HGD - Blood pressure monitor MEDISANA - Free user manual and instructions

USER MANUAL HGD MEDISANA

CLEAR MEMORY => WERTE LÖSCHEN

Important considerations

Tips for your well being Thank you for your confidence! You have purchased a quality product by MEDISANA , one of the world’s leading producers of health care products. To ensure the best results and long-term satisfaction with your MEDISANA HGD Blood Pressure Monitor, we recommend that you read the following operating and maintenance instructions carefully. WARNING Do not take any therapeutic measures based on your own measurements. Never change the quantity of medication prescribed by your doctor.

• Patients suffering from arrhythmia have an irregular pulse and should therefore avoid using oscillometric measuring devices (wrist and upper arm devices). In this case, please let your doctor measure your blood pressure using the traditional stethoscope method.

• Patients suffering from other complaints, e.g. arterial occlusive disease, should also consult their doctor before using the unit.

• The unit may not be used to check the heart rate of patients with a pace- maker.

• Pregnant patients should take their own personal state of health into consideration and take all necessary precautions before using the unit. If in doubt, consult your doctor.

• Should you experience discomfort or other complaints during measurement, for example pain in the wrist, please take the following action: Press the START button 4 to deflate the cuff immediately. Loosen the cuff and re- move it from your arm. Please contact either your dealer or MEDISANA directly.

• The unit is only to be used for the specific purpose described in these operating instructions. Any misuse will void the warranty.

• On the rare occasion of a fault causing the cuff to remain fully inflated during measurement, open the cuff immediately.

• Do not use the unit near to equipment emitting a strong electric or magnetic field, such as radios. This may impair the correct functioning of the unit.

• Do not let children operate the unit. Medical products are not toys!

• If a fault occurs, do not try to repair the unit yourself. Attempts to do so will void the warranty. Refer all servicing to authorized service personnel.

• Protect the unit from moisture. Should moisture enter the unit, remove the batteries and stop using it immediately. In this case, please contact either your dealer or MEDISANA directly. You can find details of how to contact us on the address page. GA_HGD_10spr.qxd 05.12.2005 13:40 Uhr Seite 1112 1 Safety Information / 2 Useful Information

What is blood pressure? Please ensure that the package contents are complete. These are as follows:

• 1 USB cable • 1 Operating instructions The packaging can be reused or recycled. Please dispose properly of any pack- aging material no longer required. If you notice any transport damage during unpacking, please contact your dealer without delay. WARNING To avoid risk of suffocation, keep packaging film away from children. Blood pressure is the pressure created in the blood vessels by each heart beat. When the heart contracts (= systole) and pumps blood into the arteries, it brings about a rise in pressure. The highest value is known as the systolic pressure and is the first value to be measured. When the cardiac muscle re- laxes to take in fresh blood, the pressure in the arteries also falls. Once the arteries are relaxed, a second reading is taken – the diastolic pressure. The HGD is a blood pressure computer which is used to measure blood pres- sure at the wrist. The measurement is carried out by a microprocessor, which, via a pressure sensor, measures vibrations resulting from the inflation and deflation of the cuff over the artery. MEDISANA has had many years of experience in the field of blood pressure measurement. The high precision of MEDISANA devices has been confirmed by extensive clinical tests, carried out according to strict international standards. One strong argument in favour of taking blood pressure at home is the fact that the readings are taken in familiar surroundings under relaxed conditions. The most important reading is the so-called “baseline value”, the one taken before breakfast, directly after getting up in the morning. As far as it is possible, you should always try to take your blood pressure at the same time and under the same conditions each day. This ensures comparable results and helps in detecting the first signs of high blood pressure. If high blood pressure remains undetected, it increases the risk of further cardio- vascular diseases.

Items supplied and packaging

How is blood pressure measured?

