G B
GB Unit and LC-Display
Read the instruction manual carefully before
u s i n g t h i s d e v i c e , e s p e c ia l l y t h e s a f e t y
instructions, and keep the instruction manual
for future use. Should you give this device to
another person, it is vital that you also pass on
these instructions for use.
Safety Instructions
Explanation of symbols
Proper use
Contraindications
Common factors of wrong measurements
Blood Pressure Monitor
Instruction Manual - Please read carefully!
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This fully automatic electronic blood pressure monitor is intended for measuring the blood pressure at
home. It is a non-invasive blood pressure measurement system to measure the diastolic and systolic
blood pressure and pulse of an adult using a non-invasive technique by means of a cuff, which needs
to be fitted on the upper arm.
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The device is not suitable for measuring the blood pressure of children. Ask your doctor before using it
on older children.
This blood pressure monitor is not suitable for persons with a strong arrhythmia.
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Please keep quiet for 5-10 minutes and avoid
eating, drinking alcohol, smoking, exercising and
bathing before taking a measurement. All these
factors will influence the measurement result.
Remove any garment that fits closely to your
upper arm.
Always measure on the same arm (normally left).
Measurements should be taken regularly at the
same time of each day , as the blood pressure
varies even during the day .
Any effort to support the arm during measurement
may increase the measured blood pressure.
Make sure, you are in a comfortable, relaxed
position and do not move or constrict your
muscles during measurement. Use a cushion to
support your arm if necessary .
If the arm artery lies lower or higher than the
heart, a false reading will be obtained.
A loose or open cuff causes false readings.
With repeated measurements, blood accu-
mulates in the arm which can lead to false
reading. Consecutive blood pressure measure-
ments should be repeated after 1 minute pause
or after the arm has been held up in order to
allow the accumulated blood to flow away .
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The unit is intended only for use in the home. Consult your doctor prior to using the blood
pressure monitor if you are concerned about health matters. i
Only use the unit for its intended purpose in accordance with the instructions for use. War-
ranty claims become void if the unit is misused. i
Irregularity of pulse or arrhythmia can lead to difficulties in recording a correct reading
when measurements are taken using oscillometric blood pressure devices. This device is
electronically equipped to detect over 20 of the most commonly occurring types of arrhyth-
mia and movement artifacts and indicates this with a symbol in the display . i
Please consult your doctor prior to using the unit if you suf fer from illnesses such as arterial
occlusive disease. i
The unit may not be used to check the heart rate of a pacemaker . i
Pregnant women should take the necessary precautions and pay attention to their indivi-
dual circumstances. Please consult your doctor if necessary . i
If you experience discomfort during a measurement, such as pain in the upper arm or other
complaints, press the ST ART -button to release the air immediately from the cuf f. i
Loosen the cuff and remove it from your arm. i
The unit is not suitable for children. i
Do not allow children to use the unit. Medical products are not toys! i
Please ensure that the unit is kept away from the reach of children. i
The swallowing of small parts like packaging bag, battery , battery cover and so on may
cause suffocation. i
If the device has been stored in cold places, allow it to acclimate to room temperature be-
fore use. i
Only the cuff provided can be used, and cannot be changed to any other branded cuff. It
can only be replaced with a cuff of exactly the same type. i
The device may not be operated in rooms with high levels of radiation or in the vicinity of
high-radiation devices, such as radio transmitters, mobile telephones or microwaves, as
this could cause functional defects or incorrect measurements (see "electromagnetic com-
patibility"). i
Do not use the equipment where flammable gas (such as anaesthetic gas, oxygen or
hydrogen) or flammable liquids (such as alcohol) are present. i
No modification of this unit/device is allowed. Do not disassemble the device. i
The error-free and safe operation is only ensured, if the device is stored and used within
the surrounding parameters as described under "T echnical details". i
Please do not attempt to repair the unit yourself in the event of malfunctions, since this will
void all warranty claims. Only have repairs carried out by authorised service centres. i
Protect the unit against high temperatures, direct sunlight and moisture. If liquid does
manage to penetrate into the unit, remove the batteries immediately and do not continue to
use the unit. In this case contact your specialist dealer or notify us directly . i
The monitor can maintain the safety and performance characteristics for a minimum of
10,000 measurements or three years, and the cuff integrity is maintained after 1,000 open–
close cycles of the closure. i
Please do not hit the device heavily or let if fall down from a high place. i
On the rare occasion of a fault causing the cuff to remain fully inflated during measurement,
open the cuf f immediately . Prolonged high pressure (cuff pressure >300 mmHg or constant
pressure >15 mmHg for more than 3 minutes) applied to the arm may lead to an ecchy-
mosis. i
The device is not suitable for use on patients undergoing intravascular therapy or arterio-
venous shunt or people who received a mastectomy . i
Never apply the cuff over hurt skin. i
If the unit is used by more than one person, each user should use his own cuff for hygieni-
cal reasons. The cuffs can be purchased seperately in the commerce. i
Avoid compression or restriction of the connection tubing during measurement, as this may
cause inflation errors or harmful injuries. i
Do not use this unit in a moving vehicle. This may result in erroneous measurement. i
If the unit is not going to be used for a long period, please remove the batteries.
