Instruction Manual
Manuel d’instructions
Manual de instrucciones
Manuale di Istruzioni
使用手冊

1WMPD4002949D

Original
Traduction
Traducción
Traduzione
翻譯Contents
Dear Customers .................................................................... 2
Preliminary Remarks ............................................................. 2
Precautions ........................................................................... 2
Parts Identification ................................................................ 6
Symbols ................................................................................ 7
Mode list ............................................................................ 10
Using the Monitor ............................................................... 11
Installing / Changing the Batteries ................................. 11
Connecting the Air Hose ................................................ 11
Connecting the AC Adapter ............................................ 12
Recharging the Battery ................................................... 12
Operation ........................................................................... 13
Standby mode ................................................................ 13
Measurement standby mode .......................................... 13
Measurement with the SET Pressure ............................... 14
Auscultation setting ....................................................... 15
Auscultation exhaust speed changing ............................ 15
Adjusting the Built-in Clock ........................................... 16
Clock display setting ...................................................... 17
Auto power OFF time setting .......................................... 17
Room temperature unit changing ................................... 18
Pressure confirmation mode .......................................... 18
Recalling the Memory Data ................................................. 19
Recalling the Memory Data............................................. 19
Deleting all Data Stored in Memory ................................ 20
Measurements .................................................................... 21
Selecting the Correct Cuff Size ....................................... 21
Applying the Arm Cuff ................................................... 21
Normal Measurement ..................................................... 22
Auscultation measurement ............................................ 23
After Measurement ........................................................ 24
Notes for Accurate Measurement ................................... 24
Unplug the AC adapter ................................................... 24
Removing the battery ..................................................... 25
What is an Irregular Heartbeat............................................. 26
Troubleshooting ................................................................. 26
Maintenance ....................................................................... 27
Technical Data .................................................................... 30

English 1

Dear Customers
Congratulations on purchasing a state-of-the-art A&D blood pressure
monitor, one of the most advanced monitors available today. This device
is designed for ease of use and accuracy.
We recommend that you read through this manual carefully before
using the device for the first time.

Preliminary Remarks
This device conforms to the European Directive 93/42 EEC for Medical
mark of conformity.
Products. This is made evident by the(0123: The reference number to the involved notified body)
Intended user: The device is designed to be used by medical workers.
The device is designed for use on adults and children of age 3 years andolder.
Environment for use: The device is designed to be used in the medical
facilities.
This device is designed to measure blood pressure and pulse rate of people
for diagnosis.
Operating principle: This device is an oscillometric sphygmomanometer.
When the cuff pressure is pressurized above systolic blood pressure andthen is gradually depressurized, the pulsation phenomenon synchronizedwith the heart beat appears in the cuff pressure. This pulsation starts
small at the beginning, becomes large as the pressure decreases,
eventually shows the maximum amplitude, then decreases again, andultimately creates a mountain-shaped pattern. This oscillometric-typesphygmomanometer analyzes the signal information of this pulsation witha microcomputer and determines systolic blood pressure and diastolicblood pressure values.

Precautions
Installation or storage location for the device
Do not use the device where flammable gases such as anesthetic gases
are present. It may cause an explosion.
Do not use the device in highly concentrated oxygen environments, suchas a high-pressure oxygen chamber or an oxygen tent.
Extremes in room temperature, humidity, direct sunlight, shock or dust
should be avoided.
Use or keep the device in a stable location where there is no slope, novibration and no mechanical shock (including when shipping).
Use or keep the device in a location where the chemicals, medicines orgases are not present.
English 2

The device and cuff are not water resistant.
Measurement may be distorted if the device is used close to televisions,microwave ovens, cellular telephones, X-ray or other devices with strong
electrical fields.
A strong shock to the device may result in mechanical error or possible
injury due to debris.
Avoid tightly folding the cuff or storing the hose tightly twisted for long
periods, as such treatment may shorten the life of the components.
Confirmation before use
Confirm that the device is safe and secure for accurate operation.
Operate the device using the provided specified AC adapter.
Only the specified options and consumables are allowed for use with thisdevice.
When reusing the device, confirm that the device is clean.
Do not apply the cuff to an arm if another electrical medical device isalready attached.
Do not apply the cuff on an arm receiving an intravenous drip or bloodtransfusion. It may cause injury or accidents.
This device is intended for use by doctors and clinical workers only in a
medical environment. The monitor was not designed for patient’s own use
so care must be taken to ensure accurate results and avoid possible
accidents.
Do not use the device in an ambulance or ambulance helicopter.
Doing so will prevent the device from providing accurate measurements.
Do not use the device where plugging and unplugging of the AC adapter
may be difficult.
Clinical testing has not been conducted on newborn infants and pregnant
women. Do not use on newborn infants or pregnant women.
Do not use on patients with blood flow disorders.
Do not use on patients that are using heart-lung support equipment.
Confirm that there is no harm to the patient when the cuff is applied to thepatient’s arm and if the patient has had a mastectomy then avoid theadjacent arm.
Precautions during use of the device
When error display appears on the device or there are some doubts in themeasurement values, confirm the patient’s vital signs by using thepalpation or auscultation method. Check that the air hose has not been
bent or blocked.
Should an error appear on the device, or if the patient feels discomfort,
stop the device and take the proper corrective action to regain a safe
environment.
Do not wrap the cuff on the arm with a wound. That may not only result inreopening the wound but could also cause an infection.
Ensure that the position of the applied cuff is at the same level as the heart.
(Otherwise, the blood pressure value results in an error.)English 3

