ALP K2 DS-106 User manual

ЛL「 K=°
Se ce Manual
for Digital Blood Pressure Modtor
DIGITAL 21

INDEX
l.Specifications.… ……
………
..… …
…
…
・
・
¨¨
…
¨
………
………
・・
……
………
3
2.Principle and(Dperations...… ………
………………
……
・
・…
……
…
・
4
3.Block Diagram...… …
.… … .・・
…
・
・
・・・・
……
・・・
…
・
・・
…
・・・
¨
・
…
・・
…
・・・
…5
4.Operation Flow Cha威 .… …
¨¨
…
..… ………………
…
…・・
¨
……
…
・
6
5.Circuns Diagram.… …
…
…………
…
……………
…
………
8
6.Operating lnstruction.… ………
………
.・ …
…
…
……
…
・・・・
¨¨
…9‑10
7.Analysis of Returns.… …
..… ..… …
…
…
………
…
・
・
………
¨
…
・12‑13
8.丁 rouble Shooting… …………
.・ …
………
・・
………
……
……
・・
…………
…
・
14
9.Deflation rate Adiustment.… …………
……
……………
…
15
10.Pressure Accuracy Check.… ……
……
…
……
・・
…………
…
・
・
16
11.Compattson w h Auscultatory method.… 17‑24
12.Component Drawing and Parts‖ st.… …
……
.25‑29
2

1.MODEL :DS‑106
:Basic I)igital Blood Pressure lonitor
2.FUNC丁 ￨ON :B100d Pressure WIleasuring
:Pulse Rate Measuring
:Automatic Power Shut― off
(at 3 Minutes Unused)
3.lNDICA丁 ORS :6‑Digit LCD
:Systohc/Diastolic/PulSe Rate
:3 Error lessages
4.BLOOD PRESSURE MONI丁 OR SPECIFICATIONS
MEASURING MEttHOD
:Osci1lo― NIletric lethod
MEASURING RANGE
:0‑300口nmHg cuff Pressurc
:40‑150 Pulse/nlino Pulse Rate
ACCURACY:Pressure± 3 1nmHg(cOnfi・ 11・ ed A.A.LI.I)
:Pulse Rate± 50/O of Reading
PRESSURE BUILD― UP
:Squeeze Bulb
DEFLATION MEttHOD
:Pre.― Settable Exhaust System
EXHAUST :Manual Valve
CUFF :Locking Mechanical― Velcro with LIetal Ring
5.POWER SOURCE:006P or 6F22(9 Volt Battery)lpc.
6.SIZEMAIN UNI丁 :1520V)x80(I))x30(II)mm
CUFF UNIT :Starldard adult s2e
lArm circumference 9 to 12.5 inches)
7.MAIN UNI丁 WEIGH丁
:Approx.160gm(including batteryl
8.S丁ORAGE CASE :Soft Vinyl
9、 RETAIL BOX :I)ilnensions 170 x l15 x 85 1nm
ヽtight Approx.450 gm
‐
3‑

*Rubber bladder is innated by rubber bulb.
*Deflation is controlled by self― bleeding
valve.
*Pressure transducer transduce pressure
and pressure pulsation(Oscillation)to
digital(frequency)value.
*CPU counts frequency.
*CPU watches condition of arnphtude and trend
for oscillation and then systolic and diastohc
are decided by it.
*After deciding diastOhc,pulse rate are
measured。
*Measurerrlent result is displayed on LCD.
*After completing lneasurement,air is
exhausted rapidly by self― bleeding valve.
*Battery weak lnark is displayed when battery is
wealK.IInpossible to lneasure。
*Please refer to flow chart when buzzer sounds.
*Power is automatically off in 3 minutes
after lneasurement completion。
*Please refer to block diagram also.
‐
4‐

3.Block Diagram.
αШＮＮ ⊃ｍ
＞くコ Ｌ∽一●
コく 卜∽＞αＯ ︒︼ＤＣ一コ
⊃Ｑ０
=
く
∝
O
く
H
∩
V
0
○
』
m
メ
ト
口
04
Zく ト
工

