Omron HEM-650, HEM-650CAN Instruction Manual

Wrist Blood Pressure Monitor

with Advanced Positioning Sensor (APS®)

Model HEM-650

Instruction Manual

ESPAÑOL

ENGLISH

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Before Using the Monitor

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Operating the Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Care and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

Before Taking a Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

Operating Instructions

Know Your Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

Unit Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Display Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Irregular Heartbeat Symbol ( ) . . . . . . . . . . . . . . . . . . . . . . . . .10

Heartbeat Symbol ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Average Value Symbol ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Battery Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Setting the Advanced Positioning Sensor . . . . . . . . . . . . . . . . . . . . . . . . .15

Setting the Position Sensor Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

Setting the Measurement Wrist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Setting the Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Applying the Wrist Cuff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

Taking a Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24

Taking a Measurement on the Left Wrist . . . . . . . . . . . . . . . . . . .24

Taking a Measurement on the Right Wrist . . . . . . . . . . . . . . . . . .26

Using the Memory Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

Averaging Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

To Display the Measurement Values . . . . . . . . . . . . . . . . . . . . . . .28

To Delete All Values Stored in the Memory . . . . . . . . . . . . . . . . .29

Care and Maintenance

Care and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30

Error Indicators and Troubleshooting Tips . . . . . . . . . . . . . . . . . . . . . . . .31

FCC Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

TABLE OF CONTENTS

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INTRODUCTION

Thank you for purchasing the Omron®HEM-650 Wrist Blood Pressure
Monitor with Advanced Positioning Sensor (APS

®

).

The Omron wrist monitor uses the oscillometric method of blood pressure
measurement. This means the monitor detects your blood’s movement
through the artery in your wrist and converts the movements into a digital
reading.

Clinical research has proven a direct relationship between blood pressure
in the wrist and blood pressure in the arm. Changes in wrist blood
pressure reflect changes in arm blood pressure because the arteries in the
arm and wrist connect.

Frequently measuring the blood pressure in your wrist will provide your
physician with an accurate indication of changes in your blood pressure.

The HEM-650 comes with the following components:

• Main Unit • 2 “AAA” Batteries • Storage Case

• Warranty Card

• Instruction Manual printed in English and Spanish

The Omron HEM-650 Wrist Blood Pressure Monitor is intended for home
use.

Fill in for future reference.

DATE PURCHASED:______________________
SERIAL NUMBER:________________________

Staple your purchase receipt here

SAVE THESE INSTRUCTIONS

Before Using the Monitor

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OPERATING THE DEVICE

Contact your physician for specific information about your blood
pressure. Self-diagnosis and treatment using measured results may be
dangerous. Follow the instructions of your physician or licensed
healthcare provider.

If battery fluid should get in your eyes, immediately rinse with plenty
of clean water. Contact a physician immediately.

If you have a condition that may compromise circulation, you may
get an inaccurate reading with this device. Consult your physician
before using this device.

Read all of the information in the instruction manual and any other
literature in the box before operating the unit.

This device is intended for use in measuring blood pressure and pulse
rate in the adult population. Do not use this device on infants or
persons who cannot express their intentions.

SAFETY INFORMATION

To assure the correct use of the product basic safety measures should
always be followed including the warnings and cautions listed in this
instruction manual.

WARNING

Indicates a potentially hazardous situation
which, if not avoided, could result in death or
serious injury.

SAFETY SYMBOLS USED IN THIS INSTRUCTION MANUAL

CAUTION

Indicates a potentially hazardous situation
which, if not avoided, may result in minor or
moderate injury to the user or patient or damage
to the equipment or other property.

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SAFETY INFORMATION

OPERATING THE DEVICE (continued)

Operate the device only as intended. Do not use the device for any
other purpose.

Dispose of the device, components and optional accessories according
to applicable local regulations. Unlawful disposal may cause
environmental pollution.

Do not use a cellular phone near the device. It may result in an
operational failure.

Use only Omron authorized parts and accessories. Parts and
accessories not approved for use with the device may damage the
unit.

