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User Manual - AJ Medical
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1. How Does it Work RESPeRATE analyzes your breathing rate and pattern then interactively guides you through breathing exercises that reduce your breathing rate slowly and effortlessly Your inhalation and or exhalation rates are prolonged according to your personal need After each exercise your breathing returns to its normal rate and pattern however the beneficial effect on blood pressure accumulates Why Does it Work RESPeRATE S breathing exercises reduce neural sympathetic activity and relax the muscles that surround your small blood vessels Over time these effects allow blood to flow more easily through your blood vessels resulting in sustained lower blood pressure How RESPeRATE Works 2 Exploring Your New RESPeRATE Device Elastic Belt Headphones Respiration Sensor Exercise Time gt PC Communication Port optional a SG Current Effective a Exercise Time ELA Statistical Report I Storage Compartment Display Screen Up Down Melody Selection d On Off Note The PC communication port appears in selected models and is only needed if you are using the optional Reporting and Support System 3 Exploring Your New RESPeRATE Device USING YOUR RESPERATE DEVICE Preparing To Use RESPeRATE 1 Install the batteries When using RESPeRATE for the first time install 4 AA batteries in the battery compartment in the back of the device Position the batteries as shown inside
2. The display does not light when the device is Batteries need to be replaced The poles of the batteries Install new batteries Re install the batteries with playing through the headphones properly connected RESPeRATE has automatically switched off because the session is over switched on are positioned incorrectly the poles positioned correctly Music is not The headphones are not Reconnect the headphones Restart RESPeRATE The Recognition Phase takes longer than two minutes The sensor is improperly positioned Breathing is too unstable Reposition the sensor Relax and breathe normally Static noise heard through headphones Headphones not fully plugged into RESPeRATE port Electronic communication device such as cell phone bi directional beeper or other wireless communication device is operating within 5 feet of RESPeRATE Plug headphones fully into device Do not use such a communication device within 5 feet of RESPeRATE while conducting your exercise sessions Flashing dot does not respond to inhales The sensor is improperly positioned Sensor belt has been tightened during the session Reposition the sensor Wait 30 seconds the sensor will automatically readjust and the flashing dot will reappear Weekly Effective Time does not match actual use Batteries have not been replaced in time Replace batteries once low b
3. 13 Assessing Your Overall Performance Key to Statistical Report Items A Statistical Report of All Sessions Item Number Reports On O The accumulated duration of the Effective Exercise Time in minutes 1 The number of uses that have reached the Exercise Phase e g Display reads 1 78 means that 78 uses of the device have reached the Exercise Phase 2 The number of uses not proceeding on to the Exercise Phase e g Display reads 2 07 means that 7 uses of the device did not proceed on to the Exercise Phase 3 The average duration of the Exercise Phase in minutes B Statistical Report of the Last 10 Sessions Item Number Reports On 4 The average duration of the Recognition Phase in minutes 5 The average duration of the Exercise Phase in minutes 6 The average duration of the Effective Exercise Time in minutes 7 The percentage of breaths that were synchronized with the guiding tones 8 The number of successful sessions The number of sessions that were unsuccessful because the Effective Exercise Time per session was less than five minutes 10 The number of sessions that were unsuccessful because of the low quality of the respiration data 1 The number of sessions that were unsuccessful because breaths were not synchronized with the guiding tones Assessing Your Overall Performance 14 USING YOUR RESPERATE DEVICE C Statistical Report o
4. the compartment 2 Carefully remove the headphones and the sensor The sensor cable is already connected to the RESPeRATE device Pull the cable with care Return the sensor to its compartment at the end of each session 3 Sit comfortably on a chair 4 Put on the elastic belt a Buckle the elastic belt over your clothing around your upper abdomen or chest b Adjust the belt to fit snugly while you are in a sitting position Be sure it is neither too tight nor too loose Men tend toward abdominal breathing while women tend toward thoracic chest breathing Be sure the elastic belt is positioned horizontally not diagonally across your upper abdomen or chest Preparing To Use RESPeRATE 4 5 Position the respiration sensor Slide the sensor along the belt to ensure it can move freely Position the sensor in the center of the abdomen for abdominal breathing or on the right side of the chest for chest breathing Tip To verify if you are an abdominal or chest breather simply place one hand on the abdomen and the other on the chest Now inhale and watch for the hand that moves furthest abdomen or chest 6 Plug in and put on the headphones Plug headphones into the RESPeRATE device headphone port located on the right side of device marked with the icon You should hear a click when the headphones are fully inserted into the port 5 Preparing To USe RESPeRATE USING YOUR
