Gamma Plus User Manual

СТАРАЕТСЯ ДЛЯ МЕНЯ

Каталог тонометров

Automatic blood pressure monitor

Model Plus

Automatic blood pressure monitor

Model Plus User’s manual

Автоматический измеритель артериального давления

Модель Plus Руководство по эксплуатации

Автоматичний вимірювач артеріального тиску

Модель Plus Настанова з експлуатації

Автоматичен апарат за измерване на кръвното налягане

за горната част на ръката

Модел Plus Инструкция за употреба

Tensiometru automat

Model Plus Manual de utilizare

AUTOMATIC BLOOD PRESSURE MONITOR

Model PLUS User’s manual (4-21)

АВТОМАТИЧЕСКИЙ ИЗМЕРИТЕЛЬ

АРТЕРИАЛЬНОГО ДАВЛЕНИЯ

Модель PLUS Руководство по эксплуатации (22-40)

АВТОМАТИЧНИЙ ВИМІРЮВАЧ АРТЕРІАЛЬНОГО ТИСКУ

Модель PLUS Настанова з експлуатації (41-58)

АВТОМАТИЧЕН АПАРАТ ЗА ИЗМЕРВАНЕ НА КРЪВНОТО НАЛЯГАНЕ ЗА ГОРНАТА ЧАСТ НА РЪКАТА

Модел PLUS Инструкция за употреба (59-77)

TENSIOMETRU AUTOMAT

Model PLUS Manual de utilizare (78-95)

DEAR GAMMA AUTOMATIC BLOOD PRESSURE MONITOR OWNER

Thank you for choosing Automatic Blood Pressure Monitor Gamma® TM model Plus. We are sure that having appraised worthily the high quality and reliability of this device you will become a regular user of the products of Trademark Gamma®. This system is a fully automatic, digital blood-pressure measuring device for use on the upper arm, it enables very fast and reliable measurement of the systolic and diastolic blood-pressure as well as the pulse frequency by way of the oscillometric method of measuring.This monitor features Blood Pressure Level Indicator, Irregular Heartbeat Detection, as well as 90 memory cells. Before starting to use this device please study the user’s manual carefully. The user’s manual offers all information you need to measure your blood pressure and pulse correctly. For all questions concerning the device please contact your local distributor or Gamma® service center in your country.

ATTENTION

This blood pressure monitor is designed to carry out self-control over blood pressure but NOT to make self-diagnosis of hypertension/hypotension. Please DO NOT diagnose by yourselves basing on the measurement results obtained with the blood pressure monitor. Please DO NOT execute self-treatment of high/low blood pressure and DO NOT change the methods prescribed without consulting your doctor.

Type BF applied part.

Read the instructions carefully before using this device.

TABLE OF CONTENTS

IMPORTANT INFORMATION ON BLOOD PRESSURE AND ITS

MEASUREMENT .................................................................................... 6

What Is Blood Pressure? ......................................................................... 6

Which Values Are Normal? ...................................................................... 7

ADVANTAGES OF AUTOMATIC BLOOD PRESSURE MONITOR

MODEL Plus ........................................................................................... 9

Blood Pressure Level Indicator................................................................ 9

Irregular Heartbeat Detection .................................................................. 9

Fuzzy Logic Measuring Technology ............. ........................................ 10

GETTING READY FOR MEASUREMENT ........................................... 10

Safety Precautions ................................................................................ 10

Description of the Blood Pressure Monitor .............................................11

Inserting the Batteries............................................................................ 12

Using a Mains Adaptor .......................................................................... 13

Setting the Date and Time ..................................................................... 13

MEASUREMENT PROCEDURE .......................................................... 14

Fitting the Cuff ....................................................................................... 14

Taking a Single Measurement ............................................................... 15

MEMORY FUNCTION ........................................................................... 17

Viewing the Stored Values .....................................................................17

Delete Memories ................................................................................... 17

ERROR MESSAGES/TROUBLESHOOTING ....................................... 17

CARE AND MAINTENANCE ................................................................ 18

SYMBOL INFORMATION .....................................................................19

TECHNICAL SPECIFICATIONS ...........................................................20

WARRANTY .......................................................................................... 21

IMPORTANT INFORMATION

ON BLOOD PRESSURE

AND ITS MEASUREMENT

What Is Blood Pressure?

