T4 Instruction Manual

INTRODUCTION What is INTELLISENSE™? Thank you for purchasing the Omron T4 INTELLISENSE™ Blood Pressure Monitor. Although your blood pressure fluctuates throughout the day, no self-adjustment is necessary as the monitor intelligently adjusts to your changing conditions. The INTELLISENSE™ monitor uses fuzzy logic intelligence to sense both your systolic and diastolic blood pressure values, and the result is personalized inflation and deflation. Arm discomfort and misreading due to improper cuff inflation are virtually eliminated. What is Fuzzy Logic? Fuzzy logic is an exciting new technology that has actually made computers smarter by allowing computers to think and reason more like people. Fuzzy logic computers can process information with unclear boundaries or relative terms rather than a conventional computer that can only process information with rigid boundaries or absolute terms. For example, fuzzy logic computers can think in terms of light gray, lukewarm, and partially true, whereas conventional computers can only recognize black or white, hot or cold, and true or false, but nothing in between. The result is smart, user-friendly products and systems. Your new T4 uses the oscillometric method of blood pressure measurement. This means the monitor detects your blood’s movement through your brachial artery and converts the movements into a digital reading. An oscillometric monitor does not need a stethoscope so the monitor is simple to use. The T4 is completely automatic. At the push of a button, the monitor fills the cuff with air and displays your systolic, diastolic, and pulse measurements on an extra large LCD panel. You get fast, accurate measurement every time. Please read this instruction manual thoroughly before using the Omron T4 INTELLISENSETM Monitor. For specific information on your own blood pressure, CONTACT YOUR PHYSICIAN.

1

KNOW YOUR UNIT
 !
 =
 Cuff Storage Compartment

=


Diastolic Blood Pressure /Pulse Display
 !"#$%&
=
=
L
 =


Systolic Blood Pressure Display
 !"#
=
=


ON/OFF Button
 !
 L
 =


Air Tube

 !

START Button
 !"#
 =
 Green Cuff Marker
 !"#
 =
 =


Arm Cuff



2

T4-En (1-19)

2

11/28/03, 8:54 AM

SPECIFICATIONS Model:

T4 with INTELLISENSETM

Display:

LCD Digital Display

Measurement Range:

Pressure: 0 to 280 mm Hg Pulse: 40 to 180/minute

Accuracy/Calibration:

Pressure: ±3 mm Hg or 2% of reading Pulse: ±5% of reading

Inflation:

Automatic by electric pump

Deflation:

Automatic deflation system

Rapid Pressure Release:

Active electronic control

Pressure Detection:

Electrostatic capacity type pressure sensor

Measurement Method:

Oscillometric method

Pulse Wave Detection:

Capacitive pressure sensor

Power Source:

4 “AA” batteries

Battery Life:

Approximately 300 measurements

Operating Temperature/Humidity:

10oC to 40oC 30 to 85% RH maximum

Storage Temperature/Humidity:

-20oC to 60oC 10 to 95% RH maximum

Console Weight:

Approximately 650g (not including batteries)

Outer Dimensions:

Approximately 183 (L) x 195(W) x 95(H)mm

Cuff Dimensions:

Approximately 140 mm x 480 mm

Accessories:

Instruction manual, 4 “AA” batteries

NOTE: These specifications are subject to change without notice.

3

QUICK REFERENCE GUIDE 1. Avoid eating, smoking, and exercising for at least 30 minutes before taking a measurement. 2. Put your left arm through the cuff loop making sure that the bottom edge of the cuff is approximately half inch above the elbow. 3. Pull the end of the cuff so that the entire cuff is evenly tightened around your arm and press the sewn hook material firmly against the pile side of the cuff. Make sure that your skin will not be pinched in the D-ring once you inflate the cuff bladder. Immediately deflate the cuff bladder and readjust the cuff if skin becomes pinched. 4. Sit in a chair with your feet flat on the floor and place your left arm on a table so that the cuff is at the same level as your heart. 5. Press the ON/OFF button. 6. After the Ready to Measure Symbol ( ) appears next to a zero on the digital panel, press the START button. 7. Remain still throughout the entire reading. 8. When measurement is complete, the monitor alternately displays your blood pressure and pulse on the digital panel and automatically deflates the cuff. 9. Wait 5 ~ 10 minutes before taking another blood pressure measurement. You may require more rest time between readings, depending on your individual physiological characteristics.

