TECH-MED TMA-3BASIC User guide [pl]

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rok zał. 1949
B. WÓJCIK s-ka jawna
0 0 - 8 0 1 W a r s z a w a , u l . C h m i e l n a 9 8
B IU R O H A N D L O W E : t e l . : ( 2 2 ) 6 5 4 6 4 9 2 S K L E P F I R M O W Y : te l . : (2 2 ) 6 5 4 6 4 9 3 S E R W I S : t e l . : (2 2 ) 8 5 3 3 0 1 0 , f a k s : ( 2 2 ) 6 2 0 7 7 4 2
w w w . t e c h m e d . p l e - m a i l: t e c h m e d @ t e c h m e d . p l
Po l a n d , E u r o p e
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Established in 1949
LEADER OF THE
PO L ISH
PR O D UC E R
DECADE
USER MANUAL
MODEL: TMA-3 BASIC
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INTRODUCTION
1. General Description
Thank you for selecting TECH-MED arm type blood pressure mo-
nitor (TMA-3 BASIC). The monitor features blood pressure me­asurement, pulse rate measurement and the result storage. The design provides you with two years of reliable service.
This manual contains important safety and care information, and
provides step by step instructions for using the product. Read the manual thoroughly before using the product. Features: 41*60mm Ditital LCD display Maximum 60 records Measuring during inflation technology
2. Indications for Use
The TECH-MED Blood Pressure Monitor is digital mo-
nitors intended for use in measuring blood pressu-
re and heartbeat rate with arm circumference ranging
from 23cm to 33cm. It is intended for adult indoor use only.
3. Contraindications
1. The device should not be used by any person who may be suspected of,or is pregnant .
2. The device is not suitable for use on patients with implan­ted,electrical devices, such as cardiac pacemakers, defibril­lators.
4. Measurement Principle
This product uses the Oscillometric Measuring method to detect
blood pressure. Before every measurement, the unit establishes a “zero pressure” equivalent to the atomospheric pressure. Then it starts inflating the arm cuff, meanwhile, the unit detects pressure oscillations generated by beat-to-beat pulsatile, which is used to determine the systolic and diastolic pressure, and also pulse rate.
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5. Safety Information
The signs below might be in the user manual, labeling or other
component. They are the requirement of standard and using.
Symbol for “THE OPERATION GUIDE MUST BE READ”
Symbol for “TYPE BF APPLIED PARTS”
Symbol for “COMPLIES WITH MDD 93/42/EEC REQUIRE-
0197
MENTS”
Symbol for “MANUFACTURER”
Symbol for “SERIAL NUMBER”
Symbol for “ENVIRONMENT PROTECTION - Electrical waste products should not be disposed of with household waste. Please recycle where facilities exist. Check with your local authority or retailer for recycling advice”
Symbol for “DIRECT CURRENT”
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Symbol for “Authorised Representative in the European Com­munity
Symbol for “MANUFACTURE DATE”
Symbol for “Recycle”
Caution: These notes must be observed to prevent any damage to the device.
The Green Dot is the license symbol of a European network of industry-funded systems for recycling the packaging materials of consumer goods.
For indoor use only
Symbol for “Class II Equipment”
F1
T1A/250V 3.6*10CCC
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CAUTION
* This device is intended for adult use in homes only. * The device is not suitable for use on neonatal patients, pregnant
women,patients with implanted, electronical devices, patients with pre-eclampsia, premature ventricular beats, atrial fibrillation, peripheral, arterial disease and patients undergoing intravascular therapy or arterio-venous shunt or people who received a ma­stectomy. Please consult your doctor prior to using the unit if you suffer from illnesses.
* The device is not suitable for measuring the blood pressure of
children. Ask your doctor before using it on older children.
* The device is not intended for patient transport outside a heal-
thcare facility. * The device is not intended for public use. * This device is intended for no-invasive measuring and monitoring
of arterial blood pressure.It is not intended for use on extremities
other than the arm or for functions other than obtaining a blood
pressure measurement. * Do not confuse self-monitoring with self-diagnosis. This unit al-
lows you to monitor your blood pressure.Do not begin or end me-
dical treatment without asking a physician for treatment advice. * If you are taking medication,consult your physician to determine
the most appropriate time to measure your blood pressure. Never
change a prescribed medication without consulting your physi-
cian. * Do not take any therapeutic measures on the basis of a self me-
asurement. Never alter the dose of a medicine prescribed by a
doctor. Consult your doctor if you have any question about your
blood pressure. * When the device was used to measure patients who have com-
mon arrhythmias such as atrial or ventricular premature beats or
atrial fibrillation, the best result may occur with deviation. Please
consult your physician about the result. * Don’t kink the connection tube during use, otherwise, the cuff
pressure may continuously increase which can prevent blood
flow and result in harmful injury to the PATIENT.
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* When using this device, please pay attention to the following si-
tuation which may interrupt blood flow and influence blood cir-
culation of the patient, thus cause harmful injury to the patient:
connection tubing kinking too frequent and consecutive multiple
measurements; the application of the cuff and its pressurization
on any arm where intravascular access or therapy, or an arterio-
-venous (A-V) shunt, is present; inflating the cuff on the side of
a mastectomy. * Warning: Do not apply the cuff over a wound;otherwise it can
cause further injury. * Do not inflate the cuff on the samb limb which other monitoring
ME equipment is applied around simultaneously, because this co-
uld cause temporary loss of function of those simultaneously-used
monitoring ME equipment. * On the rare occasion of a fault causing the cuff to remain fully
inflated during measurement, open the cuff immediately. Prolon-
ged high pressure (cuff pressure >300mmHg or constant pressure
>15mmHg for more than 3 minutes) applied to the arm may lead
to an ecchymosis. * Please check that operation of the device does not result in pro-
longed impairment of patient blood circulation.
