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Panasonic Ew 3111 Operating Instructions

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    							Printed in ChinaNo.1  EN,SP¢žÝ槣©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
    A Unit of Matsushita Electric Corporation 
    of 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.
    Upper Arm Blood Pressure Monitor
    Monitor de Presión Arterial de Brazo
    Operating Instructions
    Instrucciones de
    funcionamiento
    Model No. EW3111
    Modelo No. EW3111
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    Introduction
    1Thank you for purchasing the Panasonic Upper Arm Blood Pressure
    Monitor EW3111. Designed for easy, one-touch operation, this monitor
    incorporates Precise Logic™ technology to provide reliable measurements.
    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.
    Table of Contents
    Introduction ...................................................................... 2
    Basics of Blood Pressure................................................. 2
    Important Instructions Before Use ................................... 3
    Precautions to Ensure Safe, Reliable Operation ............. 5
    Easily Check Your Blood Pressure Readings Against 
    the World Health Organization (WHO) Guidelines .......... 5
    About the Precise Logic™ Measurement System ........... 6
    Diagram of device ............................................................ 7
    Connecting tube to cuff .................................................... 7
    Attachment of cuff holder ................................................. 7
    Display/Symbols .............................................................. 8
    Alarm function signals high blood pressure ..................... 8
    Inserting/replacing batteries............................................. 9
    Fitting the Blood Pressure Monitor .................................. 10
    Instructions for correct measurement of 
    blood pressure ................................................................. 11
    Measuring your blood pressure ....................................... 12
    Storing blood pressure readings ...................................... 13
    Calling up readings from memory .................................... 14
    Storage ............................................................................ 15
    Troubleshooting ............................................................... 16
    Specifications................................................................... 18
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    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. 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 National
    blood pressure meter to your doctor’s office and compare readings in
    this setting.
    4.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.
    5. 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
    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
    6.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.
    7.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.
    8.This unit is not suitable for continuous monitoring during medical
    emergencies or operations.
    9.Do not use the unit for any purpose other than measuring blood
    pressure. Do not use the unit together with other devices.
    10.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.
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    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.
    IMPORTANT:
    •WHO does not define a low blood pressure area.
    For reference, systolic pressure readings of less than 90 mmHgare
    considered to indicate low blood pressure regardless of the diastolic
    pressure.
    •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.
    Easily Check Your Blood Pressure Readings Against
    the World Health Organization (WHO) Guidelines
    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.
    85 90 100
    110
    160
    180 130 140
    Moderate Hypertension SBP 165
    DBP 105 Severe Hypertension
    Blood Pressure Categories
    SBP 185
    DBP 113 e.g.:
    e.g.:
    e.g.:
    e.g.:
    e.g.: Low Hypertension SBP 156
    DBP   98
    Normal High SBP 135
    DBP   87
    Normal SBP 123
    DBP   82
    Systolic Blood Pressure (SBP)
    Diastolic Blood Pressure (DBP)
    The blood flow (pulse wave) which influences blood pressure monitors
    varies according to the conditions of the blood vessels and the structure of
    the arm, making measurements by conventional methods difficult in some
    cases. For more consistent, accurate results, this device employs a Precise
    Logic™ measurement system that verifies both the height and width of the
    pulse wave in order to reliably measure blood pressure.
    By using the Precise Logic™ measurement system, measurement reliability
    and accuracy have been improved.
    About the Precise Logic™ Measurement System
    Panasonic Technology
    Double Check Measurement System
    Checks both Pulse Height 
    and Pulse Width
    Old Technology
    Relies only on Pulse 
    Height 
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    (mmHg)
    90
    85
    80
    120 130 140
    (mmHg)
    Orange LED Colors
    Yellow
    GreenHypertensive
    (Low / Moderate / Severe) Diastolic
    Systolic Blood Pressure
    Indicator
    Normal High
    Normal
    Optimal
    P/min.
    14 0
    13 0
    90
    85
    M1M2
    Alarm function signals high blood pressure
    Blood pressure measurements for both systolic and diastolic readings are
    determined and indicated via a three-color LED system as being within
    normal or hypertensive ranges based on definitions and classification of
    blood pressure levels by the World Health Organization (WHO). Moreover,
    when blood pressure is in the high range, the reading displayed on screen
    flashes on and off to alert the user.
    According to WHO guidelines, values consistently in excess of 140 mmHg
    (Sys.) and/or 90 mmHg(Dia.) are considered to constitute high blood pressure.
    High blood pressure is a health risk and must be treated without fail.
    Please consult your doctor without delay if the blood pressure indicator
    repeatedly draws attention to elevated blood pressure values.
    Measurement in
    progresse.g.: Arm has been moved/
    Cuff not positioned correctlyReplace batteries
    Display/Symbols
    = Error
    Diagram of device
    Connecting tube
    to cuffAttachment of cuff holder
    Display
    ON/OFF / Start ButtonMemory /
    Recall/(Delete All)
    Button 2Blood Pressure
    Indicator LEDCuff Cuff Holder
    Memory /
    Recall/(Delete All)
    Button 1Tube
    Cuff Socket
    Cuff Plug 
    (Insert cuff plug all the way in.)