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LCD screen (display) MEM-button ST ART -button Battery Compartment (on
underside) Push-in Connector for air tube Cuff with air tube
Display of Date/T ime Display of Systolic Pressure Display of Diastolic Pressure
/ Pulse Rate Symbol „ready to inflate“ Change Battery symbol
Pulse symbol / Arrhythmia display (arrhythmia cordis) Blood Pressure Indicator
(green - yellow - orange - red) Memory-Symbol
Scope of supply
Please check first of all that the unit is complete.
The following parts are included as standard:
• 1 ecomed blood pressure monitor BU-92E
• 1 cuff with air tube
• 4 batteries (type AA, LR6) 1.5 V
• 1 instruction manual
BU-92E
1- 2 cm
(a )
(b )
(c )
1
2
3
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4 x LR6,
1,5V , AA
Please contact your supplier if you notice any
transport damage on unpacking the unit.
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a.
Field strengths from fixed transmitters, such as base stations for radio (cellular/
cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcast and TV broadcast cannot be predicted theoretically with accuracy . T o
assess the electromagnetic environment due to fixed RF transmitters, an electro-
magnetic site survey should be considered. If the measured field strength in the
location in which the “blood pressure monitor” is used exceeds the applicable RF
compliance level above, the blood pressure monitor should be observed to verify
normal operation. If abnormal performance is observed, additional measures
may be necessary , such as reorienting or relocating the “blood pressure monitor”.
Over the frequency range 150 kHz to 80 MHz, field strengths should be less
than [V1] 3 V/m.
b.
where P is the maximum output power rating of the trans-
mitter in watts (W) according to the transmitter manu-
facturer and d is the recommended separation distance in
metres (m). Field strengths from fixed RF transmitters,
as determined by an electromagnetic site survey , should
be less than the comcompliance level in each frequency in
each frequency range. Interference may occur in the
vicinity of equipment marked with the following Symbol:
a
b
m
W
150 kHz to 80 MHz
d=1.2 P
80 MHz to 800 MHZ
d=1.2 P
800 MHz to 2.5 GHz
d=2.3 P
0.12
0.38
1.2
3.8
12
0.01
0.1
1
10
100
For transmitters rated at a maximum output power not listed above, the
recommended separation distance d in meters (m) can be estimated
using the equation applicable to the frequency of the transmitter , where P
is the maximum output power rating of the transmitter in watts (W)
according to the transmitter manufacturer .
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher
frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic
propagation is affected by absorption and reflection from structures,
objects and people.
The “blood pressure monitor” is intended for use in an electromagnetic
environment in which radiated RF disturbances are controlled. The
customer or the user of the blood pressure monitor can help prevent
electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the
“blood pressure monitor” as recommended below according to the
maximum output power of the communications equipment.
Recommended separation distances between portable and mobile
RF communications equipment and the blood pressure monitor
0.12
0.38
1.2
3.8
12
0.23
0.73
2.3
7.3
23
IMPORT ANT
Follow the instructions for use!
Non-observance of these instructions
can result in serious injury or damage
to the device.
W ARNING
These warning notes must be observed
to prevent any injury to the user .
CAUTION
These notes must be observed to prevent
any damage to the device.
