Nissei WS-1300 Instruction Manual

WRIST TYPE DIGITAL BLOOD PRESSURE MONITOR

INSTRUCTIONS

ENGLISH

page 9

WS-1300

Manufacturer: NIHON SEIMITSU SOKKI CO., LTD. 2508-13 Nakago Shibukawa Gunma 377-0293 Japan EC-Representative: Nissei Healthcare (UK) Ltd. Henﬁeld, BN5 9SJ UK

web site http://www.nisseihealthcare.com

BEDIENUNGSANLEITUNG

DEUTSCH

Seite 20

INSTRUCTIONS

FRENCH

page 32

ISTRUZIONI

ITALIANO

pagina 44

INSTRUCCIONES

ESPANÕL

página 56

INSTRUKCJA OBSŁUGI

JĘZYK POLSKI

str 68

PICTORIALS

ABBILDUNGEN

IMAGES

ILLUSTRAZIONI

FIGURAS

ILUSTRACJE

Fig.1 PARTS NAMES AND PRODUCT

COMPONENTS TEILEBEZEICHNUNGEN UND

PRODUKTKOMPONENTEN NOMENCLATURE ET

COMPOSANTS DE L’APPAREIL DENOMINAZIONE DELLE PARTI E

COMPONENTI NOMBRE DE LAS PIEZAS Y

COMPONENTES DEL PRODCUTO

CZĘŚCI SKŁADOWE CIŚNIENIOMIERZA

-2-

DISPLAY

MEMORY M1 BUTTON

MEMORY M2 BUTTON

BATTERY COVER

WRIST CUFF

CARRYING CASE

2 LR03 (AAA) ALKALINE BATTERIES

INSTRUCTION MANUAL

POWER BUTTON

AFFICHAGE

BOUTON DE DÉMARRAGE

BOUTON MÉMOIRE M1

BOUTON MÉMOIRE M2

COUVERCLE LOGEMENT DES PILES

BRACELET POUR POIGNET

BATTERIES ALCALINES 2 X LR03 (AAA)

MANUEL D’INSTRUCTIONS

BOÎTIER

PANTALLA

BOTÓN DE MEMORIA M1

BOTÓN DE MEMORIA M2

CUBIERTA DE PILA

PUÑO DE MUÑECA

CAJA DE TRANSPORTE

2 PILAS ALCALINAS TAMAÑO LR03(AAA)

MANUAL DE INSTRUCCIONES

BOTÓN POWER

SPEICHERTASTE M1

SPEICHERTASTE M2

BATTERIEFACHDECKEL

HANDGELENKMANSCHETTE

TRAGETASCHE

2 X LR03 (AAA) SÄUREBATTERIEN

BEDIENUNGSANLEITUNG

POWER-TASTE

VISUALIZZAZIONI

TASTO DI MEMORIA M1

TASTO DI MEMORIA M2

COPERCHIO DEL VANO DELLE BATTERIE

FASCIA DA POLSO

CUSTODIA DI TRASPORTO

2 X BATTERIE ALCALINE LR03 (AAA)

MANUALE D’USO

-3-

TASTO POWER

WYŚWIETLACZ

PRZYCISK PAMIĘCI M1

PRZYCISK PAMIĘCI M2

PRZYKRYWKA POJEMNIKA BATERII

MANKIET NA NADGARSTEK

PUDEŁKO NA APARAT

2 BATERIE ALKALICZNE LR03 (AAA)

INSTRUKCJA OBSŁUGI

PRZYCISK POWER

Fig.2 INSTALLING BATTERIES AND

SETTING THE CLOCK

page 12

EINSETZEN VON BATTERIEN UND EINSTELLEN DER UHR

Seite 23

MISE EN PLACE DES PILES ET RÉGLAGE DE L’HORLOGE

page 36

INSTALLAZION DELLE BATTERIE E REGOLAZION DELL'OROLOGIO

pagina 47

AINSTALACION DE PILAS Y AJUSTE DEL RELOJ

página 59

WKŁADANIE BATERII I USTAWIANIE ZEGARA

str. 71

1. 4.

5. 7. 8.6.

MONTH MONAT MOIS MESE MES

MIESIĄC

CLOCK DISPLAY UHRANZEIGE AFFICHAGE DE L’HORLOGE DISPLAY DELL'OROLOGIO INDICACION DEL RELOJ

WYŚWIETLANIE ZEGARA

2. 3.

LR03

DAY TAG JOUR GIORNO DIA

DZIEŃ

-4-

increase steigern augmente aumentare aumenta

zwiększanie

HOUR STUNDE HEURE ORA HORAS

GODZINA

decrease senken diminue diminuire disminuye

zmniejszanie

YEAR JAHR ANNEE ANNO AÑO

ROK

MINUTE MINUTEN MINUTE MINUTO MINUTOS

MINUTY

conﬁrm bestätigen conﬁrme confermare conﬁrme

potwierdzenie

Fig.3 WRAPPING THE CUFF

AROUND YOUR WRIST

page 13

ANLEGEN DER MANSCHETTE AN DAS HANDGELENK

Seite 24

MISE EN PLACE DU BRACELET SUR LE POIGNET

page 37

AVVOLGIMENTO DELLA FASCIA AL POLSO

pagina 49

ENROLLADO DEL PUÑO ALREDEDOR DE LA MUÑECA

página 60

ZAKŁADANIE MANKIETU NA NADGARSTEK

str. 72

5mm ~ 10mm

-5-

Fig.4 CORRECT

MEASURING POSTURE

page 14

RICHTIGE HALTUNG BEIM MESSEN

Seite 25

POSITION CORRECTE POUR LA MESURE

page 37

POSIZIONE CORRETTA DI MISURAZIONE

pagina 49

OSTURA CORRECTA DE MEDICIÓN

página 61

WŁAŚCIWA POZYCJA W TRAKCIE POMIARU

str. 73

Fig.5 MEASURING

METHOD

page 14

MESSVERFAHREN

Seite 25

MÉTHODE DE MESURE

page 38

METODO DI MISURAZIONE

pagina 50

METODO DE MEDICION

página 61

METODA POMIAROWA

str. 73

relax... entspannen... relaxer... rilassarsi... relájese... odpocznij...

