MABIS | SmartRead Plus | Instruction manual | MABIS SmartRead Plus Instruction manual

Instruction manual E&S
7/20/04
3:31 PM
Page 1
Guidebook
SmartRead Plus
Automatic Wrist Digital
Blood Pressure Monitor
with Memory
®
Model 04-233-001
Please read this guidebook completely
before operating this unit.
English • Spanish
Lifetime Limited Warranty
This MABIS Blood Pressure Monitor is guaranteed to be free from
manufacturing defects for the life of the original registered purchaser
under normal use. This limited warranty does not apply to use in any
clinical or commercial applications. If the unit fails to operate during the
lifetime of the original registered purchaser, return it postage prepaid
along with $5.00 for return shipping and insurance to:
MABIS Healthcare, Attn: Repair Department, 1931 Norman Drive,
Waukegan, IL 60085. If MABIS determines that the unit failed to
operate due to a manufacturing defect, the unit will be repaired or
replaced at the option of MABIS. Repair or replacement of the unit is
the sole remedy under this limited warranty. This warranty gives you
specific legal rights which vary from state to state. As a condition of
this warranty, the enclosed warranty registration card must be completed and sent to us within 10 days of the purchase date.
This Limited Warranty constitutes MABIS’ only responsibility and obligation to repair and/or replace materials or components. We make no
other express or implied warranties, arising by operation of law or otherwise, or any warranty of merchantability or fitness for a particular use
or purpose whether or not the use or purpose has been disclosed to
MABIS in specifications, drawings or otherwise, and whether or not
MABIS’ products are specifically designed and/or manufactured by
MABIS for the buyer’s use or purposes, except for the limited warranty
stated above. MABIS will not be responsible for any indirect, incidental,
special, consequential, or punitive damages or other loss, including,
but not limited to, damage to or loss of other property or equipment
and personal injuries, whether to purchaser or others. MABIS shall in
no event be liable to the purchaser for any amount in excess of the
cost of repair and/or replacement of the unit.
1931 Norman Drive • Waukegan, IL 60085
FAX 847-680-9646 • www.mabis.net
Toll-Free Customer Care Help Line 1-800-622-4714
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Index
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Product Identification & Caution . . . . . . . . . . . . . . . . . . . . . . . 3
General Blood Pressure Information . . . . . . . . . . . . . . . . . . . 4-6
Important Information Before Use . . . . . . . . . . . . . . . . . . . . . 7-8
Battery Installation/Replacement . . . . . . . . . . . . . . . . . . . . . . 8
Setting the Date/Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
Applying Your Blood Pressure Cuff . . . . . . . . . . . . . . . . . . . . . 11
Taking Your Blood Pressure Reading . . . . . . . . . . . . . . . . . . . 12-13
Recalling Measurements in Memory . . . . . . . . . . . . . . . . . . . 14
Description of Display Symbols . . . . . . . . . . . . . . . . . . . . . . . 15
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Care, Maintenance and Storage . . . . . . . . . . . . . . . . . . . . . . . 16
Product Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Sample Blood Pressure Log . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Introduction
To achieve the maximum benefit from your blood pressure monitor,
we recommend that you first consult with your physician or trained
health care professional.
Thank you for purchasing a MABIS Automatic Wrist Blood Pressure
Monitor. With proper care and use, your monitor will provide you
with many years of reliable readings.
The method of measurement that your Automatic Wrist Monitor
uses is called the oscillometric method. The monitor detects your
blood’s movement through the artery in your wrist and converts the
movements into a digital reading. The oscillometric method does not
require a stethoscope, making the monitor easy-to-use. The preformed cuff requires little effort to apply and is comfortable to wear.
Clinical research has proven a direct relationship between blood
pressure in the wrist and blood pressure in the arm. Because the
arteries in the wrist and the arm are connected, changes in wrist
blood pressure reflect changes in arm blood pressure. Frequent
wrist blood pressure measurements will provide you and your
physician with an accurate indication of change in your true blood
pressure.
