Citizen Systems Ch-650 User's Manual
Contents
1. 21 5 cm Measurement Pressure 0 to 280 mmHg range Pulse 40 to 180 pulse min Accuracy Pressure 3 mmHg i Pulse 5 of reading Inflation Automatic inflation by internal pump Rated voltage 3V DC direct current Exhaust Electromagnetic quick exhaust valve Power supply 2 AAA batteries LRO3 Battery duration Approx 400 times ee Operating Temperature _ 10 C to 40 C conditions Humidity 30 to 85 RH Storage Temperature 20 C to 60 C conditions Humidity 10 to 95 RH Memory Function Up to 60 measurements Electric shock Protection Internal power unit Degree of Protection Type BF applied part Mode of operation Continuous operation Protection against ingress of water IPXO Dimensions 65 W x 74 H x 29 D mm Weight Approx 103g w o batteries Service Life 5 years A Set includes 2 AAA batteries LRO3 for the ccessories monitor Instruction Manual Storage case 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 spohygmomanometers Part 3 European Standard Eng 26 Eng 27 CITIZEN is a registered trade mark of Citizen Holdings Co Ltd Japan 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 sales2. at home under the direction of a physician and is not intended to be a diagnostic device e This device is not intended for use with neonates or infant and not intended for automatic cycling measurement Eng 4 GENERAL REMARKS 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 PRECAUTIONS FOR USE AND MAINTENANCE A Precautions for use Te 2 f you suffer from heart disease high blood pressure or other circulatory disease consult your physician before using the monitor f you feel abnormal pressure of the cuff during use or any other irregularity reduce the pressure by immediately switching off the power or remove the batteries and consult the sales outlet where purchased f 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 Allow an interval of
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4. 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 wrist for a few minutes or more During this time your wrist 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 gt See page 19 11 The figure below shows the blood pressure classifications under the WHO standards SYSTOLIC mmHg Grade 3 Hypertension severe 180 yp severe Grade 2 Hypertension moderate 160 Remarks Grade 1 Hypertension mild The graph is not exact but may be used as a guide in understanding non 140 130 High Normal invasive blood pressure Normal measurements The device 120 is only intended for use by Optimal adults 80 85 90 100 110 DIASTOLIC mmHg Definitions and Classifications 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 e This device is intended to be used for checking personal health condition
5. ART 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 CALLING UP THE DATA STORED IN MEMORY 60 measurement results can be stored in the memory The average value is calculated automatically to help you manage your daily health HOW TO CALL UP THE DATA 1 Press the MEMORY switch ic 8 60 e 3A indicating the average value appears on the left section of the display Then the average value based on the last three measurements is displayed SA and the average value do not appear if there are two or fewer measurements stored in memory Eng 20 CALLING UP THE DATA STORED IN MEMORY 2 Each time you press the switch the measurement data are displayed in order from the most recent to the oldest The data number is displayed before the measurement results The measurement results are displayed after the data number e The value stored in memory is numbered in the order of measurements For example when 60 sets of data are stored in memory the data number 1 represents the latest data Data number 1 2 3 59 60 t t The latest data The earliest data HOW TO DELETE THE DATA 1 Press the MEMORY switch 2 While pressing the MEMORY switch press and hold the START STOP switch for more than 3 seconds All the stored data w
6. CITIZEN pellis Ouman lech INSTRUCTION MANUAL FOR DIGITAL BLOOD PRESSURE MONITOR rer CH 650 English 1202 _ Contents 3 GENERAL REMARKS 5 PRECAUTIONS FOR USE AND MAINTENANCE 10 IDENTIFICATION OF PARTS 12 LOADING THE BATTERIES 13 REMOVING THE BATTERIES 14 HOW TO WRAP THE WRIST CUFF 16 TIPS FOR OBTAINING ACCURATE MEASUREMENTS 18 MEASURING YOUR BLOOD PRESSURE 20 CALLING UP THE DATA STORED IN MEMORY 22 ERROR INDICATIONS 23 ABOUT BLOOD PRESSURE 24 BLOOD PRESSURE Q amp A 25 BEFORE REQUESTING REPAIRS OR TESTING 26 SPECIFICATIONS Ensure that you have all the following components Blood pressure monitor unit Storage case for monitor 2 AAA batteries Eng 2 Instruction Manual 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 wrist circumferences of 13 5 21 5 cm 3 When attaching the cuff the body of a blood pressure monitor should be placed on the inside of your wrist 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 event 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
7. LOOD 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 Left atrium Normal state is restored to the artery wall The artery wall expands ventricle 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 within a day tolic blood _ pressure Example of blood pressure variations within a day Blood pressure value mmHg f YY astolic blood d Sleeping ii i i a a i a to oO OON a a i 12 13 14 15 16 17 18 19 20 21 22 2324 1 2 3 45 67 8 9 1011 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 23 BEFORE REQUESTING REPAIRS OR
