Hartmann Veroval User manual

EN – Upper arm blood pressure monitor
Instructions for use ...............................2– 39
TR – Üst koldan tansiyon ölçme cihazı
Kullanma talimatı ...............................40– 78
ﺪﻀﻌﻟا ﺪﻨﻋ مﺪﻟا ﻂﻐﺿ سﺎﻴﻗ زﺎﻬﺟ –AE
119 – 80
...................................مﺪﺨﺘﺴﻤﻟا ﻞﻴﻟد
HK – 上臂式血壓計
使用說明書 .......................................120– 157
Warranty certificate
Garanti belgesi / نﺎﻤﻀﻟا ةدﺎﻬﺷ
保養證明........................................................... 159

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EN EN
Dear customer
We are pleased that you have chosen to purchase a blood pressure monitor
from HARTMANN. Veroval®duo control is a quality product for fully automatic
blood pressure measurement on the upper arm of adults and is suitable for both
clinical and domestic use. Requiring no preliminary settings, this device easily
and automatically inflates for simple, quick and reliable systolic and diastolic
blood pressure and pulse rate measurement. The monitor also indicates possible
irregular heartbeats.
The blood pressure monitor can be connected to a PC via the supplied USB
cable. The measurements can be displayed on a personal computer using the
Veroval®medi.connect software.
We wish you all the best for your health.
Please read these instructions carefully before using the monitor for the
first time, since correct blood pressure measurement requires correct
operation of the device. These instructions will guide you through the
individual steps for measuring your own blood pressure from first use of the
Veroval®duo control upper arm blood pressure monitor. You will be given
important and useful hints to ensure that you obtain reliable results for your
personal blood pressure profile. Use this device in accordance with the
information provided in the instructions for use. Please store these instructions
carefully and ensure other users can access them. Check that the outside of the
package is undamaged and that the contents are complete.
Package contents:
• Blood pressure monitor
• Upper arm cuff
• 4× 1.5 V AA batteries
• USB cable
• Storage bag
• Instructions for use with warranty certificate

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Table of contents PageDuo Sensor Technology
The innovative Duo Sensor Technology combines two
professional measuring technologies: the oscillometric
technology and the Korotkoff technology. Whilst most automatic
blood pressure measurement devices only use oscillometric
technology, Duo Sensor Technology also utilises Korotkoff’s
highly accurate method of blood pressure measurement, which is also used
by doctors to measure blood pressure. It is less error prone, providing correct
measured values even in patients with heart rhythm disorders.
Healthcare professionals use a stethoscope to listen to the Korotkoff sounds and
therefore determine the blood pressure; this is what Veroval®duo control does
with its integrated microphone.
Duo Sensor Technology thus produces accurate results while still being
easy to use.
Comfort Air Technology
Comfort Air Technology enables approximate determination of
the systolic blood pressure value during inflation which is then
used to determine the necessary inflation pressure for blood
pressure measurement. This allows for more comfortable upper
arm measurements.
1. Device and display description......................................................................... 6
2. Important information ..................................................................................... 8
3. Blood pressure information............................................................................ 15
4. Preparing the measurement........................................................................... 16
5. Measuring your blood pressure...................................................................... 18
6. Memory function ........................................................................................... 24
7. Transferring measured values to Veroval®medi.connect................................ 27
8. Explanation of error messages....................................................................... 29
9. Device care.................................................................................................... 31
10. Accessories.................................................................................................. 31
11. Warranty conditions .................................................................................... 32
12. Contact details for customer queries............................................................ 32
13. Technical data ............................................................................................. 33
14. Power supply............................................................................................... 35
Electromagnetic compatibility............................................................................ 36
Warranty certificate ......................................................................................... 159

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Blood pressure monitor
1 Extra large LCD display with illumination
2 START/STOP button
3 Memory key for User 1
4 Memory key for User 2
5 Cuff connector socket
6 Battery compartment
7 USB port
8 Mains socket
Cuff
9 Secure fit cuff (a) with application instructions (b)
10 Grip tab to pull on the cuff
11 Size scale for correct adjustment of the cuff
12 Cuff plug
13 Extra long cuff tube
14 Lower arm opening for correct and secure fit
Display
15 Systolic blood pressure
16 Diastolic blood pressure
17 Pulse rate
18 Flashes when the device is measuring and the pulse rate is detected
19 Irregular heartbeat
20 Oscillometric measurement
21 Korotkoff measurement
22 Trac light system for your values / progress bar
23 ‘Measurement OK’ / cuff fit check / rest indicator symbols
24 Temperature symbol
25 User memory
26 Battery symbol
27 Average value (A), morning (AM), evening (PM) / memory allocation number
28 Date and time display
1. Device and display description
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Secure fit cuff, medium
PAUL HARTMANN AG · 89522 Heidenheim, Ger many
Veroval
®
duo control
22 – 32 cm
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1
2
1
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m
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10
9b
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2. Important information
Follow instructions for use
Please note
IP20 Not protected against moisture
Keep dry
C
C
Temperature limitation
Humidity limitation
Protection from electric shock
Dispose of packaging in an environmentally responsible way
Dispose of packaging in an environmentally responsible way
Dispose of packaging in an environmentally responsible way
Symbol for the marking of electrical and electronic equipment
0 1 2 3
Labelling in accordance with Medical Devices Directive 93/42/EEC
Direct current
Manufacturer
LOT Batch number
REF Order number
Cardboard recycling code
SN Serial Number
Important instructions for use
Intended use:
The Veroval duo control is a re-usable, non-invasive fully automatic blood
pressure monitor for the upper arm that is intended for temporary monitoring
of the systolic and diastolic blood pressure and the pulse rate of adults and
which can be used by laypersons and healthcare professionals in clinical and
domestic settings.
■ Only use the monitor to take blood pressure measurements on the upper arm.
Do not place the cuff on other areas of the body.
■ Use only the supplied cuff or an original replacement cuff. The measured
values will otherwise be incorrect.
■ Only use the monitor on persons whose upper arm circumference is within the
range indicated for the monitor.
■ If measured values are questionable, repeat the measurement.
■ Do not leave the device unattended near small children or persons who
cannot operate it themselves. There is a risk of strangulation if the cuff
tube becomes wrapped around the neck. Swallowing small parts that have
detached from the monitor can also result in suffocation.
■ Do not under any circumstances carry out blood pressure measurements on
newborns, babies or toddlers.
■ Please do not place the cuff over a wound as this may cause further injuries.
■ Do not place the cuff on persons who have had a mastectomy.
■ Please note that the pressure build-up in the cuff can lead to temporary
disruption of medical devices being used at the same time on the same arm.
■ Do not use the blood pressure monitor together with a high frequency
surgical device.
■ If an intravascular treatment is present or there is an arteriovenous access
(e.g. AV shunt) on the arm, measuring the blood pressure can lead to
injuries. Never use the cuff on the arm to which these conditions apply.

