Leader BP3MS1-3B User manual

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Automatic Blood Pressure Monitor - Instruction Manual
Table of contents
1. Introduction
1.1.Features of your blood pressure monitor
1.2. Gentle+™Measurement System
1.3.Important information about self measurement
2. Important Information on Blood Pressure and its Measurement
2.1.How does high/low blood pressure arise?
2.2.Which values are normal?
2.3.What can be done if regular high/low values are obtained?
3. Components of your Blood Pressure Monitor
4. Using your Monitor for the First Time
4.1.Installing the batteries
4.2.Setting the date and time
4.3.Cuff tube connection
4.4.Select the user
5. Measurement Procedure
5.1.Before measurement
5.2.Common sources of error
5.3.Fitting the cuff
5.4.Measuring procedure
5.5.Irregular Heartbeat Detector
5.6. Hypertension Indicator
5.7. Memory - Displaying the last 99 measurements
5.8. Discontinuing a measurement
5.9. Battery Charge Indicator
5.10. Using the AC Adapter
6. Bluetooth® functions & application (App)
6.1. Bluetooth® Icon Indicator
6.2. iOS devices
6.3. Android OS Phones

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7. Error Messages/Troubleshooting
8. Care and Maintenance
9. Limited Warranty
10. Standards
11. Technical Specifications
12. Contacts for Support

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1. Introduction
1.1. Features of your Automatic Blood Pressure Monitor
Your blood pressure monitor is an automatic digital blood pressure measuring
device for use by adults on the upper arm at home or in your doctor’s/nurse’s
office. It enables very fast and reliable measurement of systolic and diastolic
blood pressure as well as pulse through the oscillometric method. This device
offers clinically proven accuracy and has been designed to be user friendly.
Before using, please read this instruction manual carefully and then keep it in
a safe place. Please contact your doctor for additional questions on the sub-
ject of blood pressure and its measurement.
1.2. Gentle+™Measurement System
Gentle+™, our most advanced system to date, combines clinical accuracy and
premium features including:
• A quieter, more comfortable measurement experience that reduces the
amount of time your arm is under pressure. Less pressure = more comfort!
• An ergonomic cuff design that is easier to use and fits a wider range of arm
sizes (for arms 8.7”-18.1”).
Attention!
1.3. Important information about self-measurement
•Self-measurement means control, not diagnosis or treatment. Unusual
values must always be discussed with your doctor. Under no circum-
stances should you alter the dosages of any drugs prescribed by
your doctor.
• The pulse display is not suitable for checking the frequency of heart pacemakers.
• In cases of irregular heartbeat, measurements made with this instrument
should only be evaluated after consultation with your doctor.

Electromagnetic interference
The device contains sensitive electronic components. Avoid strong electrical or
electromagnetic fields in the direct vicinity of the device (e.g. mobile telephones,
microwave ovens). These can lead to temporary impairment of the measuring accuracy.
2. Important Information on Blood Pressure and its Measurement
2.1. How does high or low blood pressure arise?
Your level of blood pressure is determined in the circulatory center of the
brain and adjusts to a variety of situations through feedback from the nervous
system. To adjust blood pressure, the strength and speed of the heart (Pulse),
as well as the width of circulatory blood vessels is altered. Blood vessel width
is controlled by fine muscles in the blood vessel walls.
Your level of arterial blood pressure changes periodically during heart activity:
During the “blood ejection” (Systole) the value is highest (systolic blood pres-
sure value). At the end of the heart’s “rest period” (Diastole) pressure is low-
est (diastolic blood pressure value).
Blood pressure values must lie within certain normal ranges in order to pre-
vent particular diseases.
2.2. Which values are normal?
Blood pressure is very high if your diastolic pressure is above 100 mmHg and/or
your systolic blood pressure is over 160 mmHg, while at rest. In this case,
please consult your physician immediately. Long-term values at this level endanger
your health due to continual damage to the blood vessels in your body.
If your systolic blood pressure values are between 140 mmHg and 159mmHg
and/or the diastolic blood pressure values between 90 mmHg and 99mmHg,
consult your physician. Regular self-checks are necessary.
If you have blood pressure values that are too low, (i.e., systolic values under
105mmHg and/or diastolic values under 60 mmHg), consult your physician.
Even with normal blood pressure values, a regular self-check with your blood
pressure monitor is recommended. You can detect possible changes in your
values early and react appropriately.
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If you are undergoing medical treatment to control your blood pressure, keep a
record of values along with time of day and date. Show these values to your
physician. Never use the results of your measurements to independently
alter the drug doses prescribed by your physician.
Which values are normal?
The following table is for classifying blood pressure values in adults in accor-
dance with the National Institutes of Health JNC7 (Data in mmHg):+
Additional information
• If your values are mostly normal under resting conditions but exceptionally
high under conditions of physical or psychological stress, it is possible that
you are suffering from so-called “labile hypertension.” Consult your doctor.
• Correctly measured diastolic blood pressure values above
120mmHg require immediate medical treatment.
•This device is not intended for use on children 12 years of age or
younger. Please ensure that children are supervised around this device,
some parts are small enough to be swallowed. Be aware of the risk of
strangulation in case this device is supplied with cables or tubes.
2.3. What can be done if regular high or low values are obtained?
a) Consult your doctor.
b) Increased blood pressure values (various forms of hypertension) are associ-
ated with considerable health risks over time. Arterial blood vessels in your
body are endangered due to constriction caused by deposits in the vessel
walls (Arteriosclerosis). A deficient supply of blood to important organs
Category Systolic Diastolic
(mmHg) (mmHg)
Normal <120 and <80
Pre-Hypertension 120-139 or 80-89
Hypertension
Stage 1 Hypertension 140-159 or 90-99
Stage 2 Hypertension ≥160 or ≥100

