Jawon Medical ECHOFT Wrist Type NIBP User Manual ECHO FT Arm

Jawon Medical Co., Ltd. Wrist Type NIBP ECHO FT Arm

Users Manual

 1  WARNING  ∙∙∙∙∙∙·················∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙∙∙∙····∙∙∙·∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙······……···……… 3 ABOUT BLOOD PRESSURE  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙∙∙∙··························∙∙∙·∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙······∙∙∙···  4 1. What is blood pressure?  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙····∙∙………… 4 2. What makes my blood pressure change?  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙·····∙∙∙………∙∙∙∙∙∙···4 3. What is considered to be as a normal blood pressure?  ∙∙∙∙·············∙∙∙·········∙∙∙∙∙∙∙∙∙·······∙∙∙∙∙∙…·· 4 4. Why do I have to check blood pressure at home?  ∙∙∙∙∙∙∙∙∙·∙∙∙∙∙∙····∙∙∙··············…···…···…… 5 5. What is the benefit of the data transmissible blood pressure monitor use? ··········…… 5 INTRODUCTION  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙·················································………····… 7 WORD DEFINITION  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·····················∙∙∙∙∙∙∙·············∙∙∙∙································………… 9 NOTE TO USER  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·············∙∙∙∙∙∙∙∙∙∙∙∙∙∙···············∙∙∙∙·····································………    10 CLASSIFICATION & COMPLIANCE WITH STANDARD    ∙∙∙∙∙∙∙∙∙∙∙∙∙∙··································…    10 SAFETY PRECAUTIONS  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙···············∙····················……………11 SAFETY SYMBOLS  ∙∙∙∙······················∙∙∙∙∙∙∙∙∙∙∙∙∙∙···············∙∙∙∙······························………… 12 PART NAMES & FUNCTIONS  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙················∙∙∙∙∙∙∙∙∙∙∙∙∙···················∙∙∙∙∙∙∙∙··········………    13 1. Main unit and accessories∙∙∙∙∙∙∙∙∙∙∙∙∙∙················∙∙∙∙∙∙·····························…·······………… 13 2. Symbols in LCD indicator  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙···············∙∙∙∙∙∙∙········································…………14 PRECAUTIONS FOR MEASUREMENT  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙····················∙∙∙∙∙····························……… 15 BATTERY INSERTION/REPLACEMENT···············∙∙············································…………18 1. How to insert the batteries  ∙∙∙∙∙∙∙∙∙∙∙∙∙·················································…········…………18 2. Replacement of the batteries  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙······················∙∙∙∙∙∙∙····························…………18 CONNECTING OF AC ADAPTER ………………………………………………………………… 19 SETTING THE DATE AND TIME  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙················∙∙∙∙∙∙∙∙∙∙∙∙∙∙·································……… 19 1. Entering the mode to set date and time ·············∙∙∙∙∙∙∙∙∙∙∙∙∙∙····················…∙∙∙∙∙∙∙…………19 2. Setting up  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙∙∙∙···∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙·∙·····················∙∙∙∙∙………… …19 SOUND ON/OFF AND VOLUME CONTROL  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙···∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙∙·∙·····················∙∙∙∙∙∙∙∙…… 20 DATA TRANSMISSION∙∙∙∙···········∙∙∙∙∙∙∙∙∙∙∙∙∙∙······················∙∙∙∙·························……………… 21 MEASUREMENT  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙···········∙∙∙∙∙∙∙∙∙∙∙∙∙∙····················∙······························………………23 1. Wrapping the cuff  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙··············∙∙····················…………… 23 2. Correct measuring posture  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙····················∙∙∙∙···································………… 24 3. Measuring method  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·············∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙·················…………… 24 4. Memorizing  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙∙∙∙···········································…………… 26 MAINTENANCE AND STORAGE  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙∙·················∙∙∙∙∙∙∙······………28 1. Maintaining & 2. Cleaning  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙······················∙∙∙∙·······························…………… 28 TROUBLE SHOOTING  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙············……… 30 1.Against errors  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙∙∙∙∙∙∙∙∙∙∙···∙∙∙∙∙∙∙∙∙∙∙∙∙·∙·····················∙∙∙…………… 30 2.Against trouble  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·····················∙∙∙∙∙∙∙∙∙∙∙∙∙∙···∙∙∙∙∙∙∙∙∙∙∙∙∙·∙·····················∙∙∙……………… 31 WARRANTY  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙·················∙∙∙∙∙·······························································………  32 1. Manufacturer’s limited warranty  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙···················································………… 32 2. Warranty steps  ∙∙∙∙∙∙∙∙∙∙·····················∙∙∙∙∙∙∙∙∙∙∙∙············································…………… 32 3. Where applying for solving problem  ∙∙∙∙∙∙∙∙∙∙∙∙∙∙······················∙∙∙∙∙····················………… 33 SPECIFICATION  ∙∙∙∙∙∙∙∙∙∙∙∙∙············∙∙∙∙∙∙∙∙∙∙∙∙∙∙·······················∙∙∙∙······························………  34                             TABLE OF CONTENTS
