Health & Life HL858CC User manual

1
Instruction Manual
Automatic
Upper ArmBlood Pressure Monitor
Model No. HL858CC
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2
Table of Contents
Medical Disclaimer……………………………………………………………………………03
Intended Use………………………………………………………………………………..…03
About Blood Pressure………………………………………………………………………04
Measurement Method…………....……………………………………………………06
Accuracy……………………….…………………………………………………………………06
Precautions………………….…………………………………………………….…………….. 07
Device Overview……………………………………………………………………………….09
Symbol Definitions………………………………………………………………………….12
Features………………………………………………………………………………………….13
InstallingBatteries………………………………………………………………………….18
Using the AC Adapter………………………………………………………………………19
Applying the Cuff…………………………………………………………………………….20
Measurement Procedure………….…………………………………………………….21
Bluetooth Transmission………………………………………………………………………28
Memory Function…………………………………………………………………………….30
Storage and Maintenance……………………………………………………………….33
Troubleshooting……………………………………………………………………………….34
Warranty & Recalibration……………….……………………………………………….35
Specifications………………………………………………………………………………….36
Note………………………………………………………………………………………….…….38
Appendix…………………………………………………………………………………….…….40
Blood Pressure Diary……………….……………………………………………….…….42
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3
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
HL858CC automatically measures human’s Systolic, Diastolic blood
pressure and heart rate by using the oscillometric method during
inflation. All values can be read out in one LCD panel. Measurement
position is at human being’s upper arm. The intended use of this
over-the-counter device is for adults aged 18 years and older with arm
circumference ranging from 9 inches to 17 inches (approx.23 cm to 43
cm) and for home use.
HL858CC detects the appearance of irregular heartbeats during
measurement; an indicated symbol will appear with measuring
reading. And the Risk Category Indicator will show the information
with the readings on the screen for the user tracking their blood
pressure level.And the device features a built-in "Bluetooth Data
Transmission" function, which enables the device automatically
transmit measuring results to paired Bluetooth device(e.g. smart
phone).
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4
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 fluctuating 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 influence 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 anevent 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 specific time
of day. This is why medical physician 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 physicians generally recommend the “Rule of 3”, where you
are encouraged to take your blood pressure three times in a row (at
3 ~ 5 minute 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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6
Measurement Method
HL858CC Automatic Upper Arm Blood Pressure Monitor measures
blood pressure and heart rate by oscillometric method, meaning the
fluctuations in pressureare measured. Once the cuff is wrapped
around your upper arm, just turn on the monitor and inflation
automatically starts.The inflation of the cuff creates pressure around
the arteriesinside upper arm.
Within the cuff is a gauge which senses thefluctuations (oscillations) in
pressure. The fluctuation measured represents the degree of intensity
that your arteries contracting with each heart beat,andalso aresult of
the pressure that the cuff has placed on the upper arm. The
monitormeasures these contractions and converts the informationto a
digital value. This is the result displayed on the monitorscreen.
Once the measurement is complete, the cuff will automaticallydeflate.
Accuracy
HL858CC Automatic Upper Arm Blood Pressure Monitor has been
clinically tested against a scientificdevice called
mercurysphygmomanometer, considered thegold standard in blood
pressure measurement.
All HL858CCAutomatic Upper Arm Blood Pressure Monitors have
performed equivalent to measurements takenwith this scientific
device and are within the accuracy limitsprescribed by the American
National Standard for Electronicor Automated Sphygmomanometers.
The SPHYGMOMANOMETER was clinically investigated according to
the requirements of ISO 81060-2:2013.
*We suggest our users have their blood pressure monitor
checked every 2 years. This operation should only be
performed by Manufacturer or by authorized representatives.
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7
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 healthcare 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.
* This monitor is not intended for use in the MR environment.
Do not take a measurement in a low (less than 41℉/5 )℃and high
(more than 104 /40 )℉℃temperature, nor in a place outside
humidity ranges (15 % ~ 93 % R.H.), and altitude 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.
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 arm (preferably the left arm)
and measuring around the same time each day.
Sit down comfortably and place your elbow on the table with your
feet flat on the floor, and back supported.Please do not cross your
legs during measurements.
Keep thecuffat 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 quiet and do not talk during measurements.
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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8
Precautions
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.
Keep in mind that blood pressure naturally varies from time to time
throughout 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.
Blood pressure measurements determined with this device are
equivalent to those obtained by a trained observer using the
cuff/stethoscope auscultation method and are within the accuracy
limits prescribed by the American National Standard for Manual,
electronic, or Automated Sphygmomanometers.
