Custo Med custo screen 300 User manual

Operating Manual
ABPM
with custo screen 300 and custo diagnostic
Operating characteristics:
> custo diagnostic 3.8 and higher
> for Windows®
GEB 0154 – DK 1055
Version 002 – 05.06.2013

Operating Manual
ABPM
with custo screen 300 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, Manuals.
Manufacturer's contact details:
custo med GmbH
Leibnizstr. 7
85521 Ottobrunn
Germany
Phone: [phone]
Fax: [phone]
E-Mail: [email protected]
Internet: www.customed.de

4ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
Table of contents
01
02
03
04
05
Introduction
01.1 Symbols on the devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
01.2 Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
01.3 Symbols used in this Operating Manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Safety instructions
02.1 General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
02.2 Safety installations and safe working . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
02.3 Maintenance (regular safety checks) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
02.4 Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
02.5 Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Device description, basics of putting into operation
03.1 Scope of delivery and accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
03.2 Device operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
03.3 custo diagnostic – basic program structure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
03.4 Device connection and configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Hygiene
04.1 Cleaning and disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
04.2 Approved cleaning agents and disinfectants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Carrying out an examination
05.1 Preparing the patient for the examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
05.2 Preparing the recorder for the recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
05.3 Attach the recorder to the patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
05.4 Start the recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
05.5 Download the recording. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
05.6 Check the evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

5
ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | 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 and structure in the evaluation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
06.4 Viewing modes in the evaluation
06.4.1 Chart, 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 Confirm the evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
06.6 End the evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
06.7 Archive evaluations (optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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’s declaration on EMC (electromagnetic compatibility)
according to DIN EN 60601-1-2:2007 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
07.8 EC Declaration of Conformity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
07.9 Shutdown, storage and transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
07.10 Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
07.11 Keyboard navigation and shortcuts in custo diagnostic. . . . . . . . . . . . . . . . . . . . . . 47

6ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
Introduction01
01.1 Symbols on the devices
Manufacturer:
custo med GmbH, Leibnizstr. 7, 85521 Ottobrunn, Germany
CE mark
Protection class classification of medical electrical
equipment according to IEC 60601-1 (Type BF)
The device is not suited for small children or newborns
Non-ionizing electromagnetic radiation,
device has a HF transmitter (radio unit not active for custo screen 300)
Observe the Operating Manual
Separate collection of electrical and electronic equipment,
do not dispose with domestic waste
01.2 Intended use
custo screen 300 is an ABPM recorder with an internal power supply which is
used to record and evaluate the blood pressure behaviour of a patient. The
recording period can last for up to 72 hours. custo screen 300 is perfectly safe
for use by patients with a pacemaker.
The system is intended for use by trained specialists or physicians in clinics and
medical practices. Patients are only allowed to use the recording device after
receiving instruction by trained specialists. Patients who are not capable of un-
derstanding 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 unsupervised use
with unconscious patients.

7
ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | 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 to
the described program part, e.g. Examination, ABPM
Words highlighted
in colour..

8ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
02 Safety instructions
02.1 General
Strict compliance with the safety instructions protects against personal injury
and property damage during device operation. This Operating Manual is de-
signed 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 instructions.
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 Standard for Information Technology Equipment (DIN EN 60950) and the
Standard for Electrical Medical Devices (DIN EN 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 the Federal Republic of Germany, the respective national
accident prevention measures, regulations and requirements apply.

9
ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
02.2 Safety installations and safe working
custo screen 300 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‘s declaration on EMC... .
custo screen 300 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
300 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 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
02 Safety instructions
Patient safety
Without medical safety devices, e.g. medical protector, the PC and all the non-
medical devices connected to the system (e.g. 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 notes when handling custo screen 300
Continuous cuff pressure, e.g. exerted by a kinked cuff tube, can cause patient
injuries. If the cuff pressure is continuous, the patient should open the cuff’s
hook and loop fastener or switch off the recorder.
Make sure that the cuff tube does not become crushed or that the cross-
section of the cuff tube is not reduced.
The cuff must not be applied to wounds, open or newly operated areas.
When conducting blood pressure measurements, the function of additional
medical devices, which are used in the vicinity of the blood pressure cuff on
the patient, may be effected.
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

11
ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
Make sure that the patient does not suffer any long-term adverse effects as a
result of the short-term interruption of the blood circulation as required by the
measurement method. Ensure that the intervals between such measurements
are sufficient.
The following factors can have an effect on the results of a blood pressure
measurement: the patient's posture (whether the patient is lying down, stand-
ing or sitting), movement, the patient's physical condition, heart rate-related or
ventricular events, as well as extreme temperatures and air humidity.
Observe the operating conditions and the patient instructions.
The device is not protected against the potential effects of high frequency (HF)
surgical equipment.
Never use damaged batteries or accumulators. If custo screen 300 is not to be
used for a prolonged period of time, remove the batteries.
If liquid has been spilled on the device, remove the batteries or the accumula-
tors immediately and send the device for inspection to your authorised custo
med dealer or custo med.
Hygiene
For cleaning and disinfection observe the legal requirements and the current
state of technology.
Use only cleaning agents and disinfectants approved by custo med for clean-
ing 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.

12 ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
02 Safety instructions
Only change data generated in custo diagnostic within custo diagnostic itself
and not in your EPR system (Electronic Patient Record) or your hospital infor-
mation system (HIS).
custo med does not accept any responsibility for any changes to data in your
EPR system (Electronic Patient Record) or your HIS which were made after the
export from custo diagnostic.
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).
custo connect
When you use custo connect to integrate additional medical devices in the
custo med system, for automatic PDF printouts from the connected medi-
cal device, check whether the PDF file belongs to the current patient. Do not
trigger any PDF printouts in other programs during the PDF printout in the
connected medical device.
When you use custo connect to integrate additional medical devices in the
custo med system, on starting the connected medical device check whether
the patient name was taken over correctly.
02.3 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, en-
hancements as well as internal cleaning and repairs may only be performed by
your authorised custo med dealer or custo med.

