Automatic Blood Pressure Monitor 1WMPD4000206J 1303
© 2013 A&D Company, Limited All rights reserved. No part of this publication may be reproduced, transmitted, transcribed, or translated into any language in any form by any means without the written permission of A&D Company, Limited. The contents of this manual and the specifications of the instrument covered by this manual are subject to change for improvement without notice.
WARNING DEFINITIONS The warnings described in this manual have the following meanings: WARNING Important information to alert you to a situation that might cause injury and/or damage to your property if instructions are not followed. CAUTION Important information to alert you to a situation that might cause minor injury and/or damage to your property if instructions are not followed. Note Important information that helps users operate the device.
COMPLIANCE Compliance with the European Directive 93/42/EEC for Medical Products This device conforms to the following requirements: European Directive 93/42/EEC for Medical Products act; Medical Products Act; European Standards for Electrical Equipment EN 60601-1 (General Safety Provisions), EN 60601-1-2 and EN 55011 (Electromagnetic Compatibility); European Standards pertaining to Non Invasive Blood Pressure Instruments EN 1060-1(General Requirements), EN 1060-3 (Supplementary Requirements for Electromech
SAFETY PRECAUTIONS WARNING Grounding To avoid electrical shock, connect the power cable to an electrical outlet having a ground terminal for grounding the device. Fuse To avoid a fire hazard, use only a fuse of the proper type, voltage and current rating as specified on the rear panel. Never bypass a fuse by shorting across the fuse holder and connectors. Service Internal service or adjustment to this device should be performed by a qualified person only.
GENERAL PRECAUTIONS Obey the following precautions for safe and correct usage. Precautions unique to the TM-2655/TM-2655P appear on the relevant pages in this manual. Read the manual thoroughly before use. When installing and storing the device Install or store the device away from moisture. Do not install or store the device where the device may be badly affected by extreme temperature, humidity, direct sunlight, draft, dust, salinity or sulfur content in the air.
CONTENTS WARNING DEFINITIONS....................................................................................................... I COMPLIANCE....................................................................................................................... II SAFETY PRECAUTIONS..................................................................................................... III GENERAL PRECAUTIONS .................................................................................................
9. MAINTENANCE 9-1 Replacing the Arm Cuff Cover .................................................................................................................. 21 9-2 Replacing the Fuses ................................................................................................................................. 22 9-3 Checking the Counter ............................................................................................................................... 22 Displaying the counter...........
1.INTRODUCTION 1-1 Features The TM-2655/TM-2655P is a blood pressure monitor that measures systolic and diastolic blood pressure and pulse. The TM-2655 is a standard model; the TM-2655P is equipped with a printer unit. The features of the devices are as follows: COMPACT DESIGN Due to its compactness, the TM-2655/TM-2655P can be installed in an area where space is limited. You can measure your blood pressure on either arm.
1-2 Unpacking and Inspection CAUTION Handle this device carefully at all times. Strong shock to the device may cause trouble during operation. Note Save the packing material for later use. Unpack the TM-2655/TM-2655P carefully and verify that the following items are contained. Fig.
1-3 Specifications Table 1 Specifications Performance specifications General Power supply 120VAC 60 Hz 230VAC 50 Hz (factory-preset) Power consumption Approx.
2. PART NAMES 2-1 Main Unit Fig.2 TM-2655/TM-2655P whole view Note The printer unit is available only for the TM-2655P. The human sensor area appears the same for both models, but it functions only for the TM-2655P. The illustration above is not to scale.
2-2 Rear Panel Fig.3 TM-2655/TM-2655P rear panel (The illustration above is not to scale.) 2-3 Symbols The symbols used with the TM-2655/TM-2655P have the following functions or meanings. Table 2 Symbol descriptions Symbols Function/Meaning Starts and stops a measurement. Turns the device on. Turns the device off. Alternating current Serial number Fuse RS-232C serial interface Date of manufacture Type B: Device, cuff and tubing are designed to provide special protection against electrical shocks.
What is An Irregular Heartbeat? The TM-2655P provides a blood pressure and pulse rate measurement even when an irregular heartbeat occurs. An irregular heartbeat is defined as a heartbeat that varies by 25% from the average of all heartbeats during the blood pressure measurement. It is important that you are relaxed, remain still and do not talk during measurements. Note logo We recommend that a physician should examine the patient if the appears on the printout or request a second reading.
