Cvs 344532 User Manual
PREMIUM
AUTOMATIC
Blood Pressure Monitor
Product #344532
Instruction Manual
Instrucciones de Uso
Questions? Preguntas?
1-866-464-6184
THIS MEDICAL INSTRUMENT MUST BE USED ACCORDING
TO INSTRUCTIONS TO ENSURE ACCURATE READINGS.
US Patent #’
PLEASE NOTE:
s 6,485,429 (Irregular Heartbeat Detector)
Automatic Blood Pressure Monitor - Instruction Manual
Table of contents
1. Introduction
1.1. Features of your blood pressure monitor
1.2. Important information about self measurement
2. Important information on blood pressure and its measurement
2.1. How does high/low blood pressure arise?
2.2. Which values are normal?
2.3. What can be done if regular high/low values are obtained?
3. Components of your blood pressure monitor
4. Using your monitor for the first time
4.1. Activating the pre-installed batteries
4.2. Setting the date and time
4.3. Cuff tube connection
4.4. Select the user
5. Measurement Procedure
5.1. Before measurement
5.2. Common sources of error
5.3. Fitting the cuff
5.4. Measuring procedure
5.5. Irregular Heartbeat Detector
5.6. Memory - Displaying the last 99 measurements
5.7. Discontinuing a measurement
5.8. Battery Charge Indicator
5.9. Using an AC Adapter
6. Error Messages/Troubleshooting
7. Care and maintenance
7.1. Accuracy Test
8. Warranty
9. Certifications
10. Technical specifications
11. How to contact us
1. Introduction
1.1.Features of your CVS automatic blood pressure monitor
Your CVS blood pressure monitor with Irregular Heartbeat Detection is a fully automatic
digital blood pressure measuring device for use by adults on the upper arm at home or in
your doctor’s/nurse’s office. It enables very fast and reliable measurement of systolic and
diastolic blood pressure as well as pulse by way of the oscillometric method. This device
offers clinically proven accuracy and has been designed to be user friendly.
Before using, please read this instruction manual carefully and then keep it in a safe
place. Please contact your doctor for further questions on the subject of blood pressure
and its measurement.
Attention!
1.2.Important information about self-measurement
• Self-measurement means Control, not diagnosis or treatment. Unusual values
must always be discussed with your doctor. Under no circumstances should you
alter the dosages of any drugs prescribed by your doctor.
• The pulse display is not suitable for checking the frequency of heart pacemakers!
• In cases of irregular heartbeat (Arrhythmia), measurements made with this instrument
should only be evaluated after consultation with your doctor.
Electromagnetic interference:
The device contains sensitive electronic components. Avoid strong electrical or electromagnetic fields in the direct vicinity of the device (e.g. mobile telephones, microwave
ovens). These can lead to temporary impairment of the measuring accuracy.
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2. Important information on blood pressure and its measurement
2.1. How does high/low blood pressure arise?
Your level of blood pressure is determined in the circulatory center of the brain and adjusts to a variety of situations through feedback from the nervous system. To adjust blood pressure, the strength and frequency of the
heart (Pulse), as well as the width of circulatory blood vessels is altered. Blood vessel width is effected by fine
muscles in the blood vessel walls.
Your level of arterial blood pressure changes periodically during heart activity: During the “blood ejection”
(Systole) the value is highest (systolic blood pressure value). At the end of the heart’s “rest period” (Diastole)
pressure is lowest (diastolic blood pressure value).
Blood pressure values must lie within certain normal ranges in order to prevent particular diseases.
2.2. Which values are normal?
Blood pressure is very high if your diastolic pressure is above 90 mmHg and/or your systolic blood pressure is over 160 mmHg, while at rest. In this case, please consult your physician immediately. Long-term
values at this level endanger your health due to continual damage to the blood vessels in you body.
If your systolic blood pressure values are between 140 mmHg and 159mmHg and/or the diastolic
blood pressure values between 90 mmHg and 99mmHg, consult your physician. Regular self-checks
are necessary.
If you have blood pressure values that are too low, (i.e., systolic values under 105mmHg and/or diastolic
values under 60 mmHg), consult your physician.
Even with normal blood pressure values, a regular self-check with your blood pressure monitor is
recommended. You can detect possible changes in your values early and react appropriately.