WHO blood pressure classification

Fluctuations in blood pressure

Influencing and evaluating readings THEREFORE WE RECOMMEND: Take a blood pressure reading daily and on a regular basis, even if you are experiencing no apparent complaints.The following table shows the classification of high and low blood pressure,without taking age into consideration. These values were determined by theWorld Health Organization (WHO). Low blood pressure Normal blood pressure systolic below 100 systolic 100–140diastolic below 60 diastolic 60–90 Types of high blood pressure Stage 1 Stage 2 Stage 3 mild hypertension medium hypertension serious hypertensionsystolic 140–159 systolic 160–179 systolic above 180diastolic above 90 diastolic above 95 diastolic above 110There are many factors that can influence blood pressure. Readings can beaffected by stress, fear, heavy physical exertion or the time of day at which theyare taken. Your personal blood pressure values are subject to considerablefluctuation during the course of the day and the year. These fluctuations areparticularly pronounced in the case of patients suffering from hypertension.Blood pressure is usually at its highest during physical exertion and at its lowestat night when asleep.• Measure your blood pressure several times, then record and compare theresults. Do not draw any conclusions from a single reading.• Your blood pressure readings should always be evaluated by a doctor who isalso familiar with your personal medical history. When using the unitregularly and recording the values for your doctor, you should visit thedoctor from time to time to keep him updated.• When taking readings, remember that the daily values are influenced byseveral factors. Smoking, consumption of alcohol, drugs and physicalexertion influence the measured values in various ways.• Measure your blood pressure before meals.• Before taking readings, allow yourself at least five minutes rest.• If the systolic and diastolic readings seem unusual (too high or too low) onseveral occasions, despite correct use of the unit, please inform your doctor.This also applies to the rare occasions when an irregular or very weak pulseprevents you from taking readings.GA_HGD_10spr.qxd 05.12.2005 13:40 Uhr Seite 1314 3 Getting Started

Setting the measuring mode Insertion: Press firmly with your thumb to open the lid of the battery compartment 5 on the exterior of the unit. Remove the lid and insert the two batteries included with the unit (alkaline batteries, AAA type). Remember to insert the batteries as indicated in the diagram in the battery compartment. Replace the lid, pressing it until it snaps into place. Removal: The battery indicator is displayed when the batteries are low. When the START button 4 is pressed, the unit does not start to measure the blood pressure. Insert new batteries. Pull on the tab in the battery compartment to remove the old batteries and then insert the new batteries. Note that the settings are lost when new batteries are inserted. BATTERY SAFETY INFORMATION:

• Keep away from children. • Do not recharge.

• Do not short-circuit. • Do not throw into fire.

• Do not dispose of old batteries with your household waste, but dispose of them at a battery collection station at a recycling site or in a shop. With just one press of the MENU button 2 ,the MEDISANA HGD offers you a se-lection of various settings for individual use. When the unit is switched on for the first time, pressing the MENU button 2 causes the following menu options to appear in English: MEASURING MODE USER CLEAR MEMORY TIME / ALARM LANGUAGE CONTRAST PC-LINK The individual menu options can be highlighted using the SELECT buttons ▲▼ and selected with a press of the MENU button 2 . With a short press of the START button 4 , you will leave the selected menu option, and the dis- play will once again show the time/date and the user. Under the menu option „MEASURING MODE“, you can choose between the standard measuring mode (1) and the 3/MAM mode (3 Measurement Average Mode). With the standard mode (1), a single blood pressure reading is taken and stored. A press of the button ▲ will switch to the 3/MAM mode. The 3/MAM mode is to be recommended if you suffer from fluctuating blood pressure. Three successive readings are taken at 15 second intervals, thus eliminating widely varying readings. In the case of serious deviations, a 4th reading may be taken. Once measurement is completed, the unit will calculate and display a weighted average value, thus greatly minimizing the risk of an incorrect reading. GA_HGD_10spr.qxd 05.12.2005 13:40 Uhr Seite 1415

