HealthSmart 04–875–001 Instruction Manual

STANDARD WRIST DIGITAL BLOOD

PRESSURE MONITOR

Please read this guidebook

completely before operating the unit.

Item # 04 – 875 – 001

English • Spanish

INSTRUCTION MANUAL

LIMITED 5-YEAR WARRANTY

The warrantor guarantees that its Digital Blood Pressure Monitor will be free from
manufacturing defects under normal use for five years from the original purchase
date. This warranty covers only normal use, and does not apply to 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. This
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 five years from the
time original 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. Replacement is the sole remedy under this limited
warranty. This warranty gives you specific legal rights, which vary from state to state.
As a condition of this warranty, the enclosed warranty registration card must be
completed and sent to us within 10 days of the purchase date or can be filled out
online at www.LiveHealthSmart.com.

This warranty constitutes the warrantor’s only responsibility and obligation to replace
materials or components. 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 oth ers. The warrantor shall in
no event be liable to the purchaser for any amount in excess of the cost of repair
and/or replacement of the unit.

1

INDEX

Introduction ................................... 2

Product Identification & Caution ......................... 3

General Blood Pressure Information .......................4–6

Important Information Before Use ....................... 7-8

World Health Organization (WHO) Indicator .................... 9

Irregular Heartbeat Detection .......................... 10

Battery Installation/ Replacement ........................ 11

Setting the Date/Time ............................. 12

Applying Your Blood Pressure Cuff ..................... 13–14

Taking Your Blood Pressure Reading ..................... 15–16

Recalling Measurements in Memory ....................... 17

Description of Symbols ........................... 18–20

Troubleshooting ................................ 21

Care and Maintenance ............................. 22

Product Specifications ............................. 23

Sample Blood Pressure Log........................... 31

Blood Pressure Log .............................. 32

2

INTRODUCTION

To achieve the maximum benefit from your blood pressure monitor, we recommend that
you first consult with your physician or trained health care professional.

Thank you for purchasing an Automatic Blood Pressure Monitor. With proper care and
use, your monitor will provide you with many years of reliable readings.

The method of measurement that your Automatic Monitor uses is called the oscillometric
method. The monitor detects your blood’s movement through the artery in your wrist and
converts the movements into a digital reading. The oscillometric method does not require
a stethoscope, making the monitor easy-to-use. The preformed cuff requires little effort to
apply and is comfortable to wear.

Clinical research has proven a direct relationship between blood pressure in the wrist
and blood pressure in the arm. Because the arteries in thewrist and armare connected,
changes in wrist blood pressure reflect changes in arm blood pressure. Frequent wrist
blood pressure measurements will provide you and your physician with an accurate
indication of change in your true blood pressure.

People with severe hypertension, severe arteriosclerosis or severe diabetes should
consult their physician about monitoring blood pressure at the wrist.

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.

Read all of the information in the operation guide and any other literature in the box before
operating the unit.

3

PRODUCT IDENTIFICATION

CAUTION

While taking a measurement, you can stop the inflation or deflation process of the cuff at
any time by pressing the POWER button.

Wrist Cuff

Digital Display

Battery Compartment

POWER
(on/off)
button

MEMORY
recall button

4

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 above.

Both pressure readings, the SYSTOLIC and the 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.

5

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.

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, regardless of age, have been
established by the World Health Organization (WHO) as shown in the chart on the
following page.

6

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

This chart is only a general guideline. Contact your physician or trained healthcare
professional to determine your NORMAL blood pressure.

Variations in Blood Pressure

Blood pressure can be influenced by many factors. This change can occur from moment
to moment. Normally, blood pressure is lowest during the sleeping period and rises during
the day. The graph below represents the 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.

7

IMPORTANT INFORMATION BEFORE USE

1. Blood pressure measurements should only be interpreted by a physician or a trained
healthcare professional who is familiar with your medical history. Through regular use
of this device and recording of your measurements, you can keep your physician
informed of the changes in your blood pressure.

2. Perform your measurement in a quiet place. You should be seated in a
relaxed position.

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
taking your measurement until the feeling subsides.

4. Rest 15 minutes prior to taking a reading.

5. Remove any constrictive clothing or jewelry that may interfere with the
cuff placement.

6. Apply the cuff to the proper position on the left wrist. The unit should be located
on the inside of your left wrist with the display panel in view.

7. Keep the monitor stable during measurement to achieve an accurate reading.
Remain still; do not talk during the measurement.

8. Record your daily readings on the chart provided.

9. Take your readings at the same time, each day (or as recommended by your
physician) to get an accurate indication of change in your true blood pressure.

