A&D SMARTMETER iBloodPressure 2.0 User manual

CELLULAR
BLOOD PRESSURE MONITOR
UPPER ARM
UA-651CEL-SM
Instruction Manual

Greetings
The iBloodPressure® 2.0 from A&D and Smart Meter is one of the
most advanced blood pressure 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.
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 device and cu󰀨 are not water resistant. Prevent rain, sweat and
water from soiling the device 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.
• Used equipment, parts and batteries are not treated as ordinary
household waste, and must be disposed of according to the
applicable local regulations.

Precautions
• 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 device by themselves and do not use the
device in a place within the reach of infants.
• There are small parts that may cause a choking hazard if swallowed
by mistake by infants.
• 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.

Precautions
• 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 device where ammable 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 re or explosion.
• This device complies with Part 15 of FCC rules and contains the
FCC ID XPYUBX19KM01. 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 8595A-UBX19KM01. 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 device 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 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.
• A&D Medical and Smart Meter cannot accept liability for any
damages incurred due to impaired operation or data loss, etc. that
occur through the use of this product.
Precautions

Contents
Parts Identication E-6
Symbols E-7
Using the Monitor E-9
Taking your Blood Pressure E-14
What is an Irregular Heartbeat E-17
Pressure Bar Indicator E-17
AHA Classication E-18
About Blood Pressure E-19
Troubleshooting E-21
Maintenance E-22
Technical Data E-23
Warranty E-28

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)
Communication Icon
Heart Mark
START

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
cellular network. ––––––––––––

E-8
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
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 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 AA batteries will
last approximately for one year when used twice for measurement
each day.
• Use the specied batteries only.
• 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
the body of the AC adapter plug and gently pull the AC adapter out
of the outlet.
• When disconnecting the AC adapter plug from the blood pressure
monitor, grasp the monitor and gently pull the AC adapter plug out of
the monitor.
Air Socket
Air Connector Plug
Air Hose
DC Jack
AC adapter Plug

E-11
Using the Monitor
Transmitting Temporarily Stored Data
In cases when the network 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 network. A total of 5 sets of measurement
data can be stored. When the amount of data exceeds 5 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 cellular network. 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󰀨. For further information, 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.
Part Number Description Specication
UA-420 Wide Range cuff 8.6-16.5" (22 to 42cm)
UA-291 Large cuff 12.2-17.7" (31 to 45cm)
Arm size: The circumference at the biceps.
Note: Model UA-651CEL-SM is not designed to use a small cu󰀨.

E-12
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.
pIndex ––––––––––––
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󰀨. ––––––––––––
SUnder range printed on the medium cu󰀨
and Wide Range cu󰀨. ––––––––––––
MUnder range printed on the large cu󰀨. Use the Medium cu󰀨
LOver range printed on the medium cu󰀨
and Wide Range cu󰀨.
Use the large cu󰀨 instead of
the medium cu󰀨 or the Wide
Range cu󰀨.
S
M
Wide Range cuff
Large cuff
W
S
Medium cuff
M

E-13
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-14
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 cu󰀨 size
During Your Measurement:
• Do not talk
• Sit with your back straight and supported
• Uncross your legs and place feet at on oor
• Rest your arm on a table and keep the cu󰀨 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-15
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. As
the cu󰀨 inates, it is normal to feel
the cu󰀨 tighten around your arm.
During ination, a pressurization bar
is displayed, as shown in the gure
to the right.
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 device starts data transmission. 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
Data Transmission

E-16
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

E-17
What is an Irregular Heartbeat
An irregular heartbeat is dened as a hearbeat that varies from the
average of all heartbeats. When the monitor detects an irregular
rhythm during the measurements, the IHB indicator will appear on the
display with the measurement values.
Note: We recommend contacting your physician if you see this IHB indicator frequently.
Pressure Bar Indicator
The indicator monitors the progress of pressure during measurement
Pressurizing Releasing air
Measurement in progress
Inflation complete
Inflation in progress

E-18
AHA Classication
Blood Pressure
Classication
Systolic
(mmHg)
Diastolic
(mmHg)
Normal < 120 and < 80
Elevated 120-129 and < 80
Hypertension Stage 1
(High Blood Pressure)
130-139 or 80-89
Hypertension Stage 2
(High Blood Pressure)
≥ 140 or ≥ 90
HYPERTENSIVE CRISIS
(consult your doctor
immediately)
≥ 180 and / or ≥ 120

E-19
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 rst 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. To prevent
hypertension or keep it under control:
Why Measure Blood Pressure at Home?
Blood pressure measured at a clinic or doctor’s o󰀩ce may cause
apprehension and can produce an elevated reading, 25 to 30 mmHg
higher than that measured at home. Home measurement reduces the
e󰀨ects of outside inuences on blood pressure readings, supplements
the doctor’s readings and provides a more accurate, complete blood
pressure history.
• Do not smoke
• Reduce salt and fat intake
• Maintain proper weight
• Exercise regularly
• Have regular physical
checkups