equate HL858CE Instruction Manual

1

Instruction Manual

Automatic

Upper Arm Blood Pressure Monitor

Model No. HL858CE

2

Table of Contents

Medical Disclaimer……………………………………………………………………………03
Intended Use………………………………………………………………………………..…03
About Blood Pressure………………………………………………………………………04

Measurement Method…………....……………………………………………………06

Accuracy……………………….…………………………………………………………………07
Precautions………………….…………………………………………………….…………….. 08
Device Overview……………………………………………………………………………….10
Symbol Definitions………………………………………………………………………….13
Features………………………………………………………………………………………….14
Installing Batteries………………………………………………………………………….21
Using the AC/DC adapter…………………………………………………………………22
Applying the Cuff…………………………………………………………………………….23
Measurement Procedure………….…………………………………………………….24
Bluetooth Transmission………………………………………………………………………29
Memory Function…………………………………………………………………………….31
Storage and Maintenance……………………………………………………………….34
Troubleshooting……………………………………………………………………………….35
Warranty………………………………………….……………………………………………….36
Specifications………………………………………………………………………………….37
Note………………………………………………………………………………………….…….39
Appendix…………………………………………………………………………………….…….41
Blood Pressure Diary……………….……………………………………………….…….43

3

Medical Disclaimer

This manual and product are not meant as a substitute for advice
provided by your doctor.

You are not to use the information contained herein, or this product for
diagnosing or treating a health problem or prescribing any medication.
If you have or suspect that you have a medical problem, promptly
consult your healthcare provider.

Intended Use

HL858CE automatically measures human’s Systolic, Diastolic blood
pressure and heart rate by using the oscillometric method during
inflation. All values can be read out in one LCD panel. Measurement
position is at human being’s upper arm. The intended use of this
over-the-counter device is for adults aged 18 years and older with arm
circumference ranging from 9 inches to 17 inches (approx.23 cm to 43
cm) and for home use.

HL858CE detects the appearance of irregular heartbeats during
measurement; an indicated symbol will appear with measuring
reading. And the Risk Category Indicator will show the information
with the readings on the screen for the user tracking their blood
pressure level.

Besides, the device features a built-in "Bluetooth Data Transmission"
function, which enables the device automatically transmit measuring
results to paired Bluetooth-enabled device. Also, users could simply
synchronize the current date and time, and check the battery status of
blood pressure monitor by means of DailyChek® application software
with the paired Bluetooth-enabled device.

4

About Blood Pressure

1. What is blood pressure?

Blood pressure is the measurement of the force of blood pushing
against the walls of the arteries. Arterial blood pressure is
constantly fluctuating during the course of the cardiac cycle. The
highest pressure in the cycle is called the systolic blood pressure,
and represents the pressure in the artery when the heart is beating.
The lowest pressure is the diastolic blood pressure, and represents
the pressure in the artery when the heart is at rest. Both the systolic
and the diastolic pressure are necessary for a physician to evaluate
the status of a patient's blood pressure.

Many factors such as physical activity, anxiety or the time of day,
can influence your blood pressure. Blood pressure is typically low in
the mornings and increases from the afternoon to the evening. It is
on average lower in the summer and higher in the winter.

2. Why is it useful to measure blood pressure
at home?

Having one's blood pressure measured by a doctor in a hospital or a
clinic, is often associated with an event called “White Coat
Hypertension” where the patient becomes nervous or anxious, thus
raising his blood pressure. There are also numerous other factors
that might cause your blood pressure to be raised at a specific time
of day. This is why medical physician recommend home monitoring
as it is important to get readings of blood pressure during different
times of the day to really get an idea of your real blood pressure.

Medical physicians generally recommend the “Rule of 3”, where you
are encouraged to take your blood pressure three times in a row (at
3 ~ 5 minute interval), three times a day for three days. After three
days you can average all the results and this will give you an
accurate idea of what your blood pressure really is.

5

About Blood Pressure

A. AHA blood pressure classifications:

Standards for assessment of high or low blood pressure without regard
to age, have been established by the American Heart Association (AHA

2017), as shown in the chart.

However this chart is not exact for classification of blood pressure and
it's intended to be used as a guide in understanding non-invasive
blood pressure measurements. Please consult with your physician for
proper diagnosis.

B. Variations in blood pressure:

Individual blood pressures vary greatly both on a daily and a seasonal
basis. These variations are even more pronounced in hyper tense
patients. Normally the blood pressure rises while at work and is at its
lowest during sleeping period.

(hyper tense: means a person who has high blood pressure
symptom.)

The graph below
illustrated the variations
in blood pressure over a
whole day with
measurement taken
every five minutes.
The thick line represents
sleep. The rise in blood
pressure at 4 PM (A in the
graph) and 12 PM (B in

the graph) correspond to
an attack of pain.

