Panasonic EWBU04 User manual

Panasonic
Operating Instructions
Instrucciones de Uso
Upper Arm Blood Pressure Monitor
Monitor de presión arterial de brazo
Model No./N? de Modelo EW-BU04
English 1
Espanol S1
Before operating this device, please read these instructions completely and save this manual for
future use.
Antes de utilizar este dispositivo, lea completamente estas instrucciones y conserve este manual
para futura referencia.

Panasonic Oscillometric Automatic Arm Blood Pressure Monitor Model EW-BU04 is a
device intended to measure systolic and diastolic blood pressure and pulse rate of an
adult individual by using a pressurized cuff on the arm. The device is not intended for use
on neonatal, infants and children. The device is designed for home use only, not for
ambulatory measurement (measurement recorded continuously during the day).
Specifications of this device are listed in page 21.
Blood pressure measurements determined with this device are equivalent to those
obtained by a trained observer using the cuff/stethoscope auscultation method, within the
limits prescribed by the American National Standard, Manual, Electronic or automated
sphygmomanometers.
If you suffer from disorder of heart rhythm, known as arrhythmia only use this blood
pressure monitor in consultation with your doctor. In certain cases oscillometric
measurement method can produce incorrect readings.
Flashing System for hypertensive readings are based on blood pressure values classified
in the paper: “JNC 7 Express; The Seventh Report of the Joint National Committee on
Prevention, Detection, Evaluation and Treatment of High Blood Pressure; U.S.
DEPARTMENT OF HEALTH AND HUMAN SERVICES; National Institute of Health;
National Heart, Lung, and Blood Institute; National High Blood Pressure Education
Program; NIH Publication No. 03-5233; May 2003.” The display values are generally
known, but not proven, to be an indicator of your blood pressure.
The EW-BU04 is not intended to be used as a diagnostic device. Contact your physician
if prehypertensive or hypertensive values are indicated.

I Table of Contents =
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Basics of (Blood Pressure a 3
Important Instructions Before USC ..........ccccceccessceecsssseecseseeseseeseseseescenseessanseescaessecseeessserenees 3
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Easily Check Your Blood Pressure Readings Against the JNC 7 Classification .................... 6
Parts: Identificati Msia naisinime a ai iaa Eai T
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Storing Measurement VallBS...ooonnnncinccnnonicnnncccornnccnn orcos 13
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Caring for the Appliances <a ide 19
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Specifications: ica a NS 21
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__ iE Introduction
Thank you for purchasing the Panasonic Automatic Arm Blood Pressure Monitor EW-BU04.
Measuring your own blood pressure is an important way of monitoring your health. High
blood pressure (hypertension) is a major health problem which can be treated effectively
once detected. Measuring your blood pressure between doctor visits on a regular basis in the
comfort of your home, and keeping a record of the measurements, will help you monitor any
significant changes in your blood pressure. Keeping an accurate record of your blood
pressure will help your doctor diagnose and possibly prevent any health problems in the
future.
Il Basics of Blood Pressure
Your heart acts like a pump, sending blood surging through your blood vessels each time it
contracts. Blood pressure is the pressure exerted by blood pumped from the heart on the
walls of blood vessels. Systolic pressure is the pressure exerted when the heart contracts
and pumps blood into the arteries. Diastolic pressure is the pressure exerted when the heart
expands, or relaxes. When you or your doctor take your blood pressure, both your systolic
and diastolic pressures are measured. If your blood pressure measurement is 120 mmHg
over 80 mmHg (120/80), for example, your systolic pressure is 120 mmHg while your
diastolic pressure is 80 mmHg.
i Important Instructions Before Use
1. Do not confuse self-monitoring with self-diagnosis. Blood pressure measurements should
only be interpreted by a health care professional who is familiar with your medical history.
2. If you are taking medication, consult with your physician to determine the most
appropriate time to measure your blood pressure. NEVER change a prescribed
medication without first consulting with your physician.
Blood pressure can vary based on many factors, including age, gender, weight and
physical condition. In general, a person’s blood pressure is lower during sleep and higher
when he or she is active. Blood pressure can change easily in response to physiological
changes. The setting in which a person’s blood pressure is measured can also affect the
results.
Having one’s blood pressure measured by a healthcare professional in a hospital or clinic
can cause nervousness and may result in a temporarily elevated reading. Because blood
pressure measurements taken in a clinical setting can vary considerably from those
taken at home, a person’s blood pressure should be measured not only occasionally in
the doctor's office, but also on a regular basis at home. Also, if you find that your blood
pressure is lower at home, this is not unusual. To accurately compare with your
physician's reading, take your Panasonic blood pressure monitor to your doctor's office
and compare readings in this setting.
People suffering from cardiac arrhythmia, vascular constriction, liver disorders or
diabetes, people with cardiac pacemakers or a weak pulse, and women who are
pregnant should consult their physician before measuring their blood pressure
themselves. Different values may be obtained due to their condition.
Try to take your blood pressure measurements at the same time and under the same
conditions every day.
e The ideal time to measure your blood pressure (to obtain your so-called “base blood
pressure”) is in the morning just after waking up, before having breakfast and before
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any major activity or exercise. If this is not possible, however, try to take measurements
at a specified time prior to breakfast, and before you have become active. You should
relax for about 5 minutes before taking the measurement.
The following situations may cause substantial variations in blood pressure readings
and should therefore be avoided at least 30 minutes prior to taking your blood pressure.
Blood pressure will be higher than usual:
- when you are excited or tense
- when you are taking a bath
- during exercising or soon after exercising
- when it is cold
- within one hour after eating
- after drinking coffee, tea or other beverages containing caffeine
- after smoking tobacco
- when your bladder is full
- when in a moving vehicle
Blood pressure will be lower than usual:
- after taking a bath
- after drinking alcohol
Measurements may be impaired if this unit is used near a television, microwave oven, X-
ray equipment or other devices with strong electrical fields. To prevent such interference,
use the unit at a sufficient distance from such devices or turn the devices off.
This unit is designed for use by adults. Consult with your physician before using this unit
on a child. Do not use on neonatal, infants and children.
This unit is not suitable for continuous monitoring during medical emergencies or
operations.
Do not use the unit for any purpose other than measuring blood pressure. Do not use the
unit together with other devices.
Improper handling of batteries may result in battery rupture or in corrosion from battery
leakage. Please observe the following to ensure proper use of batteries.
. Be sure to turn off the power after use.
. Do not mix different types or sizes of batteries.
. Change all batteries at the same time. Do not mix old and new batteries.
. Be sure to insert batteries with correct polarity, as instructed.
. Remove batteries when they are worn out, and dispose of them properly according to
all applicable environmental regulations.
f. Do not disassemble batteries or throw them into a fire.
g. Do not short-circuit batteries.
h. Do not attempt to recharge the batteries included with the unit.
Caution: Use only accessories that are recommended for your model. Substitution may
result in measurement error.
DOQDOTgD

