Technical Data .......................................................................... 14
English 1
Congratulations on purchasing a state-of-the-art A&D blood pressure
monitor, one of the most advanced monitors available today. Designed for
ease of use and accuracy, this device will facilitate your daily blood
pressure regimen.
We recommend that you read through this manual carefully before
using the device for the first time.
Dear Customers
Preliminary Remarks
This device conforms to the European Directive 93/42 EEC for Medical
Products. This is made evident by the
(0123: The reference number to the involved notified body)
The device is designed for use on adults, not newborns or infants.
Environment for use. The device is for use to operate by yourself in the
home healthcare environment.
This device is designed to measure blood pressure and pulse rate of
people for diagnosis.
mark of conformity.
Precautions
Precision components are used in the construction of this device.
Extremes in temperature, humidity, direct sunlight, shock or dust should
be avoided.
Clean the device and cuff with a dry, soft cloth or a cloth dampened with
water and a neutral detergent. Never use alcohol, benzene, thinner or
other harsh chemicals to clean the device or cuff.
Avoid tightly folding the cuff or storing the hose tightly twisted for long
periods, as such treatment may shorten the life of the components.
Take care to avoid accidental strangulation of babies or infants with the
hose.
Do not twist the air hose during measurement. This may cause injury
due to continuous cuff pressure.
The device and cuff are not water-resistant. Prevent rain, sweat and
water from soiling the device and cuff.
Measurements may be distorted if the device is used close to televisions,
microwave ovens, cellular telephones, X-ray or other devices with strong
electrical fields.
Wireless communication devices, such as home networking devices,
mobile phones, cordless phones and their base stations, walkie-talkies
can affect this blood pressure monitor. Therefore, a minimum distance of
30 cm should be kept from such devices.
Used equipment, parts and battery are not treated as ordinary household
waste, and must be disposed of according to the applicable local
regulations.
When reusing the device, confirm that the device is clean.
English 2
Do not modify the device. It may cause accidents or damage to the
device.
To measure blood pressure, the arm must be squeezed by the cuff hard
enough to temporarily stop blood flow through the artery. This may cause
pain, numbness or a temporary red mark to the arm. This condition will
appear especially when measurement is repeated successively. Any
pain, numbness, or red marks will disappear with time.
Measuring blood pressure too frequently may cause harm due to blood
flow interference. Check that the operation of the device does not result
in prolonged impairment of blood circulation, when using the device
repeatedly.
If you have had a mastectomy, please consult a doctor before using the
device.
Do not let children use the device by themselves and do not use the
device in a place within the reach of infants. It may cause accidents or
damage.
There are small parts that may cause a choking hazard if swallowed by
mistake by infants.
Use of accessories not detailed in this manual may compromise safety. Should the battery short-circuit, it may become hot and potentially
cause burns.
Allow the device to adapt to the surrounding environment before use
(about one hour).
Clinical testing has not been conducted on newborn infants and
pregnant woman. Do not use on newborn infants or pregnant woman.
Do not touch the battery and the patient at the same time. That may
result in electrical shock.
Do not inflate without wrapping the cuff around the upper arm.
Contraindications
The following are precautions for proper use of the device.
Do not apply the cuff on an arm with another medical electrical
equipment attached. The equipment may not function properly.
People who have a severe circulatory deficit in the arm must consult a
doctor before using the device, to avoid medical problems.
Do not self-diagnose the measurement results and start treatment by
yourself. Always consult your doctor for evaluation of the results and
treatment.
Do not apply the cuff on an arm with an unhealed wound. Do not apply the cuff on an arm receiving an intravenous drip or blood
transfusion. It may cause injury or accidents.
Do not use the device where flammable gases such as anesthetic
gases are present. It may cause an explosion.
Do not use the device in highly concentrated oxygen environments,
such as a high-pressure oxygen chamber or an oxygen tent. It may
cause a fire or explosion.
English 3
A
A
Battery
R6P, LR6 or AA
Battery cover
Parts Identification
Proper fit range
Cuff
Index mark
Battery compartment
Exhaust valve
Rubber bulb
rtery position mark
ir hose
START button
Display
Display
IHB/AFib symbol
Diastolic pressure
Systolic pressure
Pulse rate
Exhaust mark. Exhaust air from the cuff
Battery indicator
Pressure mark. Pump air into the cuff.
Heart mark. Measurement in progress.
English 4
A
Symbols
Symbols Function / Meaning Recommended Action
Standby and Turn the device on.
Battery installation guide
Type BF: Device, cuff and tubing are
designed to provide special protection
against electrical shocks.
ppears while measurement is in
progress. It blinks when the pulse is
detected.
