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Instruction Manual

Wrist Type

Blood Pressure Monitor

Model BPM180

This manual and product are not meant to be a substitute for advice provided by

your doctor or other medical professional. You are not to use the information

contained herein, or this product for diagnosing or treating a health problem or

prescribing any medication. If you have or suspect that you have a medical

problem, promptly consult your healthcare provider.

The device is designed for non-invasive measurements and monitoring of adults’

arterial blood pressure. It measures human's systolic blood pressure, diastolic blood

pressure and heart rate on wrist by oscillometric measurement method.

The device is recommended for use by people over the age of 18 and is for home

use and not clinical use.

Blood Pressure Monitor Intended Use

*Attention!

To operate the device properly and get the best result from it, please read the

Instruction Manual thoroughly before you begin measuring and keep it carefully

so that you can access and consult it at any time.

Medical Disclaimer

1-1. What is blood pressure ?

1. About Blood Pressure

Having one's blood pressure measured by a doctor in a hospital or a clinic, and a

group health checks, tends to stimulate nervousness in the subject and may even

create high blood pressure, blood pressure also varies in accordance with a variety of

conditions and so judgment is not possible on the basis of a single measurement.

The blood pressure measured first thing in the morning after getting up, before taking

any food and with the subject still, is known as the fundamental blood pressure. In

practice it is rather difficult to record the fundamental blood pressure, but to come as

near as possible to measuring the blood pressure in an environment that is close to

this is why it is useful to take the measurement at home.

Blood pressure is a measurement of the force of blood flowing against the walls of

the arteries. Arterial blood pressure is constantly changing during the course of the

cardiac cycle. The highest pressure in the cycle is called the systolic blood pressure

and the lowest is the diastolic blood pressure. Both of pressure readings, the systolic

and the diastolic, are necessary to enable a physician to evaluate the status of a

patient's blood pressure. Many factors such as physical activity, anxiety or the time of

day can influence your blood pressure. Blood pressure is typically low in the morning

and increases from the afternoon to the evening. It is lower in the summer and higher

in the winter.

1-2. Why is it useful to measure blood pressure at home?

A. WHO blood pressure classiﬁcations

Standards for assessment of high or low

blood pressure without regard to age, have

been established by the World Health

Organization (WHO), as shown in the chart.

Optimal

Normal

High normal

Mild hypertension

Moderate hypertension

Severe hypertension

120 130

100

105

110

140 150 160 170 180

* Figure No.1

B. Variations in blood pressure

* Figure No.2

Individual blood pressures vary greatly

both on a daily and a seasonal basis.

These variations are even more pronounced in hypertense patients.

(Hypertense: means a person who has high blood pressure symptom.)

Normally the blood pressure rises while at work

and is at its lowest during sleeping period. The

graph below illustrated the variations in blood

pressure over a whole day with measurement

taken every five minutes. (The thick line

represents sleep. The rise in blood pressure at 4

PM <A in the graph> and 12 PM <B in the

graph> correspond to an attack of pain.)

● Please rest for at least 5 ~ 10 minutes before taking the measurement.

● To allow your blood vessels to return to the condition prior to taking the measurement,

please wait at least 3 ~ 5 minutes between measurements. You may need to adjust the

wait time according to your personal physiological situation.

● If you have one of the circulatory problems as arteriosclerosis, diabetes, liver disease,

kidney disease, severe hypertension, peripheral circulation......, please consult your doctor

or healthcare professional before using the devices.

● Blood pressure measurements should be interpreted by a physician or trained health

professional who is familiar with one's medical history. By using the unit regularly and

recording the results for the physician to interpret, one can keep physician informed of the

continuing trends in one's blood pressure.

● Wind the cuff snugly around your wrist and the cuff must be at the same level as your heart.

● Do not move the unit during measurement, or the proper measurement will not be achieved.

● Take measurement in a relaxed position without talking.

● Do not wind the cuff over jacket or sweater sleeve, or measurement cannot be done.

● Keep in mind that blood pressure naturally varies from time to time throughout the day and

also is affected by lots of different factors such as smoking, alcohol consumption, medication

and physical activity.

2. Important information before use of the unit

● People with a condition that causes circulatory problems (diabetes, kidney disease,

arteriosclerosis or poor peripheral circulation) may get lower readings with this

monitor than with a blood pressure monitor that is used on the upper arm.

Please consult your physician to determine if your wrist blood pressure

accurately reflects your actual blood pressure.

● Blood pressure measurements taken with the unit are

equivalent to those obtained by a trained observer using the

cuff / stethoscope auscultation method and are within the accuracy

limits prescribed by the American National Standard for Electronic

or Automated Sphygmomanometers.

● Wait 30 ~ 45 minutes before measurement if you have just consumed

caffeinated beverages or smoked cigarettes.

