UA-1020 Instruction Manual

Contents Dear Customers... 2 Preliminary Remarks ... 2 Precautions... 2 Parts Identification... 4 Symbols... 5 Operation Mode... 7 Using the Monitor ... 8 Installing / Changing the Batteries ... 8 Connecting the Air Hose ... 8 Connecting the AC Adapter... 8 Adjusting the Built-in Clock ... 9 Selecting the Correct Cuff Size ... 9 Applying the Arm Cuff ... 10 How to Take Accurate Measurements... 10 Measurement ... 10 After Measurement ... 10 Measurements ... 11 Normal Measurement... 11 Measurement with the SET Pressure ... 12 Measurement with the Desired Systolic Pressure ... 12 Notes for Accurate Measurement ... 13 TriCheckTM Measurement ... 12 Recalling the Memory Data ... 15 What is an Irregular Heartbeat... 16 Pressure Bar Indicator ... 16 WHO Classification Indicator ... 16 About Blood Pressure... 17 What is Blood Pressure? ... 17 What is Hypertension and How is it Controlled?... 17 Why Measure Blood Pressure at Home?... 17 WHO Blood Pressure Classification ... 17 Blood Pressure Variations... 17 Troubleshooting ... 18 Maintenance ... 19 Technical Data ... 19

English 1

Dear Customers Congratulations on purchasing a state-of-the-art A&D blood pressure monitor, one of the most advanced monitors available today. 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.

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 only, not newborns or infants. Environment for use: The device is for use in the home healthcare environment. This device is designed to measure blood pressure and pulse rate of people for diagnosis.

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. 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. When reusing the device, confirm that the device is clean. 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. English 2

Contraindications The following are precautions for proper use of the device. Do not apply the cuff to 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.

English 3

Parts Identification Display

DC Jack Button Button

Air Connector Plug Arm Cuff

SET Button

START Button Air Hose

Air Socket

Battery Compartment

Battery Cover

Display MEMORY

Average

1.5V Batteries (R6P, LR6 or AA)

Pressure Settings

I.H.B. Symbol (Irregular heartbeat symbol) Cuff Fit Error Symbol

Systolic Pressure

Movement Error Symbol TriCheckTM Symbol

Diastolic Pressure

Heart Mark WHO Classification Indicator and Pressure Bar Indicator Battery Indicator

Pulse Rate

AM / PM Mark English 4

Clock Display

Symbols Symbols that are printed on the device case and the AC adapter Symbols

Function / Meaning

Recommended Action

Standby and Turn the device on. Battery installation guide Direct current SN

Serial number

2010

Date of manufacture Type BF: Device, cuff and tubing are designed to provide special protection against electrical shocks. EC directive medical device label WEEE label Manufacturer EU-representative Refer to instruction manual/booklet Class II device Polarity of DC jack

Symbols that appear on the display Symbols

Function / Meaning Recommended Action Appears while measurement is in progress. Measurement is in progress. It blinks when the pulse is detected. Remain as still as possible. Irregular Heartbeat symbol (I.H.B.) Appears when an irregular heartbeat is detected. It may light when a very slight vibration like shivering or shaking is detected. TriCheck mode Takes three consecutive measurements automatically and displays the average values of the three measurements. The reading may yield an incorrect value. Take Appears when a body or arm another measurement. movement is detected. Remain still during measurement. English 5

Symbols

Function / Meaning

Recommended Action

Appears during measurement when the cuff is applied loosely.

The reading may yield an incorrect value. Apply the cuff correctly, and take another measurement.

Previous measurements stored in memory. Average data Full Battery

The battery power indicator during measurement.

Low Battery

The battery power is low when it blinks.

Replace all batteries with new ones when the mark 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. The cuff is not applied correctly. PUL. DISPLAY ERROR

The pulse is not detected correctly.

Blood pressure monitor internal error

SYS.

Systolic blood pressure in mmHg

DIA.

Diastolic blood pressure in mmHg

PUL./min.

Apply the cuff correctly, and take another measurement.

Pulse per minute

AM

Data taken between 4:00 and 9:59

PM

Data taken between 18:00 and 1:59 Pressure settings Indicates the pressure value previously set by the user. English 6

Remove the batteries and press the START button, and then install the batteries again. If the error still appears, contact the dealer.

Operation Mode 1. Normal Measurement Press the START button. Blood pressure is measured and the data is stored in memory. This device can store the last 90 measurements in memory.

