HEM-650 Instruction Manual

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TABLE OF CONTENTS Before Using the Monitor Introduction... 3 Important Safety Notes... 4 Before Taking a Measurement

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Operating Instructions Know Your Unit... 6 Unit Display... 7 Irregular Heartbeat Symbol... 7 Battery Installation... 8 Advanced Positioning Sensor... 9 Position Sensor Alarm... 9 Wrist Measurement Selection... 10 Setting the Date and Time... 11 Applying the Wrist Cuff... 13 Taking a Measurement...14 Using the Memory Function...16 Care and Maintenance Care and Maintenance... 18 Error Indicators and Troubleshooting Tips... 19 FCC Statement

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Warranty Information... 22 Specifications

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Introduction 2

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INTRODUCTION Thank you for purchasing the OMRON® HEM-650 Automatic Wrist Blood Pressure Monitor with A.P.S.®. Fill-in for future reference DATE PURCHASED: ________________ SERIAL NUMBER: __________________

Staple your purchase receipt here.

The monitor is compact and easy-to-use at home, at work, and during travel. Perfect for people who frequently monitor their own blood pressure. OMRON® digital blood pressure monitors use the oscillometric method of blood pressure measurement. This means the monitor detects your blood’s movement through your artery and converts the movements into a digital reading. An oscillometric monitor does not need a stethoscope so the monitor is simple to use. Clinical research has proven a direct relationship between blood pressure in the wrist and blood pressure in the arm. Changes in wrist blood pressure reflect changes in arm blood pressure because the arteries in the wrist and the arm are close to each other. Frequently measuring the blood pressure in your wrist will provide your physician with an accurate indication of changes in your blood pressure. The OMRON® HEM-650 Automatic Wrist Blood Pressure Monitor with A.P.S.® is intended for home use.

SAVE THESE INSTRUCTIONS 3

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IMPORTANT SAFETY NOTES To assure the correct use of the product basic safety measures should always be followed including the precautions listed below: þ

Consult your physician before measuring blood pressure at the wrist if you have any of the following conditions: severe hypertension, severe diabetes, severe arteriosclerosis, severe kidney disease, or vascular disease that may

þ þ þ þ þ þ

compromise circulation. Read all information in the instruction book and any other literature included in the box before using the unit. Contact your physician for specific information about your blood pressure. Follow the instructions of your healthcare provider. Operate the unit only as intended. Do not use for any other purpose. The unit is intended for use in measuring blood pressure and pulse rate in adult patient population. Do not use on infants. Do not use a cellular phone near the unit. It may result in operational failure. Changes or modifications not approved by Omron Healthcare will void the user warranty. Do not disassemble or attempt to repair the unit or components.

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BEFORE TAKING A MEASUREMENT 1. Avoid eating, drinking alcohol, smoking, exercising and bathing for 30 minutes before taking a measurement. Rest for at least 15 minutes before taking the measurement. 2. Stress raises blood pressure. Avoid taking measurements during stressful times. 3. The cuff can be applied to your left or right wrist. Always measure your blood pressure on the same wrist. 4. Measurements should be taken in a quiet place. 5. Position the unit at heart level throughout the measurement. 6. Remain still and do not talk during the measurement. 7. Keep a record of your blood pressure and pulse readings for your physician. A single measurement does not provide an accurate indication of your true blood pressure. You need to take and record several readings over a period of time. Try to measure your blood pressure at the same time each day for consistency. 8. Wait 2-3 minutes between measurements. The wait time allows the arteries to return to the condition prior to taking the blood pressure measurement. You may need to increase the wait time depending on your individual physiological characteristics.

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KNOW YOUR UNIT Main Unit Wrist Cuff Display MEM Button START/STOP Button SET Button Battery Compartment

Accessories

Two “AAA” Alkaline Batteries

Storage Case

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UNIT DISPLAY Heart Symbol Systolic Blood Pressure

Memory Value Symbol

Diastolic Blood Pressure Battery Low Symbol

Average Value Symbol Irregular Heartbeat Symbol

Cuff Deflation Symbol Right Wrist Measurement Symbol

Date/Time Display

Position Sensor Alarm Symbol Pulse Display

IRREGULAR HEARTBEAT SYMBOL ( ) When the monitor detects an irregular rhythm two or more times during the measurement, the Irregular Heartbeat Symbol will appear on the display with the measurement values. An irregular heartbeat rhythm is defined as a rhythm that varies by less than 25% from the average rhythm or 25% more than the average rhythm detected while the monitor is measuring the systolic and diastolic blood pressure.

Normal Heartbeat Pulse Blood pressure

Irregular Heartbeat Short Long

Pulse Blood pressure

If the Irregular Heartbeat Symbol ( ) displays with your measurement results we recommend you consult your physician. Follow the directions of your doctor.