4

BATTERY INSTALLATION/REPLACEMENT 1. Slide the battery cover off in the direction of the arrow.

OPEN

1

2. Install or replace 4 “AA” size batteries so + (positive) and – (negative) polarities match the polarities of the battery compartment as indicated.

OPEN

2 – +

+ –

–

+

+ –

3. Replace the battery cover. OPEN

3

4. If the Low Battery Indicator appears on the display, replace all four batteries. Long-life alkaline batteries are recommended. 5. Remove the batteries if the monitor will not be used for an extended period of time.

5

SYSTOLIC mmHg

DIASTOLIC mmHg PULSE m/n

Low Battery Indication

A FEW SUGGESTIONS BEFORE BLOOD PRESSURE MEASUREMENT 1. Avoid eating, smoking, and exercising for at least 30 minutes before taking a measurement. Also rest for at least 15 minutes before taking a reading. 2. Stress raises blood pressure. Avoid taking measurements during stressful times. 3. Remove tight-fitting clothing from your left upper arm. 4. Measurement should be taken in a quiet place and you should be in a relaxed, seated position. Rest your left arm on the arm of a chair or on a table so that the cuff is at the same level as your heart. 5. Remain still and do not talk during the measurement. 6. Keep a record of your blood pressure and pulse measurements for your doctor. Remember, a single measurement does not provide an accurate indication of your true blood pressure. You need to take and record several measurements over a period of time. Try to measure your blood pressure at the same time each day for consistency. Blood pressure measurements fluctuate considerably. 7. Wait 5 – 10 minutes between successive measurements. Waiting allows the engorged blood vessels to return to normal. You may require more rest time between readings depending on your individual physiological characteristics.

6

HOW TO APPLY THE ARM CUFF 1. Insert the air plug of the arm cuff to the air jack of the monitor.

2. Unroll the arm cuff as shown in the Figure to the right by leaving the cuff loop in cylindrical shape.

If the D-ring comes off, insert the cuff through the D-ring as shown in the Figure.

Sewn hook material (large)

3. Put your left arm through the cuff loop so that the air tube is positioned on the palm side of your hand. * The arm cuff must be placed directly on your skin as a rule. However the blood pressure can be measured from outside a light underwear. If you are wearing a heavy cloth like a thick sweater, do not place the arm cuff over the sweater. Instead, take off the sweater before measurement. 4. Turn your left palm upward and place the edge of the arm cuff at approximately 1/2 inch above the inner side of the elbow joint (a folding line when you bent your arm).

(Left arm)

Apply the arm cuff by passing it through the D-ring.

Bottom Edge 1/2 Inch

Air Tube

* Please position the air tube in the Cuff Tab middle of the arm, in line with the middle finger.

7

HOW TO APPLY THE ARM CUFF When you apply the arm cuff on your right arm:

(Right arm)

You can also measure the blood pressure on your right arm. In that case, apply the arm cuff as shown in the Figure to the right. (1) The air tube must be positioned under the elbow. (2) The cuff marker must be placed inside the elbow joint of the right arm. 5. As shown in Figure (1), lift up the portion of the cuff extended from the D-ring and tighten the arm cuff while pulling the extended portion. Good way of applying the arm cuff to slender arm Figure (1)

As shown in Figure (1), fix the arm cuff with the sewn hook material (small). Then as shown in Figure (2), fix the arm cuff completely with the sewn hook material (large). You can apply the arm cuff comfortably and snugly in this way. Figure (2)

8

HOW TO APPLY THE ARM CUFF 6. Apply the arm cuff snugly on the arm so that there should be no space between the arm cuff and the arm (especially around the cuff marker). If the arm cuff is placed slightly slanted to the arm, the measured values will not be affected. * If the arm cuff is not applied snugly, it may tighten the arm too strongly and cause the arm to be numb or proper measurement may not be made. 7. Turn your palm upward and place your elbow on a table or a stand so that the center of the arm cuff is at the same level as your heart(nipple). Proper posture for measurement. The correct sitting position for measuring. Sit on the chair and relax yourself when measuring the blood pressure. It is also a good practice to take deep breath five to six times before measurement. During the measurement, lightly bend your elbow so that the elbow will not float on the table or the stand. How to adjust the height Be careful of the height of the table and the chair. If the position of the arm cuff is lower than the heart (nipple) level, please use a cushion or a pillow to adjust the height.