13
ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
Technical safety check
After each system or device repair, modification or conversion, a technical
safety check must be performed by your authorised custo med dealer.
Technical measurement check
For custo screen 300 a technical measurement check must be carried out every
two years. Please contact your authorised custo med dealer.
02.4 Disclaimer
The manufacturer is not responsible for improper operation, failure to comply
with the safety instructions and non-observation of specifications due to neg-
ligence. custo med will only assume responsibility for the safety and reliability
of the custo screen 300 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.
02.5 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 300 and custo diagnostic | GEB 0154 – DK 1055 | 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 300
ABPM recorder
Blood pressure cuff (standard)
Carrying belt
Carrying case
Batteries (set of 3)
Mignon 1.5 Volt, type AA
Starter kit
custo com IR
including USB connection cable (type B mini)
Infrared interface for connecting
custo screen 300 and PC
(only included in the scope of delivery
when purchasing a system)
USB cable for connection to PC

15
ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
03.2 Device operation
Insert the batteries or the accumulators
Open the battery compartment as depicted on
the left and insert three standard batteries. The
direction of insertion is shown on the illustrations
in the battery compartment.
Functional elements of the device
On/off switch
for switching the recorder on and off
Infrared interface
for transferring data between
custo screen 300 and PC
Blood pressure cuff port
Function key
for starting and stopping measurements
Display
for displaying results and error messages
(For a list of errors see chapter
07 Product information)
Blood pressure cuff port

16 ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
03 Device description, basics of putting into operation
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.
In the User main menu the users of the system can be created and managed.
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 Patient main menu is used for patient management.
Its most important functions include Search for Patient, New Patient and Search
Evaluation.
The Examination main menu lists all of the examination types which are possi-
ble with custo diagnostic. The modules which you do not own are deactivated
– this can be recognised by the light grey font. This menu is also linked to the
Settings area. This area is for making cross-program, examination-related and
user-specific settings.

17
ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
03.4 Device connection and configuration
Precondition: custo diagnostic must be installed on your PC.
The infrared interface custo com IR must only be connected to the PC after
custo diagnostic has been installed. The device drivers for custo com IR are
integrated in the custo diagnostic standard setup.
Connecting and configuring the infrared interface custo com IR
Connect custo com IR to the PC. The device drivers are installed automatically.
Find out which COM port is assigned to custo com IR in the device manager
and then enter it in custo diagnostic.
To do so, on your Windows interface right-click on My Computer, then in the
context menu click on Manage, and select Device Manager (left side of the
window). In the right side of the window open Ports (COM and LTP) and make
a note of the port assigned to custo com IR, e.g. (COM2).
In custo diagnostic, click on Examination, Settings, Connection, Device. Select
custo com USB as the device and the corresponding COM port as the port from
the Device Manager. Click on Save to save your input.
Checking the connection of custo screen 300
Click on Examination, ABPM, Settings, Connection, Device.
custo screen 100/200 is enabled and custo com USB is entered as the port.
Your device is ready for operation.
custo screen 300 used in
combination with existing
software and hardware
New recorder with legacy soft-
ware (Version 3.8.4 and older)
If you do not want to carry out a
custo diagnostic setup, manual
driver installation must be carried
out for the infrared interface custo
com IR. Contact your authorised
custo med dealer.
Use of other infrared interfaces
custo screen 300 can also be
connected to your PC via older
infrared interfaces such as custo
com USB or JetEye.
The method of connecting and con-
guring custo com USB is exactly
the same as for custo com IR.

18 ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
Hygiene04
04.1 Cleaning and disinfection
Important notes
Use only cleaning agents and disinfectants approved by custo med.
Unsuitable agents may damage the device.
Follow the manufacturer's instructions
(e.g. regarding dosage and contact times).
The recorder must never be immersed in liquids or cleaned
with too much water.
custo screen 300
The exterior of custo screen 300 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 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
04.2 Recommended cleaning agents and disinfectants
Disinfectants (custo screen 300, carrying case, belt):
All alcohol-based disinfectants (e.g. propanol, ethanol)
approved for medical use.

20 ABPM with custo screen 300 and custo diagnostic | GEB 0154 – DK 1055 | Version 002 – 05.06.2013 | custo med GmbH
Carrying out an examination05
05.1 Preparing the patient for the examination
Applying the blood pressure cuff
In order to attach the cuff and the 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. Use a sufficiently sized piece so that you can put
the bandage bottom-up over the cuff later. This in-
creases the level of hygiene and the wearing comfort.
Make sure to select the correct cuff size for the pa-
tient. Each cuff contains information for which arm
circumference it is suited, e.g. standard 24 – 32 cm.
Attach the cuff to the left upper arm, two to three
centimetres above the crook of the arm. Apply the
cuff in such a way that the marking is situated on
the brachial artery. The cuff must not be attached
too firmly. It should still be possible to fit approxi-
mately two fingers between the arm and the 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 to the patient’s body. This
serves to avoid faulty measurements due to the in-
correct positioning of the cuff or the tube.
Use professional fixing aids with a low level of
adhesive residues.
Attaching the carrying belt
Attach the carrying case to the carrying belt. Put
the carrying belt on the patient. The case should be
positioned on the patient’s right hip.