 2   We highly appreciate you choose this JAWON product.  Those who will use this blood pressure monitor are strongly advised to read this manual thoroughly and understand all instructions and warnings before using it.    Information in this manual is made for informational purpose and this manual and product  are  not  meant  to  be  a  substitute  for  the  advice  provided  by  your  own physician or other medical professional.  You should not use this information contained in this manual or this equipment for diagnosis or treatment of health problem or prescription of medication.  If you have or suspect that you have a medical problem, consult  your  physician promptly.                                                          WARNING
 3    1. What is blood pressure?  Blood  pressure  refers  to  the  force  or  pressure  exerted  on  the  artery  vessel when blood flows through them. In order to allow the blood to supply nutrition and oxygen to every organ and corner of the body, a certain level of pressure is necessary and it comes from the each time the heart beats or contracts. The heart activity is broken down into two phases called Systole and Diastole. Systolic  is  the  pressure  to  send  blood  out  into  the  body  and  Diastolic  is  the pressure creating the heart pulls blood back through it. Blood pressure is recorded as systolic over diastolic, as shown below.                                                     systole occurs during               diastole occurs during  the contraction and                 the relaxation and empting of the heart                filling of the heart   2. What makes my blood pressure fluctuate? Blood pressure changes in response to many factors. These  factors  include  changing  in  the  temperature  and  humidity, physical exercise,  restlessness  due  to  stress,  fear,  anxiety,  anger,  food  and  an individual’s physical condition.   3. Classification of the blood pressure   :  National  High  Blood  Pressure  Education  Program,  National  Heart,  Lung  and Blood Institute, NIH (JNC7)                            ABOUT BLOOD PRESSURE 115/75
 4    Diastolic    (㎜Hg)                           100                90                             80                                   120         140        160    Systolic(㎜Hg)   4. Why do I have to check blood pressure at home? Home  monitoring  may  help  alleviate  the  medical  phenomena  ‘White Coat Hypertension’ which causes many individuals’ blood pressure to be  higher when  taken  in  a  medical  office  setting.  The  elevation  of  it  may be due to several  factors,  including  stress,  nervousness,  or  increased  sympathetic activity  associated  with  the  clinical  environment.  It  may  cause  your  blood pressure to rise about 20 to 50mmHg higher than usual. When monitoring at home,  you  may  get  a  truer  indication  of  your  blood  pressure  in  a  usual, relaxed  state.  Regular  home  monitoring  provides  you  a  valuable  over  time readings to give to your physician to determine and diagnose and  also provides you the information when your blood pressure falls or rises to enable to manage your health between doctor visits.   5. What is the benefit of data transmissible blood pressure monitor? Without going to a hospital, you can get physician’s advice with  data transmissible blood pressure monitor.   ECHO-FT  is  a  Home  to  Hospital  bi-directional  networking  blood  pressure monitor that you can transmit saved data from the device to your  personal computer through interface then send your physician them. Your physician will read those to find health problems and give proper advice you. With  the support of the analyzing program, ECHO-FT tracks your blood pressure changes sophisticatedly and enables you to realize the characteristics of yours Stage 2 Hypertension  Stage 1 Hypertension  Prehypertension  Normal
 5and  control  it. Periodically  monitored  and  memorized  readings  reflect  the cardiovascular  state  of  you  under  conditions  more  representative  of  your normal daily  life-style  than those  inherent in  a clinical environment. It let you learn when your blood pressure falls or rises. Also it let your physician optimize the treatment program corresponding your circadian rhythm of blood pressure. Therefore, it is important to take regular daily monitoring and  keep  clear records. ECHO-FT is a time and cost saving healthcare networking instrument.