P:]
口 ∽コっＬ
Ｚ ︻
ＯＺ一Ｚ〇一卜 ︻︒Ｚ００
αω３０∝
ン
Zト
ロ
D
＞∝ ロトトくｍ
3ニ
口
⊃
α
∝い ＯＤＯ ∽Ｚく ∝ト
ロ∝ ⊃∽∽ 口αＬ
Z
O
←
>
く
コ
」
く
に
>
∩Ｚく
Ｌに Ｄ０
∝口 ０∩くコ ∞
トン
つ
く
Oα コ
0に
く
Lt/1
トー
く
o
∝
。
ト
ト
Z⊃
⊃
｀
OZ
コＯα 卜Ｚ００
﹂﹂０ ∝口 ３０ヽ
Ｏ卜 ⊃＜
‐
5‑

4.Operation Flow Chart.
ALL DISPし AY
o DiSPLAY
INITlALiZE
O DISPLAY ON
RESSURE IBASURING
PRESSURE DISPLAY
START
INFLAT10N
ST ART?
90■ 口Hζ =PRESSUR
Err DiSPLAY
IN「 しAT10N STOP?
合
DiSPLAY OFF
Err DISPLAY OFF
PULSE PiCK― UP START
‐
6‑

PRESSURE ENOUGHl
▼
E鳥ゞ
慰ιD
DETE‖ lNAT10N
DIASTOLIC
DETBIINAT10N
ODiSPLAY OFF
PULSE RATE
MEASURING
ODiSPLAY ON
BUZZDR
H≦ PRESSUR
o DISPLAY ON
SYS,DIA DISPLAY 3に lNUTE
PASSED ?
PRESSURC DlSPLAY ON
PULSE RATE
DISPLAY
P07ER OFF
‑7‑

5,Circuits Diagram.
Ю 卜
一 ︻ く ∽Ｎ
Ｙ 崎 卜 〇 ∞ ∽
一
∞―
O C
卜 暉 ば ヽヽ い ０眼 Кｏ
Ｎ ∞
︱ヽ ヽ Щ
一 ０ く
一 〇 〇 ０ ゆ 卜 ﹂
Ｃ ０ ０
¨
０
一 ∝
Ｘト
Ｘ ０ ０
一ピ
】堺
湯
383; 卜000‑NO=
3 22コ 湿 混
2醤 2
望
ピコ2 ,,
3ι 主
‑8‐

( CONTENtts )
HINTS oN TAKING YOuR BL00D PRESSuRE¨ ¨
¨
・・
・
¨2
MAN uヾ IT… …
…
…
…
…
…
…
…
…
…
…
…
…
…
…
…
…
…
…
…
…
・
3
CUFFぃ 颯T¨ .・ .¨ .¨ ¨
¨.¨ ¨
・
…
…
…
…
…
…
…
…
…
…
…
…
…
…
4
1NTERCONNECTIoN DIAGRAM¨ ・・
¨
¨
¨
¨¨
.● ¨¨
¨.・ ¨
¨¨
.● ●...4
POIVER swPLY"・・
……
……
……
…
……
……
¨
…
……
……
….… …
…
・
5
AUTo DEFLATloN VALVT¨ …
……
……
..・・
…
…
・…
・・
……
…5,6
0PERATING THE いЛT
Wrapphg tlle cuff¨ ・
¨
…
…
・
・
¨
¨