CAUTION
* When measurement, please avoid compression or restriction of
the connection tubing. * The device cannot be used with HF surgical equipment at the
same time. * The ACCOMPANYING DOCUMENT shall disclose that the
SPHYGMOMANOMETER was clinically investigated according
to the requirements of ISO 81060-2:2013. * To verify the calibration of the AUTOMATED SPHYGMOMANO-
METER, please contact the manufacturer. * This device is contraindicated for any female who may be suspec-
ted of, or is pregnant. Besides providing inaccurate readings, the
effects of this device on the fetus are unknown. * Too frequent and consecutive measurements could cause distur-
bances in blood circulation and injuries.
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* This unit is not suitable for continuous monitoring during medi-
cal emergencies or operations.Otherwise, the patient’s arm and
fingers will become anaesthetic, swollen and even purple due to
a lack of blood. * When not in use, store the device in a dry room and protect it aga-
inst extreme moisture, heat, lint, dust and direct sunlight. Never
place any heavy objects on the storage case. * This device may be used only for the purpose described in this bo-
oklet. The manufacturer cannot be held liable for damage caused
by incorrect application. * This device comprises sensitive components and must be treated
with caution. Observe the storage and operating conditions de-
scribed in this booklet. * The equipment is not AP/APG equipment and not suitable for use
in the presence of a flammable anesthetic mixture with air of with
oxygen or nitrous oxide. * Warning: No servicing/maintenance while the ME equipment is
in use. * The patient is an intended operator. * The patient can measure data and change batteries under normal
circumstances and maintain the device and its accessories accor-
ding to the user manual. * To avoid measurement errors, please avoid the condition of strong
electromagnetic field radiated interference signal or electrical fast
transient/burst signal. * The blood pressure monitor and the cuff are suitable for use
within the patient environment. If you are allergic to polyester,
nylon or plastic, please don’t use this device. * During use, the patient will be in contact with the cuff.
The materials of the cuff have been tested and found to
comply with requirements of ISO 10993-5:2009 and ISO
10993-10:2010. It will not cause any potential sensization or ir-
ritation reaction. * If you experience discomfort during a measurement, such as pain
in the arm or other complaints, press the START/STOP button to
release the air immediately from the cuff. Loosen the cuff and
remove it from your arm.
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* If the cuff pressure reaches 40 kPa (300 mmHg), the unit will au-
tomatically deflate. Should the cuff not deflate when pressures
reaches 40 kPa (300 mmHg), detach the cuff from the arm and
press the START/STOP button to stop inflation. * Before use, make sure the device functions safely and is in proper
working condition. Check the device, do not use the device if it is
damaged in any way. The continuous use of a damaged unit may
cause injury, improper results, or serious danger. * Do not wash the cuff in a washing machine or dishwasher! * The service life of the cuff may vary by the frequency of washing,
skin condition, and storage state. The typical service life is 10000
times.
CAUTION
* It is recommended that the performance should be checked every
2 years and after maintenance and repair, by retesting at least the
requirements in limits of the error of the cuff pressure indication
and air leakage (testing at least at 50mmHg and 200mmHg). * Please dispose of ACCESSORIES, detachable parts, and the ME
EQUIPMENT according to the local guidelines. * Manufacturer will make available on request circuit diagrams,
component part lists, descriptions, calibration instructions,etc., to
assist to service personnel in parts repair. * The operator shall not touch output of batteries and the patient
simultaneously. * Cleaning :Dust environment may affect the performance of the
unit. Please use the soft cloth to clean the whole unit before and
after use. Don’t use any abrasive or volatile cleaners. * The device doesn’t need to be calibrated within two years of relia-
ble service. * If you have any problems with this device, such as setting up,
maintaining or using, please contact the SERVICE PERSONNEL of
Transtek. Don’t open or repair the device by yourself in the event
of malfunctions. The device must only be serviced, repaired and
opened by individuals at authorized sales/service centers. * Please report to Transtek if any unexpected operation or events
occur.
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* Keep the unit out of reach of infants, young children or pets to
avoid inhalation or swallowing of small parts. It is dangerous or
even fatal. * Be careful to strangulation due to cables and hoses, particularly
due to excessive length. * At least 30 min required for ME equipment to warm from the mini-
mum storage temperature between uses until it is ready for inten-
ded use. At least 30 min required for ME equipment to cool from
the maximum storage temperature between uses until it is ready
for intended use. * This equipment needs to be installed and put into service in ac-
cordance with the information provided in the ACCOMPANYING
DOCUMENTS; * Wireless communications equipment such as wireless home ne-
twork devices, mobile phones, cordless telephones and their base
stations, walkie-talkies can affect this equipment and should be
kept at least a distance d away from the equipment. The distance
d is calculated by the MANUFACTURER from the 80 MHz to 5.8
GHz column of Table 4 and Table 9 of IEC 60601-1-2:2014, as
appropriate. * Please use ACCESSORIES and detachable partes specified/ autho-
rised by MANUFACTURE. Otherwise, it may cause damage to the
unit or danger to the user/patients. * There is no luer lock connectors are used in the construction of
tubing, there is a possibility that they might be inadvertently con-
nected to intravascular fluid systems, allowing air to be pumped
into a blood vessel. * Please use the device under the environment which was provided
in the user manual. Otherwise, the performance and lifetime of
the device will be impacted and reduced.
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6. LCD Display Signal
SYMBOL DESCRIPTION EXPLANATION
SYS Systolic pressure High blood pressure
DIA Diastolic pressure Low blood pressure
PUL/min. Pulse display Pulse in beats per minute
Deflation symbol The cuff is deflating.
Current Time Year/Month/Day, Hour/Minute
Memory
kPa Unit Measurement Unit of Blood Pressure
mmHg Unit Measurement Unit of Blood Pressure
Low battery Batteries are low and need to be replaced
Irregular hear­tbeat
Indicate it is in the memory mode and which group of memory it is.
Blood pressure monitor is detecting an irregular heartbeat during measurement.
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I
Blood pressure level indicator
Heartbeat
Indicate the blood pressure level
Blood pressure monitor is detecting a heartbeat during measurement.