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BATTERY INSTALLATION ME M

T AR ST OP ST

T SE

1. Press both sides of the battery cover and lift the cover off in the direction of the arrow.

ME

2. Install two “AAA” Alkaline Batteries in the

M

T AR ST OP ST

T SE

battery compartment, so that + (positive) and - (negative) polarities match the polarities of the battery compartment as indicated. ME M

T AR ST OP ST

T SE

3. Replace the battery cover. Make sure the battery cover is securely in place.

BATTERY REPLACEMENT Low Battery Symbol Initial Set-Up When the Low Battery Symbol appears on the display screen remove all the batteries. Replace with two new batteries at the same time. When the Low Battery Symbol blinks a brief period of usage remains. Long life alkaline batteries are recommended. NOTES: • Measurement values stored in the memory will not be deleted during battery replacement. • After replacing the batteries, reset the date and time. Refer to page 11, Setting the Date and Time. • Dispose of batteries according to applicable local regulations.

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ADVANCED POSITIONING SENSOR The Advanced Positioning Sensor, A.P.S.® will assure you that the unit is in the correct position before it starts to take a measurement. 1. Press the SET button while the power is turned off. The Position Sensor symbol ( ) will appear on the display. 2. Press the MEM button to select “on” or “oFF”. Press the START/STOP button to save this selection. When the feature is “on” the symbols will appear on the display. The heart symbol will begin to flash when your wrist is in the correct position.

POSITION SENSOR ALARM The Sensor Alarm emits sound to help you place your wrist in the correct position. 1. Press the SET button twice while the power is turned off. The Position Sensor Alarm symbol ( ) will appears on the display. The alarm set “on 1” emits a series of blips if your wrist is too far away from the correct measuring position and beeps slowly once your wrist is in the correct position. When “on 2” is set the alarm only beeps once your wrist is in the correct position. 2. Press the MEM button to select “on 1”, “on 2” or “oFF”. Press the START/STOP button to save this selection. 9

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WRIST MEASUREMENT SELECTION Blood Pressure Measurements can be taken on the left or right wrist. 1. Press the SET button three (3) times while the power is turned off. The Right Wrist Measurement symbol ( ) will appear on the display. Select “on” to measure your blood pressure using your right wrist. Select “oFF” to measure your blood pressure using your left wrist. 2. Press the MEM button to select “on” or “oFF”. Press the START/STOP button to save this selection.

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SETTING THE DATE AND TIME The Blood Pressure Monitor stores up to 90 measurement values with the date and time. The monitor also calculates an average reading based on the last three measurement values. Set the monitor to the current date and time before taking a measurement for the first time. If the current date and time is not set, the default date and time will display. The measurement values will be stored in the memory with the wrong date and time.

1. TO START THE SETTING Press the SET button four (4) times while the power is turned off. The will year flash on the display. 2. SETTING THE YEAR The year can be set between 2004 and 2030. When the display reaches 2030, it will return to 2004. Press the MEM button to advance by increments of one year. NOTE: Press and hold the MEM button to increase the values faster. Press the SET button to set the current year. The month flashes on the display.

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SETTING THE DATE AND TIME 3. SETTING THE MONTH Press the MEM button to advance by increments of one month. Press the SET button to set the current month. The day flashes on the display. 4. SETTING THE DAY Press the MEM button to advance by increments of one day. Press the SET button to set the current day. The hour flashes on the display. 5. SETTING THE HOUR The time is set using AM or PM. Press the MEM button to advance by increments of one hour. Press the SET button to set the current hour. The minutes flash on the display. 6. SETTING THE MINUTE Press the MEM button to advance by increments of one minute. Press the SET button to set the current minute. The year flashes on the display. 7. Press the START/STOP button to save this selection.

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APPLYING THE WRIST CUFF Wrapping the wrist cuff is one of the most important points for taking a correct measurement. APPLYING THE CUFF ON THE LEFT WRIST 1. Roll up sleeve. Make sure your sleeve is not rolled up too tightly on your arm. This may constrict the flow of blood in your arm. 2. Wrap the cuff directly against your skin. Do not apply over clothing. Place the cuff over your left wrist with your left thumb facing upward. 3. Position the cuff leaving a clearance of approximately 1/2 to 1 inch between the cuff and the bottom of your palm. 4. Hold the bottom part of the cuff and wrap it around the wrist so it fits comfortably and securely around your wrist.

MEM

MEM

STAR T STOP

STAR T STOP

SET

SET

NOTE: Make sure the wrist cuff does not cover the protruding part of the wrist bone on the outside of the wrist. 5. Fold the remaining part of the wrist cuff back out of the way. APPLYING THE CUFF ON THE RIGHT WRIST When taking a measurement using the right wrist position the cuff as shown in the illustration. Make sure the right wrist measurement symbol is displayed. Refer to page 10, Wrist Measurement Selection to select “on”. 13

MEM

START STOP

SET

MEM

STA STO RT P SET

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TAKING A MEASUREMENT 1. Sit comfortably in a chair with your feet flat on the floor. 2. Press the START/STOP button.

