A&D LifeSource Essential UA-651CNBLE User manual

WIRELESS
BLOOD PRESSURE MONITOR
UPPER ARM
UA-651CNBLE
Instruction Manual

Greetings
This A&D blood pressure monitor is one of the most advanced
monitors available and is 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 rst time. The Bluetooth®word mark and logos are registered
trademarks owned by Bluetooth SIG, Inc. and any use of such marks
by A&D Medical is under license. Other trademarks and trade names
are those of their respective owners.
Intended Use
• The monitor is designed for use on adults only. Do not use on
newborns or infants.
• Environment for use: This monitor is intended for home healthcare
environment.
• This monitor 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 cu󰀨 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 cu󰀨.
•Avoid tightly folding the cu󰀨 or storing the hose tightly twisted for long
periods, as such treatment may shorten the life of the components.
•The monitor and cu󰀨 are not water resistant. Prevent rain, sweat and
water from soiling the monitor and cu󰀨.
• Measurements may be distorted if the device is used close to
televisions, microwave ovens, cellular telephones, X-ray or other
devices with strong electrical elds.
•When using the device, conrm that the device is clean.

Precautions
• 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 cu󰀨
hard enough to temporarily stop blood ow 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.
• Take care to avoid accidental strangulation of babies or infants with
the hose and cable.
• Do not twist the air hose during measurement. This may cause
injury due to continuous cu󰀨 pressure.
• Wireless communication devices, such as home networking
devices, mobile phones, cordless phones and their base stations,
walkie-talkies can a󰀨ect this blood pressure monitor. Therefore, a
minimum distance of 30 cm (12") should be kept from such devices.
• Measuring blood pressure too frequently may cause harm due to
blood ow interference. Check that the operation of the device does
not result in prolonged impairment of blood circulation, when using
the device repeatedly.
• If you have had a mastectomy, please consult a doctor before using
the device.
• Do not let children use the monitor by themselves and do not use
the monitor in a place within the reach of infants. It may cause
accidents or damage.
• There are small parts that may cause a choking hazard if swallowed
by mistake by infants.

Precautions
•Do not apply the cu󰀨 on an arm in which another medical device is
attached. The equipment may not function properly.
•People who have a severe circulatory decit 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 cu󰀨 on an arm with an unhealed wound.
•Do not apply the cu󰀨 on an arm receiving an intravenous drip or
blood transfusion. It may cause injury.
•Do not use the monitor where ammable gases such as anesthetic
gases are present. It may cause an explosion.
• Do not use the monitor in highly concentrated oxygen environments,
such as a high-pressure oxygen chamber or an oxygen tent. It may
cause a re or explosion.
• This device complies with Part 15 of FCC rules and contains the
FCC ID VPYLBCA2HN2AH. Operation is subject to the following
two conditions: (1) This device may not cause harmful interference,
and (2) this device must accept any interference received, including
interference that may cause undesired operations.
• This device complies with Industry Canada licence-exempt RSS
standard(s) and contains IC 772C-LBCA2HN2AH. Operation is
subject to the following two conditions: (1) this device may not cause
interference, and (2) this device must accept any interference,
including interference that may cause undesired operation of the
device.
• Unplug the AC adapter when not in use during the measurement.
•Use of accessories not detailed in this manual may compromise safety.
• Should the battery short-circuit, it may become hot and potentially
cause burns.
• Allow the monitor to adapt to the surrounding environment before
use (about one hour).

• Clinical testing has not been conducted on newborn infants and
pregnant woman. Do not use on newborn infants or pregnant woman.
• Do not touch the batteries, the DC jack, and the patient at the same
time. That may result in electrical shock.
•Do not inate without wrapping the cu󰀨 around the upper arm.
Precautions

Contents
Parts Identication E-6
Symbols E-7
Using the Monitor E-9
Taking your Blood Pressure E-17
What is an Irregular Heartbeat E-20
Pressure Bar Indicator E-20
WHO Classication E-21
About Blood Pressure E-22
Troubleshooting E-24
Maintenance E-25
Technical Data E-25
Warranty E-31

E-6
Parts Identication
Display
W
Displa
y
A
ir Hose
Cuff
Button
Index
AirSocket
Proper fit range
A
rtery position mark
DC jac
k
AC adapter Plug
AirConnector Plug
Battery Compartment
Battery Cove
r
SystolicPressure
Diastolic Pressure
Battery Indicator
Pressure Bar
Indicator
Pulse rate
I.H.B. symbol
(Irregular heart beat symbol)
Bluetooth®
Communication
mark
Heart Mark
START
START
SYS
mmHg
mmHg
/min
DIA
PUL