5. 3 Breathe according to the Melody You will now start your Exercise Phase Your current breathing rate will be displayed as the number of breaths per minute bpm RESPERATE now composes a melody according to your individual breathing The melody is composed of two distinct tones one going up which will coach you to inhale and the second going down tone to exhale By gradually prolonging the exhalation tone the melody slows down and interactively guides you towards a slower and more stable breathing pattern Use the Inhale and Exhale arrows on the Rs 01 display as a guide for synchronizing your i 4 151 breathing with the melody The arrows disappear after one minute of melody At this point close your eyes relax and follow the melody with your breathing The goal of RESPeRATE is to guide you towards the slowest breathing rate that is comfortable for you It does so by gradually slowing the guiding tones as you breathe in synchronization with the tones In order to maximize the benefits from RESPeRATE it is important that you perform the breathing exercises without making an effort This means that you should not try to hold your breath or try to overly prolong the periods of inhaling or exhaling beyond what is comfortable for you If you ever feel that the melody is too slow for you and requires effort to stay in synch with it simply breathe at the last pace which was comfortable for you With
6. InterCure Interactive Therapeutic Devices User Manual RESP RATE TO LOWER BLOOD PRESSURE Welcome RESPERATE TO LOWER BLOOD PRESSURE Contacts U S customers can contact us at Web www resperate com E mail support resperate com Telephone 1 877 988 9388 For other country specific telephone numbers please refer to our corporate web site at www intercure com or call to 972 8 921 2126 Manufactured by InterCure Ltd Lod Israel Telephone 972 8 921 2126 Copyright 2003 InterCure Inc All rights reserved Resperate Resperate for Lower Blood Pressure and InterCure are trademarks of InterCure Contents Welcome RESPERATE TO LOWER BLOOD PRESSURE TVET 5 sereen cnctinw nn cada as 1 How RESPeRATE Works o n mie eon beeeeeds 2 Exploring Your New RESPeRATE Device 3 Using Your RESPeRATE Device Preparing To Use RESPERATE A Performing the Breathing Exercises 6 Personalizing the Device 9 Errors and Troubleshooting 11 Assessing Your Overall Performance 13 Cleaning and Maintenance 16 Warranty and Additional Product Information Technical Information and Approvals 17 Indication forest nine 18 Table of Contents Introduction Gone RESPERATE TO LOWER BLOOD PRESSURE will help
7. RESPERATE DEVICE Performing the Breathing Exercises 1 Press the oN orr button LE M At first RESPERATE displays your accumulated LL D ED min Weekly Effective Exercise Time Note You accumulate Effective Exercise Time when you breathe slower than10 breaths per minute To achieve maximum benefit It is recommended that you accumulate a total of at least 45 minutes of Weekly Effective Exercise Time 2 Breathe normally You do not need to breathe especially deeply or slowly at the start of the exercise Simply allow RESPeRATE to recognize your personal breathing pattern This is called the Recognition Phase During the Recognition Phase each well analyzed breath is displayed as a vertical line You hear short musical tones during this process These tones indicate that the Tito Recognition Phase is in progress flashing dot on the display accompanies your breathing and appears each time you inhale Once RESPeRATE has recognized four stable jet breaths signified by the display of four vertical 1 tm bars as shown above the device will display your current number of breaths per minute e g 17 8 bpm The exercise session will now begin signified by the start of the melody Note If the Recognition Phase lasts longer than two minutes please refer to the Troubleshooting section of this manual starting on page 10 Performing the Breathing Exercises 6
8. attery icon is displayed Errors and Troubleshooting 12 USING YOUR RESPERATE DEVICE Assessing Your Overall Performance The RESPeRATE device can measure your overall use of the device Did you meet your Weekly Effective Exercise Time goal The quickest way to assess your performance is to ensure that every time you turn on the device the Weekly Effective Exercise Time momentarily displayed on the screen whenever the device is turned on is 45 minutes or greater When 45 or greater is indicated it means that you are using the device as recommended and therefore are most likely to get maximum benefit from the exercises Don t forget Your goal is to accumulate at least 45 minutes of Weekly Effective Exercise Time in order to see reductions in your blood pressure Advanced Analysis of Performance Statistical Report The Statistical Report function enables you to assess your performance during earlier RESPeRATE sessions The report displays three groups of parameters that provide data on A All Sessions B The Last 10 Sessions and stat Icon C The Last Session Only To view this information Item Number Data 1 Turn on the RESPeRATE device 2 During the Recognition Phase press the stat button on the left side of the RESPeRATE device The icon is displayed along with the first statistical item as shown in the figure above Scroll through the different items using the UP or DOWN button
