UA-851 Bilingual Instruction Manual Sept 2007

IMPORTANT INFORMATION

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Please read this important information before using your monitor.

☞ Please remember that only a medical practitioner is qualified to interpret ☞ ☞ ☞

☞ ☞

your blood pressure measurements. Use of this device should not replace regular medical examinations. Consult your physician if you have any doubt about your readings. Should a mechanical problem occur, contact LifeSource® at 1-888-726-9966. Do not attempt to service, calibrate, or repair this monitor. Because your UA-851 monitor contains delicate, high-precision parts, avoid exposing it to extremes in temperature or humidity or to direct sunlight, shock and dust. LifeSource® guarantees the accuracy of this monitor only when it is stored and used within the temperature and humidity ranges noted on page E-18. Clean the monitor and cuff with a dry, soft cloth or a cloth dampened with water and a mild detergent. Never use alcohol, benzene, thinner or other harsh chemicals to clean monitor or cuff. Remove and replace batteries if monitor is not used for more than six months. Alkaline batteries recommended.

PRECAUTIONS The UA-851 is designed to be used at home, by those who are eighteen (18) years and older, to monitor blood pressure (systolic and diastolic) and pulse rate.

IMPORTANT SAFETY INSTRUCTIONS - SAVE THESE INSTRUCTIONS DANGER - TO REDUCE THE RISK OF FIRE OR ELECTRIC SHOCK, CAREFULLY FOLLOW THESE INSTRUCTIONS.

☞ For connection to a supply not in the U.S.A., use an attachment plug

adapter of the proper configuration for the power outlet. ☞ The power unit (AC Adapter) is intended to be correctly oriented in a vertical or floor mount position.

Fast. Easy. Accurate. Congratulations on purchasing a state-of-the-art LifeSource® blood pressure monitor-one of the most technologically advanced monitors available today. Designed for ease of use and accuracy, this monitor will facilitate your daily blood pressure regimen. Physicians agree that daily self-monitoring of blood pressure is an important step individuals can take to maintain cardiovascular health and prevent the serious consequences associated with undetected and untreated hypertension. A&D Medical has been manufacturing high quality healthcare products for over 20 years. We are committed to providing you and your family with monitoring devices that provide the utmost in accuracy and convenience. LifeSource - Designed for Life.

TABLE OF CONTENTS

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WHAT DISPLAY SYMBOLS MEAN... E-2 MONITOR COMPONENTS... E-3 HOW UA-851 WORKS... E-4 BEFORE YOU START... E-4 SELECTING THE CORRECT CUFF SIZE... E-5 ATTACHING THE CUFF TO THE MONITOR... E-6 TAKING YOUR BLOOD PRESSURE... E-6 WHAT IS AN IRREGULAR HEARTBEAT... E-8 ABOUT CUFF INFLATION METER... E-8 ABOUT AVERAGE READING... E-9 ABOUT PRESSURE RATING INDICATOR™... E-9 ABOUT MEMORY... E-10

USING THE OPTIONAL AC ADAPTER... E-11

ABOUT BLOOD PRESSURE... E-12

TROUBLESHOOTING... E-17 SPECIFICATIONS... E-18

CONTACT INFORMATION... E-19

INSTRUCCIONES EN ESPAÑOL... S-1 LifeSource Health Line (Toll-Free): 1-888-726-9966

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WHAT DISPLAY SYMBOLS MEAN 1932-1AIc UA787EXC¥06 illust¥03,12p

123 Display/ Recommended Condition/Cause Symbol Action 123 1932-1AIc UA787EXC¥06 illust¥03,12p 123 The symbol shown while measureMeasurement is in progress, ment is in progress. It blinks while 123 remain as still as possible. detecting the pulse. 123 1932-1AIc UA787EXC¥06 An irregular heartbeat orillust¥03,12p body p-3 123 err CUf movement may have occurred. Take measurement again and Refer to page E-8 for more inforconsult with your physician. 123 mation on irregular heartbeats. 1932-1AIc UA787EXC¥06 illust¥03,12p 123 Previous measurement stored in p-3 123CUf err 1932-1AIc UA787EXC¥06 illust¥03,12p MEMORY. 123 The battery power indicator during 1932-1AIc UA787EXC¥06 illust¥03,12p Replace all batteries with new measurement. 123 Battery Full ones when p-3 the symbol blinks. Uf The batteries are low when it 123 Alkaline batteries recommended. p-3 Uf blinks. Battery Low

Unstable bloodp-3 pressure due to excessive body movement.

1932-1AIc UA787EXC¥06 illust¥03,12p

r CUf

The systolic and diastolic values are within 10 mmHg of each other.

