EW3004E2 - Sphygmomanometer PANASONIC - Free user manual and instructions

Product Type	Wrist Blood Pressure Monitor
Brand	Panasonic
Model	EW3004E2
Measurement Method	Oscillometric (Fuzzy Logic technology)
Blood Pressure Measurement Range	0 – 280 mmHg
Blood Pressure Accuracy	±3 mmHg
Pulse Measurement Range	30 – 160 beats/min
Pulse Accuracy	±5%
Compatible Wrist Circumference	12.5 – 22.0 cm
Power Supply	2 alkaline LR03/AAA 1.5 V batteries
Battery Life	Approximately 300 measurements (3 measurements/day for ~4 months)
Memory	Up to 42 days of measurements (automatic recording)
Auto Power Off	Approximately 5 minutes after measurement
Hypertension Indicator	Flashing values if SYS ≥ 140 mmHg or DIA ≥ 90 mmHg
Error Detection	Display 'E' in case of movement, incorrect positioning, or excessive pressure
Device Weight	95 g (without batteries)
Operating Conditions	+10°C to +40°C, relative humidity 30% – 85%
Maintenance	Clean with a soft cloth and soapy water; do not use solvents
Standards	CE 0197, compliant with EN 1060-1/3, ANSI/AAMI SP10, EN 60601-1-2
Recommended Recalibration	Every 3 years (see calibration seal)

Frequently Asked Questions - EW3004E2 PANASONIC

How to correctly place the cuff on the wrist?

Place the device on the inner side of the left wrist, about 2 cm below the base of the wrist. Use the provided gauge to help. The cuff must be in direct contact with the skin, properly wrapped and fastened with Velcro without being too loose. Make sure the wrist is at heart level during measurement.

Why does the 'E' symbol appear and what to do?

The 'E' symbol indicates a measurement error. Possible causes: you moved your wrist, the cuff is not properly positioned, or pressure exceeded 280 mmHg. Press the on/off button to turn off the device, wait 5 minutes while staying relaxed, then restart the measurement following the instructions.

Can I use rechargeable batteries?

It is recommended to use only alkaline batteries (LR03/AAA). Rechargeable batteries may cause sudden shutdown without warning and reduce accuracy. If you use rechargeable batteries, note that the low battery indicator may not display.

How to view stored measurements?

Press the Memory/Recall button. The first press displays the average of all stored results (Avg symbol). Press again to see the most recent result, and continue to browse previous measurements. To delete all data, hold the button for more than 3 seconds.

What do the flashing values after a measurement mean?

If your systolic blood pressure is ≥ 140 mmHg or your diastolic blood pressure is ≥ 90 mmHg, the displayed values flash for about 6 seconds to indicate hypertension. This is only an indication: consult your doctor for a diagnosis.

How to clean and maintain the blood pressure monitor?

Clean the device with a soft cloth slightly dampened with warm soapy water. Never use thinner, benzene, or alcohol. Do not wash the cuff. Avoid exposure to dust, humidity, and extreme temperatures.

Why do the results differ from those taken at the doctor's?

Blood pressure varies throughout the day (up to 50 mmHg). Stress related to a medical visit can increase it. For reliable comparisons, always measure under the same conditions (same wrist, same time, at rest). Relax for 5 minutes before each measurement.

How many measurements can I perform with one set of batteries?

With new Panasonic alkaline batteries, you can perform about 300 measurements (about 3 measurements per day for 4 months) at room temperature (22°C). The supplied batteries are for testing only.

Is it possible to delete a single measurement from memory?

No, deletion is global. To delete all data, hold the Memory/Recall button for more than 3 seconds until the 'M' and '⏏' symbols appear. It is not possible to delete individual results.

Can I use the device if I have a pacemaker?

Consult your doctor before use. People with pacemakers, arrhythmias, vascular narrowing, liver disease, or diabetes should obtain medical advice, as measurements may differ.

USER MANUAL EW3004E2 PANASONIC

Wrist Blood Pressure Monitor

Operating Instructions

EW3004

EU Representative:

Panasonic Marketing Europe GmbH

Hagenauer Straße 43 D-65203, Wiesbaden, Germany

Legal Manufacturer:

Matsushita Electric Works, Ltd.

33 Okamachi, Hikone, Shiga 522-8520, Japan

Panasonic

Wrist Blood Pressure Monitor

Operating instructions

EW3004

Before operating this device, please read these instructions completely and save this manual for future use.

Panasonic improves blood pressure assessment

Points of interest and information concerning blood pressure and high blood pressure

Dear customer, congratulation to the purchase of Panasonic blood pressure watch.