2. 3.

 





-6-

DEFLATION MARK DEFLATIONSMARKE MARQUE DE DÉGONFLEMENT SIMBOLO DI SGONFIAMENTO MARCA DE DESINFLADO

SYMBOL SPUSTU POWIETRZA

INFLATION MARK AUFBLASMARKE MARQUE DE GONFLEMENT SIMBOLO DI GONGIAMENTO MARCA DE INFLADO

SYMBOL POMPOWANIA

PULSE RATE MARK PULSRATENMARKE MARQUE DU POULS SIMBOLO DEL BATTITO

CARDIACO MARCA DE RAPIDEZ DEL PULSO

SYMBOL PULSU

SYSTOLIC SYSTOLISCH SYSTOLIQUE SISTOLICA SISTÓLICO

SYSTOLICZNE

DIASTOLIC DIASTOLISCH DIASTOLIQUE DIASTOLICA DIASTÓLICO

DIASTOLICZNE

PULSE PULS POULS BATTITO PULSO

PULS

IRREGULAR PULSE RHYTHM

UNREGELMÄSSIGER PULSRHYTHMUS

RYTHME IRRÉGULIER DU POULS

ARITMIA CARDIACA RITMO DE PULSO

IRREGULAR NIEREGULARNY RYTM

PULSU

MEMORY BANK NUMBER SPEICHERBANKNUMMER NUMÉRO BANQUE DE

MÉMOIRE NUMERO DI BANCHI DI

MEMORIA NUMERO DE BANCO DE

MEMORIA

NUMER BANKU PAMIĘCI

BLOOD PRESSURE CLASSIFICATION BY WHO (1999)

BLUTDRUCKKLASSIFIKATION – WHO (1999)

CLASSIFICATION PRESSION ARTÉRIELLE – OMS (1999)

CLASSIFICAZIONE DELLA PRESSIONE SANGUIGNA – WHO (1999)

CLASIFICACIÓN DE PRESIÓN ARTERIAL: OMS (1999)

KLASYFIKACJA CIŚNIENIA KRWI WEDŁUG WHO (ŚWIATOWEJ ORGANIZACJI ZDROWIA), 1999 R.

180~

160~179

140~159

130~139

120~129

~120

SYS

mmHg

DIA

-7-

severe schwer

hypertension Hypertonie hypertension ipertensione hipertensión

nadciśnienie tętnicze

high normal hoch normal normale élevée superiore al normale normal elevada

normal normal normale normale normal

optimal optimal optimale ottimale optima

grave grave grave

moderate mittelschwer modérée moderata media

mild leicht faible lieve baja

poważne

umiarkowane

łagodne

wysokie normalne

normalne

optymalne

90 99

100

109

110

Fig.6 MEMORY FUNCTION

page 16

SPEICHERFUNKTION

Seite 27

FONCTION DE MÉMOIRE

page 39

FUNZIONE DI MEMORIA

pagina 51

FUNCION DE MEMORIA

página 63

FUNKCJE PAMIĘCI

str. 75

AVERAGE DURCHSCHNITT MOYENNE MEDIA PROMEDIO

ŚREDNIA

NUMBER OF STORED DATA ANZAHL DER GESPEICHERTEN

DATEN NUMÉRO DES DONNÉES

MÉMORISÉES NUMERO DI DATI MEMORIZZATI NUMERO DE DATOS MEMORIZADOS

ILOŚĆ ZACHOWANYCH POMIARÓW

MEMORY DATA NUMBER SPEICHERDATENNUMMER NUMÉRO DES DONNÉES DE MÉMOIRE NUMERO DI DATI IN MEMORIA NUMERO DE DATO DE MEMORIA

TIME ZEIT HEURE ORA TIEMPO

GODZINA

DATE day/month

DATUM Tag/Monat

DATE jour/mois

DATA giorno/mese

FECHA día/mes

DATA dzień/miesiąc

NUMER BANKU PAMIĘCI

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CONTENTS

PICTORIALS ................................ 2

BASIC PRODUCT INFORMATION .................. 9

PRECAUTIONS FOR USE ...................... 11

TIPS ON TAKING YOUR BLOOD PRESSURE .......... 11

INSTALLING BATTERIES AND SETTING THE CLOCK .... 12

WRAPPING THE CUFF AROUND YOUR WRIST ........ 13

BASIC PRODUCT INFORMATION

This manual is intended to assist the user in the safe and efﬁcient operation of the Model WS-1300 Wrist Type Digital Blood Pressure Monitor. The product must be used in accordance with the procedures contained in this manual and must not be used for purposes other than those described herein. It is important to read and understand the entire manual. In particular, please read carefully and become familiar with the section entitled “TIPS ON TAKING YOUR BLOOD PRESSURE”.

The user is cautioned that the system may fail to yield speciﬁed measurement accuracy if operated or stored in temperature or humidity conditions outside the limits stated in the speciﬁcations

CORRECT MEASURING POSTURE ................ 14

MEASURING METHOD ........................ 14

MEMORY FUNCTION ......................... 16

ERROR DISPLAYS AND TROUBLESHOOTING ......... 17

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

TECHNICAL DESCRIPTION ..................... 19

section of this manual.