7. Monitor components
CUFF
AIR PIPE
AIR CONNECTOR PLUG
LCD DISPLAY
UST
Component list of pressure measuring system 1 Cuff 2 Air pipe 3 PCBA 4 Pump 5 Valve
BATTERY COMPARTMENT
PAM
PAM BUTTON UST BUTTON Start/Stop BUTTON
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BEFORE YOU START
1. The Choice of Power Supply
1. Battery powered mode: 6VDC 4*AA batteries
2. AC adaptor powered mode: 6V 1A (Please only use the re­commended AC adaptor model). Please unplug the adaptor to depart from the using utility power.
PAM
UST
AC a d a p t o r
CAUTION
In order to get the best effect and protect your monitor,please use
the right battery and special power adaptor which complies with local safety standard.
2. Installing and Replacing the Batteries
• Slide off the battery cover.
• Install the batteries by matching the correct polarity, as shown.
• Replace the cover.
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Replace the batteries whenever the below happens The shows The display is dim The display does not light up.
CAUTION
• Do not use new and used batteries together.
• Do not use different types of batteries together.
• Do not dispose the batteries in fire. Batteries may explode or leak.
• Remove batteries if the device is not likely to be used for some time.
• Worn batteries are harmful to the environment. Do not dispose with daily garbage.
• Remove the old batteries from the device following your local recycling guidelines.
3. Setting Date, Time and Measurement Unit
It is important to set the clock
before using your blood pressure monitor, so that a time stamp can
Yr
UST
be assigned to each record that is stored in the memory. (The setting range of the year :2000— 2050 time format:24 H)
1. When the monitor is off, hold
Yr
PAM
pressing “UST” for 3 seconds to enter the mode for year setting.
2. Press the “PAM” to change the [YEAR]. Each press will increase the numeral by one in a cycling manner.
Yr
UST
3. When you get the right year, press “UST” to set down and turn to next step.
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4. Repeat step 2 and 3 to set the [MONTH] and [DAY].
PAM
UST
PAM
UST
M D
Start
Stop
M D
Start
Stop
5. Repeat step 2 and 3 to set the [HOUR] and [MINUTE].
PAM
UST
Start
Stop
PAM
UST
Start
Stop
6. Repeat step 2 and 3 to set the [UNIT].
PAM
UST
Start
Stop
PAM
UST
Start
Stop
7. After the unit is set,the right picture will be shown,then it will turn off.
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MEASUREMENT
2 ~ 3 c m
1. Tie the Cuff
1. Remove all jewelry, such as watches and bracelets
from your left arm.Note: If your doctor has diagnosed you with poor circulation in your left arm, use your right arm.
2. Roll or push up your sleeve to expose the skin.
Make sure your sleeve is not too tight.
3. Hold your arm with your palm facing up and tie the cuff
on your upper arm, then position the tube off-center toward the inner side of arm in line with the little finger. Or position the artery mark over the main artery (on the inside of your arm).
Note: Locate the main artery by pressing with 2 fingers ap-
proximately 2 cm above the bend of your elbow on the inside of your left arm. Identify where the pulse can be felt the strongest. This is your main artery.
4. The cuff should be snug but not too tight. You should be able
to insert one finger between the cuff and your arm.
5. Sit comfortably with your tested arm resting on a flat surface.
Place your elbow on a table so that the cuff is at the same level as your heart. Turn your palm upwards. Sit upright in a chair, and take 5-6 deep breaths.
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6. Helpful tips for Patients, especially for Patients with Hyper-
tension:
• Rest for 5 minutes before first measurement
• Wait at least 3 minutes between measurements. This allows your blood circulation to recover.
• Take the measurement in a silent room.
• The patient must relax as much as possible and do not move and talk during the measurement procedure.
• The cuff should maintain at the same level as the right atrium of the heart.
• Please sit comfortably. Do not cross your legs and keep your feet flat on the ground.
• Keep your back against the backrest of the chair.
• For a meaningful comparison, try to measure under similar conditions. For example, take daily measure­ments at approximately the same time, on the same arm, or as directed by a physician.
2. Start the Measurement
1. When the monitor is off, press the “Start/Stop” to turn on the monitor, and it will finish the whole measurement.
LCD display Adjust the zero point.
Start
Stop
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Inflating and measuring. Display and save the results .
2. Press the “Start/Stop” to power off, otherwise it will turn off within 1 minute.
DATA MANAGEMENT
1. Recall the Records
1. When the monitor is off, press the “PAM” to show the last record.
2. Press the “PAM” or “UST” to get the record you want.
D O W NUP
UST
PAM
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Start
Stop
PAM
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MD
Th e c u r r e n t i s t h e N o 1 8 . Th e c o r r e s p o n d in g
Th e c o r r e s p o n d in g d a t e i s 1 1 t h O c t o b e r .
t i m e i s 1 0 : 3 8 .
The date and time of the record will be shown alternately. The current is the No 18. The corresponding date is 11th October. The corresponding time is 10:38.
CAUTION
The most recent record (1) is shown first. Each new measurement
is assigned to the first (1) record. All other records are pushed back one digit (e.g., 2 becomes 3, and so on), and the last record (60) is dropped from the list.
2. Delete the Records
If you did not get the correct measurement, you can delete all
results by following below steps.
1. When the monitor is off, hold pressing “PAM” for 3 seconds
PAM
,“dEL+ALL” will flash on the display.
2. Press “UST” to con­firm deleting and the monitor will display “dEL donE”,and then turn off.
3. If you don’t want to
UST
delete the records, press “Start/Stop” to escape.
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4. If there is no record, the right display will be shown on the LCD.
Start
Stop
INFORMATION FOR USER
Tips for Measurement Measurements may be inaccurate if taken in the following circumstan­ces.
Within 1 hour after dinner or drinking
Immediate measurement after tea, coffee, smoking
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Within 20 minutes after taking a bath
When talking or moving your fingers
In a very cold environment When you want to dischar-
ge urine
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MAINTENANCE
Please calibrate the blood pressure monitor in specific institute once every two years to ensure the precise measurement. In order to get the best performance, please follow the instructions below for storage.
Put in a dry place and avoid the sunshine
Avoid touching water, clean it with a dry cloth in case.