Fasten the cuff correctly, and try the measurement again.

The pressure value did not increase during inflation.

Check for air leaks along the tube and around the air socket.

The cuff is not fastened correctly.

Refasten the cuff and retake measurement. Make sure tube is properly connected to cuff and monitor. Try the measurement again. Remain p-3 very still during the measurement.

1932-1AIc UA787EXC¥06 illust¥03,12p

There is an air leak in the cuff or monitor.

err CUf PULSE DISPLAY ERROR

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Try the measurement again. Remain very still during the measurement.

The pulse is not detected correctly.

p-3

p-3

Cuff Inflation Meter

Measurement is in progress, remain as still as possible.

Pressure Rating Indicator™

Refer to the section “About Pressure Rating Indicator” for further explanation.

LifeSource Health Line (Toll-Free): 1-888-726-9966

MONITOR COMPONENTS

Display Air Connector Plug FRONT

Arm Cuff Air Hose Air Socket

START Button

BACK

Battery Compartment

AC Adapter Jack

LifeSource Health Line (Toll-Free): 1-888-726-9966

Battery Cover

Optional AC Adapter

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HOW UA-851 WORKS

LifeSource® blood pressure monitors are easy to use, accurate and digitally display full measurement readouts. Our technology is based on the “oscillometric method” – a noninvasive blood pressure determination. The term “oscillation” refers to any measure of vibrations caused by the arterial pulse. Our monitor examines the pulsatile pressure generated by the arterial wall as it expands and contracts against the cuff with each heartbeat. The cuff is inflated until the artery is fully blocked. The inflation speed is maximized and the pressure level is optimized by the device. The monitor takes measurements while the cuff is both inflating and deflating. This results in a faster measurement providing greater comfort to the user.

BEFORE YOU START You must install 4 type AA (1.5 volt) batteries (included), or use the optional AC Adapter (see page E-11 for instruction on using the monitor with the optional AC adapter) and attach the cuff to the monitor before using it. To install batteries (or replace them if the “Low Battery” symbol appears on display), proceed as follows: 1. Remove battery compartment cover by gently pushing down on arrow and sliding cover forward. 2. Put in bottom row of batteries first. Place the batteries in compartment with positive (+) and negative (–) terminals matching those indicated in the compartment. Be sure batteries make contact with compartment terminals.

Step 2

Step 1 Step 3

3. Replace cover by sliding it into the compartment and gently pressing into place. NOTE: Rechargeable batteries will not work with this monitor.

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LifeSource Health Line (Toll-Free): 1-888-726-9966

SELECTING THE CORRECT CUFF SIZE Using the correct cuff size is important for an accurate reading. A cuff that is too large will produce a reading that is lower than the correct blood pressure; a cuff that is too small will produce a reading that is higher than the correct blood pressure. With your arm hanging at the side of your body, measure the circumference of your upper arm at the midpoint between the shoulder and elbow. ARM SIZE

RECOMMENDED CUFF SIZE

REPLACEMENT CUFF MODEL #

9.4" - 14.2" (24 - 36cm)

Medium Cuff

UA-280

14.2" - 17.7" (36-45cm)

Large Cuff

UA-281

NOTE: The LifeSource small cuff is not compatible with the UA-851 monitor.

Cuff Size Indicator On The Cuff

Our cuff has an indicator which tells you whether you are using the correct cuff size or not. Place the cuff on your arm (see Page E-6 to learn how to put the cuff on correctly) and if the Index Mark points within the Proper Fit Range, you are using the correct cuff size. If the Index points outside of the Proper Fit Range, contact A&D Medical at 1-888-726-9966 (in Canada, call Auto Control Medical at 1-800-461-0991) for more information on where to obtain a cuff replacement. NOTE: If the cuff size indicator falls on a borderline between two size categories, pick either one and make sure to use the same cuff size for each measurement.

USE SMALL CUFF

PROPER FIT RANGE

USE LARGE CUFF

INDEX

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!

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ATTACHING THE CUFF TO THE MONITOR

After installing the batteries, you must attach the blood pressure cuff to the monitor. To do so, insert the Air Connector Plug of the blood pressure cuff into the Air Socket of the monitor firmly. NOTE: Be sure to differentiate the Air Socket from the AC Adapter Jack. The Air Connector Plug will only securely fit into the correct jack.

