BIOS Diagnostics PRECISION PLUS User manual

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
Instruction Booklet
Model Number: A6PC PRECISION PLUS
Blood Pressure Monitor
WITH ATRIAL FIBRILLATION SCREENING
PRECISION PLUS 10.0
13.08.20

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
Precision Plus Blood Pressure Monitor with Atrial Fibrillation Screening
Instruction Booklet
Table of Contents
1. Introduction
1.1 Features
1.2 Important Information
1.2A Safety Information
1.2B Care of the Device
1.2C Comparing Readings to Other Blood Pressure Devices
1.2D Calibration
1.3 What Do Your Numbers Mean?
1.4 Normal Blood Pressure Values
1.5 Common Blood Pressure Questions and Answers
1.6 About MAM Technology
1.6A Why Use MAM?
1.6B Key Advantages
1.6C Medical Benefits
1.6D Measurement Sequence
1.7 Important Facts about Atrial Fibrillation (AFIB)
1.7A What is Atrial Fibrillation?
1.7B How Does AFIB Impact my Family or Me?
1.7C AFIB Detection Provides a Convenient Way to Screen for AFIB (only in MAM Mode)
1.7D Risk Factors you Can Control
2. Getting Started
2.1 About the A6PC
2.2 About the LCD Screen
2.3 Inserting the Batteries
2.4 Using the AC/DC Adapter
2.5 Storing the Cuff
3. Using the Device
3.1 Setting the Time and Date
3.2 Measurement Mode Selection (MAM or Single)
3.3 Select the User
3.4 Obtaining Accurate Measurements
3.4A Tips on Taking Accurate Measurements
3.4B Common Sources of Error
3.4C Fitting the Wide Range Cuff
3.5 Measuring your Blood Pressure
3.6 Appearance of the Atrial Fibrillation Indicator (only in MAM mode)
3.7 Hypertension Classification Indicator
3.8 Viewing Previously Recorded Values

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
3.9 Clearing All Values
3.10 Discontinuing a Measurement
3.11 Determining Your “Real” Average Blood Pressure at Home
4. Software Functions
5. Error Messages / Malfunctions
6. Care and Maintenance
7. Lifetime Guarantee
8. Technical Specifications

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
1. Introduction
Thank you for purchasing the BIOS Diagnostics™ Precision Plus Blood Pressure Monitor with Atrial Fibrillation
Screening. Designed for convenient and easy operation, this device provides a simple, yet accurate method to
measure your blood pressure.
Your blood pressure is an important parameter that can be used to monitor your health. This device enables you
to monitor your blood pressure regularly, and maintain a record of your blood pressure measurements. You can
then use this record to assist your physician in diagnosing and maintaining a healthy blood pressure level.
1.1 Features
The A6PC is a fully automatic, digital, blood pressure measuring device with a unique fuzzy logic technology as
well as patented MAM and AFIB technologies. It can store up to 198 blood pressure readings for two users.
It provides a fast and reliable measurement of systolic and diastolic blood pressure as well as heart rate using
the oscillometric measurement method.
AFIB detection is the world’s leading digital blood pressure measurement technology for the early detection
of atrial fibrillation (AFIB) and hypertension. These are the two top risk factors of heart disease and stroke
which increase the risk of getting a stroke or heart disease in the future. It is important to detect AFIB and
hypertension at an early stage, even though you may not experience any symptoms. Appropriate treatment can
reduce your risk of suffering a stroke. For this reason, it is recommended that you visit your doctor when the
device gives an AFIB signal during your blood pressure measurement. The AFIB algorithm has been clinically
investigated by several prominent clinical investigators and showed that the device detects patients with AFIB
at 97-100% certainty.
• MAM - Averaging Mode technology used in the device provides accurate measurements. Using three
consecutive measurements, your result is calculated and displayed as a single averaged measurement on
the display screen.
• AFIB -Atrial Fibrillation Indicator technology icon is displayed when atrial fibrillation is detected during a
blood pressure reading.
• Blood Pressure Analyzer Software allows you to download, record and chart your readings to accurately
monitor your daily readings. The Blood Pressure software can be downloaded for free from
www.biosmedical.com
This powerful medical tool automatically stores all your blood pressure readings. By clicking the viewing
options the user can review the readings in multiple forms including: by date, morning vs. evening readings,
isolated systolic or diastolic or pulse. The automatic graph clearly shows your blood pressure history with
highs and lows. Charts and graphs can even be printed or emailed to your doctor!
This device is easy to use and has been proven in clinical studies to provide excellent accuracy. Before using the
A6PC, read this instruction manual carefully and keep it in a safe place.
1.2 Important Information
Refer to the following sections to learn about important safety instructions and how to take care of the BIOS
Diagnostics™ Precision Plus Blood Pressure Monitor with Atrial Fibrillation Screening.