8. TESTING Make sure to check the following before sending your blood pressure monitor away to be tested or repaired BLOOD PRESSURE Q amp A Q Why is the blood pressure measured 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 Q Why does the blood pressure obtained vary with measurement A 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 Q What is the benefit of measuring my blood pressure at home A 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 sho
9. about 1 minute between measurements f 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 leasurement 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 or advice on whether to use the monitor DO NOT wrap the cuff around an injured wrist Eng 5 PRECAUTIONS FOR USE AND MAINTENANCE 10 1i 12 13 14 15 16 F 18 DO NOT wrap the cuff around a wrist 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 hose 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 he monitor Be sure to use this unit only for measuring blood pressure DO NOT use it for any other purpose Be sure to use only our authorized parts
10. and accessories Parts and accessories not approved for use with the device may damage the unit DO NOT use this unit on infants Blood pressure measurement may not be possible for anyone with common arrhythmias such as atrial or ventricular premature beats or atrial fibrillation Maintenance Precautions he 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 Eng 6 PRECAUTIONS FOR USE AND MAINTENANCE 5 DO NOT bend the cuff excessively 6 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 N War g No modification of this device is allowed Symbols Explanation CE ogs The CE marking is meant to provide information to market inspectors in the EU member countri
11. atteries 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 Insert the battery near the display first Eng 12 Eng 13 HOW TO WRAP THE WRIST CUFF HOW TO WRAP THE WRIST CUFF Wrap the wrist cuff around your wrist properly Improper wrapping of the cuff may result in measuring errors 4 Position the top edge of the cuff approximately 1 to 2 cm away from the crease of your wrist 1 Open the wrist cuff 2 Wrap the cuff around your left wrist so that the monitor is positioned on the inside of your wrist e Wrap the wrist cuff on bare skin e The wrist cuff is designed to fit wrists from 13 5 to 21 5 cm in circumference 5 Secure the wrist cuff with the hook and loop fastener e Ifthe wrist cuff is wrapped too loose or tight errors or incorrect readings may result 3 Loosely fit the wrist cuff by pulling the end of the cuff You may use your right wrist to measure your blood pressure However your blood pressure may differ by about 10mmHg depending on whether measured on your left or your right wrist so ideally you should measure your blood pressure on the same wrist each time To obtain accurate measurements e Wrapping the cuff too loosely or too tightly may prevent cor
12. es Type BF applied part Keep dry Warning Refer to instruction manual before use Appliance compliance WEEE directive Accumulators and battery packs for separate collection E Bo Manufacturer The device has been tested and homologated in accordance with EN60601 1 2 for EMC This does not guarantee in any way that the Z Warning device will not be affected by electromagnetic interference Avoid using the device in high electromagnetic environment Eng 7 PRECAUTIONS FOR USE AND MAINTENANCE 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 legislation 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
13. ill be deleted DIA Bj Press and l Bull hold for 3 A message Puse 6 g seconds saying all the on data have been pa op deleted from o o the memory is Deleted displayed Eng 21 ERROR INDICATIONS DISPLAY MARK CONDITION CAUSE Appears when the wrist cuff is wrapped too loose CORRECTIVE ACTION Re wrap the wrist cuff snugly Take another reading making sure you remain still S See page 14 HOW TO WRAP THE WRIST CUFF Appears when your wrist moved during the measurement or Appears when the cuff is not wrapped correctly mm lt fu mm lt wn m lt 3 Re wrap the wrist cuff correctly Take another reading making sure you remain perfectly still 48 gt See page 14 HOW TO WRAP THE WRIST CUFF Appears when the batteries have run out Replace two alkaline batteries with new ones S See page 13 REMOVING THE BATTERIES Appears when the pulse rate falls outside the measuring range below 39 beats min or above 181 beats min cornu Cc cy mn lt Re wrap the wrist cuff properly Take deep breaths to relax and measure again GS See page 16 TIPS FOR OBTAINING ACCURATE MEASUREMENT The unit does not function properly Eng 22 Contact the store where it was purchased or your local service center Gs See page 25 BEFORE REQUESTING REPAIRS OR TESTING ABOUT B
