LifeSource UA-789 Manual

Trilingual Instruction Guide – MODEL UA-789

Ex t r a La r g E ar m
Blood Pressure Monitor

Please read this important information before using your monitor.
☞
Please remember that only a medical practitioner is qualified to
interpret your blood pressure measurements. Use of this device
should not replace regular medical examinations.
☞
Have your physician review your procedure for using
this device. He or she will want to verify blood pressure
measurements before prescribing or adjusting medications.
☞
Consult your physician if you have any doubt about your
readings. Should a mechanical problem occur, contact A&D
Medical (in Canada, contact Auto Control Medical).
☞
Do not attempt to service, calibrate, or repair this monitor.
☞
Because your UA-789 monitor contains delicate, high-precision
parts, avoid exposing it to extremes in temperature or humidity
or to direct sunlight, shock and dust. A&D Medical guarantees
the accuracy of this monitor only when it is stored and used
within the temperature and humidity ranges noted on page
E-21.
☞
Clean the monitor and cuff with a dry, soft cloth or a cloth
dampened with water and a mild detergent. Never use alcohol,
benzene, thinner or other harsh chemicals to clean monitor or
cuff.
☞
Remove and replace batteries if monitor is not used for more
than
six months. Alkaline batteries recommended.
PRECAUTIONS
The UA-789 is designed to be used at home, by those who are
eighteen (18) years and older, to monitor blood pressure (systolic and
diastolic) and pulse rate. It is not designed for ambulatory use.


Fast. Easy. Accurate.
Congratulations on purchasing a state-of-the-art LifeSource®
blood pressure monitor—one of the most technologically
advanced monitors available today. Designed for ease of use
and accuracy, this monitor will facilitate your daily blood
pressure regimen.
Physicians agree that daily self-monitoring of blood pressure
is an important step individuals can take to maintain cardio-
vascular health and prevent the serious consequences associ-
ated with undetected and untreated hypertension.
A&D Medical has been manufacturing high quality healthcare
products for over 20 years. We are committed to providing
you and your family with monitoring devices that provide the
utmost in accuracy and convenience.
LifeSource - Designed for Life.

 
WHAT DISPLAY SYMBOLS MEAN ................................... E-2
MONITOR COMPONENTS .......................................... E-3
 ..............................................
................................................
 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
.............................E-5
 ............................
WHAT IS AN IRREGULAR HEARTBEAT .............................. 
 .................................. 
ABOUT AvERAGE READING ....................................... 
ABOUT PRESSURE RATING INDICATOR™ ........................... 
ABOUT MEMORY ................................................. 
USING THE MONITOR WITH AC ADAPTER .......................... 
ABOUT BLOOD PRESSURE ................................ 
TROUBLESHOOTING .............................................. 
..................................................
.......................................... E-22
 ...........................................
SPANISH INSTRUCTIONS...........................................

?



  
The symbol shown while mea-
surement is in progress. It blinks
while detecting the pulse.
Measurement is in progress,
remain as still as possible.
An irregular heartbeat or body
movement may have occurred.
Refer to page E-11 for more infor-
mation on irregular heartbeats.
Take measurement again and
consult with your physician.
Previous measurement stored in
MEMORY.
Battery Full
The battery power indicator dur-
ing measurement.
Replace all batteries with new
ones when the symbol blinks.
Alkaline batteries recom-
mended.
Battery Low
The batteries are low when it
blinks.
Unstable blood pressure due to
excessive body movement.
Try the measurement again.
Remain very still during the
measurement.
The systolic and diastolic values
are within 10 mmHg of each
other.
Fasten the cuff correctly, and try
the measurement again.
The pressure value did not
increase during inflation.
Check for air leaks along the
tube and around the air socket.
The cuff is not fastened correctly. Refasten the cuff and retake
measurement.
There is an air leak in the cuff or
monitor.
Make sure tube is properly con-
nected to cuff and monitor.
PULSE DISPLAY ERROR
The pulse is not detected cor-
rectly.
Try the measurement again.
Remain very still during the
measurement.
Cuff Inflation Meter Measurement is in progress,
remain as still as possible
Pressure Rating Indicator™ Refer to the section “About
Pressure Rating Indicator” for
further explanation.
WHAT DISPLAY SYMBOLS MEAN

 
MONITOR COMPONENTS
SYSTOLIC PRESSURE MEMORY BUTTON
AC ADAPTER
JACK
START BUTTON
AIR HOSE
EXTRA LARGE CUFF
AIR CONNECTOR PLUG
AIR SOCKET
BATTERY COVER
BATTERY COMPARTMENT
DIASTOLIC PRESSURE
CUFF INFLATION
METER
IRREGULAR
HEARTBEAT
PRESSURE RATING
INDICATOR
PULSE RATE
CLOCK BUTTON