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
1.2A Safety Information
• Self-measurement means control, not diagnosis or treatment. Your values must always be discussed with
your doctor or a physician who is familiar with your family history.
• If you are undergoing medical treatment and receiving medication, consult your doctor to determine the
most appropriate time to measure your blood pressure. Never alter the dosages of any medication without
direction from your doctor.
• Your blood pressure depends on several factors, such as age, gender, weight, and physical condition. It also
depends on the environment and your state of mind at the time of measurement. In general, your blood
pressure is lower when you are asleep and higher when you are active. Your blood pressure may be higher
when recorded at a hospital or a clinic and may be lower when measured in the relaxing comfort of your
home. Due to these variations, we recommend that you record your blood pressure regularly at home as well
as at your doctor’s clinic.
• Try to record your blood pressure regularly at the same time of the day and under the same conditions. This
will help your physician detect any extreme variations in your blood pressure and thus treat you accordingly.
• Morning Hypertension (> 135 / 85 mmHg): Recently, several studies have identified elevated cardiovascular
risks (heart failure, stroke, angina) associated with “morning hypertension”. There is a typical rise in blood
pressure during the physiological changes from sleep to arising for the day.
• The ideal times to measure your blood pressure is in the morning and at least 2 hours after dinner. Measure
just after you wake up, before breakfast and any physical activity, and in the absence of the urge to urinate.
If this is not possible, try to take the measurements later in the morning, before you start any physical
activity. Relax for a few minutes before you record your blood pressure.
• Your blood pressure increases or decreases under the following circumstances:
Blood pressure is higher than normal:
- When you are excited, nervous, or tense
- While taking a bath
- During and after exercise or strenuous physical activity
- When it is cold
- Within one hour after meals
- After drinking tea, coffee, or other caffeinated drinks
- After smoking tobacco
- When your bladder is full
Blood pressure is lower than normal:
- After consuming alcohol
- After taking a bath
• The pulse display is not suitable for checking the frequency of heart pacemakers.
• If you have been diagnosed with a severe arrhythmia or irregular heartbeat, vascular constriction, liver
disorders, or diabetes, have a cardiac pacemaker, or are pregnant, measurements made with this instrument
should only be evaluated after consultation with your doctor.
• Take care while handling the batteries in the device. Incorrect usage may cause battery fluid leakage. To
prevent such accidents, refer to the following instructions:
- Insert batteries with the correct polarity.
- Turn off power after use. Remove and store the batteries if you are not planning to use the device for an
extended period of time.
- Do not mix different types, brands, or size of batteries. This may cause damage to the product.
- Do not mix old and new batteries.