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■ The function of the arm on which the cuff is placed may become impaired
during inflation.
■ If you carry out the measurement on yourself or another person, please
ensure that using the blood pressure monitor does not lead to ongoing
reduction in the blood circulation.
■ Taking measurements too often within a short time period as well as
maintaining continuous cuff pressure can disrupt the blood circulation and
cause injury. Please take a break between measurements and do not kink
the air tube. If the monitor malfunctions, remove the cuff from the arm.
■ If a possible allergic skin reaction occurs on the arm where the cuff is used,
discontinue its use and consult a physician.
■ Always consult with your doctor about if and when the blood pressure
monitor can be used by pre-eclampsia patients during pregnancy.
■ The device is not intended for use in vehicles (e.g. ambulances) or
helicopters.
Important instructions for self-measurements
■ Even slight changes in internal and external factors (e.g. deep breathing,
stimulants, speaking, excitement, ambient temperature) lead to fluctuations in
the blood pressure. This explains why deviating values are often measured at
the doctor or pharmacist.
■ Measurement results depend fundamentally on the measurement location and
the position of the patient (sitting, standing, reclining). They are also affected
by exertion and the physiological condition of the patient. For comparable
values, carry out the measurement in the same location and the same
position.
■ Diseases of the cardiovascular system can lead to erroneous readings or lower
the accuracy of the measurement. The accuracy may also be affected if you
have very low blood pressure, diabetes, circulatory disorders and arrhythmias
as well as chills or tremors.
Consult your doctor before measuring your own blood pressure if …
■ you are pregnant. Blood pressure may vary during pregnancy. Regular blood
pressure monitoring is particularly important if you have high blood pressure
because elevated values may affect foetal development. Check with your
doctor in any case to find out if and when you should measure your own blood
pressure, especially if you suffer from pre-eclampsia.
■ you have diabetes, liver function disorders or narrowing of blood vessels (e.g.
arteriosclerosis, peripheral arterial occlusive disease) or other pre-existing
disorders or physical anomalies: in these cases, deviating measurements may
occur.
■ you have certain blood disorders (e.g. haemophilia) or severe circulatory
disorders or are taking blood thinning medications.
■ you are on dialysis or taking anticoagulant medications (anticoagulants), platelet
aggregation inhibitors or steroids.
■ you wear a cardiac pacemaker: this may lead to deviating measured values. The
blood pressure monitor itself has no impact on cardiac pacemakers. Please note
that the pulse rate displayed is not suitable for checking the frequency of cardiac
pacemakers.
■ you tend to bruise easily and/or are sensitive to pressure pain.
■ you have a severe heart rhythm disorder or arrhythmias or atrial fibrillation
(Afib).
■ If this symbol increasingly appears , it may indicate heart rhythm disorders or
arrhythmias. If this is the case, please consult your doctor. Severe heart rhythm
disorders, arrhythmias or atrial fibrillation may lead to incorrect measurements
or affect the measuring accuracy. Please discuss with your doctor whether taking
your own blood pressure readings is suitable for you.
■ Your self-measured values are for your information only – they are not a
substitute for a medical examination! Discuss your measurements with your
doctor and under no circumstances make your own medical decisions based on
these measurements (e.g. medications or their dosage)!
■ Measuring your own blood pressure is not a substitute for medical treatment!
Do not interpret your measured values by yourself and do not use them for
self-prescribed treatment. Take measurements based on the instructions of your
doctor and trust his or her diagnosis. Take medications as prescribed by your
doctor and never change the dose on your own. Discuss the appropriate time to
measure your blood pressure with your doctor.

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An irregular heartbeat is present when the heart rhythm deviates by
more than 25% from the average heart rhythm. The contraction of the
heart muscle is stimulated by electrical signals. A disorder of these
electrical signals is called an arrhythmia. This may be due to a genetic
predisposition, stress, age, lack of sleep, exhaustion or similar factors. A
doctor can establish whether an irregular heartbeat is the result of an
arrhythmia.
Heart rhythm disorders are disturbances of the normal rate or rhythm of the
heartbeat. Distinction should be made between mild and severe heart rhythm
disorders. This can only be determined by a special examination carried out by
a doctor. Thanks to the Korotkoff technology used, Veroval®duo control can
measure correctly in the case of various types of heart rhythm disorders and thus
provide correct measurement results.
Power supply (batteries, power supply unit)
■ Observe the polarity labels plus (+) and minus (-).
■ Use only high-quality batteries (see specification in Chapter 13 ‘Technical
data’). If you use low-quality batteries, we can no longer guarantee the
specified number of measurements.
■ Never mix old and new batteries or batteries from different manufacturers.
■ Remove empty batteries immediately.
■ Replace batteries if the battery symbol remains illuminated.
■ Always replace all the batteries at the same time.
■ If the monitor remains unused for a longer period of time, batteries should be
removed to prevent possible leakage.
■ If you use the monitor with the power supply unit, position the monitor so
that you can disconnect the power supply at any time.
Batteries
■ Choking hazard
Small children could swallow batteries and suffocate on them. Keep
batteries out of the reach of children!
■ Risk of explosion
Do not throw batteries into fire.
■ Batteries must not be charged or short-circuited.
■ If a battery has leaked, wear protective gloves and clean the battery
compartment with a dry cloth. If liquid from a battery cell comes into
contact with skin or eyes, clean the affected area with water and seek
medical attention if necessary.
■ Protect batteries from excessive heat.
■ Do not disassemble, open or crush batteries.
Safety information concerning the device
■ This blood pressure monitor is not waterproof!
■ This blood pressure monitor is made of high-quality electronic precision
components. The accuracy of the measured values and the lifetime of the
monitor depend on careful handling.
■ Protect the device from strong shocks, impacts or vibrations and do not let it
drop on the floor.
■ Do not excessively bend or kink the cuff or the air tube.
■ Never open the monitor. You must not modify, dismantle or repair the device
yourself. Repairs may only be carried out by authorised specialists.
■ Never inflate the cuff when it is not properly applied to the upper arm.
■ The device may only be used with the approved upper arm cuffs. The monitor
may otherwise sustain external or internal damage.
■ The cuff tube may only be removed from the unit by pulling on the
corresponding connector plug. Never pull on the tube itself!
■ Do not expose the device to extreme temperatures, humidity, dust, lint or
direct sunlight because this may cause it to malfunction.
■ Keep the packaging, batteries and device out of the reach of children.

