Zona Health Zona Plus series 3 User manual

User’s Guide
Zona Plus™
ZONA HEALTH™
August 30, 2013
Revision 3.2, International Version
Series 3

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TABLE OF CONTENTS
Welcome ................................................................................................................................................................................. 2
Zona Plus™ .............................................................................................................................................................................. 3
Using The Zona Plus™ ..................................................................................................................................................... 3
Charging the Zona Plus™................................................................................................................................................. 6
Zona Health™ Software........................................................................................................................................................... 7
What is the Zona Health™ Software? ............................................................................................................................. 7
Getting Started Using The Zona Health™ Software........................................................................................................ 7
Registering the Zona Plus™ and installing the Zona Plus™ software onto your PC.................................................... 7
How Do I Upload My Therapy Data? .............................................................................................................................. 8
How Do I View My Therapy Data? .................................................................................................................................. 8
How Do I Personalize My Zona Plus™ Settings? ........................................................................................................... 11
How Do I Register a Second User?................................................................................................................................ 11
Sharing Zona Plus™ Therapy Data......................................................................................................................................... 12
How Do I Share or View Shared Therapy Data?............................................................................................................ 12
Important Information for Use ............................................................................................................................................. 14
Device Description ........................................................................................................................................................ 14
Indications For Use ....................................................................................................................................................... 14
Contraindications.......................................................................................................................................................... 14
Warnings ....................................................................................................................................................................... 14
Precautions and Limitations ......................................................................................................................................... 14
Potential Complications (side effects) .......................................................................................................................... 14
What are the Additional Recommendations for Use of the Zona Plus™?.................................................................... 15
Troubleshooting?.......................................................................................................................................................... 15
How Do I Care for the Zona Plus™? .............................................................................................................................. 16
Rechargeable Battery.................................................................................................................................................... 16
Guidance and Manufacturer’s Declaration........................................................................................................................... 17
Medical Disclaimers .............................................................................................................................................................. 17
Specifications ........................................................................................................................................................................ 17
Symbols................................................................................................................................................................................. 17
Definition Of Symbols ........................................................................................................................................................... 18
Contact Information.............................................................................................................................................................. 18

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WELCOME
Congratulations! You are on your way to joining tens of thousands of Zona Plus™ Users!
Thanks to the technology behind the Zona Plus™, you can perform an effective exercise to lower blood
pressure in a mere 12 minutes a day, 5 days a week, virtually anytime, anywhere and without breaking a
sweat! Zona Plus™ is the first and only isometric therapy device that guides you through an optimal
therapy routine at the ideal intensity level for your body to magnify blood pressure reductions while
staying at a safe level. Plus, two users can share the same device.
The Zona Plus™ utilizes thoroughly researched algorithms to optimize every therapy session to your
specific physiology, which ensures you not only receive maximum benefit from the therapy, but also works
to trigger a blood pressure lowering response in your body. And since each therapy session consists of
brief calibration squeezes, followed by a series of carefully calculated prolonged squeezes with each hand,
the Zona Plus™ will guide you step-by-step through the entire process. All you have to do is follow the on-
screen prompts! The Zona Plus™ will even score each session so you know how accurately you are doing
the therapy.
As with any exercise program, even if it is as easy as the Zona Plus™, staying on track is often a
challenge. That's why we developed Zona Health™ software, a software application that acts like a
personal coach to help you reach your blood pressure goals. Zona Health™ software makes it easy to
monitor your progress; you can even chart your Zona Plus™ scores and blood pressure readings side by
side to help you stay on track. And because helping you improve your health is our ultimate goal, two
Zona Health™ accounts are included with every new device! Two users can track their results separately
using your new Zona Plus™ device.
Your doctor, your family and your friends care about your health improving. With a Zona Health™ account
you can safely and securely share your therapy progress and blood pressure changes with the important
people in your life. Knowing that you are taking charge of your health will give them peace of mind and
your doctor will have a better understanding of how to best help you.
Note:
It is imperative that you perform the therapy 5 days a week and score at least 80
or above in a compliant manner to experience the full benefits of the Zona Plus™
therapy.
While most users experience results in 6 to 8 weeks, there is a small portion of
the population who are late responders and it is not uncommon for it to take 12
weeks or more for their blood pressure to decrease.
If you have your blood pressure under control with anti-hypertension medications
it is likely that they will mask the effects of the Zona Plus™. If you fall into this
category, we recommend working with your physician to slowly reduce your
medications after 8 weeks of use. Many users are able to get to where they are no
longer taking any medications and simply using the Zona Plus™ to keep their
blood pressure in a healthy range.
It is also important to note that reductions in blood pressure due to the Zona
Plus™ therapy usually happen suddenly, typically between weeks 6 and 8 of
compliant use. You will not see a gradual decrease in your blood pressure.

