Citizen Systems CH-406D User's Manual
Contents
1. Do not move your body or talk while taking the measurement Eng 13 ATTACHING THE ARM CUFF 1 Unroll the arm cuff e Unroll the arm cuff and thread the end through the metal hoop so that the side with the Velcro patch is on the outside Metal hoop Velcro patch 2 Put the arm cuff around your arm so that the air hose is to the left of your palm e The arm cuff should be put directly against your skin but can also be used over a lightweight sleeve e f you are wearing a thick top remove it Do not roll up your sleeve as this may compress your upper arm and result in incorrect measurements 3 Adjust the position of the arm cuff so that the air hose is located in the center of your arm and the hem of the cuff is 2 to 3 cm above your elbow 2 3 cm Air hose Eng 14 ATTACHING THE ARM CUFF 4 Pull the end of the arm cuff outwards so that the cuff is snug around your arm and then secure the end to the Velcro e 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 Na and your arm Eng 15 SETTING THE CLOCK 1 Initial state When you load the batteries in the unit for the first time carry out the reset procedure i 1ra Date Time setting when the batteries are first loaded t Cou into the unit Date and time January 1 12 00 2 Sett2. DATE sg T pa J L MEMORY 5 Press the MEMORY recall switch again This recalls and disp last set of data stored Each time you press this switch the un prior to the last set of data displayed i Bes EE EO i E Erasing data Press and hold the MODE and SET switches at the same ti appears on the display No data will show up on the display ays first the TIME SYSTOLIC mmHg DIASTOLIC mmHg PULSE MIN ays the second it displays the data me until CLA KEY TO DISPLAY ICONS Icon displayed Q Measurement icon Condition Cause This icon appears when the unit is in measurement mode and flashes when a pulse is detected Corrective action Remain quiet while measurement is in progress X Battery icon This appears when the level of remaining charge in the batteries voltage is very low or when the batteries are loaded incorrectly Replace all four batteries with new batteries Insert the new alkaline batteries correctly making sure that the positive and negative terminals are positioned correctly ERROR Error icon This appears when an accurate blood pressure measurement could not be obtained Eng 19 Press the START STOP switch again to take another reading Also check the following e Make sure the cuff is wrapped around your arm in accordance w
3. 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 ge See page 14 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 68 F DO NOT measure your blood pressure when it is too cold below 10 C 50 F or too hot above 40 C 104 F in the room Eng 2 GENERAL REMARKS 7 DO NOT try to measure your blood pressure immediately after drinking coffee or tea or after smoking 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 The figure below shows the blood pressure classifications under the WHO standards SYSTOLIC immtig 4 Grade 3 Hypertension severe 180 Grade 2 Hypertension moderate 160 Grade 1 Hypertension mild T Remarks High Normal The graph is not exact but may be 130 Normal used as a guide in understanding 120 non in
4. G THE ARM CUFF Plug the air hose connector into the main unit e Plug the air hose connector firmly into the air hose socket on the main unit as illustrated Sit in the recommended position gt See page 13 TIPS FOR OBTAINING ACCURATE MEASUREMENTS Start measurement e Press the START STOP switch The air pressure is increased and then slowly decreased When a pulse is detected the measurement icon starts flashing 91 1238 re bs After the blood pressure measurement is taken the systolic pressure diastolic pressure and pulse rate are shown on the display for 1 minute after which the display turns off unless other instructions are given Storing recalling and erasing measurement data e Storing data As long as the unit functions correctly the blood pressure and the pulse rate for the result with the record of the time and date are automatically stored in memory as one set of data Up to 48 sets of measurement data can be stored in the memory If you measure your blood pressure when 48 sets of measurements have already been stored in memory the earliest set of measurements is automatically deleted to make way for the new measurements Eng 17 RECALLING DATA E Recalling data Press the MEMORY recall switch amp Press the MEMORY recall switch again This recalls and disp memory number and then the last set of data stored
5. INSTRUCTION MANUAL FOR DIGITAL BLOOD PRESSURE MONITOR rer CH 406D English 0801 GENERAL REMARKS General remarks on blood pressure and blood pressure measurement 1 To deflate the cuff quickly press the START STOP switch 2 The attached cuff is suitable for arm circumferences of 23 33 cm 9 13 inches 3 When attaching the cuff the air hose should be placed on the inside of your arm on top of the artery 4 Self measurement is not therapy In no event should you change the dosage of your medication prescribed by your physician 5 As preparation for measuring your blood pressure you should urinate and then remain relatively still for 10 to 15 minutes prior to measurement 6 Exercising eating drinking smoking etc prior to measurement may affect the results 7 Your blood pressure varies constantly throughout the day Measurements should be taken regularly at the same time each day 8 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 9 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 If you are tense when taking the measurement you will not get a valid reading 2 Your blood pressure will be elevated