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
- Remove batteries and dispose of them according to the proper regulations in your area.
- Do not disassemble batteries or expose them to heat or fire.
- Do not short-circuit the batteries.
- Do not use rechargeable batteries.
1.2B Care of the Device
For prolonged life of your blood pressure monitor, note the following instructions:
• Do not drop or bang the unit. Prevent sudden jerks, jars, or shocks to the device to prevent damage.
• Do not insert any foreign objects in any device openings or vents.
• Do not disassemble the unit.
• If the unit has been stored at very low or freezing temperatures, allow to reach room temperature before
using it.
• Do not store the unit in direct sunlight, high humidity, or in places with a lot of dust.
• Clean the device with a soft dry cloth. Do not use gasoline, thinner or similar solvents. Carefully remove
spots on the cuff with a damp cloth and soap. Do not wash the cuff.
• Do not use the device if you think it is damaged or if anything appears unusual.
• Ensure that children do not use this device unsupervised;some parts are small enough to be swallowed.Be
aware of the risk of strangulation in case this device is supplied with cables or tubes.
• Using the unit in the immediate vicinity of mobile phones, microwave appliances or other devices with
strong electromagnetic fields may result in impaired functioning.
• Do not use this device close to strong electromagnetic fields, such as mobile telephones or radio
installations. Keep a distance from such devices when using this unit.
1.2C Comparing Readings to Other Blood Pressure Devices
Many questions arise when two blood pressure devices are compared in an effort to check accuracy. An
accurate comparison requires repeatable measurements under the same conditions to “reference device” with
known accuracy. Significant time is required to reduce naturally occurring blood pressure variability during the
test. The subject should be seated comfortably with feet flat on the floor, and have rested for 5 minutes before
the first reading to allow blood pressure levels to stabilize.
The patients back, elbow and forearm should be supported, and the middle of the cuff should be at the level of
the right atrium. There should be no talking or moving during the measurement and if comparing to an aneroid
gauge or mercury column, observers should avoid parallax and be careful not to round measurements.
The most accurate way to compare devices is to take two readings at the same time. However, most people
and doctor’s offices do not have the equipment necessary to measure blood pressure from two devices
simultaneously. To take sequential measurements properly requires a pair of initial measurements to determine
the subjects blood pressure level: first with the reference equipment, followed by 60 seconds, then with the
monitor-under-test. The actual accuracy test requires three pairs of measurements with 60 seconds between
measurements. These measurements are averaged and a comparison can be made. Since most people tend
to relax and their blood pressure falls with subsequent measurements, following this protocol reduces these
natural changes in Blood Pressure levels. The standard technical error of both consumer and professional
devices is normally ±3 mmHg, so a discrepancy of 6 mmHg is acceptable even when the devices are working
within their specifications.

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
Any comparisons without a known “reference device” and not following the procedures described above will
yield unreliable results. In addition, to do an accuracy test properly the reference device must also be tested to
a known reference to confirm its accuracy, prior to being used as the reference for comparisons.
1.2D Calibration
Digital blood pressure monitors do not require regular recalibration. Unless the product has been dropped
and internal parts have been damaged. If the unit turns on and does not display an error code, the product
is working properly. In extremely rare cases, the cuff may have developed a pin-hole leak, or the gasket
where the cuff connector enters the monitor may not have a proper seal; both of these leaking air issues will
potentially cause errors in accuracy, but otherwise the product will work accurately without drifting out of
calibration.
1.3 What do your Numbers Mean?
Blood pressures is the pressure in your blood vessels while blood circulates throughout your body. High blood
pressure or “Hypertension” is the pressure at which ones normal average blood pressure is considered too
high and other health risks including: heart attack, stroke, dementia, kidney failure, heart disease and erectile
dysfunction may occur. It is expressed as two numbers: systolic/diastolic 120 mmHg / 80 mmHg
(mmHg = millimeters of mercury). “Systolic” numbers refer to the pressure on the walls of your arteries while
the heart is contracting and pushing blood. “Diastolic” pressure is the lower number when the heart is at
rest and relaxed. A simple way to understand this is to picture a garden hose. When the tap is turned on, the
immediate pressure on the walls of the hose is the “systolic” value, and when the tap is turned off it is the
“diastolic” number.
There are many different causes of high blood pressure. We differentiate between 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.
1.4 Normal Blood Pressure Values
Blood pressure is too high when measuring at home and you have rested, the diastolic pressure is above 85
mmHg or the systolic blood pressure is over 135 mmHg. If you obtain readings in this range, consult your doctor
immediately. High blood pressure values over time can damage blood vessels, vital organs such as the kidney,
and your heart.
With blood pressure values that are too low (i.e., systolic values under 105 mmHg or diastolic values under 60
mmHg), consult with your doctor.

