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1. 23 24 Specifications Model No BW2210 Display LCD Digital Display Measuring Principle Oscillometric Method Measurable Circumference of Wrist 13 5 21 5cm 5 3 8 5 Electric Shock Protection Internal power supply appliance type B Measurement Pressure 0 to 299 mmHg 0 39 9 kPa Rage Pulse 40 to180 Pulses min Pressure 3 mmHg 0 4kPa Accuracy Pulse 5 of reading Pressure 3 Digits Display of mmHg or kPa LCD hee ean indication Pulse 3 Digits Display Symbol Memory IHB Heartbeat Low Battery etc 25 Specifications Inflation Automatic by Internal Pump Rapid Air Release Automatic by Air Valve Memory Function 60 Sets Measurement Values Power Source 2 AAA Alkaline Batteries Automatic Power Off In 2 Minutes Dimensions Approx 78 80 34mm Gross Weight Approx 140g Batteries not included Operating Temperature 10 40 C 50 104 F Environment Humidity 15 90 RH Noncondensing Transport and Barometric Pressure 80 105 kPa 20 60 C 4 140 F 10 95 RH Noncondensing Storage Temperature Environment Humidity 26 E The intended use The unit is intended to be used by adults at home or medical centre to measure blood pressure and pulse rate The unit satisfies the requirements of IEC60601 1 Medical electrical equipment EN1060 1 Non invasive spohygmomanometer EN1
2. Warranty Information Warranty Information Recommended separation distances between portable and mobile RF communications equipment and the Digital Blood Pressure Monitor Pressure Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Digital Blood Pressure Monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Digital Blood Pressure Monitor as recommended below according to the maximum output power of the communications equipment NOTE 2 Immunity test IEC a i a Electromagnetic environment guidance survey a should be less than the compliance level in each frequency range 3A m Interference may occur in the vicinity of Radiated RF 80 MHz to 2 5 3A m equipment marked with the following IEC 61000 4 3 GHz symbol Co NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengths from fixed 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 enviro
3. 1 Remove the battery cover from the battery compartment 2 Install 2 AAA size batteries so the positive and negative polarities match the polarities of the battery compartment as indicated Battery Installation Replacement 3 Replace the battery cover COPS S OEE EEE EEE EEE LOEE OE SOEE OEE OEEEE HH ELOEEOESOEEEHEOEHEEE HE SOEE EE SOEEEE EOE LEEEOLEOELEESOEEEEEOOLEEEOEEOELEEEOE e Use two identical 1 5V alkaline batteries type AAA LRO3 A e Do not use rechargeable batteries e Replace both of the batteries if the symbol of l Caution low battery appears on the display e Never leave any low battery in the battery compartment since they may leak and cause damage to the unit Adjusting Settings Press the MEM down button about 10 seconds unil the units kPa or mmHg displayed when the unit turned off Then press the MEM up button to change the current unit t START Press the r button to save the current setting and turn off BW2210 BW2210 og beca mmHg display kPa display 10 Proper Way of Measurement 1 Remove all clothes from your 2 Wrap the cuff tightly arm allowing the cuff to fit around your wrist by directly on the skin using the Velcro strip wN Take a Measurement 1 Press the Sis button All display symbols appear D
4. beca beca Instruction Manual Distributor Digital Blood Pressure Monitor Fully Automatic Wrist Style Model No BW2210 e Thanks for choosing the Digital Blood Pressure Monitor e Please read this instruction manual before using your unit VER A00 e Please keep this instruction manual safe for future use Table of Contents Table of Contents Before Using the Monitor Care and Maintenance IMNTOdUCUION eee ern e ner Dror en tas toner err E E FmnCr Oi ee er ene ners 1 e Exceptional Situations Symbols USE Sener Oo tre eer tre n cee er nr ne eee ert ee eee eee 2 If HACICALORS ceccseescacadccescdlncedocadavcacadccdianeseiabatetcekceded Saauateieuecdsadeecene 21 Important Satety NOUS scaceacccsteess azdicataticastackotess tbagaelsctidestadacnanstebsendlanhiaass 3 Bliminate Fault aiseacc aeaee eaae aE e aen iaee 22 KONW YOU UNIE ciie sE EEO E E 4 5 e Care and Maintenance HB Introduction gatcsetsee stints cece ere saint eincceguend nentued ce naculocvexsodnacaeatenageges 6 AC ANS e aaamece nti detuaaelatiactecnect ace eacanbealee ds 23 e Before Taking A Measurement acsos ccceccateaiaasnsczoicenccadussedenadiaibelecensiarbeads 7 Maintenance eene a astacMeccodustarcedacdeacs 24 Operating Instructions ie SSC ICAO NS oriee E ei a EE 25 26 e Battery Installation Replacement ccccccssccesseessceesseeseeeeseeesseeesseees 8 9 SCANS Ia Ne IM epatessteecae ectets enact eects cet eaten eadse E ne
5. LS tine 4 Meg a NOTE ew To stop the inflation or measurement press the mu START STOP button in anytime The unit will the average value of the latest i 3 times measurement taken stop inflating and then release and turn off 13 14 Use the Memory Function Use the Memory Function P To read the measurement value 111111111111 gt To delete the memory value ere EE Press the MEM up button to display the set of measurement values E In the memory reading mode press the MEM down button for 4 6 seconds the unit 19 di 7 will display Mi Press the MEM down button to display the next set of measurement values no di dl E Press the MEM up button and confirm y 5 or no 1 E as l Choos E ws E f you are sure all the data of corresponding user can be deleted press the sas Lo E a A SAR button all the corresponding user s data will be deleted and the unit is be ir CO TE ox will turn off 4 Lb oa 4 by Lg Backward F j gis 4 PUL ues PUL b PUL aD aD 19 g 19 di dl oe e a no YES D L s d Note If you have set y turn off automatically but the corresponding user s blood pressure data will not be deleted The delete operation must be confirmed by user After the measurement finished and when reading the memory values the backlight is on about 10 seconds but do not press a button for 2 minutes the un
6. and labor only under normal operations A transportation fee or freight fee that may be incurred will be the owner s responsibilityAny defect resulting from natural causes e g flood hurricane etc is not within this guarantee This guarantee does not cover damage incurred by use of the unit not in accordance with the instructions accidental damage or being tampered with or serviced by unauthorized service agents Hi Unit subjected to misuse abuse and neglect of these manual contents non instructional purposes unauthorized repair or modifications will be excluded from this warranty This guarantee specifically excludes expendables and consumables for example batteries All warranty claims must be directed to the distributor responsible for the sale of the device The content of this warranty is subject to change without further notice 28 Warranty Information E Periodical check Sensitive measuring devices must be checked from time to time for accuracy and leakage we therefore recommend that the performance should be checked every 2 years and after maintenance and repair Please contact the local distributor for details E Clean the cuff with a soft dry cloth E The unit satisfies the requirements of EN60601 1 Medical electrical equipment Part 1 General requirements for basic safety and essential performance EN60601 1 2 Medical electrical equipment Part 1 2 General requirements for basic safety and ess
7. 060 3 Non invasive sphygmomanometer EC80601 2 30 Medical electrical equipment E The unit has passed the EMC Test E Blood pressure measurements determined with this device are equivalent to those obtained by a trained observer using the cuff stethoscope auscultatory method within the limits prescribed by the American National Standard Manual electronic or automated sohygmomanometers E The risk of patient and user can be lowered to acceptable level E Substitution of a cuff different from that supplied might result in measurement error WE Please contact us if you need the circuit diagrams component part lists etc E Specifications are subject to change without notice due to improvements in performance 21 Warranty Information E Federal law restricts this device to sale by or on the order of a physician E The unit excluding the unit cuff is guaranteed to be free of defects in workmanship and materials for a period of two years from the date listed on the purchase record when used in accordance with the instructions provided with the unit The unit cuff is warranted to be free from defects in materials and workmanship appearing within one year from the date listed on the purchase record when the unit is used in accordance with the instructions provided with the unit For repair under this warranty Our authorized service agent must be advised of the fault within the period of the warranty This warranty covers parts
8. arts repair 29 30 Warranty Information W Caution this machine should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary this machine should be observed to verify normal operation in the configuration in which it will be used E MEDICAL ELECTRICAL EQUIPMENT needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the ACCOMPANYING DOCUMENTS E Portable and mobile RF communications equipment can affect MEDICAL ELECTRICAL EQUIPMENT E Do not use a mobile phone or other devices that emit electromagnetic fields near the unit This may result in incorrect operation of the unit E Caution This unit has been thoroughly tested and inspected to assure proper performance and operation E WARNING The use of ACCESSORIES transducers and cables other than those specified with the exception of transducers and cables sold by the MANUFACTURER of the COMPRESSOR NEBULIZER as replacement parts for internal components may result in increased EMISSIONS or decreased IMMUNITY of the ME EQUIPMENT or ME SYSTEM 31 Warranty Information Guidance and manufacture s declaration Guidance and manufacture s declaration electromagnetic emission The Digital Blood Pressure Monitor is intended for use in the electromagnetic environment specified below The customer of the user
9. eflating automatically Start to inflate All symbols display 2 Measurement starts while inflating The hearbeat symbol flashes once a pulse is detected Start to inflate Inflating Heartbeat appear Continue Inflating To a fit pressure 12 Take a Measurement Use the Memory Function 3 f Mi The unit stores the blood pressure and pulse rate in the memory after The blood pressure and pulse rate are displayed when the completing a measurement every time It can automatically store 60 sets of measurement completed measurement values The oldest record is deleted to save the latest measurement value when more than 60 sets te re e gent A hte 25 B Mi The unit also calculates an average reading based on the values of the stored in memory with date and Ope OR Tp OR TPs latest 3 times measurement taken time 5e f g e am gt To read the average val ee The 33 symbol will be displayed l tal g u if irregular heartbeat is deteced kPa display mmHg display m display E Press the MEM up button the average value of the latest 3 times measurement taken of the current user will display with the average reading START as 4 4 Press the 2 button to turn off the unit A a RA BW2210 mmHg The unit will automatically turn off after two p minutes if you have forgotten to turn it off Bw2210 Lt Lt DIA al
10. ential performance Collateral standard Electromagnetic compatibility Requirements and tests EN1060 1 Non invasive sphygmomanometers Part 1 General requirements EN1060 3 Non invasive sohygmomanometers Part 3 Supplementary requirements for electro mechanical blood pressure measuring system EN1060 4 Non invasive spohygmomanometers Part 4 Test procedures to determine the overall system accuracy of automated non invasive sphygmomanometers Warranty Information E Warning Do not use luer lock connector in the construction of tubing There Is a possibility that they might be inadvertently connected to intravascular fluid systems allowing air to be pumped into a blood vessel E It can t be used while the wrist arm has bleeding or wound to avoid the blood flowing from the wound in pressurizing E it can t be used while the wrist arm has bleeding or wound to avoid the blood flowing from the wound in pressurizing WE Applied parts contains cuff Mi The device accessories and the packaging have to be disposed of waste correctly at the end of the usage Please follow Local Ordinances or E Regulations for disposal E Protection Class Internally powered equipment Applied Part Type Type B Moisture Protection IPX0O continue operation E WARNING No modification of this equipment is allowed E Manufacturer will make available on request circuit diagrams component part lists etc for the service personnel in p
11. into a digital reading The unit is A CAUTION voided may result in minor or moderate injury to the user or s patient or damage to the equipment or other property simple to use because a stethoscope is not needed while using an oscillometric monitor HM The unit stores automatically 60 sets of measurement values You can read the stored data conveniently by pressing the memory button Type B applied part AUTHORISED REPRESENTATIVE IN THE EUROPEAN COMMUNITY E The unit comes with the following components e Main Unit Refer to instruction manual booklet e Instruction Manual printed in English MANU Y The marking of electrical and electronics devices according to Directive 2002 96 EC The device accessories and the packaging have to be disposed of waste correctly at the end of the usage Please follow Local Ordinances or Regulations for disposal Important Safety Notes Know Your Unit A To assure the correct use of the product basic safety measures should always be followed including the precautions listed below ae Body amp Cuff HM Read all information in the instruction manual and any other literature included in the box before using the unit HM Contact your physician for specific information about your blood pressure Self diagnosis and treatment using measured results may be dangerous Follow the instructions of your healthcare provider i Displa Opera
12. it will 15 16 About Blood Pressure Blood Circulation eeecerseesessriariserscsirserissssssvsivisinscrivsserissssisesssssee The blood circulation is responsible for supplying the body with oxygen blood pressure is the pressure exerted on the arteries The systolic blood pressure value higher pressure or top value represents the blood pressure produced by contraction of the heart muscle The diastolic blood pressure value lower pressure or lower value represents the blood pressure produced by relaxation of the heart muscle Systolic Blood Pressure Diastolic Blood Pressure Relaxation of the heart muscle Contraction of the heart muscle Blood return heart A 4 sabia blood Pressure increased to the blood vessel lI Higher pressure hel A Pressure decreased lI to the blood vessel Lower pressure About Blood Pressure you identify an average blood pressure 200 mmHg 150 50 6 12 Health and Blood Pressure eeeesssssssssssssssesessssssesesesessesesesesseseseses The incidence of hypertension increases with age In addition a lack of exercise excess body fat and high levels of cholesterol LDL which sticks to the inside in blood vessels reduces elasticity of these vessels Hypertension accelerates arterial sclerosis which can lead to very serious conditions such as stroke and myocardial infarction For these reasons it is very important to know whether the blood
13. lative humidity should be at least 30 Power frequency Power frequency magnetic fields should 50Hz 60Hz 3A m 3A m be at levels characteristic of a typical magnetic field IEC location in a typical commercial or 61000 4 8 hospital environment NOTE UT is the a c mains voltage prior to application of the test level Guidance and manufacture s declaration electromagnetic immunity The Digital Blood Pressure Monitor is intended for use in the electromagnetic environment specified below The customer or the user of Digital Blood Pressure Monitor should assure that it is used in such an environment Immunity test Radiated RF IEC 61000 4 3 IEC 60601 test level 3A m 80 MHz to 2 5 GHz Compliance level 3A m Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the Digital Blood Pressure Monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 1 167VP 80 MHz to 800 MHz d 2333 P 800 MHz 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 fixed RF transmitters as determined by an electromagnetic site 33 34
14. lay screen placement of the batteries polarities When measurement and keep quiet fails i i Blood pressure varies constantly Many Measure over again according to factors including stress time of day how correct way Measurement values you wrap the cuff may affect your blood appear too high or too low pressure Review the sections Proper Way of Measurement and Take a When the batteries Replace both of the worn batteries Measurement Lo power are too low with two new ones 21 22 Care and Maintenance Care and Maintenance CGala eeen T E A E Maintenance LE rire rrr rrr rio D e Do not clean the body and cuff with e Do not wet the cuff or attempt to clean e Keep the unit in the storage case naphtha thinner or gasoline etc the cuff with water when not in use e Clean the unit with a soft dry cloth Do not use any abrasive or volatile cleaners e Never immerse the unit or any components in water e Store the unit in a clean and dry e Remove the batteries if the unit will location Do not subject the unit to not be used for 3 monthes or longer extreme hot or cold temperature Always replace both of the batteries A Avoid subjecting the monitor to strong shocks or vibrations such as dropping humidity and direct sunlight with new ones at the same time the nuit on the floor X Use the unit consistent with the instructions provided in this manual Use only authorized parts and accessories
15. nment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Digital Blood Pressure Monitor is used exceeds the applicable RF compliance level above the Digital Blood Pressure Monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Digital Blood Pressure Monitor output power Separation distance according to a of transmitter m of transmitter 80 MHz to 800 MHz 80 MHz to 800 MHz d 1 167VP d 2333 P 0 01 0 117 0 233 0 1 0 369 0 738 1 1 167 2 333 10 3 689 7 379 100 11 667 23 333 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 35 36
16. of the Digital Blood Pressure Monitor should assure that it is used in such an environment Emission test Compliance Electromagnetic environment guidance The Digital Blood Pressure Monitor use RF energy only for RF emissions Group 1 its internal function Therefore its RF emissions are very low CISPR 11 p and are not likely to cause any interference in nearby electronic equipment RF emission CISPR 11 Harmonic emissions Not applicable Class B The Digital Blood Pressure Monitor is suitable for use in all IEC 61000 3 2 establishments other than domestic and those directly connected to the public low voltage power supply network Voltage that supplies buildings used for domestic purposes fluctuations flicker emissions IEC 61000 3 3 Not applicable 32 Warranty Information Warranty Information Guidance and manufacture s declaration electromagnetic immunity The Digital Blood Pressure Monitor is intended for use in the electromagnetic environment specified below The customer or the user of Digital Blood Pressure Monitor should assure that it is used in such an environment Immunity test Electrostatic IEC 60601 test level 6 kV contact Compliance level 6 kV contact Electromagnetic environment guidance Floors should be wood concrete or ceramic tile If floor are covered with Te 8 kV air 8 kV air synthetic material the re
17. pressure is within a healthy range Blood pressure fluctuates from minute to minute throughout the day Therefore it is essential to take regular measurements to help Upper curve systolic blood pressure Lower curve diastolic blood pressure ume Tn AIR NO 18 24 Time of day 18 About Blood Pressure Classification of Blood Pressure eeeeessessesssssessseseeessesssssssssss After each measurement is completed the LCD display will show your position automatically on the six segments of the bar indicator which corresponds to World Health Organization WHO Blood Pressure Indicator Reference Material Journal of Hypertension 1999 Vol 17 No 2 Diastolic Blood Pressur mmHg Severe hypertension 7 N 110 Moderate hypertension WHO 100 Mild hypertension 90 Normal systolic value Optimal blood pressure target value 120 130 140 160 180 Note When a person s systolic and diastolic pressures fall into different categories the higher category should apply 85 I 80 Systolic Blood Pressure mmHg 19 About Blood Pressure Symptoms of High Blood Pressure High blood pressure can go unnoticed for a long time since it doesn t cause noticeable symptoms The following are all possible causes of abnormally high blood pressure e Overweight e High cholesterol level e Smoking e Excessive alcohol consumption e Stress and emotional
18. ste 27 Adjusting Settings cissie orooro enise n o a E EEE 10 Warranty Information jo555nciicieccn sacezcesscesiencicecteaseecaeesicaicesdickauseeeesomcceece 28 36 e Proper Way of Measurement scciccecstenccieesctenctesep psttesicdaiomereiaed 11 e Take a Measurement sserccescctdacozsaetsandichehotacsiondsciddexddessueideaeansceieaedeente 12 13 e Use the Memory Function To read the average value csspcec dnc dedsdecienGuctdsesBatcensceneccebueabeuntceuids 14 To read the measurement value ccccccccccsesseececeeeeaeeeeeeeaseaeeeeeees 15 To delete the memory value x c cc3icscscacanncceiiccasdtensnonbauicesdceneusadubiductcemcee 16 e About Blood Pressure Blood Circ latior sorrienireanan e a E 17 Health and Blood Pressure cec ccaccoxedersssndcidaieccectetomendednciidvatensacdouaites 18 Classification of Blood Pressure cccccccsssssssssseeeesseeeeeeeeeeeeseees 19 20 Introduction Symbols Use HM Thank you for purchasing Fully Automatic Wrist Style Digital Blood Pressure SYMBOLS USED IN THIS INSTRUCTION MANUAL Monitor A WARNING Indicates a potentially hazardous situation which if not E The unit uses the oscillometric method of blood pressure measurement It avoided could result in death or serious injury means the unit detects the movement of your blood through your brachial Indicates a potentially hazardous situation which if not artery and converts your blood pressure
19. te the unit only as intended Don t use for any other purpose pey KOD S Memory Button Memory Button Start Stop Button E The unit is intended to use in measuring blood pressure and pulse rate for adult only not recommended for neonatal baby at home or medical centre HM Do not use a cellular phone near the unit It may result in operational failure MM Please avoid using in high radiant area in order to make your measuring data correctly Battery Compartment Wrist Cuff HM Do not disassemble or attempt to repair the unit or components HM Do not use the equipment where flammable gas such as anesthetic gas oxygen or hydrogen or flammable liquid Such as alcohol are present Know Your Unit Systolic Blood Inflation Deflation Symbol _ Pressure or WHO Indication Diastolic Blood Heartbeat Symbol Pressure Unit Indication Memory amp Times Irregular Heartbeat Ag Symbol Average Value Symbol Pulse Low Battery Symbol Power e 2 AAA Alkaline OO e Storage Case Batteries lt IHB Introduction Irregular Heartbeat Symbol 0H5 When the unit detects an irregular rhythm two or more times during the measurement the Irregular Heartbeat Symbol will appear on the display with the measurement values Normal Heartbeat An irregular heartbeat rhythm is defined as a rhythm that varies by less than 25 from the average rhythm or 25 more than
20. the average rhythm detected while the monitor is Pulse measuring the systolic and Blood AIAS ILI diastolic blood pressure pressure pressure Irregular Heartbeat Short Long If the Irregular Heartbeat Symbol 1HB displays with your measurement results we recommend you consult your physician Follow the directions of your doctor Before Taking A Measurement 1 Avoid eating drinking alcohol smoking exercising and bathing for 30 minutes before taking a measurement 2 Stress raises blood pressure Avoid taking measurements during stressful times 3 The cuff can be applied to your left or right wrist Always measure your blood pressure on the same wrist 4 Measurements should be taken in a quiet place 5 Position the unit at heart level throughout the measurement 6 Remain still and do not talk during the measurement 7 Keep a record of your blood pressure and pulse readings for your physician A single measurement does not provide an accurate indication of your true blood pressure You need to take and record several readings over a period of time Try to measure your blood pressure at the same time each day for consistency 8 Wait 30 60 seconds between measurements The wait time allows the arteries to return to the condition prior to taking the blood pressure measurement You may need to increase the wait time depending on your individual physiological characteristics Battery Installation Replacement
21. upset e Excessive consumption of salt e Lack of physical exercise e Genetic hereditary predisposition e Underlying illnesses such as kidney disorders or endocrine disturbance Classification of Blood Pressure eeeeessesessssssssssesessssssessssssss Treatment of High Blood Pressure If your blood pressure reaches upper values of 140 160 mmHg and lower values of 90 95 mmHg in repeated measurements over several days you should consult your doctor for detailed medical examination You can assist the treatment prescribed by your doctor in the following ways e Loose weight and lower your cholesterol level e Reduce the consumption of alcohol e Reduce the intake of salt e Stop smoking e Take regular exercise e Monitor your blood pressure 20 Exceptional Situations Exceptional Situations Error Indicators eeeeeeeeeeererrererrerererrersrrersererserersereesereesereesereesereesereene Eiminate os 8 eee E EE meee The following symbol will appear on the display when measuring abnormally Problem Causes and Solutions Symbol Cause Correction Replace both of the worn batteries The course of Wrap the cuff correctly and tightly No power Wonn inflating appears error Inflat in aft ing Na ee Ae Saree HREM No display appears on the Check the battery installation for proper E rr Do not move your arm and body disp
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