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CE0120
Hingmed
Ambulatory Blood Pressure Monitor
User Manual
(Apply to：ABP-03)
Shenzhen Hingmed Medical Instrument Co., Ltd.
VER：A/0
Date: May 15, 2014
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About this Manual
The manual mainly introduces the installation and application method of
Ambulatory Blood Pressure Monitor (ABPM). Users should read
carefully before application (include warnings, contraindications and
notes).
Manufacturer
Shenzhen Hingmed Medical Instrument Co., Ltd.
Manufacturing address: 4th Floor, Zhonghangfeixiang Building, NO. 371,
Guangshen Road, Baoan District, Shenzhen, People’s Republic of
China
Tel: +86 755 23730601
Fax: +86 755 23730602
Post code: 518102
After-sales service
Company: Shenzhen Hingmed Instruments Co., Ltd.
Address: 4th Floor, Zhonghangfeixiang Building, NO. 371, Guangshen
Road, Baoan District, Shenzhen, People’s Republic of China
Tel: +86 755 23730601
Fax: +86 755 23730602
Post code: 518102
European Representative
Company Name: Well Kang Limited
Company Address: The Black Church, St. Mary's Place, Dublin 7,
Ireland
Tel: +353(1)4433560
Fax: +353(1)6864856
Web: www.CE-marking.com
Email: AuthRep@CE-marking.eu
Version Information
This manual may upgrade due to software upgrading. User will not be notified
further.
■ Version: A/0
■ Issue date: May 2014
Shenzhen Hingmed Medical Instruments Co., Ltd. owns and reserves the
copyright.
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Table of Content
Chapter 1 Preface ................................................................................................................ 4
1.1 Brief Introduction to Ambulatory Blood Pressure Monitoring ................................. 4
Chapter 2 Safety Requirements .......................................................................................... 6
2.1 Intended use ........................................................................................................... 6
2.2 Contraindication...................................................................................................... 7
2.3 Warnings ................................................................................................................. 7
2.4 Notice...................................................................................................................... 8
2.4.1 Battery .......................................................................................................... 8
2.4.2 Training ......................................................................................................... 8
2.4.3 Blood pressure measurement ...................................................................... 8
2.4.4 Energy conservation and environment protection ....................................... 9
2.4.5 Maintenance ................................................................................................. 9
Chapter 3 Product Introduction ............................................................................................ 9
3.1 Product composition: .............................................................................................. 9
3.2 Name and Function of Each Component ............................................................. 10
3.2.1 Host Introduction ........................................................................................ 10
3.2.2 LCD screen displays and icon implication ................................................. 10
3.2.3 Symbols ...................................................................................................... 11
Chapter 4 Product Installation and Use ............................................................................. 11
4.1 Battery installation ................................................................................................ 11
4.2 Installing System .................................................................................................. 12
4.3 Conduct Ambulatory Blood Pressure Study ......................................................... 13
4.3.1 Communication with Hingmed ABPM ........................................................ 13
4.3.2 Connect monitor to computer ..................................................................... 13
4.3.3 Continuous measurement programming ................................................... 13
4.3.4 Cuff selection and connection .................................................................... 14
4.3.5 Ready for use and patient training ............................................................. 15
4.3.6 Derive data ................................................................................................. 16
Troubleshooting and Maintenance .................................................................................... 19
5.1 Troubleshooting .................................................................................................... 19
5.2 Maintenance ......................................................................................................... 20
5.2.1 Maintenance inspection and safety management ..................................... 20
5.3 Device Maintenances .................................................................................... 20
Chapter 6 Product specifications ....................................................................................... 20
Chapter 7 EMC information ............................................................................................... 21
Chapter 8 Warranty Card ................................................................................................... 26
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Chapter 1 Preface
1.1 Brief Introduction to Ambulatory Blood Pressure Monitoring
Ambulatory blood pressure monitoring is an instrument for monitoring human’s blood
pressure continuously during certain period (normally 1-2 days) with certain interval that
is based on actual situation. Blood pressure readings in different periods and under
different life conditions can be judged according to the measuring results, thus blood
pressure diagnosis would be given.
During 24 hours in a day, human blood pressure is not fixed but fluctuates within a certain
scope. The diagnosis made by clinical blood pressure data collected randomly in
sickroom may miss some patients whose blood pressure is abnormal in a certain period
in a whole day due to neglecting the fluctuation of blood pressure. The 24-hour
ambulatory blood pressure monitoring can detect those patients in time.