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
Systolic Diastolic Comment
Below 120 Less than 80 This range is considered “Normal” and ideal
120 – 139 80 – 89
This range is considered “Pre-hypertension”: Discuss with your
health care professional. Lifestyle modifications maybe required to
avoid advancing into hypertension.
140 – 159 90 – 99
This is in the hypertension range. Discuss with your health care
professional. Medication(s) and lifestyle modifications are typical
treatments.
160 and higher 100 + Discuss with your medical professional, medication(s) and lifestyle
modifications are necessary to control your hypertension
Adapted From: Understanding and Managing your blood pressure; Hypertension Canada.
Note: A diagnosis of high blood pressure must be confirmed with a medical professional. A
doctor should evaluate any unusual blood pressure readings. Additionally, lower targets may
be appropriate for some populations such as African-Americans, the elderly, or patients with
underlying issues such as diabetes mellitus or chronic kidney disease.
Important for Canadians:
* Hypertension measured at home ≥135/85
* Hypertension measured at a physician’s office ≥140/90
* Hypertension measured at a physician’s office for a diabetic patient ≥130/80
For further information, see our website www.biosmedical.com.
1.5 Common Blood Pressure Questions and Answers
a) Why is my blood pressure reading always different?
Your blood pressure changes constantly. It is quite normal for blood pressure to fluctuate significantly (50 mmHg
to 60 mmHg) throughout the day. Blood pressure is normally lowest at night, but increases during waking hours
when the stress and activities of everyday life are highest.
40
50
60
70
80
90
100
110
120
130
140
150
160
170
8.00 10.00 12.00
Typical 24 - hours rhythm
14.00 16.00 18.00 20.00 22.00 24.00 2.00 4.00 6.00 8.00
systolic blood pressure
diastolic blood pressure
mmHg
AM Time PM

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
b) Why is the doctor’s reading different from the reading taken at home?
Your blood pressure can vary due to the environment (temperature, nervous condition). When measuring blood
pressure at the doctor’s office, it is possible for blood pressure to increase due to anxiety and tension, this is
known as “White Coat Hypertension”.
c) Why should I monitor blood pressure at home?
One or two readings will not provide a true indication of your normal blood pressure. It is important to take
regular, daily measurements and to keep records over a period of time. This information can be used to assist
your physician in diagnosing and preventing potential health problems.
1.6 About MAM Technology
Averaging Mode is a new technology that enables optimum reliability in self-measurement of blood pressure.
An advanced measurement accuracy is achieved by the automatic analysis of three successive measurements,
with short rest periods in between.
This new technology provides reliable values for the doctor and can be used as the basis for reliable diagnostics
and medication therapy for high blood pressure.
• Reliable patient self-measurement data for the doctor
• Safe hypertension diagnostic tool
• Reliable therapy control
1.6A Why Use MAM?
• Human blood pressure is not stable
1.6B Key Advantages
The technology provides reduction in:
• Device scattering
• Insufficient rest prior to measurement
• Movement effects (i.e. coughing, talking, movement)
• Cuff positioning influences
1.6C Medical Benefits
• Improved accuracy
1.6D Measurement Sequence
• Single results are not displayed
• Due to the “Data Analysis” result, a 4th or 5th measurement may be applied. The following illustration
provides a flow chart of the MAM Sequence

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
Diagram 1
1.7 Important Facts about Atrial Fibrillation (AFIB)
1.7A What is Atrial Fibrillation (AFIB)?
Normally, your heart contracts and relaxes to a regular beat. Certain cells in your heart produce electrical
signals that cause the heart to contract and pump blood. Atrial fibrillation occurs when rapid, disorganized
electrical signals are present in the heart’s two upper chambers, called the atria; causing them to contract
quickly and irregularly (this is called fibrillation). Atrial fibrillation is the most common form of heart arrhythmia
or irregular heart beat. You can live with atrial fibrillation, but it can lead to other rhythm problems, chronic
fatigue, heart failure and - worst of all - a stroke. You’ll need a doctor to help you control the problem.
1.7B How does AFIB impact my family or me?
15% of strokes are AFIB-related. While individuals above the age of 65 are more likely to have AFIB, individuals
as young as 40 can exhibit AFIB. Early diagnosis followed by adequate treatment can help reduce the risk of a
stroke.
1.7C AFIB detection provides a convenient way to screen for AFIB
(only in MAM mode)
Knowing your blood pressure and knowing whether or not you or your family members have AFIB can help
reduce the risk of stroke. AFIB detection provides a convenient way to screen for AFIB while taking your blood
pressure.
1.7D Risk factors you can control
High blood pressure and AFIB are both considered «controllable» risk factors for strokes. Knowing your blood
pressure and knowing whether or not you have AFIB is the first step in proactive stroke prevention.

