Automatic Blood Pressure Monitor Gebrauchsanweisung ... · ibp A43 English 21.05.2003 9:55 Uhr Seite 11. 12 Remove the wristwatch and all jewelry. Put the blood pressure monitor on

closing date: may 2003 © by ibp innovative business promotion gmbh, Germany

A 43

Automatic Blood Pressure Monitor

GebrauchsanweisungInstruction manual

Mode d’emploiGebruiksaanwijzing

ibp A43 English 21.05.2003 9:55 Uhr Seite 1


1

table of contents1 introduction ............................................................................................................... 22 preliminary remarks ................................................................................................... 33 about blood pressure

3.1 blood pressure values .......................................................................................... 4-53.2 measures affecting your blood pressure positively ............................................... 63.3 how to obtain accurate readings ......................................................................... 6-7

4 the unit / accessories .................................................................................................. 85 display /symbols ......................................................................................................... 96 before using the device

6.1 battery installation, battery replacement .............................................................. 106.2 setting the time ................................................................................................... 11

7 making a blood pressure measurement7.1 attaching the wrist cuff ....................................................................................... 12-137.2 the measuring accuracy ....................................................................................... 147.3 the right measuring position ................................................................................ 157.4 the measuring method ........................................................................................ 16-187.5 switching off ...................................................................................................... 18

8 the memory function ................................................................................................ 199 an error is displayed ................................................................................................... 20

10 other important notes ................................................................................................ 2111 specifications ............................................................................................................ 22

guarantee ................................................................................................................. 23


2

dear customer,we are glad that you have decided for this blood pressure monitor. The product you have boughtis state of the art, of highest quality and has many advanced features. The device has twomemory areas. Up to 30 separate measurements can be saved in either area.

important notes!

Please read this Instruction Manual carefully to know your blood pressure monitor. Then themonitor will give you many years of smooth service and supply measuring data of high accuracy.Only your physician can interpret your blood pressure values. If you suffer from cardiacarrhythmia, always discuss the blood pressure values with your doctor. If you have questions aboutblood pressure for which you do not find an answer in this booklet, also consult your doctor.

The right to technical modifications is reserved.

1 introduction


3

This Blood Pressure Monitor bears the CE (conformity) label for notinvasive Blood PressureMonitors to show that it conforms with the EU Council Directive (EN 1060-1 / EN 1060-2) fornotinvasive Blood Pressure Monitors.

It also confirms with the EU Council Directive “93/42/EEC of 14th June 1993 on MedicalProducts“.

ibp hereby confirms that the product delivered together with this Instruction Manual complieswith this Directive. The appropriate conformity declaration is available with ibp.

To ensure accurate measurements, the Blood Pressure Monitor must receive a technical check-up every 2 years. Inspection is also required when the blood pressure data supplied by themonitor are obviously off-range. The checks are made at our checkpoint. The inspection pointhas registered with the competent authorities.

-

-

-

-

preliminary remarks 2

0366


4

More than half the number of people suffering from high blood pressure are unaware of it.Today high blood pressure is one of the main causes why people die. This Blood Pressure Monitorallows you to measure your blood pressure at home. If your blood pressure is off limits, themonitor helps you to keep it under constant watch. Remember only your physician can interpretyour blood pressure values. Never venture self-diagnosis or self-treatment. The blood pressure isthe measure of the force which the heart needs to pump the blood through the circulatorysystem and supply the vital organs of our body. The higher the pressure, the harder the heartmust work.

3.1 blood pressure valuesTypical normal blood pressure as recommended:

systolic blood pressure diastolic blood pressurehypotension less than 105 mmHg less than 60 mmHgnormalless less than 140 mmHg less than 90 mmHgborderline 140 - 160 mmHg 90 - 95 mmHghypertension more than 160 mmHg over 95 mmHg

If the blood transport system is inot functioning normally, the blood pressure can be higher thannormal. High blood pressure can damage vital organs, such as the heart, the brain or muscles.

3 about blood pressure


Remember that only the physician can interpret your blood pressure values. Never venture self-diagnosis or self-treatment. We recommend you to discuss your blood pressure values with yourphysician. He can advise you on any measures that may be good to take.

