uebe Visomat handy User manual

Gebrauchsanleitung
Instructions for use
Mode d’emploi
Istruzioni per l’uso
www.visomat.de • Besser Messen.
(DE-2 - DE-31)
(EN-32 - EN-61)
(FR-62 - FR-91)
(IT-92 - IT-121)
handy
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english
EN-32
EN-33
english
The double-preformed comfort cuff can be easily attached and provides for a
perfect fit during measurement. When the Start/Stop button is pressed, the system
starts to build up pressure automatically. Within a very short space of time the unit
records the small oscillations within the cuff which occur owing to expansion and
contraction of the arteries (heartbeat).The automatic build-up of pressure usually
stops approx. 40 mmHg above the systolic value (fuzzy logic).Then the actual
measurement process starts while the cuff is being deflated. The amplitude of
each pressure wave is measured in millimetres of mercury (mmHg), converted and
displayed in the LCD as a digital value. The cuff is then completely deflated.
Table of contents
Safety instructions
A
Important patient information
Important technical information
1.
2.
Introduction
Thank you for choosing the visomat®handy wrist blood pressure monitor (also
referred to in the following as the unit).
visomat®handy uses the oscillometric method for measuring blood pressure and
pulse rate.
Mode of operation:
As well as indicating systole, diastole and pulse, the unit offers additional displays
for determining irregular pulses and pulse pressure. Irregular pulses may be an in-
dication of an irregular heartbeat but also of restlessness during the measurement.
Pulse pressure provides an indication of the stretchability of the blood vessels. A
memory stores the last 60 measurement results in each case.
These instructions are intended to help the user to use the unit safely and ef-
ficiently, and must be kept with the product and forwarded, if applicable.
The unit must be used in accordance with the procedures contained in these in-
structions and must not be used for other purposes. Please read these instructions
carefully before using the unit.
Maintaining the unit
F
Warranty
G
C
Systolic and diastolic blood pressure values
Why you should measure blood pressure regularly
What you should know about blood pressure
Reasons for measuring different values
1.
2.
3.
Electromagnetic compatibility (EMC)
EGeneral provisions
Explanation of symbols
Disposal
1.
2.
3.
Technical information
D
Failure and error messages
Customer service
Technical data
Applicable standards
1.
2.
3.
4.
5. Metrological inspection
This unit is recommended to patients with unstable blood pressure or known
hypertension for measuring their blood pressure at home and for therapy support.
B
Inserting/replacing the batteries
Attaching the unit
Measuring blood pressure
Operating the unit
Unit description
Important instructions for use
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12. Using the memory
Control displays
Body posture when taking measurements
Irregular pulse waves
Activating and setting the date/time
Pulse pressure
WHO traffic light function
34
35
36
37
38
39
39
40
41
42
43
43
44
45
47
47
47
48
50
50
52
53
54
54
55
59
60

A
EN-34
Safety instructions
english
EN-35
english
A
Safety instructions
Important patient information1.
The unit is designed for non-invasive measurement of the systolic and diasto-
lic blood pressure at the wrist, as well as measurement of the pulse rate of
adults, i.e. 15 years of age and older.
•
The special double-preformed comfort cuff is designed for a wrist circumfer-
ence of 12.5-21.5 cm.
•
The measurement results of automatically measuring blood pressure monitors
may be falsified by pregnancy, irregular heartbeats, or arteriosclerosis. Meas-
ure your own blood pressure in cooperation with your doctor.
•
Measuring your own blood pressure does not constitute treatment. Do not
modify of your own accord the dosage of drugs/medication prescribed by your
doctor.
•
Do not under any circumstances place the cuff on or over any critical point,
e.g. wound, aneurysm, etc. Risk of injuries! The supply via an intravascular
access (infusion) could possibly be interrupted.
•
Please refer to the chapter “Important instructions for use” (Page EN-38)
before conducting any measurements yourself.
•
The unit must only be operated with original spare parts. The warranty will be
invalidated if the unit is damaged by non-approved accessories!
•
Using this unit near mobile phones, microwave ovens or other devices with
strong electromagnetic fields may lead to malfunctions. See also EMC descrip-
tion from Page EN-55.
•
The display of the pulse frequency is not suitable for checking the frequency
of cardiac pacemakers. Cardiac pacemakers and blood pressure monitors do
not influence each other regarding their mode of operation.
•
Never open or modify the unit or the cuff - this is a medical device. (Excep-
tion: replacing batteries). If the unit has been opened, it must be subjected to
a metrological inspection by an authorised institution.
•
Important technical information2.
The cuff may be inflated on the wrist only.•
Please comply with the specified ambient conditions for measurement. See
Technical data, Page EN-50.
•
A constantly good power supply to the unit is necessary for trouble-free blood
pressure measurements.
•
Please use long-life alkaline batteries only (LR03).–
Always replace all batteries at the same time during battery replacement.–
You will need 2 x 1.5 V batteries. Rechargeable batteries have a voltage of
only 1.2 V and are thus not suitable.
–
If the unit is not to be operated with batteries for an extended period of
time, remove the batteries. Essentially, all batteries can leak.
–
Blood pressure measurements on children require specialist knowledge!
Please consult your doctor if you wish to measure the blood pressure of a
child. Do not under any circumstances use the unit on a baby/infant.
The inflating and measuring procedure can be stopped by pressing the
Start/Stop button. In this case, the unit stops the inflation procedure and
deflates the cuff.
•

