Citizen CH-453 User's Manual
Contents
1. 00 If the pressurization value exceeds 280 mmH g if pressurization feels abnormal or if you want to stop the measurement process press the START STOP switch again The cuff deflates and the power turns off _ All digits on the display blink for D approximately one second All digits displayed is an initial display indicating that the monitor is functioning normal The CA mark will also be displayed but this does not indicate that the battery needs to be replaced is displayed for approximately one second The cuff is pressurized automatically Eng 14 666 668 M LL oe ibi Vv B5 v J is displayed soon after pressurization is complete and measurement begins automatically If the unit judges that pressurization is insufficient it automatically repressurizes 195 blinks each time a pulse is detected and the pressure value is displayed on the diastolic blood pressure display Once measurement is complete the cuff deflates and the measurement results systolic diastolic blood pressure values pulse are displayed Systolic diastolic blood pressure values two seconds and pulse one second are displayed alternately Provided there is no error in the measurement results they are stored automatically The Body Movement Indicator is displayed on the measurement results display if you move your ha2. Tokyo 188 8511 Japan European Representative Name WvW electronishe Ger te Vertrieb GmbH Address FintelmannstraBe 20 Eingang Martin Heydert StraBe D 14109 Berlin G CE 0086 1 erlin Germany e For technical data please contact our European Representative Eng 7 IDENTIFICATION OF PARTS IDENTIFICATION OF PARTS Component names lt Main Unit gt Display MEMORY Switch Air hose socket START STOP Switch Stand by See page 9 for the display icons Battery cover Eng 8 lt Cuff gt Air hose Blue marker me lt q Metal hoop i Air hose connector lt Display gt Battery icon Systolic blood pressure display Diastolic blood pressure display Memory icon Pulse display Body Movement Irregular Heartbeat IHB Indicator Indicator See page 15 for the Body Movement Indicator and Irregular Heartbeat IHB Indicator Eng 9 LOADING THE BATTERIES LOADING THE BATTERIES Batteries supplied with the unit should be loaded in compartment before you use the blood pressure monitor 1 Open the cover of battery compartment Pressing the hook down pull the cover toward you to open 4 AA batteries Hook Battery compartment Battery cover If the Blood pressure monitor is left unused for an extended period of time the batteries should be removed from the compartment Lug projecting section 2 Plac
3. DO OT measure your blood pressure when it is too cold below 10 C or too hot above 40 C in the room 7 DO NOT try to measure your blood pressure immediately after drinking coffee or ea or after smoking Eng 3 GENERAL REMARKS PRECAUTIONS FOR USE AND MAINTENANCEA 8 Measure your blood pressure when you are relaxed and still Keep the center of the cuff at the level of your heart and DO NOT move your arm or talk 9 DO NOT measure blood pressure when the cuff has been on your arm for a few minutes or more During this time your arm will have built up a higher blood pressure and you will not get valid reading 10 If the Body Movement Indicator or Irregular Heartbeat IHB Indicator is displayed relax and measure your blood pressure again If the Irregular Heartbeat IHB Indicator appears frequently you are advised to consult a doctor about your health condition TE See page 15 11 The figure below shows the blood pressure classifications under the WHO standards SYSTOLIC mmHg 4 Grade 3 Hypertension severe 180 yp Grade 2 Hypertension moderate 160 Grade 1 Hypertension mild Remarks The graph is not exact but 140 ST High Normal may be used as a guide in 130 oral understanding non invasive 120 orma blood pressure measurements 0 The device is only intended for ptimal use by adults 80 85 90 100 110 DIASTOLIC mmHg Definitions and Clas
