Congratulations on purchasing a state-of-the-art A&D sphygmomanometer,
one of the most advanced monitors available on the market today.
Designed for ease of use and accuracy. We recommend that you read
through this manual carefully before using this device for the first time.
Applicable Patient:The device is designed for use on adults only,
not newborns or infants.
Environment for Use: The device is for indoor use.
Intended purpose:This device is designed to measure blood
pressure and pulse rate of people for diagnosis.
Features
Measurement
This sphygmomanometer is designed to monitor and display the cuff
pressure during cuff inflation and deflation while the healthcare provider
determines the patient’s blood pressure level by listening for Korotkoff
sounds with a stethoscope.
Safety
This sphygmomanometer is designed to measure a patient’s blood pressure
without the use of mercury, therefore protecting your local environment.
An automatic quick exhaust valve is installed in the device to prevent over
pressurization of 300mmHg or higher, therefore protecting the patient.
English 2
2. Preliminary Remarks
Compliance
This device conforms to the European Directive 93/42 EEC for Medical
Products. This is made evident by the
The reference number to the involved notified body)
mark of conformity. (0123:
Definitions
SYS Systolic Blood Pressure
DIA Diastolic Blood Pressure
PUL Pulse
Exhaust This means “releasing the cuff air as soon as possible”.
Constant exhaust This means, “releasing the cuff air at a constant
depressurization rate”.
Batteries
Use alkaline batteries (LR6 type, AA type) or equivalent batteries.
Do not mix new and used batteries.
Remove the batteries if the device will not be in use for a prolonged period
of time as the batteries may leak and cause a device malfunction.
The battery life varies with the ambient temperature and may be shorter at
low temperatures. Generally, two new LR6 batteries will last approximately
for two months when used forty times for measurement each day.
A Defective Sphygmomanometer
Stop using the device immediately if the device does not work properly.
Please attach a note with the following "Do not use this sphygmomanometer"
to prevent any further use. This defective device should be stored in a safe
place to avoid any misuse until it has been sent for repair.
Repair
Do not attempt to open the device. Contact your nearest A&D authorized
dealer and they will repair or replace the device.
Do not modify the device. It may cause accidents or damage to the device.
English 3
Blood Pressure Measurement
Do not use the device on patients using heart-lung support equipment.
Do not use the device on patients in a critical condition or on ICU (intensive
care unit) patients.
The healthcare provider should stop using the device if there is an
abnormality, such as a patient feeling excessive arm pain, and remove the
cuff to protect the patient.
Contraindications
Do not apply the cuff to an arm with another medical electrical equipment
attached. The equipment may not function properly.
Do not apply the cuff on an arm with an unhealed wound.
Do not apply the cuff on an arm receiving an intravenous drip or blood
transfusion. It may cause injury or accidents.
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. It may cause a fire
or explosion.
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.
3. Notes for Proper Use
Storage
Do not store the device where it could be splashed with water or other liquids.
The device and cuff are not water resistant. If the device is immersed by
accident, it may require servicing. (Do not use the device before it has
endured a full service.)
Do not store the device in a high temperature or high humidity environment,
or in direct sunlight.
Do not store the device where it could be influenced by vibration or shock.
Do not store the device in a dusty, salty or sulfuric environment.
Do not store the device where medicines are stored, or where medicines
are evaporating.
English 4
Before Use
Make sure that the device works correctly and that measurement values
are accurate.
Make sure that the cuff and air hoses are properly connected.
Check and maintain the cleanliness of the parts in direct contact with the patient.
Avoid placing the device near a strong magnetic field or static electricity.
Avoid placing the device near high frequency surgical equipment.
When reusing the device, confirm that the device is clean.
During Use
This device should be used by trained professionals.
Stop using the device immediately, if the patient feels pain during a
measurement or if the device does not work properly.
Stop using the device if you notice any abnormalities (for example; liquid
inside the device) and request a full service.
To measure blood pressure, the arm must be squeezed by the cuff hard
enough to temporarily stop blood flow through the artery. This may cause
pain, numbness or a temporary red mark to the arm. This condition will
appear especially when measurement is repeated successively.
Any pain, numbness, or red marks will disappear with time.
This is a device which needs to handle with care. Strong impact may result
in malfunction of the device.
Be careful not to get hurt when handling the damaged device.
Do not replace the batteries during use of the device.
Do not touch the batteries and the patient at the same time.
If the batteries are short-circuited in the state of single fault condition, the
batteries may become hot and there is a risk of burns.
After Use
Clean the device, cuff and accessories with a dry, soft cloth or a wet cloth
with water or a neutral detergent. Do not pull or kink the hoses. Do not use
any organic solvent, (antiseptic solution or other harsh chemicals) to clean
the device, cuff or accessories.
