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Automatic Blood Pressure Monitor
Gebrauchsanweisung Instruction manual Mode demploi Gebruiksaanwijzing
closing date: july 2003 by ibp innovative business promotion gmbh, Germany
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table of contents

1 introduction.... preliminary remarks.... about blood pressure 3.1 blood pressure values... 4-5 3.2 measures affecting your blood pressure positively.. 6 3.3 how to obtain accurate readings... 6-the unit / accessories... display / symbols.... befoe using the device 6.1 battery installation, battery replacement.. 10 6.2 setting the timer... making a blood pressure measurement 7.1 attaching the wrist cuff.... 12-13 7.2 the measuring accuracy.... 14 7.3 the right measuring position... 15 7.4 the measuring method... 16-18 7.5 switching off automatically.... the memory function... an error is displayed.... other important notes... specifications... 22 guarantee..... 23

1 introduction

dear customer,
we are glad that you have decided for this blood pressure monitor. The product you have bought is state of the art, of highest quality and has many advanced features. This unit measures blood pressure at the wrist extremely accurately and is ideal for regular monitoring of blood pressure. With a memory that can store up to 60 values, you can keep close track of your heart rate and inform your physician of any significant changes as early as possible. The unit is ideal for active health prevention and is designed for home use by adults.

important notes !

The purpose of the Instruction Manual is to provide information. Please read this Instruction Manual carefully to know your blood pressure monitor. Then the monitor will give you many years of smooth service and supply measuring data of high accuracy. Only your physician can interpret your blood pressure values. If you suffer from cardiac arrhythmia, always discuss the blood pressure values with your doctor. If you have questions about blood pressure for which you do not find an answer in this booklet, also consult your doctor. The right to technical modifications is reserved.
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preliminary remarks 2

- This Blood Pressure Monitor bears the CE (conformity) label for notinvasive Blood Pressure Monitors to show that it conforms with the EU Council Directive (EN 1060-1 / EN 1060-3) for notinvasive Blood Pressure Monitors. - It also confirms with the EU Council Directive 93/42/EEC of 14th June 1993 on Medical Products. - ibp hereby confirms that the product delivered together with this Instruction Manual complies with this Directive. The appropriate conformity declaration is available with ibp. - To ensure accurate measurements, the Blood Pressure Monitor must receive a technical checkup every 2 years. Inspection is also required when the blood pressure data supplied by the monitor are obviously off-range. If you have any questions about these checks, please contact our Customer Services Department (address on the warranty certificate).
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3 about blood pressure

More than half the number of people suffering from high blood pressure are unaware of it. The most common cause of death in today's society is from diseases that are directly related to the problem of high blood pressure. This Blood Pressure Monitor allows you to measure your blood pressure at home. If your blood pressure is off limits, the monitor helps you to keep it under constant watch. Remember only your physician can interpret your blood pressure values. Never venture self-diagnosis or self-treatment. The blood pressure is the measure of the force which the heart needs to pump the blood through the circulatory system and supply the vital organs of our body. The higher the pressure, the harder the heart must work.
3.1 blood pressure values
Typical normal blood pressure as recommended : hypotension normalless borderline hypertension systolic blood pressure less than 105 mmHg less than 140 mmHg 140 - 160 mmHg more than 160 mmHg diastolic blood pressure less than 60 mmHg less than 90 mmHg 90 - 95 mmHg over 95 mmHg
If the blood transport system is inot functioning normally, the blood pressure can be higher than normal. High blood pressure can damage vital organs, such as the heart, the brain or muscles.
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about blood pressure 3

Remember that only the physician can interpret your blood pressure values. Never venture selfdiagnosis or self-treatment. We recommend you to discuss your blood pressure values with your physician. He can advise you on any measures that may be good to take. The blood pressure is changing constantly. You should not be frustrated by two or three bad readings, and dont fly into high spirits if a few readings are good. The blood pressure changes during the day as during the month. It is also influenced by the time of year and the temperature. Monitor your blood pressure regularly and keep a full record of all readings. This allows you to make a competent judgment.

blood pressure changes during a day (test person: M, male, 35 years old)

Systolic pressure

Diastolic pressure

Get up 6 a.m.

