Dr. Trust Afib User manual

Afib Talk Blood Pressure Monitor
Instruction Manual

Table of Content
Table Of Contents .............................................................................................................
1. Introduction .........................................................................................................
1.1. FEATURES OF AFIB TALK..................................................................................................
1.2. IMPORTANT INFORMATION ABOUT SELF-MEASUREMENT .......................................................
2. Important Information On The Subject Of Blood-Pressure And Its Measurement ....
2.1. HOW DOES HIGH/LOW BLOOD-PRESSURE ARISE? ............................................................
2.2. WHICH VALUES ARE NORMAL? ........................................................................................
3. Important Facts About Atrial Fibrillation (Afib)........................................................
4. Various Components Of The Blood-Pressure Monitor............................................
5. Putting The Blood-Pressure Monitor Into Operation...............................................
5.1 INSERTING THE BATTERIES ......................................................................................
5.2 READING THE SET DATE..........................................................................................
5.3 LANGUAGE SETTING, USER SELECTION AND SETTING THE TIME /DATE................
6. Carrying Out A Measurement ...............................................................................
6.1 BEFORE THE MEASUREMENT ...................................................................................
6.2 COMMON SOURCES OF ERROR ................................................................................
6.3 FITTING THE CUFF ..................................................................................................
6.4 MEASURING PROCEDURE.........................................................................................
6.5 DISCONTINUING AMEASUREMENT .......................................................................
6.6 MEMORY –STORAGE AND RECALL OF THE MEASUREMENTS....................................
6.7MEMORY–CANCELLATION OF ALL MEASUREMENTS ATTENTION!...............................
7. Appearance Of IHB (Irregular Heart Beat) Indicator For Early Detection.................
8. Appearance Of The Atrial Fibrillation Indicator For Early Detection.........................
9. Error Messages /Malfunctions ..............................................................................
10. Care And Maintenance, Recalibration...................................................................
11.Safey,Care And Disposal .....................................................................................
12.Reference To Standards ......................................................................................
13.Remark: ..............................................................................................................
14.Technical Specifications.......................................................................................
15.Manufacturer's Declaration...................................................................................

1. Introduction
1.1. Features of Afib Talk
Afib Talk BP Monitor (with integrated time/date display) is a fully automatic, digital blood-pressure
measuring device for use on the 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 very high and clinical tested measurement accuracy and has been designed to provide a
maximum of user-friendliness.
The device is intended for self-use in home.
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
Substitution of a different component might result in measurement error.
Cuff is replaceable only by an original.
Do not use with neonatal patients.
Do not intend to use with pregnant or pre-eclamptic patients
It will cause harmful injury to the patient or affect the blood pressure due to connection tubing kinking.
Too frequent measurements can cause injury to the patient due to blood flow interference.
The application of the cuff over a wound can cause further injury.
The application of the cuff and its pressurization on any limb where intravascular access or therapy, or
an arteriovenous (A-V) shunt, is present because of temporary interference to blood flow and could
result in injury to the patient.
Do not let the cuff and its pressurization on the arm on the side of a mastectomy
Pressurization of the cuff can temporarily cause loss of function of simultaneously used monitoring ME
equipment on the same limb.
The need to check that operation of the automated sphygmomanometer does not result in prolonged

impairment of patient blood circulation.
Not intended to be used together with HF surgical equipment.
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 IHB (Irregular Heart Beat), 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 electrical or
electromagnetic fields in the direct vicinity of the device (e.g. mobile telephones, microwave cookers).
These can lead to temporary impairment of the measuring accuracy.
2. Important information on the subject of blood-pressure and its measurement
2.1. How does high/low blood-pressure arise?
As your heart beats, it pumps your blood round your body so that your muscles can get all the energy and
oxygen they need. To do this, your heart pushes your blood through a network of blood vessels called
arteries. As the blood travels through the arteries it pushes against the sides of these blood vessels and the
strength of this pushing is called your blood pressure.
As your heart squeezes and pushes your blood through your arteries, your blood pressure goes up. As your
heart relaxes, your blood pressure goes down. So, with each heartbeat, your blood pressure will rise to a
maximum level and then fall to a minimum level.
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 100 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 100 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 appropriately. 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 (unit: mmHg) according to World Health Organization:
Range
Systolic Blood-pressure
Diastolic Blood-pressure
Measures
Hypotension
lower than 100
lower than 60
Consult your doctor
Blood pressure optimum
between 100 and 120
between 60 and 80
Self-check
Blood pressure normal
between 120 and 130
between 80 and 85
Self-check
Blood pressure slightly
high
between 130 and 140
between 85and 90
Consult your doctor
Blood pressure too high
between 140 and 160
Between90and 100
Seek medical advice
Blood pressure far too high
between 160 and 180
Between100and 110
Seek medical advice
Blood pressure
dangerously high
Higher than 180
Higher than 110
Urgently seek medical
advice!

