UA-611 and 651 Instructions Manual

Unstable blood pressure due to movement 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.

Digital Blood Pressure Monitor Model UA-611 / UA-651 Instruction Manual Original 1WMPD4002762G

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.

Device internal error

Symbols SYS DIA PUL/min.

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. 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. 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. 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 30 cm should be kept from such devices. 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. 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. 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. Clinical testing has not been conducted on newborn infants and pregnant woman. Do not use on newborn infants or pregnant woman. 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. Do not touch the batteries, the DC jack, and the patient at the same time. That may result in electrical shock. 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). 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 Model UA-651 only DC jack

1 to 2 cm

Apply the cuff correctly, and take another measurement.

10. Pressure Bar Indicator

Display START

Manufacturer Date of manufacture WEEE label Serial number Refer to instruction manual/booklet

SN

Keep dry

6. Using the Monitor

6.1. Installing / Changing The Batteries 1. Remove the battery cover. 2. Remove the used batteries from the battery compartment in case of changing them. 3. Insert new batteries into the battery compartment as shown, taking care that the polarities (+) Step 2 and (-) are correct. 4. Replace the battery cover. Use only R6P, LR6 or AA batteries.

Step 3

Step 1 Step 4

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

Secure the fabric fastener

Air hose

Recommended Cuff Size Large adult cuff Adult cuff

Catalog Number CUF-F-LA CUF-F-A

The circumference at the biceps. Models UA-611 and UA-651 are not designed for using a small cuff.

Symbols Function / Meaning

Recommended Action Set the mark on the artery of the upper arm or in line with the ring finger on the inside of the arm.

Button Artery Position Mark

Index Catalog number Proper fit range for the adult cuff. It's printed on the adult cuff. Over range printed on the adult cuff.

Use the large adult cuff instead of the adult cuff.

Under range printed on the adult cuff.

Diastolic Pressure

Use the adult cuff Under range printed on the large adult instead of the large cuff. adult cuff.

Pulse Rate

Lot number Large adult cuff

Proper fit range

Adult cuff

Pressure Bar Indicator and WHO Classification Indicator

5. Symbols

Symbols that appear on the display Function / Meaning Recommended Action Appears while measurement Measurement is in is in progress. It blinks when progress. Remain as still the pulse is detected. as possible. I.H.B. 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. Replace all batteries with LOW BATTERY The battery power is low when new ones when the mark blinks. it blinks.

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 Zero display starts to inflate. It is normal for the

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.

6.5. Applying The Arm Cuff

12. WHO Classification Indicator

Each segment of the bar indicator corresponds to the WHO blood WHO Classification Indicator pressure classification. Severe hypertension : The indicator displays a Moderate hypertension segment, based on the Mild hypertension current data, High normal corresponding to the Normal WHO classification. Optimal

13. Troubleshooting

Starts inflation

Pressurizing

Measurement in progress Systolic pressure Diastolic pressure WHO classification Pulse rate

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.

Exhausts remaining air automatically Turn off with the _START_ button

5. Press the _START_ button again to turn off the power. Note: Model UA-611 and UA-651 are 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 exceed 230 mmHg, use this procedure.

At heart level Press the _START_ button

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".

Press and hold the _START_ button Inflation in progress 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.

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).

The device automatically stores up to thirty 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. No data

8.1. Recalling Data

Press and hold the 1. When nothing is displayed, press _START_ button and hold the _START_ button to Release the button recall the stored data. mark 2. Release the button when Average data displaying the average 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.

8.2. Clearing Data

1. When turning off the device, press and hold the _START_ button until the " " is displayed. 2. Select " " to clear data. 3. Data is cleared when the mark blinks. 4. The device turns off automatically.

Turns off automatically Press and hold the _START_ button Release the button Select "

" to clear data.

5 seconds

The mark blinks. Data is cleared. Turns off automatically

Problem Possible Reason Recommended Action Batteries are Replace all batteries with new Nothing ones. appears on drained. the display, Reinstall the batteries with even when Battery terminals negative and positive terminals the power is are not in the matching those indicated on the correct position. turned on. battery compartment. Battery voltage is too low. The cuff blinks. If the Replace all batteries with new does not batteries are inflate. drained completely, ones. the mark does not appear. The cuff is not Apply the cuff correctly. applied properly. You moved your sure you remain still and arm or body during Make quiet during measurement. The device measurement. does not Sit comfortably and still. Place measure. The cuff position is your arm on a table with your Readings palm facing upward and the cuff not correct. are too high at the same level as your heart. or too low. If you have a very weak or irregular heartbeat, the device may have difficulty in determining your blood pressure. At a clinic or doctor's office, an The value is apprehension may cause an different from that elevated reading. Home measurement reduces the effects measured at a of outside influences on blood clinic or doctor’s Other pressure readings, supplements office. 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.

14. Maintenance

To next data

I.H.B. symbol (Irregular Heartbeat symbol) Heart Mark Battery Indicator

At heart level

8. Recalling the Memory Data

Proper fit range for the large adult cuff. It's printed on the large adult cuff.

Systolic Pressure

1. Place the cuff on the arm at heart level (preferably the left arm). Sit quietly during measurement.

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.

Model UA-651 only AC adapter Plug DC jack

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.

7.1. Normal Measurement

2. Press the _START_ button.

Symbols printed on the cuff.

MEMORY

What is Blood Pressure?

7. Measurements

Air Socket

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 "6.5 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.

Note: Model UA-611 doesn't have the DC jack for AC adapter. The DC jack is located on the rear of the model,UA-651 only. The AC adapter is an optional accessory.(sold separately)

11. About Blood Pressure

and Proper fit range

Air Connector Plug

6.4. Selecting The Correct Cuff

REF

Index

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

Insert the AC adapter plug into the DC jack. Then, insert the AC adapter into an electrical outlet. The AC adapter, the model TB-233C is sold separately. 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.

Arm Size 31 cm to 45 cm 22 cm to 32 cm

Measurement in progress Inflation complete Inflation in progress

Air Hose

6.3. Connecting The AC Adapter

Air Connector Plug Battery Compartment Battery Cover

Symbols

The indicator monitors the progress of pressure during measurement. Releasing air Pressurizing

Artery position mark

cuff to feel very 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, press the _START_ button again.

Polarity of DC jack International protection symbol

IP

Air Socket

Arm Cuff

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

Arm size: Note: AC adapter plug

Display

The UA-611 and UA-651 provide 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.

Cuff

Symbols printed on the device case.

This device conforms to the European Directive 93/42 EEC for mark of Medical Products. This is made evident by the 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.

Proper fit range Index Artery position mark Air Hose

9. What is an Irregular Heartbeat

Do not roll up shirtsleeve tightly

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

We recommend that you read through this manual carefully before using the device for the first time.

2. Preliminary Remarks

Take another measurement. Remain still during measurement.

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.

15. Technical Data Type Measurement method Measurement range

UA-611 , UA-651 Oscillometric measurement 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) Optional 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 Continuous operation mode Clinical test According to ISO81060-2：2013 EMC IEC 60601-1-2: 2014 Memory Last 30 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. 96 [W] x 68 [H] x 130 [D] mm Weight Approx. 230 g, excluding the batteries 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/TB233C 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. 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.