INDICATIONS FOR USE

The WS-1300 system is intended for the non invasive measurement of systolic and diastolic blood pressure and determination of pulse rate in adult, i.e., age 15 and above. The product is recommended for use by people with labile (unstable) blood pressure or known hypertension in a home care environment as an adjunct to medical management. The cuff will accommodate a wrist circumference range of approximately 125 to 215 millimeters. Pressure is measured over a range of 0 to 300 mmHg and pulse rate over a range of 40 to 160 beats/minute.

-9-

BASIC PRODUCT INFORMATION

METHOD OF MEASUREMENT

This product employs the oscillometric method for measurement of blood pressure and pulse rate. The entire system, including the cuff, is a single wrist-mounted unit. The cuff is wrapped around the wrist and automatically pressurized. Circuits within the cuff sense the small oscillations in pressure against the cuff produced by the expansion and contraction of the arteries in the wrist in response to each heart beat. The amplitude of each pressure waves is measured, converted to millimeters of mercury, and displayed on the LCD as a digital value. Responding to heart beats, the electromagnetic deﬂation control valve maintains the constant deﬂation rate irrespective of differences in wrist size. A memory circuit stores the 60 most recent measurements for comparison.

SPECIFICATIONS

Model : WS-1300 Operating Principle : Oscillometric method Indicator : 12 digit Liquid Crystal Display Pressure Indication Range : 0 to 300 mmHg (cuff pressure) Measuring Range : 50 to 250 mmHg (systolic) : 40 to 180 mmHg (diastolic) : 40 to 160 pulses/min (pulse rate) Accuracy : ±3 mmHg (cuff pressure) : ±5 % of reading (pulse rate)

Inﬂation : Automatic (air pump) Deﬂation : Automatic (electric control valve) Exhaust : Automatic quick exhaust valve Power Supply : 2 AAA alkaline (LR03) dry cells Memory : 60 measurements x 2 and averages Applied Pressure : 190 mmHg (ﬁxed) Operating Environment : +10˚C to+40˚C, 85% relative humidity

or below

Storage Environment : -5˚C to+50˚C, 85% relative humidity or

below Cuff : Pre-formed type cuff Wrist circumference : Approx. 125 to 215 mm Main Unit : Size ; 70(W) x 70(H) x 29.9(D) mm : Weight ; Approx. 110 g., without

batteries Key to symbols : Type BF equipment : Important ; Read operating

instructions

Classiﬁcation : Internally powered equipment Speciﬁcations are subject to change without prior notice due to

improvements in performance and quality. This device complies with EMC (IEC60601-1-2, EN60601-1), EN1060-1 and EN1060-3.

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PRECAUTIONS FOR USE

Do not use this instrument without consultation with your doctor if you are under dialysis therapy or on anticoagulants, antiplatelets or steroids. Use of this instrument under such conditions could cause internal bleeding.

For speciﬁc information on your blood pressure, contact your physician. Never make any judgment on your own

TIPS ON TAKING YOUR BLOOD PRESSURE

Blood pressure is the force exerted by the heart in pumping the blood through the arteries and the resistance by the veins to this ﬂow.

Blood pressure varies all the time, inﬂuenced by mental and physical factors and is never constant.

In general, blood pressure is highest during the working hours and gradually decreases during the afternoon and evening hours. It is low during sleep and increases at a relatively fast rate after arising from bed. Causes for Changes in Blood Pressure

• Body movement • Conversation • Mental Tension • Nervousness

• Emotions • Eating • Drinking Alcohol • Smoking

• Recent Urination or Bowel Movement • Temperature

• Changes in the surroundings such as movement or noise, etc.

regarding measurement results. Use of this device in areas near portable phones, microwave

ovens or other devices with strong electromagnetic ﬁeld may cause malfunctions.

Blood pressure measured at home tends to be lower than when measured in a hospital, clinic or doctor's ofﬁce.

This is because you are tense at the hospital and relaxed at home. It is important to know your stable normal blood pressure at home.

Blood pressure at the wrist may be different from that at the upper arm.

As the thickness of the blood vessels differs depending on measuring position, blood pressure value measured at the wrist may be slightly different from that measured at the upper arm. In most cases, the difference for a healthy person will be within about ±10mmHg for the systolic and the diastolic blood pressure. Caution is required for the following persons: persons with hypertension, diabetes, liver trouble, hardened arteries, peripheral hindrance of

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TIPS ON TAKING YOUR BLOOD PRESSURE

circulation, etc., as there may be a difference between the values measured at the wrist and those measured at the upper arm.

Let a qualiﬁed physician interpret your blood pressure readings.

Depending on your age, weight and general condition, blood pressure can be slightly different. Consult with your doctor on determining what blood pressure is normal for you.

Before taking blood pressure, rest for approximately ﬁve minutes and take your blood pressure while relaxed in a quiet environment.

Measure blood pressure using the correct posture and do not move nor speak during measurement.

Avoid exercise, eating, drinking alcohol, smoking and other activities that affect your blood pressure right before a measurement.

Take your blood pressure at the same time every day. The ambient temperature should be approximately 20˚C

when you take your blood pressure.

INSTALLING BATTERIES AND SETTING THE CLOCK

1. Remove the battery cover in the arrow direction, lightly pressing its sides.

2. Install two AAA alkaline dry cells in the battery compartment, giving attention to their polarity.

The cells can be easily installed by pushing them while pressing

their (-) end against the spring.