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ZONA PLUS™
ZONA PLUS™AT A GLANCE
USING THE ZONA PLUS™
Before you get started:
• Your Zona Plus™ comes with the battery charged for your first session.
• The therapy will take about 12 minutes.
• You will perform steps 1 - 6 each time you do the therapy.
• Sit down in a comfortable chair and relax.
• Hold the Zona Plus™ loosely in your right hand so that you can easily see the screen.
Turning on the Zona Plus™:
• Press the Green ON/OFF Button
*The Zona Plus™ unit will turn OFF if you press the Green button for 3 seconds.
• The first time you use the unit, the screen will say “Welcome User 1”, followed immediately by a 3
second countdown. If you have configured a second user you will need to select which user is
Tip: Do NOT squeeze the grip until instructed in Step 1.
Reminder: You should perform a successful therapy with your Zona Plus™ 1 time
per day, a minimum of 5 days per week.
Display Screen
On/Off Button
Grip Sensor
USB Port
ZONA PLUS™THERAPY STEPS

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performing the therapy by briefly pushing the green ON/OFF button on the device until the desired
username is displayed on the screen.
Steps 1 & 2: Measure Your Hand Strength for Each Hand
Step 1: Right Hand
•Place the Zona Plus™ in your right hand.
Briefly squeeze (3 second countdown) as hard as
you can with your right hand then relax.
Stop squeezing when STOP displays.
Rest for 5 seconds (countdown will show).
Step 2: Left Hand
•Place the Zona Plus™ in your left hand.
•Briefly squeeze (3 second countdown) as hard as
you can with your left hand then relax.
•Stop squeezing when STOP displays.
•Rest for 5 seconds (countdown will show).
Steps 3-6: Perform the Therapy
Step 3: Right Hand
•Place the Zona Plus™ in your right hand.
•Squeeze the Zona Plus™ just enough to display
“HOLD” on the screen, and maintain the
pressure constantly while the timer on the Zona
Plus™ display counts down from 120 seconds to
0.
•If you are squeezing the correct amount, the
display will tell you to “HOLD”.
•If the display does not show “HOLD”, the display
will tell you if you need to “Squeeze More” or
“Squeeze Less”.
•At the end of the 120 second countdown, you will
see “Rest” and then a 60 second “Rest”
countdown will start during which you relax by
holding the device loosely in your hand.
•Place the Zona Plus™ in your left hand during the
rest period in preparation for Step 4.
Tip: It is important to squeeze as hard as you can during steps 1 and 2; but, don’t
worry, you will not be squeezing at full strength during steps 3 - 6 of the therapy.
The hand
indicators at the
bottom of the
screen will show
you which hand to
hold the device.
The more lines
you see the
farther you are
from your target
pressure.
If you see “HOLD”
you are squeezing
with the perfect
amount of
pressure. Don’t
change
anything!
Tip: If two people are using the same device, establishing separate user accounts
allows you to not only track your results separately but also allows you to store
personal device preferences such as volume, screen brightness and even reminder
alarms unique to each user.

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Step 4: Left Hand
•The Zona Plus™ should now be in your left hand.
•Squeeze the Zona Plus™ just enough to display “HOLD” on
the screen. Hold this position while the timer on the Zona
Plus™ display counts down from 120 seconds to 0.
•If you are squeezing the correct amount, the
display will tell you to “HOLD”.
•If the display does not show “HOLD”, the display
will tell you if you need to “Squeeze More” or
“Squeeze Less”. The number of semicircular lines
tells you how close you are getting to your target
squeeze.
•At the end of the 120 second countdown, you will
see “Rest” and then a 60 second “Rest”
countdown will start.
•Place the Zona Plus™ in your right hand during
the rest period in preparation for Step 5.
Step 5: Right Hand
•You will now repeat Step 3 (the therapy exercise with your right hand).
•At the conclusion of the 120 second squeezing therapy, place the Zona Plus™ back into your
left hand during the rest period in preparation for Step 6.
Step 6: Left Hand
•You will now repeat Step 4 (the therapy exercise with your left hand).
•At the end of the 120 second countdown your score and compliance charts will be displayed.
Your Score and Compliance Charts
• At the end of your session you will be presented with three screens.
1. Session Score 2. Weekly Score 3. Past 12 Weeks
Tip: It normally takes some practice to learn how
to keep HOLD on the screen. It should become
easier the more you use the Zona Plus™.
When you see the
“Squeeze Less”
indicator, slowly
relax your grip
until you see
“HOLD”.
Remember, you do
not squeeze the
device during the
rest period. Simply
place the device in
your other hand and
wait for the next
step.

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1. Score:
Your score reflects how well you were able to keep your squeezes in the “Hold”
zone during Steps 3-6.
Your score is calculated irrespective of your hand strength. That is, the strong user
and the weak user have equal chances of getting a good score.
A score of 80 or above indicates that the therapy session was successful and will
be counted towards your compliance calculations.
2. The “7 Day Compliance”chart is a quick overview showing how well you are doing with
your therapy over the last seven days. A green section indicates that you completed a
therapy for that day and scored 80 or better. A gray section indicates that therapy was
not done, not finished (incomplete) or that you scored below 80. Gray sections turn red
if you have three or more invalid therapies in a week. If you see red sections you know
you are not compliant for the week. If the section representing today is red you should
repeat today’s therapy.You must successfully complete one therapy session a day, 5
times a week for the best results and to be in compliance, unless instructed otherwise
by your doctor.
3. The “12 Week Compliance” chart shows how many weeks you were compliant (used
the device with a score of 80 or above at least 5 days a week) out of the past 12
weeks. A green section indicates compliance. A gray section indicates that you were
not compliant for that week. Gray sections turn red if you have two or more non-
compliant weeks in the last 12 and when at least one of the non-compliant weeks was
also within the last 6 weeks. In terms of compliance, a week is defined to begin on
Sunday and end on Saturday. Most users need at least 8 to 12 consecutive compliant
weeks before they see any results.
CHARGING THE ZONA PLUS™
Your Zona Plus™ will come with an initial charge that should last a handful of uses. To fully charge the
Zona Plus™ use the included USB cable to connect the Zona Plus™ to either the included wall charger or
to your PC. In order to successfully charge the device using your PC the computer must be turned on. Do
not perform the therapy while the device is charging.
Tip: If you briefly press the on/off button at this point in the session, you will
rotate between the three screens.

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ZONA HEALTH™SOFTWARE
WHAT IS THE ZONA HEALTH™SOFTWARE?
The Zona Health™ software is a program developed by Zona Health™, Inc. that acts like a personal coach
to help you reach your blood pressure goals. It enables you to chart your Zona Plus™ scores and blood
pressure readings side by side on the Zona Health™ website to help you stay on track. To use the Zona
Health™ software you must create an account and register your Zona Plus™ device.
Two user accounts are included with every Zona Plus™ purchase so that you and your partner can both
use the Zona Health™ software. Utilizing separate user accounts allows you to not only track your results
separately, but also allows you to store personal device preferences such as volume, screen brightness
and even reminder alarms unique to each user. Reference “How Do I Register a Second User” below for
more details.
GETTING STARTED USING THE ZONA HEALTH™SOFTWARE
Registering the Zona Plus™ and installing the Zona Plus™ software onto your PC
1) Use your internet browser to navigate to www.zona.com, click the applicable country flag and then
select “My Zona Account”. Click “Login” to log into your Zona Health™ account. If you do not have
an account go to step 1a otherwise proceed to step 2.
a) To create a Zona Health™ account, click “Register”. Enter a user name, your e-mail address
and a password. Passwords must be a minimum of eight characters in length, contain at least
one upper case character, one number and one special character. Be sure to read and accept
the Zona Health™ privacy policy then click “Create User”. Proceed to step 2.
2) You should now be on the “Zona Account” page. Here you can complete account details like name,
address and phone number.
a) To register your device, click the “Register Device” button. At the bottom of the dialog box,
click the “Install Zona Health™ Software” link and follow the setup wizard on your computer.
This installs custom software on your computer that enables secure communication between
your Zona Plus™ 3.0 and the secure Zona Health™ server. Depending on your computer’s
settings the software will either be installed automatically or will be saved as the file
ZonaTherapy.msi which you must double click on to initiate the installation process.
b) You can verify that the software installation is complete when the Zona Health™ icon
is displayed in the Windows System Tray (found in the lower right corner by the date
and time).
After installation completes, use the USB cable that came with your device to connect the Zona
Plus™ to your PC.
c) The Zona Plus™ device screen will display “Charging”, go dark for a few seconds and then show
four alpha-numeric characters. Enter these characters into the dialog text box labeled
“Registration Code” and click “Register”. Your computer will prompt you with “Installation
Complete”. At this point unplug the USB cable from your computer, wait a few seconds and
Note: If you have anti-virus software installed or need administrative rights to install
software on your computer, there may be several alerts that pop-up on your screen
that you need to acknowledge before the installation can begin.

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then plug it back in. The device will upload any therapy data on your Zona Plus™ to the secure
Zona Health™ server.
Congratulations you have created your Zona Health™ account and registered your Zona Plus™ device.
Be sure to keep your username and password in a safe place for future use.
HOW DO IUPLOAD MY THERAPY DATA?
1) Ensure that you have completed all the steps in ”Getting Started Using Zona Health™ Software”
and that the Zona Health™ icon is active in the system tray.
2) Using the USB cable included with the device, insert the smaller end into the bottom of the Zona
Plus™, and the larger into a USB port on your PC. Your computer must have an internet
connection.
3) The screen will very briefly read “Charging…” and then go dark.
4) Once the connection between the computer and Zona Plus™ is made, therapy records from your
device will automatically transfer to the secure Zona Health™ server. The device will start a
therapy session when the data transfer is complete. Please unplug the device prior to performing
a new therapy.
HOW DO IVIEW MY THERAPY DATA?
1) Ensure that you have completed all the steps in ”Getting Started Using Zona Health™ Software”
2) Use your internet browser to navigate to www.zona.com, click the applicable country flag and then
select “My Zona Account” and log in to your Zona Health™ account.
3) Select the “Zona Therapy” tab. The Therapy page provides you with a detailed overview of your
progress -see Figure 1 below.
Note: This is also when your device will download software updates, if available. This
could delay the synchronizing process. The device will automatically start the
synchronization process once the updates have been downloaded.

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3
4
7
6
5
1
Figure 1
Therapy Page