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Omron R3-1 Plus User's Manual
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1. Wrist Blood Pressure Monitor Model R3 Plus Instruction Manual EN e Mode d emploi FR e Gebrauchsanweisung DE e Manuale di istruzioni e Manual de instrucciones ES e Gebruiksaanwijzing e PYKOBOICTBO NO SKCNAYATALIUN QO yeh ciali NI iS AR A Good Sense of IM HEM 6022 E 02 08 08 5320469 9B Contents Before using the unit Introduction cccccceeseeeeeeeeeeeneeeeeeeeeeeeeenees 3 Important Safety Information 4 1 OVEFVIEW iii 6 2 Preparation uii ci 8 2 1 Installing Replacing the Batteries 8 2 2 Setting the Date and Time 10 Operating instructions 3 Using the Unit 12 3 1 Applying the Wrist Cuff 12 3 2 Correct Posture 15 3 3 Taking a Reading 16 3 4 Using the Memory Function 20 4 Quick Reference Guide 23 Care and maintenance 5 Handling Errors and Problems 24 5 1 Error Messages 24 5 2 Troubleshooting 25 6 Maintenance and Storage 27 7 Technical Data r1 29 8 Some Useful Information about Blood Pressure 2rrrrrarrenna 32 Introduction Thank you for purchasing the OMRON R3 I Plus Wrist Blood Pressure Monitor This remarkable compact and easy to use instrument is i
2. 32 8 Some Useful Information about Blood Pressure 200 Upper curve systolic blood pressure Lower curve diastolic blood pressure Time of day Example fluctuation within a day male 35 years old Classification of Blood Pressure by the World Heath Organization The World Health Organization WHO and the International Society of Hypertension ISH developed the Blood Pressure Classification shown in this figure Systolic blood pressure mmHg A Severe hypertension 180 Moderate hypertension 160 Mild hypertension 140 Normal systolic value 130 Normal blood pressure 120 Optimal blood NE pressure Diastolic target value blood pressure 80 85 90 100 110 mmHg This classification is based on the blood pressure values measured on people in a sitting position in outpatient departments of hospitals There is no universally accepted definition of hypotension However those having the systolic pressure below 100 mmHg are assumed as hypotensive 33 8 Some Useful Information about Blood Pressure Manufacturer OMRON HEALTHCARE CO LTD 24 Yamanouchi Yamanoshita cho Ukyo ku Kyoto 615 0084 Japan EU representative OMRON HEALTHCARE EUROPE B V Kruisweg 577 EC 2132 NA Hoofddorp The Netherlands www omron healthcare com Production facility OMRON DALIAN CO LTD Economic amp Technical Development Zone Dalian 116600 China Subsidiary OMRON HEALTHCARE UK LT
3. display may still be flashing To confirm settings and shut off the unit press O I START button Note The unit will automatically turn itself off after you press the SET button to confirm the minute setting when the batteries are installed for the first time 11 3 Using the Unit 3 1 Applying the Wrist Cuff You can take a measurement on either your left or right wrist Notes You can take a measurement on either your left or right wrist The blood pressure can differ between your right and left wrist and therefore also the measured blood pressure values can be different Omron recommends to always use the same wrist for a measurement If the values between the two wrists differ substantially please check with your doctor which wrist to use for your measurement To ensure correct measurement apply the wrist cuff so that it fits comfortably around your wrist e Roll up your sleeve so that the unit covers bare skin Do not apply over clothing Taking a reading on the left wrist 1 Place the wrist cuff over your left wrist with your left thumb facing upward Note Make sure that the wrist cuff does not cover the protruding part of the wrist bone ulna on the outside of the wrist 12 3 Using the Unit Hold the bottom part of the wrist cuff and wrap it around the wrist while pulling so that it fits comfortably Note Unless the wrist cuff is wrapped securely around the wrist it may not be possi
4. not use mobile cellular telephones and other devices which generate strong electrical or electromagnetic fields near the medical device This may result in incorrect operation of the unit and create a potentially unsafe situation Recommendation is to keep a minimum distance of 7 m Verify correct operation of the device in case the distance is shorter Further documentation in accordance with EN60601 1 2 2001 is available at OMRON Healthcare Europe at the address mentioned in this instruction manual Documentation is also available at www omron healthcare com Correct Disposal of This Product Waste Electrical amp Electronic Equipment This marking shown on the product or its literature indicates that it should not be disposed of with other household wastes at the end of its working life To prevent possible harm to the a environment or human health from uncontrolled waste disposal please separate this from other types of wastes and recycle it responsibly to promote the sustainable reuse of material resources Household users should contact either the retailer where they purchased this product or their local government office for details of where and how they can take this item for environmentally safe recycling Business users should contact their supplier and check the terms and conditions of the purchase contract This product should not be mixed with other commercial wastes for disposal This product does
