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BR-102 PLUS

BR-102 PLUS PWA


24/48 Hour Ambulatory Blood Pressure Recorder
*2.511076*
Art. no.: 2.511076 Rev.: g

User Guide
Sales and Service Information
The SCHILLER sales and service centre network is world-wide. For the
address of your local distributor, contact your nearest SCHILLER
subsidiary. In case of difficulty a complete list of all distributors and
subsidiaries is provided on our internet site:

www.schiller.ch

Sales information can also be obtained from:


sales@schiller.ch

Address Headquarters
SCHILLER AG Tel: +41 (0) 41 766 42 42
Altgasse 68 Fax: +41 (0) 41 761 08 80
CH-6341 Baar sales@schiller.ch
Switzerland www.schiller.ch

BR-102 plus / BR-102 plus PWA bears the CE-0123 mark (Notified Body TÜV-SÜD Produkte Ser-
vice GmbH, Ridlerstr. 65, 80339 Munich, Germany), indicating its compliance with the essential re-
quirements of the Annex I of the Medical Device Directive 93/42/EE regarding safety, functionality
and labelling. The requirements apply to patients, users and third persons who come into contact
with this device within the scope of its intended use.

Article no: 2.511076 Rev.: g


Issue date: 13.12.21
Corresponds to: Original
BR-102 plus / BR-102 plus PWA User Guide

Contents

1 Safety Notes .............................................. 7


1.1 User Profile ................................................................... 7
1.2 Intended Use................................................................. 7
1.3 Contraindications......................................................... 8
1.4 Responsibility of the User........................................... 8
1.5 Organisational Measures ............................................ 8
1.6 Maintenance ................................................................. 9
1.7 Hygiene ......................................................................... 9
1.8 Safety Conscious Operation ....................................... 9
1.9 Safety Facilities ............................................................ 9
1.10 Operation with other Devices ................................... 10
1.11 Safety Symbols and Pictograms .............................. 11
1.11.1 Symbols used in this Document ........................................... 11
1.11.2 Symbols on the Device, Batteries, and Accessories ............ 11

2 Introduction ............................................ 13
2.1 BR-102 plus / BR-102 plus PWA ............................... 14
2.1.1 BR-102plus........................................................................... 14
2.1.2 BR-102 plus PWA................................................................. 14
2.2 The medilog®DARWIN2 Program ............................. 15
2.3 Inserting/Changing the Batteries.............................. 15
2.4 Connecting the Pressure Hose and Microphone .... 16
2.5 Main Components of the Device............................... 17
2.5.1 Operating and Display Elements .......................................... 18
2.5.2 Switching on ......................................................................... 18
2.5.3 Switching Off ........................................................................ 19
2.5.4 Battery Status for NiMH Rechargeable Batteries ................. 20
2.5.5 Battery Display for Energizer Ultimate Lithium Battery......... 21
2.5.6 Time Display......................................................................... 21
2.6 Menu Structure........................................................... 22
2.6.1 Menu Overview..................................................................... 23
Art. no.: 2.511076 Rev.: g

3 BP recording ........................................... 26
3.1 Safety .......................................................................... 26
3.2 Applying the Cuff ....................................................... 28
3.2.1 Cuff Type with D-ring ............................................................ 30
3.2.2 Cuff Type without D-ring ....................................................... 30
3.2.3 Patient Comfort Sleeve......................................................... 31
3.2.4 Fixing the Microphone Directly on the Upper Arm ................ 31
3.2.5 Securing the Cuff with the Fixation Pad ............................... 32
3.3 Single Measurement .................................................. 33
3.4 Long Term Recording................................................ 34
3.4.1 RECORD SETUP ................................................................. 35

Page 3
BR-102 plus / BR-102 plus PWA

3.4.2 Program ................................................................................ 35


3.4.3 Starting a Recording ............................................................. 36
3.4.4 Changing the Batteries During a 48 Hr Recording ............... 38
3.4.5 Stopping the Recording ........................................................ 39
3.4.6 Displaying a Recording on the BR-102 plus ......................... 39
3.4.7 Uploading the Recording to the medilogDARWIN2 .............. 40

4 Patient Information .................................41


4.1 General ....................................................................... 42
4.2 Taking an Extra Measurement.................................. 42
4.3 Interrupting a measurement during the recording . 43
4.4 Extended 48-Hour Recording ................................... 43
4.5 BR-102 plus PWA Unit Measurements .................... 43

5 Cleaning ...................................................44
5.1 Important Information ............................................... 44
5.1.1 Non-admissible detergents ................................................... 44
5.1.2 Admissible detergents .......................................................... 45
5.1.3 Cleaning the Device.............................................................. 45
5.1.4 Cleaning the Pressure Hose/Microphone Cable Assembly .. 45
5.2 Cleaning the Cuff and Pouch.................................... 46
5.2.1 Cleaning the Cuff .................................................................. 46
5.2.2 Cuff Preparation.................................................................... 47
5.2.3 Cleaning the Pouch (as well as the Shoulder and Waist strap) 50
5.2.4 Disinfection ........................................................................... 51
5.2.5 Admissible Disinfectants for the Casing ............................... 52
5.2.6 Non-admissible disinfectants ................................................ 52
5.2.7 Sterilisation ........................................................................... 52

6 Maintenance ............................................53
6.1 Visual Inspection ....................................................... 53
6.2 Battery Maintenance.................................................. 54
6.2.1 Charging the Batteries .......................................................... 54
6.2.2 Battery Disposal.................................................................... 54
6.3 Calibration .................................................................. 55
6.4 Measurement Check.................................................. 55
6.4.1 Equipment Required ............................................................. 55
Art. no.: 2.511076 Rev.: g

6.4.2 Setup .................................................................................... 55


6.4.3 Measurement accuracy ........................................................ 56
6.4.4 Overpressure Relieve Valve ................................................. 57
6.5 Error Messages.......................................................... 58
6.5.1 Error Message Table ............................................................ 58

7 Technical Data ........................................60


7.1 Preventing electromagnetic interferences .............. 62

8 Accessories .............................................63
8.1 Documentation........................................................... 63

Page 4
BR-102 plus / BR-102 plus PWA User Guide

8.2 General Accessories.................................................. 63


8.3 Cuff and Cuff Accessories ........................................ 64

9 BR-102 plus PWA ................................... 65


9.1 Overview ..................................................................... 65
9.2 Measurements ............................................................ 65
9.3 Display of Pulse Wave Analysis ............................... 65
9.4 Method ........................................................................ 66

10 Patient Diary ........................................... 67


10.1 Patient Diary Example ............................................... 67

11 Index ........................................................ 71

12 Appendix - Symbols ............................... 73


Art. no.: 2.511076 Rev.: g

Page 5
BR-102 plus / BR-102 plus PWA

Art. no.: 2.511076 Rev.: g

Page 6
Safety Notes 1
BR-102 plus / BR-102 plus PWA User Guide User Profile 1.1

1 Safety Notes
1.1 User Profile
Medical Personnel (Operator, User)
This blood pressure recorder as well as the analysis program are
provided for the exclusive use of qualified physicians or trained
medical personnel under their direct supervision.

Patient, Caregiver (for use in home environment)


After thorough instruction from the attending physician, the patient or
his/her caregiver may use the device on their own (see chapter 4
Patient Information and chapter 10 Patient Diary).

1.2 Intended Use


 The BR-102 plus / BR-102 plus PWA is a non-invasive ambulatory
blood pressure recorder. It uses auscultatoric and oscillometric
signals, or purely oscillometric signals to measure the blood
pressure of human beings. Systolic, diastolic, mean arterial
pressure and heart rate are measured. The BR-102 plus / BR-102
plus PWA is intended as an aid to diagnosis and treatment when
it is necessary to measure an adult or adolescent patient’s blood
pressure over an extended period of time (up to 24 48 hours).
Further, with each measurement, the PWA data will be saved for
subsequent external assessments.
 The BR-102 plus / BR-102 plus PWA can be used for adults and
children (3 years old onwards) of both sexes and all ethnic origins.
 This blood pressure recorder can be used on pregnant patients or
patients suffering from pre-eclampsia.
 Patients with special needs such as children, the elderly, the
disabled, or people lacking the capacity for judgement must be
accompanied by a caregiver who will supervise the actions as well
as monitor the recording.
Art. no.: 2.511076 Rev.: g

Page 7
1 Safety Notes
1.3 Contraindications BR-102 plus / BR-102 plus PWA

1.3 Contraindications
 The BR-102 plus / BR-102 plus PWA has not been designed for,
and must not be used for the following patients:
– neonates and children under the age of 3.
– Patients who must undergo invasive blood pressure monitoring.

1.4 Responsibility of the User


 The numerical and graphical results as well as any interpretation
suggested by the device must be examined with respect to the
patient's overall clinical condition and the quality of the recorded
data.
 The indications given by this equipment are not a substitute for
regular checking of vital functions.
 The responsibilities of the personnel for the operation and
maintenance of the device must be specified.
 Ensure that personnel have read and understood these operating
instructions. In particular this section safety notes, must be read
and understood.
 Damaged or missing components must be replaced immediately.
 The operator is responsible for compliance with all applicable
accident prevention regulations and safety regulations.
 The safety, reliability and performance of the unit can only be
guaranteed when the maintenance intervals, as stated in the
Maintenance section of this user guide, are observed.
 No modification of this equipment is allowed.

1.5 Organisational Measures


 Before using the unit, ensure that an introduction regarding the
recording functions and the safety precautions has been provided
by a medical product representative.
Art. no.: 2.511076 Rev.: g

 Observe the operating instructions and maintenance instructions


and keep these operating instructions in an accessible place for
reference when required. Make sure that they are always
complete and legible.
 These operating instructions do not override any statutory or local
regulations, or procedures for the prevention of accidents and
environmental protection.

Page 8
Safety Notes 1
BR-102 plus / BR-102 plus PWA User Guide Maintenance 1.6

1.6 Maintenance
 There are no serviceable parts inside. Refer servicing to qualified
technician authorised by SCHILLER only.
 Do not use high temperature sterilisation processes (such as
autoclaving). Do not use E-beam or gamma radiation sterilisation.
 Do not use solvent or abrasive cleaners on either the unit or cable
assemblies.
 Do not, under any circumstances, immerse the device or cable
assemblies in liquid.

1.7 Hygiene
 For cleaning and disinfection observe the legal requirements
applicable.
 Only use cleaning agents and disinfectants recommended by
SCHILLER. Unsuitable agents can damage the device. Clean and
disinfect the device in accordance with the instructions given in
this book.

1.8 Safety Conscious Operation


 Make sure that the staff have read and understood the operating
instructions - particularly this Safety Notes section.
 Immediately report any changes that impair safety (including
operating behaviour) to the person responsible.
 Only use accessories and other parts recommended or supplied
by SCHILLER AG. Use of other than recommended or supplied
parts may result in injury, inaccurate information and/or damage to
the recorder.

1.9 Safety Facilities


Art. no.: 2.511076 Rev.: g

 Connecting the unit to a PC with defective cables may constitute a


danger to life. Therefore:
– Do not connect the BR-102 plus / BR-102 plus PWA to any PC if
the earth connection is suspect or if the mains lead is damaged
or suspected of being damaged.
– Damaged cable connections and connectors must be replaced
immediately.

Page 9
1 Safety Notes
1.10 Operation with other Devices BR-102 plus / BR-102 plus PWA

1.10 Operation with other Devices


 Only use accessories and other parts recommended or supplied
by SCHILLER AG. The use of other than recommended or
supplied parts may result in injury, inaccurate information and/or
damage to the device.
 Accessory equipment must be certified according to the respective
IEC standards (e.g. IEC/EN 60950 for data processing equipment
and IEC/EN 60601-1 for medical equipment). Furthermore, all
configurations shall comply with the valid version of the system
standard IEC/EN 60601-1. Everyone who connects additional
equipment to the signal input part or signal output part configures
a medical system, and is therefore responsible that the system
complies with the requirements of the valid version of the system
standard IEC/EN 60601-1. If in doubt, consult the technical service
department or your local representative.
 The BR-102 plus / BR-102 plus PWA is safe during defibrillation.
However, as a safety precaution remove the cable assembly
between the recorder and the PC and when possible, remove the
BR-102 plus from the patient before defibrillation.
 The BR-102 plus / BR-102 plus PWA complies with EMC
regulations for medical products which afford protection against
emissions and immunity. However, the possibility exists that high
frequency disturbance from other devices can affect the recorder's
operation.

Art. no.: 2.511076 Rev.: g

Page 10
Safety Notes 1
BR-102 plus / BR-102 plus PWA User Guide Safety Symbols and Pictograms 1.11

1.11 Safety Symbols and Pictograms

1.11.1 Symbols used in this Document


The safety level is classified according ANSI Z535.4. The following
overview shows the safety symbols and pictograms used in this
manual.

For a direct danger which could lead to severe personal injury or to


death.

For a possibly dangerous situation, which could lead to serious bodily


injury or to death.

For a possibly dangerous situation which could lead to personal injury.