3. Replace the battery cover.

Do not force the battery cover into position.

4. Year ﬂashes on the display. Clock can be set only after the batteries are reinstalled.

Setting the clock correctly ensures storage of the measurement with the correct date and time.

Use memory M1 button to increase the ﬂashing year and

memory M2 button to decrease the year. Press POWER BUTTON to conﬁrm and move to next step.

5. Month ﬂashes. Adjust with M1 and M2 buttons and press POWER

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Fig.2 page 4

INSTALLING BATTERIES AND SETTING THE CLOCK

BUTTON to conﬁrm.

6. Day ﬂashes. Adjust with M1 and M2 buttons and press POWER BUTTON to conﬁrm.

7. Hour ﬂashes. Adjust with M1 and M2 buttons and press POWER BUTTON to conﬁrm.

The clock operates in 24-hour mode.

8. Minute ﬂashes. Adjust with M1 and M2 buttons and press POWER BUTTON to conﬁrm.

The clock is set and the unit is turned off.

BATTERY REPLACEMENT INDICATION

Replace all the batteries when the battery replacement indication

WRAPPING THE CUFF AROUND YOUR WRIST

1. With the palm of your left hand up, put the cuff on your wrist so that the display screen is on the same side as your palm. If it is impossible to put the cuff on your left wrist, use your right wrist for measurement.

2. Adjust the cuff, with your palm up, until its top edge is positioned 5 to 10 mm from the bottom of your palm. Place the unit at the

appears on the display or nothing is displayed when POWER BUTTON is depressed.

About 300 measurements can be made after installation of new AAA alkaline dry cells. The enclosed batteries are for monitoring,

and their life may be shorter than that of commercial batteries.

The used electrical and electronic products are not household waste. Follow your national/local recycling rules to dispose of them properly. In the EU countries, please refer to waste management symbol(s) marked on the package or the instrument.

Do not use rechargeable batterires.

Fig.3 page 5

center of your wrist.

3. Fasten the cuff around your wrist so that there is no space between the cuff and your wrist. The cuff should ﬁt snugly. Press the surface of the cuff to make sure the hook and loop attaches securely. Position the cuff directly against the skin. Take care that your clothing is not caught beneath the cuff.

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CORRECT MEASURING POSTURE

1. Sit on a chair.

2. Lightly open your left hand, with your palm up, and put your elbow on a table or stand.

3. Adjust the cuff to the same height as your heart with a comfortable support such as a folded towel etc.

WHEN THERE IS NO TABLE AVAILABLE Sit on chair. Adjust the cuff to the same height as your heart by lightly applying your left arm to your breast. Lightly support your arm by your right hand during measurement, but do not touch the cuff.

Fig.4 page 5

TAKING A MEASUREMENT IN BED Lie on your back. Adjust the cuff to the same height as your heart with a comfortable support such as a folded towel etc.

Measured data may vary slightly depending on the posture during measurement.

Measurements should always be taken using the same wrist in the same position.

If the cuff is lower (higher) than the heart, the measured reading tends to become larger (smaller).

MEASURING METHOD

Breathe deeply and relax! Make sure the cuff is wrapped correctly and it is at the

same height as your heart. Do not move, chat or strain your arm or hand during

measurement.

1. Press POWER BUTTON.

The cuff is automatically inﬂated to the applied pressure.

Fig.5 page 6

TO STOP MEASUREMENT Press POWER BUTTON and the unit stops inﬂation, discharges air rapidly, and then turns off.

Pressure (displayed value) starts to decrease and pulse is

indicated by heart mark.

When the measurement is complete, air is automatically released

from the cuff.

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MEASURING METHOD

Upper and lower blood pressures and pulse rate are

displayed.

Heart mark ﬂashes when pulse rhythm detected during

measurement was irregular.

2. Press either one of memory buttons, M1 or M2, and the result is stored in the selected bank.

The selected memory bank number is shown on the display. The result is stored in the bank selected when the unit is turned off. When a measurement resulted in an error, it will not be stored.

3. Press POWER BUTTON to turn off the power.

If you forget to turn off the unit, it will automatically turn off after

3 minutes.

Do not execute repeated measurements. This will cause engorgement of the wrist and correct values will not be obtained. Let your wrist rest for at least 5 minutes.

IRREGULAR PULSE RHYTHM INDICATION

Heart mark ﬂashing in measurement result display indicates irregular pulse rhythm.

Irregular pulse rhythm can be a result of body movement during measurement or can be because of arrhythmias. Although frequent appearance of the indication under quiet measurements may suggest arrhythmias, do not make any judgment on your own before consulting with your doctor.

regular pulse rhythm An example of irregular pulse rhythm compared to regular pulse rhythm

AUTOMATIC REPRESSURIZATION If the pressure applied is judged insufﬁcient in the early phase of measurement or if movement of the hand or wrist occurs during measurement, the unit will inﬂate again to a level about 40 mmHg higher. Automatic Repressurization is repeated until a measurement is made. However, this does not indicate a problem. To manually control pressurization, hold down POWER BUTTON immediately after the start of inﬂation and release it when the pressure reaches the level 50 mmHg higher than the expected maximum systolic pressure. If the pressure value has exceeded 190 mmHg, the inﬂation will stop when the key is released. Pressure can be increased to approximately 300 mmHg.

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MEMORY FUNCTION

Measured result is stored in either M1 or M2. Each of two memory banks can hold up to 60 results and their average. When the number of measurements exceeds 60, the oldest data will be deleted to record new data. You may decide which bank to store your measurement results to avoid data mixture with someone else's, or may use two banks to save data measured in the morning and evening separately.