You must install 4 type AA (1.5 volt) batteries (alkaline batteries recom-
mended), or use the AC Adapter (see page E-14 for using the Monitor
with AC Adapter) and attach the cuff to the monitor before using it. To
install batteries (or replace them if the “Low Battery” symbol appears on
display), proceed as follows:
 Remove battery compartment cover by gently pushing down on
arrow and sliding cover forward.
2. Put in bottom row of batteries first. Place
the batteries in compartment with posi-
tive (+) and negative (–) terminals match-
ing those indicated in the compartment.
Be sure batteries make contact with com-
partment terminals.
3. Replace cover by sliding it into the com-
partment and gently pressing into place.
 Rechargeable batteries will not work with this monitor.
LifeSource® blood pressure monitors are easy to use, accurate and
digitally display full measurement readouts. Our technology is
based on the “oscillometric method” – a noninvasive blood pressure
determination. The term “oscillation” refers to any measure of
vibrations caused by the arterial pulse. Our monitor examines the
pulsatile pressure generated by the arterial wall as it expands and
contracts against the cuff with each heartbeat.
The cuff is inflated until the artery is fully blocked. The inflation
speed is maximized and the pressure level is optimized by the device.
The monitor takes measurements while the cuff is both inflating and
deflating. This results in a faster measurement providing greater
comfort to the user.



 
Using the correct cuff size is important for an accurate reading. A cuff
that is too large will produce a reading that is lower than the correct
blood pressure; a cuff that is too small will produce a reading that is
higher than the correct blood pressure. With your arm hanging at the
side of your body, measure the circumference of your upper arm at
the midpoint between the shoulder and elbow.
 RECOMMENDED


REPLACEMENT

  
  
  
The AccuFit™ Extra Large Cuff is designed to accommodate larger
arm sizes measuring from 16.5" - 23.6" (45-60 cm). This cuff is con-
toured to provide you with a quick and comfortable fit. To place the
cuff on properly, please read the section "Taking Your Blood Pressure"
(see pg. E-8).

After installing the batteries, you must attach the blood pressure cuff
to the monitor. To do so, insert the Air Connector Plug of the blood
pressure cuff into the Air Socket of the monitor firmly.
 Be sure to differentiate the Air Socket from the AC Adapter Jack. The Air
Connector Plug will only securely fit into the correct jack.




Adjusting the Built-in Clock
The UA-789 monitor has a built-in clock that gives you the time and
date and can tell you when a blood pressure reading stored in memo-
ry was taken. We recommend that you adjust the clock prior to use. To
adjust the clock, follow these simple steps:
 Press and hold the clock button until the digits start blinking.
2. To select the year, press and release the START button (to fast for-
ward, press and hold the START button). When the current year is
selected, set the year by pressing the clock button.
3. After the year is set, follow step 2 to set the month, day, hour
(AM/PM) and minute on the display screen.
 The clock will go back to January 1, 2007 at 12:00 once the batteries are removed
for more than 30 seconds.


 
Setting the Alarm
The UA-789 monitor allows you to set up to three alarms per day to
notify you when to take your blood pressure. To set the alarm(s):
 Press and hold the clock button until the year digits
start blinking. Then press and release the memory
button.
"P-1" will be shown at the middle of the display
screen indicating that this is the first alarm.
If you do not wish to set an alarm, press the memory button
several times to return to the main screen or allow the display to dis-
appear after 30 seconds.
2. Select the hour using the START button and press the clock button
to set the hour and move to the minute selection. After selecting
and setting the minute, press the memory button to complete the
alarm setting.
3. The display will move onto the second alarm setting and conclude
with the third alarm setting. Repeat the previous step if you need a
second or third alarm.
When the alarm is set, a "P" will appear on the main
screen. If you do not see a "P" on the main screen, press
the clock button to activate the alarm function. When
the alarm sounds, it will last for one minute. To turn
the alarm off immediately, press the START button.
 To deactivate the alarm function, simply press the clock but-
ton once. You can reactivate the alarm function by pressing the clock
button again.