NOTE
These notes give you useful additional
information on the installation or
operation.
Device classification: type BF applied part
LOT number
Manufacturer
Date of manufacture
Keep dry
SAFETY NOTES FOR BA TTERIES
Do not disassemble batteries! i
Replace all batteries if the unit display shows the low battery symbol. i
Never leave any low battery in the battery compartment since it may leak and cause
damage to the unit. i
Increased risk of leakage! Avoid contact with skin, eyes and mucous membranes! If
battery acid comes in contact with any of these parts, rinse the affected area with copious
amounts of fresh water and seek medical attention immediately! i
If a battery has been swallowed, seek medical attention immediately! i
Replace all of the batteries simultaneously! i
Only replace with batteries of the same type, never use different types of batteries to-
gether or used batteries with new ones! i
Insert the batteries correctly , observing the polarity! i
Remove the batteries from the device if it is not going to be used for an extended period
of 3 months or more! i
Keep batteries out of children's reach! i
Do not attempt to recharge batteries! There is a danger of explosion! i
Do not short circuit! There is a danger of explosion! i
Do not throw into a fire! There is a danger of explosion! i
Do not throw used batteries into the household refuse; put them in a hazardous waste
container or take them to a battery collection point, at the shop where they were pur-
chased!
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Unit and LCD display
What is blood pressure?
Blood pressure is the pressure created in the blood vessels by each heart beat. When the
heart contracts (= systole) and pumps blood into the arteries, it brings about a rise in pres-
sure. The highest value is known as the systolic pressure and is the first value to be
measured. When the cardiac muscle relaxes to take in fresh blood, the pressure in the ar-
teries also falls. Once the arteries are relaxed, a second reading is taken – the diastolic
pressure.
How is blood pressure measured?
The ecomed BU-92E is a blood pressure unit which is used to measure blood pressure
at the upper arm. The measurement is carried out by a microprocessor , which, via a
pressure sensor , measures the vibrations resulting from the inflation and deflation of the
cuff over the artery .
Blood pressure classification WHO
These values have been specified by the World Health Organisation (WHO)
without making any allowance for age.
Low blood pressure systolic <100 diastolic <60
Normal blood pressure (green display area )
systolic 100 - 139 diastolic 60 - 89
Forms of high blood pressure / hypertension
Mild hypertension (yellow display area )
systolic 140 – 159 diastolic 90 – 99
Moderate hypertension (orange display area )
systolic 160 – 179 diastolic 100 – 109
Severe hypertension (red display area )
systolic ≥ 180 diastolic ≥ 1 10
W ARNING
Blood pressure that is too low represents just as great a health risk as
blood pressure that is too high! Fits of dizziness may lead to dangerous
situations arising (e.g. on stairs or in traffic)!
Influencing and evaluating readings
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Measure your blood pressure several times, then record and compare the results. Do
not draw any conclusions from a single reading. i
Y our blood pressure readings should always be evaluated by a doctor who is also famil-
iar with your personal medical history . When using the unit regularly and recording the
values for your doctor, you should visit the doctor from time to time to keep him updated.
When taking readings, remember that the daily values are influenced by several factors.
Smoking, consumption of alcohol, drugs and physical exertion influence the measured
values in various ways. i
Measure your blood pressure before meals. i
Before taking readings, allow yourself at least 5-10 minutes rest. i
If the systolic and diastolic readings seem unusual (too high or too low) on several
occasions, despite correct use of the unit, please inform your doctor. This also applies to
the rare occasions when an irregular or very weak pulse prevents you from taking
readings.
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Starting up
Insert / replace batteries
Y ou must insert the batteries provided before you can use your unit. The lid of the battery
compartment is located on the underside of the unit. Open it and insert the 4 AA LR6
type 1.5 V batteries supplied. Ensure correct polarity when inserting the batteries (as
marked inside the battery compartment). Close the battery compartment. i
Replace the batteries if the change battery symbol appears on the display or if
nothing appears on the display after the batteries have been inserted correctly .