2. Recalling the Data Press the or button to recall the data in memory. The average of all measurements is displayed, as indicated in the figure at the right. button is pressed, the Then, each time the memory data is displayed as follows. Average of all AM (morning) measurements taken between 4:00 and 9:59. Average of all PM (evening) measurements taken between 18:00 and 1:59. Most recent data (No.n, in the example, No.35) Last data (No.1) For details on recalling the data, refer to “Recalling the Memory Data”.

3. Deleting all Data Stored in Memory Press both the and buttons. The mark and the battery indicator appear. Press and hold both the and buttons until the illuminated mark starts blinking to delete all data stored in memory.

4. Measurement with the Desired Systolic Pressure Refer to page 12 for measurement with the desired systolic pressure. English 7

Using the Monitor Installing / Changing the Batteries 1. Remove the battery cover. 2. Remove the used batteries and insert new batteries into the battery compartment as shown, taking care that the polarities (+ and -) are correct. Use only R6P, LR6 or AA batteries. 3. Attach the battery cover.

Step 1 Step 3

Step 1 Step 2

CAUTION Insert the batteries as shown in the battery compartment. If installed incorrectly, the device will not work. When (LOW BATTERY mark) blinks on the display, 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. If (LOW BATTERY mark) appears even after the batteries are replaced, make a blood pressure measurement. The device may then recognize the new batteries. (LOW BATTERY mark) does not appear when the batteries are drained. The battery life varies with the ambient temperature and may be shorter at low temperatures. Use the specified batteries only. Remove the batteries if the device is not to be used for a long time. The batteries may leak and cause a malfunction. Air socket

Connecting the Air Hose Insert the air connector plug into the air socket firmly.

Air connector plug

Connecting the AC Adapter Insert the AC adapter plug into the DC jack. Next, connect the AC adapter to an electrical outlet. Use the specified AC adapter. (Refer to page 20.)

English 8

AC adapter plug

DC jack

Using the Monitor Adjusting the Built-in Clock

Press

Adjust the clock prior to use. 1. Press the SET button until the year starts blinking. or button. 2. Select the year using the Press the SET button to set the current year and move to month/day selection. The date can be set anywhere between the years 2010 and 2059. or button. 3. Select the month using the Press the SET button to set the current month and move to day selection. or button. 4. Select the day using the Press the SET button to set the current day and move to hour/minute selection. or button. 5. Select the hour using the Press the SET button to set the current hour and move to minute selection. or button. 6. Select the minute using the (Press the SET button to go to the pressure setting mode. For details, refer to page 12.) Press the START button to turn the device off.

Year

or Month

Day

or

or Hour

Minute

Note: After three minutes of non-operation, the device will turn off automatically. When the clock has not been Turn off set, the clock display indicates dashes as shown to the right. Pressing the START button will turn the Holding down the or button device off anytime. will change the value continuously.

Selecting the Correct Cuff Size

or

or

Pressure setting mode

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 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 17 cm to 32 cm Adult cuff CUF-G-A Arm size: The circumference of the biceps. English 9

Using the Monitor Do not roll up shirtsleeve tightly.

Applying the Arm Cuff

1. Wrap the cuff around the upper arm, about 1-2 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 tightly rolling up a shirtsleeve, may prevent accurate readings.

Cuff

1-2 cm

Air Hose

Artery position mark Secure the fabric fastener firmly.

Symbols that are printed on the cuff Symbols Function/Meaning Recommended Action mark on the artery of the upper arm or Set the Artery Position Mark in line with the ring finger on the inside of the arm. REF

Catalog Number Lot Number

How to Take Accurate Measurements For the most accurate blood pressure 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. Relax for about five to ten minutes before measurement. Place the center of the cuff at the same level as your heart. 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. Try to measure your blood pressure at the same time every day.

Measurement

During measurement, it is normal for the cuff to feel very tight. (Do not be alarmed).

After Measurement

After measurement, press the START button to turn the device off. After one minute of non-operation, the device will turn off automatically. Remove the cuff and record your data.

Note: Allow at least three minutes between measurements on the same person. English 10

Measurements Before measurement, read “Notes for Accurate Measurement” on page 13.

Normal Measurement 1.

Place the cuff on the arm (preferably the left arm). Sit quietly during measurement.

2.

Press the START button. Press All of the display segments are displayed. Zero (0) is displayed blinking briefly. The display changes, as indicated in the All of the display figure at the right, as the measurement segments displayed begins. The cuff starts to inflate. It is normal for the cuff to feel very tight. A pressure bar indicator is displayed, on the left edge of the display, during the inflation. Zero display 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 (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. To avoid re-inflation, see “Measurement with the SET Pressure” on the next page.