People with severe hypertension, severe arteriosclerosis, or
severe diabetes, should consult their physician about
monitoring blood pressure at the wrist.
Blood pressure readings determined with this device are equivalent
to measurements obtained by a trained observer using the
cuff/stethoscope auscultation method, within the limits prescribed
by the American National Standard for Electronic or Automated
Sphygmomanometers.
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Product Identification & Caution
General Blood Pressure Information
What is Blood Pressure?
LCD Display
Battery Cover
Wrist Cuff
Blood pressure is the pressure that is exerted by blood flowing
against the walls of the blood vessels throughout your body.
Your heart, which is the center of the circulatory system, provides
the force for the blood to flow or circulate. When your heart
contracts or beats, the blood is forced through the blood vessels
increasing the pressure. This is the highest pressure in the cycle or
what is referred to as SYSTOLIC BLOOD PRESSURE. In between
beats, your heart relaxes and your blood pressure decreases. This
is referred to as DIASTOLIC BLOOD PRESSURE.
Power Button
Memory Button
Caution
While taking a measurement, you can stop the inflation or deflation
process of the cuff at any time by pressing the PWR button.
This complete series of events which occurs in a single heartbeat
is known as the CARDIAC CYCLE.
Your MABIS Automatic Wrist Monitor will automatically read your
blood pressure and display both systolic and diastolic readings on
the screen. Your systolic will be positioned as the upper number
and the diastolic reading will be the lower number.
120
(systolic)
/80
(diastolic)
Blood pressure is measured in millimeters (mm) of Mercury (Hg)
and is generally recorded with the systolic pressure (120) listed
first and the diastolic pressure (80) listed second. The numbers are
typically separated by a slash mark ( / ) as shown above. Both
pressure readings, the SYSTOLIC and the DIASTOLIC, are
necessary for a physician to evaluate the status of a patient’s
blood pressure.
Please contact your physician for specific information regarding
your own blood pressure.
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What Influences Blood Pressure?
WHO Blood Pressure Classifications
Many factors such as genetics, age, sex, altitude, physical activity,
anxiety, muscular development, certain medications or even the
time of day can influence blood pressure. Influences such as sleep
or relaxation decreases blood pressure, while anxiety or exercise
increases blood pressure.
Standards for assessment of high or low blood pressure,
regardless of age, have been established in 1999 by the World
Health Organization (WHO) as shown in the following chart.
A visit to a physician’s office can be a stressful situation for a
patient. And, anxiety is a known factor in raising blood pressure.
This temporary occurrence of elevated blood pressure at the
physician’s office is commonly referred to as “white coat
syndrome”.
Whether or not you experience “white coat syndrome”, home blood
pressure monitoring provides you with the opportunity to
supplement your physician’s office measurements. These home
readings, when taken over a period of time, can show an accurate
indication of change. Furthermore, your records can assist your
physician in evaluating your health and in making important
decisions in the diagnosis and treatment of your condition.
Because of this, it is important to take consistent, daily
measurements of your blood pressure.
The variations in your individual readings should only be
interpreted by your physician or a trained health care professional.
5
DIASTOLIC
(mmHg)
Optimal
Normal
High - Normal
Mild Hypertension
Borderline
Moderate Hypertension
Severe Hypertension
<120
<130
130-139
140-159
140-149
160-179
≥180
<80
<85
85-89
90-99
90-94
100-109
≥110
Isolated Systolic Hypertension
Borderline
≥140
140-149
<90
<90
This chart is only a general guideline. Please contact your
physician to determine your NORMAL BLOOD PRESSURE.
Variations in Blood Pressure
Blood pressure can be influenced by many factors. This change
can occur from moment to moment. Normally, blood pressure is
lowest during the sleeping period and rises during the day. The
graph below represents the variations in blood pressure shown
over a day with measurements taken every 5 minutes.
