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7. Measurements 12.About Blood Pressure Digital Blood ...
turned on. Refer to instruction manual/booklet Polarity of DC jack IP International protection symbol The cuff Keep dry 6. Using the Monitor 6.1. Installing / Changing The Batteries 1. Remove the battery cover. 2. Remov…
Digital Blood Pressure Monitor Model UA-654MR Instruction ...
2018. Date of manufacture. WEEE label. SN. Serial number. Refer to instruction manual/booklet. Polarity of DC jack. IP. International protection symbol. Keep dry.
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Digital Blood Pressure Monitor Model UA-654MR Instruction Manual Original 1WMPD4003847 1. Dear Customers The A&D blood pressure monitor is one of the most advanced monitors available and is designed for ease of use and accuracy. This device will facilitate your daily blood pressure regimen. We recommend that you read through this manual carefully before using the device for the first time. 2. Preliminary Remarks This device conforms to the European Directive 93/42 EEC for Medical Products. This is made evident by the mark of conformity. (0123: The reference number to the involved notified body) The device is designed for use on adults, not newborns or infants. Environment for use. The device is for use to operate by yourself in the home healthcare environment. This device is designed to measure blood pressure and pulse rate of people for diagnosis. 3. Precautions Precision components are used in the construction of this device. Extremes in temperature, humidity, direct sunlight, shock or dust should be avoided. Clean the device and cuff with a dry, soft cloth or a cloth dampened with water and a neutral detergent. Never use alcohol, benzene, thinner or other harsh chemicals to clean the device or cuff. Avoid tightly folding the cuff or storing the hose tightly twisted for long periods, as such treatment may shorten the life of the components. The device and cuff are not water resistant. Prevent rain, sweat and water from soiling the device and cuff. Measurements may be distorted if the device is used close to televisions, microwave ovens, cellular telephones, X-ray or other devices with strong electrical fields. When reusing the device, confirm that the device is clean. Used equipment, parts and batteries are not treated as ordinary household waste, and must be disposed of according to the applicable local regulations. When the AC adapter is used, make sure that the AC adapter can be readily removed from the electrical outlet when necessary. Do not modify the device. It may cause accidents or damage to the device. To measure blood pressure, the arm must be squeezed by the cuff hard enough to temporarily stop blood flow through the artery. This may cause pain, numbness or a temporary red mark to the arm. This condition will appear especially when measurement is repeated successively. Any pain, numbness, or red marks will disappear with time. Take care to avoid accidental strangulation of babies or infants with the hose. Do not twist the air hose during measurement. This may cause injury due to continuous cuff pressure. Measuring blood pressure too frequently may cause harm due to blood flow interference. Check that the operation of the device does not result in prolonged impairment of blood circulation, when using the device repeatedly. If you have had a mastectomy, please consult a doctor before using the device. Do not let children use the device by themselves and do not use the device in a place within the reach of infants. It may cause accidents or damage. There are small parts that may cause a choking hazard if swallowed by mistake by infants. Wireless communication devices, such as home networking devices, mobile phones, cordless phones and their base stations, walkie-talkies can affect this blood pressure monitor. Therefore, a minimum distance of 1 meters (3.2 feet) should be kept from such devices. Unplug the AC adapter when not in use during the measurement. Use of accessories not detailed in this manual may compromise safety. Should the battery short-circuit, it may become hot and potentially cause burns. Allow the device to adapt to the surrounding environment before use (about one hour). Clinical testing has not been conducted on newborn infants and pregnant woman. Do not use on newborn infants or pregnant woman. Do not touch the batteries, the DC jack, and the patient at the same time. That may result in electrical shock. Do not inflate without wrapping the cuff around the upper arm. Contraindications The following are precautions for proper use of the device. Do not apply the cuff on an arm with another medical electrical equipment attached. The equipment may not function properly. People who have a severe circulatory deficit in the arm must consult a doctor before using the device, to avoid medical problems. Do not self-diagnose the measurement results and start treatment by yourself. Always consult your doctor for evaluation of the results and treatment. Do not apply the cuff on an arm with an unhealed wound. Do not apply the cuff on an arm receiving an intravenous drip or blood transfusion. It may cause injury or accidents. Do not use the device where flammable gases such as anesthetic gases are present. It may cause an explosion. Do not use the device in highly concentrated oxygen environments, such as a high-pressure oxygen chamber or an oxygen tent. It may cause a fire or explosion. 