Walgreens HL158HD User manual

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In ns st tr ru uc ct ti io on n M Ma an nu ua al l
Automatic
Wrist Blood Pressure Monitor
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1

Table of Contents
Medical Disclaimer……………………………………………………………………………03
Intended Use………………………………………………………………………………..…03
About Blood Pressure………………………………………………………………………04
Measurement Method………………………………………………………………06
Accuracy………………………………………………………………………………………….. 06
Precautions…………………….…………………………………………………………………07
Device Overview……………………………………………………………………………….09
Symbol Definitions………………………………………………………………………….11
Features………………………………………………………………………………………….12
Installing Batteries………………………………………………………………………….16
Applying the Cuff…………………………………………………………………………….17
Positioning Guide………….………………………………………………………………….18
Measurement Procedure………….…………………………………………………….19
Bluetooth Transmission……………………………………………………………………21
Memory Function…………………………………………………………………………….22
Storage and Maintenance……………………………………………………………….23
Troubleshooting……………………………………………………………………………….24
Warranty & Recalibration………………………………………………………………….25
Specifications………………………………………………………………………………….26
Note………………………………………………………………………………………….…….28
Appendix…………………………………………………………………………………….…….29
Blood Pressure Diary……………….……………………………………………….…….31
2

Medical Disclaimer
This manual and product are not meant as a substitute for advice
provided by your doctor.
You are not to use the information contained herein, or this product
for diagnosing or treating a health problem or prescribing any
medication. If you have or suspect that you have a medical problem,
promptly consult your healthcare provider.
Intended Use
This device uses the oscillometric method to automatically measure
systolic and diastolic blood pressure as well as heart rate.
The measurement position is at human being’s wrist.
All values can be read out in one LCD panel.
The device is designed for home use and recommended for use by
adults aged 18 years and older with wrist circumference ranging 135
~ 195 mm (approx. 5.3 ~ 7.7 inch).
3

About Blood Pressure
1. What is blood pressure?
Blood pressure is the measurement of the force of blood pushing
against the walls of the arteries. Arterial blood pressure is
constantly fluctuating during the course of the cardiac cycle. The
highest pressure in the cycle is called the systolic blood pressure,
and represents the pressure in the artery when the heart is beating.
The lowest pressure is the diastolic blood pressure, and represents
the pressure in the artery when the heart is at rest. Both the
systolic and the diastolic pressure are necessary for a physician to
evaluate the status of a patient's blood pressure.
Many factors such as physical activity, anxiety or the time of day,
can influence your blood pressure. Blood pressure is typically low
in the mornings and increases from the afternoon to the evening.
It is on average lower in the summer and higher in the winter.
2. Why is it useful to measure blood pressure
at home?
Having one's blood pressure measured by a doctor in a hospital or
a clinic, is often associated with a phenomenon called “White Coat
Hypertension” where the patient becomes nervous or anxious,
thus raising his blood pressure. There are also numerous other
factors that might cause your blood pressure to be raised at a
specific time of day. This is why medical practitioners recommend
home monitoring as it is important to get readings of blood
pressure during different times of the day to really get an idea of
your real blood pressure.
Medical practitioners generally recommend the “Rule of 3”, where
you are encouraged to take your blood pressure three times in a
row (at 3 ~ 5 minute interval), three times a day for three days.
After three days you can average all the results and this will give
you an accurate idea of what your blood pressure really is.
4

About Blood Pressure
A. WHO blood pressure classifications:
Standards for assessment
of high or low blood pressure
without regard to age, have
been established by the World
Health Organization (WHO),
as shown in the chart.
However this chart is not
exact for classification of blood pressure and it's intended to be
used as a guide in understanding non-invasive blood pressure
measurements. Please consult with your physician for proper
diagnosis.
B. Variations in blood pressure:
Individual blood pressures vary greatly both on a daily and a
seasonal basis. These variations are even more pronounced in
hyper tense patients. Normally the blood pressure rises while at
work and is at its lowest during sleeping period.
(hyper tense: means a person who has high blood
pressure symptom.)
The graph below illustrated the
variations in blood pressure over a
whole day with measurement taken
every five minutes.
The thick line represents sleep. The
rise in blood pressure at 4 PM (A in
the graph) and 12 PM (B in the graph) correspond to an attack
of pain.
5

