Little Doctor LD-91 Bedienungsanleitung

Ciśnieniomierz mechaniczny LD

do pomiaru ciśnienia tętniczego krwi

Instrukcja obsługi

Blood Pressure Monitor

Instruction Manual

POL ENG

LD-91

ENG

GENERAL INFORMATION

This Instruction Manual is designed to assist the user with safe and eﬀec-

tive operation of the Device for measurement of blood pressure (hereinaf-

ter – the “Device”). Use this Device according to the rules described in this

Manual. Operate the Device only as intended. Do not use the Device for

any other purposes. Read and understand the whole Instruction Manual,

in particular «RECOMMENDATIONS ON CORRECT MEASUREMENT».

INDICATIONS FOR USE

The device is designed to measure arterial pressure of human according to

Korotkov method. The device is recommended for use under conditions of clin-

ics and hospitals, as well as in household conditions as supplement to medical

observation.

Pressure is measured by means of auscultation of Korotkov’s tones by stetho-

scope and by taking readings on manometer.

APPLIED NEW LD TECHNOLOGIES

SHOCK PROTECTION – Shock Resistance Gauge.

RECOMMENDATIONS ON CORRECT MEASUREMENTS

1. Do not use the device without preliminary consultation with Your doctor,

if You undergo treatment by hemodialysis or by anticoagulants, antithrombo-

cytes or steroids. Use of device in these cases may cause internal hemorrhage.

For correct measurement you should know that THE BLOOD PRESSURE IS

SUBJECT TO SHARP VARIATIONS EVEN WITHIN THE SHORT TIME INTERVALS.

The blood pressure depends on many factors. It is usually lower in summer

and higher in winter. The blood pressure varies together with the atmospheric

pressure, depends on physical loads, emotional excitement, stresses and di-

etary regime. Drugs, drinking alcohol and smoking produce signiﬁcant eﬀect.

Even the very procedure of blood pressure measurement in a polyclinic sends

the blood pressure high in many people, thus, the blood pressure measured at

home often diﬀers from the values received in a polyclinic. As the blood pres-

sure tends to rise at low temperatures, make measurements at an indoor tem-

perature (approximately 20°C). If this Device stayed under a low temperature,

keep it for at least 1 hour at an indoor temperature before use, otherwise the

measurement result may be incorrect.

During a day the diﬀerence in readings for healthy people may be 30-50

mmHg of systolic pressure and to 10 mmHg of diastolic pressure. The depen-

dence of the blood pressure on various factors is individual for each person.

ENG

Accordingly, it is recommended to keep a special book with blood pressure

records.

ONLY A CERTIFIED DOCTOR USING YOUR RECORDS IS CAPABLE TO

ANALYZE THE TENDENCY OF YOUR BLOOD PRESSURE VARIATIONS.

At cardiovascular and some other diseases requiring blood pressure monitoring

make measurements in the hours ﬁxed by your attending doctor.

REMEMBER THAT

THE DIAGNOSTIC AND ANY TREATMENT OF HYPERTENSION MAY BE CON-

DUCTED ONLY BY A CERTIFIED DOCTOR ON THE BASIS OF BLOOD PRESSURE

VALUES OBTAINED BY THIS DOCTOR. TAKING OF DRUGS AND THEIR DOSES

SHOULD BE PRESCRIBED ONLY BYYOUR ATTENDING DOCTOR.

Fig. 1

. KEEP QUIET DURING A MEASUREMENT TO OBTAIN THE ACCURATE VALUES

OF YOUR BLOOD PRESSURE WITH THE ELECTRONIC DEVICE. Measure your

blood pressure in the calm and comfortable conditions at the indoor tem-

perature. No eating an hour before measurement; no smoking, taking tonic

agents, alcohol 1.5-2 hours before measurement

5. The accuracy of blood pressure measurement depends on whether the

cuﬀ matches the size of your arm. THE

CUFF SHOULD NOT BE TOO SMALL OR

TOO LARGE.

Wait 3 minutes between measure-

ments for the blood to restore its circu-

lation. However, the persons with promi-

nent atherosclerosis due to considerable

loss of vascular elasticity may need to in-

crease the wait time between measure-

ments (10-15 minutes). This also refers

to the patients suﬀering for long from

diabetes. For more accurate determina-

tion of blood pressure it is recommended to make a series of 3 consecutive

measurements and to use the average value

Fig. 2

ENG

PARTS AND COMPONENTS

Stethoscope

Tube

Stethoscope

Head

Metal Tubes

STETHOSCOPE

Metal Ring

LD CUFF

Storage

Case

Warranty

Card

Instruction

Manual

Cuﬀ Tubes

Manometer

Air Pump

Air Valve

CUFF PREPARATION

1. Insert the cuﬀ end for about 5 cm into a metal ring as

shown in the ﬁg. 3 (if cuﬀ is with ring).