Setting date and time
After inserting the batteries, time and date are shown in turns on the display . Press and
hold ST ART -button and MEM-button at the sime time, until a short beep can be heard
and the month figure (M) starts to flash. Adjust the correct month by pressing the MEM-button
and press the ST ART -button to confirm and proceed to the day figure. Repeat these
steps for day , hours and minutes, until these are correctly adjusted. Press the ST ART -button
after adjustment of the minute figure to return to the normal display of time and date. After
approx. 1 minute without any button pressed, the device will automatically return to the
display of time and date. If the batteries are changed, the set information is lost and needs to
be input again.
Fitting the cuff
1.
2.
3.
4.
5.
6.
Push the end piece of the air tube into the hole on the left side of the unit prior to use.
Slide the open end of the cuff through the metal bracket so that the Velcro fastener is on
the outside and it becomes a cylindrical form (Fig.1 ). Slide the cuff over your left upper
arm. i
Position the air hose in the middle of your arm in line with your middle finger (Fig.2 ) (a ).
The lower edge of the cuff should be 1 - 2 cm above the crease of the elbow. (b ). Pull the
cuff tight and close the V elcro fastener (c ). i
Measure the pulse on your bare arm. i
Only position the cuff on the right arm if it cannot be used on the left arm. Always carry out
measurements on the same arm. i
Correct measuring position for sitting (Fig.3 ).
W ARNING
Do not take any therapeutic measures on the basis of a self
measurement. Never alter the dose of a medicine prescribed by a
doctor .
This unit features 2 separate memories, each with a capacity of 60 memory slots. Results
are automatically stored in the memory selected by the user . Press the MEM button i
when power off (but still time and date are displayed), to call up the measured values
stored. "U1 " or "U2 " will be flashing in the display along with the memory symbol and
the number of total results stored in this memory slot. Press ST ART -button to switch
between U1 and U2. Press MEM-button (or do not press any button for approx. 5 se-
conds) and the average values of the 3 last results stored will be displayed (along with the
memory symbol and "A "). If no results are stored, "- - " will appear. Press the MEM-
button again to display the most recently stored measurement result. Repeatedly
pressing the MEM-button displays the respective values measured previously . If you
have reached the final entry and do not press a button, the unit automatically switches
itself off (however , date and time will still be displayed) after approximately 1 minute.
Memory recall mode can be exited at any time by pressing the ST ART -button , which
will also switch the unit of f. The oldest value is deleted if 60 measured values have been
stored in the memory and a new value is saved.
T aking a blood pressure measurement
After the cuff has been appropriately positioned,the measurement can begin.
1.
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5.
Press the ST ART -button . A long beep can be heard and all display characters are
shown (display test). This test can be used to check that the display is indicating properly
and completely . i
Now "U1 " (User memory 1) or "U2 " (User memory 2) are flashing in the display . By
pressing MEM-button you may switch between U1 and U2. Press ST ART -button or
do not press any button for approx. 5 seconds to start the cuf f inflation. i
The device is ready for measurement and the number 0 and the symbol "ready to inflate"
flashes for approx. 2 seconds. The unit automatically inflates the cuff slowly in order
to measure your blood pressure. i
The rising pressure in the cuff is shown on the display . The unit inflates the cuff until
sufficient pressure has built up for a measurement. Then the unit slowly releases air from
the cuff and carries out the measurement. When the device detects the signal, the heart
symbol on the display starts to flash. i
When the measurement is finished, the cuff is deflated completely . The systolic and
diastolic blood pressure and the pulse value appear on the display . The blood pres-
sure indicator flashes next to the relevant coloured bar depending on the WHO blood
pressure classification. If the unit has detected an irregular heartbeat, the arrhythmia
display also flashes.
6.
7.
The readings are automatically saved in the selected memory (U1 or U2). Up to 60
measured values with date and time can be stored in each memory . i
The measurement readings remain on the display . The unit switches off automatically
(however , date and time will still be displayed) after approx. 1 minute if no buttons are
pressed. The unit may also be switched off using the ST ART -button .
Discontinuing a measurement
If it is necessary to interrupt a blood pressure measurement for any reason (e.g. the patient
feels unwell) the ST ART -button can be pressed at any time. The device immediately
decreases the cuff pressure automatically .
Display stored values
Memory - clear of measurements
If you are sure that you want to permanently remove all stored memories, press and hold
the MEM-button for approx. 3 seconds during the display of a freely chosen memory
value (except during the display of the average value). The device will beep 3 times and
will then delete all stored results in the respective memory slot. The display will show
"- - ".