Press button to turn off the power after measurement.
Keep the original box for further transportation after purchasing the device.
Be careful not to get your fingers caught when folding the device.
English 5
Periodic Maintenance
This device is a precision instrument and contains electronic circuitry. Please
check all functions periodically. Contact your nearest A&D authorized dealer
for official calibration/check-up, according to your local regulations.
Used equipment, parts and batteries are not treated as ordinary household
waste, and must be disposed of according to the applicable local regulations.
How to Take Proper Measurements
For the most accurate blood pressure measurement:
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 relax for about five to ten minutes before measurement.
Place the center of the cuff at the same height as a patient's heart.
A patient must remain still and keep quiet during measurement.
Do not measure right after exercising or taking a bath. A patient must rest
for twenty to thirty minutes before the measurement.
Notes for Proper Measurement
Let a patient sit down in a comfortable position. 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.
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.
This sphygmomanometer is intended for adults only. Do not use this
device to children.
English 6
4. Parts Identification
y
A
Main Body and Accessories
1.5V Batteries x 2
Pressure bar display
Numerical displa
MARK button
Exhaust valve
Rubber bulb
(LR6 or AA)
button
ir hose
Cuff connector
Cuff
Instruction manual
Function
button
MARK
button
Numerical
display
Turns on or off the device.
During measurement
After turned off
During measurement
After exhausted air
......................
...........
...........
...............
Display
Battery indicator
Puts a marker at a pressure value
Indicates a lifetime counter
Indicates pressure value
Indicates pulse rate
Unit of pressure
Pressure value
Pulse rate
Unit of pulse
High digits of the lifetime counter
Low digits of the lifetime counter
English 7
5. Symbols
Symbols Function / Meaning Recommended Action
MARK
SN
Standby and Turn the device on
Pressure value holding and
lifetime counter
Battery installation guide
Serial number
Date of manufacture
Type BF: Device, cuff and tubing
are designed to provide special
protection against electrical shocks.
Full Battery
The battery power indicator during
measurement.
Low Battery
The battery is low when it blinks.
Pressure remains in the cuff.
Measurement overtime
Replace all batteries with
new ones, when the
indicator blinks.
Exhaust it with the
exhaust valve.
mmHg
bpm
Device is out of order. Send for service.
The pulse is not detected correctly.Take another measurement.
Unit of pressure
Unit of pulse
EC directive medical device label
WEEE label
Manufacturer
EU-representative
Refer to instruction manual/booklet
Warning; Hot surface
English 8
6. Using the Monitor
Installing / Changing the Batteries
1. Remove the battery cover.
2. Insert a new set of batteries into the battery
compartment as shown. Make sure the polarities
(+) and (-) are correct. Use only LR6, AA or
equivalent batteries.
3. Close the battery cover.
CAUTION
Insert the batteries in the battery compartment.
If not, the device will not work.
When (LOW BATTERY mark) blinks in the LCD display, replace all
batteries with new ones. Do not mix old and new batteries. It may shorten
the battery life, or cause the device to malfunction.
The battery life varies with the ambient temperature and may be shorter at
low temperatures.
Use the specified batteries only. The batteries provided with the device are
for testing the device performance and may have a limited life.
Remove the batteries if the device will not be in use for a prolonged period
of time as the batteries may leak and cause a device malfunction.
Connecting the Air Hose
Insert the air hose into the cuff connector firmly.
English 9
Connecting the Connector and Plug for the Cuff
A
A
(
)
A
A
(
y
)
(Sold separately)
1. Insert the air hose socket into the cuff connector .
2. Insert the air hose plug to the air hose of
the cuff.
3. Connect the air hose plug of the cuff to
the air hose socket of the main body.
Use the specified connector. (Refer to page 17)
Securely connect by turning the air hose
plug the direction of the arrow.
ir hose
cuff
ir hose plug
(cuff)
ir hose plug
ir hose socket
main bod
Installing the Device to Mobile Stand (Sold separately)
Install the device with the included four screws to mobile stand.
English 10
Selecting the Proper Cuff
f
Using the correct cuff size is important for accurate readings. If the cuff is
not the proper size, the reading may yield an incorrect blood pressure value.
The INDEX and RANGE markings on the cuff will indicate that you are using
the proper cuff or not. (Refer to "Attaching the Arm Cuff" in the next section)
Arm Size Cuff Size Catalog Number
41 cm to 50 cm LL cuff CUF-KW-LL
31 cm to 45 cm Large Adult cuff CUF-KW-LA
22 cm to 32 cm Adult cuff CUF-KW-A
16 cm to 24 cm Small Adult cuff CUF-KW-SA
12 cm to 17 cm SS cuff CUF-KW-SS
Arm size: The circumference of the biceps
Attaching the Arm Cuff
1. Wrap the cuff around the upper arm, about 1 to
2 cm above the elbow as shown on the right.
