AND UA-1020 User manual

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Digital Blood Pressure
Monitor
Model UA-1020
Instruction Manual
Original
Contents
Dear Customers....................................................................2
Preliminary Remarks.............................................................2
Precautions...........................................................................2
Parts Identification................................................................4
Symbols................................................................................5
Operation Mode....................................................................7
Using the Monitor.................................................................8
Installing / Changing the Batteries...................................8

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Connecting the Air Hose..................................................8
Connecting the AC Adapter..............................................8
Adjusting the Built-in Clock.............................................9
Selecting the Correct Cuff Size.........................................9
Applying the Arm Cuff...................................................10
How to Take Accurate Measurements.............................10
Measurement.................................................................10
After Measurement ........................................................10
Measurements....................................................................11
Normal Measurement.....................................................11
Measurement with the SET Pressure .............................12
Measurement with the Desired Systolic Pressure ............12
Notes for Accurate Measurement ...................................13
TriCheckTM Measurement....................................................12
Recalling the Memory Data .................................................15
What is an Irregular Heartbeat.............................................16
Pressure Bar Indicator.........................................................16
WHO Classification Indicator...............................................16
About Blood Pressure..........................................................17
What is Blood Pressure? .................................................17
What is Hypertension and How is it Controlled?..............17
Why Measure Blood Pressure at Home?...........................17
WHO Blood Pressure Classification.................................17
Blood Pressure Variations...............................................17
Troubleshooting.................................................................18
Maintenance.......................................................................19
Technical Data....................................................................19

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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.
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.

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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.
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.
When reusing the device, confirm
that the device is clean.
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 to 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.
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.

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Parts Identification

English 6

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Symbols
Symbols that are printed on the device case and the AC adapter
Symbols
Function / Meaning
Recommended Action
Standby and Turn the device on.
Battery installation guide
Direct current
SN
Serial number
2010
Date of manufacture
Type BF: Device, cuff and tubing are
designed to provide special
protection against electrical shocks.
EC directive medical device label
WEEE label
Manufacturer
EU-representative
Refer to instruction manual/booklet
Class II device
Polarity of DC jack

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Symbols that appear on the display
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.
TriCheck mode
Takes three consecutive
measurements automatically and
displays the average values of the
three measurements.
Appears when a body or arm
movement is detected.
The reading may yield
an incorrect value. Take
another measurement.
Remain still during
measurement.
Symbols Function / Meaning Recommended Action
The reading may yield
an Appears during measurement when incorrect value. Apply the
the cuff is applied loosely. cuff correctly, and take
another measurement.
Previous measurements stored in memory.
Average data
The battery power indicator during
Full Battery measurement.
The battery power is low when it Replace all batteries with new
Low Battery blinks. ones when the mark blinks.
Take another measurement.
Unstable blood pressure due to Remain still during
movement during measurement. measurement.

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The systolic and diastolic values are
within 10 mmHg of each other.
The pressure value did not increase Apply the cuff correctly,
during the inflation. and take another
The cuff is not applied correctly. measurement.
The pulse is not detected correctly.
PUL. DISPLAY ERROR Remove the batteries and
press the START button,
Blood pressure monitor internal error and then install the
batteries
again. If the error still
appears, contact the dealer.
SYS. Systolic blood pressure in mmHg
DIA. Diastolic blood pressure in mmHg
PUL./min. Pulse per minute
AM Data taken between 4:00 and 9:59
PM Data taken between 18:00 and 1:59
Pressure settings
Indicates the pressure value previously set by the
user.
Operation Mode
1. Normal Measurement
Press the START button. Blood pressure is measured and the data is stored
in memory. This device can store the last 90 measurements in memory.

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2. Recalling the Data
Press the or button to recall the data in memory. The
average of all measurements is displayed, as
indicated in the figure at the right.
Then, each time the button is pressed, the memory
data is displayed as follows.
Average of all AM (morning) measurements taken
between 4:00 and 9:59.
Average of all PM (evening) measurements taken
between 18:00 and 1:59.
Most recent data (No.n, in the example,
No.35)
Last data (No.1)
For details on recalling the data, refer to “Recalling
the Memory Data”.
3. Deleting all Data Stored in Memory
Press both the and buttons. The mark
and the battery indicator appear. Press and hold both the and
buttons until the illuminated mark starts blinking to delete all data
stored in memory.
4. Measurement with the Desired Systolic Pressure
Refer to page 12 for measurement with the desired systolic pressure.

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Using the Monitor
Installing / Changing the
Batteries 1. Remove the battery
cover.
2. Remove the used batteries and
insert new batteries into the battery
compartment as shown, taking care
that the polarities (+ and -) are
correct.
Use only R6P, LR6 or AA batteries.
3. Attach the battery cover.
CAUTION
Insert the batteries as shown in the battery compartment. If installed
incorrectly, 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.
Replace the batteries two seconds or more after the device turns off. If
(LOW BATTERY mark) appears even after the batteries are replaced, make
a blood pressure measurement. The device may then recognize the new
batteries.
(LOW BATTERY mark) does not appear when the batteries are drained.
The battery life varies with the ambient temperature and may be shorter at low
temperatures.
Use the specified 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.