6. an be taken Check whether the measurement icon is displayed Check whether the arm cuff is applied correctly Attach the arm cuff properly 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 pulses Your blood pressure readings are abnormally high or low compared with those taken in hospital qs See page 21 Your blood pressure readings are abnormally high or low Eng 22 ge See page 13 SPECIFICATIONS Model Number CH 406D Measurement system Oscillometric method Cuff Soft cuff Arm circumference range 23 0 to 33 0 cm 9 to 13 inch RcasureniGat rane Pressure 0 to 280 mmHg 9 Pulse 40 to 199 pulse min AGG Pressure 3 mmHg y Pulse 5 of reading Pressure Systolic blood pressure 3 digits Pulse Diastolic blood pressure 3 digits Date 4 digits PeEbaisplays Time 4 digits with P PM mark eons Measurement icon Inflation Deflation A W Battery icon amp Error icon ERROR Switch 4 START STOP MEMORY MODE SET nflation Automatic Inflation by internal pump Deflation Automatic constant speed deflation system Rated voltage 6V DC 6W direct current Exhaust Electromagnetic quick ex
7. cover toward you to open it O t O Battery compartment cover S 2 Insert the batteries into the compartment Insert the batteries taking care to ensure that the positive and negative terminals are positioned correctly 3 Close the battery compartment cover Fit the protrusions on the cover into the recesses in the battery compartment body and push the cover in the direction of the arrow Eng 10 REMOVING THE BATTERIES 1 Openthe battery compartment cover cae See page 10 LOADING THE BATTERIES 2 Remove the batteries 3 Close the battery compartment cover Replacing the batteries N e If the lt appears on the display or if nothing appears on the display when the START STOP switch is pressed fit 4 new AA Alkaline batteries e Do not use rechargeable batteries e Do not use alkaline and manganese batteries together e The monitor is powered by the batteries provided Note that they may not last as long as indicated Dispose of used batteries properly in accordance with local regulations e Your measurements are stored in the monitor s memory even when the batteries are removed Eng 11 USING AC ADAPTER OPTION Using the optional dedicated AC adapter for the CITIZEN blood pressure monitor CH 406D allows you to measure your blood pressure without having to worry about the amount of remaining charge in the batteries AC adapter socket Inse
8. haust valve 5 4 AA alkaline batteries LR6 or optional AC DC ower supply adapter 6V DC 1A Battery duration Approx 250 times 160 mmHg once day 22 C Automatic Power Off function Approx 1 min after activated Memory capacity 48 sets of data including date and time Dimensions 145 W x 105 D x 68 8 H mm Weight Approx 380g including batteries Operating conditions Temperature 10 C to 40 C Humidity 20 to 85 RH Storage conditions Temperature 20 C to 60 C Humidity 10 to 95 RH Electric shock protection Internal power unit Safety Classification A Type BF Equipment Accessories Set includes an arm cuff 4 AA batteries for the monitor LR6 Instruction Manual Eng 23 CITIZEN is a registered trademark of Citizen Holdings Co Japan CITIZEN es una marca registrada de Citizen Holdings Co Jap n CITIZEN All PEEK EHE SE AG DPE BAAN ZIA HER Design and Specification are subject to change without notice 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
9. ing the Month Date and Time The current time and date should be set in the order written below 1 Each time you press the MODE switch the data item to be modified changes in the sequence shown below The selected item flashes on and off Month 2 Day 3 Hour 4 Minute Press the SET switch to increase the setting by 1 Hold down the SET switch on to advance the setting continuously Press the MODE switch to set each correct number 3 Correcting the Month Date and Time of the clock LIE Press MODE switch month starts flashing Press SET switch to set the correct month 1 2 3 12 Press MODE switch again date starts flashing Press SET switch to set the correct date 1 2 3 31 Press MODE switch again nour starts flashing Press SET switch to set the correct hour in 12 hour format Press MODE switch again minute starts flashing Press SET switch to set the correct minute 0 1 2 3 59 Press MODE switch again to switch to normal time month 7 date 7 hour 12 PM minute 38 appear on the display as shown on the right diagram 6 Device is now ready to start Date Time display n n 13 30 rot 10 30 P PM mark Eng 16 MEASURING YOUR BLOOD PRESSURE Wrap the arm cuff tightly around your arm See page 14 ATTACHIN
10. ith the instructions Make sure your palm is relaxed so that you are not exerting undue effort Do not talk or move during measurement Make sure your posture is correct ABOUT BLOOD PRESSURE 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 Systolic Diastolic Normal state is restored to the artery wall x Contraction Dilation 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 by 20 to 50 mmHg within a day Systolic blood pressure O ND kB 6 a ts Diastolic blood pressur te 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 1011 Time of day Blood pressure value mmHg Eng 20 BLOOD PRESSURE Q amp A Q Why is the blood pressure measu
11. r 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 legislation under the WEEE Directive Directive 2002 96 EC and is effective only within European Union a Reference European standard This product complies with EC instructions 93 42 EEC Medical Device Directive and with the following standards EN1060 1 1995 AM1 2002 Noninvasive Sphygmomanometers Part 1 General requirement and EN 1060 3 1997 Noninvasive Sphygmomanometers Part 3 Supplementary requirements for Electromechanical Blood pressure Measuring Systems and EN60601 1 2 2001 Medical Electrical equipment Part 1 2 General requirements for safety Collateral standard Electromagnetic compatibility Requirements and tests Manufacturer Name Health amp Life Co Ltd Address 9F NO 186 Jian Yi Road Chung Ho City Taipei Taiwan European Representative Name Innovative business promotion GmbH Address Botzstr 6 07743 Jena Germany Eng 6 STANDARDS Important Read the operating instruction
