Rossmax AC1000 User manual

Model: AC1000f
www.rossmax.com
Blood Pressure Monitor

2 3
Table of Contents:
Introduction .................................................................................... 3
Cautionary Notes .......................................................................... 3-5
Notes on Safety ............................................................................ 5, 6
Name/Function of Each Part ......................................................... 7, 8
PARR (Pulse Arrhythmia) Technology ................................................. 9
Atrial Fibrillation Detection (AF, AFib) .......................................... 9-10
Premature Contraction Detection (PC) ....................................... 10-11
Tachycardia Detection (TACH) ........................................................ 11
Bradycardia Detection (BRAD) ........................................................ 11
Pulse Arrhythmia Detection (ARR) ................................................... 12
Real Fuzzy Measuring Technology .................................................. 13
Preliminary Remarks ....................................................................... 13
Display Explanations ....................................................................... 14
Error Codes for your reference ........................................................ 15
Cuff Wrap Detection ...................................................................... 15
Movement Detection ..................................................................... 15
How to Use the POWER Source ................................................. 16-19
Applying the Cuff ..................................................................... 20-22
Measurement Procedures .......................................................... 23-25
Setting Deation Rate..................................................................... 26
Recalling Values from Memory ....................................................... 27
Clearing Values from Memory ........................................................ 27
How to clean the unit after use ...................................................... 27
Troubleshooting ............................................................................. 28
Specications ................................................................................. 29
EMC guidance and manufacturer’s declaration........................... 30-32
Introduction
Blood pressure measurements determined with AC1000f are equivalent
to those obtained by a trained observer using cuff/stethoscope auscul-
tation method, within the limits prescribed by the American National
Standard, Electronic or Automated Sphygmomanometers. This unit is
to be used by adult consumers in home, physicians’ ofces, hospitals,
clinics and other medical facilities. Do not use this device on infants or
neonates. AC1000f is protected against manufacturing defects by an
established International Warranty Program. For warranty information,
you can contact the manufacturer, Rossmax International Ltd.
Attention: Consult the accompanying documents. Please read this
manual carefully before use. For specic information on
your own blood pressure, contact your physician. Please be
sure to keep this manual.
Cautionary Notes
1. The unit contains high-precision assemblies. Therefore, avoid ex-
treme temperatures, humidity, and direct sunlight. Avoid dropping
or strongly shocking the main unit, and protect it from dust.
2. Clean the blood pressure monitor body and the cuff carefully with a
slightly damp, soft cloth. Do not press. Do not wash the cuff or use
chemical cleaner on it. Never use thinner, alcohol or petrol (gasoline)
as cleaner.
3. Leaky batteries can damage the unit. Remove the batteries when the
unit is not used for a long time.
4. The unit should not be operated by children so to avoid hazardous
situations.
5. If the unit is stored near freezing, allow it to acclimate at room tem-
perature before use.
6. This unit is not eld serviceable. You should not use any tool to open
the device nor should you attempt to adjust anything inside the de-
vice. If you have any problems, please contact the store or the doc-
tor from whom you purchased this unit or please contact Rossmax
International Ltd.