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■ Protect the device and cuff against contact with pets and pests in order to
avoid damage.
■ Please comply with the storage and operating conditions defined in
Chapter 13 ‘Technical data’. Storage or use outside the specified temperature
and humidity range can affect the accuracy of the measurement or the
function of the device.
■ If the device has been stored under the minimum / maximum permissible
storage conditions, a waiting period of at least 2 hours must be observed
before using it under the specified operating conditions (Chapter 13) or an
ambient temperature of 20°C.
■ Do not use the device in explosive environments with inflammable gases or
concentrated oxygen.
■ Do not use the device near strong electromagnetic fields and keep away from
radio equipment or mobile phones. Portable and mobile high-frequency and
communication devices, such as telephones and mobile phones, can impair
the functionality of this electronic medical device.
Instructions for the measurement function check
Every Veroval®device has been carefully tested by HARTMANN for measurement
accuracy and has been developed with a view to a long service life. We
recommend carrying out a metrological check every 2 years for devices in
professional use, for example, in pharmacies, medical practices or hospitals.
Please also observe the national regulations specified by the legislator.
Metrological checks should only be carried out by the competent authorities or
authorised maintenance providers at the user‘s expense.
Instructions for calibration mode
A functional check of the monitor can be carried out on people or using a
suitable simulator. A metrological check involves testing for leaks in the pressure
system and possible deviations in the pressure reading. Remove at least one
battery to switch to calibration mode. Now hold the START/STOP button down
and re-insert the battery. Hold down the button for a few seconds until the
display shows a flashing ‘ ’. Then release the key and two zeros ‘ ’ on top of
one another appear on the display. Instructions on the metrological check will be
supplied by HARTMANN upon request to the competent authorities or authorised
maintenance providers.
Disposal information
■ To protect the environment, empty batteries must not be disposed of in
household waste. Please comply with the relevant waste disposal regulations
or use public collection points.
■ This product is subject to the European Directive 2012/19/EU on Used
Electrical and Electronic Equipment and is marked accordingly. Never
dispose of electronic equipment in your household waste. Please
obtain information about your local regulations on the proper disposal
of electrical and electronic products. Proper disposal protects the
environment and human health.
3. Blood pressure information
To determine your blood pressure you need to measure two values:
■ SYS – The systolic (upper) blood pressure: it is generated when the heart
contracts and the blood is pumped into the blood vessels.
■ DIA – The diastolic (lower) blood pressure: this is the pressure when the heart
is relaxed and is filling with blood again.
■ Blood pressure values are displayed in mmHg.
To better evaluate the results, there is a colour trac light system on the left side
of the Veroval®duo control that directly describes the results to enable easier
categorisation of the measured value. The World Health Organisation (WHO)
and the International Society of Hypertension (ISH) have developed the following
summary for classifying blood pressure values:
Results
indicator
Evaluation Systolic
pressure
Diastolic
pressure
Recommendation
red Grade 3
hypertension
above
179 mmHg
above 109 mHg Consult a doctor
orange Grade 2
hypertension
160–179 mmHg 100–109 mmHg
yellow Grade 1
hypertension
140–159 mmHg 90–99 mmHg Regular
examinations
by a doctor
green Normal limit
values
130–139 mmHg 85–89 mmHg
green Normal 120–129 mmHg 80–84 mmHg Self-assessment
green Optimal up to 119 mmHg up to 79 mmHg
Source: WHO, 1999 (World Health Organization)

