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Panasonic Ew 3003 Operating Instructions

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    							Printed in ChinaNo.1  EN,SP
    ©2002 Matsushita Electric Works, Ltd. All Rights Reserved.
    For questions or assistance with your blood pressure
    monitor, call us at 1-800-338-0552.
    Panasonic Consumer Electronics Company
    Division of Panasonic Corporation of 
    North America
    One Panasonic Way 3D-1
    Secaucus, NJ 07094
    Before operating this device, please read these instructions completely and save this
    manual for future use.
    Antes de usar este dispositivo, lea completamente estas instrucciones y guarde este
    manual para utilizarlo como referencia en el futuro.
    ®
    Wrist Blood Pressure Monitor
    Monitor de Presión Arterial de Muñeca
    Operating Instructions
    Instrucciones de
    funcionamiento
    Model No. EW3003
    Modelo No. EW3003
    &864@&OH   Ö”´ 
    						
    							2 1
    Table of Contents
    Introduction ...................................................................... 3
    Basics of Blood Pressure................................................. 3
    Important Instructions Before Use ................................... 4
    Precautions to Ensure Safe, Reliable Operation ............. 6
    Easily Check Your Blood Pressure Readings Against 
    the JNC 7 Classification................................................... 6
    Name and Function of Each Product Part ....................... 7
    Inserting/Replacing Batteries ........................................... 8
    When to Change Batteries............................................... 8
    Positioning the Pressure Cuff .......................................... 9
    Correct Position for Blood Pressure Measurement ......... 10
    Taking measurements while sitting down ...................... 10
    Measuring Your Blood Pressure ...................................... 13
    Flash warning system for hypertensive readings........... 14
    Storing blood pressure readings .................................... 15
    Calling up readings from memory .................................. 16
    Care and Maintenance .................................................... 17
    Storing the Monitor .......................................................... 17
    Troubleshooting ............................................................... 18
    Specifications................................................................... 20 Panasonic Oscillometric Diagnostec™ Wrist Blood Pressure Monitor
    Model EW3003 is a device intended to measure systolic and diastolic
    blood pressure and pulse rate of an adult individual by using a
    pressurized cuff on the left wrist. The device is not intended for use on
    infants and children. The device is designed for home use only, not for
    ambulatory measurement.
    Specification of this device including pulse rate (30 - 160 pulse/min. +/–
    5%) are listed in page 20.
    Blood pressure measurements determined with this device are
    equivalent to those obtained by a trained observer using the
    cuff/stethoscope auscultation method, within the limits prescribed by
    the American National Standard, Electronic or automated
    sphygmomanometers.
    If you suffer from disorder of heart rhythm, known as arrhythmia only
    use this blood pressure monitor in consultation with your doctor. In
    certain cases oscillometric measurement method can produce
    incorrect readings.
    Flash warning system for hypertensive readings are based on blood
    pressure values classified in the paper: “JNC 7 Express; The Seventh
    Report of the Joint National Committee on Prevention, Detection,
    Evaluation and Treatment of High Blood Pressure; U.S.
    DEPARTMENT OF HEALTH AND HUMAN SERVICES; National
    Institute of Health; National Heart, Lung, and Blood Institute; National
    High Blood Pressure Education Program; NIH Publication No. 03-5233;
    May 2003.” The display values are generally known, but not proven, to
    be an indicator of your blood pressure.
    The EW3003 is not intended to be a diagnostic device. Contact your
    physician if prehypertensive or hypertensive values are indicated.
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    							4 3
    Important Instructions Before Use
    1.Do not confuse self-monitoring with self-diagnosis. Blood pressure
    measurements should only be interpreted by a health professional who
    is familiar with your medical history.
    2. If you are taking medication, consult with your physician to determine the
    most appropriate time to measure your blood pressure. NEVER change
    a prescribed medication without first consulting with your physician.
    3. For persons with irregular or unstable circulation resulting from diabetes,
    liver disease, arteriosclerosis or other medical conditions, there may be
    variations in blood pressure values measured at the wrist versus at the
    upper arm. Monitoring the trends in your blood pressure taken at either
    the arm or the wrist is nevertheless useful and important.
    4. Blood pressure can vary based on many factors, including age, gender,
    weight and physical condition. In general, a person’s blood pressure is
    lower during sleep and higher when he or she is active. Blood pressure
    can change easily in response to physiological changes. The setting in
    which a person’s blood pressure is measured can also affect the results.
    Having one’s blood pressure measured by a healthcare professional in a
    hospital or clinic can cause nervousness and may result in a temporarily
    elevated reading. Because blood pressure measurements taken in a
    clinical setting can vary considerably from those taken at home, a
    person’s blood pressure should be measured not only occasionally in the
    doctor’s office, but also on a regular basis at home. Also, if you find that
    your blood pressure is lower at home, this is not unusual. To accurately
    compare with your physician’s reading, take your Panasonic blood pressure
    monitor to your doctor’s office and compare readings in this setting.
    5.People suffering from cardiac arrhythmia, vascular constriction, liver
    disorders or diabetes, people with cardiac pacemakers or a weak pulse,
    and women who are pregnant should consult their physician before
    measuring their blood pressure themselves. Different values may be
    obtained due to their condition.
    6. Try to take your blood pressure measurements at the same time and
    under the same conditions every day.
    •The ideal time to measure your blood pressure (to obtain your so-called
    “base blood pressure”) is in the morning just after waking up, before
    having breakfast and before any major activity or exercise. If this is not
    possible, however, try to take measurements at a specified time prior to
    breakfast, and before you have become active. You should relax for
    Introduction
    Thank you for purchasing the Panasonic Wrist Blood Pressure Monitor
    EW3003. 
    Measuring your own blood pressure is an important way of monitoring your
    health. High blood pressure (hypertension) is a major health problem which
    can be treated effectively once detected. Measuring your blood pressure
    between doctor visits on a regular basis in the comfort of your home, and
    keeping a record of the measurements, will help you monitor any significant
    changes in your blood pressure. Keeping an accurate record of your blood
    pressure will help your doctor diagnose and possibly prevent any health
    problems in the future.
    Basics of Blood Pressure
    Your heart acts like a pump, sending blood surging through your blood
    vessels each time it contracts. Blood pressure is the pressure exerted by
    blood pumped from the heart on the walls of blood vessels. Systolic
    pressure is the pressure exerted when the heart contracts and pumps blood
    into the arteries. Diastolic pressure is the pressure exerted when the heart
    expands, or relaxes. When you or your doctor take your blood pressure,
    both your systolic and diastolic pressures are measured. If your blood
    pressure measurement is 120 over 80 (120/80), for example, your systolic
    pressure is 120 while your diastolic pressure is 80.
    &864@&OH   Ö”´ 
    						