The blood pressure ischanging constantly. Youshould not be frustrated bytwo or three bad readings,and don’t fly into high spiritsif a few readings are good.The blood pressure changesduring the day as during themonth. It is also influenced bythe time of year and thetemperature. Monitor yourblood pressure regularly andkeep a full record of al lreadings. This allows you tomake a competent judgment.

about blood pressure 3

blood pressure changes during a day(test person: M, male, 35 years old)

6 a.m. 12 a.m. 6 p.m. 12 p.m.

Systolic pressure

Diastolic pressure

morning afternoon

Getup

Arriveoffice

Heated debateduringconference

Leaveoffice

mmHg

200

150

100

050

Makephonecall

5


6

3.2 measures affecting your blood pressure positivelyIf your blood pressure is high or you want to avoid high blood pressure, your lifestyle shouldgenerally be conducive to this goal.

Existing diseases: Strictly follow the instructions of your doctor to treat existing diseases e.g.,diabetes, gout, disturbed lipid metabolism, etc.)

Nutrition: Reduce overweight. Use little salt with your food, avoid food with lots of fat.

Smoking, drinking: No smoking! Consume only little alcohol and coffee.

Sport activities: If advised by your doctor after an examination, practice stamina sports(jogging, swimming). Avoid sports involving strength, do not try your limits!

3.3 how to obtain accurate readingsThe blood pressure is constantly changing throughout a day. The changes are caused by psychicand physical factors, such as anxiety, exercise, smoking, caffeine and stress. Because it ischanging, the blood pressure should always be measured at the same time of day, when yourbody is relaxed. It is the physician’s responsibility to interpret the readings and analyze your physi-cal condition. It is important that you consult your physician regularly. He will tell you your normal

3 about blood pressure


7

blood pressure and what you should take care of.

Here are a few helpful tips to obtain accurate readings:

Wait one hour before measuring the blood pressure after a substantial meal.

Do not smoke or drink alcohol before measuring the blood pressure.

You should not do physical work one hour before taking a reading.

It is important that you relax. Try to take 15 minutes rest before the reading.

Do not take measurements if you are under stress or tension.

Take the blood pressure reading at normal body temperature, not when you feel cold or hot.

When the monitor is stored at very low temperature (near freezing), keep it at a warm place atleast for 1 hour before using it.

Wait about 5 minutes before making the next pressure measurement.

-

-

-

-

-

-

-

-

about blood pressure 3


8

4 the unit - accessoriesaccessoriesincluded :

keeping box(without ill.)

instructionmanual includingwarranty

batteries

wrist cuff

LCD-display

2 “AAA”size 1,5 Valkalinebatteries

battery com-partmentcover

START key

memorykey

identificationof the unit

memorypolling key

power key

time set keyand memory

area key


2

1

9

display / symbols 5

Memory symbol 1 or 2 is displayedduring save or memory display.

When this sign appears the batteriesshould be replaced.

The pulse sign appears when thepulse rate is displayed.

The error sign appears with wronginput or device defect.

display symbols

systolicpressure

diastolicpressure

pulse rate

21

memorysymbol 1

memorysymbol 2

memory symbol

battery sign

pulse sign

error symbol


10

6 before using the device

6.1 battery installation battery replacement

The battery cover is on the left-hand side of the unit. Push it inthe arrowed direction and remove it. Insert the 2 supplied“AAA“ size, 1.5 V alkaline batteries as shown here. Insert thelower battery first. Ensure correct polarity. Close the batterycompartment.Replace the batteries when the battery replacement sign

appears on the LCD display, or when the LCD display isblank after you switch on the unit.

notes :As the supplied batteries are for test only, they may be discharged earlier than batteries you buyin the store. Replace the batteries in pairs. Batteries are hazardous waste. Discharged bat-teries should not be discarded with household refuse. Dispose of discharged batteries at arecycling point. Remove the batteries from the appliance if it is not to be used for a long period.

Safety advice: - Keep away from children! - Do not short-circuit!- Not rechargeable! - Do not throw into fire!

to open the battery cover push it in the arroweddirection


11

before using the device 6

6.2 setting the timeTo enter the timer mode, press the TIME SET key longer than 3 seconds and release it. The year number flashes.

To increment the flashing digit, press the MEMO/+ key; to decrement, press the RCAL/- key.

Press the TIME SET key. The month flashes. Set the month as described above.

Press the TIME SET key. The day flashes. Set the day as described above.