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■ Established hypertension (high blood pressure) is defined as having a systolic
value of at least 140 mmHg and/or a diastolic value of at least 90 mmHg.
■ Generally, blood pressure is described as being too low (hypotension) when
the blood pressure value is less than 105 mmHg (systolic) and 60 mmHg
(diastolic). However, the threshold between normal and low blood pressure
(hypotension) is not as accurately specified as the threshold for high blood
pressure (hypertension). Hypotension may be indicated by symptoms such as
dizziness, tiredness, tendency to faint, visual disorders or high pulse. In order
to ensure that hypotension or the associated symptoms are not signs of a
serious illness, a doctor should be consulted in case of doubt.
Constantly elevated blood pressure significantly increases the risk of
developing other diseases. Physical consequences such as heart attack,
stroke and organ damage are some of the most common causes of
death worldwide. Daily blood pressure monitoring is therefore an
important method that can help to protect you from these risks. If
your blood pressure values are frequently elevated or borderline (see
the table above), you should discuss this with your doctor. (Using the
Veroval®medi.connect software, you can easily share your values
with your doctor by email or by printing them out – see Chapter 7
‘Transferring measured values to Veroval®medi.connect). Your doctor
can then take appropriate action.
4. Preparing the measurement
Inserting/changing batteries
■ Open the battery cover on the bottom of the monitor
(see Fig. 1). Insert the batteries (see Chapter 13
‘Technical data’). Ensure correct polarity (‘+’ and
‘–’) when inserting batteries. Close the battery lid.
The monitor switches automatically to the date/time
function, and when used for the first time the display
shows the number "" for the day and " " for the
month. The date set is thus the 31st December. Set date
and time as described below.
■ If the 'change battery' symbol is permanently displayed, blood pressure
can no longer be measured and you must replace all the batteries.
Fig.1
Setting the date and time
Be sure to set the date and time correctly. This is the only way to save your
measured values correctly with the date and time for subsequent retrieval.
This is also important for correctly using all the memory and analysis
functions.
■ To enter the settings mode, insert the batteries again or hold down the START/
STOP button for 5 seconds. Proceed as follows:
Date:
TIME
TIME
DATE
DATE
DATE
The number on the left (date indicator) in the display
flashes. Press the (+) or (–) keys to change the day
displayed. For example, press (–) twice to set the date to
the 29th December. Store the current day by pressing the
START/STOP button .
TIME
TIME
DATE
DATE
DATE
Now the number on the right flashes, which displays
the month. You can also set the month by pressing the
keys (+) or (-) and saving with the START/STOP button .
TIME
TIME
DATE
DATE
DATE Now the year 2018 is displayed. You can also change the
year displayed as described and confirm the changes with the
START/STOP button .
Time:
TIME
TIME
DATE
DATE
DATE
Then you may set the time. The left number on the display
which shows 12:00, flashes. When the required hour is set, you
can save this using the START/STOP button .
TIME
TIME
DATE
DATE
DATE
Now the right number flashes. You can now change the
display of the minutes and confirm the change with the
START/STOP button .
The measured values will remain in memory when the batteries are
changed. The date settings will also not be lost but the time settings
must be reset.

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5. Measuring your blood pressure
5.1 The 10 golden rules for blood pressure measurement
Many factors play a role in blood pressure measurement. These ten general rules
help you to correctly carry out the measurement.
1. Rest for about 5 minutes before taking a measurement.
Even desk work increases the blood pressure on average by
about 6 mmHg systolic and 5 mmHg diastolic.
2. Do not ingest any nicotine or coffee up to one hour before
the measurement.
3. Do not measure your blood pressure if you urgently need to
urinate. A full bladder can lead to an increase in the blood
pressure of about 10 mmHg.
4. Measure your blood pressure on a completely bare upper
arm and in a comfortable upright seated position. The
blood circulation must not be constricted by a rolled up
sleeve, for example.
5. If a wrist monitor is used, hold the cuff at heart height
during the measurement. The cuff of an upper arm monitor is
naturally positioned at the correct height.
6. Please do not talk or move during the measuring procedure.
Talking increases the values by about 6–7 mmHg.
1 min
7. Wait at least one minute between two measurements, so
that the vessels are relieved from pressure in preparation for
a new measurement.
8. Document all measurements with the date, time and
medications taken, conveniently and simply with Veroval®
medi.connect.
9. Take measurements regularly. Even if your values have
improved, you should continue to check them for
monitoring purposes.
10. Always take measurements at the same time of day.
Because a person has about 100,000 different blood
pressure values over the course of a day, single
measurements are not meaningful. Only regular
measurements taken at the same time each day over a
longer period of time give a meaningful assessment of
blood pressure values.
5.2 Applying the cuff
■ Before applying the cuff, insert the cuff plug into the connector socket on the
left side of the monitor.
■ Do not mechanically constrict, compress or bend the cuff tube.
■ The blood pressure must be measured on a bare upper arm. If the cuff is
completely open, thread the end of the cuff through the metal ring to form
a loop. The hook-and-loop fastener must face outwards. Hold the cuff by the
grip tab A (see Fig. 1) and pull it over your upper arm.
Fig.1
AB
Fig. 2

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■ The opening B (see Fig. 2) on the cuff, opposite the grip tab, should lie in the
inner elbow. The tube should lie in the middle of the inner elbow and point
towards the hand.
■ Now bend your arm slightly, grasp the free end of the cuff, wrap it firmly
round your arm and close the hook-and-loop fastener.
The cuff should fit securely but not too tightly. You should be able to insert
two fingers between the arm and the cuff. Make sure the tube is not bent
or damaged.
Important: It is essential that the cuff is correctly fitted to obtain correct
measurement results. The marking on the edge of the cuff helps you to
choose the correct cuff size. The white arrow must point to an area within
the sizing scale. If it is outside the scale, it is not possible to guarantee a
correct measurement and a different cuff size is required (see Chapter 10
‘Accessories’).
This innovative Veroval®device with Comfort Air Technology provides
for comfortable measurement. The inflation pressure is determined
independently for each measurement and depends on the corresponding
systolic blood pressure value.
5.3 Carrying out the measurement
■ You should take your blood pressure in a quiet place, in a relaxed and
comfortable seated position.
■ Measurement can be taken on the right or left arm. We recommend
performing the measurement on the left upper arm. Over the long term, the
arm giving higher readings should be used for blood pressure monitoring.
However, if there is a very clear difference between readings on either
arm, you need to check with your doctor which arm you should use for the
measurement.
■ Always measure on the same arm and place your forearm in a relaxed position
on a support.
■ We recommend that you measure your blood pressure while sitting with your
back supported by the back of the chair. Place both feet flat on the floor next
to each other. Do not cross your legs. Relax your forearm and hand with your
palm facing upwards on a support and make sure the cuff is on the same level
as your heart.
■ Do not take your blood pressure after taking a bath or playing sport.
■ Do not eat, drink or exercise for at least 30 minutes prior to measurement.
■ Please wait for at least one minute between two measurements.
5.4 Starting the measurement
■ Start a measurement only after applying the cuff because the cuff may
otherwise be damaged by the excess pressure that is created. Press the
START/STOP button . The appearance of all display segments followed by
the time and date indicates that the monitor is carrying out its self-test
and is ready for use.
■ Check the display segments for completion.
■ After about 3 seconds the cuff inflates automatically. If this inflation pressure
is insucient or if interference is experienced during measurement, the
device will increase pressure to the appropriate higher value in increments
of 30 mmHg. During inflation, the results indicator on the left of the display
also increases at the same time. (If no pulse is detected, the device inflates to
a maximum of about 180 mmHg.)
If a higher inflation pressure is required in principle, you can bypass
the re-pumping by holding down the blue START/STOP button again
after the inflation process has started until the desired cuff pressure
is reached. This should be about 30 mmHg above the systolic (upper)
value.

