Physio Logic Essentia+ User manual

Blood Pressure Monitor
Instruction ManualModel: 106-930
Multi-User:
2 x 60 Readings
Irregular Heartbeat
Indicator
Hypertension
Risk Indicator
Date and Time
Indicator

CONTENTS
ESSENTIA+INTRODUCTION ................................................................. 2
IMPORTANT INFORMATION ................................................................ 2
• White Coat Syndrome
ABOUT BLOOD PRESSURE................................................................... 5
• Blood Pressure Standard
• Blood Pressure Classification Indicator
• What is Systolic and Diastolic Pressure?
• Blood Pressure Fluctuation
YOUR BP MONITOR............................................................................. 8
• LCD Layout
• Unit Layout
POWER OPTIONS ............................................................................... 10
GETTING STARTED............................................................................. 11
• Selecting Memory Zone and Setting Date,
Time, and Unit of Measurement
MEASUREMENT................................................................................. 13
USING THE MEMORY ........................................................................ 18
• Recalling the Records
• Deleting All Records
TIPS FOR TAKING ACCURATE READINGS ......................................... 20
MAINTENANCE ................................................................................. 21
TROUBLESHOOTING .......................................................................... 22
SPECIFICATIONS ................................................................................ 24
LIFETIME LIMITED WARRANTY......................................................... 30

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EssentiA+Instruction Manual
Thank you for purchasing the Essentia+Blood Pressure Monitor.
By selecting this product, you have chosen a high quality, innovative
device. Before using the Essentia+ Blood Pressure Monitor for the
first time, please read through this manual carefully. If you still have
any questions regarding its use, visit the A.M.G. Medical website or
contact our Customer Service team at 1-800-363-2381.
IMPORTANT INFORMATION
Readings taken by the Physio Logic®EssentiA+are equivalent
to those obtained by a trained healthcare professional using the
cuff and stethoscope auscultation method. This manual contains
important safety and care information, and provides step by step
instructions for using the product. Read this manual thoroughly
before using the device.
Your physician’s reading may sometimes differ from your home
readings. This could be related to a phenomenon known as
“white coat syndrome”. You should not assume that any
single reading taken is your usual blood pressure.
In fact, blood pressure varies constantly throughout the day.
Common activities affect your level of heart activity and stress,
thereby influencing your blood pressure.
Note: This product is designed for home blood pressure monitoring
and does not require the assistance of a healthcare professional.
The device is intended for usage by one person. It is important that
you take home readings regularly, and that you follow the procedures
and precautions mentioned in the instruction manual. Consistently
recording/charting your readings, along with regularly consulting
a health professional, is an important aspect of your overall blood
pressure management program.

EssentiA+Instruction Manual
3
IMPORTANT INFORMATION
ATTENTION
• This Blood Pressure Monitor does not replace examination by a physician.
Your doctor is the one person best qualified to interpret your results,
we recommend that you keep a blood pressure journal to bring to your
visits with your healthcare professional.
• This device is intended for adult at home use only.
• This device is intended for non-invasive measuring and monitoring of arterial
blood pressure. It is not intended for use on extremities other than the arm or
for functions other than obtaining a blood pressure measurement.
• Do not confuse self-monitoring with self-diagnosis. This unit allows you to mon-
itor your blood pressure. Do not begin or end medical treatment based solely
on readings obtained from this device. As the patient is the intended operator,
always consult a physician before starting any treatment.
• If you are taking medication, consult your physician to determine the most
appropriate time to measure your blood pressure. Never change a prescribed
medication without consulting your doctor.
• Individuals with serious circulation problems may experience discomfort.
Consult your physician prior to use.
• People with 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.
• The cuff should not be applied over a wound as this can cause further injury.
• DO NOT attach the cuff to a limb being used for IV infusions or any other
intravascular access, therapy or an arterio-venous (A-V) shunt.
The cuff inflation can temporarily block blood flow, potentially causing harm.
• The cuff should not be placed on the arm same side of a mastectomy.
In the case of a double mastectomy, use the side of the least dominant arm.
• If the cuff pressure exceeds 37.24 kPa (280 mmHg), the unit will automatically
deflate. Should the cuff not deflate when pressure exceeds 37.24 kPa
(280 mmHg), detach the cuff from the arm and press the (START/STOP)
button to stop inflation.
• Do not disassemble, attempt to repair, or perform any maintenance
to the unit while the device is in use.
• Do not drop the unit. Protect it from sudden shock.
• Do not insert foreign objects into any openings.