It is also important to conduct 24-hour ambulatory blood pressure measuring for those
patients who were diagnosed hyperpietic. Research shows half of hyperpietic patients
who believe their blood pressures were controlled well have unstable blood pressures
through 24-hour ambulatory blood pressure monitoring, their blood pressures rise up in
the morning and/or in the afternoon, or rises up at night, so their blood pressure
controlling measures are not ideal. That is one of the answers to that why some
hypertension patients who stick to take medicine and feel good in blood pressures control
still suffer from renal damage. 24-hour ambulatory blood pressure monitoring can help
patients to realize the rules and characters of their blood pressure fluctuation. Accordingly,
patients could take short, medium or long-term antihypertensive drugs to control their
blood pressure and avoid damage of target organs e.g. cardio, brain and kidney.
Obviously, Ambulatory blood pressure monitoring is superior to clinical blood pressure
measurement, and gradually becomes an important method to evaluate the treatment
effect of ant-hypertension gradually.
Compare to clinical or home occasional blood pressure measuring, the ambulatory blood
pressure monitoring is superior in the following aspects:
a) Eliminate the contingency in measuring and some affecting factors i.e. mood, sports,
food, smoking, drinking, and others.
b) Could attain more blood pressure data that could reflect practical variation rule during
a whole day.
c) Could increase detection rate and help those slight or borderline hypertension patients
to get timely treatment, these patients may have not any symptom at early stage.
d) May used to guide drug therapy. In many cases it could be used to evaluate drug
treatment effect, help to select drugs, and adjust dosage and drug administration time.
e) To judge if there were target organs damage (especially organs which are susceptible
to hypertension). For the hypertension patients with myocardial hypertrophy, fundus
dynamic vascular lesions or renal functions change, the blood pressure values between
day and night are usually small.
f) To predict the time of sudden attack of cardiovascular and cerebrovascular disease in a
day. Generally, it is most frequent that before dawn the disease attacks due to a sudden
rising of blood pressure.
g) Ambulatory blood pressure has an important significance for prognosis. Compare with
normal blood pressure, patients with high blood pressure in 24 hours have higher
mortality and incidence of cardiovascular disease than those with low blood pressure in
24 hours.
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For the following hypertension types, it is only ambulatory blood pressure monitoring that
could diagnose easily.
1. White-coat hypertension
White-coat hypertension is the blood pressure that is high when measured at health care
site but normal in daily activity. The high pressue at health care site is repeatable in
different days. The white-coat hypertension accounts for about 15% in all clinic patients, it
is not rare.
2. Masked hypertension
Masked hypertension is that the clinical measuring value is less than the standard, but
the value from ambulatory blood pressure monitoring is high (135/85mmHg). It is
reported that population of masked hypertension accounts for about 10% of the general
crowd and about 40% of the patients undergoing antihypertensive therapy. It has to apply
ambulatory blood pressure monitoring on those masked hypertension patients who are
undergoing antihypertensive treatment.
3. Morning peak hypertension
Morning peak hypertension is defined that the average of matutinal blood pressure is
more than 135/85mmHg. It may be divided into 2 types- "matutinal peak" and
"reverse-dippers/non dipper". The morning peak type is characterized by sudden rise of
blood pressure early in the morning, and the reverse-dipper/non-dipper is characterized
by continuous rise of blood pressure in early morning and at night. Both of them are the
risk factors of cardiovascular disease. ABPM can identify the two types of hypertension.
4. Large circadian rhythm of blood pressure
The circadian rhythm of blood pressure is subject to relationship of daytime blood
pressure and nighttime blood pressure. In daytime patients are active and in nighttime
patients are sleeping, it is also influenced by external causes (i.e sleep-wake cycle) and
internal cause (i.e biological clock). Specific circadian rhythm variability is the average
change rate of blood pressure during nighttime and daytime. Although the circadian
rhythm is common for normal people and primary hypertension patients, some special
hypertension patients or few primary hypertension patients may occur disorder,
disappearance, even reversion to circadian rhythm.
5. Secondary hypertension
Circadian rhythm variability of secondary hypertension patients may be disturbed.
Because the disturbed circadian rhythm variability on secondary hypertension patients
may play a role on the target organ damage progress, an appropriate antihypertensive
treatment strategy should be made to recognize the circadian rhythm variability.
6. Hypotension
Ambulatory blood pressure monitoring is very useful not only to diagnose hypertension
but also to diagnose hypotension. Especially, the hypotension could cause dizziness or
fainting on elder people who have exhaustion of autonomic nervous when standing, after
a meal or after a bath.
Hypotension is divided into primary hypotension and secondary hypotension. Primary
hypotension is common in women, which could reduce the patient's life quality usually.
However, just few primary hypotensions will be treated considering long-term prognosis,
because primary hypotension just leads to few vascular disorders. On the other hand,
secondary hypotension is usually caused by some normal diseases and is accompanied
with dangerous syndromes such as syncope and vertigo, so patients need prevention
and therapeutic measures. The ambulatory blood pressure monitoring is useful to
diagnose secondary hypotension.