Fig. 3

2. Apply the cuﬀ to your left upper arm so that the air tube

is directed to your palm (ﬁg. 4). If the measurement on your

left arm is diﬃcult, you may use your right arm. In this case

remember that the readings may diﬀer by 5-10 mmHg and

even more.

Fig. 4

. Wrap the cuﬀ around your upper arm so that the

bottom of the cuﬀ is approximately 2-3 cm above

your elbow. The sign “ARTERY” should be over the arm

artery as shown in the ﬁg. 5.

Fig. 5

4. Fix the cuﬀ so that it ﬁts tightly to the arm, but see that

it is not overtight. Too tight or too free placement of the

cuﬀ may give inaccurate readings.

Fig. 6

ENG

5. On the ﬁxed cuﬀ the sign «INDEX» should point to the area

«NORMAL» (ﬁg 7). It means that the cuﬀ is chosen correctly and ﬁts

the size of your upper arm. If the sign points to the area marked «

» or to the left, the cuﬀ is too small and the readings will be

higher. If the sign points to the area marked « » or to the right,

the cuﬀ is too large and the readings will be lower.

Fig. 7

6. If the arm has a conic form, the cuﬀ should be put on

with a spiral movement as shown in the ﬁg. 8.

Fig. 8

7. If the rolled-up sleeve squeezes the arm interfering

with free blood ﬂow the Device may give inaccurate ﬁg-

ures not corresponding to your actual blood pressure

(ﬁg. 9).

Fig. 9

8. Place stethoscope head so that it was located in depres-

sion, somewhat higher than elbow bend (Fig. 10).

Fig. 10

9. Pressure shall be measured in sitting or lying position of human. IN SITTING

POSITION WATCH THAT PART OF HAND WITH CUFF WOULD BE LOCATED AT THE

LEVEL OF HEART, AND HAND WOULD BE FREELY LOCATED ON THE TABLE AND

WOULD NOT MOVE

MEASUREMENT PROCEDURE

Insert metal tubes of stethoscope into ears. Close air valve on air pump,

having turned it clockwise. Squeezing air pump, pump up the cuﬀ, listen-

ing to pulse by stethoscope. After You stopped to listen to pulse, pump

up the cuﬀ by 30 mm Hg more

Slowly opening air valve, turning it counterclockwise, bleed down pressure

in the cuﬀ. Watch that pressure in the cuﬀ would fall down at speed 2-4 mm

Hg per second. This is necessary to get accurate result.

As soon as You hear weak pulse beats, memorize manometer reading. This

is Your systolic (upper) arterial pressure

4. Pressure in the cuﬀ is continuing falling down at the same speed (2-4 mm Hg

per second). You are continuing to listen to pulse. Sounds which You hear will

change. Unlike the ﬁrst beats, they will become softer, resembling rustling.

At the moment when You practically stop seize pulse, memorize manometer

reading. This is Your diastolic (lower) arterial pressure.

ENG

CARE, STORAGE, REPAIR AND DISPOSAL

1. Keep this Device from exposure to higher humidity, direct sunlight, shocks.

2. Do not keep and use this Device near heating installations and open ﬁre.

3. Keep the Device clean and protect it from dust.

4. Contact of device with aggressive solutions is not allowed.

5. Protect the arm cuﬀ and air tubes from contacting on sharp things.

This Device does not contain special controls to adjust the measurement

accuracy. Independent opening of manometer is prohibited. Repair the

Device only in authorized organizations.

7. Service life of device is indicated in section TECHNICAL SPECIFICATIONS.

Service life is determined from the moment of commodity delivery to the

customer. On expiration of the warranted service life apply from time to

time to authorized repair organizations to check the technical condition of

the Device.

Dispose of the Device and its components according to the application

local regulations. No special requirements to disposal of this Device are

deﬁned by the manufacturer

The arm cuﬀ may withstand multiple sanitary treatments. The internal tissue

surface of the arm cuﬀ (contacting on arm) may be cleaned with cotton ball

soaked in 3%-solution of hydrogen peroxide. At long use the partial color fad-

ing of the tissue coating of the arm cuﬀ is possible. Washing and ironing of

the arm cuﬀ are not allowed.

WARRANTY

The following LD product is covered by warranty for the period speciﬁed

in the warranty card

2. The warranty period for the arm cuﬀ is 12 months from the date of sale.

3. The warranty liabilities are contained in the warranty card given at the sale

of this Device to a purchaser.

4. The addresses of organizations for warranty maintenance are given in the

warranty card.