Selecting and defining users

Clear memory / deleting readings

Time / alarm You confirm the selection of the measuring mode, indicated by a black bar under the symbol for the selected measuring mode, by pressing the MENU button 2 once. The display will then show the date, time and user. The MEDISANA HGD allows you to select between two specified users ( I or II ), or to take a reading without assigning it to either user ( ). There are 30 memory slots available for each of the two specified users ( I or II ) for their readings. An unassigned reading is only stored until the next reading is taken. Using the SELECT buttons ▲▼, you can select the required user. The selection is indicated by a black bar under the symbols. Confirm your selection by pressing the MENU button 2 once. After doing this, you can give user I or II a name with up to 6 characters, either letters or numbers. Use the SELECT buttons ▲▼ to get to the letter or number you require. If you hold down one of the SELECT buttons ▲▼, you can scroll through the letters/numbers until the one you require appears on the display, then let go and confirm by pressing the MENU button 2 . Once you have defined the user, you can leave this menu option by pressing the MENU button 2 . You can also leave the selection menu directly after defining the user with a short press of the START button 4 . The date, time and user details will appear in the display. In this sub-menu you can call up or, if desired, delete the stored readings for user I or II (up to 30 each). First select a user, as described in section 3.2.2. Using the SELECT buttons ▲▼, you can choose between deleting just one reading (SINGLE) or all of the readings (ALL). Your selection is indicated by the black bar at the bottom of the display. If you have chosen to delete just one reading (SINGLE-mode), pressing the MENU button 2 once will display all the stored readings for the selected user. Using the SELECT buttons ▲▼ select the reading you wish to delete. At the top of the display you can see at what time this reading was taken. Confirm with the MENU button 2 to delete the reading or press the START button 4 to leave the MENU-mode without deleting the reading. If you wish to delete all stored readings select the ALL-mode. Either confirm that you want to delete the readings with a short press of the MENU button 2 , or press the START button 4 to leave the menu without deleting. With this menu option you can set the date, time and alarm. First of all the year will start to flash in the display. Use the SELECT buttons ▲▼ to set the year and confirm the selection with the MENU button 2 . After this, the month/day/hour and seconds can by set in the same way. After entering this data, you can set a time for a 1st and 2nd alarm. If you do not wish to set the alarm, use the SELECT buttons ▲▼ to highlight the symbol of the crossed-out bell after confirming the alarm time. Once the symbol starts to flash, confirm the selection by pressing the MENU button 2 . The alarm is now deactivated. GA_HGD_10spr.qxd 05.12.2005 13:40 Uhr Seite 1516 3 Getting Started / 4 Use

PC-Link Finally, you can choose whether or not the date, time and user should be permanently displayed by using the SELECT buttons ▲▼ to choose between Display ON or OFF. The selected mode will flash and you can confirm with a press of the MENU button 2 . With the menu option „Language“, you can choose the language to be used in the menus. The information can be displayed in one of 5 languages.

• ENGLISH • DEUTSCH • FRANCAIS • ESPANOL • ITALIANO Use the SELECT buttons ▲▼ to choose a language and confirm your selection with a short press of the MENU button 2 . After confirmation, the time and user will be displayed. With the menu option „Contrast“, the contrast level of the display can be set in stages using the SELECT buttons ▲▼. Once the desired contrast is set, please confirm your selection with the MENU button 2 . The unit is supplied with a software CD and a USB cable which you can use to transfer the data from the MEDISANA HGD blood pressure monitor via the USB interface to your computer. Connect one end of the USB cable to the USB interface 6 on the unit and the other end to the USB input socket of your computer. Select the menu option PC-Link using MENU button 2 and the SELECT buttons ▲▼, and confirm your selection by pressing the MENU but- ton 2 again. The display of the HGD shows wavy lines which symbolise the connection to the computer. Insert the CD into your computer and carry out the installation process. The software guides you through the process. Once you have inserted the CD, the installation routine starts automatically. Simply follow the instructions on your computer monitor. The software has extensive help files in case of problems. The evaluation software makes it possible to display the measurements graphi- cally or as a table. a. Fit the pressure cuff around your left wrist. Make sure that

• the display panel is positioned on the inside of the wrist.