Avoid intense shaking and collisions
Avoid dusty and unstable temperature environment
Using wet cloths to remove dirt Do not attempt to clean the
reusable cuff with water and never immerse the cuff in water.
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ABOUT BLOOD PRESSURE
1. What are systolic pressure and diastolic pressure?
When ventricles contract and pump blood out of the heart, the
blood pressure reaches its maximum value in the cycle, which is called systolic pressure. When the ventricles relax, the blood pressure reaches its minimum value in the cycle, which is called diastolic pressure.
Sy s t o l i c
b lo o d d i s c h a r g i n g
a r t e r y
p r e s s
D i a s t o l ic
b lo o d e n te r i n g v e in
r e la x
2. What is the standard blood pressure classification?
The blood pressure classification published by World Health
Organization (WHO) and International Society of Hypertension (ISH) in 1999 is as follows:
Systolic pressure
(mmHg)
High blood pressure
Moderate hypertension
Slight hypertension
High pressure, normal
Normal pressure
Optimal pressure
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Diastolic pressure
(mmHg)
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CAUTION
Only a physician can tell your normal BP range. Please contact
a physician if your measuring result falls out of the range. Please note that only a physician can tell whether your blood pressure value has reached a dangerous point.
Blood Pressure
SYS <120 120-129 130-139 140-159 160-179 180
DIA <80 80-84 85-89 90-99 100-109 110
Optimal Normal
Hypertension
S1 S2 S3
3. Irregular Heartbeat Detector
An irregular heartbeat is detected when a heartbeat rhythm va-
ries while the device is measuring systolic pressure and diastolic pressure. During each measurement, blood pressure monitor will keep a record of all the pulse intervals and calculate the avera­ge value of them. If there are two or more pulse intervals , the difference between each interval and the average is more than the average value of ±25% , or there are four or more pulse in­tervals ,the difference between each interval and the average is more than the average value of ±15%, then the irregular heartbeat symbol will appear on the display with the measurement result.
CAUTION
The appearance of the IHB icon indicates that a pulse irregularity
consistent with an irregular heart-beat was detected during me­asurement. Usually this is NOT a cause for concern. However, if the symbol appears often, we recommend you seek medical advice. Please note that the device does not replace a cardiac examination, but serves to detect pulse irregularities at an early stage.
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4. Why does my blood pressure fluctuate throughout the day?
1. Individual blood pressure varies multiple times everyday. It is also affected by the way you tie your cuff and your measu­rement position, so please take the measurement under the same conditions.
2. If the person takes medicine, the pressure will vary more.
3. Wait at least 3 minutes for another measurement.
5. What you need to pay attention to when you measure your blo­od pressure at home:
If the cuff is tied properly. If the cuff is too tight or too loose. If the cuff is tied on the upper
arm. If you feel anxious.
Taking 2-3 deep breaths before beginning will be better for me-
asuring.
Advice: Relax yourself for 4-5 minutes until you calm down.
6. Why do I get a different blood pressure at home compared to the hospital?
The blood pressure is different even throughout the day due to
weather, emotion, exercise etc, Also, there is the “white coat” effect, which means blood pressure usually increases in clinical settings.
7. Is the result the same if measuring on the right arm?
It is ok for both arms, but there will be some different results for
different people. We suggest you measure the same arm every time.
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TROUBLESHOOTING
This section includes a list of error messages and frequently asked questions for problems you may encounter with your blood pressure monitor. If the products not operating as you think it should, check here before arranging for servicing.
PROBLEM SYMPTOM CHECK THIS REMEDY
No power
Low batteries
Display will not light up.
Display is dim or show
Batteries are exhausted.
Batteries are inserted incor­rectly.
AC adaptor is inserted incor­rectly.
Batteries are low. Replace with new batteries
Replace with new batteries
Insert the batteries correctly
Insert the AC adaptor tightly
Error message
E 1 shows
E 2 shows
E 3 shows
E10 or E11 shows
The cuff is not secure.
The cuff is very tight
The pressure of the cuff is excess.
The moni­tor detected motion,talking or the pluse is too poor while measuring.
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Refasten the cuff and then measure again.
Refasten the cuff and then measure again.
Relax for a moment and then measure again.
Relax for a moment and then measure again.
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Error message
E20 shows
E21 shows
EExx,shows on the display.
The measure­ment process does not detect the pulse signal.
The treatment of the measurement failed.
A calibration error occurred.
Loosen the clothing on the arm and then measure again
Relax for a moment and then measure again.
Retake the measurement. If the problem persists, contact the retailer or our customer service department for further assistance.Refer to the warranty for contact information and return instructions.
SPECIFICATIONS
Battery powered mode:
Power supply
Display mode Digital LCD display V.A.41mm*60mm
Measurement mode Oscillographic testing mode
Measurement range
Accuracy
6VDC 4*AA batteries AC adaptor powered mode: 6V 1A (Please only use the recommended AC adaptor model).
Rated cuff pressure: 0mmHg~299mmHg(0kPa ~ 39.9kPa) Measurement pressure: SYS: 60mmHg~230mmHg (8.0kPa~30.7kPa) DIA: 40mmHg~130mmHg (5.3kPa~17.3kPa) Pulse value: (40-199)beat/minute
Pressure: 5°C-40°C within±3mmHg(0.4kPa) Pulse value:±5%
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A temperature range of :+5°C to +40°C A relative humidity range of 15% to 90%,
Normal working condition
Storage & transportation condition
Measurement perimeter of the upper arm
Net Weight Approx.257g(Excluding the batteries)
External dimensions Approx.140mm*120mm*70mm
Attachment
Mode of operation Continuous operation
Device Classification
Degree of protection Type BF applied part
Protection against ingress of water
Software Version A01
non-condensing, but not requiring a water vapour partial pressure greater than 50 hPa An atmospheric pressure range of : 700 hPa to 1060 hPa
Temperature:-20°C to +60°C A relative humidity range of 93%, non-con­densing, at a water vapour pressure up to 50hPa
About 23cm~33cm
4*AA batteries,user manual,carry bag,AC adapter
Battery Powered Mode: Internally Powered ME Equipment AC Adaptor Powered Mode: Class II ME Equipment
IP21 It means the device could protected against solid foreign objects of 12.5mm and greater, and protect against vertically falling water drops.