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.

5.

Press the START button to turn the device off. After one minute of non-operation, the device will turn off automatically.

Note: Allow at least three minutes between measurements on the same person.

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At heart level START

Pressurizing

Measurement in progress Systolic pressure Diastolic pressure WHO classification Pulse rate Exhausts remaining air automatically

Measurements Model UA-1020 is designed to detect the pulse and to inflate the cuff to a systolic pressure level automatically. If re-inflation occurs repeatedly, use the following methods.

Measurement with the SET Pressure During the blood pressure measurement, re-inflation may occur. A fixed pressure value can be set to avoid re-inflation. 1.

2.

At step 6 of the clock adjustment procedure (see page 9), press the SET button to go to the pressure setting mode. The current setting blinks.

or

Press the or button to select a pressure value about 30 mmHg or more above your expected systolic pressure from the following. AUTO : Automatic pressurization (default value) 180 : Pressure value of 180 mmHg (fixed) 210 : Pressure value of 210 mmHg (fixed) Turn off 240 : Pressure value of 240 mmHg (fixed)

3.

TriCheck setting mode

Press the SET button to go to the TriCheck setting mode. Press the START button to turn the device off. After three minutes of non-operation, the device will turn off automatically. The next measurement will be performed with the new pressure value.

Measurement with the Desired Systolic Pressure Use this method when re-inflation occurs repeatedly even if the pressure value is set to 240 in the procedure above or when the results are not displayed even if the pressure decreases to 20 mmHg or less. 1.

Place the cuff on the arm (preferably the left arm). At heart level

2.

Press and hold the START button until a number about 30 to 40 mmHg higher than your expected systolic pressure appears.

3.

When the desired number is reached, release the START button to start measurement. Continue to measure your blood pressure as described on the previous page. English 12

Press and hold the button

START

Release the button at the desired systolic pressure Refer to the previous page for measurement

Notes for Accurate Measurement 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. Relax for about five to ten minutes before taking a 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. 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 page 6 for the description of symbols. This blood pressure monitor is intended for use by adults only. Consult with your physician before using this device on a child. A child should not use this device unattended.

TriCheck Measurement The TriCheck mode takes three consecutive measurements automatically and displays the average values of the three measurements.

Selecting the TriCheck Mode

In the pressure setting mode,

1.

In the pressure setting mode, press the SET button to enter the TriCheck setting mode. The current setting blinks.

2.

Press the or button to turn the TriCheck mode ON or OFF. The current setting blinks ON: TriCheck mode OFF: Normal measurement mode (default value) or

3.

Press the START or SET button to turn the device off. After three minutes of non-operation, the device will turn off automatically. English 13

press

Change the setting or START

Measurement Using the TriCheck Mode 1.

2.

Press the START button. All of the display segments are displayed. Zero (0) is displayed blinking briefly and the first measurement starts. When the measurement is complete, the systolic and diastolic pressure readings and pulse rate are displayed, then a one-minute countdown starts for the second measurement.

3.

After one minute, the second measurement starts.

4.

When the measurement is complete, the average readings of the first and second measurements are displayed, then a one-minute countdown starts for the third measurement.

5. 6.

At heart level START

Press All of the display segments displayed First measurement

One minute after

After one minute, the third measurement starts.

Results of the first measurement

Second measurement

When the measurement is complete, the average readings of the three measurements are displayed and stored in memory.

Notes: During the measurement, the TriCheck symbol is displayed. To cancel the measurement, press the START button. In this case, no data is stored in memory. When the cuff fit error symbol appears during the first measurement, cancel the measurement, reapply the cuff correctly and start a new measurement. After measurement, the average data of the three measurements is stored in memory. No data will be stored, when canceling the measurements, before completion of the third measurement. English 14

One minute after

Average of the first and second measurements

Third measurement

Average of the three measurements

Recalling the Memory Data Note: This device stores the last 90 measurements in memory. or button. 1. Press the The average of all measurements and the number of data are displayed. (If no data, “0” is displayed. Press the , or START button to turn the device off.)

Press

2. Each time the button (or the button to display the data in the reverse order) is pressed, the memory data is displayed as follows. Average of all AM (morning) measurements taken between 4:00 and 9:59. (In the example, 10 measurements. If no data, “--” is displayed.)

or Average systolic Average diastolic Average pulse

Average of all the data

Average of AM data

Average of all PM (evening) measurements taken between 18:00 and 1:59. (In the example, 9 measurements. If no data, “--” is displayed.) Most recent data (No.n, in the example, No.35) Three seconds after the data number display, the measurement data is displayed.

