HINGMED ABP-03 User manual

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CE0120
Hingmed
AmbulatoryBloodPressureMonitor
UserManual
(Applyto：ABP-03)
ShenzhenHingmedMedicalInstrumentCo.,Ltd.
VER：A/0
Date:May15,2014

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AboutthisManual
Themanualmainlyintroducestheinstallationandapplicationmethodof
AmbulatoryBloodPressureMonitor(ABPM).Usersshouldread
carefullybeforeapplication(includewarnings,contraindicationsand
notes).
ManufacturerShenzhenHingmedMedicalInstrumentCo.,Ltd.
Manufacturingaddress:4thFloor,ZhonghangfeixiangBuilding,NO.371,
Guangshen Road, Baoan District, Shenzhen, People’s Republic of
China
Tel:[phone]
Fax:[phone]
Postcode:518102
After-salesservice
Company:ShenzhenHingmedInstrumentsCo.,Ltd.
Address:4thFloor,ZhonghangfeixiangBuilding,NO.371,Guangshen
Road,Baoan District, Shenzhen, People’s Republic of China
Tel:[phone]
Fax:[phone]
Postcode:518102
EuropeanRepresentative
CompanyName:WellKangLimited
CompanyAddress:TheBlackChurch,St.Mary'sPlace,Dublin7,
Ireland
Tel:[phone]
Fax:[phone]
Web:www.CE-marking.com
Email:[e-mail]
VersionInformation
Thismanualmayupgradeduetosoftwareupgrading.Userwillnotbenotified
further.
■Version:A/0
■Issuedate:May2014
ShenzhenHingmedMedicalInstrumentsCo.,Ltd.ownsandreservesthe
copyright.

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TableofContent
Chapter1Preface................................................................................................................4
1.1BriefIntroductiontoAmbulatoryBloodPressureMonitoring.................................4
Chapter2SafetyRequirements..........................................................................................6
2.1Intendeduse...........................................................................................................6
2.2Contraindication......................................................................................................7
2.3Warnings.................................................................................................................7
2.4Notice......................................................................................................................8
2.4.1Battery..........................................................................................................8
2.4.2Training.........................................................................................................8
2.4.3Bloodpressuremeasurement......................................................................8
2.4.4Energyconservationandenvironmentprotection.......................................9
2.4.5Maintenance.................................................................................................9
Chapter3ProductIntroduction............................................................................................9
3.1Productcomposition:..............................................................................................9
3.2NameandFunctionofEachComponent.............................................................10
3.2.1HostIntroduction........................................................................................10
3.2.2LCDscreendisplaysandiconimplication.................................................10
3.2.3Symbols......................................................................................................11
Chapter4ProductInstallationandUse.............................................................................11
4.1Batteryinstallation................................................................................................11
4.2InstallingSystem..................................................................................................12
4.3ConductAmbulatoryBloodPressureStudy.........................................................13
4.3.1CommunicationwithHingmedABPM........................................................13
4.3.2Connectmonitortocomputer.....................................................................13
4.3.3Continuousmeasurementprogramming...................................................13
4.3.4Cuffselectionandconnection....................................................................14
4.3.5Readyforuseandpatienttraining.............................................................15
4.3.6Derivedata.................................................................................................16
TroubleshootingandMaintenance....................................................................................19
5.1Troubleshooting....................................................................................................19
5.2Maintenance.........................................................................................................20
5.2.1Maintenanceinspectionandsafetymanagement.....................................20
5.3DeviceMaintenances....................................................................................20
Chapter6Productspecifications.......................................................................................20
Chapter7EMCinformation...............................................................................................21
Chapter8WarrantyCard...................................................................................................26