3. Hold your arm across your chest at heart level. Hold your elbow firmly to avoid body movement. Sit still and do not talk or move during the measurement. 4. Description of position sensor activity during measurement. lip pB Bli

lip pB Bli

lip pB Bli

Adjust the height of your wrist until the position sensor alarm beeps slowly. When the monitor senses that your arm is in the correct position, the wrist cuff will automatically start to inflate and measurement starts. NOTE: If your wrist is too low or too high, the position sensor alarm will emit a series of two short bleeps similar to a heartbeat. The current time is displayed and the Heart Symbol starts to flash while the cuff is inflating. Hold the monitor at heart level until the measurement is completed. NOTE: To stop the inflation or measurement, push the START/STOP button. The monitor will stop inflating, start deflating, and will turn off. 14

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TAKING A MEASUREMENT 5. After the monitor has detected your blood pressure and pulse rate, the cuff automatically deflates. Your blood pressure and pulse rate are displayed.

Alternating Display NOTE: The time and date of the measurement are displayed alternately.

6. Press the START/STOP button to turn the monitor off. NOTE: The monitor will automatically turn off after two minutes. IRREGULAR HEARTBEAT FEATURE The irregular heartbeat feature automatically determines if the measurement is usable. If the measurement results are affected by irregular heartbeats but the result is valid, the result is shown together with the Irregular Heartbeat Symbol ( ). If the irregular heartbeats cause the measurement to be invalid, no result is shown. If the Irregular Heartbeat Symbol ( ) is shown after you have taken a measurement, repeat the measurement. If the Irregular Heartbeat Symbol ( notify your doctor. 15

) is shown frequently, please

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USING THE MEMORY FUNCTION Every time you complete a measurement the monitor stores the blood pressure and pulse rate in the memory. The Blood Pressure Monitor automatically stores up to 90 measurement values. When 90 sets of measurement values are stored in the memory, the oldest record is deleted to save the most recent measurement values. The monitor also calculates an average reading based on the values of the three most recent measurements taken. If the date and time is not set, the measurement values will not be stored in the memory correctly. TO DISPLAY THE AVERAGE VALUE Average Value Symbol 1. Press the MEM button. The average value symbol will display on the screen with the average reading.

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USING THE MEMORY FUNCTION TO DISPLAY THE MEASUREMENT VALUES The date and time is alternately displayed with the measurement values. 1. Press the MEM button to display the measurement values stored in the memory beginning with the most recent values to the oldest values.

Press the SET button to display the measurement values stored in the memory beginning with the oldest values to the most recent values.

NOTES: • Press the button repeatedly to display the next values. • Press and hold the button to display the values faster. 2. Press the START/STOP button to turn the power off. TO DELETE ALL VALUES STORED IN THE MEMORY You cannot partially delete records stored in the memory. All records will be deleted. 1. Press and hold the MEM button and START/STOP button simultaneously for more than 2 seconds.

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CARE AND MAINTENANCE To keep your Automatic Wrist Blood Pressure Monitor in the best condition and protect the unit from damage follow the directions listed below:

Clean the monitor with a soft dry cloth. Do not use any abrasive or volatile cleaners. Do not attempt to wash the cuff. Never immerse the monitor or any components in water. Store the monitor in a safe and dry location. Do not fold the cuff tightly. Do not subject the monitor to extreme hot or cold temperatures, humidity and direct sunlight. Store the monitor in the storage case when not in use. Avoid subjecting the monitor to strong shocks or vibrations, such as dropping the unit on the floor. Remove the batteries if the unit will not be used for three months or longer. Always replace all the batteries with new ones at the same time. Use the unit consistent with the instruction provided in this manual. Use only authorized parts and accessories.

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ERROR INDICATORS SYMBOL

CAUSE

Movement during measurement.

CORRECTION Press the START/STOP button to turn the unit off. Remove the monitor from your wrist. Refer to “Taking a Measurement” on page 14. Wait 2-3 minutes. Take another measurement.

After several seconds The cuff is not fastened securely.

Remove the monitor from your wrist. Refer to “Applying the Wrist Cuff” on page 13. Wait 2-3 minutes. Take another measurement.

Wrist is not in the correct position.

Refer to “Taking a Measurement” on page 14. Make sure the wrist measurement selection is correct. Refer to page 10.

Batteries are worn.

Replace the two “AAA” batteries. Refer to “Battery Installation” on page 8.

Cuff over-inflated.

Repair service required. Refer to the warranty information on page 22.

After several seconds 19

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ERROR INDICATORS SYMBOL

CAUSE

Abnormal unit function.

CORRECTION

Repair service required. Refer to “warranty information” on page 22.

TROUBLESHOOTING TIPS PROBLEM

CAUSE

No display appears on the unit when the START/STOP button is pressed.

Replace worn batteries. Check the battery installation for proper placement of the battery polarities.

Measurements values appear too high or too low.

Blood pressure reading varies constantly. Many factors including stress, time of day, how you apply the cuff, may affect your blood pressure reading. Review the sections “Before Taking a Measurement”, “Applying the Wrist Cuff” and “Taking a Measurement”. 20