A&D UA-704 Instruction manual

Digital Blood Pressure Monitor
Model UA-704
Instruction Manual
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Manuel d’instructions
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Manual de Instrucciones
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Manuale di Istruzioni
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1WMPD4000735E
Contents
Dear Customers ............................................................................... 1
Preliminary Remarks ........................................................................ 1
Precautions ....................................................................................... 2
Parts Identification .......................................................................... 3
Symbols .................................................................................. 4
Using The Monitor ........................................................................... 5
Installing / Changing The Battery ........................................ 5
Selecting The Correct Cuff ................................................... 6
Applying The Arm Cuff ........................................................ 7
How To Take Proper Measurements ..................................... 7
Measurement ............................................................................... 7
After Measurement ...................................................................... 7
Measurement .................................................................................... 8
Notes For Proper Measurement .................................................. 9
What Is An Irregular Heartbeat? .................................................... 10
About Blood Pressure .................................................................... 10
What Is Blood Pressure? ............................................................ 10
What Is Hypertension And How Is It Controlled? .................... 10
Why Measure Blood Pressure At Home? .................................. 11
WHO Blood Pressure Classification .......................................... 11
Blood Pressure Variations ......................................................... 11
Troubleshooting ............................................................................ 12
Maintenance ................................................................................... 12
Technical Data ............................................................................... 13
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.
Preliminary Remarks
This device conforms to the European Directive 93/42 EEC for Medical
mark of conformity.
Products. 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.
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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 television,
microwave oven, cellular telephone, X-ray or other devices with strong
electrical fields.
Used equipment, parts and battery are not treated as ordinary household
waste, and must be disposed of according to the applicable local
regulations.
When reusing the device, confirm that the device is clean.
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.
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.
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Parts Identification
Proper fit range
Artery position mark
Air hose
Battery
R6P, LR6 or AA
Cuff
Start button
Battery cover
Index mark
Battery compartment
Exhaust valve
Display
Rubber bulb
Display Parts
I.H.B. indicator (Irregular heartbeat indicator)
Diastolic pressure
Systolic pressure
Pulse rate
Exhaust mark. Exhaust air from the cuff
Battery indicator
Pressure mark. Pump air into the cuff.
Heart mark. Measurement in progress.
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Symbols
Symbols
Function / Meaning
Turns the device on and off.
Guide to install battery
Type BF: Device, cuff and tubing are
designed to provide special protection
against electrical shocks.
The indicator that appears while
measurement is in progress. It flashes
when the pulse is detected.
Irregular Heartbeat indicator. (I.H.B.)
The indicator that appears when an
irregular heartbeat or any excessive
body movement is detected during the
measurement.
Flashes when there is air remaining in
the cuff at power up.
Flashes at the completion of the
measurement until exhaust is complete.
Flashes when the pressure is not
enough for the measurement.
The battery power indicator during
Full Battery
measurement.
low Battery The battery is low when it blinks.
Unstable blood pressure due to
movement during the measurement.
The systolic and diastolic values are
within 10 mmHg of each other.
The pressure value did not increase
during inflation.
The cuff is not fastened correctly.
The pulse is not detected correctly.
EC directive medical device label
EU-representative
Manufacturer
Date of manufacture
WEEE label
SN
Refer to instruction manual/booklet
Serial number
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Recommended Action
Measurement is in
progress -- remain still.
Press the exhaust valve
button to exhaust air from
the cuff.
Pump air into the cuff with
the rubber bulb.
Replace the battery with
a new one, when the
indicator blinks.
Try the measuring again.
Remain very still during
the measurement.
Fasten the cuff correctly,
and try the measurement
again.
Using The Monitor
Installing / Changing The Battery
1. Remove the battery cover.
Battery cover
2. Insert a new battery into the
battery compartment as shown,
taking care that the polarities
(+) and (-) are correct.
Battery
Use only R6P, LR6, AA or
equivalent battery.
