UA-787 Plus Instruction Manual

Contents Dear Customers... 1 Preliminary Remarks ... 2 Precautions ... 2 Parts Identification ... 3 Symbols ... 4 Operation Mode... 5 Using The Monitor ... 6 Installing / Changing The Batteries ... 6 Connecting The Air Hose... 6 Connecting The AC adapter ... 6 Adjusting The Built-in Clock ... 7 Setting Three Reminders ... 7 Alarm ON/OFF Mark On The Display... 8 Selecting The Correct Cuff... 8 Applying The Arm Cuff... 8 How To Take Proper Measurements... 9 Measurement... 9 After Measurement... 9 Measurements ... 10 Normal Measurement... 10 Measurement With The Desired Systolic Pressure... 11 Notes For Proper Measurement... 11 Recalling Memory Data ... 12 What Is An Irregular Heartbeat... 13 Pressure Bar Indicator ... 13 WHO Classification Indicator... 13 About Blood Pressure ... 14 What Is Blood Pressure?... 14 What Is Hypertension And How Is It Controlled? ... 14 Why Measure Blood Pressure At Home? ... 14 WHO Blood Pressure Classification... 14 Blood Pressure Variations... 14 Troubleshooting ... 15 Maintenance... 16 Technical Data ... 16

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. English 1

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) 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. 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.

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. English 2

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.

Parts Identification Display MEMORY Button

DC Jack START Button

CLOCK Button

(Orange illumination)

Air Hose Battery Cover

Arm Cuff

Air Socket

Air Connector Plug

1.5V Batteries (R6P, LR6 or AA)

Battery Compartment

Part of Display

MEMORY

Systolic Pressure Diastolic Pressure

Pressure Bar Indicator and WHO Classification Indicator

Pulse Rate

Heart Mark I.H.B. Indicator (Irregular heartbeat indicator) English 3

Battery Indicator

Symbols Symbols

Function / Meaning Recommended Action Standby and Turn the device on. SYS Systolic blood pressure in mmHg DIA Diastolic blood pressure in mmHg PUL./min Pulse per minute Battery installation guide Direct current Type BF: Device, cuff and tubing are designed to provide special protection against electrical shocks. The indicator while measurement is in Measurement is in progress. progress. It blinks while detecting the pulse. Remain as still as possible. Irregular Heartbeat indicator. (I.H.B.) The indicator that detects irregular heartbeats or any excessive body movement during the measurement. Previous measurements stored in MEMORY. The battery power indicator during Full Battery measurement. Replace all batteries with new ones, when the Low Battery The battery is low when it blinks. indicator blinks. Try measurement again. Unstable blood pressure due to movement Remain very still during the during the measurement. measurement. The systolic and diastolic values are within 10 mmHg of each other. The pressure value did not increase during Fasten the cuff correctly, inflation. and try the measurement again. The cuff is not fastened correctly.

PUL. DISPLAY ERROR The pulse is not detected correctly.

CLOCK button mark Alarm ON/OFF mark of the reminder

EC directive medical device label EU-representative Manufacturer Date of manufacture Class II device English 4

If you want to stop the sound, press the START button.

Symbols

Function / Meaning

Recommended Action

WEEE label SN

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

Operation Mode 1. Normal Measurement With Storing Data (Refer to page 10)

Press the START button. Blood pressure is measured and data is stored within the device. The device can store the last sixty sets of data in memory automatically.

2. Recalling Data (Refer to page 12)

Press the MEMORY button to recall the data. The date and the most recent data are displayed. The device can store the last sixty sets of data in memory automatically.

Press the MEMORY button Date Data

3. Clearing Data (Refer to page 12)

Press and hold the MEMORY button until the “ ” (memory) mark blinks to clear the stored data.

4. Measurement With The Desired Systolic Pressure

Refer to page 11 for the measurement with the desired systolic pressure.

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Month Day Time

Using The Monitor Installing / Changing The Batteries 1. Slide the battery cover up to open it. 2. Remove the used batteries and insert new batteries into the battery compartment as shown, taking care that the polarities (+) and (-) are correct. 3. Slide the battery cover down to close it. Use only R6P, LR6 or AA batteries.