The dotted line represents
the sleep period. The rise in
blood pressure at 1 p.m.
(A in the graph) corresponds
to a stressful occurrence
sleep
and at 7 p.m. (B in the
12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11
graph)
a period of exercise.
PM
Time
AM
Blood Pressure (mmHg)
Why Monitor Your Blood Pressure at Home?
SYSTOLIC
(mmHg)
CATEGORY
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Important Information Before Use
1. Blood pressure measurements should only be interpreted by a
physician or a trained health care professional who is familiar
with your medical history. Through regular use of this device and
recording of your measurements, you can keep your physician
informed of the changes in your blood pressure.
2. Perform your measurement in a quite place. You should be
seated in a relaxed position.
3. Avoid smoking, eating, taking medication, alcohol consumption
or physical activity 30 minutes prior to taking a reading. If you
are exhibiting signs of stress, avoid taking your measurement
until the feeling subsides.
4. Rest 15 minutes prior to taking a reading.
5. Remove any constrictive clothing or jewelry that may interfere
with the cuff placement.
6. Apply the cuff to the proper position on the left wrist. The unit
should be located on the inside of your left wrist with the digital
display panel in view.
11. Although such cases are rare, for those with an extremely
weak pulse or irregular pulse, errors may result which prevent
proper measurement. If abnormal variations are noticed,
consult with your physician or trained healthcare physician.
12. This device is intended for adult use.
While taking a measurement, you can stop the inflation or deflation
process of the cuff at any time by pressing the PWR button.
Battery Installation/Replacement
1. Remove the battery cover, Fig.1.
2. Making sure the battery polarity is correct, install the lower
battery and the upper battery, Fig. 2.
3. Replace the battery cover, Fig. 3.
7. Keep the monitor stable during measurement to achieve an
accurate reading. Remain still; do not talk during the
measurement.
8. Record your daily blood pressure and pulse readings on a chart.
Fig. 1
Fig. 2
9. Take your readings at the same time, each day (or as
recommended by your physician) to get an accurate indication
of change in your true blood pressure.
NOTE: The batteries in your monitor will need to be
replaced when the battery energy level indicator is
empty, Fig. 4. Replace the batteries with two new AAA
alkaline batteries.
10. Wait a minimum of 15 minutes between readings to allow for
the blood vessels to return to normal. The wait time may vary
depending on your individual physiological characteristics.
We recommend that you remove the batteries if the
unit will not be used for an extended period of time.
7
8
Fig. 3
Fig. 4
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Setting the Date/Time
Setting the Date/Time (continued)
1. Press the PWR button and hold it down only until ‘0’ flashes on
the display, Fig. 1. Release the button and two ‘0’s will appear.
2. When two ‘0’s appear on the display, Fig. 2, press the MEM
button until the year begins to flash in the lower right corner,
Fig. 3.
3. Use the PWR button to adjust the flashing number. When the
correct year is displayed, press the MEM button to confirm the
year.
4. Once the year is set, the number in the upper left corner of the
display will begin to flash, Fig. 4. Press the PWR button to adjust
the month. Once the correct month is displayed, press the MEM
button to confirm the month.
5. Once the month is set, the number in the upper right corner of
the display will begin to flash, Fig. 5. Press the PWR button to
adjust the date. Once the correct date is displayed, press the
MEM button to confirm the date.
6. Once the date is set, the number in the upper left corner of the
display will begin to flash, Fig. 6. Press the PWR button to
adjust the hour.
NOTE: hours are displayed in military time (11:00 p.m. = 23:00).
Press the PWR button to adjust the hour. Once the correct hour
is displayed, press the MEM button to confirm the hour.
7. Once the hour is set, the number in the upper right corner of the
display will begin to flash, Fig. 7. Press the PWR button to
adjust the minutes. Once the correct minutes are displayed,
press the MEM button to confirm the minutes.
