Blood pressure monitor with phonendoscope. How to choose the best blood pressure monitor. Improved mechanical tonometer with built-in phonendoscope and combined supercharger and pressure gauge

Despite the outward simplicity, the device is considered professional and requires certain skills to use. For this reason, it is usually used in medical institutions, however, having mastered the subtleties, you can use the sphygmomanometer on your own at home.

So what is needed for this? Let's take a closer look. The first and very important stage is preparation for measurements.

After you have followed all the rules, you can proceed directly to the measurement of blood pressure.

To do this, use the step-by-step instructions:

Put the cuff on your arm, position it 3-5 cm above the elbow, so that it is opposite the heart. IfIf you have a device with a cuff on your wrist, then putting it on, it should also be placed at the same level with the heart.
Tighten the cuff carefully, it should not squeeze the arm or slip off it.
Attach the head of the stethoscope to the center of the inner fold of the arm in order to hear the beats of the pulse during the measurement.
Inflate the cuff with air using a pear, while monitoring the pressure level on the pressure gauge. The approximate level of pumping is 200-220 mm Hg, otherwise it is 40 points higher than the expected value.

Focusing on the arrow of the pressure gauge, slowly, at a speed of 2-4 mm per second, bleed the air, while listening to the blows with a stethoscope.
The very first beat you hear is your systolic (upper) pressure. Remember the value on the pressure gauge, which was at that moment.
The cessation of beats is an indicator of diastolic (lower) pressure.
Write down the readings, sit quietly for five minutes, let the blood circulation recover and take measurements again. In total, it is recommended to take 2-3 measurements and calculate the average value of the readings, which will reflect your pressure.

Which mechanical tonometer is better to choose?

Since devices of this type do not have differences in functions, the only selection criteria are the features of the device model, its quality and price. Our online store presents models from leading manufacturers that are very popular, and therefore their reliability is beyond doubt. It is noteworthy that the price of mechanical models always remains low, in comparison with automated options.

If you decide to purchase a manual device for measuring pressure, then pay attention first of all to the size of the cuff. Usually the kit includes a cuff that can be called universal, but sometimes it comes in a standard size that is not suitable for a full arm. Therefore, the best option would be to measure the circumference of your hand and see if it suits you in the characteristics of the product.

Another tip - if you are going to take measurements yourself, then you should pay attention to models with a built-in stethoscope - this will slightly simplify the task.

The mechanical device for measuring blood pressure CS Medica CS-106 (with a phonendoscope) is equipped with a cuff that can be installed on the arm with a circumference of 22 to 42 cm. installation method - "overlap".

The pear of the device is made of soft, elastic rubber, which allows air to be pumped into the pneumochamber of the cuff without much effort. Also, an air valve is installed in the pear, equipped with a mesh filter, which protects the mechanism of the pressure gauge and the air valve nipple from dust and small particles. The air valve mechanism has a needle valve that allows air to be bled from the cuff at the rate necessary to measure pressure.

The metal tubes of the headband of the device are equipped with soft, elastic olives that fit snugly against the ear holes without injuring them.

The mechanical blood pressure monitor CS Medica CS-106 complies with the safety requirements for this product of medical equipment in the Russian Federation.

You can always buy a mechanical tonometer CS Medica CS-106 with a phonendoscope at a low price in our online store. You can place an order through the Shopping Cart, fill out a quick order form in 1 Click or call our phone numbers.

They are seen not only in old age. Often the symptoms of the disease occur in people a little over 30. Causes: excess body weight (obesity), excessive alcohol consumption, smoking, salt abuse, nervous and / or physical stress for a long time, as well as heredity.

To keep BP under control, it must first be measured - on a regular basis and when symptoms occur: headaches, heaviness in the head, nausea, loss of strength (sometimes turning into chronic fatigue), irritation, a feeling of tightness in the chest (also a sign of angina pectoris), ringing in the ears , "flies" before the eyes.

Monitoring pressure fluctuations will allow you to understand how serious the problem is and whether you need to see a doctor (to be cunning, many of us put off going to a specialist until the last minute).

Devices for measuring blood pressure - tonometers - come in 2 types:

Mechanical - air is injected into them by squeezing and unclenching a rubber bulb, and the measurement is made by listening with a stethoscope consisting of a pressure gauge (screen with a scale and an arrow) and a tube (sound duct) with an epoxy head that captures the frequency and strength of contractions of the heart muscle. They are cheaper than automatic counterparts and more accurate, but they require good hearing and attention, because you can determine the upper and lower indicators only by catching changes in the indicators (tones) and noticing which numerical value the arrow is set at that moment.
Automatic (or semi-automatic) - they work on electricity, so there is no need to “pump” air into the cuff, but either a mechanism (full automatic) or manual effort (semi-automatic) is used for descent. The values are displayed digitally on the screen, which is much more convenient. But the accuracy of such readings sometimes suffers, and automated equipment is more expensive.