For more than a decade, Matsushita has been providing blood pressure measuring device to our customers in Europe. The product you have purchased has passed our strict quality control, and we hope that this can help you manage your daily blood pressure.

We wish you all the best for your health.

Thanks to modern medical technology measuring blood pressure is nowadays very easy to handle. The user-friendliness makes measuring a lot easier, but very often a mistake can occur when assessing the measured values. In the majority of cases it is not the whole blood pressure picture that is taken into account but only a single measurement. The result of this is that more than 70% of all hypertension sufferers are insufficiently treated or not treated at all (Source: World Health Organisation (WHO)). Now Panasonic revolutionizes the treatment of 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 run of a day can occur.

The treatment of high blood pressure is one of the most successful forms of treatment in modern medicine. This applies not only when preventing complications due to high blood pressure, but also with regard to treating damage following a stroke or heart attack.

Recent studies have proven beyond all doubt that:

1. high blood pressure can be successfully lowered in patients of every age and
2. blood pressure should be stabilized at a low level.

The findings of major recent studies have made it necessary to adjust the formerly acceptable limits (the World Health Organization (WHO), 1999). In other words, the traditional limit of 160/95 mmHg as the borderline between normal and high blood pressure has now been reduced. Consequently, the normal values have been "lowered" by WHO, the German Hypertension Society and the American Hypertension Committee.

Upper value (SYS.) 140 mmHg Lower value (DIA.) 90 mmHg

Blood pressure exceeding both or either of these limits is considered hypertension.

The values should be confirmed by repeated measurements, though.

A pathologically high blood pressure is now defined as follows:

Systolic value of 140mmHg or more and/or a diastolic value of 90mmHg or more provided that these values are repeatedly obtained under standard conditions, i.e. at rest (measured at three different times on two different days).

This definition applies regardless of age. What formerly constituted a borderline area with systolic values between 140 and 159mmHg and diastolic values between 90 and 94mmHg is no longer considered to be a "grey area", but is quite clearly classed as high blood pressure. This consequently means that medical treatment is required for blood pressure values in excess of 140/90mmHg .

Diagram of the device

GB

Display symbols

Measurement in progress

Memory

e.g.: Wrist has been moved/ Cuff not positioned correctly

Average

Replace batteries

Batteries

Panasonic alkaline batteries (LR03/AAA/Micro) can be used for approximately 300 measurements (approximately 4 months, 3 times a day) at an ambient temperature of 22^ at 170mmHg for a wrist circumference of 17~cm . (The supplied batteries are included for trial purposes only. Accordingly, there is no guarantee regarding the length of their useful lives.)

• Battery life may be shortened if the ambient temperature is low.
• The number of measurements that can be taken with a set of batteries will be drastically reduced if batteries other than alkaline batteries are used. Use only alkaline batteries.
• Please replace both batteries at the same time and ensure that they are of the same type and make.
• Please remove the batteries from the device when not using it for extended periods of time as batteries can leak and damage the device.

Inserting/replacing batteries

Fitting the pressure cuff

Only use alkaline batteries.

1. Slide the battery cover open as shown in the diagram.
2. Insert the two batteries making sure that they are aligned correctly (+ / - )
3. Slide the battery cover shut until it clicks.

Batteries must be replaced when...

The replace batteries symbol appears on the display. Note: If rechargeable batteries are being used, the product may stop without prior warning when the batteries are exhausted.

Please help protect our environment by respecting national and/or local recycling regulations when disposing of the device and the batteries at the end of their useful lives.

Blood pressure is measured at your left wrist. It is not necessary to roll up your sleeve or to remove any clothing.

Wrist centerline

1. Use the 2 cm gauge to correctly position the device on your wrist.

2. Fold the 2 cm gauge vertically along the dotted line.

3. The gauge can be removed once you become familiar with positioning the device.

4. Place the device on the inside of your wrist.

5. Place the device directly in contact with the skin.

6. The device can be used by people with a wrist circumference of 12.5 22.0 ~cm .

approx. 2cm

It should be approx. 2 cm below the base of the wrist; your wrist should be relaxed and your palm facing up.

1. Hold the cuff with your thumb as shown in the diagram and then fold back the hook and loop fastener and secure it.

(1) Hold the cuff down with your thumb.
(2) Firmly wrap and fasten using the hoop and loop fastener. A loosely applied pressure cuff will result in high blood readings. Pull up on the fastener, without twisting it, to remove the unit from your wrist.

Obtaining accurate measurements

GB

Always take your blood pressure at the same time while sitting in the same position and using the same wrist.

