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Two-Party

Home Blood Pressure Kit

Instruction Manual
for models 04-176-021 and 04-176-026

Product Identification

Product Assembly

Thank you for purchasing a MABIS Two-Party Blood Pressure Kit.
With proper care and use, your kit will provide you with many years
of reliable readings.
Lay cuff on a flat surface with the metal “D” ring to the left.The unit
can be assembled as outlined below:
Step 1:
Step 2:
Step 3:
Step 4:
Step 5:

Loop
Material

Hook
Material

Fold the right end of the cuff in half and insert the end of
the cuff through the metal “D” ring.
Attach the gauge to the tubing to the left..
Attach the inflation bulb to the tubing to the right.
Insert the single end of the “Y” tubing into the stem of the
chestpiece to form a stethoscope.
Remove the metal binaurals from the polybag and insert
the ends into the “Y” tubing.

Inflation
Bulb

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2

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Gauge

Helpful Hints for Accurate Readings

What is Blood Pressure?

What Influences Blood Pressure?

■ Relax at least fifteen minutes before taking a reading.

Blood pressure is the pressure that is exerted by blood flowing
against the walls of the blood vessels throughout your body.

Many factors such as genetics, age, sex, altitude, physical activity,
anxiety, muscular development, certain medications or even the
time of day can influence blood pressure. Influences such as sleep
or relaxation decrease blood pressure, while anxiety or exercise
increase blood pressure.

■ Always place the cuff directly on the skin. Remove any clothing
or jewelry that may interfere with the cuff placement.

Why Monitor Your Blood Pressure at Home?

■ Make sure the stethoscope head is directly over the brachial
artery.

Your heart, which is the center of the circulatory system, provides
the force for the blood to flow or circulate. When your heart
contracts or beats, the blood is forced through the blood vessels
increasing the pressure. This is the highest pressure in the cycle
or what is referred to as SYSTOLIC PRESSURE. In between
beats, your heart relaxes and your blood pressure decreases. This
is referred to as DIASTOLIC PRESSURE.

120/80

(systolic)/(diastolic)

Chestpiece

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Note: The adult cuff (Model 04-176-021) fits an arm circumference
of 10” – 14”. The large adult cuff (Model 04-176-026) fits an arm
circumference of 13” – 17”.

Eartips

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Blood pressure is measured in millimeters (mm) of Mercury (Hg)
and is generally recorded with the systolic pressure (120) listed
first and the diastolic pressure (80) listed second. The numbers
are typically separated by a slash mark (/) as shown above.
Please contact your physician to discuss your ‘normal’ blood
pressure reading.

Y-tubing

800-622-4714

To achieve the maximum benefit from your blood pressure
kit, we recommend that you first consult with your physician
or trained health care professional.

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General Blood Pressure Information

How is Blood Pressure Measured?

Remember: THE WHITE ARTERY PATCH, HOOK AND LOOP
MATERIAL WILL BE ON THE OUTSIDE OF THE CUFF.

Need help? Call our Toll-Free Customer Care Helpline

General Blood Pressure Information

Home monitoring allows you to supplement your physician’s office
measurements. These home readings, when taken over a period of
time, can show an accurate indication of change. Furthermore,
your records can assist your physician in evaluating your health
and in making important decisions in the diagnosis and treatment
of your condition. Because of this, it is important to take consistent,
daily measurements.

IMPORTANT:

Prior to use, your physician or trained health care provider
should be consulted to determine your ‘normal’ blood
pressure, evaluate your technique using this unit and to
interpret your blood pressure measurements.

■ Make sure the cuff is snug, but not too snug. One or two fingers
should fit between the cuff and the arm.

■ Try to use the same arm for all readings unless instructed
otherwise by your physician.
■ Deflate the cuff at 2 or 3 mmHg per second.
■ Remain still with your palm up and arm extended keeping the
cuff at the same level as your heart.
■ Smile and relax.

Metal
Binaural

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Applying Your Blood Pressure Cuff

Taking Your Blood Pressure Reading

Taking Your Blood Pressure Reading

Care and Maintenance

Limited One Year Warranty

IMPORTANT: Make sure that the unit is assembled correctly.
Check eartips to make sure they are securely fastened.