3. Close the battery cover.
CAUTION
Insert the battery as shown in the battery compartment. If not, the
device will not work.
When
(LOW BATTERY mark) blinks in the display, replace with a new
battery.
(LOW BATTERY mark) does not appear when the battery is drained.
Battery life varies with the ambient temperature and may be shorter at
low temperatures.
Remove the battery if the device is not to be used for a long time.
The battery may leak and cause a malfunction.
Use the specified battery only. The battery provided with the device is
for testing monitor performance and may have a limited life.
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Using The Monitor
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 index
and proper fit range, on the cuff, tell you if you are applying
the correct cuff. (Refer to "Applying The Arm Cuff" on next page)
If the index
points outside of the range, contact your local dealer to
purchase a replacement cuff.
The arm cuff is a consumable. If it becomes worn, purchase a new one.
Arm Size
Recommended Cuff Size Catalog Number
32 cm to 45 cm
Large adult cuff
CUF-D-LA
22 cm to 32 cm
Adult cuff
CUF-D-A
Arm size: The circumference at the biceps.
Note: Model UA-704 is not designed for using a small cuff.
Symbols printed on the cuff.
Function / Meaning
Symbols
Recommended Action
Set the mark on the artery of
the upper arm or in line with
the ring finger on the inside of
the arm.
Artery position mark
REF
Index
Catalog number
Proper fit range for the adult cuff.
It's printed on the adult cuff.
Range to use the large adult cuff.
Use the large adult cuff
Over range printed on the adult cuff. instead of the adult cuff.
Proper fit range for the large adult
cuff.
It's printed on the Large adult cuff.
Under range printed on the adult
cuff.
Range to use the adult cuff.
Use the adult cuff instead of
It's printed on the large adult cuff.
the large adult cuff.
Lot number
Proper fit range
Large adult cuff
Proper fit range
Adult cuff
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Using The Monitor
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.
Cuff
Artery position mark
2. Constriction of the upper arm, caused
by rolling up a shirtsleeve, may
prevent accurate readings.
3. Confirm that the index
within the proper fit range.
1 to 2 cm
Secure the fabric
fastener firmly
points
Air hose
Index
and Proper fit range
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 immediately 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.
Measure your blood pressure according to the section "Measurement".
After Measurement
Press the exhaust valve to exhaust air from the cuff.
Press the START button to turn off the power after the measurement.
Remove the cuff and record your data.
Note: The device has an automatic power shut-off function, which turns off
the power automatically one minute after measurement.
Allow at least three minutes between measurements on the same
person.
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Measurement
1. Place the cuff on the arm (preferably the left arm).
2. Press the START button.
When the START button is pressed, all of the
display symbols will display for about one
second.
When the " 0 " is flashing, the device is ready for
mark is displayed, the
measurement. If the
cuff has some air trapped in it. Press the
mark is
exhaust valve button until the
displayed.
3. Pressurize the cuff by squeezing
the rubber bulb.
The figure on the left of the
display shows the current
pressure as you inflate the
cuff.
Stop squeezing the rubber
mark
bulb when the
disappears.
4. When
pressurization
is
completed,
the
automatic
exhaust
mechanism
will
gradually reduce the pressure in
mark will
the cuff and the
display along with the current
pressure reading on the left.
Remain still during the
measurement. When a pulse
mark will
is detected, the
flash in unison with the pulse
of
the
person
being
monitored.
START button
Squeeze bulb
Bulb
Stop squeezing the
bulb when the
mark disappears.
Detecting the pluse,
the mark is flashed.
Current pressure.
Automatic air release.
Gradually being reduced.
Measurement in
Flashing
Systolic pressure
Diastolic pressure
Alternating display
5. When the measurement is
mark is
complete, the
displayed. The systolic pressure
is displayed on the left. The
diastolic is displayed on the
right. The pulse rate alternates
with the systolic and diastolic
displays.
English
Pulse rate
To next page
8
Measurement
From previous page
6. Press the exhaust valve button to completely
release air from the cuff.