This symbol is also used to indicate possible damage to property.

For general safety notes as listed in this chapter.

Note For possibly dangerous situations, which could lead to damages


to property or system failure. Important or helpful user information.

Reference to other guidelines.

1.11.2 Symbols on the Device, Batteries, and Accessories


For general symbols, see Appendix - Symbols, page 73
Art. no.: 2.511076 Rev.: g

Type BF equipment, safe for external applications.

Symbol for the recognition of electrical and electronic equipment.

Recycle the recorder and batteries separately from other waste.


Equipment/components and accessories no longer required must be
disposed of in a municipally approved collection point or recycling
centre. Alternatively, you can return the equipment to your supplier or
SCHILLER AG for disposal. Improper disposal can harm the
environment and human health.

Page 11
1 Safety Notes
1.11 Safety Symbols and Pictograms BR-102 plus / BR-102 plus PWA

BR-102 plus / BR-102 plus PWA battery type 2 x AA 1.2 V /


2700 mAh, NiMH. Use NiMH charger only.
NiMH NiMH Do not disassemble, mutilate, incinerate, or heat. Do not short circuit
a battery. May cause burns. At the end of a battery’s life, do not
dispose in household waste. Batteries must be disposed of in a
municipally approved collection point or recycling centre. To prevent
the possibility of battery leakage, always remove the batteries from
the device when not used for prolonged periods.

IP42 According DIN VDE 0470 PART 1 /EN 60529 / IEC 529

(with carrying pouch) Protection against deposits of dust and protection against spray
water. (The first digit indicates the protection of the equipment against
ingress of solid foreign bodies and dust and the second digit indicates
the degree of protection of the equipment inside the enclosure from
ingress of water).

Read and follow the instructions in the accompanying documentation.

• Do not tumble dry


• Do not use bleach to clean the pouch.
• Do not iron

• Dry Clean
• Wash the pouch at a temperature of 30° C and the cuff at 40°C.
• Select gentle or delicate cycle.

Art. no.: 2.511076 Rev.: g

Page 12
Introduction 2
BR-102 plus / BR-102 plus PWA User Guide Safety Symbols and Pictograms 1.11

2 Introduction
The SCHILLER BR-102 plus / BR-102 plus PWA is an Ambulatory
Blood Pressure Recorder used for single and long-term recordings.
The device can take up to 100 measurements over a 24 hour
recording period, and up to 200 measurements over a 48 hour
recording period. All recorded data is stored in an internal memory
and can be uploaded to the medilogDARWIN2 program. The recorder
has four recording programs that can be defined by the user with
individual time and interval settings for each program. This enables
long-term blood pressure measurements to be taken at pre-set
intervals for different patients and conditions.

Standard
• BR-102 plus Ambulatory Blood Pressure recorder Standard, or BR-
102 plus PWA (Pulse Wave Analysis)
• Four rechargeable AA NiMH batteries
• Battery charger unit
• Cuff size ‘M’ (medium) adult, and pressure hose with microphone
• Comfort Sleeve size ‘M’ (medium) adult
• Securing pouch with shoulder and waist-strap
• medilogDARWIN2 software
• USB cable
• BR-102 plus / BR-102 plus PWA user guide
Cuffs and Accessories
Cuffs are available in sizes ‘XS’ (extra small, Osc. only), ‘S’ (small), ‘M’
(medium), ‘L’ (large), and ‘XL’ (extra large). A list of these and other
accessories are given at the end of this book (see Accessories, page
63)
Art. no.: 2.511076 Rev.: g

Page 13
2 Introduction
2.1 BR-102 plus / BR-102 plus PWA BR-102 plus / BR-102 plus PWA

2.1 BR-102 plus / BR-102 plus PWA


The recorders are available as follows:

2.1.1 BR-102plus

The Standard BR-102 plus is identified by the black front casing.


There are two measurement methods available as follows:

• Option 1 employs the auscultatory (Riva-Rocci, Korotkoff) method


of measurement, with an oscillometric method as back-up. This
means that when a clear measurement cannot be obtained with the
auscultatory method, the oscillometric value is used. If a clear
measurement cannot be obtained with either method the BP meas-
urement is retaken. It is not possible to define oscillometric as the
primary measurement method.
• Option 2 employs the oscillometric method only. Note that with this
recorder no microphone is provided with the cuff.

2.1.2 BR-102 plus PWA

The BR-102 plus PWA (Pulse Wave Analysis) is identified by the


white front casing and takes measurements using the auscultatory
(Riva-Rocci, Korotkoff) method with oscillometric as back-up.

The setup and settings of the BR-102 plus PWA, measurement


interval, cuff application, and start and stop procedure are all identical
to the standard unit.

To obtain the extra data needed for PWA, the measurement cycle
differs from standard BP measurement. After every individual
measurement (and the SYS and DIA values recorded), the cuff is
again inflated to the diastolic pressure. This pressure is then held for
10 seconds while the PWA data is obtained. After 10 seconds the cuff
Art. no.: 2.511076 Rev.: g

is again deflated and ready for the next programmed measurement.

An outline of PWA principal is given at the end of this book (see BR-
102 plus PWA, page 65).

Page 14
Introduction 2
BR-102 plus / BR-102 plus PWA User Guide The medilog®DARWIN2 Program 2.2

2.2 The medilog®DARWIN2 Program


The medilogDARWIN2 program supplied with the recorder is used to
display, save, edit, analyse and print recordings. In addition to blood
pressure recordings, the medilogDARWIN2 can upload and view
Holter ECG recordings and SpO2 recordings. Details of the program
are given in the medilogDARWIN2 user guide (see Documentation,
page 63).

2.3 Inserting/Changing the Batteries


 Use NiMH rechargeable batteries supplied or recommended by
SCHILLER. Full capacity of new NIMH batteries are only reached
after three charge/discharge cycles.
 Eneloop Pro NiMH rechargeable batteries (Panasonic 2450 mA)
or Energizer Ultimate Lithium batteries (ENERGIZER L91-FR6)
can also be used.
 Do not mix batteries. Only use two batteries of the same type.
 Do not use any other type of battery. The capacity of other
battery types may not be sufficient for a 24-hour recording and the
battery capacity symbol may be incorrect.

1. Open the battery compartment by pressing and sliding the battery


cover away from the recorder.
2. Use the battery removal ribbon to remove the two batteries.
3. Insert two fully charged batteries.
– Ensure that the battery removal ribbon is positioned under the
batteries so that the batteries can be removed from the recorder
when depleted.
– Ensure that the batteries are inserted with the correct polarity as
shown.
Battery removal
ribbon
Art. no.: 2.511076 Rev.: g

positive

negative Battery compartment


cover. Position in grooves and slide until clicked
4. Position the battery cover in the cover slides and slide back in
place until it clicks to secure.

Page 15
2 Introduction
2.4 Connecting the Pressure Hose and Microphone BR-102 plus / BR-102 plus PWA

• The battery capacity indicator is detailed in the operating section


(see Battery Status for NiMH Rechargeable Batteries, page 20).
• Battery charging details, disposal, and safety relevant precautions
are detailed in the maintenance section (see Battery Maintenance,
page 54).
• Battery and battery charger part numbers are detailed at the end of
this book (see Accessories, page 63).

2.4 Connecting the Pressure Hose and


Microphone
The hose / microphone assembly can only be inserted in one
direction. Take care when positioning the assembly not to damage
any connectors. Do not pull directly on the hose or microphone cable.

Position the pressure hose connector (a) and attach to the BR-102
plus / BR-102 plus PWA by gently pressing until the connector clicks
in place. If the version is with a microphone (c), the plug is combined
with the hose and the assembly is inserted into BR-102 plus / BR-102
plus PWA at the same time.
c Removing the Pressure Hose
a
b Gently press the securing catch (b) to release and remove the hose
connector (and microphone jack plug) from the BR-102 plus / BR-102
plus PWA.

Two hoses are compatible with the BR-102 plus: see Cuff and Cuff
Accessories, page 64.
Art. no.: 2.511076 Rev.: g

Page 16
Introduction 2
BR-102 plus / BR-102 plus PWA User Guide Main Components of the Device 2.5

2.5 Main Components of the Device


a b c d e

05:16PM

NEW RECORD
LAST RECORD
SINGLE MEAS.
SYSTEM

NEXT OK

SCHILLER
BR-102plus

l k j i h g f
(a) USB cable connection
(b) OLED display
(c) Loudspeaker
(d) Microphone connector jack plug and patient cuff connection re-
cess
(e) USB connector
(f) Battery recess (battery cover removed)
(g) Battery removal ribbon
Art. no.: 2.511076 Rev.: g

(h) Micro SD card recess (under battery removal ribbon)

The micro SD memory card is for service only and is used for software
updates or storage of raw data for test purposes.

(i) Calibration label


(j) Programming function key
(k) Microphone for recording patient identification
(l) Programming function key and ON/OFF key

Page 17
2 Introduction
2.5 Main Components of the Device BR-102 plus / BR-102 plus PWA

2.5.1 Operating and Display Elements


Menu option selection and control of the BR-102 plus / BR-102 plus
PWA is with two function keys. The green and blue function
information boxes at the bottom of the screen indicate the function
that will be carried out when the green and blue function keys are
pressed:

Left Green Key Functions: Right Blue Key Functions:

ON/OFF: (Switch-Off from main OK: (confirm menu selection)


menu only)
05:16PM
Change: (toggle through
Next: (next menu item) NEW RECORD
LAST RECORD
options)
SINGLE MEAS.
SYSTEM
No: (do not confirm selection) Yes: (confirm selection)
NEXT OK

Meas: initiate a measurement Meas: initiate a measurement


(during the recording) (during the recording)

Holding the key stops the recording Start: Starts the acoustic
record of the patient ID
Break: Halts an ongoing
measurement SCHILLER Stop: Stops a recording in
BR-102plus
progress
Stop: Stops a recording in progress

Back: Back to last menu

2.5.2 Switching on
Press the green ON/OFF key. The display shows an introduction
screen and copyright message for a few seconds and then the main
menu is displayed. If an unformatted micro SD card is installed, you
are prompted to format the card when the recorder is switched on, and
again when a recording is started.
Art. no.: 2.511076 Rev.: g

Page 18
Introduction 2
BR-102 plus / BR-102 plus PWA User Guide Main Components of the Device 2.5

2.5.3 Switching Off


With the main menu displayed and the cursor at any position, press
and hold the Green control button for 4 seconds. When the button
is released, the device is switched off.

05:16PM
15.12.2013
NEW RECORD
LAST RECORD
SCHILLER
SINGLE MEAS. BR-102plus
SYSTEM
. . exit
NEXT OK

SCHILLER
If a recording is running, first stop the recording by holding the Green
control button for 4 seconds and confirming that the recording will
be stopped (see Stopping the Recording, page 39). Then enter the
main menu and switch off as described above. Any recorded data is
saved when the recorder is switched off.

When no recording is running, the recorder switches off automatically


after 5 minutes if no keys are pressed.
Art. no.: 2.511076 Rev.: g

Page 19
2 Introduction
2.5 Main Components of the Device BR-102 plus / BR-102 plus PWA

2.5.4 Battery Status for NiMH Rechargeable Batteries


The battery status display is a guide to battery capacity when using
NiMH rechargeable batteries supplied or recommended by
SCHILLER. If Energizer Ultimate Lithium Batteries are used, a
different battery symbol is displayed (see next page).

Full The battery symbol in the upper right of the screen, indicates the
80% battery status. When the battery is full, the symbol is filled and gives
an indication of current battery capacity as it reduces during the
Half full recording. The empty symbol indicates that the capacity is limited and
Low capacity (20%) that the batteries should be changed. If the batteries are not changed
Empty during this period, a warning message is given that the batteries must
be changed. If the batteries are still not changed an error message is
displayed before the recorder switches off (see next page).

WARNING ERROR

Battery low Battery low


Change battery Change battery
immediately immediately

NO YES OK

• An audible and visual indication is given during recording when bat-


tery capacity is limited. When the indication is given and the record-
ing is to be continued, we recommend that the batteries are re-
placed at the first opportunity.
• When recording is stopped because of low battery capacity, and the
batteries are replaced within 5 hours of the recorder switching off,
the recording will continue (see Changing the Batteries During a 48
Hr Recording, page 38)

Battery Condition
Batteries deteriorate over time and must be replaced. An indication of
battery condition is given when batteries are first placed in the
recorder after a full charge, as follows:

Battery Indicator Battery Recording Capacity


Art. no.: 2.511076 Rev.: g

Full (100%) 24-hour recording is possible.


80% 24-hour recording should be possible.
Half full (50%) Single measurements only will be possible.
The batteries should be replaced.
Low capacity or A 24-hour recording is not possible. Replace
empty batteries.

Page 20
Introduction 2
BR-102 plus / BR-102 plus PWA User Guide Main Components of the Device 2.5

2.5.5 Battery Display for Energizer Ultimate Lithium Bat-


tery
If Energizer Ultimate Lithium batteries are used, the battery status
display is shown blue and always ‘full’. This is because the voltage
hysteresis curve for these types of battery is not linear and the device
cannot accurately determine battery capacity. When battery capacity
is very limited the change battery messages (shown above) are still
displayed but the time interval between the messages is reduced.