ŞI Precautions to Ensure Safe, Reliable Operation
Pe Do
a
10.
11
13.
14.
15.
16.
Tale
18.
19.
20.
21.
22.
23.
Do not drop the unit. Protect it from sudden jars or shocks.
Do not insert foreign objects into any openings.
Do not attempt to disassemble the unit.
If the unit has been stored at temperatures below 32 °F (0 °C), leave it in a warm place
for about 15 minutes before using it. Otherwise, the cuff may not inflate properly.
Do not store the unit in direct sunlight, high humidity or dust.
When cleaning, unplug the AC adapter from the AC outlet before cleaning. Also, do not
plug in or unplug the AC adapter with wet hands.
Doing so may result in electric shock or fire.
Do not spill water on the main unit or AC adapter. Doing so may cause electric shock,
short-circuiting, or product damage.
Do not use the AC adapter if it is damaged or if it plugs into the AC outlet loosely. Doing
so may result in electric shock, overheating or short-circuiting.
If the product does not operate properly or seems strange, stop use and unplug the AC
adapter immediately, and request inspection and service. Failure to do so could result in
the risk of an accident, electric shock, or fire.
When using the AC adapter, make sure it is fully inserted into the AC outlet. Failure to do
so could result in electric shock, overheating or short-circuiting.
. When the product is not in use, unplug the AC adapter from the AC outlet.
12. When unplugging the AC adapter, do not pull on the cord. Always grasp the AC adapter
body and unplug it. Failure to do so could result in the risk of electric shock, short-
circuiting, or fire.
Do not insert any object in the AC adapter or allow debris to collect on it. Doing so could
result in the risk of electric shock, short-circuiting, or fire.
Do not scratch, damage, modify, forcibly bend, pull, or twist the AC adapter cord. In
addition, do not place heavy objects on top of the cord or pinch it with objects. Do not
wrap the cord around the main unit and the AC adapter. Doing any of these things may
result in the risk of fire or electric shock.
Do not step on the AC adapter. Doing so may cause an accident or injury.
Do not use a voltage converter. Doing so may cause fire or electric shock.
This AC adapter EW-2B02 is designed for use only with Panasonic Blood Pressure
Monitor, model EW-BU04. Use with other electrical devices may result in death or
serious personal injury.
ALWAYS unplug the AC adapter from the power outlet before performing maintenance.
Do not let this product to be used by children.
Do not let this product to be used by people who cannot express their feelings, or who
cannot operate the product by themselves. Do not use the unit on an arm where a
catheter has been inserted. Such use may result in an accident or injury.
Use AC adapter only with electrical outlet of voltages marked on name plate. For use in
the U.S.A., use AC adapter only with AC 120 V electrical outlet. Use with electrical
outlets at other voltages may result in the risk of fire, electric shock, or burns.
Do not allow any material to drape over the AC adapter. Doing so could result in the risk of fire.
Do not modify or attempt to repair the product or AC adapter by yourself.
Doing so could result in the risk of fire, electric shock, or personal injury.

