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ALP K2 DM-4000, Instructions Manual, Page: 25 / 36

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Flashing

Low charge remaining.

This indicates the remaining battery charge for a few measurements. 

Remaining

No charge remaining.

The device must be charged for measurements to be possible. 

Inflation of the cuff started again during deflation (during 

measurement)

When, for example, the set inflation value is insufficient for blood pressure measurement, the patient 
moves during measurement, or noise is detected, inflation occurs again until the cuff reaches a value 
higher than the preset pressure value after deflation starts.

This does not indicate a problem. 

Automatic re-inflation: See page 3

Make sure that the patient stays still during measurement. 

Blood pressure is different each time or extremely high (low)

The measurement posture is different or the measurement position does not match the height of the heart.

Make sure the patient is in the correct posture for measurement.

Make sure that the measurement position matches the height of the heart. 

Blood pressure values differ by psychosomatic states.

Measure under the same conditions. 

The battery mark is displayed when a full LCD display occurs when the power switched on. The 
display at this time does not indicate that the remaining charge is insufficient.

Summary of Contents for DM-4000

Page 1: ...manometer DM 4000 The product must be used in accordance with the procedures contained in this manual and must not be used for purposes other than those described herein It is essential to read and understand the entire manual before use A128851 1_2 Automatic Sphygmomanometer DM 4000 INSTRUCTIONS ENGLISH ...

Page 2: ... measurement 10 AUTO3 measurement 13 MANUAL auscultation measurement 16 Memory function 20 Operation with built in rechargeable battery 22 Error displays and troubleshooting 24 Tips on taking blood pressure 28 Care and maintenance 30 Technical description 31 Warranty and service 36 Taking blood pressure ...

Page 3: ...r an AC adaptor or built in rechargeable nickel metal hybrid NiMH battery Backlight function If the buttons of this device are operated the backlight switches on Automatic re inflation During measurement the cuff is automatically inflated to the set preset pressure value If the set preset pressure value was low and insufficient for the measurement deflation of the cuff starts and then inflation is...

Page 4: ...e cuff pressure An oscillometric blood pressure monitor determines systolic and diastolic blood pressures based on the change pattern of the size of the pulsation that appears when the cuff interior pressure has been gradually changed Furthermore with auscultation a stethoscope is used to detect the Korotkov sounds generated when the cuff interior pressure is gradually changed and measure the bloo...

Page 5: ...rage Environment 20 to 60 C relative humidity 10 to 95 no condensation Coverage Arm Circumference Regular size cuff 22 to 32 cm Large size cuff 32 to 42 cm Main Unit Size 228 134 3 206 mm L x W x D Main Unit Weight Approx 925 g not including accessories and battery Protection class IP IP 20 Protected against solid foreign particles with a diameter of more than 12 5 mm no protection against water E...

Page 6: ...near mobile phones microwave ovens or other devices with strong electromagnetic field may cause malfunctions Do not apply the cuff over wounded arm arm under an intravascular access or therapy or an arterio venous shunt or arm on the side of a mastectomy Otherwise injury may be resulted Make sure that inflation of the cuff is not causing prolonged impairment of blood circulation Also be cautious a...

Page 7: ...e down Do not take out batteries or unplug the AC adaptor when the monitor is turned on Make sure to switch off the monitor before removing batteries or AC adaptor Do not touch the output plug of AC adaptor during measurement Do not disassemble or modify the product Do not inflate the cuff when it is not wrapped around patient s arm Carefully monitor the patient s condition during measurement ...

Page 8: ...UTTON UP BUTTON AC ADAPTOR JACK BATTERY COMPARTMENT COVER BATTERY CONNECTOR CUFF HOLDER CUFF HOLDER CUFF CUFF AIR CONNECTOR START STOP BUTTON DOWN BUTTON CUFF HOLDER MAIN UNIT RIGHT SIDE LEFT SIDE REAR FRONT BATTERY PLUG Parts and product components ...