4. Systolic Diastolic Normal state is restored to the artery wall expands ee Dilation Contraction Your blood pressure changes all the time Your blood pressure differs according to your age gender and a range of other factors It is likely to be affected by your biorhythm during the day and by your posture physical activities mental activities level of stress and even by the air temperature The blood pressure of a healthy person generally varies within a day Example of blood pressure variations within a da Examp pressure variations withi y TIM pressure d 160 140 120 100 80 60 iastolic blood Mi ressure g PL 40 NU Sleepin Blood pressure value mmHg pitt Lv NY I NE ea ee nr 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 Time of day Blood pressure values measured at five minute intervals through the day Bevan AT Honour AJ Stott FH Clin Sci 1969 36 329 44 Eng 21 BLOOD PRESSURE Q amp A BEFORE REQUESTING REPAIRS OR TESTING Q A gt O gt O Why is the blood pressure measured at home different from that measured by the physician or at a hospital Your blood pressure may vary due to exercise the ambient temperature or your mental state When you have a physician or nurse measure your blood pressure the pressure value is likely to be 10 to 20 mmHg higher than usual due to anxiety and or stress Knowing what affects your
5. the monitor as this could result ina malfunction 14 If you use a cardiac pacemaker consult your physician before using the monitor 15 Be sure to use this unit only for measuring blood pressure DO NOT use it for any other purpose 16 Be sure to use only our authorized parts and accessories Parts and accessories not approved for use with the device may damage the unit Eng 5 PRECAUTIONS FOR USE AND MAINTENANCE PRECAUTIONS FOR USE AND MAINTENANCE 17 DO NOT use this unit on infants 18 Blood pressure measurement may not be possible for anyone with common arrhythmias such as atrial or ventricular premature beats or atrial fibrillation Maintenance Precautions 1 DO NOT store the blood pressure monitor in locations exposed to direct sunlight high temperatures over 60 C low temperatures below 20 C high relative humidity over 95 or excessive amounts of dust lake sure to store the blood pressure monitor where children pets and or pests are not there DO NOT drop the blood pressure monitor or subject it to other shocks or vibration Remove the batteries if the monitor will be left unused for a long period DO NOT attempt to disassemble the monitor DO NOT bend the cuff or the air hose excessively f the monitor is very dirty wipe it clean with a cloth moistened with sterilizing alcohol or a neutral detergent Then wipe it with a dry cloth 7 NEVER clean the blood pressure monitor with
6. INSTRUCTION MANUAL FOR DIGITAL BLOOD PRESSURE MONITOR rer CH 453 English 1202 Contents e 3 GENERAL REMARKS 5 PRECAUTIONS FOR USE AND MAINTENANCE 8 IDENTIFICATION OF PARTS 10 LOADING THE BATTERIES 11 REMOVING THE BATTERIES 12 MEASURING YOUR BLOOD PRESSURE 17 TIPS FOR OBTAINING ACCURATE MEASUREMENTS 18 CALLING UP THE DATA STORED IN MEMORY 20 KEY TO DISPLAY ICONS 21 ABOUT BLOOD PRESSURE 22 BLOOD PRESSURE Q amp A 23 BEFORE REQUESTING REPAIRS OR TESTING 24 SPECIFICATIONS Ensure that you have all the following components OPTION e Large Cuff model SCL 005 Blood pressure Cuff for monitor Instruction monitor unit model SCN 003 4 AA size Manual batteries Eng 2 GENERAL REMARKS General remarks on blood pressure and blood pressure measurement 1 To deflate the cuff quickly press the START STOP switch 2 Before applying your blood pressure cuff be sure you have selected the appropriate size cuff Cuff model SCN 003 fits arm circumference 22 32cm OPTION Large Cuff model SCL 005 fits arm circumference 32 42cm 3 When attaching the cuff adjust the position of the cuff so that the blue marker is located in the center of your arm and the hem of the cuff is 1 2 cm for Cuff 2 3 cm for Large Cuff above your elbow 4 The monitor is not intended to be a diagnostic device because it is intended for home use 5 Self measurement is not therapy In no e
7. an fast forward the data numbers in display by pressing and holding the MEMORY switch Eng 18 Eng 19 KEY TO DISPLAY ICONS ABOUT BLOOD PRESSURE See page 1 See page 1 Lit Icon displayed Condition Cause 5 5 Measurement is under way Blinking Pulse detected Er is displ is below 40 Appears when the blood pressure could not be measured accurately layed when the pulse value or above 181 If any of the following marks is displayed take the specified action then repeat the operation Apply cuff properly and measure again The pressure is 281 mmHg or higher If the pressure does not automatically decline during measurement immediately press the START STOP switch the measurement again and turn the unit off Take Appears when the batteries are running low Replace the batteries Detected problem in the device Eng 20 Contact the vendor What is blood pressure The heart is a pump that circulates blood throughout your body Blood is pumped from the heart at a constant pressure into arteries This pressure is called the arterial blood pressure and represents in general terms your blood pressure Blood pressure is indicated by several kinds of pressures including the systolic pressure that occurs when the heart pumps blood and the diastolic pressure that occurs when blood returns to the heart