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■ If the cuff has been applied firmly enough on the arm, the cuff symbol
appears on the display. If the cuff symbol does not appear on the display, the
cuff is not applied tightly enough and the error message ‘ ’ may also
appear on the display after a few seconds. Follow the instructions above as
described in 5.2 for applying the cuff as well as the information in Chapter 8
‘Explanation of error messages’ and repeat the measurement.
Important: please do not speak or move during the measurement.
■ Three short beeps indicate that the necessary inflation pressure has been
reached and that measurement is starting.
■ As the air pressure in the cuff decreases, the heart symbol flashes and the
dropping cuff pressure is displayed.
You can track the measurement progress using the progress bar. This
increases during the inflation phase and decreases in the measuring
phase. During the measuring phase, you will also see the symbols for
the two Duo Sensor Technology measuring methods. These indicate
that the sensors are functioning correctly. In addition, the heart symbol
shows your pulse, which is also measured.
■ A long beep indicates the end of measurement. After the measurement is
complete, the systolic and diastolic blood pressure as well as the pulse rate
(see Fig.) are shown on the display at the same time.
■ The symbol only appears on the display if the Veroval duo control device
does not detect any notable body movement during the measurement, e.g.,
movement of the hand, arm or upper body. If the rest indicator symbol does
not appear, the measurements may have been affected by body movement.
Therefore, please follow the 10 golden rules (see Chapter 5.1) and repeat the
measurement.
■ The full display of ‘Measurement OK’ symbol only appears on the
display if the cuff is applied firmly enough and no notable body movement
was detected by the device during the measurement.
■ If the or symbols appear on the display, the ambient temperature during
the measurement was too high or too low, which can lead to abnormal blood
pressure values. In these cases, please note the 10 golden rules (see Chapter
5.1) and repeat the measurement under optimal temperature conditions.
■ In addition to the measured values, the time, the date, the associated
user memory or and the corresponding memory number
(e.g. [M] 05) are shown. The measured value is automatically assigned to the
displayed user memory. As long as the measurement is displayed, you can
allocate the values to the corresponding user memory by pressing the or
keys. If you do not assign them, the measured value is automatically stored in
the displayed user memory.
■ Using the results indicator on the left of the display, you can classify your
measurement (see the table in Chapter 3 ‘Blood pressure information’).
■ To switch the device off, press the START/STOP button ; otherwise, the
device will automatically switch off after 3 minutes.
■ The measurement will not be saved if the power supply is interrupted before
the device is switched off.
If you wish to stop the measurement for any reason, simply press the
START/STOP button . The cuff inflation or measurement is interrupted
and the pressure is automatically released.
■ If this symbol is shown at the bottom of the display, the unit has detected
an irregular heartbeat or arrhythmia. However, the measurement may also
have been disrupted by body movement or speaking. It is best to repeat the
measurement. If you see this symbol regularly when measuring your blood
pressure, we recommend that your doctor checks your heart rhythm.

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Operating in guest mode
If the Veroval®duo control is used by a third person, it is recommended to use
the guest mode. This mode ensures that a measured value is not saved to either
of the two memory positions or to .
This avoids distortion of the series of measurements and the average values of
the two main users of the device.
To take measurements in the guest mode,
start the measuring procedure by simulta-
neously pressing both memory keys and .
Do not press the START/STOP button .
During and after the end of the measurement,
the two symbols and appear on the
display at the same time next to the
measurements. The measured value can thus
not be assigned to either person and the
measured values will not be saved.
The device is also switched off in guest mode by pressing the START/STOP
button . Otherwise the device will switch itself off automatically after
3 minutes.
6. Memory function
User memory
■ Veroval®duo control stores up to 100 measurements for each user memory.
The most recent measurement is always saved together with the date and time
in memory slot no. 1 and all older saved values are moved up by one memory
slot. Once all memory slots are occupied, the oldest value is deleted.
■ The device has two memory keys and that are used to record the
measurements for two different users. represents the measured values for
the first user, represents the measured values for the second user. When
a beep indicates the end of measurement, you may press or to assign
the measured value to the respective person. This assignment can be made
as long as the values are displayed. If you do not assign them, the measured
value is automatically stored in the displayed measurement memory.
■ The time of the measurement is also saved along with the blood pressure
values to enable the morning and evening averages to be determined. The
time saved in the device must therefore correspond to the actual time (see
Chapter 4 ‘Setting the date and time’).
The Veroval®duo control features the following measurement data storage
functions (corresponding to the ESH - European Society of Hypertension -
guidelines)
• Individual measurement memory
• Average value of all measured blood pressure values per user
• Average value of the morning values
• Average value of the evening values
Veroval®duo control follows the recommendations of the European
Society of Hypertension (ESH) and differentiates between measurements
taken in the morning and those taken in the evening. This distinction is
medically relevant because blood pressure changes over the course of
the day. With this information, your doctor is more likely to identify the
right treatment option for you if you should need medicinal treatment
for high blood pressure.
■ The memory recall is activated by pressing the or key with the device
switched off. For values saved in the first user memory, press the key, for
the second user press the memory key.
Average values
■ After selecting the particular user memory, the
corresponding or symbol and an ‘ ’ appear on the
display. The average value of all the saved data for the
corresponding user memory is displayed.
■ By pressing the key (or the key if you are in
user memory 2), the average values for all morning
measurements ‘ ’ (00:00 to 11:59) for the last 7 days
(including the current day) are shown.
■ By pressing the key (or the key if you are in user
memory 2) again, the average values for all evening
measurements ‘ ’ (12:00 to 23:59) for the last 7 days
(including the current day) are shown.