4 5
Notes on Safety
Warning:
• Self diagnosis of measured results or treatment is dangerous.
Please follow the instruction of the doctor or healthcare pro-
vider.
• If cuff ination does not stop, remove the cuff or pull out the air tube
from the main unit.
• If battery uid gets into your eye or comes in contact with skin, wash
the effected area with water repeatedly. Immediately consult a doctor
for treatment.
• Do not wrap the cuff over an arm to which intravenous injection or
transfusion is being conducted, or when otherwise contraindicated.
• Do not connect the air tube or the cuff to other equipment which is
connected to an intra corporeal organ. Air embolisms may result.
7. As a common issue for all blood pressure monitors using the oscil-
lometric measurement function, the device may have difculty in de-
termining the proper blood pressure for users diagnosed with diabe-
tes, poor circulation of blood, kidney problems, or for users suffered
from stroke, or for unconscious users.
8. This unit is able to detect common arrhythmia (atrial or ventricular
premature beats or atrial brillation). The ARR, AF(AFib) and PC icons
are displayed after the measurement if Atrial Fibrillation and Pre-
mature Contraction was detected during the measurement. If ARR,
AF(AFib) or PC icons are displayed, you are advised to wait for a
while and take another measurement. It is strongly recommended
that you consult your physician if the ARR, AF(AFib) or PC icons ap-
pears often.
9. While the given device is able to detect specic pulse arrhythmia, the
measurement accuracy of the blood pressure meter may be impaired
with the occurrence of pulse arrhythmia.
10. To stop operation at any time, press the ON/OFF or START/STOP key,
and the air in the cuff will be rapidly exhausted.
11. Once the ination reaches 300 mmHg, the unit will start deating
rapidly for safety reasons.
12. Please note that this unit can be a home healthcare product, but it
is not intended to serve as a substitute for the advice of a physician
or medical professional.
13. Do not use this device for diagnosis or treatment of any health prob-
lem or disease. Measurement results are for reference only. Consult
a healthcare professional for interpretation of pressure measure-
ments. Contact your physician if you have or suspect any medical
problem. Do not change your medications without the advice of
your physician or healthcare professional.
14. Electromagnetic interference: The device contains sensitive electron-
ic components. Avoid strong electrical or electromagnetic elds in
the direct vicinity of the device (e.g. mobile telephones, microwave
ovens). These may lead to temporary impairment of measurement
accuracy.
15. Dispose of device, batteries, components and accessories according
to local regulations.
16. This monitor may not meet its performance specication if stored or
used outside temperature and humidity ranges specied in Speci-
cations.
17. Please note that when inating, the functions of the limb in ques-
tion may be impaired.
18. During the blood pressure measurement, blood circulation must not
be stopped for an unnecessarily long time. If the device malfunc-
tions, remove the cuff from the arm.
19. Avoid any mechanical restriction, compression or bending of the
cuff line.
20. Do not allow sustained pressure in the cuff or frequent measure-
ments. The resulting restriction of the blood ow may cause injury.
21. Ensure that the cuff is not placed on an arm in which the arteries or
veins are undergoing medical treatment, e.g. intravascular access or
therapy, or an arteriovenous (AV) shunt.
22. Do not apply the cuff on the side, where a mastectomy has been
performed in your patient history.
23. Do not place the cuff over wounds as this may cause further injury.
24. Only ever use the cuffs provided with the monitor or original re-
placement cuffs. Otherwise erroneous results will be recorded.
25. Batteries can be fatal if swallowed. You should therefore store the
batteries and products where they are inaccessible to small children.
If a battery has been swallowed, call a doctor immediately.

6 7
• Do not use this unit in the presence of ammable gas or anesthetics
or in a high pressure oxygen room or oxygen tent.
• Do not use the battery pack for devices other than for this unit.
• Do not disassemble the battery.
• Do not touch the AC adaptor with wet hands.
• Do not use any cuff other than the models exclusive for this unit.
• Do not use this unit on infants.
• Do not use this unit on patients using a pump oxygenator.
• Do not use an AC adaptor or battery pack no specied for this unit.
• Do not use a cellular pone near this unit.
• Do not use this unit in a vehicle.
• Do not install the parts and/or instruments not specied for this unit.
• Do not use a broken power cord or AC adaptor.
• Do not install or store this unit where it may come in contact with
water or liquid medication.
• This is a Class II device with double insulation.
General advice:
• Do not place or put anything on this unit.
• Do not drop this unit.
• Turn off power to the unit and unplug the AC adaptor from the elec-
tric outlet before moving the unit.
• Read the instruction manual of the other devices to be used at the
same time with this unit, to understand and be aware of the interac-
tion between the devices.
• When using the unit:
- Do not inate the cuff without being wrapped over the arm.
- Do not use a damaged cuff.
- Be sure that patients do not touch the buttons of this unit.
• After using the unit:
- Do not disinfect this unit by autoclave or gas sterilization (EtO, gluta-
raldehyde, or high concentration ozone).
• Do not install or store this unit in the following places.
- Under the direct sunlight.
- Dusty or salty environment.
- Places having slope or where combustible gas may be generated.
- Under high temperature and high humidity.
Name/Function of Each Part
Arm Cuff
Auto / Manual
Switching Key Deation Rate
setting key
LCD Display
ON/OFF key
START/
STOP key
Charging
LED
Memory/
Marker key
Air Tube and
Connector
Battery Cover
(Located on back of unit)
Battery Pack:
4.8V, 1700mAh
NIMH Battery
Data Link
Socket
Protection Jelly
AC Adaptor
Jack

