Diagnostic DM-200 IHB User manual

INSTRUCTION MANUAL
0197 5122
EN

HOW TO USE THE DEVICE
GROUP / USER SELECTION
With the power supply turned off, press the  button, to enter device
settings. The memory group icon starts blinking.
1. Select the memory group In the device settings mode, you can record
the measurement results in 2 different groups. This allows 2 users to
record individual measurement results (up to 60 per group). Press the
MODE button to select the group. Measurement results are automatically
stored in each selected group.
2. Time/date settings
Press the  button again to enter the date/time mode. Set
the month using the MODE button. Press the  button again
to confirm the given month. Set the day, hour and minute in
the same manner. After pressing the button  each time,
the selection will be approved and move to the next element
(month, day, hour, minute).
3. Saved settings
To turn off the device in any setting mode, push the ON/OFF
button.
NOTE If the device stays idle for 3 minutes, it will automatically save all the
information and turn off.
PAGE 6
3. Wrap the cuff approximately 1-2 cm above the elbow. For best results,
wrap the cuff on bare skin, at heart level.
4. The compression of arm caused
by tucked up sleeve may
prevent accurate reading.

MEASUREMENT
TURN ON THE POWER
Press and hold the ON/OFF button until you hear a long beep.
All symbols will appear on the screen for 1 second, and the
unit will carry out a display test. The device is ready for use.
INCREASING PRESSURE
First, the cuff is inflated up to the initial pressure. If the
systolic pressure of the current user is higher than 190
mmHg, the device will automatically change the inflation
to the proper level.
MEASUREMENT
After the cuff is inflated, the air will be slowly released, in
accordance with the pressure monitor reading.
Simultaneously, the symbo  , will flash on the display,
indicating heart rhythm.
DISPLAYING RESULTS
After the end of the measurement, there will be three short
beeps. The screen will display the measurement values for
systolic and diastolic pressure. The indicator of current
measurement will be shown next to the appropriate category
according to the WHO classification.
NOTE
NOTE
REMEMBER
Details on the classification of blood pressure
according to WHO can be found on page 12.
Increasing the pressure will gradually slow down and
stop when the cuff is not properly wrapped on the
arm. In such a case, you need to correctly wrap the
cuff and continue by pressing the ON/OFF button and
turn off the device.
During the measurement, you should remain relaxed.
Do not talk or move.
REMEMBER
If there is air remaining in the cufffrom the previous
measurement, the device will not work.The symbol
will flash on the screen, until  the pressure in the
cuff is equalized.
PAGE 7

IRREGULAR HEART RATE INDICATOR
If the pressure monitor detects irregular heart rhythm two or more times during the
measurement, together with the measurement results the indicator of irregular heart
rate will appear on the screen " ". ". Irregular heart rate is the one that is 25%
slower or faster than the average rhythm measured when taking a reading of systolic
and diastolic pressure. If irregular heart beat indicator " " " frequently appears
together with results, you should consult your doctor.
DELETING / SAVING MEASUREMENT RESULTS
You can remove your current measurement results, due to the unfavorable
conditions of measurement or for another reason. To delete the result of the
last reading, after the result is displayed, press  . If the result is not
removed, it will be automatically saved along with the date, in the memory
group set earlier.
If the number of measurements exceeds the permissible amount of 60 per
group, the latest measurements are displayed first, and the oldest will be
deleted. TURNING OFF
The ON/OFF button is used for turning off the device in any mode. The device
turns off automatically after approximately 3 minutes of inactivity.
CHECKING MEMORY
With the power off, using the "MODE" button,
you can check the results of earlier
measurements. The result of the latest and the
oldest measurement can be displayed by
pressing and holding the "MODE" button. When
you turn on the results of these measurements,
press the "MODE" button to scroll through all
the results of the measurements in the
memory.
Before the measurement, make sure that the appropriate memory
group was selected.
If the pressure in the cuff reaches excessive level, press the ON/OFF
button to switch the unit off. After turning off, the air will be quickly
removed from the cuff.
REMEMBER
REMEMBER
PAGE 8