Arrive office morning

Make phone call 12 a.m.

Heated debate during conference

Leave office 12 p.m.

6 p.m. afternoon
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3.2 measures affecting your blood pressure positively
If your blood pressure is high or you want to avoid high blood pressure, your lifestyle should generally be conducive to this goal. Existing diseases: Strictly follow the instructions of your doctor to treat existing diseases e.g., diabetes, gout, disturbed lipid metabolism, etc. Nutrition: Sport activities: Reduce overweight. Use little salt with your food, avoid food with lots of fat. If advised by your doctor after an examination, practice stamina sports (jogging, swimming). Avoid sports involving strength, do not try your limits! Smoking, drinking: No smoking! Consume only little alcohol and coffee.
3.3 how to obtain accurate readings
The blood pressure is constantly changing throughout a day. The changes are caused by psychic and physical factors, such as anxiety, exercise, smoking, caffeine and stress. Because it is changing, the blood pressure should always be measured at the same time of day, when your body is relaxed. It is the physicians responsibility to interpret the readings and analyze your physical condition. It is important that you consult your physician regularly. He will tell you your normal blood pressure and what you should take care of.
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Here are a few helpful tips to obtain accurate readings: - Wait one hour before measuring the blood pressure after a substantial meal. - Do not smoke or drink alcohol before measuring the blood pressure. - You should not do physical work one hour before taking a reading. - It is important that you relax. Try to take 15 minutes rest before the reading. - Do not take measurements if you are under stress or tension. - Take the blood pressure reading at normal body temperature, not when you feel cold or hot. - When the monitor is stored at very low temperature (near freezing), keep it at a warm place at least for 1 hour before using it. - Wait about 5 minutes before making the next pressure measurement.
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4 the unit - accessories

identification of the unit
LCD display Battery cover Memory polling key Memory key Timer key
accessories included : keeping box (without ill.) instruction manual including warranty batteries
2 AAA size 1,5 V alkaline batteries

ON/OFF key

Start key

Wrist cuff

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display / symbols 5

display
month day hour minute The memory sign appears when you save data to the memory and during memory polling.

symbols

systolic pressure
The pump sign appears when you inflate the cuff. When this sign appears the batteries should be replaced. The pulse sign appears when the pulse rate is displayed.

diastolic pressure

pulse rate
The error sign appears with wrong input or device defect.
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6 before using the device
6.1 battery installation battery replacement
The enclosed batteries must be fitted before use. The battery cover is on the left-hand side of the unit. Push it in the arrowed direction and remove it. Insert the 2 supplied AAA size, 1.5 V alkaline batteries. Insert the lower battery first. Ensure correct polarity (as shown in the battery compartment). Close the battery compartment. Replace the batteries when the battery replacement sign appears on the LCD display, or when the LCD display is blank after you switch on the unit.

notes :

As the supplied batteries are for test only, they may be discharged earlier than batteries you buy in the store. Replace the batteries in pairs. Batteries are hazardous waste. Do not dispose them together with the household garbage. Remove the batteries from the appliance if it is not to be used for a long period. Battery safety instructions: - Keep away from children! - Not rechargeable! - Do not short-circuit! - Do not throw into fire!
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before using the device 6

6.2 setting the timer

To enter the timer mode, press the TIMER key longer than 3 seconds and release it. The year number flashes. To increment the flashing digit, press the MEMO/+ key; to decrement, press the RCAL/- key. Press the TIMER key. The month flashes. Set the month as described above. Press the TIMER key. The day flashes. Set the day as described above. Press the TIMER key. The hour flashes. Set the hour as described above. Press the TIMER key. The minute flashes. Set the minute as described above. To leave the Timer mode, press the TIMER key again.