Press the TIME SET key. The hour flashes. Set the hour as described above.

Press the TIME SET key. The minute flashes. Set the minute as described above.

To leave the timer mode, press the TIME SET key again.

note: If no key is pressed for 10 seconds, the next digit starts flashing The unit will enter thestandard mode after running through all digits.


12

Remove the wristwatch and all jewelry. Put the bloodpressure monitor on the inside of your left wrist (fig. 1).

Place the cuff around your wrist, make sure that the bottomedge of the cuff is about 5-10 mm above the palm of yourleft hand (fig. 2).Make sure that the cuff is placed on the bare skin with noclothing in between.

5 - 10 mm

fig. 1

fig. 2

7 making a blood pressure measurement

a)

b)

7.1 attaching the wrist cuff


13

fig. 4

fig. 3

making a blood pressure measurement 7

13

Hold the bottom part of the wrist cuff as illustrated in fig. 3.Pull the cuff tight and wrap it upwards so that there is nogap between the cuff and your wrist.

While you wrap the cuff upwards, hold the cuff cover withyour thumb.

Wrap the cuff around your wrist to suit its form. The bloodpressure reading will be correct even if you wrap the cuffaskew. If the cuff is not wrapped tight enough, the pressurewill be falsely higher and the wrist go numb. Correctmeasuring is then not possible.

If you cannot place the cuff around your left wrist and theblood pressure measurement is not possible on the left wrist,place the cuff around the right wrist. Proceed as illustrated infig. 4 on the right.

c)

d)

e)

f)


14

The new stepping valves mean a dramatic improvement of the measuring accuracy.

Your new wrist blood pressure monitor is equipped with state-of-the-art valve technology forextreme accuracy.

The mechanical valves have been replaced by electronic valves so that the user can recognizeeven small pressure changes and compensate them by means of the cuff pressure.

The cuff pressure is adapted in steps. A clicking sound indicates that air is released from thecuff.

The stepwise release of the cuff pressure allows the unit to respond more perfectly to changesin the cuff and consider them for the evaluation. If no change is detected during any step, theair pressure will be reduced. If changes are detected, they are evaluated at the appropriate steplevel until their accuracy has been determined.

The identification and evaluation of changes at the various steps and corresponding adjustmentof the cuff pressure mean that more accurate values are obtained.

-

-

-

-

-

-

7.2 the measuring accuracy



15

making a blood pressure measurement 7

Have yourself on a seat in a comfortable position, breathedeeply 5 or 6 times and relax.Measure the blood pressure the same time every day. To geta correct picture of the blood pressure changes during the day,make the measurements at home daily at the same time. Place your elbow on the table or other suitable support andhold the cuff so that the cuff is at the same level as the heart.Record the values and show them to your physician forassessment.

notes :If the cuff is not pulled tight you get wrong measure values.The blood pressure value measured on the wrist may be different from that on the upper arm.As the measuring positions and the size of the blood vessels are different on the wrist andupper arm, the values may differ slightly. In many cases the difference can be 10 mmHg systolicand diastolic in a healthy person.The following groups should watch their blood pressures in particular: hypertonic persons,diabetic patients, persons with liver disease, hardened arteries, circulatory weakness, etc.

-

-

-

-

measure values: 1 to low2 correct3 to high

7.3 the right measuring position

1

2

3


16

fig. 1 fig. 2

2

1 1

7 making a blood pressuremeasurement

Place the cuff around your armas described (pages 12 - 13).

Start the monitor by pressingthe Power key.

When the Power key is pressed,all digits will light up (fig. 1).This is a check of the displayfunctions which is completeafter about 2 seconds. After theLCD test, the digit "0" and theselected measu-ring range, e.g.,"1", are briefly displayed (fig. 2).

a)

b)

7.4 the measuring method


17

1 1

making a blood pressure measurement 7 The pump begins to inflate thecuff automatically. If the cuff pressure is low, theunit interrupts the measuringand increases the cuff pressureto an acceptable level.

c)

notes :As the pump reaches the starting pressure, measuring starts. While measuring, do not movethe cuff or your arm or hand muscles. As the unit detects pulse, the LCD will show the pulserate. During the measuring the displayed value will decrease. If you want to interrupt themeasurement, simply press any key. The cuff will be deflated.


