1WMPD4002391A

Wrist Digital Blood Pressure Monitor

Model UB-542

Instruction Manual

Original

Manuel d’instructions

Manual de Instrucciones

Manuale di Istruzioni

使用手冊

Contents

Dear Customers..................................................................................................................................2

Preliminary Remarks ...........................................................................................................................2

Precautions.........................................................................................................................................2

Parts Identification..............................................................................................................................3

Symbols..............................................................................................................................................4

Using the Monitor...............................................................................................................................6

1. Installing / Changing the Batteries .............................................................................................6

2. Adjusting the Built-in Clock .......................................................................................................7

3. Applying the Cuff.......................................................................................................................8

4. How to Take Proper Measurements ............................................................................................8

5. Measurement.............................................................................................................................8

6. After Measurement ....................................................................................................................8

Measurements ....................................................................................................................................9

Notes For Accurate Measurement.................................................................................................10

Deleting all Data Stored in Memory ...................................................................................................10

Recalling the Memory Data ...............................................................................................................11

What is an Irregular Heartbeat? .........................................................................................................12

Pressure Bar Indicator .......................................................................................................................12

WHO Classification Indicator .............................................................................................................13

About Blood Pressure........................................................................................................................13

What is Blood Pressure?................................................................................................................13

What is Hypertension and How is it Controlled?............................................................................13

Why Measure Blood Pressure at Home?.........................................................................................14

WHO Blood Pressure Classification ...............................................................................................14

Blood Pressure Variations.............................................................................................................14

Troubleshooting ...............................................................................................................................15

Maintenance .....................................................................................................................................16

Technical Data..................................................................................................................................16

English 1

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 monitor 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 Products. This is made evident by the

mark of conformity. (0366: 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 indoors.

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 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 televisions, microwave ovens, cellular telephones,

X-ray or other devices with strong electrical fields.

Used equipment, parts and batteries are not treated as ordinary household waste, and must be disposed of according to the applicable local regulations.

When your wrist is squeezed tightly by a cuff, blood collects in the finger tips and your wrist may become congested.

English 2

Cuff

Display

button

SET button

Parts Identification

START button

WHO classification indicator and

Pressure bar indicator

Heart mark

MEMORY

Average

Battery indicator

AM / PM mark

Battery cover

Display

Systolic pressure

Diastolic pressure

Pulse rate

I.H.B. symbol

(Irregular heartbeat symbol)

Date & clock display

Case

Alkaline batteries

(LR03 or AAA)

English 3

Symbols that are printed on the device case

Symbols Function / Meaning

Symbols

SN

Standby and Turn the device on

Battery installation guide

Direct current

Serial number

Date of manufacture

Type BF: Device and cuff are designed to provide special protection against electrical shocks.

EC directive medical device label

WEEE label

Manufacturer

EU-representative

Consult instructions for use

Symbols that appear on the display

Symbols Function / Meaning

Appears while measurement is in progress. It blinks when the pulse is detected.

Irregular Heartbeat symbol (I.H.B.)

Appears when an irregular heartbeat is detected.

It may light when a very slight vibration like shivering or shaking is detected.

Recommended Action

Recommended Action

Measurement is in progress. Remain as still as possible.

English 4

Symbols that appear on the display (continued)

Symbols Function / Meaning

Symbols

Full Battery

Previous measurements stored in MEMORY.

Average data

The battery power indicator during measurement.

Low Battery

The battery is low when it blinks.

or

PUL. DISPLAY ERROR

Unstable blood pressure due to movement during 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 applied correctly.

The pulse is not detected correctly

Recommended Action

Replace all batteries with new ones when the indicator blinks.

Take another measurement.

Remain still during measurement.

Apply the cuff correctly, and take another measurement.

SYS.

DIA.

PUL./min.

AM

PM

Blood pressure monitor internal error

Systolic blood pressure in mmHg

Diastolic blood pressure in mmHg.

Pulse per minute

Data taken between 4:00 and 9:59

Data taken between 18:00 and 1:59

Remove the batteries and press the START button, and then install the batteries again.

If the error still appears, contact the dealer.

English 5

Using the Monitor

1. Installing / Changing the Batteries

1. Remove the battery cover.

2. Remove the used batteries and insert new batteries into the battery compartment as shown, taking care that the polarities (+ and -) are correct.

Use only LR03 or AAA batteries.