If you are undergoing medical treatment to control your blood pressure, keep a record of values along with
time of day and date. Show these values to your physician.
ments to independently alter the drug doses prescribed by your physician.
Which values are normal?
The following standards for assessing high blood pressure (without regard to age) have been established
by the National Institutes of Health JNCV7, 2003.
Never use the results of your measure-
Category Systolic Diastolic
(mmHg) (mmHg)
Normal <120 <80
Pre-Hypertension 120-139 80-89
Hypertension
Stage 1 Hypertension 140-159 90-99
Stage 2 Hypertension >160 >100
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☞ Further information
• If your values are mostly normal under resting conditions but exceptionally high under
conditions of physical or psychological stress, it is possible that you are suffering from
so-called “labile hypertension.” Consult your doctor.
• Correctly measured diastolic blood pressure values above 120mmHg and
require immediate medical treatment.
2.3. What can be done if regular high or low values are obtained?
a) Consult your doctor.
b) Increased blood pressure values (various forms of hypertension) are associated with
considerable health risks over time. Arterial blood vessels in your body are endangered
due to constriction caused by deposits in the vessel walls (Arteriosclerosis). A deficient
supply of blood to important organs (heart, brain, muscles) can result from arteriosclerosis. Furthermore, the heart will become structurally damaged with increased blood
pressure values.
c) There are many different causes of high blood pressure. We differentiate between the
common primary (essential) hypertension, and secondary hypertension. The latter
group can be ascribed to specific organ malfunctions. Please consult your doctor for
information about the possible origins of your own increased blood pressure values.
d) There are measures which you can take to reduce and even prevent high blood pres-
sure. These measures must be permanent lifestyle changes.
A) Eating habits
• Strive for a normal weight corresponding to your age. See your doctor for your ideal
weight.
• Avoid excessive consumption of common salt.
• Avoid fatty foods.
B) Previous illnesses
• Consistently follow all medical instructions for treating illness such as:
• Diabetes (Diabetes mellitus or sugar diabetes)
• Fat metabolism disorder
• Gout
C) Habits
• Give up smoking completely.
• Drink only moderate amounts of alcohol.
• Restrict your caffeine consumption (coffee, tea, chocolate).
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D) Your Physical condition
• After a medical examination, and with your doctor’s approval and direction;
exercise.
• Choose sports which require stamina and avoid those which require strength.
• Avoid reaching the limit of your performance.
• With previous illnesses and/or an age of over 40 years, please consult your doctor
before beginning your exercise routine. You must receive advise regarding the type and
extent of exercise that is appropriate for you.
3. Components of your blood pressure monitor
a) Measuring unit
Cuff Storage
Removable Card Showing
JNC7 Guidelines
AC Adapter
Port*
Cuff Socket
*AC Adapter sold
separately. Use
only CVS or
Microlife brand
AC Adapters.
Time/Date
Button
On/Off/Start Button
Memory Recall
Button
Replacing the removable card
You can replace the slot-in card by pulling it out to the side and replacing the paper insert.
It may be helpful to have your doctor note down the medication dosage or an emergency
telephone number on the card.
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b) Upper arm cuffs:
Type S101 for arm circumference 24–33.7 cm or
9.5” - 13.25”
Type S102 for arm circumference 30.5 - 40.64 cm
12” - 16” (available for purchase
separately. CVS model # 271237.
Use only CVS or Microlife brand cuffs!)
Please Note:
Arm circumference should be measured with a measuring tape in the middle of the relaxed
upper arm. Do not force cuff connection into the opening. Make sure the cuff connection is
not pushed into the AC adapter port. If the cuff is too small, call 1-866-464-6184 for further
information. You may prefer to use one of our wrist type monitors.
4. Using your monitor for the first time
4.1 Activating the pre-installed batteries
Pull out the protective strips projecting from the battery compartment.
4.2 Setting the date and time
1. After the new batteries are activated, the year number flashes in
the display. You can advance the year by pressing the "M" button. To confirm and then set the month, press the time button.
2. You can now set the month using the «M» button. To confirm
and then set the day, press the time button.
3. Please follow the instructions above to set the day, hour and
minutes.