 6  Thank you for purchasing the ECHO-FT.  Intended use This home blood pressure monitoring device is indicated for use in the noninvasive measurement of systolic and diastolic blood pressure and heart  rate in adult age 18  and  over,  in  a  home  care  environment.  ECHO-FT  is  designed  to enable a person who suspects some trouble with blood pressure to check it at home.  Fuzzy logic and Oscillometric method   Your unit employs fuzzy logic method to inflate and an oscillometric  for measurement of blood pressure and pulse, which refers to check  blood pressure by measuring oscillation in the cuff while the artery of the arm oscillate reflecting contracts and relaxes every heart beat.    Data transmissible and analyzing program This device is data transmissible. You can transmit readings saved in the memory of the device to your personal computer, and then mail them to your physician to get advice from her/him at home. ECHO-FT is  a  time  saving  device  partially replacing a necessity of your visit to your physician. Additionally  the  data transmitted to your PC can be analyzed and tracked sophisticatedly  with   analyzing software optionally offered by the manufacturer.    Software ‘Hour 24’ ‘Hour24’ is a software for windows. It takes data transmitted from ECHO-FT and enable to send them to the doctor. Additionally the data can be analyzed and tracked with it.  Noise detecting As ECHO-FT is contrived to detect moving or noising during measurement process and displays it both on the real time and recalled readings on LCD. You or your physician can determine if the readings are reliable.    Voice message  It can make you monitor blood pressure easily and know the result clearly without                                INTRODUCTION
 7the third person’s help. Especially it is useful for the elderly person.    Memory feature It has 64 reading memory capacity recorded monitoring date and time supported Built-in calendar and clock which are input them automatically to each reading.    Accuracy Blood pressure measurements determined with this device are equivalent to those obtained  by  a  trained  observer  using  the  cuff/stethoscope  auscultation  method, within  the  limits  prescribed  by  the  American  National  Standard, Electronic or Automated Sphygmomanometers.                          Note    Blood pressure constantly fluctuates during of a day, so that monitoring should be done at least three times and determined. Occasional high or low readings do not mean your monitor is malfunctioning or you  are ill. The important thing is that you have information to talk with your doctor about normal and abnormal results corresponding your circadian rhythm.
 8   To ensure safe operation and durable performance stability, it is essential that you fully understand the functions, operation and maintenance instructions by reading this manual carefully before using the unit.  Particular attention must be paid to all warnings, cautions and notes incorporated herein. The following conventions are used throughout the manual  to  denote information of special emphasis.                                        ※ Property damage refers to a wide range of damage involving your  house, household goods, domestic animals, and pets etc..           CAUTION Important information to indicate the presence of a hazard in which may arise severe personal injury, death of substantial property damage if the warning is ignored. NOTE Important  information  to  notify  the  user  of  operation  or  maintenance information  in  which  is  important  but  not  hazard-related.  Hazard  warning should never be included under the note signal word.                               WORD DEFINITIONS
 9  • For all damages or injuries caused by user’s incorrect operation or failure in maintenance the unit relieves, the manufacturer and its agent of the system do not have any responsibility and non-compliance with specifications.  •  Please  keep  this  manual  together  with  the  appliance  since  it  is  compiled  to provide the maximal convenience to those who use this device  • Defective unit or accessories that is shipped off from customer  to  Jawon medical Co. or its authorized dealer for service must be packed in the safe way and  the  replacement  carton.  Shipping  and  insurance  cost  for  returning  of defective unit must be prepaid by customer.                                                        NOTE TO USER
 10  Classification and Compliance with Standards Model ECHO-FT manufactured  by Jawon medical is classified as;  - ECHO-FT is specified as Class 2 type BF unit under the standard of IEC60601-1 (Safety of Medical Electrical Equipment).   - Internally powered equipment (Battery : 4  ×  LR6-AA) - Ordinary equipment without protection against ingress of water - Equipment not suitable for use in presence of a flammable anesthetic mixture by standard of IEC60601-1 (Safety of Medical Electrical Equipment) - Equipment that complies with Class B for Noise-Emission, Level B  for Noise-immunity  by  standard  of  IEC60601-1-2  (Electromagnetic Compatibility Requirements) - This blood pressure meter complies with the EN1060-1 : 1995 Non-invasive Sphygmomanometers  general  requirements  as  well  as  EN1060-3  :  1997 supplementary  requirements  for  electro-mechanical  blood  pressure measuring system.                                 CLASSIFICATION & COMPLIANCE WITH STANDARD NOTE   1.Jawon's accessory equipment connected to the analog and digital interfaces are certified according to the respective IEC standards. (e.g.  IEC  950  for  data  processing  equipment,  ICE  601-1  for  medicalequipment and system standard EN 60601-1-1:1993) 2. When recycling and proper diapose after their useful lives, the device shall be disposal in accordance with national laws.