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(heart, brain, muscles) can result from arteriosclerosis. Furthermore, the
heart will become structurally damaged with increased blood pressure values.
c) There are many different causes of high blood pressure. We differentiate
between the common primary (essential) hypertension, and secondary
hypertension. The latter group can be ascribed to specific organ malfunctions .
Please consult your doctor for information about the possible origins of your
own increased blood pressure values.
d) There are measures which you can take to reduce and even prevent high
blood pressure. These measures must be permanent lifestyle changes.
A) Eating habits
• Strive for a normal weight corresponding to your age. See your doctor for
your ideal weight.
• Avoid excessive consumption of common salt.
• Avoid fatty foods.
B) Previous illnesses
• Consistently follow all medical instructions for treating illness such as:
• Diabetes (Diabetes mellitus or sugar diabetes)
• Fat metabolism disorder
• Gout
C) Habits
• Give up smoking completely.
• Drink only moderate amounts of alcohol.
• Restrict your caffeine consumption (coffee, tea, chocolate).
D) Your physical condition
• After a medical examination, and with your doctor’s approval and
direction; exercise.
• Choose sports which require stamina and avoid those which require strength.
• Avoid reaching the limit of your performance.
• With previous illnesses and/or an age of over 40 years, please consult your
doctor before beginning your exercise routine. Speak with your doctor
regarding the type and extent of exercise that is appropriate for you.

3. Components of your blood pressure monitor
a) Measuring unit
b) One Size Easy Fit Cuff
For arm circumference 22cm - 46 cm (8.7” - 18.1”).
If you ever need to buy a replacement cuff, call
1-800-568-4147 for information.
Please Note
Arm circumference should be measured with a measuring tape in the middle
of the relaxed upper arm. Do not force cuff connection into the opening. Make
sure the cuff connection is not pushed into the AC adapter port. If the cuff is
too small, call 1-800-568-4147 for additional information. You may prefer to
use one of our wrist type monitors.
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Cuff Socket
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Power Button
Memory Recall
Button
Hypertension
Indicator
AC Adapter Port
User/Time
Switch

4. Using your Monitor for the First Time
4.1 Installing the batteries
Insert batteries immediately after unpacking the unit. The
battery compartment is located on the bottom of the device.
a) Remove cover.
b) Insert the batteries (4 x size AA 1,5V), observing the
indicated polarity.
c) If a battery warning appears in the display, the batteries
are discharged and must be replaced.
Attention!
• After the low battery indicator appears, the device
won’t function until the batteries have been replaced.
• Please use "AA" Long-Life or Alkaline 1.5 V batteries
and replace them all at once.
• If the blood pressure monitor is not used for long periods,
remove the batteries from the device.
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Low Battery
Indicator

4.2 Setting the date and time
1. After the new batteries are activated, the year num-
ber flashes in the display. You can advance the year
by pressing the "M" button. To confirm and then set
the month, press the time button.
2. You can now set the month using the “M” button. To
confirm and then set the day, press the time button.
3. Please follow the instructions above to set the day,
hour and minutes.
4. Once you have set the last minute and pressed the
time button, the date and time are set and the time
is displayed.
5. If you want to change the date and time, press and
hold the time button down for approx. 3 seconds.
Release and press the time button once more and
the year will begin flashing. Now you can enter the
new values as described above.
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TIME PM
Memory
Button
Time/Dat
Button