4. Once you have set the last minute and pressed the time button,
the date and time are set and the time is displayed.
5. If you want to change the date and time, press and hold the time
button down for approx. 3 seconds until the year number starts
to flash. Now you can enter the new values as described above.
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4.3. Cuff tube connection
Insert the cuff tube into the opening on the side
of the monitor.
4.4. Select the User
This blood pressure monitor is designed to store 99 measurements for each of two users. Before taking a measurement, be certain that the correct user has been selected.
a) With the unit off, press and hold the TIME button for 3
seconds until the user icon in the upper left corner of
the LCD scren flashes.
b) Press the “M” button to toggle between users.
c) Press the START button to make your selection.
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5. Measurement Procedure
Please note: You should always be seated before and during measurement.
5.1. Before measurement:
• Avoid eating and smoking as well as all forms of exertion directly before measurement.
These factors influence the measurement result. Find time to relax by sitting in an armchair
in a quiet atmosphere for about ten minutes before measurement.
• Remove any garment that fits closely to your upper arm.
• Always measure on the same arm (normally left).
• Always compare measurements taken at the same time of day, since blood pressure
changes during the course of the day.
5.2. Common sources of error:
Note: Comparable blood pressure measurements always require the same conditions! Conditions should always be quiet.
• All efforts by the user to support the arm can increase blood pressure. Make sure you are in a
comfortable, relaxed position and do not flex any of the muscles in the measurement arm during
the measurement. Use a cushion for support if necessary.
• If the arm artery lies considerably lower or higher than the heart, an erroneously high or low
blood pressure will be measured! Each 15cm (6 inch) difference in height between your heart
and the cuff results in a measurement error of 10 mmHg!
•Cuffs that are too narrow or too short result in false measurement values. Selecting the correct
cuff is extremely important. Cuff size is dependent upon the circumference of the arm (measured
in the center). The permissible range is printed on the cuff. If this is not suitable for your use,
please call 1-866-464-6184.
Note: Only use clinically approved Cuffs!
• A loose cuff or a sideways protruding air pocket causes false measurement values.
• With repeated measurements, blood accumulates in the arm, which can lead to false results.
Consecutive blood pressure measurements should be repeated after a 1 minute pause or after
your arm has been held up in order to allow the accumulated blood to flow away.
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5.3. Fitting the cuff
a) Pass the end of the cuff through the flat
metal ring so that a loop is formed. The velcro closer must be facing outward. (Ignore
this step if the cuff has already been prepared.)
b) Place the cuff over the left upper arm so that
the tube is closer to your lower arm.
c) Lay the cuff on the arm as illustrated. Make
certain that the lower edge of the cuff lies
approximately 3/4” to 1”(2 to 3cm) above the
elbow and that the tube is closer to the inner
side of the arm.
Important! The small white arrow (Artery
Mark) on the cuff must lie exactly over the
artery which runs down the inner side of the
arm.
d) Tighten the cuff by pulling the end and close
the cuff by affixing the velcro.
e) There should be little free space between the
arm and the cuff. You should able to fit 2 fingers between your arm and the cuff. Clothing
must not restrict the arm. Any piece of clothing which does must be removed. Cuffs that
don’t fit properly result in false measurement
values. Measure your arm circumference if
you are not sure of proper fit. Larger cuffs are
available (Section 3B).
f) Lay your arm on a table (palm upward) so the
cuff is at the same height as your heart.
Make sure the tube is not kinked.
g) Remain seated quietly for at least two
minutes before you begin the measurement.
Left Arm
3
/4”-1”
tube
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Comment:
If it is not possible to fit the cuff to your left arm, it can also be
placed on your right arm. However, all measurements should be
made using the same arm.
Comparable blood pressure measurements always require the
same conditions (Relax for several minutes before a reading).