 11
 12  ECHO-FT is designed and manufactured in deep consideration for user’s  and operators’  safety  and  completing  reliability  of  the  unit  based  International Standards for medical equipment.   The following precautions must be observed for additional safety ;  1. User must not touch or handle the inner side the system at anytime.  It  may cause an electrical shock and flame out. 2. The unit has been factory-adjusted for optimum performance. Do not attempt to  modify  or  adjust  any  preset  controls  or  switches  except  those  specified  in this manual for operation. If any modification is desired, ask manufacturer or its authorized dealer for service. 3.  If  you  have  any  trouble  with  the  unit,  switch  it  off  immediately,  and  contact manufacturer or its authorized dealer for assistance. 4. Avoid the following environments for storage and operation   - Where the ambient temperature deviates -20℃  ~ 60℃  for storage. - Where the ambient temperature deviates 10℃  ~ 40℃  for operation. - Where the atmospheric pressure deviates 70kPa(700mbar)~106kPa(1060mbar). - Where the humidity is above 95% for storage and 75% for operation. - Where the unit is exposed to spray or splashing water. - Where the unit is exposed to dust. - Where the unit is exposed to water vapor. - Where the unit is exposed to high density oil vapor. - Where the unit is exposed to salty atmosphere. - Where the unit is exposed to explosive gas. - Where the unit is exposed to excessive shocks or vibrations. - Where  the  angle  of  inclination  of  mounting  surface  is  in  excess of 10 degrees. - Where the unit is exposed to direct sunlight. 5. Do not use the unit on infants or persons who cannot express one’s intension. 6. Do not use the unit for any purpose other than measuring blood pressure. 7. Do not use a cellular phone near the unit improper operation may result. 8. Do not force to bend the arm cuff or the air tube excessively. 9. When removing the air tube, pull at the connector. 10. Do not apply strong shock or drop the main unit.                            SAFETY PRECAUTIONS
 1311. Do not inflate the arm cuff without it being wrapped on the arm. 12.  The  battery  liquid  may  leak  and  damage  the  main  unit.  Please  observe  the following points. - When you are not going to use the unit for an extended period of  time (approximately three months or more), remove the batteries. - Replace the exhausted batteries with new ones immediately. - Do not use exhausted and new batteries together. - Do not insert the batteries with their polarities in wrong direction.     The  International  Electro-technical  Commission  (IEC)  has  established  a  set  of symbols for medical electrical equipment that classify a connection or warn of any potential hazards. The symbols are shown below.  Save these instructions for your safety.    •  Isolated patient connection (IEC 60601-1 Type BF)     •  I and O on power switch represent ON and OFF respectively    •  This symbol identifies a safety note. Ensure you understand the function of this control before using it. Control function is described in operation manual.                                  SAFETY SYMBOLS   I/O
 14  1. Main unit and accessories                        Button  : Power ON/OFF, automatic start, enter to sound and volume mode : Memory view, sound off and volume control button   : Button to transmit data  : Button to enter to the mode to set date and time  : Number up button to set date and time USB cable : To use data transmission refer to owners’ manual of software ‘Hour 24’ how to use or how to install.                               PART NAMES & FUNCTIONS
 152. SYMBOLS IN LCD INDICATOR                                                                  ▲  Pressurization    :    Displays during inflation ▼  Exhausting    :    Displays during deflation   DATE (10-01) TIME (12 : 00)  :      month-day      hour : minute ♥      :    Starts flash when purse is detected  :    Displays when the batteries need to be changed     :  Memory indicator  :  Displays when sound is ON    :    Indicates noise or movement sensed 01    :    Indicates the number of stored results
 16.  Exercise or any kind of activity may affect blood pressure. Rest about 5 minutes before monitoring.      Urinating may elevate blood pressure.   Start monitor a few minutes after urination.        Lack of sleep or constipation causes the blood pressure to rise.   Cold weather causes the blood pressure to go up. Maintain indoor temperature at 20℃ or so and warm your body before checking.  Drinking caffeinated beverages such as coffee, tea, cokes and also smoking can cause your blood pressure to rise.   Moving  or  speaking  while  checking  causes errors.    PREPARATION FOR MEASUREMENT
 17   To compare the results, choose the readings got under the same condition. (monitoring site, position, time etc.)     Continuous monitoring causes arm congested and inaccurate readings. Allow 3~5 minutes interval between measurements.  Take off thick coat, sweater or tight-fit clothes from the monitoring arm. To fit the cuff on the naked arm is advised.    When you roll up your sleeve, ensure it does not constrict the blood flow in your arm.   The position sitting legs crossed or using on a lower table than heart level may increase abdominal pressure that resulted in elevated blood pressure.  When an over pressurization rises or to stop the pressurizing, press O/I button. The cuff will stop inflating and the air will exhaust from the unit rapidly.  PREPARATION FOR MEASUREMENT
 18  Do  not  place  on  other  parts  of  the  body except the arm.  Do not pull it out by force.   Control the level of the chair and desk to enable your monitoring arm to place at the same level as your heart.  When  monitoring arm  is  higher  than  your heart level, the blood pressure will be   measured lower.   When  monitoring  arm  is  lower  than  your heart level, the blood pressure will be measured higher.  PREPARATION FOR MEASUREMENT