• the wrist is free of jewellery, watches etc. The unit must rest directly on the skin, as a reading cannot be taken through clothing. b. Fasten the cuff in such a way that it fits tightly but does not constrict the arm. The cuff must not be twisted in any way. GA_HGD_10spr.qxd 05.12.2005 13:40 Uhr Seite 1617

The correct position for taking readings

Measuring blood pressure

Switching off the unit

• Take readings while in a seated position.

• Relax your arm and rest it lightly on a surface such as a table.

• Raise your wrist so that the pressure cuff is on the same level as the heart.

• Relax during the measuring process: do not move or talk, as this can affect the results. a. Press the START button 4 .

• Pressing the START button 4 during inflation will stop the inflation pro- cess. The unit switches off and the cuff deflates. b. The measuring process begins automatically when inflation is complete by slowly releasing the pressure built up in the cuff. At the same time, a pulse curve is shown in the display. The messages „DO NOT MOVE“ and „DO NOT TALK“, are displayed alternately, reminding you not to do so while the reading is being taken. c. Initially, deflation occurs at a constant speed. As soon as the pulse can be determined, deflation is synchronised with the beating of the heart until the measurement ends. During this time the heart symbol will flash. The measurement is complete when the cuff suddenly deflates and readings appear on the display under SYS, DIA and PUL. The unit has 30 memory slots each for 2 potential users. The latest reading will automatically be stored under the name of the currently selected user in the next available memory slot. When the unit is switched off, the stored values can be displayed by pressing the SELECT buttons ▲▼ . You can then move through the list using the SELECT buttons ▲▼ . The values stored in the current memory location are shown in table form when MENU button 2 is pressed. When MENU button 2 is pressed again, the values are displayed graphically. The unit switches off automatically after a short time if no further buttons are pressed, or can be switched off using the START button 4 . The display showing the date, time and user will remain visible if the menu option DISPLAY ON was selected and confirmed in the TIME/ALARM menu. GA_HGD_10spr.qxd 05.12.2005 13:40 Uhr Seite 1718 5 Miscellaneous

If the display shows one of the following error messages, this means that theunit was unable to accurately determine blood pressure. Error messages - Possible causes and solutions ERR 1 - No pulse could be detected. Make sure that the cuff is correctly fitted and that you are holding your wrist at the level of the heart. ERR 2 - Non-physiological pressure has been detected and has influenced the reading. Cause: the arm was moved during the measurement. Take anotherreading, keeping your arm still and not speaking.ERR 3 - The cuff takes too long to inflate.The cause may be that the cuff is incorrectly positioned or that the connectionwith the hose is not airtight. ERR 4 - The difference between systolic and diastolic pressure is abnormally high. Repeat the measurement under relaxed conditions, following theinstructions exactly. If the same error occurs repeatedly, please contactMEDISANA. ERR 5 - An average value could not be calculated due to unstable conditions while the readings were being taken. Repeat the measuring process, keepingyour arm still and not speaking.• Remove the batteries before cleaning the unit.• Never use strong detergents or hard brushes.• Clean the unit with a soft cloth, moistened with mild soapy water. Do notlet water enter the unit. After cleaning, only use the unit when completely dry.

• Remove the batteries from the unit if you do not wish to use it for anextended period of time, otherwise there is a risk of battery leakage.• Do not expose the unit to direct sunlight, and protect it from dust andmoisture.• Only inflate the cuff when it is in position around the wrist.
• Servicing and calibration (only applies in the case of commercial use) : The unit has been calibrated by the manufacturer for a period of two years’use. The unit must be inspected and, if necessary, re-calibrated at least onceevery two years. The inspection, which is subject to a charge, may only becarried out by an appropriate authority or authorized service personnel aslaid down in the medical product suppliers’ regulations.Dispose of your old electrical unit in an environmentally acceptable mannerwhen it has reached the end of its service life! Packaging is re-usable or may be re-cycled; metal parts must be disposed ofas scrap metal; plastics, electrical and electronic components must be disposedof as electro-scrap.Please remove the batteries before disposing of the equipment. Do not dis-pose of old batteries with your household waste, but dispose of them at abattery collection station at a recycling site or in a shop.Consult your local council or your dealer for recycling information.