    							6 5
    Precautions to Ensure Safe, Reliable Operation
    1. Do not drop the unit. Protect it from sudden jars or shocks.
    2. Do not insert foreign objects into any openings.
    3. Do not attempt to disassemble the unit.
    4. Do not crush the pressure cuff.
    5. If the unit has been stored at temperatures below 0°C, leave it in a warm
    place for about 15 minutes before using it. Otherwise, the cuff may not
    inflate properly.
    6. Do not store the unit in direct sunlight, high humidity or dust.
    Easily Check Your Blood Pressure Readings
    Against the JNC 7
    *Classification
    If your systolic pressure falls in one category but your diastolic pressure in
    another, your level is classified in the higher of the two categories.
    *JNC 7: The Seventh Report of the Joint National Committee on Prevention,
    Detection, Evaluation and Treatment of High Blood Pressure
    National Institute of Health (NIH) Publication; No. 03-5233, May 2003
    90 100
    80
    160 140 120
    Stage 2 Hypertension SBP 165
    DBP 105
    Blood Pressure Categories
    e.g.:
    e.g.:
    e.g.:
    e.g.: Stage 1 Hypertension SBP 150
    DBP   95
    Prehypertension SBP 130
    DBP   85
    Normal SBP 115
    DBP   75
    Systolic Blood Pressure (SBP)
    Diastolic Blood Pressure (DBP)
    about 5 minutes before taking the measurement.
    •The following situations may cause substantial variations in blood
    pressure readings and should therefore be avoided at least 30 minutes
    prior to taking your blood pressure.
    Blood pressure will be higher than usual:
    -when you are excited or tense
    -when you are taking a bath
    -during exercising or soon after exercising
    -when it is cold
    -within one hour after eating
    -after drinking coffee, tea or other beverages containing caffeine
    -after smoking tobacco
    -when your bladder is full
    Blood pressure will be lower than usual:
    -after taking a bath
    -after drinking alcohol
    7.Measurements may be impaired if this unit is used near a television,
    microwave oven, X-ray equipment or other devices with strong electrical
    fields. To prevent such interference, use the unit at a sufficient distance
    from such devices or turn the devices off.
    8.This unit is designed for use by adults. Consult with your physician
    before using this unit on a child. Do not use on infants or toddlers.
    9.This unit is not suitable for continuous monitoring during medical
    emergencies or operations.
    10.Do not use the unit for any purpose other than measuring blood
    pressure. Do not use the unit together with other devices.
    11.Improper handling of batteries may result in battery rupture or in
    corrosion from battery leakage. Please observe the following to ensure
    proper use of batteries.
    a. Be sure to turn off the power after use.
    b. Do not mix different types or sizes of batteries.
    c.Change all batteries at the same time. Do not mix old and new batteries.
    d. Be sure to insert batteries with correct polarity, as instructed.
    e.Remove batteries when they are worn out, and dispose of them
    properly according to all applicable environmental regulations.
    f. Do not disassemble batteries or throw them into a fire.
    g. Do not short-circuit batteries.
    h. Do not attempt to recharge the batteries included with the unit.
    &864@&OH   Ö”´ 
    						