8. at the side with the hook and loop fastener is on the outside 2 Put the cuff around your arm so that the blue marker comes to the palm side a Blue marker 3 Adjust the position of the cuff so that the blue marker is located in the center of your arm and the hem of the cuff is 1 2 cm for Cuff 2 3 cm for Large Cuff above your elbow The cuff should be put on the bare arm or over a light weight underwear Blue marker If you wear a heavy weight top please remove it 1 2 cm for Cuff 2 3 cm for Large Cuff Eng 12 Metal hoop Pull the end of the cuff outwards so that the cuff is snug around your arm and then secure the end to the hook and loop fastener Place your arm on a table or the like so that the center of the cuff comes to the height of your heart Carefully place the cuff on your arm taking care to use the correct tightness The tightness is correct if you can readily slide a finger between the cuff and your arm Relax your arm and lightly open your hand with the palm upward Eng 13 MEASURING YOUR BLOOD PRESSURE MEASURING YOUR BLOOD PRESSURE 2 Plug the air hose connector into the main unit e Plug the air hose connector firmly into the air hose illustrated Air hose socket WN socket on the main unit aS Air hose connector Place the cuff at the height of the heart Press the START STOP switch the blue switch
9. ation by the unit by releasing the switch at he aforementioned value is reached The upper pressure limit is 280 mmHg START STOP Switch AUTOMATIC POWER OFF FEATURE e After taking the blood pressure measurement pressing the START STOP switch will turn the monitor off However if you do not press the switch the monitor s Auto OFF function will automatically turn the monitor off after 3 minutes Eng 16 Your blood pressure varies according to your posture the time of day and a range of other factors Ideally you should measure your blood pressure in the same posture at the same time every day E Taking measurements while sitting Place your arm on a table or similar surface with your forearm extended 2 Itis important to have the cuff level with your heart Open your hand slightly on the able so that your palm is facing up and your fingers are relaxed Do not move your body or talk while taking the measurement MW Measurement in a reclining posture Relax yourself to avoid placing pressure on the cuff Lie down facing the ceiling 2 Lightly open your hand with palm up and straighten your arm 3 Relax your body arm and fingers 4 Do not move your body or talk during measurement E You may use your right arm to measure your blood pressure Blood pressure value is likely to differ by as much as 10 mmHg when measured on the right arm instead of the left or vice
10. blood pressure helps you to better monitor your health Why does the blood pressure obtained vary with measurement Our blood pressure is adjusted by automatic nerve function Blood pressure differs with every heart beat We are likely to think that our blood pressure is constant but it varies if you take measurements in repetition Blood pressure is susceptible to the time of day such as morning and afternoon season and atmospheric temperature In addition blood pressure is easily affected by mental stress or emotional ups and downs It tends to increase when you feel tension or decrease when you are relaxed What is the benefit of measuring my blood pressure at home Blood pressure measurements taken at home give reliable data as they can be taken when you are in a stable and relaxed condition Physicians place considerable importance on blood pressure measurements taken at home You should measure your blood pressure at the same time each day and record the variations in your blood pressure Always consult your physician for an interpretation of your blood pressure readings and to determine the proper treatment Eng 22 Make sure to check the following before sending your blood pressure monitor away to be tested or repaired Problem Display stays blank when you press the START STOP switch Check whether the batteries are dead Response Replace all the batteries with new ones Check wheth
