Schiller BR-102 PLUS, User Manual, Page: 31 / 76

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User Guide Applying the Cuff 3.2
BR-102 plus / BR-102 plus PWA
3.2.3 Patient Comfort Sleeve
If the Patient comfort sleeve is to be used, the sleeve can be
positioned on the patients arm and then the cuff applied. Alternatively
attach the sleeve to the cuff with the velcro strip before applying to the
patient and then apply the cuff and sleeve together to the patient.
3.2.4 Fixing the Microphone Directly on the Upper Arm
If the patient‘s pulse is weak the microphone may be removed from the
cuff and placed directly on the upper arm to obtain more secure
measurements. A shaped adhesive pad is a standard accessory for
this purpose. To place the microphone directly on the arm proceed as
follows:
1. Carefully pull the microphone out of the cuff - Do not strain ( see
Disconnecting the Pressure Hose and Removing the Microphone
and Bladder, page 47
).
2. Remove the foam rubber microphone insert from the adhesive pad
and place the microphone in the pad (metallic (patient) side
outwards), and press to secure with the adhesive.
3. Using an alcohol solution (standard surgical strength) thoroughly
clean the patient‘s arm around the brachial artery area.
4. Wrap the cuff around the uncovered upper arm in such a way that
the brachial artery is freely accessible. The pressure hose and
microphone cable face towards the patient's shoulder.
5. Locate the brachial artery, remove the plastic adhesive protector
and fix the microphone to the patient by applying gentle pressure
so that the adhesive holds the microphone.
6. Shift the cuff towards the elbow so that the patient can still bend his
lower arm (the bottom edge of the cuff should be 2 cm away from
the elbow bend). Outside the cuff, the microphone cable forms a
small loop. Fix with adhesive strips if necessary.
7. Tighten the cuff and close it with the fixation wrap as previously
described.