    							8 7
    Name and Function of Each Product Part
    Display
    On/Off Start button2cm gauge
    Memory/Recall button
    Pressure cuff
    With anti-bacterial 
    deodorizing treatment
    Battery cover
    Main body
    Storage case
    When to Change Batteries
    Change the batteries when the battery symbol
    (Fig. 3) appears on the display or when no data is
    displayed even when the On/Off button is
    pressed.
    Fig. 3 Fig. 1
    Inserting/Replacing Batteries
    1.Remove the unit from its storage case
    (Fig. 2-a).
    2. Push the battery cover in the direction of the
    arrow. Insert two 1.5V alkaline batteries
    (AAA/LR03), ensuring the correct polarity
    (Fig. 2-b).
    3. Slide the battery cover back into place on the
    main body until it clicks in place (Fig. 2-c).Fig. 2-a
    Fig. 2-b
    Fig. 2-c
    NOTES:
    •Batteries are included only for testing pur-
    poses and with no guarantee of battery life.
    •Do not mix old and new batteries.
    •The batteries’ power output is impaired at
    low temperatures.
    Caution:
    Do not throw batteries into a fire. Doing so
    may result in an accident or explosion.
    IMPORTANT:
    •Do not be alarmed by temporarily high or low readings because
    fluctuations in a person’s blood pressure are not uncommon. If possible,
    measure and record your blood pressure at the same time every day, and
    consult your physician if you have questions or concerns.
    •If abnormal variations in blood pressure are observed in measurement,
    please consult your physician.
    &864@&OH   Ö”´ 
    						
    							10 9
    Correct Position for Blood Pressure Measurement
    When measuring your blood pressure at your wrist, the pressure cuff must
    be at heart level to ensure consistent, accurate readings.
    Always rest for about four to five minutes before taking measurements.
    Press the On/Off and Start button to start a measurement. The cuff will
    automatically inflate and then deflate when the measurement is complete.
    Taking measurements while sitting down
    1.Rest your elbows on a table or
    other level surface.
    2. Hold the arm so that the cuff is at
    heart level.
    3. With the palm of the hand facing
    up, release any tenseness in
    your muscles.
    • Slightly extend your fingers.
    • Slightly bend your wrist.
    If measurements are taken with the
    wrist or hand in the following positions,
    accurate measurements may not be
    possible.
    When measuring in a sitting position, 
    lightly clench the hand of the arm not 
    fitted with the blood pressure monitor 
    and rest it on the table.
    Fig. 5-a
    1.Remove your watch and any jewelry from
    your left hand.
    2.Wrapping the cuff around the wrist and
    securing with hook-and-loop fastener.
    Leave main unit at the distance of 2 cm (3/4)
    from the first wrinkle line of wrist-palm joint,
    mount the cuff on the wrist in such way as the
    center of the main unit locates at the center of
    the wrist (Fig. 4-a).
    3.Attach the right thumb on the harder part
    intensely from the side so that the right side
    of the cuff is sure to be fixed on the side face
    of the wrist, secure and attach the hook-and-
    loop fastener snugly until not feeling it
    oppressed.
    Confirm the both center of wrist and main unit
    is still on the same line, and tightness of the
    fixing (Fig. 4-c).
    •Pull up on the fastener,
    without twisting it, to
    remove the unit from
    your wrist.
    Positioning the Pressure Cuff
    CAUTIONS:
    •Do not use the unit for any purpose other than measuring blood
    pressure. Also, do not use the unit in conjunction with other devices.
    Improper use may cause a malfunction or personal injury.
    •Keep the unit out of the reach of children.
    Center of the wrist2 cm (3/4) First wrinkle line of 
    wrist-palm joint
    Fig. 4-a
    Fig. 4-b
    Fig. 5-b
    Fig. 5-c
    Wrist is bent
    inwards.Wrist is tense and
    fist is being made.
    Harder of the cuff
    (Outside: Hook fastener)Loop fastener Center of the main unit
    Center of the wrist
    Fig. 4-c
    &864@&OH   Ö”´ 
    						
