AMG Medical | Physio logic | Instruction manual | AMG Medical Physio logic Instruction manual

®
Automatic Wrist
Blood Pressure Monitor
with Smart Valve Technology
Instruction Manual
Features:
• Smart Valve Technology
• Memory for up to 90 Readings
• 3-Reading Averaging
• Time and Date Display
• One-Touch Operation
• Easy-to-read Display
• Auto Shut-Off
• BP Manager Software
• USB Data Transfer to PC
106-975
Table of Contents
Smart valve measuring technology. . . . . . . . . . . . . . . . . . . . . . . 3
Statement of accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
About blood pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Blood pressure standard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Blood pressure fluctuation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Before taking a measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Name / function of each part. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Installing batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Carrying case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Display explanation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Recalling memory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Clear values from memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Time adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Applying the arm cuff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Correct measuring posture . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Taking a measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Cautionary notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Data transfer to pc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Blood pressure chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2
Smart Valve Measuring Technology
The Physio Logic® Smart Valve Wrist blood pressure monitor uses
the oscillometric method to detect your blood pressure. Before the
cuff starts inflating, the device will establish a baseline cuff
pressure, which is equivalent to the air pressure. The measurement
of your blood pressure is based on this baseline pressure. During
the deflation of the wrist cuff, the monitor is detecting the pressure
oscillations generated by the beat-to-beat pulsatile. After detecting
the amplitude and the slope of the pressure oscillations during the
deflation process, the monitor will determine the systolic and
diastolic pressures for you, while your pulse rate is detected at the
same time.
Statement of Accuracy
Blood pressure measurements determined with Physio Logic® are
equivalent to those obtained by a trained observer using cuff /
stethoscope auscultation method, within the limits prescribed by
the American National Standard for Electronic or Automated
Sphygmomanometers (ANSI / AAMI).
About Blood Pressure
Blood pressure is the pressure exerted on the arterial wall while blood
flows through the arteries. The pressure measured when the heart
contracts and sends blood out of the heart is systolic (highest). The
pressure measured when the heart dilates with blood flowing back
into the heart is called diastolic (lowest) blood pressure.
High blood pressure’s strong correlation with cardiovascular
diseases and high morbidity has made measuring blood pressure a
necessity of identifying those at risk.
3
Blood Pressure Standard
The World Health Organization (WHO) and the National High
Blood Pressure Education Program Coordinating Committee
have developed a blood pressure standard, in which areas of low
and high risk blood pressure are identified. This standard is a
guideline as blood pressure varies among different people and
different age groups.
It is important that you consult with your physician regularly.
Your physician will tell you your normal blood pressure range as
well as the point at which you will be considered at risk.
Blood Pressure for Adults Age 18 and Older
Category
Systolic (mmHg)
Stage 2 Hypertension
Stage 1 Hypertension
Prehypertension
Normal
³ 160
140-159
120-139
< 120
Diastolic (mmHg)
or
or
or
and
³ 100
90-99
80-89
< 80
Blood Pressure Fluctuation
Blood pressure fluctuates all the time! You should not be overly
worried if you encounter two or three measurements at high levels.
Blood pressure changes over the month and throughout the day. It
is also influenced by season and temperature.
150
mmHg
(Case:
Male, 35 years old)
100
Systolic
Diastolic
50 Wake
up
6:00
Arrive
office
Telephone
Argument
Discussion in a meeting
18:00
12:00
4
Leave
office
Dinner
/ Sleep
Midnight
Before Taking a Measurement
To help you obtain more accurate readings:
• Urinate if necessary.
• Remove any clothing and jewellery from your left arm. Placing
the cuff on anything other than bare skin can result in an
inaccurate reading.
• Sit in a comfortable position with your legs and ankles uncrossed
and your back supported.
• Sit quietly for 15 minutes before measuring your blood pressure.
• If you need to retake a reading, wait at least 5 minutes to allow
your circulation to return to normal.
• Pick a time of day, and take your blood pressure at about the same
time every day. Since your blood pressure varies at different times
of the day, this will make it easier for you to compare your daily
blood pressure readings. A good time to take your blood pressure
is in the morning, before breakfast.
• Don't smoke, eat or exercise for 30 minutes before taking your
blood pressure. These activities can change your blood pressure.
• Do not measure your blood pressure immediately after
consuming a large meal. To obtain more accurate readings,
please wait one hour before measuring.
• Only take your blood pressure in a quiet place and when you are
relaxed. Don't take your blood pressure when you are under
stress. Any stress will raise your blood pressure.
• Position your arm so that the cuff is at the level of your heart.