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Chapter1Preface
1.1BriefIntroductiontoAmbulatoryBloodPressureMonitoring
Ambulatorybloodpressuremonitoringisaninstrumentformonitoringhuman’sblood
pressurecontinuouslyduringcertainperiod(normally1-2days)withcertainintervalthat
isbasedonactualsituation.Bloodpressurereadingsindifferentperiodsandunder
differentlifeconditionscanbejudgedaccordingtothemeasuringresults,thusblood
pressurediagnosiswouldbegiven.
During24hoursinaday,humanbloodpressureisnotfixedbutfluctuateswithinacertain
scope.Thediagnosismadebyclinicalbloodpressuredatacollectedrandomlyin
sickroommaymisssomepatientswhosebloodpressureisabnormalinacertainperiod
inawholedayduetoneglectingthefluctuationofbloodpressure.The24-hour
ambulatorybloodpressuremonitoringcandetectthosepatientsintime.
Itisalsoimportanttoconduct24-hourambulatorybloodpressuremeasuringforthose
patientswhowerediagnosedhyperpietic.Researchshowshalfofhyperpieticpatients
whobelievetheirbloodpressureswerecontrolledwellhaveunstablebloodpressures
through24-hourambulatorybloodpressuremonitoring,theirbloodpressuresriseupin
themorningand/orintheafternoon,orrisesupatnight,sotheirbloodpressure
controllingmeasuresarenotideal.Thatisoneoftheanswerstothatwhysome
hypertensionpatientswhosticktotakemedicineandfeelgoodinbloodpressurescontrol
stillsufferfromrenaldamage.24-hourambulatorybloodpressuremonitoringcanhelp
patientstorealizetherulesandcharactersoftheirbloodpressurefluctuation.Accordingly,
patientscouldtakeshort,mediumorlong-termantihypertensivedrugstocontroltheir
bloodpressureandavoiddamageoftargetorganse.g.cardio,brainandkidney.
Obviously,Ambulatorybloodpressuremonitoringissuperiortoclinicalbloodpressure
measurement,andgraduallybecomesanimportantmethodtoevaluatethetreatment
effectofant-hypertensiongradually.
Comparetoclinicalorhomeoccasionalbloodpressuremeasuring,theambulatoryblood
pressuremonitoringissuperiorinthefollowingaspects:
a)Eliminatethecontingencyinmeasuringandsomeaffectingfactorsi.e.mood,sports,
food,smoking,drinking,andothers.
b)Couldattainmorebloodpressuredatathatcouldreflectpracticalvariationruleduring
awholeday.
c)Couldincreasedetectionrateandhelpthoseslightorborderlinehypertensionpatients
togettimelytreatment,thesepatientsmayhavenotanysymptomatearlystage.
d)Mayusedtoguidedrugtherapy.Inmanycasesitcouldbeusedtoevaluatedrug
treatmenteffect,helptoselectdrugs,andadjustdosageanddrugadministrationtime.
e)Tojudgeifthereweretargetorgansdamage(especiallyorganswhicharesusceptible
tohypertension).Forthehypertensionpatientswithmyocardialhypertrophy,fundus
dynamicvascularlesionsorrenalfunctionschange,thebloodpressurevaluesbetween
dayandnightareusuallysmall.
f)Topredictthetimeofsuddenattackofcardiovascularandcerebrovasculardiseaseina
day.Generally,itismostfrequentthatbeforedawnthediseaseattacksduetoasudden
risingofbloodpressure.
g)Ambulatorybloodpressurehasanimportantsignificanceforprognosis.Comparewith
normalbloodpressure,patientswithhighbloodpressurein24hourshavehigher
mortalityandincidenceofcardiovasculardiseasethanthosewithlowbloodpressurein
24hours.

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Forthefollowinghypertensiontypes,itisonlyambulatorybloodpressuremonitoringthat
coulddiagnoseeasily.
1.White-coathypertension
White-coathypertensionisthebloodpressurethatishighwhenmeasuredathealthcare
sitebutnormalindailyactivity.Thehighpressueathealthcaresiteisrepeatablein
differentdays.Thewhite-coathypertensionaccountsforabout15%inallclinicpatients,it
isnotrare.
2.Maskedhypertension
Maskedhypertensionisthattheclinicalmeasuringvalueislessthanthestandard,but
thevaluefromambulatorybloodpressuremonitoringishigh(135/85mmHg).Itis
reportedthatpopulationofmaskedhypertensionaccountsforabout10%ofthegeneral
crowdandabout40%ofthepatientsundergoingantihypertensivetherapy.Ithastoapply
ambulatorybloodpressuremonitoringonthosemaskedhypertensionpatientswhoare
undergoingantihypertensivetreatment.
3.Morningpeakhypertension
Morningpeakhypertensionisdefinedthattheaverageofmatutinalbloodpressureis
morethan135/85mmHg.Itmaybedividedinto2types-"matutinalpeak"and
"reverse-dippers/nondipper".Themorningpeaktypeischaracterizedbysuddenriseof
bloodpressureearlyinthemorning,andthereverse-dipper/non-dipperischaracterized
bycontinuousriseofbloodpressureinearlymorningandatnight.Bothofthemarethe
riskfactorsofcardiovasculardisease.ABPMcanidentifythetwotypesofhypertension.
4.Largecircadianrhythmofbloodpressure
Thecircadianrhythmofbloodpressureissubjecttorelationshipofdaytimeblood
pressureandnighttimebloodpressure.Indaytimepatientsareactiveandinnighttime
patientsaresleeping,itisalsoinfluencedbyexternalcauses(i.esleep-wakecycle)and
internalcause(i.ebiologicalclock).Specificcircadianrhythmvariabilityistheaverage
changerateofbloodpressureduringnighttimeanddaytime.Althoughthecircadian
rhythmiscommonfornormalpeopleandprimaryhypertensionpatients,somespecial
hypertensionpatientsorfewprimaryhypertensionpatientsmayoccurdisorder,
disappearance,evenreversiontocircadianrhythm.
5.Secondaryhypertension
Circadianrhythmvariabilityofsecondaryhypertensionpatientsmaybedisturbed.
Becausethedisturbedcircadianrhythmvariabilityonsecondaryhypertensionpatients
mayplayaroleonthetargetorgandamageprogress,anappropriateantihypertensive
treatmentstrategyshouldbemadetorecognizethecircadianrhythmvariability.
6.Hypotension
Ambulatorybloodpressuremonitoringisveryusefulnotonlytodiagnosehypertension
butalsotodiagnosehypotension.Especially,thehypotensioncouldcausedizzinessor
faintingonelderpeoplewhohaveexhaustionofautonomicnervouswhenstanding,after
amealorafterabath.
Hypotensionisdividedintoprimaryhypotensionandsecondaryhypotension.Primary
hypotensioniscommoninwomen,whichcouldreducethepatient'slifequalityusually.
However,justfewprimaryhypotensionswillbetreatedconsideringlong-termprognosis,
becauseprimaryhypotensionjustleadstofewvasculardisorders.Ontheotherhand,
secondaryhypotensionisusuallycausedbysomenormaldiseasesandisaccompanied
withdangeroussyndromessuchassyncopeandvertigo,sopatientsneedprevention
andtherapeuticmeasures.Theambulatorybloodpressuremonitoringisusefulto
diagnosesecondaryhypotension.