Systolic Pressure

Diastolic Pressure

Pulse

SET

ON/OFF

MEM

H/D

kPa

DIA

kPa

Blood pressure is the pressure that your blood extends to the vascular

walls. Blood pressure is necessary to provide for constant blood ow

inside the body. Thanks to it the cells get oxygen that provides for their normal functioning. The heart performs the function of a «pump», sending blood to the blood vessels. Each heart beat creates a certain level of the blood pressure. There are 2 kinds of blood pressure: a systolic (upper) one, which corresponds to the heartbeat pushing blood into the arteriae; and a diastolic (lower) one, which means the blood pressure between two heartbeats.

Blood pressure is subject to uctuations during the day even in healthy people. The uctuations are inuenced by a number of factors - time of

day, person’s condition, physical or mental activity, environment, etc.

Day-Night Fluctuations of the Blood Pressure

An increase of blood pressure increases the burden onto the heart, affects blood vessels making their walls thick and less elastic. One of the features of the hypertension is its ability to remain unnoticed for the patient at its early stages. That’s why the self control of the blood

170

8.00 10.00 12.00 14.00 16.00 18.00 20.00 22.00 24.00 2.00 4.00 6.00 8.00

mmHg

160 150 140 130 120 110 100

90 80 70 60

DIA blood pressure

50 40

pressure is so important. With the illness progressing, headaches and

SYS blood pressure

Time (hours)

regular dizziness appear, the sight declines, the functioning of vitalses (encephalon, heart, kidneys, blood vessels) breaks down. Without special treatment the complications of hypertension might be kidney damages, breast-pang, paralytic stroke, aphasia, dementia, heart attack and stroke.

Which Values are Normal?

Monitoring your routine blood pressure trend helps you to know your body condition. Human blood pressure naturally increases after reaching middle age. This symptom is a result of continuous ageing of the blood vessels. Further causes include obesity, lack of exercise and cholesterol (LDL) adhering to the blood vessels, diabetes. Rising blood pressure accelerates hardening of the arteries, and the body becomes more susceptible to apoplexy and coronary infarction.

Denitions and Classication of blood pressure levels according to

2007 ESH-ESC Practice Guidelines for the Management of Arterial Hypertension: Data in mmHg.

Category

Optimal < 120 and < 80

Normal*3 120-129 and/or 80-84

High normal 130-139 and/or 85-89

Systolic (mmHg)

Diastolic (mmHg)

Grade 1 hypertension

Grade 2 hypertension

Grade 3 hypertension

Isolated systolic hypertension

Isolated systolic hypertension should be graded (1, 2, 3) according to systolic blood pressure values in the ranges indicated, provided that diastolic values are < 90mmHg.

Source: The European Society of Hypertension and European Society of Cardiology Task Force Members. 2007 ESH-ESC Practice Guidelines for the Management of Arterial Hypertension. J Hypertens 2007; 25:1751-

1762.

• The diagnosis of hypertension requires from the patient to combine medical treatment prescribed by the doctor and mode of life correction.

• People with normal pressure and high normal pressure are recommended to carry out self-control of their tension in order to timely take measures to decrease the blood pressure level down to the optimal one without using any medications.

• For people more than 50 years old high level of systolic blood pressure (higher than 140 mmHg) is more crucial than diastolic pressure.

• Even with blood pressure being normal, people run the bigger risk of hypertension development with advancing age.

ATTENTION

If you have normal results of blood pressure measured under calm conditions but your results are excessively high when measured under the conditions of physical or mental exhaustion, this might be a sign of so called brittle (that is unstable) hypertension. If you suspect that, please consult your doctor.

When measured correctly, if diastolic blood pressure is more than 120 mmHg, it is necessary to call the doctor immediately.

