AND UA-651SL Instruction Manual

Digital Blood Pressure Monitor

Model UA-651SL

Instruction Manual

1. Dear Customers

The A&D blood pressure monitor is one of the most advanced

monitors available and is 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.

2. Preliminary Remarks

This device conforms to the European Directive 93/42 EEC for

Medical Products. This is made evident by the conformity. (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.

3. 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. 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. 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. 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. 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. 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. 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. 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.

4. Parts Identification

Proper fit range

Index

Arm Cuff

Display

5. Symbols

Symbols that appear on the display

Symbols Function / Meaning Recommended Action

rtery position mark

ir Hose

MEMORY

Systolic Pressure

Diastolic Pressure

Pulse Rate I.H.B. symbol

(Irregular Heartbeat symbol) Heart Mark Battery Indicator

Pressure Bar Indicator and WHO Classification Indicator

Appears while measurement is in progress. It blinks when the pulse is detected. I.H.B. appears when an irregular heartbeat is detected. It may light when a very slight vibration like shivering or shaking is detected. Previous measurements stored in memory. FULL BATTERY The battery power indicator during measurement. LOW BATTERY The battery power is low when it blinks.

Unstable blood pressure due to movement during measurement.

The systolic and diastolic values are within 10 mmHg of each other. The pressure value did not increase during the inflation.

The cuff is not applied correctly.

PUL DISPLAY ERROR The pulse is not detected correctly.

Battery Compartmen

Measurement is in progress. Remain as still as possible.

Replace all batteries with new ones when the mark blinks. Take another measurement. Remain still during measurement.

Apply the cuff correctly, and take another measurement.

Original

1WMPD4002763D

mark of

DC jac

AC adapter Plug

Displa

START Button

Air Socke

Air Connector Plug

Battery Cove

Symbols Function / Meaning Recommended Action

Device internal error

Symbols printed on the device case.

Symbols Function / Meaning

Standby and Turn the device on. Systolic blood pressure in mmHg

SYS

Diastolic blood pressure in mmHg

DIA

Pulse per minute

PUL

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 WEEE label Serial number

Refer to instruction manual/booklet Polarity of DC jack

International protection symbol

Keep dry

Remove the batteries and press the START button, and then install the batteries again. If the error still appears, contact the dealer.

6. Using the Monitor

6.1. Installing / Changing The Batteries

1. Remove the battery cover.

2. Remove the used batteries from the battery compartment in case of changing them.

3. Insert new batteries into the battery compartment as shown, taking care that the polarities (+) and (-) are correct.

4. Replace the battery cover. Use only R6P, LR6 or AA batteries.

CAUTION

Insert the batteries as shown in the battery compartment. If installed

incorrectly, the device will not work.

When blinks on the display and the device announces that the

battery needs to be replaced, 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.

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 R6P batteries will last approximately for three months when used twice for measurement each day.

Use the specified batteries only. The batteries provided with the device are

for testing the device 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.

6.2. Connecting The Air Hose

Insert the air connector plug

into the air socket firmly.

6.3. Connecting The

AC Adapter

Insert the AC adapter plug into the

DC jack. Then, insert the AC adapter into an electrical outlet.

The AC adapter, the model

TB-233, is sold separately.

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.

6.4. Selecting The Correct Cuff

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 "6.5 Applying The Arm Cuff".

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 31 cm to 45 cm Large adult cuff CUF-F-LA 23 cm to 37 cm Semi large adult cuff CUF-F-SL

Arm size: The circumference at the biceps. Note: Model UA-651SL is not designed for using a small cuff.

Symbols printed on the cuff.

Symbols Function / Meaning

Artery Position Mark

Index

REF

Catalog number Proper fit range for the semi large adult

cuff. It's printed on the adult cuff.

Over range printed on the semi large adult cuff.

Proper fit range for the large adult cuff. It's printed on the large adult cuff.

Under range printed on the semi large adult cuff.

Under range printed on the large adult cuff.

Lot number

Semi large adult cuff

6.5. Applying The Arm Cuff

1. Wrap the cuff around the upper arm, about 1 to 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 rolling up a shirtsleeve, may prevent accurate readings.

3. Confirm that the index points within the proper fit range.

Note: During measurement, it is normal for the cuff to feel very tight. (Do not

be alarmed).