DELETING MEMORY
The memory for the selected group may be deleted in the
memory check mode. Press  and hold the button for
about 3 seconds to delete all the entries in the memory for
the selected group. The device will emit a short beep,
confirming successful operation and then it will go into the
measurement mode. Press the ON/OFF button to turn off
the device.
The deleted data cannot be restored.
AVERAGE OF LAST 3 MEASUREMENTS
With the device turned off, press the MODE button to
activate the screen. After conducting internal tests, the
screen will display the results of 3 most recent readings in
the last used group. Together with the corresponding WHO
blood pressure indicator, the symbol will be displayed  .
To go to the memory check mode press MODE. To check
the average results from other groups, select the desired
group before pressing the MODE, with the device turned on.
(See "Group/user selection" on page 6.)
LOW BATTERY INDICATOR
When the device is running out of battery, it will not be able
to properly inflate the cuff and signals the fact with 4 short
beeps. About 5 seconds before switching off the “ "
symbol appears. At this time you should replace the
batteries. This operation will not cause a memory loss.
In this mode, you can go to test mode by
pressing the MODE button.
NOTE
REMEMBER
pAGE 9
REMEMBER
Only the results of previous measurements in the last used memory
groupwill be displayed. To see the results of measurements in other
groups, first select the desired group, and then turn off the pressure
monitor.

PROBLEMS SOLUTION
The cuff is too tight or
improperly wrapped on
the arm.
Place the cuff 1-2 cm above
the elbow (see page 6).
Invalid measurement
due to body or pressure
monitor movements.
Sit in a relaxed position with the
arm close to the heart.
During the measurement, do not
talk or move. Ensure that during
the measurement the device is in
a fixed position.
Blood pressure
is beyond the
typical range.
The cuff has not been
properly inflated.
Display
Make sure that the plug connecting
the air tube with the device
is properly inserted.
POSSIBLE CAUSE
The pressure during inflation
exceeded 300mmHg.
Thoroughly read the user manual
and repeat the measurement.
Incorrect operation. Thoroughly read the user manual
and repeat the measurement..
PROBLEM SOLVING
PAGE 10
Exhausted battery symbol Replace all batteries. Do not use
rechargeable batteries..
DECLARATION AND MANUFACTURER INFORMATION - ELECTROMAGNETIC IMMUNITY
The DEVICE is intended for use in the electromagnetic environment as described below.
The customer or the user of the DEVICE should make sure that it works only in such an environment.
Electromagnetic
environment
- information
+/- 6kV
touch
discharge
+/- 8kV
air
discharge
+/- 6kV touch
discharge
+/- 8kV air
discharge
Floors should be wooden, concrete or made
of ceramic tiles. If floors are covered with
synthetic material, the relative
humidity should be at least 30%.
Mains frequency magnetic field should be
at the level characteristic of a regular
positioning in commercial or hospital
environment.
Test level
IEC 60601
Fulfilled
level
Immunity tests
Electrostatic
discharge
(ESD) in
accordance
with IEC 61000-4-2
The magnetic field
of the mains in
accordance with
IEC 61000-4-8

BLOOD PRESSURE INFORMATION
BLOOD PRESSURE
Blood pressure is the force of blood pushing on artery walls. It is usually
measured in millimeters of mercury (mmHg). Systolic pressure is the
maximum pressure exerted on blood vessel walls at each contraction of the
heart. Diastolic pressure is the pressure exerted on blood vessels when the
heart is expanded, between beats.
A person's blood pressure often changes during the day. The excitement and
tension may result in an increase in pressure, while drinking alcohol
and taking a bath cause pressure decrease. Some hormones, such as
adrenaline (which is released by the body under stress) may cause narrowing
of blood vessels, which leads to increased pressure.
BLOOD PRESSURE FLUCTUATIONS
Blood pressure may vary up to 30-50mmHg per day. In people with
hypertension, these fluctuations may be even higher. Blood pressure rises
during physical or mental effort and reaches its lowest value during sleep.
It is best to make measurements at the same time every day. Repeated
measurements give the accurate pressure image. When saving measurement
results it is necessary to save the correct date and time of the measurement.
mmHg
200
150
100
Upper curve: systolic pressure Lower
Curve: diastolic pressure
50
6 12 18 24
Time of day
Example: variations during the day (male, 35)
PAGE 11

