medicus prestige User Instructions Oct 2011

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Package

1 Blood Pressure Unit boso-medicus prestige 1 Cuff CA01 1 Case 1 Blood pressure record card 1 Guarantee Certificate 4 Batteries LR 6 1 Users Instructions

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Preliminary Notes

Your boso-medicus prestige unit is a state of the art blood pressure computer. It works on the oscillometric measuring principle. The oscillations created by the pulse and transmitted via the cuff are stored and evaluated by a micro processor. Therefore there is no need for a microphone the positioning of which is vital if one is to get reliable readings. The boso-medicus prestige conforms to the requirements of the European Directives based on the Law governing Medical Products (CE mark), and to the European Standard EN 1060, Part 1, on „Non-Invasive Blood Pressure Instruments – General Requirements“ and Part 3 „Additional Requirements for Electronic Blood Pressure Systems.“ Regular checks on the accuracy of the measurement system should be carried out in accordance with the valid directives of the individual countries, governing this issue. The instructions for re-calibration checks are on page 37 of this booklet.

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Blood Pressure (BP) Values

To determine correct blood pressure, the following two values have to be ascertained:

The World Health Organization (WHO) has set the following guideline for the assessing of blood pressure values:

● The Systolic or upper blood pressure. This is created when the heart muscle contracts and blood is being forced into the blood vessels. ● The Diastolic or lower blood pressure. This is created when the heart muscle extends and once again fills with blood.

Systolic

Diastolic

Too high

over 140 mmHg

over 90 mmHg

Normal – borderline

130 to 139 mmHg

85 to 89 mmHg

Normal

120 to 129 mmHg

80 to 84 mmHg

Optimum

up to 119 mmHg

up to 79 mmHg

Measurement values are expressed in mmHg (mm mercury column).

Whether medical treatment is necessary depends not only on the blood pressure but also on the risk profile of the individual patient. Please contact your GP if one of the values (SYS / DIA) constantly exceeds the limit (> 140 / > 90).

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Important Observations to be followed when Self Testing

● Always take your blood pressure in a calm and relaxed state. It is recommended to do two checks daily.– on getting up in the morning and again at night before retiring. ● The blood pressure is best taken sitting down. Sit comfortably in an armchair or at a table where you can easily support your arm, holding it slightly bent. ● The measurement is taken on the free upper arm. Please ensure that there is no restriction from a tight, pushed-up sleeve. It may be necessary to remove the garment. ● During measurement the arm has to be kept absolutely still. ● Between successive measurements an interval of at least two minutes must be allowed.

differences. One single measurement, or measurements taken at irregular intervals, do not give any clear indication of the real blood pressure. An accurate evaluation is only possible when measurements are taken on a regular basis and for the established values to be entered in the blood pressure check card. ● Self testing does not mean self treatment. Never change the doses of any medication as prescribed by your doctor. ● Irregular heart beats can influence the sensitivity of the unit and result in inaccurate measurement values being displayed. Adverse results can also be experienced by patients with a pacemaker who have a weak pulse. The BP unit itself has however no detrimental effect on the pacemaker. ● Using your blood pressure monitor in the vicinity of strong electro-magnetic fields, (ie mobile telephones) can also cause faulty readings.

● Differences in blood pressure are quite normal. Even in closely repeated measurements there can be marked 23

Starting up

● Only use high quality leak proof batteries of the correct specifications (see Section Technical Data) and never mix used with new batteries or batteries of different manufacture. ● Remove batteries if the unit is not to be used for any length of time. ● The unit shows the following function symbols: battery fully loaded battery partially loaded replace battery soon

Fitting the Batteries The battery compartment is located on the underside of the unit. Insert batteries as shown in the illustration. Please note: If batteries are inserted incorrectly the unit does not function and this can lead to warming and leakage. 24

flashing! No further measurements possible; replace battery. ● Care for your environment Used batteries and recharging units do not belong into the household dustbin. They can be deposited at special refuse centres for used batteries. Contact your townhall for information. ● Please note when replacing batteries: The settings of date and time and the measurement values will not be lost if the batteries are replaced within 30 seconds.

How to take your own Blood Pressure

Type

Size of Arm Rubber Bag CA01 13 x 25 cm CA02 14 x 30 cm CA03 9 x 18 cm * comes as standard

Circumference 22 – 32 cm 32 – 48 cm 16 – 22 cm

Important : A measurement should not take longer than 2 minutes. In case of an error the measurement can be interrupted at any time by opening the velcro fastening of the cuff.

➔

Fitting the cuff ● Open cuff into a ring shape and pull onto your upper arm until the lower cuff edge lies 2-3 cm (1 inch) above the elbow. The cuff is positioned correctly if the special marking is located directly on the artery. The metal ring must never come to lie on the artery as this may cause a false reading. Most persons have a higher blood pressure on their left arm. Therefore the measurement should be taken on the left arm. If the blood pressure is higher on the right arm, the measurement should be taken on the right arm. ● Gently pull the cuff end that feeds through the metal ring and place it up and outside around your arm. Close velcro fastening with a light pressure. The cuff must not be too tight. There should roughly be space for two fingers between arm and cuff. ● Note on cuff sizes: This unit must only be used with the following cuff types: Order Number 143-4-750* 143-4-756 141-4-771

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Taking your Blood Pressure

● Attach the cuff to the monitor by pressing the plug (click) into the socket on the left side of the unit.