Use only 1.5V alkaline batteries with this device. Do not use other
types of batteries. This may damage the unit.

CARE AND MAINTENANCE

Do not subject the monitor to strong shocks, such as dropping the unit
on the floor.

Do not submerge the device or any of the components in water.

Store the device and the components in a clean, safe location.

Changes or modification not approved by Omron Healthcare will void
the user warranty. Do not disassemble or attempt to repair the unit or
components.

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BEFORE TAKING A MEASUREMENT

To ensure a reliable reading follow these recommendations:

1. Avoid eating, drinking alcohol, smoking, exercising and bathing for at
least 30 minutes before taking measurement. Rest for at least 15
minutes before taking a measurement.

2. Stress raises blood pressure. Avoid taking
measurements during stressful times.

3. The cuff can be applied to your left or right
wrist.

4. Measurements should be taken in a quiet place
and you should be in a relaxed, seated position.

5. Remain still and do not talk during the
measurements.

6. Keep a record of your blood pressure and pulse for your physician.
A single measurement may not provide an accurate indication of your
true blood pressure. You need to take and record several readings over
a period of time. Try to measure your blood pressure at the same time
each day for consistency.

7. Wait 2-3 minutes between measurements. The wait time allows the
arteries to return to the condition prior to taking the blood pressure
measurement. You may need to increase the wait time depending on
your individual physiological characteristics.

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KNOW YOUR UNIT

650

Battery Compartment

Display

Wrist Cuff

Main Unit:

SET Button

MEM (Memory)
Button

START/STOP Button

Operating Instructions

Inner Surface of Wrist Cuff

Fabric Fastener (hook)

Fabric Fastener (loop)

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INTELLISENSE®TECHNOLOGY IS AN ASSURANCE OF ACCURACY

Blood pressure changes throughout the day. IntelliSense

®

Technology
automatically determines the optimum amount of pressure required to quickly and
comfortably measure your blood pressure. This helps to ensure an accurate
measurement.

ADVANCED POSITIONING SENSOR (APS

®

) ENSURES A RELIABLE

MEASUREMENT

Correct cuff positioning is critical when monitoring blood pressure. The Omron
Wrist Blood Pressure Monitor with APS

®

has a unique positioning sensor that
confirms the cuff is level with the user’s heart. This helps ensure that each reading
is accurate and reliable.

KNOW YOUR UNIT

Components:

Two “AAA” Batteries

Storage Case

Instruction Manual

Wrist Blood Pressure Monitor

with Advanced Positioning Sensor (APS®)

Model HEM-650

6
5
0

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UNIT DISPLAY

Diastolic Blood Pressure

Systolic Blood Pressure

Pulse Display

Low Battery Indicator
Cuff Deflation Symbol

Right Wrist
Measurement Symbol

Position Sensor Alarm Symbol

Heartbeat Symbol

Memory Value Symbol

Average Value Symbol

Irregular Heartbeat
Symbol

Date/Time Display

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IRREGULAR HEARTBEAT SYMBOL ( )

When the monitor detects an irregular rhythm two or more times during
the measurement, the Irregular Heartbeat Symbol ( ) will appear on the
display with the measurement values.

An irregular heartbeat rhythm is defined as a
rhythm that is more than 25% slower or 25%
faster from the average rhythm detected while
the monitor is measuring the systolic blood
pressure and the diastolic blood pressure.

If the irregular heartbeat symbol ( )
displays with your measurement results, we
recommend you consult your physician.
Follow the directions of your doctor.

Normal Heartbeat

Normal Heartbeat

Irregular Heartbeat

Pulse

Blood

pressure

Pulse

Blood

pressure

Short Long

DISPLAY SYMBOLS

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DISPLAY SYMBOLS

The American Heart Association (AHA) recommends the following
guideline for upper limit of normal for home blood pressure readings:

AHA Home Guideline for Upper Limit of Normal BP

Systolic Blood Pressure 135 mmHg

Diastolic Blood Pressure 85 mmHg

This is a general guideline because blood pressure depends on
age and morbidity. The AHA recommends a lower home blood
pressure goal for certain patients, including diabetic patients,
pregnant women, and patients with renal failure

1

.