*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 fields, e.g. mobile phones,
microwave ovens, etc; or it may lead to temporary reading error or inaccuracy.
3. To avoid accidental strangulation, keep thisproduct away from children and do
not drapetube around neck.
4. Consider the electromagnetic compatibility of the device (ex. power
disturbance, radio frequency interference etc.) Please use it indoor only.
5. Over high frequency measurements may result in blood flow interference,
which is likely to cause uncomfortable sensations, such as partial subcutaneous
hemorrhage, or temporary numbness to your arm. In general, these symptoms
should not last long. However, if you do not recover in time, please seek your
medical physicians for help.
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9
Device Overview
Part names and product components
AA(LR6)
(1.5V)
ALKALINE BATTERY X 4
START / STOP
BUTTON
MEMORY BUTTON
ARM CUFF WITH TUBE
USER-SELECT
BUTTON
RIGHT BUTTON
LEFT BUTTON
LCD Display
Battery Cover
(located on bottom of Unit)
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10
Device Overview
*Caution
!
Substitution of a component different from that supplied might result in measurement error.
5.99V 2A AC Adapter
DC JACK
TRIPLE-CHECK(MUL
TI-READ)FUNCTION
SWITCH
REST ASSURE
MODE SWITCH
AM/PM AVERAGE BUTTON
DATE/ TIME SET BUTTON
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11
Device Overview
Unit display
Triple-Check (Multi-Read)
Function Indicator
Combine Date and Time display
Also represents Year value
Risk Category Indicator
AM/PM Average Symbol
Rest Assure Mode Symbol
User Symbol
Irregular Heartbeat
Detector
Pulse
Symbol
Heart Rate
Low Battery Symbol
Error Symbol
Systolic Rate
Diastolic Rate
Bluetooth Symbol
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S
Lo
Risk
Ir
r
S
ym
b
SYMBO
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S
Pulse Sy
m
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egular He
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ror Sym
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est Assur
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peat the
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ietly.
12
n
itio
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ars when
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n
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inst blood
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ting for at
l
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ng a Tri
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ear on mo
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l will flash
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lt: Indicat
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urement i
s
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rage readi
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eing displa
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last 3
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d by User
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d by User
s talking,
a
s detecte
d
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ents.
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east 5 min
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n comfor
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ely lowor
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nd make
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se beat.
See next
a
rs when
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yed is an
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moving,
d
during
utes, and
t
ably and
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13
Risk Category Indicator
This device is equipped with Risk Category Indicator which classifies your
blood pressure measurements into four stages (Normal,
Pre-hypertension, Stage 1 Hypertension to Stage 2 Hypertension) based
on the blood pressure standards established by the U.S. Department of
Health and Human Services and the National Institutes of Health.The
indicator symbols are defined as following classifications:
You may use the function to effectively track your blood pressure. Yet
the above standards and classifications are general guidelines for your
reference as an individual’s blood pressure varies among different
people, age groups, ets. It is important that you consult with your
physician to know your normal blood pressure range as well as the point
at which you will be considered at risk.
Features
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14
Features
For adults 18 and older who are not on medicine for high
bloodpressure, are not having a short-term serious illness, and do
nothave other conditions, such as diabetes and kidney disease.To
determine category of risk when systolic and diastolicreadings fall
into two areas, use the higher of the two numbers forclassification.
There is an exception to the above definition of highblood pressure
for people with diabetes and chronic kidney disease.A blood
pressure of 130/80 mmHg or higher is considered highblood
pressure for those individuals.
*Note !
The above table is not exact for classification 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. Please note
that the device does not appropriate to diagnose hypertension, and it is only
for user reference on blood pressure monitoring.
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15
Features
Rest Assure Function
Before measurement, it is suggested that you sit quietly for 5 minutesbefore
measurement as measurements taken in a relaxed stateaccording to JNC7
report to have a greater accuracy.
HL858CCprovides users a helpful countdown function(REST ASSURE on/off
switch) for 5 minutesbefore the measurementthat helps users to get accurate
results.To turn this feature OFF, slide the switch on the back to the OFF
position.
JNC7: The Seventh Report of the Joint National Committee on
Prevention, Detection, Evaluation, and Treatment of High Blood
Pressure. NIH Publication No.04-5230 August 2004
Triple-Check (Multi-Read) Function
The Triple-Check(Multi-Read)Function automatically takes and averages 3
readings in a row, with 1 minute rest intervals in between each measurement.
