HealthSmart 04–645–001 Instruction Manual
STANDARD SERIES
UPPER ARM BLOOD PRESSURE MONITOR
Please read this guidebook
completely before operating the unit.
Item # 04–635–001
English • Spanish
INSTRUCTION MANUAL
2
LIMITED 3-YEAR WARRANTY
This warranty covers only normal use, and does not apply for use in any clinical or
commercial applications. This warranty does not cover batteries or other power sources
that may be provided with or used with the Digital Blood Pressure Monitor. The warranty is
voided if the Digital Blood Pressure Monitor product is misused or abused in any manner.
If the Digital Blood Pressure Monitor fails to operate during the first 3 years from the time
originally purchased, please call our Customer Care Help Line at 800-622-4714 and we
will try to resolve the issue as soon as possible. If the warrantor determines the unit failed
to operate due to a manufacturing defect, the unit will be replaced at the option of the
warrantor. The purchaser will be responsible for the prepaid postage along with $9.99 to
cover return shipping and insurance. The purchaser must return the original Blood Pressure
Monitor prior to a replacement product being provided. Replacement of the product is the
only remedy covered by the Limited 3-Year Warranty.
This warranty gives you specific legal rights, which vary from state to state. To be eligible
for the warranty, please register your product online within 10 days of purchase date at
www.LiveHealthSmart.com.
We make no other express or implied warranties, arising by operation of law or otherwise,
or any warranty of merchantability or fitness for a particular use or purpose whether or
not the use or purpose has been disclosed to the warrantor in specifications, drawings
or otherwise, and whether or not the warrantor’s products are specifically designed and/
or manufactured by the warrantor for the buyer’s use or purposes, except for the limited
warranty stated above. The warrantor will not be responsible for any indirect, incidental,
special, consequential, or punitive damages or other loss, including, but not limited to,
damage to or loss of other property or equipment and personal injuries, whether to purchaser
or others. The warrantor shall in no event be liable to the purchaser for any amount in excess
of the cost to replace the product.
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INDEX
Introduction ..................................... 3
Product Identification & Caution ............................ 4
General Blood Pressure Information ......................... 5 -7
Important Information Before Use .......................... 7-9
FCC Statement and EMC Compatibility ......................... 9
BP Visual Guide .................................. 10
Irregular Heartbeat Detection ............................. 11
Battery Installation/ Replacement ........................... 12
Setting the Date/Time ................................ 13
Applying Your Blood Pressure Cuff .......................... 14
Taking Your Blood Pressure Reading ........................ 15-16
Recalling Measurements in Memory .......................... 16
Description of Display Symbols ............................ 17
Troubleshooting ................................... 18
Replacement Parts and Accessories .......................... 18
Care and Maintenance ................................ 19
Product Specifications .............................. 20-25
Blood Pressure Logs ............................... 26-27
INTRODUCTION
Thank you for purchasing this digital blood pressure monitor. With proper care and use,
your monitor will provide you with many years of reliable readings.
To achieve the maximum benefit from your blood pressure monitor, we recommend that
you first consult with your physician or trained healthcare professional.
The method of measurement that your digital monitor uses is called the oscillometric
method. The monitor detects your blood’s movement through the artery in your arm and
converts the movements into a digital reading. The oscillometric method does not require a
stethoscope, making the monitor easy to use.
Blood pressure readings determined with this device are equivalent to measurements
obtained by a trained observer using the cuff/stethoscope auscultation method, within
the limits prescribed by the American National Standard for Electronic or Automated
Sphygmomanometers.
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CAUTION:
You can stop the inflation or deflation process anytime by pressing the (POWER) button.
*Instantly compares your readings to standards set by the World Health Organization
(WHO), ranging from optimal health to severe hypertension
MEMORY Recall Button
PRODUCT IDENTIFICATION
Tubing
Connector
Digital Display
POWER Button (ON/OFF)
Pulse Rate
Diastolic Pressure
Systolic Pressure
Visual BP Guide*
AVG
mmHg
kPa
No
(
( )
)
M
D
Systolic Pressure
Diastolic Pressure
Pulse Rate
User Groups
Low Battery Indicator
Visual BP Guide
Average of Last 3 Readings
Irregular Heartbeat Detector
Time
Date
Digital Display
Monitor
5
GENERAL BLOOD PRESSURE INFORMATION
What is Blood Pressure?
Blood pressure is the pressure that is exerted by blood flowing against the walls of the blood
vessels throughout your body.