Step 2

Step 3 Step 1

CAUTION Insert the batteries as shown in the battery compartment. If not, 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. (LOW BATTERY mark) does not appear when the batteries are drained. Battery life varies with the ambient temperature and may be shorter at low temperatures. Use the specified batteries only. The batteries provided with the device are for testing monitor 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. Stored data are cleared when the batteries are removed. Air connector plug

Connecting The Air Hose

Insert the air connector plug into the air socket firmly. Air socket

Connecting The AC adapter

Insert the AC adapter plug into the DC jack. Next, connect the AC adapter to an electrical outlet. Use the specified AC adapter. (Refer to page 17)

DC jack

AC adapter plug

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Using The Monitor Adjusting The Built-in Clock

The device has a built-in clock. We recommend that you adjust the clock prior to use.

1. Press and hold the CLOCK button until the digits start blinking. 2. Select the year using the START button. Press the CLOCK button to set the current year and move to month/day selection. The date can be set anywhere between the years 2004 and 2053. 3. Select the month using the START button. Press the CLOCK button to set the current month and move to day selection.

CLOCK button

Year

Month / day

4. Select the day using the START button. Press the CLOCK button to set the current day and move to hour/minute selection. 5. Select the hour using the START button. Press the CLOCK button to set the current hour and move to minute selection. 6. Select the minute using the START button. Press the CLOCK button to set the current minute and activate the clock.

Hour / Minute

Clock

Setting Three Reminders

This device has 3 reminder alarms. You can set 3 different reminder alarms within a 24-hour period.

1. Press and hold the CLOCK button until the digits start blinking. Then press the MEMORY button. “P-1” is shown at the middle line of the display. 2. Select the hour using the START button and press the CLOCK button to set the hour and move to minute selection. Press the MEMORY button to complete the reminder setting after selecting the minute. 3. Then the display shows “P-2” for the second reminder. Repeat the above process if you need a second reminder. 4. A third reminder can be set as well. English 7

CLOCK button MEMORY

button

First buzzer Second buzzer Third buzzer

Using The Monitor Alarm ON/OFF Mark On The Display

When the alarm is on, a “p” appears on the LCD. To turn the alarm off, simply press the CLOCK button once. The alarm will sound for 1 minute. To stop the alarm sound, press the START button once.

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 arm cuff is a consumable. If it becomes worn, purchase a new one. Arm Size Recommended Cuff Size Catalog Number 22 cm to 43 cm Large adult cuff CUF-U-LA 17 cm to 32 cm Adult cuff CUF-U-A Arm size: The circumference at the biceps. is not designed for using a small adult cuff. Note: Model UA-787

Symbols printed on the cuff. Symbols Function / Meaning

REF

Recommended Action mark on the artery of the upper arm or Set the Artery position mark in line with the ring finger on the inside of the arm. Catalog number Lot number

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. 2. Constriction of the upper arm, caused by rolling up a shirtsleeve, may prevent accurate readings.

Cuff 1 to 2 cm

Artery position mark Secure the fabric fastener firmly Air hose

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Using The Monitor 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 immdiately 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 off the power. Remove the cuff and record your data. Note: The device has an automatic power shut-off function, which turns the power off automatically one minute after measurement. Allow at least three minutes between measurements on the same person.

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Measurements Model UA-787 is designed to detect the pulse and to inflate the cuff to a systolic pressure level automatically. If your systolic pressure is expected to exceed 230 mmHg or you use the optional small cuff, read "Measurement With The Desired Systolic Pressure" on the next page.

Normal Measurement

At heart level

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

START button

2. Press the START button. The average blood pressures and last data number are displayed briefly. Then the display changes, as indicated in the figure at the right, as the measurement begins. The cuff starts to inflate. It is normal for the cuff to feel very tight. A pressure bar indicator is displayed, as in the figure at the right, during inflation.

Averaged data Data number

Starts inflation

Note: If you wish to stop inflation at any time, press the START button again.

Pressurizing

3. When inflation is complete, deflation starts (heart mark) blinks, automatically and 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.

START

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

5. Press the START button again to turn off the power. Note: Model UA-787 is provided with an automatic power shut-off function. Allow at least three minutes between measurements on the same person.

English

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Measurements Measurement With The Desired Systolic Pressure If your systolic pressure is expected to exceed 230 mmHg or you use this procedure.