WARNING: No modification of this equipment is allowed.
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AUTHORIZED COMPONENTS
1. Please use the TECH-MED authorized adapter.
Adapter
Type: ZASILACZ AC/DC Input:100~240V,50~60Hz,0.4Amax Output: 6V 1000mA
COMPLIED STANDARDS LIST
1. Complied Standards List
Risk management
Labeling
User manual
EN ISO 14971:2012 / ISO 14971:2007 Medical devices
- Application of risk management to medical devices
EN ISO 15223-1:2016 / ISO 15223-1:2016 Medical devices. Symbols to be used with medical device labels, labelling and information to be supplied. Part 1 : Gene­ral requirements
EN 1041:2008 Information supplied by the manufactu­rer of medical devices
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General Require­ments for Safety
Electromagnetic compatibility
Performance requirements
Clinical investigation
Usability
EN 60601-1:2006+A1:2013/ IEC 60601­1:2005+A1:2012 Medical electrical equipment - Part 1: General requirements for basic safety and essential performance EN 60601-1-11:2015/ IEC 60601-1-11:2015 Medical electrical equipment - Part 1-11: General requirements for basic safety and essential performance - Collateral standard: Requirements for medical electrical equip­ment and medical electrical systems used in the home healthcare environment
EN 60601-1-2:2015/ IEC 60601-1-2:2014 Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic disturbances - Requirements and tests
EN ISO 81060-1:2012 Non-invasive sphygmomano­meters - Part 1: Requirements and test methods for non-automated measurement type EN 1060-3:1997+A2:2009 Non-invasive sphygmo­manometers - Part 3: Supplementary requirements for electro-mechanical blood pressure measuring systems IEC 80601-2-30:2009+A1:2013 Medical electrical equipment- Part 2-30: Particular requirements for the basic safety and essential performance of automated non-invasive sphygmomanometers
EN 1060-4:2004 Non-invasive sphygmomanometers ­Part 4: Test procedures to determine the overall system accuracy of automated non-invasive sphygmomano­meters ISO 81060-2:2013 Non-invasive sphygmomanometers
- Part 2: Clinical validation of automated measurement type
EN 60601-1-6:2010+A1:2015/IEC 60601-1­6:2010+A1:2013 Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability IEC 62366-1:2015 Medical devices - Part 1: Application of usability engineering to medical devices
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Software life-cyc­le processes
Bio-compatibility
EN 62304:2006/AC: 2008 / IEC 62304: 2006+A1:2015 Medical device software - Software life-cycle processes
ISO 10993-1:2009 Biological evaluation of medical devices- Part 1: Evaluation and testing within a risk management process ISO 10993-5:2009 Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity ISO 10993-10:2010 Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitiza­tion
EMC GUIDANCE
1. EMC Guidance
1) This product needs special precautions regarding EMC and
needs to be installed and put into service according to the EMC information provided, and this unit can be affected by portable and mobile RF communications equipment.
2) Do not use a mobile phone or other devices that emit elec-
tromagnetic fields, near the unit. This may result in incorrect operation of the unit.
3) Caution: This unit has been thoroughly tested and inspected
to assure proper performance and operation!
4) Caution: This machine should not be used adjacent to or
stacked with other equipment and that if adjacent or stacked use is necessary, this machine should be observed to veri­fy normal operation in the configuration in which it will be used.
– 30 –
Page 63
Table 1
Guidance and manufacturer’s declaration – electromagnetic emissions
The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment - guidance
The device uses RF energy only for its
RF emissions CISPR 11 Group 1
RF emissions CISPR 11 Class B
Harmonic emissions IEC 61000-3-2
Voltage fluctuations/ flicker emissions IEC 61000-3-3
Class A
Complies
internal function. Therefore, its RF emis­sions are very low and are not likely to cause any interference in nearby electronic equipment.
The device is suitable for use in all esta­blishments, other than domestic and those directly connected to the public low-vol­tage power supply network that supplies buildings used for domestic purposes.
Table 2
Guidance and manufacturer’s declaration – electromagnetic immunity
The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device 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
IEC 60601 test level
±8 kV contact ±15 kV air
power supply lines: ±2 kV input/output lines: ±1 kV
Compliance level
±8 kV contact ±15 kV air
power supply lines: ±2 kV
Electromagnetic environment ­guidance
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.
– 31 –
Page 64
line(s) to line(s): ±1 kV
Surge IEC61000-4-5
Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11
Power frequency (50Hz/60Hz) magnetic field IEC 61000-4-8
NOTE U
is the a.c. mains voltage prior to application of the test level.
T
line(s) to earth: ±2 kV 100 kHz repetition frequency
0%UT; 0.5 cycle At 0°, 45°, 90°, 135°, 180°,225°,270° and 315° 0%UT ; 1 cycle and 70%UT ; 25/30 cycles Single phase: at 0° 0% UT ; 300 cycle
30 A/m 50Hz/60Hz
line(s) to line(s): ±1 kV
100 kHz repetition frequency
0% UT ; 0.5 cycle At 0°, 45°, 90°, 135°, 180°,225°,270° and 315° 0% UT ; 1 cycle and 70% UT ; 25/30 cycles Single phase: at 0° 0% UT ;300 cycle
30 A/m 50Hz/60Hz
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.
Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.
Table 3
Guidance and manufacturer’s declaration – electromagnetic immunity
The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device should assure that it is used in such an environment.
Immunity test
Conducted RF IEC 61000-4-6
IEC 60601 Test level
150 kHz to 80 MHz: 3 Vrms 6Vrms (in ISM and amateur radio bands) 80% Am at 1kHz
Compliance level
150 kHz to 80 MHz: 3 Vrms 6Vrms (in ISM and amateur radio bands) 80% Am at 1kHz
Electromagnetic environment ­guidance
Portable and mobile RF commu­nications equipment should be used no closer to any part of the device, including cables, than the recommended separation distan­ce calculated from the equation appropriate for the frequency of the transmitter. Recommended separation distances: d=0.35P; d=1.2 P
– 32 –
Page 65
where, P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer, d is the recom­mended sepa­ration distance in meters (m). Field strengths
80 MHz to 800
Radiated RF IEC 61000-4-3
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 device is used exceeds the applicable RF compliance level above, the device should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the device.
b) Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3V/m.