• If the monitor is stored at very low temperature (near freezing),
place it in a warm location for at least one hour before using it.
5
Name / Function of Each Part
Date/Time
Set key
LCD display
Battery
cover
Memory
Recall key
Wrist Cuff
Start/Stop key
2 “AAA” size,
1.5 V Alkaline batteries
6
Installing Batteries
1. Place your thumb on the side of the battery
cover. Pull the battery cover in the direction
of the cuff to open.
2. Install lower battery first in the bottom
position with the battery ribbon underneath.
Ensure correct polarity. Battery Type: 2
Alkaline LR03 (AAA) size. Place in the other
battery and pull up the battery ribbon over it.
3. Replace the cover by placing the end tabs
of the battery cover in the slots on the top
of the battery compartment. Click in the
other end to secure the battery cover.
Replace batteries when:
1. Low battery icon appears on display.
2. Nothing appears in the display when the
power is switched on.
Note: Remove batteries when unit is not in use for extended
periods of time. Batteries are hazardous waste. Do not
dispose them together with the household garbage.
Carrying Case
Please store your blood pressure monitor in the carrying case
as shown below.
7
Display Explanation
Date / Time indicator
Systolic pressure
Diastolic pressure
Pulse rate
No. of memory
sequence
Shows the number of stored measurements.
Pulse Mark: Shows the pulse rate per minute.
Appears when batteries should be replaced.
Measurement Error (user’s pressure exceeding 250
mmHg or lower than 40 mmHg): Measure again quietly.
Keep wrist and arm steady during measurement.
If error keeps occurring, see page 13 - Troubleshooting.
Air Circuit Abnormality: Measure again.
Pressure Exceeding 300 mmHg: Measure again.
Data Error: Remove and reload the batteries.
8
Recalling Memory
1. To read memory values, press the "M" key.
The memory values will be shown on the
LCD display. The average measurement
will be shown first and a new press of the
“M” key will show the last measurement.
2. Every new press of the “M” key calls for one
prior value stored.
Clear Values from Memory
1. Press and hold the “M” key for approximately 5 seconds to clear
the data. The data may be lost if the batteries are removed. Users
should record the data on a blood pressure recording chart or in
the BP Manager before removing the batteries.
9
Time Adjustment
1. To adjust the date / time in the monitor, press the Set key .
The display will show a blinking number showing the month.
2. Change the month by pressing the “ ” Key. Each press will
increase the number by one in a cycling manner. Press the Set
Key again to confirm the entry, and the screen will show a
blinking number representing the date.
3. Change the date, the hour, and the minute as described in Step 2
above, using the “
” Key to change and the Set Key
to
confirm the entries.
4. A “0” will reappear as the Blood Pressure Monitor is ready for
measurement again.
Press the
Set key
blinking month
increasing month
confirm the entry
10
Applying the Arm Cuff
1. Remove all watches, jewellery, etc.
prior to attaching the wrist monitor.
Clothing sleeves should be rolled up
and the cuff should be wrapped on bare
skin for correct measurements.
2. Apply cuff to the left wrist with the
palm facing up as in Figure A.
3. Make sure the edge of the cuff is about
1 cm from the palm as in Figure B.
4. Fasten the velcro strap securely around
your wrist so there is no extra space
between the cuff and the wrist as in
Figure C. If the cuff is not wrapped
snugly enough (snug, not tight), the
measurement will be false.
5. If your physician has diagnosed you
with poor circulation in your left arm,
carefully place the cuff around your
right wrist as shown in Fig. D.
Fig. A
Fig. B
Fig. C
Fig. D
Correct Measuring Posture
1. Place your elbow on a table so that the
cuff is at the same level as your heart.
2. If the cuff is not at the same level as
your heart, use a soft object such as a
folded towel to support your forearm
in a horizontal position.
3. Turn your palm upwards, sit upright in
a chair, and take 5-6 deep breaths.
Avoid leaning back.
11
(X)
Taking a Measurement
1. Wrap the cuff on the wrist. Press the START
key. All digits will light up checking the
display functions (see fig.1). This will take
approximately 2 seconds.
2. After all the symbols appear, the display
will show a “0” (see fig.2). The monitor is
now ready to measure.
3. Once the monitor inflates the cuff to
approximately 180 mmHg, the measurement
will begin (see fig.3).
4. When the measurement is completed,
systolic, diastolic and pulse will show
simultaneously on the LCD screen (see fig.4)
and be saved automatically in the memory
system. A maximum of 90 measurements can
be saved in the unit’s memory .
Note: The monitor will re-inflate
automatically to approximately 220 mmHg if
the system detects that it needs more pressure
to do a measure.