Do not start to measure the blood pressure without wrapping the cuff
around the arm. That may result in the cuff bursting or other damage.
Regularly confirm patient status when the measurement is performed
frequently or for a long time. Otherwise, it may cause damage due toperipheral arterial disease.
Use the device so that the air hose is not bent or blocked. Using the cuff
with the air hose kinked or bent may result in peripheral circulatory failure
due to hemostasis in the arm (caused by air remaining in the cuff).
Do not apply excessive force to the AC adapter cable, such as lifting thedevice or pulling the AC adapter out by holding the AC adapter cable.
Do not pull out or do not connect the specified AC adapter with a wet hand.
That may result in an electrical shock or getting a burn.
While measuring, do not connect or disconnect the AC adapter or battery or
perform maintenance on them.
Do not simultaneously touch the DC jack and the patient. That may result inelectrical shock.
To measure blood pressure, the arm must be squeezed by the cuff hardenough to cause some numbness and possibly a temporary red mark to
the arm.
Follow local instructions specified in the hospital when the cuff is used on
several or infectious patients. Otherwise cross infection may result.
If the patient has a very weak or irregular heart beat, the device may havedifficulty in determining the blood pressure.
Should the battery short-circuit, it may become hot and potentially causeburns.
Note
Do not modify the device. It may cause accidents or damage to the device.
The patient should be relaxed and avoid moving or talking during
measurement. Otherwise that may result in a measurement error.
To ensure accurate measuring, we recommend measuring the bloodpressure after being in a relaxed state for at least five minutes.
Care for after use
When the cuff is infected by blood or body fluid, it should be safely
disposed of according to local instructions or protocol to avoid any potential
spread of infectious disease.
Clean the device and cuff with a dry, soft cloth or a cloth dampened withwater and a neutral detergent. Never use benzene, thinner or other harshchemical to clean the device. For full details please read page 28.
When carrying out maintenance on the device, turn the power off andremove the power cable from the outlet to prevent a risk of electrical shock.
Do not spray, do not pour or do not spill a liquid on the main body,accessories, connectors, buttons or outlet ports.
Do not perform autoclave or gas sterilization (EOG, formaldehyde gas or
high concentration ozone etc.) on the device as this could result in
degradation.
English 4

The user authority (the hospital, clinic, etc.) is responsible for the safe use
and maintenance of this electronic medical device. Care should be taken tofollow the specified daily maintenance and inspection procedures for safeuse.
Store the cuff, air hose, and rubber bulb so that they are not bent or
blocked. Doing so may cause an accident or damage to the device.
Specified battery pack
Only the specified battery pack is allowed to be used with this device.
Used equipment, parts and battery are not treated as ordinary household
waste, and must be disposed of according to the applicable local
regulations.
Be sure to remove the specified AC adapter from the device when thespecified battery pack is being re-installed in the device. Otherwise that
may result in an electrical shock.
Remove the specified battery pack from the device, and keep it elsewhere
if you are not going to use the device for a month or more. Recharge thebattery once every six months. Otherwise the battery may degrade.
Be sure to use the device after the battery was recharged. Otherwise that
may avoid from proper use for the device using the battery in emergency.
If liquid leaked from the specified batteries gets into the eyes, avoid rubbing
the eye and fully rinse the liquid off using water, then immediately seek
medical attention.
The specified battery pack should be used only on this device. Do not heat
the battery pack, or do not break it up. That may cause a heat generation,
catching fire, short circuit or explosion.
Do not apply a pressure or mechanical shock to the specified battery pack.
That may result in an expansion or explosion.
Replace the specified battery pack with new one when the measurement
time with this device is extremely short even after fully recharging.

English 5

Parts Identification
Display

Cuff Holder
Air Socket

DC Jack

Air Connector Plug

ButtonButtonAir Hose
Arm Cuff

MODE Button
START / STOP Button

Battery
Compartment
AC adapter

Battery CoverSpecified battery

Display

AC cablePressure Settings

MEMORY

I.H.B. Symbol(Irregular heartbeat symbol)

Systolic
PressureHeart Mark
Additional Pressurization Mark
Auscultation MarkRecharging Indicator
Battery Indicator- Year Display- Memory Number
AM / PM MarkEnglish 6

C
F

Diastolic
Pressure
Room Temperature
Display
Pulse Rate

Month / Date Display
Clock Display

Symbols
Symbols that are printed on the device case and the AC adapter
Symbols

SYS

Function / Meaning
Recommended Action
The blood pressure measurement isstarted when the START/STOP button
is pressed at the standby mode.
The blood pressure measurement is stopped
when the START/STOP button is pressed
during measuring the blood pressure.
The device proceeds to standby mode
when the START/STOP button ispressed for at least three seconds.
Systolic blood pressure in mmHg