IHB/AFib symbol
Appears when an irregular heartbeat is
detected.
It may light when a very slight vibration
like shivering or shaking is detected.
Blinks when there is air remaining in the
cuff at power up.
Blinks at the completion of the
measurement until exhaust is complete.
Blinks when the pressure is not enough
for the measurement.
FULL BATTERY
The battery power indicator during
Measurement is in
progress. Remain as still
as possible.
Press the exhaust valve
button to exhaust air from
the cuff.
Pump air into the cuff with
the rubber bulb.
measurement.
LOW BATTERY
The battery is low when it blinks.
Unstable blood pressure due to
movement during measurement.
The systolic and diastolic values are
Replace the battery with
a new one, when the
indicator blinks.
Try the measuring again.
Remain very still during
measurement.
within 10 mmHg of each other.
The pressure value did not increase
during inflation.
The cuff is not applied correctly.
The pulse is not detected correctly.
EC directive medical device label
EU-representative
Manufacturer
Apply the cuff correctly,
and try the measurement
again.
Date of manufacture
WEEE label
Refer to instruction manual/booklet
SN
IP
Serial number
International protection symbol
Keep dry
English 5
Using the Monitor
Installing / Changing the Battery
1. Remove the battery cover.
2. Insert a new battery into the
battery compartment as shown,
taking care that the polarities
(+) and (-) are correct.
Use only R6P, LR6, AA or
equivalent battery.
3. Close the battery cover.
CAUTION
Battery cover
Battery
Insert the battery as shown in the battery compartment. If installed
incorrectly, the device will not work.
When
battery.
(LOW BATTERY mark)
(LOW BATTERY mark)
does not appear when the battery is drained.
blinks in the display, replace with a new
The battery life varies with the ambient temperature and may be shorter at
low temperatures. Generally, a new LR6 battery will last approximately for
21 months when used six times for measurement each day.
Use the specified batteries only. The battery provided with the device is
for testing monitor performance and may have a limited life.
Remove the battery if the device is not to be used for a long time.
The battery may leak and cause a malfunction.
The data stored in memory are cleared when the battery is removed.
English 6
Using the Monitor
Selecting the Correct Cuff Size
Using the correct cuff size is important for an accurate reading. If the cuff is
not the proper size, the reading may yield an incorrect blood pressure
value.
The arm size is printed on each cuff.
The indexand proper fit range, on the cuff, tell you if you are applying
the correct cuff. (Refer to "Applying the Arm Cuff" on the next page.)
If the indexpoints outside of the range, contact your local dealer to
purchase a replacement cuff.
The arm cuff is a consumable. If it becomes worn, purchase a new one.
Arm Size Recommended Cuff SizeCatalog Number
32 cm to 45 cm Large adult cuff CUF-D-LA
22 cm to 32 cm Adult cuff CUF-D-A
Arm size: The circumference of the biceps.
Note:
The UA-704 is not designed for using a small cuff.
Symbols that are printed on the cuff
Symbols
REF
Artery position mark
Index
Catalog number
Proper fit range for the adult cuff.
It's printed on the adult cuff.
Over range printed on the adult cuff.
Proper fit range for the large adult
cuff.
It's printed on the Large adult cuff.
Under range printed on the adult
cuff.
Under range printed on the large
adult cuff.
Function / Meaning Recommended Action
Set the
the upper arm or in line with
the ring finger on the inside of
the arm.
Use the large adult cuff
instead of the adult cuff.
Use the adult cuff instead of
the large adult cuff.
mark on the artery of
Lot number
Proper fit range
Large adult cuff
Proper fit range
Adult cuff
English 7
A
A
Using the Monitor
Applying the Arm Cuff
1. Wrap the cuff around the upper arm,
about 1-2 cm above the inside of the
elbow, as shown.
Place the cuff directly against the
skin, as clothing may cause a faint
pulse and result in a measurement
error.
2. Constriction of the upper arm, caused
by tightly rolling up a shirtsleeve, may
prevent accurate readings.
3. Confirm that the index
within the proper fit range.
points
Do not roll up shirtsleeve tightly
Cuff
1-2 cm
rtery position mark
Secure the fabric
fastener firmly
ir hose
Index
and Proper fit range
How to Take Accurate Measurements
For the most accurate blood pressure measurement:
Sit comfortably on a chair.Rest your arm on the table. Do not cross
your legs. Keep your feet flat on the floor and straighten your back.
Relax for about five to ten minutes before measurement. Place the center of the cuff at the same level as your heart. Remain still and keep quiet during measurement. Do not measure immediately after physical exercise or a bath. Rest for
twenty or thirty minutes before taking the measurement.
Try to measure your blood pressure at the same time every day.