Do not roll up shirtsleeve tightly

Index and Proper fit range

Recommended Cuff Size

Cuff

1 to 2 cm

Artery position mark

Secure the fabric fastener

Step 2

ir Hose

ir Connector Plug ir Socket

C adapter Plug

Proper fit range

Air hose

Step 3

Step 4

DC Jack

Catalog Number

Recommended Action Set the mark on the

artery of the upper arm or in line with the ring finger on the inside of the arm.

Use the large adult cuff instead of the semi large adult cuff.

Use the semi large adult cuff instead of the large adult cuff.

Step 1

7. Measurements

7.1. Normal Measurement

1. Place the cuff on the arm at heart level (preferably the left arm). Sit quietly during measurement.

2. Press the

All of the display segments are

Note: If you wish to stop inflation at any time,

3. When inflation is complete,

Note: If an appropriate pressure is not

4. When the measurement is

5. Press the START button again to

Note: Model UA-651SL is provided with an automatic power shut-off function.

7.2. Measurement with the Desired Systolic Pressure

If re-inflation occurs repeatedly,

1. Place the cuff on the arm at heart level

2. Press the START button.

3. During the zero blinks, press and hold

4. When the desired number is reached,

7.3. Notes for Accurate Measurement

START button.

displayed. Zero is displayed blinking briefly. Then 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, as in the figure at the right, during inflation.

press the START button again.

deflation starts automatically and the

(heart mark) blinks, indicating that the measurement is in progress. Once the pulse is detected, the mark blinks with each pulse beat.

obtained, the device starts to inflate again automatically.

complete, the systolic and diastolic pressure readings and pulse rate are displayed. The cuff exhausts the remaining air and deflates completely.

turn off the power.

Allow at least 3 minutes between measurements on the same person.

use the following methods. If your systolic pressure is expected to exceed 230 mmHg, use this procedure.

(preferably the left arm).

the

START button until a number

about 30 to 40 mmHg higher than your expected systolic pressure appears.

release the START button to start measurement. Then continue to measure your blood pressure as described on the section "7.1 Normal Measurement".

Sit comfortably on a chair. Rest your arm on the table. Do not cross your

legs. Keep your feet on the floor and straighten your back.

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.

Place the center of the cuff at the same level as your heart. Relax for about five to ten minutes before 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.

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.

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 hav e 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 the section "5 Symbols" for the description 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.

Try to measure your blood pressure at the same time every day. The automatic blood pressure monitor’s performance may be affected by

excessive temperature or humidity, or altitude.

t heart level

Press the START button

All of the display segments

Zero displa

Starts inflation

Pressurizing

Measurement in progress

Systolic pressure

Diastolic pressure

WHO classification

Pulse rate

Exhausts remaining air

automatically

Turn off with the

START button

t heart level

Press the START button

Press and hold the

START button

Inflation in progress

Release the _START_

button to stop inflation

The desired pressure

Refer to the section

"7.1 Normal Measurement"

8. Recalling the Memory Data

The device automatically stores up to thirty blood pressure and pulse measurements in memory. Data stored in memory are assigned a data number in the order of the newest to the oldest. The oldest data displays as " ". The symbol in the upper left corner of the display indicates that you are viewing previous data stored in memory.

8.1. Recalling Data

1. When nothing is displayed, press and hold the START button to recall the stored data.

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 is displayed.

Note: If you press the START button while

recalling data, the device turns off.

8.2. Clearing Data

1. When turning off the device, press and hold the START button until the " " is displayed.

2. Select " " to clear data.

3. Data is cleared when the mark blinks.

4. The device turns off automatically.

Press and hold the

START button

Select " " to

The mark blinks. Data is cleared.

Press and hold the

START button

Release the button

mark

Average data

Data numbe

Stored Data

Turns off automatically

Release the

button

clear data.

Turns off automatically

No data

To next data

5 seconds

9. What is an Irregular Heartbeat

The UA-651SL provides a blood pressure and pulse rate measurement

even when an irregular heartbeat occurs. An irregular heartbeat is defined as a heartbeat that varies by 25% from the average of all heartbeats during the blood pressure measurement. It is important that you are relaxed, remain still and do not talk during measurements.

Note: We recommend contacting your physician if you see this symbol

frequently.

10. Pressure Bar Indicator

The indicator monitors the progress of pressure during measurement.

Pressurizing Releasing air

Measurement in progress

Inflation complete

Inflation in progress

11.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).

12. WHO Classification Indicator

Each segment of the bar indicator corresponds to the WHO blood

pressure classification.

: The indicator displays a

segment, based on the current data, corresponding to the WHO classification.

13. Troubleshooting

Problem Possible Reason Recommended Action

Nothing appears on the display, even when the power is turned on.

