UA-705 Instruction Manual

Contents Dear Customers ...1 Preliminary Remarks...1 Precautions...2 Parts Identification...3 Symbols...4 Using The Monitor...5 Installing / Changing The Batteries ...5 Connecting The Air Hose...5 Selecting The Correct Cuff...6 Applying The Arm Cuff...7 How To Take Proper Measurements...7 Measurement (Operation)...7 After Measurement...7 Measurements...8 Measurement With Storing Data...8 Notes For Proper Measurement...9 Operation Mode ...9 WHO Classification Indicator ... 10 Pressure Bar Indicator... 10 What Is An Irregular Heartbeat?... 10 About Blood Pressure... 10 What Is Blood Pressure?... 10 What Is Hypertension And How Is It Controlled? ... 11 Why Measure Blood Pressure At Home? ... 11 WHO Blood Pressure Classification... 11 Blood Pressure Variations... 11 Troubleshooting... 12 Maintenance... 12 Technical Data... 13

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. mark of conformity. This is made evident by the (0123: The reference number to the involved notified body) English 1

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 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.

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.

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Parts Identification Display

Air socket Air connector plug

Start button

Exhaust valve

Air hose Ruber bulb Artery position mark

Proper fit range Index mark

Arm cuff

Battery cover Battery compartment

Battery LR6P, R6 or AA

Part Of Display

Heart mark Systolic pressure

MEMORY

Diastolic pressure

Pressure Bar Indicator and WHO Classification Indicator

Pulse rate

Battery indicator

Exhaust mark. (Exhaust air from the cuff)

I.H.B. indicator (Irregular heartbeat indicator)

Pressure mark. (Pump air into the cuff)

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Symbols Symbols

Function / Meaning Recommended Action Standby and ON switch. Battery installation guide Type BF: Device, cuff and tubing are designed to provide special protection against electrical shocks. The indicator that appears while Measurement is in progress. measurement is in progress. It blinks Remain as still as possible. when the pulse is detected. Irregular Heartbeat indicator. (I.H.B.) The indicator that appears when an irregular heartbeat or any excessive body movement is detected during the measurement. Flashes when there is air remaining in Press the exhaust valve button to the cuff at power up. Flashes at the exhaust air from the cuff. completion of the measurement until exhaust is complete. Flashes when pressure is insufficient for Pump air into the cuff with the the measurement. rubber bulb. Previous measurements stored in memory. Full Battery Indicates remaining battery power. Replace battery with new one low Battery Blinks when battery is low. when the indicator blinks. Try the measurement 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. Check the air hose connecter plug The pressure value did not increase and cuff. during inflation. Fasten the cuff correctly, and try The cuff is not fastened correctly. the measurement again.

PUL. DISPLAY ERROR The pulse is not detected correctly.

EC directive medical device label EU-representative Manufacturer Date of manufacture WEEE label

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Symbols SN

Function / Meaning

Recommended Action

Refer to instruction manual/booklet Serial number

Using The Monitor Installing / Changing The Batteries 1. Remove the battery cover. 2. Insert a new battery into the battery compartment as shown, taking care that the polarities (+) and (-) are correct. 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 the battery with a new one. (LOW BATTERY mark) does not appear when the battery is drained. Battery life varies with the ambient temperature and may be shorter at low temperatures. Use the specified battery only. The battery provided with the device is for testing monitor performance and may have a limited life. Remove the battery if the device is not to be used for a long time. The battery may leak and cause a malfunction. The stored data are cleared when the batteries are removed.

Connecting The Air Hose

Insert the air connector plug into the air socket firmly.

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Using The Monitor 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 "Applying The Arm Cuff" on next page) 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 32 cm to 45 cm Large adult cuff CUF-D-LA 22 cm to 32 cm Adult cuff CUF-D-A Arm size: The circumference at the biceps. Note: Model UA-705 is not designed for using a small adult cuff.

Symbols printed on the cuff. Function / Meaning

Symbols

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.

Artery position mark

REF

Index Catalog number Proper fit range for the adult cuff. It's printed on the adult cuff. Range to use the large adult cuff. Over range printed on the adult cuff. Proper fit range for the large adult cuff. It's printed on the large adult cuff. Under range printed on the adult cuff. Range to use the adult cuff. It's printed on the large adult cuff. Lot number

Use the large adult cuff instead of the adult cuff.

Use the adult cuff instead of the large adult cuff.

Proper fit range

Large adult cuff Proper fit range

Adult cuff

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Using The Monitor Applying The Arm Cuff

Do not roll up shirtsleeve tightly

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.

Cuff

Artery position mark

2. Constriction of the upper arm, caused by rolling up a shirtsleeve, may prevent accurate readings. 3. Confirm that the index proper fit range.

1 to 2 cm

Secure the fastener firmly

points within the

fabric

Air hose Index

and Proper fit range

How To Take Proper 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 height 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 (Operation)

During measurement, it is normal for the cuff to feel very tight. Select a measurement mode (operation of the device). Normal measurement with storing data : ... Press the START button. Recalling data : ... Press and hold the START button to recall data. Clearing data : ... Remove the battery and re-install it.