Note: If no key is pressed for 10 seconds, the next digit starts flashing. The unit will enter the
standard mode after running through all digits.
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7 making a blood pressure measurement
7.1 attaching the wrist cuff
a) Remove the wristwatch and all jewelry. Put the blood pressure monitor on the inside of your left wrist (fig. 1).

fig. 1

b) Place the cuff around your wrist, make sure that the bottom edge of the cuff is about 5-10 mm above the palm of your left hand (fig. 2). Make sure that the cuff is placed on the bare skin with no clothing in between.

fig. 2

5 - 10 mm
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making a blood pressure measurement 7
c) Hold the bottom part of the wrist cuff as illustrated in fig. 3. Pull the cuff tight and wrap it upwards so that there is no gap between the cuff and your wrist. d) While you wrap the cuff upwards, hold the cuff cover with your thumb. e) Wrap the cuff around your wrist to suit its form. The blood pressure reading will be correct even if you wrap the cuff askew. If the cuff is not wrapped tight enough, the pressure will be falsely higher and the wrist go numb. Correct measuring is then not possible. f) If you cannot place the cuff around your left wrist and the blood pressure measurement is not possible on the left wrist, place the cuff around the right wrist. Proceed as illustrated in fig. 4 on the right.

fig. 3

fig. 4
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7.2 the measuring accuracy
- The new stepping valves mean a dramatic improvement of the measuring accuracy. - Your new wrist blood pressure monitor is equipped with state-of-the-art valve technology for extreme accuracy. - The mechanical valves have been replaced by electronic valves so that the user can recognize even small pressure changes and compensate them by means of the cuff pressure. - The cuff pressure is adapted in steps. A clicking sound indicates that air is released from the cuff. - The stepwise release of the cuff pressure allows the unit to respond more perfectly to changes in the cuff and consider them for the evaluation. If no change is detected during any step, the air pressure will be reduced. If changes are detected, they are evaluated at the appropriate step level until their accuracy has been determined. - The identification and evaluation of changes at the various steps and corresponding adjustment of the cuff pressure mean that more accurate values are obtained.

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7.3 the right measuring position
- Have yourself on a seat in a comfortable position, breathe deeply several times and relax. - Measure the blood pressure the same time every day. To get a correct picture of the blood pressure changes during the day, make the measurements at home daily at the same time. - Place your elbow on the table or other suitable support and hold the cuff so that the cuff is at the same level as the heart. - Record the values and show them to your physician for assessment.
measure values: 1 to low 2 correct 3 to high 1 2
If the cuff is not pulled tight you get wrong measure values. The blood pressure value measured on the wrist may be different from that on the upper arm. As the measuring positions and the size of the blood vessels are different on the wrist and upper arm, the values may differ slightly. In many cases the difference can be 10 mmHg systolic and diastolic in a healthy person. Holding your arm in too high or too low a position when measuring your blood pressure (see illustration) results in a measurement error of 10 mmHg per 15 cm of height differential. The following groups should watch their blood pressures in particular: hypertonic persons, diabetic patients, persons with liver disease, hardened arteries, circulatory weakness, etc.
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7.4 the measuring method

a) Place the cuff around your arm as described (pages 12 - 13). b) Start the Monitor by pressing one of the ON /OFF (POWER) key. When the ON /OFF (POWER) key is pressed, all digits will light up (fig. 1). This is a check of the display functions which is complete after about 2 seconds. When the display check is complete, the LCD will show the pattern on the right to indicate that the unit is ready for use (fig. 2).
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c) Press the START key. The pump begins to inflate the cuff automatically. The pump icon displays during the inflation procedure. d) If the cuff pressure is low, the unit interrupts the measuring and increases the cuff pressure to an acceptable level.
As the pump reaches the starting pressure, measuring starts. While measuring, do not move the cuff or your arm or hand muscles. As the unit detects pulse, the LCD will show the pulse rate. During the measuring the displayed value will decrease. If you want to interrupt the measurement, simply press any key. The cuff will be deflated.
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e) The cuff will deflate when the unit completes the measuring. The LCD then shows the systolic and diastolic pressures, and the pulse rate.
7.5 switching off automatically
Pressing the ON /OFF (POWER) key ends the measuring and turns off the power. The unit will automatically turn off after about 3 minutes of inactivity.

