Panasonic Ew Bu35 Operating Instructions
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BEFORE USE 10 English Replace batteries when : Inserting batteries Always use alkaline batteries. (4 AA-size LR6 alkaline batteries) * When replacing batteries, always use 4 fresh alkaline batteries of the same type from * the same manufacturer, and replace them simultaneously. If the product will not be used for a long time, remove the batteries. * When using the main unit with the AC adapter Be sure to use only the exclusive AC adapter (EW-2B02). 1. Insert the AC adapter plug into the connector on the side of the main unit. 2. Plug the AC adapter fully into the AC outlet. Caution when using only the AC adapter When no batteries are installed in the main unit and the AC adapter is unplugged from the AC outlet or main unit, the set date and time will be reset and deleted. (Stored data will be retained.) Because of this, even when using the AC adapter, it is recommended that batteries be installed in the main unit. 1 2 3 1. Turn the main unit over and remove the battery cover by sliding it in the direction of the arrow while pressing lightly on . 2. Check the polarity of the batteries and install them correctly, as shown. 3. Replace the battery cover and slide it closed. 1 32 The “low battery” ● indicator is displayed. No display appears even ● if is pressed. Concerning Batteries : Batteries last for approx. 500 times, which is 3 times/day for 5 months (when using Panasonic alkaline ● batteries AA cell LR6). (Under the condition that the room temperature is 73°F (23°C), 170mm Hg pressured, and the length of upper arm is 11-3/4" (30cm). ) If batteries other than alkaline batteries are used or batteries are used in a cold room, or measuring a person ● with high blood pressure, battery life may be dramatically shorter. *Use alkaline batteries. (Panasonic Oxyride batteries can also be used.) Be sure to replace batteries once a year to prevent battery leakage. ● CAUTION :Always follow the cautions printed on the batteries. ●Check the polarity of the batteries and install ● them correctly. Remove worn out batteries promptly. ● If the product will not be used for a long time, ● remove the batteries. Batteries should be used before their expiration date. ● Use after the expiration date may result in injury or staining of the surrounding area due to generation of heat, bursting, or leakage. BU35.indb 102011/06/14 14:28:15
11 BEFORE USE English 3. Adjust the "month" --> " date" --> "hour" --> "minutes" by repeating procedures in step 2. 4. Press to complete the settings. This setting cannot be completed by ● pressing before adjusting the "hour" and "month". Be sure to press after adjusting the "hour" and "month" to complete settings. The set time will disappear after 5 seconds. ● To reset, perform the procedures in * step 1. to 4. 1. Hold (for 3 seconds or longer). "year (2011)" will fl ash. 2. Adjust the "year". (1) Press to set the desired number. (2) Press to complete the setting. Setting range for years is from 2011 to ● 2050. Setting the time and date Set the date and time before selecting the OFF/ON & START button. * Be sure to set the date and time before taking the fi rst measurement after purchasing * the blood pressure monitor or after changing the batteries. During setting, if no button is pressed for 5 minutes or more, the clock will be * displayed as "-:--", and the power will be off without saving any settings. It is also possible to perform measurement and recording even under this circumstance. However, the record will not include any time information. Hold "year" "month" mm/dd "date" "hour" "minutes" Adjust the fl ashing numbers sequently Complete setting Adjust numbers BU35.indb 112011/06/14 14:28:17
BEFORE USE 12 English Wrapping the cuff 1. Insert the cuff plug into the cuff socket all the way in. The cuff can be used on either upper arm. This section shows an example of wrapping the cuff on the left arm.The difference in blood pressure between left and right arm may be around 10 * mm Hg . Be sure to always use the same arm. It is recommended to use the arm with the higher blood pressure. 2. Fit the cuff to the upper arm. Fit the preformed cuff onto the upper arm ● with the direction mark at the inner side. Wrap the cuff on bare skin. ● 3. Wrap the cuff. Align the tube pointing toward the middle ● finger. Align the rotating part of the tube to the ● line extended from the middle finger. Set apart 1 inch (2 to 3cm) from the elbow ● joint. Wrap the cuff with a gap of 1 or 2 fingers. ● Be careful that the cuff is not too tight. Press the hook and loop fastener down ● well to fasten the cuff. Points when wrapping Be sure to always wrap on the same position by using the guide. (if your weight / arm circumference The cuff can be used on either upper arm. 3 2 1 Approx. 1 inch (2 to 3cm) Cuff socket hook and loop fastener did not change significantly.) Align the tube pointing toward the middle finger. BU35.indb 122011/06/14 14:28:18