After Measurement

After the measurement is completed, remove the cuff and record your data, then press the START button to turn off the power.

Note: The device is an automatic power shut-off function, which turns the power off approximately one minute after measurement. Allow at least three minutes between measurements on the same person. English 7

Measurements Measurement With Storing Data

1. Place the cuff on the arm (preferably the left arm). Sit quietly during measurement. 2. Press the START button. The buzzer sounds and the average blood pressures and the WHO classification and last data number are displayed briefly. When the " 0 " is flashing, the device is ready for mark is displayed, the cuff measurement. If the has some air trapped in it. Press the exhaust valve mark is displayed. button until the 3. Pressurize the cuff by squeezing the rubber bulb. A pressure bar indicator and the current pressure are displayed. Stop squeezing the rubber bulb when the mark disappears. Note: If you want to stop inflation at any time, stop squeezing the rubber bulb and press the exhaust valve button to expel the air from the cuff. 4. When inflation is complete, deflation starts automatically and the buzzer sounds and the (heart mark) blinks, indicating that the measurement is in progress. Once the pulse is detected, the mark flashes and the buzzer sounds with each pulse beat. 5. When the measurement is complete, mark is the buzzer sounds and the displayed. The systolic and diastolic pressure readings and pulse rate are displayed and stored. 6. Press the exhaust valve button to completely release air from the cuff. When a measurement is made with mark will be insufficient pressure, the displayed. Re-pressurize the cuff. Stop squeezing the rubber bulb when the mark disappears. When a measurement is made with an erratic pulse or in a very noisy will display. environment, 7. Turning the power off Press the START button to turn the power off. The device will be in standby mode. 8. Subsequent measurements English 8

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. 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 the 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.

Operation Mode Measurement with storing data ( Refer to page 8)

Press the START button. Blood pressure is measured and data is stored within the device. The device can store the last thirty sets of data for each button.

Recalling data

Press and hold the START button to recall the data. Stored data are automatically displayed in order from the last data.

Press and hold Data number Alternation

Clearing data

Remove battery to clear all data. Re-install it again.

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Stored Data

WHO Classification Indicator Each of the six segments 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 : The indicator displays a segment, based on the current data, corresponding to the WHO classification.

Pressure Bar Indicator The indicator monitors the Pressurizing Releasing air progress of pressure during measurement. Inflation in progress Inflation complete Measurement in progress

What Is An Irregular Heartbeat? Model UA-705 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. indicator frequently. Note: We recommend contacting your physician if you see this

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 nd before eating.

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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

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 on the right.

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 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 by the results of one measurement. Take measurements at the same time 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 blood pressure. Consult your doctor to interpret your blood pressure data.

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

Possible Reason Recommended Action Battery is drained. Replace all battery with a new one. Battery polarities are Reinstall the battery with its negative and not in the correct positive end matching those indicated in position. the battery compartment. The cuff is not fastened Fasten the cuff correctly. properly. You moved your arm Make sure you remain very still and quiet or body during the during the measurement. The unit does not measurement. measure. Sit comfortably and still. Readings are too The cuff position is not Ensure that the cuff is the same level as high or too low. correct. the 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 that measured at See “Why measure blood pressure at home?”. a clinic or doctor’s Other office. Remove the battery. Re-install it 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.

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 device inspected every 2 years, to ensure proper functioning and accuracy. Please contact either your authorized dealer or A&D for maintenance.

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Technical Data Type

UA-705

Measurement method

Oscillometric measurement

Measurement range

Pressure: Pulse:

20 - 280 mmHg 40 - 200 beats / minute

Measurement accuracy

Pressure: Pulse:

±3 mmHg ±5%

Power supply

1 x 1.5V batteries (R6P, LR6 or AA)

Number of measurements

Approximately 4000 measurements, when AA Alkaline batteries are used, with pressure value of 180 mmHg at room temperature of 23 °C.

Classification

Internally powered ME equipment Continuous operation mode

Clinical test

According to ANSI / AAMI SP-10 1987

EMC

IEC 60601-1-2: 2007

Data memory

Last 30 measurements

Operating conditions

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

Transport / Storage conditions

-10 °C to +60 °C / 15 %RH to 85 %RH

Dimensions

Approx. 81 [W] x 54 [H] x 105 [D] mm

Weight

Approx. 120 g, excluding battery

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)

Accessories sold separately Cuff Catalog Number CUF-D-LA CUF-D-A Arm size: Note:

Cuff Size Large adult cuff Adult cuff

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

The circumference at the biceps.

Specifications are subject to change for improvement without prior notice.

EMC table information is listed on our website: http://www.aandd.jp/products/manual/medical/emc_en.pdf

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Asahi 1-243, Kitamoto-shi, Saitama 364-8585, JAPAN Telephone: [81] (48) 593-1111 Fax: [81] (48) 593-1119 A&D INSTRUMENTS LIMITED 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