3.INSTALLATION Follow the procedure below to install the TM-2655/TM-2655P. 1. To ensure that the TM-2655/TM-2655P works properly, install the device in an environment where: The temperature range is from 10°C to 40°C (50°F to 104°F). The humidity is less than 85% (non condensing). It is away from water, dust, chemicals, and corrosive or explosive gases. It is not exposed to direct sunlight. 2. Place the TM-2655/TM-2655P on a table solid enough to support its weight. 3.
4. OPERATION 1. Turn on the POWER switch located on the rear panel. When the POWER switch is turned on, all of the display symbols will appear for several seconds. Then; (TM-2655) “0” (zero) appears in the SYSTOLIC pressure display, indicating that the device is ready for measurement. (TM-2655P) The human sensor functions for three minutes. When it does not detect a person, “ . “ (dot) appears in the SYSTOLIC pressure display, indicating that the device is ready for measurement. Fig.
8. When the measurement is complete, the air is automatically released from the cuff and the cuff will become loose. 9. The measurement results appear in the display. 10. (TM-2655P) The measurement results are output to the printer. Fig.9 Measurement results Note To stop the measurement at any time, press the START/STOP switch. The quick exhaust will reduce the pressure in the cuff and the cuff will become loose.
5.SETTING THE CLOCK 5-1 Clock Adjustment Mode The clock is set in the clock adjustment mode. The clock adjustment mode display and switches used are as shown below: Fig.10 Switches for setting the clock and the clock adjustment mode display Table 3 Switches for setting the clock SELECT switch (1) Press to enter the clock adjustment mode. (2) (In the clock adjustment mode) Press to select the unit to be adjusted. The selected unit flashes.
8. Press the switch to display “14”. 9. Press the SELECT switch to make the minutes section of the TIME display flash. 10. Press the switch to display “07”. 11. Press the SELECT switch to return to the measurement mode. Note If no operation is performed for one minute, while setting the minutes section and for five seconds while setting the others, the settings performed so far will be confirmed and the device will return to the measurement mode. The clock can be set up to December 31, 2091.
6. INSTALLING THE PRINTER PAPER (This chapter is applicable only to the TM-2655P.) With the power turned on, install the printer paper as follows: 1. Cut the top end of the printer paper with scissors. If the end is not smooth, it may cause a paper jam or damage the printer head. 2. Press lightly on the center of the printer cover to open the cover. Printer cover 3. Raise the lever located on the right side of the printer. Set the lever to the up position (2) of the figure .
6. Lower the lever to the down position (1) . Press the PAPER FEED switch again, and confirm that the paper is cut automatically. Note Lever Lower the lever for cutting the paper. Lower the lever for printing the measurement data. PAPER FEED switch Lower the lever to the down position (1) . 7. Remove the printer paper from the paper outlet, and close the cover. Press lightly on the center of the printer cover to secure it in position.
7. SETTING THE FUNCTIONS 7-1 Function Setting Mode The TM-2655/TM-2655P is provided with various functions, which allow the user to set the device to suit the user’s requirements. The functions are set in the function setting mode. The function setting mode display and switches used are as shown below: Fig.
7-2 Description of the Functions Table 5 Functions No. Function F01 F02 Printer setting SYSTOLIC display f01 DIASTOLIC display off f02 off (See “7-3 Printing Samples” for what each method printing looks like.) F03 F04 F05 F06 F07 F08 TM-2655P only Displaying time External connection Pressurization Channel 1 baud rate Channel 2 baud rate F09 F10 F11 Human sensor Automatic external output Description Not available.
7-3 Printing Samples High-speed printing Graph printing 4-line printing Table printing Bit pattern printing Fig.13 Printing samples Note Bit pattern printing is available only for the TM-2655P. With this format, some items such as the company name can be printed. For details, contact your nearest dealer. When detecting an irregular heart beat(I.H.B), is printed.
8. COMMUNICATION SPECIFICATIONS The TM-2655/TM-2655P is equipped with two RS-232C channels. Various settings for each channel are available in the function setting mode. Refer to “7-2 Description of the Functions” for details. 8-1 Channel 1 : Miniature 8-pin DIN CAUTION The personal computer and medical equipment connected to the device are not allowed to be in the patient area.