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4.3. Cuff tube connection
Insert the blue cuff tube into the blue opening on the
side of the monitor indicated by the drawing of a cuff.
4.4. Select the User
This blood pressure monitor is designed to store 99
measurements for each of two users. Before taking a
measurement, be certain that the correct user has
been selected.
a) With the unit off, press and hold the TIME button
for 3 seconds until the user icon in the bottom right-
hand corner of the LCD screen flashes.
b) Press the “M” button to toggle between users.
c) Press the power button to make your selection.
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5. Measurement Procedure
Please note You should always be seated before and during measurement.
5.1. Before measurement
• Avoid eating and smoking as well as all forms of exertion directly before
measurement. These factors influence the measurement result. Find time
to relax by sitting in an armchair in a quiet atmosphere for about 5 minutes
before taking a measurement.
• Remove any garment that fits closely to your upper arm.
• Always measure on the same arm (normally left).
• Always compare measurements taken at the same time of day, since blood
pressure changes during the course of the day, as much as 20-40 mmHg.
5.2. Common sources of error
Note Comparable blood pressure measurements always require the
same conditions! Conditions should always be quiet.
• All efforts by the user to support the arm can increase blood pressure.
Make sure you are in a comfortable, relaxed position and do not flex any of
the muscles in the measurement arm during the measurement. Use a cush-
ion for support if necessary.
• If the arm artery lies considerably lower or higher than the heart, an erro-
neously high or low blood pressure will be measured! Each 15cm (6 inch)
difference in height between your heart and the cuff results in a measure-
ment error of 10 mmHg!
• Cuffs that are too narrow or too short result in false measurement values.
Selecting the correct cuff is extremely important. Cuff size is dependent
upon the circumference of the arm (measured in the center). The permissi-
ble range is printed on the cuff. If this is not suitable for your use, please
call 1-800-568-4147.
• A loose cuff or a sideways protruding air pocket causes false measurement values.
• With repeated measurements, blood accumulates in the arm, which can
lead to false results.

Consecutive blood pressure measurements should
be repeated after a 1 minute pause or after your
arm has been held up in order to allow the accu-
mulated blood to flow away.
5.3. Fitting the Cuff
a) The cuff is pre-formed for easier use. Remove
tight or bulky clothing from your upper arm.
b) Wrap the cuff around your upper left arm. The
rubber tube should be on the inside of your arm
extending downward to your hand. Make certain
the cuff lies approximately 1/2” (1 to 2 cm) above
the elbow.
Important! The red strip on the edge of the cuff
(Artery Mark) must lie over the artery which runs
down the inner side of the arm.
TIP Align red artery mark to pinky finger.
c) To secure the cuff, wrap it around your arm and
press the velcro together.
d) There should be little free space between the
arm and the cuff. You should able to fit 2 fingers
between your arm and the cuff. Clothing must not
restrict the arm. Any piece of clothing which does
must be removed. Cuffs that don’t fit properly
result in false measurement values. Measure your
arm circumference if you are not sure of proper fit.
e) Lay your arm on a table (palm upward) so the
cuff is at the same height as your heart. Make
sure the tube is not kinked.
f) Remain seated quietly for at least five
minutes before you begin the measurement.
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8.7 - 18.1 inches
22 - 46 cm
½”

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Comment
If it is not possible to fit the cuff to your left arm, it can
also be placed on your right arm. However, all meas-
urements should be made using the same arm.
Comparable blood pressure measurements always
require the same conditions (Relax for 5 minutes before
taking a measurement).
Please consult your physician for any of the following
situations:
• The application of the cuff over a wound or inflamed
area.
• The application of the cuff on any limb with intravas-
cular access or therapy, or an arterio-venous (A-V)
shunt.
• The application of the cuff on the arm on the side of
a mastectomy.
• Simultaneous use with other medical monitoring
equipment on the same limb.
• The blood circulation of the user needs to be checked.
Cuff on
right arm

5.4. Measuring procedure
After the cuff has been appropriately positioned on the
arm and connected to the blood pressure monitor, the
measurement can begin. Remain still during your
measurement, do not flex muscles.
a) Remain seated quietly for 5 minutes before you
begin the measurement.
b) Press the power button. The pump begins to inflate
the cuff. In the display, the increasing cuff pressure
is continually displayed.
c) When the device has detected your pulse, the heart
symbol in the display begins to blink.
d) After reaching the inflation pressure, the pump
stops and the pressure will release. The cuff pressure
(large digits) is displayed during the measurement.
e) When the measurement has been concluded, the
measured systolic and diastolic blood pressure val-
ues, and the pulse are displayed.
f) The appearance of the irregular heartbeat symbol
signifies that an irregular heartbeat was detected.
This indicator is only a caution. It is
important that
you be relaxed, remain still and do not talk during
measurements. NOTE We recommend contacting
your physician if you see this indicator frequently.
g) The measurement results are displayed until you
switch the device off. If no button is pressed for
1minute, the device switches off automatically.
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Pumping
Pressure
Measuring
Measurement
complete
Systolic
Diastolic
Pulse

