AD Blood Pressure Monitor Ambulatory Blood Pressure Monitor User Manual

TM-2430  
REC O RDER FO R AMBULATO RY  
BLO O D PRESSURE MO NITO R  
INSTRUCTION MANUAL  
Ambula tory Blood Pre ssure Monitor  
WM:PD4000136  
Rev. 1.1  
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Conte nts  
Be fore use  
Compliance -----------------------------------------------------------------------------  
Definitions -------------------------------------------------------------------------------  
Precautions for Use -------------------------------------------------------------------  
Notes on the Blood Pressure Recorder------------------------------------------  
2
2
3
4
We lc om e  
Welcome and Introduction ----------------------------------------------------------  
Prod uc t ove rvie w  
5
Packing List and Component Names --------------------------------------------  
Display -----------------------------------------------------------------------------------  
Symbols----------------------------------------------------------------------------------  
5
7
7
Sp e c ific a tions  
Features ---------------------------------------------------------------------------------  
Functions and Specifications -------------------------------------------------------  
8
8
Ac tiva ting the Re c ord e r  
Replacing Batteries ------------------------------------------------------------------- 12  
Conditions When Recorder Switched On --------------------------------------- 13  
Parameters for the Display and Clock ------------------------------------------- 13  
Selection for the Automatic Measurement -------------------------------------- 15  
Deleting Old Data --------------------------------------------------------------------- 19  
Resetting the Recorder -------------------------------------------------------------- 19  
Pre p a ring the p a tie nt  
Patient Instructions-------------------------------------------------------------------- 20  
Use of the Cuff Cover ---------------------------------------------------------------- 21  
Attaching the Cuff and Recorder -------------------------------------------------- 21  
Preparation of the Carrying Case ------------------------------------------------- 23  
Op e ra tion  
Automatic Measurement (by Programed Time Intervals) ------------------- 24  
Manual Measurement ---------------------------------------------------------------- 24  
To Stop a Current Measurement -------------------------------------------------- 24  
Da ta tra nsfe r  
Data Transmission to a Printer----------------------------------------------------- 25  
Data Transmission to a Computer Using Analysis Software --------------- 27  
Op tions a nd a c c e ssorie s  
Analysis Software and Communication Cables-------------------------------- 28  
Cuffs and Other Accessories ------------------------------------------------------- 29  
Ma inte na nc e  
Checking Accuracy ------------------------------------------------------------------- 30  
Cleaning the Cuff and Recorder --------------------------------------------------- 31  
Periodical inspection------------------------------------------------------------------ 31  
Problem Solving ----------------------------------------------------------------------- 31  
Error Codes ----------------------------------------------------------------------------- 32  
Page 1  
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Be fore use  
Com p lia nc e  
Com p lia nc e with Europ e a n Dire c tive  
93/ 42 EEC for Me dic a l Prod uc ts  
The device conforms to the following requirements: European Directive 93/42 EEC for  
Medical Products; Medical Products Act; European Standards for Electrical Medical Equip-  
mentEN 60601-1(GeneralSafetyProvisions), EN60601-2-30(ParticularRequirementsfor  
the Safety of Automatic Cycling Indirect Blood Pressure Monitoring Equipment) , 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  
(SupplementaryRequirementsforElectromechanicalBloodPressureMeasuringSystems).  
TheaboveisevidencedbytheCEmarkofconformityaccompaniedbythereferencenumber  
of a designated authority. This device is designed for adults only.  
Com p lia nc e with FCC Rule s  
Please note that this equipment generates, uses and can radiate radio frequency energy.  
This equipment has been tested and has been found to comply with the limits of a Class A  
computing device pursuant to Subpart J of Part 15 of FCC rules. These rules are designed  
to provide reasonable protection against interference when this equipment is operated in a  
commercial environment. If this unit is operated in a residential area it might cause some  
interference and under these circumstances the user would be required to take, at his own  
expense, whatever measures are necessary to eliminate the interference. (FCC: Federal  
Communications Commission in the U.S.A.)  
Com p lia nc e with the Austra lia n EMC Fra m e  
work  
The device conforms to the following requirements: EMC Emission standard for  
industrial, Scientific & Medical equipment AS/ NZS 2064-1997, EMC Generic Immunity  
standard AS/ NZS 4252. 1-1994. The above is evidenced by the C-Tick label.  
De finitions  
SYS  
DIA  
Systolic Blood Pressure  
Diastolic Blood Pressure  
DSD  
The Difference between Systolic Blood Pressure and Diastolic  
Blood Pressure.  
Exhaust  
Exhaust velocity  
Measurement cycle  
This means "releasing the cuff air as soon as possible".  
This means the rate of depressurizing the cuff air.  
This means "a period between the start of cuff inflation and the  
end of exhausting the air".  
Interval  
bpm  
This is called a "block". A block consists of a start time and  
frequency.  
beats per minute.  
Page 2  
Compliance  
Before use  
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Pre c a utions for Use  
Pre c a utions  
Batteries  
Usealkalinebatteries(LR6type,AAtype,Mignon)orsuitableNi-Cdbatteries.  
Do not mix new and used batteries in the recorder.  
If the recorder will not be used for a long period of time, remove the batteries  
from the recorder unless there is no risk of a SAFETY HAZARD arising.  
A malfunctioning recorder  
If the recorder malfunctions, contact your vendor immediately.  
Training  
Instruct the patient on how to stop the operation if there is an abnormal  
measurement, and how to remove the cuff if there is excessive arm pain.  
Provide patient with basic training on operation of ABPM system.  
Repair  
Do not open the recorder case. Patient should avoid magnetic fields and high  
frequency equipment. Contact your vendor for further instructions.  
Blood pressure measurement  
This device is intended for adult use only.  
The recorder may not make a measurement when a patient has continuous  
arrhythmia or the recorder senses noise due to the patients movement.  
Please check measurement values by other methods, if you suspect an  
erroneous value.  
Do not use this recorder on a person who is in critical condition or is in an  
intensive care unit.  
This device is intended for ambulatory patients.  
Saving power  
Turn off the power switch when not in use.  
Please transfer the data as soon as possible. All measurement data, clock  
parameters, measurement parameters and internal system parameters are  
preserved by a backup battery when turning the power switch off. The backup  
battery life is few days.  
Cuff  
Close the cuff fastener properly when attaching the cuff to a patient or  
replacing the cuff cloth. If the fastener is closed incorrectly, inflating cuff may  
damage the cuff.  
Page 3  
Before use  
Precautions  
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Note s on the Blood Pre ssure Re c ord e r  
Storage  
Do not store the recorder in the following places.  
Excessive moisture  
Excessive heat  
Direct sun light  
Excessive vibration  
Exposure to dust  
Exposure to corrosive chemicals  
Magnetic fields  
Before use  
Cover the RS-232C terminal using the rubber cap, to avoid dust.  
Confirm that the recorder works correctly.  
Confirm that the cuff and air hose are connected properly.  
Cuffs should be clean prior to use with patient.  