10V/m, 80% Am at 1kHz
10V/m, 80% Am at 1kHz
MHz: d=1.2P 800 MHz to
2.7 GHz: d=2.3P
from fixed RF transmitters, as determined by an electro­magnetic site survey, should be less than the compliance level in each frequency range. Interference may occur in the vicinity of equipment marked with the following symbol:
– 33 –
Page 66
Table 4
Recommended separation distances between portable and mobile RF communications equipment and the device.
The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmittters) and the device 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 0.37 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=3.5P
80 MHz to 800 MHz
d=1.2P
800 MHz to 2.7 GHz
d=2.3P
– 34 –
Page 67
Table 5
Guidance and manufacturer’s declaration - electromagnetic immunity
The device is intended for use in the electromagnetic environment specified below. The customer or the user of the device, should assure that it is used in such an environment.
Distan­ce (m)
IMMU­NITY TEST LEVEL (V/m)
Radia­ted RF IEC 61000­4-3 (Test specifi­cations for ENCLO­SURE PORT IMMU­NITY to RF wireless com­muni­cations equip­ment)
Test Frequ­ency (MHz)
385 380-390
450 380-390
710
780
810
930
Band a) (MHz)
704-787
800-960
Service a)Modula-
tion b)
Pulse
TETRA
modula-
400
tion b) 18Hz
FM c) ± 5kHz
GMRS
devia-
460,
tion
FRS 460
1kHz sine
Pulse
LTE
modula-
Band
tion b)
13, 17
217Hz
GSM 800/ 900, TETRA
Pulse
800,
modula-
iDEN
tion b)
820,
18Hz
CDMA 850, LTE Band 5
Modula­tion b) (W)
1.8 0.3 27
2 0.3 28
0.2 0.3 9745
2 0.3 28870
– 35 –
Page 68
GSM
1720
Radia­ted RF IEC 61000­4-3 (Test specifi-
1970
cations for ENCLO­SURE PORT IMMU­NITY
2450
to RF wireless com­muni­cations equip-
5240
ment)
5785
NOTE If necessary to achieve the IMMUNITY TEST LEVEL, the distance between the transmitting antenna and the ME EQUIPMENT or ME SYSTEM may be reduced to 1 m. The 1 m test distance is permitted by IEC 61000-4-3.
a) For some services, only the uplink frequencies are included. b) The carrier shall be modulated using a 50% duty cycle square wave signal. c) As an alternative to FM modulation, 50% pulse modulation at 18 Hz may be used because while it does not represent actual modulation, it would be worst case.
The MANUFACTURER should consider reducing the minimum separation distance, based on RISK MANAGEMENT, and using higher IMMUNITY TEST LEVELS that are appropriate for the reduced minimum separation distance. Minimum separation distances for higher IMMUNITY TEST LEVELS shall be calculated using the following equation: E=6/d P Where P is the maximum power in W, d is the minimum separation distance in m, and E is the IMMUNITY TEST LEVEL in V/m.
1700­1990
2400­2570
5100­5800
1800; CDMA 1900; GSM 1900; DECT; LTE Band 1, 3, 4,25; UMTS
Blueto­oth, WLAN,
802.11 b/g/n, RFID 2450, LTE Band 7
WLAN
802.11 a/n
Pulse modula­tion b) 217Hz
Pulse modula­tion b) 217 Hz
Pulse modula­tion b) 217 Hz
2 0.3 281845
2 0.3 28
0.2 0.3 95240
– 36 –
Page 69
Disposal
Batteries and electronic instruments must be disposed of in accordance with the locally applicable regulations, not with domestics waste.
Established in 1949
B. WÓJCIK s-ka jawna
0 0 - 8 0 1 W a r s a w , C h m i e l n a 9 8 St r . w w w . t e c h m e d . p l e - m a i l : t e c h m e d @ t e c h m e d . p l
Po l a n d , E u r o p e
– 37 –
Page 70
DES JAHRZEHNTS
1949 gegründet
PO L N I SC H E R
PR O D UZ E N T
DER ANFÜHRER
DES JAHRZEHNTS
BENUTZERHANDBUCH
DIGITALES BLUTDRUCK- UND HERZFREQUENZMESSGERÄT
MODEL: TMA-3 BASIC
Page 71
AUFBAU DES GERÄTES
1. Symbole des LCD-Displays
SYMBOL BESCHREIBUNG ERKLÄRUNG
SYS Systolischer Druck Höheres Druckergebnis
DIA Diastolischer Druck Niedrigeres Druckergebnis
PUL/min. Puls Herzschläge/Min.
Abpumpen Luft wird aus der Manschette freigelassen
J/M/T, Uhrzeit: Min
Speicher Angezeigte Messwerte aus dem Speicher
kPa kPa Messeinheit für Blutdruckmessung
mmHg mmHg Messeinheit für Blutdruckmessung
Schwacher Akku Akkus sind auszutauschen
Aktuelles Datum und Uhrzeit
– 1 –
Page 72
Arrhythmie Unregelmäßiger Herzrhythmus
I
Klasse Einstufung der Druckwerte nach WHO
Pulssymbol
2. Aufbau des Gerätes
MANSCHETTE
LUFTSCHLAUCH
LUFTANSCHLUSSSTECKER
LCD-DISPLAY
Während der Messung angezeigtes Herzschlagsymbol
PAM
UST
TASTE SPEICHER TASTE EINSTELLUNGEN TASTE START/STOP
BATTERIEFACH
– 2 –
Page 73
3. Bestandteile des Kits
1. Druckmessgerät TMA-3BASIC(B)
2. Manschette 23-33 cm
3. 4xAA Alkalische Akkus
5. Bedienungsanleitung und Messtagebuch
6. Garantieschein
4. Etui
GRUNDEINSTELLUNGEN
1. Einbau und Austausch von Akkus
Öffnen Sie den Deckel des Akkufachs. Legen Sie die Akkus nach
ihrer Polarität ein. Bringen Sie den Fachdeckel wieder an.