DIA

Diastolic blood pressure in mmHg

PUL

Pulse per minute
Direct current

SN

Serial number
Date of manufacture
Type BF: Device, cuff and tubing aredesigned to provide special protection
against electrical shocks.
EC directive medical device label
WEEE label
Manufacturer
EU-representative
Refer to instruction manual/booklet
Class II device
Polarity of DC jack
UL Recognized Component Marks for
Canada and the United States
Do Not Dissasemble
Indoor Dry Location Use Only
Consult the instruction manual
PSE Recognized Component
Warnig-Hot surface
English 7

Symbols that appear on the display
Symbols

Function / Meaning
Recommended Action
Appears while measurement is in progress. Measurement is in progress.
It blinks when the pulse is detected.
Remain as still as possible.
Irregular Heartbeat symbol (I.H.B.)
Appears when an irregular heartbeat
is detected.
It may light when a very slight vibration
like shivering or shaking is detected.
Previous measurements stored in memory.
Illuminates in order from bottom
when thebutton is pressed to
add the pressurization during
constant speed exhaustion at the
auscultation mode
Illuminates when the auscultation
mode is ON.
FULL BATTERY
The battery power indicator during
measurement.
LOW BATTERY
Recharge the device
The battery power is low when it
using the AC adapter.
blinks.
Illuminates when the AC adapter isconnected to the device.
Blinks while the battery is being
recharged.
Take another measurement.
Unstable blood pressure due toRemain still during
movement during measurement.
measurement.
The systolic and diastolic values arewithin 10 mmHg of each other.
The pressure value did not increase
Apply the cuff correctly,
during the inflation.
and take anothermeasurement.
The cuff is not applied correctly.
PUL DISPLAY ERROR
The pulse is not detected correctly.

English 8

Blood pressure monitor internal error

AM
PM

Means morning when the clockfunction is set to 12H display.
Means afternoon when the clockfunction is set to 12H display.
Pressure settings
Indicates the pressure value
previously set by the user.

Room
Means Celsius or Fahrenheit ofTemperatureroom temperature.
(°C, °F)

English 9

Remove the batteries andpress the START/STOP
button, and then install thebatteries again. If the error
still appears, contact the
dealer.

Mode list
Mode No.

Mode namePressurization
value setting
Auscultation
settingFunctionA pressurization value at the bloodpressure measuring can be changed.
A setting about whether the auscultation
measurement is carried out at the bloodpressure measuring is possible.
Auscultation
An exhaust speed for when theexhaust speed
auscultation measurement is performedchanging
can be switched between “Hi” or “Lo”.
Clock setting
A current date and time can be set.
Clock display
A clock display can be switched between
setting
12H or 24H.
Auto power OFF
A time for timeout for when no operation
time setting
is made can be switched between “5” or“10” minutes.
Room temperature A unit for displayed room temperature canunit changing
be switched between °C or °F.

English 10

Using the Monitor
Installing / Changing the Batteries

Step 2
1. Confirm that the AC adapter is removed
from outlet.
2. Remove the screws that secure thebattery cover on the rear side of the main Step 3
body.
Battery cover
3. Remove the battery cover.
4. Connect the battery’s connector while
pushing the hook at the left side to theStep 4connector in the battery compartment.
5. Close the battery cover.
6. Secure the battery cover by using thescrews.
Battery
CAUTION
When(LOW BATTERY mark) blinks on the display, recharge the battery.
Replace the battery two seconds or more after the device turns off.
If
(LOW BATTERY mark) appears even after the battery is replaced, make a
blood pressure measurement. The device may then recognize the new battery.
(LOW BATTERY mark) does not appear when the battery is drained.
The battery life varies with the ambient room temperature and may be
shorter at low room temperatures.
Use the specified battery only.
Remove the battery if the device is not to be used for a long time.
The battery may leak and cause a malfunction.
Exchange the battery with new one when an operation time using thebattery with this device is extremely short even after recharging.
We recommend exchanging the battery once every two years.
Be sure the time was reset when the battery was replaced.

Connecting the Air Hose
Insert the air connector plug into
the air socket firmly.

Air connector plug

Air socketr socketEnglish 11

Connecting the AC Adapter
Insert the AC adapter plug into the
DC jack.
Next, connect the AC adapter to anelectrical outlet.
Use the specified AC adapter.
(Refer to page 30.)

AC adapter plugDC jack

Note: The device is operated using the battery when the power is not
supplied to the main body from the AC adapter.

Recharging the Battery- By connecting the AC adapter to the device, the recharging is started.
- The recharging completes about four hours after the AC adapter isconnected to the device.
- The recharging mark () blinks during recharging.

- The recharging mark continues to illuminate when completing recharging.
Note: A certain amount of time is required for the device temperature
display to reach room temperature after recharging.