4. Parts Identification Proper fit range Index Artery position mark Air Hose Cuff Holder DC jack Arm Cuff SmY SmHg DmIAmHg P/UmLin AC adapter Plug Display START Button Air Socket Air Connector Plug Battery Compartment Battery Cover Display MEMORY Systolic Pressure Diastolic Pressure Pulse Rate IHB/AFib symbol Heart Mark Battery Indicator Pressure Bar Indicator and WHO Classification Indicator 5. Symbols Symbols that appear on the display Symbols Function / Meaning Recommended Action Appears while measurement is Measurement is in in progress. It blinks when the progress. Remain as still as pulse is detected. possible. Appears when an irregular heartbeat is detected. It may light when a very slight vibration like shivering or shaking is detected. Previous measurements stored in memory. FULL BATTERY The battery power indicator during measurement. LOW BATTERY Replace all batteries with The battery power is low when it new ones when the mark blinks. blinks. Unstable blood pressure due to movement during measurement. Take another measurement. Remain still during measurement. The systolic and diastolic values are within 10 mmHg of each other. The pressure value did not increase during the inflation. Apply the cuff correctly, and The cuff is not applied correctly. take another measurement. PUL DISPLAY ERROR The pulse is not detected correctly. Symbols Function / Meaning Recommended Action Device internal error Remove the batteries and press the START button, and then install the batteries again. If the error still appears, contact the dealer. Symbols printed on the device case. Symbols SYS DIA PUL Function / Meaning Standby and Turn the device on. Systolic blood pressure in mmHg Diastolic blood pressure in mmHg Pulse per minute Battery installation guide Direct current Type BF: Device, cuff and tubing are designed to provide special protection against electrical shocks. EC directive medical device label EU-representative 2018 SN IP Manufacturer Date of manufacture WEEE label Serial number Refer to instruction manual/booklet Polarity of DC jack International protection symbol Keep dry 6. Using the Monitor 6.1. Installing / Changing The Batteries 1. Remove the battery cover. 2. Remove the used batteries from Step 3 the battery compartment in case of changing them. 3. Insert new batteries into the battery compartment as shown, taking care that the polarities (+) and (-) are correct. Step 2 Step 4 4. Replace the battery cover. Use only R6P, LR6 or AA batteries. Step 1 CAUTION Insert the batteries as shown in the battery compartment. If installed incorrectly, the device will not work. When blinks on the display and the device announces that the battery needs to be replaced, replace all batteries with new ones. Do not mix old and new batteries. It may shorten the battery life, or cause the device to malfunction. Replace the batteries two seconds or more after the device turns off. does not appear when the batteries are drained. The battery life varies with the ambient temperature and may be shorter at low temperatures. Generally, four new R6P batteries will last approximately for three months when used twice for measurement each day. Use the specified batteries only. The batteries provided with the device are for testing the device performance and may have a limited life. Remove the batteries if the device is not to be used for a long time. The batteries may leak and cause a malfunction. 6.2. Installing the Cuff Holder This device comes equipped with a removable cuff holder for your convenience. When not in use, simply slip your cuff into the holder for storage. To install the cuff holder : 1. Align the cuff holder with the rear of the device. 2. Slide the cuff holder into the rear of the device until it snaps securely into place. To remove the cuff holder : 1. Push the tab on the cuff holder away from the blood pressure monitor. 2. Slide the cuff holder away from the blood pressure monitor as shown to the right. 6.3. Connecting The Air Hose Insert the air connector plug into the air socket firmly. Air Hose 6.4. Connecting The AC Adapter Insert the AC adapter plug into the DC jack. Then, insert the AC adapter into an electrical outlet. The AC adapter, the model TB-233, is sold separately. Air Connector Plug Air Socket AC adapter Plug DC Jack When disconnecting the AC adapter from the electrical outlet, grasp and pull the AC adapter body out of the outlet. When disconnecting the AC adapter plug from the blood pressure monitor, grasp and pull the AC adapter plug out of the monitor. 