HoMedics BPW-200-0 TheraP User manual

Smart
Sense
2
Irregular heart-
beat detector
Health
indicator
Smart SenseTM
technology
2 users Supersize
digits
IHB
BPW-200-0 B
BPW-200-0NEU
Blood Pressure
Monitor Wrist
Instruction Manual
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HoMedics Blood Pressure Monitor
Before use
Before the blood pressure monitor is taken into use a number of basic steps
should be observed. Please read this manual thoroughly before the blood
pressure monitor is used for the first time and keep the manual for future use.
The blood pressure monitor is intended for home use only. Any measurement is
solely for information and can under no circumstances replace a visit to the
doctor. The blood pressure measurements should always be assessed by a
qualified person (a doctor, nurse or similar) who is familiar with the user’s
general medical condition. By regular use and by keeping a record of the
results, this person can be kept well informed about developments in the user’s
blood pressure. Measurements must never be interpreted by the user with the
aim of changing levels in the use of medicine as prescribed by a doctor, but the
doctor’s instructions must be followed AT ALL TIMES.
The blood pressure monitor is not suited for users who suffer from arrhythmia
(heart rhythm disturbances) and errors may occur in the measurement results if
the user has suffered a stroke, suffers from cardiovascular diseases, has a very
low blood pressure, or suffers from other symptoms such as circulatory
diseases (diabetes, kidney diseases, arterial sclerosis (deposits in the arteries),
or poor peripheral blood circulation (e.g. in hands and feet).
Electromagnetic disturbances: The device contains sensitive electronic
components. Keep it clear of strong electric or electromagnetic fields in the
immediate surroundings (e.g. mobile telephones, microwave ovens) as these
may temporarily reduce measurement accuracy.
Use the blood pressure monitor only for its original purpose.
The device is intended for measurement of blood pressure and pulse with adult
persons (over 18 years of age). Do not apply the monitor to infants nor to persons
who cannot express their permission. The device must not be operated by children.
The blood pressure monitor functions in accordance with the oscillometric
measurement principle. These blood pressure changes are measured in the
cuff on the basis of the wrist pulse and are converted into a numerical value of
the current blood pressure. Simultaneously, the number of pulse beats are
registered and calculated as number of pulse beats per minute.
There are two kinds of discernable blood pressures. Both are expressed in
mmHg (millimeters on the mercury column): The systolic and the diastolic.
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The systolic (‘the high blood pressure’) states the pressure when the heart
chambers contract to send blood through your body, and the systolic (‘the low
blood pressure’) states the pressure when the heart is at ease and filling with
blood before the next muscle contraction. The connection between values
(mmHg) is expressed as e.g. 130 over 85 which means that the systolic
pressure is 130 and the diastolic pressure is 85.
Why is it important to keep an eye on your blood pressure?
Many of today’s most common diseases are connected to hypertension , also
referred to as ‘high blood pressure’. Hypertension is closely connected to
cardiovascular diseases, and for people in the danger zone the blood pressure
provides an important tool to keep an eye on the development.
Standard for blood pressure
The WHO blood pressure standard defines the areas for high and low blood
pressure. The standard is for guidance only as individual blood pressure levels
vary from person to person, across age groups, etc.
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Sy bol World Health
Organisation
Classification
SYS
( Hg)
DIA
( Hg)
Optimal <120 <80
Normal 120-129 80-84
High Normal 130-139 85-89
Hypertension
grade 1
140-159 90-99
Hypertension
grade 2
160-179 100-109
Hypertension
grade 3
≥180 ≥100
Blood pressure levels and ategories for adults
The standard is valid for nonmedicated persons over 18 years of age who do
not suffer from serious short term diseases or other diseases such as diabetes
or kidney diseases. If the reading falls inside two groups (e.g. the systolic
number within grade 2 and the diastolic number within grade 1), the highest
number is used for classification (and the example thus falls within grade 2).
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Persons with diabetes or chronic kidney diseases are exceptions to the
classifications above as a blood pressure level of just 130/80 mmHg or higher is
generally regarded as hypertension.