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1.2BriefIntroductionofHingmedABPM
BloodPressureMonitorwithBodyPositionInformation
Hingmedambulatorybloodpressuremonitorhasanoutstandingfeaturethatitcould
providetheuser'sbodypositionwhentakingbloodpressuremeasurement,whichisof
significanceinclinicalresearch.Somesymptomsofhypertensivepatients,suchas
dizziness,nausea,braindeath,arecausedunderdynamicenvironmentofworkingor
other life. Therefore, monitoring patient’s blood pressure couldnotbeconfinedtoaquiet
condition.Itisthebestthatpatientswhoarewearingambulatorybloodpressuremonitor
liveadailylifeandwork.Thedatawouldreflecttheactualdailybloodpressure.Thatis
helpfultoclinicaljudgments.
Differentpostureshaveagreatinfluenceonbloodpressure.24-hourmonitoringshows
thebloodpressureisfluctuantatdistincttime.Ifamonitorcanreflecttheuser'sposition
atthesametime,itwouldbehelpfulfordoctorstofindthecausesofthebloodpressure
fluctuations,andthendistinguisheffectivelynaturalchange,fluctuationorfluctuation
causedbypositionchangingandmoving.
Inaddition,bloodpressuredatawithpositioninformationcanhelpdoctorstomakea
goodjudgmentonorthostatichypertension.Positionhypertensionisthatthepressureis
highatstandingorsittingposture,butnormalatlyingflat.Orthostatichypertension
accountsfor4.2%indomestichypertensionpatientsand10%inabroadreport.
Orthostatichypertensionischaracterizedbythatthereisnothypertensioninnormaland
justbeingfoundoccasionallyorinphysicalexamination.Diastolicpressurerising-upand
largefluctuationwouldrepresentinorthostatichypertensionandtheindividualcouldbe
accompaniedbyseriouspalpitation,tiredness,sleepquicklyetc.Inbloodexamination,
theplasmarenninactivityinorthostatichypertensionishigherthanthatofnormalpeople,
eventhanthatofgeneralhypertensionpatient.
Scopeofapplication
HingmedAmbulatorybloodpressuremonitorisdesignedtoassistindiagnosis.Doctor
couldgiveadvicetousethismedicaldevicebyhisorherjudgmentifpatientis:
●Hypertension;
●Hypotension;
●Borderlinehypertensive(BH),renalinadequacy;
●Controlandevaluatetheanti-hypertensionefficacy,etc.
Chapter2SafetyRequirements
2.1Intendeduse
BloodpressuremonitorofABP-03ismainlyusedtomeasurebloodpressures,which
includesystolicpressure,diastolicpressureandpulserate,ofpatientsindifferentsetting
intervalswithin24hours(notapplicabletochildrenunder3years),andthemeasurement
datacanbetransmittedbyUSBdatawire for medical personnel’s reference and analysis
inhospital,Itisforuseontheorderofaphysicianonly.