Clear the old data before starting a new measurement.  
Avoid strong magnetic field and static electricity.  
Do not use this recorder near a high frequency surgical equipment.  
During use  
The recorder should be operated by a medical professional who knows it well.  
Stop using the recorder if the patient feels pain in the arm or if the recorder  
does not measure properly.  
If the recorder is exposed to excessive moisture, do not use. Immediately  
request service from vendor.  
After use  
Clean the recorder, cuff and accessories for the next use. Do not pull or kink  
hoses. Do not use organic solvent, antiseptic solution, etc.  
Turn off the power switch.  
Please use the original box for transportation of the monitor.  
Periodic maintenance  
Therecorderisaprecisioninstrument. Pleasecheckallfunctions(everyyear)  
periodically. Contact your nearest A&D office for this inspection.  
Environmental protection  
If you disuse the recorder, remove Ni-Cd battery and built-in Li battery from  
this recorder.  
Disuse Ni-Cd battery to its exclusive trash can because of recycling it.  
Dispose of Li ion battery in the recorder as dangerous object properly.  
Ni-Cd  
Page 4  
Notes on the Blood Pressure Recorder  
Before use  
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We lc om e  
We lc om e a nd Introd uc tion  
Thank you for your Purchase!  
The A&D TM-2430 ambulatory blood pressure recorder enables you to  
accurately take a patient's blood pressure, automatically, at different preset  
times throughout a 24-hour period.  
Recently, in the treatment of patients with hypertension, there has been an  
increasing need to prescribe medication according to the particular blood  
pressure fluctuation pattern of the patient. These patterns can be made more  
evident by using the TM-2430 recorder, and an analysis by a physician.  
This manual will explain in simple language how this recorder works.  
Patient  
This blood pressure recorder is designed for an adult patient.  
Environment  
This blood pressure recorder is used in a hospital and / or patient`s home.  
Prod uc t ove rvie w  
Pa c king List a nd Com p one nt Na m e s  
When you open this box, make sure you have everything as shown here :  
Instruction manual  
1
1
Blood pressure recorder  
(Main unit)  
Carrying case  
Shoulder band  
1
1
1
2
Belt  
Cuff covers for adult cuff  
Activity record sheets 10  
Adult cuff for left arm  
1
Page 5  
Welcome  
Welcome and Introduction  
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Yellow mark  
Shoulder band  
Air hose  
Auto ON/OFF key  
Battery cover  
Adult cuff  
for left arm  
Start Stop key  
ST  
AR  
ST  
Air hose plug  
T
OP  
SYS/INTER  
DIA  
ULSE/TIME  
AUT  
ON/OFF  
O
V
I
A
L
0
0
1
2
1
2
3
Air socket  
A
R
4
5
6
7
8
9
Carrying case  
Belt  
Reset key  
ON  
OF  
Power switch  
RS-232C terminal  
Alkaline batteries (type LR6, type AA, Mignon)  
The batteries are not included in this pack.  
Name  
Functions  
Power switch  
This is the main power switch. In the OFF state, all data and  
parameters are preserved by an backup battery. The backup  
battery life is approximately 10 days with the power off.  
AUTO ON/OFF key When you press and hold the  
key, the automatic  
AUTO ON/OFF  
measurement is started or stopped alternately.  
When you press the key at mode II of the  
AUTO ON/OFF  
automatic measurement, "S" is displayed or turned off alter-  
nately. This sign changes the interval for sleep.  
START STOP key When you press the  
key, a blood pressure mea-  
START STOP  
surement is started at once.  
When you press and hold the  
key for approx. 3  
START STOP  
seconds, the recorder proceeds to "Selection for the auto-  
matic measurement".  
When you press and hold the  
key for approx. 6  
START STOP  
seconds,therecorderproceedsto"Parametersforthedisplay  
and clock".  
When you press and hold the  
key for approx. 9  
START STOP  
seconds, the recorder proceeds to "Deleting old data".  
RS-232C terminal This terminal is used for data output to a printer or computer.  
The optional RS-232C cable is necessary to output the data.  
Reset key  
All data and parameters are deleted.  
Page 6  
Packing List and Component Names  
Product overview  
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Disp la y  
Sleep sign  
SYS/INTERVAL  
DIA  
PULSE/TIME  
Auto mode sign  
Low battery sign  
Full memory sign  
SYS  
Systolic Blood  
Pressure display  
Sign  
Setup sign of  
INTERVAL  
TIME  
Diastolic Blood  
DIA  
automatic measurement  
Pressure display  
Setup sign of  
display and clock  
Pulse display  
Clock display  
PULSE  
Error display  
ex. "Set the clock"  
Sign Name  
Arrow  
Functions  
The arrow points to the kind of current display in the measure-  
ment result and function mode.  
A
S
Automatic  
"A" is displayed when the automatic measurement is selected.  
measurement When you press and hold the  
turned on or off alternately.  
key, this sign is  
AUTO ON/OFF  
Sleep  
When you press the  
key while in mode II of the  
AUTO ON/OFF  
automatic measurement, "S" is displayed or turned off alternately.  
With the "S" turned off, the time interval is 15 minutes.  
With the "S" turned on, the time interval is 30 minutes.  
When the recorder can not operate all functions due to low  
battery,thissignisdisplayed.Theclockisstilldisplayed.Please  
replace the batteries at once.  
B
Low battery  
Full memory  
When data memory is at full capacity, this sign is displayed. In  
this case, you can not perform another measurement. Transfer  
the data save in other media and delete. Then the "M" turns off.  
M
Sym b ols  
Turning on the recorder.  
Turning off the recorder.  
Direction guide to install batteries.  
Direct current.  
SN  
Serial number.  
Date of manufacture.  
1997  
Attention symbol. "See instruction for use."  
Recorder, Cuffs and tubings are designed to have special protection  
against electric shocks.  
Page 7  
Product overview  
Display  
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Sp e c ific a tions  
Fe a ture s  
Portability  
The recorder weighs approx. 215g (including batteries) and is compact.  
The recorder is powered by LR6 type (AA) alkaline batteries. It is possible to  
replace the batteries with Ni-Cd rechargeable batteries.  
Operation & management  
Clock and automatic measurement parameters may be set as needed.  
If you connect to a computer and use the optional software, clock and  
automatic measurement parameters can be easily set.  
There are three modes for automatic measurement. Mode 1 and Mode 2 are  
preprogrammed. Mode 3 is user programmable.  
The recorder can transmit data to a printer directly. (An adaptable printer is  
necessary to print the data. Refer to Section "Data Transmission to a Printer"  
for specifications of the TM-2480 printer.)  
The recorder has the built-in chargeable Li ion battery to keep the clock and  
automatic measurement parameters.  
Analysis  
The time interval may be changed as needed.  
The patient's blood pressure can be measured immediately at any time.  
If you use the optional software, you can analyze the data extensively.  
Smart measurement  
The measurement time is shortened by proper exhaust velocity control.  
