PROFESSIONAL MEDICAL PRODUCTS
SFIGMOMANOMETRO DIGITALE SENZA MERCURIO
DIGITAL SPHYGMOMANOMETER WITHOUT MERCURY
TENSIOMÈTRE NUMÉRIQUE SANS MERCURE
QUECKSILBERFREIES DIGITALES-BLUTDRUCKMESSGERÄT
ESFIGMOMANÓMETRO DIGITAL SIN MERCURIO
ESFIGMOMANÔMETRO DIGITAL SEM MERCÚRIO
ΨΗΦΙΑΚΌ ΠΙΕΣΌΜΕΤΡΌ ΧΩΡΙΣ ΥΔΡΑΡΓΥΡΌ
M32800-M-Rev.8-03.22
32800
Gima S.p.A.
Via Marconi, 1 - 20060 Gessate (MI) Italy
gima@gimaitaly.com - export@gimaitaly.com
www.gimaitaly.com
Made in China
IP21
-10°C
55°C
0476
95%
%
10%
ENGLISH
Thank you purchase the company’s products
Before using, you must carefully read the Operation Instruction
Please custody proper the Operation Instruction
Important Warning/Medical Disclaimer ................................................................................................ 16
Healthy Living ...................................................................................................................................... 16
Commonly Asked Questions ...............................................................................................................17
Main Unit and Accessories ..................................................................................................................18
Usage .................................................................................................................................................. 19
Important Reminders ........................................................................................................................... 23
Taking Care of Your Monitor ................................................................................................................ 23
Specications ......................................................................................................................................24
Troubleshooting ................................................................................................................................... 24
EMC statement .................................................................................................................................... 25
Manufacturer’s EMC Statement .......................................................................................................... 25
Symbol.................................................................................................................................................29
DXJ - 210 (dual use) is the electronic equipment used to measure the body’s blood pressure screening
devices, there are two methods of measurement (that is, oscillographic methods and methods of auscultation), with the back of the LED light, and easy-to-read measurement. In particular the use of liquid
mercury to replace the columns, put an end to Mercury due to leakage caused by the environmental
and health hazards.
16
Important Warning/Medical Disclaimer
Before using your blood pressure monitor, you should read and understand all instruction and follow all
warning.
Information in this manual is provided for informational purposes only. This manual and product are not
meant to be a substitute for the advice provided by your own physician or other medical professional.
You should not use the information contained herein or this product for diagnosing or treating a health
problem, disease, or prescribing any medication. If you have or suspect that you have a medical problem, promptly contact your healthcare provider.
Healthy Living
This blood pressure monitor is the rst step to living a healthier life. But monitoring your blood pressure
at home is just the beginning, it’s also important to:
EXERCISE REGULARLY — Start out by taking a quick walk each day. Before you know it, you’ll feel
energize.
That’s because along with being an easy way to shed a few pounds, walking also helps your bones and
heart become stronger.
EAT RIGHT -— Remember, you are what you eat! So when you reach for a snack, try grabbing a piece
of fruit or a vegetable. When cooking meals at home try to use fats and oils sparingly. Sometimes a
healthy diet is the best medicine of all! It’s also a good idea to monitor your sodium intake because about
one-third of individuals who have high blood pressure are also sodium sensitive.
Consult your doctor regarding over-the-counter supplements and herbs such as onion and garlic. Both
of these plants have been historically linked to producing mild anti-hypertension effects.
BE HAPPY! — a positive attitude is a big part of a healthy body. Try not to get too stressed out over
things. Daily relaxation techniques such as gentle yoga or even quiet time by yourself can do a lot of
good for the mind and body. Stay focused on the good things in life. Begin by congratulating yourself
for that short walk you just took or the smart food choice you made. It’s your rst step to a healthier life!
KEEP AN EYE ON YOUR WEIGHT! — Surprisingly, losing even a small amount of weight can often
times help control high blood pressure. Talk with your doctor to nd a “healthy” weight for you and strive
17
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to come within a range of it.
Remember to consult your physician prior to beginning an exercise program, vitamin/mineral, dietary
changes or programs and blood pressure monitoring.
Commonly Asked Questions
Why Should / Monitor My Blood Pressure At Home?
By monitoring at home, you may manage your health in between doctor visits. Home monitoring also
provides you with a record of blood pressure measurements over time to give to your doctor-a valuable
tool in monitoring hypertension.