Tips for Blood Pressure Monitoring:
☞
Relax for about 5 minutes before measurement.
☞
Do not smoke or ingest caffeine at least 30 minutes prior to
measurement.
☞
Remove constricting clothing and place cuff on bare arm.
☞
Unless your physician recommends otherwise, use left arm
to measure pressure.
☞
Do not talk during measurement.
☞
Do not cross legs and keep you feet flat on floor during
measurement.
Cuff Size Indicator on the LifeSource AccuFit™ Cuff
The LifeSource AccuFit™cuff has an indicator which tells you wheth-
er you are using the correct cuff size or not. Place the cuff on your
arm (see Page E-9 to learn how to put the cuff on correctly) and if the
Index Mark falls within the Proper Fit Range, you are using the cor-
rect cuff size.
If the Index Mark falls outside of the Proper Fit Range, contact A&D
Medical at 1-888-726-9966 (in Canada, call Auto Control Medical at
1-800-461-0991) for more information on how to obtain a cuff replace-
ment.
In addition, the LifeSource AccuFit™ Extra Large Cuff also features a
Brachial Artery Marker which will assist you in properly positioning
the cuff. Simply align the yellow marker on the cuff with the inside of
your left elbow and fasten the cuff securely.

Index Mark Proper Fit Range
(white)
Brachial Artery Marker
(yellow)

 

Now you are ready. Follow these simple steps:
 Sit comfortably with your left arm resting on a flat surface so that
the center of your upper arm is at the same height as your heart.
2. Lay left arm on the table with palm up. Place the cuff on your
upper arm. Align the yellow Brachial
Artery Marker on the cuff over the brachial
artery on the inside of the arm. The tube
should be facing downward and toward
the inside of your arm. Fasten the cuff
securely. The bottom of the cuff should be
about 1" above your elbow.
3. The cuff should be snug but not too tight. You
should be able to insert two fingers between
the cuff and your arm.
 If you have difficulty placing the cuff on by yourself,
please have somebody close by who can assist you.
 Press the START button. Your average blood pres-
sure reading will appear with the number of mea-
surements stored in memory (i.e. A25 = total of
25 measurements stored in memory). As the cuff
pressurizes, measurement will begin and the Cuff
Inflation Meter will show on the display screen. It
is normal for the cuff to feel very tight.
Note: If an appropriate pressure is not obtained, the device automatically starts to
inflate again. If you wish to stop inflation at any time, press the START button again.



Manual override of systolic pressure setting:
If your systolic pressure is expected to exceed 230 mmHg follow these
steps:
 Place the cuff on the left arm, unless your physician tells you oth-
erwise.
2. Press and hold the START button until a number 30 to 40 mmHg
higher than your expected systolic pressure appears.
3. Release the START button when the desired number is reached.
280 mmHg is the highest pressure level the monitor can reach.
Measurement will then begin. Continue to measure your blood
pressure as described on Page E-8.

5. When the measurement is complete, the systolic and diastolic pres-
sure readings and pulse rate are displayed. The cuff deflates and
the monitor automatically shuts off after 45 seconds, or you can
turn it off by pressing the START button.
 Remove cuff and make note of your blood pressure and pulse rate
on the Blood Pressure Record chart in the back of the manual, indi-
cating the date and time of measurement.
 Measure blood pressure at the same time each day.
SYSTOLIC
DIASTOLIC
PULSE

 
WHAT IS AN IRREGULAR HEARTBEAT

The UA-789 monitor provides a blood pressure and pulse rate mea-
surement even when an irregular heartbeat occurs. The irregular
heartbeat symbol will appear in the display window in the event
an irregular heartbeat has occurred during measurement. An irregular
heartbeat is defined as a heartbeat that varies by 25% from the aver-
age of all heartbeat intervals during the blood pressure measurement.
It is important that you relax, remain still and refrain from talking
during measurements.
 We recommend contacting your physician if you see this
symbol frequently.
The Cuff Inflation Meter is located on the left side of the display
screen to tell you when the blood pressure monitor is inflating and
deflating the cuff. The Cuff Inflation Meter moves up during inflation
and moves down during deflation.
  




ABOUT AvERAGE READING
The UA-789 provides an average blood pressure reading based on
the total measurements stored in memory. When tak-
ing a measurement, the average blood pressure reading
will appear and the number of measurements stored in
memory will flash several times before the cuff begins
to inflate. The average blood pressure reading will also
appear briefly when you recall the measurements stored
in memory.
The Pressure Rating Indicator™ is a feature which
provides a snapshot of your blood pressure clas-
sification based on your measurements. This will
let you quickly know what your blood pressure
readings mean. Each segment of the bar indica-
tor corresponds to the Seventh Report of the
Joint National Committee (JNC7) on Prevention,
Evaluation and Treatment of High Blood
Pressure from the National Heart, Lung and
Blood Institute - May 2003. For a more detailed
look at this blood pressure classification, please refer to “Assessing
High Blood Pressure” on page E-16.
:The indicator displays a segment, based on the current measure-
ment, corresponding to the JNC7 Classification.
 Due to other risk factors (e.g. diabetes, obesity, smoking, etc.) in addition to your
blood pressure measurement, the Pressure Rating Indicator is approximate. Please con-
sult with your physician for interpretation and diagnosis of your blood pressure measure-
ments.
Note: Residents outside of the United States (e.g.. Canada and Mexico) should refer to
the WHO Classification Table on page E-16 for assessment of their blood pressure mea-
surement.
ABOUT PRESSURE RATING INDICATOR™

