Gamma+ Active User manual

Model Active
EN
RU
UA
BG
LV
LT
KZ
Wrist automatic blood pressure monitor
Model Active. User’s manual.
Автоматический измеритель артериального давления на запястье
Модель Active. Руководство по эксплуатации.
Автоматичний вимірювач артеріального тиску на зап’ястя
Модель Active. Настанова з експлуатації.
Автоматичен апарат за измерване на кръвно налягане за китка
Модел Active. Инструкция за употреба.
Automātisks apakšdelma arteriālā asinsspiediena mērītājs
Modelis Active. Lietotāja instrukcija.
Automatinis riešinis arterinio kraujospūdžio matuoklis
Modelis Active. Vartotojo instrukcija.
Tensiometru automat de antebraț
Model Active. Manual de utilizare.
Білезікке киілетін артериялық қысымды автоматты өлшегіш құралы
Mоделі Active. Колданушы ережелері.
Wrist automatic blood
pressure monitor
RO
MD


WRIST AUTOMATIC BLOOD PRESSURE MONITOR
Model ACTIVE
User’s manual (4-20)
Модель ACTIVE
Руководство по эксплуатации (21-40)
Модель ACTIVE
Настанова з експлуатації (41-59)
Модел ACTIVE
Инструкция за употреба (60-79)
Modelis ACTIVE
Lietotāja instrukcija (80-98)
Modelis ACTIVE
Vartotojo instrukcija (99-116)
Model ACTIVE
Manual de utilizare (117-134)
Моделі ACTIVE
Колданушы ережелері (135-154)
RU
UA
en
BG
Lv
LT
RO
MD
kz

4
DEAR GAMMA WRIST AUTOMATIC BLOOD
PRESSURE MONITOR OWNER
Thank you for choosing Wrist Automatic Blood Pressure Monitor Gamma®
TM model Active. We are sure that having appraised worthily the high quality
and reliability of this device you will become a regular user of the products
Trademark Gamma®.
This system is a fully automatic, digital blood-pressure measuring device for
use on the WRIST, it 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.This monitor features Blood Pressure Level
Indicator, Irregular Heartbeat Detection, as well as 90 memory cells.
Before starting to use this device please study the user’s manual carefully. The
user’s manual offers all information you need to measure your blood pressure
and pulse correctly. For all questions concerning the device please contact your
local distributor or Gamma® service centre in your country.
ATTENTION
This blood pressure monitor is designed to carry out self-control over blood
pressure but NOT to make self-diagnosis of hypertension/hypotension. Please
DO NOT diagnose by yourselves basing on the measurement results obtained
with the blood pressure monitor. Please DO NOT execute self-treatment of
high/low blood pressure and DO NOT change the methods prescribed without
consulting your doctor.
Type BF applied part.
Read the instructions carefully before using this device.

EN
5
TABLE OF CONTENTS
IMPORTANT INFORMATION ON BLOOD PRESSURE AND ITS
MEASUREMENT...............................................................................................6
What Is Blood Pressure? ...................................................................................6
Which Values Are Normal? ................................................................................7
ADVANTAGES OF WRIST AUTOMATIC BLOOD PRESSURE
MONITOR MODEL ACTIVE .............................................................................9
Blood Pressure Level Indicator ..........................................................................9
Irregular Heartbeat Detection ............................................................................9
Fuzzy Logic Measuring Technology ................................................................10
GETTING READY FOR MEASUREMENT ...................................................10
Safety Precautions ...........................................................................................10
Description of the Blood Pressure Monitor .....................................................11
Insert or Replace Batteries .............................................................................12
Setting the Date and Time ...............................................................................13
MEASUREMENT PROCEDURE ...................................................................14
Fitting the Cuff...................................................................................................14
Taking a Single Measurement .........................................................................14
MEMORY FUNCTION.....................................................................................16
Viewing the stored values ................................................................................16
Delete memories ..............................................................................................16
ERROR MESSAGES/TROUBLESHOOTING ..............................................16
CARE AND MAINTENANCE..........................................................................17
SYMBOL INFORMATION...............................................................................18
TECHNICAL SPECIFICATIONS ....................................................................19
WARRANTY.....................................................................................................20

6
IMPORTANT INFORMATION ON BLOOD
PRESSURE AND ITS MEASUREMENT
What Is Blood Pressure?
Blood pressure is the pressure
that your blood extends to the
vascular walls. Blood pressure
is necessary to provide for
constant blood ow inside the
body. Thanks to it the cells get
oxygen that provides for their
normal functioning. The heart
performs the function of a
«pump», sending blood to the
blood vessels. Each heart beat
creates a certain level of the
blood pressure.
There are 2 kinds of blood pressure: a systolic (upper) one, which corresponds
to the heartbeat pushing blood into the arteriae; and a diastolic (lower) one,
which means the blood pressure between two heartbeats.
Blood pressure is subject to uctuations during the day even in healthy people.
The uctuations are inuenced by a number of factors - time of day, person’s
condition, physical or mental activity, environment, etc.
170
160
150
140
130
120
110
100
90
80
70
60
50
40
8.00 10.00 12.00 14.00 16.00 18.00 20.00 22.00 24.00 2.00 4.00 6.00 8.00
DIA blood pressure
SYS blood pressure
Time (hours)
mmHg
SET
MEM
ON/OFF
M/DH /M
SYS
DIA
PUL
/min
MEM.

