Custo Med ABPM User manual

Operating Manual
ABPM
with custo screen 100/200 and custo diagnostic
Operating characteristics:
> custo diagnostic 3.8 and higher
> for Windows®
GEB 0141 – DK 0953
Version 002 – 05.06.2013

Operating Manual
ABPM
with custo screen 100/200 and custo diagnostic
©2013 custo med GmbH
This Operating Manual may not be copied in its entirety or in part,
duplicated in any form or by any means or translated into another
language without the prior written consent of custo med GmbH.
The manufacturer reserves the right to change the information in
this Operating Manual without prior notice. The current version
can be downloaded from our website: www.customed.de, under
Support, Downloads, Manuals.
Manufacturer's contact details:
custo med GmbH
Leibnizstr. 7
85521 Ottobrunn
Germany
Phone: [phone]
Fax: [phone]
E-mail: [e-mail]
Internet: www.customed.de

4ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
Table of contents
01
02
03
04
05
Introduction
01.1 Symbols on the recorder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
01.2 Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
01.3 Symbols used in this Operating Manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Safety notes
02.1 General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
02.2 Safety installations and safe working . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
02.3 Information on EMC (Electromagnetic Compatibility). . . . . . . . . . . . . . . . . . . . . . . . . . . 12
02.4 Maintenance (regular safety checks) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
02.5 Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
02.6 Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Device description, basics of putting into operation
03.1 Scope of delivery and accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
03.2 Operating the device. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
03.3 custo diagnostic – basic program structure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
03.4 Connection and selection of device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Hygiene
04.1 Cleaning and disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
04.2 Recommended cleaning and disinfecting agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Carrying out an examination
05.1 Preparing the patient for the examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
05.2 Preparing the recorder for recording. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
05.3 Attaching the recorder to the patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
05.4 Start recording. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
05.5 Download recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
05.6 Control the evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

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ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
06
07
Working with the evaluation
06.1 Opening an evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
06.2 The workspace at a glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
06.3 Navigation concept, structure of the evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
06.4 Evaluation view modes
06.4.1 Graphic, Hourly Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
06.4.2 Trend. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
06.4.3 Comparison. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
06.4.4 Comparison with Hourly Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
06.4.5 Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
06.4.6 Table with Hourly Values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
06.4.7 Automatic Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
06.4.8 Unconfirmed report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
06.5 Confirming the evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
06.6 Ending the evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
06.7 Archiving evaluations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Product information
07.1 Measurement and status indication on the display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
07.2 Error codes and their causes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
07.3 Limit values for blood pressure measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
07.4 Abbreviations in the evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
07.5 Technical data and system requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
07.6 Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
07.7 Manufacturer declaration regarding EMC
(electromagnetic compatibility)
according to IEC 60601-1-2:2007. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
07.8 EC Declaration of Conformity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
07.9 Putting out of operation, storage, transport. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
07.10 Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

6ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
Introduction01
01.1 Symbols on the recorder
CE mark
Safety class designation of a medical electrical device according to
IEC 60601-1 (type BF)
Suitable for application with XXL blood pressure cuff
Take note of the accompanying documents
Follow the operating manual
Recyclable material
Separate collection of electric and electronic equipment,
do not dispose with domestic waste
01.2 Intended use
custo screen 100/200 is an ABPM recorder with internal power supply and
serves for recording and evaluating the blood pressure behaviour of a patient.
The recording period is 24 hours. custo screen 100/200 can be applied with
pacemaker patients without any risk.
The system is intended for use by trained specialist staff or physicians in clinics
and medical practices. Patients are only allowed to use the recording device
after receiving instruction by trained specialist staff. Patients who are not capa-
ble of understanding and following the instructions given are not allowed to
use the device. This applies in particular to senile patients or patients suffering
from dementia.
The device is not suited for small children or newborns as well as for the
unsupervised use with unconscious patients.

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ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
01.3 Symbols used in this Operating Manual
This Operating Manual uses the following symbols to indicate important infor-
mation, comments and tips:
ACTIONS THAT ARE PROHIBITED
or not allowed under any circumstances!
WARNING
used to indicate situations which, if not avoided, may result in personal injury
and property damage
NOTE
provides important information which must be observed
TIP
contains practical information to assist you with your work
Words highlighted in colour indicate buttons or click paths
for the corresponding program point, e.g. Examination, ABPM
Words highlighted
in colour..

8ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
02 Safety notes
02.1 General
Strict compliance with the safety notes protects against personal injury and
property damage during device operation. This Operating Manual is designed
to accompany the product and should be kept ready to hand close to the
device. As either the operator or user of this device you should have read and
understood this Operating Manual, in particular the safety notes.
Laws and regulations applicable to the product
This system is designed in accordance with Medical Device Directive 93/42/EEC,
Class IIa, and meets the requirements of protection class I or II (depending on
the power supply unit used; the recorder is a device with an internal power
supply), type BF according to DIN EN 60601-1.
Other devices which are part of the system must meet the requirements of
the office equipment standard (IEC 60950) and the standard for electromedical
devices (IEC 60601-1).
The electrical installations in the rooms in which the system is used must meet the
requirements of the applicable safety standards.
For users outside of Germany, the respective national accident prevention
measures, regulations and requirements apply.

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ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
02.2 Safety installations and safe working
custo screen 100/200 must only be used in a technically perfect condition.
Regularly carry out a visual inspection of the device. Only use accessories
approved by custo med.
Installation of the system
Portable socket outlets must not be laid on the ground.
Portable multiple socket outlets which are supplied with the system are to be
used only for supplying devices which are part of the system. Additional port-
able multiple socket outlets, lines and other equipment, which are not part of
the system, must not be connected to the system.
When using a multiple socket outlet, the maximum permitted load is 3200 VA.
Slots which are not used in the delivered system (portable multiple socket out-
lets) must be provided with covers.
Ambient conditions
For the installation and operation of the device, please observe the EMC notes
(electromagnetic compatibility) in these instructions for use, see chapter
07.7 Manufacturer declaration regarding EMC... .
custo screen 100/200 is not suitable for use in rooms and/or areas with a risk
of explosion.
Strong electromagnetic sources in the immediate vicinity of the custo screen
100/200 may result in recording errors (e.g. HF electrosurgical devices, mobile
phones, induction furnaces).
Other electrical devices such as mobile phones or radio transceivers may im-
pair the quality of the recording.
The device must be protected against the penetration of moisture, dust or dirt
and also against mechanical influences such as damage due to dropping or
damage while in transit.

10 ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
02 Safety notes
Patient safety
Without medical protective devices, for example medical protector, the PC and
all the non-medical devices connected to the system (e.g. the monitor and
printer) must be set up and used at a distance of at least 1.5 m to the patient
unit (see the orange area in the figure) as leakage currents can occur.
Non-medical devices and the patient may not be touched simultaneously
during the examination.
During routine maintenance work to non-medical devices connected to the
system the patient must not be touched (risk of electric shock).
All unconfirmed reports produced by the system should only be considered as
suggestions. For diagnosis and therapy purposes it is essential that the results
are checked and assessed by a qualified physician.
Important hints regarding the handling of custo screen 100/200
See to it that the patient is not permanently impaired due to the short inter-
ruption of blood circulation caused by the measuring method.
Any compression or reduction in cross-sectional area of the air tube must be
avoided.
The device does not have any protection against potential impacts by high
frequency (HF) surgical devices.
Risks arising from defibrillator discharge according to the Standard EN 60601-
2-30 are not known.
In no case use damaged batteries or accumulators. If custo screen 100/200
stands idle for a longer time, remove the batteries from the device.
Safety distances of devices to the patient
1.5 m
1.5 m 1.5 m
1.5 m 1.5 m
2.5 m 2.5 m
1.5 m

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ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
If liquid is spilled on the device, the batteries or accumulators must be remo-
ved immediately and the device must be sent to your authorised custo med
dealer or to custo med for inspection.
Hygiene
For cleaning and disinfection observe the legal requirements and the current
state of technology.
Only cleaning and disinfecting agents recommended by custo med may
be used for cleaning and disinfection. Clean and disinfect your device in
accordance with the specifications given in Chapter 04 Hygiene.
System and data security
The device must only be used with the supplied custo med software (custo
diagnostic).
As the operator you are responsible for ensuring regular data backups (patient
databases, evaluations etc.) and system backups. We recommend that you
backup the data at the latest before new installations, updates and far-reach-
ing system configurations.
custo diagnostic new installations, updates and system configurations may
only be performed by your authorised custo med dealer.
Only change data which is generated in custo diagnostic within custo
diagnostic itself and not in your surgery IT system or your hospital information
system (HIS). custo med does not accept any responsibility for any changes to
data which were made after the export from custo diagnostic in your surgery
IT system or your HIS.
To ensure the safe operation of custo diagnostic, deactivate the screensaver
and energy management options on your PC.
Set up your operating system in such a way to prevent the PC from being
switched off either accidentally or automatically during the examination
(standby mode/idle mode).