The monitor is not intended to be a diagnostic device.

WARNING

Contact your physician for specific information about your blood
pressure. Self-diagnosis and treatment using measured results may be
dangerous. Follow the instructions of your physician or licensed
healthcare provider.

Omron Healthcare recommends you contact your physician if the
HEARTBEAT SYMBOL ( ) appears on the display with your
measurement values. Follow the directions of your doctor.

1

American Heart Association Scientific Statement 2004

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DISPLAY SYMBOLS

HEARTBEAT SYMBOL ( )

TAKING A MEASUREMENT

The Heartbeat Symbol ( ) flashes on the display during the
measurement. The Heartbeat Symbol ( ) flashes at every heartbeat.

When the measurement is complete, the Heartbeat Symbol ( )
flashes on the display with your blood pressure and pulse rate if the
reading is above 135 for the Systolic Blood Pressure value and/or 85
for the Diastolic Blood Pressure value.

USING THE MEMORY FUNCTION

The Heartbeat Symbol ( ) flashes when the blood pressure reading
stored in the memory is above 135 for the Systolic Blood Pressure
value and/or 85 for the Diastolic Blood Pressure value.

AVERAGE VALUE SYMBOL ( )

The Average Value Symbol ( ) is displayed when you press the MEM
button. The most recent average reading appears on the display screen.

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BATTERY INSTALLATION

1. Press both sides of the battery cover and lift the
cover off in the direction of the arrow.

2. Install 2 “AAA” Alkaline Batteries so the
+ (positive) and - (negative) polarities match the
polarities of the battery compartment as
indicated.

3. Replace the Battery Cover. Make sure the
cover clicks securely over the battery
compartment.

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MEM

START

STOP

SET

MEM

START

STOP

SET

M

E

M

START

STOP

SET

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BATTERY INSTALLATION

BATTERY REPLACEMENT

When the Low Battery Indicator appears on the display screen turn the
monitor off and remove all the batteries. Replace with two new batteries
at the same time.

WARNING

If battery fluid should get in your eyes, immediately rinse with plenty
of clean water. Contact a physician immediately.

NOTES: • Turn the unit off before replacing the batteries. Measurement

values stored in the memory are not deleted during battery
replacement.

• When the batteries are replaced, you may need to reset the
date and time. If the year is flashing on the display screen,
refer to “Setting the Date and Time”.

• The supplied batteries may have a shorter life.

CAUTION

Dispose of the device, components and optional accessories
according to applicable local regulations. Unlawful disposal may
cause environmental pollution.

Low Battery Indicator

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SETTING THE ADVANCED POSITIONING SENSOR

The Advanced Positioning Sensor (APS®) will assure you the unit is in the
correct position level with the user’s heart before the monitor starts to take
the measurement. When the APS is set to ON, the Heartbeat Symbol ( )
flashes once your wrist is in the correct position. The APS is set to ON at
the time of purchase.

1. TO CHANGE THE SETTING

Press the START/STOP button
to turn the power off, then press
the SET button.

The Position Sensor symbol ( ) will
appear on the display.

2. SELECTING ON OR OFF

Press the MEM button to change the setting to OFF.

Press the MEM button again to change the setting to ON.

3. CONFIRM THE SETTING

Press the START/STOP button to confirm the APS function you
selected and to turn the monitor off.

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SETTING THE POSITION SENSOR ALARM

The Position Sensor Alarm emits sound to help you place your wrist in the
correct position. The Position Sensor Alarm can be set to ON or OFF
when the APS is set to ON. The Position Sensor Alarm is set to ON1 at
the time of purchase.

The alarm set to “ON1” emits a series of blips when your wrist is too far
away from the correct measuring position and beeps slowly once your
wrist is in the correct position.