Measurement
During measurement, it is normal for the cuff to feel very tight.
Measure your blood pressure according to the section "Measurement".
After Measurement
Press the exhaust valve to exhaust air from the cuff.
Press the
Remove the cuff and record your data.
START button to turn off the power.
Note:
English 8
The device has an automatic power shut-off function, which turns off
the power automatically one minute after measurement.
Allow at least three minutes between measurements on the same
person.
A
Measurement
1. Place the cuff on the arm (preferably the left arm).
2. Press the
When the START button is pressed, all of the
display symbols will be displayed for about one
second.
When the " 0 " is blinking, the device is ready for
measurement. If the
cuff has some air trapped in it. Press the
exhaust valve button until the
displayed.
3. Pressurize the cuff by squeezing
the rubber bulb.
The figure on the left of the
display shows the current
pressure as you inflate the
cuff.
Stop squeezing the rubber
bulb when the
disappears.
4. When pressurization is complete,
the automatic exhaust
mechanism will gradually reduce
the pressure in the cuff and the
mark will be displayed along
with the current pressure reading
on the left.
Remain still during
measurement. When a pulse
is detected, the
blink with each pulse beat.
5. When the measurement is
complete, the
displayed. The systolic pressure
is displayed on the left. The
diastolic is displayed on the
right. The pulse rate alternates
with the systolic and diastolic
displays.
START button.
mark is displayed, the
mark
mark will
mark is
mark is
Stop squeezing the
bulb when the
mark disappears.
The mark blinks
when the pulse is
detected
Current pressure.
Automatic air release.
Gradually being reduced.
Measurement in
progress.
Systolic pressure
Diastolic pressure
lternating display
Pulse rate
START button
Squeeze the bulb
Bulb
Blinking
To the next page
English 9
Measurement
6. Press the exhaust valve button to completely
release air from the cuff.
From the previous page
Press the exhaust valve
When a measurement is made with insufficient
pressure, the
Re-pressurize the cuff to a pressure. Stop
squeezing the rubber bulb when the
disappears.
mark will be displayed.
mark
Bulb
Releasing air
from the cuff
When a measurement is made with an erratic
pulse or in a very noisy environment,
be displayed.
will
7. Turning the power off
Press the
The device will be in standby mode.
START button to turn the power off.
START button
8. Subsequent measurements
If a subsequent measurement is required, turn off the power and turn it
on again. When "0 " is displayed, the device is ready for another
measurement.
Note:
9. Automatic power shut-off function
If the device is left on after a measurement, it will turn off
Allow at least three minutes between measurements on the same
person.
automatically after about one minute.
It may be turned off at any time by pressing the
START button.
Notes for Accurate Measurement
Sit down in a comfortable position. Place your arm on a table with your
palm facing upward and the cuff at the same level as your heart.
Relax for about five or ten minutes before taking a measurement. If you
are excited or depressed by emotional stress, the measurement will
reflect this stress as a higher (or lower) than normal blood pressure
reading and the pulse reading will usually be faster than normal.
Your blood pressure varies constantly, depending on what you are
doing and what you have eaten. What you drink can have a very strong
and rapid effect on your blood pressure.
English 10
Measurement
This device bases its measurements on the heartbeat. If you have a
very weak or irregular heartbeat, the device may have difficulty
determining your blood pressure.
Should the device detect a condition that is abnormal, it will stop the
measurement and display an error symbol. Refer to page 5 for the
descriptions of the symbols.
This device is intended for use by adults. Consult with your physician
before using this device on a child. A child should not use this device
unattended.
The automatic blood pressure monitor’s performance may be affected
by excessive temperature or humidity, or altitude.
What Is The IHB/AFib Indicator?
When the monitor detects an irregular rhythm during the measurements,
the IHB/AFib indicator will appear on the display with the measurement
values.
Note: We recommend contacting your physician if you see this
IHB/AFib indicator frequently.
What Is The AFib?
The heart contracts due to electrical signals occurring in heart and
sends blood through the body. Atrial fibrillation (AFib) occurs when the
electrical signal in the atrium becomes confused and leads to
disturbances in the pulse interval. AFib can cause blood to stagnate in
the heart, which can easily create clots of blood, a cause of stroke and
heart attack.
About Blood Pressure
What is Blood Pressure?
Blood pressure is the force exerted by blood against the walls of the
arteries. Systolic pressure occurs when the heart contracts. Diastolic
pressure occurs when the heart expands. Blood pressure is measured
in millimeters of mercury (mmHg). One's natural blood pressure is
represented by the fundamental pressure, which is measured first thing
in the morning while one is still at rest and before eating.
What is Hypertension and How is it Controlled?