TAKING YOUR BLOOD PRESSURE Tips for Blood Pressure Monitoring: ☞ Relax for about 5 minutes before measurement. ☞ Do not smoke or ingest caffeine at least 30 minutes prior to measurement. ☞ Remove constricting clothing and place cuff on bare arm. ☞ Unless your physician recommends otherwise, use left arm to measure pressure. ☞ Do not talk during measurement. ☞ Do not cross legs and keep your feet flat on floor during measurement. Now you are ready. Follow these simple steps: 1. Sit comfortably with your left arm resting on a flat surface so that the center of your upper arm is at the same height as your heart.

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LifeSource Health Line (Toll-Free): 1-888-726-9966

TAKING YOUR BLOOD PRESSURE 2. Lay left arm on the table, palm up and thread cuff end through metal loop, smooth size against arm. Then position the tube off-center toward the inner side of arm in line with the little finger. 3. Secure cuff around arm. The cuff should be snug but not too tight. You should be able to insert two fingers between the cuff and your arm. 4. Confirm that the Index Mark

points within the proper fit range.

5. Press the START button. As the cuff pressurizes, measurement will begin and the Cuff Inflation Meter will show on the display screen. It is normal for the cuff to feel very tight. Note: If an appropriate pressure is not obtained, the device automatically starts to inflate again. Note: If you wish to stop inflation at any time, press the START button again.

6. When the measurement is complete, the systolic and diastolic pressure readings and pulse rate are displayed. The cuff deflates and the monitor automatically shuts off after 60 seconds, or you can turn it off by pressing the START button. Your measurement is automatically stored in memory (the monitor can store up to 90 readings in memory). SYSTOLIC DIASTOLIC PULSE

7. Remove cuff and make note of your blood pressure and pulse rate in the Blood Pressure Logbook, indicating the date and time of measurement. IMPORTANT: Measure blood pressure at the same time each day.

LifeSource Health Line (Toll-Free): 1-888-726-9966

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WHAT IS AN IRREGULAR HEARTBEAT 1932-1AIc UA787EXC¥06 illust¥03,12p

The UA-851 Blood Pressure Monitor provides a blood pressure and pulse 123 123 rate measurement even when an irregular heartbeat occurs. The Irregular 123 Heartbeat will appear in the display window in the event an 123 symbol 123Heartbeat has occured during measurement. An irregular heartbeat Irregular p-3 of all heartbeat 123 as erra CUf is defined heartbeat that varies by 25% from the average 123 intervals 123during the blood pressure measurement. It is important that you 1932-1AIc UA787EXC¥ 123 relax, remain still and refrain from talking during measurements. 123 123 123 123 123 123 NOTE: We recommend contacting your physician 123 if you see this symbol frequently. 123 123 err CUf 123 123 123 123 ABOUT CUFF INFLATION METER 123 123

The Cuff Inflation Meter is located on the left side of the display screen to tell you when the blood pressure monitor is inflating and deflating the cuff. The Cuff Inflation Meter moves up during inflation and moves down during deflation. Inflation in Progress

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Inflation Complete

Deflation/Measurement in Progress

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ABOUT AVERAGE READING The UA-851 provides an average blood pressure reading based on the total measurements stored in memory. The average blood pressure reading appears briefly when you recall the measurements stored in memory. You can also access your average readings by pressing and holding the START button. AVERAGE NUMBER OF MEASUREMENTS STORED IN MEMORY

ABOUT PRESSURE RATING INDICATOR™ JNC7 Classification Indicator Hypertension Stage 2

Hypertension Stage 2 JNC7 Classification Indicator JNC7 Classification Indicator The Pressure Rating Indicator™ is a feature which Hypertension Stage 1 Hypertension Stage 2 Prehypertension provides a snapshot of your blood pressure classification Hypertension Stage 2 Stage 2 Hypertension Prehypertension Hypertension Stage 1 Stage 1 Hypertension based on your measurements. This will let you quickly Normal Prehypertension Prehypertension Normal know what your blood pressurePrehypertension readings mean. Each Normal segment of the bar indicator corresponds to the Example Seventh Report of the Joint National Committee (JNC7) on Prevention, Evaluation and Treatment of Example Hypertension Example Stage 2 High Blood Pressure fromHypertension the National Heart, Lung Stage 2 Hypertension and Blood Institute - May 2003. Stage 2For a more detailed look at this blood pressure classification, please refer to “Assessing High Blood Pressure for Adults” on page E-13.

:The indicator displays a segment, based on the current measurement, corresponding to the JNC7 Classification. NOTE: Due to other risk factors (e.g. diabetes, obesity, smoking, etc.) in addition to your blood pressure measurement, the Pressure Rating Indicator is approximate. Please consult with your physician for interpretation and diagnosis of your blood pressure measurements.