Your heart, which is the center of the circulatory system, provides the force for the blood to
flow or circulate. When your heart contracts or “beats,” the blood is forced through the blood
vessels increasing the pressure. This is the highest pressure in the cycle or what is referred to
as SYSTOLIC blood pressure. In-between beats your heart relaxes and your blood pressure
decreases. This is referred to as DIASTOLIC blood pressure.
This complete series of events, which occurs in a single heartbeat, is known as the CARDIAC
CYCLE.
Your digital blood pressure monitor will automatically read your blood pressure and display
both systolic and diastolic readings on the screen. Your systolic will be positioned as the upper
number and the diastolic reading will be the lower number.
(systolic)
(diastolic)
120
80
/
Blood pressure is measured in millimeters (mm) of mercury (Hg) and is generally recorded with
the systolic pressure (120) listed first and the diastolic pressure (80) listed second. The numbers
are typically separated by a slash mark ( / ) as shown.
Both pressure readings, the SYSTOLIC and DIASTOLIC, are necessary for a physician to
evaluate the status of a patient’s blood pressure.
Please contact your physician for specific information regarding your own blood pressure.
What Influences Blood Pressure?
Many factors such as genetics, age, sex, altitude, physical activity, anxiety, muscular
development, certain medications or even the time of day can influence blood pressure.
Influences such as sleep or relaxation decrease blood pressure, while anxiety or exercise
increase blood pressure.
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GENERAL BLOOD PRESSURE INFORMATION (continued)
Why Monitor Your Blood Pressure at Home?
A visit to a physician’s office can be stressful for the patient and anxiety is a known factor in
raising blood pressure. This temporary occurrence of elevated blood pressure at the physician’s
office is commonly referred to as “white coat syndrome.”
Whether or not you experience “white coat syndrome,” home blood pressure monitoring provides
you with the opportunity to supplement measurements taken at your physician’s office. These
home readings, when taken over a period of time, can show an accurate indication of change.
Furthermore, your records can assist your physician in evaluating your health and in making
important decisions in the diagnosis and treatment of your condition. Because of this, it is
important to take consistent daily measurements of your blood pressure.
The variations in your individual readings should only be interpreted by your physician or a trained
healthcare professional.
WHO Blood Pressure Classifications
Standards for assessment of high or low blood pressure have been established by the World
Health Organization (WHO) as shown on the following chart:
This chart is only a general guideline. Contact your physician or trained healthcare
professional to determine your NORMAL blood pressure.
Category
Systolic
(mmHg)
Diastolic
(mmHg)
Color
Indicator
Optimal <120 <80 Green
Normal 120–129 80–84 Green
High - Normal 130–139 85-89 Green
Stage 1 - Mild
Borderline Hypertension 140–159 90–99 Yellow
Stage 2 - Moderate
Hypertension 160–179 100-109 Orange
Stage 3 - Severe Hypertension ≥180 ≥110 Red
Isolated Systolic Hypertension ≥140 <90
140–159 <90 Yellow
160–179 <90 Orange
≥180 <90 Red
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GENERAL BLOOD PRESSURE INFORMATION (continued)
Variations in Blood Pressure
Blood pressure is influenced by many factors and can change from moment to moment.
Normally, blood pressure is lowest during sleeping periods and rises during the day. The graph
below represents variations in blood pressure shown over a day with measurements taken every
5 minutes.
The dotted line represents the sleep
period. The rise in blood pressure at
1 p.m. (A in the graph) reflects stressful
occurrence, and at 7 p.m. (B in the
graph), a period of exercise.
IMPORTANT INFORMATION BEFORE USE
1. Blood pressure readings should be interpreted by a physician or trained healthcare
professional, who is familiar with your medical history.
2. Measure your blood pressure in a quiet place. You should be seated and relaxed.
3. Avoid smoking, eating, taking medication, alcohol consumption or physical activity 30
minutes prior to taking a reading. If you are exhibiting signs of stress, avoid measuring your
blood pressure until the feeling subsides.
4. Rest 15 minutes prior to measuring your blood pressure.
5. Remove any constrictive clothing or jewelry that may interfere with the cuff placement.
6. Keep the monitor stable during measurements. Remain still; do not talk during
measurements.
7. Record your daily readings on the chart provided.
8. Take your readings at the same time, each day (or as recommended by your physician).
9. Wait a minimum of 15 minutes between readings. The wait time may vary depending on
individual physiological characteristics.
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10. This device is intended for adult use only (12 years and older). This Electronic
Sphygmomanometers should never be used on infants or young children. Consult your
physician or other health care professionals before use on older children. Never use on
infants or individuals that cannot express themselves.