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7
Day-Night Fluctuations of the Blood Pressure
An increase of blood pressure increases the burden onto the heart, affects blood
vessels making their walls thick and less elastic.
One of the features of the hypertension is its ability to remain unnoticed
for the patient at its early stages. That’s why the selfcontrol of the blood
pressure is so important. With the illness progressing, headaches and regular
dizziness appear, the sight declines, the functioning of vitalses (encephalon,
heart, kidneys, blood vessels) breaks down. Without special treatment the
complications of hypertension might be kidney damages, breast-pang, paralytic
stroke, aphasia, dementia, heart attack and stroke.
Which Values are Normal?
Monitoring your routine blood pressure trend helps you to know your body
condition. Human blood pressure naturally increases after reaching middle age.
This symptom is a result of continuous ageing of the blood vessels. Further
causes include obesity, lack of exercise and cholesterol (LDL) adhering to the
blood vessels, diabetes. Rising blood pressure accelerates hardening of the
arteries, and the body becomes more susceptible to apoplexy and coronary
infarction.
Denitions and Classication of blood pressure levels according to 2007 ESH-
ESC Practice Guidelines for the Management of Arterial Hypertension: Data in
mmHg.
Category Systolic
(mmHg)
Diastolic
(mmHg)
Optimal < 120 and < 80
Normal*3 120-129 and/or 80-84
High normal 130-139 and/or 85-89
Grade 1
hypertension
140-159 and/or 90-99

8
Grade 2
hypertension
160-179 and/or 100-109
Grade 3
hypertension ≥ 180 and/or ≥ 110
Isolated systolic
hypertension ≥ 140 and < 90
Isolated systolic hypertension should be graded (1, 2, 3) according to systolic
blood pressure values in the ranges indicated, provided that diastolic values
are < 90mmHg.
Source: The European Society of Hypertension and European Society of Car-
diology Task Force Members. 2007 ESH-ESC Practice Guidelines for the Man-
agement of Arterial Hypertension. J Hypertens 2007; 25:1751-1762.
• The diagnosis of hypertension requires from the patient to combine medical
treatment prescribed by the doctor and mode of life correction.
• People with normal pressure and high normal pressure are recommended
to carry out self-control of their tension in order to timely take measures to
decrease the blood pressure level down to the optimal one without using
any medications.
• For people more than 50 years old high level of systolic blood pressure
(higher than 140 mmHg) is more crucial than diastolic pressure.
• Even with blood pressure being normal, people run the bigger risk of hyper-
tension development with advancing age.
ATTENTION
If you have normal results of blood pressure measured under calm conditions
but your results are excessively high when measured under the conditions of
physical or mental exhaustion, this might be a sign of so called brittle (that is
unstable) hypertension. If you suspect that, please consult your doctor.
When
measured correctly, if diastolic blood pressure is more than 120 mmHg, it is
necessary to call the doctor immediately.

EN
9
ADVANTAGES OF WRIST AUTOMATIC
BLOOD PRESSURE MONITOR
MODEL ACTIVE
Blood Pressure Level Indicator
Blood pressure level indicator is located along the left side in the display. The
classication corresponds to ESH (European Society of Hypertension) ranges
described in the table of the section «Which values are normal?». After the
measurement there appears the bars in the left part of the display. This function
helps you to self-orient in the measurement results.
SET
MEM
ON/OFF
M/DH /M
SYS
DIA
PUL
/min
MEM.
Irregular Heartbeat Detection
This function indicates allorhythmic heartbeating. If the symbol of IHD appears
on the display that means that certain abnormality in heart beat frequency was
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:

10
Information for the doctor on frequent appearance of the Irregular
Heartbeat Detector.
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 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.
Fuzzy Logic Measuring Technology
This unit uses the oscillometric method to detect your blood pressure. Before the
cuff starts inating, the device will establish a baseline cuff pressure equivalent
to the air pressure. This unit will determine the appropriate ination level based
on pressure oscillations, followed by cuff deation.
During the deation, the device will detect the amplitude and slope of the
pressure oscillations and thereby determine for you the systolic blood pressure,
diastolic blood pressure, and pulse.
GETTING READY FOR MEASUREMENT
Safety Precautions
1. Use this device ONLY for the intended use described in this manual.
2. Do NOT use accessories which are not specied by the manufacturer.
3. Do NOT use the device if it is not working properly or damaged.
4. Do NOT use under any circumstances on newborns.
5. This device does NOT serve as a cure for any symptoms or diseases. The
data measured are for reference only. Always consult your doctor to have
the results interpreted.
6. Keep the equipment and its exible cord away from hot surfaces.
7. Do NOT apply the cuff to areas other than the place directed.