When a measurement is made with insufficient
mark will be displayed.
pressure, the
Re-pressurize the cuff to a pressure. Stop
mark
squeezing the rubber bulb when the
disappears.
When a measurement is made with an erratic
will
pulse or in a very noisy environment,
display.
7. Turning the power off
Press the START button to turn the power off.
The device will be in standby mode.
Press exhaust valve
Bulb
Releasing air
from the cuff
START button
8. Subsequent measurements
If a subsequent measurement is required, turn off the power and turn it
on again. When "0 " is displayed, the device is ready for another
measurement.
Note: Allow at least three minutes between measurements on the same
person.
9. Automatic power-off function
If the device is left on after a measurement, it will turn off
automatically after about one minute. It may be turned off at any time
by pressing the
START button.
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.
Your 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.
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Measurement
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
descriptions of the symbols.
This blood pressure 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.
What Is An Irregular Heartbeat?
Model UA-704 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 are relaxed, remain still and do not talk during measurements.
Note: We recommend contacting your physician if you see this
indicator frequently.
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 to keep it under control:
Do not smoke
Exercise regularly
Reduce salt and fat intake
Have regular physical checkups
Maintain proper weight
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About Blood Pressure
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 at the right.
Blood Pressure Variations
Blood Pressure
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 individual 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
Typical fluctuation within a day
concerned by the results of one
(Measured every five minutes)
mmHg
Systolic
measurement.
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
Diastolic
Sleep
date and time when recording your
AM
Time
PM
blood pressure. Consult your
doctor to interpret your blood
pressure data.
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Troubleshooting
Problem
Nothing
appears in the
display, even
when the
power is turned
on.
The unit does
not measure.
Readings are
too high or too
low.
Other
Possible Reason
Battery is drained.
Recommended Action
Replace with a new battery.
Battery polarities are
not in the correct
position.
Reinstall the battery with their
negative and positive end
matching those indicated in
the battery compartment.
The cuff is not fastened
properly.
You moved your arm or
body during the
measurement.
The cuff position is not
correct.
Fasten the cuff correctly.
Make sure you remain very
still and quiet during the
measurement.
Sit comfortably and still.
Ensure that the cuff is at the
same level as the heart.
If you have a very weak or
irregular heart beat, the
device may have difficulty in
determining your blood
pressure.
The value is different
See “Why measure blood
from that measured at a
pressure at home?”.
clinic or doctor’s office.
Remove the battery. Place it
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.
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.
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Technical Data
Type
UA-704
Measurement method
Oscillometric measurement
Measurement range
Pressure:
Pulse:
20 - 280 mmHg
40 - 200 beats / minute
Measurement accuracy
Pressure:
Pulse :
±3 mmHg
±5%
Power supply
1 x 1.5V battery (R6P, LR6, or AA)
Number of measurements
Approximately 4000 measurements, when
AA Alkaline batteries are used, with pressure
value of 180 mmHg at room temperature of
23 °C.
Classification
Internally powered EM equipment
Continuous operation mode
Clinical test
According to ANSI / AAMI SP-10 1987
EMC
IEC 60601-1-2: 2007
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. 100 [W] x 31 [H] x 51 [D] mm
Weight
Approx. 73 g, excluding battery
Applied part
Cuff
Useful life
Device: 5 years (when used six times a day)
Cuff:
2 years (when used six times a day)
Accessories sold separately
Cuff
Catalog Number
CUF-D-LA
CUF-D-A
Type BF
Cuff Size
Large adult cuff
Adult cuff
Arm Size
32 cm to 45 cm
22 cm to 32 cm
Arm size: The circumference at the biceps.
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_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, U.S.A.
Telephone: [1] (408) 263-5333
Fax: [1] (408)263-0119
A&D AUSTRALASIA PTY LTD
32 Dew Street, Thebarton, South Australia 5031, AUSTRALIA
Telephone: [61] (8) 8301-8100
Fax: [61] (8) 8352-7409