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
2. Getting Started
2.1 About the A6PC
a) This section describes the various components of the blood pressure monitor.
b) Upper arm cuff:
Wide range cuff for arm circumference 22 - 42 cm or 8.7” - 16.5”.
Cuff connection:
Insert the cuff tube into the opening provided on the left side of the monitor as shown in the diagram.
START
STOP
DC6V 600mA
3
1
1
2
START
STOP
+ Button
User Switch
MAM Switch
Cuff Connection
Cuff Connection
Battery
Compartment
Lock Switch
USB Port
Adapter Socket
Wide Range Cuff
- Button
Memory button
Start/Stop Button
Time Button

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
2.2 About the LCD Screen
The LCD screen displays the systolic and diastolic blood pressure measurements along with your heart rate. It
also displays previously recorded measurements and the date and time, when the appropriate button is pressed.
Time and Date
Systolic Blood
Pressure (mmHg)
Diastolic Blood
Pressure (mmHg)
Pulse Rate
(Beats/Min)
Hypertension
Classification
Indicator
Symbol Guide
Atrial Fibrillation
Mam Averaging
Please wait in between measurements
Heartbeat during measurement
Memory
Low Battery
Cuff Check Indicator
Arm Movement Indicator
User Icon
2.3 Inserting the Batteries
Follow these steps to insert the four “AAA” batteries in the device.
1. Open the battery compartment cover in the direction shown.
2. Insert the four “AAA” batteries with the correct polarity as indicated.
3. Replace the battery compartment cover.
Attention!
• After the battery warning appears, the device is blocked until the batteries have been
replaced.
• Please use “AAA” Long-Life or Alkaline 1.5V batteries.
• If the blood pressure monitor is left unused for long periods, please remove the
batteries from the device.
• Do not mix old and new batteries. Do not mix alkaline, standard (carbon-zinc) or
rechargeable batteries.

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
2.4 Using the AC/DC Adapter
You may also operate this monitor using the included AC/
DC adapter (output 6V DC/600 mA with DIN plug). Use
only the included AC/DC adapter to avoid damaging the
unit.
1. Ensure that the AC/DC adapter and cable are not
damaged.
2. Plug the adapter cable into the AC/DC adapter port on
the blood pressure monitor.
3. Plug the adapter into your electrical outlet. When the AC/DC adapter is connected, no battery current is
consumed. Note: No power is taken from the batteries while the AC/DC adapter is connected to the monitor.
If electrical power is interrupted, (e.g., by accidental removal of the AC/DC adapter from the outlet) the
monitor must be reset by removing the plug from the socket and reinserting the AC/DC adapter connection.
4. Slide the lock switch to the unlock position.
Functional check: Hold the button down to test all the display elements. When functioning correctly all
segments must appear.
2.5 Storing the Cuff
The cuff used for measuring blood pressure is a delicate component of the device and should be stored carefully
when not in use. The A6PC is designed such that the cuff can be stored along with the blood pressure monitor.
Follow these steps to store the blood pressure cuff.
1. Roll up the upper arm cuff along with the inflating tube.
2. Push the folded cuff in the compartment on the back of the stand
to store it safely. Place the blood pressure monitor on the front of
the stand.
NOTE: The stand will not fit inside the included storage bag, with the
blood pressure monitor and cuff.
3. Using the Device
This section describes how to get the maximum benefit from your A6PC blood pressure monitor. Follow the
instructions carefully to get an accurate measurement of your blood pressure and pulse rate.
3.1 Setting the Time and Date
When you insert the batteries for the first time (see “Inserting the batteries”),
the monitor prompts you to set the current date and time. You can also adjust the
date, time and user at any time by pressing and holding down the button for
over 3 seconds. Follow these steps to set the date and time settings:
START
STOP
DC6V600mA
31
1
2
3
1
1
2
START
STOP