    Slide from below in the direction of the
    arrow, at the rear of the unit, until a
    clicking sound is heard. 
    (NOTE: To remove, 
    slide downwards 
    from above.)
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    Fitting the Blood Pressure Monitor
    1. Attaching the cuff to the upper
    arm.
    •Make sure the cuff is wrapped so
    that it is in contact with the skin.
    Measurements may be taken
    from either the left or right 
    arm. However, please take
    measurements using the same
    arm each time, because there
    is said to be a blood pressure
    difference of approx. 10 mmHg
    between the left and right. 
    2. Fasten firmly, but not too tight.
    •Optimally, there should be enough
    room to insert one finger between
    the cuff and arm.
    •Make sure your sleeve does not
    get in the cuff.
    •Firmly attach using the hook-and-
    loop tape.Positioning on the Upper Left Arm
    •Position so that 
    the tube extends in
    line with the little finger
    on the palm side.
    Wrap the cuff around
    the arm 2 to 3 cm
    (25/32 to 1-3/16)
    above the elbow.
    Positioning on the
    Upper Right Arm
    Inserting/replacing batteries
    1.Slide off the Battery Cover
    from the housing.
    2.Insert four 1.5 V batteries
    (R6/AA), ensuring correct
    polarity.
    3. Close the Battery Cover.
    Batteries must be replaced when ...
    •The Replace batteries symbol appears on the display.
    •You press the ON/OFF/Start Button and the display screen
    goes blank after all displays have come on.
    •You press the ON/OFF/Start Button and nothing is displayed on the
    screen.
    Note:
    •New batteries contain enough power for about 200 measurements.
    •If you do not use the unit for a long time, we recommend to remove
    batteries from the main unit to avoid damage by liquid leakage.
    •Low temperature conditions can cause battery life to be shortened.
    1
    3
    2
    CAUTION:
    Do not throw batteries into a fire. Doing so may result in an accident or
    explosion.
    –+
    +–
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    Measuring your blood pressure
    1.Press the ON/OFF/Start Button to
    turn on the unit.
    The LCD display will show 888 and
    then switch to 0. The cuff is auto-
    matically inflated.
    2. The blood pressure measurement is
    indicated along with the pulse rate
    (number of beats per minute). The
    air in the cuff is released automatically
    when the measurement is complete.
    3. Press the power switch to turn off the unit. If you forget to do so, the unit
    switches off automatically approx. 5 minutes after a measurement. 
    Instructions for correct measurement of blood pressure
    IMPORTANT
    Take measurements at the same time everyday using the same arm
    and posture.
    •Measured readings will vary according to the height of the cuff.
    •Measurements taken in the morning should be done so upon waking and in
    the absence of an urge to urinate. If this should prove difficult, take
    measurements prior to breakfast while your body is still in an inactive state.
    •Do not touch the tube or the meter while measurement is in progress.
    Assume a natural posture, remaining calm and quiet when taking
    measurements
    •Rest for about 4 to 5 minutes before taking measurements.
    •Release any tension present in your body and refrain from muscle
    movement such as in the arm or fingers.
    •Do not speak while measurement is in progress.
    Measurement in a sitting position
    1.Rest your elbows on a table or
    other level surface.
    2.Make adjustments so that the
    height of the cuff and heart are at
    the same level. 
    3. With the palm of your hand facing
    up release any tension held in your
    muscles.
    Measurement in lying position
    1.Lie on your back with your body
    straight. 
    •Do not lie on your side. Doing so
    will exert an uneven amount of
    force on one arm.
    2.With the palm of the hand facing up,
    extend your arm so that it is straight.
    3.Relax and release any tension
    held in your muscles.Error
    If “E” (meaning error) appears in the display during
    measurement, an error has occurred, e.g., you have moved
    your hand during measurement. In this case, turn the unit off,
    wait at least 5 minutes and measure again.
    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.
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    Calling up readings from memory
    Readings may be recalled once they have been
    stored in the memory without having to
    pressing the ON/OFF/Start Button.
    1.Push the Memory/Recall Button number of the user
    whose data you want to call up, M1 for example.
    ‹Averaged values for all recorded measurements
    are displayed ›
    •M1 Ais displayed at the bottom of the screen.
    •When, for example, 21 readings have been
    recorded, the average values of 21 readings will
    be displayed. (When there are no readings or only
    one reading in memory, M1 Ais not displayed.)
    •The blood pressure indicator LED will flash
    (approx. 6 seconds)
    2. Press the Memory/Recall Button again.
    ‹Each time the Memory/Recall Button is pressed
    readings are displayed in order of the most
    recent entry ›
    •The blood pressure indicator LED will flash
    (approx. 6 seconds).
    •Nothing will be displayed when there are no
    readings in the memory.
    Please use a quick, light touch when pressing
    the Memory/Recall Button. Take care to do
    so, as continuous pressing of the button for
    a duration of two seconds or more will clear
    all readings from the memory.
    3.Press the ON/OFF/Start Button to turn off the
    unit.
    •If you should forget to turn off the unit after
    calling up the memory without pressing the
    ON/OFF/Start Button, the unit will switch off
    automatically after approx. 30 seconds.
