UA-767S-W 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 ... 9 Connecting the AC Adapter... 9 Selecting the Correct Cuff Size ... 10 Applying the Arm Cuff ... 10 How to Take Proper Measurements ... 12 Measurement ... 12 After Measurement ... 12 Measurements ... 13 Normal Measurement... 13 Measurement with the Desired Systolic Pressure ... 14 Notes for Proper Measurement... 14 Recalling the Memory Data ... 15 What is an Irregular Heartbeat... 16 ％IHB ... 16 Pressure Bar Indicator ... 17 WHO Classification Indicator ... 17 About Blood Pressure... 17 What is Blood Pressure? ... 17 What is Hypertension and How is it Controlled?... 18 Why Measure Blood Pressure at Home?... 18 WHO Blood Pressure Classification ... 18 Blood Pressure Variations... 18 Troubleshooting ... 19 Maintenance ... 20 Technical Data ... 20

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 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 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. 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. English 2

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. 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. There are small parts that may cause a choking hazard if swallowed by mistake by infants.

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. English 3

Parts Identification Display

Air Connector Plug

AC adapter Plug DC Jack START Button

Air Socket

Air Hose

Proper Fit Range

Artery Position Mark Index Mark Arm Cuff Battery Compartment Battery Cover

1.5V Batteries (R6P, LR6 or AA)

Display

Average MEMORY

I.H.B. Symbol (Irregular heartbeat symbol) Systolic Pressure

%IHB Cuff Fit Error Symbol

Diastolic Pressure

Movement Error Symbol Heart Mark WHO Classification Indicator and Pressure Bar Indicator

Pulse Rate

Battery Indicator English 4

Symbols Symbols that are printed on the device case Symbols SYS. DIA. PUL.

IP

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 International protection symbol Class II device WEEE label

SN

Serial number Refer to instruction manual/booklet Polarity of DC jack

Symbols that appear on the display Symbols

Function / Meaning Recommended Action Appears while measurement is in Measurement is in progress. It blinks when the pulse is progress. Remain as detected. 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. The reading may yield an incorrect value. Take Appears when a body or arm movement another measurement. is detected. Remain still during measurement. English 5

Symbols Symbols

Function / Meaning Appears during measurement when the cuff is attached loosely

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

Detected rate of IHB in memory Number of detected IHBs in memory x100 [%] %IHB = Total number Previous measurements stored in memory. Average data Full Battery Low Battery

The battery power indicator during measurement. The battery is low when it blinks. Unstable blood pressure due to movement during measurement.

Replace all batteries with new ones when the mark blinks. Take another measurement. Remain very still during measurement.

The systolic and diastolic values are within 10 mmHg of each other. The pressure value did not Apply the cuff correctly, increase during the inflation. and take another measurement. The cuff is not applied correctly. PUL. DISPLAY ERROR

The pulse is not detected correctly.

Blood pressure monitor internal error

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 60 measurements in memory.

2. Recalling the Data When nothing is displayed, press and hold the START button.

In standby, press and hold the START

button

Release the button when displaying the average data.

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

For details on recalling the data, Refer to “Recalling the Memory Data”.

3. Deleting all Data Stored in Memory When turning off the device, press and hold the START button until the " " is displayed. Select " " to clear data. mark blinks. Data is cleared when the The device turns off automatically.

START

4. Measurement with the Desired Systolic Pressure Refer to page 14 for measurement with the desired systolic pressure.

English 7

Using the Monitor Installing / Changing the Batteries 1. Remove the battery cover.

Step 1 Step 3

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.

Step 1 Step 2

3. Attach the battery cover. 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. Generally, four new LR6 batteries will last approximately for one year when used twice for measurement each day. 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.

English 8

Using the Monitor 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.

DC jack

AC adapter plug Use the specified AC adapter. (Refer to page 20.) 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.

English 9

Using the Monitor Selecting the Correct Cuff Size 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 "Symbols that are printed on the cuff" on the 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 31 cm to 45 cm Large Adult Cuff CUF-F-LA 22 cm to 42 cm Wide Range Cuff CUF-I 22 cm to 32 cm Adult Cuff CUF-F-A Arm size: The circumference at the biceps. Note: Model UA-767S-W is not designed for using a small cuff.