ENG

TECHNICAL SPECIFICATIONS

Pressure measurement range, mmHg from 0 to 300 (pressure in an

arm cuﬀ)

Pressure indication range, mmHg from 0 to 300

Range of admissible absolute error at measure-

ment of air pressure in an arm cuﬀ, mmHg ±3

Operation conditions:

Temperature,

оС

Relative humidity, % Rh from 10 to 40

85 and lower

Storage and transportation conditions:

Temperature,

оС

Relative humidity, % Rh from minus 34 to 65

85 and lower

Cuﬀ size OF the Device adult’s (for upper arm circle

from 25 to 36 cm)

Weight (without package, case), g

332

Dimensions (package), mm

115 x 185 x 75

Year of manufacture

Year the manufacture is given in

the bottom of the Device body

in a serial number after symbols

“AA”.

Country of manufacture

PRC

COMPLETENESS

1. Manometer LD-S027 – 1 piece.

2. LD-Cuﬀ N1AR (Pneumatic chambe LD-S01A) – 1 piece.

3. Stethoscope LD Prof-Plus – 1 piece.

4. Air pump LD-S051 – 1 piece.

5. Non-return valve LD-S056 – 1 piece.

6. Air valve LD-S054 – 1 piece.

7. Storage Case LD-S059 – 1 piece.

8. Instruction Manual – 1 piece.

9. Warranty Card – 1 piece.

10. Package – 1 piece.

ENG

CERTIFICATION AND STATE REGISTRATION

This Device manufacturing is certiﬁed according to international standard ISO

13485:2003.

Complaints and requests should be addressed to:

Little Doctor Europe Sp. z o.o. 57G Zawila Street, 30-390, Krakow, Poland

Service phone: +48 12 2684748, 2684749

Manufactured under control and for Little Doctor International (S) Pte.

Ltd., 35 Selegie Road #09-02 Parklane Shopping Mall, Singapore 188307,

Singapore. Postal address: Yishun Central P.O. Box 9293 Singapore 917699.

Manufacturer:

Little Doctor Electronic (Nantong) Co. Ltd., No.8, Tongxing Road Economic &

Technical Development Area, Nantong 226010, Jiangsu, PEOPLE'S REPUBLIC

OF CHINA

Distributor in Europe:

Little Doctor Europe Sp. z o.o. 57G Zawila Street, 30-390, Kraków, Poland

Sales Oﬃce phone: +48 12 2684746, 12 2684747, fax: +48 12 268 47 53

E-mail: biuro@littledoctor.pl

www.LittleDoctor.pl

Authorized Representative in the EU:

Little Doctor Europe Sp. z o.o.

57G Zawila Street Krakow 30-390 Poland

ADDITIONAL ACCESSORIES

Cuﬀs “LD-Cuﬀ”of the following sizes may be acquired in addition to available cuﬀs:

Name / Size

Upper arm

circle

, cm Material Pneumatic

chamber

C1N / for newborn infants 7-12 cotton,

TPU

* LD-S01N

without ring

C1I / for infants 11-19 cotton,

TPU

* LD-S01I

C1C / child’s

N1C / child’s 18-26 cotton,

TPU

nylon,

TPU

*LD-S01C

C1A / adult’s

N1A / adult’s 25-40 cotton,

TPU

nylon,

TPU

*LD-S01A

C1L / big adult’s 34-51 cotton,

TPU

* LD-S01L

C1T /for upper leg 40-66 cotton,

TPU

* LD-S01T

N1AR / adult’s 25-36 nylon,

TPU

* LD-S01A

with

ring**

N1LR / big adult’s 33-46 nylon,

TPU

* LD-S01L

* TPU – Thermoplastic polyurethane.

** Metal ﬁxing ring on cuﬀ for convenient independent putting on of cuﬀ.

POL

INFORMACJE OGÓLNE

Niniejsza instrukcja ma służyć użytkownikom pomocą w bezpiecznym i efektyw-

nym

posługiwaniu się mechanicznym urządzeniem do pomiaru ciśnienia tętnicze-

go krwi LD (dalej w tekście: URZĄDZENIE). Powinno ono być stosowane zgodnie z

zasadami przedstawionymi w niniejszej instrukcji i nie należy go wykorzystywać do

celów innych niż tu opisane. Należy przeczytać i zrozumieć całą instrukcję obsługi,

zwłaszcza rozdział “Zalecenia dotyczące prawidłowego pomiaru”.

WSKAZANIA DO STOSOWANIA

Urządzenie przeznaczone jest do pomiaru ciśnienia tętniczego krwi człowieka me-

todą Korotkowa. Ciśnieniomierz zaleca się wykorzystywać zarówno w warunkach

szpitalnych, jak i domowych (jako uzupełnienie nadzoru medycznego). Pomiar ci-

śnienia odbywa się za pomocą osłuchiwania tonów Korotkowa stetoskopem oraz

odczytu wartości z manometru.