¨
..¨ ¨
・・
…
……
…
…
…
……
。.¨ ¨7
Me― ment Procedtts・ ¨¨
¨
¨
・
・・
・
・
・
・
¨¨
.....8,9,lo,11
ErrOr Displays.¨ .・ ¨..¨
・・
¨
…
¨
¨
¨
¨¨.・ ¨
・
・・
¨¨
¨
・
・
¨
…
…
・.・ ¨
・11
CARE AllD MAINTENANCE …
…
…
…
…
…
…
…
…
…
…
…
…
12
SPECIFICAT10NS・ ・¨
¨...¨ ¨
・¨
¨
・¨
¨¨
¨
¨¨¨
・・
・
¨
・
.¨ ¨
¨¨
¨13
MAlN ∪Nl丁
1.Power Switch・ ・
¨
・・
¨
・・
Push switch to ON positiorL
Push agan to switch OFF.
2 Att Connector¨ ¨
・
・・・
To connect the tube A and B.
3. Blood Pressure and・ ・
Systoc and dlastolic blood pressure and
Pulse Rate Display pulse rate
4 1nnatiorl lndicator ・Flashes when the unitis ready to operate
5 DenatiOn Lldicator ・
Appears before or arter measurement.
6 Pulse lndicatOr・ ・
・ Flashes when the Pulse is detected.
6.Operating lnstructiOns.
C∪ FF ∪Nl丁
〔HINTS o、 6BNく l普
LoD PRESsuRE 〕
1.Rest fOr ive mhuに s pefore tょ ふ
g yOur Ы
∞d pressura
2∬ioI‰慶
T:ピrtteぶpttte:鳥 11腑 ゝ
I:器。
31濾
R驚 亀
胤器ゝ
躍蹴出T
4滞Ь
簡
糧
』
IPふ 雨dユe∬tc躙盤Ⅷ
a] 棚
er=譜°dd tt a∞■
η
・
F Ooo↓hm ttg
※
ξ
椛
艦
[■∫
懺
鮨
撫
pressure ls iower h the slコ ■

te■
2
cuff and
―
Tube A
 Tube B
Alr Release Adustment Valve
Rubber Btdb
INttERCONNECT10N DIAGRAM
4各 hllation lndlcator
5,Deflation hdicator
6,PuЬ e hdtalor
& Blood Prcsure and
Pluse Rate DIsplay
3
‐
9‐
Llsert the Tube A and B Into the A■ r COnnector

POWER SUPPLY
Insert the battery h the maln udt.
1)Presshg ughtly on the battery compartment cover,remove
the cover.
υ
::器讐襦1「 Ⅷ
厭
:ustlt訛」響誠
lΨ」
『l塁1::
poles are properly connected.
3)After

erting the dry cell battery, put the battery cover
on the maln L
Note:If the LCD display or the functiottg of the u t is not
norlnal after chanⅢ g the battery, take out the battery
and place it ag n correctly in the battery compartrnent
AUttO DEF■ A丁10N VALVE
2.The rate of pressure drop wtt be slower if the upper arm
of the madual tO be meantred L larger than 12 inches and
the rate of pressure drop wtt be faster if the ddual.s
upper ann is les than 10 mches h crcurnference Aユ so, the
rate of pressure drop may change somewhat accord■ ng to hoW
the cuff is wrap"こ Adj t the se ―
f ed alr release valve
so that the alr release rate becomes 2‑3 ‑Hg per second
for the mdldual whose blood pressure L bemg measureこ
Note:In the measurement of blood pressure,it is very pOrtant
that the 」
r release rate be 2‑3 rlmHg per second in
order to obtaln accurate results.
How to USe the Valve
With the end of the swltch farthest fron■ the bulb pressed,
the auto valve L h the constant tt release mode
m甑ぶ
Fiハξ鳴
♂a器 潔
嵐
r:∬計
iよ ‰
:出.士
Rapldぬ oust
…槻
島
L独静
ま#:離織iぷ憔 総『
静圧
5
3.Adiust the rate of pressure drop accordhg to the fono ing
procedure.
1)Tum the part marked(1)in the diagrarn、 ath a screwd Ver.
a le認島
鳴鷲S盤出:晶 Ⅷe胤冊記彎[11ls盤
撥囃
輝
IhtttttI墳脚l町胤
per second ‑6‑
Me■ urernent Pr∝ edures
l.hert the Tube A and B hto neAょ cOnnectoL(See page 4)
2.If there L some alr rematmlg h the cuff,press ule rapid
de■ atlon side of the Auto Deflatlon Valve.Continue to pr邸
the rapid denauon ide Of he valve unШ alr L completdy
gone from the Cuff.
3.Turn the Power Switch to ON Au the panel dlsplays w世
:閣鴫 轟 考論理abⅢ織聡ぎ評ゝyti「 "
※If panel dlsplays do not■ ght the umt ls malfuncuoning。
4.The buz2er ヽ世 Sound and hiatlon Mark
・J卜 " wtt stalt
n^崩on he dlsplay.
Wrapphg he Cuff
l Place thecuff On a nat sdace、nh the
fastcung tape face dOW‐
2蹄tfmt服 讐
鷺。
思
Ttte
}Fte‰」喘口鴨
1:獄滉
」
議犠曽
it on the left 凛
41=島肌
f謡 器
鶏
1施乱
」富
above the dbOW.
※V/hen wTapphg the cuff,Wrap it
盤l%淵[:』rte‰認
ぷ
d the am lf the
more tighuy Or
lnac― te biood
may r¨ ult
※
脳i鮮鰤鮮
mentS
mOVC ‑7‑
All ttplays
Ready
5.Wrap the tt cuff around the upper left arn(See page 7)
6Press the constant alr rdease side of the Auto De■ auon valva
7. そ
L静el」針FT磐
hto m―ng mode)
熙
OPERA丁 lNG
‑10‑
8