5. D Opal Drive Fox Milne Milton Keynes MK15 0DG United Kingdom OMRON Medizintechnik Handelsgesellschaft mbH John Deere Str 81a 68163 Mannheim Germany www omron medizintechnik de OMRON SANT FRANCE SAS 14 rue de Lisbonne 93561 Rosny sous Bois Cedex France 34 Made in China
6. ble to take correct measurements Smooth the cuff with your fingers to ensure that it fits snugly around the wrist Notes If the fastener is not wrapped securely around your wrist the cuff may slip during measurement If you have a slender wrist the cuff may feel slightly loose However this will not affect measurement results and you should not force the cuff to fit The remaining part of the wrist cuff can be conveniently folded back out of the way If the remaining part of the cuff is difficult to fold back measurement results will not be effected 3 Using the Unit Taking a reading on the right wrist Measurements can also be made on the right wrist Fit the unit on the right wrist as shown 14 3 Using the Unit 3 2 Correct Posture Correct posture during measurement helps you get accurate results You should also try to measure your blood pressure at the same time each day Notes Do not take measurements after bathing drinking alcohol smoking exercising or eating Do not move or talk during measurement Sit comfortably with your back straight hold your arm across your chest and relax Position your arm so that the unit is at the same level as your heart height of a nipple Do not use your other hand to support the wrist cuff This can result in inaccurate measurement results Relax your wrist and hand Do not bend Do not clench Do not bend
7. cuff or exposing the cuff or unit to water Disassembling the unit e Subjecting the unit to strong shocks or vibrations Dropping the Unit Cleaning the unit with volatile liquids THE UNIT SHOULD BE CLEANED WITH A SOFT DRY CLOTH Use a soft moistened cloth and soap to clean the cuff EN Keep the unit in its storage case when not in use Fold the cuff into the storage case Do not store the unit in the following situations If the unit is wet Locations exposed to extreme temperatures humidity direct sunlight dust or corrosive vapours e Locations exposed to vibrations shocks or where it will be at an angle Locations exposed to chemicals or corrosive vapours 27 6 Maintenance and Storage Calibration and Service e The accuracy of this blood pressure monitor has been carefully tested and is designed for a long service life It is generally recommended to have the unit inspected every two years to ensure correct functioning and accuracy Please consult your authorised OMRON dealer or the OMRON Customer Service at the address given on the packaging or attached literature If the wrist cuff needs to be replaced have this done by an authorised expert Consult your authorised OMRON dealer or the OMRON Customer Service Do not carry out any repairs by yourself If a defect occurs or you have doubts about the correct functioning of the device consult your authorised OMRON dealer or the OMRON Cu
8. deal for people who frequently monitor their own blood pressure The small pre formed wrist cuff is very convenient and easy to apply With a push of a button the OMRON Wrist Blood Pressure Monitor measures your blood pressure and pulse and displays the reading on a clear digital panel Perfect for quick easy readings at home at work and while travelling It also stores up to 60 sets of measurements in memory and displays an average reading based on the three most recent measurements taken within 10 minutes of the last reading If there are only two readings in memory for that period the average will be based on two readings If there is one reading in memory for that period the average will be based on one reading The OMRON Wrist Blood Pressure Monitor uses the oscillometric method of blood pressure measurement This means the unit detects the pulse wave vibrations in the artery of your wrist and converts the oscillations into a digital reading Clinical research has proven a direct relationship between blood pressure in the wrist and blood pressure in the arm Changes in wrist blood pressure reflect changes in arm blood pressure because the arteries in the wrist and the arm are connected Frequently measuring the blood pressure in your wrist will provide you and your doctor with an accurate indication of changes in your true blood pressure Please read this instruction manual thoroughly before using the unit For specific in