E-7
Symbols
Symbols Function/Meaning Recommended Action
Appears while measurement is in
progress. It blinks when the pulse
is detected.
Measurement is in progress.
Remain as still as possible.
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.
––––––––––––
FULL BATTERY – The
battery power indicator during
measurement.
––––––––––––
LOW BATTERY
The battery is low when it blinks.
Replace all batteries with
new ones, when the indicator
blinks.
Unstable blood pressure
due to movement during the
measurement.
Take another measurement.
Remain still during the
measurement.
The systolic and diastolic values
are within 10 mmHg of each other.
Apply the cu󰀨 correctly, and
try the measurement again.
The pressure value did not
increase during ination.
The cu󰀨 is not applied correctly.
Pulse display error. The pulse is
not detected correctly.
Device internal error
Remove the batteries and
press the button, and then
install the batteries again. If
the error still appears, contact
the dealer.
The product is connecting to the
Bluetooth®devices. ––––––––––––

E-8
Symbols Function/Meaning Recommended Action
Pairing has not been performed
correctly
Remove and re-insert the
batteries. Try pairing again.
Pairing in progress ––––––––––––
Pairing in progress ––––––––––––
Pairing complete ––––––––––––
Symbols printed on the device case
Symbols Function/Meaning
Standby and turn the device on.
SYS Systolic blood pressure in mmHg
DIA Diastolic blood pressure in mmHg
PUL/min Pulse per minute
R6(LR6,AA) Battery installation guide
Direct current
IP International protection symbol
SN Serial number
Refer to instruction manual/booklet
Keep dry
Polarity of DC jack
BT Bluetooth Address
Symbols

E-9
Using the Monitor
Installing/Changing the batteries
1. Remove the battery cover.
2. Remove the used batteries from
the battery compartment when
changing them.
3. Insert new batteries or replace
used batteries as shown, taking
care that the polarities (+) and (-)
are correct.
4. Replace the battery cover. Use only R6P, LR6 or AA batteries.
CAUTION
• Insert the batteries as shown in the battery compartment. If installed
incorrectly, the device will not work.
• When (blinks on the display and the device indicates that the
battery needs to be replaced, 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. Replace the batteries two seconds
or more after the device turns o󰀨.
• If does not appear, then the batteries are completely drained.
• The battery life varies with the ambient temperature and may be
shorter at low temperatures. Generally, four new LR6 batteries will
last approximately for one year when used twice for measurement
each day.
•Use the specied batteries only. The batteries provided with the
device are for testing the device 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.
Step 1
Step 4
Step 3
Step 2

E-10
Using the Monitor
Connecting the Air Hose
Insert the air connector plug into the air
socket rmly.
Connecting the AC Adapter
Insert the AC adapter plug into
the DC jack. Then, insert the
AC adapter into an electrical outlet.
The AC adapter part # TB-233,
is sold separately.
•Use the specied AC adapter.
(See Technical Data)
• When disconnecting the AC adapter from the electrical outlet, grasp
and pull the AC adapter body out of the outlet.
•When disconnecting the AC adapter plug from the blood pressure
monitor, grasp and pull the AC adapter plug our of the monitor.
Wireless Function
• In the unlikely event that this monitor causes radio wave interference
to a di󰀨erent wireless station, change the location where this monitor
is used or stop use immediately.
• Be sure to use in a location where visibility between the two
devices that you want to connect is good. The connection distance
is reduced by the structure of buildings or other obstructions. In
particular, connection may be impossible when devices are used on
either side of reinforced concrete.
• Do not use Bluetooth®connection in the range of a wireless LAN or
other wireless devices, near devices that emit radio waves such as
microwaves, in locations where there are many obstructions, or in
other locations where signal strength is weak. Doing so may result
in frequent loss of connection, very slow communication speeds
and errors.
Air Socket
Air Connector Plug
Air Hose
DC Jack
AC adapter Plug
START
SYS
mmHg
mmHg
/min
DIA
PUL