11. The inflation or deflation process can be stopped by pressing the POWER button.
12. People suffering from arrhythmias such as atrial or ventricular premature beats or atrial
fibrillation should only use this unit after consulting with their doctor. In certain cases the
oscillometric measuremet can produce incorrect readings.
13. People with irregular or unstable circulation resulting from diabetes, liver disease,
arteriosclerosis or other medical conditions, there may be variations in blood pressure values
measured at the wrist versus at the upper arm. Monitoring the trends in your blood pressure
taken at either the arm or the wrist is nevertheless useful and important.
14. People suffering from vascular constriction, liver disorders or diabetes, people with cardiac
pacemakers or a weak pulse, and women who are pregnant should consult their physician
before measuring their blood pressure themselves. Different values may be obtained due to
their condition.
15. Use only the approved arm cuff for this unit. Use of other arm cuffs may result in incorrect
measurement results.
16. To avoid cross contamination, do not share the cuff with an infectious person.
17. Prolonged over-inflation (cuff pressure exceed 300 mmHg or maintained above 15 mmHg
for longer than 3 minutes) of the bladder may cause ecchymoma of your arm.
18. The cuff should not be applied over a wound as this can cause further injury.
19. DO NOT attach the cuff to a limb being used for IV infusions or any other intravascular
access, therapy or an arterio-venous (A-V) shunt. The cuff inflation can temporarily block
blood flow, potentially causing harm to the patient.
20. The cuff should NOT be placed on the arm on the side of a mastectomy. In the case of
double mastectomy use the side of the least dominant arm.
21. Pressurization of the cuff can temporarily cause loss of function of simultaneously used
monitoring equipment on the same limb.
22. A compressed or kinked connection hose may cause continuous cuff pressure resulting in
blood flow interference and potentially harmful injury to the patient.
23. Check that operation of the unit does not result in prolonged impairment of the circulation of
the patient.
24. The monitor might not meet its performance specifications if stored or used outside the
specified temperature and humidity ranges in specifications.
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25. If you are taking medication, consult with your physician to determine the most appropriate
time to measure your blood pressure. NEVER change a prescribed medication without first
consulting with your physician.
26. Do not use cell phones and other devices, which generate a strong electrical or
electromagnetic fields, near the device, as they may cause incorrect readings and
interference or become an interference source to the device.
FCC STATEMENT AND EMC COMPATIBILITY
This equipment has been tested and found to comply with the limits for a Class B digital device,
pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection
against harmful interference in a residential installation. This equipment generates, uses, and can
radiate radio frequency energy and, if not installed and used in accordance with the instructions,
may cause harmful interference to radio communications. However, there is no guarantee
that interference will not occur in a particular installation. If this equipment does cause harmful
interference to radio or television reception, which can be determined by turning the equipment
off and on, the user is encouraged to try to correct the interference by one or more of the
following measures:
• Reorient or relocate the receiving antenna.
• Increase the separation between the equipment and receiver.
• Connect the equipment into an outlet on a circuit different from that to which the receiver
is connected.
• Consult the dealer or an experienced radio/TV technician for help.
This device complies with Part 15 of the FCC Rules. Operation is subject to the following two
conditions: (1) This device may not cause harmful interference, and (2) this device must accept
any interference received, including interference that may cause undesired operation.
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VISUAL BP GUIDE
The Visual BP Guide, located on the left side of the Display,
will identify your reading within a range in accordance with the
guidelines set by the World Health Organization. See the chart
below for reference.
Stage 3 Hypertension
Systolic pressure: ≥180 mmHg
-or-
Diastolic pressure:
≥110 mmHg
Stage 2 Hypertension
Systolic pressure: 160-179 mmHg
-or-
Diastolic pressure: 100-109 mmHg
Stage 1 Hypertension
Systolic pressure: 140-159 mmHg
-or-
Diastolic pressure: 90-99 mmHg
High Normal
Systolic pressure: 130-139 mmHg
-or-
Diastolic pressure: 85-89 mmHg
Normal
Systolic pressure: 120-129 mmHg
-or-
Diastolic pressure: 80-84 mmHg
Optimal
Systolic pressure: <120 mmHg
-and-
Diastolic pressure: <80 mmHg
DIA
SYS
DIA
SYS
DIA
SYS
DIA
SYS
DIA
SYS
DIA
SYS
11
IRREGULAR HEARTBEAT DETECTION
Your digital blood pressure monitor features Irregular Heartbeat
Detection (IHB). If the monitor detects an irregular heart beat
two or more times during the measuring process, the IHB
symbol will appear on the display, Fig. 1. An irregular heart
beat is defined as a rhythm that is either 25% slower or faster
than the average rhythm detected while measuring systolic and
diastolic blood pressure.
