SUESS Medizin-Technik METRONIK BL-6 User manual

METRONIK
Blood Pressure Monitor
BL-6
Instruction manual
valid for REF BL-6 1000 and REF BL-6 1100
Revision: 2018-05-22
Version: V 5.3

Instruction manual rev. 5.3 METRONIK BL-6
2 METRONIK Blood Pressure Monitor BL-6
Manufacturer and distributor in accordance with § 5 MDD on behalf of METRONIK:
SUESS Medizin-Technik GmbH
Mittelstr. 9
D-08280 Aue
GERMANY
Tel. [phone]
Fax. [phone]
CE - mark : CE 0494 Classification IIa
Quality Management System EN ISO 13485 :2012 + AC :2012
Made in Germany
METRONIK is a registered trademark of METRONIK SUESS OHG Germany. All other trademark
names are the trademarks of their respective holders.
The information in this manual is provided for guidance only, it is subject to change without notice, and
should not be construed as a commitment by the manufacturer.
This manual is not subject to any change order service.
SUESS Medizin-Technik GmbH assumes no liability for errors or inaccuracies that may appear in this
manual.
Copyright © 2008-2018 SUESS Medizin-Technik GmbH, All rights reserved.

Instruction manual rev. 5.3 METRONIK BL-6
3 METRONIK Blood Pressure Monitor BL-6
Table of contents
1. DESCRIPTION OF THE METRONIK BL-6 DEVICE ......................................................................................... 4
1.1. I NSTRUCTION FOR RESTING MEASUREMENT ............................................................................................................ 4
1.2. U SING OF COMPENSATION CHAMBER DK26 ........................................................................................................... 4
2. WARNINGS AND PRECAUTIONS ............................................................................................................... 5
2.1 L ABELS ............................................................................................................................................................. 6
2.2 H ARDWARE S ETUP ............................................................................................................................................. 6
3. METHOD .................................................................................................................................................. 7
4. PREPARATIONS FOR MEASURING ............................................................................................................
4.1 C HOICE OF CUFF SIZE ................................................................................................................................... 9
4.2 F IXING THE CUFF ......................................................................................................................................... 9
4.2.1 Positioning the microphone: ........................................................................................................... 10
4.2.2 Adjustable Cone adapts patient’s arm shape .................................................................................. 10
4.2.3 Changing the cuff co er ................................................................................................................... 10
5. TAKING THE MEASUREMENT ................................................................................................................. 12
5.1 S PECIAL FUNCTIONS .................................................................................................................................. 14
6. MAIN MENU - SELECTIONS AND SETTINGS ............................................................................................. 17
6.1. I NTRODUCTION TO OPERATION .......................................................................................................................... 17
6.2. M EASUREMENT IEW ...................................................................................................................................... 18
6.3. I NTER AL M EASUREMENT M ENU ....................................................................................................................... 19
6.4. A RCHI E M ENU .............................................................................................................................................. 21
6.5. S ETTING M ENU .............................................................................................................................................. 21
7. CLEANING OF BL-6 AND CUFF................................................................................................................. 23
. IMPORTANT HINTS ................................................................................................................................ 24
9. TECHNICAL DATA ................................................................................................................................... 25
10. DECLARATION .................................................................................................................................... 25
10.1. E QUIPMENT C LASSIFICATION ........................................................................................................................... 25
10.2. D ECLARATION OF GUARANTEE ......................................................................................................................... 25
10.3. EMC S TATEMENT ......................................................................................................................................... 25
11. BL-6 ACCESSORIES AND CUFFS ........................................................................................................... 2
12. ERROR MANAGEMENT ...................................................................................................................... 29

Instruction manual rev. 5.3 METRONIK BL-6
4 METRONIK Blood Pressure Monitor BL-6
Dear Customer,
with the BL-6 blood pressure monitor you have chosen a quality product from METRONIK made in
Germany.
We are delighted that you have shown your confidence in METRONIK quality and we thank you.
The METRONIK BL-6 device meet the valid European standard DIN EN 1060 that accounts for non-
invasive sphygmomanometers and, furthermore, they are in accordance with the Directive 93/42 EEC
dated June 14, 1993 including all valid modifications. This is certified by the CE-mark on the rear
panel of the device.
The information given in the instruction manual is prerequisite for proper device performance and
correct operation. It ensures the safety of patient and operator.
1. Description of the METRONIK BL-6 device
The blood pressure device METRONIK BL-6 is an active diagnosis device for examination of
physiological processes, as in §3 item 1 c of MDD. The intended use includes non-invasive indirect
measurement of arterial blood pressure. BL-6 is a medical device class IIa.
The blood pressure device METRONIK BL-6 is a robust device, easy to use, with very high reliability.
It is designed for most application of non-invasive blood pressure measurement.
Typical applications are
- resting and stress blood pressure measurements
- ergometric measurements while on bike, treadmill, or recumbent bike
- automatic blood pressure profiles in freely selectable intervals
The device is used to determine the systolic and diastolic values as well as the pulse rate in humans.
1.1. Instruction for resting measurement
For the resting measurement, the patient should relax at least 5 min. So that a true resting blood
pressure level of the body can be achieved.
Recommendation for resting blood pressure measurement: The patient should sit in a still position, not
cross his legs and place his feet flat on the floor. Back and arm should be supported. The middle of
the right cuff should be at the level of the right atrium.
For use with treadmill we recommend the additional pressure chamber for increase the systems
compliance. The optional software METRONIK BP-Control is helpful for comprehensibility and
documentation of measurement.
1.2. Using of compensation chamber DK26
For the treadmill examination we recommend the version REF BL-6 1100 with external pressure
chamber DK26.
It includes a larger pressure compensation chamber as a kind of dynamic balancing tank. It increases
the air volume in the system and compensates muscle movements more than our regular REF BL-6
1000. When you move your arm, your muscle presses and squeezes against the blood pressure cuff.
With this movement the cuff pressure will increase and decrease rapidly. With the REF BL-6 1100 you
have a additional pressure reservoir, this reservoir absorbs all the pressure changes caused by the
movement. So the cuff pressure remains stable during movement for better measurement.

