dear Customer,
We are delighted that you have decided
to purchase a boso blood pressure monitor. The boso brand is synonymous with
optimal quality and precision and is also
number 1 among professionals: 77% of
all German doctors currently use boso
blood pressure monitors. The experience
gained from decades of use by professionals has also been incorporated into all
the patient monitors for home measurement.
This instrument has also passed our strict
quality control procedures and is your reliable partner for monitoring your blood
pressure values.
Please read these user instructions
before using the instrument for the first
time, as correct blood pressure readings
can only be obtained if the instrument is
operated correctly.
In these user instructions, „➡“ means an
action by the user.
To get help concerning usage or maintenance please contact your dealer or the
manufacturer (contact details can be
found on the back cover of this manual).
An unexpected operating condition or an
incidence which has worsened the health
condition or could have worsened the
health condition should be reported to the
manufacturer immediately.
If the instrument is to be sold, ensure that
these user instructions are enclosed.
39
Introduction
If the monitor is used in medical practice
(in accordance with the legislation governing the operation of medical devices), it
should be calibrated at regular intervals
(see page 62).
The boso medicus blood pressure monitor
is suitable for patients of all ages with an
upper arm circumference of be-tween 22
and 48 cm. The monitor is not suitable for
neonatals.
Wireless communication devices, such as
home networking devices, mobile phones,
cordless phones and their base stations,
walkie-talkies can affect this blood pressure monitor. Therefore, a minimum
distance of 11 feet should be kept from
such devices.
40
Blood pressure values
To determine the blood pressure, two values need to be measured:
● Systolic (upper) blood pressure:
This is produced when the heart muscle
contracts and blood is forced into the
blood vessels.
● Diastolic (lower) blood pressure:
This is present when the heart muscle expands and fills with blood again.
Blood pressure measurement values are
expressed in mmHg (mm of mercury).
systolic diastolic
High blood pressure (hypertension) over 140 mmHg over 90 mmHg
Borderline normal blood pressure 130 to 139 mmHg 85 to 89 mmHg
Normal blood pressure 120 to 129 mmHg 80 to 84 mmHg
Optimum blood pressure up to 119 mmHg up to 79 mmHg
The World Health Organization (WHO) has defined the following cut-off values for
assessing blood pressure:
41
Blood pressure values
Whether medical treatment is necessary
depends not only on the blood pressure,
but also on the patient’s risk profile.
Please contact your GP if one of the values (systole, diastole) consistently exceeds
the cut-off point for high blood pressure.
Self-measurement of blood pressure often
produces somewhat lower values at home
than at the doctor’s. The German
Hypertension League has therefore defined lower cut-off values for home measurements:
Home measurement: 135/85 mmHg
Measurement in the
doctor’s surgery: 140/90 mmHg
42
Starting up
➡ Use only high quality leak-proof batter-
ies of the correct specifications (see
“Technical data” P. 59).
Never mix old and new batteries or
different makes.
If the batteries are not inserted cor-
rectly, the monitor will not work and this
may cause the batteries to heat up and
leak, damaging the monitor.
➡ Inserting the batteries
The battery compartment is located on
the underside of the monitor. Insert batteries in the battery compartment as
shown in illustration 1.
➡ Remove the batteries if the monitor is
not to be used for any length of time.
+
+
+
+
Illustration 1
The device must be installed and put into
operation in accordance with the instructions in this manual.
43
Starting up
The monitor has a battery status display
(see P. 35)
Flashing! No further
measurements possible.
Replace battery.
Care for the environment
Do not dispose of used batteries and
charger units in domestic waste.
You can take these to collection sites for
used batteries or special waste.
Contact your local authority for information.
44
General instructions for self-measurement
1. Fluctuations in blood pressure are quite
normal. Even when measurements are
repeated, there can be marked differences. Single or irregular measurements do not provide reliable information about the actual blood pressure. A
reliable evaluation is only possible if regular measurements are taken under
comparable conditions and the measurement values entered in the blood pressure record card.
