BIOS Diagnostics PREMIUM A130 User manual

PREMIUM
Blood Pressure
Monitor
instruction
Manual

Table of Contents
1. Introduction
1.1 Important Facts about Blood Pressure and Self-Measurement
1.2 Important Information
1.2A Safety Information
1.2B Care of the Device
1.3 How do I evaluate my blood pressure?
2. Getting Started
2.1 About the A130
2.2 Activating the fitted batteries
2.3 Setting the date and time
2.4 Changing the language
2.5 Adjusting the volume
3. Using the Device
3.1 Appearance of (Patented Arythmia Detection)
3.2 Traffic Light Indication
4. Data Memory
4.1 Viewing the stored values
4.2 Memory full
4.3 Clearing all values
4.4 How not to store a reading
5. Setting the Alarm Function
6. Battery Indicator and Battery Change
6.1 Low battery
6.2 Flat battery – replacement
6.3 Which batteries and which procedure?
6.4 Using rechargeable batteries
7. Error Messages / Malfunctions
8. Care and Maintenance
9. Reference to Standards
10. Technical Specifications
11. Lifetime Guarantee
12. Contact for Support
Premium Blood Pressure Monitor
Instruction Manual

1. Introduction
Thank you for purchasing the BIOS Diagnostics™Premium Blood Pressure Monitor. 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 manual 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 Important Facts about Blood Pressure and Self-Measurement
• Blood pressure is the pressure of the blood flowing in the arteries generated by the pumping of the heart.
Two values, the systolic (upper) value and the diastolic (lower) value, are always measured.
• The instrument also indicates the pulse rate (the number of times the heart beats in a minute).
• Permanently high blood pressure values can damage your health and must be treated by your doctor!
• Always discuss your values with your doctor and tell him/her if you have noticed anything unusual or feel
unsure. Never rely on single blood pressure readings.
• There are many causes of excessively high blood pressure values. Your doctor will explain them in more
detail and offer treatment where appropriate. Besides medication, relaxation techniques, diet, weight loss
and exercise can also lower your blood pressure.
• Under no circumstances should you alter the dosages of any drugs prescribed by your doctor!
• Depending on physical exertion and condition, blood pressure is subject to wide fluctuations as the day
progresses. You should therefore take your measurements in the same quiet conditions and when you feel
relaxed! Take at least two measurements per day, one in the morning and one in the evening.
• It is quite normal for two measurements taken in quick succession to produce significantly different results.
• Deviations between measurements taken by your doctor or in the pharmacy and those taken at home are
quite normal, as these situations are completely different.
• Several measurements provide a much clearer picture than just one single measurement.
• Leave a small break of at least 15 seconds between two measurements.
• If you are pregnant, you should monitor your blood pressure very closely as it can change drastically during
this time!
1.2 Important Information
• If you suffer from an irregular heartbeat, measurements taken with this instrument should only be evaluated
after consultation with your doctor.
• The pulse display is not suitable for checking the frequency of heart pacemakers!
Refer to the following sections to learn about important safety instructions and how to take care of the BIOS
Diagnostics™Premium Blood Pressure Monitor.
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
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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 mm Hg): 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 time to measure your blood pressure is in the morning 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.
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— Do not mix different types, brands, or size of batteries. This may cause damage to the product.
— Do not mix old and new batteries.
— 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 it to reach room temperature
before use.
• 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.
1.3 How do I evaluate my blood pressure?
Table for classifying blood pressure values in adults in accordance with the World Health Organisation (WHO) in
2003. Data in mmHg
Range Systolic Diastolic Recommendation
blood pressure
too low
100 60 Consult your doctor
1 blood pressure
optimum
100 - 120 60 - 80 Self-check
2 blood pressure
normal
120 - 130 80 - 85 Self-check
3 blood pressure
slightly high
130 - 140 85 - 90 Consult your doctor
4 blood pressure
too high
140 - 160 90 - 100 Seek medical advice
5 blood pressure
far too high
160 - 180 100 - 110 Seek medical advice
6 blood pressure
dangerously
high
180 110 Urgently seek
medical advice!
The higher value is the one that determines the evaluation.Example: a readout value between 150/85 or 120/98
mmHg indicates “blood pressure too high”.