 19  1. How to install the batteries ①  Pull the battery cover and open it. ② Insert four AA type batteries to match polarities as shown below. ③ Cover the lid of battery case        2. Replacement of the Batteries ① If the       indicator flashes on LCD, you should transmit memorized readings from your device to your personal computer first. Then change all batteries. ②  Replace +(positive) and -(negative) polarities should be matched the polarities of the battery compartment as shown above 1-②   If the polarities of the battery are positioned incorrectly, the unit does not work.       When you change the batteries, use the same type.   Remove the used batteries immediately to protect the product from damage. ③ When you are not going to use the unit for an extended period  of  time (approximately three months or more), remove the batteries           Note If the readings are not transmitted before batteries are changed or used up,you might lose them. NoteIf battery is not disposed properly, it can be harmful. Protect the environment by taking exhausted batteries to authorized disposal place.   BATTERY INSERTION / REPLACEMENT
 20        Connect the AC adapter between unit and wall outlet       • Sequence is Year→Month→Day→Hour→Minute. 1. Entering the mode to set date and time. ①  After change batteries the mode appears on LCD automatically.   ②  At power off, press [CLOCK] button. [YEAR00] will appear on  the screen, and [00] flashes.         2. Setting up   ①  Press [SET UP] button to set the year. Whenever   ‘SETUP’ button is pressed or you keep it pressing, the number will increase gradually or rapidly by ‘01’. Its range is 00 to 99. ②  After setting the year, press [CLOCK] button again.               The month indicator, the first two numbers in upper LCD line, will flash. Set it by pressing ‘SET   UP’ button. Its range is 01 to 12.                          SETTING DATE AND TIME                       CONNECTING OF AC ADAPTER
 21③  After  setting  the  month,  press  [CLOCK]  button once  again.  The  day  indicator,  the  second  two numbers  in  upper  LCD  line,  will  flash.  Set  it  as same way. Its range is 01 to 31.   ④  After setting the day, press [CLOCK] button again.     The hour indicator, the third two numbers in upper LCD line, will flash. Set it as same way. Its range is 00 to 23. ⑤  After setting the hour, press [CLOCK] button once   more. The minute indicator, the last two numbers in upper LCD line, will flash. Set it. Its range is 00 to 59.   ⑥  After setting the minute, please power off then on.            1. Sound ON/OFF ①  If you press [I/O] button around 3 seconds,   [Snd On/OFF] signal appears on LCD. ②  By pressing [ ] button to change it. ③  Press [I/O] button to complete it.  2. Volume control ①  If you keep [I/O] button pressing after appearing   [Snd] signal, the signal is changed to [voL 1]. ②  Select the volume size by pressing [ ] button. Its range is 1 to 4. ③  Press [I/O] button to complete it. Note : When you press [I/O] button after setting the date and time, they are stored coinciding with the power off. If you press [I/O] button on your way to set, what you have done will be stored. The date and time are maintaining during power off but they will return to initial status when batteries are changed or AC adapter is pulled out from a wall outlet.                  SOUND ON/OFF AND VOLUME CONTROL
 22  1.How to transmit monitoring data to your PC                 ECHO-FT blood pressure monitor is a Home to Hospital bi-directional networking instrument.  You  can  reserve  memorized  data  on  your  personal  computer  then send them to your physician. If you monitor your blood pressure periodically and memorize reference for your physician, they will be a good information to enable your  physician  to  optimize  the  treatment  program  and  determine  how  much medication  is  required  to  you  corresponding  your  circadian  rhythm  of  blood pressure.       To  install  an  USB  driver  in  a  computer,  follow  the guidance contained in, manual of software ‘Hour 24’ Turn  on  the  power  of  two  appliances  after connecting ECHO-FT to the computer running ‘Hour 24’(USB  cable  should  be  used  the  one  supplied  by JAWON MEDICAL exclusively)                         DATA TRANSMISSION  NOTE    Must install an USB driver to use an USB port when connect a computerto an ECHO-FT. (Refer to'Hour24')
 232. Data transmission ①  Execute software 'Hour 24' in a personal computer.  ②  Connect USB cable to a computer and a port of   ECHO- FT in order to transmit saved data.  ③  Press only one time of [ ] button of ECHO-FT.  ④  Press a [ ] button to transmit to a computer. (All measurement data saved in memory is transmitted)  3. How to send the data to your doctor       ①  Retrieve saved data in order to select   the date and time in software 'Hour 24'.  ②  An 'E-mail' button will be on right   upper side appeared at various    measurement graphs and right upper side when a data to send.             ③  A window to get input if click a   'E-mail' button opens. Input a mail   address and title and click a 'Send   E-mail' button.   (A save situation of a file is marked   in E-mail title, and a transmitted   figure file and blood pressure   measurement file are saved in a computer of a user.           ('Hour24' manual reference )   Ncte      Please transmit the data file which use a [SAVE] function of software   'Hour24' use personal mail, and to transmit, and was saved.        Detailed contents refer to 'Hour 24' manual. NOTE    1. 'Hour24' is transmitted using Microsoft Outlook Express or anything else.         2. Microsoft  Outlook  Express  should  be installed on  user’s  computerto use Microsoft Outlook Express mail.