Home monitoring may also help alleviate White Coat Hypertension. This term refers to the medical
phenomena which causes many individual’s blood pressure to be higher when taken in a medical ofce
setting. That’s because many times the stress of being in the doctor’s ofce may cause blood pressure
to rise as much as 20-50 points higher than normal. When monitoring at home, you may get truer indi-
cation of your blood pressure in a normal, relaxed state.
What Is Blood Pressure?
The commonly used term “blood pressure” refers to the force or pressure that is exerted on the body’s
arteries as blood ows through them. Each time the heart beats or contracts, it produces pressure in
the arteries. This blood pressure is what moves blood through the body, supply oxygen and nutrients
to every organ.
When the heart contracts it sends blood out into the body.
This pressure is referred to as systolic.
The pressure that is created as the heart pulls blood back through is called diastolic.
What Is Considered Normal Blood Pressure?
The well-respected World Health Organization (WHO) has set forth the follow in g guidelines regarding
high (commonly referred to as hypertension), low and borderline blood pressure.
mmHg
≥110
100
90
Hypertension Normal
Diastolic
Reference: Journal of Hypertension. 2003 Nov., WHO/ISH statement on management of Hypertension.
Class I Hypertension
90 140 160 ≥180 mmHgSystolic
Class II Hypertension
Class III Hypertension
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Why Does My Blood Pressure Fluctuate?
Because blood pressure changes with every beat of the heart it is in constant uctuation throughout any
given day. In addition to these natural changes there are other factors that may affect blood pressure
such as:
Temperature (too hot or cold) Fear
Anger Anxiety
Humidity Food and beverage consumption
Restlessness Individual physical conditions
Lack of sleep Constipation
Physical exercise Stress
How Do I Know I Have High Blood Pressure?
It’s nearly impossible to know if your blood pressure is elevated without having it checked. People have
the common misconception that one can “feel” their blood pressure rise. It is because of this mystery
that hypertension has been named “the silent killer”. Don’t let it sneak up on you! Start monitoring your
blood pressure every day with your new monitor.
Why is It important To Control My Blood Pressure?
Left uncontrolled, hypertension can place an incredible amount of stress on your heart and arteries,
both of which become forced to work harder to keep blood owing in a healthy manner throughout the
body. Over time, this stress can result in health problems including over enlargement of the heart, loss
of elasticity of the arteries, heart disease, stroke and even death. Making some simple lifestyle changes
now can help you to stay healthy in the future.
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Main Unit and Accessories
ON/OFF button
Main body
Mode button
Deation valve
Pressure cuff Pressurization
ball
19
This manual is based on the standard scale (kPa/mmHg), if it is single-scale all of according to the
actual product.
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Usage
1 Take out the sphygmomanometer, hands pressed Buckle
switch. Open the sphygmomanometer’s cover, open to the
largest position.
2 Open battery box cap, loaded the batteries correctly, close
the box cap.
3 Connect the cuff’s tube to sphygmomanometer’s tube.
Auscultation
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20
1 Measurement will be allocated up mode switch to choose
methods of auscultation.
2 Press “ON/ OFF” button, LCD column were full of char-
acters, into the unknown state, characters are shown as
“000”. LCD scale at zero. (This machine has self-test function. After all display, you have to judge whether there was
any residual air in the cuff, if there is residual air in it. Character “ P “ is ashing. Residual air is evacuated, then LCD
shows “000”.
3 Tied Cuffs: Cuff tied up in the upper arm, then Stethoscope
probe inserted armbands, placed in the brachial artery on
the elbow.
4 Pressure: tighten up the valve switching, with a rubber ball
inside to slowly inate cuffs, When sphygmomanometer
over numerical instructions were usually measured blood
pressure values 2.5~4.0kPa (18.75~30mmHg) above, they
can stop inating.
21
5 To determine blood pressure: pressure to stop after the re-
lease valve built-in uniform will be automatically deated,
the pressure decreases, when the rst voice will be heard
when the LCD column corresponds to the pressure on the
value of Kirkpatrick is the sound of the law systolic blood
pressure, and then gradually voice Variable ring and then
change the low and nally disappeared from the low voice
to disappear when the pressure is the diastolic blood pres-
sure values.
6 To exclude more than gas: measurement is complete,
press the release valve by hand, rule out the arm with more
than gas.
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Oscillographic
1 Measurement mode selector switch will be allocated down
oscillographic methods.
2 Press “ON/OFF” button, LCD column were full of char-
acters, into the unknown state, characters are shown as
“000”. LCD scale at zero. (This machine has self-test function. After all display, you have to judge whether there was
any residual air in the cuff, if there is residual air in it. Character “ P “ is ashing. Residual air is evacuated, then LCD
shows “000”.
