Gamma+ Semi User manual

Semi-automatic blood
pressure monitor
Model Semi
EN
RU
UA
BG
LV
LT
Semi-automatic blood pressure monitor
Model Semi. User’s manual.
Полуавтоматический измеритель артериального давления
Модель Semi. Руководство по эксплуатации.
Напівавтоматичний вимірювач артеріального тиску
Модель Semi. Настанова з експлуатації.
Полуавтоматичен апарат за кръвно налягане
за горната част на ръката
Модел Semi. Инструкция за употреба.
Pusautomātisks arteriālā spiediena mērītājs
Modelis Semi. Lietotāja instrukcija.
Pusiau automatinis arterinio kraujo spaudimo matuoklis
Modelis Semi. Vartotojo instrukcija.
Tensiometru semiautomat
Model Semi. Manual de utilizare.
MD
RO


SEMI-AUTOMATIC BLOOD PRESSURE MONITOR
Model Semi
User’s manual (4-19)
Модель Semi
Руководство по эксплуатации (20-38)
Модель Semi
Настанова з експлуатації (39-55)
Модел Semi
Инструкция за употреба (56-74)
Modelis Semi
Lietotāja instrukcija (75-90)
PUSIAU AUTOMATINIS ARTERINIO
Modelis Semi
Vartotojo instrukcija (91-107)
TENSIOMETRU SEMIAUTOMAT
Model Semi
Manual de utilizare (108-124)
RU
UA
en
BG
LV
LT
Ro
MD

4
DEAR GAMMA SEMI-AUTOMATIC BLOOD
PRESSURE MONITOR OWNER
Thank you for choosing our Semi-automatic Blood Pressure Monitor
Gamma® designed on the basis of the most advanced technologies. The
device you are holding now is your reliable as sistant. You can measure
your blood pressure with this monitor as accurately and precisely as an
experienced doctor or a skilled nurse would do it.
We are sure that having appraised worthily the high quality and reliability
of this device you will become a regular user of the products of Trademark
Gamma®.
Before starting to use this device please study the instruction book
carefully. The instruction book offers all information you need to correctly
measure your blood pressure and pulse.
Regular blood pressure control allows for reliable and easy health
monitoring and for effective combating possible compli cations caused by
blood pressure abnormalities.
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.

5
EN
TABLE OF CONTENTS
IMPORTANT INFORMATION ON BLOOD PRESSURE AND ITS
MEASUREMENT......................................................................................6
What Is Blood Pressure? ..........................................................................6
Which Values Are Normal? 7
Irregular Heartbeat Detection 9
GETTING READY FOR MEASUREMENT 9
Safety Precautions ...................................................................................9
Description of the Blood Pressure Monitor .............................................10
Insert or Replace Batteries .....................................................................11
Cuff Connection ......................................................................................12
MEASUREMENT PROCEDURE............................................................12
Fitting the Cuff.........................................................................................13
Taking a Single Measurement ................................................................14
Reading Measurement Results ..............................................................15
Discontinuing a Measurement ................................................................15
MEMORY FUNCTION............................................................................15
ERROR MESSAGES/TROUBLESHOOTING........................................16
CARE AND MAINTENANCE .................................................................17
SYMBOL INFORMATION ......................................................................18
TECHNICAL SPECIFICATIONS............................................................18
WARRANTY...........................................................................................19

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.
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 self-control 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
Systolic Pressure
Diastolic Pressure
Pulse

7
EN
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
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

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
Cardiology Task Force Members. 2007 ESH-ESC Practice Guidelines for
the Management 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 recom-
mended 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
hypertension 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.

9
EN
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:
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.
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.
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
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.
Components of Your Blood Pressure Monitor
The blood pressure monitor kit includes Semi-automatic Blood Pressure
Monitor Model Semi, M size cuff (22-32 cm), 4 batteries (AA), User’s
Manual, Warranty Card, Kit Box.
Description of the Blood Pressure Monitor
Cuff:
Semi offers a wide range cuff with D-
ring, measuring size: 22~32cm, suitable
for most of arm circumferences.

11
EN
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 LR6, AA batteries.
Disposal of old batteries to the authorized collecting party subject to the
regulation of each individual territory.
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.

12
• Use the specied batteries only. The batteries provided with the device
are for testing monitor performance and may have a shorter life.
Cuff Connection
Insert the cuff tube into the opening provided on the side of the device as
shown in the picture.
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 pres-
sure. 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,
always 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.

13
EN
Fitting the Cuff
a. Plug the cuff connector to the cuff socket on the device left side.
b. Assemble the cuff as shown below. The smooth surface should be
inside of the cuff loop and the metal D-ring should not touch your skin.
c. Stretch your left (right) arm in front of you with your palm facing up.
Slide and place the cuff onto your arm to let the air tube and artery
mark region toward the lower arm.
Wrap and tighten the cuff above your elbow. The artery mark on the
edge of the cuff should be approx. 0.8ʺ to 1.2ʺ (2 cm to 3 cm) above
your elbow and above the artery. Align the tube over the main arteries
on the inside.
d. Leave a little free space between the arm and the cuff: you should be
able to t two ngers between them. Remove all clothing covering or
constricting the measurement arm.
e. Press the hook material rmly against the pile material. The top and
bottom edges of the cuff should be tightened evenly around your
upper arm.