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Using the Monitor
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 20.)
Adjusting the Built-in Clock Adjust the clock prior to use.

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Using the Monitor
1. Press the SET button until the year starts
blinking.
2. Select the year using the or button.
Press the SET button to set the current year
and move to month/day selection. The date
can be set anywhere between the years
2010 and 2059.
3. Select the month using the or
button.
Press the SET button to set the current month
and move to day selection.
4. Select the day using the or button.
Press the SET button to set the current day
and move to hour/minute selection.
5. Select the hour using the or button.
Press the SET button to set the current hour
and move to minute selection.
6. Select the minute using the or
button.
(Press the SET
button to go to the
pressure setting mode. For
details, refer to page 12.)
Press the START button to turn the device off.
Note: After three minutes of non-operation, the
device will turn off automatically.
When the clock has not been
set, the clock display indicates
dashes as shown to the right. Pressure
Holding down the or button setting mode will change the value
continuously.
Pressing the
START button
will turn the
device off
anytime.

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Using the Monitor
Selecting the Correct Cuff Size
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
31 cm to 45
cm
Large adult cuff
CUF-F-LA
17 cm to 32
cm
Adult cuff
CUF-G-A
Arm size: The circumference of the biceps.
Applying the Arm Cuff
1. Wrap the cuff around the upper
arm, about 1-2cm above the inside
of the elbow, as shown.
Place the cuff directly against the skin,
as clothing maycause a faint pulse,
and result in a measurement error.
2. Constriction of the upper arm,
caused by tightly rolling up a
shirtsleeve, may prevent accurate
readings.
Symbols that are printed on the
cuff
Symbols Function/Meaning
Do not roll up shirtsleeve tightly.
Cuff 1-2 cm Air Hose
Artery position mark
Secure the fabric
fastener firmly.
Recommended Action
Artery Position Mark in line with the ring finger on the inside of the
arm.Set the mark on the artery of the upper arm or
REF Catalog Number
Lot Number

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Using the Monitor
How to Take Accurate 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 level as your heart.
Remain still and keep quiet during measurement.
Do not measure immediately 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 the device off. After one
minute of non-operation, the device will turn off automatically. Remove the
cuff and record your data.
Note: Allow at least three minutes between measurements on the same
person.

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Measurements
Before measurement, read “Notes for Accurate Measurement” on page 13.

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Normal Measurement
1. Place the cuff on the arm (preferably the
left arm). Sit quietly during measurement.
2. Press the START button.
All of the display segments are displayed.
Zero (0) is displayed blinking briefly.
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, on the
left edge of the display, during the inflation.
Note: If you wish to stop inflation at any
time, press the START button again.
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.
Note: If an appropriate pressure is not
obtained, the device starts to inflate
again automatically.
To avoid re-inflation, see “Measurement with
the SET
Pressure” on the next page.
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.
5. Press the START button to turn the device off. After one minute of non-
operation, the device will turn off automatically.

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Note: Allow at least three minutes between measurements on the same person.
Measurements
Model UA-1020 is designed to detect the pulse and to inflate the cuff to a
systolic pressure level automatically.
If re-inflation occurs repeatedly, use the following methods.
Measurement with the SET Pressure
During the blood pressure measurement, re-inflation may occur. A
fixed pressure value can be set to avoid re-
inflation.
1. At step 6 of the clock adjustment procedure
(see page 9), press the SET button to go to
the pressure setting mode. The current
setting blinks.
2. Press the or button to select a pressure
value about 30 mmHg or more above your
expected systolic pressure from the following.
AUTO : Automatic pressurization (default value)
180 : Pressure value of 180 mmHg (fixed)
210 : Pressure value of 210 mmHg (fixed) Turn off TriCheck
240 : Pressure value of 240 mmHg (fixed) setting mode
3. Press the SET button to go to the TriCheck setting mode.
Press the START button to turn the device off. After three minutes of non-
operation, the device will turn off automatically.
The next measurement will be performed with the new pressure value.
or

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Measurement with the Desired Systolic Pressure
Use this method when re-inflation occurs repeatedly even if the pressure
value is set to 240 in the procedure above or when the results are not
displayed even if the pressure decreases to 20 mmHg or less.
1. Place the cuff on the arm (preferably the left arm). At heart level
2. Press and hold the START button until a number about 30 to 40 mmHg
higher Press and hold the button STARTthan your expected systolic pressure
appears.
3. When the desired number is reached,
release the START button to start
measurement. 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 Accurate Measurement
Sit down in a comfortable position. Place your arm on a table with your palm
facing upward and the cuff at the same level as your heart.
Relax for about five to 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 6 for the
description of symbols.

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This blood pressure monitor 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.
TriCheck Measurement
The TriCheck mode takes threeconsecutive measurements automatically and
displays the average values of the three measurements.
Selecting the TriCheck Mode In the pressure setting mode,
1. In the pressure setting mode, press the SET
button to enter the TriCheck setting mode.
The current setting blinks.
2. Press the or button to turn the TriCheck
mode ON or OFF.
ON: TriCheck mode
OFF: Normal measurement mode (default value)
3. Press the START or SET button to turn the
device off. After three minutes of non-
operation, the device will turn off
automatically.
STAR
T
press
or
The current setting blinks
Change the setting
or