Gima 32926 User manual

Gima S.p.A.
Via Marconi, 1 - 20060 Gessate (MI) Italy
[e-mail] - [e-mail]
www.gimaitaly.com
SFIGMOMANOMETRO DIGITALE
AUTOMATICO DA POLSO
AUTOMATIC WRIST BLOOD PRESSURE MONITOR
AUTOTENSIOMÈTRE DE LA PRESSION
ARTÉRIELLE AU POIGNET
MONITOR AUTOMÁTICO DE MUÑECA
DE PRESIÓN SANGUÍNEA
Manuale d’uso - User manual
Notice d’utilisation - Manual del usuario
M32926-M-Rev.2-02.19
PROFESSIONAL MEDICAL PRODUCTS
0476
Gima S.p.A.
Via Marconi, 1
20060 Gessate (MI) - Italy
Made in China
32926
ATTENZIONE: Gli operatori devono leggere
e capire completamente questo manuale
prima di utilizzare il prodotto.
ATTENTION: The operators must carefully
read and completely understand the present
manual before using the product.
AVIS: Les opérateurs doivent lire et bien comprendre
ce manuel avant d’utiliser le produit.
ATENCIÓN: Los operadores tienen que leer y entender
completamente este manual antes de utilizar el producto.

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Table of Contents
Medical Disclaimer...................................................................................................................... 24
Intended Use ............................................................................................................................... 24
About Blood Pressure................................................................................................................. 24
Precautions.................................................................................................................................. 25
Device Overview.......................................................................................................................... 27
Symbols ....................................................................................................................................... 28
Features ....................................................................................................................................... 29
Installing Batteries....................................................................................................................... 31
Applying the Cuff......................................................................................................................... 32
Positioning Guide ........................................................................................................................ 33
Measurement Procedure............................................................................................................. 33
Memory Function ........................................................................................................................ 34
Storage and Maintenance........................................................................................................... 35
Troubleshooting........................................................................................................................... 36
Specifications.............................................................................................................................. 37
Note.............................................................................................................................................. 38
Appendix...................................................................................................................................... 40

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MEDICAL DISCLAIMER
This manual and product are not meant as a substitute for advice provided by your doctor.
You are not to use the information contained herein, or this product for diagnosing or treating a health problem
or prescribing any medication. If you have or suspect that you have a medical problem, promptly consult
your healthcare provider.
INTENDED USE
This device uses the oscillometric method to automatically measure systolic and diastolic blood pressure as
well as heart rate. The measurement position is at human being’s wrist. All values can be read out in one LCD
panel. The device is designed for home use and recommended for use by adults aged 18 years and older with
wrist circumference ranging 135 ~ 195 mm (approx. 5.3 ~ 7.7 inch).
ABOUT BLOOD PRESSURE
1. What is blood pressure?
Blood pressure is the measurement of the force of blood pushing against the walls of the arteries.
Arterial blood pressure is constantly uctuating during the course of the cardiac cycle.
The highest pressure in the cycle is called the systolic blood pressure, and represents the pressure in the
artery when the heart is beating. The lowest pressure is the diastolic blood pressure, and represents the
pressure in the artery when the heart is at rest. Both the systolic and the diastolic pressure are necessary for
a physician to evaluate the status of a patient’s blood pressure.
Many factors such as physical activity, anxiety or the time of day, can inuence your blood pressure. Blood
pressure is typically low in the mornings and increases from the afternoon to the evening.
It is on average lower in the summer and higher in the winter.
2. Why is it useful to measure blood pressure at home?
Having one’s blood pressure measured by a doctor in a hospital or a clinic, is often associated with a phe-
nomenon called “White Coat Hypertension” where the patient becomes nervous or anxious, thus raising his
blood pressure. There are also numerous other factors that might cause your blood pressure to be raised at
a specic time of day. This is why medical practitioners recommend home monitoring as it is important to get
readings of blood pressure during different times of the day to really get an idea of your real blood pressure.
Medical practitioners generally recommend the “Rule of 3”, where you are encouraged to take your blood
pressure three times in a row (at 3~5 minutes interval), three times a day for three days.
After three days you can average all the results and this will give you an accurate idea of what your blood
pressure really is.