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EssentiA+Instruction Manual
ATTENTION
• Do not crush the cuff.
• If the unit has been stored at temperatures below 0
oC, leave it at room
temperature for about 2 hours before using it. Otherwise, the cuff may
not inflate properly.
• If the unit has been stored at temperatures above 40
oC, leave it at room
temperature for about 2 hours before using it. Otherwise, the cuff may
not inflate properly.
• Do not subject the monitor to extreme hot or cold temperatures, humidity or
direct sunlight. Do not store the unit in direct sunlight, high humidity or dust.
• Product is designed for its intended use only. Do not misuse in any way.
• Product is not intended for children or persons with special needs.
• To avoid any possibility of accidental strangulation, keep this unit away
from children and do not drape tubing around your neck.
• Keep product out of reach of children. Some parts are small and may
represent a choking hazard.
• Prolonged over-inflation of the bladder may cause ecchymoma of your arm.
• Only use A.M.G Medical Inc. authorized parts and accessories. Parts and
accessories not approved for use with the device may damage the unit.
Retrofitting the device will void the warranty.
• Some may get a skin irritation from the cuff taking frequent readings over
the course of the day, but this irritation typically goes away on its own after
the monitor is removed.
• The system might produce incorrect readings if stored or used outside
the manufacturer’s specified temperature and humidity ranges.
• Remove batteries from device when not in operation for more than 3 months.
• Dispose batteries properly; observe local laws and regulations.
• The PC with connection to the device with USB shall meet the requirements
of standard IEC 60601-1 or IEC 60950-1.
IMPORTANT INFORMATION

EssentiA+Instruction Manual
5
ABOUT BLOOD PRESSURE
Blood Pressure Standard
The Joint National Committee on prevention, detection, evaluation,
and treatment of high blood pressure has developed a blood
pressure standard, according to which areas of low and high risk
blood pressure are identified. This standard is a guideline as blood
pressure varies among different people and different age groups.
It is important that you consult with your physician regularly.
Your physician will tell you your normal blood pressure range,
as well as the point at which you will be considered at risk.
Blood Pressure for Adults Age 18 and Older
Category Systolic (mmHg) Diastolic (mmHg)
Stage 2 Hypertension > 160 or > 100
Stage 1 Hypertension 140-159 or 90-99
Prehypertension 120-139 or 80-89
Normal < 120 and < 80
ATTENTION
• Do not use the device near strong electrical or electromagnetic fields
generated by cell phones or other devices, they may cause incorrect readings
and interference or become interference source to the device. Do not use the
device during transport outside healthcare facility for interference source
existing as well.
• To assure the correct use of the Essentia+ BP monitor, basic safety measures
should always be followed including the warning and precautions listed in
this booklet. Carefully read this manual before using the product.
IMPORTANT INFORMATION

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EssentiA+Instruction Manual
ABOUT BLOOD PRESSURE
What is systolic and diastolic pressure?
When ventricles contract and pump
blood out of the heart, blood
pressure reaches its maximum value.
The highest pressure in the cycle is
known as systolic pressure.
When the heart relaxes between
heartbeats, the lowest blood
pressure is diastolic pressure.
Blood Pressure Fluctuation
Blood pressure fluctuates all the time. You should not be overly
worried if you encounter two or three measurements at high levels.
Blood pressure changes throughout the day.
artery
press
vein
blood discharging
Systolic
relax
blood entering
Diastolic
(Case:
Male, 35 years old)
Wake
up Arrive Office Office
Leave Dinner
/ Sleep
Telephone
Discussion Argument in a Meeting
18:00 Midnight
12:00
6:00
50
100
150 mmHg
Systolic
Diastolic
Blood Pressure Classification
Indicator (WHO)
Your monitor includes a classification
indicator based on established
guidelines from the World Health
Organization (WHO). The chart
below (colour coded on unit)
indicates test results.
Severe Hypertension (Red)
Mild Hypertension (Yellow)
High-Normal (Green)
Optimal (Green)
Moderate Hypertension (Orange)
Normal (Green)