English 12

Operation
Standby mode
- The device goes into standby mode when the power is turned on, and acurrent room temperature is displayed at the display for diastolic pressure.
- The device proceeds to standby mode when the START/STOP button ispressed and held, or no operation is made for a regular time at all status
other than blood pressure mode and auscultation mode.
or button to read out the memory.
- Press the- Press the MODE button to proceed to the pressurization value settingmode.
- Press and hold the MODE button to proceed to the clock setting mode.
- Press the START/STOP button to start the measurement.

Measurement standby mode
- The device proceeds to measurement standby mode when the auscultation
mode is set to OFF at the auscultation setting mode, or the MODE button ispressed at the auscultation exhaust speed changing mode, or themeasurement is stopped.
- Also, the device proceeds to measurement standby mode when themeasurement is completed. In this case, the device remains measurement
results displayed.
or button to read out the memory.
- Press the- Press the MODE button to proceed to the pressurization value settingmode.
- The device proceeds to the standby mode automatically after a regulartime.
- Press the START/STOP button to start the measurement.
A current temperature
is displayed.
The display defers
depending on asetting.

Standby mode

Measurement standby mode
English 13

Model UM-211 is designed to detect the pulse and to inflate the cuff to asystolic pressure level automatically.
If re-inflation occurs repeatedly, use the following methods.

Measurement with the SET Pressure
During the blood pressure measurement, re-inflation may occur.
A fixed pressure value can be set to avoid re-inflation.
1.

Press the MODE button to go to thepressurization value setting mode. The
current setting blinks.

2.

orbutton to select a pressure
Press thevalue about 30 mmHg or more above yourexpected systolic pressure from the following.
AUTO : Automatic pressurization (default value)
220 : Pressure value of 220 mmHg (fixed)
250 : Pressure value of 250 mmHg (fixed)
280 : Pressure value of 280 mmHg (fixed)

3.

Press the MODE button to go to the
auscultation setting mode.
Press the START/STOP button to start theSTARTmeasurement. The device will proceed to
STOPstandby mode automatically when no
operation is made for a regular time.
The next measurement will be performed
with the new pressure value.
The measurement
is started.

English 14

or

Auscultation
setting modeAuscultation setting
1.

2.

3.

Press the MODE button at thepressurization setting mode to go into
auscultation setting mode. The “F02” isdisplayed at the display for systolicpressure, and the current status isdisplayed at the display for diastolicpressureorbutton to switch
Press tobetween ON or OFF. The device
illuminates the auscultation mark when
the auscultation mode is set to ON.
Press the MODE button when the
auscultation mode is set to ON toproceed to auscultation exhaust speed
changing mode.
Press the MODE button when the
auscultation mode is set to OFF toproceed to measurement standby mode.
Press the START/STOP button to start
the measurement. Also, the device
proceeds to standby mode
automatically after a regular time.

Auscultation
exhaustspeedchanging mode

Measurement
standby mode

START
STOP

The measurement
is started.

Auscultation exhaust speed changing
Note: Select “Lo” when measuring normally. Should the patient pulse appear to
be 100 or higher, measuring at the “Hi” is possible.
1.

2.
3.

Press the MODE button at the auscultation
setting mode when the auscultation setting
is set to ON to go into auscultation exhaust
speed changing mode.
The “F03” is displayed at the display forsystolic pressure, and the current status
is displayed at the display for diastolicpressureor button to switch
Press tobetween Hi or Lo.
START
STOP
Press the MODE button to proceed tomeasurement standby mode.
The measurement Measurement
Press the START/STOP to start thestandby modeis started.
measurement. Also, the device
proceeds to standby mode
automatically after a regular time.
English 15

Adjusting the Built-in Clock
Adjust the clock prior to use.

Press
and hold

1. Press and hold the MODE button at thestandby mode to go into clock setting mode.
The“F10”is displayed at the display forsystolic pressure, and the far right two digitsof A.D. blink.
2. Select the year using theor button.
Year
Press the MODE button to set the current year
and move to month/day selection. The datecan be set anywhere between the years 14
and 59.
or
3. Select the month using theor button.
Press the MODE button to set the current Monthmonth and move to day selection.
4. Select the day using theor button.
Press the MODE button to set the current
day and move to hour/minute selection.
Day
5. Select the hour using theor button.
Press the MODE button to set the current
hour and move to minute selection.
6. Select the minute using theor button.
Press the MODE button while the minute isHourbeing adjusted to proceed to clock display.
orPress the START/STOP button while the time
is being set to proceed to standby mode.
Note: The device proceeds to standby mode when Minuteno operation is made for a regular time.
Holding down theorbuttonwill change the value continuously.

or

or

or

START
STOP

Standby mode

English 16

Clock display
setting mode

Clock display setting
1. Press the MODE button when theminute at the clock setting is being set
to go into clock display setting mode.
The “F11” is displayed at the display
for systolic pressure, and the “12H”
or “24H” is displayed at the display
for diastolic pressure.
orbutton to switch
2. Press to
between 12H or 24H.
Press the MODE button to proceed to
auto power OFF time setting mode. Auto power OFF
Press the START/STOP button totime setting mode
proceed to standby mode.