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1.2 Brief Introduction of Hingmed ABPM
Blood Pressure Monitor with Body Position Information
Hingmed ambulatory blood pressure monitor has an outstanding feature that it could
provide the user's body position when taking blood pressure measurement, which is of
significance in clinical research. Some symptoms of hypertensive patients, such as
dizziness, nausea, brain death, are caused under dynamic environment of working or
other life. Therefore, monitoring patient’s blood pressure could not be confined to a quiet
condition. It is the best that patients who are wearing ambulatory blood pressure monitor
live a daily life and work. The data would reflect the actual daily blood pressure. That is
helpful to clinical judgments.
Different postures have a great influence on blood pressure. 24-hour monitoring shows
the blood pressure is fluctuant at distinct time. If a monitor can reflect the user's position
at the same time, it would be helpful for doctors to find the causes of the blood pressure
fluctuations, and then distinguish effectively natural change, fluctuation or fluctuation
caused by position changing and moving.
In addition, blood pressure data with position information can help doctors to make a
good judgment on orthostatic hypertension. Position hypertension is that the pressure is
high at standing or sitting posture, but normal at lying flat. Orthostatic hypertension
accounts for 4.2% in domestic hypertension patients and 10% in abroad report.
Orthostatic hypertension is characterized by that there is not hypertension in normal and
just being found occasionally or in physical examination. Diastolic pressure rising-up and
large fluctuation would represent in orthostatic hypertension and the individual could be
accompanied by serious palpitation, tiredness, sleep quickly etc. In blood examination,
the plasma rennin activity in orthostatic hypertension is higher than that of normal people,
even than that of general hypertension patient.
Scope of application
Hingmed Ambulatory blood pressure monitor is designed to assist in diagnosis. Doctor
could give advice to use this medical device by his or her judgment if patient is:
● Hypertension;
● Hypotension;
● Borderline hypertensive (BH), renal inadequacy;
● Control and evaluate the anti-hypertension efficacy, etc.
Chapter 2 Safety Requirements
2.1 Intended use
Blood pressure monitor of ABP-03 is mainly used to measure blood pressures, which
include systolic pressure, diastolic pressure and pulse rate, of patients in different setting
intervals within 24 hours (not applicable to children under 3 years), and the measurement
data can be transmitted by USB data wire for medical personnel’s reference and analysis
in hospital, It is for use on the order of a physician only.
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Product composition: Main unit, Noninvasive blood pressure cuff, USB data wire and
Hingmed PC software.
The device is inner power source with 2 AA alkaline batteries; Electric shock protection
degree: CF type applied part; Operation mode: continuous mode.
The service life of this product is five years.
2.2 Contraindication
● Do not use the monitor near X-ray tomography device.
● Do not use the monitor in the places where inflammable anesthetic exist, it may lead to
explode.
● Do not wrap the cuff on the limb being used for IV injection as cuff inflation may block
infusion and hurt patient.
● Do not immerse the monitor in any liquid or any detergent, which would cause electrical
hazard.
2.3 Warnings
● Cuff shall not be worn on the wound, because inflation pressure may cause further
damage;
● When patients carry the monitor, pull out the data wire from PC or other devices;
● Never apply the device to patient under 3 years old and patient who can’t express their
thoughts.
● The instrument can’t be used in conjunction with defibrillation equipment.
● It may cause measurement error by using parts not included in the supply listing.
● Shoulder straps or cuff tube winding patient's neck may cause suffocation, doctor
should remind patient to wear the cuff on upper arm, and shoulder straps or cuff tube
must not wind patient's neck. Tube should be placed under the coat (even at night).
● Make sure the pressure is suitable for the patient. If any abnormity occurs in the
monitoring process, please stop measuring immediately, and remove the cuff from the
patient or shortly press start/stop button to stop inflating. If the cuff fails to deflate,
indicate patient to remove it properly and safely.
● If this device is dampened by accident, put it in a well-ventilated place for drying prior to
use.
● Only professional physicians can explain the measured blood pressure values.
● Only medical personnel and trained professionals can use the device.
● Don’t servicing/maintenance while the medical equipment is in use
● The patient is an intended operator. The patient can only measure, transmit data and
charge battery under normal circumstances and maintain the device and its
accessories according to the User Manual.
● Not intended to be sterilized.
● Not for use in an oxygen rich environment.
● No modification of this equipment is allowed.
● It is not intended for use with neonate.
● It is not intended for use with pregnant or pre-eclamptic patients.
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● Be careful to regarding the effect of blood flow interference and resulting harmful injury
to the patient caused by continuous cuff pressure due to connection tubing kinking
● When using this device, please pay attention to the following situation which may
interrupt blood flow and influence blood circulation of the patient, thus cause harmful
injury to the patient: connection tubing kinking too frequent and consecutive multiple
measurements.
● Do not apply the cuff over a wound; otherwise it can cause further injury.
● The application of the cuff and its pressurization on any wrist/arm where intravascular
access or therapy, or an arterio-venous (A-V) shunt, is present.