● We recommend you to use the same wrist (preferably the left wrist) and to

measure around the same time each day.

4-2. Irregular Heartbeat Detector (IHB)

*NoteΜ

● Any irregular heartbeat detected will not be stored in the memory.

The appearance of this symbol, , signifies that a certain pulse irregularity was

detected during the measurement. Talking, moving, shaking or an irregular pulse

during the measurement can result in the appearance of this icon. Usually this is not

a cause for concern, however if the symbol appears often, we recommend you seek

medical advice. Please note that the device will not replace a true cardiac examination,

but serves to detect pulse irregularities at an early stage. As a safeguard, we

recommend that if you have arrhythmias such as atrial or ventricular premature beats

and atrial fibrillation or any other special conditions you should check with your

physician before using your BPM.

The hearbeat rhythm that is more than or less than 25% from the average heart beat

intervals is usually defined as an irregular heartbeat rhythm.In order to filter the unstable

status of user and avoid affecting the detection of heart rate from any movement,

shaking or talking in the begining of measurement, the method of averaging heart beat

intervals of subject device is calculated with the three proper heart beat pulses detected

in the begining of measurement and that is different from a strict mathematical

averaging of all recorded intervals.At least 3 beats with at least 25% difference from the

average heart beat interval will generate the IHB symbol on the LCD.

*Note!

When a person’s systolic and diastolic pressures fall into different

categories, the higher category should apply.

e.g. systolic pressure 181 & diastolic pressure 99 the result should

be in Red category (Severe hypertension)

systolic pressure 110 & diastolic pressure 95 Yellow category

(Mild hypertension)

When the low battery symbol appears on the display, please change the batteries.

Replace all the batteries with new ones and do not mix new and old batteries. Do not mix

alkaline, standard (carbon-zinc) or rechargeable (cadmium) batteries either. It may shorten

the battery life or cause the device to malfunction. Remove the battery cover at the side of

the unit and insert 2 pieces

AAA alkaline batteries into

the battery compartment.

Make sure the polarities

“+” and “–“ ends are

properly positioned.

5. Inserting/ Changing Batteries

* Figure No.5

*Attention!

● Batteries are hazardous waste. Do not dispose them together with the

household garbage. Please take the used batteries to the recycling collection

point according to your local regulations.

● Keep the battery away from small children.

● To prolong the battery life and prevent damage caused by leakage, remove

the batteries from the device if the device is not to be used for a long period.

● Memories (if any) will not be deleted during battery replacement.

● After replacing the batteries, reset the year, date and time.

WHO

SYS.

MEM

START

STOP

mmHg

DIA.

mmHg

Pulse

/mim.

Optimal

Red

Orange

Yellow

Green

Normal

High normal

Mild hypertension

Moderate hypertension

Severe hypertension

120 130

100

105

110

140 150 160 170 180

WHO

LCD DISPLAY

START/STOP BUTTON

RECALL MEMORY

BUTTON

WRIST CUFF

CARRYING CASE

ALKALINE

BATTERIES

UM-4 (AAA) 1.5V x 2

* Figure No.3

3-1. Name of the parts

3. Device Description

SETTING BUTTON

FUNCTION BUTTON

3-2. Description of display symbols

* Figure No.4

4. Main feature:

4-1. WHO Indicator

This device is equipped with WHO Blood Pressure Indicator which classifies your

blood pressure measurements into six stages (Optimal to Severe hypertension)

based on WHO classication on blood pressure levels as shown in below chart:

After each measurement is completed, the LCD display will show your position

automatically on the six segments of the bar indicator which corresponds to WHO

Blood Pressure Indicator.

*Source: WHO, 1999

Stages of blood pressure levels Systolic (in mmHg) Diastolic (in mmHg)

Grade 3

Grade 2

Grade 1

Severe hypertension

Moderate hypertension

Mild hypertension

≥180

160~179

140~159

130~139

120~129

<120

High-normal

Normal

Optimal

≥110

100~109

90~99

85~89

80~84

<80

HOUR: MINUTE SYSTOLIC PRESSURE

MEASUREMENT AVERAGE

BLOOD PRESSURE UNIT

DIASTOLIC PRESSURE

HEART RATE

WHO PRESSURE

INDICATOR

MONTH/ DATE

LOW BATTERY

MEMORY NUMBER

IRREGULAR HEARTBEAT

SYMBOL

* Figure No.6

6. Attaching Pressure Cuff

6-1. Do not place the pressure cuff over a jacket or sweater

sleeve. Wrap the pressure cuff around the bare wrist with

the monitor facing you.

6-2. Wrap the cuff snugly. Do not make it too tight.

Fold the remaining part of the cuff back out of the way.

