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Zona PlusTM User's Guide Important: Review these
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1. 2012 2013 Problem The device turns off before you have finished the entire isometric therapy sequence Be sure to pay attention to instructions displayed on the Zona Plus screen The device will turn itself off to conserve the battery if it has not been used within 60 seconds from the beginning of a therapy step Make sure the battery is properly installed Set the bottom of the Zona Plus against a tabletop Press or rock the battery cylinder against the table you may hear a click Try restarting the therapy session Replace the battery if the device still shuts off If you are unable to resolve the issue please contact Zona Health Problem You are not achieving a score of at least 80 The score is a measure of your ability to squeeze at the target level HOLD for the required amount of time The force sensor on the Zona Plus can detect even small changes in the squeeze force If your scores are below 80 even though you are staying within the HOLD zone for much of the isometric therapy session try squeezing a bit harder As long as the display shows HOLD it s better to squeeze more than less Problem You are having trouble performing the isometric therapy session Be patient Zona Plus should get easier to use with continued use Some pain and or fatigue is normal but it should fade quickly after your therapy is complete If you experience excessive fatigue discomfort soreness or pain during or aft
2. BQ The Power to Change Zona Plus Series 2 User s Guide Important Review these instructions prior to using the Zona Plus 50036 1 Zona Plus Series 2 User s Guide Pagel 2012 2013 WELCOME Congratulations You are ready to join many thousands of successful Zona Plus users who have lowered their blood pressure Our patented Zona Plus algorithms optimize every therapy session to match your body s physiology on a day to day basis This ensures that you receive the maximum benefit from your Zona Plus therapy while keeping the effort at a safe level Your Zona Plus will guide you to a targeted zone that magnifies your body s blood pressure lowering response allowing you to see maximal results while using the Zona Plus just 12 minutes once per day 5 days per week Most people see significant results in 6 to 12 weeks These instructions will provide you with the information you need to succeed in using the Zona Plus If you would like to see a video of the therapy please look at the appropriate website for your country e Go to www zona com e Select your country flag from the top right of the screen e On the country website click the Customer Service link at the bottom of the page 50036 1 Zona Plus Series 2 User s Guide Page Il 2012 2013 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 ben
3. should be disposed according to applicable environmental laws and guidelines 50036 1 Zona Plus Series 2 User s Guide Page 16 2012 2013 A What Not to Do e Do not submerge the device in any liquid Do not use device if it has been dropped in water The device has ordinary protection against liquids e Do not subject the device to sharp impacts such as those caused by dropping or striking another object e Do not expose the device to extreme temperatures humidity dust or direct sunlight List of Box Contents e Zona Plus S2 Device with battery installed e User s Guide e Carry Case SPECIFICATIONS Sl 20 C E ET 5 15 inches x 3 23 inches x 1 9 inches 131 mm x 82 mm x 48 5 mm E sedo bU UM EOI MI M QUEM VUE UE 5 0 oz 142 gm Battery user replaceable 123A 3V Lithium Storage amp Transportation Temperature Range 14 122 F 10 50 C Humidity Range 096 9596 RH non condensing Operational Temperature amp Humidity A0 C 93 as 15 Mode of Operation eee Continuous 50036 1 Zona Plus Series 2 User s Guide Page 17 2012 2013 Zona Plus Warranty This limited parts and labor warranty covers all mechanical and electrical defects that are due to component failure during the course of normal usage This warranty is for a period of 2 years from the date of retail purchase from an authorized reselle
4. St Suite 108 Boise ID 83713 WWW zona com Zona Health B V Strawinskylaan 411 1077 XX Amsterdam The Netherlands EMERGO EUROPE Molenstraat 15 2513 BH The Hague The Netherlands ud Designed and assembled in U S A 50036 1 Zona Plus Series 2 User s Guide Page 22 2012 2013 Progress Chart 12 week Bl E 2 2 2 IRH ii g a YR Week 3 Week 4 Week 5 Week 2 LL X M a 5 times a week minimum 50036 1 Zona Plus Series 2 User s Guide Page 23 2012 2013 Week 8 Week 9 Week 10 Week 11 Week 12 Week 7 5 times a week minimum Additional progress charts are available at www zona com progresschart pdf 50036 1 Zona Plus Series 2 User s Guide Page 24 2012 2013 Zona Plus Therapy Steps Overview Hong Exercise 120 Sec strengt SU CINE 60 Sec Holding Exercise 120 Sec Stace calibration 60 Sec Holding Exercise Hoiding Exercise 50036 1 Zona Plus Series 2 User s Guide Page 25 2012 2013