Page 9: ...of the items above are included When you purchase consumables or options contact a dealer LARGE SIZE CUFF For arm circumference of 32 to 42 cm REGULAR SIZE CUFF For arm circumference of 22 to 32 cm Model UM312 7516 INSTRUCTION MANUAL English INSTRUCTION MANUAL Spanish Parts and product components ...

Page 10: ...elect a pressure approximately 30 to 40 mmHg above the expected systolic pressure Set the pressure at 190 mmHg if patient s systolic pressure is difficult to predict By default the inflation value is set to 190 mmHg If the preset pressure value was insufficient for the measurement inflation is carried out again automatically For information about re inflation see page 3 To allow the patient to rel...

Page 11: ...e comfortably seated with patient s back and arm supported Legs should not be crossed and feet kept flat on the floor Measure the left arm during AUTO measurement If the right arm is measured it may not be possible to measure normally due to the attachment state of the cuff When applying the cuff make sure that the ARTERY mark aligns with the brachial artery and the INDEX mark is within the OK lin...

Page 12: ...yed The measurement result is saved to memory automatically For information about the memory function see page 20 Error results are not saved For information about the error display see page 24 8 Push the POWER BUTTON to turn off the power Even if you forget to switch off the power the power switches off automatically after about three minutes Systolic Pulse rate Diastolic Deflation rate Pulse mar...

Page 13: ...TO3 4 Set the preset pressure value using the UP or DOWN BUTTON If the UP or DOWN BUTTON is pressed the preset pressure value can be changed The following pressures can be set 130 160 190 220 250 and 280 mmHg Select a pressure approximately 30 to 40 mmHg above the expected systolic pressure Set the pressure at 190 mmHg if patient s systolic pressure is difficult to predict By default the inflation...

Page 14: ...tient s arm Find a chair and a table so that the patient can be comfortably seated with patient s back and arm supported Legs should not be crossed and feet kept flat on the floor Measure the left arm during AUTO measurement If the right arm is measured it may not be possible to measure normally due to the attachment state of the cuff When applying the cuff make sure that the ARTERY mark aligns wi...

Page 15: ...ically and then the next measurement starts When three measurements end the measurement result is displayed The measurement result is saved to memory automatically For information about the memory function see page 20 Error results are not saved For information about the error display see page 24 8 Push the POWER BUTTON to turn off the power Even if you forget to switch off the power the power swi...

Page 16: ...down button to set the preset pressure value If the UP or DOWN BUTTON is pressed the preset pressure value can be changed The following pressures can be set 130 160 190 220 250 and 280 mmHg Select a pressure approximately 30 to 40 mmHg above the expected systolic pressure Set the pressure at 190 mmHg if patient s systolic pressure is difficult to predict By default the inflation value is set to 19...

Page 17: ...t Securely insert the air plug of the cuff into the air connector on the left side of the main unit 7 Apply the cuff to the patient s arm Find a chair and a table so that the patient can be comfortably seated with patient s back and arm supported Legs should not be crossed and feet kept flat on the floor As when measuring with a standard column of mercury apply the cuff and then apply the stethosc...

Page 18: ... pulse mark flashes in the display 9 After checking the blood pressure press the SET MEMORY BUTTON If the SET MEMORY BUTTON is pressed while monitoring the systolic and diastolic blood pressures these values are recorded to the device After measurement you can check the values on the LCD They are not saved to memory If you do not need to check the values on the LCD after measurement you do not nee...

Page 19: ...10 Push the POWER BUTTON to turn off the power Even if you forget to switch off the power the power switches off automatically after about three minutes Taking blood pressure MANUAL auscultation measurement ...

Page 20: ...ent results used for the average When there is only one saved measurement result this measurement result is displayed Memory function Measurement results measured using AUTO measurement and AUTO3 measurement are saved to memory automatically after measurement Measurement results recorded using MANUAL measurement are not saved The memory can store up to 30 measurement results If the number of saved...

