UA-704 Instruction Manual

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Contents Dear Customer ...2 Preliminary Remarks ...2 Precautions...2 Parts Identification...3 Symbols...4 Using The Monitor ...5 Installing / Changing The Battery...5 Attaching The Arm Cuff ...6 How To Take Proper Measurements...6 Measurement ...6 After Measurement ...6 Measurement...7 Notes For Proper Measurement ...8 What Is An Irregular Heartbeat?...9 About Blood Pressure...9 What Is Blood Pressure?...9 What Is Hypertension And How Is It Controlled? ...9 Why Measure Blood Pressure At Home? ...10 WHO Blood Pressure Classification ...10 Blood Pressure Variations...10 Troubleshooting ...11 Maintenance ...12 Technical Data ...12

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Dear Customer 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 monitor 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 CE mark of conformity accompanied by the reference number of the designated authority. The device is designed for use on adults only, not newborns or infants. Environment for use. The device is for use indoors.

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 with a soft, dry cloth. Never use thinner, alcohol, benzene, or a wet cloth. 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 a television, microwave oven, cellular telephone, X-ray or other devices with strong electrical fields. Used equipment, parts and battery should not be treated as ordinary household waste, and must be disposed of according to the applicable local regulations.

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Parts Identification Air hose

Cuff

Proper fit range Battery R6P, LR6 or AA

Index mark Start button

Battery cover

Battery compartment Exhaust valve Display Rubber bulb

Display Parts I.H.B. indicator (Irregular heartbeat indicator) Diastolic pressure Systolic pressure Pulse rate Exhaust mark. Exhaust air from the cuff Battery indicator Pressure mark. Pump air into the cuff.

Heart mark. Measurement in progress.

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Symbols Symbols

SN

Function / Meaning

Recommended Action

Turns the device on and off. Guide to install battery Serial number Date of manufacture

Type BF: Device, cuff and tubing are designed to provide special protection against electrical shocks. Displays when measurement is in progress and flashes when the pulse is detected. Irregular Heartbeat indicator. (I.H.B.) The indicator that detects irregular heartbeats or any excessive body movement during the measurement. Flashes when there is air remaining in the cuff at power up. Flashes at the completion of the measurement until exhaust is complete. Flashes when the pressure is not enough for the measurement. The battery power indicator during Full Battery measurement.

Measurement is in progress -- remain still.

Press the exhaust valve button to exhaust air from the cuff. Pump air into the cuff with the rubber bulb.

Replace the battery with a new one, when the indicator low Battery The battery is low when it blinks. blinks. Try measuring again. Unstable blood pressure due to Remain very still during the movement during the measurement. measurement. The systolic and diastolic values are within 10 mmHg of each other. The pressure value did not increase Fasten the cuff correctly, and try the measurement during inflation. again. err CUf The cuff is not fastened correctly. pUl err The pulse is not detected correctly. The EC directive medical device label

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Using The Monitor Installing / Changing The Battery 1. Remove the battery cover.

Battery cover

2. Insert a new battery into the battery compartment as shown, taking care that the polarities (+) and (-) are correct.

Battery

Use only R6P, LR6, AA or equivalent battery. 3. Close the battery cover. CAUTION Insert the battery as shown in the battery compartment. If not, the device will not work. When (LOW BATTERY mark) blinks in the display, replace with a new battery. (LOW BATTERY mark) does not display when the battery is drained. Battery life varies with the ambient temperature and may be shorter at low temperatures. Remove the battery if the device is not to be used for a long time. The battery may leak and cause a malfunction. Use the specified battery only. The battery provided with the device is for testing monitor performance and may have a limited life.

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 index and proper fit range, on the cuff, tell you if you are attaching the correct cuff. (Refer to "Attaching The Arm Cuff" on next page) If the index points outside of the range, contact your local dealer for replacement.

Arm Size Recommended Cuff Size Order No. 32 cm to 42 cm Large cuff UA-CUFBLALB 22 cm to 32 cm Medium cuff UA-CUFCAULB, UA-CUFDAULB Small cuff Arm size: The circumference of upper arm at the midpoint between the shoulder and elbow. Note: This UA-704 monitor is NOT designed for using a small cuff. ENGLISH 5

Using The Monitor Attaching The Arm Cuff

Rolled up shirtsleeve

1. Wrap the cuff around the upper arm, about 2 - 3 cm above 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 the proper fit range.

Cuff Air Hose

2 -3 cm

Constriction of the Upper Arm

points within

How To Take Proper Measurements For the most accurate blood pressure measurement: Sit comfortably at a table. Index and Proper fit range Rest your arm on the table. Relax for about five to ten minutes before measurement. Place the center of the cuff at the same height as your heart. Remain still and keep quiet during measurement. Do not measure right 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. Measure your blood pressure according to the section "Measurements".

After Measurement Press the exhaust valve to exhaust air from the cuff. Press the START button to turn off the power after the measurement. Remove the cuff and record your data. Note: The device has an automatic power shut-off function, which turns off the power automatically one minute after measurement. Allow at least three minutes between measurements on the same person.