12. red at home different from that measured by the physician or at a hospital A 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 blood pressure helps you to better monitor your health What is the benefit of measuring my blood pressure at home gt O 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 21 BEFORE REQUESTING REPAIRS OR TESTING 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 whether the batteries are installed the right way round and oriented correctly Load the batteries in the correct direction No measurements c
13. rt the AC adapter plug into the socket on the blood pressure monitor Plug the AC adapter into a mains power outlet If you plan to use the AC adapter for an extended period of time remove the batteries If the batteries are left in the compartment electrolyte may leak from the batteries and cause a fault in the blood pressure monitor If the AC adapter is used as the only power supply for the monitor unplugging the AC adapter will erase the data stored in the monitor s memory It is recommended that you make a note of any important data When only batteries are used to supply power to the monitor the AC adapter should be unplugged from the monitor Leaving the AC adapter plugged into the blood pressure monitor could cause a malfunction The dedicated AC adapter for the CH 406D is optional The AC adapter is available from retailers stocking CITIZEN digital blood pressure monitors Eng 12 TIPS FOR OBTAINING ACCURATE MEASUREMENTS 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 Itis important to have the arm cuff level with your heart Open your hand slightly on the table so that your palm is facing up and your fingers are relaxed
14. s O Classification Internally powered equipment BF type applied part BF iPX0 Not suitable for use in presense of flammable anaesthetic mixture with air or with oxygen or nitrous oxide Continuous operation with short time loading This Blood Pressure Monitor complies with the European regulations and bears the CE mark 0086 CE 0197 The quality of the device has been verified and is in line with the provisions of the EC council directive 93 42 EEC EN IEC60601 1 2 2001 EN IEC60601 1 dated 14 June 1993 concerning medical devices as well as the EMC directive 89 336 EEC EN 1060 1 Non invasive blood pressure measuring equipment General requirements EN 1060 3 Non invasive blood pressure measuring equipment Supplementary requirements for electromechanical blood pressure measuring systems Eng 7 COMPONENT NAMES AND LOCATIONS Component names MODE Switch D Air hose connector SET Switch T MEMORY Switch 6 START STOP Switch b Stand by D Air hose DEVICE DESCRIPTION Key to display icons Date display Time display Inflation Deflation Systolic blood pressure display Battery igon Diastolic blood pressure display Error icon Memory number Pulse display display Measurement icon Eng 9 LOADING THE BATTERIES 1 Open the battery compartment cover While pressing on the lock section of the battery compartment cover 2 pull the
15. tor are equivalent to those obtained by a trained observer using the cuff stethoscope auscultation method within the limits prescribed by the American National Standard for electronic or automated sphygmomanometers 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 140 F low temperatures below 20 C 4 P high relative humidity over 95 or excessive amounts of dust 2 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 air hose excessively If 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 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 Do Eng 5 PRECAUTIONS FOR USE AND MAINTENANCE Nature and frequency of maintenance This product is designed for use over an extended period of time howeve
16. vasive blood pressure Optimal measurements The device is only intended for use with adults 80 85 90 100 110 DIASTOLIC mmHg Definitions and Classifications of Blood Pressure Levels 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 3 PRECAUTIONS FOR USE AND MAINTENANCE Precautions for use T 2 11 12 13 14 If you suffer from heart disease high blood pressure or other circulatory disease consult your physician before using the monitor 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 and then consult the sales outlet where you purchased the monitor If you think the measurement is abnormal or if measurement makes you feel unwell discontinue use and consult your physician Blood pressure measurement may not be possible for anyone with a weak pulse or arrhythmia Repeated blood pressure measurement may cause problems such as congestion or swelling in some people Frequently repeated blood pressure measurements will not give accurate results Allo
17. w an interval of about 3 minutes between measurements If 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 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 DO NOT wrap the cuff around an injured arm 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 treatment Doing so could result in an injury or a serious accident DO NOT use the monitor in the vicinity of flammable gases such as those used for anaesthesia Doing so could ignite the gases and cause an explosion 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 DO NOT use mobile phones near the monitor as this could result in a malfunction If you use a cardiac pacemaker consult your physician before using the monitor Eng 4 PRECAUTIONS FOR USE AND MAINTENANCE 15 Be sure to use this unit only for measuring blood pressure DO NOT use it for any other purpose 16 DO NOT use this unit on infants 17 Blood pressure measurements taken using this moni
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