Place the cuff directly against the skin, as
clothing may cause a faint pulse and could
result in a measurement error.
2. Constriction of the upper arm, caused by rolling
up a shirtsleeve, may interfere with accurate
RANGE
readings.
3. Make sure that the index points are within the range.
Cuf
1 to 2 cm
INDEX
English 11
Symbols that are printed on the cuff
Symbols Function / Meaning
▲ INDEX
ARTERY ▼
LATEX FREE
THIS SIDE TO PATIENT
REF
ADULT
LL
LARGE ADULT
SMALL ADULT
SS
Proper fit range
Artery position mark
No natural rubber
Instructions to the patient
Catalog number
Lot number
Cuff size 22 cm to 32 cm
Cuff size 41 cm to 50 cm
Cuff size 31 cm to 45 cm
Cuff size 16 cm to 24 cm
Cuff size 12 cm to 17 cm
Means the symbol for suggestions on operation
Means the symbol for showing the conformability
mark
English 12
A
7. Measurements
1 . Place the cuff on the arm (preferably the left arm).
Keep the patient still during measurement.
t heart level
2. Press the
button.
When thebutton is pressed, all of the display symbols
will appear for about one second.
When starts flashing, the device is ready for
measurement. If air is remaining in the cuff when the
button is pressed, the display will indicate an error
code .
Turn the device off ( press thebutton again ) and turn the exhaust
valve counterclockwise once to release all the air in the cuff. Then press
button again to reactivate the device.
the
3. Place the stethoscope on the brachial artery and pressurize the cuff by
squeezing the rubber bulb. (Make sure the exhaust valve is completely
closed.)
While the cuff is inflating, the pressure bar will move and in turn the LCD
will display a number indicating the pressure.
Inflate the cuff to 30 to 40 mmHg higher than the patient’s expected
systolic value.
Note: If you wish to stop inflation at any time, press either the
button or
turn the screw of the exhaust valve to release the air.
4. When inflation is complete.
Turn the exhaust valve screw to release air slowly.
Measure the systolic pressure and the diastolic pressure by stethoscopy.
5. The pulse rate is shown on the numerical display when the measurement
is complete, and meets the following conditions.
When you pressurize 80mmHg or higher for the measurement.
When the pressure drops to 20mmHg or lower.
English 13
6. Turn the exhaust valve screw counterclockwise to
t
t
A
y
release all the air from the cuff.
If a measurement is taken with insufficient pressure,
the
cuff to a pressure that is about 30 to 40 mmHg
higher than the previous attempt.
An error message will be displayed if a
measurement is taken with insufficient pulses or in
a very noisy environment.
7. Press the
Note: Model UM-102 has an automatic power-off function.
Allow at least three minutes between measurements on the same person.
mark will be displayed. Re-pressurize the
button again to turn off the power.
8. Useful Features
Measurement with MARK Button
You can put a marker at a certain pressure value
when the
MARK button is pressed during the
Marker
measurement process. Up to 5 markings can be
shown over the range of 40mmHg.
Lifetime Counter
When the MARK button is pressed while the
device is off, the lifetime counter is displayed.
This counter function indicates the hours the
device was in use and helps to determine when
maintenance is necessary. High digits and Low
digits are alternatively displayed. The example
indicates that the device has been in use for
1,278 hours.
Marker
High digi
lternativel
Low digi
English 14
9. Troubleshooting
Problem Possible Reason Recommended Action
Batteries are empty.Replace all batteries with new ones.Nothing appears
in the display,
even when the
power is turned
on.
The cuff is not
inflated.
Remain a display
of
Note: If the recommendations above do not solve the problem, contact your
.
nearest authorized A&D dealer. Do not attempt to open or repair this
product by yourself, as any attempt to do so will render your warranty
invalid.
Battery polarities
are not in the correct
position.
The cuff is not
connected properly.
There is leakage of
air from the cuff or
rubber bulb.
Error symbol is
displayed one
minute later.
Reinstall the batteries with the
negative and positive ends matching
those indicated in the battery
compartment.
Check the twist of the air hose, and
connection of the cuff and air hose.
Replace the cuff or rubber bulb with a
new one.
Refer to "5. Symbols".
10. 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.
CAUTION
The sphygmomanometer 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 sphygmomanometer can not be sterilized by autoclave, EOG or
formaldehyde etc.