Cleaning and care
Remove the batteries before cleaning the unit. Clean the unit using a soft cloth lightly
moistened with a mild soapy solution. Never use abrasive cleaning agents, alcohol, naphtha,
thinner or gasoline etc.. Never immerse the unit or any component in water . Be cautiious not
to get any moisture in the main unit. i
Do not wet the cuff or attempt to clean the cuff with water . Using a dry cloth, gently wipe
away any excess moisture that may remain on the cuff. Lay the cuff flat in an unrolled posi-
tion and allow the cuf f to air dry . Do not expose the unit to direct sunlight; protect it against
dirt and moisture. Do not expose the unit to extreme hot or cold temperatures. Keep the de-
vice in the original packing when not in use. Store the unit in a clean and dry location.
"Er 7 " / "Er 8 " /
"Er A": Electronic-, parameter- or sensor error . Relax for 5 minutes and repeat
the measurement.
T roubleshooting
The following symbol will appear on the display when measuring abnormal:
The battery change symbol " " appears in the display: The batteries are too low
or empty . Replace all four batteries with new batteries of type 1.5V , AA LR6.
Unusual measurement results or "HI " or "Lo " are displayed:
Fit the cuff correctly and assume the correct position. Keep still during the measurement.
This blood pressure monitor is not suitable for persons with a strong arrhythmia.
This unit is able to detect different errors and emits an according error code. A running
measurement will be aborted:
"Er 0 " to "Er 4 ": Failure in pressure system or failed to detect systolic resp. diastolic
pressure. The connection to the air hose could be interrupted. Check the
connections between the cuff and the main unit, fit the cuf f correctly and
repeat the measurement. Keep still during the measurement.
"Er 5 ": The pressure in the cuff is too high (over 300 mmHg).
Relax for 5 minutes and repeat the measurement.
"Er 6 ": The pressure in the cuff is over 15 mmHg since more than 3 minutes.
Relax for 5 minutes and repeat the measurement.
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Important: Please contact your doctor if the error messages appear repeatedly . Keep still
and do not move during the measurement.
Disposal
This product must not be disposed of together with domestic waste. All users are ob-
liged to hand in all electrical or electronic devices, regardless of whether or not they
contain toxic substances, at a municipal or commercial collection point so that they
can be disposed of in an environmentally acceptable manner . Remove the batteries
before disposing of the device/unit. Do not dispose of old batteries with your house-
Guidelines / Standards
This blood pressure monitor meets the requirements of the EU standard for non-invasive
blood pressure monitors. It is certified in accordance with EC Guidelines and carries the
CE symbol (conformity symbol) “CE 0297”. The blood pressure monitor corresponds to
European standards EN 60601-1, EN 60601-1-2, EN 80601-2, EN 1060-1 and EN 1060-3.
The specifications of EU Guideline “93/42/EEC of the Council Directive dated 14 June
1993 concerning medical devices” are met. i
Electromagnetic compatibility: Guidance and manufacturer's declaration
th
(as per 25 March 2014)
Harmonic emissions
IEC 61000-3-2
V oltage fluctuations/
flicker emissions
IEC 61000-3-3
Not applicable
Not applicable
Electromagnetic emissions
RF emissions
CISPR 1 1
Group 1
The blood pressure monitor is intended for use in the electromagnetic
environment specified below . The customer or the user of the blood
pressure monitor should ensure that it is used in such an environment.
The “blood pressure monitor”
uses RF energy only for its
internal function. Therefore, its
RF emissions are very low and
are not likely to cause any
interference in nearby
electronic equipment.
The “blood pressure monitor”
is suitable for use in all es-
tablishments other than
domestic and those directly
connected to the public low-
voltage power supply network
that supplies buildings used
for domestic purposes.
Class B
RF emissions
CISPR 1 1
Electrostatic
discharge (ESD)
IEC 61000-4-2
± 6 kV contact
± 8 kV air
The blood pressure monitor is intended for use in the electromagnetic
environment specified below . The customer or the user of the blood
pressure monitor should ensure that it is used in such an environment.
Electromagnetic immunity
Power frequency magnetic
fields should be at levels
characteristic of a typical
location in a typical commercial
or hospital environment.