9. ed batteries should be carried out in accordance with the national regulations for the disposal of electronic products A ws CE0197 tm This device fulfils the previsions of EC directive 93 42 EEC Medical Device Directive This blood pressure monitor is designed according to the European Standard EN1060 Non invasive sphygmomanometers Part 1 General Requirements and Part 3 Supplementary requirements for electromechanical blood pressure measuring systems 30 7 Technical Data Important information regarding Electro Magnetic Compatibility EMC With the increased number of electronic devices such as PC s and mobile cellular telephones medical devices in use may be susceptible to electromagnetic interference from other devices Electromagnetic interference may result in incorrect operation of the medical device and create a potentially unsafe situation Medical devices should also not interfere with other devices In order to regulate the requirements for EMC Electro Magnetic Compatibility with the aim to prevent unsafe product situations the EN60601 1 2 standard has been implemented This standard defines the levels of immunity to electromagnetic interferences as well as maximum levels of electromagnetic emissions for medical devices This medical device manufactured by OMRON Healthcare conforms to this EN60601 1 2 2001 standard for both immunity and emissions Nevertheless special precautions need to be observed Do
10. electromagnetic fields near the unit This may result in incorrect operation of the unit Do not operate unit in a moving vehicle car airplane Battery Usage If battery fluid should get on your skin or clothing immediately rinse with plenty of clean water Use only two AAA alkaline batteries with this unit Do not use other types of batteries Do not insert the batteries with their polarities incorrectly aligned Replace old batteries with new ones immediately Replace both batteries at the same time Remove the batteries if the unit will not be used for three months or more e When the batteries are replaced you may need to reset the date and time If the year is flashing on the display screen refer to 2 2 Setting the Date and Time Do not use new and used batteries together General Safety Precautions Do not inflate the wrist cuff when it is not wrapped around your wrist Do not apply strong shocks and vibrations to or drop the unit Do not take measurements after bathing drinking alcohol smoking exercising or eating Do not wash the wrist cuff or immerse it in water Read and follow the Important information regarding Electro Magnetic Compatibility EMC in the Technical Data Section e Read and follow the Correct Disposal of This Product in the Technical Data Section when disposing of the device and any used accessories or optional parts Save these ins
11. formation about your own blood pressure CONSULT YOUR DOCTOR Important Safety Information Consult your doctor during pregnancy arrhythmia and arteriosclerosis People with poor peripheral circulation may find that results for measurements taken at the wrist vary from those taken on the upper arm Please read this section carefully before using the unit A Warning Indicates a potentially hazardous situation which if not avoided could result in death or serious injury General Usage e Always consult your doctor Self diagnosis of measurement results and self treatment are dangerous People with severe blood flow problems or blood disorders should consult a doctor before using the unit Cuff inflation can cause internal bleeding Battery Usage If battery fluid should get in your eyes immediately rinse with plenty of clean water Consult a doctor immediately A Caution Indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury to the user or patient or damage to the equipment or other property General Usage Do not leave the unit unattended with infants or persons who cannot express their consent e Do not use the unit for any purpose other than measuring blood pressure Do not disassemble the unit or wrist cuff Do not inflate the wrist cuff over 299 mmHg 4 Important Safety Information Do not use a mobile phone or other devices that emit
12. have been deleted the screen to the right of the illustration above appears and Memory display flashes Release the buttons to return to the memory display If the date and time are reset to a time before the most recent measurement the average value will be based on any measurements taken after the date and time were reset However you can still view the readings stored in memory 22 4 Quick Reference Guide Use this as a quick reference guide only If you are using this device for the first time please read carefully Chapter 3 of this Instruction Manual Avoid eating drinking smoking or exercising for at least 30 minutes before taking a measurement You should also try to measure your blood pressure at the same time each day It is recommended that you check your blood pressure at least twice a day in the morning before breakfast and in the evening before going to bed Measurement should be taken in a quiet place and you should be in a relaxed seated position 1 Align the wrist cuff with the level of your heart and gently support your left arm with your right hand Do not place your right hand on the cuff itself 2 Press the O I START button Remain quiet sit still and do not talk during the measurement Notes Always wait at least 2 3 minutes before taking another blood pressure measurement You may require more rest time between readings depending on your individual physiological characterist