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Productcomposition:Mainunit,Noninvasivebloodpressurecuff,USBdatawireand
HingmedPCsoftware.
Thedeviceisinnerpowersourcewith2AAalkalinebatteries;Electricshockprotection
degree:CFtypeappliedpart;Operationmode:continuousmode.
Theservicelifeofthisproductisfiveyears.
2.2Contraindication
●DonotusethemonitornearX-raytomographydevice.
●Donotusethemonitorintheplaceswhereinflammableanestheticexist,itmayleadto
explode.
●DonotwrapthecuffonthelimbbeingusedforIVinjectionascuffinflationmayblock
infusionandhurtpatient.
●Donotimmersethemonitorinanyliquidoranydetergent,whichwouldcauseelectrical
hazard.
2.3Warnings
●Cuffshallnotbewornonthewound,becauseinflationpressuremaycausefurther
damage;
●Whenpatientscarrythemonitor,pulloutthedatawirefromPCorotherdevices;
●Neverapplythedevicetopatientunder3yearsoldand patient who can’texpresstheir
thoughts.
●The instrument can’t be used in conjunction with defibrillation equipment.
●Itmaycausemeasurementerrorbyusingpartsnotincludedinthesupplylisting.
●Shoulderstrapsorcufftubewindingpatient'sneckmaycausesuffocation,doctor
shouldremindpatienttowearthecuffonupperarm,andshoulderstrapsorcufftube
mustnotwindpatient'sneck.Tubeshouldbeplacedunderthecoat(evenatnight).
●Makesurethepressureissuitableforthepatient.Ifanyabnormityoccursinthe
monitoringprocess,pleasestopmeasuringimmediately,andremovethecufffromthe
patientorshortlypressstart/stopbuttontostopinflating.Ifthecufffailstodeflate,
indicatepatienttoremoveitproperlyandsafely.
●Ifthisdeviceisdampenedbyaccident,putitinawell-ventilatedplacefordryingpriorto
use.
●Onlyprofessionalphysicianscanexplainthemeasuredbloodpressurevalues.
●Onlymedicalpersonnelandtrainedprofessionalscanusethedevice.
●Don’tservicing/maintenancewhilethemedicalequipmentisinuse
●Thepatientisanintendedoperator.Thepatientcanonlymeasure,transmitdataand
chargebatteryundernormalcircumstancesandmaintainthedeviceandits
accessoriesaccordingtotheUserManual.
●Notintendedtobesterilized.
●Notforuseinanoxygenrichenvironment.
●Nomodificationofthisequipmentisallowed.
●Itisnotintendedforusewithneonate.
●Itisnotintendedforusewithpregnantorpre-eclampticpatients.

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●Becarefultoregardingtheeffectofbloodflowinterferenceandresultingharmfulinjury
tothepatientcausedbycontinuouscuffpressureduetoconnectiontubingkinking
●Whenusingthisdevice,pleasepayattentiontothefollowingsituationwhichmay
interruptbloodflowandinfluencebloodcirculationofthepatient,thuscauseharmful
injurytothepatient:connectiontubingkinkingtoofrequentandconsecutivemultiple
measurements.
●Donotapplythecuffoverawound;otherwiseitcancausefurtherinjury.
●Theapplicationofthecuffanditspressurizationonanywrist/armwhereintravascular
accessortherapy,oranarterio-venous(A-V)shunt,ispresent.
●Inflatethecuffonthesideofamastectomy.
●DonotinflatethecuffonthesamelimbwhichothermonitoringMEequipmentis
appliedaroundsimultaneously,becausethiscouldcausetemporarylossoffunctionof
thosesimultaneously-usedmonitoringMEequipment.
●Pleasecheckthatoperationofthedevicedoesnotresultinprolongedimpairmentof
patientbloodcirculation.
●Whenmeasurement,pleaseavoidcompressionorrestrictionoftheconnectiontubing.
●ThedevicecannotbeusedwithHFsurgicalequipmentatthesametime.
2.4Notice
2.4.1Battery
●Pleaseusetwo5AAalkalinebatteriesforthisdevice;
●Pleasemakesurethebatteryisproperlyloadedwithcorrectpolarity,otherwisethe
instrument can’t be started;
●Donotmixedusetheoldandnewbatteriesinthemonitor;
●Pleasetakeoutthebatteriesifnotusethemonitorforalongtime(morethanone
month).
2.4.2Training
●Explaintopatientshowtostopoperationifabnormalmeasurementoccurs,andhowto
removethecuffifthepatientsfeelpainfulordiscomfortonarm;
●Keepstillduringmeasuring,especiallydonotmovetheircuffedarms,anditisbetterto
keepquiet,andmakethecuffasthesamehorizontalpositionastheheart;
●Ifthearm-wrappedcuffisbendingjustatthetimeofinflating,thenkeepbending,do
notstretchyourarm,otherwiseitwouldcausepressureinsidecuffchangesrapidlyand
disturbthemeasurement.
●Explaintopatientshowtodealwithmal-operationandcommonproblems.
2.4.3Bloodpressuremeasurement
●Patientwithanticoagulantorpatientwithcoagulationdisordermayextravasateonthe
positionwrappingcuff,intheprocessofmeasuringbloodpressureeventhecuffis
worncorrectly.Infact,nomatterwhattypeofthemonitoris,suchpatientswould
extravasateduringthemeasuringprocess.
●Ifcufffailstoinflatein150seconds,guidepatientstoremovethecuffmanually,
excessiveinflationmayblockpatient'sbloodflowthatmakespatientuncomfortable.

