AND UA-651SL Instruction Manual

Digital Blood Pressure Monitor

Model UA-651SL

Instruction Manual Original

1WMPD4002763D

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 mark of 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 theAC adapter is used, make sure that theAC 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 appearespecially whenmeasurement isrepeated successively. Anypain, numbness,orredmarkswilldisappearwithtime.

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.

Donotletchildrenusethedevicebythemselvesanddonotusethedevice inaplacewithinthereachofinfants.Itmaycauseaccidentsordamage.

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 theAC adapter when not in use during the measurement.

Use of accessories not detailed inthis manualmay 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 useonnewborn infantsorpregnant 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.

Donotself-diagnosethemeasurementresultsandstarttreatmentbyyourself. Alwaysconsultyourdoctorforevaluationoftheresultsandtreatment.

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

Artery position mark	DC jack
Air Hose
	AC adapter Plug
	Display
	START Button
Arm Cuff	Air Socket
	Air Connector Plug
	Battery Compartment
	Battery Cover

Display	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

5. Symbols

Symbols that appear on the display

Symbols			Function / Meaning	RecommendedAction
			Appears while measurement is	Measurement is in
			in progress. It blinks when the	progress. Remain as still as
			pulse is detected.	possible.
			I.H.B. appears whenan irregular
			heartbeat isdetected. Itmay light
			whena very slight vibration like
			shiveringor shaking isdetected.
			Previous measurements stored
			in memory.
			FULLBATTERY
			The battery power indicator
			during measurement.
			LOW BATTERY	Replace all batteries with
			The battery power is low when it	new ones when the mark
			blinks.	blinks.
			Unstable blood pressure due to	Take another
			movement during measurement.	measurement. Remain still
				during measurement.
			Thesystolicanddiastolicvalues
			arewithin10mmHgofeachother.
			The pressure value did not
			increase during the inflation.	Apply the cuff correctly, and
			The cuff is not applied correctly.	take another measurement.
			PULDISPLAY ERROR
			Thepulseisnotdetectedcorrectly.

Symbols	Function / Meaning		RecommendedAction
		Remove the batteries and press
	Device internal error	the	START	button, and then
		install the batteries again. If the
		error still appears, contact the
		dealer.

Symbols printed on the device case.

Symbols	Function / Meaning
	Standby and Turn the device on.
SYS	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
	WEEE label
SN	Serial number
	Refer to instruction manual/booklet
	Polarity of DC jack
IP	International protection symbol
	Keep dry

6.	Using the Monitor
6.1. Installing / Changing The Batteries
1.	Remove the battery cover.		Step 3
2.	Remove the used batteries from
	the battery compartment in case of
	changing them.
3.	Insert new batteries into the battery		Step 1
	compartment as shown, taking
	care that the polarities (+) and (-)	Step 2	Step 4
	are correct.
4.	Replace the battery cover. Use only
	R6P, LR6 orAAbatteries.

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 twiceformeasurement 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	Air Hose
	into the air socket firmly.
		Air Connector Plug
	6.3. Connecting The	Air Socket
	AC Adapter	AC adapter Plug
	Insert theAC adapter plug into the

	DC jack. Then, insert theAC	DC Jack
	adapter into an electrical outlet.
	TheAC adapter, the model
	TB-233, is sold separately.
	When disconnecting theAC adapter from the

electrical outlet, grasp and pull theAC adapter body out of the outlet.

When disconnecting the AC adapter plug from the blood pressure monitor, grasp and pull theAC 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		Recommended Cuff Size	Catalog Number
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

RecommendedAction

Set the

mark on the

Artery Position Mark

arteryof the upper arm or

in line with the ringfinger

onthe insideof the arm.

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

Use the large adult cuff

instead of the semi large

adult cuff.

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

Use the semi large adult

cuff instead of the large

cuff.

adult cuff.

Lot number

Semi large adult cuff

Proper fit range

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
	Cuff
	1 to 2 cm
	Artery position mark
	Secure the fabric fastener
	Air hose
Index	and Proper fit range

7.	Measurements
7.1. Normal Measurement				At heart level
1. Place the cuff on the arm at heart
	level (preferably the left arm). Sit
	quietly during measurement.			Press the		button
					START
2.	Press the		button.
		START
	All of the	display	segments are	All of the display segments
	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				Zero display

	is normal for the cuff to feel very
	tight.Apressure bar indicator is
	displayed, as in the figure at the
	right, during inflation.			Starts inflation
	Note:If you wish to stop inflation at any time,
	press the	START	button again.

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.	WHO Classification Indicator
: The indicator displays a			Severe hypertension
segment, based on the			Moderate hypertension
			Mild hypertension
current data,
corresponding to the			High normal
WHO classification.			Normal
			Optimal

13.Troubleshooting

3.When inflation is complete, 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.

Note:If an appropriate pressure is not obtained, the device starts to inflate again automatically.

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 again to turn off the power.

Pressurizing

Measurement in progress

Systolic pressure Diastolic pressure WHO classification Pulse rate

Exhausts remaining air automatically

Turn off with the

START button

Note:Model UA-651SL is provided with an automatic power shut-off function. Allow at least 3 minutes between measurements on the same person.