2.5.6 Time Display


The current time is displayed in the top line of the display. The format
of the time display can be set to 24 hour or 12 hour display (am/pm
displayed) - this setting is defined in System setup (see DATE /TIME,
page 25).
Art. no.: 2.511076 Rev.: g

Page 21
2 Introduction
2.6 Menu Structure BR-102 plus / BR-102 plus PWA

2.6 Menu Structure


The menus are selected with the green function key (Next). A
selected menu is opened with the blue function key (OK) and values
selected with the blue function key (Change). Depending on the
selected menu, the button functions will change.

05:16PM NEW RECORD RECORD SETUP


NEW RECORD RECORD SETUP PatGrp ADULT
LAST RECORD PROGRAM RecDur 24 hr
SINGLE MEAS. PATIENT ID DefSpd 5 mmHg/s
SYSTEM START DispResult ON
BACK BACK
NEXT OK NEXT OK NEXT OK

The position in the menu is indicated on the top line as shown in the
example above for new record. Select the item with the green button
and confirm with the blue key.

In all displays, the top line is colour coded to give an indication of the
type of message that is displayed as follows:

05:16PM Grey: Main Menu


RECORD SETUP Light Blue: Information or setup screen.
ERROR Red: Error message (for example, battery
capacity limited, no data available when
requested, etc.).
WARNING Orange: Warning message or question (for
example, battery capacity critical, Format SD
card).

CONFIRMATION Green: Confirmation message (for example, SD


card formatted successfully).
Art. no.: 2.511076 Rev.: g

Page 22
Introduction 2
BR-102 plus / BR-102 plus PWA User Guide Menu Structure 2.6

2.6.1 Menu Overview


Sub Sub Menu Sub
Main Menu Value/Info Value/Info Value/Info
Menu 1 2 Menu 3

Defines the
NEW RECORD Patient Adult / Child - Maximum initial pressure for adult is
recording
RECORD SETUP Group 300mmHg and for a child 210mmHg.
parameters

Record
24/48 Hours
Duration

Deflation 2, 3, 4, 5, 6, 7, 8, 9 mmHg/s or Auto (3mmHg / heart


speed beat).

ON / OFF. Displays the cuff pressure during a measure-


ment and displays the result on the screen after a meas-
urement has been taken. When Off is selected measure-
ments are not displayed during, nor after a
Display
measurement.
Result
Note: When Off is selected, the first two measurements
taken are always displayed to enable checking. The rec-
ommended setting is Off to prevent patient concern dur-
ing the recording.

Defines the
Select
program Select one of four individual recording programs A, B, C,
PROGRAM program
parameters D. The programs are defined in Program Setup below.
A, B, C, D

Change / Next
1.Define the start time by press-
ing change. The time counts
up in 10 minute intervals.
2.When the desired start time is
A, B, C, D - Four shown press next. The
individual BP measurement interval is
measurement pro- highlighted.
grams (A, B, C
3.Press change to select a BP
and D) can be de-
PRO-
fined. Each indi-
measurement interval of: 5, 10,
GRAM 15, 20, 30, 60, or 120 minutes.
vidual program
Art. no.: 2.511076 Rev.: g

SETUP 4.Press next to define the next


has up to 8 cycles
with separate start start time.
time BP measure- 5.Continue until all desired start
ment interval for times (with measurement
each cycle. interval) are defined for the
selected program.

When less than 8 cycles are required


pressing next twice returns to the
previous menu.

Record
PATIENT ID Start Start Voice Recording.
Voice

Stop Stop Voice Recording.

Page 23
2 Introduction
2.6 Menu Structure BR-102 plus / BR-102 plus PWA

Sub Sub Menu Sub


Main Menu Value/Info Value/Info Value/Info
Menu 1 2 Menu 3

Plays recorded
Play Voice patient identifica- Stop Stop Playing Voice.
tion.

Yes / No - Confirm
Press either of the two
Recording start.
function keys for approx-
imately a second to take
Confirmation of
an extra measurement
Do you recording start is BP re-
during the recording.
want to given, followed by cording .
START start a BP REC: BP record- Next
Press either of the two
Record- ing and the time of Meas. ..
function keys when a
ing? the next measure- 09.15
measurement is being
ment (this is dis-
taken to interrupt a
played for approx-
measurement being tak-
imately 5
en during the recording.
seconds).

BACK Return to main menu.

Date and time, pa-


tient group, record
LAST RE- RECORD
duration, deflation OK Press OK again to return to the previous menu.
CORD DATA
speed, number of
measurements.

Play voice ID.


Note: If started
PATIENT
from a PC the pa- Stop Stops voice
DATA
tient data is also
displayed.

Press back / next to go back to last record, forward to


next record.
MEASURE- Displays results of Back /
MENTS stored recording. Next
Press and hold the back / next for approximately 2 sec-
onds to return to the last record menu.

BACK Return to main menu.


Art. no.: 2.511076 Rev.: g

SINGLE
PATIENT
MEAS- Adult / Child - Maximum initial pressure for adult is 300mmHg and for a child 210mmHg.
GROUP
UREMENT

DEFLA-
TION 2, 3, 4, 5, 6, 7, 8, 9 mmHg/s or Auto (3mmHg / heart beat).
SPEED

Audible beep with


PULSE
detected heart On / Off
BEEP
rate.

Page 24
Introduction 2
BR-102 plus / BR-102 plus PWA User Guide Menu Structure 2.6

Sub Sub Menu Sub


Main Menu Value/Info Value/Info Value/Info
Menu 1 2 Menu 3

OK
Measurement is displayed (or an error message is given).
Measurement
Press OK again to return to the previous menu.
START starts and value
BREAK
displayed.
Interrupt measurement: Press the break button when a measure-
ment is being taken to interrupt the measurement.

SYSTEM SETTINGS Language ENG, DEU, FRA, ITA, SPA, POR, SWE, RUS.

DATE / • DD.MM.YYYY
TIME • MM/DD/YYYY
• yyyymmmdd
Date Set current date in the
• ddmmmyyyy Set date
Format format defined.
• YYYY-MM-
DD
• YYYYMMDD

Time Set current time in the


12, 24 hour Set time
Format format defined.

SYSTEM Serial number, Hardware and pneumatic index, software version, control (date that the
INFO next test (MTK) is due), SD card capacity (if inserted)

Service informa- Test In this menu option the BP measurement can be


SERVICE
tion and check Calibra- checked against a calibrated manometer (see Meas-
AREA
screens tion urement Check, page 55).

Hardware This is an information screen for Factory use only and


Setup requires a password to enter.

LOG- This details the number of measurements made and the


BOOK number or errors registered.

Return to main
BACK
menu.
Art. no.: 2.511076 Rev.: g

Page 25
3 BP recording
3.1 Safety BR-102 plus / BR-102 plus PWA

3 BP recording
3.1 Safety
 Danger of unnoticed necrosis especially in patients with
decreased pain sensitivity (due to medication), or with older
patients with decreased blood circulation of the extremities. Only
carry out long-term measurement with these patients under
constant medical supervision.
 Possibility of strangulation especially in young or older patients,
patients with reduced mobility, or patients susceptible to
drowsiness due to drugs, etc. The danger increases at night. Only
carry out long-term measurement with these patients under
constant medical supervision.
 In some patients petechiae, haemorrhages or subcutaneous
haematomas may occur. All patients must be told when putting on
the cuff that if they experience pain during the recording they
should switch off the equipment and inform the doctor.
 The cuff must not be attached to a limb that is already used for
interventions such as:
– infusions
– SpO2 measurement (loss of data can occur during cuff inflation)
– if an arterio-venous shunt is present.
 When a five minute measurement interval is defined for recordings
of 24h duration or more, bruising or decreased blood circulation
can occur in the arm. Only carry out recordings with 5 minute
measurement intervals under constant medical supervision.
 It must be certain that, according to the health of the patient, the
use of the device will not damage blood circulation in the arm.

Art. no.: 2.511076 Rev.: g

Page 26
BP recording 3
BR-102 plus / BR-102 plus PWA User Guide Safety 3.1

 To prevent excessive pressure, it is important to choose the


correct cuff size and to check that the correct setting is used in the
menu setup (Record Setup > Patient Group > Adult / Child).
 The cuff must not be placed over or near a wound that could cause
further injury.
 As with occasional blood pressure measurement, petechial
bleeding can occur in patients with coagulation disorders or having
anticoagulant treatment even with the correct cuff size.
 In patients who have had a single mastectomy or lymph node
clearance, the cuff can be placed on the opposite arm.
 When the patient is monitored by an ME unit, loss of data can
occur from the arm during cuff inflation at the ME equipment.
 During long term recording, the area where the cuff is attached
must be checked regularly for signs of ischaemia, purpuras and/or
neuropathy.
 To prevent incorrect measurement results, ensure that the tube is
not pinched or compressed.
 A cuff that is applied to a patient in the recumbent or sitting position
is normally located at the same level as the heart (i. e. middle of
the cuff at the level of the right atrium of the heart). However, if the
cuff is located at a level higher than the heart (for instance if the
arm of a patient in bed is lifted), this may result in lower-than-actual
measurement readings (approx. 7.5 mmHg per 10 cm rise).
 The unit is safe during defibrillation. However, as a safety
precaution, when possible remove the cuff and microphone before
defibrillation and, if connected remove the USB connector from the
recorder and the PC.
 Do not touch the unit casing during defibrillation.
 If the unit gets wet accidentally, switch off and dry with a cloth.
 If the unit is accidentally immersed in liquid, remove the batteries
and return to SCHILLER for checking.

A list of BR-102 plus error messages is given in the Maintenance


section (see Error Messages, page 58).
Art. no.: 2.511076 Rev.: g

Page 27
3 BP recording
3.2 Applying the Cuff BR-102 plus / BR-102 plus PWA

3.2 Applying the Cuff


The BR-102 plus is supplied with one of two cuff types. Both are
applied in the same way. The instructions detailed here give general
guidelines and apply to both types of cuffs:

1. Instruct the patient to remove upper clothing.


2. Select the appropriate cuff size according to the patient's upper
arm. Different cuff sizes are available dependent of type of cuff. To
determine the cuff size, measure the patient’s arm circumference
at the midpoint with a measuring tape.
3. Uncover the left upper arm of the patient. (The cuff is designed to
fit the left upper arm, but can be placed on the right arm if
required.)
4. Locate the brachial artery above the elbow bend inside the upper
arm.
5. Position the microphone (marked Micro) over the brachial artery
and secure cuff.
– Wrap the cuff around the upper arm in such a way that the patient
can still bend arm (the bottom edge of the cuff should be 2 cm
away from the elbow bend).
2 cm – Tighten the cuff and secure with the velcro strip. The cuff must be
tightened to such an extent that it fits properly on the upper arm
and is prevented from moving.
– To avoid a venous congestion do not tighten the cuff too firmly.
– The pressure hose and microphone cable must point to the pa-
tient's shoulder.
6. Place the pressure hose so that it is loosely positioned behind the
patients neck.
7. Connect the pressure hose and microphone cable (if not already
connected) to the recorder (see Connecting the Pressure Hose
and Microphone, page 16).

Art. no.: 2.511076 Rev.: g

Page 28
BP recording 3
BR-102 plus / BR-102 plus PWA User Guide Applying the Cuff 3.2

8. Secure BR-102 plus / BR-102 plus PWA to the right or left side of
the patient for preference using the holding pouch and belt
– Ensure that there is enough slack not to strain the hose when the
patient moves. Ensure that the patient is comfortable.
– Tape can be used to secure the tubing to the body if required.
9. When the cuff and device are comfortably positioned, the patient
can replace upper clothing.

• The oscillometric version does not contain a microphone; however,


the cuff is placed in the same manner.
Art. no.: 2.511076 Rev.: g

• It is recommended that the patient wears a t-shirt over the tubing to


help hold the tubing in place. This can be covered with for example,
a loose fitting shirt.

 To help keep the hose in position and prevent strangulation, the T-


shirt and/or outer clothing must remain on at night or be replaced
by the patient`s normal night wear over the hose.

Page 29
3 BP recording
3.2 Applying the Cuff BR-102 plus / BR-102 plus PWA

3.2.1 Cuff Type with D-ring


There are three sizes available for the cuff with D-ring:

To fit arm size


Midpoint arm circumference Cuff designation
[cm]
18 - 26 S (Small adult, Child)
25 - 35 M (Adult)
35 - 45 L (Large adult)
Note: A cuff that is too small for the patient may give over
measurements. Similarly, a cuff that is too large for the patient
may give under measurements.

3.2.2 Cuff Type without D-ring


The cuff is positioned, and the hose routing and unit positioning is the
same as for the cuff with the buckle.

