Technical Data .................................................................... 21
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Dear Customers
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.
Preliminary Remarks
This device conforms to the European Directive 93/42 EEC for Medical
Products. This is made evident by the
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. (0123:
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.
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When reusing the device, confirm that the device is clean. Used equipment, parts and batteries are not treated as ordinary
household waste, and must be disposed of according to the applicable
local regulations.
When the AC adapter is used, make sure that the AC adapter can be
readily removed from the electrical outlet when necessary.
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.
Unplug the AC adapter when not in use during the measurement. 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 batteries, the DC jack, 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.
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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.
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y
A
A
r
r
A
A
ir Connector Plug
Proper Fit Range
Battery Compartment
Display
Cuff Fit Error Symbol
Movement Error Symbol
ir Socket
Index Mark
IHB/AFib symbol
Heart Mark
Parts Identification
Displa
rtery Position Mark
Arm Cuff
Battery Cover
1.5V Batteries
(R6P, LR6 or AA)
verage
MEMORY
%IHB/AFib
AC adapter Plug
DC Jack
START Button
Air Hose
Systolic
Pressure
Diastolic
Pressure
WHO Classification Indicato
and Pressure Bar Indicato
Battery Indicator
English 5
Pulse Rate
Page 7
Symbols
Symbols that are printed on the device case
Symbols Function / Meaning
SYS
Standby and Turn the device on.
Systolic blood pressure in mmHg
DIA Diastolic blood pressure in mmHg
PUL Pulse per minute
Battery installation guide
Direct current
Type BF: Device, cuff and tubing are designed to provide
special protection against electrical shocks.
EC directive medical device label
EU-representative
Manufacturer
Date of manufacture
IP International protection symbol
WEEE label
SN Serial number
Refer to instruction manual/booklet
Polarity of DC jack
Keep dry
Symbols that appear on the display
Symbols Function / Meaning Recommended Action
Appears 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.
Appears when a body or arm movement
is detected.
Measurement is in
progress. Remain as
still as possible.
The reading may yield
an incorrect value.
Try the measurement
again. Remain still
during measurement.
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Symbols
Symbols Function / Meaning Recommended Action
The reading may yield an
Appears during measurement
when the cuff is attached loosely
incorrect value. Apply the
cuff correctly and try the
measurement again.
Detected rate of IHB/AFib in memory
%IHB/AFib =
Number of detected
IHB/AFibs in memory
x100 [%]
Total number
Previous measurements stored in
MEMORY.
Average data
FULL BATTERY
The battery power indicator during
measurement.
LOW BATTERY
The battery is low when it blinks.
Replace all batteries with new
ones when the mark blinks.
Try the measurement again.
Unstable blood pressure due to
movement during measurement.
Remain very still during
measurement.
The systolic and diastolic values
are within 10 mmHg of each other.
The pressure value did not
increase during inflation.
Apply the cuff correctly,
and try the measurement
The cuff is not applied correctly.
again.
PUL DISPLAY ERROR
The pulse is not detected correctly.
Remove the batteries and
Blood pressure monitor internal
error
press the
and then install the batteries
again. If the error still
appears, contact the dealer.
START button,
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Operation Mode
1. Normal Measurement
Press the STARTbutton. Blood pressure is measured and the data is stored
in memory. This device can store the last 60 measurements in memory.
2. Recalling the Data
When nothing is displayed, press and hold
the
STARTbutton.
Release the button when displaying the
average data.
The data number and stored data are
automatically displayed in order from the last
measurement.
For details on recalling the data, Refer to
“Recalling the Memory Data”.
In standby,
press and hold the
START
button
3. Deleting all Data Stored in Memory
When turning off the device, press and hold the
STARTbutton until the "" is displayed.
START
Select "" to clear the data.
The data is cleared when the
mark blinks.
The device turns off automatically.
4. Measurement with the Desired Systolic Pressure
Refer to page 15 for measurement with the desired systolic pressure.