7.2. Measurement with the Desired Systolic Pressure

If re-inflation occurs repeatedly, use the following methods. If your systolic pressure is expected to exceed 230 mmHg, use this procedure.

1.Place the cuff on the arm at heart level (preferably the left arm).

2. Press the START button.

3.During 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. Then continue to

measure your blood pressure as described on the section "7.1 Normal Measurement".

At 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"

7.3. Notes for Accurate 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 irregularheartbeat,thedevicemayhavedifficultydeterminingyourbloodpressure.

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 usingthisdeviceonachild.Achildshouldnotusethisdeviceunattended.

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.

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				Press and hold the		No data
	1.	When nothing is displayed, press			START button
		and hold the	START	button to	Release the button
		recall the stored data.
						mark
	2.	Release the button when
					Average data
		displaying the average data.
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	3.	The data number and stored data			Data number
							<![if ! IE]> <![endif]>next
		are automatically displayed in
		order from the last measurement.					<![if ! IE]> <![endif]>data
	4.	The display will turn off				Stored Data
		automatically after all data is
		displayed.
	Note:If you press the START button while
		recalling data, the device turns off.				Turns off automatically
	8.2. Clearing Data				Press and hold the
	1.	When turning off the device,			START	button
		press and hold the		START	Release the
		button until the "		" is
		displayed.				button
	2.	Select "	" to clear data.		Select "	" to	5 seconds
	3.	Data is cleared when the				clear data.
		mark blinks.			The	mark blinks.
	4.	The device turns off
					Data is cleared.
		automatically.

Turns off automatically

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

	Problem	Possible Reason					RecommendedAction
	Nothing	Batteries are					Replace all batteries with new
	appears on	drained.					ones.
	the display,	Battery terminals					Reinstall the batteries with negative
	even when						and positive terminals matching
	the power is	are not in the					those indicated on the battery
	turned on.	correct position.					compartment.
		Battery voltage is
		too low.
	The cuff	blinks. If		the			Replace all batteries with new
	does not	batteries are
							ones.
	inflate.	drained completely,
		the mark does not
		appear.
		The cuff is not					Apply the cuff correctly.
		applied properly.
		You moved your					Make sure you remain still and
		arm or body during
	The device	measurement.					quiet during measurement.
	does not
							Sit comfortably and still. Place your
	measure.
		The cuff position is					arm on a table with your palm
	Readings
		not correct.					facing upward and the cuff at the
	are too high
	or too low.						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
		The value is					apprehension may cause an
							elevated reading. Home
		different from that
							measurement reduces the effects
		measured at a clinic					of outside influences on blood
	Other	or doctor’s office.					pressure readings, supplements
							the doctor's readings.
							Remove the batteries. Place them
							back properly and take another
							measurement.

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.

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 orA&D for maintenance.

15.Technical Data

Type	UA-651SL
Measurementmethod	Oscillometric measurement
Measurement range	Pressure:		0 - 299 mmHg
	Systolic pressure:		60 - 279 mmHg
	Diastolic pressure: 40 - 200 mmHg
	Pulse:		40 - 180 beats / minute
Measurementaccuracy	Pressure:		±3 mmHg
	Pulse:		±5 %
Power supply	4 x 1.5V batteries (R6P, LR6 orAA) or
	AC adapter (TB-233C) (Not included)
Number of measurements
	Approx. 700 times		LR6 (alkalinebatteries)
	Approx. 200 times		R6P (manganesebatteries)
	With pressure value 180 mmHg, room
	temperature 23 °C.
Classification	Internally powered ME equipment (Supplied by
	batteries) / Class II (Supplied by adapter)
	Continuous operation mode
Clinical test	According to ISO81060-2 2013
EMC	IEC 60601-1-2: 2014
Memory	Last 30 measurements
Operatingconditions	+10 to +40 °C / 15 to 85 %RH / 800 to 1060 hPa
Transport/Storageconditions -20 to +60 °C / 10 to 95 %RH/ 700to1060 hPa
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 (whenusedsixtimesaday)
	Cuff:	2 years (whenusedsixtimesaday)
	ACadapter:5years(whenusedsixtimesaday)

AccessoryAC adapter

The adapter is to connect the device to a power source at home. Please contact your localA&D dealer for purchasing. TheAC adapter is required to be inspected or replaced periodically. TB-233C Please contact your localA&D dealer for purchasing.

TheAC adapter is required to be inspected or replaced periodically.

Symbols that are printed on theAC adapter.

	Symbols						Function / Meaning
							For indoor use only
							Class II device
							Thermal fuse
							Fuse
							EC directive device label
							EAC certification device label
							Polarity ofAC adapter plug
Accessories sold separately
Cuff	Catalog Number						Cuff Size	Arm Size
	CUF-F-LA						Large adult cuff	31cmto45cm
	CUF-F-SL						Semi large adult cuff	23cmto37cm
						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. IPclassification is the degrees of protection provided by

enclosures in accordance with IEC 60529.This device is protected against solidforeign objects of 12mm diameter and greater such as afinger.This device is not protectedagainst water.

A&D Company, limited

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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] [phone]	Fax: [1] [phone]
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Telephone: [61] (8) 8301-8100	Fax: [61]	(8) 8352-7409
OOO A&D RUS OOO "ЭЙ энд ДИ		РУС"

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