5.4. Measuring procedure
After the cuff has been appropriately positioned the
measurement can begin:
a) Press the ON/OFF/START button. The pump
begins to inflate the cuff. In the display, the
increasing cuff pressure is continually displayed.
b) After automatically reaching an individual pressure,
the pump stops and the pressure slowly falls. The cuff
pressure is displayed during the measurement.
c) When the device has detected your pulse, the heart
symbol in the display begins to blink.
d) When the measurement has been concluded, a long
beep tone sounds. The measured systolic and diastolic
blood pressure values, as well as the pulse are now
displayed and the blue backlight is illuminated.
e) The appearance of this symbol signifies that an
irregular heartbeat was detected. This indicator is only
a caution. It is important that you be relaxed, remain
still and do not talk during measurements. NOTE: We
recommend contacting your physician if you see this
indicator frequently.
f) The measurement results are displayed until you
switch the device off. If no button is pressed for 1
minute, the device switches off automatically.
Cuff on
right arm
Pumping
Pressure
Measuring
Systolic
Diastolic
Pulse
Measurement
complete
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5.5. Irregular Hearbeat Detector
This symbol indicates that certain pulse irregularities were detected during the
measurement. In this case, the result may deviate from your normal basal blood pressure
– repeat the measurement. In most cases, this is no cause for concern. However, if the
symbol appears on a regular basis (e.g. several times a week with measurements taken
daily), we advise you to tell your doctor. Please show your doctor the following explanation:
Information for the doctor on frequent appearance of the Irregular Heartbeat Symbol
This instrument is an oscillometric blood pressure monitor device that also analyses pulse
frequency during measurement. The instrument is clinically tested.
If pulse irregularities occur during measurement, the irregular hearbeat symbol is displayed after the measurement. If the symbol appears more frequently (e.g. several times
per week on measurements performed daily) or if it suddenly appears more often than
usual, we recommend the patient to seek medical advice.
The instrument does not replace a cardiac examination, but serves
to detect pulse irregularities at an early stage.
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5.6. Memory – displaying the last 99 measurements
At the end of a measurement, this monitor automatically stores each result with date and
time. This unit stores 99 memories for each of 2 users.
Viewing the stored values
With the unit off, press the "M" button. The display first shows "A", then shows an average of all measurements stored in the unit. Please note: measurements for each user
are averaged and stored separately, be certain that you are viewing the measurements for the correct user.
Pressing the "M" button again displays the previous value. To view a particular stored
memory, press and hold the “M” button to scroll to that stored reading.
Memory full
When the memory has stored 99 results a new measured value is stored by overwriting
the oldest value.
Clear all values
If you are sure that you want to permanently remove all stored values, hold down the "M"
button (the instrument must have been switched off beforehand) until "CL" appears and
then release the button. If you do not want to clear the values, press the On/off button. To
permanently clear the memory, press the "M" button while "CL" is flashing.
Individual values cannot be cleared.
5.7. Discontinuing a measurement
If it is necessary to interrupt a blood pressure measurement for
any reason (e.g the patient feels unwell), the ON/OFF button
can be pressed at any time. The device then immediately lowers the cuff pressure automatically.
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5.8. Battery Charge Indicator
Batteries almost discharged
When the batteries are approximately 75% used the battery symbol
will flash as soon as the instrument is switched on (if at least one of
the batteries still has some charge). Although the instrument will continue to measure reliably, you should obtain replacement batteries.
Batteries discharged– replacements required
When the batteries are discharged, the battery symbol will flash as
soon as the instrument is switched on. You cannot take any further
measurements and must replace the batteries.
1. Open the battery compartment at the back of the instrument by pushing inwards at
the two arrows and pulling it out.
2. Replace the batteries – ensure they are correctly connected, as shown on the symbols
in the compartment.
3. The memory retains all values although date and time (and possibly also set alarm
times) must be reset - the year number therefore flashes automatically after the batteries are replaced.
4. To set date and time, follow the procedure described in Section 4.2.
Which batteries and which procedure?
Use four new, longlife 1.5V AA batteries. Do not use batteries beyond their expiration
date. If the monitor is not going to be used for a prolongued period the batteries should
be removed.
Using rechargeable batteries
You can also operate this instrument using rechargeable batteries.
• Please use only type "NiMH" reusable batteries!
• If the battery symbol ( ) appears, the batteries must be removed and
recharged! They must not remain inside the instrument, as they may become damaged through total discharge even when switched off. The batteries must NOT be discharged in the blood pressure monitor! If you do not intend to use the instrument for a
week or more, always remove the rechargeable batteries!
• Recharge these batteries in an external charger and follow manufacturer’s instructions
carefully.
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