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Monitor Installation - Trolley (Optional)
Placing Protection Jelly
onto the Monitor
Installing Monitor
on the Trolley
PARR (Pulse Arrhythmia) Technology
Pulse Arrhythmia (PARR) technology specically detects the existence of
pulse arrhythmia, including atrial brillation (AF, AFib), Atrial and / or
Ventricular Premature Contractions (PC), Tachycardia (TACH), and Brad-
ycardia (BRAD). Pulse Arrhythmia may be related to cardiac disorders,
needs medical attention and thus early diagnosis is of paramount im-
portance. The PARR technology detects arrhythmia during regular blood
pressure checks without any additional user skills, user interaction and
measurement prolongation. Beside the blood pressure diagnosis a spe-
cic pulse arrhythmia diagnosis is provided with PARR.
Note: The PARR detection of AF(AFib), PC, TACH and BRAD is provided
with a clinically proven high detection probability [1]. However,
the sensitivity and specicity is limited, thus most, but not all pulse
arrhythmia will be detected and displayed. In certain patients with
uncommon clinical conditions the PARR technology may not be
able to detect pulse arrhythmia. This partly comes from the fact
that some arrhythmia can only be found with an ECG diagnosis,
but not with a pulse diagnosis. Thus PARR is not meant to replace
any medical ECG diagnosis by your doctor. PARR provides an early
detection of certain pulse arrhythmia, which inevitably need to be
presented to your doctor in charge.
Remark: [1] Clinical Investigation of PARR - A new Oscillometric Pulse
Arrhythmia Type Discriminating Detection Technology
Atrial Fibrillation Detection (AF, AFib)
The upper chambers of the heart (the atria) do not contract, but quiver
and thus blood is driven irregularly and with lower efciency into the
ventricles. Subsequently irregular heartbeats occurs, which mostly are
associated with a fast, yet highly instable heart rate. This condition is
associated with a higher risk for the formation of cardiac blood clots.
Amongst others, they may elevate the risk of brain strokes. Beside this
atrial brillation may contribute to the severity of a chronic or acute
heart failure condition and may be associated with other heart-related
complications. Age dependent, about 10 %- 20 % percent of patients
who suffer from an ischemic stroke also suffer from atrial brillation.

10 11
Tachycardia Detection (TACH)
A fast heart rate of higher than 100 beats per minute (bpm) in adults.
Unless being caused by physical or mental stress, a tachycardia may be
an indicator for both cardiac (e.g. Coronary heart disease, valvular disor-
der), or extra-cardiac disorders (e.g. hyperthyroidism, fever, hypoxemia),
as well as medication and stimulant substance side effects (e.g. caf-
feine). The unit is able to detect Tachycardia (TACH). The ARR and TACH
icons ( ) are displayed right after the measurement if tachycardia
has been detected.
Note: It is strongly recommended, that you consult your physician, if
either the TACH icon occurs newly for several times, or, if your
TACH is known to your doctor, but the incidence of TACH read-
ings changes over time. Your doctor will then be able to provide
all required medical test and possible therapeutic procedures.
Premature Contraction Detection (PC)
Extra abnormal heartbeats generated in irregular excitation sites of your
heart, either in the atria (PAC), the ventricle (PVC) or the cardiac conduc-
tion nodes (PNC). These extra beats may disrupt your regular rhythm,
they may come in early or cause a signicant pauses regarding your per-
ceivable pulse. This is called palpitations, which can be felt in your chest.
They may occur as isolated, single events, as a series of irregular pulses
or can be distributed all over your pulse beats. If they are not related to
mental stress, or acute demanding physical load, they may be a marker
for a multitude of cardiac disorders. Some of these disorders go along
with an elevated risk prole for ischemic events, either in the heart (e,g,
coronary heart disease) or outside the heart, e.g. an elevated risk for a
stroke. Some PCs may indicate on valvular or myocardial disorders and
become very important if a myocarditis (infection of the heart muscle)
is suspected. This unit is able to detect premature contractions (
). The ARR and PC icons are displayed right after the measurement if
premature contractions have been detected.
Atrial brillation most often initially occurs with temporary periods of
arrhythmia and may progress to a permanent state of this disorder in
the course of time. No matter, whether you intent to safeguard yourself
from an undetected AF(AFib) state, or you measure during an ongoing
period of active atrial brillation, or you measure in between periods
of AF(AFib), the PARR technology can be applied at any of these condi-
tions. This unit is able to detect Atrial brillation (AF, AFib). The ARR and
AF(AFib) icons ( ) are displayed right after the measurement if Atrial
Fibrillation was detected.
Note: It is strongly recommended, that you consult your physician, if
either the AF(AFib) icon occurs newly for several times, or, if your
AF(AFib) is known to your doctor, but the incidence of AF(AFib)
readings changes over time. Your doctor will then be able to pro-
vide all required medical test and possible therapeutic procedures.
Note: The presence of a cardiac pacemaker may impair the AF(AFib)
detection by PARR.
Note: It is strongly recommended, that you consult your physician, if
either the PC icon occurs newly for several times, or, if your PC is
known to your doctor, but the incidence of PC readings changes
over time. Your doctor will then be able to provide all required
medical test and possible therapeutic procedures.
Bradycardia Detection (BRAD)
A slow heart rate of less than 55 beats per minute (bpm) in adults.
Unless not genetically determined or subsequent to a high cardiac en-
durance training adaptation, bradycardia may be related to multitude
of cardiac disorders (e.g. valvular heart disease, heart failure) or extra-
cardiac disorders (e.g. hypothyroidism, electrolyte imbalance) or medica-
tions (e.g. beta-receptor blocker). This unit is able to detect Bradycardia
(BRAD). The ARR and BRAD icons ( ) are displayed right after the
measurement if bradycardia was detected.
Note: It is strongly recommended, that you consult your physician, if
either the BRAD icon occurs newly for several times, or, if your
BRAD is known to your doctor, but the incidence of BRAD read-
ings changes over time. Your doctor will then be able to provide
all required medical test and possible therapeutic procedures.