● Inflate the cuff on the side of a mastectomy.
● Do not inflate the cuff on the same limb which other monitoring ME equipment is
applied around simultaneously, because this could cause temporary loss of function of
those simultaneously-used monitoring ME equipment.
● Please check that operation of the device does not result in prolonged impairment of
patient blood circulation.
● When measurement, please avoid compression or restriction of the connection tubing.
● The device cannot be used with HF surgical equipment at the same time.
2.4 Notice
2.4.1 Battery
● Please use two 5 AA alkaline batteries for this device;
● Please make sure the battery is properly loaded with correct polarity, otherwise the
instrument can’t be started;
● Do not mixed use the old and new batteries in the monitor;
● Please take out the batteries if not use the monitor for a long time (more than one
month).
2.4.2 Training
● Explain to patients how to stop operation if abnormal measurement occurs, and how to
remove the cuff if the patients feel painful or discomfort on arm;
●Keep still during measuring, especially do not move their cuffed arms, and it is better to
keep quiet, and make the cuff as the same horizontal position as the heart;
● If the arm-wrapped cuff is bending just at the time of inflating, then keep bending, do
not stretch your arm, otherwise it would cause pressure inside cuff changes rapidly and
disturb the measurement.
● Explain to patients how to deal with mal-operation and common problems.
2.4.3 Blood pressure measurement
● Patient with anticoagulant or patient with coagulation disorder may extravasate on the
position wrapping cuff, in the process of measuring blood pressure even the cuff is
worn correctly. In fact, no matter what type of the monitor is, such patients would
extravasate during the measuring process.
● If cuff fails to inflate in 150 seconds, guide patients to remove the cuff manually,
excessive inflation may block patient's blood flow that makes patient uncomfortable.
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2.4.4 Energy conservation and environment protection
● Please power the monitor off in time after using.
● Please properly handle the scrapped batteries, cuff, data wires and main units in
compliance with local environmental regulations.
2.4.5 Maintenance
● Please use the accessories supplied by Hingmed, otherwise it may cause measuring
errors.
● Maintenance should be conducted only by trained personnel or personnel authorized
by Hingmed.
● Displaying method of faults: corresponding codes will display on the screen in
malfunction state, see 5.1 troubleshooting for details.
Chapter 3 Product Introduction
3.1 Product composition:
Prior to use please confirm if accessories are complete, and if there is any damage on
main unit and accessories, any problem above is found, please contact distributors or
Hingmed customer service hotline for help.
Main unit, accessories include blood pressure cuff, portable bag and data wire.
Other accessories:
PC software CD
User Manual
Quality Certification/warranty card
Instruction of PC-end software
Hingmed ABPM Packing List
Accessories Items Name Qty
Hingmed ABPM Monitor 1
Hingmed ABPM software disk 1
Hingmed ABPM USB data wire 1
Adult cuff (26-36 cm) 1
Hingmed ABPM portable bag 1
Hingmed ABPM shoulder belt 1
Hingmed ABPM User Manual 1
Hingmed ABPM PC software instruction 1
Quality Certification 1
Warranty Card 1
*The product packaging should contain above items, any item misses, please contact
Hingmed or distributors immediately.
Optional accessories:
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No.
Optional accessories
1
Small adult cuff（18-26cm）
2
Middle adult cuff（22-32cm）
3
Plus-Large adult cuff（33-43cm）
4
Waistband
3.2 Name and Function of Each Component
3.2.1 Host Introduction
1 LCD screen; 2 Start/stop button; 3 Upper cover; 4 USB port; 5 Lower cover.
1 Host unit; 2 Rubber tubing; 3 Blood pressure cuff
3.2.2 LCD screen displays and icon implication
Measuring times of instrument after loading
batteries
Diastolic pressure
Day or sober period
1
2
3
4
5
3
1
2
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Night or sleeping period
Automatic measurement
Systolic pressure
Diastolic and systolic pressure values indicated
after measuring
Unit of diastolic and systolic pressure
Heart rate value indicated after measuring
Heart rate unit (times per minute)
Indicate current time when not measuring, after
powering on.
indicate battery capacity
3.2.3 Symbols
Chapter 4 Product Installation and Use
4.1 Battery installation
Install two AA batteries in battery slot located in the back of device, symbols of poles
show the orientation by which the batteries should be placed, after loading, the monitor
screen displays the following contents:
1. Incrementing dashes for two seconds;
2. Battery capacity and current time which flash 15 seconds;
Symbol Description Symbol Description
CF type applied part
Series number
Manufacturer
Attention, refer to accompanying
documents
Keep away from rain
This way up
Fragile
Complying with WEEE standard
Stacking limit by number
Temperature limits
Refer to user manual
IP22
It means the device could
protected against solid foreign
objects of 12.5mm and greater,
and against vertical falling water
drop 15°
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3. Flashing display of BP data in flash memory for 3 seconds;
4. A "beep" sound.
4.2 Installing System
Hardware requirements
Computer with CD drive, minimum display resolution: 1024*768, an USB port.