9. ce 16 Technical Information and Approvals Technical Information Model rEsPeRATE RR 150 display type LCD power source four alkaline batteries 1 5v type AA battery life two months with regular use of 15 minutes per day maximum audio output 1 5mW RMS 32x2 respiration rate operational range 2 5 30 BPM operating temperature 10 C 40 C 50 F 104 F operation humidity 30 75 storage temperature 10 C 70 C 14 F 158 F storage humidity 30 85 weight 480grams outer dimensions approximately 17cm L x 13cm W x 8cm H Country Specific Market Clearance United States 510 k number KO20399 as well as KOO0405 Israel Ministry of Health number 408 96 237 0000 European Union CE marked CE Statement The RESPeRATE carries a CE marking of conformity Manufacturer Authorized Representative in Europe MEDES Ltd 9 Beaumont Gate P O Box 231 Shenley Hill Radlett Herts London WD78BX UK tel fax 44 0 1923859810 email medes arazygroup com 17 RESPeRATE Specific Technical Information and Approvals Indication for Use Device Name RESPeRATE Indications for Use RESPERATE is intended for use as a relaxation treatment for the reduction of stress by leading the user through interactively guided and monitored breathing exercises The device is indicated for use only as an adjunctive treatment for high blood pressure together with other pharmacological and or non pharmacological inte
10. f the Last Session Only Item Number Reports On 12 The duration of the Recognition Phase in minutes 13 The duration of the Exercise Phase in minutes 14 The duration of Effective Exercise Time in minutes 15 Your initial breathing rate in breaths per minute bpm 16 Your final breathing rate in breaths per minute bpm 17 Percentage of respiration data that is identified 18 The percentage of breaths that were synchronized with the guiding tones 15 Assessing Your Overall Performance Cleaning and Maintenance To clean RESPeRATE use a soft damp cloth Do not wash the sensor or the RESPeRATE device Do not use petroleum products thinners or cleaning solvents Store the sensor in its compartment to protect it from dust and moisture Protect your RESPERATE against excessive vibrations Do not leave your RESPeRATE in a place where temperatures are below 14 F 10 C or above 158 F 70 C or in conditions of very high humidity 85 Do not attempt to make repairs of any kind on RESPERATE If repairs are necessary contact Customer Service To avoid damage to the device remove batteries from the compartment if you do not plan to use the RESPeRATE for a period of more than two months Customer Support If you are having trouble using the RESPeRATE device call Customer Support at 1 877 988 9388 U S Only or at 972 8 9212126 outside of U S Cleaning and Maintenan
11. in a few breaths RESPeRATE will automatically readjust the melody to your new breathing rate and pattern and begin again to guide you toward a slower breathing rate It is also recommended not to use any other breathing techniques such as breath holding or Buteyko during the exercise as these maneuvers may require concentration and effort 7 Performing the Breathing Exercises Note In the first few sessions your slowest comfortable breathing rate might be higher than 10 breaths per minute Just before the session ends RESPeRATE gradually decreases the volume of the melody RESPeRATE automatically shuts down when the end of the Exercise Session is reached The default duration of the Exercise Session is 15 minutes In order to change this default please refer to Changing the Duration of your Default Exercise Session on page 9 Performing the Breathing Exercises 8 USING YOUR RESPERATE DEVICE Personalizing the Device Adjusting the Volume Press the UP or DOWN button repeatedly x rr lt until you reach the volume you prefer 110 The volume 1 icon is displayed along with the current volume level After a few seconds RESPERATE automatically returns to the previous display Selecting the Melody Press the MELODY SELECTION amp button then M immediately press the Up or Down button we to scroll between melodies gt The amp icon is displayed along with
