B.well Wa-22h User manual

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WA-22H

Semi-automatic Blood Pressure Monitor

Instruction Manual

Table of contents

1. Introduction

2

1.1. Features of the WA-22H

....................................................................................

2

1.2. Important information about self-measurement

.....................................................

2

2. Important information on the subject of blood-pressure and its measurement

2. Important information on the subject of blood-pressure and its measurement 2. Important information on the subject of blood-pressure and its measurement

2

2.1. How does high/low blood-pressure arise?

............................................................

2

2.2. Which values are normal?

..................................................................................

3

2.3. What can be done, if regular high/low values are obtained?

.....................................

4

3. The various components of the blood-pressure monitor

3. The various components of the blood-pressure monitor 3. The various components of the blood-pressure monitor

5

4. Putting the blood-pressure monitor into operation

6

4.1. Inserting the batteries

.......................................................................................

6

4.2. Tube connection

..............................................................................................

6

5. Carrying out a measurement

7

5.1. Before the measurement

...................................................................................

7

5.2. Common sources of error

..................................................................................

7

5.3. Fitting the cuff

.................................................................................................

8

5.4. Measuring procedure

........................................................................................

9

5.5. Inflating further

..............................................................................................

10

5.6. Discontinuing a measurement

..........................................................................

10

5.7. Memory – displaying the last measurement

........................................................

10

6. Error messages/malfunctions

11

7. Care and maintenance, recalibration

12

8

. Reference to standards

13

9

. Technical specifications

1

3

8. Guarantee

1

4

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2

1. Introduction

1.1. Features of the WA-22H

The blood-pressure monitor WA-22H is a semi-automatic, digital blood-pressure measuring device for

use on the upper arm, which enables very fast and reliable measurement of the systolic and diastolic

blood-pressure as well as the pulse frequency by way of the oscillometric method of measuring.

The device offers a very high and clinical tested measurement accuracy and has been designed to

provide a maximum of user-friendliness.

Thanks to the large LCD display of WA-22H, both operational status and cuff pressure are visible for

the entire duration of the measurement.

Before using, please read through this instruction manual carefully and then keep it in a safe place.

For further questions on the subject of blood-pressure and its measurement, please contact your

doctor.

Attention!

1.2. Important information about self-measurement

Do not forget: self-measurement means Control, not diagnosis or treatment. Unusual values must

always be discussed with your doctor. Under no circumstances should you alter the dosages of

any drugs prescribed by your doctor.

The pulse display is not suitable for checking the frequency of heart pacemakers!

In cases of cardiac irregularity (Arrhythmia), measurements made with this instrument should only

be evaluated after consultation with the doctor.

Electromagnetic interference

The device contains sensitive electronic components (Microcomputer). Therefore, avoid strong elec-

trical 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. Important information on the subject of blood-pressure and its measurement

2.1. How does high/low blood-pressure arise?

The level of blood-pressure is determined in a part of the brain, the so-called circulatory centre, and

adapted to the respective situation by way of feedback via the nervous system.

To adjust the blood-pressure, the strength and frequency of the heart (Pulse), as well as the width of circ-

ulatory blood vessels is altered. The latter is effected by way of fine muscles in the blood-vessel walls.

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The level of arterial blood-pressure changes periodically during the heart activity: during the «blood

ejection» (Systole) the value is maximal (systolic blood-pressure value), at the end of the heart’s «rest

period» (Diastole) minimal (diastolic blood-pressure value).

The blood-pressure values must lie within certain normal ranges in order to prevent particular dis-

eases.

2.2. Which values are normal?

Blood pressure is too high if at rest, the diastolic pressure is above 90 mmHg and/or the systolic

blood-pressure is over 160 mmHg. In this case, please consult your doctor immediately. Long-term

values at this level endanger your health due to the associated advancing damage to the blood vessels

in your body.

Should the systolic blood-pressure values lie between 140 mmHg and 160 mmHg and/or the diastolic

blood-pressure values lie between 90 mmHg and 95 mmHg, 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 105 mmHg and/or diastolic

values under 60 mmHg, 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 approp-

riately.

If you are undergoing medical treatment to control your blood pressure, please keep a record of the

level of your blood pressure by carrying out regular self-measurements at specific times of the day.

Show these values to your doctor. Never use the results of your measurements to alter independently

the drug doses prescribed by your doctor.