english
B
EN-36
Operating the unit
EN-37
english
B
Operating the unit
Failure and error messages (Page EN-48) Err-300, -1, -2 …
5
4
3
2
Unit description1.
Battery compartment
Display
Memory button
1
Start/Stop button
Cuff
Control displays2.
2
3
4
5
1
8
7
6
1
2
3
7
6
5
4
3
2
Inflating / Deflating
WHO traffic light
SYS = Systole
Pulse signal display or irregular
pulse waves
1
DIA = Diastole
PUL 1/min = Pulse
Calculated pulse frequency per
minute
Battery check display
8Memory
4
5
9
9
10
Date/time
10 Memory identification

english
B
EN-38
Operating the unit
EN-39
english
B
Operating the unit
Please rest at least 5 minutes before measuring. Depending on the previous
degree of stress/exertion, this can even require up to one hour.
•
Refrain from drinking alcoholic or caffeinated beverages and smoking at least
one hour before measuring.
•
Expose the wrist, the clothes must not impair the blood flow in or from the
arm as this influences the blood pressure at the measurement point.
•
Important instructions for use3.
Resting during the measurement is absolutely essential! Talking or moving
as well as strong irregular heartbeats will affect the measurement result, the
values becoming too high.
•
The unit has a date/time function which you can activate where necessary. This
function is deactivated when the unit is delivered.
Activating and setting the date/time5.
Remove the cover of the battery compartment on the side of the unit.
Opening the battery compartment•
Remove the old batteries from the unit and insert the new ones. Please
observe proper polarity (marking in battery compartment).
Inserting batteries•
Close the battery compartment by clipping the battery cover back into the
unit.
Closing the battery compartment•
Replace the batteries
Please note:•
if the flat battery symbol appears in the display
after the segment check.
–
if the display remains blank in spite of the Start/
Stop button being pressed.
–
Body posture must be relaxed.•
There should be no irregular heartbeats during the measurement! Irregular
movements, vibrations, speaking, and breathing heavily will also affect the
measurement. If necessary, repeat the measurement in improved conditions.
•
Unusual measurement results are possible with all automatically measuring
blood pressure measurement systems from time to time. Check yourself: did
you comply with the instructions for use above?
•
If necessary, repeat the measurement after allowing the blood circulation in
the arm to recuperate briefly; rest for about 3-5 minutes for this purpose.
Tip: Remain seated, your monitor will switch off automatically about 3
minutes after a measurement. Afterwards, we recommend that you repeat the
measurement.
To activate the date/time function, press the Start/Stop button and then
immediately, while the full display is visible, the Memory button. This function
can be deactivated at any time in the same way.
Blood pressure is not a fixed value. It may fluctuate upwards or downwards by
more than 20 mmHg on patients within a few minutes.
•
Inserting/replacing the batteries4.
Activating the date/time function•
Note:
After replacing the batteries, it will be necessary to reactivate the date/time func-
tion. See next chapter.
Setting the date/time•
The four-digit number representing the year appears in the display first. Press
the Memory button to set the year. Press the Start/Stop button to confirm the
selected year and proceed to setting the date.