There are five sizes available for the cuff without D-ring:

To fit arm size


Midpoint Arm Circumference Cuff Designation
[cm]
Art. no.: 2.511076 Rev.: g

14 - 20 XS (Child, Osc only)


18 - 24 S (Small Adult, Child)
25 - 35 M (Adult)
30 - 36 L (Large Adult)
35 - 46 XL (Extra Large, Wide, Adult)
Note: A cuff that is too small for the patient may give over
measurements. Similarly, a cuff that is too large for the patient
may give under measurements.

Page 30
BP recording 3
BR-102 plus / BR-102 plus PWA User Guide Applying the Cuff 3.2

3.2.3 Patient Comfort Sleeve


If the Patient comfort sleeve is to be used, the sleeve can be
positioned on the patients arm and then the cuff applied. Alternatively
attach the sleeve to the cuff with the velcro strip before applying to the
patient and then apply the cuff and sleeve together to the patient.

3.2.4 Fixing the Microphone Directly on the Upper Arm


If the patient‘s pulse is weak the microphone may be removed from the
cuff and placed directly on the upper arm to obtain more secure
measurements. A shaped adhesive pad is a standard accessory for
this purpose. To place the microphone directly on the arm proceed as
follows:

1. Carefully pull the microphone out of the cuff - Do not strain (see
Disconnecting the Pressure Hose and Removing the Microphone
and Bladder, page 47).
2. Remove the foam rubber microphone insert from the adhesive pad
and place the microphone in the pad (metallic (patient) side
outwards), and press to secure with the adhesive.
3. Using an alcohol solution (standard surgical strength) thoroughly
clean the patient‘s arm around the brachial artery area.
4. Wrap the cuff around the uncovered upper arm in such a way that
Art. no.: 2.511076 Rev.: g

the brachial artery is freely accessible. The pressure hose and


microphone cable face towards the patient's shoulder.
5. Locate the brachial artery, remove the plastic adhesive protector
and fix the microphone to the patient by applying gentle pressure
so that the adhesive holds the microphone.
6. Shift the cuff towards the elbow so that the patient can still bend his
lower arm (the bottom edge of the cuff should be 2 cm away from
the elbow bend). Outside the cuff, the microphone cable forms a
small loop. Fix with adhesive strips if necessary.
7. Tighten the cuff and close it with the fixation wrap as previously
described.

Page 31
3 BP recording
3.2 Applying the Cuff BR-102 plus / BR-102 plus PWA

3.2.5 Securing the Cuff with the Fixation Pad


A velcro cuff fixing pad is a standard accessory that‘s available to help
secure the cuff from dislodging during long term measurement.

Attach the cuff to the patients upper arm as follows:

1. Using an alcohol solution (standard surgical strength) thoroughly


clean the patient‘s upper arm in the area where the pad will be at-
tached.
2. Remove the plastic adhesive protector of the velcro securing pad.
3. Place the pad on the patient‘s upper arm and apply gentle pressure
to secure (the exact location will depend on the size of the patients
arm and the size of the cuff used).
4. Position the cuff so that the velcro securing flap on the cuff
matches with the securing pad on the patient‘s arm, and secure..

The velcro plaster (set of 10), and the adhesive plaster for the
microphone (set of 10), are available from your local agent.

Art. no.: 2.511076 Rev.: g

Page 32
BP recording 3
BR-102 plus / BR-102 plus PWA User Guide Single Measurement 3.3

3.3 Single Measurement


1. Apply the cuff as previously described.
2. Select Single measurement from the main menu:

05:16PM

NEW RECORD
LAST RECORD
SINGLE MEAS.
SYSTEM

NEXT OK

Left Right
Green Blue
Key Key
SCHILLER
3. Using the buttons on the recorder, select:
– Patient Group - Adult / child
– Deflation Speed - 2 to 9 mmHg in 1 mmHg steps, or Auto.
– Pulse beep - on or off. The recorder gives an audible beep with
the detected heart rate.

When auto setting is defined, the deflation rate is set for the detected
heart rate at 3 mmHg per heart beat. The heart rate is ascertained
when the cuff is inflating.

4. Select START

05:16PM SINGLE MEAS. SINGLE MEAS. SINGLE MEAS.


PatGrp ADULT Cuff pressure 12.05.2013 10:19
NEW RECORD KOR
DefSpd 5 mmHg/s
LAST RECORD
PulseBeep ON 128
MAP
SINGLE MEAS. START
173 SYS
mmHg
99 mmHg
SYSTEM
BACK
mmHg
DIA 86
PULSE
71 bpm
NEXT OK NEXT OK BREAK OK

5. The cuff pressure is displayed when the measurement is being


Art. no.: 2.511076 Rev.: g

taken.
6. On completion the single measurement is displayed with the
following information:
• Date and time of the measurement
• Recording method used:
– KOR = Auscultatoric (Korotkoff/Riva-Rocci)
– OSC = Oscillometric
• Measurement:
– SYS = Systolic Pressure [mmHg]
– DIA = Diastolic Pressure [mmHg]
– MAP =Mean Arterial Pressure (MAP) in mmHg.
– Pulse = Pulse rate [bpm] (beats per minute)

Page 33
3 BP recording
3.4 Long Term Recording BR-102 plus / BR-102 plus PWA

3.4 Long Term Recording


A long term recording can also be started and the recording times
defined from the medilogDARWIN2 program. See the user guide for
details.

Use the function keys on the recorder to select all settings


05:16PM

NEW RECORD
LAST RECORD
SINGLE MEAS.
SYSTEM

NEXT OK

Left Right
Green Blue
Key Key
SCHILLER

Settings are made for patient group (adult or child), recording


duration, and deflation speed. In addition four recording time and
measurement interval programs are defined (A, B, C and D). Each
program has up to eight start times when measurement intervals can
be defined.

NEW RECORD RECORD SETUP

RECORD SETUP PatGrp ADULT


PROGRAM REC Dur 48 h
DefSpd AUTO
PATIENT ID
DispResult ON
START
05:16PM BACK
BACK
NEXT OK NEXT CHANGE
NEW RECORD
LAST RECORD
SINGLE MEAS.
SYSTEM NEW RECORD PROGRAM SETUP
RECORD SETUP Program B
NEXT OK
PROGRAM A 06:30 / 15
PATIENT ID B 08:00 / 20
START C 09:00 / 10
BACK D 22:30 / 30
NEXT OK
Art. no.: 2.511076 Rev.: g

NEXT CHANGE

Page 34
BP recording 3
BR-102 plus / BR-102 plus PWA User Guide Long Term Recording 3.4

3.4.1 RECORD SETUP


Select Record Setup to define the following settings:

• Patient group: adult or child


• Duration: 24 hours or 48 hours
• Deflation speed: 2, 3, 4, 5, 6, 7, 8, 9 mmHg/s, or Auto. The
Auto setting sets the deflation speed ac-
cording the heart rate.

3.4.2 Program
Selecting a Program
Enter program setup and select Change to select the program (A, B,
C or D). The recording program defined is used when a long term
record is started.

Defining the Recording Programs


Enter the program setup start times, sleep times and duration for the
four programs.

Highlight the recording program to be set and set the start time and
measurement duration for each entry. Up to 8 separate start times can
be defined with the BP measurement interval defined for each start
time.

1. Define the start time by pressing change. The time counts up in


10 minute intervals.
2. When the desired start time is shown press next. The
measurement interval is highlighted.
3. Press change to select a BP measurement interval of: 5, 10, 15,
20, 30, 60, or 120 minutes.
4. Press next to define the next start time.
5. Continue until all desired start times (with measurement interval)
are defined for the selected program.

When less than 8 starts are required pressing next twice returns to the
Art. no.: 2.511076 Rev.: g

previous menu. A minimum of 2 start times must be defined.

Page 35
3 BP recording
3.4 Long Term Recording BR-102 plus / BR-102 plus PWA

3.4.3 Starting a Recording


1. Position the cuff on the patient (see Applying the Cuff, page 28).
2. Insert fully charged batteries in the BR-102 plus / BR-102 plus
PWA (see Inserting/Changing the Batteries, page 15).
3. Check that the correct time (and date) is displayed. These can be
changed in System Setup.
4. Select NEW RECORD.
05:16PM

NEW RECORD NEW RECORD


LAST RECORD
SINGLE MEAS. RECORD SETUP
SYSTEM a PROGRAM
b PATIENT ID
NEXT OK c START
BACK
NEXT OK

5. Select Program (a) - check/set recording and program setup (see


previous page).
6. Select Patient ID (b) to record or listen to the audible Patient ID.
– The audible patient ID can be played back at the end of the re-
cording and registered when the recording is uploaded to the
DARWIN2 program.
– Select Start Recording and speak the patient data into the de-
vice.
– Speak clearly into the microphone. Hold the unit approximately
15 - 20 cm distant. To ensure recording clarity, do not hold the
unit too far away.
– Select Stop Recording when the Patient ID has been stated.
– The recording time allowed for Patient ID is up to 30 seconds.

7. Select Start (c) to start the recording. You are prompted to


confirm.

START RECORDING START RECORDING


REC REC REC 16.37
Do you want BP recording BP recording . BP recording . BP recording .
to start a Started !
BP recording Started ! 1st measurement Next
about to start meas. . . 16.40
Art. no.: 2.511076 Rev.: g

NO YES OK OK MEASURE MEASUREM MEASURE MEASUREM

8. After confirming the recording screen is displayed. The initial


measurement will be taken within a minute.

Page 36
BP recording 3
BR-102 plus / BR-102 plus PWA User Guide Long Term Recording 3.4

9. Check that the initial measurement is successful.

Initial Measurement Check


After the first measurement (on the resting patient), it is recommended
that the following is checked to help ensure that the recording is
successful:

12.02.2014 10:19
KOR
SYS 128 99
MA
mmHg
mmHg
DIA 86 71
PUL
bpm

OK

• Ensure that a BP reading has been obtained and is displayed on the


BR-102 plus / BR-102 plus PWA.
• Check that the measurement has been taken using the auscultatory
method (KOR displayed next to the measurement, below the time).
Note: If the cuff does not have a microphone (or an unsuccessful
auscultatory measurement has been taken) OSC is displayed.
• If the measurement has not been taken correctly check the cuff
placement and microphone position.
• Check the battery display and ensure that it still shows full capacity.

10. After checking the first measurement and battery display, position
the BR-102 plus / BR-102 plus PWA in the pouch and secure.

– Subsequent measurements are taken as defined for the program


selected.
– During BP measurement, the ascending/descending cuff pres-
sure is shown. After a measurement has been taken, the result is
displayed for approximately one minute (see Displaying a Re-
cording on the BR-102 plus, page 39).
Art. no.: 2.511076 Rev.: g

Page 37
3 BP recording
3.4 Long Term Recording BR-102 plus / BR-102 plus PWA

3.4.4 Changing the Batteries During a 48 Hr Recording

An interrupted recording during battery change (unit is switched off),


is automatically continued when battery replacement occurs within 5
hours and the unit is switched on again.

For a 48 hour recording the batteries must be changed. An audible


alarm and visual indication is given when the batteries must be
changed.

Preventive changing the bat- 1. Press the blue button for 4 seconds. Confirm message “Change
teries after 24 hours battery” again with the blue button.

CHANGE BATTERY

Do you want
to change the
battery now?

NO YES

2. Remove the batteries and replace with the fully charged batteries
supplied. Observe correct polarity.
3. Press the green button to switch the unit on. The following
message is displayed:
BP recording . Next measurement. . xx:xx

Changing batteries when The batteries must be changed when an audible indication is given
following audible and mes- and the message Battery LOW - change battery is displayed.
sages are displayed:
WARNING ERROR

Battery low Battery low


CHANGE Change battery
Battery immediately

NO YES OK

Proceed as follows:

1. Confirm “Change battery” with the blue button.


Art. no.: 2.511076 Rev.: g

2. Remove the batteries and replace with the fully charged batteries
supplied. Observe correct polarity (see Inserting/Changing the
Batteries, page 15).
3. Press the green button to switch the unit on. The following
message is displayed:
BP recording . Next measurement. . xx:xx

Page 38
BP recording 3
BR-102 plus / BR-102 plus PWA User Guide Long Term Recording 3.4

3.4.5 Stopping the Recording


The recording will stop automatically after 24 or 48 hours and no user
intervention is required. The recorder can however, be stopped
manually if required. Do this as follows:

Press and hold left green Function key for 4 seconds and confirm
with YES - blue right Function key.

STOP RECORDING STOP RECORDING 05:16PM

Do you want BP recording


NEW RECORD
to stop the Stopped
LAST RECORD
BP recording?
SINGLE MEAS.
SYSTEM

NO YES OK NEXT OK

If no confirmation is received within 30 seconds, the recording


continues.

3.4.6 Displaying a Recording on the BR-102 plus


05:16PM LAST RECORD MEASUREMENTS

RECORD DATA 12.05.2013 10:19


NEW RECORD
KOR
LAST RECORD PATIENT DATA
MEASUREMENTS SYS 128
MAP
99 mmHg
SINGLE MEAS.
BACK mmHg
SYSTEM
DIA 86 PULSE
71 bpm
NEXT OK NEXT OK BACK NEXT

1. Select Last Record from the main menu.

2. Select Measurements to display all measurements.

3. The measurements are displayed giving:

– Date and time.