To deactivate this feature and take only a single reading, slide the switch on
the back to the OFF position.
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16
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 defined as an irregular heartbeat rhythm.
Talking, moving, shaking or an irregular pulse during the
measurement 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 irregularities at an early
stage.
*Note
!
The pulse display is not suitable for checking the frequency of heart
pacemarkers. If a certain pulse irregularity 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 fibrillation 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 filter 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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17
Features
Bluetooth Data Transmission
HL858CC features a built-in “Bluetooth Data Transmission” function, which
enables the device automatically transmit measuring results to paired
Bluetooth deviceafter measurement.When connection established, BPM
would transmit memory data such as Measure Date, Systolic, Diastolicand
Pulse to the Bluetooth enabled device.
If paired Bluetooth device is not working or is not within RF range of this
device, the measuring results will be stored in the blood pressure monitor's
memory. Besides, user can press “ ” button for 3 seconds to resend the
measurement data.
Bluetooth compatibility with blood pressure monitor for Bluetooth-enabled
device is:
Bluetooth 4.0 for Android 4.3 or above,
Bluetooth 4.0 for iOS 5.0 or above
*Note!
HL858CC is subject to and complies with electromagnetic compatibility
(EMC) standard of IEC 60601-1-2,EN 301 489-1, EN 301489-17, EN
300328 andU.S. federal guidelines, Part 15 of the FCC (Federal
Communications Commission) rules for devices with RF capability. These
guidelines help ensure that your device will not affect the operation of
other nearby devices. Additionally, other devices should not affect the use
of your device.
Other wireless devices that are in use nearby, such as a cell or mobile
phone, or a wireless network, may prevent or delay the transmission of
data from your device to paired Bluetooth device. Moving away from the
source of the interference or turning off these devices to resolve the
problem.
Make sure HL858CC and paired Bluetooth device are within acceptable
distance (no more than 10 meters) with each other. If not, put them
closer.
Be sure to select the correct User on the monitor before your blood
pressure measurement begins.
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I
W
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atteries ar
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gulations.
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fter replac
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lease repl
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luetooth tr
isplay.
a
llin
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eries.
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attery c
o
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n the b
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ase disca
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All manuals and user guides at all-guides.com

19
Using the AC Adapter
This monitor is designed for operation with batteries or an AC adapter.
Please use only a compatible AC adapter with required voltage and
current as indicated in this manual.
Note:
No batteries are needed when operating with an AC adapter.
Please unload the batteries when operating with an AC adapter for
an extended period of time.
Leaving the batteries in the compartment for a long time may
cause leakage, which may lead to damage of the unit.
Recommend Adapter specification:
Model: SINPRO, HPU15-102
Rating:
Input: 100 ~ 240V, AC, 47 ~ 63 Hz, 0.4-0.2A
Output:5.99V, DC, 2A,
Note!
When you use the blood pressure monitor with AC adapter, do not
position the device to make it difficult to disconnect the adapter plug.
All manuals and user guides at all-guides.com

20
Applying the Cuff
Press your brachial artery approximately 1 inch (2 ~ 3 cm) above
the elbow on the inside of your left arm to determine where your
strongest pulse is.
Slide the end of arm cuff furthest from the tube through the metal
ring to a loop. The smooth cloth should be on the inside of the cuff.
If the cuff is located correctly, the velcro will be on the outside of
the cuff and metal ring will not touch your skin.
Put left arm through the cuff loop.
The bottom of the cuff should be approximately1 inch (2 ~ 3 cm)
above the inner elbow. The tube should lie over the brachial artery
on the inner part of the arm.
Pull the cuff so that the top and
bottom edges aretightened
around your arm.
When the cuff is positioned
properly, press the velcro firmly
against the pile side of the cuff.
Sit on a chair and lay your forearm
on the table sothat the cuff is at
the same level as your heart.
Relax your arm and turn your arm upward.
Make sure there are no kinks in the air tube.
*Note
!
Fit the cuff snugly, leaving enough space for 1 inch (2 ~ 3 cm) between the inner
elbow and the lower edge of the cuff, or the measurement may not be accurate.
This monitor comes with one size of arm cuff: 9” ~ 17” (23 ~ 43 cm).
In case the cuff kept pumping up non-stop, open the cuff at once.
Do not wrap the cuff around any body part other than your arm.
The device is not supposed to be used when your arm is wounded or injured.
All manuals and user guides at all-guides.com
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