Notes: This monitor automatically switches off
approximately 60 seconds after last key
operation.
To interrupt the measurement, simply
press any key. The cuff will deflate
immediately after any key is pressed.
During the measurement, do not talk or
move your arm or hand muscles.
Fig. 1
Fig. 2
Fig. 3
Fig. 4
12
Troubleshooting
Symptom: No display when the START button is pressed.
Correction: If the batteries have run down, replace them with
new alkaline batteries. If the batteries are not in the correct
position, re-insert them with the correct polarities.
Symptom: EE mark shown on display or the blood pressure value
is displayed excessively low (high).
Correction: Wrap the cuff properly so that it is positioned
correctly. If you talked or moved during the measurement, measure
it again quietly. If the wrist was shaken during the measurement,
repeat measurement. Always wait at least 5 minutes before taking
another measurement.
Note: If the unit does not work, please call our consumer
information line at 1-800-363-2381. Under no circumstance
should you disassemble the unit and attempt repairs.
Cautionary Notes
1. Avoid extreme temperatures, humidity, and direct sunlight.
Avoid strongly shocking the main unit, and protect it from dust.
2. Clean the blood pressure monitor body and the cuff carefully
with a slightly damp, soft cloth. Do not press. Do not wash the
cuff or use chemical cleaner.
3. Do not press the Start key when the cuff is not on the wrist.
4. Remove the batteries when the unit is not used for a long time.
5. The unit should not be operated by children.
6. Do not disassemble the main unit or cuff.
7. This device might not be suitable for use by people with poor
blood circulation, common arrhythmias, such as atrial or
ventricular premature beats or atrial fibrillation. It is not
designed for ambulatory use.
8. To stop operation at any time, press the Start key and the air in
the cuff will be rapidly exhausted.
13
Data Transfer to PC
Data transfer accessories:
1. Physio Logic® BP Manager software CD-Rom (PC compatible)
Note: The BP Manager software must be used with Windows
2000 or XP operating systems.
2. USB cable.
BP Manager software installation:
Place the BP Manager CD-Rom in your computer’s CD-Rom
drive and follow instructions on screen. If the installer does not
start, double-click the CD-Rom icon, then double-click on
“Setup.exe”.
To upload data to the PC:
1. Turn on the computer, start the BP Manager software, and
select a patient (user) file. Note: A patient file must exist prior
to the data transfer. To create one, click on the “New” icon,
enter the information, and click on “Save” (disk icon).
2. Turn off your BP Monitor.
3. Plug the round micro connector end of the USB cable in the
BP Monitor and the other end in your computer’s USB outlet.
4. Turn your BP Monitor on. Its LCD screen will display a loop,
indicating that it is ready for data transfer.
5. In the BP Manager software, click on “connect” (PC link
icon) to start the data transfer.
6. Once transfer is complete, turn off your BP Monitor before
unplugging the USB cable.
Blood Pressure Chart
For reliable monitoring and reference of blood pressure, keeping
long-term records is recommended. Please download the Blood
pressure chart (chart for recording and tracking crucial info :
date, time, blood pressure) at www.amgphysiologic.com
14
Specifications
Measurement method
Measurement range
: Oscillometric
: Pressure: 40 to 250 mmHg ;
Pulse: 40 to 199 beats / min.
Pressure sensor
: Semi conductor
Accuracy
: Pressure: ± 3 mmHg;
Pulse: ± 5 % of reading
Inflation
: Pump driven
Deflation
: Automatic pressure release valve
Memory
: Up to 90 readings
Auto-shut-off
: 60 seconds after last button operation
Operation temperature : 10°C to 40°C (50°F to 104°F)
Operation humidity
: 40 to 85 % RH maximum
Storage temperature
: -10°C to 60°C (14°F to 140°F)
Storage humidity
: 10 to 95 % RH maximum
Power source
: 3V DC, two LR03 1.5 V “AAA”
batteries
Dimensions
: 79 (L) x 72 (W) x 71 (H) mm
Weight
: 130 g (G.W.) (without batteries)
Wrist circumference
: 13.5 to 22 cm (5.3” to 8.7”)
Minimum age to use
: 18 years old
K.B.
: Short time operation 2 minutes
: Type BF
Device and cuff are designed to
provide special protection against
electrical shocks.
* Specifications are subject to change without notice.
15
Consumer Info-Line: 1-800-363-2381
AMG MEDICAL INC.
8505 Dalton, Montreal, QC H4T 1V5
www.amgphysiologic.com
www.amgmedical.com
16
P/N 803-083 REV: 1.0 0205
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