AUSWAHL DER STROMQUELLE
PAM
UST
AC a d a p t o r
1. Akkubetrieb: 6 VDC 4*Akkus AA 1,5 VDC
2. Netzteilbetrieb AC/DC (Option): 100-240 V, 50-60 Hz, 400 mA,
(Stromversorgung ist nur über das von TECH-MED empfohlene
Netzteil möglich)
– 3 –
Page 74
Um die Nutzung des Netzteils zu unterbrechen, trennen Sie das
Netzteil.
HINWEIS
Um die beste Funktion und den Schutz des Gerätes sicherzustel-
len, empfehlen wir die Verwendung von alkalischen Akkus oder einem von TECH-MED empfohlenen Netzteil.
Wechseln Sie die Akkus in den folgenden Fällen aus:
erscheint auf dem Display
• Display wird dunkler
• Display funktioniert nicht
HINWEIS
• Wird das Gerät längere Zeit nicht benutzt, entfernen Sie die
Akkus.
• Gebrauchte Akkus sind schädlich für die Umwelt, daher ent-
sorgen Sie sie nicht mit dem Hausmüll.
• Entfernen Sie gebrauchte Akkus von Ihrem Gerät und befol-
gen Sie die örtlichen Vorschriften zur Wiederverwertung.
2. Einstellung von Datum, Uhrzeit und Maßeinheit
Bevor Sie die Messung durchführen, stellen Sie den Timer so ein,
dass jedes gespeicherte Ergebnis mit Datum und Uhrzeit der Au­sführung gespeichert wird. Form der Aufzeichnung: Jahr - 2000­2050, Uhrzeit - im 24-Stunden-Format
1. Nach Einlegen und Vorbe-
reiten des Gerätes drücken halten Sie die UST-Taste 3 Se­kunden lang gedrückt, um in den Jahreseinstellungsmodus zu wechseln.
– 4 –
Page 75
2. Drücken Sie die PAM-Taste,
um das Jahr auszuwählen. Mit jedem Tastendruck wird der Wert erhöht.
3. Nach Einstellen des richtigen
Jahres drücken Sie die Taste “UST”, um die Auswahl zu bestätigen und zum weiteren Schritt zu wechseln.
4. Wiederholen Sie die Schritte 2 und 3, um [MONAT] und [TAG] einzustellen.
5. Wiederholen Sie die Schritte 2 und 3, um [STUNDE] und [MINU­TEN] einzustellen.
– 5 –
Page 76
6. Wiederholen Sie die Schritte 2 und 3, um die [MAßEINHEIT] ein­zustellen: mmHg oder kPa.
7. Nach Einstellen der Maßeinheit wird das unten gezeigte Bild an­gezeigt und danach wird das Gerät automatisch abgeschaltet.
MESSUNG
1. Anbringen der Manschette
1. Bringen Sie die Manschette über dem freiliegenden linken
Arm an, so dass der Luftschlauch leicht in innere Richtung des Arms verschoben ist, in einer Linie mit dem kleinen Finger.
2 ~ 3 c m
– 6 –
Page 77
2. Die Manschette sollte zugedrückt werden, aber nicht zu fest.
Zwischen der Manschette und dem Arm sollte genug Platz sein, um einen Finger einzuschieben. Die Manschette sollte 2-3 cm über der inneren Beugung im Ellenbogen befestigt werden.
3. Setzen Sie sich bequem mit dem linken Arm auf eine ebene
Tischfläche gestützt, mit der Handinnenfläche nach oben. Achten Sie darauf, dass die Hand frei liegt, spannen Sie die Muskeln des Messarms nicht an. Die Manschette und das Herz sollten sich zum Zeitpunkt der Messung ungefähr auf der gleichen Höhe befinden.
4. Halten Sie Ihren Rücken bequem an den Stuhl gelehnt, legen
Sie Ihre Füße flach auf den Fußboden, lassen Sie die Beine nicht überkreuzen.
5. Ruhen Sie sich vor der Messung 5 Minuten lang aus.
6. Führen Sie die Messung in Ruhe durch, ohne sich während
der Messung zu bewegen und zu sprechen.
7. Warten Sie zwischen den Messungen mindestens 3 Minuten
ab. Damit kann der normale Blutkreislauf im Arm wiederher­gestellt werden.
8. Um vergleichbare Ergebnisse zu erzielen, versuchen Sie die
Messungen unter ähnlichen Bedingungen durchzuführen, z.B. täglich zur gleichen Zeit, am gleichen Arm oder wie von Ihrem Arzt verordnet.
2. Beginn der Messung
1. Drücken Sie “START/STOP”-Taste, um
das Gerät einzuschalten und die Messung zu beginnen.
Start
Stop
– 7 –
Page 78
LCD-Display. Automatische Einstellung der Null.
Automatisches Aufblasen der Erzielen des Ergebnisses Manschette und und automatisches Durchführung der Messung. Speichern im Speicher.
2. Drücken Sie die “START/STOP”-Taste, um das Gerät auszuschalten, andernfalls wird das Gerät nach 1 Mi­nute automatisch ausgeschaltet.
– 8 –
Start
Stop
Page 79
SPEICHER
1. Aufrufen von gespeicherten Ergebnissen
1. Drücken Sie die “PAM”-Taste, um die letzte Au-
fzeichnung anzuzeigen.
2. Drücken Sie die “PAM”- oder “UST”-Taste, um
in den gesuchten Eintrag zu wechseln.
D O W NUP
PAM
UST
Nummer der Messung im Speicher Aktuelles Datum:
11. Oktober Zeit: 10:38.
HINWEIS
Zuerst wird die neueste Aufzeichnung (1) angezeigt. Jeder
nachfolgenden Messung wird eine fortlaufende Nummer zuge­wiesen. Nachfolgende Aufzeichnungen werden um eine Stelle nach unten verschoben (z.B. 2 wird zu 3 usw.) und die letzte Aufzeichnung (60) wird aus der Liste entfernt.