12 13
Pulse Arrhythmia Detection (ARR)
Once the occurrence of pulse arrhythmia has been detected in the
course of your blood pressure measurement, the icon ARR is displayed.
In the case, that the found pulse arrhythmia can be specied by the
PARR technology, the ARR icon is accompanied by the specically de-
tected type of arrhythmia, e.g. PC, AF(AFib), TACH or BRAD. Once the
kind of found pulse arrhythmia cannot be safely determined by PARR,
the device is displaying ARR without any additional pulse arrhythmia
type icon.
Note: It is strongly recommended, that you consult your physician, if ei-
ther the ARR icon occurs newly for several times, or, if your ARR is
known to your doctor, but the incidence of ARR readings changes
over time. This is independent whether the ARR icon is specied
by another pulse arrhythmia icon or not. Your doctor will then be
able to provide all required medical test and possible therapeutic
procedures.
The PARR technology is able to detect and display combined pulse ar-
rhythmia ndings.
Display Results
- Normal nding
ARR Pulse Arrhythmia without type-specic detection
ARR PC Pulse Arrhythmia-Premature ventricular, atrial or nodal
beat detection
ARR AF(AFib) Pulse Arrhythmia-Atrial brillation detection
ARR TACH Tachycardia detection
ARR BRAD Bradycardia detection
ARR PC BRAD Combined Pulse Arrhythmia: Premature beats &
Bradycardia detection
ARR PC TACH Combined Pulse Arrhythmia: Premature beats &
Tachycardia detection
ARR AF(AFib) TACH Combined Pulse Arrhythmia: Atrial brillation &
Tachycardia detection
ARR AF(AFib) PC Combined Pulse Arrhythmia: Atrial brillation & Premature
beats detection
ARR AF(AFib) PC TACH Combined Pulse Arrhythmia: Detection of Atrial Fibrillation,
Premature Beats and Tachycardia.
Real Fuzzy Measuring Technology
This unit uses the oscillometric method to detect your blood pressure.
Before the cuff starts inating, the device will establish a baseline cuff
pressure equivalent to the air pressure. This unit will automatically de-
termine the appropriate ination level based on pressure oscillations,
followed by cuff deation.
During the deation, the device will detect the amplitude and slope of
the pressure oscillations and thereby determine your actual the systolic
blood pressure, diastolic blood pressure, and pulse rate.
Preliminary Remarks
This Blood Pressure Monitor complies with the European regulations and
bears the CE mark “CE 0120”. The quality of the device has been veri-
ed and conforms to the provisions of the EC council directive 93/42/
EEC (Medical Device Directive), Annex I essential requirements and ap-
plied harmonized standards.
EN 1060-1: 1995/A2: 2009 Non-invasive sphygmomanometers - Part
1 - General requirements
EN 1060-3: 1997/A2: 2009 Non -invasive sphygmomanometers - Part
3 - Supplementary requirements for electro-mechanical blood pressure
measuring systems
EN 1060-4: 2004 Non-invasive sphygmomanometers - Part 4: Test Pro-
cedures to determine the overall system accuracy of automated non-in-
vasive sphygmomanometers. This blood pressure monitor was designed
for long service periods. In order to ensure continued accuracy, it’s rec-
ommended that all digital blood pressure monitors require re-calibra-
tion. This monitor (under normal usage with approx. 3 measurements
a day) does not require re-calibration for 2 years. Once the unit should
be re-calibrated the device will display . The unit should
also be re-calibrated if the monitor sustains damage due
to blunt force (such as dropping) or exposure to uids and
/ or extreme hot or cold temperature / humidity changes.
When appears, simply return your device to your nearest
dealer for re-calibration service.