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● Place the arm with the cuff on the table holding it relaxed and slightly bent so that the cuff is line with your heart.

● Press the START-button. All digits and function symbols in the display are momentarily lit up to indicate that the unit is now ready for use.

● The unit has an „intelligent“ automatic system for inflating the cuff to the correct pressure (softmatic). The rising cuff pressure is displayed by the changing digits in the window. ● When the correct pressure is reached the pump switches off and the air is automatically released from the cuff. ● While the blood pressure is being taken the drop in cuff pressure is again digitally displayed and symbol is lit up. Remember to remain perfectly still and not to speak.

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Display of Measured Values

● As soon as the first pulsations are registered, symbol flashes in Pulse rhythm. ● After completion of a measurement the built-in magnetic valve opens automatically to allow rapid deflation of the cuff. ● Measurements are automatically retained in the memory. If a measurement value is not to be kept, press <M> while the measured values are still on display. When the memory store is full (30 measurements), the oldest measurement is deleted and the latest one stored.

Interruption of a Measurement : A measurement can be interrupted at any stage by simply pressing the START-button. This triggers the automatic air release from the cuff. For further measurements press START again.

● Invalid measurements are not stored in the memory. ● If symbol appears following a completed measurement, it is recommended that the measurement is repeated while holding the arm motionless. A renewed display of symbol following the repeat measurement with the arm being held motionless, can be an indication of irregular heart beat. Discuss this matter with your GP on your next visit. ● After an interval of one minute the display returns automatically to the time mode. To repeat the procedure, once more press START. ● If no further measurement is required, remove cuff.

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Systole mmHg

Diastole mmHg

Puls/min.

How to record blood pressure values in your record card and recall the „average“ value:

● Record the measured values into the record card that accompanies your unit as follows: ● Enter each individual reading. ● Recall the average value after 30 measurements and enter it in its designated column. ● Stored measurements can be recalled by briefly pressing „M“ in the time display mode. The average value of all stored results (Systole and Diastole) appears. In the „Pulse“ display the number of the retained measurements flashes. ● If there is no measurement stored in the memory, the display for the number of measurements taken flashes „AOO “. The systole and diastole displays each show „O “.

Average value Systole mmHg

Average value Diastole mmHg Number of measurements

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Recalling stored data and clearing memory

● To recall the last recorded message press „M“. The date and time of this measurement will be displayed and after about 3 seconds the actual measurement value comes up automatically (Systole, Diastole, Puls).

Systole mmHg

● Repeated pressing of „M“ will now successively display all measurements contained in the memory as described above. ● To start a new measurement, simply press „START“.

Diastole mmHg

● IMPORTANT: The memory will be cleared within 30 seconds if the unit is in the Time display mode while the batteries are being exchanged. If the batteries are removed whilst the measuring values are displayed, the memory store is cleared instantly.

Puls/min.

Clearing the memory store Press „M“ and hold for 5 seconds until the symbol to flash. The memory store is now cleared.

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starts

Setting the time and date on the boso-medicus prestige

Your boso-medicus prestige unit is equipped with an internal time and date function. To set the time and date, press the -button in the manner described below:

Time display mode U press -button for 2 seconds and release immediately Date set mode (year flashes) . . .

U press -button once and release immediately Time set mode (minute flashes) . . . R . . . set the minute with the <START>-button U press -button once and release immediately Time display mode

If the -button is not pressed for approximately 30 seconds, the display returns automatically to its usual time display mode.

R . . . set the year with the <START>-button U press -button once and release immediately Date set mode (month flashes) . . . R . . . set the month with the <START>-button U press -button once and release immediately Date set mode (day flashes) . . . R . . . set the day with the <START>-button U press -button once and release immediately Time set mode (hour flashes) . . . R . . . set the hour with the <START>-button

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Setting the Time Signal Function

Your boso-medicus prestige is fitted with a time signal function giving a maximum of three acoustic time signals as a reminder that another measurement of your blood pressure and / or taking of medication is necessary. In the year mode setting (see page 31) up to 3 time signals (P-1, P-2, P-3) can be programmed by lightly pressing „M“. Individual time signals are set as follows: U press -button for 2 seconds, release date set mode (year flashes) . . . U press <M>-button, release signal 1 set mode (P-1, hour flashes) . . . set with <START>-button U press -button and release immediately signal 1 set mode (P-1, minute flashes) . . . set with <START>-button U press <M>-button and release immediately signal 2 set mode (P-2, hour flashes) . . . set with <START>-button U press -button and release immediately signal 2 set mode (P-2, minute flashes) . . . set with <START>-button 32

U press <M>-button and release immediately signal 3 set mode (P-3, hour flashes) . . . set with <START>-button U press -button and release immediately signal 3 set mode (P-3, minute flashes) . . . set with <START>-button U press <M>-button and release immediately set mode time The set time signals are now activated – the display shows „P“. To deactivate the time signals, press -button and release immediately. The „P“ on the display disappears, the time signals are deactivated. For reactivation of the time signals press the -button and release immediately. When the time signals are activated the display shows „P“. To activate the time signals at least one time signal must be set. The sound of the signal can be stopped by pressing the <M>- or START-button. The time signals do not appear while measurements are in progress.