Care and maintenance

Specifications This blood pressure computer conforms to the European regulations EN 1060

part 1 / 1995 and EN 1060 part 3 / 1997.

The unit conforms to the requirements of the European Norm standard EN 60601-1-2. The requirements of the EEC Directives 93 / 42 / EEC for Class II a medical products have been fulfilled. The CE-mark of this device refers to the EC-Directive 93 / 42 EEC. Device classification: Class BF Intended use: This unit is suitable for non-invasive blood pressure measurement in adults (i.e., suitable for external use). We reserve the right to modify technical speci- fications without notice, in order to improve and further develop the product. Name and model : MEDISANA Blood pressure monitor HGD Display system : Digital dot matrix display Measuring technique : Oscillometric Power supply : 3 V=, 2 x 1,5 V Mignon AAA Alkaline Blood pressure measuring range : 30 – 280 mmHg Pulse measuring range : 40 – 200 beats / min. Maximum error tolerance for static values : ± 3 mmHg Maximum error tolerance for pulse rate : ± 5 % of the reading Pressure generation : Automatic, using micro pump Deflation : Automatic Automatic cut-off : After approx. 30 seconds Operating conditions : + 10 °C to + 40 °C, 15 - 85 % humidity Storage conditions : - 5 °C to + 5 °C Dimensions : incl. cuff 70 x 67 x 80 mm Weight Approx. : 140 g incl. batteries Article number : 51422 EAN number : 4015588514227 In accordance with our policy of continual product improvement, we reserve the right to technical and design changes without notice. GA_HGD_10spr.qxd 05.12.2005 13:40 Uhr Seite 1920 5 Miscellaneous / 6 Warranty

We wish you success in using your MEDISANA HGD blood pressure com- puter and are certain that you will enjoy using it for a long time. For the benefit of your health, we invite you to sample our other quality products. As one of the world’s leading companies in the Home Health Care sector, we offer a wide range of products in the areas of health examination, home therapy, alternative pain therapy and professional body care. Please contact your dealer or the service centre in case of a claim under the warranty. If you have to send in the unit, please enclose a copy of your recei- pt and state what the defect is. The following warranty terms apply:

1. The warranty period for MEDISANA products is three years from date of

purchase. In case of a warranty claim, the date of purchase has to be proven by means of the sales receipt or invoice.

2. Defects in material or workmanship will be removed free of charge

within the warranty period.

3. Repairs under warranty do not extend the warranty period either for the

unit or for the replacement parts.

4. The following is excluded under the warranty:

a. All damage which has arisen due to improper treatment, e.g. non- observance of the user instructions. b. All damage which is due to repairs or tampering by the customer or unauthorised third parties. c. Damage which has arisen during transport from the manufacturer to the consumer or during transport to the service centre. d. Accessories which are subject to normal wear and tear.

5. Liability for direct or indirect consequential losses caused by the unit are

excluded even if the damage to the unit is accepted as a warranty claim. Please do not hesitate to contact us if you have questions about this or any other product. MEDISANA AG Itterpark 7-9 D-40724 Hilden Tel.: +49 (0) 2103 / 2007-60 Fax: +49 (0) 2103 / 2007-626 eMail: info@medisana.de Internet: www.medisana.de The service centre address is shown on the last page.

Warranty and repair terms

CLEAR MEMORY => EFFACER LA MÉMOIRE

CLEAR MEMORY => CANCELLA DATI

Colocar / retirar as pilhas

MEASURING MODE => MEET-MODUS

CLEAR MEMORY => TYHJENNÄ MUISTI

CLEAR MEMORY => TÖM MINNET