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Using the Monitor
Installing / Changing the Batteries
1. Remove the battery cover.
2. Remove the used batteries and
Step 3
Step 1
Step 1
insert new batteries into the battery
compartment as shown, taking
care that the polarities (+ and -) are
Step 2
correct.
Use only R6P, LR6 or AA batteries.
3. Attach the battery cover.
CAUTION
Insert the batteries as shown in the battery compartment. If installed
incorrectly, the device will not work.
When (LOW BATTERY mark) blinks in the display, replace all
batteries with new ones. Do not mix old and new batteries. It may shorten
the battery life, or cause the device to malfunction.
Replace the batteries two seconds or more after the device turns off.
If (
LOW BATTERY mark
) appears even after the batteries are replaced,
make a blood pressure measurement. The device may then recognize the new
batteries.
(LOW BATTERY mark) does not appear when the batteries are
drained.
The battery life varies with the ambient temperature and may be shorter at
low temperatures. Generally, four new LR6 batteries will last approximately
for one year when used twice for measurement each day.
Use the specified batteries only. The batteries provided with the device are
for testing monitor performance and may have a limited life.
Remove the batteries if the device is not to be used for a long time.
The batteries may leak and cause a malfunction.
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Using the Monitor
j
A
Connecting the Air Hose
Insert the air connector plug into
the air socket firmly.
Connecting the AC Adapter
Insert the AC adapter plug into the
DC jack.
Next, connect the AC adapter to an
electrical outlet.
Use the specified AC adapter.
(Refer to page 22.)
Air socket
ir connector plug
DC
AC adapter plug
ack
When disconnecting the AC adapter from the electrical outlet, grasp
and pull the AC adapter body out of the outlet.
When disconnecting the AC adapter plug from the blood pressure
monitor, grasp and pull the AC adapter plug out of the monitor.
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Using the Monitor
A
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 index and proper fit range, on the cuff, tell you if you are applying the
correct cuff. (Refer to "Symbols that are printed on the cuff" on the next page.)
If the index points 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 Size Catalog Number
31 cm to 45 cm Large Adult Cuff CUF-F-LA
22 cm to 42 cm Wide Range Cuff CUF-I
22 cm to 32 cm Adult Cuff
CUF-F-A
Arm size: The circumference at the biceps.
Note: The UA-767S is not designed for using a small cuff.
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
points
within the proper fit range.
Do not roll up shirtsleeve tightly.
Cuff
1-2 cm
ir hose
Artery position mark
Secure the fabric
fastener firmly.
Index
and proper fit range
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Using the Monitor
Symbols that are printed on the cuff
Symbols Function / Meaning Recommended Action
Set the
Artery position mark
artery of the upper arm or
in line with the ring finger
on the inside of the arm.
mark on the
▲
REF
Index
Catalog number
Proper fit range for the adult cuff.
It's printed on the adult cuff.
Over range printed on the adult cuff
and wide range cuff.
Proper fit range for the wide range cuff.
It's printed on the wide range cuff.
Proper fit range for the large adult cuff.
It's printed on the large adult cuff.
Under range printed on the adult cuff
and wide range cuff.
Under range on the large adult cuff.
Lot number
Use the large adult cuff
instead of the adult cuff or
wide range cuff.
Use the adult cuff instead
of the large adult cuff.
Large adult cuff
AL
Wide range cuff
Adult cuff
Proper fit range
WS
ALS
L
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Using the Monitor
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 right 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. (Do not be
alarmed.)
After Measurement
After measurement, press the START button to turn the device off.
Remove the cuff and record your data.
Note: The device has an automatic power shut-off function, which turns the
device off approximately one minute after measurement.
Allow at least three minutes between measurements on the same person.
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Measurements
A
y
Before measurement, refer to “Notes for Accurate Measurement” on the next
page.
Normal Measurement
1. Place the cuff on the arm (preferably the left arm).
Sit quietly during measurement.
2. Press the START button.
All of the display segments are displayed.