Software requirements
Microsoft Windows 2003, Windows XP or advanced Windows versions
Install the software
Hingmed ABPM software components include:
● Hingmed ABPM User Guide of PC-end software
● Hingmed ABPM PC software CD
Power on your computer, and place the CD into the CD drive, the application guide will
display on screen after automatically running of CD.
If the CD cannot run automatically, operate as following steps:
a) Open “My computer” or “Computer”;
b) Click CD to drive and find HingMed installation software of server version or
stand-alone version by your demand. “”
c) Double-click the installation program and operate by following instructions →“Next”
→ “Next”, choose the language item (Chinese or English) you need on the pop-up
window, installation confirmation message will pop up again, click “Next” to install,
figure below will pop up after finishing installation, finally click button “Close”:
After the accomplishment of installation, an icon will display on your computer
screen, which indicates that you have installed successfully the PC software of Hingmed
Ambulatory blood pressure monitor.
ATTENTION: USB cable should disconnect with computer when installing Hingmed
ABPM software.
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4.3 Conduct Ambulatory Blood Pressure Study
4.3.1 Communication with Hingmed ABPM
After installing the PC software, your computer should be able to communicate with
monitor for programming and to perform a successful Ambulatory Blood Pressure
Monitoring study.
4.3.2 Connect monitor to computer
a）Connect Micro USB
terminal of data cable
to the USB port at right
side of ABPM.
b）Connect USB terminal
of data cable to USB port
of your computer.
4.3.3 Continuous measurement programming
After successful connection, start Hingmed ABPM software to program.
1. Click the “Program”;
2. Input the related information in the programming interface as the following Figure:
3. Click “OK” to program;
4. The indicator bar displays the progress of data transmission to monitor and will
disappear after successful programming.
The measuring parameters could be adjusted as follows:
● Enter into the programming interface and set the parameters as the following
figure.
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●The parameters setting see the following table:
Time type Daytime, Nighttime, Special time
Maximum pressure 120-280mmHg
Keyboard Enable / Disable
Display Enable / Disable
Daytime alarm Enable / Disable
Nighttime alarm Enable / Disable
Maximum systolic blood pressure 100-200mmHg
Minimum systolic blood pressure 60-90mmHg
Maximum diastolic blood pressure Enable / Disable
Minimum diastolic blood pressure 90-180mmHg
Minimum diastolic blood pressure 30-70mmHg
Unit mmHg/kpa
Interval Standard / Fixed
4.3.4 Cuff selection and connection
Wear Hingmed ABPM and cuff for patient:
After successfully programming by Hingmed ABPM software, then wear ABPM and cuff
for patient, either arm can be wore.
a) Select cuff of suitable size
Select cuff of suitable size and wrap it on the upper arm of patient against slipping. The
“Range” and boldfaced “Index” signs are used to check the fitness of cuff size to arm.
The arrow icon “Index” should be within the icon of “Range”, if not, change another size
of cuff.
Note: 1 Improper size of cuff will lead to error of readings and affect the accuracy
of measuring.
2. Do not wrap the cuff on the diseased skin directly, you’d better wrap a
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partition like cloth or film before wrapping the cuff, to avoid
cross-infection.
b) Wear cuff correctly
Wear cuff correctly, the cuff should be 2-3 cm above the fossa cubitalia. Make sure that
the artery sign is against the artery brachialis and points to fossa cubitalis, cuff tube
should be upwards, and wrap on the upper arm of patient. See the following Figure.
c) Connection of tube
Place monitor into bag and cover it. Connect the monitor to the metal connector of cuff on
the top place of the bag and tighten the connector clockwise by a little force, then hang
the tube on shoulders by rounding the neck. See the following Figure:
d) Carry the bag
Carry the bag across the body.
e) Start to monitor
Press “start/stop” button to start measuring, if selecting “start to measure automatically
after 5 minutes”, do not press the button, the monitor will run automatically after 5
minutes. Any problem, please refer to “Troubleshooting” in the manual.
4.3.5 Ready for use and patient training
For ambulatory blood pressure study, a good preparation of patient is important.
● Patient should avoid overstress, excitement and tightened muscle.
● When start inflating, patient should keep the measuring arm away from body slightly,
and keep quiet and still as soon as possible.
● During programming monitoring, patient may press the button of “start/stop” to
start/stop measuring at any time.
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● Never remove the cuff in the process of measuring, if the cuff slips below the elbow or
falls off, patient could take it off and rewrap.
● When sleeping, make sure the tube does not wind and squeeze.To avod the
interference from inflation and deflation, patient could take off the monitor from
shoulder (keep the cuff wrapping normally) and place it 1 meter away from head.