NOTE: Please consult with your physician or trained healthcare
professional for further information regarding an irregular
heartbeat if this symbol appears frequently at the end
of a reading.
If an Irregular Heartbeat caused by common arrhythmias is detected in the process of the
blood pressure measurement, the IHB symbol will be displayed. Under this condition, the
Electronic Sphygmomanometers will function, but the results may not be accurate and it’s
suggested that you consult your physician for accurate assessment.
Fig. 1
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BATTERY INSTALLATION/REPLACEMENT
1. Slide the cover upward and remove the cover.
2. Insert or replace 4 “AA” batteries into the
compartment, matching the indicated polarity
symbols, Fig. 1.
3. To close, replace cover and slide downward
until cover clicks into position.
The monitor, the batteries and the cuff, must be disposed of according to local
regulations at the end of their usage.
NOTE: Replace the batteries when the Low Battery symbol appears on the display or
when the display remains blank when the POWER button is pressed.
4. It is recommended to remove the batteries if the unit will not be used for an extended period
of time.
Fig. 1
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Select the appropriate user bank.
1. When the unit is off, press and hold the POWER for 5 seconds
to enter into the Date/Time mode. The User 1 symbol will begin
to flash, Fig. 1.
2. Press the POWER button to select User 1 and move into the
date/time setting.
NOTE: Setting the date / time for User 1 will automatically keep the
same date / time for User 2.
Setting the Date / Time
3. The month followed by the day will begin to flash, Fig. 2.
4. Scroll through the numbers by pressing the MEMORY button.
NOTE: To scroll through the numbers quicker, hold down the
MEMORY button.
5. Press the POWER button to set the entry.
6. Repeat steps 4 and 5 to adjust the date/time setting.
7. After setting the minutes, the unit will automatically cycle back
to the flashing user symbol. Press and hold the POWER button
until the unit turns off to save the settings and exit the date and
time setting mode.
AVG
mmHg
kPa
No
(
( )
)
/
/
Fig. 2
Fig. 1
SETTING THE DATE / TIME
AVG
mmHg
kPa
No
(
( )
)
/
/
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APPLYING YOUR BLOOD PRESSURE CUFF
Before applying your blood pressure cuff, be sure you have selected the appropriate cuff:
Small Cuff fits arm circumference 8.66” – 14.17” (22 cm - 36 cm)
Standard Cuff fits arm circumference 11.81” – 16.53” (30 cm - 42 cm)
Large Cuff fits arm circumference 16.53” – 18.89” (42 cm - 48 cm)
NOTE: If for any reason you are unable to or should not use your left arm, please modify the
following instructions and apply the cuff to your right arm. Your physician can tell you which
arm is best for you to use.
1. Remove any constrictive clothing or jewelry that may
interfere with the cuff placement.
2. Be seated with your feet flat on the floor.
3. Position the cuff on a solid surface with the tubing facing
UP and AWAY from you, Fig. 1. The metal bar on the cuff
should be to the left of the tubing.
4. Widen or open the cuff by pulling or rolling the
bottom of the cuff towards the right, Fig. 2. This
should open the cuff, creating a cylinder. Do
not extend the cuff beyond the metal bar.
5. Insert your arm into the cuff (cylinder). Position
the ( ) mark over the main artery (on the inside
of your arm), Fig. 3.
6. The bottom edge of the cuff should be positioned
approximately one inch ABOVE the elbow joint,
Fig. 4.
7. Reaching underneath your left arm with your right
hand, pull the end of the cuff towards your body
to tighten the cuff, Fig. 5. Wrap and secure the
cuff making sure that the ( ) mark remains
as shown, Fig. 3.
8. The cuff should fit comfortably, yet snugly around your arm.
9. You should be able to insert two fingers between your arm
and the cuff.
NOTE: The cuff size is suitable for use when the vertical “Index”
mark is within the horizontal “OK” range. A different sized cuff is needed if the “Index” mark is
outside of the “OK” range.
Fig. 1
Fig. 4
1”
Fig. 5
Fig. 3
Fig. 2
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TAKING YOUR BLOOD PRESSURE READING
Proceed only after reading the previous sections of this manual.
1. Position the monitor on a flat, stable surface with the digital display
panel in view. Insert the cuff tubing connector into the left side of the
monitor, Fig. 1. Avoid compression or restriction of the connection
tubing during measurement which may cause inflation error, or harmful
injury due to continuous cuff pressure.