2.
Self-testing does not mean self-
treatment. Do not on any account
change the dose of medicine prescribed
by your doctor of your own accord.
3. Irregular heartbeats can affect the accuracy of the monitor or result in incorrect
measurements.
4. Incorrect measurements can also occur
in patients with a weak pulse (possibly
in patients wearing a pacemaker, for example). The blood pressure monitor itself has no effect on the pacemaker.
5. If you are pregnant, consult your doctor
before using the monitor.
6. Always take the measurement in a calm
and relaxed state.
You are recommended to check your
blood pressure twice a day – in the morning on getting up and in the evening
once you have relaxed after work.
7. Always measure your blood pressure
from the arm with the higher blood
pressure values (where not required
otherwise (see page 49)).
45
General instructions for self-measurement
To do this, measure the blood pressure
first in both arms and thereafter always
from the arm with the higher blood
pressure.
46
Note on cuff sizes:
The monitor may only be used with
the following cuff types. These should be
chosen according to the upper arm circumference printed on them.
* Cuff supplied as standard.
Type Arm Order number
circumference
CA01 22 – 32 cm 143-4-760*
CA02 32 – 48 cm 143-4-757
Preparing to measure your blood pressure
Attach the cuff to the monitor by pressing
the plug (click) into the socket on the left
side of the unit. (See illustration 2).
Illustration 2
47
Preparing to measure your blood pressure
➡ Set the pressure selector switch
‘DRUCKVORWAHL’ to the desired cuff
pressure which should be at least 30 to
40 mmHg higher than the systolic
(upper) blood pressure reading. If you
are not sure of this value, set the selector switch to 150 mmHg for the first
measurement.
If this pressure is insufficient, the unit
will switch over to the next higher pressure setting automatically.
Illustration 3
48
Preparing to measure your blood pressure
Observe the following instructions
when measuring your blood pressure:
Avoid smoking or drinking coffee
for one hour before measuring
your blood pressure.
Sit comfortably for the blood pressure measurement. Support your
back and arms. Do not cross your
legs. Place your feet flat on the
floor.
Relax for 5 minutes before taking
a measurement.
Do not move during the measurement.
Attaching the cuff
The measurement should be taken from
the bare upper arm.
In the case of tightly fitting outer
clothing, ensure that the blood supply to
the arm is not cut off when the sleeve is
rolled up (if necessary remove the article of
clothing before taking the measurement).
➡ Open out the cuff into the shape of a
ring and slide it over the upper arm
until the bottom edge of the cuff is
about 2-3 cm above the elbow. The
cuff must be positioned so that the
marking is over the artery (see illustration 3).
49
Preparing to measure your blood pressure
Do not attach the cuff over wounds as
this can cause further injuries.
Ensure that the cuff is not attached to
an arm where arteries or veins are undergoing or have undergone medical treatment (e.g. shunt).
For women who have had a breast
amputated, do not attach the cuff to the
arm on the amputated side of the body.
During the measurement, medical ap-
paratus that are being used on the same
arm at the same time, may malfunction.
The cuff must not be too tight. There
should be enough space to fit roughly two
fingers between arm and cuff.
The metal ring should never lie over
the artery (see illustration 4) as this may
produce a false reading.
➡ Grasp the end of the cuff that feeds
though the metal ring and wrap it
around the outside of your arm. Attach
the Velcro fastener by applying gentle
pressure.
2-3 cm
Marking
Artery
Illustration 4
50
Preparing to measure your blood pressure
➡ Place your arm with the cuff attached
on the table, holding it relaxed and
slightly bent so that the cuff is level
with your heart.
Do not talk during the measure-
ment.
correct values
too low values
too high values
Illustration 6
Check that the air tube is not kinked
during the measurement. This could cause
congestion of the blood flow and subsequent injury.