11. e batteries in the compartment Put the batteries paying attention to the positive and negative terminal symbols and Eng 10 3 Close the battery cover Fitting the lugs of the cover at the mating recesses of the battery compartment body push the hook to close the cover Fit the lugs projections at the recesses REMOVING THE BATTERIES e When the icon C is displayed or nothing appears in the display replace the old batteries with four new ones All four batteries should be changed at once e The memory is erased if the batteries are removed for replacement It is recommended to make note of the data stored in memory prior to changing batteries e Do not use rechargeable batteries e Do not use alkaline LR6 and manganese R6P batteries together e Batteries included are for demonstration purposes only Battery life may be shorter than specified e When disposing of used batteries comply with governmental regulations or environmental public institution s rules that apply in your country area Eng 11 MEASURING YOUR BLOOD PRESSURE MEASURING YOUR BLOOD PRESSURE ATTACHING THE CUFF Before applying your blood pressure cuff be sure you have selected the appropriate size cuff Cuff model SCN 003 fits arm circumference 22 32 cm OPTION Large Cuff model SCL 005 fits arm circumference 32 42 cm 1 Unroll the cuff and thread the end through the metal hoop so th
12. er the batteries are installed the right way round and oriented correctly Load the batteries in the correct direction No measurements can be taken Check whether the measurement icon is displayed Attach the cuff properly Check whether the cuff is attached correctly Did you stay calm during measurement Measure your blood pressure again making sure to remain still Note that blood pressure measurement may not be possible for someone with an extremely weak pulse or cardiac arrhythmia irregular pulse Your blood pressure readings are abnormally high or low compared with those taken in hospital Other phenomena Eng 23 gt See page 22 Remove the batteries from the unit and change them with new ones SPECIFICATIONS Model Number CH 453 Measurement system Oscillometric method Measurement Localization Upper Arm Cuff Soft cu Arm circumference range 22 0 to 32 0 cm Measurement range Pressure 0 to 280 mmHg i Pulse 40 to 180 pulse min Accuracy Pressure 3 mmHg _ 3 Pulse 5 of reading Pressure 3 digits Pulse 3 digits Measurement icon LCD displays 2 Battery icon Icons Irregular Heartbeat IHB Indicator Body Movement Indicator M Memory icon Switch 2 START STOP MEMORY inflation Automatic inflati
13. gislation under the WEEE Directive Directive 2002 96 EC and is effective only within European Union Information for Users on Collection and Disposal of used Batteries The symbol in this information sheet means that used batteries should not be mixed with general household waste For proper treatment recovery and recycling of used batteries please take them to applicable collection points For more information about collection and recycling of batteries please contact your local Pb municipality your waste disposal service or the point of sale where you purchased the items Information on Disposal in other Countries outside the European Union This symbol is only valid in the European Union If you wish to discard used batteries please contact your local authorities or dealer and ask for the correct method of disposal Note for the battery symbol The symbol might be used in combination with a chemical symbol In this case it complies with the requirement set by the Directive for the chemical involved Reference European standard The blood pressure measuring device corresponds to regulation EN60601 1 EN1060 1 EN1060 3 EN1060 4 Calibration The blood pressure measuring device is generally recommended to have the monitor inspected every two years to ensure correct functioning and accuracy Please contact a distributor saal Name CITIZEN SYSTEMS JAPAN CO LTD Address 6 1 12 Tanashi cho Nishi Tokyo shi
14. nd or arm during measurement ing a substantial pressure change to be detected he Body Movement Indicator is displayed measure your blood pressure again If an irregular heartbeat is detected during measurement the Irregular Heartbeat IHB Indicator is displayed after measurement is completed pressure measurement e Measurement may not be correct if your heartbeat fluctuates greatly during measurement If the Irregular Heartbeat IHB Indicator is displayed measure your blood pressure again Ya An irregular heart beat is defined as a heart beat that varies by 25 from the middle of 5 heart beat intervals during the blood Ze If the Irregular Heartbeat IHB Indicator appears A Caution frequently you are advised to consult a doctor about your health conditi MEASURING YOUR BLOOD PRESSURE TIPS FOR OBTAINING ACCURATE MEASUREMENTS Finishing measurement e Press the START STOP switch to turn the monitor off When you want to stop measurement press the START STOP switch The cuff is deflated and measurement stops START STOP Switch Manual pressurization e If your systolic blood pressure is expected to exceed 200 mmHg use Manual Pressurization when taking a measurement e Keep START STOP switch held pressed until he pressure value you want to stop pressurization is reached approximately 40 mmHg higher han the Systolic blood pressure You can stop pressuriz
