AND UB-543 User manual

UB-543
WRIST BLOOD PRESSURE MONITOR
Instruction Manual
ORIGINAL
1WMPD4003012A

Dear Customers
Congratulations on purchasing a state-of-the-art multi-user 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 rst time.
Preliminary Remarks
qThe device is designed for use on adults, not newborns or infants.
qEnvironment for use. The device is for use in the home healthcare environment.
qThis device is designed to measure blood pressure and pulse rate of people for diagnosis.
Precautions
qPrecision components are used in the construction of this device. Extremes in temperature, humidity,
direct sunlight, shock or dust should be avoided.
qClean the device 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.
qAvoid tightly folding the cuff for long periods, as such treatment may shorten the life of the components.
qThe device is not water resistant. Prevent rain, sweat and water from soiling the device.
qMeasurements may be distorted if the device is used close to televisions, microwave ovens, cellular
telephones, X-ray or other devices with strong electrical elds.

qWireless communication devices, such as home networking devices, mobile phones, cordless phones
and their base stations, walkie-talkies can affect this blood pressure monitor. Therefore, a minimum
distance of 30 cm (12”) should be kept from such devices.
qUsed equipment, parts and batteries are not treated as ordinary household waste, and must be
disposed of according to the applicable local regulations.
qWhen reusing the device, conrm that the device is clean.
qDo not modify the device. It may cause accidents or damage to the device.
qTo measure blood pressure, the wrist must be squeezed by the cuff hard enough to temporarily
stop blood ow through the artery. This may cause pain, numbness or a temporary red mark to the
wrist. This condition will appear especially when measurement is repeated successively. Any pain,
numbness, or red marks will disappear with time.
qMeasuring 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.
qClinical testing has not conducted on pregnant women. Do not use on the device on pregnant women.
qIf you have had a mastectomy, please consult a doctor before using the device.
qDo not let children use the device by themselves and do not leave the device within the reach of
children.
qThere are small parts that may cause a choking hazard if swallowed by mistake by infants.
qDo not touch the batteries and the patient at the same time. That may result in electrical shock.
Precautions

qDo not apply the device to a wrist with other medical electrical equipment attached. The equipment may
not function properly.
qPeople who have a severe circulatory decit in the arm must consult a doctor before using the device to
avoid medical problems.
qDo not self-diagnose the measurement results and start treatment by yourself. Always consult your
doctor for evaluation of the results and treatment.
qDo not apply the device on a wrist with an unhealed wound.
qDo not apply the device on an arm receiving an intravenous drip or blood transfusion. It may cause
injury or accidents.
qDo not use the device where ammable gases such as anesthetic gases are present. It may cause an
explosion.
qDo 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.
qShould the battery short-circuit, it may become hot and potentially cause burns.
qUse of accessories not detailed in this manual may compromise safety.
qAllow the device to adapt to the surrounding environment before use (about one hour).
qDo not inate without wrapping the cuff around your wrist.
qIn the case of single components failure enclosure of near cuff may become hot and potentially cause
malfunction.
Precautions

Contents
Parts Identication 5
Symbols 6
Using the Monitor 9
Measurements 14
Recalling the Memory Data 15
Deleting Data Stored in Memory 16
What is an Irregular Heartbeat? 17
Pressure Bar Indicator 17
The C.P.G. Indicator 18
About Blood Pressure 19
Maintenance 21
Troubleshooting 21
Technical Data 22
Warranty Information 23

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Parts Identication
Hear t mark
User and User
MEMORY
Average
Systolic pressure
Diastolic pressure
Correct Position Guidance (C.P.G.) indicator
Irregular Heartbeat (I.H.B. ) symbol
Pulse rate
Date & clock display
AM / PM mark
A
lkaline batteries (LR03 or AAA)
Battery cover
button ( average, memory and change of preset parameters)
SET button ( user selection and clock )
TRATS button
Carrying case
Display
Cuff
AHA classification indicator
and
Pressure bar indicator
Battery indicator
Display

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Symbols
Symbols that appear on the display
Symbols Function/Meaning Recommended Action
Appears while measurement is in progress. It blinks when the pulse
is detected. 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.
_________
User 1 and user 2 _________
Previous measurements stored in MEMORY _________
Average data _________
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 measurement
Take another measurement
or Remain still during
measurement.
The systolic and diastolic values are within 10 mmHg of each other.
Apply the cuff correctly, and
take another measurement.
ERR
3
The pressure value did not increase during ination.
The cuff is not applied correctly.
EPUL DISPLAY ERROR, The pulse is not detected correctly.
ERR
1
ERR
2
or