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
1. When you press the button for over 3 seconds, the year will start flashing. Press
the or buttons to adjust the year and press the button to confirm setting.
2. Next, the screen starts flashing the month setting. Press the or buttons
repeatedly to set the month and then press the button to confirm the settings.
Follow the same steps to set the date setting.
3. Lastly, the screen starts flashing the hour values. Press the or buttons
repeatedly to set the hour and then press the button to confirm the settings.
Follow the same steps to set the minute values.
3.2 Measurement Mode Selection (MAM or single)
Clinical studies demonstrate taking multiple blood pressure readings and calculating an “average” is more likely
to determine your true blood pressure. Your premium blood pressure unit allows you to switch the unit to an
Averaging Mode setting that automatically takes multiple readings!
Averaging Mode Slide Switch (MAM):
a) If you would like to take an Averaging Mode measurement, move the slide
switch to the right.
b) Averaging Mode takes 3 measurements in succession and calculates the result and displays it as a single
average measurement. A symbol in the display indicates that the unit is set to the Averaging Mode.
c) There will be 15 seconds resting time in-between each measurement. The unit will count down from
15 seconds. A beep will sound at the last 5 seconds to remind you that the unit is about to take another
measurement. If one of the measurements causes an error message, it will be repeated one more time. If
any additional error occurs the measurement will be discontinued and error code displayed.
Note: AFIB detection can only be done in MAM mode.
Single mode
a) If you would like to take a single mode measurement, please move the slide
switch to the left.
b) Single mode only has 1 measurement.
MONTH-DATE
TIME

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
3.3 Select the User
This blood pressure monitor is designed to store 99 measurements for each of
two users.
Before taking a measurement, be certain that the correct user has been selected.
1. Slide the user switch to toggle between User 1 and User 2.
3.4 Obtaining Accurate Measurements
Your blood pressure can vary based on numerous factors, physiological conditions, and your surroundings.
Follow these guidelines to obtain accurate and error-free measurements of your blood pressure and pulse rate.
3.4A Tips on Taking Accurate Measurements
In morning before breakfast, 2
hours after dinner, before taking
medication
Empty bladder (if necessary).
Avoid coffee and smoking within
the hour, and no exercise 30
minutes before measuring.
Rest quietly for 5 minutes.
Remain calm and quiet while the
measurement is in process.
Do not speak while taking the
measurement.
Take measurements on the non
dominant arm.
Sit with legs uncrossed so as not
to restrict blood flow.
Sit with back supported and
measurement arm resting on a
table. Sit with feet flat on the
floor.
Ensure that the cuff is level with
the heart while the bare arm is
supported on the table.
3.4B Common Sources of Error
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.
3
1
1
2
START
STOP