10. Wait a minimum of 15 minutes between readings to allow for the blood vessels
to return to normal. The wait time may vary depending on your individual
physiological characteristics.

11. Although such cases are rare, for those with an extremely weak pulse or irregular
pulse, errors may result which prevent proper measurement. If abnormal variations
are noticed, consult with your physician or trained healthcare professional.

12. This device is intended for adult use.

13. People with serious arrhythmia are discouraged from using this Electronic
Sphygmomanometer.

14. Use only the cuff supplied by the manufacturer to prevent measurement errors
caused by biochemical hazard from occurring.

15. To avoid infection, do not share cuff with other users.

8

IMPORTANT INFORMATION BEFORE USE (continued)

16. This Electronic Sphygmomanometer should never be used on infants or young
children. Consult your physician before use on older children.

17. Prolonged over-inflation (cuff pressure exceeds 300 mmHg or maintained above15
mmHg for longer than 3 minutes) of bladder may cause ecchymoma of the arm.

18. Avoid application of cuff over a wound or inflammatory diseases.

19. Avoid application of cuff on any limb where intravascular access or therapy, or an
arteriovenous (A-V) shunt, is present.

20. Avoid application of the cuff on the arm on the side of a mastectomy.

21. May not be simultaneously used with other monitoring medical equipment on the
same limb.

22. Need to check the blood circulation of the user.

23. The monitor might not meet performance specifications or may cause safety hazard
if stored or used outside the specified temperature and humidity ranges

While taking a measurement, you can stop the inflation or deflation process of the cuff
at any time by pressing the POWER button.

9

WORLD HEALTH ORGANIZATION (WHO) INDICATOR

The WHO Indicator, 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

10

IRREGULAR HEARTBEAT DETECTION

Your digital blood pressure monitor features Irregular
Heartbeat Detection (IHB). This feature allows users to
accurately monitor blood pressure even if an irregular
heartbeat should occur.

When an irregular heartbeat is detected, the IHB icon
will appear on the display, Fig. 1.

NOTE: Please consult 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 Irregular Heartbeat (IHB) brought by common
arrhythmias is detected during blood pressure
measurement, a signal will be displayed. Under
this condition, the device may continue to function,
but the results may not be accurate. It’s suggested
that you consult with your physician for accurate
assessment.

Fig. 1

11

BATTERY INSTALLATION/REPLACEMENT

Replace the batteries when the Low Battery symbol
appears on the display, Fig. 1, or when the display
remains blank when the POWER Button is pressed.

To change the batteries:

1. Open the battery cover, Fig. 2.

2. Making sure the battery polarity is correct, install two
AAA alkaline batteries, Fig. 3.

3. Close the battery cover, Fig. 4.

NOTE: It is recommended to remove the batteries if the unit will
not be used for an extended period of time.

The monitor, the batteries and the cuff must be
disposed of according to local regulations at the end of their usage.

Fig. 1

Fig. 2

Fig. 3

Fig. 4

12

SETTING THE DATE / TIME

1. When the unit is off, press and release both the POWER and
MEMORY button at the same time. The month will begin to
flash, Fig. 1.

2. Press the MEMORY button to change until the desired number
appears.

NOTE: To scroll through the numbers quicker, hold down the
MEMORY button.

3. Press the POWER button to set the entry.

4. The date, Fig. 2, followed by the hour and minutes will flash.
Repeat steps 2 and 3 to adjust the date/time setting.

5. After setting the minutes, the unit will automatically exit out of
the date/time setting mode, Fig. 3.

NOTE: The time is expressed in 24-hour military time. The chart
below explains the time conversion.

Fig. 1

Fig. 3

Regular Time

(12 hours)

Military Time

(24 hours)

Regular Time

(12 hours)

Military Time

(24 hours)

12 am

Midnight

0

12 pm

Noon

12

1 am 1 1 pm 13
2 am 2 2 pm 14
3 am 3 3 pm 15
4 am 4 4 pm 16
5 am 5 5 pm 17
6 am 6 6 pm 18
7 am 7 7 pm 19
8 am 8 8 pm 20

9 am 9 9 pm 21
10 am 10 10 pm 22
11 am 11 11 pm 23

Fig. 2

13

APPLYING YOUR BLOOD PRESSURE CUFF

Cuff Dimensions 3¼" x 2 ¾" x 1¹/8" (8.26 cm x 7 cm x 2.9 cm)

Wrist Circumference Range Suitable for 5½" – 7

5

/8" (14 cm – 19.5 cm)

Avoid smoking, eating, taking medication, alcohol
consumption or physical activity 30 minutes prior to
measuring your blood pressure. If you are exhibiting signs
of stress, avoid measuring your blood pressure until the
feeling subsides. Rest 15 minutes prior to taking your blood
pressure reading.