6-3. Leave approximately 10 mm (Approx. 0.4 inch) between

the cuff and the bottom of your hand palm.

* Figure No.7

7-1. To get accurate measurements, make sure the cuff is at the same

height as the heart.

Having the cuff higher or lower may cause inaccurate results.

7-2. Measurement while sitting down:

A. Place your elbow on a table or other object (such as the carrying case).

B. Use the armrest to position the arm so that the pressure cuff is at

the same height as the heart.

C. Relax your hand with the palm facing up.

7. Correct Measurement Position

*Note!

● Do not use this device if your wrist has any wound or injury.

● Do not wrap the cuff around any body part other than your wrist.

0.4” (10 mm)

135 ~ 195 mm

8-1. Inserting batteries in position:

8. How to Measure

A. Open battery cover.

B. Refer to the picture in positioning batteries. (Figure No.5)

C. All segments will appear on the display in 3 seconds.

8-2. Setting Date and Time:

A. Press " " button ("year" starts flashing). Press " + " button to set the current

year.

B. Press " " button ("month" starts flashing). Press " + " button to set the current

month.

C. Press " " button ("date" starts flashing). Press " + " button to set current date.

D. Press " " button ("hour" starts flashing). Press " + " button to set current hour.

E. Press " " button ("minute" starts flashing). Press " + " button to set current

minute.

F. Press " " button to save the settings.

8-3. Steps to take blood pressure measurement:

A. Press " + " button to select a particular

memory zone (1,2, or 3).

B. Press "START/STOP" button to start measurement.

The monitor will automatically inflate to the level that is right for you.

*Note!

When taking repeat measurements, make sure to select the same memory

zone so that the measurements are recorded in the appropriate memory.

C. After inflation of the cuff, the pressure will slowly decrease and when a

pulse is detected, the SYMBOL will start flashing.

*Note!

If the cuff does not stop inflating, remove the cuff at once.

c. Press "MEM" button. The latest measurement data will appear with the number as well as

the recording date and time. Data are recalled from the latest measurement to the oldest.

d. Press "MEM" button to read the next measurement data.

e. To stop reading the memories, press the "START/STOP" button.

D. When the measurement is finished, the systolic pressure, diastolic pressure, heart

rate and WHO INDICATOR SYMBOL will be displayed for 1 minute.

E. The monitor will automatically shut off after 1 minute if without any operation.

8-4. Storing, recalling, and erasing measurement data:

A. Storing data:

After each measurement, the systolic and diastolic pressure, heart rate with the time and

date will be automatically stored. The monitor features a 3 zone memory capability. Each

memory zone holds the last 40 measurements, replacing the oldest data with new one.

B. Recalling data:

a.Press " + " button to select the memory zone.

b. Press "MEM" button to enter MEMORY MODE. The average of last 3 measurement

readings will first appear on the display.

*Note!

● If there is no data in the selected memory zone, nothing (except month, date, time and memory

zone) will appear on the display.

● If there is one data in the selected memory zone, the measurement data will appear on the display.

● If there are 2 data in the selected memory zone, the average of the 2 data will appear on the display.

C. Erasing data:

a. Press " + " button to select the memory zone (1, 2 or 3), then press "MEM" button.

b. Press and hold " + " and " " buttons simultaneously, all stored data ,

including the average reading, in the selected memory zone will be erased.

c. To confirm the data has been erased, press "MEM" button, no data

(except month, date, time and memory zone number) should appear.

9. Maintenance

9-1. Clean the device body, case and the cuff carefully with a clean, soft and slightly dampened cloth and

then wipe them dry with another piece of dry cloth.

9-2. Do not use thinner, alcohol, petrol (gasoline) or any strong cleansers to clean.

9-3. Do not wash the cuff or make it wet, and never use chemical cleaner on it.

9-4. Do not in any way twist the cuff.

9-5. Make sure no water will enter the main unit.

9-6. When the unit is not to be used for a long time, remove the batteries. (Leaking of battery liquid can

cause damage.)

9-7. Do not attempt to disassemble or change any parts of the monitor, including cuff.

9-8. If any suggestion or service is requested please consult your service station.

9-9. Do not place the item directly under the sunlight, in high temperature, or humid and dusty places.

9-10. Do not store in extremely low (less than - 20 °C/ -4 °F) or high (more than 70 °C/ 158 °F) temperature.

Display mark Corrective action

Battery symbol

Measurement in progress.

Do not move or talk.

Replace all two batteries with new ones.

Insert the batteries in correct polarities.

Pulse

symbol

Flashes on the LCD when pulse is

detected during measurement.

Condition/Cause

Appears when the battery voltage is

excessively low.

IHB symbol

Repeat the measurement.

Relax for at least 5 minutes and sit comfortably

and quietly before you restart a measurement.