Measurement Method
HL158HD Automatic Wrist Blood Pressure Monitor measures blood
pressure and heart rate by oscillometric method, meaning the
fluctuations in pressure are measured. Once the cuff is wrapped
around your wrist, just turn on the monitor and inflation
automatically starts. The inflation of the cuff creates pressure around
the arteries inside the wrist.
Within the cuff is a gauge which senses the fluctuations (oscillations)
in pressure. The fluctuation measured represents the degree of
intensity that your arteries contracting with each heart beat, and also
a result of the pressure that the cuff has placed on the wrist. The
monitor measures these contractions and converts the information to
a digital value. This is the result displayed on the monitor screen.
Once the measurement is complete, the cuff will automatically
deflate.
Accuracy
HL158HD Automatic Wrist Blood Pressure Monitor has been clinically
tested against a scientific device called a mercury
sphygmomanometer, considered the gold standard in blood pressure
measurement.
All HL158HD Automatic Wrist Blood Pressure Monitors have
performed equivalent to measurements taken with this scientific
device and are within the accuracy limits prescribed by the American
National Standard for Electronic or Automated
Sphygmomanometers.
*We suggest our users
have their blood pressure monitor
checked every 2 years. T
his operation should only be
performed by Manufacturer or by authorized representatives.
6

Precautions
* Do not use this manual and product as a substitute for advice,
diagnosing or treating a health problem or prescribing any
medication by your doctor. If you have a medical problem,
promptly consult your healthcare provider.
* Read the Instruction Manual thoroughly before measuring and
keep it at hand for your reference at any time.
* This device uses the oscillometric method to measure systolic
and diastolic blood pressure as well as your heart rate. It’s
recommended for use by people over the age of 18 and not to be
used on infant or children.
* The device is designed for home use and not suitable for clinical
use.
Do not take a measurement in a low (less than 41 ℉/5 ℃) and
high (more than 104 ℉/40 ℃) temperature, nor in a place outside
humidity ranges (15% ~ 93% R.H.), or you may get inaccurate
readings.
Wait 30 ~ 45 minutes before measurement if you’ve just
consumed caffeinated beverages or smoked cigarettes.
Rest at least 5 ~ 10 minutes before taking a measurement.
To allow your blood vessels to return to the condition prior to
taking the measurement, please wait at least 3 ~ 5 minutes in
between measurements. You may need to adjust the wait time
according to your personal physiological situation.
We recommend you using the same wrist (preferably the left wrist)
and measuring around the same time each day.
Sit down comfortably and place your elbow on the table with your
feet flat on the floor. Please do not cross your legs during
measurements.
Keep the device at heart level. Relax your hand with the palm
facing up.
Perform measurements in a quiet and relaxed environment at
room temperature.
Do not move or shake the device during a measurement. Please
keep quiet and do not talk during measurements.
Proper cuff size is critical for accurate measurements. Follow the
instructions in this manual and printed on the cuff to ensure the
appropriate size of cuff is being used.
7