START
STOP

Standby mode

Auto power OFF time setting
Set a time for timeout for when no operation is made. Either of five or ten
minutes can be selected.
1. Press the MODE button at the clock
display setting mode to go into auto
power OFF time setting mode.
The “F12” is displayed at the display
for systolic pressure, and the “5” or“10” is displayed at the display fordiastolic pressure.
orbutton to switch
2. Press to
between five or ten minutes.
START
3. Press the MODE button to proceed to
STOProom temperature unit changing mode.
Press the START/STOP button to Room temperature Standby mode
unit changing
proceed to standby mode.
mode

English 17

Room temperature unit changing
A unit for displayed room temperature can be switched between °C or °F.
1. Press the MODE button at the auto
power OFF time setting mode to go
into room temperature unit changing
mode.
The “F14” is displayed at the display
for systolic pressure.
2. Press toorbutton to switch
CF
between °C or °F at the right end on
the display to switch a unit for room
temperature.
3. Press the MODE button to proceed to
Pressure confirmation mode. Press thePressure
START/STOP button to complete theconfirmation modesetting. The device proceeds tostandby mode.

Pressure confirmation mode
1. Press the MODE button at thetemperature unit changing mode to go into
pressure confirmation mode.
The current pressure value is displayed at
the display for systolic pressure anddiastolic pressure.
2. When the pressure reaches 320mmHg or
higher, the value indicated on the display
flashes 320mmHg. After that, the display
returns to previous one when the pressure
display is less than 320mmHg.
3. Press the MODE button to proceed to clock
setting mode. Press the START/STOP
button to complete the confirmation. The
device proceeds to standby mode.

English 18

Clock setting mode

Recalling the Memory Data
Note: This device stores the last 99 measurements in memory.
Press

Recalling the Memory Dataoror button to display a
1. Press themost recent memory data.
If no data, the memory number, time,
SYS, DIA and PUL is displayed in bar
display. Press the START/STOP button
to carried out the measurement.
button (or the
2. Each time thebutton to display the data in thereverse order) is pressed, the memory
data is displayed as follows.
Most recent data (No.n, in theexample, No.35)
The measurement data is displayed.

Last data (No.1)
The measurement data is displayed.

Systolic
Diastolic
Pulse
Most recent data

Systolic
DiastolicPulse
A data at one time previously

3. After the last data is displayed, press
button to display the most recent
the
data.
4. Press the START/STOP button tocarried out the measurement. The
device will proceed to standby mode
automatically when no operation ismade for a regular time.

Systolic
Diastolic
Pulse
Last data (Oldest)

When the auscultation measurement iscarried out and was completed, thedevice displays the auscultation markand measurement results without
displaying a pulse rate as shown in the
figure at the right.
English 19

Deleting all Data Stored in Memory
Press and hold the MODE button for at least threeseconds to illuminate theand battery mark
only.
Again press and hold the MODE button for at least
three seconds to delete the saved data all.
The device shows a display as shown in the figureorbutton is pressedat the right when thewhen there is no memory data in the device.

English 20

Measurements
Selecting the Correct Cuff Size

Using the correct cuff size is important for an accurate reading. If the cuff is not
the proper size, the reading may yield an incorrect blood pressure value.
The arm size is printed on each cuff.
The arm cuff is a consumable. If it becomes worn, purchase a new one.
Arm Size
Cuff Size
Symbols
Catalog Number
41cm to 50cm
LL cuff
LL
CUF-KS-LL
31cm to 45cm
LA cuff
LARGE ADULTCUF-KS-LA
22cm to 32cm
A cuff
ADULT
CUF-KS-A
16cm to 24cm
SA cuff
SMALL ADULTCUF-KS-SA
12cm to 17cm
SS cuffSS
CUF-KS-SS
Arm size: The circumference of the biceps.

Applying the Arm Cuff

1. Face the palm of the left arm upward,
and wrap the cuff around the upper arm,
about 1-2 cm above the inside of theelbow.
A range where the INDEX mark can beoverlapped on the RANGE mark shows
a proper fit range for the cuff.
2. Place the cuff on the upper arm so thatthe ● mark is overlapped on the artery.

Do not roll up shirtsleeve tightly.

3. Wrap while keeping the looseness withthe cuff around the upper arm so that itallows the one or two fingers to insert 1-2 cm
between the cuff and arm.

Artery position markCuff
Air Hose

Printing contents with the cuff
Symbols
Descriptions
Means a code for when ordering the cuff to the manufacture.
REF
Index symbol
Means the symbol for showing that the cuff is wrapped in a
INDEX
proper fit range if this symbol is within the RANGE line.
ARTERY symbol
ARTERY●
Place this symbol on the artery at the upper arm or thigh.
Means the symbol for showing the conformability mark.
Means the symbol for showing a lot number for whenmanufacturing.
LOT
The lot number is printed by the carved seal around this mark.
RANGE symbol
The index symbol with the cuff should be in a range of this symbol.
English 21

Latex free
Refer to instruction manual/booklet
Cuff Wrap position
Means the symbol for suggestions on operation.
THIS SIDETO PATIENT

Means the symbol for the patient side.