The alarm set to “ON2” beeps only once your wrist is in the correct
position.

1. TO CHANGE THE SETTING

Press the START/STOP button to turn the
power off, then press the SET button twice.

The Position Sensor Alarm symbol ( ) will
appear on the display.

2. SELECTING ON1, ON2, OR OFF

Press the MEM button to change the setting to “ON2”, “OFF” and
“ON1”.

3. CONFIRM THE SETTING

Press the START/STOP button to confirm the alarm function you
selected and to turn the monitor off.

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SETTING THE MEASUREMENT WRIST

The monitor is designed to take measurements on the left wrist or the right
wrist. The monitor is set to OFF to take measurements on the left wrist at
the time of purchase.

1. TO CHANGE THE SETTING

Press the START/STOP button
to turn the power off, then press
the SET button three (3) times.

The Right Wrist Measurement symbol
( ) will appear on the display.

2. SELECTING ON OR OFF

Press the MEM button to change the wrist setting to ON to take
measurements on the right wrist.

Press the MEM button again to change the wrist setting to OFF to take
measurements on the left wrist.

3. CONFIRM THE SETTING

Press the START/STOP button to confirm the measurement wrist you
selected and to turn the monitor off.

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SETTING THE DATE AND TIME

Set the monitor to the current date and time before taking a measurement
for the first time. If the date and time are not set correctly, the
measurement values stored in the memory will have the wrong date and
time.

Set the date and time in the following situations:

1. Before you use the monitor for the first time

2. After battery replacement

1. TO CHANGE THE SETTING

Press the START/STOP button
to turn the power off, then press
the SET button four (4) times.

The year flashes on the display with the
current setting.

2. SETTING THE YEAR

The year can be set between 2004 and 2030.

When the display reaches 2030, it will return to 2004.

Press the MEM button to advance by
increments of one year.

NOTE: Press and hold the MEM button to

increase the values faster.

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SETTING THE DATE AND TIME

Press the SET button to confirm the setting.

The month flashes on the display.

3. SETTING THE MONTH

Press the MEM button to advance by
increments of one month.

Press the SET button to confirm the setting.

The day flashes on the display.

4. SETTING THE DAY

Press the MEM button to advance by increments of one day.

Press the SET button to confirm the setting.

The hour flashes on the display.

5. SETTING THE HOUR

The time is set using AM or PM.

Press the MEM button to advance by increments of one hour.

Press the SET button to confirm the setting.

The minute flashes on the display.

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SETTING THE DATE AND TIME

6. SETTING THE MINUTE

Press the MEM button to advance by increments of one minute.

Press the SET button to confirm the setting.

The APS setting screen is displayed.

Press the START/STOP button to turn the
monitor off.

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APPLYING THE WRIST CUFF

The monitor is designed to take measurements on the left wrist or the right
wrist. The monitor is set to take measurements on the left wrist at the time
of purchase. To change the setting, refer to “Setting the Measurement
Wrist”.

CAUTION

Read all of the information in the instruction manual and any other
literature in the box before operating the unit.

CAUTION

This device is intended for use in measuring blood pressure and pulse
rate in the adult population. Do not use this device on infants or
persons who cannot express their intentions.

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APPLYING THE WRIST CUFF ON THE LEFT WRIST

1. Roll up sleeve. Make sure your sleeve is not
rolled up too tight on your arm. This may
constrict the flow of blood in your arm.

2. Wrap the cuff directly against your skin.
Do not apply over clothing. Place the cuff over your left wrist with
your left thumb facing upward.

3. Position the cuff leaving a clearance of approximately 1/2 to 1 inch
between the cuff and the bottom of your palm.

4. Hold the bottom part of the cuff and wrap it
around the wrist so it fits comfortably and
securely around your wrist.

5. Fold the remaining part of the wrist cuff back out
of the way. Lightly press the cloth closure with
your finger so the cuff is securely fastened.

APPLYING THE WRIST CUFF

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