It is recommended to check your blood pressure at least twice a day. It is best in the morning before breakfast and in the evening after work.

• Relax and take a comfortable position on a chair for about 5 minutes before you take the measurement.
• Avoid to do any heavy work or sport for approx. 1 hour before the measurement.
• Avoid to eat, drink (coffee, alcohol) or smoke cigarette for approx. 1 hour before the measurement.

Always rest for four to five minutes before taking your blood pressure.

Taking measurements while sitting down

1. Place your elbow on the table.
2. Align the device with the level of your heart.
3. Open and relax your hand with the palm facing up.

When sitting down to take your blood pressure, place the hand with the device over the other hand, which should be clenched slightly as shown above.

Be careful not to touch cuff during measurement.

Relax your hand and allow the wrist to droop slightly as shown below.

Do not take measurements in the positions shown below as they will be inaccurate.

Do not bend your wrist inward.

Do not clench your fist.

If the device is placed at a height lower than the heart then the resulting readings may be higher than your actual blood pressure.

If the device is placed at a height higher than the heart then the resulting readings may be lower than your actual blood pressure.

If you lean forward while taking measurements then the resulting readings may not be accurate.

To obtain accurate readings, the following actions should also be avoided during measurements.

• Do not touch the device.
• Do not change position or move your wrist or fingers.
• Do not talk.

[CAUTION]

Keep away from cellular telephones and other sources of electromagnetic radiation. Failure to do so could result in malfunctioning.

Measuring your blood pressure

GB

Sit still and relax while measurements are being taken.

1. Press the On/Off and Start button.

2. The display will flash for approx. 2 seconds.
   Inflation will then begin automatically.

As measurements are being taken during pressurization, the frequency of the "beep" indicating pulse rate and the rate of pressurization may change. This is perfectly normal.

1. Place the slightly clenched fist of your other hand under the arm to which the device is attached. (See "Obtaining accurate measurements" on pages 30 and 31.)

2. The heart mark will begin to flash (with sound) during pressurization when the pulse is detected.

3. When measurements have been completed, the device beeps and blood pressure and pulse rate are displayed.
4. Pressure will automatically be released from the pressure cuff.
5. If your blood pressure is considered to be in the hypertensive range, then the readings on the display will flash for approx. 6 seconds.
6. The mark will flash. (Please see Page 34 for details regarding how to record readings.)

7. The pulse is estimated over the period of a minute based on the pulse rate recorded when measurements were being taken.

8. Press the On/Off and Start button to turn off the device.

9. If you wish to make another measurement, switch off and wait for 5 minutes before performing another one.

10. If you forget to switch the device off, it will do so automatically after approx. 5 minutes.

Interpreting blood pressure readings

Blood pressure readings are interpreted in accordance with World Health Organization (WHO) and International Society of Hypertension (ISH) Guidelines for the Management of Hypertension. If your blood pressure is considered to be in the hypertensive range then the readings on the device will flash for approx. six seconds.

• When the blood pressure measurements obtained are in the hypertensive range the readings on the display will be flashed for approx. six seconds.

Systolic blood pressure ≥140 mmHg
Diastolic blood pressure ≥90 mmHg

(Only when measurement has been completed.)

When an error occurs during measurement

An "E" will appear on the display to indicate that measurement was unsuccessful and should be performed again.

Before performing another measurement, always press the On/Off and Start button to turn off the device and sit quietly for 5 minutes before attempting to carry out the measurement again.

Obtaining accurate readings

After measuring your blood pressure, wait quietly for four to five minutes before attempting to measure it again. In many cases the second reading will be more accurate that the first one because you are more relaxed and your blood pressure will have come down slightly. This is especially true for people who are easily stressed. The lower of these readings is normally used.

Saving and recalling data

Saving readings

• All data is retained even when the batteries go flat or are changed.

(After approx. one second.)

1. After measurement has been completed the M mark will flash.

Press the Memory/Recall button.

1. Saving complete.

2. Up to 42 sets of readings can be stored in memory and each is assigned a number. When the limit is reached, any new readings are recorded over existing readings starting with the oldest ones. The data numbers will also be changed.

3. It is not possible to save readings when measurement has not been carried out successfully (i.e. when an “E” is displayed). As nothing will be recorded the data number will not be changed.
4. Readings can, however, be saved when the "E" mark is displayed for the pulse rate.

Recalling Stored Data

Readings can be recalled after being saved without having to first turn the device on.

(After approx. one second.)

1. Press the Memory/Recall button.

2. The average of all recorded readings will be displayed.

3. The Avg mark will be displayed.
4. If, for example, 42 sets of readings have been saved in the memory then the average of those 42 sets of readings will be displayed. If only one set of readings has been saved then the Avg. mark will not be displayed.