Table for classifying blood-pressure values (units mmHG) according to World Health Organization:

Range

Systolic

b

lood-pressure

Diastolic

b

lood-pressure

Measures

Hypotension

lower than 100

lower than 60

Check with your

doctor

Normal range

between 100 and 140

between 60 and 90

Self-check

Mild hypertension

between 140 and 160

between 90 and 100

Consult your doctor

Moderately serious

hypertension

between 160 and 180

between 100 and 110

Consult your doctor

Serious hypertension

higher than 180

higher than 110

Consult your doctor

immediately

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Further information

If your values are mostly standard under resting conditions but exceptionally high under conditi-

ons of physical or psychological stress, it is possible that you are suffering from so-called «labile

hypertension». Please consult your doctor if you suspect that this might be the case.

Correctly measured diastolic blood-pressure values above 120 mmHg require immediate medical

treatment.

2.3. What can be done, if regular increased/low values are obtained?

a) Please consult your doctor.

b) Increased blood-pressure values (various forms of hypertension) are associated long- and medium

term with considerable risks to health. This concerns the arterial blood vessels of your body, which

are endangered due to constriction caused by deposits in the vessel walls (Arteriosclerosis). A de-

ficient supply of blood to important organs (heart, brain, muscles) can be the result. Furthermore,

with long-term continuously increased blood-pressure values, the heart will become structurally

damaged.

c) There are many different causes of the appearance of high blood pressure. We differentiate between

the common primary (essential) hypertension, and secondary hypertension. The latter group can

be ascribed to specific organic malfunctions. Please consult your doctor for information about the

possible origins of your own increased blood pressure values.

d) There are measures which you can take, not only for reducing a medically established high blood

pressure, but also for prevention. These measures are part of your general way of life:

A) Eating habits

Strive for a normal weight corresponding to your age. Reduce overweight!

Avoid excessive consumption of common salt.

Avoid fatty foods.

B) Previous illnesses

Follow consistently any medical instructions for treating previous illness such as:

Diabetes (Diabetes mellitus)

Fat metabolism disorder

Gout

C) Habits

Give up smoking completely

Drink only moderate amounts of alcohol

Restrict your caffeine consumption (Coffee)

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D) Physical constitution

After a preliminary medical examination, do regular sport.

Choose sports which require stamina and avoid those which require strength.

Avoid reaching the limit of your performance.

With previous illnesses and/or an age of over 40 years, please consult your doctor before beginning

your sporting activities. He will advise you regarding the type and extent of types of sport that are

possible for you.

3. The various components of the blood-pressure monitor

The illustration shows the blood-pressure monitor WA-22H, consisting of:

a) Measuring unit

O/I

Memory button

Cuff connection

LCD-display

b) Cuff: optional

ЕА-Сuff А, for arm circumference 22–32 cm

ЕА-Сuff L, for arm circumference 32–42 cm (available as special accessory)

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4. Putting the blood-pressure monitor into operation

4.1. Inserting the batteries

After you have unpacked your device, first insert the

batteries. The battery compartment is located on the

underside of the device (see illustration).

a) Remove cover as illustrated.

b) Insert the batteries (4 x size AA 1,5 V), thereby

observing the indicated polarity.

c) If the battery warning appears in the display, the

batteries are empty and must be replaced by

new ones.

Attention!

After the battery warning appears, the device is

blocked until the batteries have been replaced.

Please use «AA» Long-Life or Alkaline 1.5 V Ba-

tteries. The use of 1.2 V Accumulators is not

recommended.

If the blood-pressure monitor is left unused for

long periods, please remove the batteries from

the device.

Functional check

Hold on the O/I button down to test all the display

elements. When functioning correctly all segments

must appear.

4.2. Tube connection

ЕА-Сuff А (1-tube cuff + T-connector): set up (or

check) the tube connections between cuff, instr-

ument and pump ball as shown in the diagram.

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5. Carrying out a measurement

5.1. 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.

5.2. Common sources of error:

Note

Comparable blood-pressure measurements always require the same conditions!

These are normally always quiet conditions.

All efforts by the patient to support the arm can increase the blood-pressure. Make sure you are

in a comfortable, relaxed position and do not activate any of the muscles in the measurement arm

during the measurement. Use a cushion for support if necessary.

If the arm artery lies considerably lower (higher) than the heart, an erroneously higher (lower)

blood-pressure will be measured! (Each 15 cm difference in height results in a measurement error

of 10 mmHg!)

Cuffs that are too narrow or too short result in false measurement values. Selecting the correct

cuff is of extraordinary importance. The cuff size is dependent upon the circumference of the arm

(measured in the centre). The permissible range is printed on the cuff. If this is not suitable for

your use, please contact your dealer. Note: only use clinically approved Original-Cuffs!

A loose cuff or a sideways protruding air-pocket causes false measurement values.

With repeated measurements, blood accumulates in the respective arm, which can lead to false

results. Correctly executed blood-pressure measurements should therefore first be repeated after

a 1 minute pause.