Page 21: ...te older measurement results 5 Push the POWER BUTTON to turn off the power Even if you forget to switch off the power the power switches off automatically after about three minutes Deleting saved measurement results 1 Display the measurement result to be deleted To delete all measurement results from the memory display the average 2 Press and hold the SET MEMORY BUTTON If the button is pressed and...

Page 22: ...may not be charged sufficiently the first time you use it or if you do not use it for a long time This is due to the characteristics of rechargeable batteries This is resolved by using the rechargeable battery with electrical charging and discharging several times While it depends on the operating environment and conditions the life of the rechargeable battery is about two years To ensure extended...

Page 23: ...ttery Insert the battery connector into the battery plug firmly until you hear a click 5 Close the battery compartment cover Use a Phillips head screwdriver to secure the screw of the battery compartment cover 6 Attach the cuff holder Use a Phillips head screwdriver to secure the screws of the cuff holder When you unplug the rechargeable battery do not forcibly pull the cord Hold the plug section ...

Page 24: ...ring measurement appears inflation error Either the air plug is not inserted correctly or noise was detected Check the air plug connection and make sure the patient does not move or talk during measurement appears deflation error Because the patient moved during measurement a sudden pressure change occurred Make sure the patient does not move or strain their arm during measurement appears checking...

Page 25: ...er deflation starts This does not indicate a problem Automatic re inflation See page 3 Make sure that the patient stays still during measurement Blood pressure is different each time or extremely high low The measurement posture is different or the measurement position does not match the height of the heart Make sure the patient is in the correct posture for measurement Make sure that the measurem...

Page 26: ...ement Saved measurement values are not displayed The device is set to MANUAL Press the MODE BUTTON to set AUTO or AUTO3 Furthermore measurement results recorded using MANUAL measurement are not saved The cuff is not inflated No charge remaining When the battery mark is on measurement is not possible Charge the battery The battery mark is on even though the power is off The battery mark indicates t...

Page 27: ...connected correctly Check the connection of the adaptor No remaining charge in the rechargeable battery Either use the adaptor or charge the rechargeable battery The device was left for one hour or more If measurement cannot be completed normally even after using the above mentioned methods contact Nissei or a dealer ...

Page 28: ...s movement or noise etc Blood pressure measured at hospital or clinics tends to be higher than when it is measured at one s home this symptom is known as White Coat Syndrome Being in a hospital could cause mental tension and therefore lead to higher blood pressure than that taken under relaxed condition at one s own home Judgment such as a change of dosage of a drug based on measurement results sh...

Page 29: ...There should be no speaking or moving during blood pressure measurement Otherwise correct measurement results cannot be obtained The ambient temperature should be approximately 20 C for blood pressure measurement Any shirt or accessories that might restrict circulation in the upper arm should be taken off for blood pressure measurement Sleeves rolled up over the upper arm will restrict the blood f...

Page 30: ...s inspect them for stains and discoloration after each use Cotton cuff shells are hand machine washable Take out bladders from inside the cuffs before washing cotton shells Use common detergents Air dry thoroughly When storing the device do not place heavy objects on it and do not coil AIR TUBE too tightly When the unit has been stored at a temperature below the freezing point keep it for at least...

Page 31: ...f DM 4000 should assure that it is used in such an environment NOTE UT is the a c mains voltage prior to application of the test level 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 Power frequency 50 60 Hz magnetic field IEC ...

Page 32: ...Hz 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 t...

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Page 36: ...ir or modification or damage caused by natural disaster violent action or war Also cuffs including cuff shells bladders tubes and plugs are not covered by this warranty except for defects in manufacture Purchaser shall bear transport or shipping related costs ALP K2 is not liable for any consequential damages caused by DM 4000 direct or indirect economically or biologically Manufacturer TANAKA SAN...

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