 24     Remove thick or tight-fit clothes from your upper arm. Sit on a chair with your feet flat on the floor and place your arm on a table so   that the cuff can position as same level as your heart.   1. Wrapping the cuff   ①  Securely connect the air tube plug of the cuff to the jack of main unit.     ②  Unfold the cuff as shown in the drawing.   ③  Wrap the cuff around your upper arm.   Position the cuff hose over your brachial (forearm) artery and between your middle   and ring fingers when it is extended.    ④  Position the lower edge of the cuff is 1 ~ 1½   inches above the elbow joint as shown in   the picture.   ⑤  Strain the cuff with 2 fingers space between   the cuff inner-liner and the arm.    ⑥  Place your arm at the same level as the heart.                                        MEASUREMENT Note    Take off thick coat, sweater or tight-fit clothes from the monitoring arm. If possible,  wrap  cuff  with  direct  contact  between  inner-liner  of  it and the skin. When you roll up your sleeve, ensure it does not constrict the blood flow in your arm.
 25   2. Correct measuring posture ① Please place your arm with the palm facing up on the table. When the table is too low for your arm to position the heart level, adjust the level  off  with  a cushion, towel or a similar material.    ②  For monitoring, sit down comfortably on a chair with your feet flat on the floor and take deep breaths 5 to 6 times and relax.       3. Measuring method ①  Press the I/O button   Wrap the cuff around your arm and press [I/O] button to start.       There will be a momentary full-segment display.  ②  Automatic pressurization   The LCD panel changes to the momentary screen   displayed all symbol in LCD edge and [0] in main   LCD.   Note      Sit comfortably on a chair with your feet flat on the floor and   relax before monitoring starts. Monitoring should be taken in a quiet place.
 26Then [▲] symbol remains on LCD panel coinciding   with a start of pressurization. At this time the number   to show the inflated cuff pressure will increase rapidly   as a normal process and the cuff will tighten as air   enters in it. The value of pressurizing is determined   automatically. Do not move your arm and remain still   until the entire measurement completed.           ③  Monitoring is in progress       When the pressurizing is over, [▼] symbol appears   and air is released from the cuff slowly. You can   feel the cuff become less tight gradually.    ④  Monitoring  will  start  with  deflation  and  if  the  pulse  is  sensed  during  deflation [♥] symbol appears and flashes.  ⑤  When noise is detected during measurement, [ ] appears on its place on the screen. In case that   you move or speak, [ ] is accompanied with   a voice warning as “Don’t move or speak please.” But monitoring will be continued after a pause.  ⑥  When Error occurs due to insufficient inflation,   re-pressurization will be held automatically with a   voice massage as “Can’t measure. We will try again.”  ⑦  Display the results       When monitoring is over, the value of systolic and   diastolic blood pressure and pulse will be displayed   Note  1.When noise or movement including talking is sensed during pressurization, re-pressurization will be held automatically.   2. If a higher inflation is needed in any circumstances, the device re-inflates the cuff up to 30~40㎜Hg higher
 27on LCD simultaneously, then the voice massage comes out as “Your blood pressure is systolic 000, diastolic   000, pulse 00.” If the noise or movement has been   detected during monitoring, voice massage says also   “There is movement during measuring.” and shows   the [ ] in result view.    ⑧  Switch off the power       To finish the measurement, press the I/O button and   remove the cuff gently. The monitored reading will be   stored automatically into the memory.              4. Memorizing ECHO-FT  has  64  reading  memory  capacities.  When  memorized  readings  are retrieved,  they  are  displayed  with  monitoring  date  and  time  respectively.  The reading detected noise or movement during measurement accompanies [ ].    1) Storing the readings     The readings are stored automatically when the monitoring is completed. When its memory capacity is fully occupied the last data replaces the oldest one.  2) How to retrieve the stored data ①  Press the [ ] button.   ②  The latest reading will be displayed on main   Note     Even if you forget to press the I/O button, the power will be   automatically turned off after 1 minutes. Caution   1.    During measurement, do not move your fingers, hand, or arm, and do not put them on stress. 2.  If you want to stop measuring, press the I/O button. Pressurization will stop immediately and air will be exhausted rapidly, then the power will be turned off.