3. Important Facts about Atrial Fibrillation (AFIB)
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 irregularly (this is called fibrillation). Atrial fibrillation is the most
common form of IHB (Irregular Heart Beat) or irregular heartbeat. It often causes no symptoms, yet it
significantly increases your risk of stroke. You’ll need a doctor to help you control the problem.
How does AFIB impact my family or me?
People with AFIB have a five-fold higher risk of getting stroke. Since the chance of having a stroke
increases with age, AFIB screening is recommended for people over 65 years and older. However, for
people from the age of 50 years with high blood pressure (hypertension), diabetes, coronary heart failure or
have had a previous stroke AFIB screening is also recommended. Early diagnosis of AFIB followed by
adequate treatment can significantly reduce the risk of getting stroke. In young people AFIB screening is not
recommended as it could generate false positive results and unnecessary anxiety. In addition, young
individuals with AFIB have a relatively low risk of getting stroke as compared to elder people. Knowing your
blood pressure and knowing whether you or your family members have AFIB can help reduce the risk of
stroke. 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 you have AFIB is the first step in
proactive stroke prevention.

4. Various components of the blood-pressure monitor

5. Putting the blood-pressure monitor into operation
5.1 Inserting the batteries
a) Insert the batteries (4 x size AA 1.5V), thereby observing the indicated polarity.
b) If the battery warning icon appears in the display, the batteries remain 20% power to warn user
the batteries will be run out.
c) If the battery warning icon appears in the display, the batteries are empty and must be replaced
by new ones
Attention! •After the battery warning icon appears, the device is blocked until the batteries have
been replaced.
Please use «AA»Long-Life or Alkaline1.5V Batteries.
The use of 1.2V Accumulators is not recommended.
If the blood-pressure monitor is left unused for long periods, please remove the
batteries from the device.
5.2 Reading the set date
Please press the TIME button and the date will be shown in the display.
5.3 Language selection, User selection and setting the time / date
Talking Language selection: Bilingual of English and Hindi
You can select either English or Hindi to check
your BP. Press and hold or button for
around 5 seconds, to enter into language
selection mode. A default language is English.
Press Memory button, to switch language to Hindi
and to mute (voice off). Again press or
button to save your selection and to exit.

User selection: This advanced blood pressure monitor allows you to track blood pressure readings
for 2 individuals independently.
a) Before measurement, make sure you set the unit for the intended user. The unit can track results
for 2 individuals. (User 1, User 2)
b) Press the TIME button for at least 3 seconds. The display now indicates the set user, during which
the set user blinks. To confirm, press ON/OFF button.
c) Click the MEMORY button to select User.
d) We suggest the first person to take their pressure to be User 1.
Setting the Time & Date
This blood-pressure monitor incorporates an integrated clock with date display. This has the
advantage, that at each measurement procedure, not only the blood-pressure values are stored, but
also the exact moment of the measurement. After new batteries have been inserted, the clock begins
to run TIME 12:00 and DATE 1-01.You must then re-enter the date and current time. For this, please
proceed as follows.
1. Press the TIME button for at least 3 seconds firstly, user icon will blink. Then press TIME button
again the display now indicates the set year, during which the four characters blink.
2. The correct year can be entered by pressing the MEMORY button
3. Press the TIME button again. The display now switches to the current date, during which the first
character (month) blinks.
4. The corresponding month can now be entered by pressing the MEMORY button.
5. Press the TIME button again. The last two characters (day) are now blinking
6. The corresponding day can now be entered by pressing the MEMORY button.
7. Press the TIME button again. The display now switches to the current time, during which the first
character (Hour) blinks
8. The corresponding hour can now be entered by pressing the MEMORY button.
9. Press the TIME button again. The last two characters (Minutes) now blink.
10. The exact time can now be entered by pressing the MEMORY button
11. Press TIME button (or TIME / DATE or TIME): the unit of measurement will flash.
12. Once you have made your settings, press the TIME button (or TIME / DATE or TIME). The
setting is confirmed and the clock starts running.
13. Now after all settings have been made, press the TIME button once again. The date is briefly

displayed and then the time. The input is now confirmed and the clock begins to run.
Further Information
With each press of the button (TIME, MEMORY) one input is made (e.g. switching over from hours to
minutes mode, or altering the value by +1). However, if you keep the respective button depressed,
you can switch more quickly to find the desired value respectively.
6. Carrying out a measurement
6.1 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
quite atmosphere for about ten minutes before the measurement.
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.
6.2 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.
The performance of the automated sphygmomanometer can be affected by extremes of
temperature, humidity and altitude.
Avoid compression or restriction of the connection tubing.
A loose cuff 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 5 minute pause or after the arm has been held up in order to allow the accumulated
blood to flow away (after at least 3 minutes).