(Direct arterial pressure recording in unrestricted man.

Beven, Honour & Stott: Clin. Sci. 36:329. 1969)

6

Measurement Method

HL858CE Automatic Upper Arm Blood Pressure Monitor measures
blood pressure and heart rate by oscillometric method, meaning the
fluctuations in pressure are measured. Once the cuff is wrapped
around your upper arm, just turn on the monitor and inflation
automatically starts. The inflation of the cuff creates pressure around
the arteries inside upper arm.

Within the cuff is a gauge which senses the fluctuations (oscillations)
in pressure. The fluctuation measured represents the degree of
intensity that your arteries contracting with each heart beat, and also
a result of the pressure that the cuff has placed on the upper arm. The
monitor measures these contractions and converts the information to
a digital value. This is the result displayed on the monitor screen.

Once the measurement is complete, the cuff will automatically deflate.

Note!
* The patient is an intended operator.

* The applied part is the cuff.

7

Accuracy

HL858CE Automatic Upper Arm Blood Pressure Monitor has been

clinically tested against a scientific device called mercury
sphygmomanometer, considered the gold standard in blood pressure

measurement.

All HL858CE Automatic Upper Arm Blood Pressure Monitors have
performed equivalent to measurements taken with this scientific
device and are within the accuracy limits prescribed by the American
National Standard for Electronic or Automated Sphygmomanometers.

The SPHYGMOMANOMETER was clinically investigated according to
the requirements of ISO 81060-2:2013.

*We suggest our users have their blood pressure monitor
checked every 2 years. This operation should only be performed
by Manufacturer or by authorized representatives.

8

Precautions

* Read the Instruction Manual thoroughly before measuring and

keep it at hand for your reference at any time.

* The device is designed for home use and not suitable for clinical

use.

* This monitor is not intended for use in the MR environment.

 Do not take a measurement in a low (less than 41 /℉ 5 )℃ and high

(more than 104 /40 )℉℃ temperature, nor in a place outside
humidity ranges (15 % ~ 93 % R.H.), and atmospheric pressure
ranges (700 ~ 1060 hPa), or you may get inaccurate readings.

 Wait 30 ~ 45 minutes before measurement if you’ve just consumed

caffeinated beverages or smoked cigarettes.

 Rest at least 5 ~ 10 minutes before taking a measurement.
 To allow your blood vessels to return to the condition prior to taking

the measurement, please wait at least 3 ~ 5 minutes in between
measurements. You may need to adjust the wait time according to
your personal physiological situation.

 We recommend you using the same arm (preferably the left arm)

and measuring around the same time each day.

 Perform measurements in a quiet and relaxed environment at room

temperature.

 Do not move or shake the device during a measurement. Please

keep quiet and do not talk during measurements.

 This product is not suitable for:

 Pregnant women
 People with arrhythmias
 Undergoing intravenous injection on any limb
 Currently in a dialysis treatment
 In pre-eclampsia condition

9

*Attention

！

1.

Do not use the device on infants, children, or those who cannot express their
own

intention. To avoid accidental strangulation, keep this product away from

children and do not drape tube around neck.

2.

The medical device should not use adjacent to or stacked with other equipment.
In

case adjacent or stacked use is necessary. The medical device should be

observed to

verify normal operation in the configuration in which it will be used.

3.

Consider the electromagnetic compatibility of the device (ex. power
disturbance, radio

frequency interference etc.) Please use it indoor only.

4.

Over high frequency measurements may result in blood flow interference,
which is

likely to cause uncomfortable sensations, such as partial subcutaneous

hemorrhage, or

temporary numbness to your arm. In general, these symptoms

should not last long.

However, if you do not recover in time, please seek your

medical practitioners for help.

Precautions

 For those who have had mastectomy surgery (especially whose’

lymph nodes removed), it’s recommend take a measurement on
the unaffected side.

 When used among medical electronic equipments on the same limb,

pressurization of the cuff may cause temporarily malfunction to
other devices.

 If you have one of the circulatory problems as arteriosclerosis,

diabetes, liver disease, kidney disease, severe hypertension,
peripheral circulation……, please consult your healthcare
professional before using the device.

 Blood pressure measurements determined with this device are

equivalent to those obtained by a trained observer using the
cuff/stethoscope auscultation method and are within the accuracy
limits prescribed by the American National Standard for Manual,
electronic, or Automated Sphygmomanometers.

10

Device Overview

 Part names and product components

AA “LR6” (1.5V)
ALKALINE BATTERY X 4

START / STOP

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ARM CUFF WITH TUBE

LCD Display

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