13. hmia A heartbeat is stimulated by electrical signals that cause the heart to contract Arrhythmia is a condition where the heartbeat rhythm is abnormal due to flaws in the bio electrical system that drives the heartbeat Typical symptoms are skipped heartbeats premature contraction an abnormally rapid tachycardia or slow bradycardia pulse This can be caused by heart disease aging physical predisposition stress lack of sleep fatigue etc Arrhythmia can only be diagnosed by a doctor through a special examination Whether the appearance of the Irregular heartbeat symbol in the results indicates arrhythmia or not can only be determined by an examination and diagnosis by your doctor A Warning If the Irregular heartbeat symbol O is shown frequently please make your doctor aware of it Conducting self diagnosis and treatment based on measurement results are dangerous Be sure to follow the instructions of your doctor 19 3 Using the Unit 3 4 Using the Memory Function This unit has a memory capable of storing 60 sets of readings Every time you complete the measurement the unit automatically stores blood pressure and pulse rate If there are three readings within 10 minutes of the last reading the average of the three readings is displayed If there are only two readings in memory for that period the average will be based on two readings If there is one reading in memory for that period the average wi
14. ics Only use the R3 I Plus to measure your own blood pressure since the results of measurements are stored in memory Always wrap the wrist cuff around your wrist before starting to take a measurement Always measure your blood pressure on the same wrist 23 5 Handling Errors and Problems 5 1 Error Symbol Error Messages Cuff over inflated Movement during measurement Correction Repeat measurement Remain still and do not move during measurement Refer to section 3 3 The wrist cuff is not fastened securely Carefully read and repeat the steps listed under section 3 1 An E mark with a code number indicates the device has a hardware failure Consult your OMRON retail outlet or distributor Blinks or appears continuously 24 The battery power is low Replace the batteries with two new AAA alkaline LRO3 batteries 5 Handling Errors and Problems 5 2 Troubleshooting Symptom The reading is extremely low or high Are you holding the wrist cuff at heart level Correction Measure while in the correct posture Refer to section 3 2 Is the cuff wrapped snugly around the wrist Wrap the cuff correctly Refer to section 3 1 Are your arms and shoulders tense Relax and try taking the measurement again Refer to section 3 3 Movement or talking during measurement Remain still and do n
15. ll be based on one reading Note When 60 sets of readings are stored in memory the oldest set will be deleted to store a new set To View the Average Value Press the MEM button OMRON If there are no measurements results stored in memory the screen to the right is displayed 20 3 Using the Unit To View Previous Readings Stored in Memory 1 Press the MEM button while the average reading is displayed to view readings stored in memory from the most recent to the oldest OMRON iniru Press the MEM button repeatedly to cycle through the readings Note The date and time of stored readings will be alternately displayed 2 Press the SET button while the average reading is displayed to view readings stored in memory from the oldest to the most recent Press the SET button repeatedly to cycle through the readings 21 3 Using the Unit 3 Press the O I START button to turn the unit off OMRON sure Note If you forget to turn the unit off it will automatically shut itself off after two minutes To Delete All Values in Memory You cannot delete the stored readings partially all the reading in the unit will be deleted To delete stored readings first press the MEM button Then while holding it down press the O I START button simultaneously for about 2 3 seconds All readings will then be deleted Notes After the reading