Easily Check Your Blood Pressure Readings Against
the JNC 7* Classification
Blood Pressure Categories
(mmHg)
Stage 2 Hypertension e.g.: SBP 165
3 4 2 DBP 105
Stage 1 Hypertension e.g.: SBP 150
3 $ DBP 95
100
Prehypertension e.g.: SBP 130
YE 3 DBP 85
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Normal e.g.: SBE Ue
BP 75
Diastolic Blood Pressure (DBP)
oO o
120 140 160 (mmHg)
Systolic Blood Pressure (SBP)
If the two blood pressure measurements (systolic, diastolic) fall into separate categories,
your level is classified in the higher of the two categories. For example, a Stage 2 systolic
reading, but a diastolic pressure reading in the normal range.
*JNC 7: The Seventh Report of the Joint National Committee on Prevention, Detection,
Evaluation and Treatment of High Blood Pressure National Institute of Health (NIH)
Publication; No. 03-5233, May 2003
IMPORTANT:
e Do not be alarmed by temporarily high or low readings because fluctuations in a person's
blood pressure are not uncommon. If possible, measure and record your blood pressure at
the same time every day, and consult your physician if you have questions or concerns.
e If abnormal variations in blood pressure are observed in measurement, please consult your
physician.

__ iq Parts Identification
Please check the instrument.
Main unit
Connector (for AC adapter)
Memory/Recall button
Off/On Start button
Cuff
Guide Mark _=
Battery cover
Direction Mark
Guide Scale,
Velcro Fastener
AC adapter EW-2B02 Large cuff EW3901
' (optional) [13-3/4" to 17-1/47 (35 cm to 44 cm)]
(optional)
*Specifications of the product or parts may be changed without prior notice.

I Inserting Batteries
* Always use AAA-size LRO3 alkaline batteries.
1. Turn the main unit over and remove the battery
cover by sliding it in the direction of the arrow
while pressing lightly on ==.
2. Check the polarities of the batteries and install
them correctly.
E 3. Replace the battery cover and slide it closed.
5, ÉS
ZX @2 CAUTION:
o EZ © e Always follow the cautions printed on the batteries.
e Remove the batteries if the appliance will not be used for
a long time or the batteries are exhausted.
» Batteries should be used before their expiration date to
prevent injury, heat, bursting or leakage.
®
Replace batteries when:
e The 1 mark appears during use.
¡(A DIA Bülse * All displays are lit for a moment after the Off/On Start
¡2 y ni button is pressed and then the display goes blank.
l y y! e No display appears even if the Off/On Start button is
pressed.
e Approximately 300 measurements (3 times per day for approximately 3 months) with fresh
Panasonic alkaline batteries. [Measurement conditions: Room temperature 73 *F (23 *C);
Pressurized to 170 mmHg; Upper arm circumference: 11-3/4” (30 cm)]
+ When batteries other than Panasonic alkaline batteries are used, battery life may be
shorter. When manganese batteries or other alkaline batteries are used, battery life
becomes as short as 1/6th the life of Panasonic alkaline batteries.
e Be sure to replace batteries once a year to prevent battery leakage.
+ Always use four fresh alkaline batteries of the same type from the same manufacturer.
Battery life may become shorter when room temperature is low.
I When Using the AC Adapter
1. Insert the AC adapter plug
into the connector on the
right side of the main unit.
2. Plug the AC adapier fully
into the AC outlet.
CAUTION:
Be sure to use only the exclusive AC adapter (EW-2B02, sold separately).

Į Positioning the Cuff and Your Arm
The cuff can be used on either upper arm. This section shows an example of wrapping the
cuff on the left arm.
e The difference in blood pressure between left and right arm may be around 10 mmHg. Be
sure to always use the same arm. It is recommended to use the arm with the higher blood
pressure.
w m 1. Insert the plug into the socket all the way in.
2. Fit the cuff to the upper arm.
; e Fit the preformed cuff onto your upper arm
a with the direction mark at the inner side.
the
middle
finger.
e
Wrap
the
cuff
on
bare
skin.
3. Wrap the cuff.
e Align the tube pointing toward the middle
finger.
e Align the rotating part of the tube to the line
extended from the middle finger.
e Set apart 1 inch (2.5 cm) from the elbow joint.
e Wrap the cuff with a gap of 1 or 2 fingers. Be
careful that the cuff is not too tight.
e Press the velcro fastener down well to fasten
the cuff.
ı The cuff can be used on either upper arm.
' <Example for wrapping on the right arm.>
ı Points when wrapping
Be sure to always wrap on the same
! position by using the guide.
| (If your weight/arm circumference did not