– Measurement method:
KOR = Auscultatoric (Korotkoff/Riva-Rocci)
OSC = Oscillometric
– Systolic Pressure in mmHg.
Art. no.: 2.511076 Rev.: g

– Diastolic Pressure in mmHg.


– Mean Arterial Pressure (MAP) in mmHg.
– Pulse rate (PULS) in beats / minute (bpm).

4. Next continues to the following measurement and Back returns to


the previous measurement.

5. To return to the main menu press Back for approximately 4


seconds. The recorder also returns to the menu automatically
when no key is pressed for approximately one minute.

Page 39
3 BP recording
3.4 Long Term Recording BR-102 plus / BR-102 plus PWA

3.4.7 Uploading the Recording to the medilogDARWIN2


The recording can be reviewed, analysed and a report created with
the medilogDARWIN2 program.

Print report or save as


PDF file.

Connect BR-102 plus / BR- Use medilogDARWIN2 to retrieve data,


102 plus PWA to PC. analyse and edit.

Details of uploading a BP recording to the medilogDARWIN2 program


is described in the medilogDARWIN2 user guide.

Art. no.: 2.511076 Rev.: g

Page 40
Patient Information 4
BR-102 plus / BR-102 plus PWA User Guide Long Term Recording 3.4

4 Patient Information
 Danger of strangulation. The shoulder strap or cuff tube can
become entangled around the patient’s neck and lead to
strangulation. The danger increases at night. Ensure the patient is
aware of the danger. The doctor should draw the patient’s
attention to the fact that the cuff must be worn on the upper arm
only and care must always be taken to ensure that neither the
shoulder strap nor the air tube ever become wrapped around the
neck. The air tube must be positioned under a T -shirt or outer
clothing that must continue to be worn at night over the tubing to
help keep it secure.
 Tell the patient that if any numbness in the arm, chafing, pain or
discomfort is experienced, the cuff must be removed and to
contact the surgery.

 Tell the patient not to get the unit wet - the unit is not waterproof
and must remain dry. If the patient is permitted to take a bath or
shower during the recording (e.g. when taking a 48 hour recording)
it must be emphasised that the recorder and the cuff must be
removed before taking a bath or shower. Instruction should be
given on re-applying the cuff and attaching the device.
Art. no.: 2.511076 Rev.: g

Page 41
4 Patient Information
4.1 General BR-102 plus / BR-102 plus PWA

4.1 General
Inform the patient about the use of the BR-102 plus / BR-102 plus
PWA and instruct the patient on the following points:

• Explain to the patient how to place the cuff correctly and the times
and intervals that measurements will be taken.

• The equipment must not be used in the vicinity of an MRI scanner.

• The performance of the BR-102 plus / BR-102 plus PWA can be af-
fected by extremes of temperature, humidity and altitude.
• If taking a 48 hour recording, inform the patient how to change the
batteries. Instruct the patient to keep replacement batteries in the
bag or box provided and not to dispose of the old batteries. Spent
batteries must returned in the bag or container provided.
• Tell the patient that during the measurement:
– Noisy places should be avoided.
– Not to move the arm during the measurements and a recommen-
dation that where possible, the patient relaxes during the meas-
urement process and does not speak.
– Entries must be made in the patient diary during the long-term
measurement.
• The pressure tube and cuff must not be kinked, stretched or sub-
jected to compression or restriction. The air tube may kink when in-
flated. Explain to the patient that particularly when sleeping, the
equipment needs be positioned in such a way that the tube cannot
be compressed. If the patient is not fully competent, the equipment
should be worn only under supervision.
• After an invalid measurement a second measurement will be initiat-
ed immediately.
• The recorder should not be turned off during the recording.

4.2 Taking an Extra Measurement


Art. no.: 2.511076 Rev.: g

To take an extra BP measurement during the recording, press either


of the control buttons to display the recording screen. Then with
the recording screen displayed, press either of the control buttons
again for approximately one second to start a measurement. Record
the measurement in the patient diary.

Page 42
Patient Information 4
BR-102 plus / BR-102 plus PWA User Guide Interrupting a measurement during the recording 4.3

4.3 Interrupting a measurement during the


recording
To interrupt a measurement, press either of the control buttons
during the measurement. This will deflate the cuff. An interrupted
measurement will be recorded with an error and will not be repeated.
The next measurement will take place according to the schedule.

Every extra measurement or interrupted measurement should be


entered in the patient diary together with the time, reason, activities
being undertaken at the time of occurrence, and the symptoms.

The template for the patient diary is stored on the software CD as a


Word file and as a pdf file. An example is given at the end of the book.

4.4 Extended 48-Hour Recording


The patient must be instructed how to change the batteries for an
extended recording (see Changing the Batteries During a 48 Hr
Recording, page 38).

It is recommended that the patient receives two fully charged batteries


that can be used for replacement. These must be placed in a small
box or plastic bag to help prevent a short circuit of the battery. The
patient should return the spent batteries in the same container.

If the patient is old or in any way confused, consider asking the patient
to return to the surgery for battery replacement.

4.5 BR-102 plus PWA Unit Measurements


The BP measure interval, cuff application, and the start and stop
procedure are identical to the standard unit. However, after every
individual measurement, the cuff is again inflated to the diastolic
pressure and held at that pressure for 10 seconds while PWA data is
Art. no.: 2.511076 Rev.: g

obtained. After 10 seconds the cuff is again deflated and ready for the
next programmed measurement.

Page 43
5 Cleaning
5.1 Important Information BR-102 plus / BR-102 plus PWA

5 Cleaning
5.1 Important Information
• Some patients have intolerances (e.g. allergies) to disinfectants or
their components. If you have such a patient or you are not sure, re-
move possible residues with careful washing.

• Do not autoclave the unit or any accessories.


• Do not immerse the device in liquid. If liquid does penetrate the unit,
switch it off immediately and send it to SCHILLER for testing.
• Never use a wet or dripping cloth and never spray the equipment
with detergent. Otherwise, the detergent may seep under the edges
of the keyboard or penetrate the device and destroy the electronics.
• Use of cleaning solutions which have a high acid content or are oth-
erwise inappropriate can cause damage to the equipment, including
cracking and deterioration of the plastic case.
• Always follow the mixing/diluting instructions provided by the man-
ufacturer of the cleaning solution.
• The pressure tube and microphone cable must not be exposed to
excessive mechanical stress. Whenever disconnecting, hold the
plug/connector and not the cable.
• When cleaning, ensure that all labels and safety statements, wheth-
er etched, printed or stuck to the unit, remain in place and remain
readable.

5.1.1 Non-admissible detergents


Never use products containing the following:

• Ethyl alcohol
• Acetone
• Hexane
Art. no.: 2.511076 Rev.: g

• Abrasive cleaning powder


• Plastic-dissolving products

Page 44
Cleaning 5
BR-102 plus / BR-102 plus PWA User Guide Important Information 5.1

5.1.2 Admissible detergents


• 50% solution isopropyl alcohol
• neutral, mild detergent
• all products designed for cleaning plastic.

5.1.3 Cleaning the Device


Before cleaning the unit or any accessories, thoroughly inspect them.
Look for any signs of damage and any improper mechanical function
of buttons or connectors.

The casing of the BR-102 plus / BR-102 plus PWA and the cable
assemblies can be cleaned with a cloth slightly moistened (not wet) on
the surface only. Where necessary a domestic non-caustic cleaner or
70% alcohol solution can be used for grease and finger marks. Wipe
the equipment with a cloth slightly moistened (not wet) with one of
the approved solutions listed above. Wipe off any excess cleaning
solution. Do not let the cleaning solution run into or accumulate in
connector openings, latches, or crevices. If liquid gets into connectors,
dry the area with warm air, and then check the equipment to confirm
that it operates properly.

5.1.4 Cleaning the Pressure Hose/Microphone Cable As-


sembly
1. Before cleaning, inspect the hose/cable for damage. Gently bend
and flex all parts of the assembly. Inspect for splits in the sheath-
ing, damage or extreme wear, exposed wires, or bent connectors.
2. Wipe the equipment with a cloth slightly moistened (not wet)
with one of the approved solutions listed above. Gently grip the
cable with the damp cloth in the centre of the cable and slide the
cable through the cloth 20 cm at a time until clean.

– Do not clean the whole length in one single action as this may
cause bunching of the sheathing.
– Wipe off any excess cleaning solution. Do not let the cleaning
solution run into or accumulate in connector openings, latches, or
Art. no.: 2.511076 Rev.: g

crevices. If liquid gets into connectors, dry the area with warm air

Page 45
5 Cleaning
5.2 Cleaning the Cuff and Pouch BR-102 plus / BR-102 plus PWA

5.2 Cleaning the Cuff and Pouch

5.2.1 Cleaning the Cuff


• Do not use bleach
• Do not iron
• Do not tumble dry
• Do not spin dry

• Observe the following when washing:


– Program setting of 40°C (104°F)
– Select gentle or delicate cycle.
– Use a mild washing powder. Do not use biological powder be-
cause of possible allergic reactions.
– Do not use fabric softeners, textile deodorants or any other addi-
tives - these solutions may leave residues and damage the mate-
rial.
• Leave cuff to dry naturally.

The cuff must be washed or disinfected after every long-term


measurement using any of the following methods:

In a Standard Washing Machine


• Prepare Cuff (see next page).
• Fold the cuff and secure the cuff with the velcro strip.
• Place the cuff in a cleaning bag.
Dry Clean
• Prepare the cuff in the same way as for washing.
Disinfection
• Disinfect by gently wiping the cuff with an approved hospital grade
disinfectant (see Sterilisation, page 52).

Art. no.: 2.511076 Rev.: g

Page 46
Cleaning 5
BR-102 plus / BR-102 plus PWA User Guide Cleaning the Cuff and Pouch 5.2

5.2.2 Cuff Preparation


Two types of cuff are available: Cuff type with a D-ring and cuff type
without a D-ring. Both are available in various sizes. The cuff
preparation procedure for cleaning is the same for both type and all
sizes.

Disconnecting the Pressure Hose and Removing the Microphone


and Bladder
Before cleaning, the microphone and the bladder must be removed
from the cuff and the pressure hose disconnected.

1. Disconnect the pressure hose from the cuff inflation bladder con-
nector by twisting the connector a quarter turn.
2. Gently remove the microphone from the microphone pouch by
pushing on the outside of the cuff to move the microphone along
the pouch channel until it can be removed from the cuff.

 Do not pull on the microphone lead when removing the


microphone as this can cause damage to the connections.

3. Remove the bladder from the cuff.


4. Fold the cuff and secure the cuff with the velcro strip.
5. Place the cuff in a cleaning bag and wash.
Art. no.: 2.511076 Rev.: g

Page 47
5 Cleaning
5.2 Cleaning the Cuff and Pouch BR-102 plus / BR-102 plus PWA

Re-inserting the Microphone and the Bladder and Connecting


the Pressure Hose

For cuffs with D-ring only:

When re-inserting the bladder, ensure that the correct bladder size is
inserted in the cuff. The bladders come in three sizes and are labelled
accordingly. The bladders are compatible with the D-ring cuffs as
follows:

Cuff size (D-ring only) Bladder labelling


S Child
M Adult
L Large arm

1. Gently slide the microphone in the microphone pouch and push


fully home from the outside of the cuff. Ensure the microphone is
fully home and occupies the area indicated by the micro designa-
tion printed on the cuff.
Art. no.: 2.511076 Rev.: g

– The metallic (yellow) side of the microphone must be facing up-


wards when inserting in the cuff (the metallic side faces the pa-
tient).
– Ensure that the microphone is correctly inserted in the cuff. It
must fully reach the bottom of the pouch.
2. Replace the bladder in the cuff - ensure that the bladder is flat and
not twisted in the cuff.
3. Connect and secure the pressure hose to the cuff bladder
connector with a quarter turn.

Page 48
Cleaning 5
BR-102 plus / BR-102 plus PWA User Guide Cleaning the Cuff and Pouch 5.2

Bladder hose and connector

Gently push the microphone out of the cuff


and disconnect the pressure hose from the
bladder (connector quarter twist).

Remove the bladder from the cuff.


After washing re-insert the
bladder in the cuff.

Push the microphone until home


in the micro pouch.
Art. no.: 2.511076 Rev.: g

Reconnect the pressure hose to


the cuff bladder.

Page 49
5 Cleaning
5.2 Cleaning the Cuff and Pouch BR-102 plus / BR-102 plus PWA

5.2.3 Cleaning the Pouch (as well as the Shoulder and


Waist strap)

Clean the pouch with a damp cotton cloth (do not use corrosive liquids
or solvents) or can be washed in a washing machine at 30°C using a
mild washing powder (do not spin). Do not use fabric softeners or
other aids (e.g. disinfectant rinses). These solutions may leave
residues and damage the material. The Pouch is not suitable for
drying in a tumble dryer.