english
B
EN-40
Operating the unit
EN-41
english
B
Operating the unit
Changing the date/time•
To change the date/time function, take out a battery and wait until the display
goes blank. Now you can reactivate the date/time function and reset the
values.
When the date/time function is activated, the time is also
shown in the display when the unit is switched off.
The special double-preformed comfort cuff is easy to attach and provides for a
perfect fit during measurement. The materials used have been tested for skin
compatibility in accordance with ISO 10993.
Expose your wrist, with the palm of your hand facing
upwards.
•
Slide the unit over your wrist. Make sure the gap
between your wrist and the top edge of the cuff is
approx. 1 cm.
•
Now pull the free end of the cuff tight and close the
cuff with the Velcro-type fastener.
•
Attaching the unit6.
Thanks to its optimised shape, the cuff fits very tightly
to prevent measurement errors.
Whenever possible, measurements should be taken while sitting. In exceptional
cases it is also permitted to take measurements while standing or lying down.
Sit at a dining table, resting your back against the
backrest of the chair. Bend your arm so that the cuff
is at exactly the same height as your heart. Place your
feet on the floor and do not cross your legs.
Body posture when taking measurements7.
Measurement while sitting•
After pressing the Start/Stop button, lay your left arm
loosely against your body so that the cuff of the unit
is at the same height as your heart. You may use your
other arm to support your left arm.
Measurement while standing•
Lie on your back. Attach the unit to your wrist and
hold the unit at the same height as your heart (e.g.
by resting your arm on a pillow or cushion). Breathe
deeply 5 or 6 times to relax before measurement.
Measurement while lying down•
Please note:
Keep both arms still until the measurement is
completed.
While measuring keep your arm still and do not talk.
Set the month with the Memory button and confirm this with the Start/Stop
button. Set the day, hours and minutes in the same way.
If the cuff is lower or higher than heart height, the reading may in turn be
higher or lower.
–
Keep your hand relaxed, do not clench your hand or form a fist.–
Do not under any circumstances bend your wrist.–

english
B
EN-42
Operating the unit
EN-43
english
B
Operating the unit
The cuff is inflated to the required pressure. A “ “
flashes in the display.
•
Switch on the unit by pressing the Start/Stop button.
The full display appears.
•
The actual measurement process starts with three
beeps as the cuff is deflated. The “♥” symbol flashes
in the display.
•
A long beep denotes the end of measurement. The
cuff is automatically deflated.
•
The determined values of systole, diastole and pulse
and the pulse pressure (PP) are shown alternately in
the display.
•
Measuring blood pressure8.
The unit switches off automatically after approx. 3
minutes.
•
Systolic pressure
= Upper value
mmHg**
Diastolic pressure
= Lower value
mmHg**
Red from 140* from 90*
Yellow 120 to 139 80 to 89
Green below 120 below 80
WHO traffic light function9.
The unit categorises the blood pressure readings according to the guidelines of
the World Health Organisation (WHO). You can use the coloured fields to read the
categorisation of each reading:
WHO 2003
* It is suf-
ficient for
one of the
values to be
raised.
Pulse pressure10.
The pulse pressure – not to be confused with the pulse beat – provides an indica-
tion of the stretchability of the blood vessels. A hard system of vessels can have a
negative effect on the cardiovascular system. Studies show that the cardiovascular
risk increases if the pulse pressure value is greater than 65 mmHg.
Lower dot (Green) signifies normal value–
Middle dot (Yellow) signifies borderline value*–
Upper dot (Red) signifies high pressure*–
The categorisation according to WHO is stored with the readings and can be called
up again together with the readings from the memory.
The heart works in two phases, the contraction phase (systole) and the relaxation
phase (diastole). The pressure difference between systole and diastole is called the
pulse pressure or pulse amplitude. The higher the pulse pressure, the harder the
vessels.
** millimetres
of mercury

english
B
EN-44
Operating the unit
EN-45
english
B
Operating the unit
This can be set off by an irregular heartbeat (arrhythmia),
disturbances caused by movement, talking or even breath-
ing in deeply.The symbol is stored with the respective
measurement.
Measurement results accompanied by flashing pulse dis-
plays should therefore be viewed as critical and repeated
under more favourable conditions.
If the symbol for irregular pulse waves flashes after a
measurement, the unit has recorded irregular pulses dur-
ing the measurement.
Press the Memory button to call up data. The average
value of the stored results is displayed with “A”, the values
for systole, diastole and pulse and the pulse pressure (PP)
are shown alternately in the display.
The stored data remain visible in the display for around 30
seconds. The unit then switches itself off.
Irregular pulse waves11.
Press the Memory button repeatedly to call up further
measured values.
If the symbol appears more frequently, this may be caused
by an irregular heartbeat and must be discussed with your
doctor!
Using the memory12.
Measured results are automatically stored in the memory. The memory can store
up to 60 results and the average value.When more than 60 measured values have
been stored, the oldest value (No. 60) is deleted to allow the latest value (No. 1)
to be recorded.
When the Memory button is pressed again, the value
measured last (No. 1) appears. When the date/time func-
tion is activated, systole, diastole and pulse are displayed
alternately with memory number and date, followed by
the pulse pressure (PP) and the time.
High pulse pressure above 65 mmHg
Increased pulse pressure 55 to 65 mmHg
Normal pulse pressure below 55 mmHg
If your pulse pressure is permanently above 55 mmHg, consult your doctor.