The exhaust velocity adjustment is unnecessary, because the constant  
exhaust is properly controlled.  
In the automatic measurement cycle, these inflation values and stop values  
at exhaust are controlled to reduce the measurement time.  
Func tions a nd Sp e c ific a tions  
Blood pressure measurement  
There are two ways of utilizing this device to record blood pressure measurements.  
Automatic measurement - This automatic measurement works in accordance  
with internal clock, preset time intervals and preset  
mode. The measurement data is saved in memory.  
Manual measurement ----- Any time you press the  
key, a blood  
START STOP  
pressuremeasurementisperformedimmediately.  
The measurement data is saved in the memory.  
Page 8  
Features  
Specifications  
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Automatic measurement  
This measurement starts or stops using the  
key. When this  
AUTO ON/OFF  
measurement is started, the recorder begins to work in accordance with  
preset time intervals from the preset time of the internal clock. Refer to  
"Selection for the automatic measurement".  
In the automatic measurement, an "A" appears in the upper left of the display.  
The recorder automatically measures the patient's blood pressure at the time that is  
pointed out by "the frequency" and "the start time" (by the programed time intervals).  
When a measurement error occurs and there is 10 minutes until the next  
measurement, the measurement is retried after approx. 30 seconds.  
If a measurement is retried, only the data from the retry is saved.  
The recorder automatically adjusts the proper pressure, exhaust velocity and  
end of measurement.  
Referto"Selectionfortheautomaticmeasurement"and"Automaticmeasure-  
ment by programed time intervals" about operation and entering parameters.  
Stopping a measurement  
Ifyoupressthe  
keyduringameasurement, therecorderexhausts  
START STOP  
the air and stops the measurement.  
Concealing the measurement value  
This function works only while using automatic measurement.  
This function does not display the SYS, DIA or pulse rate for the automatic  
measurement, but the data is saved in memory.  
This function can select "reveal" or "conceal" at "Parameters for the display  
and clock". Refer to this section.  
Ifyouselect"conceal", therecorderdisplaystheclockduringameasurement.  
If you reset the recorder, this parameter is set to "reveal".  
Pressurization  
The pressure is automatically selected by the recorder while in the automatic  
measurement mode.  
The first pressure is set to approx. 185 mmHg. This value automatically  
adjusts to the proper value after the first measurement. If the first inflation is  
not successful, the recorder retries twice.  
If you reset the recorder, the first inflation value is reset to 185 mmHg.  
Memory  
The TM-2430 recorder can store 300 sets of data.  
A data set consists of a SYS, a DIA and a pulse rate.  
When memory becomes full, the recorder displays an "M". Until you clear the  
data, you can not measure blood pressure.  
When the recorder saves data for more than one patient, data management  
becomes complication. We recommend that patient data is transferred and  
cleared from memory.  
When a "B" is displayed, the backup batteries that is preserving a patient`s data  
are weak. Please replace batteries as soon as possible.  
ID number  
If you reset the recorder, the ID number is set to "1".  
The ID number can be set using the optional software.  
Page 9  
Specifications  
Functions and Specifications  
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Pe rform a nc e sp e c ific a tions  
Measurement method  
Oscillometric  
Pressurization  
Display range  
0 ~ 320 mmHg  
Interval measurement  
Manual measurement  
85 ~ 300 mmHg (Fitted)  
185 mmHg (Fixed)  
Measurement range  
Accuracy  
Systolic Blood Pressure 60 ~ 280 mmHg  
Diastolic Blood Pressure 40 ~ 160 mmHg  
Pulse rate  
30 ~ 200 bpm  
Pressure  
±3 mmHg  
Blood pressure  
Conforming to 1992 AAMI standard  
(±3 mmHg or ±2% measurement whichever is greater)  
Pulse rate  
±5 %  
Minimum display division Pressure  
Pulse rate  
1 mmHg  
1 bpm  
Measurement  
Automatic measurement  
Manual measurement  
Number of measurements Apporx. 180 (Actual measurement number may vary  
due to environment and capacity of batteries)  
Memory  
Up to 300 sets of data  
Normal  
Clock  
Display  
During a measurement  
After a measurement  
Pressure value  
SYS, DIA and pulse rate  
Error code, function of concealing the measurement data  
24-hours (1997~2096 year, automatic leap year setting)  
3 x Alkaline battery (type LR6, type AA) or  
3 x Ni-Cd battery (type AA)  
Clock  
Batteries  
Type of protection  
against electric shock  
CE Marking  
Internally powered equipment  
type BF  
The label of the medical device  
by the EC directive.  
0366  
C-Tick Marking  
The certification trade mark registered  
to the ACA by the Trademark office.  
N92  
AAMI : Association for the Advancement of Medical Instrumentation  
ACA: the Australian Communications Authority  
CE marking and C-Tick marking are labeled only where they are required.  
Page 10  
Functions and Specifications  
Specifications  
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Communications/Data  
Output  
Connected to a computer, you can output the data and enter  
parameters. Connected to a printer, you can print the data.  
Interface Specifications EIA RS-232C, Asynchronous, bi-directional, half duplex  
Baud rate  
Data bits  
9600 bps  
8 bits  
Stop bits  
2 bits  
X parameter  
Used (for computer)  
Not used (for printer)  
None  
Parity  
Code  
RS-232C  
ASCII  
-5V  
-15V  
1
0
~
~
L0SB  
1
2
3
4
5
6
7
MSB  
+5V  
+15V  
Start bit  
Data bits  
Stop bits  
Environm e nt sp e c ific a tions  
Operating environment  
+10°C ~ +40°C (+50°F ~ +104°F), Less than 85%RH *  
Transport and Storage  
-20°C ~ +55°C (-4°F ~ +131°F), Less than 95%RH  
*
* Non Condensing  
Physic a l sp e c ific a tions  
Dimensions  
72(W) x 100(D) x 27(H) mm  
2.8(W) x 3.9(D) x 1.0(H) in.  
Weight  
Approx. 215 g (0.47lb) excluding cuff  
SYS/INTERVAL  
DIA  
PULSE/TIME  
A
I
R
START  
STOP  
AUTO  
ON/OFF  
mm  
27mm  
72  
0
1
2
3
4
5
6
7
8
9
0
1
2
100  
mm  
Page 11  
Specifications  
Functions and Specifications  
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Ac tiva ting the re c ord e r  
Re p la c ing Ba tte rie s  
Caution  
When "B" is displayed, the recorder can not take a measurement. Please  
replace the new batteries before using.  
If "B" is displayed during the measurement, replace with new batteries at once.  
Usealkalinebatteriesorthespecifiedrechargeablebatteriesfortherecorder.  
Do not mix new and used batteries in the device.  
Steps for replacing the batteries  
Step 1  
Open the battery cover.  
Step 2  
Step 3  
Step 4  
Step 5  
Turn off the power switch.  
Replace with new batteries. ( note the direction, "+" and "-".)  
Turn on the power switch.  
Close the battery cover.  