The blood pressure monitor is equipped with a category indicator for
visualization of the presumed risk level of the user in accordance with the
standard above. Read more about this in the section ‘Risk category indicator’.
It is important to consult your doctor regularly. A doctor will be able to determine
the normal blood pressure area for each individual and to determine the exact
point at which each individual is considered part of a risk group.
It is recommended that you keep a record of your measurements in order to
keep track of developments in your blood pressure.
How to use the blood pressure monitor
This blood pressure monitor is equipped with ‘Smart Sense™’ technology. By
pressing a single button the cuff is automatically inflated to block the blood
pressure flow through the artery. Subsequently, the deflation process starts. The
‘Smart Sense™’ technology enables automatic inflation and deflation to be
adjusted exactly to fit each individual. Please be aware that any motion during
inflation or deflation will cause measurement errors. When the measurement is
complete the display will show the systolic pressure, the diastolic pressure, and
the heart rate.
Smart Sense™ is approved to provide clinically correct results. The device is
approved by and in accordance with the demands of MDD (Medical Device
Directive, European Norm EN-1060-3 &/or 1060-4) as well as the guidelines
from The British Hypertension Society (BHS) accreditation and the Food & Drug
Administration (FDA) AAMI/ANSI SP10.
Based on the measurements, the blood pressure monitor’s category indicator
will warn the user by means of a symbol if the user falls within a risk group.
Read more about this in the section ‘Risk category indicator’ and consult the
table on page 45.
The blood pressure monitor is also equipped with an identification function for
heart arrhythmia (heart rhythm disturbances) which will warn the user that his or
her heart has an unstable heartbeat. If the symbol
IHB appears frequently (5
successive measurements or more) it is highly recommended that you consult a
doctor. Read more about this in the section ‘Establishing arrhythmia (heart
rhythm disturbances)’.
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Des ription of the parts
How to use the blood pressure device
Setting date and time
1. To set date and time, press the SET button located on the top of the
blood pressure device
2. The number designating hours flashes on the display. The time setting is
changed by pressing the button. Every push increases the number by
one and when the desired number appears on the display it is confirmed by
pressing the SET button . The number designating minutes now flashes
on the display.
3. The settings for minutes and date are set in the same way as described in 2.
4. When the device is ready for measurement, ‘0’ will appear on the display.
5
Date/Time set buttons
(located on top of unit)
LCD Display
User Select Button
START/STOP Button
Cuff
Memory Button
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Fitting the uff
1. Remove tight fitting clothing from your left underarm and position the cuff on
the wrist with the palm facing upwards. The cuff must be positioned on the
arm approximately 1 cm above the hand.
2. Pull gently at the end of the cuff so that it tightens easily and smoothly
around the wrist. The cuff is secured by pulling the velcro fastener towards
the cuff.
3. The cuff should feel pleasant around the wrist, yet so tight that there is no
extra space between the cuff and the wrist. If for some reason like poor
blood circulation you cannot measure on left arm, place the cuff around
your right wrist.
4. Relax your entire body, and place your arm on the
table with the palm facing upwards and with the
cuff at the same level as your heart (which is
located slightly below your armpit). If the cuff is not
at the same level as your heart or if you cannot
keep your arm completely still throughout the
reading, use a soft object such as a folded towel to
support your arm.
5. Turn you palm upwards. Sit upright in a chair, and
take 5-6 deep breaths. Avoid leaning back while the
measurement is being taken.
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Important
• The blood pressure changes with every heartbeat and is consequently
changing constantly 24 hours a day.
• The measurement of blood pressure can be influenced by the user’s
position, condition, or other factors. To obtain the highest degree of accuracy
it is recommended that the measurement is taken 1 hour after workout,
bathing, finishing a meal, consuming alcoholic or caffeine beverages, or
after smoking.
• Before measurement it is recommended that you sit still and relax for 15
minutes. The user should not be physically tired or exhausted when the
measurement is taken.
• The user must not talk or move arm or hand during measurement.
• Read the section ‘Worth knowing about blood pressure easure ent’
for further information.
How to measure the blood pressure
1. Choose user 1 or 2 by pressing . When the user number has been
chosen, press START/STOP to confirm the user number.
