AND UA-787 Plus Instruction manual
A&D UA-787 is a state-of-the-art blood pressure monitor designed for ease of use and accuracy, facilitating daily blood pressure monitoring at home. It features automatic inflation and deflation, irregular heartbeat detection, and a memory function that stores up to sixty sets of data. The WHO classification indicator helps you interpret your results, and the large, easy-to-read display makes it convenient to view your measurements.
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Digital Blood Pressure Monitor
Model UA-787
Instruction Manual
Original
Manuel d’instructions
Traduction
Manual de Instrucciones
Traducción
Manuale di Istruzioni
Traduzione
Bedienungsanleitung
Übersetzung
使用手冊
翻譯
1WMPD4001187E
Contents
Dear Customers......................................................................................... 1
Preliminary Remarks.................................................................................. 2
Precautions ................................................................................................ 2
Parts Identification..................................................................................... 3
Symbols ..................................................................................................... 4
Operation Mode......................................................................................... 5
Using The Monitor ..................................................................................... 6
Installing / Changing The Batteries........................................................ 6
Connecting The Air Hose........................................................................ 6
Connecting The AC adapter ................................................................... 6
Adjusting The Built-in Clock .................................................................. 7
Setting Three Reminders........................................................................ 7
Alarm ON/OFF Mark On The Display...................................................... 8
Selecting The Correct Cuff...................................................................... 8
Applying The Arm Cuff........................................................................... 8
How To Take Proper Measurements....................................................... 9
Measurement.......................................................................................... 9
After Measurement................................................................................. 9
Measurements ......................................................................................... 10
Normal Measurement........................................................................... 10
Measurement With The Desired Systolic Pressure................................ 11
Notes For Proper Measurement............................................................ 11
Recalling Memory Data............................................................................ 12
What Is An Irregular Heartbeat................................................................. 13
Pressure Bar Indicator.............................................................................. 13
WHO Classification Indicator.................................................................... 13
About Blood Pressure .............................................................................. 14
What Is Blood Pressure?........................................................................ 14
What Is Hypertension And How Is It Controlled? .................................. 14
Why Measure Blood Pressure At Home? ............................................... 14
WHO Blood Pressure Classification....................................................... 14
Blood Pressure Variations..................................................................... 14
Troubleshooting ...................................................................................... 15
Maintenance............................................................................................. 16
Technical Data ......................................................................................... 16
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.
English 1
Preliminary Remarks
This device conforms to the European Directive 93/42 EEC for Medical Products.
This is made evident by the mark of conformity.
(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.
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 televisions, microwave ovens, cellular telephones, X-ray or other devices with strong electrical fields.
When reusing the device, confirm that the device is clean.
Used equipment, parts and batteries are not treated as ordinary household waste, and must be disposed of according to the applicable local regulations.
When the AC adapter is used, make sure that the AC adapter can be readily removed from the electrical outlet when necessary.
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.
English 2
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.
Parts Identification
Display
MEMORY Button
CLOCK Button
Air Hose
Battery Cover
Part of Display
Pressure Bar Indicator and
WHO Classification Indicator
Arm Cuff
Air Connector Plug
Battery Compartment
MEMORY
DC Jack
START Button
(Orange illumination)
Air Socket
1.5V Batteries
(R6P, LR6 or AA)
Systolic Pressure
Diastolic Pressure
Pulse Rate
Heart Mark
I.H.B. Indicator (Irregular heartbeat indicator)
English 3
Battery Indicator
Symbols
Symbols
SYS
DIA
PUL./min
Standby and Turn the device on.
Systolic blood pressure in mmHg
Diastolic blood pressure in mmHg
Pulse per minute
Battery installation guide
Direct current
Type BF: Device, cuff and tubing are designed to provide special protection against electrical shocks.
The indicator while measurement is in progress. It blinks while detecting the pulse.
Measurement is in progress.
Remain as still as possible.
Irregular Heartbeat indicator. (I.H.B.)
The indicator that detects irregular heartbeats or any excessive body movement during the measurement.
Previous measurements stored in MEMORY.
Full Battery
The battery power indicator during measurement.
Low Battery
PUL. DISPLAY ERROR
The battery is low when it blinks.
Unstable blood pressure due to movement during the measurement.
The pulse is not detected correctly.
Replace all batteries with new ones, when the indicator blinks.
Try measurement again.
Remain very still 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.
Fasten the cuff correctly, and try the measurement again.
CLOCK button mark
Alarm ON/OFF mark of the reminder
EC directive medical device label
If you want to stop the sound, press the START button.
EU-representative
Manufacturer
Date of manufacture
Class II device
English 4
Symbols
WEEE label
Refer to instruction manual/booklet
SN Serial number
Polarity of DC jack
Operation Mode
1. Normal Measurement With Storing Data
(Refer to page 10)
Press START button. Blood pressure is measured and data is stored within the device. The device can store the last sixty sets of data in memory automatically.