14
Taking a Single Measurement
ATTENTION
1. Sit down for at least 10 minutes before measuring.
2. Place your elbow on a at surface. Relax your hand with the palm facing
up.
3. Make sure the cuff is about the same height as the location of your
heart.
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. Press the ON/OFF button. The device will turn on and the display for 2
seconds to highlight all the characters, then there will be «00».
2. Take a rubber blower to free hand and inate the cuff to a pressure
greater than 40 mm Hg the value of your expected systolic pressure. If you
do not know your systolic pressure, inate the cuff to 160-180 mm Hg. The
pressure in the cuff is shown on the display.

15
EN
3. When you reach the desired pressure, place the pear and sit quietly, not
moving . The measurement process began.
If the measurement is not performed, and the display shows « », the cuff
pressure was insufcient to perform the measurement. In this case it is
necessary to pump up the pressure in the cuff to a higher value, at least
20 mm Hg. Art. higher than the previous.
Reading Measurement Results
The measured systolic and diastolic blood pressure values, as well as
the pulse are now displayed. The appearance of this symbol signies
that an irregular heartbeat was detected. This indicator is only a caution.
It is important for you to be relaxed, remain still and do not talk during
measurements.
NOTE:
We recommend contacting your physician if you see this indicator
frequently.
Discontinuing a Measurement
If for any reason you must stop measurement (for example, due to poor
health), open the air release valve on the blower. The cuff pressure
decreases. In this case, the display may appear symbol error «Err».
Switch off the appliance. The device then immediately lowers the cuff
pressure automatically.
MEMORY FUNCTION
Semi-automatic Blood Pressure Monitor Gamma® TM Semi automatically
stores the result measured. To see the result of the last measurement
press and hold the ON/OFF button for at least 3 seconds. If an irregular
heartbeat interval was detected in the measurement stored in memory, the
icon will be displayed.

16
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
E0
Testing pressure with
Clothes
Take off the clothes
and test it gain
The marker of arm
cuff is not in
alignment with the
arm’s artery.
Align the marker of
arm cuff with the
arm’s artery, and
measure again.
E1: Can’t normally
increase pressure
Check your 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 shak-
ing while measure-
ment
Hand or body shaking
while measurement
Keep static position
and
measure again
Battery icon on Battery low power Replace battery and
measure again

17
EN
The systolic
pressure Value or
diastolic Pressure
value too high
1.The cuff was held
lower than your heart
Keep correct position
and measure again
2.The 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 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.
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.

18
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
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: Memory for the last measurement
Power supply: 4x1.5V Batteries (LR6 or AA)

19
EN
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: 140(W) X 100(H) X 50(D)
mm
Weight: Approx: 340 g, excluding batteries
Classication Type BF
Cuff Size 22-32 cm
* Specications may be changed without notice in the event of improvement
being made.
This device has been tested to meet the electrical and safety requirements
of:
IEC/EN 60601-1,
IEC/EN 60601-1-2
Reference to Standards:
• EN 1060-1/-3, NIBP-requirements
• IEC60601-1 General requirement for safety
• IEC60601-1-2 Requirements for EMC
• EN1060-4, NIBP clinical investigation
• AAMI/ANSI/IEC 80601-2-30, ANSI/AAMI/ISO 81060-2, NIBP require-
ments
WARRANTY
Your Semi-automatic Blood Pressure Monitor Model Semi 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.

20
Благодарим Вас за выбор нашего полуавтоматического измерителя
артериального давления Gamma®, созданного на основе самых пе-
редовых технологий. Прибор, который Вы держите в руках, является
Вашим надежным помощником. С его помощью Вы измерите артери-
альное давление так же точно, как это сделал бы опытный врач или
медсестра.
Мы уверены, что, по достоинству оценив качество и надежность этого
прибора, Вы станете постоянным пользователем продукции торговой
марки Gamma®.
Перед тем как начать пользоваться данным прибором, внимательно
прочитайте инструкцию. В ней Вы найдете всю информацию, необхо-
димую Вам для правильного проведения измерения артериального
давления и пульса.
Регулярный контроль артериального давления позволяет надежно и
просто отслеживать состояние Вашего здоровья и эффективно бо-
роться с возможными осложнениями, вызванными повышением или
понижением артериального давления.
Данный измеритель артериального давления предназначен для осу-
ществления самостоятельного контроля артериального давления, а
не для самодиагностики гипертонии/гипотонии. Ни в коем случае не
ставьте диагноз самостоятельно на основе результатов, полученных
с помощью измерителя артериального давления. Не занимайтесь
самолечением отклонений артериального давления от нормы и не
меняйте самостоятельно прописанные методы лечения, не прокон-
сультировавшись предварительно с врачом.
Класс защиты BF.
Перед использованием прибора внимательно прочтите данную
инструкцию.
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