15. on by internal pump Deflation Automatic speed deflation system Rated voltage 6VDC 3 W direct current Exhaust Electromagnetic quick exhaust valve Power supply 4 AA batteries R6P LR6 __ Alkaline Approx 1000 times 170 mmHg once day Battery duration Manganese Approx 300 times 23 C Automatic Power Off function Approx 3 min after activated Dimensions 130 W x 53 H x 118 D mm Weight Approx 240 g w o batteries cuff approx 130 g Operating conditions Temperature 10 C to 40 C Humidity 30 to 85 RH Storage conditions Temperature 20 C to 60 C Humidity 10 to 95 RH Electric shock protection nternal power unit Degree of Protection Type BF applied part Mode of operation Continuous operation Protection against ingress of water PXO Service Life 5 years Cuff s Life Approx 2000 times A 7 Set includes a cuff 4 AA batteries R6P for the ccessories ji monitor Instruction Manual Optional Accessories Large Cuff 32 0 42 0 cm Applied part for this device is Cuff A range in barometoric pressure 105 kPa to 70 kPa A range in altitude 300 m to 3000 m Overall system accuracy of this device is met with the requirement of item 7 9 of EN1060 3 EN1060 3 Non invasive sphygmomanometers Part 3 European Standard Eng 24 Eng 25 e CITIZEN is a registered trade mark of Citizen Holdings Co Ltd Japan Design and Specification are subject to change without n
16. otice CITIZEN SYSTEMS JAPAN CO LTD 6 1 12 Tanashi cho Nishi Tokyo Shi Tokyo 188 8511 Japan E mail sales oe systems citizen co jp http www citizen systems co jp
17. sifications of Blood Pressure Levels 12 Intended Use e This device is noninvasive blood pressure monitor by oscillometric method This device can measure the systolic blood pressure SYS the diastolic blood pressure DIA and the pulse rate automatically This device is intended to be used for checking personal health condition at home under the direction of a physician and is not intended to be a diagnostic device This device is not intended for use with neonates or infant and not intended for automatic cycling measurement Measure your blood pressure at the same time each day Your blood pressure changes all the time This means that data gathered over a long period has far more significance than data from just one measurement For this reason you must measure your blood pressure on a daily basis Ideally you should measure your blood pressure at the same time each day wherever possible Eng 4 Precautions for use 1 If you suffer from heart disease high blood pressure or other circulatory disease consult your physician before using the monitor 2 If the cuff pressure feels abnormal or you experience any other irregularity while using the cuff reduce the pressure immediately by pressing the START STOP switch detach the cuff or unplug the air hose connector from the monitor and then consult the sales outlet where you purchased the monitor 3 If you think the measurement is abnormal or if measurement makes
18. thinners or benzene as this could damage the monitor 8 To clean the cuff wipe it with a moist cloth Avoid hard rubbing as this will cause air leakages Take care also not to get water into the air hose Symbols Explanation C 0086 The CE marking is meant to provide information to market inspectors in the EU member countries Type BF applied part Keep dry Warning Refer to instruction manual before use Appliance compliance WEEE directive Accumulators and battery packs for separate collection Manufacturer OoaPran E I P 9 5 The device has been tested and homologated in accordance with EN60601 1 2 for EMC This does not guarantee in any way that the device will not be affected by electromagnetic interference Avoid using the device in high electromagnetic environment Eng 6 Nature and frequency of maintenance This product is designed for use over an extended period of time however it is generally recommended that it be inspected every two years to ensure proper function and performance Protect the nature environment Please help to protect natural environment by respecting national and or local recycling regulations when disposing of the battery and the product at the end of their useful live WEEE MARK If you want to dispose this product do not mix with general household waste There is a separate collection systems for used electronics products in accordance with le