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2. Getting Started
2.1 About the A130
Monitor:
1. ON/OFF Button
2. Display
3. Speaker
4. Cuff Socket
5. Mains Adapter Socket
6. Volume Control
7. Battery Compartment
8. Cuff
9. Cuff Connector
10. M-Button (Memory)
11. Time Button
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Display:
12. Date/Time
13. Systolic Value
14. Diastolic Value
15. Pulse
16. Stored Value
17. Heart Arrhythmia Indicator
18. Battery Display
19. Pulse Rate
20. Traffic Light Display
21. Alarm Time

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2.2 Activating the fitted batteries
Pull out the protective strip projecting from the battery compartment
2.3 Setting the date and time
1. After the new batteries are fitted, the year number flashes in the display. You can set the year by pressing the
M-button. To confirm and then set the month, press the TIME button.
2. You can now set the month using the M-button. Press the time button to confirm and then set the day.
3. Please follow the instructions above to set the day, hour and minutes.
4. Once you have set the minutes and pressed the TIME button, the date and time are set and the time is
displayed.
5. If you want to change the date and TIME, press and hold the time button down for approx. 3 seconds until
the year number starts to flash. Now you can enter the new values as described above.
2.4 Changing the language
You can change the language by using the following procedure:
1. While the device is switched off keep the ON/OFF button pressed until you see the letters «LAn» on the
LCD.
2. Now you can change the language by continuously pressing the M-button:
1=English, 2=Russian, 3=German, 4=French, 5=Spanish,6=Polish.
3. Confirm the selection by pressing the ON/OFF button.
2.5 Adjusting the volume
Use the VOLUME CONTROL to adjust the volume of the speaker.

3. Using the Device
Checklist for taking a reliable measurement
1. Avoid activity, eating or smoking immediately before themeasurement.
2. Sit down for at least 5 minutes before the measurement and relax.
3. Always measure on the same arm (normally left).
4. Remove close-fitting garments from the upper arm. To avoid constriction, shirt sleeves should not be rolled
up - they do not interfere with the cuff if they are laid flat.
5. Always ensure the cuff is positioned correctly, as shown on the cuff.
• Fit the cuff closely, but not too tight.
• Make sure that the cuff is 2 cm (0.75 inch) above your elbow with the tube on the inside of your arm.
• Support your arm so it is relaxed.
• Ensure that the cuff is at the same height as your heart.
6. Press the ON/OFF button to start the measurement.
7. The cuff will now pump up automatically. Relax, do not move and do not tense your arm muscles until the
measurement result is displayed. Breathe normally and do not talk.
8. When the correct pressure is reached, the pumping stops and the pressure falls gradually. If the required
pressure was not reached, the instrument will automatically pump some more air into the cuff.
9. During the measurement, the heart symbol flashes in the display and a beep sounds every time a
heartbeat is detected.
10. The result, comprising the systolic and the diastolic blood pressure and the pulse is displayed and
a longer beep is heard. At the same time, the blood pressure monitor will announce the result. Note also the
explanations on further displays in this booklet.
11. When the measurement has finished, remove the cuff.
12. Switch off the instrument. (The monitor does switch off automatically after approx. 3 min.).
3.1 Appearance of (Patented Arythmia Detection)
This symbol indicates that certain pulse irregularities were detected during the measurement. In this
case, the result may deviate from your normal blood pressure – repeat the measurement. 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 tell your doctor.
Please show your doctor the following explanation:
Information for the doctor on frequent appearance of
This instrument is an oscillometric blood pressure monitor that also analyses pulse frequency during
measurement. The instrument is clinically tested. The arrhythmia symbol is displayed after the measurement, if
pulse irregularities occur 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 pulse irregularities at an early stage.
3.2 Traffic Light Indication
The bars on the left-hand edge of the traffic light display show you the range within which the indicated blood
pressure value lies. Depending on the height of the bar, the readout value is either within the normal (green),
borderline (yellow) or danger (red) range. The classification corresponds to the 6 ranges in the table (section 1.3)
as defined by the WHO.
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4. Data Memory
At the end of each measurement, this instrument automatically stores the result, including date and time.
4.1 Viewing the stored values
Press the M-button briefly, when the instrument is switched off. The display first shows «M» and then a
value, e.g. «M17». This means that there are 17 values in the memory. The instrument then switches to the
last stored result. Pressing the M-button again displays the previous value. Pressing the M-button repeatedly
enables you to move from one stored value to another.