9

If the arm cuff is placed slanted, the measured values are not affected.

HOW TO TAKE A READING Please read “A Few Suggestions Before Blood Pressure Measurement” and “How To Apply The Arm Cuff” before taking a reading. 1. Press the ON/OFF button. a) A l l d i s p l a y s y m b o l s a p p e a r f o r approximately one second. This is the initial LCD test. b) The display symbols disappear and the Deflation Indication Symbol (佣) starts to flash.

Initial LCD test SYSTOLIC mmHg

DIASTOLIC mmHg

READY TO MEASURE REPLACE BATTERIES PROGRESS

PULS/mmHg

SYSTOLIC mmHg

DIASTOLIC mmHg

READY TO MEASURE REPLACE BATTERIES PROGRESS

PULS/mmHg

Deflation Indication

c) When the monitor completes the necessary preparations before measurement, the Ready To Measure Symbol ( ) appears next to a zero.

SYSTOLIC mmHg

DIASTOLIC mmHg

READY TO MEASURE REPLACE BATTERIES PROGRESS

PULS/mmHg

Ready to Measure

NOTE : Wait for the Ready to Measure Symbol ( ) before taking a measurement. 2. Press the START button. The monitor’s fuzzy logic system will automatically determine the proper inflation level. Because this monitor detects the pulse even during inflation, do not move your arm and remain still during the measurement.

10

HOW TO TAKE A READING a) When the systolic pressure is suspected to exceed 220 mmHg If the systolic pressure is suspected to be more than 220 mmHg, it is impossible to sufficiently inflate the monitor using the automatic inflation setting. In that case, push and hold on the START button until the monitor is inflated at 30 to 40 mmHg higher than your suspected systolic pressure. NOTE: Please do not apply pressure more than necessary. b) For automatic inflation If the inflation is determined insufficient at the start of the measurement, the monitor may be reinflated to the value about 30 mmHg higher than the last value. NOTE: (If you want to stop the measurement) Push the ON/OFF switch. The monitor will stop inflating and start deflating rapidly, then the power is turned off.

11

START

Continue to press button

HOW TO TAKE A READING 3. When the measurement is started automatically and starts to detect the pulse, the Heart symbol ( ) will start to flash. NOTE: Because the measurement is made even during the deflation, do not shake the arm cuff or the air tube. 4. When the measurement is complete, a Heart symbol ( ) flashes and the air cuff deflates.

SYSTOLIC mmHg

READY TO MEASURE REPLACE BATTERIES

DIASTOLIC mmHg

PROGRESS PULS/mmHg

« SYSTOLIC mmHg

READY TO MEASURE REPLACE BATTERIES

DIASTOLIC mmHg

PROGRESS PULS/mmHg

SYSTOLIC mmHg

READY TO MEASURE REPLACE BATTERIES

DIASTOLIC mmHg

PROGRESS PULS/mmHg

5. At the end of the measurement, systolic and diastolic pressures are displayed concurrently. Then blood pressures and pulse are displayed alternately.

SYSTOLIC mmHg

READY TO MEASURE REPLACE BATTERIES

DIASTOLIC mmHg

PROGRESS PULS/mmHg

NOTE: If the Heart symbol ( ) is lit on at that time, you can take another measurement.

» « SYSTOLIC mmHg

DIASTOLIC mmHg

READY TO MEASURE REPLACE BATTERIES PROGRESS

PULS/mmHg

12

HOW TO TAKE A READING 6. Measurement of blood pressure is complete now. Push the ON/OFF button to turn off the power. NOTE: Even if you forget to push the ON/OFF button, the power will be turned off automatically after five minutes. Display of measurement progress The symbol (佢) indicated at the lower right corner of the display indicates the progress of measurement. After pressing the START button, upper three symbols flash like (佢), then the lower three symbols flash when the measurement starts. When 1/3 of the measurement is completed, one each symbol diminishes. When all three symbols diminish, another symbol (佣) flashes and the monitor deflates. Please use these symbols as the standard to know the progress of measurement. NOTE: If you press and hold on the START button while inflating, the display indicating the inflation (佢) changes to the upper one symbol (佢).