● Replacing the batteries during measuring will not lose data or affect programming, and
powering off the monitor will not lose data.
● Monitor falls on the floor and batteries drop out during monitoring, reload the battery
and press the “start/stop” button continuously for 5s to restart the monitor.
● Guide patient to record the events that affect body position obviously during measuring;
● The monitor is battery savings. If the batteries are common and qualified, patient may
replace the batteries when LCD screen indicates that just a frame of power remains.
Otherwise, the batteries could be used at least 24 hours (or 70 times)
● Make sure that patient know how to check the monitor. The monitor should be dry and
avoid falling and bumping.
● If monitor or cuff causes excessive pain or abnormal pain, patient should remove the
cuff and power off the monitor.
Start monitoring
● Check whether the monitor could operate normally or not before wearing the monitor
and cuff.
● Make sure the screen can display the time.
● Press the “start/stop” button or wait for 5 minutes (If “Begin in five minutes” was
selected in the program) to verify the first time of measuring is no problem, then allow
patient to leave.
Finish measuring
If the measurement is finished before feedback, patient should be instructed to press the
“start/ stop” button for 5 minutes to close the monitor, the monitor will “beep” two times
and close the screen by following four times of “beep” sound. After returning the monitor,
take off the cuff, monitor and waistband from patient.
4.3.6 Derive data
1. Connect Hingmed ABPM to computer through USB port;
2. Open Hingmed ABPM software;
3. Click “Search” to transmit the data, click “Blood pressure data” to view these data, and
analyze the data in software.
Note: Data will be deleted after next programming operation if they are not
uploaded to computer.
Analyze the data and print the reports by software.
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The monitoring data could be stored in disk of comptuter and an independent file will be
created include patient name, ID etc. A PDF format file could be also created and pages
needed could be also printed, see the following Figure a to Figure c.
Figure a: Historical data curves of ambulatory blood pressure
Figure b: Statistics of historical data of ambulatory blood pressure
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Figure c: Ambulatory blood pressure history data analysis summary map
Note:
1. Operation details of PC software of Hingmed Ambulatory Blood Pressure
Monitor, please refer to <User Guide of PC software>;
2 In the programming of monitor every time, an interface will pop up to notice that
the history data will be overwritten, so please make sure that the history data
has been derived and stored;
3. The monitor could store maximum 300 hundred records. When storage is full,
the monitor can’t measure normally until programming it from computer;
4. If not reprogram to the monitor, the preceding program will keep valid, therefore,
power off the monitor, and take out batteries after finishing the measurement, in
case of power consumed by automatic cycles of inflation/deflation.
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Troubleshooting and Maintenance
5.1 Troubleshooting
E
rror
Code
Description Resolution
EC01
Cuff is too loose, maybe loose winding or
disconnected cuff
Retighten cuff or keep proper arm
position when inflation
EC02
Air leakage, maybe valve leakage or gas
path leakage
Tighten metal connector and check
the cuff. If leakage is not still
resolved, contact agent or dealer
EC03
Air pressure error, maybe unable to open of
valve
Check whether the valve can work
normally
EC04
weak signal，maybe week pulse or loose
cuff
Check whether the cuff is too loose,
tighten it if necessary.
EC05
beyond the limit，maybe the pressure of
subject beyond the limitation
Press “start/stop” button to measure
again. If not valid still, change the
monitor of larger rang
EC06
Excessive exercise，maybe there is too
much motion artifact or interference
Keep quiet when measured and do
not move the arm with cuff
EC07
overpressure，cuff pressure beyond
290mmHg in adult mode, 247mmHg in child
mode and 145mmHg in neonatal mode
Press “start/stop” button to measure
again.
EC08
Signal saturation，The amplitude of the
signal is too large due to activity or other
reason
Keep quiet, Press “start/stop” button
to measure again.
EC09
overtime：measuring time beyond 120s in
adult/child mode, 90s in neonatal mode.
Keep quiet, Press “start/stop” button
to measure again.
EC10 manual de-activation
Keep quiet, Press “start/stop” button
to measure again.
EC11 System error
Restart， If the error occur frequently,
professional Maintenance may be
necessary
EC16
Cuff pressure beyond the max pressure
setting
Reprogramming in PC software and
up-regulate the max inflation
pressure setting
EC32 The handshake communication fail
Press “start/stop” button to measure
again.
EC33
safe pressure beyond 15mmHg，
immeasurable
Gassing and remeasure when the
cuff pressure decline to below
15mmHg
EC34
Measurement finish ,and restart the
measuring when the pressure is still above
15mmHg
Gassing and remeasure when the
cuff pressure decline to below
15mmHg
EC35
No answer when the measurement
command is sent.
Press “start/stop” button to measure
again.