3. Attach the battery cover.

• Insert the batteries as shown in the battery compartment. If installed incorrectly, the device will not work.

• When (LOW BATTERY mark) appears on the display, replace all batteries with new ones. Do not mix old and new batteries. . It may shorten the battery life, or cause the device to malfunction.

• (LOW BATTERY mark) does not appear when the batteries are drained.

• The battery life varies with the ambient temperature and may be shorter at low temperatures.

• Use the specified batteries only. The batteries provided with the device are for testing monitor performance and may have a limited life.

• Remove the batteries if the device is not to be used for a long period of time. The batteries may leak and cause a malfunction.

English 6

Using the Monitor

2. Adjusting the Built-in Clock

Adjust the clock prior to use.

1. Press the SET button until the year starts blinking.

2. Select the year using the button.

Press the SET button to set the current year and move to month/day selection.

The date can be set anywhere between the years 2011 and 2059.

3. Select the month using the button.

Press the SET button to set the current month and move to day selection.

4. Select the day using the button.

Press the SET button to set the current day and move to hour/minute selection.

5. Select the hour using the button.

Press the SET button to set the current hour and move to minute selection.

6. Select the minute using the button.

Press the SET button to turn the device off.

Holding down the button will change the value continuously.

Pressing the START button will turn the device off anytime.

Notes: After three minutes of non-operation, the device will turn off automatically.

When the clock has not been set, the clock display indicates dashes as shown to the right.

English 7

Press

Year

Month

Day

Hour

Minute

Turn off

Using the Monitor

3. Applying the Cuff

1. Wrap the cuff around your wrist about 1 cm above your hand as shown in the figure at the right.

2. Fasten the cuff tightly using the Velcro strip.

Note: For proper measurements, fasten the cuff tightly and measure on a bare wrist.

4. How to Take Accurate Measurements

For the most accurate blood pressure measurement:

• Sit comfortably at a table. Rest your arm on the table.

• Relax for about five to ten minutes before measurement.

• Raise your hand so that the cuff is at the same level 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 about the same time every day.

5. Measurement

During measurement, it is normal for the cuff to feel very tight. (Do not be alarmed.)

About 1 cm

6. After Measurement

After measurement, press the START button to turn the device off. Remove the cuff and record your data.

Notes: The device is provided with an automatic power shut-off function which turns the device off automatically one minute after measurement.

Allow at least three minutes between measurements on the same person.

English 8

Measurements

Note: The UB-542, once used, will provide an inflation appropriate to the user, based on the previous measurement.

1. Sit comfortably with the cuff at the same level as your heart and relax.

2. Press the START button.

All of the display segments are displayed.

Zero (0) is displayed blinking briefly.

Then the display changes, as indicated in the figure at the right, as measurement begins.

The cuff starts to inflate. It is normal for the cuff to feel very tight.

All of the display segments displayed

START button

Zero display

Starts inflation Note: If you wish to stop inflation at any time, press the START button again.

3. The measurement starts automatically when inflation starts, and the (heart mark) blinks.

4. When the measurement is complete, the systolic and diastolic pressure readings and pulse rate are displayed.

During the data display, the date and time are displayed alternately.

The cuff exhausts the remaining air and completely deflates automatically.

5. Press the START button again to turn the device off.

Remove the cuff.

Inflating and

Measurement in progress

Systolic pressure

Diastolic pressure

WHO classification

Pulse rate

I.H.B. symbol

Notes: The device is provided with an automatic power shut-off function.

Allow at least three minutes between measurements on the same person.

English 9

Exhausts remaining air automatically

Measurements

Notes For Accurate Measurement

Sit down in a comfortable position. Place your arm on a table or other support. Raise your hand so that the cuff is at the same level as your heart.

Relax for about five to 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.

An individual's blood pressure varies constantly, depending on what they are doing and what they have eaten.

What you drink can have a very strong and rapid effect on your blood pressure.

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.

See page 5 for the description of symbols.

This blood pressure monitor 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.

Deleting all Data Stored in Memory

When the display screen is blank, press and hold the button.

The M mark appears. After a while it starts blinking, then disappears.

Now all data stored in memory has been deleted.

Note: This operation will delete all data stored in memory. You cannot select which data to delete.

English 10

Recalling the Memory Data

Note: This device stores the last 90 measurements in memory.

1. Press the button.

The average of all measurements and the number of data are displayed.

(If no data, “0” is displayed. Press the or START button to turn the device off.)