16. not contain any hazardous substances 31 8 Some Useful Information about Blood Pressure What is Blood Pressure Blood pressure is a measure of the force of blood flowing against the walls of the arteries Arterial blood pressure is constantly changing during the course of the heart s cycle The highest pressure in the cycle is called the Systolic Blood Pressure the lowest is the Diastolic Blood Pressure Both pressure readings the Systolic and Diastolic are necessary to enable a doctor to evaluate the status of a patient s blood pressure Why is it a Good Thing to measure Blood Pressure at Home Having your blood pressure measured by a doctor can cause anxiety which is itself a cause of high blood pressure As a variety of conditions affect blood pressure a single measurement may not be sufficient for an accurate diagnosis Many factors such as physical activity anxiety or the time of day can influence your blood pressure Thus it is best to try and measure your blood pressure at the same time each day to get an accurate indication of any changes in blood pressure Blood pressure is typically low in the morning and increases from afternoon to evening It is lower in the summer and higher in the winter Blood pressure is measured in millimetres of mercury mmHg and measurements are written with the systolic pressure before the diastolic e g A blood pressure written as 135 85 is referred to as 135 over 85 mmHg
17. od pressure monitor automatically stores up to 60 measurement values in its memory and calculates an average value based on the three most recent measurements taken within 10 minutes of the last reading If there are only two readings in memory for that period the average will be based on two readings If there is one reading in memory for that period the average will be based on one reading To make use of the memory and average value function Set the unit to the correct date and time before taking a measurement for the first time If the batteries have been removed the date and time setting will need to be reset When the batteries are installed and the unit is turned on for the first time the year digits 2005 will flash on the display The range for the year setting is 2005 to 2030 If the year reaches 2030 it will return to 2005 1 To set or reset the date and time press the SET button 2 Press the MEM button to advance the digits one ata time Note If you hold down the MEM button the digits will advance rapidly 3 Press the SET button to confirm the setting when the desired number appears on the display The year setting is set and the month digits will flash 10 2 Preparation 4 Repeat steps 2 and 3 to set the month and day OMRON r r pi 4P DI OMRON nru pf stilo fm tt te NS time After all settings are completed the
18. ot talk during measurement Refer to section 3 3 Wrist cuff pressure does not rise Air is leaking from the wrist cuff Consult your OMRON retail outlet or distributor Wrist cuff deflates too soon The wrist cuff is loose Apply the cuff correctly so that it is securely wrapped around the wrist Refer to section 3 1 25 5 Handling Errors and Problems Symptom Correction The blood pressure is different each time The reading is extremely low or high Blood pressure readings constantly vary with time of measurement and nervous condition Take deep breaths to relax before taking a measurement The unit loses power during measurement The batteries are empty Replace the batteries with new ones Nothing happens when you press the buttons The batteries are empty Replace the batteries with new ones The batteries have been inserted incorrectly Insert the batteries with the correct polarity Other problems 26 Press the O I START button and repeat measurement If the problem con inues try replacing the batteries with new ones If this still does not solve the problem contact your OMRON retail outlet or distributor 6 Maintenance and Storage To protect your unit from damage please avoid the following e Subjecting your unit to extreme temperatures humidity or direct sunlight Washing the
19. stolic Blood Pressure Above 135 mmHg Diastolic Blood Pressure Above 85 mmHg This criteria is for home blood pressure measurement For professional office blood pressure measurement criteria please refer to Chapter 8 Your blood pressure monitor includes an irregular heartbeat feature Irregular heartbeats can influence the results of the measurement The irregular heartbeat algorithm automatically determines if the measurement is usable or needs to be repeated If the measurement results are affected by irregular heartbeats but the result is valid the result is shown together with the irregular heartbeat icon If the irregular heartbeats cause the measurement to be invalid no result is shown If the Irregular heartbeat symbol is shown after you have taken a measurement repeat the measurement If the Irregular heartbeat symbol is shown frequently please make your doctor aware of it 18 3 Using the Unit What is Irregular Heartbeat An irregular heartbeat is a Normal Heartbeat heartbeat rhythm that Pulse LAA AAA varies by more than 25 RAR from the average heartbeat Blood pressure rhythm detected while the Irregular Heartbeat unit is measuring the Short Long systolic and diastolic blood pressure Pulse If such an irregular rhythm Blood pressure is detected more than twice during measurement the Irregular heartbeat symbol O appears on the display with the measurement results What is Arrhyt