    							12 11IMPORTANT:
    •Measure your blood pressure at the same time and under the same
    conditions every day if possible. The ideal time to measure your blood
    pressure is in the morning immediately after waking up, while you are still
    relatively calm. If this is not possible, try to take your blood pressure prior
    to breakfast, before you become active.
    •Relax and take measurements in a comfortable position.
    •Rest for at least 5 minutes before taking a measurement.
    •Keep still and do not speak during measurement. Blood pressure can
    fluctuate with the slightest change, such as tensing your muscles or
    changing your posture. If the blood pressure monitor is
    positioned lower than the heart, the
    measured blood pressure value
    may be high.If the blood pressure monitor is
    positioned higher than the heart,
    the measured blood pressure value
    may be low.
    If the posture applies pressure to
    the stomach (leaning forward),
    accurate measurements may not
    be possible.Do not touch the blood pressure
    monitor while taking
    measurements.
    Do not move your body, your arm,
    or your fingers while taking
    measurements.Do not talk while taking
    measurements.
    Do not use close to cellular phones or other devices which emit
    electromagnetic waves. Doing so may result in malfunction.
    &864@&OH   Ö”´ 
    						
    							14
    Flash warning system for hypertensive readings
    13If the measured values fall within the hypertension range, the reading
    displayed on screen flashes on and off to alert user.
    According to JNC 7 Classification, values consistently in excess of 140 mmHg
    (Sys.) and/or 90 mmHg(Dia.) are considered to constitute high blood pressure.
    (mmHg)
    90
    80
    120 140
    (mmHg)
    Hypertension
    (Stage 1, Stage 2) Diastolic
    Systolic Prehypertension
    Normal
    •Blood pressure readings will flash for approx. 6 seconds when in the high
    blood pressure range (Fig. 7). 
    Systolic blood pressure: 140 mmHgand over
    Diastolic blood pressure: 90 mmHgand over
    (Only when measurement is complete)
    When an Error Occurs During Measurement
    An  will appear on the display to indicate that measure-
    ment was unsuccessful and should be performed again
    (Fig. 8).
    Before performing another measurement, always press the
    On/Off and Start button to turn off the unit and make sure to
    allow a rest period of 4 to 5 minutes before starting again. 
    Please consult your doctor without delay if the blood
    pressure indicator repeatedly draws attention to elevated
    blood pressure values.
    Fig. 7
    Fig. 8
    Measuring Your Blood Pressure
    Relax during measurements.
    1. Press the On/Off and Start button (Fig. 6-a).
    •All displays on the unit will light up for approx. 2
    seconds (Fig. 6-b).
    •The cuff will begin to inflate automatically.
    Changing inflation speeds and operating sounds
    occur during inflation and are a normal part of the
    measurements that are being performed at this time. 
    2. With fingers lightly clenched to form a fist, position your
    free hand beneath the arm of the wrist being measured.
    •Once your pulse rate is detected, the  mark will flash
    on the display (Fig. 6-c).
    3.Blood pressure values together with pulse rate are
    displayed when the measurement is complete (Fig. 6-d).
    •The air in the pressure cuff is released automatically.
    •Displayed readings will flash (for approx. 6 seconds)
    when in the high blood pressure range. 
    •The  mark will flash on the screen to indicate that
    readings may be recorded.
    (See page 15 for information on how to record blood
    pressure readings.)
    •The displayed pulse rate indicates the number of
    heartbeats per minute as calculated from the number
    of heartbeats recorded during the measurement. 
    4. Press the On/Off and Start button to switch off the unit
    (Fig. 6-e). 
    •If you wish to make another measurement, switch off and
    wait for 4 to 5 minutes before performing another one.
    •If you forget to switch the unit off, it will do so
    automatically after approx. 5 minutes.Fig. 6-a
    Fig. 6-b
    Fig. 6-c
    Fig. 6-d
    Fig. 6-e
    &864@&OH   Ö”´ 
    						