The online store of medical equipment "MedMag24" presents blood pressure monitors of all types from well-known manufacturers Omron, MediTech - MT, Hartmann - Tensoval, B.Well, Microlife, "Adyutor", CS Medica, A&D - with an original warranty of up to 10 years. And accessories for them: pears, pressure gauges, cuffs, network adapters (chargers).

Depending on the model, the devices are attached to the shoulder or wrist.

To buy a blood pressure monitor, just click "Add to Cart" under the product you like, and then place an order. Or call the number listed at the top of the site. Please note that individual catalog items are only available on pre-order and will take longer than usual to ship.

Even some 10-15 years ago, in order to measure the pressure, people had to go to the nearest, and sometimes not very close, clinic. Those units that were the happy owners of a personal pressure measuring device automatically became the most important and respected people in the area. Today, almost no family can do without a tonometer. And it is right. The style of modern life has made its own adjustments to our health and, unfortunately, hypertension today is no less common than any acute respiratory disease in kindergarten. Moreover, contrary to the opinion of many, not only the elderly have problems with high blood pressure, young people are no less likely to be diagnosed with hypertension. To constantly "keep your finger on the pulse" and control your health, you need to have a tonometer at home.

Such different tonometers ...

Blood pressure monitors are mechanical, automatic, semi-automatic, with a cuff that is worn on the wrist or with a shoulder cuff. There are even mercury blood pressure monitors! But we will focus on the first option - mechanical. This is not to say that such a pressure measuring device is the best, average or worst. All of them are different, but nevertheless, they quite cope with their purpose - to accurately measure blood pressure.

What is

Mechanical tonometers are the progenitors of modern pressure measuring instruments. Despite the fact that modernized models of tonometers that are more convenient to use are being produced today, mechanical ones still remain in high esteem. And this is well deserved: mechanical devices are accurate, they never break, they do not need to be charged. Almost all medical institutions of the post-Soviet space continue to use mechanical devices. The device consists of a manometer with a phonendoscope, an air blower and a cuff that is worn on the shoulder.

A mechanical blood pressure monitor is the most reliable type of device for measuring blood pressure. For this reason, such a tonometer will be an ideal option for those people who are forced to monitor their blood pressure on a daily basis. The standard equipment of a mechanical tonometer includes the following components:

Cuff (can have both a standard size and an enlarged one).
Manometer (regular or large).
Air blower equipped with a special valve designed for the smoothest possible descent of air.
Bag for storing the device.

Complete set of tonometer

Almost all models are equipped with a phonendoscope (or stethoscope). This is the name of a special medical device designed to listen to wheezing, noises and other sounds in the human body. The device has the simplest design: headphones, hoses and a membrane. By the way, the story of the creation of a stethoscope is very funny: earlier, doctors simply put their ear to the naked body of the patient to listen to the heart and lungs of patients. So, it is believed that a prototype of a modern phonendoscope was invented by a certain young and extremely shy doctor - he was embarrassed to touch the body of a young patient and he thought of rolling the newspaper into a tube. It turned out that the audibility through the tube is much higher than without it. Soon all doctors followed the example of this doctor and after some time a device very similar to a modern phonendoscope appeared, which is a hollow wooden pipe with extensions at the ends.

But back to tonometers. The tonometer can have both a separate phonendoscope and a built-in one. The last option is considered the most convenient to use. And devices for measuring pressure with a separate phonendoscope are most often used in medical institutions, because doctors often have to not only measure the blood pressure of their patients, but also listen to their heart and lungs.

The main advantage of mechanical tonometers with a phonendoscope over automatic ones is the lack of sensitivity to atherosclerosis and arrhythmia of the heart of a person whose pressure is measured. Therefore, the measurement result of such a device will be as accurate as possible.

The scheme for measuring blood pressure using a mechanical tonometer equipped with a phonendoscope is as follows:

The cuff is fixed on the patient's forearm.
The phonendoscope is put on the ears.
With the help of a supercharger, air is pumped into the cuff (the supercharger is an ordinary, most often rubber, small pear).
The valve is unscrewed and air slowly descends.
Simultaneously with the previous action (unscrewing the valve), the phonendoscope is listened to. At the moment of the first heart beat, the position of the arrow on the pressure gauge is detected - this will be an indicator of the upper (systolic) pressure. The last heartbeat is an indicator of the lower (diastolic) pressure.

Scheme for measuring pressure with a mechanical tonometer

That's the whole procedure for measuring blood pressure. However, despite its simplicity, not everyone succeeds in doing all the steps correctly the first time, so you have to train for some time.

Now about the important details that you need to pay attention to when choosing a tonometer with a phonendoscope.

How to choose a tonometer?