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22
3 Will be tied up in the upper arm cuff so that the arm to bring
the symbol “Φ” at the elbow in the brachial artery.
4 Pressure: tighten up the valve switching, with a rubber ball
inside to slowly inate cuffs, When sphygmomanometer
over numerical instructions were usually measured blood
pressure values 2.5~4.0kPa (18.75~ 30mmHg) above,
they can stop inating.
5 To determine blood pressure: pressure to stop after the re-
lease valve built-in uniform will be automatically deated,
the pressure decreases, when the rst voice will be heard
when the LCD column corresponds to the pressure on the
value of Kirkpatrick is the sound of the law systolic blood
pressure, and then gradually voice Variable ring and then
change the low and nally disappeared from the low voice
to disappear when the pressure is the diastolic blood pres-
sure values.
6 Results display: After the measurement, the maximum or
systolic pressure value at the top, the minimum or diastolic
pressure value in the center and the heart rate value at the
bottom are displayed.
SYS SYS: 112mmHg
DIA DIA: 76mmHg
PUL PUL: 72m/min
7 To exclude more than gas: measurement is complete,
press the release valve by hand, rule out the arm with more
than gas.
8 When the LCD shows the symbol “ ”, shows bat-
tery is inadequate, then the sphygmomanometer not
work, Please replace two new “AA” alkaline batteries.
23
The disposal of battery and device shall comply with the local environment requirements.
Don’t swallow the battery. It’s dangerous to your life. Please store the battery at a safe place
where children can’t reach it. If anyone swallowed the battery, send him to the hospital for diag-
nosis and treatment at once.
9 After measuring, you unscrew the vent valve in order to evacuate residual air, removed the cuff,
press the ON / OFF button off. (This product has ve minutes automatic shutdown functions)..
10 Tidy the cuff, put sphygmomanometer in its box.
11 Flick of the top cover, covered the top to bottom together, Buckle switch automatically locking.
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Important Reminders
Follow your doctor’s advice on how and when to take your blood pressure. Here are some important
hints.
Before Taking a Measurement
• Sit quietly for about 10 minutes. This will allow your z body to return to its normal, resting state.
• Take your blood pressure in a comfortable v environment not too cold, not too hot as temperature may
affect your measurement
• If you’ve just consumed beverage containing caffeine such as coffee, non-herbal tea, or cola wait 3045 minutes. Also, don’t smoke just before taking a measurement.
While Taking a Measurement
• Sit still and quietly while measuring. Talking or moving may elevate measurements.
• For consistency, it’s a good idea to measure your blood pressure using the same arm and at about the
same time each day. If possible, we suggest using your left arm
• When taking multiple measurements right after each other, make sure you wait at least10 minutes in
between. Waiting will allow your blood vessels to return to their normal state.
• Sit with your legs uncrossed and your feet at on the oor. Do not touch the cuff or monitor at any time
during the measurement. Relax.
Taking Care of Your Monitor
It’s important to treat your monitor with care. Here are some basic tips:
• Keep the monitor out of direct sun light, high humidity, and
extreme temperature Changes.
• Try not to drop it on the oor.
• Do not take the monitor or the cuff apart. DO not attempt
to x any of the monitor’s parts at home. IF your monitor
needs repairs see details in warranty section.
• Keep the monitor free of dust and other materials. Avoid
getting any part of the monitor or cuff extremely wet. IF
the monitor needs cleaning It’s best to wipe it with a cloth
slightly dampened with water. IT is recommended that you
clean your monitor about once a month.
• For your safety, do not wrap the cuff around any other body part other than your wrist
• Do not harshly fold or bend the cuff as this may damage it on the inside
• Do not inate the monitor’s cuff if it is not wrapped around your wrist.
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Specications
Model: DXJ-210
Measurement Method Measurement: auscultation methods, methods of oscillographic
Display liquid crystal digital display
Measuring range Pressure: 0~300 mmHg
Accuracy Pressure: within ± 3mmHg
Automatic Power Off About 5 minutes after measurement is complete
Battery Type 2 AA Batteries
Battery life About 2 months with 3-min. usage per day
Storage condition (14~131) °F, (10-95) %RH
Operation condition (41~104) °F, (30~85)%RH
Dimensions (approx.) Monitor: 360x96x66 mm
Cuff: ts wrists 22-33 cm
Weight (approx.) 1100g (including batteries)
For purposes of improvement, specications are subject to change without notice
Troubleshooting
24
Error/Symbol What does It Mean? How To Fix It
Battery low Change the battery
Shows abnormal
result
Cuff not tightened properly or its position is incorrect
Body is not steady Stay calm and remain steady
Speaking, frightened nervous or are
excited during measurement
Wrong position Adjust position; refer to “Usage”.