6.5. Selecting The Correct Cuff Using the correct cuff size is important for an accurate reading. If the cuff is not the proper size, the reading may yield an incorrect blood pressure value. The arm size is printed on each cuff. The index and proper fit range, on the cuff, tell you if you are applying the correct cuff. Refer to "6.6 Applying The Arm Cuff". If the index points outside of the range, contact your local dealer to purchase a replacement cuff. The arm cuff is a consumable. If it becomes worn, purchase a new one. Arm Size Recommended Cuff Size Catalog Number 31 cm to 45 cm Large adult cuff CUF-F-LA 22 cm to 32 cm Adult cuff CUF-F-A Arm size: The circumference at the biceps. Note: Model UA-654MR is not designed for using a small cuff. Symbols printed on the cuff. Symbols Function / Meaning Recommended Action Artery Position Mark Set the mark on the artery of the upper arm or in line with the ring finger on the inside of the arm. Index REF Catalog number Proper fit range for the semi large adult cuff. It's printed on the adult cuff. Over range printed on the semi large adult cuff. Use the large adult cuff instead of the semi large adult cuff. Proper fit range for the large adult cuff. It's printed on the large adult cuff. Under range printed on the semi large adult cuff. Under range printed on the large adult cuff. Use the semi large adult cuff instead of the large adult cuff. Lot number Large adult cuff Proper fit range Adult cuff 6.6. Applying The Arm Cuff 1. Wrap the cuff around the upper arm, about 1 to 2 cm above the inside of the elbow, as shown. Place the cuff directly against the skin, as clothing may cause a faint pulse and result in a measurement error. 2. Constriction of the upper arm, caused by rolling up a shirtsleeve, may prevent accurate readings. 3. Confirm that the index points within the proper fit range. Note: During measurement, it is normal for the cuff to feel very tight. (Do not be alarmed). Do not roll up shirtsleeve tightly Cuff 1 to 2 cm Artery position mark Secure the fabric fastener firmly. Air hose Index and Proper fit range 7. Measurements 7.1. Normal Measurement 1. Place the cuff on the arm at heart level (preferably the left arm). Sit At heart level quietly during measurement. Press the START button 2. Press the START button. All of the display segments are displayed. Zero is displayed All of the display segments blinking briefly. Then the display changes, as indicated in the figure at the right, as the measurement begins. The cuff starts to inflate. It is normal for the cuff to feel very Zero display tight. A pressure bar indicator is displayed, as in the figure at the right, during inflation. Note: If you wish to stop inflation at any time, Starts inflation press the START button again. 3. When inflation is complete, deflation starts automatically and the (heart mark) blinks, indicating that the measurement is in progress. Once the pulse is detected, the mark blinks with each pulse beat. Note: If an appropriate pressure is not obtained, the device starts to inflate again automatically. 4. When the measurement is complete, the systolic and diastolic pressure readings and pulse rate are displayed. The cuff exhausts the remaining air and deflates completely. Pressurizing Measurement in progress Systolic pressure Diastolic pressure WHO classification Pulse rate Exhausts remaining air automatically 5. Press the START button again to turn off the power. Turn off with the START button Note: Model UA-654MR is provided with an automatic power shut-off function. Allow at least 3 minutes between measurements on the same person. 7.2. Measurement with the Desired Systolic Pressure If re-inflation occurs repeatedly, use the following methods. If your systolic pressure is expected to At heart level exceed 230 mmHg, use this procedure. Press the START button 1. Place the cuff on the arm at heart level (preferably the left arm). 2. Press the START button. 3. During the zero blinks, press and hold the START button until a number about 30 to 40 mmHg higher than your expected systolic pressure appears. Press and hold the START button Inflation in progress 4. When the desired number is reached, release the START button to start measurement. Then continue to measure your blood pressure as described on the section "7.1 Normal Measurement". Release the _START_ button to stop inflation The desired pressure Refer to the section "7.1 Normal Measurement" 7.3. Notes for Accurate Measurement Sit comfortably on a chair. Rest your arm on the table. Do not cross your legs. Keep your feet on the floor and straighten your back. Sit down in a comfortable position. Place your arm on a table with your palm facing upward and the cuff