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2.4.4Energyconservationandenvironmentprotection
●Pleasepowerthemonitoroffintimeafterusing.
●Pleaseproperlyhandlethescrappedbatteries,cuff,datawiresandmainunitsin
compliancewithlocalenvironmentalregulations.
2.4.5Maintenance
●PleaseusetheaccessoriessuppliedbyHingmed,otherwiseitmaycausemeasuring
errors.
●Maintenanceshouldbeconductedonlybytrainedpersonnelorpersonnelauthorized
byHingmed.
●Displayingmethodoffaults:correspondingcodeswilldisplayonthescreenin
malfunctionstate,see5.1troubleshootingfordetails.
Chapter3ProductIntroduction
3.1Productcomposition:
Priortousepleaseconfirmifaccessoriesarecomplete,andifthereisanydamageon
mainunitandaccessories,anyproblemaboveisfound,pleasecontactdistributorsor
Hingmedcustomerservicehotlineforhelp.
Mainunit,accessoriesincludebloodpressurecuff,portablebaganddatawire.
Otheraccessories:
PCsoftwareCD
UserManual
QualityCertification/warrantycard
InstructionofPC-endsoftware
HingmedABPMPackingList
AccessoriesItemsNameQty
HingmedABPMMonitor1
HingmedABPMsoftwaredisk1
HingmedABPMUSBdatawire1
Adultcuff(26-36cm)1
HingmedABPMportablebag1
HingmedABPMshoulderbelt1
HingmedABPMUserManual1
HingmedABPMPCsoftwareinstruction1
QualityCertification1
WarrantyCard1
*Theproductpackagingshouldcontainaboveitems,anyitemmisses,pleasecontact
Hingmedordistributorsimmediately.
Optionalaccessories:

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No.Optionalaccessories
1Smalladultcuff（18-26cm）
2Middleadultcuff（22-32cm）
3Plus-Largeadultcuff（33-43cm）
4Waistband
3.2NameandFunctionofEachComponent
3.2.1HostIntroduction
1LCDscreen;2Start/stopbutton;3Uppercover;4USBport;5Lowercover.
1Hostunit;2Rubbertubing;3Bloodpressurecuff
3.2.2LCDscreendisplaysandiconimplication
Measuringtimesofinstrumentafterloading
batteries
Diastolicpressure
Dayorsoberperiod
1
2
3
4
5
3
1
2

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Nightorsleepingperiod
Automaticmeasurement
Systolicpressure
Diastolicandsystolicpressurevaluesindicated
aftermeasuring
Unitofdiastolicandsystolicpressure
Heartratevalueindicatedaftermeasuring
Heartrateunit(timesperminute)
Indicatecurrenttimewhennotmeasuring,after
poweringon.
indicatebatterycapacity
3.2.3Symbols
Chapter4ProductInstallationandUse
4.1Batteryinstallation
InstalltwoAAbatteriesinbatteryslotlocatedinthebackofdevice,symbolsofpoles
showtheorientationbywhichthebatteriesshouldbeplaced,afterloading,themonitor
screendisplaysthefollowingcontents:
1.Incrementingdashesfortwoseconds;
2.Batterycapacityandcurrenttimewhichflash15seconds;
SymbolDescriptionSymbolDescription
CFtypeappliedpartSeriesnumber
ManufacturerAttention,refertoaccompanying
documents
Keepawayfromrain
Thiswayup
Fragile
ComplyingwithWEEEstandard
Stackinglimitbynumber
Temperaturelimits
RefertousermanualIP22
Itmeansthedevicecould
protectedagainstsolidforeign
objectsof12.5mmandgreater,
andagainstverticalfallingwater
drop15°