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Symbols Function/Meaning Recommended Action
ERR
E
Blood pressure monitor internal error
Remove the batteries and press
the START button, and then
install the batteries again. If the
error still appears, contact A&D
Medical.
ERR
9
SYS Systolic blood pressure in mmHg _________
DIA Diastolic blood pressure in mmHg _________
PUL Pulse per minute _________
AM Data taken between 4:00 and 9:59 _________
PM Data taken between 18:00 and 1:59 _________
Symbols

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Symbols
Symbols that are printed on the device case
Symbols Function/Meaning
Standby and Turn the device on.
R6(LR6,AA) Battery installation guide
Direct current
SN Serial number
Type BF: Device, cuff and tubing are designed to provide special protection against electrical
shocks.
Refer to instruction manual/booklet
User selection
IP International protection symbol
Keep dry

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Using the Monitor
1. 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 LR03 or AAA batteries.
3. Attach the battery cover.
CAUTIONS
qInsert the batteries as shown in the battery compartment. If installed incorrectly, the device will not work.
qWhen (LOW BATTERY mark) appears 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.
q(LOW BATTERY mark) does not appear when the batteries are drained.
qThe battery life varies with the ambient temperature and may be shorter at low temperatures.
qGenerally, two new LR03 batteries will last approximately for three months when used twice for
measurement each day.
q Use the specied batteries only. The batteries provided with the device are for testing monitor
performance and may have a limited life.
qRemove the batteries if the device is not to be used for a long period of time. The batteries may leak
and cause a malfunction.
qWhen removing the batteries, preset parameters (of clock, user and my C.P.G.) are reset.
Battery cover
Used batteries
New batteries

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Using the Monitor
2. Selecting a User
1. Press the SET button when turning off the device. The indicator or is blinking.
2. Select a user from user and user using the SET button. Press the
START button to turn off the device. After three minutes of non-operation,
the device will turn off automatically.
3. Adjusting the Built-in Clock Before Use
1. Press and hold the SET button until the year starts blinking.
2. Select the year using the 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 button. Press the SET button to set the
current month and move to day selection.
4. Select the day using the button. Press the SET button to set the current
day and move to hour/minute selection.
5. Select the hour using the button. Press the SET button to set the
current hour and move to minute selection.
6. Select the minute using the button. Press the SET button to proceed
to “4. Applying the Cuff”.
qHolding down the button will change the value continuously.
qPressing the START button will turn the device off anytime.
Notes: After three minutes of non-operation, the device will turn off automatically. When the clock has not been set, -- /-- is indicated
for the clock display. When removing the batteries, preset parameters (of clock, user and my C.P.G.) are reset.
Press and holdSET button
button
SET button
SET button
button
SET
SET button
button
button
button
SET button
Year
Month
Day
Hour
Minute
User or user
START button
SET button
Turn off
The operation proceeds to "6.
The C.P.G Function Switch".

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Using the Monitor
4. Applying the Cuff
1. Wrap the cuff around your wrist about 1 cm above your hand as shown in
the gure at the right.
2. Fasten the cuff tightly using the Velcro strip.
Note: For proper measurements, fasten the cuff tightly and measure on a bare wrist.
5. How to Take Proper Measurements
For the most accurate blood pressure measurement:
qRemain still and keep quiet during measurement.
qSit down in a comfortable position. Place your elbow on a table. Raise your hand so that the cuff is at
the same level as your heart.
qRelax for several minutes before measurement. If you are excited or depressed by 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.
qTry to measure your blood pressure at about the same time every day.
qAn individual’s blood pressure varies constantly, depending on what they are doing, what they have
eaten and what they drink can have a very strong and rapid effect on your blood pressure.
qDo not measure immediately after physical exercise or a bath. Rest for twenty or thirty minutes before
taking the measurement.
qDo not cross your legs. Keep your feet on the oor and straighten your back.
A
bout 1 cm