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11
8. Proper maintenance and periodically calibration are essential to the
longevity of your device. If you are concerned about your accuracy of
measurement, please contact local customer service for help.
9. This system is intended for individuals age 18 or above.
10. Do not use it for diagnosis of hypertension or testing on newborns, babies,
young children or persons who cannot express their consent.
11. If you have been diagnosed with a severe arrhythmia or irregular heartbeat,
atrial or ventricular premature beats or atrial brillation, measurements made
with this instrument should only be evaluated after consultation with the
doctor or your healthcare professionals.
Description of the Blood Pressure Monitor
SET
MEM
ON/OFF
M/DH /M
SYS
DIA
PUL
/min
MEM.
LCD Display:
Date and Time
Systolic Pressure
Diastolic Pressure
Pulse/min
SET Button
Memory Button
ON/OFF Button
Wrist Cuff
Manual Case
Accessory:
Battery Cover

12
Insert or Replace Batteries
1. Remove the battery cover.
2. Insert new batteries into the battery compartment as shown, taking care that
the polarities (+) and (-) are correct.
3. Close the battery cover. Use only LR03, AAA batteries.
Disposal of old batteries to
the authorized collecting party
subject to the regulation of
each individual territory.
SYMBOLS ON DISPLAY
Month/Date Hour/Minute
Value of systolic
Value of diastolic
Value of pulse per minute
Ination
Deation
Heart beat
Irregular heartbeat detection
Memory
Unit of pressure
Battery
WHO blood pressure
classication

EN
13
CAUTION
• Insert the batteries as shown in the battery compartment.
• When (LOW BATTERY mark) blinks in the display, replace all batteries
with new ones. Do not mix old and new batteries. lt may shorten the battery
life, or cause the device to malfunction.
• (LOW BATTERY mark) does not appear when the batteries run out.
• Battery life varies with the ambient temperature and may be shorter at low
temperatures.
• Remove the batteries if the device is not to be used for a long time.
• The batteries may leak and cause a malfunction.
• Use the specied batteries only. The batteries provided with the device are for
testing monitor performance and may have a shorter life.
Setting the Date and Time
1. Press and hold “SET” key until the year number displays and ashes on LCD
to enter setting mode.
2. Press “MEM” key to adjust the year, then press “SET” key
again to save your setting and enter the month setting mode.
3. Press “MEM” key to adjust the month. Follow the same steps
to adjust date/hour/minute until setting completed.
NOTE: If the meter is idle for 1.5 minutes during the setting mode, it will switch
off automatically.
year month date hour minute

14
MEASUREMENT PROCEDURE
ATTENTION
• Find time to relax by sitting in a quiet atmosphere for some time before
measurement.
• 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
muscles in the arm during measurement.
• Always measure on the same arm (normally left).
• Remove any garment that ts closely to your upper arm. Do not roll the
sleeve since it can squeeze your hand and this can lead to false results.
• Use only clinically approved original cuff.
• If you want to follow the results of your blood pressure measurements, al-
ways perform measurements at the same time of day, since blood pressure
changes during the course of the day.
• Measurements should be done after a 5 minute rest to ensure accuracy.
Fitting the Cuff
a. Remove all eventual objects (e.g. wristwatch) from the wrist. Wrap the cuff
over the wrist.
b. The distance between the cuff and the hand should be as close as possible.
c. Secure the cuff with the Velcro fastener, so that it lies comfortably and not
too tight, no space should remain between the cuff and the wrist.
d. Lay the wrist on a table, with the palm upwards. Support the wrist a little
with a rest (cushion), so that the cuff rests at about the same height as the
heart. Remain so for 2 minutes sitting quietly, before beginning with the
measurement.
Taking a Single Measurement
ATTENTION
1. Sit down for at least 10 minutes before measuring.
2. Make sure the cuff is about the same height as the location of your heart.
3. Measure always on the same wrist (normally left).