Hypertension, an abnormally high arterial blood pressure, if left
unattended, can cause many health problems including stroke and
heart attack. Hypertension can be controlled by altering lifestyle,
avoiding stress, and with medication under a doctor’s supervision.
To prevent hypertension or to keep it under control:
Do not smoke Exercise regularly
Reduce salt and fat intake Have regular physical checkups
Maintain proper weight
English 11
(
)
A
g
p
About Blood Pressure
Why Measure Blood Pressure at Home?
Blood pressure measured at a clinic or doctor's office may cause
apprehension and can produce an elevated reading, 25 to 30 mmHg
higher than that measured at home. Home measurement reduces the
effects of outside influences on blood pressure readings, supplements
the doctor's readings and provides a more accurate, complete blood
pressure history.
WHO Blood Pressure Classification
Standards to assess high
blood pressure, without
regard to age, have been
established by the World
Health Organization
(WHO), as shown in the
chart at the right.
Blood Pressure Variations
An individual’s blood pressure varies greatly on a daily and seasonal
basis. It may vary by 30 to 50 mmHg due to various conditions during
the day. In hypertensive individuals, variations are even more
pronounced. Normally, the blood pressure rises while at work or play
and falls to its lowest levels during
sleep. So, do not be overly
concerned by the results of one
measurement.
Take measurements at the same
time every day using the
procedure described in this manual
to get to know your normal blood
pressure. Regular readings give a
more comprehensive blood
pressure history. Be sure to note
date and time when recording your
blood pressure. Consult your
doctor to interpret your blood
pressure data.
mmH
Typical fluctuation within a day
Measured every five minutes
Systolic
Blood Pressure
Diastolic
PM
Slee
MTime
English 12
Troubleshooting
Problem Possible Reason Recommended Action
Battery is drained. Replace with a new battery.
Nothing
appears in the
display, even
when the power
is turned on.
Battery terminals are
not in the correct
position.
Reinstall the battery with
negative and positive
terminals matching those
indicated on the battery
compartment.
The cuff is not applied
properly.
You moved your arm or
body during measurement.
Apply the cuff correctly.
Make sure you remain very
still and quiet during
measurement.
The device
does not
measure.
Readings are
too high or too
low.
The cuff position is not
correct.
Sit comfortably and still.
Place your arm on a table with
your palm facing upward and
the cuff at the same level as
your heart.
If you have a very weak or
irregular heartbeat, the
device may have difficulty in
determining your blood
pressure.
Other
Note:
The value is different
from that measured at a
clinic or doctor’s office.
Refer to “Why Measure Blood
Pressure at Home?”
Remove the battery. Place it
back properly and try the
measurement again.
If the actions described above do not solve the problem, contact the
dealer.
Do not attempt to open or repair this product, as any attempt to do so
will make your warranty invalid.
English 13
A
A
A
Maintenance
Do not open the device. It uses delicate electrical components and an
intricate air unit that could be damaged. If you cannot fix the problem
using the troubleshooting instructions, contact the authorized dealer in
your area or our customer service department. The A&D customer
service will provide technical information, spare parts and units to
authorized dealers.
The device was designed and manufactured for a long service life.
However it is generally recommended to have the device inspected
every 2 years, to ensure proper functioning and accuracy. Please
contact the authorized dealer in your area or A&D for maintenance.
Pulse : ±5%
Power supply 1 x 1.5V battery (R6P, LR6, or AA)
Number of measurements Approximately 4000 measurements, when AA
Alkaline batteries are used, with pressure value
of 180 mmHg at room temperature of 23 °C.
Classification Internally powered EM equipment
Continuous operation mode
Clinical test According to ISO81060-2:2013
EMD IEC 60601-1-2: 2014
Operating conditions
Transport / Storage conditions -20 to +60 °C / 10 to 95 %RH / 700 to 1060 hPa
Dimensions Approx. 100 [W] x 31 [H] x 51 [D] mm
Weight Approx. 73 g, excluding battery
Ingress protection Device: IP20
Applied part Cuff Type BF
Useful life Device: 5 years (when used six times a day)
Accessories sold separately
Cuff Catalog NumberCuff Size
CUF-D-LALarge adult cuff32 cm to 45 cm
CUF-D-
+10 to +40 °C / 15 to 85 %RH / 800 to 1060 hPa
Cuff: 2 years (when used six times a day)
rm Size
dult cuff22 cm to 32 cm
Arm size: The circumference of the biceps.
Note: Specifications are subject to change without prior notice.
IP classification is the degrees of protection provided by enclosures
in accordance with IEC 60529. This device is protected against
solid foreign objects of 12 mm diameter and greater such as a
finger. This device is not protected against water.