Precautions
Keep in mind that blood pressure naturally varies from time to
time through out the day and is affected by lots of different factors
such as stress, eating, smoking, alcohol consumption, medication,
and physical activity, etc.
Normally the blood pressure rises while at work and is at its lowest
during sleeping period.
Blood pressure measurements should be interpreted by a
physician or a trained health professional who is familiar with your
medical history. Using the unit and recording the results regularly
for your physician to interpret, you will keep your physician
informed of the continuing changes in your blood pressure.
If you have one of the circulatory problems as arteriosclerosis,
diabetes, liver disease, kidney disease, severe hypertension,
peripheral circulation….., please consult your healthcare
professional before using the device.
This product is not suitable for people with arrhythmias and
pregnant women.
Blood pressure measurements taken with this device are
equivalent to those obtained by a trained observer using the cuff /
stethoscope auscultation method and are within the accuracy
limits prescribed by the American National Standard for Manual,
electronic, or Automated Sphygmomanometers.
*Attention
！
1. Do not use the device on infants, children, or those who cannot express their
own intention.
2. The device is equipped with sensitive electronic components. While
measuring, avoid strong electrical or electromagnetic fields, e.g. mobile
phones, microwave ovens, etc; or it may lead to temporary reading error or
inaccuracy.
3. Consider the electromagnetic compatibility of the device (ex. power
disturbance, radio frequency interference etc.) Please use it indoor only.
4. Over high frequency measurements may result in blood flow interference,
which is likely to cause uncomfortable sensations, such as partial
subcutaneous hemorrhage, or temporary numbness to your wrist. In general,
these symptoms should not last long. However, if you do not recover in time,
please seek your medical practitioners for help.
8

Device Overview
Product components
LCD DISPLAY
START / STOP
BUTTON
AAA “LR03” (1.5V)
ALKALINE BATTERY X 2
STORAGE
CASE
*Caution
！
Substitution of a component different from that supplied might result in measurement error.
MODE
BUTTON
MEMORY
BUTTON
RISK CATEGORY
INDICATOR
User Select
BUTTON
BLUETOOTH
Indicator
+
BUTTON
9

Device Overview
Unit display
Heart Rate
Low Battery Symbol
User 1
User 2
Hour : Minute
Month / Date/ Year
Pulse Symbol
Diastolic Rate
Systolic Rate
Risk Category
Indicator
Irregular Heartbeat
Detector
Error Symbol
The last 3 Average
Symbol
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Symbol Definitions
SYMBOLS Definitions
Low Battery Symbol
This symbol appears when the battery power i
s excessively
low or the polarity reverses.
We suggest you replace all batteries with new ones
, and
make sure the +/- polarities are properly positioned.
Pulse Symbol
Once pulse is detected, the symbol flashes with each pulse
beat.
Our suggestion:
Please do not talk or move during measurements.
Error Symbol
This symbol appears when measurement error.
Irregular Heartbeat
Detector
This symbol appears for 1 minute when the user was talking,
moving, shaking, or an irregular heart beat was detected
during measurements.
Our suggestion:
Please do not talk or move during measurements.
Repeat the measurement after resting for at least 5 minutes,
and restart your measurement while sitting down comfortably
and quietly.
User 1
User 1: Appears when the monitor is operated by User 1.
User 2
User 2: Appears when the monitor is operated by User 2.
Last 3 Average
Symbol
This symbol appears when LCD displays average value of last
3 readings.
Risk Category Indicator
icon
Compares readings against blood pressure guidelines. See
next page for more information.
11

Features
Risk Category Indicator
This device is equipped with Risk Category Indicator which classifies
your blood pressure measurements into four stages (Normal,
Pre-hypertension, Stage 1 Hypertension to Stage 2 Hypertension)
based on the blood pressure standards established by the U.S.
Department of Health and Human Services and the National Institutes
of Health. Besides, for yours and your loved ones’ health, we further
classify the four stages into numeral ranges, which sorts out
hypertension symptoms more clearly. Moreover, to your convenience
and readability, we use four corresponding colors to represent your
measuring result. Refer to below comparison chart for details:
After each measurement is completed, LCD displays the stages of
blood pressure symbols will depend on your readings and
corresponds to Risk Category Indicator.
Stages of Blood
Pressure Levels
Systolic
(mmHg)
Diastolic
(mmHg)
Important Notice
Stage 2
Hypertension ≧160 ≧100
You may use the function to
effectively track your blood
pressure. Yet the standards and
classifications are general guidelines
for your reference as an
individual’s
blood pressure varies among
different people, age groups, etc. It
is important
that you consult with
your physician to know your normal
blood pressure range as well as the
point at which you will be considered
at risk.
Stage 1
Hypertension 140 ~ 159 90 ~ 99
Pre-hyperten
sion 120 ~ 139 80 ~ 89
Normal < 120 < 80
12