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EC36 Measurement result is not available
Press “start/stop” button to measure
again.
EC37 Overtime (beyond 180s) remeasure
EC48 Memory is full, can no longer measure Upload and empty the data
* If the errors can be revised, please call agent or after-sale department of Hingmed for
help.
5.2 Maintenance
5.2.1 Maintenance inspection and safety management
Visually inspect the broken or damages on tube connecters, pressure air tube and the
enclosure of monitor. If any damage is found, do not use the monitor. Please contact our
after-sale service department.
5.3 Device Maintenances
After use, it is important to perform preventative maintenance to ensure the safe and
efficient operation of the monitor for long-term.
● Do not disinfect. DO NOT immerse the monitor in any fluid, or attempt to clean with any
liquid detergents, cleaning agents, or solvents. You may use a soft, damp cloth to
remove dirt and dust from the monitor. If the unit does become immersed in water, do
not use and contact our service department.
● Do not clean the enclosure and cuff with strong alkali or acid or strong disinfectant.
● May use a mild detergent to clean the cuff, belt and bladder; alternatively, may also
wash them in a washing machine. Remove the bladder from the cuff before machine
washing. Wash them by using warm water and a mild detergent, then hang it for drying.
Any problem, please contact local distributors or Hingmed (see Chapter 8 for
information).
● It is recommended that the performance should be checked every 2 years and after
maintenance and repair, by retesting at least the requirements in limits of the error of
the cuff pressure indication and Air leakage (testing at least at 50 mmHg and 200
mmHg).
Chapter 6 Product specifications
Name Ambulatory Blood Pressure Monitor
Model ABP-03
measuring method Oscillometric method
21
Systolic blood pressure
measurement range
40-260 mmHg
Diastolic blood pressure
measurement range
20-210 mmHg
Pulse rate measurement
range
40-200 bpm
Resolution Blood pressure: 1mmHg or 0.1Kpa; pulse rate: 1BPM
Repeatability
The difference of repeated readings of each point is within
4mmHg in the statically continuous low-pressure mode
Accuracy Static Accuracy: ±3 mmHg; Pulse rate: ±3BPM
Pressure testing American Freescale pressure sensor
Working power supply Two 5 AA alkaline batteries
Data memory Flash memory stores up to 300 readings
Calibration frequency At least one time two years
Security system The rated range of cuff pressure: 0~290mmHg
Sampling period
Multiple independent programming cycle (5, 10, 15, 20, 30, 45,
60, 90, 120 minutes)
Size About 118×67×29mm
Net weight About 210g，including battery
Work environment T: 5℃-40℃; HR: 10%-95%; gas pressure: 70KPa-106KPa
Condition of storage
Stored under the condition of temperature (-20℃-+55℃), HR
(no more than 95%) and atmospheric pressure
(70KPa-106Kpa), no corrosive gases and well-ventilated.
Data transmitted by USB data wire
Protection against
harmful ingress of water
IP22
Software version
Embedded software: 1.0
PC software: 1.0
* There is not further notice if product specification changes.
Chapter 7 EMC information
This product needs special precautions regarding EMC and needs to be installed and put
into service according to the EMC information provided, and this unit can be affected by
portable and mobile RF communications equipment.
Do not use a mobile phone or other devices that emit electromagnetic fields, near
the unit. This may result in incorrect operation of the unit.
Caution: This unit has been thoroughly tested and inspected to assure proper
performance and operation!
22
Caution: this machine should not be used adjacent to or stacked with other
equipment and that if adjacent or stacked use is necessary, this machine should be
observed to verify normal operation in the configuration in which it will be used
Guidance and manufacture’s declaration – electromagnetic emission
The ABP-03 is intended for use in the electromagnetic environment specified below. The customer of the
user of the ABP-03 should assure that it is used in such an environment.
Emission test Compliance Electromagnetic environment –
guidance
RF emissions
CISPR 11
Group 1
The ABP-03 use RF energy only for its
internal function. Therefore, its RF
emissions are very low and are not likely to
cause any interference in nearby electronic
equipment.
RF emission
CISPR 11
Class A
The ABP-03 is suitable for use in all
establishments, other than domestic and
those directly connected to the public
low-voltage power supply network that
supplies buildings used for domestic
purposes.
Harmonic emissions
IEC 61000-3-2
Not applicable
Voltage fluctuations/
flicker emissions
IEC 61000-3-3
Not applicable
23
Guidance and manufacture’s declaration – electromagnetic immunity
The ABP-03 is intended for use in the electromagnetic environment specified below. The customer or the user of
ABP-03 should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level
Electromagnetic environment -
guidance
Electrostatic
discharge (ESD)
IEC 61000-4-2
±6 kV contact
±8 kV air
±6 kV contact
±8 kV air
Floors should be wood, concrete
or ceramic tile. If floor are
covered with synthetic material,
the relative humidity should be at
least 30%.
