User manual

19
In order to change batteries, take the recorder out of the holder pouch and remove the
battery compartment cover on the back-side. Place two/four properly charged, high capacity
AA rechargeable or two/four new, long-life AA alkaline batteries into the compartment as,
then close the compartment.
11. Cuffs and their application
It is advisable to wear a thin shirt or blouse under the cuff. This does not influence the
accuracy of the blood pressure measurements but it prevents possible problems caused by
long-time wear (sweating, itching, etc.). Place the cuff on the upper arm so that the rubber
tube points towards the patient’s shoulder and the bladder is placed above the brachial artery,
if possible. Contrary to the usual placement with the tube pointing downwards, the
advantage is that the patient can wear a loose jacket over the cuff. Connect the air connector
of the cuff into the air connector socket of the device, which you can find on the long edge
closer to the buttons of the ABPM-05/BlueBP-05 recorder or on the top of the ABPM-04
recorder. Connect the cuff turning it clockwise with slight pressure.
Note: The cuff should be applied as tightly as comfortable for the patient. A too loose
application may result in longer or aborted measurements, because the device has to pump
even to reach the proper tightness. Longer measurements may cause inconvenience for the
patient, and aborted measurements result in less data for evaluation. If the patient removes
the cuff for a period during the monitoring session, it should be reapplied with appropriate
tightness, with help from another person, if necessary.
Should blood pressure measurements cause bloodshots, torpidity or pain in the hand, the
cuff should be removed from the arm and disconnected from the recorder. Such occurrence
should be reported to the physician at once but latest after the monitoring session.
The monitors recognize three different cuff sizes. The size to be used should be set during
programming of the device. Attention, inappropriate setting of the cuff size may lead to
device malfunctioning, which is inconvenient for the patient and may lead to an unsuccessful
measurement.
Name
Bladder
dimensions
Sleeve
dimensions
Arm circumference
range
1
Normal adult
12 x 25 cm
15 x 56 cm
29-38 cm
Small adult
9 x 18 cm
11 x 32 cm
max 32 cm
Large adult
15 x 33 cm
17 x 77 cm
35-46 cm
Take care to avoid blocking the air flow in the tube of the cuff and twisting the tube. Make
sure the cuff and its tubing do not cause strangulation or a circulation problem. Should the
patient experience arm numbness or pain remaining after any blood pressure reading is
completed, the cuff should be removed to avoid permanent vascular or neural injury.
The cuff is the component which, by definition of the relevant standard, is protected against
a defibrillator discharge. The substitution of a cuff different from that supplied by Meditech
might result in measurement error and/or in certain cases it causes damage to the main
recorder unit.
1
When properly applied, the end of the sleeve (the one closer to the tube) should fall in the indicated range.