1. Have your assistant insert the eartips into his/her ears. The
metal binaural can be adjusted for comfort.

6. Upon reaching the proper inflation level, SLOWLY
AND STEADILY, turn the air valve counter clockwise
at a rate of 2-3 mmHg per second.

1. Do not wash or moisten the cuff.

Your MABIS Home Blood Pressure Kit is guaranteed to be free of
manufacturing defects for a period of one year from the date of
purchase subject to the following terms and conditions:

1)
2)

Assemble the contents of your kit.

1. This warranty is limited to the accuracy of the monometer gauge
only. It does not include the inflation system (bulb, valves, cuff
and bladder). During the term of the warranty, MABIS
Healthcare will repair or replace (at their option) any gauge
found to be inaccurate due to normal use. This does not include
gauges that have been misused or abused. This warranty does
not include the cost of replacing any broken parts.

3)

Have your assistant find your brachial artery, which is at the
inner aspect of your elbow.

4)

Remove any constrictive clothing or jewelry that may
interfere with the cuff placement. Have the cuff wrapped
snugly around your left arm with the cuff’s bottom edge
approximately 1/2”.

5)

Rest your elbow on a table making sure the cuff is at the
same level as your heart.

6)

Position the stethoscope’s chestpiece over the brachial
artery.

7)
8)

Position the gauge in hand or in a stable, readable location.

9)
10)
11)
12)
13)

At a rate of 2-3 mmHg per second, begin to deflate the cuff.

1. Sit upright but relaxed in a chair with a back. Keep your feet flat
on the floor. Remove any constrictive clothing from your left arm.
2. Extend your left arm* and have your assistant
find your brachial artery. This is at the inner
aspect your the elbow. Pulse may or may not
be felt.
3. Open the cuff so that you can slide your arm
into it. Do not extend the cuff beyond the
metal bar.
4. With assistance, insert your left arm into the cuff. Position the
bottom edge of the cuff
approximately one-half inch
ABOVE your elbow.
5. With your arm extended,
palm facing upward and
tubes positioned down the
center of your arm, have
your assistant pull the end
of the cuff and secure the
hook and loop material.
6. The cuff should fit comfortably, yet snugly around your arm.
Check for any gaps between the arm and the cuff.

NOTE: *The left arm should be used unless you are unable to or

should not use your left arm. Consult with your physician to assess
which arm is best for you to use.

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2. Your assistant should position the stethoscope’s chestpiece over
your brachial artery, directly touching the inside of your arm.
3. Rest your elbow on
a table with your arm
facing upward.
Elevate your hand so
that the cuff is at the
same level as your
heart. Relax your left
hand.

7. As the pressure begins to drop,
carefully listen for the pulse
beat. Note and record the first
thumping sound heard. This is
your SYSTOLIC pressure.

Note Reading
at First Sound

NOTE: When the cuff is fully deflated, make sure the gauge

needle is at zero (within the zero square). A needle outside the
square means the gauge needs to be recalibrated by a qualified
technician.

The assistant will:

8. Allow the cuff to continue to
deflate. You will hear changes in
the sounds and then no sound
at all. When you hear the last
sound, note the reading and record. This is your
DIASTOLIC pressure.

4. Either hold the gauge or position the gauge so it can be
read without being moved. It can be clipped to the
gauge strap on the cuff for stability.

9. Rapidly turn the valve counter clockwise to
deflate the remaining air. Remove the cuff and
record the measurement on the recording chart.

5. Hold the inflation bulb and turn the air release valve
clockwise to close.

NOTE: If you need to take another measurement,
wait a minimum of 15 minutes between readings to allow for the
blood vessels to return to normal. The wait time may vary depending on your health.

6. Begin inflating the cuff, SLOWLY AND STEADILY,
by pumping the inflation bulb until the gauge reads 30 mmHG
ABOVE your last known SYSTOLIC measurement.

2. Avoid dropping or hitting the surface of the gauge or
stethoscope chestpiece.

Note Reading
at Last Sound

As with any other sensitive instrument, the quality and reliability
should be checked annually. In other cases, a gauge will need
maintenance if the needle falls outside the ‘zero square’ on a fully
deflated cuff. Ship your gauge, prepaid along with $5.00 for return
shipping and insurance, to MABIS Healthcare Inc., 1931 Norman
Drive, Waukegan, IL 60085.