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qThis device bases its measurements on the heartbeat. If you
have a very weak or irregular heartbeat, the device may have
difculty determining your blood pressure.
qShould the device detect a condition that is abnormal, it will
stop the measurement and display an error symbol. See page
6 for the description of symbols.
qThis 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.
qThe automatic blood pressure monitor’s performance may be
affected by excessive temperature or humidity, or altitude.
6. The C.P.G. Function Switch
qRefer to page 16 for the C.P.G. function that will indicate the
proper angle so that the height of the cuff is the same level as
your heart.
1. After step 6 in page 8, press the button to select either “on” or
“off” concerning the C.P.G. function.
2. Press the SET button to store the selection.
3. If you do not use my C.P.G. function, press START button to
turn off. Proceed to “8. Measurement”.
If you use my C.P.G. function, proceed to “7. Selecting the
C.P.G. and my C.P.G.”.
Step 2
[
Select The C.P.G. or my C.P.G.]
The C.P
.G. functionMyC.P
.G.
button
START button and to "8. Measurement"
From step 6 of page 8
The C.P
.G. function
button
Press the SET button
To "7. S
electingtheC.P .G.and my C.P.G." or
START button and to "8. Measurement"
Step 1 [Adjust and keep the height of
the device (wrist angle) ]
HIGH
(Orange light)
Correct Height
(Bluelight)
LOW
(Orange light)
The C.P.G. indicator
Using the Monitor

E-13
7. Selecting the C.P.G. and my C.P.G.
qYou can select an indicator either the C.P.G. function or my C.P.G. .
qPreset a proper posture (wrist angle) in memory if you use the my C.P.G. .
1. Adjust and keep the height of the blood pressure monitor to the same level as your heart using your wrist
angle.
2. Select an indicator using the button.
Indicator ...The C.P.G. function is used. (my C.P.G. function: OFF) Data of my C.P.G. is deleted.
Proceed to step 3.
Indicator ...my C.P.G. function is ON and the current angle is stored when switched to the indicator .
Proceed to step 3.
3. Press the START button to turn off the device.
Note: When removing the batteries, preset parameters (of clock, user and my C.P.G.) are reset.
8. Measurement
During measurement, it is normal for the cuff to feel very tight.
9. After Measurement
While readings are displayed, if you press the START button to turn the device off, new readings are stored in memory.
While readings are displayed, if you press the button to turn the device off, new readings are not stored.
Remove the cuff and record your data.
Notes: The device is provided with an automatic power shut-off function which stores the current data in the memory and turns the
device off automatically one minute after measurement. Allow at least three minutes between measurements on the same person.
Using the Monitor

E-14
Measurements
Note: The UB-543, once used, will provide an ination appropriate to the user.
1. Wrap the cuff around your wrist. Sit comfortably with the cuff at the
same level as your heart and relax.
2. Press the START button. All of the display segments are displayed.
3. Select a user from user and user using the SET button
immediately. Adjust and keep the height of the cuff (with blue light) to
the same level as your heart using the C.P.G. indicator.
Note: If you do not use user selection, wait for the ination for several seconds. If you do not
use the C.P.G. function, the C.P.G. indicator is not displayed.
4. Zero (0) is displayed blinking briey. Then the display changes, as
measurement begins. The cuff starts to inate. It is normal for the cuff
to feel very tight. The measurement starts automatically when ination
starts, and the (heart mark) blinks.
Note: If you wish to stop ination at any time, press the START button again.
5. When the measurement is complete, the device displays readings
(of the systolic and diastolic pressure readings, pulse rate, WHO
classication, I.H.B. symbol and C.P.G. indicator). While readings
are displayed, the date and time are displayed alternately. The cuff
exhausts the remaining air and completely deates automatically.
Note: If you do not want to store new readings in memory, press the button while readings
are displayed.
6. Press the START button again to turn the device off. Remove the cuff.
Note: The device is provided with an automatic power shut-off function. Allow at least one
minute between measurements on the same person.
User or user :SET button
The C.P.G. indicator:
Orange Blue Orange
LOW LEVEL HIGH
Zero display
Inflation is started
Inflating and
Measurement in progress
Systolic pressure
Diastolic pressure
AHA classification
I.H.B. symbol
Pulse rate
The C.P.G. indicato
r
A
ll segments
A
t heart level