Appears for 1 minute when the user was

talking, moving or shaking or an irregular

heart beat was detected during measurement.

10. Display Messages/Troubleshooting

Model Number

Method of Measurement

Range of Measurement

Accuracy

Inflation

Exhaust

Display

Dimension

Unit Weight

Sets of Memory

Cuff Size

Operating Conditions

Storage Conditions

Power Supply

Battery Life

Accessories

BPM180

Oscillometric

Pressure 0 ~ 300 mmHg,

Pulse 40 ~ 199 beats/minute

Pressure +/- 3 mmHg, Pulse +/- 5%

Automatic inflation (Air Pump)

Automatic exhaust valve

Liquid Crystal Display

6.6 x 3.1 x 6.9 cm (L x W x H)

Approx. 140 g (including battery)

3 databases of 40 memory each = total 120 sets

Wrist circumference approx. 135 ~ 195 mm

+10 °C to + 40 °C, less than 85% R.H.

- 20 °C to + 70 °C, less than 85% R.H.

AAA (1.5 V) Alkaline battery x 2

Approx. 250 times measurement

Carrying case, instruction manual, 2pcs”AAA” (1.5 V) battery

These specications are subject to change without notice for purpose of improvement.

11. Speciﬁcations

0197

This blood pressure monitor complies with the EC Directive and bears the CE

mark “CE0197”. This blood pressure monitor also complies with mainly

following standards,(included but not limited)

Safety standard:

EN 60601-1 Medical electrical equipment part 1: General requirements for safety

EMC standard:

EN 60601-1-2 Medical electrical equipment part 1-2: General requirements for safety- Collateral

standard: Electromagnetic compatibility- Requirements and tests

Performance standards:

EN 1060-1 Non-invasive sphygmomanometers - General requirements

EN 1060-3 Non-invasive sphygmomanometers - Supplementary requirements for

electromechanical blood pressure measuring systems.

EN 1060-4 Non-invasive sphygmomanometers - Test procedures to determine the overall

system accuracy of automated non-invasive sphygmomanometers.

Note

● To ensure precise measurement reading,

recalibration of the device is recommended

after 2 years from the date of purchase.

Shipping plus handling cost and recalibration

service fee shall be charged accordingly.

Important /Note! Read the operating

instructions.

Consult instructions thoroughly before

use.

Classification:

- Internally powered equipment

- BF type applied part

- IPX0

- Not suitable for use in presence of

flammable anaesthetic mixture with

air or with Oxygen or nitrous oxide

- Continuous operation with short-time

To avoid inaccurate results caused by

electromagnetic interference between

electrical and electronic equipments, do

not use the device near a cell phone or

microwave oven.

Discard the used product to the recycling

collection point according to local

regulations.

Authorized Representative in the

European Community

EMERGO EUROPE

Molenstraat 15, 2513 BH,

The Hague, The Netherlands

TEL : +31-70-3458570

FAX : +31-70-3467299

Manufacturer:

HEALTH & LIFE Co., Ltd.

9F, No. 186, Jian Yi Road,

Chung Ho City 235, Taipei, Taiwan

Distributor:

Sabre Nederland b.v.

Ellermanstraat 23

1099 BX Amsterdam the Netherlands

Indicates the average of last 3

measurements.

Indicates the measurement number.

Measurement Error:

Air Circuit Abnormality:

Error Determining Measurement Data:

Pressure Exceeding 300 mmHg:

Measure again. Wrap the cuff correctly and keep wrist

steady during measurement.

Measure again.

Turn the unit off to clear, then measure again.

Measurement

avgerage symbol

Measurement

number

symbol

Measuring

error symbol

Measuring

error symbol

Measuring

error symbol

Measuring

error symbol

P/N: 323101287 VER:001

Produktspecifikationer

Varumärke:	Cresta
Kategori:	Blodtrycksmätare
Modell:	BPM180
Färg på produkten:	Rood
Vikt:	5500 g
Bredd:	250 mm
Djup:	260 mm
Höjd:	1080 mm
Användarmanual:	Ja
Tvättbart filter:	Ja
Avtagbart filter:	Ja
Kraftkälla:	Batterij/Accu
Luftfiltrering av dammsugare:	HEPA
Smutsavskiljningsmetod:	Cyclonaal/filtering
Typ av rengöring:	Droog
Laddningstid:	3.5 uur
Typ av dammsugare:	Zakloos
Torr smuts:	0.6 l
Varaktighet:	50 min
Batteri/Batterispänning:	- V
Zuigstang:	Ja
Rengör ytor:	Carpet, Hard floor
Laddnings station:	Ja
Rulleborste:	Ja
Rengöringsborste:	Ja
Batterier-ingår:	Ja
Batteriteknik:	Lithium-Ion (Li-Ion)