B.Well PRO-36 User manual

Instruction for use
ENG
PRO-36
Automatic blood pressure monitor
High-accuracy
measurements

Instruction for use
3
En
PRO-36
Model PRO-36
Automatic Upper Arm Blood Pressure Monitor
Instruction for Use
INDEX
1. INTRODUCTION ...........................................................................................................................................................................4
2. IMPORTANT INFORMATION ON THE SUBJECT OF BLOOD-PRESSURE AND ITS MEASUREMENT.................4
2.1. Normal blood pressure fluctuation...............................................................................................................................4
2.2. Classification of blood pressure values.......................................................................................................................5
3. CONTENTS AND DISPLAY INDICATORS ..............................................................................................................................6
4. INTENDED USE............................................................................................................................................................................6
5. CONTRAINDICATION .................................................................................................................................................................6
6. PRECAUTIONS.............................................................................................................................................................................7
7. SETUP AND OPERATING PROCEDURES..............................................................................................................................8
7.1. Battery loading ...................................................................................................................................................................8
7.2. Using a mains adapter .....................................................................................................................................................9
7.3. Voice setting........................................................................................................................................................................9
7.4. Connecting the cuff to the monitor..............................................................................................................................9
7.5. Applying the cuff................................................................................................................................................................9
7.6. Carrying out a measurement.........................................................................................................................................10
7.7. Taking your blood pressure reading .............................................................................................................................11
7.8. Pulse Arrhythmia Detection...........................................................................................................................................12
7.9. Technical alarm description............................................................................................................................................12
7.10. Troubleshooting (1) ..........................................................................................................................................................13
7.11. Troubleshooting (2) ..........................................................................................................................................................13
8. MAINTENANCE ...........................................................................................................................................................................14
9. SPECIFICATIONS .........................................................................................................................................................................15
10. APPLIED STANDARDS ............................................................................................................................................................16
11. SYMBOL INFORMATION .........................................................................................................................................................16
12. WARRANTY INFORMATION..................................................................................................................................................17
13. ELECTROMAGNETIC COMPATIBILITY INFORMATION ..................................................................................................18
14. LATEST REVISION ....................................................................................................................................................................22

Instruction for use
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PRO-36
1. INTRODUCTION
Thank you for purchasing the B.Well “talking” upper arm blood pressure monitor PRO-36. Designed for convenient and easy operation,
this device provides fast and reliable measurement of systolic and diastolic blood pressure as well as heart rate using the oscillometric
measurement method.
Your blood pressure is an important parameter that can be used to monitor your health. High blood pressure (hypertension) is a serious
health problem that is frequently found in the modern world. This device enables you to monitor your blood pressure regularly.
The PRO-36 is a voice-guided fully automatic, digital, upper arm blood pressure measuring device.
Up-to-date IntellectClassic technology uses oscillometric measurement during deflation for quick, precise and painless result.
The Pulse Arrhythmia Detection technology with an audible sound signal which warns about the malfunctions of normal rate and
periodicity of systole during the measurement
Big 3-line LCD screen
One convenient button with backlight
Last measurement memory
Fan-shape anatomic cuff for arm, washable
Battery life indicator
Automatic switch off
The possibility to use mains adapter
This device is easy to use and has been proven in clinical studies to provide excellent accuracy.
Before using the PRO-36, read this instruction manual carefully and keep it in a safe place. For further questions on the subject of
blood-pressure and its measurement, please contact your doctor.
Voice-guided with adjustable volume knob
2. IMPORTANT INFORMATION ON THE SUBJECT OF BLOOD-PRESSURE AND ITS MEASUREMENT
2.1. Normal blood pressure fluctuation
All physical activity, excitement, stress, eating, drinking, smoking, body posture and many other activities or factors (including taking a
blood pressure measurement) will influence blood pressure value. Because of this, it is mostly unusual to obtain identical multiple blood
pressure readings.
Blood pressure fluctuates continually day and night. The highest value usually appears in the daytime and lowest one usually at midnight.
Typically, the value begins to increase at around 3:00 AM, and reaches to highest level in the daytime while most people are awake and
active.