The cuff does not inflate.

The device does not measure. Readings are too high or too low.

Other

Note: If the actions described above do not solve the problem, contact

Batteries are drained.

Battery terminals are not in the correct position.

Battery voltage is too low. 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.

the dealer. Do not attempt to open or repair this product, as any attempt to do so will make your warranty invalid.

WHO Classification Indicator

Severe hypertension Moderate hypertension Mild hypertension High normal Normal Optimal

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 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 your heart.

If you have a very weak or irregular heartbeat, the device may have difficulty in determining your blood pressure.

At a clinic or doctor's office, an apprehension may cause an elevated reading. Home measurement reduces the effects of outside influences on blood pressure readings, supplements the doctor's readings.

Remove the batteries. Place them back properly and take another measurement.

14. 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.

15. Technical Data

Type UA-651SL Measurement method Osci llometri c measuremen t Measurement range Pressure: 0 - 299 mmHg Systolic pressure: 60 - 279 mmHg Diastolic pressure: 40 - 200 mmHg Pulse: 40 - 180 beats / minute Measurement accuracy P ressure: ±3 m mHg Pulse: ±5 % Power supply 4 x 1.5V batteries (R6P, LR6 or AA) or

Number of measurements Approx. 700 times LR6 (

With pressure value 180 mmHg, room

Classification Internally powered ME equipment (Supplied by

Clinical test According to ISO81060-2：2013 EMC IEC 60601-1-2: 2014 Memory Last 30 measurements Operating conditions +10 to +40 °C / 15 to 85 %RH / 800 to 1060 hPa Transport / Storage conditions Dimensions Approx. 96 [W] x 68 [H] x 130 [D] mm Weight Approx. 240 g, excluding the batteries Ingress protection Device: IP20 Applied part Cuff Type BF Useful life Device: 5 years (

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.

Symbols that are printed on the AC adapter.

Symbols Function / Meaning

Accessories sold separately

Cuff Catalog Number Cuff Size Arm Size CUF-F-LA Large adult cuff 31 cm to 45 cm CUF-F-SL Semi large adult cuff 23 cm to 37 cm

Arm size: The circumference at the biceps.

AC adapter

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 finger. This device is not protected against water.

A&D Company, limited

1-243 Asahi, Kitamoto-shi, Saitama 364-8585 JAPAN Telephone: [81] (48) 593-1111 Fax: [81] (48) 593-1119

Emergo Europe B.V.

Prinsessegracht 20, 2514 AP The Hague, The Netherlands Telephone: [31] (70) 345-8570 Fax: [31] (70) 346-7299

A&D INSTRUMENTS LTD.

Unit 24/26 Blacklands Way, Abingdon Business Park, Abingdon, Oxfordshire OX14 1DY United Kingdom Telephone: [44] (1235) 550420 Fax: [44] (1235) 550485

A&D ENGINEERING, INC.

1756 Automation Parkway, San Jose, California 95131 U.S.A. Telephone: [1] (408) 263-5333 Fax: [1] (408)263-0119

A&D Australasia Pty Ltd.

32 Dew Street, Thebarton, South Australia 5031 AUSTRALIA Telephone: [61] (8) 8301-8100 Fax: [61] (8) 8352-7409

OOO A&D RUS OOO "ЭЙ энд ДИ РУС"

121357, Российская Федерация, г.Москва, ул. Верейская, дом 17 ( Business-Center "Vereyskaya Plaza-2" 121357, Russian Federation, Moscow, Vereyskaya Street 17 ) тел.: [7] (495) 937-33-44 факс: [7] (495) 937-55-66

爱安德技研贸易（上海）有限公司

中国上海市浦东新区浦东大道13 8号永华大厦21楼 A室邮编200 120 电话: [86] (21) 3393-2340 传真: [86] (21) 3393-2347

AC adapter (TB-233C) (Not included)

Approx. 200 times R6P (

temperature 23 °C.

batteries) / Class II (Supplied by adapter) Continuous operation mode

-20 to +60 °C / 10 to 95 %RH / 700 to 1060 hPa

Cuff: 2 years (

The AC adapter is required to be inspected or replaced periodically.

For indoor use only Class II device Thermal fuse

: 91-124-4715555 : 91-124-4715599

Fuse EC directive device label EAC certification device label Polarity of AC adapter plug

Catalog Number Plug (Outlet type)

alkaline batteries manganese batteries

when used six times a day when used six times a day

)

) )