RECALLING STORED DATA

1. Press memory M1 button or memory M2 button to see stored data.

The average of the stored result in the selected bank is

displayed.

The latest result stored is displayed when there is only a

single result and the clock display remains when there are no results stored.

The memory data is displayed for approximately 30 seconds.

Approximately 30 seconds after memory button is released, the apparatus will turn off.

2. Press memory button to move to next data.

The memory data number 1 is the latest among the stored data

in the selected memory bank.

Fig.6 page 8

The indication at the top of the display alternately changes from

memory data number to date and to time.

Heart mark ﬂashes when pulse rhythm detected during

measurement was irregular.

3. Every depression of memory button switches among the memory data.

Readings are recalled from the latest reading to the oldest.

DELETING STORED DATA

1. Show the individual result to be erased or the average of a memory bank to clear all the memory bank data.

2. Press and hold down either one of memory buttons: M1 button to erase speciﬁed data in memory bank M1, and M2 button to erase speciﬁed data in memory bank M2.

The displayed data starts ﬂashing.

3. Hold down the button until nothing but the memory bank number is displayed.

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ERROR DISPLAYS AND TROUBLESHOOTING

OVER-PRESSURIZATION The pressurization was not enough to make a

measurement even though the cuff was inﬂated to the maximum value because of wrist movement or talking during measurement. Do not move during

measurement.

MEASUREMENT ERROR Measurement could not be made because of moving or

talking during measurement. Remain still and quiet

during measurement.

INFLATION ERROR The cuff is not properly applied. Properly apply the

cuff.

If Err-2 appears after re-trying to apply the cuff properly, assume the cuff is damaged. Contact your dealer.

DEFLATION ERROR Movement or talking was detected during measurement.

Turn off the power and make another measurement while being quiet and still.

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IMPROPER OPERATION POWER BUTTON was accidentally pressed during battery

replacement. Press POWER BUTTON once to turn off

the power and press it again to start a measurement.

No display when POWER BUTTON is pressed. Batteries are not correctly inserted. Reinsert the

batteries in the correct position.

Battery terminals are not clean. Clean with a dry cloth. Batteries are exhausted. Replace all batteries with new

ones.

The reading is extremely low (or high). Blood pressure is different each time.

???

Blood pressure readings constantly vary with time of measurement and both mental and physical conditions.

See TIPS ON TAKING YOUR BLOOD PRESSURE.

Measurement is not taken with correct posture or the cuff is wrapped incorrectly. Reconﬁrm the measurement

procedures. The reading was effected from moving or talking. Remain

ERROR DISPLAYS AND TROUBLESHOOTING

still and quiet during measurement.

Measurement was taken right after exercise or other activities inﬂuencing the reading. Measure again after

resting for more than 5 minutes. See TIPS ON TAKING YOUR BLOOD PRESSURE.

CARE AND MAINTENANCES

Because the unit includes precision parts, care should be taken to avoid extreme temperature variations, humidity, shock, dust, and direct sunlight. Do not drop or strike the unit. Make sure not to expose the unit to moisture. This unit is not water resistant.

Clean the body with a cloth moistened with water and a mild detergent, and then wipe dry. Do not use gasoline, paint thinner, or other strong solvents. Since the cuff may absorb perspiration and other ﬂuids, inspect it for stain and discoloration after each use. When cleaning the cuff, use a synthetic detergent and gently rub the surface.

When storing the unit, do not place heavy objects on it. When the unit has been stored at a temperature below the freezing point, keep it for at least 1 hour in a warm place before using it.

If you cannot get correct measurement with the methods above, stop using the unit and contact your dealer. Do not tamper with the internal mechanism. If the unit malfunctions, please return it to the dealer or an authorized service representative for service according to the warranty.

Remove the batteries if the instrument is to be stored for an extended period of time. Keep the batteries out of reach of

children.

We suggest that you have your monitor checked every 2 years. This operation may only be performed by the manufacturer or by ﬁrms authorized by the manufacturer.

Do not inﬂate the cuff (start a measurement) when it has not been wrapped around your wrist. Do not try to stretch or twist the cuff, and do not bring it into contact with sharp or pointed objects.

Do not disassemble or modify the unit.

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TECHNICAL DESCRIPTION

WS-1300 complies with the EMC, electromagnetic compatibility, standard, IEC60601-1-2. Refer to the tables below for speciﬁc information regarding compliance to the standard. WS-1300, as a medical electrical equipment, needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided below. Portable and mobile RF communications equipments can affect the device. The use of accessories other than those speciﬁed in this manual may result in increased emissions or decreased immunity of the device. WS-1300 should not be used adjacent to or stacked with other equipment.

WS-1300 is intended for use in the electromagnetic environment speciﬁed below. The customer or the user of WS-1300 should assure that it is used in such an environment. Emissions test RF emissions CISPR 11

RF emissions CISPR 11 Harmonic emissions IEC 61000-3-2 Voltage ﬂuctuations / ﬂicker emissions IEC 61000-3-3

WS-1300 is intended for use in the electromagnetic environment speciﬁed below. The customer or the user of WS-1300 should assure that it is used in such an environment. Immunity test

Conducted RF IEC 61000-4-6 Radiated RF IEC 61000-4-3

NOTE1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reﬂection

Field strength from ﬁxed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur

radio, AM and FM radios broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to ﬁxed RF transmitters, an electromagnetic site survey should be considered. If the measured ﬁeld strength in the location in which WS-1300 is used exceeds the applicable RF compliance level above, WS-1300 should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating WS-1300.