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5.3. Fitting the cuff

a) Pass the end of the cuff (with sewn-in rubber

stopper) through the metal stirrup so that a loop

is formed. The Velcro closer must be facing ou-

twards. (Ignore this step if the cuff has already

been prepared.)

b) Push the cuff over the left upper arm so that the

tube points in the direction of the lower arm.

c) Lay the cuff on the arm as illustrated. Make certain

that the lower edge of the cuff lies approximately

2 to 3 cm above the elbow and that the rubber

tube leaves the cuff on the inner side of the arm.

Important! The mark (ca. 3 cm long bar) must lie

exactly over the artery which runs down the inner

side of the arm.

d) Tighten the free end of the cuff and close the cuff

with the closer.

e) There must be no free space between the arm and

the cuff as this would influence the result. Clothing

must not restrict the arm. Any piece of clothing

which does (e.g. a pullover) must be taken off.

f) Secure the cuff with the Velcro closer in such a way

that it lies comfortably and is not too tight. Lay the

arm on the table (palm upwards) so that the cuff

is at the same height as the heart. Make sure that

the tube is not kinked.

g) Remain seated quietly for two minutes before you

begin the measurement.

Comment

If it is not possible to fit the cuff to the left arm, it can

also be placed on the right one. However all measur-

ements should be made using the same arm.

2–3 cm

tube

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5.4. Measuring procedure

After the cuff has been appropriately positioned, the

measurement can begin:

a) Switch on the instrument by pressing the O/I-Me-

mory button. The tube should not yet be attached

to the instrument. The following appears in the

display for 2 seconds: (Diag.)., a short be-be-

beep follows to indicate that the instrument has

equilibrated with the pressure of the surroundings

and the measurement can therefore begin. A «О»

is shown in the display.

b) Plug the T-connecting piece or the free end of the

tube into the left-hand side of the instrument.

c) Grasp the pump ball with your free hand and inflate

the cuff to a pressure at least 40 mmHg higher

than the expected systolic pressure. If you do not

know the value of this pressure, inflate to a value of

approximately 160–180 mmHg. The cuff pressure

is shown continuously on the LCD.

d) After the inflation process lay down the pump ball

and remain in a quiet and relaxed sitting position.

The measurement now proceeds on its own. If

no measurement takes place and all that appe-

ars in the display is a flashing, upwards pointing

arrow, see below under «Inflate further». When

the instrument detects a pulse, a heart symbol in

the display starts to flash and a beep is heard for

every heart beat.

e) When the measurement has been concluded, a

long peep tone sounds. The measured systolic

and diastolic blood-pressure values as well as

the pulse frequency are now displayed. The cuff

pressure can now be quickly released by pressing

the release valve at the pump ball.

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5.5. Inflating further

If the cuff is not inflated sufficiently, the measurement

is broken off after a few seconds and a flashing arrow

pointing upwards appears in the display.

It is then necessary to inflate further to at least 20

mmHg higher than the previous value.

The instruction to inflate further can appear several

times if the pressure is still not sufficient.

Attention!

If the cuff is inflated too far (over 300 mmHg), «HI» ap-

pears in the display and a warning signal is sounded.

The cuff pressure must then be immediately released

using the quick-release valve (at the pump ball)!

As soon as the cuff is inflated sufficiently and the

measurement is proceeding, continue as described

under points d–e.

5.6. Discontinuing a measurement

If it is necessary to interrupt a blood pressure measu-

rement for any reason (e.g. the patient feels unwell),

press the quick release valve at the pump ball. The

device then immediately lowers the cuff-pressure

automatically.

5.7. Memory – displaying the last measu-

rement

The blood-pressure monitor automatically stores the

last measurement value. By pressing the MEMORY

button for at least 3 seconds, the last measurement

will be displayed.

Further information

Measurements should not occur soon after each ot-

her, since otherwise, the results will be falsified. Wait

therefore for at least 1 minute in a relaxed position,

sitting or lying, before you repeat a measurement.

MR

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6. Error messages/malfunctions

If an error occurs during a measurement, the mea-

surement is discontinued and a corresponding error

code is displayed (Example: Error No. 1).

Error No.

Possible cause(s)

«Err 1»

No pulse has been detected.

«Err 2»

The inflation of the cuff takes too long. The cuff is not correctly seated.

«Err 3»

Unnatural pressure impulses influence the measurement result. Reason: the arm

was moved during the Measurement (Artefact).

Other possible malfunctions and their elimination

If problems occur when using the device, the following points should be checked and if necessary,

the corresponding measures are to be taken:

Malfunction

Remedy

The display remains empty when the

instrument is switched on although the

batteries are in place.

1. Check batteries for correct polarity and if

necessary insert correctly.

2. If the display is unusual, re-insert batteries or

exchange them.

The device frequently fails to measure

the blood pressure values, or the values

measured are too low (too high).