14. onitor is functioning j D j pressure normal Irregular Heartbeat __ lt mm l IHB Indicator 7J The mark will also be displayed but Ai this does not indicate that the battery TE needs to be replaced jy START om The Body Movement Indicator is displayed on the measurement results display if you move your hand or wrist during measurement causing a substantial pressure change to be detected 30 e f the Body Movement Indicator is displayed measure your blood pressure again If an irregular heartbeat is detected during p gt m7 uf measurement the Irregular Heartbeat IMB Indicator WwW is displayed after measurement is completed S 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 pressure measurement aoe e Measurement may not be correct if your heartbeat is displayed when a pulse is detected fluctuates greatly during measurement If the Irregular Heartbeat IHB Indicator is displayed measure your blood pressure again cI If the Irregular Heartbeat IHB Indicator Z Caution appears frequently you are advised to consult a doctor about your health condition Eng 18 Eng 19 MEASURING YOUR BLOOD PRESSURE 5 Finishing measurement e Press the START STOP switch to turn the monitor off AUTOMATIC POWER OFF FEATURE e After taking the blood pressure measurement pressing the ST
15. 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 If 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 wrist snugly 48 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 DO NOT 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 tea or after smoking Eng 3 GENERAL REMARKS 8 Measure your blood
16. proper treatment recovery and recycling of used batteries please take them to applicable collection points Pb For more information about collection and recycling of batteries please contact your local 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 Eng 8 PRECAUTIONS FOR USE AND MAINTENANCE baal Name Address Name Address CITIZEN SYSTEMS JAPAN CO LTD 6 1 12 Tanashi cho Nishi Tokyo shi Tokyo 188 8511 Japan European Representative WvW electronishe Ger te Vertrieb GmbH FintelmannstraBe 20 Eingang Martin Heydert StraBe C 0086 D 14109 Berlin Germany e For technical da
17. rect measurement e Sit up straight while taking the measurement Eng 14 Eng 15 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 Make sure that your posture is correct Sit up straight take a deep breath and relax Place your palm facing up and keep your fingers relaxed It is important to have the cuff level with your heart Place a folded towel or similar under your arm Eng 16 TIPS FOR OBTAINING ACCURATE MEASUREMENTS To obtain correct measurements e Do not clench your fist tightly e Do not wrap the wrist cuff too loosely e Do not change the position of the monitor f e Do not move your body or talk during measurement Eng 17 MEASURING YOUR BLOOD PRESSURE 1 Wrap the wrist cuff around your left wrist MEASURING YOUR BLOOD PRESSURE 4 The measurement results are displayed gt See page 14 HOW TO WRAP THE WRIST CUFF 2 Make sure that your posture is correct 7 Systolic blood 1 See page 16 TIPS FOR OBTAINING ACCURATE j C D i ee MEASUREMENTS a am p ay r 3 Press the START STOP switch to start measurement J e All digits displayed is an initial display CITIZEN gt Diastolic blood indicating that the m
18. ta please contact our European Representative Eng9 IDENTIFICATION OF PARTS Component names lt Main Unit gt Display MEMORY Switch START STOP Switch Stand by Battery cover Wrist cuff Eng 10 IDENTIFICATION OF PARTS lt Display gt O IILI OOO Irregular Heartbeat IHB Indicator caf Ci D Pulse Battery level indicator Appears when the batteries are running low 1 See page 13 Systolic blood pressure Body Movement Indicator Eng 11 LOADING THE BATTERIES LOADING THE BATTERIES Batteries supplied with the unit should be loaded in compartment before you use the blood pressure monitor 3 Close the battery cover 1 Open the cover of battery compartment ae Slide the cover in the direction of the arrow Push the cover on until it clicks Battery cover REMOVING THE BATTERIES Pressing down on the battery cover slide the cover off in the direction of e When the icon is displayed or nothing appears in the display the arrow replace the old batteries with two new ones All two batteries should be changed at once 2 Place batteries in the compartment e Use only alkaline batteries Put the batteries paying attention to the positive and negative Do not use rechargeable batteries terminal symbols and The battery goes in negative side first e Do not use alkaline LRO3 and manganese R03 b
19. uld measure your blood pressure at the same time 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 can be taken Check whether the measurement icon is displayed Check whether the cuff is attached correctly Attach the cuff properly Did you stay calm during measurement Measure your blood pressure again making sure to remain still each day and record the variations in your blood pressure Note that blood pressure measurement may not be possible for someone with an extremely weak pulse or cardiac arrhythmia irregular pulse G See page 24 Your blood pressure readings are abnormally high or low compared with those taken in hospital Remove the batteries from the unit and change them with new ones Other phenomena Always consult your physician for an interpretation of your blood pressure readings and to determine the proper treatment Eng 24 Eng 25 SPECIFICATIONS Model Number CH 650 Measurement system Oscillometric method Display Digital display type Wrist circumference range 13 5 to
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