Over the frequency range 150 kHz to 80 MHz, ﬁeld strengths should be less than [V1] V/m.

Table 201 - Guidance and manufacturer’s declaration - electromagnetic emissions -

Compliance

Electromagnetic environment - guidance

Group 1

WS-1300 uses 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.

Class B

WS-1300 is suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power

N/A

supply network that supplies buildings used for domestic purposes.

N/A

Table 204 - Guidance and manufacturer’s declaration - electromagnetic immunity -

IEC 60601 test level

3 Vrms 150 kHz to 80 MHz 3 V/m 80 MHz to 2,5 GHz

Compliance level

N/A

3 V/m

Electromagnetic environment - guidance Portable and mobile RF communications equipment should be used no closer to any part of WS-1300, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance N/A

d=1.2√P, 80 MHz to 800 MHz d=1.2√P, 800 MHz to 2,5 GHz 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,

should be less than the compliance level in each frequency range. Interference may occur in the vicinity of equipment marked with the following symbol:

from structures, objects and people.

WS-1300 is intended for use in the electromagnetic environment speciﬁed below. The customer or the user of WS-1300 should assure that it is used in such an environment. Immunity test Electrostatic discharge (ESD) IEC 61000-4-2

Electrical fast transient/ burst IEC 61000-4-4 Surge IEC 61000-4-5

Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11

Power frequency (50/60 Hz) magnetic ﬁeld IEC 61000-4-8 NOTE U

Table 206 - Recommended separation distances between portable and mobile RF communications equipment and WS-1300 -

WS-1300 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of WS-1300 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and WS-1300 as recommended below, according to the maximum output power of the communications equipment.

Rated maximum output

power of transmitter, W

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. NOTE1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reﬂection

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Table 202 - Guidance and manufacturer’s declaration - electromagnetic immunity -

IEC 60601 test level ±6 kV contact ±8 kV air

±2 kV for power supply lines ±1 kV for input/ output lines ±1 kV differential mode ±2 kV common mode <5% U

(>95% dip in UT) for 0,5 cycle

40% U

(60% dip in UT) for 5 cycles

70% U

(30% dip in UT) for 25 cycles

<5% U

(>95% dip in UT) for 5 sec

3 A/m

is the a.c. mains voltage prior to application of the test level.

Separation distance according to frequency of transmitter m

0,01

100

0,1

150 kHz to 80 MHz, N/A

N/A N/A N/A N/A N/A

from structures, objects and people.

Compliance level N/A

N/A

3 A/m

80 MHz to 800 MHz, d=1.2√P

Electromagnetic environment - guidance Floors should be wood, concrete or ceramic tile. If ﬂoors are covered with synthetic material, the relative humidity should be at least 30 %. N/A

N/A

Power frequency magnetic ﬁelds should be at levels characteristic of a typical location in a typical commercial or hospital environment.

0,12 0,38

1,2 3,8 12

800 MHz to 2,5 GHz, d=1.2√P

0,23 0,73

2,3 7,3 23

INHALT

ABBILDUNGEN .............................. 2

GRUNDLEGENDE PRODUKTINFORMATION .......... 20

VORSICHTSMASSREGELN ZUR VERWENDUNG ....... 22

TIPPS ZUR BLUTDRUCKMESSUNG ................ 22

EINSETZEN VON BATTERIEN UND EINSTELLEN DER UHR .. 23 ANLEGEN DER MANSCHETTE AN DAS HANDGELENK ... 24

GRUNDLEGENDE PRODUKTINFORMATION

Dieses Handbuch möchte dem Anwender dabei helfen, den Automatischen Digitalen Blutdruckmonitor für das Handgelenk Modell WS-1300 sicher und wirkungsvoll zu handhaben. Das Produkt ist in Übereinstimmung mit den in diesem Handbuch enthaltenen Verfahren zu verwenden und darf nicht zu sonstigen, hier nicht beschriebenen Zwecken verwendet werden. Lesen Sie insbesondere das Kapitel "TIPPS ZUR BLUTDRUCKMESSUNG" sorgfältig durch und machen Sie sich mit dessen Inhalt vertraut.

Der Anwender wird darauf hingewiesen, dass das System unter Umständen keine Messgenauigkeit erzielt, falls es bei Temperaturen oder Luftfeuchtigkeit betrieben oder gelagert wird, die außerhalb des in

RICHTIGE HALTUNG BEIM MESSEN ................ 14

MESSVERFAHREN ........................ 14

SPEICHERFUNKTION ......................... 16

FEHLERANZEIGEN UND STÖRUNGSSUCHE ......... 17

PFLEGE UND WARTUNG ..................... 18

TECHNISCHE BESCHREIBUNB ................... 19

den Speziﬁkationen dieses Handbuchs beschriebenen Bereichs liegen.

GEBRAUCHSANWEISUNG

Das System WS-1300 dient der nicht-invasiven Messung des systolischen und diastolischen Blutdrucks sowie der Bestimmung der Herzfrequenz bei erwachsenen Patienten, d.h. bei Personen von mindestens 15 Jahren. Das Produkt wird zur häuslichen Anwendung von Patienten mit labilem Blutdruck oder bekannter Hypertonie empfohlen, und zwar als Ergänzung zur Betreuung durch den Hausarzt. Die Manschette deckt einen Handgelenkumfang in einem Bereich von ca. 125 bis 215 Millimeter ab. Der Druck wird in einem Bereich von 0 bis 300 mmHg gemessen, die Herzfrequenz

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GRUNDLEGENDE PRODUKTINFORMATION

in einem Bereich zwischen 40 und 160 Schlägen pro Minute.