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PRO-36
Considering the above information, it is recommended that you measure your blood pressure at approximately the same time each day.
Too frequent measurements may cause injury due to blood flow interference, please always relax a minimum moment of 1 to 1.5 minutes
between measurements to allow the blood circulation in your arm to recover. It is rare that you obtain identical blood pressure readings
each time.
The device contains sensitive electronic components (Microcomputer). Therefore, avoid strong electrical or electromagnetic fields in
the direct vicinity of the device (e.g. mobile telephones, microwave cookers). These can lead to temporary impairment of the measuring
accuracy.
2.2. Classification of blood pressure values
Blood pressure is too high if at rest, the diastolic pressure is above 90mmHg and/or the systolic blood-pressure is over 160mmHg. In this
case, please consult your doctor immediately. Long-term values at this level endanger your health due to the associated advancing dam-
age to the blood vessels in your body.
Should the systolic blood-pressure values lie between 140mmHg and 160mmHg and/or the diastolic blood-pressure values lie between
90mmHg and 100mmHg, likewise, please consult your doctor. Furthermore, regular self-checks will be necessary.
With blood-pressure values that are too low, i.e. systolic values under 100mmHg and/or diastolic values under 60mmHg, likewise, please
consult your doctor.
Even with normal blood-pressure values, a regular self-check with your blood-pressure monitor is recommended. In this way you can
detect possible changes in your values early and react appropriately.
If you are undergoing medical treatment to control your blood pressure, please keep a record of the level of your blood pressure by carry-
ing out regular self-measurements at specific times of the day. Show these values to your doctor. Never use the results of your measure-
ments to alter independently the drug doses prescribed by your doctor.
Table for classifying blood-pressure values (unit: mmHg) according to European Society of Hypertension (ESH)
Range Systolic blood pressure Diastolic blood pressure Measures
Grade 3: severe hypertension Higher or equal to 180 Higher or equal to 110 Urgently seek medical advice!
Grade 2: moderate hypertension 160-179 100-109 Consult your doctor immediately
Grade 1: mild hypertension 140-159 90-99 Consult your doctor
High normal 130-139 85-89 Consult your doctor
Normal Lower than 130 Lower than 85 Self-check
Optimal Lower than 120 Lower than 80 Self-check

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3. CONTENTS AND DISPLAY INDICATORS
4. INTENDED USE
The digital automatic blood pressure monitor is for use by medical professionals or at home and is a non-invasive blood pressure
measurement system intended to measure the diastolic and systolic blood pressures and pulse rate of an adult individual by using a non-
invasive technique in which an inflatable cuff is wrapped around the upper arm. The cuff circumference is limited to 22cm-48cm.
5. CONTRAINDICATION
It is inappropriate for people with serious arrhythmia to use the digital automatic blood pressure monitor.
Heart beat symbol
Zero-seeking symbol
Low battery symbol
Pulse Arrhythmia Detection symbol
Systolic Pressure
Diastolic Pressure
Pulse Rate
Cuff
Air tube
Air tube plug
LCD Display
Air tube socket
Power adapter socket
Voice expanding holes
Start button
Volume knob

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PRO-36
6. PRECAUTIONS
1. Read all of the information in the operation guide and any other literature in the box before operating the unit.
2. Stay still, calm and rest for 5 minutes before blood pressure measurement.
3. The cuff should be placed at the same level as your heart.
4. During measurement, neither speak nor move your body and arm.
5. Measuring on left arm for each measurement.
6. Please always relax a minimum moment of 1 to 1.5 minutes between measurements to allow the blood circulation in your arm to
recover. Prolonged over-inflation (cuff pressure exceed 300 mmHg or maintained above 15 mmHg for longer than 3 minutes) of the
bladder may cause ecchymoma of your arm.
7. Consult your physician if you have any doubt about below cases:
1) The application of the cuff over a wound or inflammation diseases;
2) The application of the cuff on any limb where intravascular access or therapy, or an arterio-venous (A-V) shunt, is present;
3) The application of the cuff on the arm on the side of a mastectomy;
4) Simultaneously used with other monitoring medical equipments on the same limb;
5) Need to check the blood circulation of the user.
8. This digital automatic blood pressure monitor is designed for adults and should never be used on infants or young children.
Consult your physician or other health care professionals before use on older children.
9. Do not use this unit in a moving vehicle, This may result in erroneous measurement.
10.Blood pressure measurements determined by this monitor are equivalent to those obtained by a trained observer using the cuff/
stethoscope auscultation method, within the limits prescribed by the American National Standard Institute, Electronic or automated
sphygmomanometers.
11. Information regarding potential electromagnetic or other interference between the blood pressure monitor and other devices
together with advice regarding avoidance of such interference please see part ELECTROMAGNETIC COMPATIBILITY INFORMATION.
12. If certain pulse irregularity caused by common arrhythmias is detected in the procedure of blood pressure measurement, a signal of
will be displayed. Under this condition, the digital automatic blood pressure monitor can keep function, but the results may not
be accurate, it’s suggested that you consult with your physician for accurate assessment.
There are 2 conditions under which the signal of Pulse Arrhytmia Detection will be displayed:
1) The coefficient of variation (CV) of pulse period >25%.
2) The difference of adjacent pulse period ≥0.14s, and the number of such pulse takes more than 53 percentage of the total number
of pulse.
13. Please do not use the cuff other than supplied by the manufacturer, otherwise it may bring biocompatible hazard and might result in
measurement error.