PAM
– 9 –
Page 80
2. Löschen von gespeicherten Messungen aus dem Speicher
Ist die Messung nicht korrekt, können Sie alle Ergebnisse löschen,
indem Sie die folgenden Schritte ausführen.
1. Halten Sie die “PA-
M”-Taste 3 Sekunden lang gedrückt, im Display wird angeze-
PAM
igt, was bedeutet “Alle löschen”.
2. Drücken Sie die
“UST”-Taste, um das Löschen zu bestäti­gen. Im Display wird angezeigt und das Gerät wird automati­sch ausschaltet.
UST
3. Wenn Sie die Au-
fzeichnungen nicht löschen möchten, drücken Sie die “START/STOP”-Ta­ste, um den Ergeb­nislöschmodus zu verlassen und die Au­fzeichnungen im Spe­icher zu lassen.
4. Wenn es keine gespeicherten Ergebnisse im Speicher gibt,
wird das Display wie rechts aussehen.
– 10 –
Page 81
REINIGUNG UND WARTUNG
Um eine optimale Funktion zu erzielen, beachten Sie die folgenden Empfehlungen.
Lagern Sie das Gerät in einem trockenen Ort und vor Sonnen­licht geschützt.
Vermeiden Sie Schütteln und Stöße
Verwenden Sie zum Entfernen größerer Verunreinigungen ein feuchtes Tuch.
Vermeiden Sie den Kontakt mit Wasser, reinigen Sie das Gerät ggf. mit einem trockenen Tuch.
Vermeiden Sie staubige Orte und Orte mit wechsel­nden Temperaturen.
Waschen Sie die Man­schette nicht mit Wasser.
– 11 –
Page 82
FEHLERBEHEBUNG
PROBLEM ANZEICHEN PRÜFEN ABHILFE
Kein Strom
Schwa­cher Akku
Fehler­meldung
Das Display leuchtet nicht
Im Display
E1 wird angezeigt
E2 wird angezeigt
E3 wird angezeigt
E10 oder E11 wird angezeigt
E20 oder E21 wird angezeigt
Eexx wird angezeigt
Leere Akkus Erneuern Sie die Akkus.
Falsch eingelegte Akkus.
Schwacher Akku.
Die Manschette ist entweder zu fest oder zu locker befestigt.
Die Manschette ist sehr eng.
Während der Messung wurde kein Puls er­kannt.
Durch das Gerät wurde eine Bewe­gung während der Messung erkannt.
Falsche Messung.
Es ist ein Kali­brierungsfehler aufgetreten (an der xx-Stelle können Ziffern erscheinen).
Legen Sie die Akkus richtig ein.
Erneuern Sie die Akkus.
Korrigieren Sie die Man­schette und führen Sie die Messung erneut aus.
Korrigieren Sie die Man­schette und führen Sie die Messung erneut aus.
Lockern Sie die hoch­gekrempelte Kleidung auf dem Arm und führen Sie nach einer Weile die Messung erneut aus.
Mit dieser Bewegung kann das Messergebnis beein­flusst werden. Warten Sie eine Weile ab und führen Sie die Messung erneut aus.
Warten Sie eine Weile ab und führen Sie die Messung erneut aus
Führen Sie die Messung erneut aus. Sollte das Pro­blem immer noch nicht be­seitigt werden, wenden Sie sich bitte an Ihren Händler oder unseren Kundendienst.
– 12 –
Page 83
TECHNISCHE DATEN
Akkubetrieb: 6V DC 4* Akkus AA
Spannungsversorgung
Typ des Displays
Messverfahren Oszillometrisches Prüfverfahren
Messbereich
Genauigkeit
Normale Betriebsbedin­gungen
Lager- und Transportbe­dingungen
Umfang des gemessenen Arms
Gewicht 257 g (ohne Akkus)
Abmessung Ca. 140*120*70 mm
AC-Netzteil-Stromversorgung:100-240 V~, 56­60 HZ, 400 mA (Option) Es kann nur mit dem von TECH-MED empfohle­nen AC/DC-Netzteil versorgt werden)
Digitales hintergrundbeleuchtetes blaues mit weißen Ziffern LCD, 60 mm x 41 mm
Manschettendruck: 0~299 mmHg (0 kPa ~ 39,9 kPa) Messdruck: SYS: 60~230 mmHg (8,0 kPa ~ 30,7 kPa) DIA: 40~130 mmHg (5,3 kPa ~ 17,3 kPa) Puls: 40~199 Schläge/Minute
Druck: 5°C~40°C mit einer Genauigkeit von bis zu ± 3 mmHg (0,4 kPa) Pulswert: ±5%
Temperatur: 5°C~40°C, Relative Luftfeuchtigkeit: 15% ~90%, nicht kondensierend, bei einem Wasserdampfdruck von bis zu 50 hPa. Atmosphärischer Druckbereich 700~1060 hPa.
Temperatur: -20°C~60°C Relative Luftfeuchtig­keit: 93%, nicht kondensierend, Wasserdamp­fdruck von bis zu 50 hPa.
23 cm ~ 33 cm
– 13 –
Page 84
Mit Blutdruckmessgerät enthalten
4* Akkus AA, Bedienungsanleitung, Etui, Messtagebuch, Garantieschein
Betriebsart Dauerbetrieb
Schutzart Anwendung von BF-Teilen
Schutz vor eindringendem Wasser
IP21
ACHTUNG: Änderungen an diesem Gerät sind nicht gestattet.
Entsorgung
Batterien und elektronische Geräte müssen gemäß den örtlich gelten­den Vorschriften entsorgt werden, nicht mit dem Hausmüll.
1949 gegründet
B. WÓJCIK s-ka jawna
0 0 - 8 0 1 W a r s c h a u , C h m i e l n a 9 8 St r . w w w . t e c h m e d . p l e - m a i l : t e c h m e d @ t e c h m e d . p l
Po l e n , E u r o p e
– 14 –
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