HOW TO USE English 13 Sit quietly and relax while taking measurements. Take a measurement while sitting at a desk and positioning the cuff at heart level as shown in the image below. Differences in height will cause differences in measured blood pressure values. * Getting into the measurement position 1. Place the elbow on the table or on something similar. 2. Align the height of the cuff to the heart. 3. Relax with your palm facing up. HOW TO USE In the following situations, measurements might be abnormally influenced.Within 1 hour after eating or drinking alcohol ● Immediately after drinking coffee or tea, or smoking ● In a moving vehicle ● Immediately after exercising or taking a bath (Wait at least 20 minutes and take a ● measurement while staying quiet.) In cold places (Take measurements at room temperatures around 68 °F (20 °C).) ● When you need to urinate (Wait several minutes after urinating before taking ● measurements.) Be sure to comply with the following points for accurate measurements. Not following these points may make it impossible to obtain meaningful measurements: Do not move your body, arm, or fingertips. ● Do not touch the main unit or the cuff during measurement. ● Do not talk. ● Do not use devices emitting strong signals, such as cellular phones, near the main ● unit. The measurement may not be performed correctly due to the signal and this may lead to malfunctions. Use the same upper arm with the same posture at the same time every day. We recommend three measurements a day. First··· Upon Waking (Because, with almost no influence from body movements, the blood pressure is closest to that at night.) Second··· Before Lunch (Because, with no influence from the meal, it provides blood pressure values close to the highest of the day.) Third··· At Bedtime (So as to obtain data close to your average blood pressure values during the day.) This way, by taking measurements morning, noon and night, you can use the unit to learn the patterns of and monitor your blood pressure. BU35.indb 132011/06/14 14:28:18
HOW TO USE English 14 2. To store the measured values. press. " ●" will go from flashing to being steadily lit. The memory number, measurement date, ● and time are alternately displayed. If you do not press ● , the unit will shut down automatically after approx. 5 minutes. 1. Press . After the entire display has been lit, the cuff will be pressurized and measurement will be taken automatically. The pressure value and the time will be ● displayed. The ● mark will flash and the unit will beep with the pulse, detected during pressurization. After the measurement is completed, the unit will beep, and the blood pressure value and pulse rate will be displayed. * It will beep 4 times. " ● " and the graph "" are blinking. For how to see the graph, refer to page 16. According to the measurement result, ● safety/warning indicators may be displayed. For details, refer to page 15, 16. Taking a reading (Measuring/Recording measurements) This unit can store a maximum of 270 measurement values. ● When exceeding 270 stored measurements, stored data will be overwritten, ● beginning with the oldest data. Finish Start 3. To complete the measurement, press . Memory Please start taking a reading under the condition that the power is off. BU35.indb 142011/06/14 14:28:21
HOW TO USE English 15 About each indicators To perform a correct measurement, this unit provides a movement detection function and an irregular pulse warning function. When the indicators appear, the correct measurement might not have been obtained. If any indicator appears, it is recommended to repeat the measurement. Stay calm and relax for four to five minutes, before perfoming a new measurement. The " *" and "" indicator will be recorded together with the measurement value. Irregular pulse warning function Movement detection function The movement detection function is to indicate, with , extra pressure on the cuff caused by movements of the arm during the measurement. When movement is detected and the measurement is completed, the indicator is displayed after flashing for approx. 6 seconds. If the pulse rate varies by more than ±25 % from the average while a measurement is being taken, will be displayed when the measurement is completed. The indicator is displayed after flashing for approx. 