Zero (0) is displayed blinking briefly.
The display changes, as indicated in the
figure at the right, as the measurement
begins. The cuff starts to inflate. It is
normal for the cuff to feel very tight. A
pressure bar indicator is displayed, on the
left edge of the display, during inflation.
Note: If you wish to stop inflation at any time,
press the
START button again.
3. When inflation is complete, deflation starts
automatically and
(heart mark) blinks,
indicating that the measurement is in
progress. Once the pulse is detected, the
mark blinks with each pulse beat.
Note:
If an appropriate pressure is not obtained, the
device starts to inflate again automatically.
To avoid re-inflation, refer to “Measurement
with the Desired Systolic Pressure” on the
next page.
4. When the measurement is complete, the
systolic and diastolic pressure readings
and pulse rate are displayed.
The cuff exhausts the remaining air and
deflates completely.
5. Press the START button to turn the device off.
Note: Allow at least three minutes between
measurements on the same person.
segments displayed
Systolic pressure
Diastolic pressure
WHO classification
Pulse rate
At heart level
ll of the displa
Zero display
Starts inflation
Pressurizing
Measurement
in progress
Press
START
Exhausts remaining
air automatically
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Measurements
Measurement with the Desired Systolic Pressure
The UA-767S is designed to detect the pulse and to inflate the cuff to a
systolic pressure level automatically.
Use this method when re-inflation occurs repeatedly or when the results
are not displayed even if the pressure decreases to 20 mmHg or less.
1. Place the cuff on the arm at heart level
(preferably the left arm).
2. Press the START button.
3. When the zero blinks, press and hold
the
START button until a number
about 30 to 40 mmHg higher than
your expected systolic pressure
appears.
4. When the desired number is reached,
release the
START button to start
measurement. Continue to measure
your blood pressure as described on
the previous page.
Release the button
Press and hold the
At heart level
Press the
START
button
at the desired
systolic pressure
START
button
Refer to the previous page
for measurement
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 to 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.
An individual's 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.
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 7 for the
description of symbols.
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This blood pressure monitor is intended for use by adults. Consult with
A
(
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.
Recalling the Memory Data
Note: This device stores the last 60 measurements in memory.
1. When nothing is displayed, press
and hold the
recall the stored data.
_START_ button to
Press and
hold
START
button
Average systolic
2. Release the button when displaying
the average data.
3. The data number and stored data
are automatically displayed in order
from the last measurement.
4. The display will turn off automatically
after all data are displayed.
Note: If you press the
while recalling data, the device
turns off.
_START_ button
Average diastolic
Average pulse
verage of
all the data
Systolic
Diastolic
Pulse
Most recent data
Systolic
Diastolic
Pulse
Last data
Oldest)
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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. Arterial 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.
%IHB/AFib
%IHB/AFib is displayed as frequency of IHB/AFib detected.
IHB/AFib can detect not only noises such as physical movement but also
an irregular heartbeat. Therefore, we recommend contacting your
physician
%IHB
Display of %IHB/AFib: %IHB/AFib is displayed when displaying average values.
Level 0
%IHB/AFib=0
Not displayed
if %IHB/AFib level is high.
Number of detected
AFib
/AFib
IHB/
=
s in memory
Total number
(Refer to “2. Recalling the Data” in “Operation Mode”)
%IHB/AFib is not displayed when the memory number is six or less.
Average value display
Level 1
%IHB/AFib=1 - 9
x 100 [%]
Level 2
%IHB/AFib=10 - 24
Level 3
%IHB/AFib=25 - 100
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Pressure Bar Indicator
p
The indicator monitors the progress of pressure during measurement.
Pressurizing
Releasing air
Inflation in progress Measurement in progress
Inflation complete
WHO Classification Indicator
Each segment of the bar indicator
corresponds to the WHO blood pressure
classification described on the next page.
:
The indicator displays a segment, based
on the current data, corresponding to the
WHO classification.