Last data (No.1) Three seconds after the data number display, the measurement data is displayed.

Average systolic Average diastolic Average pulse

Average systolic Average diastolic Average pulse Average of PM data Systolic Diastolic Pulse Most recent data

3. After the last data is displayed, press the button to return the average display of all measurements. 4. Press the START button to turn the device off. After one minute of non-operation, the device will turn off automatically. English 15

Systolic Diastolic Pulse Last data (Oldest)

What is an Irregular Heartbeat The UA-1020 blood pressure monitor provides a blood pressure and pulse rate measurement even when an irregular heartbeat occurs. An irregular heartbeat is defined as a heartbeat that varies by 25% from the average of all heartbeats during the blood pressure measurement. It is important that you are relaxed, remain still and do not talk during measurements. Note: We recommend contacting your physician if you see this symbol frequently.

Pressure Bar Indicator The indicator monitors the progress of pressure during measurement. Pressurizing

Releasing air

Inflation in progress

Measurement in progress Inflation complete

WHO Classification Indicator Each segment of the bar indicator corresponds to the WHO blood pressure classification described on the next page. WHO Classification Indicator Severe hypertension Moderate hypertension Mild hypertension High normal Normal Optimal

Example:

Moderate hypertension

Mild hypertension

: The indicator displays a segment, based on the current data, corresponding to the WHO classification. High normal English 16

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). One's natural blood pressure is represented by the fundamental pressure, which is measured first thing in the morning while one is still at rest and before eating.

What is Hypertension and How is it Controlled? Hypertension, an abnormally high arterial blood pressure, if left unattended, can cause many health problems including stroke and heart attack. Hypertension can be controlled by altering lifestyle, avoiding stress, and with medication under a doctor’s supervision. To prevent hypertension or keep it under control: Do not smoke Exercise regularly Reduce salt and fat intake Have regular physical checkups Maintain proper weight

Why Measure Blood Pressure at Home? Blood pressure measured at a clinic or doctor's office may cause apprehension and can produce an elevated reading, 25 to 30 mmHg higher than that measured at home. Home measurement reduces the effects of outside influences on blood pressure readings, supplements the doctor's readings and provides a more accurate, complete blood pressure history.

WHO Blood Pressure Classification Standards to assess high blood pressure, without regard to age, have been established by the World Health Organization (WHO), as shown in the chart.

Blood Pressure Variations An individual’s blood pressure varies greatly on a daily and seasonal basis. It may vary by 30 to 50 mmHg due to various conditions during the day. In hypertensive individuals, variations are even more pronounced. Normally, the blood pressure rises while at work or play and falls to its lowest levels during sleep. So, do not be overly concerned by the results of one measurement. Take measurements at the same time every day using the procedure English 17

described in this manual to get to know your normal blood pressure. Regular readings give a more comprehensive blood pressure history. Be sure to note the date and time when recording your blood pressure. Consult your doctor to interpret your blood pressure data.

Troubleshooting Problem Possible Reason Nothing Batteries are drained. appears on the display, even Battery terminals are not when the power in the correct position. is turned on. Battery voltage is too low. (LOW BATTERY mark) The cuff does blinks. If the batteries are not inflate. drained completely, the mark does not appear. The cuff is not applied properly. You moved your arm or body during The device does measurement. not measure. Readings are The cuff position is not too high or too correct. low.

Other

The value is different from that measured at a clinic or doctor’s office.

Recommended Action Replace all batteries with new ones. Reinstall the batteries with negative and positive terminals matching those indicated on the battery compartment. Replace all batteries with new ones. Apply the cuff correctly. 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 heat beat, the device may have difficulty in determining your blood pressure. Refer to “Why Measure Blood Pressure at Home?”.

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. English 18

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.

Technical Data Type

UA-1020

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-233) (Not included)

Number of measurements

Approx. 1000 measurements, when AA alkaline batteries are used, with pressure value of 180 mmHg at room temperature of 23°C

Classification

Internally powered ME equipment (Supplied by batteries) / Class II (Supplied by adapter) Continuous operation mode

Clinical test

According to ANSI / AAMI SP-10 1992

EMC

IEC 60601-1-2: 2007

Memory

Last 90 measurements

Operating condition

+10°C to +40°C / 15%RH to 85%RH 800 hPa to 1060 hPa

Transport / Storage conditions -20°C to +60°C / 10%RH to 95%RH Dimensions

Approx. 140 [W] x 60 [H] x 105 [D] mm English 19