1. Check the positioning of the cuff.

2. Measure the blood-pres sure again in peace and

quiet under observance of the details made under

point 5.

Every measurement results in different

values, although the device functions

normally and normal values are displayed.

1. Please pay attention to the following information

as well as the points listed under «Common sources

of error» and repeat the measurement.

The blood pressure values measured differ

from those measured by the doctor.

1. Record the daily development of the val ues and

consult your doctor about them.

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7. Care and maintenance, recalibration

a) Do not expose the device to either extreme

temperatures, humidity, dust or direct sunlight.

b) The cuff contains a sensitive air-tight bubble.

Handle this carefully and avoid all types of strai-

ning through twisting or buckling.

c) Clean the device with a soft, dry cloth. Do not

use petrol, thinners or similar solvent. Spots on

the cuff can be removed carefully with a damp clo-

th and soapsuds. The cuff must not be washed!

d) Handle the tube carefully. Do not pull on it.

Likewise, this is not to be buckled or laid over

sharp edges.

e) Do not drop the instrument or treat it roughly

in any way. Avoid strong vibrations.

f) Never open the device! Otherwise the manuf-

acturer calibration becomes invalid!

Periodical recalibration

Sensitive measuring devices must from time to

time be checked for accuracy. We therefore re-

commend a periodical inspection of the static

pressure display every 1 year.

Your specialist dealer would be pleased to provide

more extensive information about this.

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8. Reference to standards

Device standard:

Device corresponds to the requirements of the European standard for non-invasive blood-pressure

monitor

EN1060-1 / 12:95

EN1060-3 / 09:97

DIN 58130, NIBP – clinical investigation

ANSI / AAMI SP10, NIBP – requirements

Electromagn. compatibility:

Device fulfils the stipulations of the European standard EN 60601-1-2

Clinical testing:

The clinical performance test was carried out in Germany according to the DIN 58130 / 1997

procedure N6 (sequential).

The stipulations of the EU-Guidelines 93/42/EWG for Medical Products Class IIa have been fulfilled.

9. Technical specifications

Weight: 490 g (with batteries + cuff)

Size: 140*110*65 mm

Storage temperature: –5 to +50°C

Humidity: 15 to 85 % relative humidity maximum

Operation temperature: 10 to 40°С

Display: LCD-Display (Liquid Crystal Display)

Measuring method: oscillometric

Measuring range:

SYS/DIA 30 to 280 mmHg

Pulse: 40 to 200 per minute

Cuff pressure display range: 0 to 299 mmHg

Memory: storing the last measurement

Measuring resolution: 1 mmHg

Accuracy:

- pressure within ±3 mmHg

- pulse ±5 % of the reading

Power source: 4 dry cells (Batteries), size AA 1.5V

Accessories: cuff «ЕА-Сuff A» 22-32 cm, 4 dry cells (Batteries), size

AA, instruction manual

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10. Guarantee

The blood-pressure monitor is guaranteed for 3 years from date of purchase. This guarantee includes

the instrument. The guarantee does not apply to damage caused by improper handling, accidents, not

following the operating instructions or alterations made to the instrument by third parties.

The guarantee is only valid upon presentation of the guarantee card filled out by the dealer.

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Полуавтоматический электронный прибор для измерения

артериального давления и частоты пульса WA-22H

Руководство по эксплуатации

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Содержание

1. Введение

18

1.1. Особенности прибора WA-22H

.......................................................................

18

1.2. Важные указания по самостоятельному измерению артериального давления

....

18

2. Важная информация об артериальном давлении и его измерении

18

2.1. Как возникает повышенное давление?

............................................................

18

2.2. Какое давление является нормальным?

..........................................................

18

2.3. Что делать, если регулярно определяется повышенное или пониженное давление?

...

20

3. Составные части прибора

21

4. Ввод прибора в эксплуатацию

22

4.1. Установка батареек

........................................................................................

4.1. Установка батареек ........................................................................................4.1. Установка батареек

22

4.2. Подключение манжеты

...................................................................................

22

5. Выполнение измерения

23

5.1. Перед началом измерений

.............................................................................

23

5.2. Часто встречающиеся ошибки

........................................................................

23

5.3. Наложение манжеты

......................................................................................

24

5.4. Процесс измерения

.......................................................................................

25

5.5. Дополнительная накачка

.................................................................................

26

5.6. Преждевременное прерывание измерения

......................................................

26

5.7. Использование функций памяти

......................................................................

26

6. Сообщения об ошибке. Неисправности

27

7. Уход за прибором и дополнительная калибровка

28

8. Соответствие стандартам

29

9. Технические характеристики

30

10. Гарантия

31

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B.Well WA-22H User manual

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