2. MABIS Healthcare shall incur no liability under this Warranty for
any damage from any cause other than inherent manufacturing
defects.
3. ALL IMPLIED WARRANTIES, INCLUDING MERCHANTABILITY
AND FITNESS ARE LIMITED TO THE DURATION OF THIS
WARRANTY. THIS WARRANTY DOES NOT INCLUDE ANY
LIABILITY FOR INCIDENTAL OR CONSEQUENTIAL
DAMAGES. Some states do not allow limitations on how long an
implied warranty lasts or do not allow the exclusion or limitation
of incidental or consequential damages, so the above limitations
or exclusions may not apply to you.
4. This warranty gives you specific legal rights and you may also
have other rights, which vary from state to state.

Quick Start Guide
A 15-minute resting period is recommended to stabilize the
body prior to taking a reading.

Have your assistant slowly and steadily, inflate the cuff 30
mmHg above your last known SYSTOLIC reading. If not
known, inflate between180-200 mmHg.
The first ‘thumping’ sound heard is your SYSTOLIC rate.
The last sound heard is your DIASTOLIC rate.
Record your measurements.
A 15-minute rest period is needed between readings to
allow the blood vessels to return to normal.

If you do not know your last known SYSTOLIC measurement,
inflate to approximately 180-200 mmHg.

CAUTION: NEVER INFLATE THE CUFF ABOVE 280 mmHg.

CAUTION: TO PREVENT INJURY TO YOURSELF AND/OR THE

Specifications are subject to change without notice.

UNIT, NEVER INFLATE THE CUFF ABOVE 280 mmHg.

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#91-176-000 12/04
©2004 MABIS Healthcare Inc.

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English

3M™ Littmann® Classic II S.E.
Stethoscope
Congratulations on the purchase of your new Littmann
Classic II S.E. Stethoscope.
This classic stethoscope with a two-sided chestpiece
offers high acoustic sensitivity for superior
performance. A traditional bell is combined with a
patented tunable diaphragm that conveniently alternates
between low and high frequency sounds without the
need to turn over the chestpiece.
Other features include a patient-friendly nonchill rim
and diaphragm, excellent acoustic seal and comfortable
fit with patented 3M™ Littmann® Snap Tight softsealing eartips, and a comfortably angled, anatomically
correct headset. Additionally, the single-lumen tubing is
available in a variety of popular colors to meet
individual preferences.
Most of all, know that your Littmann Classic II S.E.
stethoscope carries the Littmann brand name, the name
known worldwide for unsurpassed quality. As a trusted
leader in auscultation technology, the Littmann brand of
stethoscopes is your assurance of acoustical superiority,
innovative design and exceptional performance.

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Instructions for Use

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Headset Adjustment

Chestpiece
On Littmann stethoscopes with traditional combination
chestpieces, it is necessary to open the side of the
chestpiece being used. This is accomplished by holding
the chestpiece stem in one hand and rotating the
chestpiece with the other hand until a click is felt.

Correct

Changing Frequencies Using the
Tunable Diaphragm
Your Littmann Classic II S.E. Stethoscope is equipped
with a patented tunable diaphragm that enables you to
listen to both low and high frequency sounds without
turning over the chestpiece.

Your Littmann stethoscope is
designed to provide a
comfortable, acoustically
sealed ear fit. Notice that the
eartubes are set to
accommodate the typical
anatomy of the ear canal. The
eartips should point in a
forward direction as you insert
them into your ear canals.

Incorrect

To reduce spring tension in the
headset, hold each eartube at
the bend near the eartip and
gradually pull apart until fully
extended.

Low frequencies: To listen
to low frequency sounds,
(traditional bell mode)
you can use either the
open bell or tunable
diaphragm using very
light skin contact.

To increase spring tension,
grasp the headset with one
hand where the eartubes enter
the tubing and squeeze until the
tubing on one eartube touches
the other. Repeat as necessary.

