Gamma Plus User Manual

СТАРАЕТСЯ ДЛЯ МЕНЯ

Каталог тонометров

Automatic blood
pressure monitor

Model Plus

Automatic blood pressure monitor

EN

Model Plus
User’s manual

Автоматический измеритель артериального давления

RU

Модель Plus
Руководство по эксплуатации

Автоматичний вимірювач артеріального тиску

UA

Модель Plus
Настанова з експлуатації

Автоматичен апарат за измерване на кръвното налягане

BG

за горната част на ръката

Модел Plus
Инструкция за употреба

Tensiometru automat

RO

MD

Model Plus
Manual de utilizare

EN

AUTOMATIC BLOOD PRESSURE MONITOR

Model PLUS
User’s manual (4-21)

АВТОМАТИЧЕСКИЙ ИЗМЕРИТЕЛЬ

RU

АРТЕРИАЛЬНОГО ДАВЛЕНИЯ

Модель PLUS
Руководство по эксплуатации (22-40)

UA

АВТОМАТИЧНИЙ ВИМІРЮВАЧ
АРТЕРІАЛЬНОГО ТИСКУ

Модель PLUS
Настанова з експлуатації (41-58)

BG

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

Модел PLUS
Инструкция за употреба (59-77)

RO

TENSIOMETRU AUTOMAT

MD

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.

4

EN

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

5

IMPORTANT INFORMATION

ON BLOOD PRESSURE

AND ITS MEASUREMENT

What Is Blood Pressure?

Systolic Pressure

Diastolic Pressure

Pulse

SET

M/

D

M

E

M

ON/OFF

MEM

H/D

S

Y

S

kPa

DIA

kPa

P

U

L

/

m

in

6V

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

6

EN

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)

7

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

8

EN

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.

9

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

10

EN

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

M

/D

M

E

M

SE

T

O

N

/O

F

F

Cuff:

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

H

/

D

SYS

k
P

a

D

IA

k

P
a

PUL

/

m

i

n

M

E

M

V
6

Accessory:

Manual Adapter

Bag

11

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

12

EN

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.

13

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.

14

EN

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.

15

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.

16

EN

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

E0

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.

17