Instruction manual rev. 5.3 METRONIK BL-6
5 METRONIK Blood Pressure Monitor BL-6
Fig. BL-6 1100 with external pressure compensation chamber and optional Aneroid Manometer
Note:
The Aneroid Manometer in the picture is another optional upgrade.
2. Warnings and Precautions
The device must not use in areas where an explosion hazard may occur. The BL-6 blood pressure
measuring device must not be exposed to strong vibrations. Furthermore, it has to be protected from
moisture and dust.
The device must be installed in such a way that it is easy to disconnect the power line. The device can
be disconnected at any time by unplugging the power line and brought into a safe state
The device should not be operated in close proximity to electromagnetic fields, static electricity or
heating. Avoid placing the device near high frequency surgical equipment. In order to improve
audibility, avoid environmental noise.
The use of mobile phones in the vicinity can disrupt the functioning of the device.
The cuff must not attach to a limb being used for IV infusions. The cuff inflation can block the
infusion, causing harm to the patient.
For the blood pressure measurement, the cuff must briefly suppress the blood flow of a limb. A
monitoring of the pulse during the measurement is no longer possible below the cuff. The hose must
not kink to ensure proper ventilation. Too frequent measurements can lead to circulatory disorders.
The blood pressure cuff must not be placed on the arm of the side of a mastectomy in order to prevent
congestion and to not disturb the lymphatic flow.
The blood pressure measurement can be influenced by the position of the patient (lying, sitting,
standing), by physiological exertion and by the emotions of the patient.
The METRONIK BL-6 device must not used
- on neonates
- on patients known to be readily susceptible to bruising
- on patients where skin lesions are likely to occur.
- when the cuff should be applied to broken skin
The use of the blood pressure monitor METRONIK BL-6 for the monitoring of vital processes, where
physiological changes can lead to an immediate danger for the patient, is definitely excluded and does
not correspond to the usage regulation.
Due to the medical product operating appointment, the blood pressure measuring device has to be
metrological monitored and calibrated every two years. The calibration and potential reparations have
to be realized by the manufacturer, by METRONIK SUSS OHG or by METRONIK-authorized service-
partners. For the safety checks an annual interval is recommended.

Instruction manual rev. 5.3 METRONIK BL-6
6 METRONIK Blood Pressure Monitor BL-6
We additionally point out that solely METRONIK spare parts have to be used for any kind of
maintenance.
2.1 Labels
CE Approval
Note accompanying documents
Note instruction manual
Type BF applied part
Device Name
Serial Number
Manufactured By
Manufacture Year
2.2 Hardware Setup
Rear Panel:

Instruction manual rev. 5.3 METRONIK BL-6
7 METRONIK Blood Pressure Monitor BL-6
POWER: Connect Power to 230V Mains.
Attention: In order to avoid the risk of electric shock, this device may only be connected to a supply
network with a protective earth conductor.
The COM1 is special wired. So we recommend to use original METRONIK Interface cable. The data
level meets requirements of RS232 (± 12V).
If connecting USB cable first time, the USB Driver will installed and the PC emulates a virtual COM
Port. The driver data are on the attached CD or USB stick.
The COM1 and the USB interface can be configured as independent interfaces with same or different
data protocols.
TRG IN is a BNC connector. It can be connected to analogue QRS signal or R-Peak related TTL
trigger. So the Blood Pressure Measurement can be taken ECG triggered. Note, the TRG IN is not
galvanic insulated.
Important for ECG triggered measurements: The R-peak trigger is command variable. It must be
ensured, that the ECG trigger is free of artefacts and in time with the original occurring R-peak.
CUFF connection – there are two quick couplings, microphone and air. The matching push-pull
connectors are at the end of the cuff double tube.
We emphasize that only original METRONIK parts should be used for any spare or repair.
3. Method
The functioning of METRONIK devices is based upon the method of Riva Rocci / Korotkov. The RR
method is also known as golden standard in non-invasive blood pressure measurement.
Thus, METRONIK blood pressure measurement devices operate by use of an auscultatory measuring
method via a microphone in the cuff, making it precise and considerably robust.
The original Korotkov sounds are reproduced in high quality via loudspeakers.
By simultaneously listening to the Korotkov sounds during the measurement, the applicant can also
check that the real Korotkov sound occur at the same time as the blood pressure. So he can
recognize how exact and precise the automatic measurements are.
In addition to the automatic measuring, there is a manual mode where the user marks the pressure
levels at its corresponding systole and diastole values during deflation. By pressing the START button
during deflation at time with the first occurring Korotov sound, the systolic value will be locked at this
actual cuff pressure. By pressing the START button a second time, when the sound disappeares, the
diastolic value will be locked. The system deflates and the measurement is finished. This feature is
very important for stress measurements with high load or for resting measurements with patients with
weak sounds.
The ergometry filter can be switched on to reduce interferences and pulse wave noises, which occur
regularly during stress tests. There is an integrated compensation tank for mechanical suppression of
moving artefacts.
The METRONIK BL-6 is ideally suited for stress measurements with treadmill or bicycle ergometers.
The cuff is designed as a one-tube-system, even though it contains a double tube. That means one
tube is used for apply the air into the cuff, the other tube includes the microphone cable. The
microphone is built in the bladder, so there are no interferences. Both tubes each ends with an easy to
use quick connector for plugging in the device at the rear panel.