1. Press the Memory/Recall button again to display the most recent reading.

Each time you press the Memory/Recall button another set of readings will be displayed, starting with the next most recent readings.
- Nothing will be displayed when no readings have been saved.

1. Press the On/Off and Start button to turn off the device.

The device will turn off automatically after 30 seconds if you forget to turn it off.

Deleting all data stored in the memory

(1) Use the Memory/Recall button to access saved data.
(2) Press the Memory/Recall button again and hold it down for more than three seconds to delete all data.

• It is not possible to delete individual readings.

(3) When all data has been deleted the M mark and NIG will be displayed.

Care and maintenance

For your safety

Storing the device

1. Fold the end of the pressure cuff in the direction of the arrow.

1. Unfold the 2cm gauge so that it is straight in order to make it easy to store the device in the case.

1. Next, fold the pressure cuff in on itself and secure it on loop fastener.
2. Place the device in the storage case.

Always follow your physician's instruction when taking medication.

Please consult your doctor as to the most appropriate time to measure your blood pressure if you are receiving medication.

People with cardiac pacemakers, cardiac arrhythmia, vascular constriction or liver disorders as well as diabetics should consult their doctor before measuring their blood pressure themselves, since different values may be measured in such cases. The same also applies during pregnancy.

The Diagnostec is no toy for children!

In case you measure your child's blood pressure, always consult your doctor since the data cannot be compared with the standard adult's data.

Always remove your watch or jewellery from your wrist before using your new Diagnostec. This will prevent damage to the inside of the cuff and reduce the risk of inaccurate measurement.

Do not switch on the Diagnostec until the cuff has been secured around your wrist. The cuff might get damaged by excess pressure built up, if the device is not secured to the wrist.

Caring for the device

Troubleshooting

Please do not attempt to disassemble, repair or modify the device.

This may cause fire or cause the device to malfunction. It may also lead to injury.

Please do not fold the pressure cuff back against itself.

Always use the pressure cuff on your wrist and nowhere else.

• Either of these actions may cause the device to malfunction.

Do not use excessive force on the device.

Do not drop the device.

Measurements may be impaired if the device is used close to televisions, microwave ovens, X-ray equipment or other devices with strong electrical fields.

Please measure your blood pressure at a sufficient distance from such devices or switch them off.

The cuff may lose some of its elasticity at temperatures below 0^ . If the device is exposed to such extreme temperatures, it is a good idea to leave it until it warms up to room temperature before taking the next measurement.

As a basic principle, the device should not be exposed to extreme conditions (cold, heat, humidity, dust).

Do not allow dust or other foreign objects to enter the device as this may cause it to malfunction.

Cleaning the device

• Do not use anything other than a cloth with warm water and a little soapy to wipe the device.
• Do not use thinners, benzene, or alcohol on the device as this may cause discoloration and cracks.
• Cuff can not be washed.

Storage

• Avoid exposing the device to high temperatures, high humidity and direct sunlight as this can cause the device to malfunction.

Long-term storage

• Remove the batteries before storing the device for long periods of time.

Failure to do so may result in the batteries leaking, which may cause the device to malfunction.

Display	Symptom prior to error display	Solution
A flashing “E” is displayed.	Pressure has exceeded 280 mmHg. (The device repressurizes repeatedly.)	Are you carrying out measurement properly and in the correct position? (Please see page 30~31.)
	Pressure has suddenly dropped.
	Heart mark ∠ flashed only a couple of times or not at all.	Have you positioned the pressure cuff correctly? (Please see page 29.)
	Pressure cuff does not inflate.

Troubleshooting (cont.)

Measurement accuracy

Symptom	Possible cause
The SYS or DIA is high.	·The pressure cuff is positioned too low. (Please see page 30~31.) ·The pressure cuff is not wrapped around the wrist properly. (Please see page 29.) ·The person is moving or talking when the measurement is being carried out. (Please see page 30~31.)
The SYS or DIA is low.	·The position of the pressure cuff is too high. (Please see page 30~31.) ·The person is moving or talking when the measurement is being carried out. (Please see page 30~31.)
Blood pressure is abnormally high or low.	·The posture of the person is different each time measurements are carried out. (Please see page 30~31.)
Measurements are different from those taken by a doctor. Measurements are different each time.	·The person is slightly tense when with the healthcare professional, causing the measurements to be different. ·Relax for ten minutes and then carry out the measurement again.
Measurements are different from those obtained using an upper arm type blood pressure meter.	·There may be major differences in blood pressure recorded at the wrist and on the upper arm for people with peripheral circulatory problems.