巖Bu2Zer beeps when the curf pressure is Over 19og め
脚i織鳳
臥e拙電
酬
蹄
鷺
冨
器
謝
豪
∬
撃
榔
螂響
8.Piace the rubber bulb qdetly On the table
※
Note:
1)The cuff pressure w咄 be」n to decrease
9'記 t∝ ぬ
e ls警 鷺
譲
F寵:Lyou Sい わLC md dぉ bLc ЫOOd
Ю
.Tun the power s tch to oFュ
※
路彎
機謝
躍 t貯器
設Fttl珈讐
.器
※
鯖驀
《
L澤
Inittleli∬sぶ F
糀謙
0げ懲
[盟gT霊 器
譜
l出禦盤
駐
"a
BPM
PLUsE
2 secOnds
dも play
3 Seconds
dζplay
D濃轟
電
翼:都詢i鮮砒獣鐵酬
Ｔｈｅｓ は
※valves 、
iu be held uni the pOwcr s、 itch is set t。
―10‑
・
梅彗
:聯押∫
胤
隠
,1蹴 鍛nf猟
2 DO nOt drop Or sはeは Шtt L
3.when cle山飾ぉuぼt,use Ollly a sOft,dry cloth
41:h:緊 Lよ 犠
黒:t::aH abngpe,¨ 晩
su ∞
remove
5.臨cf∬雪
:♯ダ
。
rT尭贅yOW Ы
oOd prswe moibr
6 1f your
i概ミ }:品
medlcal senous
Very in Can be
・
ど
l ann
F 霞
ERROR DISPLAYS
T。 腱
l篤
鴫喘躍
"
‖
碑
淵憮Re島 .set presure
榔
ぴ出
す
鳳鶴Ⅷlン edto m" DefhtOぬ ecぜ r.
計
ぷ
t篤瞥
above
―11‑
‑11‐
―i2‑

7.Analysis of Returns.
1,Check of General Performance.
Each unit clailned to be defective should be re― checked
to detern■ine Whether it is really due to a failure of the
device.There are many cases where customer returns
the unit due to improper handhng Of the unit.Check the
unit to find out whether the handling by the customer
was appropriate or the unit is defcctive.The accuracy of
reading will be affected by the conditions of the
followings.
(a)Cuff Wrapping一 If the cur is wrapped tightly Or
loosely inaccurate blood pressure readings may
result.
(b)COnnections of air tube.
(C)Battery power being left。
(d)Battery connection一 The contact should be tight.
(e)InnatiOn  Desirable innation level is more than
50mΠlIIg above systolicoWhen squeeze the rubber
bulb,squeeze rapidly and continuously.
(O Ambient noise and ternperature,arln rl■ oving。
(g)Whether customer was still while measuring。
2.Customer Educations in case of Unit not being out of Order
ln case general perforrrlance of the unit is in our
specifications the reason of the return would fall into
either one of the followings.
(1) The readings did not agree with that iom his or
her doctor.
(11)PrOper reading cOuld not be obtained due to the
special heart or body characteristics peculiar to the
particular user。
The following causes can be considered for the above(i)。
(1‑a)B100d pressure varies by physical rhythrrl such as
by time in a day― Ino■ ■■ing,daytime and evening,Or
right after lneal and/or mOvernent.
(1‑b)By stability of lnine(there are many people having
pressure raise in front of doctor due to a tё nsion.
(i― C)By ambient ternperature(bloOd pressure varies by
season― summett winteL etc。 )。
(i― d)By exercise and/or WOrk.
‐
12‐