ST  
AR  
ST  
OP  
T
Battery cover  
SYS/INTER  
DIA  
PULSE/TIME  
AUT  
ON/OFF  
O
V
I
A
L
0
1
2
3
4
5
6
7
8
9
0
1
2
A
R
Step 1  
Step 5  
ON  
Step 4  
Step 2  
O
Power switch  
Step 3  
New alkaline batteries  
Used batteries  
Page 12  
Replacing Batteries  
Initializing the recorder  
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Cond itions Whe n Re c ord e r Switc he d On  
The recorder can be turned on in 3 different modes.  
When recorder is  
turned on.  
Actions  
Condition  
The beeper sounds  
once and the clock is  
displayed. (Normal  
mode)  
You can use the re-  
corder at once.  
Therecorder parameters  
are stored  
Thebeeper issounded  
once and E0 0 blinks.  
Set up parameters of  
"display and clock"  
and "Automatic mea-  
surement".  
All parameters are lost.  
The buzzer sounds  
four times and E0 0  
blinks.  
The mode after reset. All  
parameters are lost.  
Pa ra m e te rs for the Disp la y a nd Cloc k  
This setting selects the display during automatic measurement sequence and  
adjusts the clock parameters. The sequence number tells you which parameter  
you are adjusting.  
Display & key  
Sequence number  
Selecting a sequence  
number  
START  
STOP  
AUTO  
ON/OFF  
Selecting a parameter  
Parameter  
Sign of setting up parameters for display and clock  
Items  
Value & Meaning of parameters  
Sequence  
number  
range  
0
1
Displaying clock only in automatic measurement  
Displaying pressure and result in automatic  
measurement  
1
00 ~ 99 Years (1997 ~ 2096)  
01 ~ 12 Month  
5
6
7
8
9
01 ~ 31 Day  
00 ~ 23 Hour  
00 ~ 59 Minute  
Initializing the recorder  
Conditions When Recorder Switched On  
Page 13  
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Steps for setting the display and clock  
This explanation uses the following examples.  
ex. After reset, The measurement value is not displayed.  
The clock is adjusted to 1997/ 05/ 27 14:28.  
START STOP  
AUTO ON/OFF  
Step 1  
Press and hold the  
key for approx. 6 seconds.  
for adjusting the display  
START STOP  
The recorder displays  
and clock.  
Step 2  
Press the  
key so as to display  
.
AUTO ON/OFF  
(A selection where a clock is displayed only in automatic  
measurement)  
START STOP  
Step 3  
Step 4  
Step 5  
Step 6  
Step 7  
Step 8  
Step 9  
Step10  
Step11  
Step12  
Press the  
Press the  
Press the  
Press the  
Press the  
Press the  
Press the  
Press the  
Press the  
Press the  
key. The current year is displayed .  
key. The current month is displayed.  
key to display 5 (for May).  
START STOP  
START STOP  
AUTO ON/OFF  
START STOP  
AUTO ON/OFF  
START STOP  
AUTO ON/OFF  
START STOP  
AUTO ON/OFF  
START STOP  
START STOP  
AUTO ON/OFF  
START STOP  
AUTO ON/OFF  
START STOP  
AUTO ON/OFF  
START STOP  
AUTO ON/OFF  
key. The current day is displayed.  
key to display 27 (27th day).  
key. The current hour is displayed.  
key to display 14 (14th hour).  
key. The current minute is displayed.  
key to display 28 (28th minute).  
key to save these parameters. Then  
START STOP  
the recorder displays the clock.  
Page 14  
Parameters for the Display and Clock  
Initializing the recorder  
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Se le c tion for the Autom a tic Me a sure m e nt  
This setting initializes measurement intervals that is based on the internal 24-  
hour clock.  
Mode  
mode I 07:00 ~ 21:59 The measurement is performed every quarter hour.  
22:00 ~ 06:59 The measurement is performed every half hour.  
mode II The  
key is pressed at rising and going to bed so that the  
AUTO ON/OFF  
measurement intervals are changed and the time during sleep can be  
distinguished on the data.  
When the "S" is off, the measurement is performed every quarter hour.  
When the "S" is displayed, the measurement is performed every half  
hour.  
mode III Themeasurementintervalcanchangesixtimeswithinamaximumof24-  
hours. (Therecordercanstoresixmeasurementintervals(blocks)in24-  
hours. A block consists of a start time and frequency.)  
Display & key  
Selecting a mode  
Mode  
START  
STOP  
AUTO  
ON/OFF  
Saving a mode  
Sign of setting parameters  
for automatic measuremnt  
Steps for selecting a mode  
ex. Mode II is selected.  
START STOP  
AUTO ON/OFF  
START STOP  
Step 1  
Step 2  
Step 3  
Press and hold the  
key for about 3 seconds. The  
START STOP  
current mode is displayed.  
Press the  
key so as to display  
of  
AUTO ON/OFF  
mode II.  
Press the  
key. The recorder stores the mode and  
START STOP  
displays the clock.  
Page 15  
Initializing the recorder  
Selection for the Automatic Measurement  
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Mod e III Se tting s  
Set up procedure  
Before you enter into mode III, read the procedure below. Also, refer to the  
example on the next page for the setting procedure.  
Each blocks starting time must match the previous blocks finish time.  
The end of block 6 automatically equalizes to start time of the block 1.  
If you enter the block 1 start time in any other block, these parameters are  
saved and this sequence is finished.  
When selecting 120 minutes for the current frequency, you must adjust the  
start time of the next block so that the current block fits a multiple of 120  
minutes. If you do not fit to the next start time, an error code is displayed.  
The recorder displays as 60 minutes and  
as 120 minutes.  
WhenyouenterthesequenceofmodeIII settings,therecorderinitializeseach  
start time to the start time of block 1 and each frequency to "-" (not used).  
To read the current settings, press the  
key in this sequence.  
START STOP  
Display & key  
Sequence number  
Parameter  
Selecting a  
parameter  
START  
STOP  
AUTO  
ON/OFF  
Sign of setting parameters  
for automatic measuremnt  
Selecting a sequence number  
Items  
Sequence  
number  
01  
Parameters (monitor)  
0 ~ 23 o'clock  
Meaning  
Initial value  
Start time of first block  
02  
- , 5, 10, 15, 20, 30, 60, 120 minutes Frequency of first block  
0 ~ 23 o'clock Start time of second block  
- , 5, 10, 15, 20, 30, 60, 120 minutes Frequencyofsecondblock  
0 ~ 23 o'clock Start time of third block  
- , 5, 10, 15, 20, 30, 60, 120 minutes Frequency of third block  
0 ~ 23 o'clock Start time of fourth block  
- , 5, 10, 15, 20, 30, 60, 120 minutes Frequency of fourth block  
0 ~ 23 o'clock Start time of fifth block  
- , 5, 10, 15, 20, 30, 60, 120 minutes Frequency of fifth block  
0 ~ 23 o'clock Start time of sixth block  
- , 5, 10, 15, 20, 30, 60, 120 minutes Frequency of sixth block  
0 ~ 23 o'clock End of sixth block  
03  
04  
05  
06  
07  
08  
09  
10  
11  
12  
13  
The "-" means "not used".  