4.2 Memory full
Pay attention that the maximum memory capacity of 100 is not exceeded. When the memory is full, the old
values are automatically overwritten with new ones. Values should be evaluated by a doctor before the
memory capacity is reached – otherwise data will be lost.
4.3 Clearing all values
If you are sure that you want to permanently remove all stored values, hold down the M-button (the instrument
must have been switched off beforehand) until «CL» appears and then release the button. To permanently clear
the memory, press the M-button while «CL» is flashing. Individual values cannot be cleared.
4.4 How not to store a reading
Press the ON/OFF button while the reading is being displayed. Keep the button pressed until «M» is flashing
and then release it. Confirm by pressing the M-button.
5. Setting the Alarm Function
This instrument allows you to set 2 alarm times at which an alarm signal will then be triggered. This can be a
useful aid, for instance as a reminder to take medication.
1. To set an alarm time, press the TIME button (the instrument must have been switched off beforehand) and
immediately afterwards the M-button and hold both down until the bell symbol appears in the bottom left
of the display. Then release both buttons. The flashing «1» in the display indicates that the first alarm time
can now be set.
2. Press the time button to set the hours – the hour display flashes and pressing the M-button allows you to set
the alarm hour. To confirm, press the TIME button.
3. The minute display will now flash. The minutes can be set using the M-button. To confirm, press the TIME
button again.
4. The bell symbol will now flash. Use the M-button to select whether the alarm time is to be active or
inactive . To confirm, press the TIME button.
5. To set a second alarm time, proceed as above but if the «1» flashes, press the M-button to select «2» and
confirm with the TIME button.
• An active alarm time is indicated by the bell symbol in the display.
•The alarm will sound at the set time every day.
• To switch-off the alarm when it is sounding, press the ON/OFF button.
• To permanently switch off the alarm, proceed as above and select the symbol. This will then
disappear from the display.
• The alarm times must be re-entered each time the batteries are replaced.
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6. Battery Indicator and Battery Charge
6.1 Low battery
When the batteries are approximately ¾ empty the battery symbol will flash as soon as the instrument
is switched on. Although the instrument will continue to measure reliably, you should obtain replacement
batteries.
6.2 Flat battery – replacement
When the batteries are flat, the flat battery symbol will flash as soon as the instrument is switched on
(flat battery displayed). You cannot take any further measurements and must replace the
batteries.
1. Open the battery compartment 7 at the bottom of the instrument.
2. Replace the batteries – ensure correct polarity as shown by the symbols in the compartment.
3. To set date and time, follow the procedure described in «Section 2.».
• The memory retains all values although date and time (and possibly also set alarm times) must be reset
– the year number therefore flashes automatically after the batteries are replaced
6.3 Which batteries and which procedure?
Use 4 new, long-life 1.5V, size AA batteries.
• Do not use batteries beyond their date of expiry. Remove batteries if the instrument is not going to be used
for a prolonged period.
6.4 Using rechargeable batteries
You can also operate this instrument using rechargeable batteries. Only use «NiMH» type reusable batteries.
• The batteries must be removed and recharged if the battery symbol appears. They must not
remain inside the instrument as they may become damaged (total discharge as a result of low use of the
instrument, even when switched off).
• Always remove the rechargeable batteries if you do not intend to use the instrument for a week or more.
• The batteries cannot be charged in the blood pressure monitor. Recharge these batteries in an external
charger and observe the information regarding charging, care and durability.
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7. Error Messages / Malfunctions
Error Description Potential cause and remedy
«ERR 1» Signal too weak The pulse signals on the cuff are too weak.
Re-position the cuff and repeat the measurement.
«ERR 2» Error signal During the measurement, error signals were detected
by the cuff, caused for instance by movement or
muscle tension. Repeat the measurement, keeping
your arm still.
«ERR 3» No pressure in the cuff An adequate pressure cannot be generated in the
cuff. A leak may have occurred. Check that the cuff is
correctly connected and is not too loose. Replace
the batteries if necessary. Repeat the measurement.
«ERR 5» Abnormal result The measuring signals are inaccurate and no result
can therefore be displayed. Read through the check-
list for performing reliable measurements and then
repeat the measurement.
«HI» Pulse or cuff pressure too high The pressure in the cuff is too high (over 300 mmHg)
OR the pulse is too high (over 200 beats per minute).
Relax for 5 minutes and repeat the measurement.