All mechanical models of blood pressure monitors are very similar to each other, but this does not mean that they are all equally good. To choose a really high-quality and easy-to-use tonometer with a phonendoscope, you need to pay attention to such things:

Cuff size. Most often, blood pressure monitors with a standard cuff are found on sale, the size of which can approximately be fixed in the range from 22 to 38 cm. There are also increased cuff sizes - up to 60 cm. This option is perfect for very obese people. Some models have a special design that allows you to change the cuffs of the required size. The cost of such devices is somewhat higher.
cuff material. The cuff can be made of either cotton or nylon. Nylon is stronger and more durable, but some people are allergic to it. Cotton is hypoallergenic, so it is better for allergy sufferers to choose blood pressure monitors with a cotton cuff.
Manometer body. The body can be made in plastic or metal. The mass of the tonometer directly depends on the material of the pressure gauge. Plastic is light, metal is heavy. If there is a need to measure blood pressure while traveling and walking, then it is better to opt for a plastic pressure gauge. Elderly people suffering from impaired coordination of movements should choose blood pressure monitors with a metal pressure gauge - they are shockproof and if the device falls, it will not fail.
Gauge size. They are standard and large. Visually impaired people, of course, should choose blood pressure monitors with a large pressure gauge.
Phonendoscope and its earpieces. Nozzles should be soft and rounded. This will help reduce the risk of ear damage.
Blower valve. A dust filter is required. It allows you to extend the life of the device without additional maintenance.

You need to choose a tonometer based on your individual needs. If the device is needed for preventive purposes, for the systematic measurement of blood pressure, then you can buy the most budget option. But for medicinal purposes, when it is necessary to measure pressure daily, you need not save on health and purchase the most convenient and accurate tonometer!

In the home first aid kit, along with a thermometer and the necessary medicines, there should be a tonometer. Deviations from normal blood pressure, as well as elevated body temperature, can occur even in a healthy person. And in time, the identified deviations will help the attending physician to establish the correct diagnosis in the future and prescribe the appropriate treatment. Therefore, the choice of a tonometer should be taken with all seriousness. First of all, you need to answer three main questions: for whom the device is being bought (an elderly person or a child), does the person have any physiological features (low vision, deafness) and, of course, determine the price. And in order to be well versed in these matters and choose the best tonometer, we suggest you read this article.

Tonometers for the elderly

When choosing a suitable tonometer, you should pay attention to a fully automatic device. It will be much more convenient to use it. Also, you should refuse to buy a carpal tonometer. The fact is that with age, changes occur in the body: the elasticity of blood vessels worsens, the pulse on the wrist weakens, and this all affects the readings of the device and, as a result, the measurement result may be inaccurate.

An excellent solution would be to choose a tonometer with additional useful features. For example, it may be difficult for an elderly person to put the cuff on their upper arm, and, as you know, the accuracy of the measurement results depends on the cuff attachment. In this case, the Japanese company Omron offers blood pressure monitors with an indicator of the correct fixation of the cuff. An inexpensive option in this case would be a tonometer Omron M2 Plus.

It would not be superfluous to purchase a tonometer that can calculate the average value of blood pressure based on the results of the last three measurements, such as Omron M3 Expert. This method guarantees the most accurate result. And pay attention to blood pressure monitors, which not only store the last measurements in memory, but also fix the date and time ( Omron MIT Elite). This will make it easier to track fluctuations in blood pressure throughout the day.

Thus, a tonometer for an elderly person should be:

convenient;
easy to use;
reliable and durable;
have a useful feature set.

Tonometers for children

For a child, an automatic, semi-automatic and mechanical tonometer is suitable. "Which is better?" - the question is brewing. The choice here depends on personal preference. However, very young children are recommended to carry out the procedure for measuring blood pressure with a mechanical tonometer, and those who are older can already be entrusted with an automatic tonometer. An important point to pay attention to is the choice of cuff. For automatic blood pressure monitors Omron M5, Omron M6 and semi-automatic tonometers Omron S1, Omron M1 Compact, M1 Eco cuffs are available with a circumference of 17-22 cm. If you prefer mechanical blood pressure monitors, CS Medica offers a large selection of cuffs in various sizes:

For babies (9-14 cm)
Children (13-22 cm)
For teenagers (18-27 cm)

Tonometer for visually impaired people

Many medical device companies produce devices for people with disabilities. So, for visually impaired people, you can choose a tonometer with a large, readable display and voice guidance, which voices possible measurement errors and results. Tonometer B. WELL WA–77, the body of which is made in red, has a large button to control the tonometer. The best tonometer can be recognized A&D UA 1300, which not only announces the indicators, but also compares them with the classification of arterial hypertension according to the WHO scale and announces the result. For maximum comfort, blood pressure monitors are available with a backlit display.

Budget blood pressure monitors

Inexpensive blood pressure monitors include semi-automatic and mechanical devices. The price of Omron semi-automatic blood pressure monitors range from 1400 to 2000 rubles. For this relatively little money, these devices have a sufficient set of functions. For example, a tonometer Omron M1 Eco is armed with an arrhythmia indicator, calculation of the average value of arterial pressure, date and time registration. In terms of price / quality / functionality, this device will be an ideal choice. But if you want to purchase a device no more than 1000 rubles, then you should pay attention to mechanical devices. For example, on a tonometer Little Doctor LD-71A who does his job well.