E-11
Bluetooth® devices carry the Bluetooth®logo mark.
Using the Monitor
• Using close to an IEEE802.11g/b/n wireless LAN device may
cause mutual interference to occur, which may result in reduced
communication speeds or which may prevent connection. In this
case, switch o󰀨 the power supply to the device that is not being
used, or use the monitor in a di󰀨erent location.device that is not
being used, or use the monitor in a di󰀨erent location.
• If the monitor does not connect normally when used near a wireless
station or broadcast station, use the monitor in a di󰀨erent location.
• A&D Medical cannot accept liability for any damages incurred due
to impaired operation or data loss, etc. that occur through the use of
this product.
• This product is not guaranteed to connect to all Bluetooth®
compatible devices.
Bluetooth®Transmission
This product is equipped with a Bluetooth®wireless function and can
connect to the following Bluetooth®devices.
Bluetooth®devices that can be connected:
• Continua certied devices
• iPhone, iPad, iPod ( iPhone 4S or later )
• Applications and devices that are compatible with Bluetooth 5.1
Each device needs an application to receive data. For connection
methods, refer to the manual for each device.

E-12
Using the Monitor
To connect with your mobile device - download and install the
A&D Heart Track app:
Follow the instructions in the app to connect.
Check the compatible device list as the following website.
http://www.wellnessconnected.jp/english/compatibility/
Connecting to a mobile device (Pairing)
A Bluetooth®device needs to be paired with this blood pressure
monitor in order to communicate with that device. If this monitor
is paired with a receiver device from the start, measurement data
is transmitted automatically to the receiver device each time a
measurement is made.
Tips for pairing
• Be sure to turn the power of all other Bluetooth® devices o󰀨 when
pairing. Multiple devices cannot be paired at the same time. If
the receiver device cannot receive measurement data, try pairing
once again.
• Communication is possible with one of the receiver devices. If a
second receiver device is paired, the device other than the most
recently connected device will be unpaired to enable the new device
to be paired.
• Follow the steps on the next page to pair the monitor with a
Bluetooth®compatible receiver device. Also refer to the manual of
the receiver device. Please use a pairing wizard if one is provided.

E-13
Using the Monitor
Pairing procedure
1. Follow the instructions in the manual of the receiver device to switch
it to the pairable status. When pairing this monitor, place it as close
as possible to the receiver device to be paired with.
2. Install the batteries or connect the AC adapter.
Press and hold the "START" button until "Pr" is
displayed, then release the button.
The monitor will be in a state that can be found by the
receiver device for about one minute.
3. The monitor displays "End" to indicate that pairing is
complete.
4. If "Err 10" is displayed or pairing is failed, remove
the batteries or disconnect the AC adapter and try
steps 1-3 again.
5. Follow the manual of the pairing receiver device to search for, select
and pair with this monitor.
Communication Distance
The communication distance between this monitor and the receiver
device is about 33 feet (10 m). This distance is reduced by the
conditions in the surrounding environment, so be sure to check
that the distance is short enough for a connection to be made after
measurement is complete.

E-14
Using the Monitor
Transmitting Temporarily Stored Data
In cases when the receiver device cannot receive measurement
data, the measurement data is temporarily stored in the monitor
memory. The data stored in the memory is transmitted the next time
a connection is successfully made to the receiver device. A total of 30
sets of measurement data can be stored. When the amount of data
exceeds 30 sets, the oldest data is deleted and the new data is stored.
Time
This monitor has a built-in clock. The date and time a measurement was
taken is included in the measurement data. The built-in clock is designed
to be automatically adjusted by syncing with the clock of a receiver
device. Refer to the specications of the receiver device. This monitor
has no clock adjustment function.
Selecting the correct cu󰀨
Using the correct cu󰀨 size is important for an accurate reading. If the
cu󰀨 is not the proper size, the reading may yield an incorrect blood
pressure value.
The arm size is printed on each cu󰀨.
The index p and proper t range, on the cu󰀨, tell you if you are applying
the correct cu󰀨. Refer to "Applying The Arm Cu󰀨".
If the index ppoints outside of the range, contact your local dealer to
purchase a replacement cu󰀨.
The arm cu󰀨 is a consumable. If it becomes worn, purchase a new one.