8. After confirming the time, the display should display the correct
time, Fig. 8. NOTE: if you made a mistake while setting the
clock, remove the batteries and reinsert them. Follow the
“Setting the Date/Time” instructions, starting with setting the year.
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
9
Fig. 7
Fig. 6
10
Fig. 8
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Applying Your Blood Pressure Cuff
Avoid smoking, eating, taking medication, alcohol consumption or
physical activity 30 minutes prior to taking a reading. If you are
exhibiting signs of stress, avoid taking your measurement until the
feeling subsides.
Taking Your Blood Pressure Reading
Proceed only after reading the previous sections of this manual.
Measurement value
becomes lower.
Correct measurement
position (at same
height as heart).
Rest 15 prior to taking a reading.
1. Remove any constrictive clothing or jewelry
that may interfere with the cuff placement.
2. You should be seated with your feet flat on
the floor.
Fig. 1
3. Hold your left arm in front of you with your
palm facing upward.
Fig. 2
4. Apply the preformed cuff to your left wrist.
The digital display panel should be
positioned on the inside area of your wrist
facing you, Fig. 1.
5. Adjust the cuff as shown in Fig. 2, 1/4” - 1/2”
from the bottom of your palm.
6. Wrap and fasten the cuff securely, yet
comfortably around your wrist, Fig. 3.
Fig. 3
Measurement value
becomes higher.
Fig. 1
1. Rest your elbow on a table with your palm facing
upward. Raise your hand so that the cuff is at
the same level as your heart, Fig. 1. Relax your
hand.
2. Press the PWR button. This will turn the power on
and start the measurement process.
3. For a brief moment, the unit will run a self-test,
Fig. 2.
4. After the self-test, the cuff will automatically begin
to inflate to approximately 180 mmHg.
5. Once the cuff inflates to approximately 180 mmHg,
measurement will begin, Fig. 3.
6. The unit will begin to automatically deflate. The
numbers appearing on the display will decrease,
Fig. 4. The heart symbol will flash in the upper left
corner of the display, indicating your pulse rate.
NOTE: The left wrist should be used unless you are unable to or
should not use your left arm or wrist. In consultation with your
physician, you many modify the following instructions and apply the
cuff to your right wrist.
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Fig. 2
Fig. 3
Fig. 4
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7. When all air is deflated, the measurement is
complete. The unit will display your blood pressure
(systolic and diastolic) measurements and pulse
rate, Fig. 5.
8. Record your readings on a chart.
9. At this point, your measurement will be
automatically stored in memory. By pressing the
MEM button, you can review readings in memory,
or simply turn the unit off by pressing the PWR
button. Otherwise, your unit will automatically shut
off after approximately 3 minutes.
Recalling Measurements in Memory
Fig. 5
This monitor inflates the cuff to approximately 180 mmHg. If the
system detects that the cuff needs additional pressure, it will
automatically continue to inflate in increments of 30 mmHg. The
cuff is able to inflate to a maximum of 300 mmHg.
If you need to take another measurement, wait a minimum of
15 minutes between readings to allow for the blood vessels to
return to normal. The wait time may vary depending on your
individual physiological characteristics.
You can stop inflation at any time by pressing the PWR button.
Pressing the PWR button during inflation will cause the cuff to
automatically deflate.
You can recall up to 60 measurements plus the average of all
readings stored in memory. These readings can be recorded on a
Blood Pressure Log or can be shared with your physician or trained
healthcare professional.
1. Press the MEM button to view the most recent reading, Fig. 1.
The display will alternate between two screens. The first screen
will show the date of the measurement, along with the systolic
and diastolic values. The number of the reading will be displayed
in the lower right corner of the screen.
2. If no buttons are pressed, after approximately three seconds,
the display will show the time of the measurement along with
the pulse rate, Fig. 2. The systolic and diastolic values will
continue to be displayed.