english
B
EN-46
Operating the unit
EN-47
english
C
What you should know about blood pressure
Why you should measure blood pressure regularly3.
Even the time of day has an influence on your blood pressure. During the day the
values are generally higher than during the periods of rest at night.
One-off and irregular measurements therefore say little about your actual blood
pressure. A reliable assessment is possible only when measurements are taken
regularly. Discuss the measurement values with your doctor.
Systolic and diastolic blood pressure values1.
The cardiovascular system has the important function of supplying all organs and tis-
sues in the body with sufficient amounts of blood and of transporting metabolites.
For this, the heart contracts and expands at a regular rate of about 60 to 80 times
per minute.
The pressure of the flowing blood on the artery walls caused by the heart contract-
ing is termed systolic.
The pressure in the ensuing relaxation phase, when the heart refills with blood, is
termed diastolic. During daily measurement you determine both values.
Reasons for measuring different values2.
Our blood pressure responds to internal and external influences like a sensitive
measuring instrument. It can be affected by even slight changes.
This explains why often values measured with the doctor or pharmacist are higher
than those measured at home in the environment you are used to. Changes in the
weather, climate changes, or physical or psychological stress can have effects as
well.
To delete the entire memory, call up the average value, press the Memory button
again and hold down until the average value has disappeared. If the display flashes,
the deletion process has not been completed and must be repeated.
To delete individual measured values, press the Memory button repeatedly to call
up the desired measured value. Then press the Memory button again and hold
down for 8-10 seconds until the measured value has disappeared.
If no value is stored, there is no display.

english
D
EN-48
Technical information
EN-49
english
D
Technical information
Failure and error messages1. Failure en-
countered Possible cause Corrective action
Unusual
measured
values
Movement or talking during
measurement, resting time
not observed, feet possibly
crossed, smoking or coffee
cunsumption.
Check conditions and repeat
measurement. Observe
instructions for use P. EN-38.
Display 0
0 Start/Stop button accidentally pressed while batteries were
being changed.
Switch unit off and then on
again with Start/Stop button.
Measure-
ment was
interrupted
and cuff first
deflated and
then inflated
Strong pulse restlessness or
movement detected, unit
rejects measurement.
If necessary, interrupt meas-
urement, measure again after
a break of 5 minutes.
Movement during measure-
ment If necessary, interrupt meas- urement, measure again after
a break of 5 minutes.
No display
after unit is
switched on
Batteries inserted incorrectly? Check position of batteries.
Batteries flat? Change batteries.
Battery compartment dirty? Clean battery compartment.
Measurement
interrupted Batteries flat? Change batteries.
Measured
values
extremely
high or low
Was the correct measurement
position maintained?
Repeat measurement, ensur-
ing correct body posture. Do
not move your arm and do
not speak.
Date/time
not shown in
display
- Function accidentally
deactivated
- Function was not reactivated
after battery replacement
Activate date and time as
described on P. EN-39.
Failure en-
countered
Possible cause Corrective action
Display
Err - 300
Excessive cuff pressure.
Cuff inflated to maximum
due to movement of the
arm or body.
- Repeat measurement
- Do not move arm
- Do not talk
Display
Err - 1
Measurement error. Meas-
urement could not be car-
ried out due to movement
of the arm or body.
- Repeat measurement
- Do not move arm
- Do not talk
Display
Err - 2
Inflation error, pressure
built up too quickly or too
slowly.
Repeat measurement
Fault was recognised. - Repeat measurement
- Do not move
- Do not talk
Call the Service hotline if this
occurs repeatedly.
Display
Err - 3
Deflation rate too high or
too low.
Call the Service hotline if this
occurs repeatedly.
Irregular heartbeat, disrup-
tive movements, shaking,
wobbling (objects), breath-
ing in deeply, etc.
Repeat measurement after
3-5 minutes rest. Possible factors
(depending on the severity of the
arrhythmia) affecting the meas-
urement results must be discussed
with your doctor!
Measured
values too
high
Was the necessary rest
observed prior to measure-
ment?
Repeat measurement after a
break of approx. 3-5 mins. Do not
move your arm and do not talk.