12 ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
02 Safety notes
When you use custo connect to integrate additional medical devices in the
custo med system, for automatic PDF printouts from the connected medical
device, check whether the PDF file belongs to the current patient. Do not trig-
ger any PDF printouts in other programs during the PDF printout in the con-
nected medical device.
02.3 Information on EMC (Electromagnetic Compatibility)
The use of other accessories, other converters and wires than the ones indi-
cated, except for the converters and wires sold by custo med as spare parts
for inner components, can lead to increased electromagnetic emissions or to a
reduced electromagnetic immunity of the system. For connecting the device
to other equipment, only specially screened cables supplied by custo med
must be used.
02.4 Maintenance (regular safety checks)
The operator is responsible for maintenance.The operator must ensure that the
device is checked for proper condition at the latest every two years. The func-
tionality and the state of accessories must be checked at regular intervals. If
damaged and/or heavily soiled, the complete system must no longer be used.
All interventions in the existing system, changes to system components,
enhancements as well as internal cleaning and repairs may only be performed
by your authorised custo med dealer or custo med.
Technical safety checks
After each system or device repair, modification or conversion, a technical
safety check must be performed by your authorised custo med dealer.
Metrological controls
For the ABPM recorder custo screen 100/200 metrological controls are pre-
scribed every two years. Please contact your authorised custo med dealer.

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ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
02.5 Disclaimer
The manufacturer is not responsible for improper operation, failure to comply
with the safety notes and non-observation of specifications due to negligence.
custo med only assumes responsibility for the safety and reliability of the custo
screen 100/200 when all changes, enhancements, repairs and other work to
the device and/or system have been performed by an authorised custo med
dealer or custo med and the Operating Manual has been observed during
device operation.
02.6 Warranty
Our product philosophy is committed to providing you with faultless products
which meet your expectations. Should you have reason to complain we aim to
rectify any defects immediately or provide a replacement delivery. This does
not include damage that can be attributed to usual wear and tear, improper
use, unauthorised modification of parts and the use of violent force.
After the expiration of the warranty period only use original spare parts and
accessories from custo med. This is the only way to ensure the safe and trouble-
free operation of your device.

14 ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
03 Device description, basics of putting into operation
03.1 Scope of delivery and accessories
custo screen 100/200 ABPM recorder
Blood pressure cuff (standard)
Carrying belt
Carrying bag
Batteries (3 pieces)
Mignon 1.5 Volt, Type AA
custo com IR
Infrared interface for connection
of custo screen 100/200 and PC
(included in delivery
when purchasing a system)
USB cable for connection to the PC

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ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
03.2 Operating the device
Insert batteries or accumulators
Open the battery case as illustrated on the left
and insert three customary batteries or accumula-
tors. The direction of insertion is shown on the illus-
trations in the battery case.
Functional elements on the device
Turn-on-off button:
for turning on and off the recorder
Infrared interface:
for transferring data between
custo screen 100/200 and PC
Port for blood pressure cuff
Functional key
for starting and stopping measurements
Display
for showing results and error messages
(Errors see chapter 07.2 Error Codes and
their Causes)
Port for blood pressure cuff

16 ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
Device description, basics of putting into operation03
03.3 custo diagnostic – basic program structure
The program is divided into three areas – User, Patient and Examination. This
structure ensures that you can always recognize who (which user) is carrying
out what type of examination with whom (which patient).
The main menus of each area can be reached by clicking on User, Patient or
Examination.
The main menu of the User area is used to create and manage system users.The
user administration can be used to allocate user rights and control user-specific
settings, e.g. the creation of a separate patient database for each user.
The main menu of the Patient area is used for patient management.
The most important functions include Search Patient, New Patient and Search
Evaluation.
The main menu of the Examination area lists all the examination types that are
possible with custo diagnostic. All modules you do not own are deactivated.
This can be recognised by the light gray font.
In this menu you can also go to the Settings area. Cross-program, examination-
related and user-specific settings can be made here.