Normal Measurement
1.

Place the cuff on the arm.
Sit quietly during measurement.

2.

Press the START/STOP button.
Press
All of the display segments are displayed.
Zero (0) is displayed blinking briefly.
The display changes, as indicated in the All of the display
figure at the right, as the measurement segments displayed
begins. The cuff starts to inflate. It is normal
for the cuff to feel very tight.
Note: If you wish to stop inflation at any time,press the START/STOP button
again.
Zero display
When inflation is complete, deflation starts
Starts inflation(heart mark) blinks,
automatically andindicating that the measurement is inprogress. Once the pulse is detected, themark blinks with each pulse beat.
Pressurizing
Note: If an appropriate pressure is not obtained, thedevice starts to inflate again automatically.
MeasurementTo
avoid
re-inflation,see
in progress“Measurement with the SET
Pressure” on the next page.

3.

At heart level

4.

When the measurement is complete, thesystolic and diastolic pressure readings Systolic pressure
and pulse rate are displayed.
Diastolic pressure
The cuff exhausts the remaining air andPulse ratedeflates completely.

5.

Press the START/STOP button to carry out
the measurement again.
The device will proceed to standby
mode automatically when no operation
is made for a regular time.

English 22

START
STOP

Exhausts remaining
air automaticallyAuscultation measurement
The auscultation measurement is performed when the auscultation setting
mode is set to ON. Also, Press the START/STOP button while pressing
the MODE button to perform the auscultation measurement.
The auscultation measurement is returned to OFF automatically when thedevice goes into standby mode.
START
1. Press the START/STOP button to start
STOP
pressurization. When conditions for thepressurization to be completed will bearranged, the device starts the constant
Zero display
speed
exhaustion
after
completing
Starts inflationpressurization.
2. The device exhausts at constant speed.
Press the MODE button to confirm thesystolic pressure value. Press the MODE
button again to confirm the diastolic
Pressurizingpressure value, and the device exhausts atquick speed.
button during exhausting at Measurement
3. Press thein progressconstant speed to perform the additionalpressurization while thebutton is beingpressed. The additional pressurization
mark illuminates in order from bottom
during the additional pressurization. When
additional pressurization is applied up to
the systolic pressure value or more, thesystolic pressure value is cleared.
Note: When the device is pressured at300mmHg or more, the device The value isperforms
forcedexhaust fixed.
Decreasing byautomatically.
exhaustA mark for the additional pressurization
The diastolicpressure value isalso
confirmed,
4. Press the START/STOP button after
measuring to carry out the auscultation and themeasurement
measurement again.
completes.
Note: Allow at least three minutes
between measurements on thesame person.

English 23

After Measurement

After measurement, the device proceeds to the standby mode when the
START/STOP button is pressed and held (Three seconds). The device willproceed to the standby mode automatically when no operation is made for aregular time.
Remove the cuff and record the data.

Notes for Accurate Measurement
Let a patient sit down in a comfortable position. Confirm that the patientdoes not cross their legs, that their feet touch the floor (if possible), andthat their back and the arm being measured are supported. Let a patient
place the arm on a table with the palm facing upward and the cuff at thesame level as patient’s heart.
Let a patient relax for about five to ten minutes before taking ameasurement. If a patient is excited or depressed by emotional stress,
the measurement will reflect this stress as a higher (or lower) than normal
blood pressure reading and the pulse reading will usually be faster thannormal.
An individual's blood pressure varies constantly, depending on what apatient is doing and what a patient has eaten. What a patient drinks canhave a very strong and rapid effect on patient’s blood pressure.
This device bases its measurements on the heartbeat. If a patient has avery weak or irregular heartbeat, the device may have difficulty
determining patient’s blood pressure.
Should the device detect a condition that is abnormal, it will stop themeasurement and display an error symbol. Refer to page 7 for thedescription of symbols.
The blood pressure measurement may be affected by cuff position,
patient’s posture (standing, sitting or supine), exercise or physiologicalconditions.
The automatic blood pressure monitor's performance may be affected byextreme temperature, humidity, impact, or altitude.

Unplug the AC adapter
Unplug the AC adapter from the outlet.
Unplug the AC adapter plug from the DC
jack.

AC adapter plugDC jackEnglish 24

Removing the battery
1. Confirm that the AC adapter is removed Step 2
from outlet.
2. Remove the screws that secure thebattery cover on the rear side of the main Step 3
body.
Battery cover
3. Remove the battery cover.
4. Unplug the battery connector bydepressing the hook on the left side.
Step 4
5. Close the battery cover.
6. Secure the battery cover by using thescrews.
Battery
Note: Should both the AC adapter and battery be disconnected from thedevice, the clock is initialized.

English 25

What is an Irregular Heartbeat
The UM-211 blood pressure monitor provides a blood pressure and pulse
rate measurement even when an irregular heartbeat occurs. An irregularheartbeat is defined as a heartbeat that varies by 25% from the averageof all heartbeats during the blood pressure measurement.