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
ATTENTION!
Comparable blood pressure measurements always require the same conditions with a peaceful
and calm environment. Ensure that you take measurements under the same conditions to obtain an
accurate estimate of blood pressure variation patterns.
• If the arm artery lies considerably lower or higher than the heart, an erroneous value of blood pressure is
measured. Each 15 cm difference in height results in a measurement error of 10 mmHg.
• A loose cuff causes false measurement values.
• With repeated measurements, blood accumulates in the arm, which can lead to false results. Consecutive
blood pressure measurements should be repeated after at least a 15 second pause or after the arm has been
held up in order to allow the accumulated blood to flow away.
3.4C Fitting the Wide Range Cuff
a) Put the end of the cuff (with fastener) through the metal ring, making
the cuff a cylinder. (Ignore this step if your cuff is already set up.)
Proper assembly allows the Velcro®to match up properly.
b) Place the cuff around your bare arm. Make sure the bottom edge of
the cuff is about 1” (2-3 cm) above the elbow joint. Adjust the cuff
so that the rubber tubing under the cuff lies over the brachial artery,
which runs on the inside of the arm. The red material should be over
the brachial artery.
c) Pull the cuff and tighten it by attaching the Velcro®fastener. Measure
on your non-dominant arm, unless there is a >10 mmHg difference
with the other arm, in which case use the arm with the higher
pressure.
d) The cuff should fit snugly around the bare arm, but not too tight.
You should be able to fit two fingers under the cuff. If the cuff is
the wrong size, the deivce will not measure your blood pressure
accurately. Contact the store, or BIOS Medical for other sized cuffs.
e) Place the arm on the table (palm facing upwards) so that the cuff is at
the same level as the heart. Make sure there is no kink in the hose.
a)
e)
d)
b)
c)

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
f) You can adjust the level of your arm by putting a cushion under your
arm. Ideally the cuff should be at heart level.
g) Remain seated in a comfortable room temperature for at least 5
minutes, then start the measurement.
h) For those who cannot put the cuff on the left arm, put it on the right
arm as shown.
i) Consecutive measurements will cause blood accumulation in the
lower arm which will affect the measuring results. To improve
reading accuracy, raise the arm being measured, squeeze and relax
your hand several times, then take another measurement. Another
option is to take the cuff off and wait at least 5 minutes
before repeating measurement.
j) If this device was stored in low temperature, it is necessary to
leave it in room temperature for at least 1 hour, otherwise the
measurement can be inaccurate.
Comment:
Continue to use the same arm for comparisons. It is not unusual for there to be a difference in blood pressure
between arms.
Comparable blood pressure measurements always require the same conditions (Relax for several minutes
before taking a measurement).
ATTENTION: Do not use a cuff other than the original cuff contained in this kit!
3.5 Measuring Your Blood Pressure
After following the guidelines described in the previous section and placing the cuff around your upper arm,
you are now ready to measure your blood pressure. Follow these steps to record your
measurement.
1. Press the START/STOP button to turn on the device and start measurement.
The LCD screen is turned on. The cuff begins to inflate while the increasing
cuff pressure is displayed on the screen. After the suitable inflation pressure
is reached, the cuff stops inflating and the pressure gradually falls. During the
measurement the icon will flash on the display. When the measurement is
completed, the systolic and diastolic blood pressure values along with the pulse
rate are displayed on the screen. The measurement is displayed for approximately
1 minute.
2. Switch off the device by pressing the START/STOP button to preserve the
batteries. If no button is pressed for 1 minute, the instrument switches the display off.
NOTE: The time will continuously be displayed on the screen.
START
STOP
M
129
78
86
15:12
M
SYS
DIA
TIME
MONTH-DAY
mmHg
mmHg
/min
user
PULSE
1 2
i)
f)
h)