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3.FlashingdisplayofBPdatainflashmemoryfor3seconds;
4.A"beep"sound.
4.2InstallingSystem
Hardwarerequirements
ComputerwithCDdrive,minimumdisplayresolution:1024*768,anUSBport.
Softwarerequirements
MicrosoftWindows2003,WindowsXPoradvancedWindowsversions
Installthesoftware
HingmedABPMsoftwarecomponentsinclude:
●HingmedABPMUserGuideofPC-endsoftware
●HingmedABPMPCsoftwareCD
Poweronyourcomputer,andplacetheCDintotheCDdrive,theapplicationguidewill
displayonscreenafterautomaticallyrunningofCD.
IftheCDcannotrunautomatically,operateasfollowingsteps:
a)Open “My computer” or“Computer”;
b)ClickCDtodriveandfindHingMedinstallationsoftwareofserverversionor
stand-aloneversionbyyourdemand.“”
c)Double-clicktheinstallationprogramandoperatebyfollowinginstructions→“Next”
→“Next”,choosethelanguageitem(ChineseorEnglish)youneedonthepop-up
window,installationconfirmationmessagewillpopupagain,click“Next”toinstall,
figurebelowwillpopupafterfinishinginstallation,finallyclickbutton“Close”:
Aftertheaccomplishmentofinstallation,aniconwilldisplayonyourcomputer
screen,whichindicatesthatyouhaveinstalledsuccessfullythePCsoftwareofHingmed
Ambulatorybloodpressuremonitor.
ATTENTION:USBcableshoulddisconnectwithcomputerwheninstallingHingmed
ABPMsoftware.

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4.3ConductAmbulatoryBloodPressureStudy
4.3.1CommunicationwithHingmedABPM
AfterinstallingthePCsoftware,yourcomputershouldbeabletocommunicatewith
monitorforprogrammingandtoperformasuccessfulAmbulatoryBloodPressure
Monitoringstudy.
4.3.2Connectmonitortocomputer
a）ConnectMicroUSB
terminalofdatacable
totheUSBportatright
sideofABPM.
b）ConnectUSBterminal
ofdatacabletoUSBport
ofyourcomputer.
4.3.3Continuousmeasurementprogramming
Aftersuccessfulconnection,startHingmedABPMsoftwaretoprogram.
1.Clickthe “Program”;
2.InputtherelatedinformationintheprogramminginterfaceasthefollowingFigure:
3.Click “OK” to program;
4.Theindicatorbardisplaystheprogressofdatatransmissiontomonitorandwill
disappearaftersuccessfulprogramming.
Themeasuringparameterscouldbeadjustedasfollows:
● Enter into the programming interface and set the parametersasthefollowing
figure.

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●The parameterssettingseethefollowingtable:
TimetypeDaytime,Nighttime,Specialtime
Maximumpressure120-280mmHg
KeyboardEnable/Disable
DisplayEnable/Disable
DaytimealarmEnable/Disable
NighttimealarmEnable/Disable
Maximumsystolicbloodpressure100-200mmHg
Minimumsystolicbloodpressure60-90mmHg
MaximumdiastolicbloodpressureEnable/Disable
Minimumdiastolicbloodpressure90-180mmHg
Minimumdiastolicbloodpressure30-70mmHg
UnitmmHg/kpa
IntervalStandard/Fixed
4.3.4Cuffselectionandconnection
WearHingmedABPMandcuffforpatient:
AftersuccessfullyprogrammingbyHingmedABPMsoftware,thenwearABPMandcuff
forpatient,eitherarmcanbewore.
a)Selectcuffofsuitablesize
Selectcuffofsuitablesizeandwrapitontheupperarmofpatientagainstslipping.The
“Range”andboldfaced“Index”signsareusedtocheckthefitnessofcuffsizetoarm.
Thearrowicon“Index” shouldbewithintheiconof“Range”,ifnot,changeanothersize
ofcuff.
Note:1Impropersizeofcuffwillleadtoerrorofreadingsandaffecttheaccuracy
ofmeasuring.
2.Donotwrapthecuffonthediseasedskindirectly,you’dbetterwrapa