EN
15
4. Remain still and do not talk or move during the measurement.
WARNING: If the cuff is relatively lower (higher) than the heart, the obtained
blood pressure value could be higher (lower) than the actual value. Always apply
the pressure cuff before turning on the monitor.
1. Fasten the wrist cuff according to the instructions in “ATTACHING THE
WRIST CUFF.”
2. Press the “ON/OFF” button. All icons appear two seconds on DISPLAY, then
switch to measurement, and display “0” or last measurement record.
3. Will ash on LCD. When complete, the results will be displayed.

16
MEMORY FUNCTION
Viewing the Stored Values
The device stores 90 most recent blood pressure test results along with
respective dates and times in the monitor memory for each user.
When the monitor is turned off, press «MEM»
button, a memory reading of the latest
measurement will display. To see the next page
(old measurements) press «SET».
Delete Memories
To delete memory, hold «MEM» button for ve seconds, the LCD
will display « » - this means that all the memory has been
deleted.
TROUBLESHOOTING
lf you have trouble in using the unit please check the following points rst.
ERROR DISPLAY POSSIBLE CAUSE HOW TO CORRECT
Nothing is displayed.
When you push the
POWER button or
battery icon ash
No battery installation Insert batteries
Battery worn out Replace with new batteries
The polarities of
batteries placed wrongly Insert battery in the correct
polarities

EN
17
E1: Can’t normally
increase pressure
Check your wrist cuff for
air leakage Replace wrist cuff with
new one
E3: Inate pressure
too high
Remeasure or send back
to dealer to recalibrate
E2 E4: Hand
shaking while
measurement
Hand or body shaking
while measurement Keep static position and
measure again
Battery icon on
Battery low power Replace battery and
measure again
The systolic
pressure Value or
diastolic Pressure
value too high
1.The wrist cuff was held
lower than your heart
Keep correct position and
measure again
2.The wrist cuff was not
attached properly
3.You moved your
body or spoke during
measurement
The systolic
pressure value or
diastolic pressure
value too low
1.The wrist cuff was held
higher than your heart
2.You moved your
body or spoke during
measurement
CARE AND MAINTENANCE
To avoid the monitor attracting dirt, dust or other contaminants, wash and dry
your hands thoroughly before use.
Cleaning
• To clean the monitor exterior, wipe it with a cloth moistened with tap water
or a mild cleaning agent, then dry the device with a soft dry cloth. Do NOT
ush with water.
• Do NOT use organic solvents to clean the monitor.
• Do NOT wash the pressure cuff.
• Do NOT iron the pressure cuff.

18
Monitor Storage
• Storage condition: -20°C to 55°C (-4°F to 131°F), below 95% relative
humidity.
• Always store or transport the monitor in its original storage case.
• Avoid dropping or heavy impact.
• Avoid direct sunlight and high humidity.
SYMBOL INFORMATION
SYMBOL REFERENT
Consult instructions for use
Manufacturer
Serial number
Caution, consult accompanying documents
Dispose of in accordance with the requirements
of your country
Type BF Equipment
Class II
CE mark

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SPECIFICATIONS
Measuring Method Oscillometric Measurement
Indication Digital LCD display
Measuring Range: Pressure: (30~280) mmHg
Pulse: (40~199) Beat/min
Accuracy: Static Pressure: ±3 mmHg
Pulse: ±5%
Memory: 90 Memories
Power supply: 2x1.5V Batteries (LR03 or AAA)
Operating condition: +5°C~+40°C. 30% RH~80% RH
Atmospheric pressure: 80 kPa~106 kPa
Storage condition: -20°C~+55°C. 10% RH~93% RH
Atmospheric pressure: 50 kPa~106 kPa
Dimensions: Approx: 72(W) X 67(H) X 33(D) mm
Weight: Approx: 130 g, excluding batteries
Classication Type BF
Wrist circumference (13.5~19.5) cm
* Specications may be changed without notice in the event of improvement
being made.
1. Type of protection against electric shock: INTERNALLY POWERED
EQUIPMENT.
2. Degree or protection against electric shock: TYPE BF APPLIED PART.
3. Mode of operation: CONTINUOUS OPERATION.
4. Equipment not suitable for category AP&APG equipment use in presence.

20
STATEMENT
The system might not meet its performance specications if used or stored
above or below the following temperature and humidity ranges:
Operating conditions: +5°C~+40°C. 30% RH~80% RH
Storage conditions: -20°C~+55°C. 10% RH~93% RH
WARRANTY
Your Wrist Automatic Blood Pressure Monitor Model Active is warranted for
5 years from date of purchase. Warranty for the cuff is 1 year from the date
of purchase. The warranty does not apply to damage caused by improper
handling, accidents, not following the operating instructions or self-maintained
alterations made to the device. The warranty is only valid upon presentation of
the warranty card which was correctly lled in and sealed.
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