Page 16  
Selection for the Automatic Measurement  
Initializing the recorder  
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Steps for automatic measurement  
ex. First block  
Second block 22:00 ~ 05:59  
Third block 06:00 ~ 07:59  
08:00 ~ 21:59  
frequency is 30 minutes  
frequency is 60 minutes  
frequency is 10 minutes  
START STOP  
AUTO ON/OFF  
START STOP  
Step 1  
Step 2  
Step 3  
Step 4  
Step 5  
Step 6  
Step 7  
Step 8  
Step 9  
Step10  
Step11  
Step12  
Press and hold the  
key for approx. 3 seconds.  
START STOP  
The current mode is displayed.  
Press the key so as to display  
for  
AUTO ON/OFF  
mode III  
.
Pressthe  
key.Themodeisstoredandthecurrent  
START STOP  
start time of the first block is displayed.  
Press the key so as to display "8" for 8:00 hours  
AUTO ON/OFF  
START STOP  
AUTO ON/OFF  
START STOP  
AUTO ON/OFF  
START STOP  
AUTO ON/OFF  
START STOP  
AUTO ON/OFF  
as the start time of the first block.  
Press the key. The current frequency for the first  
START STOP  
block is displayed.  
Press the  
key so as to display "30" for 30  
AUTO ON/OFF  
minutes as the frequency for the first block.  
Press the key. The current start time of the  
START STOP  
second block is displayed.  
Press the key so as to display "22" for 22:00  
AUTO ON/OFF  
hours as the start time for the second block.  
Press the key. The current frequency for the  
START STOP  
second block is displayed.  
Pressthe keysoastodisplay" "for60minutes  
AUTO ON/OFF  
as the frequency of the second block.  
Press the  
key. The current start time of the third  
START STOP  
block is displayed.  
AUTO ON/OFF  
To next page  
Press the  
key so as to display "6" for 6:00 hours  
AUTO ON/OFF  
as the start time of the third block.  
Page 17  
Initializing the recorder  
Selection for the Automatic Measurement  
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From previous page  
START STOP  
Step13  
Step14  
Step15  
Press the  
key. The current frequency of the third  
START STOP  
block is displayed.  
AUTO ON/OFF  
Press the  
key so as to display "10" for 10  
AUTO ON/OFF  
minutes as the frequency of the third block.  
Press the  
key. The current start time of the fourth  
START STOP  
START STOP  
START STOP  
block is displayed.  
Step16 Press the  
key. The recorder stores these  
START STOP  
parameters and displays the clock, (because the current  
start time of the fourth block is the same start time of the  
first block).  
Page 18  
Selection for the Automatic Measurement  
Initializing the recorder  
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De le ting Old Da ta  
Ca ution  
Whe n the d a ta is to b e d e le te d , c onfirm tha t the d a ta ha s  
a lre a d y b e e n tra nsfe rre d a nd sa ve d . It is not p ossib le to  
re c ove r d a ta tha t ha s b e e n d e le te d .  
It is not p ossib le to c om p le te ly d e le te d a ta , if the  
START STOP  
ke y is re le a se d while the b e e p e r sound s a t Ste p 2.  
Steps for deleting old data  
Step 1  
Press and hold the  
key until  
is displayed. If you want  
START STOP  
to cancel this process, press the  
key.  
AUTO ON/OFF  
Step 2  
Press and hold the  
key once more until the beeper becomes silent.  
START STOP  
Re se tting the Re c ord e r  
If the recorder does not work correctly, press the reset key. The recorder  
deletes all data and parameters. The internal system is initialized.  
Ca ution  
All d a ta a nd p a ra m e te rs a re d e le te d a nd p re se t initia l p a -  
ra m e te rs a re re se t.  
Do not p re ss the re se t switc h too ha rd . Pre ss this ke y g e ntly so  
a s not to d a m a g e the c om p one nts insid e .  
Ke e p fore ig n m a tte r a wa y from the re se t switc h hole .  
Steps for reset  
Reset key  
Step 1  
Open the battery cover.  
ST  
AR  
ST  
OP  
T
SYS/INTER  
DIA  
PULSE/TIME  
AUT  
ON/OFF  
O
Step 2  
Step 3  
Step 4  
Step 5  
Step 6  
Turn off the power switch.  
VA  
L
0
1
2
3
4
5
6
7
8
9
0
1
2
A
I
R
Remove the batteries from the recorder.  
Press the reset key gently.  
ON  
O
Place new batteries in the recorder.  
Turn on the power switch. The recorder sounds the  
buzzer four times and E0 0 is displayed blinking.  
Step 7  
Set the parameters for the display and clock. Also,  
adjust the parameters for automatic measurement.  
Page 19  
Initializing the recorder  
Deleting Old Data  
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Pre p a ring the p a tie nt  
Pa tie nt instruc tions  
Advise the patient on how to cope with mis-operation and contingencies.  
Cautions during automatic measurement  
Patient should relax and be quiet, when the recorder starts inflating the cuff.  
Minimize noise and movement during the measurements.  
The recorder displays the patient's blood pressure within one minute after the  
measurement.  
There is the possibility of re-measuring the blood pressure after the last  
measurement. Thisoccurswhentherecorderdidnotacquireusabledataand  
thefrequencyoftheintervalisabove10minutes.Thepatientshould relaxand  
not move during the measurement.  
Discontinue use of recorder if the patient feels pain in his arm.  
Stopping or canceling an automatic measurement  
When the patient needs to stop a measurement, press the  
key.  
START STOP  
The recorder beeps, releases the air in the cuff and an error is displayed. The  
recorder will inflate the cuff for the next time period automatically.  
When the  
key is pressed and held for approx. 3 seconds, the  
AUTO ON/OFF  
recorder exits the automatic measurement mode and the "A" disappears.  
Conversly, by pressing the key again, the "A" will reappear.  
AUTO ON/OFF  
Manual measurement  
For the patient to start a measurement at once, press the  
key.  
START STOP  
For the patient to stop this measurement, press the  
key.  
START STOP  
Attention while attaching the cuff and recorder  
Do not drop or shake the recorder.  
The recorder and cuff are not water resistant. Prevent excessive moisture  
wetting the recorder and cuff.  
Do not place anything on the recorder.  
Prevent the air hose from disconnecting during sleep. Affix the air hose to the  
patient's body only as shown on page 24.  
Replacing the batteries  
Replace with new batteries quickly, when "B" is displayed.  
Page 20  
Patient Instructions  
Preparing the patient  
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Use of the c uff c ove r  
Step 1  
Step 2  
Pass the air hose through the slit.  
Place the cover on the cuff as shown. Link them using the three velcro strips.  