6 seconds. If the indicator is displayed an irregular pulse rate is detected, which is not necessarily caused by arrhythmia. Don’t try to interpret readings or attempt to treat any condition yourself. Always ● follow the guidance of a health professional. However if this indicator continues to display, consult your physician. ● Advice: In general, blood pressure measurements are lower for the second measurement because you are less nervous and are more tranquil. For people who easily get tense, measuring twice each time is very effective. It is recommended to store all values when performing two measurements or more. When taking two measurements, always stay quiet for 4 to 5 minutes after the first measurement before taking the second measurement. If the movements exceed acceptable levels, no reliable measurement can be performed and the error message "U 12" will be displayed. BU35.indb 152011/06/14 14:28:22
HOW TO USE English 16 SYS DIA Reading the blood pressure display If 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 mm Hg (Dia.) are considered to constitute high blood pressure. Blood pressure is not a fixed parameter! The blood pressure fluctuations of this example of a day profile show why a single value is not suitable for diagnosis and therapy. For people with high blood pressure a fluctuation of up to 50mmHg within the course of a day can occur. Blood pressure readings will flash for approx. 5 seconds when in the high blood pressure range. The range of high blood pressure is as follows: Systolic blood pressure: 140 mm ● Hg and over Diastolic blood pressure: 90 mm ● Hg and over (mm Hg ) Systolic 120 140 80 90 (mm Hg ) Diastolic Hypertension (Stage 1, Stage 2) Prehypertension Normal Going to sleep Waking up BU35.indb 162011/06/14 14:28:23
HOW TO USE English 17 When the unit is turned off, saved readings can be recalled. 1. Press . The latest record will be displayed. 3. To complete the measurement, press . The power will be switched off automatically after approx. 30 seconds even though without pressing . 2. To display previous data, press again. New data will be displayed every time ● when pressing . Recalling readings from memory All of the stored measurements can be deleted. The data cannot be deleted individually. Recall stored data using 1. . Press 2. again and hold it (for approx. 3 seconds) until all readings are deleted. If everything has been deleted, "000" will be displayed. Deleting all data stored in memory "Latest" "Previous" "Second to last" BU35.indb 172011/06/14 14:28:24
HOW TO USE English 18 The data can be recalled after recording or when the power is off .Correct comparison cannot be done if the date/time is set incorrectly. * Comparison cannot be displayed without data. * Comparing with old measurements ► Monthly Average (All) ► Weekly Average (All)(A.M)(P.M) ► All Data (All)(A.M)(P.M) The average measurement from 1 to 4 ● months ago, 6 months ago, 9 months ago, and 12 months ago (displayed as " " ) can be compared with the latest one (displayed as " "). The blinking point moves backward with ● every press of . Comparison cannot be displayed without ● data. The average measurement from 1 to 4 ● weeks ago, 6 weeks ago, 9 weeks ago, and 12 weeks ago (displayed as " " ) can be compared with the latest one (displayed as " "). The measurement can be switched ● between All, AM and PM. The blinking point moves backward with ● every press of . Comparison cannot be displayed without ● data. Monthly average (All) Weekly average (All, AM, PM) 1.The displayed graph can be switched.2.Confi rm the previous data. The blinking point moves ● backward with every press of the button. The measurement of the blinking ● point is also displayed. *This display shows the case of "AM". BU35.indb 182011/06/14 14:28:26
HOW TO USE English 19 Whether the systolic and diastolic blood pressure values are in the high blood pressure region or normal blood pressure region is judged based on the JNC 7 Trend Graph (Upper: Systolic blood pressure) Orange180mm Hg and over Hypertension (severe) 160mm Hg to 179mm Hg Hypertension (moderate) 140mm Hg to 159mm Hg Hypertension (mild) Yellow 120mm Hg to 139mm Hg Borderline Green less than 120mm Hg Normal blood pressure Trend Graph (Lower: Diastolic blood pressure) How to read the graphs All data (All, AM, PM) The recorded measurement (displayed ● as ) can be compared with the latest one (displayed as ). The measurement can be switched ● between All, AM and PM. The blinking graph moves backward ● with every press of . (Maximum 270) The latest measurement is always ● displayed at the right side of the graph. Orange 100mm Hg and over Hypertension (severe, moderate) 90mm Hg to 99mm Hg Hypertension (mild) Yellow 80mm Hg to 89mm Hg Borderline Green less than 80mm Hg Normal blood pressure *This display shows the case of PM. AM (3:00 AM to 11:00 AM)PM (6:00 PM to 2:59 AM) Comparing with old measurements (continued) BU35.indb 192011/06/14 14:28:27