12. play blinks The icon is displayed along with the current Exercise Session Time Default 2 Use the up or DOWN button to change the Exercise Session Time Default 3 Press the EXERCISE TIME button again in order to save the new Exercise Session Time Default Personalizing the Device 10 USING YOUR RESPERATE DEVICE Errors and Troubleshooting The display screen of the RESPeRATE device will notify you if there are any problems with the device or if the exercises are not being performed as directed Use the chart to understand the most common issues and tips to easily handle them Icon Meaning Action Sensor belt is too Loosen the belt The icon disappears H tight when the belt is properly mounted S Sensor belt is too Tighten the belt The icon disappears loose when the belt is properly mounted The elastic belt is S improperly positioned Reposition the elastic belt according Ba The sensor is to the instructions improperly positioned Breathing is not Try to syncronize your breathing with the 2 synchronized with the guiding tones or select a different melody guiding tones that might be easier to follow y gt mr You are breathing TN LIE more than 30 times Try to breathe more slowly 7 per minute 8 Batteries are weak Replace the batteries 11 Errors and Troubleshooting Troubleshooting Problem Meaning Action
13. rventions Over the counter Use Contraindication None known Precautions Please note RESPERATE should only be used as part of your overall health program for achieving goal blood pressure as recommended by your doctor RESPERATE can be safely used in conjunction with medication and lifestyle modifications such as diet and exercise Do not use this device without consulting your physician if you suffer or have suffered in the past from active ischemic heart disease unstable angina severe congestive heart failure chronic atrial fibrillation stroke resulting in permanent impairment chronic renal failure severe asthma chronic obstructive pulmonary disease COPD like chronic bronchitis and emphysema or major organ failure InterCure strongly recommends that you do not modify your hypertension treatments without the advice and consent of your physician Do not use your RESPERATE when you need to be alert or to concentrate or when using heavy equipment Do not use RESPERATE while driving If you experience any side effects or if you feel any change in your general health or mood immediately discontinue use of your RESPERATE and contact your physician Breathe naturally throughout the exercise Excessive deep breathing may cause dizziness and or palpitation Indication for Use and Other Information 18 www resperate com 721E0004D
14. the selected melody number For your convenience RESPeRATE stores your last selected melody and uses it the next time you begin your Exercise Session the device allows to also select the melody by repeatedly pressing MELODY SELECTION amp button Viewing the Effective Exercise Time of the Current Session The Effective Exercise Time of your current session is the number of minutes in which your breathing has been slower than 10 breaths per ea nin minute Press the CURRENT EFFECTIVE EXERCISE TIME SG button to view the Effective Exercise Time accumulated in the current session 9 Personalizing the Device Exercise Time Press the Exercise Time button to view the moar remaining time of the session After a few art ba seconds RESPeRATE automatically returns to Dean the previous display RESPeRATE automatically switches off at the end of the selected time for your exercise session By default the time is set at 15 minutes Changing the Duration of Your Current Exercise Session If you would like to extend or shorten the duration of the current exercise session 1 Press the EXERCISE TIME button 2 Then immediately press the Up or Down button to change the exercise time Changing the Duration of Your Default Exercise Session If you would like to extend or shorten the duration of the default exercise session 1 Hold down the exercise TIME button until the dis
15. you take an active step toward improved treatment of your high blood pressure Please note RESPeRATE should only be used as part of your overall health program for achieving goal blood pressure as recommended by your doctor RESPeRATE can be safely used in conjunction with medication and lifestyle modifications such as diet and exercise Scientific evidence has shown that breathing exercises when performed routinely can lower blood pressure These breathing exercises are difficult to perform correctly without continuous individualized coaching Using a patented technology RESPeRATE provides this coaching in an extremely effective way 1 Introduction INTRODUCTION RESPERATE guides you to slow down your rate of breathing RESPeRATE will lead you to breathe at a rate of 10 breaths per minute or less We call this Effective Exercise To achieve best results it is recommended that you use RESPeRATE for at least 45 minutes of Weekly Effective Exercise Time preferably in 15 minute daily sessions As with other exercises you should expect to see notable results within approximately six to eight weeks and maitain benefits with routine use What is optimal blood pressure Optimal blood pressure is 120 80 mmHg High blood pressure puts you at increased risk for stroke heart attack and other life threatening disorders What is RESPERATE RESPERATE is the only non drug medical device clinically proven to lower blood pressure
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