Velcro  
Slit  
Cuff cover  
common use  
Velcro  
Velcro  
Slit  
Velcro  
Slit for air hose  
Air hose  
Velcro  
Velcro  
Air hose  
Slit for air hose  
Right arm cuff  
Left arm cuff  
Atta c hing the c uff a nd re c ord e r  
Ca ution  
The standard cuff that is included with the TM-2430 is a left arm cuff.  
Ifthecuffisnotattachedatthecorrectposition, therecordermaynotmeasure  
the blood pressure correctly and an error may occur.  
The left cuff is for use on the left arm of about 20cm ~ 31cm. If you need a  
different cuff, purchase a cuff of the proper size and arm position. Refer to  
"Option and Accessories".  
Do not use, if the patient has dermatitis, etc.  
Keep the cuff clean. Exchange the cuff cover for each patient. The cuff cover  
may be used for both right or left.  
Steps for attaching the cuff and recorder  
Step 1  
Make a circle where the end of the cuff is passed through the ring.  
Step 2  
Search for the brachialis artery using palpation.  
Page 21  
Initializing the recorder  
Use of Cuff Cover  
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Step 3  
Step 4  
Step 5  
Attach the cuff directly against the skin so that the yellow mark is directly over  
the brachialis artery and space it one inch above the inside of the elbow and  
the lower edge of the cuff .  
Wrap the cuff so that the ring is within the slide range, it is flat and does not  
slip down, but has room to insert two fingers. (If the ring is not within the slide  
range, you need a proper cuff.)  
Position the air hose over the shoulder and affix it on the patient using adhesive  
tape.  
Step 6  
Step 7  
Assemble the belt and carrying case.  
Positionthebeltsothatthecarryingcaseisontheright(left)sideofthepatient,  
when a patient attaches left (right) arm cuff.  
Step 8  
Step 9  
Connect the air hose plug to the air socket.  
Place the recorder into the carrying case.  
Ca ution  
Ring  
Cuff  
Do not disturb the cuff or air hose  
duringthemeasurementbecause  
the recorder measures small  
pressure variations.  
Slide Range of Ring  
Tape  
Ring  
Yellow mark  
Appox. 3 cm ~ 5cm  
(Approx. 1in.~ 2ins.)  
Air hose plug  
A
I
R
L
Air socket  
Main body  
V A  
P U L S E / T I M E  
O
D I A  
S Y S / I N T E R  
O N / O F F  
A U T  
O P  
S T  
S T  
T
A R  
Artery  
Belt  
Cuff  
Carrying case  
Ring  
Page 22  
Attaching the Cuff and Recorder  
Initializing the recorder  
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Pre p a ra tion of the Ca rrying Ca se  
Use the belt or shoulder band to attach the carrying case.  
We recommend the belt be used for added stability.  
Using the Belt  
Step 1  
Insert the belt into the hole of  
Carrying case  
the carrying case.  
Step 2  
Pull the belt from the hole of  
the carrying case.  
Step 2  
Step 1  
Example  
Step 5  
Step 3  
Step 4  
Passthebeltthroughthering.  
Step 3  
Thread the belt through the  
front-hole and the rear-hole  
of the hook.  
Ring  
Belt  
Front-hole  
Rear-hole  
Step 5  
Insertthebelttotheringagain.  
Hook  
Step 4  
Using the Shoulder Band  
Buckle  
Step 1  
Step 1  
Insertthebandintothebuckle.  
Step 2  
Step 3  
Pass the belt through the ring.  
Step 2  
Thread the belt through the  
buckle.Seeillustrationonright.  
5
Step 3  
Example  
Page 23  
Initializing the recorder  
Attaching the Cuff and Recorder  
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Op e ra tion  
Autom a tic Me a sure m e nt  
Ca ution  
Automatic measurement uses the internal clock and parameters of automatic  
measurement. Refer to section "Parameters for the Display and Clock" and  
"Selection for the automatic measurement" for setting these parameters.  
Pressandholdthe  
keyforapprox.3secondssoastoturnoff"A"symbol  
AUTO ON/OFF  
on display, when the patient stops the automatic measurement or detaches the cuff.  
If the automatic measurement mode is running without a patient arm or resistance,  
damage will occur to the cuff.  
Starting or re-starting automatic measurement mode  
Step 1  
Confirm the parameters for automatic measurement. Refer to "Selection for  
the automatic measurement".  
Step 2  
Press and hold the  
key for about 3 seconds. When the "A" is  
AUTO ON/OFF  
displayed the recorder starts an automatic measurement based on the  
internal clock and the parameters for automatic measurement.  
Operation using mode II (Sleep mode)  
Step 1  
Press the  
key turning off the "S" when the patient wakes up.  
AUTO ON/OFF  
Step 2  
Press the  
key turning on the "S" when the patient goes to bed.  
AUTO ON/OFF  
Stopping or canceling automatic measurement  
Step 1  
When the  
key is pressed for about 3 seconds the recorder exits  
AUTO ON/OFF  
the automatic measurement mode and the "A" disappears. Conversly, by  
pressing the key again the "A" will reappear.  
AUTO ON/OFF  
Ma nua l Me a sure m e nt  
Step 1  
Press the  
key. The recorder starts a measurement at once. The  
START STOP  
results are displayed and stored in memory.  
To stop a Curre nt Me a sure m e nt  
Step 1  
Press the  
key during measurement. The recorder will stop the  
START STOP  
measurement at once and releases the air from the cuff.  
Page 24  
Automatic Measurement  
Operation  
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Da ta Tra nsfe r  
The recorder transfers data to a printer or computer using the RS-232C  
terminal.  
We recommend analysis of the data using the optional "Doctor Pro" analysis  
software.  
Ca ution  
Cap the RS-232C terminal to prevent dust and foreign matter from entering  
when this terminal is not in use.  
Remove the recorder and cuff from the patient, when the recorder is  
connected to a printer or computer.  
Da ta Tra nsm ission to a Printe r  
Ca ution  
The recorder intensely consumes the battery power while connected to the  
RS-232C cable. Disconnect the cable when not actually transferring data.  
Maintain the power-on state while transmitting the data so that the data  
successfully transmitted.  
The RS-232C cable is required when connecting to a printer.  
Theprinter(toprintthedata)musthaveaserialinterfaceandadapttotheRS-  
232C protocol of the recorder.  
Specifications for an adaptable printer  
Transmission  
EIA RS-232C  
Asynchronous, bi-directional, half duplex  
Baud rate  
Start bits  
9600 bps  
1 bit  
Data bits  
8 bits  
Parity bit  
None  
Stop bits  
2 bits  
X parameter  
ETX/ACK  
DSR  
Not used  
Not used  
Not used  
ASCII  
Code  
Command  
Carriage return  
Next line  
0Dh  
0Dh 0Ah  
0Ch 0Dh  
Automatic  
72 min.  
approx. 32Kbytes  
Next page  
Next page  
Characters per line  
Buffer size  
Printer parameters  
Page 25  
Data Transmission to a Printer  
Data transfer  
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Steps for data transmission  
Setup for  
printer  
Step 1  
Enter the parameters into the printer so that the data  
can be transmitted.  