LifeSource Health Line (Toll-Free): 1-888-726-9966

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ABOUT MEMORY NOTE: This device stores the last 90 measurements in memory. 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.

1. Press and hold the START button. 2. The average data of all the measurements and the number of measurements stored are displayed. The memory data is displayed starting from the most recent. After the last reading is displayed, the monitor automatically shuts off. Clearing the memory data 3. To clear the readings stored in memory, simply remove the batteries.

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Press and hold the START button

Averaged Systolic Averaged Diastolic Number of Readings Average of all readings

LifeSource Health Line (Toll-Free): 1-888-726-9966

USING THE OPTIONAL AC ADAPTER

The UA-851 has an AC adapter jack to allow you to supply power from an outlet in your home. We recommend you use only the optional LifeSource AC adapter to avoid potential damage to the monitor. To purchase the optional AC Adapter, please contact our LifeSource Health Line at 1-888-726-9966. Connecting the AC adapter to the monitor: 1. Gently insert the AC adapter plug into a 120V AC outlet. 2. Connect the AC adapter plug into the jack on the back of the monitor. Disconnecting the AC adapter from the monitor: 1. Turn the unit off by pressing the START button. 2. Disconnect the plug from the jack of the monitor quickly. 3. Gently remove the AC adapter from the outlet. NOTE: If monitor has batteries and an AC adapter connected, the measurements stored in memory will be lost if AC adapter is unplugged from the wall first. To ensure that measurements remain in memory, make sure the unit is off and that the jack plugged into the monitor is removed quickly before unplugging adapter from the wall.

Jack

Plug

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AC Adapter

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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). What Affects Blood Pressure?

Blood pressure is affected by many factors: age, weight, time of day, activity level, climate, altitude and season. Certain activities can significantly alter one’s blood pressure. Walking can raise systolic pressure by 12 mmHg and diastolic pressure by 5.5 mmHg. Sleeping can decrease systolic blood pressure by as much as 10 mmHg. Taking your blood pressure repeatedly without waiting an interval of 5 minutes between readings, or without raising your arm to allow blood to flow back to the heart, can also affect it. In addition to these factors, beverages containing caffeine or alcohol, certain medications, emotional stress and even tight-fitting clothes can make a difference in the readings. What Causes Variations In Blood Pressure?

An individual’s blood pressure varies greatly from day to day and season to season. For hypersensitive individuals, these variations are even more pronounced. Normally, blood pressure rises during work or play and falls to its lowest levels during sleep.

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ABOUT BLOOD PRESSURE Assessing High Blood Pressure for Adults The following standards for assessing high blood pressure (without regard to age or gender) have been established as a guideline. Please note that other risk factors (e.g. diabetes, obesity, smoking, etc.) need to be taken into consideration and may affect these figures. Consult with your physician for an accurate assessment. JNC7 Classification Table – for adults within the U.S. BP Classification

Systolic (mmHg)

Diastolic (mmHg)

Normal

< 120

and

< 80

Prehypertension

120-139

or

80-89

Stage 1 Hypertension

140-159

or

90-99

Stage 2 Hypertension

≥ 160

or

≥ 100

SOURCE: The Seventh Report of the Joint National Committee on Prevention, Evaluation and Treatment of High Blood Pressure for Adults. National Heart, Lung and Blood Institute - May 2003.

WHO Classification Table - for adults outside of the U.S. (e.g. Canada, Mexico) BP Classification

Systolic (mmHg)

Diastolic (mmHg)

Optimal

< 120

and

< 80

Normal

< 130

or

< 85

High-Normal

130-139

or

85-89

Stage 1 Hypertension

140-159

or

90-99

Stage 2 Hypertension

160-179

or

100-109

Stage 3 Hypertension

≥ 180

or

≥ 110

SOURCE: Standards to assess high blood pressure, without regard to age or gender, have been established by the World Health Organization (WHO).

LifeSource Health Line (Toll-Free): 1-888-726-9966

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ABOUT BLOOD PRESSURE What Is Hypertension?

Hypertension (high blood pressure) is the diagnosis given when readings consistently rise above normal. It is well known that hypertension can lead to stroke, heart attack or other illness if left untreated. Referred to as a “silent killer” because it does not always produce symptoms that alert you to the problem, hypertension is treatable when diagnosed early. Can Hypertension Be Controlled?

In many individuals, hypertension can be controlled by altering lifestyle and minimizing stress, and by appropriate medication prescribed and monitored by your doctor. The American Heart Association recommends the following lifestyle suggestions to prevent or control hypertension: Don’t smoke.