Features
For adults 18 and older who are not on medicine for high blood
pressure, are not having a short-term serious illness, and do not have
other conditions, such as diabetes and kidney disease. To determine
category of risk when systolic and diastolic readings fall into two areas,
use the higher of the two numbers for classification. There is an
exception to the above definition of high blood pressure for people
with diabetes and chronic kidney disease. A blood pressure of 130/80
mmHg or higher is considered high blood pressure for those
individuals.
*Note !
The above table is not exact for classification of blood pressure and it's
intended to be used as a guide in understanding non-invasive blood
pressure measurements.
Usually this is not a cause for concern; however we recommend you
consult with your physician for proper diagnosis or seek medical advice.
Please note that the device does not appropriate to diagnose hypertension,
and it is only for user reference on blood pressure monitoring.
13

Features
Irregular Heartbeat Detector
The symbol will appear on screen indicating a certain
heartbeat irregularity was detected during measurement.
The heartbeat rhythm that is more than or less than 25% from the
average rhythm is usually defined as an irregular heartbeat rhythm.
Talking, moving, shaking or an irregular pulse during the
measurement can result in the appearance of this symbol.
Usually this is not a cause for concern, however if the symbol
appears often, we recommend you seek medical advice.
And please note that the device does not replace a cardiac
examination, but serves to detect pulse irregularities at an early
stage.
*Note ！
The pulse display is not suitable for checking the frequency of heart
pacemakers. If a certain pulse irregularity is detected during measurement
often, we recommend you seek medical advice
As a safeguard, we recommend that if you have arrhythmias such as atrial or
ventricular premature beats and atrial fibrillation or any other special
conditions you should check with your physician before using your device.
The IHB function is not designed for use by people with arrhythmias nor for
diagnosing or treating an arrhythmic problem. In order to filter the unstable
status of user and avoid affecting the detection of heart rate from any
movement, shaking or talking in the beginning of measurement, the method of
averaging heart beat intervals of subject device is calculated with the three
proper heart beat pulses detected in the beginning of measurement and that is
different from a strict mathematical averaging of all recorded intervals.
At least 3 beats with at least 25 % difference from the average heart beat
interval will generate the IHB icon on the screen.
14

Features
Bluetooth Data Transmission
HL158HD features a built-in “Bluetooth Data Transmission” function,
which enables the device automatically transmit measuring results
to paired Bluetooth device.
Bluetooth compatibility with blood pressure monitor for
Bluetooth-enabled device is:
Bluetooth 4.0 for Android 4.3 or above,
Bluetooth 4.0 for iOS device
Note:
HL158HD is subject to and complies with electromagnetic
compatibility (EMC) standard of EN 60601-1-2, EN 301 489-1,
EN 301 489-17, EN 300 328 and U.S. federal guidelines, Part 15
of the FCC (Federal Communications Commission) rules for
devices with RF capability. These guidelines help ensure that your
device will not affect the operation of other nearby devices.
Additionally, other devices should not affect the use of your
device.
Other wireless devices that are in use nearby, such as a cell or
mobile phone, or a wireless network, may prevent or delay the
transmission of data from your device to paired Bluetooth device.
Moving away from the source of the interference or turning off
these devices to resolve the problem.
Make sure HL158HD and paired Bluetooth device are within
acceptable distance (no more than 10 meters) with each other. If
not, put them closer.
If you plan to transmit test results to paired Bluetooth device, be
sure to select User 1 or 2 before measurements, in case other
people’s results may be transmitted to your paired Bluetooth
device or included in your past results.
About Bluetooth Transmission Function
The Bluetooth transmission function might not be workable to some
Bluetooth devices because of the compatibility of Android system.
Some issues that the Bluetooth implementations on these devices
have unresolved errors. It is not because of the Bluetooth module in
blood pressure monitor is not supported.
15