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partitionlikeclothorfilmbeforewrappingthecuff,toavoid
cross-infection.
b)Wearcuffcorrectly
Wearcuffcorrectly,thecuffshouldbe2-3cmabovethefossacubitalia.Makesurethat
thearterysignisagainstthearterybrachialisandpointstofossacubitalis,cufftube
shouldbeupwards,andwrapontheupperarmofpatient.SeethefollowingFigure.
c)Connectionoftube
Placemonitorintobagandcoverit.Connectthemonitortothemetalconnectorofcuffon
thetopplaceofthebagandtightentheconnectorclockwisebyalittleforce,thenhang
thetubeonshouldersbyroundingtheneck.SeethefollowingFigure:
d)Carrythebag
Carrythebagacrossthebody.
e)Starttomonitor
Press“start/stop”buttontostartmeasuring,ifselecting“starttomeasureautomatically
after5minutes”, do not press the button, the monitor willrunautomaticallyafter5
minutes.Anyproblem,pleasereferto“Troubleshooting” in the manual.
4.3.5Readyforuseandpatienttraining
Forambulatorybloodpressurestudy,agoodpreparationofpatientisimportant.
● Patientshouldavoidoverstress,excitementandtightenedmuscle.
● Whenstartinflating,patientshouldkeepthemeasuringarmawayfrombodyslightly,
andkeepquietandstillassoonaspossible.
● Duringprogrammingmonitoring,patientmaypress the button of “start/stop”to
start/stopmeasuringatanytime.

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● Neverremovethecuffintheprocessofmeasuring,ifthecuffslipsbelowtheelbowor
fallsoff,patientcouldtakeitoffandrewrap.
● Whensleeping,makesurethetubedoesnotwindandsqueeze.Toavodthe
interferencefrominflationanddeflation,patientcouldtakeoffthemonitorfrom
shoulder(keepthecuffwrappingnormally)andplaceit1meterawayfromhead.
●Replacingthebatteriesduringmeasuringwillnotlosedataoraffectprogramming,and
poweringoffthemonitorwillnotlosedata.
● Monitorfallsonthefloorandbatteriesdropoutduringmonitoring,reloadthebattery
and press the “start/stop” button continuouslyfor5storestartthemonitor.
● Guidepatienttorecordtheeventsthataffectbodypositionobviouslyduringmeasuring;
● Themonitorisbatterysavings.Ifthebatteriesarecommonandqualified,patientmay
replacethebatterieswhenLCDscreenindicatesthatjustaframeofpowerremains.
Otherwise,thebatteriescouldbeusedatleast24hours(or70times)
● Makesurethatpatientknowhowtocheckthemonitor.Themonitorshouldbedryand
avoidfallingandbumping.
● Ifmonitororcuffcausesexcessivepainorabnormalpain,patientshouldremovethe
cuffandpoweroffthemonitor.
Startmonitoring
●Checkwhetherthemonitorcouldoperatenormallyornotbeforewearingthemonitor
andcuff.
●Makesurethescreencandisplaythetime.
●Press the “start/stop”buttonorwaitfor5minutes(If“Begininfiveminutes” was
selectedintheprogram)toverifythefirsttimeofmeasuringisnoproblem,thenallow
patienttoleave.
Finishmeasuring
Ifthemeasurementisfinishedbeforefeedback,patientshouldbeinstructedtopressthe
“start/ stop”buttonfor5minutestoclosethemonitor,the monitor will “beep” two times
andclosethescreenbyfollowingfourtimesof “beep” sound.Afterreturningthemonitor,
takeoffthecuff,monitorandwaistbandfrompatient.
4.3.6Derivedata
1.ConnectHingmedABPMtocomputerthroughUSBport;
2.OpenHingmedABPMsoftware;
3.Click “Search” to transmit the data,click“Bloodpressuredata” to view these data, and
analyzethedatainsoftware.
Note:Datawillbedeletedafternextprogrammingoperationiftheyarenot
uploadedtocomputer.
Analyzethedataandprintthereportsbysoftware.

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Themonitoringdatacouldbestoredindiskofcomptuterandanindependentfilewillbe
createdincludepatientname,IDetc.APDFformatfilecouldbealsocreatedandpages
neededcouldbealsoprinted,seethefollowingFigureatoFigurec.
Figurea:Historicaldatacurvesofambulatorybloodpressure
Figureb:Statisticsofhistoricaldataofambulatorybloodpressure

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Figurec:Ambulatorybloodpressurehistorydataanalysissummarymap
Note:
1.OperationdetailsofPCsoftwareofHingmedAmbulatoryBloodPressure
Monitor,pleasereferto<UserGuideofPCsoftware>;
2Intheprogrammingofmonitoreverytime,aninterfacewillpopuptonoticethat
thehistorydatawillbeoverwritten,sopleasemakesurethatthehistorydata
hasbeenderivedandstored;
3.Themonitorcouldstoremaximum300hundredrecords.Whenstorageisfull,
the monitor can’t measure normally until programmingitfromcomputer;
4.Ifnotreprogramtothemonitor,theprecedingprogramwillkeepvalid,therefore,
poweroffthemonitor,andtakeoutbatteriesafterfinishingthemeasurement,in
caseofpowerconsumedbyautomaticcyclesofinflation/deflation.