20. stomer Service 28 7 Technical Data Product Description Wrist Blood Pressure Monitor Model OMRON R23 I Plus HEM 6022 E Display LCD Digital Display Measurement Oscillometric method Measurement Range rescue 010 209 mnt Memory 60 Measurements with date and time Pressure Within 3 mmHg Accuracy Pulse rate Within 5 of reading Inflation Automatic inflation by pump Deflation Automatic rapid deflation Pressure Detection Capacitive pressure sensor Power Source Two 1 5V AAA alkaline LR03 batteries Approximately 300 measurements when Battery Life using alkaline batteries at a room temperature of 23 C Operating Temperature a n Humidity 10 C to 40 C 30 to 85 RH Storage Temperature o o Humidity 20 C to 60 C 10 to 95 RH Weight of Main Unit Approximately 120 g not including batteries 72 mm w x 56 mm h x 44 mm d not including the wrist cuff Outer Dimensions Measurable circumference of wrist Approximately 13 5 to 21 5 cm Storage case two AAA alkaline LR03 Package Content batteries instruction manual guarantee card blood pressure pass Note Subject to technical modification without prior notice 29 7 Technical Data e This OMRON product is produced under the strict quality system of OMRON Healthcare Co Ltd Japan The Core component for OMRON blood pressure monitors which is the Pressure Sensor is produced in Japan for assembly Disposal of this product and us
21. tructions for future reference 1 Overview Main Unit A Display C Wrist cuff B Battery compartment D MEM Memory button cover E O I START button F SET button Display TO 1 Overview om SYS mmHg DIA mmHg PULSE min i D n RON 23 1 Pus 48 LIL LIL Que SES ni A Gp Systolic blood pressure Diastolic blood pressure Average value symbol Displayed when viewing value for the last three measurements Memory value symbol Displayed when viewing values stored in memory Irregular heartbeat symbol Battery low symbol Package Contents Q Two AAA alkaline LR03 UL batteries Blood pressure pass Blood Pressure Monitor unit M Heartbeat symbol 1 Flashes during measurement 2 If flashing after measurement completed or when the memory indicates blood pressure out of recommended range Pulse Deflation symbol Date Time voz NS R Storage case Instruction manual Guarantee card viewing results stored in 2 Preparation 2 1 Installing Replacing the Batteries 1 Remove the battery compartment cover by pulling it off in the direction of the arrow 1 Grasp both ends of the battery cover 2 Pull the cover off the main unit 2 Insert two identical 1 5V AAA alkaline LRO3 batteries in the battery compartment Make sure their polarity is aligned
22. with the polarity as indicated in the battery compartment 2 Preparation 3 Putthe battery cover back in place Note Be sure to set the date and time after installing or replacing the batteries Refer to 2 2 Setting the Date and Time The measurement values continue to be stored in memory even after the batteries are replaced Battery Life amp Replacement OMRON kes rus 9 If the battery low symbol appears on the display replace both batteries at the same time When the battery low symbol 4x1 starts to blink you will still be able to use the unit for a short while You should replace the batteries with new ones ahead of time When the symbol x remains lit the batteries were exhausted You should replace the batteries with new ones at once e Turn the unit off before replacing the batteries e Remove the batteries if the unit will not be used for three months or more If the batteries are removed the Date Time setting will need to be reset See 2 2 Setting the Date and Time for details Dispose of batteries according to applicable local regulations e Two new identical 1 5V AAA alkaline batteries will last for approximately 300 measurements when used to take two measurements a day Since the supplied batteries are for monitoring use only they may have a shorter life and not last for 300 measurements 2 Preparation 2 2 Setting the Date and Time Your blo
23. your your wrist back your fist wrist forward 3 Using the Unit 3 3 Taking a Reading 1 16 Press the O I START button to start measurement The wrist cuff will start to inflate automatically after the power is turned on After the unit has detected your blood pressure and pulse rate the cuff automatically deflates and your blood pressure and pulse rate are displayed Notes Sit still and do not talk or move until the measurement is completed Keep the unit at heart height until the measurement is completed To stop measurement press the O I START button at any time during measurement 3 Using the Unit Check the measurement result The unit automatically stores blood pressure and pulse rate into its memory Refer to 3 4 OMRON B17 4 Using the Memory Function The time and date of the measurement are displayed alternately Undo the fastener and remove the unit Press the O I START button to turn off the unit If you forget to turn off the unit it will shut itself off automatically after two minutes 17 3 Using the Unit Symbol Information If your systolic or diastolic pressure is outside the standard range the Heartbeat symbol 49 will blink when the measurement result is displayed Recent research suggests that the following values can be used as a guide to high blood pressure for measurements taken at home Sy
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