WHO Classification Indicator
Severe hypertension
Moderate hypertension
Mild hypertension
High normal
Normal
timal
O
Example:
Moderate hypertension
Mild hypertension
High normal
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.
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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 keep it under control:
Do not smoke Exercise regularly
Reduce salt and fat intake Have regular physical checkups
Maintain proper weight
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.
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 the date and
time when recording your blood pressure.
Consult your doctor to interpret your
blood pressure data.
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Troubleshooting
y
g
Problem Possible ReasonRecommended Action
Nothing
appears in the
display, even
when the device
is turned on.
The cuff does
not inflate.
The device does
not measure.
Readings are
too high or too
low.
Other
Batteries are drained.
Battery terminals are not
in the correct position.
Battery voltage is too low.
(LOW BATTERY mark)
blinks. If the batteries are
drained completely, the
mark does not appear.
The cuff is not applied
properly.
You moved your arm or
body during measurement.
The cuff position is not
correct.
The value is different
from that measured at a
clinic or doctor’s office.
Replace all batteries with new
ones.
Reinstall the batteries with
negative and positive terminals
matching those indicated on the
battery compartment.
Replace all batteries with new
ones.
Apply the cuff correctly.
Make sure you remain very still
and quiet during measurement.
Sit comfortably and still.
Place your arm on a table with your
palm facing upward and the cuff at
the same level as
If you have a very weak or
irregular heartbeat, the device
may have difficulty in determining
your blood pressure.
Refer to “Why Measure Blood
Pressure at Home?”.
Remove the batteries. Place
them back properly and try the
measurement a
ain.
our heart.
Note: 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.
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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 devi
2 years, to ensure proper functioning and accuracy. Please contact the
authorized dealer in your area or A&D for maintenance.
ce inspected every
Technical Data
Type UA-767S
Measurement method Oscillometric measurement
Measurement range Pressure: 0 - 299 mmHg
Power supply 4 x 1.5V batteries (R6P, LR6 or AA) or
AC adapter (TB-233C) (Not included)
Number of measurements
Approx. 700 times LR6 (
Approx. 200 times R6P (
With pressure value of 180 mmHg at room
temperature of 23 °C.
Classification Internally powered ME equipment (Supplied by
batteries) / Class II (Supplied by adapter)
Continuous operation mode
alkaline batteries
manganese batteries
)
)
Clinical test According to ISO81060-2:2013
EMD
Memory
Operating conditions
Transport / Storage conditions
Dimensions Approx. 140 [W] x 60 [H] x 105 [D] mm
Weight Approx. 245 g, excluding the batteries
Ingress protection Device: IP20
IEC 60601-1-2: 2014
Last 60 measurements
+10 to +40 °C / 15 to 85 %RH / 800 to 1060 hPa
-20 to +60 °C / 10 to 95 %RH/ 700 to 1060 hPa
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Applied part Cuff Type BF
y
Useful life Device: 5 years (when used six times a day)
Cuff: 2 years (when used six times a day)
AC adapter: 5 years (when used six times a day)
Accessory AC adapter
The adapter is to connect the device to a power source at home. Please
contact your local A&D dealer for purchasing. The AC adapter is required to
be inspected or replaced periodically.
TB-233C Please contact your local A&D dealer for
purchasing.
The AC adapter is required to be inspected or
replaced periodically.
Symbols that are printed on the AC adapter
S
mbolsFunction / Meaning
For indoor use only
Class II device
Thermal fuse
Fuse
EC directive device label
EAC certification device label
Polarity of AC adapter plug
Accessories sold separately
Cuff Catalog Number Cuff Size Arm Size
CUF-F-LA Large adult cuff 31 cm to 45 cm
CUF-I Wide range cuff 22 cm to 42 cm
CUF-F-A Adult cuff 22 cm to 32 cm
Arm size: The circumference at the biceps.
AC adapter Catalog Number Plug (Outlet type)
TB-233C Type C
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 fingers. This
device is not protected against water.