Average of all the data

2. Each time the button is pressed, the memory data is displayed as follows.

Average of all AM (morning) measurements taken between 4:00 and 9:59.

(In the example, 8 measurements. If no data, “--” is displayed.)

Average of all PM (evening) measurements taken between 18:00 and 1:59.

(In the example, 18 measurements. If no data, “--” is displayed.)

Most recent data (No.n, in the example, No.35)

Three seconds after the data number display, the measurement data is displayed.

During the data display, the date and time are displayed alternately.

Last data (No.1)

Three seconds after the data number display, the measurement data is displayed.

3. After the last data is displayed, press the button to return the average display of all measurements.

4. Press the START button to turn the device off.

After one minute of non-operation, the device will turn off automatically.

English 11

Average of

AM data

Average of

PM data

Most recent data

Last data

(Oldest)

Average systolic

Average diastolic

Average pulse

Number of all the data

Number of AM data

Number of PM data

Systolic

Diastolic

Pulse

Date Time

What is an Irregular Heartbeat?

Model UB-542 blood pressure monitor 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 be relaxed, remain still and do not talk during measurements.

Note: We recommend contacting your physician if you see this symbol frequently.

Pressure Bar Indicator

The indicator monitors the progress of pressure during measurement.

Pressurizing

Inflation in progress Measurement in progress Inflation complete

English 12

WHO Classification Indicator

Each six segments of the bar indicator correspond to the WHO blood pressure classification described on the next page.

:

WHO Classification Indicator

Severe hypertension

Moderate hypertension

Mild hypertension

High normal

Normal

Optimal

The indicator displays a segment, based on the current data, corresponding to the WHO classification.

Example

Moderate hypertension

Mild hypertension

High normal

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.

English 13

To prevent hypertension or keep it under control:

Do not smoke Exercise regularly

Reduce salt and fat intake

Maintain proper weight

Have regular physical checkups

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

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 individuals 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 concerned by the results of one 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 the date and time when recording your blood pressure. Consult your doctor to interpret your blood pressure data.

English 14

Troubleshooting

Problem Possible Action

Batteries are drained. Replace all batteries with new ones.

Nothing appears in the display, even when the device is turned on.

Battery terminals are not in the correct position.

Reinstall the batteries with negative and positive terminals matching those indicated in the battery compartment.

The cuff does not inflate.

Battery voltage is too low.

(LOW BATTERY mark) blinks. If the batteries are drained completely, the mark does not appear.

Replace all batteries with new ones.

The cuff is not applied properly.

You moved your arm or body during the measurement.

The device does not measure.

Readings are too high or too low.

Other

The cuff position is not correct.

The value is different from that measured at a clinic or doctor’s office.

Apply the cuff correctly.

Make sure you remain very still and quiet during the measurement.

Sit comfortably and still.

Raise your hand so that the cuff is at the same level as your heart.

If you have a very weak or irregular heat beat, the device may have difficulty in determining your blood pressure.

See “Why Measure Blood Pressure at

Home?”.

Remove the batteries. Place them back properly and try 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 yourself, as any attempt to do so will make your warranty invalid.

English 15

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, contact the authorized dealer in your area or our customer service department. The A&D customer service 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 the authorized dealer in your area or A&D for maintenance.

Technical Data

Type

Measurement method

Measurement range

Measurement accuracy

UB-542

Oscillometric measurement

Pressure: 0 – 299 mmHg

Pulse: 40 – 180 beats / minute

Pressure: ±3 mmHg

Pulse: ±5%

Clinical test

EMC

Operating condition

Storage condition

According to ANSI / AAMI SP-10 1992

IEC 60601-1-2: 2007

+10°C to +40°C / 30%RH to 85 %RH

-20°C to +60°C / 10%RH to 95 %RH

Power supply 2 x 1.5V alkaline batteries (LR03 or AAA)

Wrist

13.5 – 21.5 cm circumference

Classification Type BF

Dimensions

Weight

Approx. 56 [W] x 88 [H] x 18 [D] mm

Approx. 103 g, excepting batteries

Note: Specifications are subject to change for improvement without prior notice.

EMC table information is listed on our website: http://www.aandd.jp/products/manual/medical/emc_en.pdf

English 16

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Telephone: [81] (48) 593-1111 Fax: [81] (48) 593-1119

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Telephone: [44] (1235) 550420 Fax: [44] (1235) 550485

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