Some interference in ination or
wrong operation during measuring
Read pages 10 (Important Reminders
Do not speak and take deep breath
2~3times to relax yourself
Refer to the ination step in “Taking a
Blood Pressure Measurement'.
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EMC statement
• Upper Arm Blood Pressure Monitor meets the requirement of electromagnetics compatibility in
IEC60601-1-2.
• The user needs to install and use according to electromagnetism compatibility information which is
attached with it.
• Guidance and manufacture’s declaration stated below.
Warning: : Don’t near active HF surgical equipment and the RF shielded room of an ME system
for magnetic resonance imaging, where the intensity of EM disturbances is high.
Warning: Use of this equipment adjacent to or stacked with other equipment should be avoided
because it could result in improper operation. If such use is necessary, this equipment and the other
equipment should be observed to verify that they are operating normally.
Warning: Use of accessories and cables other than those specied or provided by the manufactur-
er of this equipment could result in increased electromagnetic emissions or decreased electromagnetic
immunity of this equipment and result in improper operation.
Warning: Portable RF communications equipment should be used no closer than 30 cm (12 inch-
es) to any part of the Upper Arm Blood Pressure Monitor, including cables specied by the manufacturer.
Otherwise, degradation of the performance of this equipment could result.
Manufacturer’s EMC Statement
Guidance and Manufacturer's declaration – electromagnetic emissions
The Upper Ami Blood Pressure Monitors are intended for use in the electromagnetic environment
specied below. The customer or the user of the Upper Arm Blood Pressure Monitors should assure
that it is used in such an environment.
Emissions Compliance Electromagnetic environment— guidance
The Upper Arm Blood Pressure Monitor including
RF emissions CISPR11 Group 1
RF emissions CISPR11 Class B
Harmonic emissions
IEC 61000-3-2
Voltage uctuations /
icker emissions
IEC 61000-3-3
Class A
Complies
AC-adapter 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.
The Upper Arm Blood Pressure Monitor including
AC-adapter 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.
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26
Guidance and manufacturer's declaration — electromagnetic immunity
Upper Arm Blood Pressure Monitor including AC-adapter is intended for use in the electromagnetic
environment specied below. The customer or the user of this Upper Arm Blood Pressure Monitor
including AC-adapter should assure that it is used in such
IMMUNITY TEST
Electrostatic dis-
charge (ESD)
IEC 61000-4-2
Electrical fast transient/burst
IEC 61000-4-4
Surge
IEC 61000-4-5
Voltage dips,
short interruptions
and voltage
variations on power
supply input lines
IEC 61000-4-11
Power frequency
(50/60 Hz) magnetic
eld
IEC 61000-4-8
IEC 60601 TEST
LEVEL
±8 Kv contact
±2 Kv, ±4 Kv,
±8 Kv
±15 Kv air
±2 Kv for power
supply lines
±1 Kv for input/
output lines
±0,5 Kv, ±1 Kv line
to line
±0,5 Kv, ±1 Kv,
±2 Kv line to earth
<5 % UT
(>95 % dip in UT.)
for 0.5 cycle
<5 % UT
(>95 % dip in UT.)
for 1 cycle
70 % UT
(30 % dip in UT.)
for 25/30 cycles
<5 % UT
(>95 % dip in UT.)
for 5/6 sec
30 A/m 30 A/m
COMPLIANCE
LEVEL
±8 Kv contact
±2 Kv, ±4 Kv,
±8 Kv
±15 Kv air
±2 Kv for power
supply lines
± 0,5, ± 1 kV
line to earth
<5 % UT
(>95 % dip in UT.)
for 0.5 cycle
<5 % UT
(>95 % dip in UT.)
for 1 cycle
70 % UT
(30 % dip in UT.)
for 25/30 cycles
<5 % UT
(>95 % dip in UT.)
for 5/6 sec
ELECTROMAGNETIC ENVIRONMENT— GUIDANCE
Floors should be wood, concrete or
ceramic tile. If oors are covered with
synthetic material, the relative humidity should be at least 30 %
Mains power quality should be that of
a typical commercial or hospital envi-
ronment.