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Measurement 1. Place the cuff on the arm (preferably the left arm). 2. Press the START button. When the START button is pressed, all of the display symbols will display for about one second. When the " 0 " is flashing, the device is ready for measurement. If the mark is displayed, the cuff has some air trapped in it. Press the exhaust valve button until the mark is displayed.

START button

3. Pressurize the cuff by squeezing the rubber bulb. The figure on the left of the display shows the current Stop squeezing the bulb pressure as you inflate the cuff. when the mark Stop squeezing the rubber bulb disappears. when the mark disappears.

4. When pressurization is completed, the automatic exhaust mechanism will gradually reduce the pressure in the cuff and the mark will display along with the current pressure reading on the left. Remain still during the measurement. When a pulse is detected, the mark will flash in unison with the pulse of the person being monitored.

Squeeze bulb Bulb

Detecting the pluse, the mark is flashed.

Current pressure. Automatic air release. Gradually being reduced. Measurement in progress.

Flashing 5. When the measurement is complete, the mark is displayed. The systolic pressure is displayed on the left. The diastolic is displayed on the right. The pulse rate alternates with the systolic and diastolic displays.

Systolic pressure Diastolic pressure Alternating display Pulse rate

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Measurement From previous page 6. Press the exhaust valve button to completely release air from the cuff. When a measurement is made with insufficient pressure, the mark will be displayed. Repressurize the cuff to a pressure. Stop squeezing the rubber bulb when the mark disappears. When a measurement is made with an erratic pulse or in a very noisy environment, will display.

7. Turning the power off Press the START button to turn the power off. The device will be in standby mode.

Press exhaust valve

Bulb Releasing air from the cuff

START button

8. Subsequent measurements If a subsequent measurement is required, turn off the power and turn it on again. When "0 " is displayed, the device is ready for another measurement. Note: Allow at least three minutes between measurements on the same person. 9. Automatic power-off function If the device is left on after a measurement, it will turn off automatically after about one minute. It may be turned off at any time by pressing the START button.

Notes For Proper Measurement Sit down in a comfortable position. Place the arm to be used for the measurement on a table or other support so that the center of the cuff will be at the same height as your heart. Relax for about five or 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. Your 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.

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Measurement 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 4 for the descriptions of symbols. This blood pressure device 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.

What Is An Irregular Heartbeat? Model UA-704 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 be relaxed, remain still and do not talk during measurements. Note: We recommend contacting your physician if you see this indicator frequently.

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 one's lifestyle, avoiding stress, and with medication under a doctor’s supervision. To prevent hypertension or to keep it under control: Do not smoke Exercise regularly Reduce salt and fat intake Have regular physical checkups Maintain proper weight ENGLISH 9

About Blood Pressure 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 Diastolic blood pressure

Standards to assess high Reference Material: Journal of Hypertension 1999, Vol 17 No.2 blood pressure, without regard Grade 3 hypertension (severe) to age, have been established Grade 2 hypertension (moderate) by the World Health Organization (WHO), as Grade 1 hypertension (mild) shown in the chart at the right. High-normal Normal Optimal Systolic blood pressure

Blood Pressure Variations

Blood Pressure

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 individual 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 Typical fluctuation within a day by the results of one measurement. (Measured every five minutes) Systolic Take measurements at the same time mmHg every day using the procedure 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 date and time when recording your Diastolic Sleep blood pressure. Consult your doctor to interpret your blood pressure data. PM AM Time

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Troubleshooting Problem Possible Reason Battery is drained. Nothing appears in the display, even Battery polarities are not when the power in the correct position. is turned on. The cuff is not fastened properly. You moved your arm or body during the The unit does measurement. not measure. Readings are The cuff position is not too high or too correct. low.

Other

Recommended Action Replace with a new battery. Reinstall the battery with their negative and positive end matching those indicated in the battery compartment. Fasten the cuff correctly. Make sure you remain very still and quiet during the measurement. Sit comfortably and still. Raise your hand so that the cuff is at the same level as your heart. If you have a very weak or irregular heart beat, the device may have difficulty in determining your blood pressure.

The value is different from See “Why measure blood that measured at a clinic pressure at home?”. or doctor’s office. Remove the battery. Place them back properly and try the measurement again.

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.

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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, request service from your dealer or from the A&D service group. The A&D service group 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 monitor inspected every 2 years, to ensure proper functioning and accuracy. Please contact either your authorized dealer or A&D for maintenance.

Technical Data Type Measurement method Measurement range Measurement accuracy Power supply Arm circumference Classification Clinical test EMC Operating condition Storage condition Dimensions Weight

UA-704 Oscillometric measurement Pressure: 20 - 280 mmHg Pulse: 40 - 200 beats / minute Pressure: ±3 mmHg or 2%, whichever is greater Pulse : ±5% 1 x 1.5V battery (R6P, LR6, or AA) 22 - 32 cm using the medium cuff Type BF According to ANSI / AAMI SP-10 1987 IEC 60601-1-2: 2001 +10 °C to +40 °C / 30%RH to 85 %RH −10 °C to +60 °C / 30%RH to 85 %RH Approx. 100 [W] x 31 [H] x 51 [D] mm Approx. 73 g, excluding battery

Note: Specifications are subject to change without prior notice.

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