Troubleshooting
Problem
Nothing appearson the display,even when the
power is turnedon.

Possible Reason
Battery is drained.

Useful life for the battery Replace the old battery with
was over.
new one.

Battery voltage is too low.
(LOW BATTERY mark)The cuff does notblinks. If the battery is
inflate.
drained completely, themark does not appear.
The cuff is not applied
properly.
Patient moved patient’s
arm or body during
measurement.
The device does
not measure.
Readings are too The cuff position is notcorrect.
high or too low.

The battery runsout soon evenafter recharging
the battery.

Recommended Action
Recharge the battery.

The battery has
exhausted.

Recharge the battery.

Apply the cuff correctly.
Make sure patient remain stilland quiet during measurement.
Sit comfortably and still.
Place patient’s arm on a table withpatient’s palm facing upward andthe cuff at the same level as
patient’s heart.
If patient have a very weak or
irregular heart beat, the device
may have difficulty in determining
patient’s blood pressure.
Replace the old battery withnew one.

Remove the batteries. Place
Other
them back properly and takeanother measurement.
Note: If the actions described above do not solve the problem, contact the
dealer. Do not attempt to open or repair this product, as any attempt todo so will make your warranty invalid.
English 26

Maintenance
MaintenanceDo not attempt to open the device as the delicate electrical components andintricate air unit inside could be damaged. If you cannot solve the problem
using our troubleshooting guide, request assistance from your authorized
dealer or from any A&D service group.
The device was designed and manufactured for a long service life. However it
is generally recommended to have the device inspected every 2 years, toensure proper functioning and accuracy. Please contact either your authorized
dealer or A &D for maintenance.

Pressure confirmation
・Example of connection

(1)
(2)

(1) Calibrated pressure gauge(2) UM-211(3) Tank：500ml(4) Pressure generating device
(4)
(3)

500ml

1. Press and hold the MODE button at standby mode. The device goes into
the built-in clock adjusting mode, and F10 is displayed at the display.
2. Press the MODE button several times to proceed to pressure confirmationmode.
* Refer to the page 18 in this manual for its setting.
3. Add the pressure using the pressure generating device once the display at
the UM-211 became
0 , and confirm the pressure at the pressuregauge and UM-211.
0English 27

Cleaning
Remove the AC adapter from the device when cleaning the device.
When the main body or cuff is dirty, wipe them fully by using a gauze or cloth
dampened with warm water and a neutral detergent avoiding excess water.
Do not use the moisten cloth etc. to wipe the DC jack and air socket. The
DC jack and air socket must remain dry.
To prevent a risk due to infection, disinfect the main body and cuff
regulary. When disinfecting them, wipe them gently by using the gauze or
dampened cloth with local antiseptic solution then wipe the moisture off
the surface by using a dry soft cloth.
Use the following disinfectants to clean the main body and cuff.
Ethanol (70%)
Isopropanol (70%)
Chlorhexidine Gluconate Solution (0.5%)
Benzalkonium Chloride Solution (0.05%)
Sodium Hypochlorite (0.05%)
Clean the device about once every month, basing on a policy or
instruction specified in the hospital or clinic.
CAUTIONThe blood pressure monitor is not waterproof device. Do not splash water
on it and avoid exposure to moisture.
Do not use a organic solvent such as thinner or benzine.
The blood pressure monitor can not be sterilized by autoclave, EOG orformaline gas etc.

Regular inspection
The blood pressure monitor is a precision device. Therefore, inspect it
regularly. Request an inspection from the dealer where you havepurchased the device when the device is in need of an inspection.
The cuff is consumable. Regularly exchange the cuff with new one.

English 28

Disposal
This equipment and battery are not treated as ordinary household waste andmust be disposed of according to the applicable local regulations.
Item
Package

Main unit andaccessories
Battery pack

Parts

Material

Box
CushionBag

Cardboard
CardboardPE

EnclosureABS, SR

Internal parts
Outer case
Cell battery
Internal parts

General electronic components
ABS
Nickel-hydrogen battery
General electronic components

English 29

Technical Data
Type

UM-211

Measurement method

Oscillometric measurement

Measurement range

Pressure: 0 - 299 mmHg
Systolic pressure: 60 - 279 mmHg
Diastolic pressure: 40 - 200 mmHg
Pulse:
40 - 200 beats / minute

Measurement accuracy

Pressure: ±3 mmHg
Pulse:±5%Temperature unit

°C or °F

Temperature accuracy±2.5°C (+5°C to +40°C)

Power supply

Built-in 3.6V battery (UM-211-20) or
AC adapter (TB-268)

Number of measurements

Approx. 300 measurements, when built-in battery
is used, with pressure value of 180 mmHg at room
temperature of 23°C

Classification

Internally powered ME equipment (Supplied bybatteries) /Class II (Supplied by adapter)
Continuous operation mode