3 A/m 3 A/m
Electromagnetic immunity
Radiated
RF
IEC
61000-4-3
3 V/m
80 MHz to
2,5 GHz
The blood pressure monitor is intended for use in the electromagnetic
environment specified below . The customer or the user of the blood
pressure monitor should ensure that it is used in such an environment.
Portable and mobile RF communications
equipment should be used no closer to any part of
the “blood pressure monitor“ including cables than
the recommended separation distance calculated
from the equation applicable to the frequency of
the transmitter .
Recommended separation distance:
d=1.2 P 80 MHz to 800 MHz
d=2.3 P 800 MHz to 2,5 GHz
3 V/m
hold waste, but at a battery collection station at a recycling site or in a shop. Consult your
local authority or your supplier for information about disposal.
Emissions test
Compliance
Electromagnetic
environment-
guidance
Electromagnetic
environment-
guidance
Immunity
test
IEC 60601
test level
Compliance
level
± 6 kV contact
± 8 kV air
Power frequency
(50 Hz)
magnetic field
IEC 61000-4-8
Floors should be wood,
concrete or ceramic tile.
If floors are covered with
synthetic material, the
relative humidity should be
at least 30 %.
Electromagnetic environment-
guidance
Immunity
test
Compliance
level
IEC 60601
test level
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
Separation distance according to frequency of transmitter
Rated maximum
output power
of transmitter
Name and model
Display system
Memory slots
Measuring method
Power supply
Blood pressure measuring range
Pulse measuring range
Maximum error tolerance for
static pressure
Maximum error tolerance for
pulse rate
Pressure generation
Deflation
Operating conditions
Storage conditions
Dimensions (L x W x H)
Cuff
Weight (main unit)
Item number
EAN number
Acessories
ecomed Blood pressure monitor BU-92E
Digital display
2 x 60 measurement values with time & date
Oscillometric
6 V=, 4 x 1.5V batteries AA LR6
40 – 260 mmHg
40 – 180 beats/min.
± 3 mmHg
± 5 % of the value
Automatic with pump
Automatic
+5 °C to +40 °C, 90 % max. relative humidity
-20 °C to +55 °C, 90 % max. relative humidity
Approx. 136 x 100 x 65 mm
22 - 30 cm for adults
Approx. 236 g without batteries and cuff
23205
40 15588 23205 3
• Cuff, large 30 - 42 cm for adults with upper arm of
large circumference Art.-Nr. 51 126
• Cuff, normal 22 - 30 cm for adults with upper arm of
normal circumference Art.-Nr. 51 135
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T echnical specifications
In accordance with our policy of continual product improvement, we
reserve the right to make technical and visual changes without notice.
W arranty and repair terms
Please contact your supplier or the service centre in case of a claim under the
warranty . If you have to return the unit, please enclose a copy of your receipt and
state what the defect is.
The following warranty terms apply:
1. The warranty period for ecomed products is two years from date of purchase.
In case of a warranty claim, the date of purchase has to be proven by means
of the sales receipt or invoice.
2. Defects in material or workmanship will be removed free of charge within the
warranty period.
3. Repairs under warranty do not extend the warranty period either for the unit
or for the replacement parts.
4. The following is excluded under the warranty:
a. All damage which has arisen due to improper treatment, e.g.
nonobservance of the user instructions.
b. All damage which is due to repairs or tampering by the customer or
unauthorised third parties.
c. Damage which has arisen during transport from the manufacturer to the
consumer or during transport to the service centre.
d. Accessories which are subject to normal wear and tear as batteries, cuf f etc..
5. Liability for direct or indirect consequential losses caused by the unit are
excluded even if the damage to the unit is accepted as a warranty claim.
MEDISANA AG, 41468 NEUSS, GERMANY .
ECOMED is a registered trademark of MEDISANA AG.
For service, accessories and spare parts, please contact:
MEDHEAL TH SUPPLIES L TD.
Unit 6, Dock offices
Surrey Quays Road
London
SE16 2XU
T el.: + 44 / 207 - 237 88 99
Fax: + 44 / 207 - 231 13 00
eMail: info@medhealthcare.co.uk
Internet: www .medisana.co.uk