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A. WHO blood pressure classifications:
Standards for assessment of high or low blood pressure
without regard to age, have been established by the World
Health Organization (WHO), as shown in the chart.
However this chart is not exact for classication of blood
pressure and it’s intended to be used as a guide in un-
derstanding non-invasive blood pressure measurements.
Please consult with your physician for proper diagnosis.
B. Variations in blood pressure:
Individual blood pressures vary greatly both on a daily
and a seasonal basis. These variations are even more
pronounced in hyper tense patients.
Normally the blood pressure rises while at work and is at
its lowest during sleeping period.
(hyper tense: means a person who has high blood
pressure symptom.)
The graph below illustrated the variations in blood pres-
sure over a whole day with measurement taken every ve
minutes.
The thick line represents sleep. The rise in blood pressure at 4 PM (A in the graph) and 12 PM (B in the graph)
correspond to an attack of pain.
PRECAUTIONS
* Do not use this manual and product as a substitute for advice, diagnosing or treating a health problem or
prescribing any medication by your doctor. If you have a medical problem, promptly consult your health-
care provider.
* Read the Instruction Manual thoroughly before measuring and keep it at hand for your reference at any
time.
* This device uses the oscillometric method to measure systolic and diastolic blood pressure as well as your
heart rate. It’s recommended for use by people over the age of 18 and not to be used on infant or children.
* The device is designed for home use and not suitable for clinical use.
• Do not take a measurement in a low (less than 41°F/5°C) and high (more than 104°F/40°C) temperature,
nor in a place outside humidity ranges (15% ~ 93% R.H.), and atmospheric pressure ranges (700 ~ 1060
hPa)” or you may get inaccurate readings.
• Wait 30 ~ 45 minutes before measurement if you’ve just consumed caffeinated beverages or smoked
cigarettes.

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• Rest at least 5 ~ 10 minutes before taking a measurement.
• To allow your blood vessels to return to the condition prior to taking the measurement, please wait at least
3 ~ 5 minutes in between measurements. You may need to adjust the wait time according to your personal
physiological situation.
• We recommend you using the same wrist (preferably the left wrist) and measuring around the same time
each day.
• Sit down comfortably and place your elbow on the table with your feet at on the oor. Please do not cross
your legs during measurements.
• Keep the device at heart level. Relax your hand with the palm facing up.
• Perform measurements in a quiet and relaxed environment at room temperature.
• Do not move or shake the device during a measurement. Please keep quite and do not talk at the same time.
• Keep in mind that blood pressure naturally varies from time to time through out the day and is affected by
lots of different factors such as stress, eating, smoking, alcohol consumption, medication, and physical
activity, etc.
Normally the blood pressure rises while at work and is at its lowest during sleeping period.
• Blood pressure measurements should be interpreted by a physician or a trained health professional who
is familiar with your medical history. Using the unit and recording the results regularly for your physician to
interpret, you will keep your physician informed of the continuing changes in your blood pressure.
• If you have one of the circulatory problems as arteriosclerosis, diabetes, liver disease, kidney disease,
severe hypertension, peripheral circulation….., please consult your healthcare professional before using
the device.
• This product is not suitable for people with arrhythmias and pregnant women.
• Blood pressure measurements taken with this device are equivalent to those obtained by a trained observ-
er using the cuff / stethoscope auscultation method and are within the accuracy limits prescribed by the
Standard of EN 1060-4.
• For those who have had mastectomy surgery (especially whose’ lymph nodes removed), it’s recommend
take a measurement on the unaffected side.
• When used among medical electronic equipments on the same limb, pressurization of the cuff may cause
temporarily malfunction to other devices.
Results are not intended for direct diagnosis. Please consult with a physician if you have any questions or
concerns about your results.
This product is not suitable for:
- Pregnant women
- People with arrhythmias
- Undergoing intravenous injection on any limb
- Currently in a dialysis treatment
- In pre-eclampsia condition

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*Attention!
1. Do not use the device on infants, children, or those who cannot express their own intention.
2. The device is equipped with sensitive electronic components. While measuring, avoid strong electrical or
electromagnetic elds, e.g. mobile phones, microwave ovens, etc; or it may lead to temporary reading
error or inaccuracy.
3. Over high frequency measurements may result in blood ow interference, which is likely to cause uncom-
fortable sensations, such as partial subcutaneous hemorrhage, or temporary numbness to your wrist. In
general, these symptoms should not last long. However, if you do not recover in time, please seek your
medical practitioners for help.
DEVICE OVERVIEW
Part names and product
components
*Caution!
Substitution of a component different from that supplied might result in measurement error.
DATA LINK PORT
RISK CATEGORY INDICATOR
MEMORY BUTTON
START/STOP BUTTON
SET BUTTON
MODE BUTTON
LCD DISPLAY
WRIST CUFF
STORAGE CASE
AAA (1.5V)
ALKALINE BATTERY X 2

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Unit display
SYMBOLS
SYMBOLS DEFINITIONS
Low Battery Symbol This symbol appears when the battery power is excessively low
or the polarity reverses.
We suggest you replace all batteries with new ones, and make
sure the +/- polarities are properly positioned.
Pulse Symbol Once pulse is detected, the symbol ashes with each pulse beat.
Our suggestion:
Please do not talk or move during measurements.
Irregular Heartbeat Detector This symbol appears for 1 minute when the user was talking, moving,
shaking, or an irregular heart beat was detected during measurements.
Our suggestion:
Please do not talk or move during measurements. Repeat the
measurement after resting for at least 5 minutes, and restart your
measurement while sitting down comfortably and quietly.
Memory Record Figures beside this symbol represent the order of memory stored.
Symbol
Hour : Minute
(Also represents YEAR in Setting Mode)
Month/Date
Blood pressure unit
Low battery symbol
Pulse symbol
Irregular heartbeat
detector
Risk category
indicator
Systolic rate
Diastolic rate
Heart rate
Memory record number
ENGLISH