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5.5. Irregular Heartbeat Detector
This symbol indicates that certain pulse irregularities
were detected during the measurement. In this case, the
result may deviate from your normal basal blood pressure–
repeat the measurement. In most cases, this is no cause
for concern. However, if the symbol appears on a regular
basis (e.g. several times a week with measurements
taken daily), we advise you to tell your doctor. Please
show your doctor the following explanation:
Information for the doctor on frequent appearance
of the Irregular Heartbeat Symbol
This instrument is an oscillometric blood pressure monitor
device that also analyzes pulse frequency during meas-
urement. The instrument is clinically tested.
If pulse irregularities occur during measurement, the
irregular heartbeat symbol is displayed after the measure-
ment. If the symbol appears more frequently (e.g. severa l
times per week on measurements performed daily) or if it
suddenly
appears more often than usual, we recommend
the patient to seek medical advice.
The instrument does not replace a cardiac examination,
but serves to detect pulse irregularities at an early stage.

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5.6. Hypertension Indicator
The colored bar on the left-hand edge of the display is the hypertension range.
The black triange on the left hand side of the screen will shift depending upon
whether the readout value is within the normal (green), borderline (yellow) or
danger (red) range.
The classification is based on standards established by the National Institutes
of Health JNC7, 2003. Refer to the chart in section 2.2 of this instruction man-
ual for details of the classifications.
With each reading, a corresponding black triangle is displayed to the right of
the hypertension indicator.
• If your triangle is in the green zone, your measurement is "Normal,"
according to NIH standards.
• If your triangle is in the yellow zone, your measurement is "Pre-Hypertension."
• If your triangle is in the orange zone, it is "Stage 1 Hypertension."
• If your triangle is in the red zone, it is "Stage 2 Hypertension."
Indication of a
"Normal" Blood
Pressure
Indication of a "Pre-
Hypertension" Blood
Pressure
Indication of a "Stage 1
Hypertension" Blood
Pressure
Indication of a "Stage 2
Hypertension" Blood
Pressure
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5.7. Memory – Displaying the last 99 Measurements
At the end of a measurement, this monitor automatically stores
each result with date and time. This unit stores 99 memories for
each of 2 users.
Viewing the stored values
With the unit off, press the "M" button. The display first shows
"A", then shows an average of all measurements stored in the
unit. Please note: Measurements for each user are averaged
and stored separately. Be certain that you are viewing the
measurements for the correct user.
Pressing the "M" button again displays the previous value. To
view a particular stored memory, press and hold the “M” button
to scroll to that stored reading.
Memory full
When the memory has stored 99 results for the selected user, a
new measured value is stored by overwriting the oldest value.
Clear all values
If you are sure that you want to permanently remove all stored
values, hold down the "M" button (the instrument must have
been switched off beforehand) until "CL" appears and then
release the button. If you do not want to clear the values, press
the START/STOP button. To permanently clear the memory,
press the "M" button while "CL" is flashing.
Individual values cannot be cleared.
5.8. Discontinuing a Measurement
If it is necessary to interrupt a blood pressure measurement for
any reason (e.g the patient feels unwell), the power button can
be pressed at any time. The device then immediately lowers the
cuff pressure automatically.
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5.9. Battery Charge Indicator
Batteries almost discharged
When the batteries are approximately 75% used the battery
symbol will flash as soon as the instrument is switched on
(if at least one of the batteries still has some charge).
Although the instrument will continue to measure reliably,
you should obtain replacement batteries.
Batteries discharged– replacements required
When the batteries are discharged, the battery symbol will
appear unblinking as soon as the instrument is switched on.
You cannot take any additional measurements and must
replace the batteries.
1.
Open the battery compartment at the back of the instrument
by pushing inward at the two arrows and pulling it out.
2. Replace the batteries at the same time – ensure they are
correctly connected, as shown on the symbols in the com-
partment.
3. The memory retains all values although date and time
must be reset - the year number therefore flashes auto-
matically after the batteries are replaced.
4. To set date and time, follow the procedure described in
Section 4.2.
Which batteries and which procedure?
Use four new, longlife 1.5V AA batteries. Do not use batter-
ies beyond their expiration date. If the monitor is not going
to be used for a prolonged period the batteries should be
removed.
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5.10. Using the AC Adapter
You may also operate this monitor using the included
AC Adapter (output 6V DC/600 mA with DIN plug).
Use only the included AC Adapter to avoid damaging
the unit.
1. Ensure that the AC adapter and cable are not damaged.
2. Plug the adapter cable into the AC Adapter port on the
blood pressure monitor.
3. Plug the adapter into your electrical outlet.
When the AC adapter is connected, no battery current
is consumed.
Note: No power is taken from the batteries while the
AC Adapter is connected to the monitor. If electrical
power is interrupted, (e.g., by accidental removal of the
AC adapter from the outlet) the monitor must be reset
by removing the plug from the socket and reinserting
the AC adapter connection. Please consult us if you
have any questions regarding the AC adapter by calling
1-800-568-4147.
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