19
TroubleshootingandMaintenance
5.1Troubleshooting
E
rror
CodeDescriptionResolution
EC01Cuffistooloose,maybeloosewindingor
disconnectedcuff
Retightencufforkeepproperarm
positionwheninflation
EC02Airleakage,maybevalveleakageorgas
pathleakage
Tightenmetalconnectorandcheck
thecuff.Ifleakageisnotstill
resolved,contactagentordealer
EC03Airpressureerror,maybeunabletoopenof
valve
Checkwhetherthevalvecanwork
normally
EC04weaksignal，maybeweekpulseorloose
cuff
Checkwhetherthecuffistooloose,
tightenitifnecessary.
EC05beyondthelimit，maybethepressureof
subjectbeyondthelimitation
Press “start/stop”buttontomeasure
again.Ifnotvalidstill,changethe
monitoroflargerrang
EC06Excessiveexercise，maybethereistoo
muchmotionartifactorinterference
Keepquietwhenmeasuredanddo
notmovethearmwithcuff
EC07overpressure，cuffpressurebeyond
290mmHginadultmode,247mmHginchild
modeand145mmHginneonatalmode
Press “start/stop”buttontomeasure
again.
EC08Signalsaturation，Theamplitudeofthe
signalistoolargeduetoactivityorother
reason
Keep quiet, Press “start/stop”button
tomeasureagain.
EC09overtime：measuringtimebeyond120sin
adult/childmode,90sinneonatalmode.
Keep quiet, Press “start/stop”button
tomeasureagain.
EC10manualde-activationKeep quiet, Press “start/stop”button
tomeasureagain.
EC11SystemerrorRestart，Iftheerroroccurfrequently,
professionalMaintenancemaybe
necessary
EC16Cuffpressurebeyondthemaxpressure
setting
ReprogramminginPCsoftwareand
up-regulatethemaxinflation
pressuresetting
EC32ThehandshakecommunicationfailPress “start/stop”buttontomeasure
again.
EC33safepressurebeyond15mmHg，
immeasurable
Gassingandremeasurewhenthe
cuffpressuredeclinetobelow
15mmHg
EC34Measurementfinish,andrestartthe measuringwhenthepressureisstillabove
15mmHg
Gassingandremeasurewhenthe
cuffpressuredeclinetobelow
15mmHg
EC35Noanswerwhenthemeasurement
commandissent.Press “start/stop”buttontomeasure again.

20
EC36MeasurementresultisnotavailablePress “start/stop”buttontomeasure
again.
EC37Overtime(beyond180s)remeasure
EC48Memoryisfull,cannolongermeasureUploadandemptythedata
*Iftheerrorscanberevised,pleasecallagentorafter-saledepartmentofHingmedfor
help.
5.2Maintenance
5.2.1Maintenanceinspectionandsafetymanagement
Visuallyinspectthebrokenordamagesontubeconnecters,pressureairtubeandthe
enclosureofmonitor.Ifanydamageisfound,donotusethemonitor.Pleasecontactour
after-saleservicedepartment.
5.3DeviceMaintenances
Afteruse,itisimportanttoperformpreventativemaintenancetoensurethesafeand
efficientoperationofthemonitorforlong-term.
●Donotdisinfect.DONOTimmersethemonitorinanyfluid,orattempttocleanwithany
liquiddetergents,cleaningagents,orsolvents.Youmayuseasoft,dampclothto
removedirtanddustfromthemonitor.Iftheunitdoesbecomeimmersedinwater,do
notuseandcontactourservicedepartment.
●Donotcleantheenclosureandcuffwithstrongalkalioracidorstrongdisinfectant.
●Mayuseamilddetergenttocleanthecuff,beltandbladder;alternatively,mayalso
washtheminawashingmachine.Removethebladderfromthecuffbeforemachine
washing.Washthembyusingwarmwaterandamilddetergent,thenhangitfordrying.
Anyproblem,pleasecontactlocaldistributorsorHingmed(seeChapter8for
information).
●Itisrecommendedthattheperformanceshouldbecheckedevery2yearsandafter
maintenanceandrepair,byretestingatleasttherequirementsinlimitsoftheerrorof
thecuffpressureindicationandAirleakage(testingatleastat50mmHgand200
mmHg).
Chapter6Productspecifications
NameAmbulatoryBloodPressureMonitor
ModelABP-03
measuringmethodOscillometricmethod