• Do not use bleach


• Do not iron
• Do not tumble dry.
• Do not expose neoprene pouch to direct sun light

Wash the pouch at a temperature of 30° C with a normal washing


powder. Select gentle or delicate cycle. Leave cuff to dry naturally.

Art. no.: 2.511076 Rev.: g

Page 50
Cleaning 5
BR-102 plus / BR-102 plus PWA User Guide Cleaning the Cuff and Pouch 5.2

5.2.4 Disinfection
The user (doctor) decides, whether and when disinfection of the cuff
sleeve is necessary for reasons of hygiene. Use commercially
available disinfectants intended for clinics, hospitals and practices to
disinfect the device. Disinfect the unit in the same way as described
for cleaning (see Cleaning the Device, page 45). For cleaning and
disinfecting the cuff, wipe with a damp cloth. SCHILLER has tested
and recommends the following solutions:

• Terralin Liquid (manufacturer: Schuelke & Mayr)


• Promanum N (manufacturer: B. Braun)

Additionally, the cuff can be disinfected with the following:

• Cidex
• Sporicidin
• Mikrozid
• Isopropyl alcohol 70%
• Ethanol 70%
• Buraton fluid
It is vital to observe the manufacturer's instructions for the use of these
products. Always leave the cuff to dry completely.

When using other disinfectants not recommended by SCHILLER, the


user is responsible for proving harmless application.

 Never use disinfectants that leave a residue on the product or


which are unsuitable for use in contact with skin.
Art. no.: 2.511076 Rev.: g

Page 51
5 Cleaning
5.2 Cleaning the Cuff and Pouch BR-102 plus / BR-102 plus PWA

5.2.5 Admissible Disinfectants for the Casing


• 50 % isopropyl alcohol
• Propanol (50 %)
• Ethyl hexanal
• Aldehyde (2-4%)
• Ethanol (50%)
• All products that are suitable for ABS plastic

5.2.6 Non-admissible disinfectants


Never use products containing the following:

• Organic solvents
• Ammonia-based detergent
• Abrasive cleaning agents
• 100% alcohol, Virex, Sani-Master
• Sani-Cloth®, Ascepti® or Clorox® wipes
• HB Quat®
• Conventional cleaner (e.g. Fantastic®, Tilex® etc.)
• Conductive solution
• Solutions or products containing the following ingredients:
– Ketone (for ex. acetone)
– Ammonium chloride
– Betadine
– Chlorine, wax or wax compound
– Sodium salt

5.2.7 Sterilisation
The cuff can be sterilised with Ethylene oxide gas. Prepare the cuff as
detailed previously. After sterilisation the parts that were exposed to
the gas must be aired.

 All relevant regulations and safety precautions must be complied


with.
Art. no.: 2.511076 Rev.: g

Page 52
Maintenance 6
BR-102 plus / BR-102 plus PWA User Guide Visual Inspection 6.1

6 Maintenance
All maintenance work must be carried out by a qualified technician
authorised by SCHILLER AG. Only maintenance procedures given in
this book may be carried out by the user.

The following table indicates the maintenance intervals, the


maintenance requirement, and the person authorised to carry out the
procedure.

Interval Maintenance Responsible


Every 6 months • Visual inspection of the monitor, cables  User
and tubes and cuff (see below).
Every 24 months • Measurement calibration.  SCHILLER AG authorised
service centre.

6.1 Visual Inspection


Visually inspect the unit, cables, connectors, tubing and cuff for the
following:

• Device casing not broken or cracked.


• Display not broken or cracked.
• Microphone cable sheathing and connectors not damaged, no
kinks.
• No kinks, abrasion or wear in the tubing assembly.
• Pressure bladder and tube connector in good condition.
• No excessive soiling or damage of the cuff and velcro fastening.

 Do not use if the unit, or any cable assembly or accessory, is


damaged.
 Defective units, damaged cables, or damaged accessories must
be replaced immediately.
Art. no.: 2.511076 Rev.: g

Page 53
6 Maintenance
6.2 Battery Maintenance BR-102 plus / BR-102 plus PWA

6.2 Battery Maintenance


• The batteries require no maintenance during their life.
• The life cycle of the batteries is approximately 500 charge / dis-
charge cycles.
• To prevent the possibility of battery leakage, always remove the
batteries from the device when not used for prolonged periods.

6.2.1 Charging the Batteries

• Full capacity of new NIMH batteries are only reached after three
charge/discharge cycles.
• Totally discharged batteries require approximately three hours to be
fully charged (with two batteries in charger), or six hours (with four
batteries in charger).
• Charged batteries lose their charge when removed from the charg-
er unit. Therefore to ensure full capacity only remove the batteries
from the charger immediately before taking a recording.
• No harm will be done to the batteries by leaving them in the charger
unit.

Remove the batteries from the BR-102 plus / BR-102 plus PWA (see
Inserting/Changing the Batteries, page 15), and place in the battery
charger unit. Leave the batteries in the charger unit until fully charged
(see battery charger operating instructions).

6.2.2 Battery Disposal

 Explosion hazard! Batteries may not be burned or disposed of


domestic refuse.
 Danger of acid burns! Do not open the batteries.

The batteries must be disposed of in municipally approved areas or


sent back to SCHILLER AG.
Art. no.: 2.511076 Rev.: g

Page 54
Maintenance 6
BR-102 plus / BR-102 plus PWA User Guide Calibration 6.3

6.3 Calibration
DEVICE INSPECTION The unit must be returned to a SCHILLER approved centre for
Time limit calibration at the interval defined by local regulations or at least every
22 day(s)
Call SCHILLER two years. A reminder message is displayed 30 days before
service! calibration is due and counts down the subsequent days every time
ok the unit is switched on.

The message is displayed for approximately 60 seconds before the


main BR-102 plus / BR-102 plus PWA menu is displayed. Select OK
to display the main menu immediately for normal use.

6.4 Measurement Check


A service option is incorporated in the BR-102 plus / BR-102 plus
PWA to check the measurement accuracy and the correct functioning
of the overpressure valve. This option can be performed at any time
to check the unit‘s integrity.

6.4.1 Equipment Required


• Calibrated Manometer (purchased locally)
• BR-102 plus / BR-102 plus PWA connector and hose assembly.

6.4.2 Setup
Art. no.: 2.511076 Rev.: g

Page 55
6 Maintenance
6.4 Measurement Check BR-102 plus / BR-102 plus PWA

6.4.3 Measurement accuracy


1. Remove the pressure hose and microphone from the BR-102 plus
/ BR-102 plus PWA and connect the manometer to the unit as
shown.

The setup shown is an example connection only. Dependent on the


type of manometer and hose connector used, the cuff connector can
be removed from the BR-102 plus / BR-102 plus PWA and connected
directly to the manometer.

2. Select System > Service Area > Test Calibration.

05:16PM SYSTEM SERVICE AREA

NEW RECORD Settings TEST CALIB.


LAST RECORD TIME/DATE HW SETUP
SINGLE MEAS. INFO LOGBOOK
SYSTEM SERVICE AREA BACK
BACK
NEXT OK NEXT OK NEXT OK

3. Pump once or twice to pressurise to approximately 200 mmHg.

TEST CALIBRATION
Cuff pressure

180
mmHg

OK

4. The pressure will slowly drop. Check the reading on the BR-102
plus / BR-102 plus PWA against the calibrated pressure gauge.
The two measurements should be within 3 mmHg. After 120
seconds the BR-102 plus / BR-102 plus PWA releases the
pressure.

Art. no.: 2.511076 Rev.: g

Page 56
Maintenance 6
BR-102 plus / BR-102 plus PWA User Guide Measurement Check 6.4

6.4.4 Overpressure Relieve Valve


The overpressure relieve valve can be checked for correct release for
both the adult settings and paediatric setting.

Adult
1. Set / check that Adult is set in the record setup. This can be done
for single measurement or new record:

05:16PM NEW RECORD RECORD SETUP


RECORD SETUP PatGrp ADULT
NEW RECORD
PROGRAM RecDur 24 hr
LAST RECORD
PATIENT ID DefSpd 5 mmHg/s
SINGLE MEAS.
START DispResult ON
SYSTEM
BACK BACK
NEXT OK NEXT OK NEXT OK

2. Setup and enter the calibration screen as detailed on the previous


page.
3. Pump to 300 mmHg. Slowly continue to pump and check that the
overpressure valve activates (a pressure hiss is heard and the cuff
rapidly deflates) at 320 mmHg ± 10 mmHg.
Paediatric
1. Set the record setup to Child. This can be done for single meas-
urement or new record:

05:16PM NEW RECORD RECORD SETUP

RECORD SETUP PatGrp CHILD


NEW RECORD
PROGRAM RecDur 24 hr
LAST RECORD
PATIENT ID DefSpd 5 mmHg/s
SINGLE MEAS.
START DispResult ON
SYSTEM
BACK BACK
NEXT OK NEXT OK NEXT OK

2. Setup and enter the calibration screen as detailed on the previous


page.
3. Pump to 200 mmHg. Slowly continue to pump and check that the
overpressure valve activates (a pressure hiss is heard and the cuff
rapidly deflates) at 225 mmHg ± 5 mmHg.
Art. no.: 2.511076 Rev.: g

Page 57
6 Maintenance
6.5 Error Messages BR-102 plus / BR-102 plus PWA

6.5 Error Messages


The following is a list of the error message that can appear on the
device. A common occurrence of errors is movement or a noisy
environment during measurement. In most cases checking the hose
connections and cuff placement, and then retaking the measurement
without moving the arm will solve the error.

6.5.1 Error Message Table


No. Message Cause Remedy
51 Battery low • Battery voltage too low to take  Replace with fully charged batteries.
a measurement.
52 Valve/pump • Valve or pump is defective; air  Check pneumatic system. Check that tube is
leak. secured and that the connectors at both ends
are securely in place. Check for holes or air
leaks in the cuff bladder and pressure hose;
contact service department.
120 Signal • Disturbances in measure-  Perform measurement in quiet environment;
disturbed ment signal. avoid moving the arm during measurement.
122 Cuff pressure • Too much residual air in cuff  Ensure that cuff is completely decompressed
bladder. before commencing a measurement.
123 No cuff • No pressure (<3 mmHg) 10  Connect cuff; check hose connections.
sec after inflation; leak in the
cuff or hose.
124 Measur. break • Measurement stopped manu- 
ally.
126 Measurement • Measurement time too long;  Check hose connections. Check hose and
time hose, cuff or pump is defec- bladder for defects. Contact service
tive. department.
127 Cuff loose • Pressure too low (<10 mmHg)  Check cuff; if necessary tighten it more
10 sec after inflation. firmly.
128 Pump time • Pump-up time too long (50/60  Check cuff and hose. Contact technical
sec, depending on patient service.
type, C/A); hose, cuff or pump
is defective.
130 Overpressure • Device automatically shut off  Maximum pressure reached.
Art. no.: 2.511076 Rev.: g

by relief valve.
140 Meas. invalid • Evaluation impossible (KOR).  Check position of microphone; repeat
measurement.
150 Meas. invalid • Evaluation impossible (OSC).  Check cuff; avoid moving the arm.
180 No signal • Pressure reached 70 mmHg  Connect microphone. Check microphone
and no Korotkoff signal de- position.
tected.
181 Weak signal • Pressure reached 50 mmHg  Place microphone over brachial artery;
and no Korotkoff signal de- ensure that the microphone is correctly
tected. orientated (metallic side towards arm).

Page 58
Maintenance 6
BR-102 plus / BR-102 plus PWA User Guide Error Messages 6.5

No. Message Cause Remedy


182 Signal • Too much interference in Ko-  Perform measurement in quiet environment;
disturbed rotkoff signal. avoid moving the arm during measurement.
190 No signal • Pressure reached 50 mmHg  Check cuff.
and no pulse detected (OSC).
191 Weak signal • Less than 8 pulse beats de-  Check cuff.
tected (OSC).
192 Signal • More than 200 pulse beats  Avoid moving the arm during measurement.
disturbed detected (OSC).
198 DIA not • Minimum pressure reached  Avoid moving the arm during measurement.
detected without diastolic value detect-
ed (OSC).
199 SYS not • Minimum pressure reached  Avoid moving the arm during measurement.
detected without systolic value detect-
ed (OSC).
200 No pulse • No pulse detected (OSC).  Repeat measurement; check cuff.
201 Pulse > max. • Too many pulse beats detect-  Perform measurement in quiet environment;
ed (OSC). avoid moving the arm during measurement.
202 Pulse < min. • Too few pulse beats detected  Repeat measurement; check cuff.
(OSC).
210 No pulse • No pulse detected (KOR).  Connect microphone; Check position of
microphone. Ensure that the microphone is
correctly orientated (metallic (yellow) side
towards arm).
211 Pulse > max. • Too many pulse beats detect-  Perform measurement in quiet environment;
ed (KOR). avoid moving the arm during measurement.
212 Pulse < min. • Too few pulse beats detected  Place microphone over brachial artery;
(KOR). ensure that the microphone is correctly
orientated (metallic (yellow) side towards
arm).
238 Min. pressure • Minimum pressure reached  Repeat measurement.
without measurement result.
239 Max. pressure • Maximum pressure reached  Repeat measurement.
without measurement result.
255 Internal error • Device is defective.  Contact technical service.
322 No • No recording stored.  Take/ retake a recording.
Art. no.: 2.511076 Rev.: g

measurements • No recording has been made.


available • Incorrect initialisation of a re-
cording.
• Error in the recording storage.
323 No patient data • No patient data has been re-  Enter patient data.
available corded.
324 SD- card • SD card not inserted. For  Insert an SD card.
missing PWA recording an SD card is
necessary.