Systolic

Diastolic

Pulse rate

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the memory function 8

a) Up to 60 measurements can be saved in the memory. The values (blood pressure and pulse rate) can be saved in the memory of the unit, together with the time and date. Just press the MEMORY key while the values are shown on the LCD. The MEMORY sign appears and the values will be written in the memory. The LCD will go blank. b) To read memory values, press the MEMORY POLLING (RCAL) key. The memory values will be shown on the LCD, together with the time and date. The last measurement will be shown first. Every new press of the MEMORY POLLING (RCAL) key calls one prior value pair. When 60 measurements are memorized and a new value is stored, the oldest value will be erased.

note :

The data in the memory will not be lost even when the Blood Pressure Monitor is switched off. The data in the memory is erased when the batteries are replaced.
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9 an error is displayed

Error display Possible reason The cuff position is not correct. The unit interrupts the measuring and increases the cuff pressure. You have moved during the measuring. Remedy Put on the cuff correctly. Do not move while the measuring continues.

The batteries are empty.

Replace the empty batteries by new size AAA 1.5V batteries.
The display remains blank. Batteries are not inserted or inserted wrongly or batteries are depleted.
Insert batteries. Check the battery position or replace batteries.
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other important notes 10

1. The unit contains high-precision assemblies. Therefore avoid extreme temperatures, humidity, direct sunlight. Do not give strong shock. Do not try to open the blood pressure monitor. This will destroy the calibrated factory settings. Protect from ingress of dust. 2. Do not bend the preformed cuff inside out. Clean the blood pressure computer body and the cuff carefully with a slightly damp, soft cloth. Do not press. Do not wash the cuff or use chemical cleaner on it. Never use thinner, alcohol or petrol as cleaner. 3. Leaky batteries can damage the unit. Remove the batteries when the unit is not used for a long time. 4. Do not press the Start key when the cuff is not placed around the wrist. 5. The unit should only be used by adult persons. 6. If the unit is stored at or near freezing point, make sure that it is warmed up to room temperature before use. 7. Do not separate the monitoring unit from the cuff. Do not open the unit. Do not attempt to use any sort of tool to change the internal settings. If you have problems with the unit, please contact our Customer Services Department.

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11 specifications

Model Measuring method Indicator Measuring range Measuring resolution Pressure build-up Pressure release Deflation Power source Memory Working temperature Storage temperature Humidity Hard cuff Dimension (measuring unit) Weight : : : : : : : : : : : : : : : : : : ibp A 40 Oscillometric method LCD 20 - 280 mmHg (blood pressure) 40 - 180 pulse/min. (pulse rate) 3 mm Hg (blood pressure) 5 % (pulse rate) Automatic pressure build-up by pump Automatic pressure release by valve system Automatic deflation valve 2 x 1.5V high capacity or alkaline batteries size AAA 60 measuring values + 10 C to + 40 C, 40 - 85 % RH - 5 C to + 60 C, 10 - 95 % RH 85 % RH maximum For wrist circumference between 135 - 195 mm appr. 84 (l) x 76 (w) x 60 (h) mm appr. 120 grams (without batteries)
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GUARANTEE

Your Blood Pressure Monitor was checked to ensure its faultless quality before despatch. Please send the appliance for checking or repair togehter with the purchase document or receipt and the description of the faults and/or of the desired check to the adress below. From the date of purchase (date of the purchase document) rapairs will be carried out free of charge for 36 months, if your appliance should be defective due to a production or material fault. The guarantee does not cover any damage occurring as a result of faulty operation, improper treatment, storage and care or unusual influences. All further claims as well as damages shall likewise be excluded. Should you have any reason to avail yourself of the warranted services under the guarantee, send the appliance with the guarantee documents to the customer service department: ibp International Business Products Limited 6 Newfield Court West Houghton Bolton BL5 3SA England Phone: +44 -(0) 19 42- 95 Distributed by: ibp gmbh, Head Office, Botzstrae 6, D-07743 Jena, Germany www.ibp-info.de Manufactured by: Rossmax International Ltd., Taipei, Taiwan