5. the device in any liquid Do not subject the device to sharp impacts such as those caused by dropping or striking another object Do not expose the device to extreme temperatures humidity dust or direct sunlight Never attempt to repair the device other than battery replacement The device contains no serviceable parts and should not be opened by anyone who is not a certified Zona Plus technician When not in use keep the Zona Plus in a cool and dry place 50036 1 Zona Plus Series 2 User s Guide Page 3 2012 2013 PREPARING THE ZONA PLUS FOR USE NOTE For your convenience the battery is factory installed and your Zona Plus is ready for use Step 1 Locate the battery housing on the bottom of the Zona Plus and remove the battery housing by pushing the locking tab toward the sticker Step 2 Slide the battery housing down and out of the Zona Plus as shown Step 3 Insert the battery into the battery housing positive end first as shown Tip The positive end has the little knob Step 4 Insert the battery housing back into the Zona Plus and make sure you hear a CLICK to ensure the battery housing in securely placed in the Zona Plus Tip The best way to get the battery housing to click into place after inserting it back into the device is to set the bottom of the battery housing against a hard flat surface and press down firmly while gently rocking the device forward and back you ma
6. 36 1 Zona Plus Series 2 User s Guide Page 10 2012 2013 REST DISPLAY e You will see REST at the end of the 120 second countdown and then a 60 second REST countdown will start See Figure J on right Rest for 60 seconds e Place the Zona Plus back into your right hand during the rest period so that you will be ready to start Step 5 Figure J Step 5 Right Hand Same as Step 3 e Do the therapy with right hand as shown in Step 3 e Five 5 progress bars at the top of the screen will show that you are now on Step 5 of the therapy session e Place the Zona Plus back into your left hand during the rest period so that you will be ready to start Step 6 Step 6 Left Hand Same as Step 4 e Do the therapy with left hand as shown in Step 4 e Six 6 progress bars at the top of the screen will show that you are now on Step 6 of the therapy session e Your SCORE will be displayed at the end of the 120 second countdown Your Zona Plus isometric therapy session is complete Please continue to the next section on how to record your score 50036 1 Zona Plus Series 2 User s Guide Page 11 2012 2013 Recording Your Score After you have completed Step 6 stop squeezing and determine if you have successfully completed your Zona Plus therapy session Session Successfully Completed For the next 20 seconds the Zona Plus will display a score based on how well you maintained your target squ
7. 36 1 Zona Plus Series 2 User s Guide Page 18 2012 2013 LIABILITY SHALL NOT EXCEED THE ACTUAL PURCHASE PRICE PAID BY YOU FOR THE PRODUCT ALL IMPLIED WARRANTIES INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR PARTICULAR PURPOSE ARE LIMITED TO THE DURATION OF THE APPLICABLE WRITTEN WARRANTY ABOVE ZONA HEALTH SHALL NOT BE LIABLE FOR LOSS OF USE OR ANY OTHER INCIDENTAL CONSEQUENTIAL OR INDIRECT COSTS EXPENSES OR DAMAGES Applicable law may not allow the limitations or exclusions on warranties or the limitation or exclusion of liability or incidental or consequential damages so the above limitations or exclusions may not apply to you Product Registration Registering your Zona Plus ensures you will receive any applicable product updates and information for years of continued enjoyment Register online at www zona comf register register by calling Zona Health or mail a card with your name address phone number and product serial number to Zona Health Zona Health contact information can be found on page 22 50036 1 Zona Plus Series 2 User s Guide Page 19 2012 2013 GUIDANCE AND MANUFACTURER S DECLARATION A WARNING Equipment is not suitable for use in the presence of flammable mixtures Medical Electrical Equipment needs special precautions regarding Electromagnetic Compatibility EMC and needs to be installed and put into service according to the EMC i