18

The cuff will deflate when the unit completes the measu-ring. The LCD then shows the systolic and diastolic pres-sures, and the pulse rate.

7.5 switching off Switch off the monitor by pressing the Power key.

The monitor goes "off" automatically after appr. 3 minutesof inactivity.

d)

1

Systolic Diastolic Pulserate



The data in the memory is protected when power to the unit is switched off.The data in the memory is erased when the batteries are replaced.

19

the memory function 8The device has two memory areas and . Up to 30separate measurements can be saved in either area. Set theMemo/+ key to memory area 1 or memory area 2 beforesaving or recalling measurements. The values (blood pressureand pulse rate) can be saved in the memory of the unit,together with the time and date. Just press the Memo/+key (MEMORY) while the values are shown on the LCD. Thememory sign appears and the values will be written in thememory. The LCD will go blank.

To read memory values, press the Rcal/- key (RECALL). Thememory values will be shown on the LCD, together with thetime and date. The last measurement will be shown first.Every new press of the Rcal/- key (RECALL) polling calls oneprior value pair.

a)

b)

notes:

1

21


9 an error is displayedError display Possible reason Remedy

20

The cuff position is not correct.The unit interrupts the measuringand increases the cuff pressure.

You have moved during the measuring.

The batteries are empty.

The display remains blank.Batteries are not inserted

or inserted wrongly or batteries are depleted.

Put on the cuff correctly.Do not move

while the measuring continues.

Replace the empty batteries by new size „AAA“

1.5V batteries.

Insert batteries.Check the battery position

or replace batteries.


21

other important notes 10 The unit contains high-precision assemblies. Therefore avoid extreme temperatures, humidity,direct sunlight. Do not give strong shock. Do not try to open the blood pressure monitor. Thiswill destroy the calibrated factory settings.

Protect from ingress of dust.

Do not bend the preformed cuff inside out. Clean the blood pressure computer body and thecuff carefully with a slightly damp, soft cloth. Do not press. Do not wash the cuff or usechemical cleaner on it. Never use thinner, alcohol or petrol as cleaner.

Leaky batteries can damage the unit. Remove the batteries when the unit is not used for along time.

Do not press the Start key when the cuff is not placed around the wrist.

The unit should only be used by adult persons.

1.

2.

3.

4.

5.

6.


22

11 specifications Model : ibp A43Measuring method : Oscillometric methodIndicator : LCD displayMeasuring range : 20 - 280 mmHg (blood pressure)

: 40 - 180 pulse/min. (pulse rate)Measuring resolution : ± 3 mm Hg (blood pressure)

: ± 5 % (pulse rate)Pressure build-up : Automatic pressure build-up by pumpPressure release : Automatic pressure release by valve systemDeflation : Automatic deflation valvePower source : 2 x 1.5V high capacity or alkaline batteries size “AAA”Memory : 2 x 30 measuring valuesWorking temperature : +10 °C to +40 °CStorage : - 5 °C to +60 °CHumidity : 85 % RH maximumHard cuff : For wrist circumference between 135 - 195 mmDimension (measuring unit) : appr. (85 x 80 x 88) mmWeight : appr. 115 grams (without batteries)


GUARANTEEYour Blood Pressure Monitor was checked to ensure its faultless quality before despatch.

Please send the appliance for checking or repair togehter with the purchase document or receipt andthe description of the faults and/or of the desired check to the adress below.

From the date of purchase (date of the purchase document) rapairs will be carried out free of chargefor 24 months, if your appliance should be defective due to a production or material fault.

The guarantee does not cover any damage occurring as a result of faulty operation, improper treat-ment, storage and care or unusual influences. All further claims as well as damages shall likewise beexcluded.

Should you have any reason to avail yourself of the warranted services under the guarantee, send theappliance with the guarantee documents to the customer service department:

ibp International Business Products Limited6 Newfield CourtWest Houghton

Bolton B15 3SA England

Phone: +44 -(0) 19 42- 81 96 95

Distributed by: ibp gmbh, Head Office, Botzstraße 6, D-07743 Jena, Germany Manufactured by: Rossmax® International Ltd., Taipei, Taiwan


Documents

Automatic Blood Pressure Monitor Gebrauchsanweisung ... · ibp A43 English 21.05.2003 9:55 Uhr Seite 11. 12 Remove the wristwatch and all jewelry. Put the blood pressure monitor on