Page 59
7 Technical Data
6.5 Error Messages BR-102 plus / BR-102 plus PWA

7 Technical Data
Device Name BR-102 plus / BR-102 plus PWA
Dimensions 100 x 68 x 28 mm (l x w x h)
Weight 200 grams (including rechargeable batteries)
Display Graphical colour OLED with multi-language menu
Power Supply
Power consumption 2.4 V, 4.0 VA
Batteries Type AA, 2 rechargeable NiMH, 1.2 V, 2700 mAh
Capacity 24 hours (approximately 100 measurements can be performed)
Battery capacity indicated on the display
Data Storage Flash memory with capacity for over 400 measurements and 30 sec.
of voice recording

Additionally Storage: micro SD card


Interfaces USB 2.0 interface for data transfer
Programming Menu guidance; 2 buttons
Recording Protocols Four programmable interval groups (each group has 8
measurements)
Measurements
Methods of measurement BR-102plus
Auscultatory (Korotkoff / Riva-Rocci) with additional oscillometric
method as backup or only oscillometric, both with linear adjustable
deflation rate.

BR-102 plus PWA


Same as BR-102 plus but with additional 10 second oscillometric
signal recording for PWA.
Art. no.: 2.511076 Rev.: g

Measurement duration 24 hours or 48 hours


Measuring range
Blood pressure 25 to 300 mmHg ( 3 mmHg)
Heart rate 25 to 300 bpm (25 to 100 bpm <  2%)
(100 to 200 bpm <  4%)
(200 to 300 bpm <  5%)
Deflation rate 2 to 9 mmHg/s, automatic (3 mmHg / heart beat)
Measurement intervals 5 to120 min

Page 60
Technical Data 7
BR-102 plus / BR-102 plus PWA User Guide Error Messages 6.5

Safety Standards IEC 60601-1


ISO 81060-2:2013a
IEC 80601-2-30
IEC 60601-1-2 (EMC)
Protection Class Internal power supply

Protection Class of Casing IP42 when using the carrying pouch


Applied Part BF according to IEC/EN 60601-1

Conformity CE 0123 according to Annex II 93/42/EEC (medical devices)

Classification IIa according to MDD 93/42/EEC

Trusted Accuracy The BR-102 plus / BR-102 plus PWA is clinically validated to all
internationally recognised organisations:

– BHS (in progress)


– ESH (2002)
– AAMI SP10:2002
Environmental conditions
(Operation)
Operating temperature • 0°C to + 40°C (+ 32°F to + 104°F)
Relative humidity • 15 % to 95 % (non-condensing)
Pressure during operation • 540 hPa to 1060 hPa

Environmental Conditions
(storage and transport)
Transport temperature • - 10°C to + 50°C (+ 14°F to + 122°F)
Storage temperature • + 5°C to + 50°C (+ 41°F to + 122°F)
Relative humidity (storage • 10 % to 95 % (non-condensing)
and transport)
Art. no.: 2.511076 Rev.: g

Pressure (storage and • 500 hPa to 1060 hPa


transport)
a. The sphygmonometer was clinically investigated according to the requirements of ISO 81060-2:2013

Page 61
7 Technical Data
7.1 Preventing electromagnetic interferences BR-102 plus / BR-102 plus PWA

7.1 Preventing electromagnetic interferences


The user can help avoid electromagnetic disturbances by keeping the
minimum distance between portable and mobile HF
telecommunication devices (transmitters) and the BR-102 plus / BR-
102 plus PWA. The distance depends on the output performance of
“Non-ionic electromagnetic radiation" the communication device as indicated below.

Transmitter fre- Testing fre-


HF source Max. Distance d
quency quency
Wireless communications devices Power P [W] [m]
[MHz] [MHz]
385
Various radio services (TETRA 400) 380-390 1.8 0.3

- Walkie-talkies (FRS)
430-470 450 2 0.3
- Rescue service, police, fire brigade, servicing (GMRS)
LTE band 13/17 704-707 710/745/780 0.2 0.3
- GSM800/900
- LTE band 5 800-960 810/870/930 2 0.3
- Radio telephone (microcellular) CT1+, CT2, CT3
- GSM1800/1900
- DECT (radio telephone) 1720/1845/
1700-1990 2 0.3
- LTE Band 1/3/4/25 1970
- UMTS
- Bluetooth, WLAN 802.11b/g/n
- LTE Band 7
2400-2570 2450 2 0.3
- RFID 2450 (active and passive transponders and reading de-
vices)
5240/5500/
WLAN 802.11a/n 5100-5800 0.2 0.3
5785

 Portable HF telecommunication devices must not be used within


a radius of 0.3 m from the BR-102 plus / BR-102 plus PWA and its
cables.
 Do not place the BR-102 plus / BR-102 plus PWA on top of other
electric/electronic devices - i.e. maintain a sufficient distance to
other devices (this includes the patient cables).

For permanent HF telecommunication devices (e.g. radio and TV), the


Art. no.: 2.511076 Rev.: g

recommended distance can be calculated using the following formula:


d = 0.6  P . (The formula is based on the max. immunity level of 10 V/
m in the frequency domain of 80 MHz to 3000 MHz).

d = recommended minimum distance in meters


P = transmitting power in Watts

For more information on operation in an electromagnetic environment


according to IEC/EN 60601-1-2, please consult the service manual.

Page 62
Accessories 8
BR-102 plus / BR-102 plus PWA User Guide Documentation 8.1

8 Accessories
 Always use SCHILLER replacement parts and disposables, or
products approved by SCHILLER. Failure to do so may endanger
life and invalidate the guarantee.

Your local representative stocks all the disposables and accessories


available for the BR-102 plus / BR-102 plus PWA. A comprehensive
list of all SCHILLER representatives can be found on the SCHILLER
website (www.schiller.ch).

8.1 Documentation
Part Number Description
2.511043 medilogDARWIN2 User Guide DE
2.511044 medilogDARWIN2 User Guide EN
2.511045 medilogDARWIN2 User Guide FR
2.511064 medilogDARWIN2 User Guide ES
2.511065 medilogDARWIN2 User Guide SV
2.511066 medilogDARWIN2 User Guide RU
2.511067 medilogDARWIN2 User Guide ZH-S
2.540045 BR-102 plus / BR-102 plus PWA Recurrent test and service handbook

8.2 General Accessories


Part Number Description
2.156077 Premium reusable pouch red BR-102 plus / BR-102 plus PWA.
2.156079 Premium accessories case red including reusable pouch red.
2.156086 Holter pouch single use, white, set of 50
2.156088 Shoulder and waist strap for pouch red BR-102 plus / BR-102 plus PWA.
2.200119 Battery Ni-MH AA BR-102 plus / BR-102 plus PWA, BP-200 plus, rechargeable.
2.200179 Charging unit BR-102 plus / BR-102 plus PWA, BP-200 plus, MS-12blue, 90-264 VAC (4
Art. no.: 2.511076 Rev.: g

batteries can be charged at the same time).


2.310215 USB / mini USB cable for MT-101, BR-102 plus / BR-102 plus PWA, BP-200plus.

Page 63
8 Accessories
8.3 Cuff and Cuff Accessories BR-102 plus / BR-102 plus PWA

8.3 Cuff and Cuff Accessories


Part Number Description
2.100325 Velcro plaster for BR-102, BR-102 plus / BR-102 plus PWA, BP-200plus, set of 10.
2.100326 Adhesive plaster for microphone, BR-102, BR-102 plus / BR-102 plus PWA and BP-200
plus, set of 10.
2.120050 Tube for BP cuffs 2008 and 2014 BR-102 plus for auscultatoric and oscillometric
measurements
2.120054 Tube for BP cuffs 2008 and 2014 BR-102 plus for oscillometric measurement only
2.120063 BP velcro cuff 2014, size XS, BR-102 plus for oscillometric measurement only
2.120064 BP velcro cuff 2014, size S, BR-102 plus, BP-200 plus
2.120065 BP velcro cuff 2014, size M, BR-102 plus, BP-200 plus
2.120066 BP velcro cuff 2014, size L, BR-102 plus, BP-200 plus
2.120067 BP velcro cuff 2014, size XL, BR-102 plus, BP-200 plus
2.120068 Comfort fleece size XS, package of 10, for BP cuff 2.120063
2.120069 Comfort fleece size S, package of 10, for BP cuff 2.120064
2.120070 Comfort fleece size M, package of 10, for BP cuff 2.120065
2.120071 Comfort fleece size L, package of 10, for BP cuff 2.120066
2.120072 Comfort fleece size XL, package of 10, for BP cuff 2.120067
2.120080 BP cuff D-Ring, size S, BR-102 plus, BP-200 plus
2.120081 BP cuff D-Ring, size M, BR-102 plus, BP-200 plus
2.120082 BP cuff D-Ring, size L, BR-102 plus, BP-200 plus

Art. no.: 2.511076 Rev.: g

Page 64
BR-102 plus PWA 9
BR-102 plus / BR-102 plus PWA User Guide Overview 9.1

9 BR-102 plus PWA


9.1 Overview
The clinical usefulness of central blood pressure (BP) as an index of
risk for cardiovascular disease and the augmentation index (AIx) is
often cited with relation to sex, age and heart rate. Arterial stiffness is
an important determinant of cardiovascular risk and the augmentation
index (AIx) is a measure of wave reflection and thus systemic arterial
stiffness derived from the ascending aortic pressure waveform.

The central arterial pulse wave is the sum of the forward pressure
wave generated by left ventricular ejection and a backward
propagating wave that is subsequently reflected from the peripheral
site. The time point at which these forward and backward propagating
waves merge and the amplitude of the reflected (backward) wave
affect the level of central BP.

9.2 Measurements
After every BP measurement, the cuff is again inflated to the diastolic
pressure and held for 10 seconds while PWA data is obtained (see
BR-102 plus PWA Unit Measurements, page 43).

9.3 Display of Pulse Wave Analysis


Pulse wave analysis is based on arterial blood pressure curve
containing haemodynamic information that exceeds peripherally
measured blood pressure. This is used to analyse the central aortic
pulse wave. The medilogDARWIN2 displays the following values:

• Central blood pressure


• Central pulse pressure
Art. no.: 2.511076 Rev.: g

• Augmentation pressure
• Augmentation index
• Alx@75 [90% confidence interval]
• Peripheral resistance
• Pulse Wave Velocity [PWV]

Page 65
9 BR-102 plus PWA
9.4 Method BR-102 plus / BR-102 plus PWA

9.4 Method
Ten pulse waves are filtered and averaged to determine the central
arterial pulse wave. The augmentation index is standardised for a
pulse rate of 75 bpm (see reference [1]). This parameter is then
described as Alx@75.
Male
60
50

40 90% CI
30 mean
Alx@75

20 90% CI
10
0

-10
-20
20 30 40 50 60 70
Age

Female
60
50
90% CI
40
mean
30
Alx@75

90% CI
20

10
0
Art. no.: 2.511076 Rev.: g

-10
-20
20 30 40 50 60 70 80
Age
Average value and 90% confidence interval for the Alx@75

Alx@75 has been analysed in a representative cross-section of the


population (see reference [2]), and an age-dependent estimate for the
Alx@75 plus the respective confidence interval have been assessed.
These relevant analyses have also shown that there is a significant
difference for the average Alx@75 between men and women.

Page 66
Patient Diary 10
BR-102 plus / BR-102 plus PWA User Guide Patient Diary Example 10.1

Based on research with a surveyed cross-section of the population of


about 2,000 people average values and 90% confidence interval were
determined. An increase of the Alx until the 55th year has been
identified and after the 55th year the increase slows for both sexes.
The level difference of the Alx between the sexes is about 8 to 10%.
If the measured values exceed the sex- and age-specific interval,
further examinations according to the European examination
guidelines for hypertension [3] are recommended in order to detect
the reason for the dysfunction.

1. Wilkinson I.B. et al. Heart Rate Dependency of Pulse Pressure


Amplification and Arterial Stiffness. American Journal of Hyperten-
sion 2002;15:24-30.
2. Fantin F. et al. Is augmentation index a good measure of vascular
stiffness in the elderly? Age and Ageing 2007; 36: 43-48.
3. The Task Force for the Management of Arterial Hypertension of
the European Society of Hypertension (ESH) and the European
Society of Cardiology (ESC). 2007 Guidelines for the
management of arterial hypertension. European Heart Journal
2007; 28: 1462-1536.
4. European Heart Journal (2010) 31, 2338–2350 doi:10.1093/
eurheartj/ehq165. Determinants of pulse wave velocity in healthy
people and in the presence of cardiovascular risk factors:
‘establishing normal and reference values’.