140-159 and/or 90-99

160-179 and/or 100-109

≥ 180 and/or ≥ 110

≥ 140 and < 90

ADVANTAGES OF AUTOMATIC

BLOOD PRESSURE MONITOR

MODEL PLUS

Blood Pressure Level Indicator

Blood pressure level indicator is located along the left side in the

display. The classication corresponds to ESH (European Society of

Hypertension) ranges described in the table of the section «Which values are normal?». After the measurement there appears the bars in the left part of the display: green zone - optimal blood pressure, yellow - elevated, orange - too high, red - dangerously high. This function helps you to selforient in the measurement results.

Irregular Heartbeat Detection

This function indicates allorhythmic heartbeating. If the symbol of IHD appears on the display that means that certain abnormality in heart beat frequency was detected during the measurement. In this case, the result may deviate from your normal 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 Detector.

This instrument is an oscillometric blood pressure monitor that also analyses pulse frequency during measurement. The instrument is clinically tested. The symbol is displayed after the measurement, if pulse irregularities occur during measurement. If the symbol appears more frequently (e.g. several times per week on measurements performed daily) 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.

Fuzzy Logic Measuring Technology

This unit uses the oscillometric method to detect your blood pressure.

Before the cuff starts inating, the device will establish a baseline cuff

pressure equivalent to the air pressure. This unit will determine the

appropriate ination level based on pressure oscillations, followed by cuff deation. During the deation, the device will detect the amplitude and slope of the

pressure oscillations and thereby determine for you the systolic blood pressure, diastolic blood pressure, and pulse.

GETTING READY

FOR MEASUREMENT

Safety Precautions

1. Use this device ONLY for the intended use described in this manual.

2. Do NOT use accessories which are not specied by the manufacturer.

3. Do NOT use the device if it is not working properly or damaged.

4. Do NOT use the equipment where aerosol sprays are being used, or

where oxygen is being administered.

5. Do NOT use under any circumstances on newborns.

6. This device does NOT serve as a cure for any symptoms or diseases.

The data measured are for reference only. Always consult your doctor to have the results interpreted.

7. Keep the equipment and its exible cord away from hot surfaces.

8. Do NOT apply the cuff to areas other than the place directed.

9. Proper maintenance and periodically calibration are essential to the

longevity of your device. If you are concerned about your accuracy of measurement, please contact local customer service for help.

10. This system is intended for individuals age 18 or above.

11. Do not use it for diagnosis of hypertension or testing on newborns,

babies, young children or persons who cannot express their consent.

12. If you have been diagnosed with a severe arrhythmia or irregular

heartbeat, atrial or ventricular premature beats or atrial brillation,

measurements made with this instrument should only be evaluated after consultation with the doctor or your healthcare professionals.

KEEP THIS MANUAL DURING THE WHOLE LIFETIME OF THE DEVICE

Description of the Blood Pressure Monitor

Cuff:

Plus offers a wide range cuff with D-ring, measuring size: 22~32cm, suitable for most of arm circumferences.

SYS

k P

P a

PUL

V 6

Accessory:

Manual Adapter

Bag

Display screen:

SYMBOLS ON DISPLAY

Hour/Minute

Value of systolic

Value of diastolic

Unit of pressure

Value of pulse per minute

Heart beat

WHO blood pressure

classication

Battery

Ination Deation

Month/Date

Irregular heartbeat detection

Inserting the Batteries

To insert batteries:

1.5V R6

LR AA

1.5V R6

LR AA

OPEN

1. Remove the cover of the battery compartment, which is located in the

back side of the device (see the illustration).

2. Insert the batteries (4 AA, 1.5 V), following the indicated polarity. (+ -)

ATTENTION

• After the warning appears, device is blocked till the batteries have been replaced.

• If the blood pressure monitor is not used for long periods, remove the batteries from the device.

• Please use «AA» Long-Life or Alkaline 1.5V Batteries. Do not use rechargeable batteries.

LR6

Using a Mains Adaptor

It is possible to operate Automatic Blood Pressure Monitor Model Plus with a mains adaptor (output 6 V DC/ 500 mA).

1. Connect the micro plug to the socket at the device right side.

2. Plug the mains adapter (output 6 V DC/ 500 mA) to a 100-240 V electrical power socket.

NOTE:

• Please use the adaptor of Trademark Gamma®. Any other adaptor being

used, the service center is not considered responsible for the warranty servicing/repair of the monitor.