Mains Operation

● The mains socket connector is located on the right side of the unit. For operating the unit from the mains use only the boso power supply pack (order number 4107-150). This power supply pack produces a rectified output of the correct polarity. Other commercially available power supply units can cause damage to the electronic components resulting in the guarantee becoming void. Important: If no batteries are in the unit, the memory store is cleared as soon as the power suppy lead is disconnected. Insert batteries in order to save the memory store. Important: Switch off the unit, disconnect the connector from the unit and than the adapter from the wall socket.

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Error Messages

● Should there be any problem while taking your blood pressure that impedes correct monitoring, the display will show an error message instead of a BP reading.

– or – no valid pulse readings could be obtained → check position of cuff – or – Systolic – Diastolic pressure ≤ 10 mm/g → check position of cuff Err CUF: Incorrect inflation → cuff possibly not firmly enough positioned Err PUL: No useful pulse values for evaluation → check that cuff is correctly positioned

● Meaning of the error messages Err:

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cuff pressure varied while blood pressure is taken → hold arm still

: Irregular puls or incorrect taking of blood pressure (i.e. movement during measurement) → Repeat measurement holding the arm absolutely still. If the symbol is displayed again, it can be that an irregular heart beat is present. Consult your GP.

Cleaning of BP Unit and Cuff

Guarantee information, Care of the Environment

● To clean your unit use a soft dry cloth only.

For details on the conditions of guarantee, please refer to the guarantee card supplied.

● Small stains can be fully removed with a proprietary stain remover.

A claim for guarantee can only be allowed if the Certificate of Warranty, completed and stamped by the dealer, is enclosed with the instrument. For both guarantee and repair work, please send the instrument carefully packed and postage paid either to your authorized dealer or directly to: BOSCH + SOHN GmbH u. Co. KG Bahnhofstraße 64 D-72417 Jungingen

Used batteries and defective electronic devices do not belong into the household waste. They can be deposited at special centres. Please contact your local authorities for information. 35

Technical Data:

Measurement system: Oscillometric

Weight: 330 g without batteries

Measurement range: 40 – 240 mmHg, 40 – 200 Puls/min.

Dimensions (B x H x T): 165 mm x 65 mm x 115 mm

Cuff pressure: 0 – 320 mmHg

Memory store: 30 measurements

Classification: Class II ( Typ BF (

Display: LCD

Clinical Test (DIN 58130):

Working conditions: Environmental temperature: Room temperature 10 – 40°C Relative humidity 10 – 85 % Storing conditions: Environmental temperature - 5°C to + 50°C Relative humidity 85 % maximum

) )

Accuracy complies with EN 1060 part 3 Maximum deviation of cuff pressure: ± 3 mmHg Maximum deviation of pulse rate: ± 5 %

Power supply: DC 6 V (batteries 4 x 1,5 Mignon IEC LR 6, alkaline manganese) Alternative special option: Main unit DC 6 V, Order-No. 410O + O – 7-150 (Polarity: outside MINUS, inside PLUS) O O Battery check: Symbol display in LCD window 36

The right to alter technical specifications is reserved.

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Re- / Calibration Checks - Testing Instructions

A) Function testing A function test can only be carried out on a person or with a suitable simulator. B) Testing of the Density of Pressure Circuit and Divergence in the Pressure Indication Please note: a) When in the measurement mode pressure is increased to above 320 mmHg the quick release valve is triggered and the pressure circuit opened. When during testing pressure is increased to above 320 mmHg the measurement display will flash. b) Prior to testing the connector piece has to be removed from the cuff tube. Then the short connecting head of the connector plug – up to now attached to the unit and its corresponding socket at the unit – has to be attached to the cuff tube, and the long connecting head of the connector piece to be inserted into the unit. Lastly the pump ball is to be fitted into the pressure circuit.

Testing 1.) Remove batteries. 2.) Hold START-button pressed down and insert batteries. 3.) Release START-button. The unit is now ready for testing. The displays of SYS, DIA and PUL now show the actual pressure. 4.) Testing for divergence of Pressure indication and Density of Pressure circuit (setting time for cuff at least 30 seconds) can now be carried out in the usual manner. 5.) Switch off unit and re-establish all normal connections. C) Safety Seal As a measure to safeguard the correct calibration of the BP unit the upper and lower parts of the housing can be connected with a safety seal. Alternatively, a hole drilled for the connecting screw at the back of the unit can be sealed for safety.

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