10 Patient Diary
10.1 Patient Diary Example
The patient diary template is delivered with the unit (in Word format
and PDF format) for direct printing. A sample is reproduced on the
following pages for information or copying if required.
Art. no.: 2.511076 Rev.: g

Page 67
SCHILLER BR-102 plus / BR-102 PWA
Patient Diary
Patient ID: …............................................................................................................................................

Patient name: ..........................................................................................................................................

Date: ......................................................... Recording start time: ........................................................

WARNING
• If you experience any numbness in the arm, chafing, pain or discomfort remove the cuff and contact
your doctor immediately.
• Danger of strangulation from the hose. Ensure a T-shirt or outer clothing is worn over the hose and
unit at night.

• The BR-102 plus/PWA must not be used in the vicinity of an MRI scanner.

CAUTION
• The unit is not waterproof, do not get wet - remove the recorder and cuff if you take a bath or shower.
NOTE
• If using the BR-102 plus/PWA outdoor at significant lower temperature as 5°C, make sure that you
wear a warm long coat to keep the device temperature above 5°C. Significant lower temperature may
reduce the battery performance and therefore the max. recording time.

BR-10 plus
DURING THE RECORDING
• Do not to move the arm during the measurements.
• Avoid noisy areas when a measurement is being taken.
• If an invalid measurement is made, a second measurement will be initiated immediately.
• The unit must continue to be worn during the night time period. Wear a T-shirt or continue
to wear normal outer clothing over the tubing at night to help keep it secure.
Control buttons

• If you have a PWA monitor a second phase is initiated after every measurement: the cuff
is again re-inflated and remains inflated for approximately 10 seconds before deflating
ready for the next measurement.

BR-102 plus PWA


Taking an extra measurement during the recording
The unit takes measurements at predetermined intervals. Extra measurements can be taken at any
time, press either the green or the blue control button to display the measurement screen and press
again to take an extra measurement.

Interrupting a measurement during the recording


To interrupt a measurement, press either of the control buttons during the measurement. The next
measurement will take place according to the schedule.

Battery compartment cover. Position in


grooves and slide until clicked secure.
positive
Battery removal ribbon negative
SCHILLER BR-102 plus / BR-102 PWA
Patient Diary
Changing the batteries during a 48 hours recording
• Preventive changing the batteries after 24 hours:
1. Press the blue button for 4 seconds. Confirm message “Change battery” again with the blue button.
2. Remove the batteries and replace with the fully charged batteries supplied. Observe correct polarity.
3. Press the green button to switch the unit on. The following message is displayed:
BP recording . . Next meas . . xx:xx
4. Make an entry in the patient diary.

• Or when the audible beep is heard and one of the following messages are displayed:

WAR NING ERROR

BATTER Y L OW BATTER Y L OW
Ch ang e Ch ang e battery
ba ttery imme dia te ly

NO YES OK

1. Confirm the Change battery message with the blue button.


2. Remove the batteries and replace with the fully charged batteries supplied. Observe correct polarity.
3. Press the green button to switch the unit on. The following message is displayed:
BP recording . . Next meas . . xx:xx
4. Make an entry in the patient diary.

Do not dispose of the old batteries - return to the surgery.

Cuff placement
The cuff should be placed on the left upper arm approximately 2cm above the elbow so that the forearm
can move. Position the MICRO symbol (if present) on the inside of the arm. The pressure tube points
towards the shoulder. Tape can be used to hold the tubing to the body if required. Place the device in the
pouch and secure with the pouch straps. Wear a t-shirt over the tubing to help secure the tubing in
position.

Make an entry in this diary (next page) if you experience any dizziness, palpitations, chest pain, etc. Also
make an entry when the batteries are changed, an extra measurement is taken, or for any other event.
SCHILLER BR-102 plus / BR-102 PWA
Patient Diary

Time Event / Comment

Time Event / Comment

Time Event / Comment

Time Event / Comment

Time Event / Comment

Time Event / Comment


Index 11
BR-102 plus / BR-102 plus PWA User Guide

11 Index
B Pressure Hose and Microphone
Connection ...................................... 16
Battery
Capacity Display ............................ 20 Pulse Wave Analysis ........................ 65
Changing During a Recording (48
hour) ................................................. 38 R
Condition .......................................... 20
RECORD SETUP .............................. 35
Disposal ........................................... 54
Maintenance ................................... 54
Recording ............................................ 26
Replace ............................................ 15
S
C Safety Notes ......................................... 7
Calibration ........................................... 52 Safety Symbols ........................ 11, 13
Checking the Measurements ........... 55 SD memory card ................................ 17
Cleaning the pouch ............................ 50 Settings ................................................ 25
Cuff Single Measurement ......................... 33
Applying ........................................... 28 Starting a Recording ......................... 36
Cleaning ........................................... 46 Stopping the Recording .................... 39
Size ................................................... 28 Switching off ....................................... 19
Switching on ....................................... 18
D
Displaying a Recording on the BR-102 T
plus ....................................................... 39
Taking an extra measurement during the
recording ............................................. 42
E Technical Data ................................... 60
Electromagnetic Radiation ............... 62 Time Display ....................................... 20
Error Messages .................................. 58

U
I Unpacking ........................................... 13
Interrupting a measurement during the
recording .............................................. 43
V
Visual Inspection ................................ 53
L
Lithium Batteries ................................ 21
Long Term Recording ....................... 34

M
Art. no.: 2.511076 Rev.: g

Main Components .............................. 17


Maintenance ....................................... 44
Medilog Darwin2 Program ................ 15
Menu Structure ................................... 22

O
Operating and Display Elements .... 18

P
Patient Diary ....................................... 65
Patient Information ............................ 41

Page 71
Appendix - Symbols 12

12 Appendix - Symbols
This appendix lists all general symbols that may be present on the
device, label and accessories. Not all of those symbols are necessarily
present on your device.
This appendix has its own article number, which is independent of
the user guide's article number.

Identification of the manufacturer

Identification of the manufacturing date

Identification of the distributor

Identification of the importer

Medical device

Serial number

Reference number

Batch code

Global Trade Item Number

Catalogue number

Quantity

UDI: unique device identification as QR code machine readable and


Art.-No.: 2.520164 Rev. a

human readable as number (e.g (01) 0 7613365 00210 2 (21)xxxx.xxxxxx )

Number of pieces in the packaging

Authorised European representative

Notified body (e.g marking notified body TÜV SÜD)


12 Appendix - Symbols

CE marking, affirms its conformity with European standards

Regulatory Compliance Mark for the Australian standards

The device is recyclable

Symbol for the recognition of electrical and electronic equipment.


Device must not be disposed of in the household waste.

Symbol for the recognition of a battery. Battery must not be dis-


posed of in the household waste.

The packaging is made in low density polyethylene and can be


recycled.

Federal law (USA) restricts this device to sale by or on the order of a


physician

Non ionising electromagnetic radiation. To indicate that the device


contains a Radio Frequency (RF) transmitter to transmit data (e.g
Bluetooth or WiFi)

Contains a Bluetooth module

Do not reuse

Latex-free

Use-by date (expiry date of battery, electrodes or other consuma-


bles)

Temperature range for storage or transport, respectively


Art.-No.: 2.520164 Rev. a

Pressure range for storage or transport, respectively

Humidity range for storage or transport, respectively

Consult instruction for use (indicates the need for the user to con-
sult the instructions for use)

x Use within X days after opening (electrodes or other consumables)


Appendix - Symbols 12

Keep dry (store in a dry location)

Keep away from sunlight (protect from direct sunlight)

Fragile, handle with care

Transport upwards (this way up)

Do not use hooks

EIP = electronic information product (dos not contain any toxic and
hazardous substances or elements above the maximum concentra-
tion values (product can be recycled and re-used).
Art.-No.: 2.520164 Rev. a
Americas France Serbia
SCHILLER Americas Inc. SCHILLER Médical SCHILLER d.o.o.
Doral, Florida 33172 F-67160 Wissembourg 11010 Beograd
Phone +33 3 88 63 36 00 Phone +381 11 39 79 508
North America: Fax +33 3 88 63 36 49 Fax +381 11 39 79 51 8
Phone +1 786 845 06 20 info@schiller.fr info@schiller.rs
Fax +1 786 845 06 02 www.schiller-medical.com www.schiller.rs
sales@schilleramericas.com
www.schilleramericas.com France (distribution France) Slovenia
Latin America & Caribbean SCHILLER France S.A.S. SCHILLER d.o.o.
Phone +1 305 591 11 21 F-77608 Bussy St Georges 2310 Slovenska Bistrica
Fax +1 786 845 06 02 Phone +33 1 64 66 50 00 Phone +386 2 843 00 56
sales@schilleramericas.com Fax +33 1 64 66 50 10 Fax +386 2 843 00 57
www.schilleramericas.com contact@schillerfrance.fr info@schiller.si
www.schiller-france.com www.schiller.si

Asia Germany Spain


SCHILLER Asia-Pacific / Malaysia SCHILLER Medizintechnik GmbH SCHILLER ESPAÑA, S.A.
52200 Kuala Lumpur, Malaysia D-85622 Feldkirchen b. München ES-28232 Las Rozas/Madrid
Phone +603 6272 3033 Phone +49 89 62 99 81 0 Phone +34 91 713 01 76
sales@schiller.com.my Fax +49 89 609 50 90 Fax +34 91 355 79 33
www.schiller-asia.com info@schillermed.de schiller@schiller.es
www.schillermed.de www.schiller.es

Austria India Switzerland


SCHILLER Handelsgesellschaft m.b.H. SCHILLER Healthcare India Pvt. Ltd. SCHILLER-Reomed AG
A-4040 Linz Mumbai – 400 059, India CH-8912 Obfelden
Phone +43 732 70 99 0 Phone +91 22 6152 3333 / 2920 9141 Phone +41 44 744 30 00
Fax +43 732 757 000 Fax +91 22 2920 9142 Fax +41 44 740 37 1 0
sales@schiller.at sales@schillerindia.com sales@schiller-reomed.ch
www.schiller.at www.schillerindia.com www.schiller-reomed.ch

China Poland Turkey


Alfred Schiller (Beijing) Medical Equipment SCHILLER Poland Sp. z o.o. SCHILLER TÜRKIYE
Co.,Ltd. PL-02-729 Warszawa Okmeydani-Sisli – Istanbul
100015 Beijing, China Phone +48 22 843 20 89 / +48 22 647 35 90 Phone +90 212 210 8681 (pbx)
Phone +86 010 52007020 Fax +48 22 843 20 89 Fax +90 212 210 8684
Fax +86 010 52007020-8016 schiller@schiller.pl info@schiller.com.tr
info@schillerchina.com www.schiller.pl www.schiller-turkiye.com
www.schillermedical.cn

Croatia Russia & C.I.S. United Kingdom


SCHILLER d.o.o. AO SCHILLER.RU SCHILLER UK Ltd.
10000 Zagreb 119049 Moscow, Russia Anstruther, Fife KY10 3H
Phone +385 1 309 66 59 Phone +7 (495) 970 11 33 Phone +44 16 190 72 565
Fax +385 1 309 66 60 mail@schiller.ru sales@schilleruk.com
info@schillerzg.hr www.schiller.ru www.schilleruk.com
www.schiller.hr
Back Cover Art. no.: 2.520166 Rev.: a

EN: European Authorised Representative, DE: Europäischer Bevollmächtigter, CZ: Evropský zmocněný zástupce, SCHILLER Medizintechnik GmbH
ES: Representante Europea Autorizada, FR: Représentant autorisé européen, HU: Meghatalmazott európai képviselő, Otto-Lilienthal-Ring 4
HR: Europski ovlašteni predstavnik, IT: Rappresentante autorizzato per l‘Europa, LT: Europos įgaliotasis atstovas, 85622 Feldkirchen
LV: Eiropas pilnvarotais pārstāvis, NL: Gemachtigde Europese vertegenwoordiger, NO: Europeisk autorisert representant, Germany
PL: Autoryzowany przedstawiciel w Europie, PT: Representante Autorizado Europeu, RO: Reprezentant autorizat European,
SR: Evropski ovlašćeni predstavnik, SV: Europeiska auktoriserade representanten, SK: Európsky splnomocnený zástupca,
SL: Evropski pooblaščeni zastopnik, FI: Euroopan valtuutettu edustaja, zastopnik, BG: Evropeĭski otoriziran predstavitel
EL: Ευρωπαίος Εξουσιοδοτημένος Αντιπρόσωπος.

Device availability in your market is subject to regulatory approval.

CTU
U FA RE
N
A
D
M

IN
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LT Book für
SWITZE

inhouse-Druck
NE

R
G

SI ND
A
DE

FA C T U R
NU E
A

Manufacturer: SCHILLER AG, Altgasse 68, CH-6341 Baar, Switzerland, Phone + 41 41 766 42 42, Fax + 41 41 761 08 80, sales@schiller.ch, www.schiller.ch
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Extra Light für


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