14 15
Display Explanations
12
7
6
21 3 4 5
8
9
10
11
16
13
14
15
17
1. Arrhythmia Detection
(ARR)
2. Premature Contraction
Detection (PC)
3. Atrial Fibrillation
Detection (AF, AFib)
4. Tachycardia Detection
(TACH)
5. Bradycardia Detection
(BRAD)
6. Movement Mark
7. Cuff Wrap Detection
8. AC Power Mark
9. Battery Mark
10. Auto Mode
11. Manual Mode
12. Memory Mark
13. Systolic Pressure
14. Diastolic Pressure
15. Pulse Rate
16. Set Deation Mark
17. Deation Rate
Loose Cuff Detection
If the cuff was applied too loosely, it may cause unreliable measurement results
or measurements can fail to start. The “Cuff Wrap Detection” can help to de-
termine if the cuff is wrapped snugly enough. The specied icon appears
once a “loosen cuff” has been detected during measurement. Otherwise the
specied icon appears if the cuff is wrapped correctly during measurement.
Movement Detection
The “Movement Detection” helps reminding the user to remain still and is in-
dicating any adverse body movement during measurement. The specied icon
appears once a “body movement” has been detected during and after such a
measurement.
Note: It’s highly recommended that you measure again if the icon appears.
Error Codes for your reference
EE / Measurement Error: Make sure the L-plug is securely connected to the air
socket and calmly measure again. Wrap the cuff correctly around your arm and
keep arm steady during measurement. If the error keeps occurring, return the
device to your local distributor or service centre.
E1 / Air Circuit Abnormality: Make sure the L-Plug is securely connected to
the air socket on the side of the unit and calmly measure again. If the errors still
occur, return the device to your local distributor or service centre for help.
E2 / Pressure Exceeding 300 mmHg: Switch the unit off and measure again
quietly. If the error keeps occurring, return the device to your local distributor
or service centre.
E3 / Data Error: Remove the batteries, wait for 60 seconds, and reload. If
the error keeps occurring, return the device to your local distributor or service
centre.
Er / Exceeding Measurement Range: Measure again quietly. If the error
keeps occurring, return the device to your local distributor or service centre.

16 17
How to Use the POWER Source
How to Use the AC Adaptor
1.Connect the AC adaptor with the AC adaptor jack in the back of the
unit.
2.Plug the AC adaptor into the socket. Please use the compatible AC
adaptors. (AC adaptors with required voltage and current indicated
near the AC adaptor jack.)
AC Adaptor
(Ø3.8 / Ø1.35)
• When using the battery pack and connect the AC adaptor, the unit
also functions as the charger.
Note: The AC adaptor can use with unit individually. (without battery
pack).
Adaptor Information
MODEL: HK-X111-A075
HK-X211-A075
Input: 100-240V~50/60Hz 0.8A
Output: 7.5V 1.5A
Brand: ROSSMAX
Manufacurer: HON-KWANG
How to Use the POWER Source
Installation and Replacement of Battery Pack
Warning:
• If the uid in the battery gets into your eye, wash the eye with
sufcient water without rubbing the eye, then immediately
consult the doctor for treatment. There is danger in losing your
eyesight.
• Do not use the exclusive battery pack other than for this unit.
• Do not throw the battery pack into re, or heat, or disassemble
it. It may cause heat, ignition, short-circuit, or rupture.
Caution:
• Do not short-circuit the polarities of the optional battery pack
with a metal object such as wire.
• If the uid in the battery is stained on your skin or clothes, im-
mediately wash off the uid with water. Your may suffer injury,
or the battery may leak, heat, ignite re, or explode.
Warning:
• Do not use this unit in places where inammable gas, such as
highly inammable anesthetic, may be generated or in a high
pressure oxygen room or an oxygen tent. It may cause ignition
and explosion.
• Do not touch the AC adaptor with wet hands. You may suffer
electric shock.
Caution:
• Be sure to use the AC adaptor appropriate for your country. It
may cause re or you may suffer electric shock.
• Do not install or store this unit where it may be sprayed with
water or medication. You may suffer electric shock.
General advice:
• Read the instruction manual of the other advices to be used at
the same time with this unit to understand and be aware of the
interaction between the devices.

18 19
1. Remove the screw on the battery cover (Located on back of unit) of
this unit.
2. Installation: Connect the battery pack to the connector in the bat-
tery cover to install it.
Replacement: Disconnect the battery pack from the connector and
replace with a new one.
3. Install the battery cover and fasten it with screws. At this time, be
careful not to pinch the lead wire.
4. Connect the main unit and the AC adaptor, then charge the battery
pack. The battery pack is not charged when you purchase the moni-
tor. When you use the battery pack for the rst time, charge it for
more than twelve hours before use.
How to Use the POWER Source
Full battery Low battery
Battery life:
• You can use the unit for approximately six hundred measurements
with one charge.
• Approximate life of battery pack is two years. However the battery
pack life from each charging may be shortened depending on the
state of using.
Charging time:
• After connecting the AC adaptor, the battery pack will start charging
automatically.
• While the battery is being charged, the and battery marks turn
on and LED shows orange light.
• While the charging is completed, LED shows green light.
Battery low:
• If a mark is displayed, the battery is low (blood pressure cannot
be measured). Please charge the battery.
Automatic Power Off:
• If you use the unit with the battery pack only, the unit will turn off
automatically in approximately ve minutes even if you forget to turn
off the power.
• While the AC adaptor is connected, the Auto Power Off function does
not work.
How to Use the POWER Source