IN MEMORY
AvERAGE

 
This monitor automatically stores up to sixty (60) blood pressure and
pulse measurements in memory. Measurements stored in memory are
assigned an index number in the order of the newest to the oldest.
To retrieve readings, follow these simple steps:
 When the display screen is showing only the
time, press and quickly release the Memory
("M") button. You will see the date (month
and day) and time of the most recent blood
pressure that was taken followed by the
measurement.
2. If you want to retrieve other measurements
in memory, press and release the Memory
button repeatedly until the desired date and
time of the measurement are reached. The
measurement will then be displayed.
3. The display will shut off automatically a few
seconds after the readings are displayed.
If there are no measurements stored in memory, you will see dashes
in the date and time fields followed by a measurement of three 0s
displayed vertically.
To clear the measurement history from memory, press and hold the
Memory button for at least five seconds while the display screen is
showing only the time. Release the Memory button when you see
the M symbol in upper left hand corner of the display flash and
disappears. This indicates that the memory has been cleared.
 Stored measurements, time, date, and alarm settings will be lost if batteries
become low or are removed for more than 30 seconds.
ABOUT MEMORY
MONTH
DATE
TIME



USING THE MONITOR WITH AC ADAPTER
The UA-789 has an AC adapter jack to allow you to supply power
from an outlet in your home. The UA-789 monitor is only compatible
with the included LifeSource AC Adapter (part # TB-235). The use
of any other AC adapter may damage your UA-789 monitor and will
void your warranty.
Connecting the AC adapter to the monitor:
Gently insert the AC adapter plug into a 120V AC outlet.
2. Connect the AC adapter plug into the jack on the right side
of the monitor.
Disconnecting the AC adapter from the monitor:
 Turn the unit off by pressing the START button.
2. Disconnect the plug from the jack of the monitor quickly.
3. Gently remove the AC adapter from the power outlet.
(LifeSource part # TB-235)

 

Blood pressure is the force exerted by blood against the walls of the
arteries. Systolic pressure occurs when the heart contracts; diastolic
pressure occurs when the heart expands. Blood pressure is measured
in millimeters of mercury (mmHg).

Blood pressure is affected by many factors: age, weight, time of day,
activity level, climate, altitude and season. Certain activities can sig-
nificantly alter one’s blood pressure. Walking can raise systolic pres-
sure by 12 mmHg and diastolic pressure by 5.5 mmHg. Sleeping can
decrease systolic blood pressure by as much as 10 mmHg. Taking
your blood pressure repeatedly without waiting an interval of 5 min-
utes between readings, or without raising your arm to allow blood to
flow back to the heart, can also affect it.
In addition to these factors, beverages containing caffeine or alcohol,
certain medications, emotional stress and even tight-fitting clothes can
make a difference in the readings.

An individual’s blood pressure varies greatly from day to day and
season to season. For hypersensitive individuals, these variations are
even more pronounced. Normally, blood pressure rises during work
or play and falls to its lowest levels during sleep.
ABOUT BLOOD PRESSURE



ABOUT BLOOD PRESSURE

The following standards for assessing high blood pressure (without
regard to age or gender) have been established as a guideline. Please
note that other risk factors (e.g. diabetes, obesity, smoking, etc.) need
to be taken into consideration and may affect these figures. Consult
with your physician for an accurate assessment.

  
Normal less than 120
and
less than 80
Prehypertension 120-139
or
80-89
Stage 1 Hypertension 140-159
or
90-99
Stage 2 Hypertension
greater than
or equal to
160
or
greater than
or equal to
100
 The Seventh Report of the Joint National Committee on Prevention, Evaluation
and Treatment of High Blood Pressure for Adults. National Heart, Lung and Blood
Institute - May 2003.


  
Optimal less than 120
and
less than 80
Normal less than 130
or
less than 85
High-Normal 130-139
or
85-89
Stage 1 Hypertension 140-159
or
90-99
Stage 2 Hypertension 160-179
or
100-109
Stage 3 Hypertension
greater than
or equal to
180
or
greater
than
or equal to
110
 Standards to assess high blood pressure, without regard to age or gender,
have been established by the World Health Organization (WHO).