2. Recalling Data
(Refer to page 12)
Press the MEMORY button to recall the data.
The date and the most recent data are displayed.
The device can store the last sixty sets of data in memory automatically.
Press the MEMORY button
Date Month
Day
Time
3. Clearing Data
(Refer to page 12)
Press and hold the MEMORY button until the “ ”
(memory) mark blinks to clear the stored data.
Data
4. Measurement With The Desired Systolic Pressure
Refer to page 11 for the measurement with the desired systolic pressure.
English 5
Using The Monitor
Installing / Changing The Batteries
1. Slide the battery cover up to open it.
2. Remove the used batteries and insert new batteries into the battery compartment as shown, taking care that the polarities (+) and (-) are correct.
3. Slide the battery cover down to close it.
Use only R6P, LR6 or AA batteries.
Step 3
Step 2
Step 1
CAUTION
Insert the batteries as shown in the battery compartment. If not, the device will not work.
When (LOW BATTERY mark) blinks 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.
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 time.
The batteries may leak and cause a malfunction.
Stored data are cleared when the batteries are removed.
Air connector plug
Connecting The Air Hose
Insert the air connector plug into the air socket firmly.
Connecting The AC adapter
Insert the AC adapter plug into the DC jack. Next, connect the AC adapter to an electrical outlet.
Use the specified AC adapter.
(Refer to page 17)
Air socket
DC jack
AC adapter plug
English 6
Using The Monitor
Adjusting The Built-in Clock
The device has a built-in clock. We recommend that you adjust the clock prior to use.
1. Press and hold the CLOCK button until the digits start blinking.
CLOCK button
2. Select the year using the START button.
Press CLOCK button to set the current year and move to month/day selection. The date can be set anywhere between the years 2004 and 2053.
3. Select the month using the START button.
Press CLOCK button to set the current month and move to day selection.
Year
Month / day
4. Select the day using the START button.
Press CLOCK button to set the current day and move to hour/minute selection.
5. Select the hour using the START button.
Press CLOCK button to set the current hour and move to minute selection.
6. Select the minute using the START button.
Press CLOCK button to set the current minute and activate the clock.
Hour / Minute
Clock
Setting Three Reminders
This device has 3 reminder alarms. You can set
3 different reminder alarms within a 24-hour period.
1. Press and hold the CLOCK button until the digits start blinking. Then press the MEMORY button. “P-1” is shown at the middle line of the display.
2. Select the hour using the START button and press the
CLOCK button to set the hour and move to minute selection. Press the MEMORY button to complete the reminder setting after selecting the minute.
3. Then the display shows “P-2” for the second reminder.
Repeat the above process if you need a second reminder.
4. A third reminder can be set as well.
CLOCK button
MEMORY button
First buzzer
Second buzzer
Third buzzer
English 7
Using The Monitor
Alarm ON/OFF Mark On The Display
When the alarm is on, a “p” appears on the LCD. To turn the alarm off, simply press the CLOCK button once.
The alarm will sound for 1 minute. To stop the alarm sound, press the START button once.
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 arm cuff is a consumable. If it becomes worn, purchase a new one.
Arm Size Recommended Cuff Size Catalog Number
22 cm to 43 cm Large adult cuff CUF-U-LA
17 cm to 32 cm Adult cuff CUF-U-A size:
Note:
Symbols printed on the cuff.
is not designed for using a small adult cuff.
Symbols Function / Meaning
Artery position mark
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.
REF Catalog number
Lot number
Applying The Arm Cuff
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.
2. Constriction of the upper arm, caused by rolling up a shirtsleeve, may prevent accurate readings.
Do not roll up shirtsleeve tightly
Cuff
1 to 2 cm
Artery position mark
Secure the fabric fastener firmly
Air hose
English 8
Using The Monitor
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 immdiately 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. (Do not be alarmed).
After Measurement
After measurement, press the START button to turn off the power. Remove the cuff and record your data.
Note: The device has an automatic power shut-off function, which turns the power off automatically one minute after measurement.
Allow at least three minutes between measurements on the same person.
English 9
Measurements
Model is designed to detect the pulse and to inflate the cuff to a systolic pressure level automatically.
If your systolic pressure is expected to exceed 230 mmHg or you use the optional small cuff, read "Measurement With The Desired Systolic Pressure" on the next page.
Normal Measurement
1. Place the cuff on the arm (preferably the left arm).
Sit quietly during measurement.
At heart level
2. Press the START button.
The average blood pressures and last data number are displayed briefly. Then the display changes, as indicated in the figure at the right, as the measurement begins. The cuff starts to inflate. It is normal for the cuff to feel very tight.
A pressure bar indicator is displayed, as in the figure at the right, during inflation.