The blood pressure measurement
should not prevent the flow of blood for an
unnecessary length of time (> 2 minutes).
If the monitor fails to function correctly, remove the cuff from the arm.
Excessive frequent measurements can
cause injury by restricting blood flow.
51
Measuring your blood pressure
➡ Start the measurement with the
START/STOP button
Now hold the arm absolutely still and
do not talk.
All the items on the LCD display appear
briefly to indicate that the monitor is now
ready for use (see illustration 6).
Illustration 6
Systole
mmHg
Diastole
mmHg
Pulse/min.
52
Measuring your blood pressure
The unit now inflates the cuff to the preselected cuff pressure.The rise in pressure in
the cuff is indicated on the digital display.
An acoustic signal sounds once the preselected pressure has been reached. The
pump switches off and the air in the cuff
escapes automatically.
Interrupting a measurement:
A measurement can be interrupted at any
stage by pressing the start button; the cuff
deflates automatically.
During the measurement phase, the falling pressure and the symbol are indicated on the display.
Illustration 7
53
The measured blood pressure values
(systole, diastole, pulse) are displayed (see
illustration 8).
Measurement display
As soon as the unit registers the first beats,
the symbol blinks in time with the pulse
rhythm and an acoustic signal can be
heard.
The end of the measurement is indicated
by a long beeping sound.At the same time,
the built-in solenoid valve opens automatically to rapidly release the remaining
pressure in the cuff.
Systole
mmHg
Diastole
mmHg
Pulse/min.
Illustration 8
54
Measurement display
Blood pressure is a dynamic parameter and
can be affected by the patient’s position,
e.g. sitting, standing, lying, moving, before
or during the measurement, physical condition (stress, disease, etc.).
➡ If the measurement result is obviously
wrong, repeat the measurement.
The unit switches itself to time display
mode automatically after about 1 min. To
repeat a measurement, press the
START/STOP button again briefly.
Allow at least two minutes between measurements.
➡ If no further measurement is required,
remove the cuff from the arm.
➡ Enter each individual value in your
record card.
2
min
55
Mains operation
The mains connection socket is located at
the rear of the monitor.
Where required, use only the boso power
supply unit (order number 410-7-150).
This power supply unit produces a rectified
output of the correct polarity. Other commercially available power supply units can
cause damage to the electronic components, which will invalidate the warranty.
There is also a risk of fire with these other
power supply units.
56
Error messages
If any problems occur during the measurement, the display will show an error message
instead of a blood pressure reading.
Meaning of error messages:
Fehlerbehebung
Inflation pressure inadequate after Select the next higher pressure
two attempts to inflate setting
No pulses were detected that Check the positioning of the cuff
could be evaluated
Leak in the air system Check air connector on cuff.
Cuff possibly defective.
Fehlerursache für Err-Anzeige
57
Cleaning and Disinfection Warranty
Cleaning Monitor:
Use a soft, dry cloth to clean your monitor.
Cleaning Cuff:
Small stains on the cuff can be removed
carefully with a proprietary washing-up
liquid.
Disinfection Cuff:
For disinfectant wipes (at least 5 minutes
exposure time) of the device and the cuff,
we recommend the disinfectant mikrozid
sensitive liquid (Schülke & Mayr).
To disinfect the velcro of the cuff, we recommend spray disinfection.
In particular, if the device is used on multiple users is to pay attention to regular
cleaning and disinfections of the cuff.
Warranty:
For details of the warranty conditions,
please consult the warranty certificate
supplied.
A claim under the warranty will only be
accepted if the warranty certificate,
completed and stamped by the dealer, is
returned with the monitor.
58
Disposal
Do not dispose of monitors and batteries in the domestic waste.
At the end of its lifespan, the monitor must
be taken to a collection site for obsolete
electronic items.
Please note that batteries and rechargeable batteries must be disposed of separately (local authority collection site).
Expected operational lifetime of the equipment: 10 years.