 28LCD and the number ‘01’ appears in the   memory number displaying part.    ③  When the [ ] button is pressed again   the second latest reading will be displayed on LCD with the memory number ‘02’.    ④  Further pressing of the [ ] button, the data will be displayed respectively in reverse   order from the latest one to oldest one with   memory number increasing.                           Note    1.Data  saved  in  memory  can  be  all  deleted,  exchange  battery  or remove an AC adapter 2. Please insert battery in unit when use an AC adapter 3. To completely eliminate saved data, take out battery and please press one time of [I/O] button.             4. The memory capacity is subject to change for promotion.
 29     1.Maintaining  Avoid exposure to dust, direct sunlight, humidity and extreme changes in temperature.   If this unit is not being used for a long period of time, please remove the batteries.  Do not drop the unit.   Do not disassemble the main body or the cuff.                         MAINTENANCE AND STORAGE
 30Do not fold or bend the cuff forcibly.      Do not operate the unit without wrap the cuff around your arm.        2. Cleaning 1) Main body ①  When cleaning, use a soft cloth, slight   moistened with water or a neutral   detergent, then wipe it with a dry cloth. If the unit is contact with water in outer   case, dry it immediately with a soft   lint-free cloth. ②  Do not use abrasive or corrosive cleaning   agent, thinner, alcohol, benzene or similar solvents which might damage the device. ③  It is recommended to clean the unit monthly.  2) Cuff Do not wash or dip the cuff in the water.   Note Do not immerse the unit in water. The device exposed to foreign material and exceptional  environment  need  to  be  check  whether  the  device  is  functioning properly and safely before using
 31  1. Against Error   ERROR  CAUSE  SOLUTION Err 0   * When inflation level is not sufficient. * When air hose is not connected well. * When air leaks from the cuff. * When battery power is low.  * Please set higher inflationLevel. * Check if there is any   ‘CAUSE’.   * After settle it, monitor   again. Err 1    * When a cuff is not       connected to a monitor. *When  a  cuff  is  positioned incorrectly * Please check if the cuff is connected well to the unit and monitor again.  Err 2  *  When  the  pressurization  is  over than 300㎜Hg. * Please turn the power off then on and monitor again. Err 3  * When monitoring is carried out the wrong way.    *  When  a  read  data  is  not  output as a result of noise or movement detected. * Please read ‘wrapping the cuff’ and ‘correct measuring posture’ in ‘Measurement’ part. (page 18~19) *Monitor again following theway instructed.   Err 4  * When moving or speaking is   sensed during monitoring.  * Please do not move or   speak during monitoring. Err 5    *When battery is not fixed well.   *When the polarities are positioned incorrectly. *Check  if  the  polarities  of the  batteries  are  positioned correctly. *After disconnecting batteries in unit and press [I/O]  button,  then  replace them. ※  If any error continues, call its service center.                             TROUBLE SHOOTING
 32 2. Against trouble SYMPTOM  CAUSE  COUNTERMEASURE     The battery power is low.   (When  batteries  are  exhausted completely,  the  mark  does  not appear on the LCD any more.)   Replace all four “AA” type batteries at the same time. Before change, transmit the data to your computer first.  The blood pressure value seems too high or low.    High: When your arm positioned lower than your heart   during monitoring. Low : When your arm positioned higher than your heart   during monitoring.   Make sure that your arm position at the same level as your heart, then monitor   again.  Re-pressurization  In case of insufficient inflation. The movement of the arm or body during inflation is sensed. (In case of excessive hypertension or a feeble pulse, it is possible to occur   re-pressurization over 2 times.)   Relax for a few minutes then monitor it again with correct posture. Do not move during monitoring.  The unit does not start monitor again after error occurs.   The cuff may not be worn the cuff or positioned incorrectly.  Monitor again after wearing the cuff correctly and positioning your arm as your heart level.                               TROUBLE SHOOTING