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14. The monitor might not meet its performance specifications or cause safety hazard if stored or used
outside the specified temperature and humidity ranges in specifications.
15. Please do not share the cuff with other infective person to avoid cross-infection.
16. Please note that changes or modifications not expressly approved by the party responsible for compliance could void the user’s
authority to operate the equipment.
17. This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules.
These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment
generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause
harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular instal-
lation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the
equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures:
— Reorient or relocate the receiving antenna.
— Increase the separation between the equipment and receiver.
— Connect the equipment into an outlet on a circuit different from that to which the receiver is connected.
— Consult the dealer or an experienced radio/TV technician for help.
18.Medical AC adapter which output is DC 6.0V 600mA and complied with IEC 60601-1/EN 60601-1/UL 60601-1 and IEC 60601-1-2/EN
60601-1-2/UL 60601-1-2 is suitable for this monitor. Please note that the monitor jack size: hole 5.5mm, center pin 2.0mm.
Please pay attention to polarity.
7. SETUP AND OPERATING PROCEDURES
7.1. Battery loading
a. Open battery cover at the back of the monitor.
b. Load four “AAA” size batteries. Please pay attention to polarity.
c. Close the battery cover.
d. Once you install the batteries or turn off the monitor, the LCD does not display anything. Now the monitor is in Off Mode.
If the LCD display battery symbol while the monitor is on,the batteries are running out.
If the batteries are run out,battery symbol will blink for 10 seconds. Then the monitor will always display battery symbol
and cannot open. Please replace all batteries with new ones.
Rechargeable batteries are not suitable for this monitor.
Remove the batteries if the monitor will not be used for a month or more to avoid relevant damage of battery leakage.
Avoid the battery fluid to get in your eyes. If it should get in your eyes, immediately rinse with plenty of clean water and contact a
physician.

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The monitor, the batteries and the cuff, must be disposed of according to local
regulations at the end of their usage.
7.2. Using a mains adapter
1) Plug the mains adaptor into a 100-240 V, 50/60Hz power socket.
2) Plug the DIN plug into the socket at the right side of the instrument.
No power is taken from the batteries while the mains adaptor is connected to the instrument.
Warning If You need mains adapter, You may purchase it separately. Use only the mains adaptor AD-155.
The use of any other adapters can make your warranty void.
7.3. Voice setting
a. Voice language setting: In turn-off mode, you can select the voice language by keeping on press
the “START” button. Now LCD blink “L0”, “L1”, “L2” … “Ln” (n means the number of language) circu-
larly, see Picture 2 & Picture 2-1. “L0” represents closing voice function, “L1” represents language
1, “L2” represents language 2,…,“Ln” represents language n, and so on. You can select the wanted
language by releasing “START” button when display the corresponding language code.
b. Voice volume setting: Once you have selected a language, while the monitor is speaking some-
thing, you can roll the Voice Knob to setting the voice volume.
7.4. Connecting the cuff to the monitor
Insert the Air Tube Plug firmly into the Air Tube Socket on the side of the Monitor. Make
certain that the Plug is completely inserted in order to prevent air leakage during use.
Avoid compression or restriction of the connection tubing during measurement,
which may cause inflation error, or harmful injury due to continuous cuff pressure.
7.5. Applying the cuff
a. Pulling the cuff end through the medal loop (the cuff is packaged like this already), turn it outward
(away from your body) and tighten it and close the Velcro fastener.
b. Place the cuff around a bare left arm 1-2cm above the elbow joint.
Picture 2 Picture 2-1

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c. While seated, place palm upside in front of you on a flat surface such as a desk or table.
Position the air tube in the middle of your arm in line with your middle finger.
d. The cuff should fit comfortably, yet snugly around your arm. You should be able to insert
one finger between your arm and the cuff.
Note:
Please refer to the cuff circumference range in “SPECIFICATIONS” to make sure that the
appropriate cuff is used.
Measure on the left arm each time.
Do not move your arm, body, or the monitor and do not move the rubber tube during measurement.
Stay still, calm for 5 minutes before blood pressure measurement.
Please keep the cuff clean. If the cuff becomes dirty, remove it from the monitor and clear it by hand in a mild detergent, then rinse
it thoroughly in cold water. Never dry the cuff in clothes dryer or iron it. Clean the cuff after the usage of every 200 times is recom-
mended.
Do not place the cuff around your arm if the arm has any inflammation, acute diseases, infections skin wounds.
7.6. Carrying out a measurement
Before the measurement:
Avoid eating, smoking as well as all forms of exertion directly before the measurement. All these factors influence the measurement
result. Try and find time to relax by sitting in an armchair in a quiet atmosphere for about ten minutes before the measurement.
Remove any garment that fits closely to your upper arm.
Measure always on the same arm (normally left).
Attempt to carry out the measurements regularly at the same time of day, since the
blood-pressure changes during the course of the day.
Sitting Comfortably Measurement
a. Be seated with your feet flat on the floor, and don’t cross your legs.
b. Place palm upside in front of you on a flat surface such as a desk or table.
c. The middle of the cuff should be at the level of the right atrium of the heart.
Lying Down Measurement
d. Lie on your back.
e. Place your left arm straight along your side with your palm upside.
f. The cuff should be placed at the same level as your heart.