19. vent should you change the dosage of your medication prescribed by your physician 6 As preparation for measuring your blood pressure you should urinate and then remain relatively still for 10 to 15 minutes prior to measurement 7 Exercising eating drinking smoking etc prior to measurement may affect the results 8 Your blood pressure varies constantly throughout the day Measurements should be taken regularly at the same time each day 9 DO NOT place too much emphasis on the results of one measurement Keep a continuing record of your blood pressure variations A complete picture can only be obtained from a large number of readings 10 Emotional stress tends to cause your blood pressure to rise To obtain correct blood pressure measurements 1 Take five or six deep breaths and then relax before measuring your blood pressure f you are tense when taking the measurement you will not get a valid reading 2 Your blood pressure will be elevated if you are anxious or irritated suffering from lack of sleep or constipation or have just taken some exercise or eaten a meal 3 Wrap the cuff around your arm and tighten it so that one finger can be inserted between the cuff and arm Gs See page 12 13 4 DO NOT measure your blood pressure after bathing or drinking 5 If you feel the need to urinate do so before measuring your blood pressure 6 Measure your blood pressure where the room temperature is around 20 C
20. versa Measure your blood pressure on the same arm each day Eng 17 CALLING UP THE DATA STORED IN MEMORY CALLING UP THE DATA STORED IN MEMORY e Press the MEMORY switch again The memory number 1 and the last set of data stored appear on the display The memory number and pulse are alternately displayed e 90 measurement results can be stored in the memory e Except for the case where the unit is engaged in measurement press MEMORY switch to call up the values measurement results stored in memory to the display To erase all the data remove the batteries All the stored data is erased HOW TO CALL UP THE DATA e Press the MEMORY switch e Press the MEMORY switch again The nm memory number 2 and the second last set of data stored appear on the display Each time you press this switch the unit displays the data prior to the last set of data displayed e The value stored in memory is numbered in the order of measurements For example 9 when 90 sets of data are stored in memory the data number 1 represents the latest data e SA and the average value appear on do not appear if there are two or fewer the display 3A and the average value M n I Data number 1 2 3 89 90 measurements stored in memory t A 3A and pulse are alternately displayed The latest The earliest data data You c
21. you feel unwell discontinue use and consult your physician 4 Blood pressure measurement may not be possible for anyone with a weak pulse or arrhythmia 5 Repeated blood pressure measurement may cause problems such as congestion or swelling in some people 6 Frequently repeated blood pressure measurements will not give accurate results Allow an interval of about 1 minute between measurements 7 lf you suffer from a severe problem with blood circulation in your arms consult your physician before using the monitor Failure to do so could be hazardous to your health 8 Measurement may not be possible for anyone with insufficient blood flow to the area where measurements will be taken or who suffers from a frequent irregular heartbeat Consult your physician for advice on whether to use the monitor 9 DO NOT wrap the cuff around an injured arm 10 DO NOT wrap the cuff around an arm in which a drip intravenous infusion is inserted or which is being used for blood transfusion as part of medical reatment Doing so could result in an injury or a serious accident 11 DO NOT use the monitor in the vicinity of flammable gases such as those used or anaesthesia Doing so could ignite the gases and cause an explosion 12 DO NOT use the monitor in enriched oxygen environments such as a hospital s hyperbaric chamber or oxygen tent Doing so could ignite the oxygen and cause a fire 13 DO NOT use mobile phones near
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