ZASTOSOWANIE NOWYCH TECHNOLOGII

SHOCK PROTECTION.

ZALECENIA DOTYCZĄCE PRAWIDŁOWEGO POMIARU

1. Nie należy korzystać z urządzenia bez wcześniejszej konsultacji z lekarzem jeśli

pacjent jest poddawany hemodializie lub leczy się antykoagulantami, antytrom-

bocytami czy steroidami. Wykorzystanie urządzenia w takich przypadkach może

powodować krwawienie wewnętrzne.

2. W celu przeprowadzenia prawidłowego pomiaru należy pamiętać, że

CIŚNIENIE TĘTNICZE PODLEGA SILNYM WAHANIOM NAWET W KRÓTKIM

PRZEDZIALE CZASOWYM. Wartość ciśnienia tętniczego krwi zależy od wielu

czynników. Zwykle jest ona niższa w okresie letnim i wyższa w okresie zimowym.

Ciśnienie krwi zależy od ciśnienia atmosferycznego, wysiłku ﬁzycznego, pobu-

dliwości, stresu, diety. Duży wpływ na ciśnienie mają używki, narkotyki, alkohol

i palenie tytoniu.

U wielu osób samo przeprowadzenie pomiaru ciśnienia w przychodni wywołuje pod-

niesienie wskaźników. Z tego powodu wyniki pomiarów ciśnienia tętniczego, przepro-

wadzonych w warunkach domowych, często różnią się od wyników pomiarów, prze-

prowadzonych w ośrodkach medycznych.

Z uwagi na fakt, że ciśnienie w niskiej temperaturze podwyższa się, należy je mierzyć w

temperaturze pokojowej (około 20° C). W przypadku, gdy urządzenie było przechowy-

wane w niskiej temperaturze, przed użyciem należy przynajmniej przez godzinę pozo-

stawić je w temperaturze pokojowej, inaczej wyniki pomiaru mogą być

przekłamane.

W ciągu doby wahania ciśnienia u zdrowych ludzi mogą wynieść 30-50 mmHg dla

ciśnienia skurczowego (górnego) i do 10 mmHg dla ciśnienia rozkurczowego (dol-

nego). Wahania ciśnienia u różnych ludzi mogą mieć różne podstawy, dlatego zale-

ca się prowadzenie dziennika pomiarów. TYLKO LEKARZ NA PODSTAWIE DANYCH

Z TAKIEGO DZIENNIKA MOŻE PRZEANALIZOWAĆ TENDENCJE ZMIAN I STWIERDZIĆ

EWENTUALNE PRZYCZYNY ZABURZEŃ CIŚNIENIA TĘTNICZEGO

POL

W chorobach układu krążenia, jak i wielu innych, które wymagają monitorowania ci-

śnienia tętniczego, ważne jest dokonywanie pomiarów w porach zaleconych przez leka-

rza. PAMIĘTAJ, ŻE DIAGNOSTYKA I JAKIEKOLWIEK LECZENIE NADCIŚNIENIA TĘTNICZEGO

MOGĄ BYĆ PRZEPROWADZANE TYLKO PRZEZ LEKARZA. PODSTAWĄ DO PRZEPISANIA

LEKÓW MOGĄ BYĆ TYLKO WSKAŹNIKI NADCIŚNIENIA TĘTNICZEGO, UZYSKANE BEZPO-

ŚREDNIO PRZEZ LEKARZA. PRZYJMOWANIE LEKÓW LUB ZMIANY W ICH DAWKOWANIU

NALEŻY SKONSULTOWAĆ Z LEKARZEM.

Rys. 1

. Pomiar ciśnienia tętniczego powinien być przeprowadzony w pozycji wy-

godnej dla pacjenta, w temperaturze pokojowej. Na godzinę przed pomiarem

nie należy spożywać posiłków, a w ciągu 1,5 - 2 godzin nie palić, nie pić napojów

wzmacniających i alkoholu.

Dokładność pomiaru ciśnienia tętniczego zależy również od prawidłowego do-

brania mankietu do rozmiaru ramienia oraz prawidłowego założenia mankietu.

MANKIET NIE MOŻE BYĆ ZA MAŁY LUB ZA DUŻY.

6. Powtórzenie pomiaru jest możli-

we po upływie 5 min. Po takim cza-

sie powraca normalne krążenie krwi.

W przypadku osób z miażdżycą,

z po-

wodu znacznego obniżenia elastycz-

ności naczyń, czas ten powinien być

dłuższy (10-15 min.).

Dotyczy to również

pacjentów z cukrzycą.

W celu dokładnego określenia ciśnie-

nia tętniczego

krwi zaleca się dokona-

nia 3 pomiarów oraz wyciągnięcia śred-

niej z uzyskanych wyników.

Rys. 2

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