The following causes can be considered for the above(li).
(ii― a)Abnorrnality of his or her circulation system (SuCh
as an absence of a beat or irregularity of pulses)will
make the proper reading difficult,
(ii― b)Exceptionally low level of pulse due to a condition
special to that individual.
For the above(1‑a)thrOugh(1‑b),detailed explanations to
the customer should be provided to have better
understanding On the variation of the blood pressure
and theory of the lneasurement.
For the above(11‑a), explanatio. lbout pecuharitv of his
or her circulation system shoulti be explained. Most of
the people having irregularity of pulses will become to
be able to read hisor her blood pressure correctly after
some trainingo HOwever the customer having such
abnornlality should consult his or her docton
For the above( ―
b), the customer may or many not be
able to use electronic blood pressure monitor
depending On his Or her condition. If his or her pulse
level is lo、v, another try 、vith proper cuff wrapping
should be made. If correct reading still can not be
obtained, he or she should give up use of electronic
blood pressure monito■
‑13‐

8.丁rouble Shooting
Conditlon 丁rouble Fixing
1.Cuff setting trOuble Cuff broken Replace cuff
2.Display is not ON
Battery is too weak Replace battely
Battery terrninal Replace circuits board
Circuits Replace circuits board
3.All display is not all
ON
LCD soldering Re― soldering
LCD Replace circuits board
4.Can not innate
Intake valve Replace valve
Control valve Replace valve
Bladder Replace bladder
5。 Pressure display is
not increase Pressure sensor or
Circuits Replace circuits board
^1ヽ ぃnっ 十inn iO+^^f● O+
Control valve Replace valve or Re―
adiuSt*l
Bladder burst Replace bladder
Air connector cracked Replace connector
7.No beeping
Bl17zer soldering Re― Soldering
Buzzer broken Replace buzzer
Circuits Replace circuits board
8.Heart rnark is not Circuits Replace circuits board
9,Systolic,Diastolic is
not rneasured Circuits Replace circuits board
10,Mark is very often Deflation too fast See itenl‑7
Circuits Replace circuits board
11.Accuracy of
reading
Circuits Check*2 and replace
circuits boal‐d
Compare with auscultatory mttl■ od*3
Ⅲ
l.Deflation rate aqustlnent.sce page 15
*2.Prcssurc accuracy check.see page 16
Ⅲ
3.ComparlsOn with au∝ ultatory method.see page 18
‐
14‑

9.Deflatlon rate Adiustment
Raise the pressure to around 200 1nmHg and begin
to release the air.Attust SO that the descent from
160 mmHg 10 80 mmHg takes 20 to 30 seconds.lA
shorter method is to measure froln 160 HllnHg tO
140 111mHg and control it to 3.5 to 5。 3 seconds.)As
shown in Fig 7‑l turn the slot (1)With a
screwdrlver。
Defla on Rate Adlustment
Increase Counter
clockwise
Decrease Clockwise
貯
(1)珊:lll::L
If attustment cannot
Fig.7‑l DenatiOn
be made wlth in this
rate ad」 ustment
range,replace.
‐
15‐

10,Pressure Accuracy Check
Compare the reading with standard pressure gauge.
a)Connect the unit tO the standard gauge as
ShOm in Fig。 8‑2
b)Wait for"Innation"and"o"fOr
pressure,
c)Raise pressure to n300 1nlnHg"and cOnfl..11
。
T::1:ざ蹴
ぽ
躍
臨
電
器鰈
01吼梶
i営鳳
棚
器
ittli器イ
bor
O]Denation must be s10w,Mercury cOlumn
must nOt bOunce。
」
I【:ilrttII]扁Ceed± 3 mn■Hg,replace
■e cuff
Cuff
Set the cuff around
durrnン arm.
‑16‑
Fig.8‑2

11.Comparison with Auscultatory Method
Reference:AAMI STANDARD― 一一
―
―
See next page.
Subject :3 persons lninilnum。
‑17‐