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If there is no morning or evening value for the last 7 days
in memory, dashes are shown on the display instead of
displaying the morning or evening average values. If no
values are stored at all in the memory, then dashes are
also displayed instead of overall average display values.
Individual measured values
■ By pressing the key (or the key if you are in user
memory 2) again, all saved values can be retrieved
one after the other, starting with the most recent
measurement.
■ If an irregular heatbeat or arrhythmia was detected during measurement,
that information is also stored and displayed when the measured value
is retrieved from the monitor's memory along with the systolic and diastolic
blood pressure readings, pulse rate, time and date.
■ The symbols , or (see Chapter 5.4) are also saved together
with the individual measurement if they were also displayed during the
measurement.
■ You can cancel the memory recall at any time by pressing the START/STOP
key . Otherwise, the device will switch off automatically after 30 seconds.
■ The saved values are still available even after the power supply is
interrupted, e.g. due to changing the batteries.
Deleting saved readings
All data saved for each user can be separately deleted for
user memory and user memory . Press the key for the
corresponding user memory ( or ). The average value ‘ ’
appears on the display. Now hold the user memory key for 4
seconds until the display starts to flash, apart from the symbols
and or . If you hold the memory key down for another 4
seconds, all data for the selected user memory will be deleted.
Dashes are shown instead of numerical values on the display.
The saved values can also be deleted with ‘ ’ or ‘ ’ on the display as
described above. Again, all data for the selected user memory will be deleted.
Deleting individual values
If you would like to delete individual values, retrieve the relevant value and press
the corresponding memory key ( or ) for 4 seconds to make the display flash.
After pressing the key for another 4 seconds, the particular individual value is
deleted.
If you release the memory key prematurely, no data will be deleted.
When you delete an individual value, the next oldest measured value
shifts to the memory position of the deleted measured value. When a
measured value is deleted, the respective average values concerned are
also recalculated.
7. Transferring measured values to Veroval®
medi.connect
■ Download the Veroval®medi.connect software from the website
www.veroval.info. Any PC with a Windows 7, 8 or 10 operating system is
suitable provided it has ocial Microsoft support.
■ Make sure that the blood pressure measuring device is only connected
to a PC that complies with the relevant international safety standards
(e.g. IEC 60950-1).
■ Start the program and connect the Veroval®duo control to your PC using the
included USB cable. Then follow the instructions in the Veroval®medi.connect
software.
During a measurement, no data transfer should be started. If the USB
plug is inserted during a measurement or even while the measurements
are displayed, this result is not saved. If the USB plug is inserted during
any display or activity of the blood pressure monitor, it immediately
terminates.

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■ Two short beeps indicate that the USB is connected. ‘ ’ is shown on the
display of the blood pressure monitor while the Veroval®duo control is
connected to the PC by the USB cable.
■ Start the data transfer using the ‘medi.connect’ software.
■ If the data transfer was not successful, you will be informed of this by the
Veroval®medi.connect software. In that case, remove the connection to the
PC and start the data transfer again.
■ The automatic switch-off function of the blood pressure monitor is deactivated
while the monitor is connected to the PC by USB. To protect the battery life
the USB cable should therefore not remain inserted.
■ A longer beep indicates that the USB is disconnected from the device. The
blood pressure monitor then switches itself off automatically.
8. Explanation of error messages
Error Possible causes Remedy
Monitor cannot be
switched on
Batteries are missing,
incorrectly inserted or low/
empty.
Check batteries and insert
four identical new batteries if
necessary.
Power supply unit not correctly
connected or faulty.
Make sure the power supply is
connected to the socket on the
back of the device.
Cuff will not inflate Cuff connector plug is
incorrectly positioned in the
socket of the monitor.
Check connection between cuff
plug and connection socket.
Wrong cuff type connected. Check that only the approved
Veroval®duo control cuff and
the corresponding connector
were used.
The measuring signals could
not be detected correctly or
at all.
Too few pulse beats or pulse
too weak.
Unusual measurement time or
result.
General measurement error.
Check whether the cuff has
been applied correctly. Do
not talk or move during the
measuring procedure.
Cuff does not inflate or does
not inflate fast enough.
The cuff was applied too firmly
or too loosely.
Unusual function of the
pressure sensor.
Apply the cuff so that two
fingers fit between the cuff and
the upper arm.
Air tube is not correctly
connected to the monitor.
Check that the connector plug
is correctly positioned. If this
error occurs frequently, you
should use a new cuff.

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Error Possible causes Remedy
Air is released too fast or too
slow during the measuring
procedure.
The cuff could have become
detached or loosened.
Movement during the
measuring procedure could also
be the reason.
Error during air release or
unusual pressure reduction.
Check whether the cuff has
been positioned correctly.
Do not move during the
measurement.
Air tube is not correctly inserted
into the device or is kinked.
Check that the connector is
correctly fitted and for kinks in
the air tube.
The inflation pressure is higher
than 300 mmHg.
The pressure is released
automatically.
Repeat the measurement after
at least 1 minute of rest.
If the battery symbol is
flashing, the batteries are
almost empty. Only a few more
measurements are possible.
Have new batteries of the same
type ready (AA/LR06).
If the battery symbol is
permanently displayed, the
batteries are empty and have to
be replaced.
Insert new batteries of the
same type (AA/LR06). Then
check the date/time and, if
necessary, reset them (see
Chapter 4).
Implausible
measured values
Implausible measured
values often occur due to
inappropriate handling of
the device or if there are
mistakes during the measuring
procedure.
Please note the 10 golden
rules for blood pressure
measurement (see Chapter 5.1)
as well as all the important
instructions in Chapter 2.
Then repeat the measurement.
If implausible values still occur:
please contact your doctor!
■ Switch the monitor off if an error message appears.
■ Check for all possible causes and follow the 10 golden rules (Chapter 5.1)
as well as the instructions for self-measurement from Chapter 2 ‘Important
information’.
■ Relax for 1 minute and then repeat the measurement.
9. Device care
■ Only ever use a soft, damp cloth to clean the monitor. Please do not use
thinners, alcohol, cleaning agents or solvents.
■ The cuff can be cleaned carefully using a slightly damp cloth and mild soap
solution. Do not completely immerse the cuff in water.
■ It is recommended to clean and disinfect the cuff regularly or after each use,
especially when used by several users, to prevent infection. The cuff should
be disinfected, particularly on the inside, by wiping with a disinfectant. Use a
disinfectant that is compatible with the cuff materials.
■ To protect from external influences, you can store the device and the cuff
together with these instructions in the storage bag.
10. Accessories
■ To ensure measuring accuracy, only use original HARTMANN accessories
which may be obtained from your pharmacist or specialist medical supplier.
■ Accurate measured results cannot be guaranteed outside the upper-arm
circumference ranges specified here.
Standard cuff, medium, for upper arm circumference of 22–32 cm
Art. no. 925 531
Standard cuff, large, for upper arm circumference of 32–42 cm
Art. no. 925 532
Preformed cuff, medium, for upper arm circumference of 22–32 cm
Art. no. 925 533
■ Mains power operation: on the rear of the device there is a socket for the
mains operation adapter (output 6 V DC/600 mA). Please only use the
Veroval®power supply unit (model no. 925 391). Otherwise, the function and
measuring accuracy of the monitor cannot be ensured.