Connection  
Step 2  
Connect the cable to both the recorder and printer.  
Then the recorder displays  
. Refer to "Analy-  
sis Software and Communication Cable" about the  
cable.  
On line  
(Ready)  
Step 3  
Step 4  
Step 5  
Step 6  
Set the printer to "ON LINE".  
Start Stop  
Pressthe  
key. Then  
isdisplayed  
is dis-  
START STOP  
and the data is transmitted.  
When the transmission is finished,  
played.  
Remove  
the cable  
Remove the cable at once. The clock is displayed.  
Print sample  
=======================ABPM=DATA=TABLE========================  
=No.======Date=====Time=|=SYS(mmHg)==DIA(mmHg)==PUL(bpm)==ERR  
--------------------------------------------------------------  
1
2
`97/=5/17 7:43 |  
`97/=5/17 8:00 |  
`97/=5/17 8:30 |  
`97/=5/17 9:00 |  
`97/=5/17 9:30 |  
`97/=5/17 10:00 |  
`97/=5/17 10:30 |  
`97/=5/17 10:35 |  
`97/=5/17 11:00 |  
`97/=5/17 11:30 |  
`97/=5/17 12:00 |  
`97/=5/17 12:30 |  
103  
119  
125  
122  
115  
118  
-
65  
79  
88  
84  
87  
76  
-
55  
65  
132  
116  
63  
61  
-
-
-
3
-
4
-
5
-
6
-
7
08  
8
116  
114  
122  
123  
112  
82  
75  
81  
86  
76  
68  
62  
94  
88  
65  
-
-
-
-
-
9
10  
11  
12  
Page 26  
Data Transfer  
Data transmission to a printer  
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Da ta Tra nsmission to a Computer Using Ana lysis Soft-  
wa re  
Ca ution  
The recorder intensely consumes the battery power while connected to the  
RS-232C cable. Disconnect the cable when not actually transferring data.  
Maintain the power-on state while transmitting the data so that the data is not  
damaged.  
Steps for data transmission  
Connection  
Step 1  
Connect the cable to both the recorder and printer. The  
recorder displays . Refer to "Analysis Soft-  
ware and Communication Cable" about the cable.  
Step 2  
Step 3  
Read the data using the optional analysis software.  
Refer to the software instruction manual.  
Reading data  
with sofware  
Remove  
the cable  
Remove the cable at once. The clock is displayed.  
Page 27  
Data Transmission to the Computer with Analysis Software  
Data transfer  
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Op tions a nd a c c e ssorie s  
Ana lysis Softwa re a nd Com munic a tion Ca b le s  
The ABPM Data Analysis Software is a powerful tool for analyzing ambulatory blood  
pressure data. The following features are incorporated in this program:  
• Statistical Analysis Statistical data may be viewed in full, partial, sleep,  
and awake periods by switching between clearly  
labeled tabs.  
• Graphical Data  
• Data Conversion  
• Printed Reports  
• On-line Help  
Systolic/diastolic blood pressure, mean arterial blood  
pressure, and pulse data are displayed graphically to  
quickly determine patterns or trends in the data.  
DataConvertfeatureautomaticallystoresbloodpres-  
sure and pulse data in standard (CSV) file format for  
use with popular spreadsheet programs.  
Custom data reports formats are easily defined and  
printed. "mini-report" feature automatically prints a  
compact summary report.  
Built-in Help feature provides context-sensitive help  
at any time.  
• Maximum Time  
Period  
Doctor Pro uses up to one week's data starting from  
the oldest reading.  
Delete the old data in the recorder.  
• Maximum number A maximum of 896 readings can be downloaded  
of readings  
using Doctor Pro. Doctor Pro software (TM-2430-13)  
includes diskette and communication cable  
(AX-K01502).  
Page 28  
Options and accessories  
Analysis Software and Communication  
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Cuffs a nd Othe r Ac c e ssorie s  
Cuffs ( for serial no. M0600001 to M0600500 )  
Name  
Order code  
TM2430-02  
TM2430-06  
TM2430-07  
TM2430-09  
Large cuff for left arm, 28 ~ 36 cm (11 ~ 14 inches)  
Adult cuff for left arm, 20 ~ 31 cm (18 ~ 12 inches)  
Small cuff for left arm, 15 ~ 22 cm (16 ~ 18 inches)  
Adult cuff for right arm, 20 ~ 31 cm (18 ~ 12 inches)  
Cuffs ( for serial no. M0600501 or over )  
Name  
Order code  
Large cuff for left arm, 28 ~ 36 cm (11 ~ 14 inches)  
Adult cuff for left arm, 20 ~ 31 cm (18 ~ 12 inches)  
Small cuff for left arm, 15 ~ 22 cm (16 ~ 18 inches)  
Adult cuff for right arm, 20 ~ 31 cm (18 ~ 12 inches)  
TM2430-02A  
TM2430-06A  
TM2430-07A  
TM2430-09A  
Cuff sleeves  
Name  
Order code  
Large cuff sleeve for left arm  
Adult cuff sleeve for left arm  
Small cuff sleeve for left arm  
Large cuff sleeve for right arm  
Adult cuff sleeve for right arm  
Small cuff sleeve for right arm  
2 sleeves  
2 sleeves  
2 sleeves  
2 sleeves  
2 sleeves  
2 sleeves  
AX-133003299-S  
AX-133003137-S  
AX-133003298-S  
AX-133003460-S  
AX-133003300-S  
AX-133003461-S  
Cuff cover  
Name  
Order code  
Large cuff cover  
Adult cuff cover  
Small cuff cover  
10 sheets  
10 sheets  
10 sheets  
AX-133002066-S  
AX-133002018-S  
AX-13A37410-S  
Others  
Name  
Order code  
TM-2430 Accuracy Diagnostic Kit  
Recording sheet  
Carrying case  
TM2430-90  
AX-PP155-S  
AX-003001955  
10 sheets  
Page 29  
Cuffs and Other Accessories  
Options and accessories  
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Maintenance  
Checking Accuracy  
Required equipment  
Accurate office mercury sphygmomanometer or aneroid gauge with inflation  
system.  
TM-2430 Accuracy Diagnostic Kit (TM2430-90).  
A rigid cylinder sized to fit the cuff pressured.  
Steps for checking accuracy  
Step 1 Turn off the TM-2430 and remove the air hose from the unit.  
Step 2 Construct the check system as this drawing.  
(not included)  
Mercury sphyg-  
momanometer  
START STOP switch  
Recorder  
300  
280  
260  
240  
220  
200  
180  
160  
140  
120  
100  
80  
60  
40  
20  
0
Inflator bulb  
O F F  
2
S T  
O P  
1
0
0
O N  
S T  
A R  
1
2
3
4
5
8
9
T
O N / O F F  
A U T  
O
P U L S E / T I M E  
D I A  
S Y S / I N T E R  
Cuff  
A
I
R
V A  
L
Exhaust valve and  
adjustment screw  
Power switch  
A rigid cylinder  
TM-2430 Accuracy  
Diagnostic Kit  
Step 4 Turn on the power switch, when you press and hold the  
The TM-2430 blinks the "0" of measurement value.  
key.  