BLOOD PRESSURE INFORMATION
PRESSURE CLASSIFICATION INDICATOR ACCORDING TO WHO
It DM-300 IHB is equipped with blood pressure classification indicator on the
basis of the guidelines of the World Health Organization (WHO).
The illustration below shows measurement results (color-coded on the
monitor screen).
WHAT IS HYPERTENSION AND HOW TO CONTROL IT?
Hypertension is abnormally high blood pressure. You should regularly control
blood pressure in order to detect hypertension as soon as possible, because
disregarded may become the cause of serious diseases such as heart attack
or stroke.
To prevent overpressure, or reduce it: do not smoke, limit your intake of salt
and fat, avoid stress, keep the correct weight, regular exercise.
Do not be overly concerned by the result of one measurement.
A better indication of the blood pressure of the particular person is
ensured by taking readings two or three times, at the same time of
day, for a long time, which enables you to learn your normal blood
pressure. If reading results are outside the norm, contact your doctor.
Severe hypertension
Moderate hypertension
Mild hypertension
High – normal
Normaln
Optimal
Mild
hypertension
Blood pressure classification indicator
Diastolic
blood pressure
(mmHg)
Severe hypertension
Moderate hypertension
Mild hypertension
High – normal
Normal
Optimal
Systolic
blood
pressure (mmHg)
REMEMBER

BLOOD PRESSURE
WHAT IS THE DIFFERENCE BETWEEN BLOOD PRESSURE MEASUREMENT
AT HOME AND MEASUREMENTS MADE IN THE DOCTOR'S OFFICE?
Pressure measurements in hospital or doctor's office may cause anxiety (also
called "white coat hypertension") and result in pressure increase up to 2530
mmHg in comparison with measurement made at home. Measurement at
home reduces any external influences, complements the measurements
made by a doctor and provides a more accurate history of blood pressure.
WHAT IS THE CAUSE OF DIFFERENT READINGS?
Blood pressure varies throughout the day. A number of factors, such as diet,
stress, incorrect cuff wrapping, etc. may affect blood pressure.
THE CUFF SHOULD BE PUT ON RIGHT OR LEFT ARM? WHAT IS THE
DIFFERENCE?
You can use any arm for measurement, however, in the case of comparing
the results, the same arm must be used. Measurement on the left arm is
more precise, because it is closer to the heart.
WHAT IS THE BEST TIME TO TAKE MEASUREMENTS?
Any time when you feel relaxed and do not experience stress.
REMEMBER
Incorrect measurement results may be caused by:
incorrect cuff wrapping (make sure that the cuff is not too tight
or too loose. Make sure that the bottom part of the cuff is placed
approximately 1-2 cm above the elbow),
incorrect body posture (remember to keep upright position),
feeling anxiety or nervousness (take 2-3 deep breaths, wait for a
few minutes and repeat the measurement).
PAGE 13

AINTENANCE
Avoid dropping, hitting, or throwing the
device.
Avoid extreme temperatures.
Do not expose the device to
direct sunlight.
To clean the device, use a soft cloth
and gently wipe with a mild detergent.
Use a damp cloth to remove dirt and
detergent residues.
Ccleaning the cuff: Do not wash the cuff in
water! To clean the surface, use a soft cloth
moistened with some disinfecting alcohol.
To wipe use a damp cloth (moistened with
water). Dry the cuff in the air at room t
emperature.
Do not use gasoline, thinners or similar solvents.
If the device is not used for an extended
period of time, remove the batteries.
Do not disassemble the product.
I
t is recommended to control the operation of the
device every 2 years
PAGE 14
SYS
mmHg
DIA
mmHg
PUL
/min
SET
ON/OFF
MODE
SYS
mmHg
DIA
mmHg
PUL
/min
SET
ON/OFF
MODE
SYS
mmHg
DIA
mmHg
PUL
/min
SET
ON/OFF
MODE
SYS
mmHg
DIA
mmHg
PUL
/min
SET
ON/OFF
MODE