E-15
Using the Monitor
Symbols that are printed on the cu󰀨
Symbols Function/Meaning Recommended Action
lArtery position mark
Set the lmark on the artery of the
upper arm or in line with the ring
nger on the inside of the arm.
Index ––––––––––––
REF Catalog number ––––––––––––
LOT Lot number ––––––––––––
Type BF: Cu󰀨 is designed to provide
special protection against electrical
shocks.
––––––––––––
WProper t range for the Wide Range
cu󰀨. ––––––––––––
LProper t range for the Large cu󰀨. ––––––––––––
MProper t range for the Medium cu󰀨. ––––––––––––
SProper t range for the Small cu󰀨. ––––––––––––
S
Range to use the Small cu󰀨. Under
range printed on the Medium cu󰀨
and Wide Range cu󰀨.
Use the Small cu󰀨
MRange to use the Medium cu󰀨. Under
range printed on the Large cu󰀨 and
over range printed on the Small cu󰀨.
Use the Medium cu󰀨
LRange to use the Large cu󰀨. Over
range printed on the Medium cu󰀨
and Wide Range cu󰀨
Use the Large cu󰀨
S
Wide range cuff
M
M
Large cuff
W
S
Medium cuff
M
Small cuff S

E-16
Using the Monitor
Applying the arm cu󰀨
1. Wrap the cu󰀨 around the upper arm, about 0.5" (1-2 cm) above the
inside of the elbow, as shown.
Place the cu󰀨 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.
3. Conrm that the index p points within the proper t range.
Note: During measurement, it is normal for the cu󰀨 to feel very tight. (Do not be alarmed).
≈ 0.5”(1-2 cm)

E-17
Taking your Blood Pressure
This blood pressure monitor is designed to detect the pulse and to
inate the cu󰀨 to a systolic pressure level automatically.
Tips for Taking Blood Pressure
Before Your Measurement:
• For 30 minutes prior to taking your blood pressure
»Do not exercise
»Do not drink co󰀨ee, ca󰀨einated soda or alcohol
»Do not smoke
• Sit quietly for 5-10 minutes
•Ensure you are using the right size cu󰀨
During Your Measurement:
• Do not talk
• Sit with your back straight and supported
•Uncross your legs and place feet at on oor
•Rest arm on a table so that the cu󰀨 is at heart level
• Measure two times a day, in the morning and evening
Notes for Accurate Measurement
• This monitor bases its measurements on the heartbeat. If you have
a very weak or irregular heartbeat, the monitor may have di󰀩culty
determining your blood pressure.
• Should the monitor detect a condition that is abnormal, it will stop
the measurement and display an error symbol. Refer to the section
"Symbols" for the description of the symbols.
•If you have emotional stress, the measurement will reect 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 e󰀨ect on your blood pressure.

E-18
Taking your Blood Pressure
Normal Measurement
1. Place the cu󰀨 on the arm (preferably
the left arm). Sit quietly during
measurement.
2. Press the START button. All of the
display segments are displayed.
Zero is displayed blinking briey.
Then the display changes, as
indicated in the gure to the right,
as the measurement begins. The
cu󰀨 starts to inate. It is normal for
the cu󰀨 to feel very tight. A pressure
bar indicator is displayed, as in the
gure to the right, during ination.
Note: If you wish to stop ination at any time, press
the START button again.
3. When ination is complete,
deation starts automatically
and the (heart mark) blinks,
indicating that the measurement
is in progress. Once the pulse is
detected, the mark blinks with each
pulse beat.
Note: If an appropriate pressure is not obtained, the
device starts to inate again automatically.
4. When the measurement is
complete, the systolic and diastolic
pressure readings and pulse rate
are displayed. The cu󰀨 exhausts the remaining air and deates
completely.
5. Press the START button again to turn o󰀨 the power.
Note: This product is provided with an automatic power shut-o󰀨 function, which turns the power
o󰀨 approximately one minute after measurement.
At heart level
All of the display
segments
Pr
ess the START button
Zero display
Starts ination
Pressurizing
Turn o with the
START button

E-19
Taking your Blood Pressure
Measurement with the Desired Systolic Pressure
If re-ination occurs repeatedly, use the following methods. If your
systolic pressure is expected to exceed
230 mmHg, use this procedure.
1. Place the cu󰀨 on the arm at heart
level (preferably the left arm).
2. Press the START button.
3. During the zero blinks, press and hold
the START button until a number
about 30 to 40 mmHg higher than
your expected systolic pressure
appears.
4. When the desired number is reached,
release the START button to start
measurement. Then continue to
measure your blood pressure as
described on the section "Normal
Measurement".
Press the
START button
All of the display
segments displayed
At heart level
Press and hold the
START button
Inflation in progress
Refer to the section
“Normal Measurement”
Release the START
button to stop inflation
Desired pressure