8-2 Channel 2: D-sub 9-pin CAUTION The personal computer and medical equipment connected to the device are not allowed to be in the patient area. The personal computer used must conform to IEC60950 Specifications Table 7 Channel 2 specifications Standard Transmission Baud rate Data bits Parity bit Stop bits Code Conforms to EIA RS-232C Asynchronous, half-duplex 1200, 2400, 4800, 9600 bps (Can be changed in the function setting mode “F08”.
9. MAINTENANCE 9-1 Replacing the Arm Cuff Cover Replace the arm cuff cover as follows: 1. Locate the cover at the bottom of the arm insertion section. Slide the cover downward to open it. A screw is exposed. Using the screwdriver, loosen the screw and remove the front frame. 2. Remove the four screws on the rear panel to remove the armrest and the rear panel. 3. Remove the front vinyl ring of the arm cuff cover from the groove. Remove the rear vinyl ring of the arm cuff cover from the groove.
9-2 Replacing the Fuses Replace the fuses as follows: 1. Remove the caps of both fuse holders located on the rear panel. 2. Replace both fuses with new ones. 3. Re-install the fuse holder caps. Fig.19 Fuse holders Note Use only fuses of the proper type, voltage and current rating as specified on the rear panel, and that conform to IEC60127. 9-3 Checking the Counter The TM-2655/TM-2655P is equipped with a counter function, which indicates how many times the device has measured blood pressure.
Resetting the counter Fig.20 COUNTER switch Hold down the COUNTER switch for 4 seconds or more. The counter data will be reset to zero. Printing the counter graph Press and hold the COUNTER switch, press the PAPER FEED switch to display the current measurement count. Total : The total measurement count of the product. Weekly Count : The count for last one week. Monthly Count : The count for last one year. Note1:The Total can not be reset by pressing the COUNTER switch.
Housing case Clean the case gently using a soft cloth moistened with water and mild detergent or alcohol. Display panel Clean the display gently so as not to scratch the panel surface. Use a soft cloth moistened with water. Arm cuff cover When the arm cuff cover becomes dirty or it is worn out, replace with a new one. Refer to “9-1 Replacing the Arm Cuff Cover”. Note If the cover is not installed properly, it may cause problems in operation.
10. TROUBLESHOOTING If the TM-2655/TM-2655P does not function properly or an error code appears, try the following corrective actions. Table 10 Troubleshooting Problem Nothing appears in the display, even when the power is turned on. "E00" appears in the display. Check this Corrective action Is the power cable connected properly? Has a fuse burned out? Does air remain in the cuff? "E98" appears in the display. "E99" appears in the display. The cuff will not Is the arm cuff cover installed inflate.
11. EXTERNAL DIMENSIONS Fig.20 External dimensions Note The illustration above indicates the TM-2655P with the printer unit. The dimensions are the same for the TM-2655 and TM-2655P.
APPENDIX: EMC INFORMATION Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the following. Portable and mobile RF communication equipment (e.g. cell phones) can affect Medical Electrical Equipment. The use of accessories and cables other than those specified (other than A&D original parts) may result in increased emissions or decreased immunity of the unit.
Guidance and manufacturer’s declaration – electromagnetic immunity The A&D unit is intended for use in the electromagnetic environment specified below. The customer or the user of the A&D unit should assure that it is used in such an environment.
Guidance and manufacturer’s declaration – electromagnetic immunity The A&D unit is intended for use in the electromagnetic environment specified below. The customer or the user of the A&D unit should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment – guidance Electrostatic discharge (ESD) IEC 61000-4-2 ± 6 kV contact ± 6 kV contact ± 8 kV air ± 8 kV air Floors should be wood, concrete or ceramic tile.
MEMO 30
MEMO 31
MEMO 32
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1-243 Asahi , Kitamoto-shi, Saitama 364-8585, JAPAN Telephone: [81] (48) 593-1111 Fax: [81] (48) 593-1119 A&D INSTRUMENTS LIMITED Unit 24/26 Blacklands Way, Abingdon Business Park, Abingdon, Oxfordshire OX14 1DY United Kingdom Telephone: [44] (1235) 550420 Fax: [44] (1235) 550485 A&D ENGINEERING, INC. 1756 Automation Parkway, San Jose, California 95131, U.S.A.