13

ON/OFF

ERROR INDICATORS Error Indicator

Cause Cuff under-inflated.

Movement during measurement. No pulse or blood pressure reading due to very weak artery pulse.

Correction Wait 10 minutes before taking another measurement. Repeat steps listed under “How to Take a Reading.” If “EE” is displayed again, take another measurement by pressing and holding the START button as listed in step 2b under “How to Take a Reading.”

Cuff over-inflated (more than 300 mm Hg).

Carefully read and repeat steps listed under “How to Take a Reading.”

Battery voltage is excessively low.

Replace all four “AA” batteries with new one.

14

CARE AND MAINTENANCE To protect your monitor from damage, please AVOID the following: •

Subjecting your monitor to extreme temperatures, humidity, and direct sunlight.

•

Fold the cuff and tubing tightly.

•

Inflate the monitor over 280 mmHg.

•

Diassembling the monitor.

•

Subjecting the monitor to strong shocks. (for example, dropping the monitor on the floor.)

•

Do not clean the monitor with volatile liquids. THE MONITOR SHOULD BE CLEANED WITH A SOFT, DRY CLOTH.

15

A FEW WORDS ABOUT BLOOD PRESSURE Blood pressure is the force exerted on the walls of your blood vessels as blood flows through them. Your heart is like a pump. When it contracts, or beats, it sends a surge of blood through the blood vessels and pressure increases. This is called your systolic pressure.

Heart Contracts (Pressure Increases)

When your heart relaxes between beats, your blood pressure decreases. This is called your diastolic pressure. When a doctor takes your blood pressure, he or she measures both your systolic and diastolic pressures and records them as numbers. For example, if your blood pressure reading is 126/76 (126 over 76), your systolic is 126 and your diastolic is 76. The numbers are calculated in millimeters of mercury and recorded as 126/76 mm Hg.

Heart Relaxes (Pressure Decreases)

Systolic (Upper Number)

Diastolic (Lower Number)

16

A FEW WORDS ABOUT BLOOD PRESSURE These two numbers provide important information about your health. The more difficult it is for your blood to flow through your blood vessels, the higher both numbers will be. When blood pressure is consistently above normal it is called hypertension (high blood pressure). Your new INTELLISENSETM Monitor automatically measures your systolic and diastolic blood pressure for you, then displays the results on an easy-to-read digital panel!

17

A FEW WORDS ABOUT BLOOD PRESSURE Your blood pressure changes constantly. Blood pressure fluctuates from day to day and minute to minute according to your body’s needs. For example, when you are exercising or angry your blood pressure increases, but when you are relaxing or sleeping your blood pressure decreases. These fluctuations are completely normal. Your Omron T4 INTELLISENSETM Monitor is especially helpful when tracking changes in blood pressure because it travels anywhere and takes just seconds to use.

Breakfast Sleeping

Lunch

Blood Pressure (mmHg)

Dinner

Systolic Blood Pressure Diastolic Blood Pressure

Time

Upper-Arm Blood pressure Data

Note: One or two readings will not provide a true indication of your normal blood pressure. It is very important to take regular, daily measurements and to keep accurate records. In partnership with your doctor, and accurate record of your blood pressure over a period of time can be a valuable aid in diagnosing and preventing potential health problems.

18

A FEW WORDS ABOUT BLOOD PRESSURE The World Health Organization (WHO) developed the following Blood Pressure Classification. This classification, however, is only a general guideline because blood pressure varies from person to person according to age, weight, and health status. CONSULT YOUR PHYSICIAN TO DETERMINE YOUR NORMAL BLOOD PRESSURE. WHO Blood Pressure Classification mm HG Hypertension 95 Borderline 90 Diastolic

Normal 140

160

mm Hg

Systolic

Normal Borderline Hypertension

Systolic (mm Hg)

Diastolic (mm Hg)

less than 139 140 to 159 more than 160

less than 89 90 to 94 more than 95

NOTE: There is no universally accepted definition of hypotension (low blood pressure), but a systolic pressure below 99 mmHg is usually regarded as hypotension.

19