1. Place the cuff on the arm (preferably the left arm). 2. Press and hold the START button until a number about 30 to 40 mmHg higher than your expected systolic pressure appears.

At heart level

Press and hold the button Release the button at the desired systolic pressure

3. Release the START button to start measurement, when the desired number is reached. Then continue to measure your blood pressure as described on the previous page.

Refer to the previous page for measurement

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. 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 page 4 for the description of symbols. This 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.

English

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Recalling Memory Data Note: This device stores the last sixty measurements in memory automatically. The data is retained as long as the batteries are in the device. When you remove the batteries or the batteries are drained, the data will be erased. Press the MEMORY button

1. Press the MEMORY button. 2. The date and the most recent data are displayed.

Date

3. When the MEMORY button is pressed while data is displayed, the previous data is displayed.

Data

4. After the last data is displayed, the display goes blank. 5. Press and hold the MEMORY button until the “ mark blinks to clear the stored data.

” (memory)

Note: Pressing the START button while the memory data is displayed initiates the UA-787 to start taking a measurement.

English

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What Is An Irregular Heartbeat Model UA-787 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 frequently.

indicator

Pressure Bar Indicator The indicator monitors the progress of pressure during measurement. Pressurizing

Inflation in progress

Releasing air

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

Moderate hypertension

Mild hypertension

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

Example:

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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.

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. English

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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.

Troubleshooting Problem Possible Reason Recommended Action Replace all batteries with new Nothing Batteries are drained. ones. appears on the display, even Reinstall the batteries with negative when the Battery terminals are not in and positive terminals matching power is turned the correct position. those indicated on the battery on. 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 fastened Fasten the cuff correctly. properly. You moved your arm or body Make sure you remain very still and quiet during the measurement. The unit does during the measurement. not measure. Sit comfortably and still. The cuff position is not Readings are Raise your hand so that the cuff is correct. too high or too at 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 from Refer to “Why measure blood that measured at a clinic or pressure at home”. doctor’s office. Other Remove the batteries. 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.

English

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

Technical Data Type

UA-787

Measurement method

Oscillometric measurement

Measurement range

Pressure:

20 - 280 mmHg

Pulse:

40 - 200 beats / minute

Pressure:

±3 mmHg

Pulse:

±5%

Measurement accuracy Power supply

4 x 1.5V batteries (R6P, LR6 or AA) or AC adapter (TB-233) (Not included)

Number of measurements

Approximately 450 measurements, when AA Alkaline batteries are used, with pressure value of 180 mmHg at room temperature of 23 °C.

Classification

Internally powered ME equipment (Supplied by batteries) / Class II (Supplied by adapter) Continuous operation mode

Clinical test

According to ANSI / AAMI SP-10 1987

EMC

IEC 60601-1-2: 2007

Memory

Last 60 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. 163 [W] x 62 [H] x 112 [D] mm

Weight

Approx. 350 g, excluding the batteries

Applied part

Cuff

Type BF English

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Useful life

Device: Cuff:

5 years (when used six times a day) 2 years (when used six times a day)

Accessory AC adapter

The adapter is to connect the device to a power source at home.

TB-233

Please contact your local A&D dealer for purchasing. The AC adapter is required to be inspected or replaced periodically.

TB-233C

Input: Output:

100-240V 6V 500mA

TB-233BF

Input: Output:

240V 6V

Accessories sold separately Cuff Catalog Number CUF-U-LA CUF-U-A

139°C

2A

500mA 139°C

2A

Cuff Size Large adult cuff Adult cuff

Arm Size 22 cm to 43 cm 17 cm to 32 cm

Arm size: The circumference at the biceps. AC adapter

Catalog Number TB-233C TB-233BF

Plug (Outlet type) Type C Type BF

Note: Specifications are subject to change without prior notice. EMC table information is listed on our website: http://www.aandd.jp/products/manual/medical/emc_acadapter_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, Telephone: [1] (408) 263-5333 Fax: [1] (408)263-0119

U.S.A.

A&D AUSTRALASIA PTY LTD 32 Dew Street, Thebarton, South Australia 5031, AUSTRALIA Telephone: [61] (8) 8301-8100 Fax: [61] (8) 8352-7409