Clinical test

According to ISO81060-2 2013

EMD

IEC 60601-1-2: 2014

MemoryLast 99 measurements

Operating condition+5°C to +40°C / 10%RH to 85%RH (Not condensed)
800 hPa to 1060 hPa

Transport / Storage conditions -20°C to +60°C / 10%RH to 95%RH (Not condensed)
700 hPa to 1060 hPa
Dimensions

Approx. 120 [W] x 200 [H] x 140 [D] mm

WeightApprox. 550 g, excluding the battery

Applied part

Cuff Type BF

Useful life

Device: 5 years
Cuff: 2 years
AC adapter: 5 years

English 30

Rechargeable

Nickel-Metal Hydride Battery

Battery (UM-211-20) 3.6V Typ.2000mAh
Min.1750mAh
AC adapter(TB-268)

The AC adapter is required to be inspected or
replaced periodically.
Input: 100-240V
Output: 6V

2000mA

2A

Accessories sold separately
Cuff
Arm Size
41cm to 50cm
31cm to 45cm
22cm to 32cm
16cm to 24cm
12cm to 17cm

Cuff Size
LL cuff
LA cuff
A cuffSA cuff
SS cuff

Catalog Number
CUF-KS-LL
CUF-KS-LA
CUF-KS-A
CUF-KS-SA
CUF-KS-SS

AC adapter
Catalog Number
TB-268

Note: Specifications are subject to change without prior notice.

AC cable
Catalog Number
KO1886
KO1887
KO1888Rechargeable battery
Catalog Number
UM-211-20

English 31

Plug
Type A
Type CType BF

EMD Technical Data Battery-operated or AC Adapter-operated Blood
Pressure Monitor
Medical Electrical Equipment needs special precautions regarding EMD and needs to beinstalled and put into service according to the EMD 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 may result in increased
emissions or decreased immunity of the unit.
Table 1 －EMISSION Limits－
Phenomenon
Conducted and radiated RF EMISSION
Harmonic distortion
Voltage fluctuations and flicker

ComplianceGroup 1,Class B
Class A
Compliance

CISPR 11
IEC 61000-3-2
IEC 61000-3-3

Table 2 －IMMUNITY TEST LEVELS：Enclosure Port－
Phenomenon

IMMUNITY TEST LEVELSElectrostatic discharge
IEC 61000-4-2
Radiated RF EM fields
IEC 61000-4-3
Proximity fields from RF wireless communications equipment
IEC 61000-4-3
Rated power frequency magnetic fields
IEC 61000-4-8±8 kV contact±2 kV, ±4 kV, ±8 kV, ±15 kV air
10 V/m80 MHz - 2.7 GHz
80 % AM at 1 kHz
See table 4
30 A/m50 Hz or 60 Hz

Table 3 －IMMUNITY TEST LEVELS：Input a.c. power Port－
Phenomenon
Electrical fast transients / bursts

IMMUNITY TEST LEVELS±2 kV
100 kHz repetition frequency
IEC 61000-4-4
Surges Line-to-line
IEC 61000-4-5±0.5 kV, ±1 kV
Conducted disturbances induced by RF fields
3 V 0.15 MHz - 80 MHz
6 V in ISM and amateur radio bands between 0.15 MHz and 80 MHz
IEC 61000-4-6 80 % AM at 1 kHz
0 % UT; 0.5 cycle
Voltage dips
At 0°, 45°, 90°, 135°, 180°, 225°, 270°, and 315°
0 % UT; 1 cycleAnd
70 % UT; 25/30 cycle
IEC 61000-4-11 Single phase: at 0°
Voltage interruption
IEC 61000-4-11 0% UT; 250/300 cycle
NOTE UT is the AC mains voltage prior to application of the test level.

English 32

Table 4 －Test specifications for ENCLOSURE PORT IMMUNITY to RF wireless communications
equipment－
Testfrequency
(MHz)

Band
(MHz)

ServiceModulation

Maximum
power
(W)

385

380 - 390TETRA 400

Pulse modulation
18 Hz

1.8

0.3

27

450

430 - 470

GMRS 460
FRS 460

FM±5 kHz deviation
1 kHz sine

2

0.3

28

710
745
780

704 - 787

LTE Band 13,17

Pulse modulation
217 Hz

0.2

0.3

9

800 ～ 960

GSM 800/900
TETRA 800
iDEN 820CDMA 850
LTE Band 5

Pulse modulation
18 Hz

2

0.3

28

1700 - 1990

GSM 1800
CDMA 1900
GSM 1900
DECT
LTE Band 1,3,4,25
UMTS

Pulse modulation
217 Hz

2

0.3

28

2450

2400 - 2570

Bluetooth
WLAN 802.11 b/g/n
RFID 2450
LTE Band 7

Pulse modulation
217 Hz

2

0.3

28

5240
5500
5785

5100 - 5800

WLAN 802.11 a/n

Pulse modulation
217 Hz

0.2

0.3

9

810
870
930
1720
1845
1970

English 33

IMMUNITY
Distance
TEST LEVEL
(m)
(V/m)

MEMO

English 34

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