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FEATURES
Irregular Heartbeat Detector
The symbol will appear on screen indicating a certain heartbeat irregularity was detected during
measurement. The heartbeat rhythm that is more than or less than 25% from the average rhythm is usually
dened as an irregular heartbeat rhythm. Talking, moving, shaking or an irregular pulse during the meas-
urement can result in the appearance of this symbol. Usually this is not a cause for concern, however if the
symbol appears often, we recommend you seek medical advice.
And please note that the device does not replace a cardiac examination, but serves to detect pulse irregu-
larities at an early stage.
*Note!
• The pulse display is not suitable for checking the frequency of heart pacemakers. If a certain pulse irregu-
larity is detected during measurement often, we recommend you seek medical advice
• As a safeguard, we recommend that if you have arrhythmias such as atrial or ventricular premature beats
and atrial brillation or any other special conditions you should check with your physician before using your
device.
• The IHB function is not designed for use by people with arrhythmias nor for diagnosing or treating an
arrhythmic problem. In order to lter the unstable status of user and avoid affecting the detection of heart
rate from any movement, shaking or talking in the beginning of measurement, the method of averaging
heart beat intervals of subject device is calculated with the three proper heart beat pulses detected in
the beginning of measurement and that is different from a strict mathematical averaging of all recorded
intervals.
• At least 3 beats with at least 25% difference from the average heart beat interval will generate the IHB icon
on the screen.

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Risk Category Indicator
This device is equipped with Risk Category Indicator which classies your blood pressure measurements into
six stages (Optimal to Severe hypertension) as shown in below chart:
Stages of Blood Pressure Systolic Diastolic Recommendations by SIGN n. 49:
Levels (mmHg) (mmHg) Hypertension in older people
Grade 3 Severe Hypertension ≥180 ≥110 Conrm immediately and repeat BP in one
day and again within one week depending
on clinical situation.
Grade 2 Moderate Hypertension 160 ~ 179 100 ~ 109 Serial blood pressures repeated within
one month.
Grade 1 Mild Hypertension 140 ~ 159 90 ~ 99 Provide advice about lifestyle modication
and conrm within two months.
High-Normal 130 ~ 139 85 ~ 89 Provide advice about lifestyle modication
and recheck in one year.
Normal 120 ~ 129 80 ~ 84 Recheck in 2 - 5 years.
(patients aged > 75 years offered annual
Optimal < 120 < 80 health check).
Source: WHO 2003
After each measurement is completed, LCD display will show your position automatically on the six segments
of the bar indicator which corresponds to Risk Category Indicator.
*Note!
When a person’s systolic and diastolic pressures fall into different categories, the higher category should
apply.
e.g. systolic rate 181 & diastolic rate 99 Red category (Severe Hypertension)
e.g. systolic rate 110 & diastolic rate 95 Red category (Mild Hypertension)
ENGLISH

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*Note!
The above table is not exact for classication of blood pressure and it’s intended to be used as a guide in
understanding non-invasive blood pressure measurements.
Usually this is not a cause for concern; however we recommend you consult with your physician for proper
diagnosis or seek medical advice according to our recommendation mentioned above. Please note that the
device does not appropriate to diagnose hypertension, and it is only for user reference on blood pressure
monitoring.
Data Link Function
The monitor is equipped with data link interface to allow user to transfer the blood pressure measurements
to a personal computer via a USB cable. Thus you may easily view and track the data stored in the memory.
Step:
1. Plug USB cable (large connector) into personal computer.
2. Plug USB cable (small connector) into Data Link Port to our monitor.
3. Once USB cable is connected successfully, the monitor will show
“USb” on the screen, indicating that it is ready to transmit data.
*Note!
• Do not allow objects to come into contact with Data Link Port.
• The data cannot be transferred while taking a measurement.
• Do not unplug USB cable or turn off the computer during transmission.
• Unit is exclusively to be connected to equipment that in compliance with the requirements of IEC 60950-1
or IEC 60601-1.
INSTALLING BATTERIES
When LOW BATTERY SYMBOL appears on the dis-
play, or nothing appears on the display when the power is
switched on, please change the batteries.
Replace all the batteries with new ones and do not mix
new and old batteries. Do not mix alkaline, standard (car-
bon-zinc) or rechargeable (cadmium) batteries either.
It may shorten the battery life or cause the device to mal-
function.
Remove the battery cover and insert 2 AAA alkaline batter-
ies into the battery compartment as shown.