at the same level as your heart. Place the center of the cuff at the same level as your heart. Relax for about five to ten minutes before measurement. If you are excited or depressed by emotional stress, the measurement will reflect this stress as a higher (or lower) than normal blood pressure reading and the pulse reading will usually be faster than normal. Remain still and keep quiet during measurement. Do not measure immediately after physical exercise or a bath. Rest for twenty or thirty minutes before taking the measurement. An individual's blood pressure varies constantly, depending on what you are doing and what you have eaten. What you drink can have a very strong and rapid effect on your blood pressure. This device bases its measurements on the heartbeat. If you have a very weak or irregular heartbeat, the device may have difficulty determining your blood pressure. Should the device detect a condition that is abnormal, it will stop the measurement and display an error symbol. Refer to the section "5 Symbols" for the description of the symbols. This device is intended for use by adults. Consult with your physician before using this device on a child. A child should not use this device unattended. Try to measure your blood pressure at the same time every day. The automatic blood pressure monitor's performance may be affected by excessive temperature or humidity, or altitude. 8. Recalling the Memory Data The device automatically stores up to sixty blood pressure and pulse measurements in memory. Data stored in memory are assigned a data number in the order of the newest to the oldest. The oldest data displays as " ". The symbol in the upper left corner of the display indicates that you are viewing previous data stored in memory. 8.1. Recalling Data 1. When nothing is displayed, press and hold the START button to recall the stored data. 2. Release the button when displaying the average data. Press and hold the START button Release the button mark Average data No data To next data 3. The data number and stored data are automatically displayed in order from the last measurement. Data number 4. The display will turn off automatically after all data is displayed. Stored Data Note: If you press the START button while recalling data, the device turns off. Turns off automatically 8.2. Clearing Data 1. When turning off the device, press and hold the START button until the " " is displayed. Press and hold the START button Release the button 2. Select " " to clear data. 3. Data is cleared when the mark blinks. 4. The device turns off automatically. Select " " to clear data. The mark blinks. Data is cleared. 5 seconds Turns off automatically 9. What Is The IHB/AFib Indicator? When the monitor detects an irregular rhythm during the measurements, the IHB/AFib indicator will appear on the display with the measurement values. An irregular heartbeat rhythm is defined as a rhythm that is 15% less or 15% more than the average rhythm detected while the monitor is measuring the systolic and diastolic blood pressure. Note: We recommend contacting your physician if you see this frequently. 10. What Is The AFib? symbol The heart contracts due to electrical signals occurring in heart and sends blood through the body. Atrial fibrillation (AFib) occurs when the electrical signal in the atrium becomes confused and leads to disturbances in the pulse interval. AFib can cause blood to stagnate in the heart, which can easily create clots of blood, a cause of stroke and heart attack. 11. Pressure Bar Indicator The indicator monitors the progress of pressure during measurement. Pressurizing Releasing air Measurement in progress Inflation complete Inflation in progress 12.About Blood Pressure What is Blood Pressure? Blood pressure is the force exerted by blood against the walls of the arteries. Systolic pressure occurs when the heart contracts. Diastolic pressure occurs when the heart expands. Blood pressure is measured in millimeters of mercury (mmHg). 13. WHO Classification Indicator Each segment of the bar indicator corresponds to the WHO blood pressure classification. WHO Classification Indicator : The indicator displays a segment, based on the current data, corresponding to the WHO classification. Severe hypertension Moderate hypertension Mild hypertension High normal Normal Optimal 14. Troubleshooting Problem Possible Reason Recommended Action Nothing Batteries are appears on drained. the display, even when the power is turned on. Battery terminals are not in the correct position. Replace all batteries with new ones. Reinstall the batteries with negative and positive terminals matching those indicated on the battery compartment. The cuff does not inflate. Battery voltage is too low. blinks. If the batteries are drained completely, Replace all batteries with new ones. the mark does not appear. The cuff is not applied properly. Apply the cuff correctly. The