MESSMETHODE

Bei diesem Produkt wird die oszillometrische Methode zur Messung von Blutdruck und Herzfrequenz angewendet. Das gesamte System, einschließlich der Manschette, ist ein an einem einzigen Handgelenk angebrachtes Gerät. Die Manschette wird um das Handgelenk gewickelt und automatisch unter Druck gesetzt. Stromkreise innerhalb der Manschette spüren die geringen Schwingungen des Drucks gegen die Manschette, die durch Ausdehnung und Zusammenziehen der Arterien im Handgelenk als Reaktion auf jeden Herzschlag entstehen. Die Amplitude jeder Druckwelle wird gemessen, in Millimeter/Quecksilber umgewandelt und auf dem LCD als digitaler Wert angegeben. Als Reaktion auf Herzschläge hält das elektromagnetische Auslass-Steuerungsventil die gleichbleibende Auslassgeschwindigkeit unabhängig von irgendwelchen Unterschieden bei der Größe des Handgelenks aufrecht. Eine Speichereinheit speichert die 60 letzten Messungen zum Vergleich.

SPEZIFIKATIONEN

Modell : WS-1300 Betriebsprinzip : Oszillometrische Methode Anzeiger : 12 stellige Flüssigkristall-Anzeige Bereich der Druckanzeige : 0 bis 300 mmHg (Manschettendruck) Messbereich : 50 bis 250 mmHg (systolisch)

: 40 bis 180 mmHg (diastolisch) : 40 bis 160 Pulsschläge/Min. (Pulsfrequenz) Genauigkeit : ±3 mmHg (Manschettendruck) : ±5% der Anzeige (Pulsfrequenz) Aufpumpen : automatisch (Luftpumpe) Abpumpen : automatisch (elektrisches Steuerungsventil) Auslass : automatisches schnelles Auslassventril Stromzufuhr : 2 pos. x AAA Säure (LR03) Trockenzellen Speicher : 60 Messungen + Durchschnittswert x 2 Angewandter Druck : 190 mmHg (fest) Betriebumgebung : +10˚C bis +40˚C, 85 % oder weniger Lagerbedingungen : -5˚C bis +50˚C, 85 % oder weniger Manschette : Vorgeformter Manschettentyp Umfang des Handgelenks : ca. 125 bis 215 mm Hauptgehäuse : Größe ; 70(W) x 70(H) x 29.9(D) mm : Gewicht ; ca. 110 g, ohne Batterien Erklärung der Symbole : Ausstattung Typ BF : Wichtig; Lesen Sie die Bedienungsanleitung. Klassiﬁkation : Innerlich Angeschaltete Ausrüstung

Speziﬁkationen können sich ohne vorherigen Hinweis aufgrund von Leistungs-und Qualitätsverbesserungen ändern. Dieses Gerät entspricht den EMC-Bestimmungen (IEC60601-1-2, EN60601-1), EN1060-1 und EN1060-3.

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VORSICHTSMASSREGELN ZUR VERWENDUNG

Verwenden Sie dieses Gerät nicht ohne vorher Ihren Arzt zu konsultieren, wenn Sie an einer Dialyse-Therapie teilnehmen oder gerinnungshemmende, anti-blutplättchbildende oder Steroid-Medikamente einnehmen. Der Einsatz des Geräts unter diesen Bedingungen kann innere Blutungen hervorrufen.

Wenn Sie spezielle Informationen über Ihren Blutdruck

TIPPS ZUR BLUTDRUCKMESSUNG

Bei der Blutdruckmessung wird die Kraft, mit der das Herz das Blut durch die Arterien pumpt und der dem Blutﬂuß entgegenwirkende Widerstand der Venen gemessen.

Der Blutdruck wechselt aufgrund mentaler und körperlicher Faktoren ständig und ist nie konstant.

Im allgemeinen ist der Blutdruck tagsüber während der normalen Arbeitszeit am höchsten und fällt im Verlauf des Nachmittags und Abends. Im Schlaf ist der Blutdruck niedrig und steigt nach dem Erheben vom Bett relativ schnell an. Gründe für Veränderungen des Blutdrucks

• Körperbewegung • Unterhaltung • Mentale Spannung • Gefühle

• Mahlzeiten • Alkoholgenuss • Rauchen • Kürzliche Urination

oder Stuhlgang • Temperatur • Änderungen in der Umgebung

wie Bewegungen oder Geräusche usw.

wünschen, fragen Sie Ihren Arzt. Ziehen Sie niemals irgendwelche eigenen Schlüsse aufgrund Ihrer Messergebnisse.

Die Anwendung dieses Gerätes in der Nähe von tragbaren Telefonen, Mikrowellengeräten oder sonstiger Geräte mit starken elektromagnetischen Feldern kann zu Fehlfunktionen führen.

Der zu Hause gemessene Blutdruck ist tendenziell niedriger als der im Krankenhaus oder in der Arztpraxis gemessene Blutdruck.

Das liegt daran, dass Sie im Krankenhaus angespannt, zu Hause aber entspannt sind. Es ist wichtig, dass Sie Ihren stabilen normalen Blutdruck zu Hause kennen.

Der Blutdruck am Handgelenk kann sich von dem am Oberarm unterscheiden.

Da die Messposition und die Dicke der Blutgefäße unterschiedlich sind, können sich die am Handgelenk gemessenen Blutdruckwerte geringfügig von den am Oberarm gemessenen unterscheiden. In den meisten Fällen liegt die Differenz bei einem gesunden Menschen in einem Bereich von ca. +10 mmHg für den systolischen und den diastolischen Blutdruck. Bei folgenden Personen ist Vorsicht

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TIPPS ZUR BLUTDRUCKMESSUNG

geboten: Personen mit Hypertonie, Diabetes, Leberproblemen, verhärteten Arterien, peripheren Durchblutungsstörungen usw.; hier kann ein Unterschied zwischen den am Handgelenk und den am Oberarm gemessenen Werten vorliegen.