2. When the cuff is appropriately fitted to the wrist, the measurement is started
by pressing START/STOP. Never activate the device unless the cuff is fitted to
the wrist. All symbols on the display will flash and the device performs self-
calibration for approximately 2 seconds.
3. When “0” flashes on the display, the device is ready for measurement and
will automatically inflate the cuff to start the measurement.
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4. The cuff will then begin deflating as measurement continues.
NOTE that the cuff is automatically re-inflated if the device determines that
the body requires higher pressure to complete the measurement.
5. When the measurement is completed, the cuff automatically deflates and the
display will show the systolic pressure, the diastolic pressure, and the pulse.
The measurement is simultaneously stored in the monitor’s memory.
6. The device automatically switches off approximately 1 minute after use but
can also be switched off manually by pressing START/STOP.
7. If necessary, a measurement can be interrupted by pressing START/STOP
(recommended) or any other button on the device. The cuff will subsequently
deflate immediately.
Des ription of the display
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User 1: Shows that the device is employed by user 1.
User 2: Shows that the device is employed by user 2.
Low battery symbol. Shows on the display when a change of battery
is required.
Pulse symbol. Shows pulse beats per minute.
IHB
Heart arrhythmia (heart rhythm disturbance): Indicated that arrhythmia has
been established. Read more about this in the section “Establishing
arrhythmia (heart rhythm disturbances)”.
AVG. 3
Memory - average measurements. Shows the average of the 3 most
recent measurements.
Risk category indicator: Compares measurements with the different
blood pressure categories. Read more about this in the section “Risk
category indicator”.
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Error messages
Worth knowing about blood pressure measurement
• Blood pressure measurements should be performed in quiet and
comfortable surroundings as measurements can be affected by high or low
temperatures. The blood pressure should be measured at normal body
temperatures.
• Do not move or speak during measurement. Keep your feet flat on the floor.
• Do not touch the cuff or the blood pressure device during measurement.
• To obtain the best possible measurement, the blood pressure should be
measured at approximately the same time every day, and on the same arm.
• If you are to perform several successive measurements, please wait 5
minutes between each measurement.
• The measurements are for guidance only. If you have doubts about your
blood pressure, consult your doctor.
• The blood pressure device automatically deflates when the pressure
exceeds 300 mmHg.
• The product is not suited for persons suffering from arrhythmia (heart rhythm
disturbances).
• Measurement errors may occur if the user suffers from diabetes, poor blood
circulation, kidney problems, or has suffered a stroke.
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Measurement error: Repeat measurement. Make sure that the cuff is properly
fitted and keep the hand steady while measurement is taken.
Airflow error during inflation. Make sure that the cuff is properly fitted and
perform new measurement.
Pressure exceeds 30 mmHg. Switch off the device and switch on again.
Perform new measurement.
Data error. Remove the batteries and re-insert them.
-- Recalibration warning. It is recommended to have the device recalibrated.
Read more about this in the section “Calibration”.
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Risk ategory indi ator
The device complies with the blood pressure standard which classifies blood
pressures into 6 grades. This innovative blood pressure classification shows
with a symbol on the display the presumed risk category for each
measurement. The symbols and the classifications are described below and
follows the numbers in the table on page 3.
Establishing arrhythmia (heart rhythm disturban es)
An unstable heart rhythm can lead to or indicate cardiovascular diseases. By
means of advanced technology, this blood pressure device can warn the user
that he or she has an irregular heart rhythm which in turn contributes to better
health monitoring.
If the symbol
IHB appears during blood pressure measurement, it means that
an irregular heart rhythm has been established. This should only be regarded as
a warning. Note that it is important that the user is relaxed, sits still, and does
not speak during measurement. It is strongly recommended that you contact
your doctor if the irregular heart rhythm symbol appears several times in
succession (5 times or more).
Memory
This blood pressure device can be used by two users. Each user can store up
to 60 measurements.
1. Press .
2. Choose user 1 or 2 by pressing .
3. Press to enter memory.
4. The blood pressure device will first show the average of the three most
recent measurements stored in the memory.
AVG.
5. Every time is pressed, previously stored measurements are shown.
The latest measurement is shown first.
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