2. Rest your elbow on a solid surface with your palm facing
upward. Elevate your arm so that the cuff is at the same level
as your heart, Fig. 2. Relax your left hand. Sit comfortably and
don’t cross your legs. The middle of the cuff should be at the level
of the right atrium of the heart.
3. To select the correct User bank, press and hold the POWER
button for 5 seconds and release. The User symbol will
begin to blink. Then press the MEMORY button to switch
between User 1 & 2. Once the desired User is selected,
press and hold the POWER button until the unit powers
OFF. Press the POWER button again to turn the unit ON
and begin the measurement.
4. This unit will first run a self-test, Fig. 3. If there is any
residual air in the cuff, the monitor will flash “ ” until
pressure is stabilized as shown in Fig. 4.
5. When the display appears as shown, Fig. 5, the monitor is
ready. The cuff will automatically begin to inflate.
6. Once the cuff inflates to the appropriate pressure level, the measurement
will begin.
7. The unit will begin to automatically deflate and the numbers appearing
on the display will decrease.
8. When all the air is deflated, the measurement is complete. The unit will
display your blood pressure (systolic and diastolic) measurements and
pulse rate, Fig. 6. Record your readings in a chart.
9. Your measurements will automatically be saved in memory.
10. Press the POWER button to turn the power OFF, or the unit will
automatically shut OFF after approximately 3 minutes.
11. Disconnect the tubing from the monitor prior to storing.
NOTE: The measurement can be stopped at anytime by pressing the POWER
button.
Fig. 1
Fig. 2
Fig. 6
Fig. 3
AVG
mmHg
kPa
No
(
( )
)
mmHg
M
D
M
D
M
D
Fig. 4
mmHg
M
D
M
D
Fig. 5
M
D
mmHg
mmHg
16
TAKING YOUR BLOOD PRESSURE READING (continued)
NOTE: The default setting of this monitor is to inflate the cuff to approximately 190 mmHg.
After three readings, the cuff will inflate to approximately 40 mmHg higher than the average
of the last three systolic test reading averages stored in memory. If the system detects that
the cuff needs additional pressure, it will automatically re-inflate to approximately 40 mmHg
higher than the last pressure level.
RECALLING MEASUREMENTS IN MEMORY
You can recall up to 60 total measurements in memory (30 per bank).
1. First, select the correct User bank, by pressing and holding the
POWER button for 5 seconds, then release. The user symbol will
begin to blink, Fig 1. Then press the MEMORY button to switch
between User 1 & 2. Once the desired user is selected, press and
hold the POWER button for 3 seconds until the unit powers OFF.
2. Press and release the MEMORY button. It will display the average of
the last three readings, Fig. 2.
3. Press the MEMORY button again to scroll through the saved
measurements.
NOTE: When the number of readings exceeds 30 per bank, the oldest data
will be replaced with the new record.
To erase all stored measurements:
1. Press and release the MEMORY button to enter into the memory bank
mode. Be sure the correct memory bank is selected.
2. Press and hold down the POWER button until three horizontal lines
flash. This indicates that all measurements have been erased, Fig. 3.
Fig. 2
Fig. 3
Fig. 1
17
Indicates a measurement
within Stage 3 Hypertension.
Indicates a measurement
within Stage 2 Hypertension.
Indicates a measurement
within Stage 1 Hypertension.
Appears when batteries should be
replaced.
Shows the pulse rate per minute.
Occurs when an error was made
during measurement.
Appears when there is an irregular
heartbeat detected during
measurement.
Appears when the unit is ready or
a measurement error has occurred.
Restart the measurement if an error
occurs.
Appears when the cuff is unstable or
it has too much air left in it. Once the
arrow stops flashing, the unit is ready
to take a measurement.
“Number”. Appears when recalling a
measurement from memory.
DIA
SYS
DIA
SYS
DIA
SYS
DESCRIPTION OF DISPLAY SYMBOLS
DESCRIPTION OF SYMBOLS
SN
Symbol for “THE OPERATION GUIDE MUST BE READ” (The sign background color: blue. The sign graphical symbol: white)
Symbol for “WARNING”
Symbol for “TYPE BF APPLIED PARTS” (The cuff is type BF applied part)
Symbol for “SERIAL NUMBER”
Symbol for “ENVIRONMENT PROTECTION” – Waste electrical products
should not be disposed of with household waste. Please recycle
where facilities exist. Check with your local authority or retailer for
recycling advice.
Symbol for “KEEP DRY”
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