8. HE ZONA PLUS USED inenen ioei ni 5 DIRECTIONS FOR US E acsescavtastmtetMiqehinpitesinen EIU UH RUPEE d Edu are OE ius 5 Getting Started Get Comfortable se 5 Set Your Maximum Squeeze Level In Each Hand Crew bg 4 6 The Isometric Therapy Session Detailed Step by Step Instructions sse 8 What if Have a Problem sees 14 How do I Care for the Zona Plus sese 16 LUSCO BON COTENT ois antec ciece renee tetur nien eee 17 SPECIFICATIONS eteccnapeacnnoceeeremetortasoaenseseesensecisexacesemsenvseseueareon 17 Zona Plus Warranty 0 seccccsseecccnssscccseseccseesecsaesscesaeeessaeeseees 18 GUIDANCE AND MANUFACTURER S DECLARATION 20 Progress Chart 12 week eese 23 Zona Plus Therapy Steps Overview eene 25 50036 1 Zona Plus Series 2 User s Guide Page 1 2012 2013 DEVICE DESCRIPTION Zona Plus is a small handheld isometric handgrip therapy device The device provides the user visual and audible feedback about their progress in following the isometric therapy protocol at the target handgrip strength and for the target period of time which has beneficial effects when used for lowering blood pressure INDICATIONS FOR USE Zona Plus is a handheld isometric therapy device indicated for the treatment of hypertension Lowering blood pressure CONTRAINDICA TIONS There are c
9. are to your target squeeze level CORRECT SQUEEZE MORE SQUEEZE LESS SQUEEZE DISPLAY DISPLAY STEP 3 Figure A Figure B Figure C Figure D 50036 1 Zona Plus Series 2 User s Guide Page 8 2012 2013 Note It may take some practice to reach the target HOLD zone Please be patient It should get easier the more you use the device REST DISPLAY e Atthe end of the 120 second countdown you will see REST and then a 60 second REST countdown will start See Figure E on right e Rest for 1 minute 60 seconds Figure E Place the Zona Plus in your left hand during the rest period so you will be ready to start Step 4 50036 1 Zona Plus Series 2 User s Guide Page 9 2012 2013 Step 4 Left Hand e Place the Zona Plus in your left hand as shown in Step 2 e Four 4 progress bars at the top of the screen will show that you are now on Step 4 of the therapy session see Figure F below e Squeeze the Zona Plus just enough to display HOLD on the screen and hold this position while the timer on the Zona Plus display counts down from 120 seconds to O see Figure G below e fthe display does not show HOLD the display will tell you if you need to squeeze MORE Figure H or LESS Figure I The number of semicircular lines shows you how close you are to your target squeeze level CORRECT SQUEEZE MORE SQUEEZE LESS SQUEEZE DISPLAY DISPLAY STEP 4 Figure F Figure G Figure H Figure 500
10. eeze Record your score and the date you completed your session on the progress chart at the end of this user s guide Additional progress charts are available at www zona com progresschart pdf An example of a successful session Cl sone 09 9 Your Score A score of 100 is perfect but as long as you have scores at or above 80 you re performing the isometric therapy properly Continued use of the device should help improve your score 50036 1 Zona Plus Series 2 User s Guide Page 12 2012 2013 After recording your score turn the Zona Plus off by holding down the green On Off button Note If you do not turn the Zona Plus off it will automatically shut off after 20 seconds What are the Additional Recommendations for Use of the Zona Plus e Steps 1 and 2 Set Maximum Squeeze Level When you set your maximum squeeze level squeeze as hard as you can in each hand for 1 2 seconds This will help ensure that your target squeeze level for each hand is properly set e Step 3 6 The Isometric Therapy Session The force sensor on the Zona Plus can detect even small changes in the squeeze force If your scores are below 80 even though you are staying within the HOLD zone for much of the isometric therapy session try squeezing a bit harder As long as the display shows HOLD it s better to squeeze more than less e Q Can you use it more than 5 Days Each Week Yes you may use the Zona Plus more ofte
11. efits of the Zona Plus therapy While most people experience significant results in 6 to 12 weeks there is a small portion of Zona Plus users who are late responders and it is not uncommon to take 20 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 Do not change medications without your physician s approval 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 reductions in blood pressure due to the Zona Plus therapy usually happen suddenly typically after 6 to 12 weeks of compliant use You will not see a gradual decrease in your blood pressure 50036 1 Zona Plus Series 2 User s Guide Page Ill 2012 2013 Table of Contents DEVICE DESCRIPTION auia p RES tk eR E ERE Rr IRR eR Y voi Saa TUS bd 2 INDICATIONS FOR USE s csesesobetinretuP Piece dg EPEUSU Erbe tav eto dion 2 CONTRAINDIGATIONIS esiti hoan ven EE Ry Phe YR ev erts Ve pea eek a OE 2 JN WARNINGS ttt 2 PRECAUTIONS cccccsesseecccsenseececccnseesccscseesecseuseesenseusessecseusenss 3 PREPARING THE ZONA PLUS FOR USE seen 4 HOW 1S T