20 21
2. Connect the air tube securely.
• Connect the air tube to the main unit by securing the air plug to the
base of the air connector.
• Securely connect the air tube and the cuff set by rotating Luer con-
nector.
Applying the Cuff
1. Select cuff according to arm size:
Rossmax
Cuff size
Arm
circumference
L size 34~46 cm
(13.4”~18.1”)
M size 24~36 cm
(9.4”~14.2”)
S size 16~26 cm
(6.3”~10.2”)
Applying the Cuff
3. Place the cuff over the bare up-
per arm, wrap it with the tube
pointing your palm, and the ar-
tery mark over your main artery.
4. The edge of the cuff should be
at approximately 1.5 to 2.5 cm
above the inner side of the el-
bow joint. If the index line falls
within the range of the arm
circumference indicator, the
cuff circumference is suitable,
otherwise you may need a cuff
with a different circumference.
5. Center the tube over the middle
of the arm. Press the hook and
loop material together securely.
Allow room for 2 ngers to t
between the cuff and your arm.
Position the artery mark (Ø)
over the main artery (on the in-
side of your arm).
Note: Locate the main artery by
pressing with 2 ngers approxi-
mately 2 cm above the bend
of your elbow on the inside of
your left arm. Identify where
the pulse can be felt the strong-
est. This is your main artery.
6. 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.
Main
Artery
Center tube
over middle
of arm
Main Artery
INDEX must
be in OK
range

22 23
7. This cuff is suitable for your use if the arrow falls within the OK
range line. If the arrow falls outside the OK range line, you will
need a cuff with other circumferences. Contact your local dealer for
additional size cuffs. Using the correct cuff size is important for an
accurate reading.
Index Line
Artery Mark
Arm Circumference Indicator
MANUAL
Mode:
with Stethoscope
AUTO Mode:
without
Stethoscope
Applying the Cuff Measurement Procedures
Here are a few helpful tips to help you obtain more accurate readings:
• Blood pressure changes with every heartbeat and is in constant uc-
tuation 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 accu-
racy, wait one hour after exercising, bathing, eating, drinking bever-
ages with alcohol or caffeine, or smoking to measure blood pressure.
• Before measurement, it’s suggested that you sit quietly for at least 5
minutes as measurement taken during a relaxed state will have great-
er accuracy. You should not be physically tired or exhausted while tak-
ing 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 feel-
ing 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 one hour before using it.
• Wait 5 minutes before taking the next measurement.
1. Press the ON/OFF key. All digits will light up, checking the display
functions. The checking procedure will be completed in 2 seconds.
2. After all symbols appear, the display will show a blinking “0”. The
monitor is ready to measure.

24 25
3. Auto Mode
• In Auto mode, mark appears on the display.
• Press the START key, the monitor will automatically
inate the cuff slowly to start measurement.
• When the measurement is completed, the cuff
will exhaust the pressure inside. Systolic pres-
sure, diastolic pressure and pulse will be shown
simultaneously on the LCD screen. The measurement is then auto-
matically stored into memory zone.
• In order to enhance the probability of pulse arrhythmia detection by
the PARR technology, measurement repetitions are recommended.
This monitor will re-inate automatically to approximately 220 mmHg
if the system detects that your body needs more pressure to measure
your blood pressure.
4. Manual Mode
• Switch Auto mode to Manual mode by pressing
the key on the back of the unit.
• The default deation rate is 2.5 mmHg/sec.
• Press the START key, the monitor will automati-
cally inate the cuff slowly to start measurement.
• While the unit starts deating, press the Marker
key to record the onset of Korotkoff sound as the systolic pressure,
and press the Marker key again to record the disappearance of the
Korotkoff sound as diastolic pressure.
Measurement Procedures Measurement Procedures
• When the measurement is completed, the cuff will exhaust the pres-
sure inside. Systolic pressure and diastolic pressure will be showed
simultaneously on the LCD screen.
Note: 1. This monitor automatically switches off approximately 5 min-
utes after last key operation.
2. To interrupt the measurement, simply press the START/STOP or
ON/OFF key; the cuff will deate immediately.
3. During the measurement, do not talk or move your arm or
hand muscles.
Korotko sound of
Systolic pressure
Korotko sound of
Diastolic pressure