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11. Warranty conditions
■ We offer a 5-year warranty for this premium quality blood pressure monitor
from the purchase date and in accordance with the conditions listed below.
■ Claims must be made during the warranty period. The purchase date must be
documented by an appropriately completed and stamped warranty certificate
or proof of purchase.
■ Within the warranty period, HARTMANN will replace or repair free of charge
any faulty device components caused by material faults or manufacturing
errors. This does not extend the warranty period.
■ The device is intended for the purpose described in these operating
instructions only.
■ The warranty does not cover damage resulting from improper use or
unauthorised interference. Accessory parts that are subject to wear and tear
(batteries, cuffs, mains adapter cables, etc.) are excluded from the warranty.
Claims for compensation are limited to the value of the merchandise;
compensation for consequential damage or injury is expressly excluded.
■ In warranty cases, please send the monitor with cuff and, if applicable, the
power supply unit, together with the fully completed and stamped warranty
certificate or purchase receipt directly or via your dealer to the Customer
Services department for your country.
12. Contact details for customer queries
ZA - HARTMANN South Africa
Epsom Avenue, Northriding,
2169 Johannesburg
www.veroval.info
Tel. [phone]
[email protected]
If necessary, please contact us at the above address if you have any questions
regarding the initial startup, use, maintenance of the device or to report an
unexpected operation or incident.
Date of revision of the text:
13. Technical data
Product description: Automatic upper arm blood pressure monitor
Model: Veroval®duo control
Type: DC3-18
Measuring method: Korotkoff and Oscillometric
Display range: 0–300 mmHg
Measuring range: Systole (SYS): 50–250 mmHg
Diastole (DIA): 40–180 mmHg
Pulse: 30–199 beats/minute
Display unit: 1mmHg
Technical measurement
accuracy:
Cuff pressure: ± 3 mmHg
Pulse: ± 5% of the displayed pulse rate
Clinical measuring
accuracy:
corresponds to the requirements of DIN EN 1060-4
and DIN EN ISO 81060-2; Korotkoff validation
method: Phase I (SYS), Phase V (DIA)
Operating mode: Continuous operation
Nominal voltage: DC 6V
Power supply: 4× 1.5V alkaline manganese Mignon (AA/LR06)
batteries or the optional Veroval®power supply
unit
Battery capacity: approx. 950 measurements
Protection against electric
shock:
Internally powered medical electrical (ME)
equipment (only when batteries are used). Applied
part: Type BF
= Class II ME device (when using the Veroval®
power supply unit)
Protection against
harmful ingress of water
or solid materials:
IP20 (not protected against moisture, protected
against solid objects ≥12.5 mm)
Inflation pressure: min. 140 mmHg
Comfort Air Technology: individual inflation pressure depends on systolic
blood pressure +30 mmHg

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Automatic switch-off
function:
3 minutes after the end of the measurement or
after setting the date/time; otherwise 30 seconds
(device does not automatically switch off with a USB
connection)
Cuff: Veroval
®
duo control cuff for upper arm, for the
following arm circumferences:
Medium draw-clamp cuff 22– 32 cm,
Large draw-clamp cuff 32– 42 cm,
Medium preformed cuff 22– 32 cm (optional)
Pressure release valve: electronically controlled linear valve
Memory capacity: 2×100 measurements with average of all
measurements and morning/evening average for
the last 7 days
Operating conditions: Ambient temperature: +10°C to +40°C
Relative humidity: 15-85%, non-condensing
Air pressure: 700 hPa-1060 hPa
Storage / transport
conditions:
Ambient temperature: -20°C to +50°C
Relative humidity: 15-85%, non-condensing
Serial number (SN): inside the battery compartment
Service life (operating
time):
5 years
Computer interface to
the PC:
The USB cable and the Veroval®medi.connect
software enables the measured value memory to be
read and a graphical representation of measured
values to be displayed on a personal computer (PC).
Reference to standards: DIN EN IEC 60601-1; DIN EN IEC 60601-1-2
14. Power supply
Model no.: LXCP12-006060BEH
Input: 100–240 V~, 50 –60 Hz, 0.5Amax
Output: 6 V DC, 600 mA, only in conjunction with the
Veroval®duo control blood pressure monitor
Manufacturer: Globalcare Medical Technology Co., Ltd.
Protection: The device is double-insulated and has a primary
fuse that disconnects the device from the mains in
the event of a fault. Make sure you have removed
the batteries from the battery compartment before
connecting the power supply unit.
Polarity of the DC voltage connection
Protective insulation/protection class 2
Housing and protective
covers:
The power supply unit housing protects against
touching parts that can carry a current (fingers,
needles, test hooks). The user must not touch the
patient and the outlet plug of the AC/DC power
supply unit at the same time.
Legal requirements and guidelines
■ The Veroval®duo control blood pressure monitor conforms to the European
regulations that are subject to the Medical Device Directive 93/42/EEC and
also bears the CE mark.
■ The device also complies with the requirements of European standard
EN 1060: Non-invasive sphygmomanometers – Part 1: General requirements
and Part 3 – Supplementary requirements for electro-mechanical blood
pressure measuring systems; as well as standard EN 80601-2-30.
■ Clinical testing of the measuring accuracy was carried out in accordance with
EN 1060-4 and EN 81060-2. The requirements of ANSI/AAMI test protocol
SP10-1992 are also met.
■ Beyond the legal requirements, the device has been clinically validated in
accordance with the ESH-IP2 protocol of the European Society of Hypertension
(ESH), the protocol of British Hypertension Society (BHS) and the protocol of
the Deutsche Hochdruckliga (DHL).