START STOP  
Step 5 Squeeze the inflator bulb until cuff pressure reaches to 50 mmHg.  
Verify that the difference between the blinking display of TM-2430 and  
mercury sphygmomanometer is within 3 mmHg.  
Step 6 Squeeze the inflator bulb until cuff pressure reaches to 150 mmHg.  
Verify that this difference is within 3 mmHg.  
Step 7 Squeeze the inflator bulb until cuff pressure reaches to 250 mmHg.  
Verify that this difference is within 3 mmHg.  
Step 8 Release the cuff air, turn off the TM-2430 and remove the kit.  
This blood pressure recorder is a precision instrument. Contact your nearest  
A&D office for this inspection, if you need repair.  
Page 30  
Checking Accuracy  
Maintenance  
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Cleaning the cuff and recorder  
Before cleaning the recorder, remove the battery cover and turn the power  
switch off. Remove the batteries.  
The recorder is not water resistant, do not allow liquids to splash on or get into  
the case while cleaning.  
After each use, wipe the case of the recorder with a clean lint free cloth,  
moistened with water and a mild detergent.  
Do not use antiseptic solutions, Alcohol, etc., to clean the recorder, hose or cuff.  
Clean the cuff cloth and cuff cover by washing in water with a mild detergent.  
Do not scrub or wring them by hand. If the cuff cloth and cuff cover become  
contaminated, replace them with new covers.  
Periodical inspection  
This blood pressure recorder is a precision instrument. Please inspect the  
functions (every year) periodically. Contact your nearest A&D office for this  
inspection.  
Problem solving  
Caution  
Do not open the case of the recorder because it uses delicate electrical  
components and an intricate air unit that could be damaged.  
If you can not locate and fix the problem, request service from your supplier,  
or from the A&D service group.  
A&D service group will support authorized suppliers with technical informa-  
tion, spare parts and units.  
Problem  
Cause  
Treatment  
No display at turn-  
ing on.  
Battery power has been  
consumed.  
Replace with new batteries  
Data lost while re-  
placing batteries.  
Unable to charge the in-  
ternal sub battery.  
Set monitor for clock display  
mode for approx. 24 hours. Do  
not take BP measurement. The  
sub-batterybatterychargesdur-  
ing clock display mode.  
No pressure.  
Air leakage at the con-  
nector, hose or cuff.  
Confirm the cuff and air hose  
are not damaged and are con-  
nected correctly.  
Page 31  
Maintenance  
Cleaning the Cuff and Recorder  
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Error codes  
Caution  
The error code updates without announcement.  
Error  
code  
Meaning  
Status  
Operation and Treatment  
E00 No clock  
All parameters are lost.  
Reset status.  
Enter clock parameters. Refer to  
"Setup of display and clock"  
parameter  
E03 Pressure zero  
error  
An error code is displayed Release the air from the cuff  
without cuff inflation.  
completely.  
E04 Low battery  
Measurement is stopped. Replace with new batteries.  
An error code is displayed. Restart the auto mode if you use it.  
Auto mode is quit.  
E05 Inflation error  
Inflation pressure does not Wrap the cuff and connect to main  
reach the target pressure. unit exactly. If you can not clear the  
error, there may be an air leak and  
repair is necessary  
E06 Above 320mmHg An error code is displayed. Do not move and try to relax during  
the measurement. If you can not  
clear the error, the product will  
requier repair.  
E07 Controlled stop  
Air is exhausted. An error Do not press the STOP key if you do  
using STOP key code is displayed.  
not need to use it.  
E08 Pulsation can not Measurable pulsation is  
Do not move and try to relax during  
the measurement. The error occurs  
be measured  
searched to 20mmHg in  
constant exhaust. An error when measurable pulsations are not  
code is displayed.  
received due to thick cloth or quick  
motion.  
E10 Pulsations can not In the measurement, Quick Do not move and try to relax during  
be detected  
because the  
exhaust is executed. An  
error code is displayed.  
the measurement.  
patient may have  
moved.  
E20 Pulse rate < 30  
200 < Pulse rate  
E21 DIA < 40  
160 < DIA  
An error code is displayed. Measure the blood pressure by other  
methods.  
DIA : Diastolic Blood Pressure  
E22 SYS < 60  
280 < SYS  
SYS : Systolic Blood Pressure  
DSD : The Difference between Systolic Blood Pressure  
: and Diastolic Blood Pressure.  
E23 DSD < 10  
150 < DSD  
Page 32  
Error Code  
Maintenance  
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Error  
code  
E30 Measurement is  
Meaning  
Status  
Operation and Treatment  
Repair is necessary because of slow  
inflation or slow constant exhaust.  
Air is exhausted from the  
greater than 120 cuff, and an error code is  
seconds.  
displayed.  
Repair is necessary because of slow  
constant exhaust.  
E31 The constant  
Air is exhausted from the  
exhaust is greater cuff, and an error code is  
than 60 seconds. displayed.  
If you not clear this error, the product  
needs repair.  
E32 Clock error.  
An error code is displayed.  
Release the air from the cuff com-  
pletely, reset the product. If you not  
clear this error, repair is necessary.  
The product needs repair.  
E50 Pressure offset  
An error code is displayed  
error to measure at restarting the product.  
pulsation.  
E52 Memory error.  
An error code is displayed  
at restarting the product.  
Replace batteries correctly. If you can  
not clear this error, the product needs  
repair.  
E53 Battery contact is The measurement is  
defective.  
stopped, air is released  
from the cuff and an error  
code is displayed.  
Relax and do not move during the  
measurement. If this error occurs  
many times, repair is necessary.  
Enter parameters for the interval  
correctly.  
E55 Exhaust error.  
An error code is displayed  
at measurement.  
E56  
E57  
E60 Interval setting  
error.  
Start time is not proper,  
interval of last block is not  
set in the unit of 120 min.  
The error code is displayed  
during communications.  
Re-connect the communication cable.  
If you can not clear this error, the  
product needs repair.  
E70 RS-232C error.  
E71  
E72  
E73  
Replace batteries with new ones and  
restart communication.  
E74 Low battery for  
communication.  
E75 Protcol error due  
to external  
Re-connect the communication cable.  
If you can not clear this error, the  
product needs repair.  
equipment.  
Release the air from the cuff  
completely.  
E90 Pressure zero  
error for safety  
circuit.  
This error code is  
displayed before the  
measurement.  
Relax and try to quiet during the  
measurement. If it occurs in quiet, the  
recorder needs repair.  
E91 Safety circuit  
Patient moved during the  
detects over load measurement.  
pressure.  
Reset. Turn on power switch again.  
Monitor code is displayed.  
Other  
Page 33  
Maintenance  
Error Code  
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MEMO  
Page 34  
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