High frequencies: To
listen to higher frequency
sounds, using the tunable
diaphragm, press firmly
on the chestpiece.

For maximum acoustic
performance, comfortable
patented 3M™ Littmann®
Soft-sealing Eartips are
provided with your
stethoscope. This stethoscope
utilizes a unique design for
attaching the eartip to the eartube. The eartips are

To listen to low and high frequency sounds without
removing and turning over the chestpiece, simply
alternate between light and firm pressure on the tunable
diaphragm.

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pushed on to the end of the eartube and snapped firmly
into place. To remove, pull firmly on the eartip.

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Visually examine the ring to
ensure that the flexible edge is
smoothly engaged inside the
rim. If necessary, flex the
assembly by pinching the outer
rim edge between the thumb
and fingers. Repeat this flexing procedure after rotating
the assembly one quarter.
N N

T

T

I

I

L

L

A

U

Q

With the diaphragm side up,
grasp the rim with the thumbs
and index fingers of both
hands and roll the rim off the
edge of the chestpiece.
Remove the diaphragm from
the rim and clean the parts in
soapy water or wipe with alcohol. Chestpiece surfaces
can be wiped with alcohol or soapy water. Dry all parts
and surfaces thoroughly before reassembly.
N

TM

To attach the rim/diaphragm
assembly to the chestpiece,
engage the groove of the rim
(with the diaphragm attached)
around the chestpiece at one
point and hold it in place with
your thumbs.

I

A

T T M

L I T

A

Y

N

Y

T

M

A

Removing the Diaphragm and
Cleaning the Chestpiece

U

L

Q

N
AN

L

I

L

T

I

Y

T

T

M

A

Q U
TM

Assembly and Replacement of the
Tunable Diaphragm

N
T Y

N

A

L

I

I T T M

A

Using your fingertip, apply a
small amount of talcum powder
to the inside surface of the
flexible edge of the diaphragm.
This will facilitate assembly
and maintain smooth and quiet
low/high frequency alternation.
Snap the diaphragm with your fingers to remove excess
talc.

Slowly roll the rim around and
over the chestpiece edge using
both thumbs, moving in
opposite directions around the
chestpiece.

L

U

Q

TM

A

A N N

L

N

N

Q

U

TM

A

L

I T

Y

Insert the flexible edge of the
diaphragm into the groove of
the rim. This is best
accomplished by starting with
the rim positioned above the
legible side of the diaphragm.
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I

Q U A L

M A N N

T

T

T T M A

L I

I

Visually inspect the edge where
the diaphragm engages the rim
for uniform containment.
Minor adjustments may be
made by slightly pulling and
rolling the rim away from the
diaphragm, allowing the
diaphragm to slip into position.
Y

T

M

T

T I L

Y T I

L

Q U

TM

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General Use and Maintenance

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3M Health Care Service Center
Bldg. 502, Suite 200
3350 Granada Ave. North
Oakdale, MN 55128

• Avoid extreme heat, cold, solvents, and oils.
• The entire stethoscope can be wiped clean with
alcohol or soapy water.

IN CANADA:

• Eartips can be removed from the eartubes for
thorough cleaning.

3M Health Care Service Centre
3M Canada Inc.
80 Enterprise Drive South
London, Ontario
Canada N6N1C2
1-800-563-2921

NOTE: Do not immerse your stethoscope in any liquid
or subject it to steam sterilization. If disinfection is
required, the stethoscope may be wiped with a 70%
isopropyl alcohol solution.

Outside of the U.S. and Canada please contact your local
3M subsidiary for maintenance and repair information.

Littmann Stethoscope Service and
Warranty Program

Explanation of Symbols:
!

Your Littmann stethoscope comes with the finest service
and warranty policy in the industry. The Littmann Classic
II S.E. Stethoscope is warranted against any defects in
material and workmanship for a period of three (3) years.
If a material or manufacturing defect is discovered during
the warranty period, repairs will be made without charge
upon the return of the instrument to 3M, except in cases
of obvious abuse or accidental damage.

• Attention, see instructions for use.
• This product and package do not contain
natural rubber latex.

For maintenance or repair services, write a short note
explaining the repair or service you require, include
your name, address and phone number and send your
stethoscope directly to:

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