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ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
03.4 Connection and selection of device
For the following steps custo diagnostic must be installed on your PC. Data
transfer between recorder and PC is made via the infrared interfaces on custo
screen 100/200 und custo com IR.
Installing custo com IR (infrared interface)
For data exchange between the recorder and your PC the driver for custo com
IR must be installed on your PC (the driver is installed automatically during a
custo diagnostic standard installation) and custo com IR must be connected
to the PC.
Check in the Device Manager which COM connection is assigned to custo com
IR so that you can enter the COM connection in custo diagnostic afterwards.
Make a right click on the icon My Computer in your Windows surface, on Admi-
nister in the context menu, there on Device Manager (left window half), open
the item Connections (COM and LTP) in the right window half and make a note
of the custo com IR connection, e. g. (COM5).
Open the page Examination, Settings, Connection, Device in custo diagnostic.
Select custo com IR under Device and the corresponding COM connection
from the Device Manager under Interface. Your inputs will be taken over with
Save.
Installing custo screen 100/200
Open the page Examination, ABPM, Settings, Connection, Device. Activate
custo screen 100/200. In the field Connection, custo com IR must be specified.
Your inputs will be taken over with Save. Your device is ready for operation.

18 ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
Hygiene04
04.1 Cleaning and disinfection
Important notes
Only cleaning and disinfecting agents recommended by custo med may be
used. Unsuitable agents may damage the device.
Follow the manufacturer’s instructions (e.g. regarding dosage and application
periods).
The recorder must never be immersed in liquids or cleaned with too much
water.
custo screen 100/200
The exterior of custo screen 100/200 should always be aesthetic and clean. If
there is any dirt, gently wipe down the surfaces with a damp cleaning cloth and
an acid-free cleaning agent.
Light spray application of suitable disinfectants is allowed.
Carrying case and belt
Both case and belt can be machine washed with a mild detergent at 40°C, but
must not be dried in a dryer.
Light spray application of suitable disinfectants is allowed.
Blood pressure cuff
After each use, the blood pressure cuff should be cleaned to remove dirt and
sweat. Observe the instructions on the instruction leaflet provided with the
blood pressure cuff.
Cleaning and disinfection: Sponge cuff with a damp cloth. If necessary,
removebladder and wash cover with soap or detergent disinfectant.
The cuffs have been tested to withstand the following recommended disinfec-
tants: Cidex, Sporicidin, Microzid, Isopropyl-alcohol 70%, Ethanol 70%, Buraton
liquid. After disinfection the cuff cover should be rinsed and allowed to air dry.
Sterilisation: The cuff has been tested to withstand Ethylene Oxide (EtO)
gas sterilization. Be sure that all safety precautions regarding aeration after EtO
exposure are followed. Never autoclave.

19
ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
04.2 Recommended cleaning agents and disinfectants
Disinfectants (custo screen 100/200, carrying case, belt):
All alcohol-based disinfectants (e.g. propanol, ethanol)
approved for medical use.

20 ABPM with custo screen 100/200 and custo diagnostic | GEB 0141 – DK 0953 | Version 002 – 05.06.2013 | custo med GmbH
05 Carrying out an examination
05.1 Preparing the patient for the examination
Applying the blood pressure cuff
In order to attach cuff and tube optimally, the
patient should undress to the waist.
Tip for applying the blood pressure cuff:
Slip the patient a tube bandage over the left upper
arm – take a sufficiently sized piece so that you can
put the bandage bottom-up over the cuff later. Thus
you increase the level of hygiene and the wearing
comfort.
Attach the cuff to the left upper arm, two to three
centimetres above the crook of the arm. Apply the
cuff in a way that the marking is situated on the
arteria brachialis. The cuff must not be attached
too firmly. It should still be possible to put approxi-
mately two fingers between arm and cuff.
Lay the tube from the left shoulder over the right
shoulder to the right hip. There, the recorder will be
placed later.
Fix the cuff and the tube at the patient’s body. Thus
faulty measurements due to incorrect cuff or tube
position are excluded.
Attaching the carrying belt
Attach the carrying bag to the carrying belt. Apply
the carrying belt with the patient. The bag should
be positioned on the patient’s right hip.