Mains power quality should be that of
a typical commercial or hospital envi-
ronment.
Mains power quality should be that of
a typical commercial or hospital environment. If the user of the Upper Arm
Blood Pressure Monitor requires con-
tinued operation during power mains
interruptions, it is recommended that
the Upper Arm Blood Pressure Monitor be powered from an uninterruptible
pow er supply or a battery.
Power frequency magnetic elds
should be at levels characteristic of a
typical location in a typical commercial
or hospital environment.
Note: UT is the a.c. mains voltage prior to application of the test level
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Guidance and manufacturer's declaration — electromagnetic immunity
Upper Arm Blood Pressure Monitor including AC-adapter is intended for use in the electromagnetic
environment specied below. The custom er or the user of this Upper Arm Blood Pressure Monitor
including AC-adapter should assure that it is used in such environment.
IMMUNITY TEST
Conducted RF
IEC 61000-4-6
IEC 60601
TEST LEVEL
3 Vrms
150 Khz
to 80 MHz
6 Vrms in ISM
bans
COMPLIANCE
LEVEL
3 Vrms
150 Khz
to 80 MHz
6 Vrms in ISM
bans
ELECTROMAGNETIC ENVIRONMENT—
GUIDANCE
Portable and mobile RF communications
equipment should be used no closer lo any
part of the Upper Arm Blood Pressure Mon-
itor including AC-adapter including cables,
than the recommended separation distance
calculated from the equation appropriate to
Radiated RF
IEC 61000-4-3
10 V/m
80 MHz
to 2,7 GHz
10 V/m
80 MHz
to 2,7 GHz
the frequency of the transmitter.
Recommended separation distance
d= 1.2 √P
d= 1.2 √P
d= 2.3 √P
80 MHz to 800 MHz
80 MHz to 800 MHz
800 MHz to 2,7 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 meters
(m).
Field strengths from xed 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
reection from structures, objects and people.
a. Field strengths from xed 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 xed RF transmitters, an electromagnetic site survey
should be considered. If the measured eld strength in the location in which the Upper Arm Blood Pressure Monitor is
used exceeds the applicable RF compliance level above, the Upper Arm Blood Pressure Monitor should be observed
to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as
re-orienting or relocating the Upper Arm Blood Pressure Monitor.
b. Over the frequency range 150 kHz to 80 MHz, eld strengths should be less than 3 V/m.
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Guidance and manufacturer’s declaration - electromagnetic Immunity
Radiated RF
IEC 61000-4-3
(Test specications for ENCLOSERE PORT
IMMUNITY to
RF wireless
communications equip-
ment)
Test Frequency
(MHz)
385
450
710
780
810
930
1720
1970
2450
5240
5785
Band
(MHz)
380
- 390
430
- 470
704
- 787
800
- 960
1700
1900
2400
-
2750
5100
-
5800
Service MODULATION
TETRA 400
GMRS 460,
FRS 460
LTE Band
13,17
GSM 800/900,
TETRA 800
iDEN 820,
CDMA 850,
LTE Band 5
GSM 800/900,
TETRA 800
iDEN 820,
CDMA 850,
LTE Band 5
GSM 800/900,
TETRA 800
iDEN 820,
CDMA 850,
LTE Band 5
WLAN
802.11 a / n,
Pulse
modulation
18 Hz
FM ±5 kHz
deviation 1
kHz sine
Pulse
modulation
217 Hz
Pulse
modulation
18 Hz
Pulse
modulation
217 Hz
Pulse
modulation
217 Hz
Pulse
modulation
217 Hz
MODULATION
(W)
1,8 0,3 27
2 0,3 28
0,2 0,3 9745
2 0,3 28870
2 0,3 281845
2 0,3 28
0,2 0,3 285500
DISTANCE
(M)
28
IMMUNITY
TEST LEVEL
(V/M)
29
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Caution: read instructions
(warnings) carefully
Follow instructions for use
Keep in a cool, dry place Keep away from sunlight
Manufacturer Date of manufacture
Product code Lot number
Medical Device complies
with Directive 93/42/EEC
Type BF applied part
Temperature limit
IP21
WEEE disposal
Covering Protection rate
%
Humidity limit ì
Direct Current
Disposal: The product must not be disposed of along with other domestic waste. The users must dispose
of this equipment by bringing it to a specic recycling point for electric and electronic equipment.
GIMA WARRANTY TERMS
The Gima 12-month standard B2B warranty applies.
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