    							16 15
    Calling up readings from memory
    Readings can be recalled after being saved without
    having to switch the unit on.
    1. Press the Memory/Recall button.
    •The average readings of all recorded measurements
    are displayed.
    •The  mark will be displayed (Fig. 10-a).
    •When, for example, readings from 21 measurements
    have been saved the average of the readings from 21
    measurements will be displayed.
    2. Press the Memory/Recall button to display readings
    starting with from the most recent measurement.
    •Each time the Memory/Recall button is pressed
    readings are displayed in order of the most recent
    measurement (Fig. 10-b).
    •No readings will be displayed when there are none in
    the memory.
    3.Press the On/Off and Start button to switch off the
    unit.
    If you forget to switch off the unit it will do so
    automatically after approx. 30 seconds.
    Deleting all data stored in memory
    (1) Recall stored data using the Memory/Recall button.
    (2)Press the Memory/Recall button again and hold it (for approx. 3
    seconds) until all readings are deleted.
    NOTE: Readings from individual measurements cannot be deleted.
    (3)When data has been deleted the  mark and  will be
    displayed on the screen.
    Fig. 10-a
    Fig. 10-b
    CAUTION:
    •For persons with poor circulation resulting from diabetes, liver disease,
    arteriosclerosis, high blood pressure or other conditions, there may be
    significant differences in blood pressure values measured at the wrist
    versus at the upper arm.
    •Do not confuse self-monitoring with self-diagnosis.
    •NEVER change a prescribed medication without first consulting with
    your physician.
    Storing blood pressure readings
    1.The  mark will flash after a measurement has
    been completed (Fig. 9-a). 
    Press the Memory/Recall button.
    2. Memory storage is completed.
    •Readings of up to 21 measurements can be stored in
    memory (Fig. 9-b). Readings over the memory capacity
    will be recorded over the oldest measurement in
    memory.
    •Readings cannot be saved when a measurement has
    been unsuccessful (display of the error mark  for
    blood pressure readings). Readings can be saved,
    however, when the  mark is displayed for the pulse
    rate.Fig. 9-a
    Fig. 9-b
    (After approx.
    one second.)(After approx.
    one second.)
    &864@&OH   Ö”´ 
    						
    							1718
    Care and Maintenance
    1. Use a dry, soft cloth to clean the device. If desired, use a cloth lightly
    dampened with tap water and a mild detergent to clean the device. 
    DO NOT use alcohol, benzine, thinner or other harsh chemicals to clean
    the device or cuff.
    2. When the unit will not be used for a long time (30 days or more), be sure
    to remove the batteries. Otherwise, the batteries may leak and damage
    the unit.
    Storing the Monitor
    1. Fold the pressure cuff as indicated.
    (Fig. 11-a)
    2.Put the blood pressure monitor in
    the storage case. (Fig. 11-b)
    •Be sure not to pinch the pressure
    cuff or 2cm gauge when closing the
    case.
    If the 2cm gauge is attached, 
    straighten it out.
    Fig. 11-a
    Fig. 11-b
    NOTE:When the batteries are removed, the date, time, and measurement
    record are erased. Set the date and time again the next time you
    use the unit.
    Troubleshooting
    Display
    The blinks on
    the display 
    Status before error
    Pressurization to above
    280 mmHgwas
    performed.
    (Re-pressurization was
    performed several
    times.)
    Pressure decreased
    suddenly and 
    appeared in the display.
    mark only blinks a
    few times, or not at all.
    Cuff does not inflate.
    Check points
    Check whether
    measurements are
    being taken correctly
    and whether you are
    assuming the correct
    posture. Make sure
    the unit is on the palm
    side of the wrist. 
    (See pages 9-10.)
    Check whether the
    pressure cuff is
    attached to your wrist
    correctly. Make sure
    the unit is on the palm
    side of the wrist.
    (See page 9.)
    &864@&OH   Ö”´ 
    						
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