Have regular physical checkups

Reduce salt and fat intake.

Maintain proper weight.

Monitor your blood pressure at periodic intervals.

Exercise routinely.

Why Measure Blood Pressure at Home?

It is now well known that, for many individuals, blood pressure readings taken in a doctor’s office or hospital setting might be elevated as a result of apprehension and anxiety. This response is commonly called “white coat hypertension.” In any case, self-measurement at home supplements your doctor’s readings and provides a more accurate, complete blood pressure history. In addition, clinical studies have shown that the detection and treatment of hypertension is improved when patients both consult their physicians and monitor their own blood pressure at home.

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LifeSource Health Line (Toll-Free): 1-888-726-9966

ABOUT BLOOD PRESSURE Answers to Why Your Readings Are Different Between Home and at the Doctor’s Office Why are my readings different between home and at a doctor’s office? Your blood pressure readings taken in a doctor’s office or hospital setting may be elevated as a result of apprehension and anxiety. This response is known as white coat hypertension. When I bring my monitor to a doctor’s office, why do I get a different measurement from my monitor to that taken by a doctor or nurse? The healthcare professional may be using a different sized cuff. The size of the bladder inside the cuff is critical for the accuracy of the measurement. This may give you a different reading. A cuff too large will produce a reading that is lower than the correct blood pressure; a cuff that is too small will produce a reading that is higher than the correct blood pressure. There may also be other factors that can cause the difference in measurements. Keys to Successful Monitoring: Blood pressure fluctuates throughout the day. We recommend that you are consistent in your daily measurement routine: • • • • • •

Measure at the same time every day. Sit in the same chair/position. Do not cross legs and keep your feet flat on the floor. Relax for 5 minutes before measurement. Use the correct cuff size to get an accurate reading. Sit still during measurement – no talking, eating or sudden movements. • Record your measurement in the logbook.

LifeSource Health Line (Toll-Free): 1-888-726-9966

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ABOUT BLOOD PRESSURE Establishing Baseline Measurements

The most important method to get an accurate blood pressure measurement is consistency. To get the most benefit out of your monitor, it is important to establish a “baseline measurement.” This helps build a foundation of measurements that you can use to compare against future readings. To build this baseline measurement, devote two weeks for consistent blood pressure monitoring. This involves doing everything the same way when you measure (e.g. measuring during the same time of day, in the same location, sitting in the same chair, using the same cuff, etc.). Once you establish your baseline measurement, you can start evaluating if your measurement has been affected based on things lifestyle changes or medication treatment. How Do I Record My Blood Pressure?

Blood pressure readings are typically recorded with the systolic pressure written first, followed by a slash mark and the diastolic pressure. For example, 120 mmHg systolic and 80 mmHg diastolic measurements are written as 120/80. Pulse is simply written with the letter “P” followed by the pulse rate-P 72, for example. Please see the back of the manual for the blood pressure tracking log. Customer Support Tools Online

Additional tools are available on www.LifeSourceOnline.com to help you get the most out of your blood pressure monitoring. These include: • Large Print Instruction Manuals • Animated Operating Instructions • Additional Logbook Sheets

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LifeSource Health Line (Toll-Free): 1-888-726-9966

TROUBLESHOOTING Problem

Probable Cause

Nothing appears in the Batteries are drained. display, after I press the START button.

Corrective Action Replace all batteries with new ones. Alkaline batteries recommended.

Battery terminals are not in the correct position.

Reinstall the batteries with negative and positive terminals matching those indicated in the battery compartment.

The cuff does not inflate.

Battery voltage is too low. Low battery symbol blinks. [If the batteries are drained completely, the mark does not appear.]

Replace all batteries with new ones. Alkaline batteries recommended.

The unit does not measure. Readings are too high or too low.

The cuff is not fastened properly.

Fasten the cuff correctly.

You moved your arm or body during the measurement.

Make sure you remain very still and quiet during the measurement.

The cuff position is not correct.

Sit comfortably and still. Make sure the cuff is at the same level as your heart.

You are using the wrong size cuff.

See Pg. E-5 "Selecting the Correct Cuff."

The healthcare professional may be using a different sized cuff.

See Pg. E-15 "Answers to Why Your Readings Are Different Between Home and at the Doctor’s Office."

Your measurements may be elevated by white coat hypertension

See Pg. E-14 "Why Measure Blood Pressure at Home?"

The value is different from that measured at a clinic or doctor’s office.

NOTE: If the actions described above do not solve the problem, call 1-888-7269966. Do not attempt to repair the device yourself.

LifeSource Health Line (Toll-Free): 1-888-726-9966

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