3.4 Perforrnance Requl碇 me nts ｀
3.4,l PresSure Transducer/1ndiCatorl Accuracy. The presSure indicated by
the device under test, in the range of O ‑ 250 「
In H9, Shall not Vary from the
pressure indiCated by the refOrence Standard, aS expressed in mllllmeters of
me rcury, by mOre than ■3
「
IIn H9 or 主2 perと ent Of reading, Whichever is
greater.
、
￨‰犠虚
誓
##:I僣i推盤
l澄12丸 蹴:ρ lv震′
肱
守
梶
′
″
常
lttL、豊
窪
q‰雛
°
跨
1紆:c整ii嘗捌
難晦菊
初
繁
3.4.2 0Verall System EfficaCy. The manufacturer shall determine, for pur―
loseS Of design quallfication, that the overall perfOrlnance Of the syStem
I「 eets the fO110Wing requirement: Mean pressure measurements obtained by the
system shall,OVer a range of 60 rTTB H9(diaStOlic)tO 180 rrrn H9 tSyStOlic),
be within a+5 frlln Hg mean difference,With a standard deviation of上 8 rrll Hg,
Of the mean measurements Obtained by the aUSCultatory method or by direct
pressurd measurerents via indWelling arterial catbeterS tSee teSt methOd 4.4.2
and Appendices B and C).
3.4.3 RequirerttntS fOr Battery―PoWered Devices. Batte ry― poWered devices
sha1l incorpOrate either meanS Of detecting battery condition or meanS Of
orotective shutdOヽ マn in case of battery failure. Any of the follCWing lmethodS
may be used: 
(1)An Operator― initiated teSti
(2) An automatic indicatiOn Of impending power systen de9radatiOni
The indiC31Э r may be a mancmeter.
‑18¨

subject tO dellate the cuff Can be verified by viSual inSpectlon.
4.3.2 Electricali Safety. Test methodS fOr determining current leakage are
l. :
provided in the tterican National Stahdard, Sα CCじ
しteltt 動θ れEえ ccttο ―
medえcαιAFρ′ ANS1/AAMI SCL‑12/78.
4。 3.3 1nhalatiOn Anesthetics. TeSt methods fOr the requirement of 3.3.3
are provided in the National Fire Protection Associationls S´ tω ldのヽ
d ο え え112
tlac θ
I dlと
しこ
btt Anぃ 」
lらι
こ
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4.4 Perforlnance Requl rements
4.4.l PreSSure lransducer/1ndiCator Accuracy. The accuracy
sure transduCing/indiCating System is deterlnined by applying a
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the pres―
adaptor
tO the pressure line and attaching a reference standard having a maXimum
error of + 0.5 11n Hg and traceable to the National Bureau of Standards.
The line pressure is then stepped in nOt more than 30‑「 In Hg intervals, ln
the manner in whiCh the deviCe iS used, and the accuracy Of the indicated
pressure with respect tO the reference standard is determined.
4.4.2 Desiqn Verificatlon of Overall System EfficacttL・ The effiCaCy of
the overa1l S.ystem shall be determined by Statistically comparing the blood
pressure meaSurements Obtained with the System tO thOSe obtained by either
(1) the auscultatory method, or (.2) direCt b10od preSSure measurementS Via
indwelling arterial catheterS.
, For either rlethOd, a sufficiently large and diVerse subject group must
be used in order to a110W a high level of COnfidence (a mean difference and
standard deviatlon of less than or equal to 5 mm H9 主
8 rrrn Hg)OVer a blood
pressure measurement range of 180「 rn Hg(SystOliC)t060 m Hg(diastollC).
丁he Subject data baSe and method Shall be doculnented, and in no event Shall
for nlethod(1)and 15 individuals for
it contain leSS than 50 1ndiViduals
‐
19‑

method(2)。
Technicall recolI llendations for conducting these comparison tests are pro―
vided in AppendiX 3 (the auSCultatory method)and Appendix C (the direct blood
i. .
prtssure measurement method)of thiS Standard。
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4.4.3 Battery― Powered Devlces. That means have been provlded by the manu―
facturer to detect battery condition or to lnltiate protective shutdown ln
.the event of battery failure, can be verified by viSual inspection.
‑20‑