UA-651SL Instruction Manual

Symbols

Digital Blood Pressure Monitor Model UA-651SL Instruction Manual Original

Function / Meaning

Device internal error

Symbols printed on the device case. Symbols

1WMPD4002763D

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.

SYS DIA PUL

2. Preliminary Remarks 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.

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 30 cm 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

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 Manufacturer Date of manufacture WEEE label Serial number Refer to instruction manual/booklet Polarity of DC jack International protection symbol Keep dry

SN

IP

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 (+) and (-) Step 2 are correct. 4. Replace the battery cover. Use only R6P, LR6 or AA batteries.

Step 1 Step 4

6.2. Connecting The Air Hose Air Hose Air Connector Plug

6.3. Connecting The AC Adapter

Air Socket

Insert the AC adapter plug into the AC adapter Plug DC jack. Then, insert the AC DC Jack adapter into an electrical outlet. The AC adapter, the model TB-233, 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.

6.4. 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 "6.5 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.

Arm Size 31 cm to 45 cm 23 cm to 37 cm

Catalog Number CUF-F-LA CUF-F-SL

Recommended Cuff Size Large adult cuff Semi large adult cuff

The circumference at the biceps. Model UA-651SL is not designed for using a small cuff.

Symbols printed on the cuff. DC jack

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

Symbols Function / Meaning

AC adapter Plug

Air Socket

Arm Cuff

Air Connector Plug Battery Compartment Battery Cover

REF

Index 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.

Systolic Pressure Diastolic Pressure

Use the large adult cuff instead of the semi large adult cuff.

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

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

Semi large adult cuff

Pressure Bar Indicator and WHO Classification Indicator

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).

5. Symbols

Symbols that appear on the display Symbols

Function / Meaning Appears while measurement is in progress. It blinks when the pulse is detected. 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. LOW BATTERY The battery power is low when it blinks.

Recommended Action Measurement is in progress. Remain as still as possible.

12. WHO Classification Indicator

Each segment of the bar indicator corresponds to the WHO blood pressure classification. WHO Classification Indicator

13. Troubleshooting Nothing appears on the display, even when the power is turned on.

Pressurizing

Measurement in progress Systolic pressure

WHO classification Pulse rate Exhausts remaining air automatically

5. Press the START button again to turn off the power. Note: Model UA-651SL 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

Press the START button

2. Press the START button.

Proper fit range

6.5. Applying The Arm Cuff

Do not roll up shirtsleeve tightly Cuff

Other

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"

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 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 Press and hold the 8.1. Recalling Data START button 1. When nothing is displayed, press

2. Release the button when displaying the average data.

Release the button mark Average data 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.

Turns off automatically

Press and hold the START button Release the button Select "

4. The device turns off automatically.

" to clear data.

5 seconds

The mark blinks. Data is cleared. Turns off automatically

9. What is an Irregular Heartbeat The UA-651SL 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.

10. Pressure Bar Indicator

1 to 2 cm

The indicator monitors the progress of pressure during measurement. Pressurizing

Replace all batteries with new ones.

Apply the cuff correctly. Make sure you remain still and quiet during 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.

7.3. Notes for Accurate Measurement

and hold the START button to recall the stored data.

Recommended Action Replace all batteries with new ones. Reinstall the batteries with negative and positive terminals matching those indicated on the battery compartment.

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. At a clinic or doctor's office, an apprehension may cause an The value is elevated reading. Home different from that measurement reduces the effects measured at a clinic of outside influences on blood or doctor’s office. pressure readings, supplements the doctor's readings. Remove the batteries. Place them back properly and take another measurement.

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

Press and hold the START button

Battery terminals are not in the correct position.

The device does not measure. The cuff position is Readings are too high not correct. or too low.

At heart level

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.

Possible Reason Batteries are drained.

Battery voltage is too low. blinks. If the batteries are drained completely, the mark does not appear. The cuff is not applied properly. You moved your arm or body during measurement.

The cuff does not inflate.

Diastolic pressure

If re-inflation occurs repeatedly, use the following methods. If your systolic pressure is expected to exceed 230 mmHg, use this procedure.

Severe hypertension Moderate hypertension Mild hypertension High normal Normal Optimal

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

Problem

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.

3. Data is cleared when the mark blinks.

14. 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.

15. Technical Data Type Measurement method Measurement range

UA-651SL 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) 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 ISO81060-2：2013 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. 240 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 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-SL Semi large adult cuff 23 cm to 37 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 B.V.

Prinsessegracht 20, 2514 AP The Hague, The Netherlands Telephone: [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

Releasing air

A&D Australasia Pty Ltd.

Replace all batteries with new ones when the mark blinks. Take another Unstable blood pressure due to measurement. Remain still movement during measurement. 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 take another measurement. The cuff is not applied correctly. PUL DISPLAY ERROR The pulse is not detected correctly.

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).

Press the START button 2. Press the START button. All of the display segments are All of the display segments displayed. Zero is displayed blinking briefly. Then the display changes, as indicated in the figure at the right, as the measurement begins. The cuff starts to inflate. It Zero display is normal for the cuff to feel very tight. A pressure bar indicator is displayed, as in the figure at the right, during inflation. Starts inflation Note: If you wish to stop inflation at any time, press the START button again.

3. The data number and stored data are automatically displayed in order from the last measurement.

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.

MEMORY

What is Blood Pressure?

At heart level

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

To next data

Display START Button

7.1. Normal Measurement

Turn off with the START button

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.

Artery Position Mark

Display

Step 3

CAUTION

Insert the air connector plug into the air socket firmly.

11.About Blood Pressure

7. Measurements

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.

6. Using the Monitor

Arm size: Note:

Proper fit range Index Artery position mark Air Hose

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

Artery position mark Secure the fabric fastener

Measurement in progress Inflation complete Inflation in progress

32 Dew Street, Thebarton, South Australia 5031 AUSTRALIA Telephone: [61] (8) 8301-8100 Fax: [61] (8) 8352-7409 OOO A&D RUS OOO "ЭЙ энд ДИ РУС" 121357, Российская Федерация, г.Москва, ул. Верейская, дом 17 ( Business-Center "Vereyskaya Plaza-2" 121357, Russian Federation, Moscow, Vereyskaya Street 17 ) тел.: [7] (495) 937-33-44 факс: [7] (495) 937-55-66

爱安德技研贸易（上海）有限公司 Air hose

中国 上海市浦东新区浦东大道138号永华大厦21楼A室 邮编200120 电话: [86] (21) 3393-2340 传真: [86] (21) 3393-2347 : 91-124-4715555

Index

and Proper fit range

: 91-124-4715599