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
3.6 Appearance of the Atrial Fibrillation Indicator (only in MAM mode)
This symbol indicates that atrial fibrillation was detected during the measurement. If AFIB is present
during blood pressure measurement, the is displayed flashing at the end of the triple measurement.
In this case, the result may deviate from your normal blood pressure. It is highly recommended to take an
additional measurement an hour later to increase the specificity of the detection. In most cases, this is no cause
for concern. However, if the symbol appears on a regular basis (e.g. several times a week with measurements
taken daily) we advise you to visit your doctor. Please, provide the following explanation:
Information for the doctor on frequent appearance of the atrial fibrillation indicator
This instrument is an oscillometric blood pressure monitor that also analyses pulse frequency during
measurement. The instrument is clinically tested.
The symbol is displayed after the measurement, if atrial fibrillation occurs during measurement. If the
symbol appears more frequently (e.g. several times per week on measurements performed daily) we recommend
the patient to seek medical advice. The instrument does not replace a cardiac examination, but serves to detect
atrial fibrillation at an early stage.
• Sometimes the device will detect atrial fibrillation even when it is not there. This can happen if the arm
moves during the reading or another rhythm problem is present. Keep the arm still during the reading.
Visiting your doctor with this device may be necessary to check out any rhythm problems.
• This device may not detect atrial fibrillation in people with pacemakers or defibrillators.
3.7 Hypertension Classification Indicator
The bars on the left hand side of the display show you the range within which the indicated blood pressure
values lies. Depending on the height of the bar, the readout value is either within the normal (green), borderline
(yellow/orange) or danger (red) range.
The classification is based on standards adopted from ESH (European Society of Hypertension), AHA (American
Heart Association) International Guidelines.
Refer to the chart below for details of the classification.
SYS
160
135-159
100
85-99
80-84
74-79
67-73
66
130-134
120-129
110-119
109
(mmHg) DIA
Red
Orange
Yellow
Green
Green
Green
An arrow points to the indicator bar according to your measurement.
• If the arrow points to the first or second green bar, your measurement is
in the green zone, or “Normal” according to the ESH/AHA classification.
• If the arrow points to the third bar, it is still in the green zone, but is
considered high normal according to the ESH/AHA classification.
• If the arrow points to the fourth bar, it is in the yellow “Stage 1
Hypertension” zone.
• If the arrow points to the fifth bar, it is in the orange “Stage 2
Hypertension” zone.
• If the arrow points to the sixth bar, it is in the red “Stage 3
Hypertension” zone.

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
3.8 Viewing Previously Recorded Values
The blood pressure monitor automatically stores your measurements. It can store up to 99
measurements for each of the 2 users. When more than 99 measurements are made, the oldest
readings are deleted for that particular user to make space for the new ones.
To view the previously stored values, press the button. The display will show an average value
of all stored readings first, then press the button to view the last measurement. Press the
button repeatedly to view the all the measurements that are recorded on the device. The date and time of the
measurement are also displayed after the reading.
3.9 Clearing All Values
If you are sure that you want to permanently remove all stored values, select user 1 or user 2 then hold down
the button (the instrument must have been switched off before hand) until the “ ” appears and then
release the button. If you do not want to clear the values, press the
START/STOP button. To permanently clear the memory, press the button while “ ” is flashing. Individual
values cannot be cleared.
3.10 Discontinuing a Measurement
If it is necessary to interrupt a blood pressure measurement for any reason (e.g. the patient feels unwell),
the START/STOP button can be pressed at any time. The device then immediately lowers the cuff pressure
automatically.

Project Type Date:
Customer:
Job Number:
Item Number:
Designer:
Revision:
Contact: Graphic’s Department
[email protected]
Reason For Project:
New Item: X
New Branding:
Design Update:
N/A:
Colour Breakdown
Artwork is not to be amended or scaled. If any changes are
and we will amend here and resend artwork through. PLEASE
RETURN WITH SIGNATURE
IB-EN
August 7 2020
Thermor LTD
TH4093
A6PC
Natalia Siguenza
A
X
057475 01663 0
3.11 Determining Your “Real” Average Blood Pressure at Home
It is normal for blood pressure to vary significantly in the middle of the day when most people are busy with
their daily tasks. Hypertension Canada recommends measuring in the morning and evening to avoid variability.
At the end of a measurement, this instrument automatically stores each result, including date and time.
*Note: If the result is “borderline” repeat the series for confirmation. This data can be used by a
medical professional to make a diagnosis of hypertension.
AM
PM
RESULTS
Take: 2 measurements, 1 minute apart
•Empty bladder (If necessary)
•In the morning before breakfast, before taking medication
•Sit with back supported and measurement arm resting on a
table. Sit with feet flat on the floor.
Take: 2 measurements, 1 minute apart
•Empty bladder (If necessary)
•2 hours after dinner, before taking medication
•Sit with back supported and measurement arm resting on a
table. Sit with feet flat on the floor.
•Avoid coffee and smoking within the hour, and no exercise 30
minutes before measuring.
Discard day 1 measurements.
Average your day 2-7 measurements
= Average
< 135 / 85 mmHg = NO ≥135 / 85 mmHg = YES
No Hypertension Yes Hypertension