«LO» Pulse too low The pulse is too low (less than 40 beats per minute).
Repeat the measurement.
8. Care and Maintanence
• This instrument may be used only for the purpose described in this booklet. The manufacturer cannot be held
liable for damage caused by incorrect application.
• This instrument comprises sensitive components and must be treated with caution. Observe the storage and
operating conditions described in the «Technical Specifications» section!
• Protect it from:
− water and moisture
− extreme temperatures
− impact and dropping
− contamination and dust
− direct sunlight
− heat and cold
• The cuffs are sensitive and must be handled with care.
• Only pump up the cuff once fitted.
• Do not use the instrument close to strong electromagnetic fields such as mobile telephones or radio
installations.
• Do not use the instrument if you think it is damaged or notice anything unusual.
• Never open the instrument.
• If the instrument is not going to be used for a prolonged period the batteries should be removed.
• Read the additional safety instructions in the individual sections of this booklet
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Ensure that children do not use the instrument unsupervised; some parts are small enough to be
swallowed.
Instrument care
Clean the instrument only with a soft, dry cloth.
Cleaning the cuff
Carefully remove spots on the cuff with a damp cloth and soapsuds.
WARNING: Do not wash the cuff in a washing machine or dishwasher!
Accuracy test
We recommend this instrument is tested for accuracy every 2 years or after mechanical impact (e.g. being
dropped). Please contact BIOS-Service to arrange the test. 1-866-536-2289
Disposal
Batteries and electronic instruments must be disposed of in accordance with the locally applicable
regulations, not with domestic waste.
9. Reference to Standards
Device standard: Device corresponds to the requirements of
the standard for non-invasive blood pressure monitors:
AAMI/ANSI SP10
IEC 60601-1
IEC 60601-1-2
EN 1060-1
EN1060-3
EN1060-4
Electromagnetic compatibility: Device fulfills the stipulations of the international
standard IEC 60601-1-2
Readings taken by the blood pressure monitor are equivalent to those obtained by a trained observer using the
cuff and stethoscope auscultation method. Clinical performance were successfully done against ANSI/AAMI
SP10 and international protocol, and the B.H.S has rated this product“ recommended for clinical and home
use”, this is the highest grading available for blood pressure monitors. Please refer to the BHS website at
www.bhsoc.org.
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10. Technical Specifications
Operating temperature: 10°C - 40°C / 50°F - 104°F
Storage temperature: -20°C - +55°C / -4°F - +131°F
15 - 90 % relative maximum humidity
Weight: 480 g (including batteries)
Dimensions: 180 x 110 x 75 mm
Measuring procedure: oscillometric, corresponding to Korotkoff method:
Phase I systolic, Phase V diastolic
Measurement range: 30 - 280 mmHg – blood pressure
40 - 200 beats per minute – pulse
Cuff pressure display
range: 0 - 299 mmHg
Resolution: 1 mmHg
Static accuracy: pressure within ± 3 mmHg
Pulse accuracy: ± 5 % of the readout value
Voltage source: • 4 x 1.5 V Batteries; size AA
• Mains adapter DC 6V, 600 mA (optional)
Accessories: Wide range cuff BD051 for arm circumference
22-42 cm
11. Lifetime Guarantee
BIOS Diagnostics™ blood pressure monitors have a lifetime warranty to be free of manufacturing defects
for the life of the original owner. This warranty does not include the inflation system including the cuff and
inflation bladder. The cuff is warranted for two years. The warranty does not cover damage from misuse or
tampering.
If you have questions regarding the operation of your monitor call the BIOS Diagnostics™ Blood Pressure
Hotline:[phone]
Should repair be necessary, return the unit with all component pieces. Enclose proof of purchase and $5.00 for
return shipping and insurance. Ship the unit prepaid and insured (at owners option) to:
Thermor Ltd.
Repair Department
16975 Leslie Street
Newmarket, ON L3Y 9A1
www.biosexactly.com
[e-mail]
Please include your name, return address, phone number, and email address. Thermor will repair or replace (at
Thermor’s option) free of charge any parts necessary to correct the defect in material or workmanship.
Please allow 10 days for repair and return shipping.
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12. Contact for Support
Thermor Ltd.
16975 Leslie Street
Newmarket, ON L3Y 9A1
www.biosexactly.com
Toll Free Help Line: 1-866-536-2289
Email: [e-mail]
Made in China
TH1858_101410