12. er the therapy session discontinue use and resume only as recommended by your healthcare professional 50036 1 Zona Plus Series 2 User s Guide Page 15 2012 2013 How do I Care for the Zona Plus The Zona Plus is designed to require no regular maintenance other than occasional battery replacement and cleaning Please follow the instructions below Battery Replacement Use a 123A 3V lithium battery see PREPARING THE ZONA PLUS FOR USE page 4 Cleaning To clean the device wipe the exterior of the Zona Plus housing and display screen with a soft damp cloth using mild detergent only if necessary Warning Do not clean the Zona Plus with ammonia based cleaners Servicing The device contains no serviceable parts and with the exception of battery replacement see above should not be opened by anyone who is not a certified Zona Plus technician Never attempt to repair the device yourself Unauthorized opening of the device invalidates all warranties If your device is not working refer to the problem solving section above If you are unable to resolve the issue please contact Zona Health Storage When not in use keep your Zona Plus in a cool and dry place Disposing The device and its components are non hazardous When the device has reached the end of its useful life remove the battery and you may then discard the Zona Plus as electronic waste Zona Health encourages recycling whenever possible The battery
13. m you when to move onto the next step 50036 1 Zona Plus Series 2 User s Guide Page 6 2012 2013 Step 2 Left Hand Maximum Squeeze e Place the device as shown in your left hand e Two 2 progress bars LEFT HAND STEP 2 Green ON OFF circled at the top of Button the screen will show that you are now on l Step 2 of the therapy session e Squeeze as hard as you can for 1 2 seconds with your left hand then relax e Rest for 10 seconds the screen will show REST and a 10 second countdown DO NOT SQUEEZE the grip at this time These maximum squeeze levels will be used to set your target squeeze levels Your target squeeze levels will be significantly less than your maximum squeeze 50036 1 Zona Plus Series 2 User s Guide Page 7 2012 2013 The Isometric Therapy Session Detailed Step by Step Instructions Step 3 Right Hand e Place the Zona Plus in your right hand as shown on page 5 e Three 3 progress bars at the top of the screen will show that you are now on Step 3 of the therapy session see Figure A below e Squeeze the Zona Plus just enough to display HOLD on the screen and hold this position while the timer on the Zona Plus display counts down from 120 seconds to O see Figure B below e fthe display does not show HOLD the display will tell you if you need to squeeze MORE Figure C or LESS Figure D The number of semicircular lines shows you how close you
14. n as long as you enjoy it and feel good Using the Zona Plus more often has not been demonstrated to significantly lower blood pressure beyond the levels achieved with 5 uses per week If you have any questions about your Zona Plus please contact Zona Health 50036 1 Zona Plus Series 2 User s Guide Page 13 2012 2013 What if I Have a Problem Try the following tips if you are having a problem If you are unable to resolve the issue please contact Zona Health Problem When the green On Off button is pressed the display flashes the low battery symbol 1 and then turns off e Replace the battery see PREPARING THE ZONA PLUS FOR USE page 4 Problem The device won t turn on when I press the button e Make sure you are holding the button for at least 3 seconds e Check that the battery is correctly installed in the device and that the battery housing is closed e After 4 6 months use you may need to replace the battery Problem The device stops responding e Make sure the battery housing is secure and firmly in place e Check the battery housing it may be loose e Ifthe battery housing is loose set the bottom of the battery housing against a hard flat surface and press down firmly while gently rocking the device forward and back you may hear a click See PREPARING THE ZONA PLUS FOR USE page 4 for battery installation tips 50036 1 Zona Plus Series 2 User s Guide Page 14
15. nformation provided Portable and Mobile RF Communications Equipment can affect Medical Electrical Equipment The use of accessories transducers and or cables other than those specified with the exception of those sold by the manufacturer as replacement parts for internal components may result in increased emissions or decreased immunity of the equipment or system The equipment or system should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the equipment or system should be observed to verify normal operation in the configuration in which it will be used 50036 1 Zona Plus Series 2 User s Guide Page 20 2012 2013 The Zona Plus meets product requirements from regulatory agencies in your country region For a complete listing of regulatory notices contact Zona Health THIS DEVICE COMPLIES WITH THE STANDARDS WITH RESPECT TO ELECTRIC SHOCK FIRE AND MECHANICAL HAZARDS IN ACCORDANCE WITH UL 60601 1 IEC EN 60601 1 CAN CSA C22 2 No 601 1 U S PAT 7 975 543 7 739 910 7 699 757 7 448 265 6 962 569 5 904 639 Other USA amp international patents pending NTER TE W 3092213 ONO 50036 1 Zona Plus Series 2 User s Guide Page 21 2012 2013 CA 866 789 9662 DE 069 80884258 EU 31 0 20 796 5421 UK 0800 046 1348 USA 866 669 9662 208 322 9399 C customerinquiries zona com Zona Health Inc 12554 W Bridger