26 27
Setting Deflation Rate
In the Manual mode, select the deflation rate of 2.5 mmHg/sec, 4.5
mmHg/sec, 6.5 mmHg/sec by pressing the key on the back of
the unit.
Recalling Values from Memory
1. Press the Memory key to view the last previously stored measure-
ment. Every measurement comes with a assigned memory sequence
number.
2. The memory bank can store up to 7 readings under Auto mode. The
number of readings exceeds 7, the oldest data will be replaced with
the new record.
Clearing Values from Memory
Under Auto mode, press and hold the Memory key for approximately
5 seconds, then the data can be erased automatically.
How to clean the unit after use
Caution:
• When cleaning this unit, please unplug the AC adaptor from
the electric outlet. You may suffer electric shock.
• After cleaning this unit, please dry it well and do not plug the
AC adaptor into the electric outlet with wet hands. You may
suffer electric shock.
General advice:
• Do not clean this unit with gasoline, paint thinner, or high concen-
tration alcohol.
• Do not disinfect this unit by autoclave or gas sterilization (EOG, for-
maldehyde, or high concentration ozone.)
1. Wipe the blood pressure monitor with a soft cloth squeezed well
after moistened with water, diluted disinfectant alcohol, or diluted
detergent.
2. Then wipe the monitor with a soft dry cloth.

28 29
Troubleshooting
If any abnormality should arise during use, please check the following
points.
Note: If the unit still does not work, return it to your dealer.
Under no circumstance should you disassemble and
repair the unit by yourself.
Symptoms Check Points Correction
No display when
the ON/OFF key is
pressed
Have the batteries run
down?
Charge the battery
pack or replace with
a new one
Have the connector of
the battery pack been
positioned incorrectly?
Re-insert the connec-
tor of the batteries in
the correct positions.
EE mark shown
on display or the
blood pressure
value is displayed
excessively low
(high)
Is the cuff placed cor-
rectly?
Wrap the cuff prop-
erly so that it is posi-
tioned correctly.
Did you talk or move
during measurement Measure again.
Keep wrist steady
during measurement.
Did you vigorously
shake the cuff during
measurement?
Specications
Measurement Method : Oscillometric
Measurement Range : Pressure: 30~260mmHg;
Pulse: 40~199 beats/ minute
Pressure Sensor : Semi conductor
Accuracy : Pressure: ±3mmHg;
Pulse : ±5% of reading
Inflation : Pump Driven
Deflation : Automatic Pressure Release Valve
Memory capacity : 7 memories
Auto-shut-off : 5 minute after last key operation
Operation Environment : 10°C~40°C (50°F~104°F); 15%~85%
RH; 700~1060 hPa
Storage and Transportation
Environment :
-10°C~60°C (14°F~140°F); 10%~90%
RH; 700~1060 hPa
DC Power Source : DC 4.8V 1700mAh NIMH Battery
AC Power Source : DC 7.5V, ≥ 1.5 A(Plug size: outer(-) is
Ø3.8, inner(+) is Ø1.35)
Dimensions : 130(L) x 133(W) x 167.5(H) mm
Weight : 600 g (G.W.) (w/o Batteries)
Limited users : Adult users
Arm circumference L: 34~46 cm (13.4”~18.1”); M:
24~36 cm (9.4”~14.2”); S: 16~26 cm
(6.3”~10.2”)
IP Classification IP21: Protection against harmful ingress
of water and particulate matter
: Type BF: Device and cuff are designed
to provide special protection against
electrical shocks.
*Specifications are subject to change without notice.