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Electromagnetic compatibility
Table 1
For all MEDICAL-ELECTRICAL (ME) DEVICES and ME SYSTEMS
Guidance and Manufacturer’s Declaration – Electromagnetic emissions
The Veroval®duo control blood pressure monitor is intended for use in one of the electro-
magnetic environments specified below. The customer or user of the Veroval®duo control
blood pressure monitor should assure that it is used in such an environment.
Emissions measure-
ments
Compliance Electromagnetic environment – guidance
RF emissions CISPR 11 Group 1 The Veroval®duo control blood pressure
monitor uses RF energy only for its internal
function. Therefore, its RF emissions are very
low and are not likely to cause any interference
in nearby electronic equipment.
RF emissions CISPR 11 Class B The Veroval®duo control blood pressure
monitor is suitable for use in all establishments,
including domestic establishments and those
directly connected to the public low-voltage
network that supplies buildings used for
domestic purposes.
Harmonic emissions
IEC 61000-3-2
Class A
Voltage fluctuations/
flicker emissions:
IEC 61000-3-3
complies
Table 2
For all MEDICAL-ELECTRICAL (ME) DEVICES and ME SYSTEMS
Manufacturer declaration and guidance – Electromagnetic immunity
The Veroval®duo control blood pressure monitor is intended for use in one of the
electromagnetic environments specified below. The customer or user of the Veroval®duo
control blood pressure monitor should assure that it is used in such an environment.
Electromagnetic in-
terference immunity
tests
IEC 60601 test
level
Compliance level Electromagnetic environment
– guidance
Electrostatic
discharge (ESD) as
per IEC 61000-4-2
± 6 kV contact
discharge
± 8 kV air
discharge
± 6 kV contact
discharge
± 8 kV air discharge
Floors should be wood,
concrete or ceramic tile.
If floors are covered with
synthetic material, the relative
humidity should be at least
30%.
Electromagnetic in-
terference immunity
tests
IEC 60601 test
level
Compliance level Electromagnetic environment
– guidance
Magnetic field at
supply frequency
(50 Hz) as per
IEC 61000-4-8
3 A/m 3 A/m Power frequency magnetic
fields should be at levels
characteristic of those found
in a typical commercial or
hospital environment.
Table 3
For NON-LIFE-SUPPORT MEDICAL-ELECTRICAL (ME) DEVICES and ME
SYSTEMS
Manufacturer declaration and guidance – Electromagnetic immunity
The Veroval®duo control blood pressure monitor is intended for use in one of the
electromagnetic environments specified below. The customer or user of the Veroval®duo
control blood pressure monitor should assure that it is used in such an environment.
Electromagnetic
interference immunity
tests
IEC 60601 test level Compliance
level
Electromagnetic environment
– guidance
Portable and mobile RF
communications equipment
should be used no closer
to any part of the Veroval®
duo control blood pressure
monitor, including its cables,
than the recommended
separation distance calculated
from the equation applicable
to the frequency of the
transmitter. Recommended
separation distance:
conducted RF
disturbances as per
IEC 61000-4-6
3 Vrms
150 kHz to 80 MHz
3 V
radiated RF interference
in accordance with
IEC 61000-4-3
3 V/m
80 MHz to
2.5 GHz
3 V/m
80 MHz to 800 MHz
800 MHz to 2.5 GHz

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Electromagnetic
interference immunity
tests
IEC 60601 test level Compliance
level
Electromagnetic environment
– guidance
P is hereby the maximum
output power of the
transmitter in watts (W)
according to the transmitter
manufacturer and d is the
recommended separation
distance in metres (m). The
field strength of stationary
radio transmitters should be
lower than the compliance
level at all frequencies by
on-siteainvestigation.b
Interference is possible in the
vicinity of devices that carry
the following symbol:
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast
cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due
to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured
field strength, in the location in which the Veroval®duo control blood pressure monitor is used,
exceeds the applicable RF compliance level above, the Veroval®duo control blood pressure
monitor should be observed to verify normal operation. If abnormal performance is observed,
additional measures may be necessary, such as reorienting or relocating the Veroval®duo control
blood pressure monitor.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Table 4
For NON-LIFE-SUPPORT MEDICAL-ELECTRICAL (ME) DEVICES
and ME SYSTEMS
Recommended separation distances between portable and mobile RF
communications equipment and the Veroval®duo control blood pressure
monitor
The Veroval®duo control blood pressure monitor is intended for use in one of the
electromagnetic environments specified below in which radiated RF disturbances are
controlled. The customer or user of the Veroval®duo control blood pressure monitor can
help prevent electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the Veroval®duo
control blood pressure monitor, as recommended below, according to the maximum
output power of the communications equipment.
Rated maximum output
power of transmitter W
Separation distance (m) according to transmitter frequency
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
0.01 0.12 0.12 0.23
0.1 0.37 0.37 0.74
1 1.2 1.2 2.3
10 3.7 3.7 7.4
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in metres (m) can be determined using the equation in the
relevant column, whereby P is the maximum nominal power of the transmitter in watts
(W) according to the transmitter manufacturer’s specifications.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.
Subject to change without prior notice