1. Remove any constrictive clothing or jewelry that may
interfere with the cuff placement.

2. You should be seated with your feet flat on the floor.

3. Hold your left arm in front of you with your palm
facing upward.

4. Apply the preformed cuff to your left wrist. The digital
display panel should be positioned on the inside area
of your wrist facing you, Fig. 1.

5. Adjust the cuff as shown in Fig. 2 from the edge of the
‘Head of the Ulna Bone.’

Fig. 1

Fig. 2

14

Fig. 3

APPLYING YOUR BLOOD PRESSURE CUFF (continued)

6. Wrap and fasten the cuff securely, yet comfortably
around your wrist, Fig. 3.

NOTE: The left wrist should be used unless you are
unable to or should not use your left arm or wrist. In
consultation with your physician, you may modify the
following instructions and apply the cuff to your right wrist.

15

TAKING YOUR BLOOD PRESSURE READING

Proceed only after reading the previous sections of this manual.

1. Rest your elbow on a solid surface with your palm facing upward.

Elevate your hand so that the cuff is at the same level as your
heart, Fig. 1. Relax your left hand. Avoid compression or restriction

of the connection tubing during measurement which may cause
inflation error or harmful injury due to continuous cuff pressure.

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.

2. Press the POWER button to turn the unit on and select the
memory bank you want your reading to be stored in by pressing
the MEMORY button to alternate between, memory bank 1 or 2.
Press the POWER button to confirm your selection.

3. This unit will run a self-test, Fig. 2, and show the last measured
reading, Fig. 3, or if there is no previous measurement, “0” as
shown in Fig. 4.

4. When the display appears as shown, Fig. 5, the monitor is ready.
The cuff will automatically begin to inflate.

5. The display will show the increasing pressure in the cuff. Along
with the measurement progress on the left side of the screen.

6. The cuff will automatically inflate to approximately 190 mmHg or
40 mmHg higher than the last systolic pressure stored in memory.

7. Once the cuff inflates to the appropriate pressure level, the
measurement will begin.

Measurement value
becomes lower.

Measurement value
becomes higher.

Correct measurement position
(at same height as heart).

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

16

TAKING YOUR BLOOD PRESSURE READING (continued)

8. The unit will begin to automatically deflate and the numbers
appearing on the display will decrease.

9. 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.

10. Record your readings on a chart.

11. At this point, your measurements will be automatically saved
in memory.

12. To conserve the batteries, press the POWER button to turn
the power off. Otherwise, the unit will automatically shut off
after approximately 1 minute.

NOTE: This monitor inflates the cuff to approximately 190 mmHg or 40 mmHg higher
than the last systolic pressure stored in memory. If the system detects that the cuff
needs additional pressure, it will automatically reinflate to approximately 40 mmHg
higher than the last pressure level.

17

RECALLING MEASUREMENTS IN MEMORY

You can recall up to 120 total measurements in memory (60
per memory bank). These measurements can be shared with
your physician or trained healthcare professional.

1. Press and release the MEMORY button. The unit will
display either U1 or U2 depending upon the user bank
selected. It will also show how many measurements are
stored within that bank, Fig. 1.

2. To select the appropriate user bank press the POWER
button to switch between U1 and U2.

3. 3. Once the desired user memory bank is selected, press
the MEMORY button again to scroll through the saved
measurements. After you’ve scrolled through all the
readings, the unit will automatically turn off.

NOTE: Each memory bank can store up to 60 readings. When
the number of readings exceeds 60, the oldest data will be
replaced with the new record.

To erase all stored measurements:

1. Press and release the MEMORY button. The unit will
display either U1 or U2 depending upon the user bank
selected and how many measurements are stored within that bank.

2. Select the desired user bank by pressing and releasing the MEMORY button.

3. Press and hold down the MEMORY button until two horizontal lines flash. This
indicates that all measurements within the selected memory bank have been erased.

Fig. 2

Fig. 1

18

DESCRIPTION OF DISPLAY SYMBOLS

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.

SYS

SYS

SYS

DIA

DIA

DIA

19

DESCRIPTION OF DISPLAY SYMBOLS (continued)

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 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.

Appears when a measurement error has occurred. Restart the
measurement.

Appears when recalling a measurement from memory.

Indicates the memory user’s memory bank.