Instruction manual rev. 5.3 METRONIK BL-6
8 METRONIK Blood Pressure Monitor BL-6
4. Preparations for measuring
Scope of delivery of the blood pressure monitor METRONIK BL-6:
•Blood Pressure Device BL-6
•Blood Pressure Cuff ZWM2940 Adult
•USB-Cable
•Device connection cable (Power cable)
•Driver CD
•User Manual
Make sure that the blood pressure monitor is in proper condition and the power cord isn’t damaged.
Connect the power cord to an available AC outlet.
Connect the cuff with air tube and microphone to the corresponding slots on the rear of the
METRONIK BL-6.
Check and maintain the cleanness of parts that have direct contact with patients.
Switch on the METRONIK BL-6 device (Power switch on the rear).

Instruction manual rev. 5.3 METRONIK BL-6
9 METRONIK Blood Pressure Monitor BL-6
4.1Choice of cuff size
Important! Use the correct cuff-size.
The table shows all cuff types currently available for the METRONIK BL-6
Order No
Name
Size
R
ange
Design
32-10-2940 ZWM2940 Adult 29-40 cm Clamp cuff
32-10-2531 ZWM2531 Small Adult 25-31 cm Clamp cuff
32-10-5600 KM5600 Large Adult bis 56 cm Wrist cuff
In standard delivery an adult cuff ZWM2940 is included.
This cuff is suitable for upper arms with a circumference of 29 - 40 cm. For patients with smaller or
larger upper arm circumference the corresponding special sized cuff has to be used.
Size / N
ame
Upper arm
circumference
[cm]
Cuff Size
[cm]
Bladder
[cm]
Order No.
SMALL ADULT
ZWM2531
Clamp Cuff
25cm - 31cm 47cm x 13cm 24cm x 11cm 32-10-2531
ADULT
ZWM2940
Clamp Cuff
29cm – 40cm 55cm x 15cm 28cm x 13,5cm 32-10-2940
LARGE ADULT
KM5600
Wrist Cuff
Up to 56cm 71cm x 15cm 45cm x 13,5cm 32-10-5600
All cuff types are designed with PU double tube, length 2,30m, with PU bladder with built in
microphone. The cuff cover is PU coated cotton colour anthracite.
It is recommended to change the cuff covers every 6 months.
Custom designs or other cuff sizes are available upon request.
Note chapter 7 cleaning and disinfection.
4.2Fixing the cuff
Fit your patient with an appropriately sized cuff. The cuff must be completely vented before being
fixed.
You can easy measure over clothes.
Never roll up or slide shirt blouse or sweater sleeves. This can impede blood flow, and hence results
in wrong readings.
The blood pressure cuff over shirt and blouse sleeves or thin sweaters will cause no inaccuracies in
the resulting values. Pull the sleeve tight, that there are no pleats behind the microphone.
The measurement over clothes saves time and protects the cuff cover.
While placing the cuff look for a good location and a good fit of the microphone.

Instruction manual rev. 5.3 METRONIK BL-6
10 METRONIK Blood Pressure Monitor BL-6
4.2.1 Positioning the microphone:
Position of microphone marker label at the inner side of upper arm between m.Biceps and m.Triceps.
The microphone must perfectly be in contact with the body, possibly over thin sleeves. The elbow
must be completely free. There must be a two finger width clearance between elbow and the
lower edge of the cuff.
Note: the microphone must rest against the muscle!
4.2.2 Adjustable Cone adapts patient’s arm shape
The cuff is adaptable to most different upper arm shapes
cylindrical to conical
Adjustment for conical upper arms by adjusting the angle
of the D-ring in the cuff.
On the top and bottom there should be an inch of air.
4.2.3 Changing the cuff cover
microphone
fit