If the meter still appears to provide unusual or erroneous readings, consult your physician. If the meter does not appear to be functioning properly, contact an authorized service center.

General

This blood pressure measurement device complies with the European regulations (EU council directive 93/42/EEC dated June 14, 1993) and bears the CE mark "CE 0197". The quality of the device has been verified and it conforms to the following standards:

EN 1060-1 (Dec. 1995) Non-invasive blood pressure measuring equipment General requirement

EN 1060-3 (Sep. 1997) Non-invasive blood pressure measuring equipment Supplementary requirements for electromechanical blood pressure measuring systems

ANSI/AAMI SP10 (1992) Electronic or automated sphygmomanometers Overall system efficacy Auscultatory method as the reference standard

EN 60601-1-2 (Nov. 2001) Electromagnetic compatibility and safety for medical electrical equipment

The CE mark serves to facilitate the free movement of goods between the member countries of the EU.

Panasonic ensures accurate measurement

The seal confirms that each Diagnostec has been checked for accurate measurement at the Matsushita plant. It is recommended that the device be recalibrated every 3 years starting with the year printed on the seal.

CALIBRATED UNTIL

When the device has been repaired or the seal has been rendered illegible, the accuracy of the device should be assumed to be inaccurate. In such cases, it is recommended that the device be submitted for recalibration.

Technical data

EW 3004

Warning function

Method of measurement: (oscillometric)

Measuring range:

Measuring accuracy:

Leakage of pneumatic system: Inflation/deflation system:

Wrist circumference:

Batteries: (Control sign for battery change)

Automatic switch-off: Reference method for clinical trials: Weight:

Storage and transport conditions: Operating conditions:

Flashing figures on the display signal Intelligent measuring technology (FUZZY LOGIC)

Pressure: 0-280 mmHg
The device is vented automatically at pressures exceeding 280 mmHg and an error message is shown.

Pulse: 30-160 beats per minute
Pressure: ±3 mmHg

Pulse rate: ±5 %

≤ 6 mmHg/min

Automatic measurement during inflation, and rapid deflation

12.5-22.0 cm (4 7/8-8 5/8 inches)

2 × 1.5V alkaline (LR03/AAA/Micro)

Battery symbol appears when the batteries have to be replaced.

Approx. 5 minutes after measurement

Auscultatory measurement 95 g (without batteries)

• 20^ to +60^ , 10% to 95% RH

+10°C to +40°C, 30% to 85% RH

EW3004 was proven clinically by sequential comparison with auculatatory measurement. The waiting period before EW3004 evaluation requires 1.5-2 minutes, and before auscultatory measurement of 0.5-1 minute.

Panasonic

+10°C a +40°C, 30% a 85% HR

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-ДячNTKN yctpoiCTBa nCNoJIb3yIte TOnbKO TkaHb, CMOueHHyO B Cnla6OMMbIbHOMpactBope.
He nCnoJb3yeTe pactBopnteH, 6eH3nH nIIN cInpt IyIa YIcTKn yCTpoIcTBA, TAK KAK 3TO MOKET npIBeCTN K OBeCzBeyuBaHNIO NOBpeXdEHNIO KOpNyCa.
MaHxeta He NpIeXkT CTnPke.

XpaHeHne

• ɪЗбэрαιэ Воздөйствян Ha пибор Вьсokих Temператур, Bьсokоь Вьжкстун To pямьix солпсчылүчeyн, тak KAK 3TO MOK ket BьзВаТь nolomkny пибopa.

ДиNTeIbHoe xpaHHeHne

• PeredДлгельнхран electваизbleкпги з Heroбатер. HecobdIoHeHne 3TOrTOpeBOBaHnMOKET npBbctN K yTeYke 6 batapen n noCleNyOuSeI nonOMKe npMOba.

YcIOBnA3KcNpyatauIN:

HaKaunBaHnI N 6bIcTpbI C6pO B03dyxA

2x1,5B,ueiouHbIe (LR03/AAA/Micro)

CnBb05aTepen noBnBETc npn heo60xmoCTn 3ameHb 6tap

Пибштейногуpeз 5MHHTNOCIN3MepenHn

MetoconocTablenia

AускунытacnoHHbIe n3MepeHnA

95 r (6e3 6aTapei)

YcnoBxaHHeHnI

OT-20°C Φo+60°C, OTHOCHTeJIbHaI

BnaXHOCTbOT 10%do95%

OT + 10 °C IDO + 40 °C, OTHOCHTeNbHa

BnaXHOCTbOT 30 % 85%