Electrical fast
transient/burst
IEC 61000-4-4
±2 kV for power supply
lines
±1 kV for input/output
lines
Not applicable Mains power quality should be
that of a typical commercial or
hospital environment.
Surge
IEC 61000-4-5
± 1 kV line(s) to line(s)
± 2 kV line(s) to earth
Not applicable Mains power quality should be
that of a typical commercial or
hospital environment.
Voltage dips, short
interruptions and
voltage variations on
power supply input
lines
IEC 61000-4-11
<5% UT
(>95% dip in UT)
for 0.5 cycle
40% UT
(60% dip in UT)
for 5 cycles
70% UT
(30% dip in UT)
for 25 cycles
<5% UT
(>95% dip in UT)
for 5 sec
Not applicable Mains power quality should be
that of a typical commercial or
hospital environment. If the user
of the ABP-03 requires continued
operation during power mains
interruptions, it is recommended
that the ABP-03 be powered from
an uninterruptible power supply
or a battery.
Power frequency
(50Hz/60Hz)
magnetic field IEC
61000-4-8
3 A/m 3 A/m Power frequency magnetic fields
should be at levels characteristic
of a typical location in a typical
commercial or hospital
environment.
NOTE UT is the a.c. mains voltage prior to application of the test level.
24
Guidance and manufacture’s declaration – electromagnetic immunity
The ABP-03 is intended for use in the electromagnetic environment specified below. The
customer or the user of the ABP-03 should assure that it is used in such an environment.
Immunity
test
IEC 60601
test level
Compliance
level
Electromagnetic environment - guidance
Conducted
RF
IEC
61000-4-6
3 V
rms
150 kHz to 80
MHz
Not
applicable
Portable and mobile RF communications
equipment should be used no closer to any part of
the ABP-03, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency of
the transmitter.
Recommended separation distance
Where P is the maximum output power rating of
the transmitter in watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in metres (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey,a
should be less than the compliance level in each
frequency range.b
Interference may occur in the vicinity of equipment
marked with the following symbol:
Radiated RF
IEC
61000-4-3
3 V/m
80 MHz to 2.5
GHz
3 V/m
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones
and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically
with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site
25
survey should be considered. If the measured field strength in the location in which the
ABP-03
is used
exceeds the applicable RF compliance level above, the ABP-03 should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be necessary, such as
re-orienting or relocating the ABP-03.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Recommended separation distances between
portable and mobile RF communications equipment and the ABP-03 .
The ABP-03 is intended for use in an electromagnetic environment
in which radiated RF disturbances are controlled.
The customer or the user of the ABP-03 can help prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communications equipment (transmitters) and the ABP-03 as
recommended below, according to the maximum output power of the communications equipment.
Rated maximum output
power of transmitter
(W)
Separation distance according to frequency of transmitter
(m)
150 KHz to 80 MHz
80 MHz to 800 MHz
800 MHz to 2.5 GHz
0.01
0.12 0.12 0.23
0.1
0.38 0.38 0.73
1 1.2 1.2 2.3
10
3.8 3.8 7.3
100
12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption
and
reflection from structures, objects and people.
26
Chapter 8 Warranty Card
Warranty Card
Product model and SN code： Name：
Purchase Date： Address：
Dealer： Tel：
Postal Code： Dealer stamp：
The limited liability of guarantee
Hingmed provides the original purchaser the following limited warranty from the date of
invoicing.
Hingmed ABPM 24-hour ambulatory blood pressure monitor…………………… 12 months
Accessories except cuff…………………………………………………………………90 days
Cuff..………………………………………………………………..……………………6 months
Hingmed warrants each monitor to be free from defects in material and workmanship.
Liability under this warranty covers servicing of the returning monitor from customer
prepaying to the prospective factory (depending on location). Hingmed will repair any
defective component(s) or part(s) during the period of this limited warranty.
Should a defect become apparent, the original purchaser should notify Hingmed of the
suspected defect; the monitor should be carefully packaged and be prepaid shipped to:
Shenzhen Hingmed Medical Instrument Co., Ltd.
Address: 4th Floor, Zhonghangfeixiang Building, NO. 371, Guangshen Road, Bao’an
District, Shenzhen, People’s Republic of China
Tel: +86 755 23730600
Fax: +86 755 23730602
Postal code: 518102
Email: info@Hingmed.com
The monitor will be repaired as soon as possible, and be returned by the same shipping
method as received by the factory if it is prepaid.
This limited warranty is invalid if the monitor has been damaged due to accidents, misuse,
negligence, or maintained by any person not authorized by Hingmed.
This limited warranty contains the entire obligations of Hingmed, exclude other expressed,
implied or regulated warranties. Representatives or employees without authorized by
Hingmed will assume any further liability or grant any further warranties except as set
herein.
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