Expected operational lifetime of the cuff:
10.000 measurement cycles.
Customer service
Customer service:
Warranty and repair work must be undertaken by trained and authorised personnel.
Do not modify this equipment without authorization of the manufacturer.
Send the monitor, carefully packaged and
with sufficient postage, to your authorised
dealer or directly to:
BOSCH + SOHN GmbH u. Co. KG
Serviceabteilung
Bahnhofstraße 64, D-72417 Jungingen
T: +49(0) 74 77 / 92 75-0
59
Measurement principle: oscillometric
Measurement range: 40 to 280 mmHg, 40 to 200 pulses/min.
Cuff pressure: 0 to 320 mmHg
Display: LCD
Operating conditions: environmental temperature +10°C to +40°C
Relative humidity 15 to 85%
Storage conditions: environmental temperature -10°C to +60°C
Relative humidity 15 to 85%
Power supply: DC 6 V (4 x 1.5 V Mignon IEC LR 6 alkaline manganese
batteries)
Alternative special option: DC 6 V power supply
unit, Order No. 410-7-150
Typical battery life: 1.000 measurement cycles
(depending on inflation pressure and frequency of use).
Technical data
Battery check: symbol display in LCD window
Weight: 400 g without batteries
Dimensions (WxHxD): 165 mm x 70 mm x 110 mm
Classification: Protection class II ( )
Type BF ( )
Protection against solid IP20
objects:
Clinical test Accuracy complies with the requirements
(DIN 58130): of EN 1060 Part 3
Maximum deviation of cuff ± 3 mmHg
pressure measurement:
Maximum deviation of ±5%
pulse rate display:
60
Technical data
61
Applicable standards: EN 1060, Part 1: “Non-invasive sphygmomanometers –
General requirements” and Part 3: “Supplementary
requirements for electro-mechanical blood pressure
measuring systems”.
Technical data
62
Calibration checks – every 2 years at the
latest – must be performed by the following institutions or persons:
– Manufacturer
– Trade measurements authorities
– Persons who fulfil the requirements of
the legislation governing the operation
of medical devices.
A) Function testing
Function testing of the monitor can
only be carried out on a person or with
a suitable simulator.
B) Testing of pressure circuit integrity
and deviation of pressure display
Calibration checks - Testing instructions
(for trained specialist staff only)
Note:
a) When the pressure in measurement
mode increases above 320 mmHg, the
quick release valve is triggered and the
pressure circuit opens.When the pressure in test mode increases above 320
mmHg, the measured value display
flashes.
b) Remove the plug from the cuff tube for
testing. Then attach the short connecting piece of the plug – previously
inserted into the socket on the monitor
– to the cuff tube and insert the long
connecting piece of the plug into the
monitor.
A pump ball must also be introduced
into the pressure circuit.
63
Calibration checks - Testing instructions
(for trained specialist staff only)
Testing
1.) Switch off the unit.
2.) Set the pressure preselector switch to
150 mmHg.
3.) Press the START/STOP button momentarily.
4.) When „0“ is flashing set the pressure
selector switch to 240 mmHg and then
back again to 150 mmHg.The unit is in
test mode when the display indicates
SYSTOLE, DIASTOLE and PULSE 0
mmHg.
5.) Perform the usual tests for
– tolerance testing of the pressure
– reading.
– leak testing of the pressure circuit
– (take account of the cuff’s settling
– time of one minute).
6.) Switch off the unit and restore the original connections.
C) Security
For security purposes the two halves
of the unit can be joined together with
a security mark. Alternatively the hole
for the casing connector screw on the
rear side of the unit can be secured by
sealing it.
BOSCH + SOHN GmbH u. Co. KG
Bahnhofstraße 64
D-72417 Jungingen
T + 49 (0) 74 77 9275-0
F + 49 (0) 74 77 1021
E zentrale@boso.de
Internet: www.boso.de
07/2013
0124
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