Rossmax AC1000f User manual

Model: AC1000f
www.rossmax.com
Blood Pressure Monitor

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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
Cu Wrap Detection ...................................................................................................................... 15
Movement Detection ................................................................................................................... 15
How to Use the POWER Source ......................................................................................16-19
Applying the Cu .....................................................................................................................20-22
Measurement Procedures ...................................................................................................23-25
Setting Deation Rate ................................................................................................................... 26
Recalling Values from Memory ............................................................................................... 26
Clearing Values from Memory ................................................................................................. 27
How to clean the unit after use .............................................................................................. 27
Troubleshooting .............................................................................................................................. 27
Specications ..................................................................................................................................... 28
EMC guidance and manufacturer’s declaration............................................................ 29
Blood Pressure Log...................................................................................................................30-31

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Introduction
Blood pressure measurements determined with AC1000f are equivalent to
those obtained by a trained observer using cu/stethoscope auscultation
method, within the limits prescribed by the American National Standard, Elec-
tronic or Automated Sphygmomanometers. This unit is to be used by adult
consumers in home, physicians’ oces, hospitals, clinics and other medical fa-
cilities. The patient is an intended operator. Do not use this device on infants
or neonates. AC1000f is protected against manufacturing defects by an estab-
lished International Warranty Program. For warranty information, you can con-
tact 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 extreme tem-
peratures, humidity, and direct sunlight. Avoid dropping or strongly shock-
ing the main unit, and protect it from dust.
2. Clean the blood pressure monitor body and the cu carefully with a slightly
damp, soft cloth. Do not press. Do not wash the cu 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 situa-
tions.
5. If the unit is stored near freezing, allow it to acclimate at room temperature
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 device. If you
have any problems, please contact the store or the doctor from whom you
purchased this unit or please contact Rossmax International Ltd.
7. As a common issue for all blood pressure monitors using the oscillometric
measurement function, the device may have diculty in determining the
proper blood pressure for users diagnosed with diabetes, poor circulation of

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blood, kidney problems, or for users suered 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 Premature Contraction was detect-
ed 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 appears often.
9. While the given device is able to detect specic pulse arrhythmia, the meas-
urement 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 cu 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 problem or
disease. Measurement results are for reference only. Consult a healthcare
professional for interpretation of pressure measurements. Contact your
physician if you have or suspect any medical problem. Do not change your
medications without the advice of your physician or healthcare profes-
sional.
14. Electromagnetic interference:The device contains sensitive electronic com-
ponents. Avoid strong electrical or electromagnetic elds in the direct vicin-
ity 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 lo-
cal 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 question may
be impaired.
18. During the blood pressure measurement, blood circulation must not be
stopped for an unnecessarily long time. If the device malfunctions, remove
the cu from the arm.

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Notes on Safety
Warning:
• Self diagnosis of measured results or treatment is dangerous. Please fol-
low the instruction of the doctor or healthcare provider.
• If cu ination does not stop, remove the cu 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
eected area with water repeatedly. Immediately consult a doctor for treat-
ment.
• Do not wrap the cu over an arm to which intravenous injection or transfu-
sion is being conducted, or when otherwise contraindicated.
• Do not connect the air tube or the cu to other equipment which is con-
nected to an intra corporeal organ. Air embolisms may result.
• 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.
19. Avoid any mechanical restriction, compression or bending of the cu line.
20. Do not allow sustained pressure in the cu or frequent measurements. The
resulting restriction of the blood ow may cause injury.
21. Ensure that the cu 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 cu on the side, where a mastectomy has been performed
in your patient history.
23. Do not place the cu over wounds as this may cause further injury.
24. Only ever use the cus provided with the monitor or original replacement
cus. 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.
26. Do not use the tubing and/or AC adaptor for any other purpose than those
specied, as they can cause risk of strangulation.
27. Do not service or maintain device and cu while in use.

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• Do not use any cu 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 o power to the unit and unplug the AC adaptor from the electric 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 interaction between the
devices.
• When using the unit:
- Do not inate the cu without being wrapped over the arm.
- Do not use a damaged cu.
- 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, glutaralde-
hyde, 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.

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Name/Function of Each Part
Arm Cu
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, 1800mAh
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

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PARR (Pulse Arrhythmia) Technology
Pulse Arrhythmia (PARR) technology specically detects the existence of
pulse arrhythmia, including atrial brillation (AF, AFib), Atrial and / or Ventricu-
lar Premature Contractions (PC), Tachycardia (TACH), and Bradycardia (BRAD).
Pulse Arrhythmia may be related to cardiac disorders, needs medical atten-
tion and thus early diagnosis is of paramount importance. The PARR tech-
nology detects arrhythmia during regular blood pressure checks without
any additional user skills, user interaction and measurement prolongation.
Beside the blood pressure diagnosis a speci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 clini-
cal 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 Arrhyth-
mia 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 e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 el-
evate 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 associ-
ated with other heart-related complications. Age dependent, about 10 %- 20
% percent of patients who suer from an ischemic stroke also suer from
atrial brillation.

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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 conduction
nodes (PNC). These extra beats may disrupt your regular rhythm, they may
come in early or cause a signicant pauses regarding your perceivable 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 val-
vular or myocardial disorders and become very important if a myocarditis
(infection of the heart muscle) is suspected. This unit is able to detect prema-
ture 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 arrhyth-
mia 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 undetect-
ed 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 technol-
ogy can be applied at any of these conditions. 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 provide all required medical
test and possible therapeutic procedures.
Note: The presence of a cardiac pacemaker may impair the AF(AFib) detec-
tion by PARR.