Lassen Sie Ihre Blutdruckwerte von einem Arzt auswerten.

Der Blutdruck kann sich in Abhängigkeit von Ihrem Alter, Gewicht und Allgemeinzustand geringfügig unterscheiden. Ziehen Sie niemals irgendwelche eigenen Schlüsse aufgrund Ihrer Messergebnisse.

Vorher etwa fünf Minuten ruhen und dann in ruhiger und

entspannter Umgebung den Blutdruck messen. Den Blutdruck bei korrekter Körperhaltung messen und

während der Messung nicht sprechen und nicht bewegen. Vermeiden Sie vor der Messung des Blutdrucks körperliche

Anstrengung, Essen, Alkoholkonsum, Rauchen und sonstige Aktivitäten, die den Blutdruckwert beeinﬂussen.

Messen Sie täglich zur gleichen Uhrzeit. Die Außentemperatur sollte während der Blutdruckmessung

etwa 20 °C betragen.

EINSETZEN VON BATTERIEN UND EINSTELLEN DER UHR

1. Entfernen Sie die Batterieabdeckung in Pfeilrichtung, während Sie leicht auf die Seiten drücken.

2. Legen Sie zwei AAA Säurebatterien in das Batteriefach ein und beachten Sie dabei die Polarität der Batterien. Die Zellen können problemlos unter Druckanwendung eingelegt werden, indem das (-)-Ende der Batterie gegen die Feder gedrückt wird.

3. Batterieabdeckung wieder anbringen.

Drücken Sie die Batterie nicht gewaltsam ein.

4. Die Jahresanzeige blinkt im Display.

Die Uhr kann erst nach dem Einsetzen der Batterien eingestellt werden. Stellen Sie die Uhrzeit richtig ein, damit Messergebnisse mit richtigen Datums- und Zeitangaben gespeichert werden.

Verwenden Sie die Speichertaste M1 zum Höherstellen der

blinkenden Jahresanzeige und die Speichertaste M2 zum Niedrigerstellen. Drücken Sie die POWER-Taste zur Bestätigung, und gehen Sie zum nächsten Schritt weiter.

5. Die Monatsanzeige blinkt. Stellen Sie mit den Tasten M1 und M2 ein, und drücken Sie die POWER-Taste zur Bestätigung.

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Fig.2 Seite 4

EINSETZEN VON BATTERIEN UND EINSTELLEN DER UHR

6. Die Tagesanzeige blinkt. Stellen Sie mit den Tasten M1 und M2 ein, und drücken Sie die POWER-Taste zur Bestätigung.

7. Die Stundenanzeige blinkt. Stellen Sie mit den Tasten M1 und M2 ein, und drücken Sie die POWER-Taste zur Bestätigung.

Die Uhr arbeitet im 24-Stunden-Modus.

8. Die Minutenanzeige blinkt. Stellen Sie mit den Tasten M1 und M2 ein, und drücken Sie die POWER-Taste zur Bestätigung.

Die Uhrzeit ist eingestellt, und das Gerät ist ausgeschaltet.

SYMBOL: BATTERIEWECHSEL Ersetzen Sie alle Batterien, wenn die Batterie-Ersetzen-Anzeige im Display erscheint oder keine Anzeige erscheint, auch wenn

die POWER-Taste gedrückt wird.

Nach Einlegen neuer AAA Säure-Trockenzellen können etwa 300 Messungen durchgeführt werden. Die beigefügten Batterien sind für

Aufzeichnungszwecke gedacht, und Ihre Haltbarkeit ist unter Umständen kürzer als die handelsüblicher Batterien.

Die gebrauchten elektrischen und elektronischen Produkte sind nicht Haushaltsmüll. Befolgen Sie alle gültigen nationalen/ örtlichen Recycling-Vorschriften zur richtigen Entsorgung. In den Ländern der EU beachten Sie die Symbole für die Entsorgungsregelung, die auf der Verpackung oder am Gerät selber angebracht sind.

ANLEGEN DER MANSCHETTE AN DAS HANDGELENK

1. Legen Sie die Manschette an linken Handgelenk an, so dass Ihre Handﬂäche nach oben zeigt und sich das Hauptgehäuse des Geräts auf der selben Seite wie Ihre Handﬂäche beﬁndet. Falls es nicht möglich ist, die Manschette am linken Handgelenk anzulegen, verwenden Sie das rechte Handgelenk zur Messung.

2. Passen Sie die Manschette bei nach oben zeigender Handﬂäche an, bis sich das Ende der Manschette 5 bis10 mm vom untersten Teil Ihrer Handﬂäche beﬁndet. Setzen Sie den

Blutdruckmonitor auf die Mitte des Handgelenks.

3. Befestigen Sie die Manschette an Ihrem Handgelenk, so dass kein Zwischenraum zwischen Manschette und Handgelenk verbleibt. Die Manschette muss fest sitzen. Drücken Sie auf die Oberﬂäche der Manschette um sicherzustellen, dass diese fest angelegt ist. Legen Sie die Manschette neben der Haut an. Achten Sie darauf, dass Ihre Kleidung nicht in die Manschette eingeklemmt wird.

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Fig.3 Seite 5

+ 56 hidden pages

Nissei WS-1300 Instruction Manual

Specifications and Main Features

Frequently Asked Questions

User Manual