START button
Averaged data
Data number
Starts inflation
START
Note: If you wish to stop inflation at any time, press the START button again.
Pressurizing
3. When inflation is complete, deflation starts automatically and (heart mark) blinks, indicating that the measurement is in progress.
Once the pulse is detected, the mark blinks with each pulse beat.
Measurement in progress
Note: If an appropriate pressure is not obtained, the device starts to inflate again automatically.
Systolic pressure
4. When the measurement is complete, the systolic and diastolic pressure readings and pulse rate are displayed. The cuff exhausts the remaining air and deflates completely.
Diastolic pressure
WHO classification
Exhausts remaining air automatically
5. Press the START button again to turn off the power.
Note: Model UA-787 is provided with an automatic power shut-off function.
Allow at least three minutes between measurements on the same person.
English 10
Measurements
Measurement With The Desired Systolic Pressure
your
230 mmHg or you use this procedure.
1. Place the cuff on the arm (preferably the left arm).
2. Press and hold the START button until a number about 30 to 40 mmHg higher than your expected systolic pressure appears.
At heart level
Press and hold the button
3. Release the START button to start measurement, when the desired number is reached. Then continue to measure your blood pressure as described on the previous page.
Release the button at the desired systolic pressure
Refer to the previous page for measurement
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.
An individual's 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.
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 description of symbols.
This 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.
English 11
Recalling Memory Data
Note: This device stores the last sixty measurements in memory automatically. The data is retained as long as the batteries are in the device. When you remove the batteries or the batteries are drained, the data will be erased.
1. Press the MEMORY button. Press the MEMORY button
2. The date and the most recent data are displayed.
3. When the MEMORY button is pressed while data is displayed, the previous data is displayed.
4. After the last data is displayed, the display goes blank.
Date
Data
5. Press and hold the MEMORY button until the “ ” (memory) mark blinks to clear the stored data.
Note: Pressing the START button while the memory data is displayed initiates the UA-787 to start taking a measurement.
English 12
What Is An Irregular Heartbeat
UA-787 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 frequently.
indicator
Pressure Bar Indicator
The indicator monitors the progress of pressure during measurement.
Pressurizing Releasing air
Inflation in progress Measurement in progress
Inflation complete
WHO Classification Indicator
Each segment of the bar indicator corresponds 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
English 13
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?
an 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 keep it under control:
Do not smoke
Reduce salt and fat intake
Maintain regularly
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
to pressure, without regard to age, have been established by the
World Health Organization
(WHO), as shown in the chart.
Blood Pressure Variations
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.
English 14
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 date and time when recording your blood pressure. Consult your doctor to interpret your blood pressure data.
Troubleshooting
Nothing appears on the display, even when the power is turned on.
Batteries are drained.
Battery terminals are not in the correct position.
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.]
The cuff is not fastened properly.
You moved your arm or body during the measurement. The unit does not measure.
Readings are too high or too low.
The cuff position is not correct.
Replace all batteries with new ones.
Reinstall the batteries with negative and positive terminals matching those indicated on the battery compartment.
Replace all batteries with new ones.
Fasten 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.
Other
The value is different from that measured at a clinic or doctor’s office.
Refer to “Why measure blood pressure at home”.
Remove the batteries. Place them 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.
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, 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.
Technical Data
Type UA-787
Measurement method
Measurement range
Oscillometric measurement
Pressure: 20 - 280 mmHg
Measurement accuracy Pressure: ±3 mmHg
Power supply 4 x 1.5V batteries (R6P, LR6 or AA) or
AC adapter (TB-233) (Not included)
Number of measurements Approximately 450 measurements, when AA Alkaline batteries are used, with pressure value of 180 mmHg at room temperature of 23 °C. powered ME equipment (Supplied by batteries) /
Class II (Supplied by adapter)
Continuous operation mode
Clinical test According to ANSI / AAMI SP-10 1987
Memory
Operating conditions
Last 60 measurements
+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
Weight
Applied part
Approx. 163 [W] x 62 [H] x 112 [D] mm
Approx. 350 g, excluding the batteries
Cuff Type BF
English 16
Useful life
Accessory AC adapter
Device: 5 years (when used six times a day)
Cuff: 2 years (when used six times a day)
The adapter is to connect the device to a power source at home.
TB-233 Please contact your local A&D dealer for purchasing.
The AC adapter is required to be inspected or replaced periodically.
100-240V
Output: 6V 500mA
139°C 2A
240V
Output: 6V 500mA
139°C 2A
Accessories sold separately
Cuff Catalog Number Cuff Size Arm Size
CUF-U-LA Large cuff 22 cm to 43 cm
CUF-U-A Adult cuff 17 cm to 32 cm
Arm
AC adapter Catalog Number Plug (Outlet type)
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_acadapter_en.pdf
English 17
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
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