EssentiA+Instruction Manual
7
MEASUREMENT TIPS
artery
press
vein
blood discharging
Systolic
relax
blood entering
Diastolic
Important Notes
Here are a few helpful tips to help you obtain more accurate readings:
• Blood pressure changes with every heartbeat and is in constant
fluctuation throughout the day.
• Blood pressure recording can be affected by the position of the user, his
or her physiological condition and other factors. For greatest accuracy,
avoid exercising, bathing, eating, drinking beverages with alcohol
or caffeine, or smoking one hour prior to measuring blood pressure.
• Before measurement, it’s suggested that you sit quietly for 15 minutes as
measurement taken during a relaxed state will have greater accuracy. You
should not be physically tired or exhausted when taking a measurement.
• Do not take measurements if you are under stress or tension.
• During measurement, do not talk or move your arm or hand muscles.
• Take your blood pressure at normal body temperature. If you are feeling
cold or hot, wait a while before taking a measurement.
• If the monitor is stored at very low temperature (near freezing),
have it placed at a warm location for at least two hours before using it.
• Wait about 5 minutes before taking the next measurement.

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EssentiA+Instruction Manual
YOUR BP MONITIOR
LCD
Memory Zone Systolic
Blood
Pressure
Diastolic
Blood
Pressure
Pulse Rate
Memory Number Indicator
Low Battery Indicator
Cuff Is Inflating
Last 3 Results Average
Irregular Heartbeat Indicator
Time
Date
Cuff Is Deflating
WHO Blood Pressure
Classification Indicator
mmHg kPa
M
D
No
AVG
(( ))
INDEX
Arm Cuff Air Plug Air Tube
Arm Cuff
Instruction Manual
Blood Pressure Monitor
Instruction Manuel Model: 106-930
Multi-User:
2 x 60 Reading
Irregular Heartbeat
Indicator
Hypertension
Risk Indicator
Date and Time
Indicator

EssentiA+Instruction Manual
9
YOUR MONITOR
Air Jack
LCD Screen
SET Button
START / STOP Button
MButton
Pulse Rate
Diastolic Blood Pressure
Systolic Blood Pressure
Blood Pressure Classification Indicator
Battery Cover
Unit Layout
Storage Case

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EssentiA+Instruction Manual
POWER OPTIONS
• Battery: 4 x AA alkaline batteries
• USB Power Source
(Cable not included)
USB Power Source
Installing and Replacing Batteries
1. Slide off the battery cover.
2. Install the batteries by matching
the correct polarity, as shown.
3. Close the cover.
Low Battery Indicator
4 short warning beeps sound when battery life is depleting and
unable to inflate cuff for testing. The appears simultaneously
for approximately 5 seconds prior to shutting off. Replace batteries
at this time. No memory loss will occur throughout this process.
CAUTION
CAUTION
Do not use any other type of battery
as it may harm the unit.
Replace the batteries if any of the following should occur:
• The indicator appears
• The display appears dim
• The display does not light up
Note: Remove the batteries if the unit will not be used for an
extended period of time. Always replace all the batteries with
new ones at the same time.

EssentiA+Instruction Manual
11
START
STOP
SET M
START
STOP
SET M
START
STOP
SET M
1 2
START
STOP
SET M
START
STOP
SET M
START
STOP
SET M
1 2
GETTING STARTED
Selecting Memory Zone and Setting Date,
Time, and Unit of Measurement
It is important to set the time before using your blood pressure
monitor, so that a time stamp can be assigned to each reading
that is stored in the memory.
1. With power off,
press “SET” button
to activate system
settings mode. The
Memory Group icon
flashes.
2. Press “ M “ button to choose a group setting. Test results will
automatically be stored in the selected group. There are 2
zones, each zone can store up to 60 readings.