16. r by the original end use purchaser and is extended only to the original end use purchaser or the person receiving the product as a gift and shall not be extended to any other person or transferee Zona Health has the option to repair or replace the defective part s product with new or refurbished part s product of like kind or similar features specifications and functionality To obtain Limited Warranty Service you must return the product with proof of purchase from an authorized reseller using the following procedures 1 Contact Zona Health to obtain a warranty authorization code and specific return and shipping instructions 2 Label and ship the product freight prepaid to the address provided by Zona Health 3 Place the warranty authorization code prominently on the outside of the carton Cartons not bearing a warranty authorization code will be refused Zona Health will not pay shipping insurance or transportation charges from you to us or any import fees duties and taxes Zona Health is not responsible for items that are lost or damaged during shipping This warranty is void if the product has been misused or tampered with or the label bearing the serial number has been removed or defaced THE PROVISIONS OF THIS LIMITED WARRANTY ARE IN LIEU OF ANY OTHER WARRANTY WHETHER EXPRESSED OR IMPLIED WRITTEN OR ORAL INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE ZONA HEALTH S MAXIMUM 500
17. urrently no known contraindications to the use of the Zona Plus A WARNINGS e Contact your healthcare professional before using the Zona Plus to ensure that it is safe for you to begin an isometric handgrip therapy program e Rarely patients using both medication and the Zona Plus for high blood pressure have reported experiences of lightheadedness when standing from a seated or laying position If you experience this please contact your healthcare professional to review your blood pressure treatment e Discontinue use contact your healthcare professional and resume use only as recommended if you experience any of the following while using the Zona Plus aggravation of arthritis repetitive motion injury or tendonitis in your hands or arms Tingling numbness headache arrhythmia anxiety anxiety like symptoms 50036 1 Zona Plus Series 2 User s Guide Page 2 2012 2013 difficulty sleeping or a twitching feeling during or after the therapy session Excessive fatigue discomfort soreness or pain during or after the therapy session Note Some pain and or fatigue is normal but it should fade quickly after your therapy session is complete PRECAUTIONS Blood pressure measurements may be affected for up to 2 hours after Zona Plus use Wait at least 2 hours after using the Zona Plus before measuring your blood pressure so that your blood pressure measurements are not affected by Zona Plus use Do not submerge
18. y hear a click 50036 1 Zona Plus Series 2 User s Guide Page 4 2012 2013 HOW IS THE ZONA PLUS USED Please follow the detailed DIRECTIONS FOR USE on how to use the Zona Plus The isometric therapy session takes about 12 minutes a day Use the Zona Plus at least 5 days each week to see maximum blood pressure lowering effects DIRECTIONS FOR USE Getting Started Get Comfortable e Sit down in a comfortable Green ON OFF Button chair and relax e Hold the Zona Plus loosely as pictured on the right so that you can easily see the screen To turn the Zona Plus ON press the Green ON OFF Button and release it when you see the screen become active Notes e There is a 3 second countdown right after the Zona Plus turns on the screen will display REST DO NOT SQUEEZE during the countdown e f you hold the green button down for 3 seconds while the Zona Plus is on it will turn off 50036 1 Zona Plus Series 2 User s Guide Page 5 2012 2013 Set Your Maximum Squeeze Level In Each Hand Steps 1 and 2 Step 1 Right Hand Maximum Squeeze Place the device as shown on page 5 in your right hand The 1 progress bar circled at the top of the screen will show that you are now on Step 1 of the therapy session Squeeze as hard as you can for 1 2 seconds with your right hand then relax Rest for 10 seconds the screen will show REST and a 10 second countdown The device screen will infor
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