• No power is taken from the batteries while the mains adaptor is con-

nected to the device.

• Please consult service center if you have questions relating to the mains

adaptor.

Setting the Date and Time

1. Press and hold “SET” key until the year number displays and ashes on

LCD to enter setting mode.

2. Press “MEM” key to adjust the year, then press “SET” key again to save

your setting and enter the month setting mode.

3. Press “MEM” key to adjust the month. Follow the same steps to adjust

date/hour/minute until setting completed.

NOTE: If the meter is idle for 1.5 minutes during the setting mode, it will switch off automatically.

MEASUREMENT PROCEDURE

ATTENTION

• Find time to relax by sitting in a quiet atmosphere for some time before measurement.

• Efforts by the patient to support the arm can increase the blood pressure. Make sure you are in a comfortable, relaxed position and do not activate any muscles in the arm during measurement.

• Always measure on the same arm (normally left).

• Remove any garment that ts closely to your upper arm. Do not roll the

sleeve since it can squeeze your hand and this can lead to false results.

• Use only clinically approved original cuff.

• If you want to follow the results of your blood pressure measurements,

always perform measurements at the same time of day, since blood pressure changes during the course of the day.

• Measurements should be done after a 5 minute rest to ensure accuracy.

Fitting the Cuff

a. Plug the cuff connector to the cuff socket on the device left side. b. Assemble the cuff as shown below. The smooth surface should be

inside of the cuff loop and the metal D-ring should not touch your skin.

c. Stretch your left (right) arm in front of you with your palm facing up.

Slide and place the cuff onto your arm to let the air tube and artery mark region toward the lower arm.

Wrap and tighten the cuff above your elbow. The artery mark on the

edge of the cuff should be approx. 0.8ʺ to 1.2ʺ (2 cm to 3 cm) above

your elbow. Align the tube over the main arteries on the inside.

d. Leave a little free space between the arm and the cuff: you should be

able to t two ngers between them. Remove all clothing covering or

constricting the measurement arm.

e. Press the hook material rmly against the pile material. The top and

bottom edges of the cuff should be tightened evenly around your upper arm.

Taking a Single Measurement

ATTENTION

1. Sit down for at least 10 minutes before measuring.

2. Place your elbow on a at surface. Relax your hand with the palm facing

up.

3. Make sure the cuff is about the same height as the location of your heart.

4. Remain still and do not talk or move during the measurement.

WARNING:

If the cuff is relatively lower (higher) than the heart, the obtained blood pressure value could be higher (lower) than the actual value.

Always apply the pressure cuff before turning on the monitor.

a. Press ON/OFF button, pump begins to inate the cuff. The rising

pressure in the cuff is shown on the display.

b. Pressure in cuff increases to working pressure. Then pump stops and

pressure falls.

NOTE: In case the ination pressure is not sufcient to determine measurement result, the monitor automatically re-inates to a higher level.

c. The heart symbol starts to ash every heart beat once pulse is

detected.

d. After the measurement, systolic pressure, diastolic pressure, pulse rate

and color bars classied from ESH (European Society of Hypertension)

standards shows on the display.

e. If irregular heartbeat was detected during the measurement, LCD

displays the icon to remind users of heartbeat irregularity.

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.

MEMORY FUNCTION

Viewing the Stored Values

The device stores 90 most recent blood pressure test results along with respective dates and times in the monitor memory for each user.

When the monitor is turned off, press «MEM» button, a memory reading of the latest measurement will display. To see the next page (old measurements) press «SET».

Delete Memories

To delete memory, hold «MEM» button for ve seconds, the LCD

will display « » - this means that all the memory has been deleted.

TROUBLESHOOTING

lf you have trouble in using the unit please check the following points rst.

ERROR DISPLAY

Nothing is displayed. When you push the POWER button or

battery icon ash

POSSIBLE CAUSE

No battery installation Insert batteries

Battery worn out The polarities of

batteries placed wrongly Testing pressure with Clothes

The marker of arm cuff

is not in alignment

with the arm’s artery.

HOW TO CORRECT

Replace with new batteries

Insert battery in the correct polarities

Take off the clothes and test it gain Align the marker of arm cuff with the arm’s artery, and measure again.

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