device does not measure. Readings are too high or too low. You moved your arm or body during measurement. The cuff position is not correct. Make sure you remain still and quiet during measurement. Sit comfortably and still. Place your arm on a table with your palm facing upward and the cuff at the same level as your heart. If you have a very weak or irregular heartbeat, the device may have difficulty in determining your blood pressure. Other At a clinic or doctor's office, an The value is different from that measured at a clinic or doctor's office. apprehension may cause an elevated reading. Home measurement reduces the effects of outside influences on blood pressure readings, supplements the doctor's readings. Remove the batteries. Place them back properly and take another measurement. Note: If the actions described above do not solve the problem, contact the dealer. Do not attempt to open or repair this product, as any attempt to do so will make your warranty invalid. 15. Maintenance Do not open the device. It uses delicate electrical components and an intricate air unit that could be damaged. If you cannot fix the problem using the troubleshooting instructions, contact the authorized dealer in your area or our customer service department. The A&D customer service will provide technical information, spare parts and units to authorized dealers. The device was designed and manufactured for a long service life. However it is generally recommended to have the device inspected every 2 years, to ensure proper functioning and accuracy. Please contact the authorized dealer in your area or A&D for maintenance. 16. Technical Data Type UA-654MR Measurement method Oscillometric measurement Measurement range Pressure: 0 - 299 mmHg Systolic pressure: 60 - 279 mmHg Diastolic pressure: 40 - 200 mmHg Pulse: 40 - 180 beats / minute Measurement accuracy Pressure: �3 mmHg Pulse: �5 % Power supply 4 x 1.5V batteries (R6P, LR6 or AA) or AC adapter (TB-233C) (Not included) Number of measurements Approx. 700 times LR6 (alkaline batteries) Approx. 200 times R6P (manganese batteries) With pressure value 180 mmHg, room temperature 23 �C. Classification Internally powered ME equipment (Supplied by batteries) / Class II (Supplied by adapter) Continuous operation mode Clinical test According to ISO81060-22013 EMC IEC 60601-1-2: 2014 Memory Last 60 measurements Operating conditions +10 to +40 �C / 15 to 85 %RH / 800 to 1060 hPa Transport / Storage conditions -20 to +60 �C / 10 to 95 %RH / 700 to 1060 hPa Dimensions Approx. 106 [W] x 67 [H] x 143 [D] mm excluding the cuff holder Weight Approx. 240 g, excluding the batteries and cuff holder Ingress protection Device: IP20 Applied part Cuff Type BF Useful life Device: 5 years (when used six times a day) Cuff: 2 years (when used six times a day) AC adapter: 5 years (when used six times a day) Accessory AC adapter The adapter is to connect the device to a power source at home. Please contact your local A&D dealer for purchasing. The AC adapter is required to be inspected or replaced periodically. TB-233C Please contact your local A&D dealer for purchasing. The AC adapter is required to be inspected or replaced periodically. Symbols that are printed on the AC adapter. Symbols Function / Meaning For indoor use only Class II device Thermal fuse Fuse EC directive device label EAC certification device label Polarity of AC adapter plug Accessories sold separately Cuff Catalog Number Cuff Size Arm Size CUF-F-LA Large adult cuff 31 cm to 45 cm CUF-F-A Adult cuff 22 cm to 32 cm Arm size: The circumference at the biceps. AC adapter Catalog Number Plug (Outlet type) TB-233C Type C Note: Specifications are subject to change without prior notice. IP classification is the degrees of protection provided by enclosures in accordance with IEC 60529. This device is protected against solid foreign objects of 12 mm diameter and greater such as a finger. This device is not protected against water. A&D Company, Limited 1-243 Asahi, Kitamoto-shi, Saitama 364-8585 JAPAN Telephone: [81] (48) 593-1111 Fax: [81] (48) 593-1119 Emergo Europe Prinsessegracht 20, 2514 AP The Hague, The Netherlands Tel: [31] (70) 345-8570 Fax: [31] (70) 346-7299 A&D INSTRUMENTS LTD. Unit 24/26 Blacklands Way, Abingdon Business Park, Abingdon, Oxfordshire OX14 1DY United Kingdom Telephone: [44] (1235) 550420 Fax: [44] (1235) 550485 A&D ENGINEERING, INC. 1756 Automation Parkway, San Jose, California 95131 U.S.A. Telephone: [1] (408) 263-5333 Fax: [1] (408)263-0119 A&D Australasia Pty Ltd. 32 Dew Street, Thebarton, South Australia 5031 AUSTRALIA Telephone: [61] (8) 8301-8100 Fax: [61] (8) 8352-7409 OOO A&D RUS OOO " " 121357, , ., . , 17 ( Business-Center "Vereyskaya Plaza-2" 121357, Russian Federation, Moscow, Vereyskaya Street 17 ) .: [7] (495) 937-33-44 : [7] (495) 937-55-66 13821A 200120 : [86] (21) 3393-2340 : [86] (21) 3393-2347 : 91-124-4715555 : 91-124-4715599