    M/R
    1
    On/Off
    Start
    M/R
    1
    P/min.
    14 0
    13 0
    90
    85
    M1
    P/min.
    14 0
    13 0
    90
    85
    M1
    Storing blood pressure readings
    This monitor has enough memory capacity to store 21 readings for
    two users.
    P/min.
    14 0
    13 0
    90
    85
    M/R
    1M/R
    2M1M2
    P/min.
    14 0
    13 0
    90
    85
    M1
    Number of readings in memory
    M1 and M2 will flash on the display
    after a measurement.
    1.Press the Memory/Recall
    Button number if you want
    your readings to be recorded.
    Example:
    Person A is recorded under M1
    Person B is recorded under M2
    2. Memorization completed
    Twenty-one readings can be
    recorded for each person. If you
    exceed the number of readings,
    the existing readings will be
    deleted in order of the oldest
    as new readings are made.
    •Measurements for which
    accurate readings could not be
    obtained (display of error
    symbol E for blood pressure
    values) cannot be stored in the
    memory. 
    When you want to clear all memory
    1.To call up the data that you wish to delete, simply push the
    Memory/Recall Button number of that user.
    2. Push the same user’s Memory/Recall Button again, for more than
    about 3 seconds, until the memorized readings are deleted
    NOTE: Individual readings in the memory cannot be deleted selectively. NOTE: Blood pressure readings 
    can be memorized when the error symbol E is
    displayed only for the pulse rate.
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    Troubleshooting
    The “E” blinks 
    on the displayDisplay Status before error
    Pressurization to above
    300 mmHgwas
    performed. 
    (Re-pressurization was
    performed several times.)
    Pressure decreased
    suddenly and “E”
    appeared in the display.
    The measurement
    process was performed
    until 20 mmHgwas
    reached and then “E”
    appeared in the display.
    Pressurization to above
    180 mmHgwas not
    performed.Check points
    Check whether measure-
    ments are being taken
    correctly and whether the
    user is assuming the
    correct posture.
    Make sure the cuff is
    correctly attached to your
    upper arm.
    (See pages 10 and 11)
    Check whether the
    pressure cuff is attached
    to your upper arm
    correctly.
    Make sure the tube is fully
    inserted into its socket.
    (See pages 7 and 10)
    1. Loosely roll up the cuff and place it
    in the cuff holder.
    2. Put the tube inside the cuff.
    •Do not wrap the tube around the
    unit, etc. Excessive straining of the
    tube can cause malfunctioning.
    Storage
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    Specifications
    Method of measurement:
    Display:
    Measuring range:
    Measurement accuracy:
    Power source:
    Operating environment:
    Storage environment:
    Upper arm circumference
    measurement range:
    Dimensions (H#W#D):
    Weight:Oscillometric System with Precise Logic™
    Digital LCD
    Blood pressure: 20 – 300 mmHg
    Pulse rate: 30 – 160 pulse/min.
    Blood pressure: ±4 mmHg
    Pulse rate: ±5 %
    Four 1.5-volt (R6/AA) batteries
    10°C to 40°C (50°F to 104°F)
    30% to 85% RH
    –20°C to 60°C (–4°F to 140°F)
    10% to 95% RH
    20 to 40 cm (7-3/4 to 15-3/4)
    110#130#200 mm (4-11/32#5-3/32#7-7/8)
    485 g(17.1 oz.) not including batteries
    Specifications are subject to change without notice.
    Model EW3111 is intended to be used for the oscillometric PRECISE
    LOGIC™measurement of systolic and diastolic blood pressure and pulse
    rate using a pressurized cuff.
    Blood pressure measurements determined with this device are equivalent
    to those obtaind by a trained observer using the cuff/stethoscope
    auscultation method, within the limits prescribed by the American National
    Standard, Electronic or automated sphygmomanometers.
    Symptom
    The systolic
    pressure value or
    diastolic pressure
    value is high.
    The systolic
    pressure value or
    diastolic pressure
    value is low.
    The measured
    values differ
    significantly.
    The measured
    value differs from
    that measured by
    the doctor.
    The measured
    value is different
    for each
    measurement.Possible cause
    •The cuff was held too low, i.e. not at heart level.
    (See page 11)
    •The cuff was not attached properly. (See page 10)
    •You moved your body or you spoke during
    measurement. (See page 11)
    •The cuff was held too high, i.e. not at heart level.
    (See page 11)
    •You moved your body or you spoke during
    measurement. (See page 11)
    •Your posture was not the same for all
    measurements, or measurements were taken
    without sufficient time in between. Always wait
    approximately 5 minutes before taking another
    reading, and above all, relax.
    •Blood pressure varies in response to minute
    changes in your mental state, such as your reaction
    to your doctor taking the measurement. One way to
    check this is to bring the unit to your doctor’s office
    and directly compare the readings taken by your
    physician.
    •Relax for at least 5 minutes and then take another
    measurement.
    If the device still appears to provide unusual or erroneous readings, consult
    your physician. If the device does not appear to be functioning properly,
    contact Panasonic at 1-800-338-0552
    .
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