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Recalling the Memory Data
Note: This device stores the last 60 measurements in memory.
1. Press the button when turning the device off. The
average of all measurements and the number of data
are displayed. If no data, “0” is displayed. Press the or
START button to turn the device off.
2. Use the following buttons to display data
(of number and measurement data).
qSelect a user from user and user using the SET
button. The device displays the average of all
measurements and the number of data are displayed.
qPressing the button each time , the device displays
as follows:
n Average data of all AM (morning) measurements
taken between 4:00 and 9:59. In the example, If no
data, -- is displayed.
n Average data of all PM (evening) measurements
taken between 18:00 and 1:59.
n Data (of number and measurement data). The
device displays in order from most recent data.
The date and time are displayed alternately while
displaying the measurement data.
In the example: No.30 & data No.29 & data ...
No.01 & data.
button
Turn of
f
button
Memory mode
User selection
Example: user
A
verage of all the data
Number of all data
A
verage for AM data
A
M indicato
r
Number of AM data
A
verage for PM data
PM indicato
r
Number of PM data
Ex.: No.30
Most recent data
Date
Time
3 seconds
Last data (Oldest)
Date
Time
3 seconds
button
button
button
button
button
button
Turn of
f

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Deleting Data Stored in Memory
1. Select a user from user and user using the SET button.
Turn off the device using the START button.
2. Press and hold the button until turning off the device
automatically. The device displays a user icon and the mark,
deletes data stored in memory while blinking the mark and
turns off automatically.
Note: This operation will delete specied user data stored in memory. You cannot
select which data to delete.
Turn off
SET button
User or user
Display is turned off
Press and hold button
Ex.: User
Deleting data
Display is turned off
Release button
3. If you press the button after oldest data is displayed, the device proceeds to step 1, the average of all
measurements and the number of data are displayed.
4. Press the START button to turn the device off. After one minute of non-operation, the device will turn off
automatically.
Recalling the Memory Data

E-17
What is Irregular Heartbeat?
Model UB-543 blood pressure monitor provides a blood pressure and pulse rate measurement even when
an irregular heartbeat occurs. An irregular heartbeat is dened as a heartbeat that varies by 25% from
the average of all heartbeats during the blood pressure measurement. It is important that you be relaxed,
remain still and do not talk during measurements.
Note: We recommend contacting your physician if you see this symbol frequently.
Pressure Bar Indicator
The Pressure Rating Indicator is a feature which provides a snapshot of your blood pressure classication
based on your measurements. This will let you know what your blood pressure readings mean.
Stage 2 Hypertension
Stage 1 Hypertension
Prehypertension
Normal
AHA Classification Indicator
Example
Stage 2
Hypertension
Inflation in progress
Measurement in progress
Inflation Complete
Pressurizing
The indicator displays a
segment, based on the current
measurement, corresponding
to the AHA Classification.
:
Note: Due to other risk factors (e.g. diabetes, obesity, smoking, etc.) in addition to your blood pressure measurement, the Pressure
Rating Indicator is approximate. Please consult with your physician for interpretation and diagnosis of your blood pressure
measurements.

E-18
The C.P.G Indicator
The C.P.G. Indicator
The C.P.G. (Correct Position Guidance) indicator is the function to inform
a difference between the height (wrist angle) of the blood pressure monitor
and your cardiac height in the correct posture (Example: sitting posture,
height of table and chair, etc.) during the measurement. The indicator can be
used to get more stable measurement condition.
How To Use My C.P.G.
The C.P.G. function can be used with proper posture (wrist angle)
in the majority of measurements. If you need to change the posture
to adjust the height so that the height of the blood pressure monitor
is the same level as your cardiac height, you can use my C.P.G.
function to store a personal posture. Preset your angle to my C.P.G.
function before measurement.
The C.P.G. indicator
Table Chair
The position of the device is checked both before and after measurement. If both checks show a correct measurement position the
LEVEL indicator is lit (blue). For all the other measurements an indicator for LOW and HIGH measurement position will be lit (orange)
Proper Posture
Sit straight back on
a chair and put your
elbow on a table.

E-19
qDo not smoke
qReduce salt and fat intake
qMaintain proper weight
qExercise regularly
qHave regular physical checkups
The C.P.G Indicator
The Indicator During Measurement And Recalling Memory
The C.P.G. indicator can be displayed at the beginning of measurement and is included in data stored in
the memory. Adjust and keep the angle during measurement.
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: