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Automatic Blood Pressure Monitor
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1. 31 1 LK F 78 70 Pulse Month Days of a Week Rate 31 1 sys M 40 mmHg BPH mmHg Detail Screen of Data in Flashing Display Display screen where the Graph Display Screen of systolic blood pressure Hypertension Type values higher than 170 mmHg are measured twice The settings of your OMRON R7 blood pressure monitor can be changed according to your own preferences and comfort To enter the setting menu please press the SET button when your blood pressure monitor is switched off By using 4 P you can select your preference By pressing the SET button again you lock your preference and proceed to the next item as shown in the figure The on off button can be used to switch the monitor off again 13 e If you push the SETTING button while the power is turned off the Setting Screen is displayed in the order shown in the picture You can select the setting or set the date and time with the buttons e To finish the setting push the on off button Automatic Memory Setting Position Sensor Setting Measuring Wrist Setting Refer to Page 14 Refer to Page 15 Refer to Page 15 AUTO HEHORY POSITION SENSOR WRIST ON F rN OFF gt FLEFT RIGHT SIGNAL gt ON OFF Alarm Setting Refer to Page 15 ALARM SET 8 00 20 00 Reset Settings All Memory Erasure Time Setting Refer to Page 16
2. after inserting batteries in the main unit 1 Open the battery compartment 2 Insert the batteries Type LRO3 AAA as shown in the figure Ensure the polarity of the batteries is correct 3 Close the battery cover R7 English With new batteries long life alkaline batteries you are able to measure app 300 times under normal conditions Please switch off the monitor after using it If you forget to switch the monitor off it will switch off itself after app 2 minutes Please take the batteries out of the monitor if you intend not to use the monitor for a long period app 2 months How to set the Date and Time Before using your OMRON R7 for the first time you have to 1 1 set the date and time After turning the monitor on by pushing ooo the on off button the initial screen see picture will be available for a few seconds After the initial screen you will proceed automatically to the TIME SET screen For instruction how to set the date and time refer also to page 16 in Chapter How to change the settings Initial Screen v After reaching the time screen you will see the Gregorian calendar year day month The year will be flashing 1 By using the 4 buttons you can set the current year TIME SET 2 By pushing the SET button you will lock the year and gt 2002 17 1 proceed to the next item 11 7 ON 0 00 Time Screen For setting the month date and time repeat
3. guide to know the Moderate hypertension state of your blood pressure However if you are concerned with your blood pressure be sure to follow the instructions of your doctor Mild hypertension Normal systolic value x Normal blood pressure 7 n i w There is no universally accepted definition of Optimal blood Diastolic hypotension Generally speaking those with target value pressure z mmH the systolic pressure below 100 mmHg are a O M D gt considered to be hypotension Eee ea br ae ra d c revised in 1999 This classification is made based on the blood pressure values measured at upper arm by sitting on the chair in the hospital regardless of the age Blood pressure at the upper arm and wrist Wrist Blood Pressure Monitor Brachial artery Blood pressure is usually measured at brachial artery As the wrist arterial vessel is connected to the Wrist artery brachial vessel wrist blood pressure values are Radial artery close to brachial ones and reflect the change of poan Ulnar artery brachial blood pressures However in case there is a circulatory disorder such as arterial infarction fairly large difference is observed between the brachial and the wrist blood pressure values After consulting with your doctor use the wrist blood pressure together with the brachial pressure for your health management 18 R7 English Diseases influencing blood pressure values Diabetes hyperlip
4. of your watch and jewellery before applying the cuff Do not constrict the flow of your blood if you push up your sleeve Cautions Blood pressure measurement is not suitable in case of serious arteriosclerosis hardening of the arteries The pulse rate indicator is not suitable for monitoring the frequency of cardiac pacemakers If you suffer from disorders of heart rhythm known as arrythmia you should only use this blood pressure monitor in consultation with your doctor In certain cases oscillometric measurement methods can produce incorrect readings Pregnant women should only measure their own blood pressure in consultation with their doctor since the readings may be changed by the pregnancy Please remember Self measurement is not the same as medical treatment You should never change the dose of medicines as prescribed by your doctor Before using your OMRON R7 for the first time Your blood pressure monitor the benefits The OMRON R7 is a compact fully automatic wrist blood pressure monitor Operating on the oscillometric principle it measures your blood pressure and pulse rate comfortable and quickly from the wrist It contains an intelligent system for fuzzy controlled inflation known as Intellisense This is an advanced method of oscillometric measurement No pre setting of re inflation is necessary The OMRON R7 has a Position Sensor The Position Sensor is able to determine the optimal height of your wris
5. step 1 and 2 After setting the minutes you will proceed to the DELETE DATA screen Please turn off your monitor by pushing the on off button Your OMRON R7 is ready for use now How to measure Blood Pressure correctly How to wrap the cuff In order to measure your blood pressure correctly it is needed to wrap the cuff around your wrist in a correct way If not correct measurements are not possible Please follow the coming instructions left wrist 1 Make sure that your wrist is bare and will be wrapped over your skin 2 Make sure that you clothing is not constraining the flow of your blood 3 Make sure that the wrist left or right to measure is selected from the settings menu see also page 15 The left wrist is preset R7 English 4 Place the cuff over your left wrist with your thumb facing upwards Leave app 10 15 mm between the cuff and the bottom of the palm of your hand as shown in the figures 5 Pull the wrist cuff upward and close the cuff firmly with the Velcro tape as shown You can use your OMRON R7 also on your right hand after selecting right wrist measurement in the SETTING MODE People with a slender wrist wrist circumference of less than 145mm may feel loose because the cuff may not be wrapped firmly Please do not force the cuff it will not affect the measurement R7 English How to obtain a correct posture Achieving a correct posture before measuring your blood press
6. the year and proceed Time Screen to the next setting DELETE DATA D AES HO For setting the month date and time repeat step 1 and 2 After ris setting the minutes you will proceed to the DELETE DATA screen All Memory Erasure Delete data YES Screen In this screen you are able to delete all stored measurement from Rie YOU SURE you OMRON R7 Please be careful that deleted data cannot be Vv F YES np restored The factory preset is NO If you choose YES the monitor will ask for a confirmation ARE YOU SURE To cancel select NO to confirm DELETE DATA select YES Are You Sure YES Screen After deleting all stored measurements the Data Deleted Screen will be shown All the stored measurements are deleted and the monitor SYS m m om will be turned off mmHg DIA mm mm m If the stored measurements are not deleted you will proceed to the BPH mmHg RESET SETTINGS screen Data Deleted Blank Screen Reset settings In this menu you can choose to reset all the settings to the factory Ga SETTING gt YES NO preset settings The factory preset for this menu is NO If you choose bis YES by using the button the monitor will ask you for a confirmation ARE YOU SURE After confirmation by selecting YES all the settings will be changed to the factory mode Reset Settings YES Screen The monitor will return to the AUTO MEMORY SCREEN You can turn off your monitor by pushing t
7. 10 261 E 3 16 mmHg After several seconds You moved your arm or body extensively during measurement Measure your blood pressure again without moving your arm or body Refer to Page 10 zI Battery replacement mark flashes Batteries are worn out Replace both batteries with new ones Refer to Page 6 Only E and numerals are E 025 displayed Trouble caused by abnormality in function Please contact the nearest OMRON dealer If you cannot resolve the problem even after taking the above mentioned measures please contact the nearest OMRON dealer 20 Troubleshooting R7 English Trouble Possible cause How to correct Nothing is displayed when you push the on off button Batteries are worn out Replace the batteries with new ones See to Page 6 The directions of polarities of inserted batteries and are wrong Insert the batteries correctly Refer to Page 6 Measurement cannot be made Or the blood pressure values are displayed abnormally high low The wrist cuff is not held at the level of the heart Measure your blood pressure again in correct posture Refer to Page 9 The wrist cuff is not wrapped firmly Wrap the wrist cuff correctly Refer to Page 7 Too much stress is applied on your shoulder or arm Relax yourself and make measurement You are talking o
8. IST chr i a Start Screen Mark Do not move until the measurement results are displayed The screens see picture will be shown during the measurement When the measurement is finishes the deflation mark w flashed and the cuff deflates 10 Indicating v Progress Inflation in 28 1 Pulse Rate Mark Deflation Mark Pe 25 La E 1 mmHg 6 15 58 A mmHg Inflation in Progress Screen 18 8 Deflation Start Screen 18 7 78 BPH mmHg A 30 DIA BPH mmia 4 1 Measurement Results Display Screen How to enlarge the reading R7 English The results will be shown on your display By pushing the 4 gt buttons you can enlarge the readings PULSE DIA SYS 10 BPM mmHg 118 mmHg 2671 83 15 mmHg 70 DIA BPH mmhg 18 8 How to use the Memory function Your OMRON R7 blood pressure monitor is able to store maximum 90 measurements including date and time When your blood pressure monitor is holding 90 measurements the oldest will be deleted to store a new measurement Press the M memory button when your blood pressure monitor is switched off The latest measurement will be displayed Each time you push gt button an earlier measurement will be displayed By pushing the button a later reading is displayed By pushing the GRAPH button the selected measurement
9. Li mH Automatic Blood Pressure Monitor Instruction manual page 1 Mode d emploi page 67 Gebrauchsanweisung Seite 23 Manuale de instructone pagina 89 Gebruiksaanwijzing pagina 45 Manual de instrucciones pagina 111 A Good j Table of Contents R7 English Before measuring your Blood Pressure Notes on safety Names and functions of the parts How to insert the batteries How to set the Date and Time How to measure Blood Pressure correctly How to obtain a correct posture How to measure Blood Pressure How to use the Memory function How to use the Graph function How to change the settings Auto memory Position sensor Left or right wrist measurement Alarm Time Delete data Reset settings What is Blood Pressure Blood pressure at the upper arm and wrist Maintenance and storage Error indication Troubleshooting Spare parts and accessories Specifications NOW 10 11 12 13 14 15 15 15 16 16 16 17 18 19 20 21 22 22 Dear Customer Thank you for purchasing this OMRON product OMRON products are known for their reliability and advanced technology By buying this OMRON R7 wrist blood pressure monitor with position sensor you have chosen for a high quality and innovative instrument We hope that you will be fully satisfied with your new blood pressure monitor Please take your time to read this instruction manual carefully before using it for the first time If you still have questions please cont
10. Refer to Page 16 Refer to Page 16 RESET SETTING DELETE DATA TIME SET YES gt NO lt YES mo lt 2002 1 1 0 00 Auto memory You can either enable ON or disable OFF the memory function of your blood pressure When the auto memory function is switched off the measurement will not be stored When using your OMRON R7 monitor with more than one person it is recommended to disable the auto memory function The auto memory function mode is ON when you purchased your OMRON R7 factory preset AUTO HEHORY AUTO HEHORY NT Peon OFF ON SFF ais ziy Automatic Memory Automatic Memory Screen OFF Screen 14 R7 English Position sensor The position sensor of your OMRON R7 can be switched ON or OFF In the factory preset the position sensor is enabled If the position sensor is switched ON you can choose to have the optimal wrist height supported by an acoustic sound SIGNAL ON or OFF POSITION SENSOR POSITION SENSOR POSITION SENSOR ty Sn OFF ON SFF ON OFF Gri Zhe SIGNAL SIGNAL gt ON OFF ON gt FF 788 Position Sensor OFF Position Sensor ON and Screen SIGNAL OFF Screen Position Sensor Screen Left or right wrist measurement Normally blood pressure is measured on the left wrist factory preset With your OMRON R7 you can choose to use the monitor either on your left or right wrist It is recommended to use the same wri
11. act your OMRON dealer or the distributor as mentioned on the packaging They will be pleased to help you We wish you a healthy future R7 English Before measuring your Blood Pressure Notes on Safety Please read thoroughly before using this monitor The warning signs and the sample icons shown here are listed for you to use the product safely and e The icons correctly as well as to prevent the risk of damage to you and others and meanings are shown as follows Warning sign Contents A Caution arise as a result of incorrect handling Indicates matters in which bodily harm or material damage may Material di domestic animals and pets jamage refers to a wide range of damage involving your house household goods Examples of signs The S icon indicates prohibitions what you cannot do Matters involving actual prohibitions are indicated by text or pictures in or near S The left icon refers to prohibition to disassemble The icon indicates something compulsory always follow Matters involving actual compulsory actions are indicated by text or pictures in or near The left icon refers to general compulsion When th brachial Self diagnosis of measured results and treatment are dangerous Please follow the instructions of your doctor Self diagnosis may worsen the disease hypertension it may cause peripheral circulatory disturbance For these cases b
12. aning the monitor only use a soft lightly moistened cloth Do not use petroleum spirits thinners or similar solvents Stains on the cuff can be carefully removed using a moist cloth and soapy water Do not wash the cuff or make it wet Please make sure no water will enter the main unit Keep your monitor in the storage case protected from extreme temperatures and humidity Do not carry out repairs of any kind yourself If a defect occurs consult your OMRON dealer or distributor e Please take the batteries out if the monitor is not used for a long period app 2 months or more Electro Magnetic fields can influence the measurement Do not use a protable phone near the unit Disposal of this product and used batteries should be carried out in accordance with the national regulations for the disposal of electronic products 19 Error i ndication R7 English If the measurement is not made correctly the following error can be displayed _ OB mmHg After several seconds You moved your arm or body or talked during measurement Error Cause How to correct 2571 2571 Measure your blood 8 15 amp 15 pressure again without HEIGHT You moved your wrist moving your wrist until the mmHg mmy during measurement measurement is com pleted Refer to Page After several seconds 10 2571 2571 8 15 E 8 15 Measure your blood pressure again without moving your arm or body Refer to Page
13. emia or hypertension accelerates arterial sclerosis which causes dangerous disease such as cerebral apoplexy or myocardial infarction or induces arterial stenosis or peripheral circulatory disorder In these cases the wrist and brachial blood pressure values may differ greatly Even in healthy people a difference of 20 mmHg may occur if the measuring conditions are not proper Therefore do not try to diagnose the measurement values by yourself but be sure to follow the instructions of your doctor In addition difference of wrist and brachial blood pressure values may somewhat get affected by the physiological conditions at the time of measurement However the blood pressure values measured at wrist and upper arm usually fluctuate in the same manner Therefore you can check the fluctuation tendency of blood pressure by measuring the wrist blood pressure Differences between blood pressure measured at home and at the doctor s office Normally blood pressure measured at home tends to be lower than when measured at the doctor s office This can be as much as 20 mmHg due to that you feel more relaxed at home and feel slightly tense when visiting the doctor To manage your blood pressure it is important to monitor and register your blood pressure at home Since blood pressure is fluctuating from beat to beat and is influenced by daily activities measurements can differ from measurement to measurement Maintenance and storage For cle
14. he on off button ARE YOU SURE eves mo an Are You Sure YES Screen 16 What is Blood Pressure R7 English Blood is pumped to artery by the beat contraction and expansion of a pump called the heart The pressure to pump out blood to artery is called the systolic blood pressure The pressure when the heart expands as the blood having circulated the whole body returns is called the diastolic blood pressure Health and blood pressure Blood pressure fluctuates being affected by everyday life and age Hypertension is a sign that can cause dangerous diseases such as cerebral apoplexy or myocardial infarction to occur easily By understanding the state of your blood pressure review your health and lifestyle Systolic blood pressure Diastolic blood pressure Blood is pumped out Blood returns to heart Vascular Vascular Artery wall Artery Pana Pressure ane pressure to vascular a to vascu NA wall U lar wall t increases amp drops Lifestyle Excessive intake of salt Excessive consumption of alcohol Obesity Lack of exercise Hypertension v Arterial sclerosis Danger of Cerebral apoplexy Myocardial infarction 17 R7 English Hypertension guide Systolic blood pressure The World Health Organization WHO andthe International Society of Hypertension ISH established the Blood Pressure Classification Severe hyperereen Use this Classification as the
15. is displayed in a weekly graph see also How to use the graph function Push the memory button to return to the memory display again 31 1 BPH mmHg DIA 140 5 Date and Time of Measurement BPH mig s 1 aN za R7 English How to use the Graph function This monitor has the possibility to display the stored measurements as a graph In order to get a clear history of your blood pressure the measurements are put in time zones Morning Measurements made between 0 00 and 9 59 Daytime Measurements made between 10 00 and 17 59 Evening Measurements made between 18 00 and 23 59 The last measurement in each time zone will be displayed For example if you measure 3 times in the same time zone on the same day only the third reading will be displayed On the other hand all readings will be stored in the memory See also page 11 There are three different graphs available All data graph displays all measurements per week Morning data graph displays all morning measurements per week Evening data graph displays all evening measurements per week No graph display is provided for daytime data only To display the graph push the GRAPH CALL button avd 170 All Data Graph is displayed van tll al 1 au T if i m VE 7 SF 7 All Data Graph Morning Push the GRAPH CALL button again to display the Data Mark 1 in Morning Data Graph 7 40 farts
16. ithin 3 mmHg Pulse rate within 5 of reading Inflation Automatic inflation with pump Deflation Automatic rapid deflation Pressure Detection Electrostatic capacity semi conductor pressure sensor Power supply Two LRO3 alkaline batteries AAA Battery Life Approximately 300 times of measurement when using alkaline batteries In case of the monitor is used three times a day inflating to 170 mmHg at the room temperature of 22 C Operating Temperature and Humidity 10 to 40 C 30 to 85 RH Storage temperature and humidity 20 to 60 C 10 to 95 RH Measurable circumference of wrist 135 to 215 mm Weight of Main Unit Approximately 150 g not including batteries External Dimensions 78 W x 65 5 H x 37 2 D mm not including the wrist cuff Electric Shock Protection Internal power supply appliance type B Accessories Two LRO3 alkaline batteries for monitoring use storage case Instruction Manual blood pressure pass guarantee card e In the interest of product improvement specifications are subject to change without notice Manufacturer OMRON HEALTHCARE Co Ltd 24 Yamanoshita cho Yamanouchi Ukyo ku Kyoto 615 0084 Japan EU Representative OMRON Healthcare Europe B V Kruisweg 577 NL 2132 NA Hoofddorp This device fulfils the provisions of the EC directive 93 42 EEC Medical Device Directive This blood pressure monitor is designed according to the European standard EN1060 Non invasive
17. l Push the GRAPH CALL button again to display the Evening Data Graph Morning Data graph Each time you push the GRAPH CALL button All Night 31 1 170 P gt f i Data Morning and Evening data are displayed in that order Mark 22 40 l l l repeatedly of Pond Tr 3 31 Night Data Graph 12 Explanation of the graph display When the GRAPH button is pushed the latest measurement will appear in a flashing display In the example the measurement is made on January 31 at 22 40 The graph shows 140 mmHg for systolic and 95 mmHg for diastolic top and bottom of vertical bar and a pulse rate of 90 beats a minute When you push the memory button in the graph display the details of the measurement will appear Pushing the graph button again will bring you back the graph display You can use D the arrows in the graph and memory display to leaf through the measurements The systolic blood pressure is higher than 170mmHg When a systolic blood pressure above 170 mmHg is measured twice the 4 symbol is displayed in the graph When a systolic blood pressure above 170 mmHg is measured three times the 4 symbol disappears and the screen auto matically changes to the hypertension display The maximum displayed blood pressure value y axis will change from 170 mmHg to 210 mmHg How to change the settings R7 English Date of Measurement Blood Pressure Values systolic diastolic mmHg
18. lood pressure may differ greatly between measurement at the wrist and the Caution e arterial sclerosis proceeds due to diabetics hyperlipemia or Q intention Do not use this monitor for the infant or the person who cannot express one s They may suffer accident or trouble Do not use this monitor for purposes other than measuring blood pressure You may suffer accident or trouble Do not use portable phones near this monitor The monitor may operate erroneously monitor Do not disassemble or modify the main unit or the wrist cuff of the blood pressure Correct measurement will be impossible Z w R7 English Notes on safety Important instructions for obtaining meaningful readings Avoid eating and drinking alcohol smoking sport and taking medicines before measuring your blood pressure as this could affect your blood pressure level Before you start sit comfortably on a chair and relax It is recommended to check your blood pressure at least twice a day in the morning after getting up and in the evening after work or as advised by your doctor Do not move and do not speak while the measurement is being taken Avoid measuring your blood pressure while you are in a moving vehicle Allow an interval of at least three minutes between readings Otherwise congestion of blood might occur and distort the readings Always remove the cuff between readings Bare your wrist and take
19. r moving your hands during measurement Be still and make measurement The blood pressure values differ from the values measured at brachial Refer to the section on Wrist Blood Pressure Monitor Refer to Page 18 Blood pressure values are displayed before the monitor inflates to the required value Air is leaking from the wrist cuff Contact the store where the unit was sold or the nearest OMRON distributor Blood pressure value fluctuates each time of measurement Or the blood pressure values are displayed abnormally high low Blood pressure value tends to fluctuate depending on the mental state during measurement or the measuring time Breathe deeply to relax yourself and make measurement again Refer to Page 19 If you cannot resolve the problem even after taking the above mentioned measures please contact the nearest OMRON dealer 21 R7 English Spare parts and accessories OMRON considers due to the used high company and quality standards the main unit as a non serviceable part because of the necessity of proper calibration after replacement of high tech components The cuff can be replaced by an authorised expert Specifications Name OMRON Digital Automatic Blood Pressure Monitor Model name R7 Display Dot matrix LCD display Measurement Oscillometric method Measurement Range Pressure 0 to 299 mmHg Pulse rate 40 to 180 min Accuracy Pressure w
20. sphygmomanometers Part 1 General Requirements and Part 3 Supplementary requirements for electromechanical blood pressure measuring systems R vB CE 0197 22
21. st when for optimal comparisons of your blood pressure fluctuations IST WRIST EFT RIGHT LEFT RIGHT 1 Measuring Wrist Screen Measuring Wrist Right Wrist Screen Alarm Your blood pressure monitor has the possibility to set an alarm twice a day The alarm function can be used to monitor your blood pressure at the same time every day or as a reminder for pill intake The alarm will sound for 2 minutes By pushing the on off button the alarm will stop The alarm will not sound when the blood pressure monitor is used e g for measuring or graph display at the moment the alarm is set You can set the requested hour by pushing 4 gt when flashing Press SET to lock the hour and proceed with the minutes By pushing the 4 gt P you can set the minutes Press SET to confirm and to proceed Push either 4 gt to enable or disable the alarm Press SET to lock the settings ALARM SET ALARM SET 8 60x 6 394 ALARM 20 00 20 00 Alarm Screen Screen of indicating that the alarm is sounding 15 R7 English Time You can change the time and date setting of your blood pressure TIME SET A A P N P N 17 monitor When reaching the time screen you will see the Gregorian 2002 A 1 1 calendar The year will be flashing TZ W gt 1 By using the 4 buttons you can set the current year 0 00 2 By pushing the SET button you will lock
22. t heart level for the blood pressure measurement Measuring at the heart level is extremely important since measuring at a higher or lower position will give wrong results The OMRON R7 has a large DOT matrix display enabling you to enlarge the digits and showing you graphs Together with the built in alarm function for same time measurements or pill intake your OMRON R77 is the optimal device to manage your blood pressure C R7 English Main unit Batteries for monitoring Storage case Two LRO3 alkaline batteries Instruction Manual Blood pressure pass Guarantee card Names and functions of the parts Main unit Wrist Cuff Battery Cover R7 English MEMORY RECALL button Push this button to see the measured values stored in the monitor Systolic Blood Pressure Display dp Intelli sense Diastolic Blood Pressure Display Date Time Display El Mark Displayed when a stored measurement is shown GRAPH CALL button Push this button to see the graph Pulse Display ON OFF button 4 gt Button SETTING button Push this button to Push gt P to move the displayed item Push this button to set measure your blood forward Push 4 to move the various items on the monitor pressure or to switch displayed item backward such as time and date the monitor off How to insert the batteries Use this monitor
23. ure is important since an incorrect posture might give you incorrect readings To achieve a correct posture please follow the instructions see pictures 1 Sit down and stretch your back 2 Relax yourself by relieving the stress from your shoulders and arms 3 Breath several times deeply and return to natural respiration 4 Do not sustain your wrist with your other hand and avoid stress in your hand by making firm grips or large extensions Correct Posture Measuring your blood pressure and pulse If you have achieved the correct posture you can start the measurement When you measure for the first time the Position Sensor and the Signal will be ON and measuring at the left wrist will be pre set j POSITION Push the on off button to activate your OMRON R7 and the Position Sensor bhh iA 44444 Screen will be displayed LEFT WRIST v b 2 LEFT WRIST How to measure Blood Pressure R7 English Sustain your elbow with your other hand or a table to avoid movement e Adjust the height of your wrist by using your elbow as a fulcrum When the 4 gt will reach the lt 2 sign you will hear a beeping sound indicating that your blood pressure monitor is at the correct height heart height The sign will change in the 1A sign and the measure ment will start 25 1 8 15 gt o D ro gt O gt A 28 LEFT WRIST LEFT WRIST LEFT WR
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