3. Continue to press the MEM button to view the next previously
stored measurement, Fig. 3. Wait at least three seconds per
measurement to review the time and pulse rate of the
measurement.
4. The last reading displayed is the average of all measurements
stored in memory. An ‘A’ will appear in the upper left corner of
the display, Fig. 4.
Fig. 1
13
Fig. 3
Fig. 2
All stored measurements will be erased by removing and
reinstalling one of the batteries.
14
Fig. 4
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Description of Display Symbols
DISPLAY
CONDITION
ACTION
Appears when pulse
reading is displayed.
Record pulse reading.
Appears when storing or
recalling a measurement
in memory.
Memory function in
progress.
Appears when the cuff
experiences an irregular
deflation speed.
Wait a minimum of 15
minutes and remeasure.
Loosen cuff to allow blood
circulation in the wrist and
hand while waiting.
Appears when cuff was
overpressurized (inflated
to more than 300 mmHg).
Wait a minimum of 15
minutes and remeasure.
Loosen cuff to allow blood
circulation in the wrist and
hand while waiting.
Appears when PWR
button was pressed too
long when starting a
measurement.
Review and follow “Applying
Your Blood Pressure Cuff”
and “Taking Your Blood
Pressure Reading” sections.
Appears when battery
voltage is excessively low
Replace both batteries with
new ones
Troubleshooting
If any abnormality occurs during use, please check and correct the
following:
Condition
Display is blank when
power is on
Correction
Check and correct the polarity
of the installed batteries.
Reinstall or replace batteries.
Measurement incomplete or
abnormally low or high values
displayed.
Review and follow “Applying
Your Blood Pressure Cuff” and
“Taking Your Blood Pressure
Reading” sections. Replace the
batteries.
Measurements are different
from those typically measured
by physician or every
measurement reading is
different.
Remember, blood pressure
readings are influenced by
physical and mental conditions
and/or even the time of day.
Daily measurement recordings
should be interpreted by your
physician.
Care, Maintenance and Storage
1. Only use a soft, dry cloth to clean your blood pressure monitor.
2. Avoid using any types of liquids on the monitor or cuff.
3. Store your unit in the provided storage case when not in use.
4. Do not store the unit where it will be exposed to direct sunlight,
dust or humidity. Avoid extreme temperatures.
5. Never disassemble the monitor or the cuff.
15
6. Dropping or subjecting your blood pressure monitor to strong
shocks should be avoided.
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Product Specifications
Name and model number
Display system
Measuring method
Power source
Measuring range
Accuracy
Pressurization
Deflation
Memory
Automatic Power Off
Sample Blood Pressure Log
SmartRead Plus Wrist-styled Blood
Pressure Monitor with Memory,
04-233-001
Digital display system/LCD
Oscillometric method
Two AAA alkaline batteries
Systolic: 50-250 mmHg
Diastolic: 40-180 mmHg
Pulse: 40-160 beats/minute
Pressure: ±3mm Hg
Pulse: within ±5% of reading
Automatic pressurization by pump
Automatic pressure release valve.
Optimum cuff inflation level
determined by Fuzzy Logic
60 measurements plus average of
all measurements
Approximately 3 minutes after last
key operation
Approximately 200 measurements
®
Battery life
Operation
Temperature
50°F - 104°F (10°C - 40°C)
Humidity
15-90% RH max.
Storage
Temperature
-4°F - 122°F (-20°C - 50°C)
Humidity
15-95% RH max.
Weight
4.4 oz. (with batteries)
Dimensions
2-1/2” x 2-9/16” x 1-1/8”
Wrist Circumference Range Suitable for 4-7/8” - 8-1/8”
Accessories
Storage case, Instruction Guidebook,
two AAA alkaline batteries
Specifications are subject to change without notice.
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#91-032-233 7/04
©2004 MABIS Healthcare Inc.
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