PAGE 15
TECHNICAL DATA
DM-200 IHB
Approx. 139mm x 88mm x 42 mm (length x width x height)
-20 - 55°C (-4 - 131°F)
15 - 90% RH
10 - 40°C (50 - 104°F)
15-90% RH
Display LCD Digital Display
Measuring Method Oscillometric Method
Measurement Range Pressure
Pulse
0-300 mmHg
30-180 Pulses/min
Accuracy Pressure ±3 mmHg
Pulse ±5%
Inflation Automatic by Internal Pump
Memory Function Memory 2x60 Sets of Measurement Values
Power Source 4XAAA 1,5 V Alkaline Batteries
Main Unit Weight Approx. 405g (Batteries not included)
Cuff Soft Arm Cuff (22-36 cm)
Operating Environment Temperature
Humidity
Transport and Storage
Environment Temperature
Humidity
Model
Product Description Arm- type fully automatic digital blood pressure monitor
Function Irregular heart beat detection
WHO clasification Indicator
Last 3 results average
Low battery detection
Automatic power-off
Battery life Approx. 2 mounths at 3 tests per day
Unit dimensions
Classification Internal power equipment, type BF, cuff is the applied part
Ingress Protection
Rating
IP 22

SPECIFICATION
This blood pressure monitor complies with European regulations and bears the mark 
(0197). This blood pressure monitor is also compatible with the following standards:
SAFETY STANDARDS:
EN 60601-1 medical electrical equipment - Part 1: General requirements for safety
EMC STANDARD:
EN 60601-1 Medical electrical equipment - Part 1-2: General requirements for safety -
Collateral standard - Electromagnetic compatibility - Requirements and tests
PERFORMANCE STANDARDS:
EN 1060-1 Non-invasive sphygmomanometers - General requirements,
En 1060-3 non-invasive sphygmomanometers-supplementary requirements for
electromechanical blood pressure measuring systems
En 1060-4 Non-invasive sphygmomanometers - test procedures to determine the overall
system accuracy of automated non-invasive sphygmomanometers,
CORRECT DISPOSAL OF THIS PRODUCT
(Waste electrical and electronic equipment)
This marking on the product or its related materials indicates that it should not be disposed of with other
household waste at end of life.
The worn out product should be taken to a waste collection facility. Contains components that are
dangerous for the environment. The correct disposal of the device allows to preserve valuable resources
and avoid negative effects on health and the environment, which may be threatened by inappropriate
handling of waste.
Business users should contact with their suppliers and check the terms and conditions of purchase
agreements. This product should not be mixed with other waste from business activities. This product does
not contain hazardous materials.
WARRANTY
The DM-200 IHB blood pressure monitor is covered by a 2-year warranty starting from the
purchase date. If the device does not work properly, due to damaged elements or defective
manufacturing, we will repair it or replace it for free. This warranty does not cover damage
to the pressure monitor resulting from improper operation. For detailed information please
contact Diagnosis.
PAGE 16
Rev. 2016.06.15
Instrukcja użycia zestawu w języku angielskim
przygotowana na podstawie polskiej wersji językowej z dnia 2015.10.26
an

NOTES

NOTES

1. Diagnosis S.A. grants a warranty:
 24 months for DIAGNOSTIC blood pressure monitors and cuffs (excluding pump assembly)
 12 months for nebulizer and pressure monitor accessories
Hardware defects revealed during the warranty period will be rectified free of charge within 21
days. The term runs from the date of delivery of the equipment to the service center.
2. The purchaser shall be entitled to replace the equipment for a new one, free of defects,
when:
 the repair has not been made within the time limit set in item 1
 an authorized service center found an irreparable manufacturing defect
 during the warranty period, 4 repairs were effected, and the equipment still shows
defects that prevent its use in accordance with its intended purpose.
The concept of repair shall not include operations related to equipment check and cleaning.
3. The warranty shall not cover: batteries, products with illegible or damaged serial number,
damage due to the operation and storage inconsistent with the user manual, ingress of
liquids or foreign bodies, overvoltage of mains, repairs by unauthorized persons and random
events.
4. Faulty equipment should be delivered by the buyer to the address of the main service center
or one of the Authorized Service Centers (listed in the appendix).
5. The warranty for the sold consumer goods shall not exclude, restrict, or suspend the
powers of the buyer resulting from non-conformity of the goods with the contract.
6. The only basis for the warranty rights shall be the warranty card with the date of sale,
stamp and signature of the salesperson. If the card is not completed, filled in wrongly, with
traces of corrections and entries made by unauthorized persons, illegible as a result of
damage - it shall be invalid.
WARRANTY CARD
store stamp and signature of salesperson
DEVICE NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MODEL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SERIAL NUMBER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DATE OF SALE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
WARRANTY TERMS
Diagnosis S.A.
ul. Sienkiewicza 82, 15-005 Białystok
tel./fax [phone]
www.diagnosis.pl
EN