English 15
Cleaning
When cleaning the device and cuff, turn off the power by pressing button
and remove the batteries.
When the main body or cuff is dirty, wipe them fully by using a gauze or
cloth dampened with water or warm water avoiding excess water.
To prevent a risk due to infection, disinfect the main body and cuff regularly.
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 medicine to disinfect the main body and cuff.
Power supply 2 x 1.5 V alkaline batteries (LR6 or AA)
Upper arm circumference 22 - 32 cm using the adult cuff
Number of measurements Approx. 2000 measurements, when AA
alkaline batteries are used, with pressure value
of 180 mmHg at room temperature of 23°C
Classification Internally powered ME equipment
Continuous operation mode
EMC IEC 60601-1-2: 2007
Operating conditions +10°C to +40°C / 15%RH to 85 %RH
800 hPa to 1060 hPa
Transport / Storage conditions
English 16
-20°C to +60°C / 10%RH to 95 %RH
700 hPa to 1060 hPa
Dimensions Approx. 98 [W] x 326 [H] x 202[D] mm
Weight Approx. 540 g, excluding batteries
Applied part Cuff Type BF
Useful life Device: 5 years (when used six times a day)
Cuff: 2 years (when used six times a day)
Rubber bulb unit: 2years (when used six times
a day)
Accessories sold separately
Cuff
Catalog Number
Cuff Size Arm Size
CUF-KW-LL LL cuff 41 cm to 50 cm
CUF-KW-LA Large adult cuff 31 cm to 45 cm
CUF-KW-A Adult cuff 22 cm to 32 cm
CUF-KW-SA Small adult cuff 16 cm to 24 cm
CUF-KW-SS SS cuff 12 cm to 17 cm
Rubber bulb unit
Catalog Number
UM-102-10
Connector and Plugs for cuff replacement
Catalog Number
UM-102-11
Mobile stand
Catalog Number
UM-ST001
Note: Specifications are subject to change without prior notice.
English 17
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 A&D unit is intended for use in the electromagnetic environment specified below.
The customer or the user of the A&D unit should assure that it is used in such an
environment.
Emissions test ComplianceElectromagnetic environment – guidance
RF emissions
internal function. Therefore, its RF emissions
are very low and are not likely to cause any
interference in nearby electronic equipment.
Class B
n.a.
The A&D unit 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 A&D unit
The A&D unit is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The customer or the user of the A&D unit can help prevent
electromagnetic interference by maintaining a minimum distance between portable and
mobile RF communications equipment (transmitters) and the A&D unit as recommended
below, according to the maximum output power of the communications equipment.
Rated maximum
output
power of transmitter
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.
Separation distance according to frequency of transmitter
m
150 kHz to 80 MHz
d = 1.2
P
80 MHz to 800 MHz
d = 1.2
P
800 MHz to 2.5 GHz
d = 2.3 P
English 18
Guidance and manufacturer’s declaration – electromagnetic immunity
The A&D unit is intended for use in the electromagnetic environment specified below. The
customer or the user of the A&D unit should assure that it is used in such an environment.
Immunity
test
IEC 60601
test level
Compliance
level
Electromagnetic environment –
guidance
Portable and mobile RF
communications equipment should
be used no closer to any part of the
A&D unit, including cables, than
the recommended separation
distance calculated from the
equation applicable to the
frequency of the transmitter.
Recommended separation distance:
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
d = 1.2
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:
P
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 A&D unit is used exceeds the applicable RF compliance level
above, the A&D unit should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as re-orienting
or relocating the A&D unit.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
English 19
Guidance and manufacturer’s declaration – electromagnetic immunity
The A&D unit is intended for use in the electromagnetic environment specified below. The
customer or the user of the A&D unit should assure that it is used in such an environment.
Immunity
test
Electrostatic
discharge (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
IEC 60601
test level
± 6 kV
contact
± 8 kV
air
± 2 kV for power
supply lines
± 1 kV
for input/output
lines
± 1 kV
differential mode
±2 kV
common mode
< 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 U
for 5 s
T
)
Compliance levelElectromagnetic
environment – guidance
± 6 kV
contact
± 8 kV
air
n.a.
n.a.
n.a.
Floors should be wood,
concrete or ceramic tile.
If floors 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
environment.
Mains power quality
should be that of a typical
commercial or hospital
environment.
Mains power quality should
be that of a typical
commercial or hospital
environment. If the user of
the A&D unit requires
continued operation during
power mains interruptions,
it is recommended that the
A&D unit be powered from
an uninterruptible power
supply or a battery.
Power frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8
NOTE : UT is the AC mains voltage prior to application of the test level.
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.