Installing Batteries
When LOW BATTERY SYMBOL appears on the display, or no
reaction toward operation, please change batteries.
Replace all worn-out batteries with new ones and do not mix new and
used batteries. Do not mix alkaline, standard (carbon-zinc) or
rechargeable (cadmium) batteries either. Such action may shorten
the battery life or cause the device to malfunction.
Slide the battery cover and insert 2 AAA (LR03) alkaline batteries into
the battery compartment as shown on the figure below. Make sure
the polarities “+” and “–” ends are properly positioned.
*Attention
！
Batteries are hazardous waste. Do not dispose of them together
with the household garbage. Please discard worn-out batteries to
the recycling site according to local regulations.
Keep the battery away from children in case they choke on it.
If the device is not to be used for over 2 months, please remove
the batteries from its compartment for power-saving.
Please replace all worn-out batteries with new ones when you are
operating the Bluetooth transmission function, and the LOW
BATTERY SYMBOL appears on the display.
16

Applying the Cuff
Do not place the pressure cuff over a
jacket or sweater sleeve. Wrap the
pressure cuff around the bare wrist with
the monitor facing you.
Wrap the cuff snugly. Do not make it too tight.
Fold the remaining part of the cuff back
out of the way.
Leave approximately 0.4 inch (10 mm)
between the cuff and the bottom of your
hand palm.
*Note
！
Do not use this device if your wrist has any wound or injury.
Do not wrap the cuff around any body part other than your
wrist.
0.4 inch (10 mm)
5.3 ~ 7.7 inch (135 ~ 195 mm)
17

Positioning Guide
It is extremely important that the cuff be at the same height as the
heart.
Having the cuff higher or lower may cause inaccurate results.
1. Sit down comfortably with your
feet flat on the floor.
2. Position the blood pressure
monitor on your wrist.
3. Place your elbow on the table and
rest the back of your hand on the
device storage case or other
object.
4. Rest your wrist on the armrest
until it’s at the same height as
your heart.
5. Relax your hand and turn your
palm upwards.
18

Measurement Procedure
Switch on the Monitor
A. Press button to switch on the monitor.
B. All segments appear on the screen.
Setting Year, Date and Time
A. Press button ("YEAR" flashes). Press button to adjust
YEAR value.
B. Press button ("MONTH" flashes). Use button to adjust
MONTH (1, 2, 3,……, 12).
C. Adjust DATE (1, 2, 3,…, 31), HOUR (1, 2, 3,……..12PM,1 PM,…, 12)
and MINUTE (00,01,02,03,.....59) as described in Step A above.
When settings are done, press button to confirm the entries.
The device is ready to measure.
Turning Bluetooth Feature ON/OFF
User can press and hold START/STOP button 3 seconds to turn the
Bluetooth feature ON/OFF in Sleeping Mode.
Note: The Bluetooth Feature Switch default setting is ON
Taking a Measurement
A. Before measurement, press button to select User 1 or 2.
Bluetooth feature ON
Bluetooth feature OFF
19

Measurement Procedure
B. With the cuff wrapped around your wrist, press button to
start measurement. All display units appear on the screen.
*Note
！
Do not inflate the cuff until it is wrapped around your wrist.
After all symbols disappear, the display
will show “00”. The monitor is “Ready
to Measure” and will automatically inflate
to the level that is right for you.
C. After inflation of the cuff, the pressure will
slowly decrease. When pulse is detected,
PULSE SYMBOL flashes.
*Note
！
If the cuff does not stop inflating, remove the cuff at once.
To stop measurement, press button.
D. LCD screen displays your systolic rate,
diastolic rate, pulse, Risk Category
Indicator icon and Irregular Heartbeat
Detector symbol (if any) with date and time
for 60 seconds.
E. Without any operation for 60 seconds, device automatically
shuts off.
20