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.

Do not roll up shirtsleeve tightly. Cuff

Air Hose Artery position mark

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

1-2 cm

Secure the fabric fastener firmly.

points Index

English 10

and proper fit range

Using the Monitor Symbols that are printed on the 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.

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. Use the large adult cuff Over range printed on the adult cuff instead of the adult cuff or wide range cuff. and wide range cuff. Proper fit range for the wide range cuff. It's printed on the wide range cuff. Proper fit range for the large adult cuff. It's printed on the large adult cuff. Under range printed on the adult cuff and wide range cuff. Range to use the adult cuff. Use the adult cuff instead of the large adult cuff. It's printed on the large adult cuff. Lot number

Large adult cuff

Proper fit range

A

L

Wide range cuff

S

W

L

A

L

Adult cuff

S

English 11

Using the Monitor 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 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. (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 12

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

Normal Measurement 1. 2.

3.

4.

5.

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

At heart level

Press the START button. All of the display segments are displayed. Press 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. 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 Desired Systolic Pressure” on the next page.

Pressurizing

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.

Measurement in progress

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

Systolic pressure Diastolic pressure WHO classification Pulse rate

Note: Allow at least three minutes between measurements on the same person. English 13

START

Exhausts remaining air automatically

Measurements Measurement with the Desired Systolic Pressure Model UA-767S-W is designed to detect the pulse and to inflate the cuff to a systolic pressure level automatically. Use this method when re-inflation occurs repeatedly or when the results are not displayed even if the pressure decreases to 20 mmHg or less. 1.

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

At heart level

2.

Press the START button.

Press the START button

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.

4.

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.

Release the button at the desired systolic pressure

Press and hold the button

START

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. English 14

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.

Recalling the Memory Data Note: This device stores the last 60 measurements in memory. 1. When nothing is displayed, press and hold the _START_ button to recall the stored data.

Press and START button hold Average systolic Average diastolic

2. Release the button when displaying the average data.

Average pulse Average of all the data

3. The data number and stored data are automatically displayed in order from the last measurement. Systolic 4. The display will turn off automatically after all data is displayed.

Diastolic Pulse Most recent data

Note: If you press the _START_ button while recalling data, the device turns off.

Systolic Diastolic Pulse Last data (Oldest) English 15

What is an Irregular Heartbeat The UA-767S-W 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 indicator frequently.

％IHB %IHB is displayed as frequency of IHB detected. IHB can detect not only noises such as physical movement but also an irregular heartbeat. Therefore, we recommend contacting your physician if %IHB level is high. Number of detected IHBs in memory x 100 [%] %IHB = Total number Display of %IHB: %IHB is displayed when displaying average values. (Refer to “2. Recalling the Data” in “Operation Mode”) %IHB is not displayed when the memory number is six or less. Average value display

Level 0 %IHB=0～24

Level 1 %IHB=25～49

Level 2 %IHB=50～74

Not displayed

English 16

Level 3 %IHB=75～100

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

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.

English 17

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 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.

English 18

Troubleshooting Problem

Possible Reason

Recommended Action Replace all batteries with new Nothing Batteries are drained. ones. appears on the Reinstall the batteries with display, even Battery terminals are not negative and positive terminals when the power in the correct position. matching those indicated on the is turned on. battery compartment. Battery voltage is too low. (LOW BATTERY mark) The cuff does Replace all batteries with new blinks. If the batteries are not inflate. ones. drained completely, the mark does not appear. The cuff is not applied Apply the cuff correctly. properly. You moved your arm or Make sure you remain very still body during measurement. and quiet during measurement. The device does Sit comfortably and still. not measure. The cuff position is not Place your arm on a table with your Readings are correct. palm facing upward and the cuff at too high or too the same level as your heart. low. If you have a very weak or irregular heat beat, the device may have difficulty in determining your blood pressure. The value is different Refer to “Why Measure Blood from that measured at a Pressure at Home?”. clinic or doctor’s office. Other 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 19