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EssentiA+Instruction Manual
GETTING STARTED
3. After selecting your memory zone,
press SET to automatically move
to the next step.
4. Set the month first by pressing the “M“
button. Then Press the“SET” button
to confirm. Continue with the same step
for the day, hour, and minute. Every time
the “SET” button is pressed, it will lock
your selection.
5. After the unit is set, press the
power button to turn off the unit
and save all current settings.
START
STOP
SET M
START
STOP
SET M
M
D
START
STOP
SET M

EssentiA+Instruction Manual
13
MEASUREMENT
Prepare the Cuff
1. Firmly insert air plug into opening
located on left side of the monitor.
2. Wrap the cuff around your upper
left arm. The tube should be aligned
to point toward your little finger,
as illustrated.

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EssentiA+Instruction Manual
MEASUREMENT
Prepare the Cuff
3. The cuff should be snug, but not too tight. (You should be able
to insert one finger between the cuff and your arm). Keep a space
of 1 - 2 cm (0.4”- 0.8”) between the cuff edge and your elbow.
4. Sit comfortably with your left arm resting on a flat surface
and the cuff at heart level.
1-2 cm
(0.4”-0.8”)
O
N/O
FF
CAUTION
If the pressure in the arm cuff becomes too powerful while testing,
press the START/STOP button to turn power off. The cuff will rapidly
deflate once the unit is turned off.

EssentiA+Instruction Manual
15
MEASUREMENT
Start the Measurement
1. Press and hold the START/STOP button
until a beep sounds. The LCD screen will
light up followed by a long tone which
indicates the device is ready for testing.
2. Initial pressure is first pumped to190mmHg.
The unit will automatically adjust to one of
four pressure levels based on the current
user’s blood pressure.
Levels: 190mmHg
220mmHg
250mmHg
280mmHg
mmHg
kPa
M
D
No
AVG
(( ))
mmHg
M
D

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EssentiA+Instruction Manual
MEASUREMENT
NOTE
• It is recommended to wait at least 5 minutes
between measurements for accurate results.
• If unit is left ON and not in use for 3 minutes,
it will automatically save all information and
shut off.
Start the Measurement
3. Once inflated, the cuff will slowly
deflate and measure your blood
pressure. A flashing “ “ will
appear simultaneously on screen
signaling heart beat detection.
4. When testing is complete the monitor will
sound three short beeps. The screen will
display your systolic and diastolic blood
pressure. The reading will be automatically
stored in the selected memory zone.
5. To take another reading press the
“START/STOP“ button twice.
mmHg
kPa
M
D
No
AVG
(( ))
mmHg
M
D
START
STOP
SET M

EssentiA+Instruction Manual
17
MEASUREMENT
Test Average
With power off, press the “M“ button
to activate screen display. After the unit
performs a self diagnosis, the screen will
display the average test results from the
last 3 readings of the last memory zone used.
The “AVG“ symbol will appear along with
the corresponding Blood Pressure Indicator.
Press the ”M” button again, and the screen
will display the average of the last seven
days test results from 5:00 am – 8:59 am.
Press the ”M” button again, and the screen
will display the average of the last seven
days test results for evening readings
between 18:00 pm – 19:59 pm.
To check the average results from another
memory group, select the desired group
first prior to activating the “M“ button in
the off position. (See Select Memory Group
on page 11)
Irregular Heartbeat Indicator
If the monitor detects an irregular heart rhythm two or more times
during the measuring process, the Irregular Heartbeat Symbol “ “
appears on screen along with measurement results. Irregular
heartbeat rhythm is defined as rhythm that is either 25% slower
or faster than the average rhythm detected while measuring systolic
and diastolic blood pressure. Consult your physician if the Irregular
Heartbeat Symbol “ “ appears frequently with your test results.
mmHg
M
D
AVG

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EssentiA+Instruction Manual
USING THE MEMORY
Memory Check
You may check past test results by using the “M“ button. The most
recent and oldest test result in memory can be viewed by pressing and
holding the “M“ button. Upon activating test results you can press
the “M” button to scroll through all test results stored in memory.
If the number of tests surpasses the allotted 60 memories per group,
the most recent tests will appear first, thus eliminating the oldest
readings.
mmHg
M
D
M
D
No
NOTE
Past readings will only be displayed from the most recently used memory zone.
To check past test results in another memory zone, you must first select the
desired zone and then turn monitor off. (See “Select Memory Zone” on page 11)