 33  1. Manufacturer’s limited warranty The warranty and remedy provided herein are exclusive and in lieu  of  all  other express  warranties  and  unless  stated  herein,  any  statements  or  representations made by any other person or entity are void. Neither the manufacturer, distributor nor their affiliates shall be liable for any loss, inconvenience, injury, or damage including direct, special, incidental,  or consequential  damages  resulting  from  the  use  or  inability  to  use  this  product, whether arising out of any breach of this warranty or any other legal theory. All express  and  implied  warranties,  including  the  warranties  of  merchantability,  are limited to the applicable warranty period set forth above.  Manufacturer and distributor assume no responsibility for damages  or  penalties incurred resulting from the use of this product in a manner or location other than that for which it is intended.  Some states do not allow the exclusion or limitation of incidental or consequential damages,  or  limitations  on  how  long  an  implied  warranty  lasts,  so the above exclusions  or  limitations  may  not  apply  to  you.  This  warranty  gives  you  specific legal rights and you may also have other rights which vary from state to state.  Should your product prove defective during this warranty period, please return the product in the original carton to your place of purchase for warranty service.  2. Warranty steps Should you experience any technical problems with your product, please follow the steps below : ①  Re-read  “Wrapping  of  the  cuff”  and  “Measuring  method”  portion of the instructions carefully, then take a measurement again. If the problems persist, your product may be defective. If you believe the product defective, follow this warranty steps  ②  or  ③  below. ②  Manufacturer, at its option, will repair or replace your product (with a same or a comparable  model)  with  new  or  rebuilt  parts,  free  of  charge  within  one  year from the date of original purchase in the event of a defect in materials  or workmanship.  This  warranty  is  extended  only  to  the  original  purchaser.  A                                  WARRANTY
 34purchase  receipt  or  other  proof  of  date  of  original  purchase  will  be  required before warranty performance is rendered. ③  This  warranty only covers failures  due  to  defects  in  materials or  workmanship which occur during normal use and does not cover normal wear of the product. This warranty is void if the product housing has been removed, if  the manufacturer’s label, logo, or serial number have been removed, or should the product fail to function properly as a result from accident, misuse,  abuse, neglect,  mishandling,  misapplication,  defective  batteries,  faulty  installation, set-up and adjustments, improper maintenance, alteration, maladjustment of controls,  modification,  power  surges,  commercial  use  of  the  product,  or service  by  anyone  other  than  an  authorized  service  center,  or  acts  beyond Manufacturer’s control.   3. Where applying for solving problem Should you be dissatisfied with the service you received from your retailer, please write  JAWON MEDICAL CO.,LTD.  •  Seoul office Tel : *82-2-587-4056                 Fax : *82-2-588-1937  •  Factory 13 Lot, 21 Block Jinryang Industrial Complex, Kyungsan-city Kyungsangbuk-do 712-830, R.O.Korea Tel : *82-53-856-0993              Fax : *82-53-856-0995   Include in your correspondence the following information, clearly printed (i) Your name and street address (ii) Daytime telephone number (iii) A detailed description of the problem (iv) A copy of your dated proof of purchase or bill of sale
 35   Model  ECHO-FT   Method of Measuring  Oscillometric Method of indicating  Digital Pressurizing Method  PWM(Pulse Width Modulation) Range of Measuring  Blood Pressure : 30 ~ 280mmHg Pulse Rate : 40 ~ 200beats/min Accuracy  Pressure : within  ±2mmHg or  ±2% Pulse Rate : within  ±5% Memory  64 Reading Memory Resolving Power  1mmHg Automation Shut-off System  Performs  approximately  1  minutes  after measurement. Power DC 6V(AA type 1.5V x 4),  AC adaptor compatible Operating Environment  Temperature : 10℃ to 40℃ Humidity : 30 ~ 75% RH, non condensing Storage Environment  Temperature : -20℃ to 60℃ Humidity : less than 95% RH, non condensingDimension  102.0(W) X 133.0(D) X 63.2(H) mm Weight  Approx. 500g (Including cuff &batteries) Pressure Mode  Fuzzy logic Automatic inflation  ◈  Specifications are subject to change without notice.  * Life of battery can be reduced according to environment.   *  This  manual  cannot  do  whole  or  a  part  reproduction  without  notice  without written consent of JAWON MEDICAL according to copyright act. * JAWON MEDICAL does not have responsibility about a misprint and do not take the responsibility on the  results  about  which  do indication in  manual, or did  not do presentation.                                   SPECIFICATION
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