30 31
Guidance and manufacturer’s declaration-electromagnetic emissions
The AC1000f is intended for use in the electromagnetic environment specied below. The customer or the user of
the AC1000f should assure that it is used in such an environment.
Emission test Compli-
ance
Electromagnetic environment-guidance
RF emissions CISPR 11 Group 1 The AC1000f uses RF energy only for its internal function.
Therefore, its RF emissions are very low and are not likely to
cause any interference in nearby electronic equipment.
RF emissions CISPR 11 Class B The AC1000f is suitable for use in all establishments, including
domestic establishments and those directly connected to the
public low-voltage power supply network that supplies build-
ings used for domestic purposes.
Harmonic emissions IEC 61000-3-2 Class A
Voltage uctuations/icker emissions
IEC 61000-3-3
Compli-
ance
Guidance and manufacturer’s declaration-electromagnetic immunity
The AC1000f is intended for use in the electromagnetic environment specied below. The customer or the user of
the AC1000f should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment-
guidance
Electrostatic dis-
charge (ESD) IEC
61000-4-2
± 6 kV contact
± 8 kV air ± 6 kV contact ± 8 kV air Floors should be wood, concrete or ceramic tile. If oors are covered
with synthetic material, the relative
humidity should be at least 30%
Electrical fast
transient/burst
IEC 61000-4-4
± 2kV for power supply
lines
± 1kV for input / output
lines
± 2kV for power supply
lines
Not applicable
Mains power quality should be that
of a typical commercial or hospital
environment.
Surge IEC
61000-4-5
± 1kV line(s) to line(s)
± 2kV line(s) to earth ± 1kV differential mode Not applicable Mains power quality should be that of a typical commercial or hospital
environment.
Voltage Dips,
short interrup-
tions and voltage
variations on
power supply
input lines IEC
61000-4-11
<5% UT(>95% dip in UT)
for 0,5 cycle
40% UT(60% dip in UT)
for 5 cycles
70% UT(30% dip in UT)
for 25 cycles
<5% UT(>95% dip in UT)
for 5 s
<5% UT(>95% dip in UT)
for 0,5 cycle
40% UT(60% dip in UT)
for 5 cycles
70% UT(30% dip in UT)
for 25 cycles
<5% UT(>95% dip in UT)
for 5 s
Mains power quality should be that
of a typical commercial or hospital
environment. If the user of the
AC1000f requires continued opera-
tion during power mains interrup-
tions, it is recommended that the
AC1000f be powered from an unin-
terruptible power supply or a battery.
Power frequency
(50/60 Hz) mag-
netic eld IEC
61000-4-8
3 A/m 3 A/m Power frequency magnetic elds
should be at levels characteristics of
a typical location in a typical com-
mercial or hospital environment.
NOTE: UT is the a.c. mains voltage prior to application of the test level.
Recommended separation distance between portable and mobile RF communications equipment and the
AC1000f
The AC1000f is intended for use in an electromagnetic environment in which radiated RF disturbances are con-
trolled. The customer or the user of the AC1000f can help prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications equipment (transmitters) and the AC1000f
as recommended below, according to the maximum output power of the communications equipment.
EMC guidance and manufacturer’s declaration EMC guidance and manufacturer’s declaration
Rated maximum output
power of transmitter / W
Separation distance according to frequency of transmitter / m
150 kHz to 80 MHz d =
1,2 √P 80 MHz to 800 MHz d = 1,2 √P 800 MHz to 2,5 GHz d = 2,3 √P
0,01 0,12 0,12 0,23
0,1 0,38 0,38 0,73
11,2 1,2 2,3
10 3,8 3,8 7,3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reection from structures, objects and people.
Guidance and manufacturer’s declaration-electromagnetic immunity
The AC1000f is intended for use in the electromagnetic environment specied below. The customer or the user of
the AC1000f should assure that is used in such and environment.
Immunity
test
IEC 60601 test
level
Compliance
level
Electromagnetic environment-guidance
Conducted
RF
IEC 61000-
4-6
Radiated RF
IEC 61000-
4-3
3 Vrms
150 KHz to 80
MHz
3 V/m
80MHz to 2,5
GHz
3 Vrms
3 V/m
Portable and mobile RF communications equipment should be used
no closer to any part of the AC1000f including cables, than the
recommended separation distance calculated from the equation ap-
plicable to the frequency of the transmitter.
Recommended separation distance:
d = 1,2 √P, d = 1,2 √P 80MHz to 800 MHz, d = 2,3 √P 800MHz to
2,5 GHz
Where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer and d is the
recommended separation distance in metres (m).
Field strengths from xed RF transmitters, as determined by an elec-
tromagnetic site survey, a should be less than the compliance level in
each frequency range. b
Interference may occur in the vicinity of equipment marked with the
following symbol:
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and reection from structures, objects and people.
a: Field strengths from xed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically
with accuracy. To assess the electromagnetic environment due to xed RF transmitters, an electromagnetic site
survey should be considered. If the measured eld strength in the location in which the AC1000f is used exceeds
the applicable RF compliance level above, the AC1000f should be observed to verify normal operation. If ab-
normal performance is observed, additional measures may be necessary, such as re-orienting or relocating the
AC1000f.
b: Over the frequency range 150 kHz to 80 MHz, eld strengths should be less than 3 V/m.

32 33
Blood Pressure Log Blood Pressure Log

34 35
Blood Pressure Log Blood Pressure Log

36
Warranty Card
This instrument is covered by a 2 year guarantee from the date of purchase.
The guarantee is valid only on presentation of the warranty card completed
or stamped by the seller/dealer confirming date of purchase or the receipt.
Batteries, cuff and accessories are not included. Opening or altering the
instrument invalidates the guarantee. The guarantee does not cover damage,
accidents or non-compliance with the instruction manual. Please contact your
local seller/dealer or www.rossmax.com.
Customer Name: ________________________________________________
Address: ________________________________________________________
Telephone: _________________ E-mail address: _____________________
Gender: Male Female Age: ____
Product Information
Date of purchase: ________________________________________________
Store where purchased: __________________________________________
WARNING: The symbol on this product means that it's an electronic prod-
uct and following the European directive 2012/19/EU the electronic prod-
ucts have to be dispose on your local recycling centre for safe treatment.
IN0AC1000f00000XX OBM_IB_AC1000f(2)_NA10_EN_SW_ver1628
Rossmax Swiss GmbH,
Tramstrasse 16, CH-9442 Berneck,
Switzerland
www.rossmax.com