Omron HEM-9000AI Instruction Manual
HEM-9000AI
Non-Invasive
Blood Pressure Monitor
with Augmentation Index (AI)
• Instruction Manual
• Mode d’emploi
• Gebrauchsanweisung
• Manuale de instructone
• Manual de instrucciones
• Gebruiksaanwijzing
•
XXXXXXXXXXXXXXXXXXXXXXXX
EN
IM-HEM9000-AI-E-01-07/06
Thank you for purchasing the OMRON HEM-9000AI unit.
Read all of the instructions in the instruction manual before you operate the unit
and keep it near the unit all the times for future reference.
FR
DE
IT
ES
NL
CZ
2
Contents
1. Indications .................................................................................... 4
2. Exemptions .................................................................................. 5
3. Notes on Safety ........................................................................... 6
4. Cleaning and Maintenance ........................................................11
5. Package Contents ...................................................................... 12
5.1. Main Unit ............................................................................. 12
5.2. Accessories (Included and Sold Separately) ...................... 12
6. Accessories ............................................................................... 13
7. Introduction to the HEM-9000AI ............................................... 14
8. General Preparation .... .............................................................. 15
8.1. Component Names/Descriptions ........................................ 15
8.2. Connecting the Main Unit and AI Pulse Wave
Measurement Unit Inserting the Memory Card ................... 17
8.3. Setting the Date and Time .................................................. 19
8.4. Setting the Blood Pressure/AI Measurement Method
and Registering ID Information ........................................... 22
8.5. Loading Printer Paper ......................................................... 23
9. Measurement Preparation ......................................................... 24
9.1. How to Apply the Blood Pressure Cuff ................................ 24
9.2. How to Apply the AI Pulse Wave Sensor Unit .................... 26
10. Post - Measurement .................................................................. 29
10.1.How to Remove the AI Pulse Wave Sensor Unit ................ 29
11. Selecting the Measurement Method ........................................ 30
11.1. Selecting the Measurement Method ................................... 30
12. AI + Blood Pressure Measurement .......................................... 31
12.1.Measuring AI + Blood Pressure Together ........................... 31
13. Blood Pressure Measurement .................................................. 36
13.1.Blood Pressure Measurement ............................................ 36
13.2. Auscultation ........................................................................ 38
14. AI Measurement ......................................................................... 40
14.1.AI Measurement .................................................................. 40
14.2.Changing Magnification and Scroll Speed .......................... 43
15. Print ............................................................................................ 44
15.1.Printing Measurement Results ............................................ 44
3
EN
16 Memory Retrieval ....................................................................... 46
16.1.Show All Data List ............................................................... 46
16.2.ID Search ............................................................................ 48
16.3.Delete Data ......................................................................... 49
16.4.Data Detail .......................................................................... 50
16.5.Print Continuous Pulse Waves ........................................... 51
16.6.Trend Graph ........................................................................ 53
16.7.Adding and Modifying Blood Pressure
Measurement Values .......................................................... 55
17. Registering ID Information ....................................................... 57
17.1.ID Registration .................................................................... 57
17.2.Retrieval / Edit ID ................................................................ 61
17.3.Replace ID .......................................................................... 63
18. Configuration Options .............................................................. 64
18.1.How to Change the Settings .............................................. 64
18.2.How to Change the Setup ................................................... 66
18.3.How to Change the Measurement Settings ........................ 67
18.4.How to Change Settings for Printing ................................... 70
18.5.How to Change Display/Sound Settings ............................. 74
18.6.How to Change the Clock Settings ..................................... 76
18.7.How to Change Settings for Storing .................................... 77
18.8.Returning to the Default Settings ........................................ 78
18.9.Registering Hospital Name ................................................. 79
18.10.Memory Card ..................................................................... 80
18.11.Keyboard ............................................................................ 82
19. Calibration Measurement .......................................................... 83
19.1.How to Execute a Test Measurement ................................. 83
20. Introduction to Troubleshooting .............................................. 85
21. Error List .................................................................................... 86
22. Specifications ............................................................................ 92
4
1.Indications
1. Indications
Indications for use
The HEM-9000AI is intended to measure systolic and diastolic blood pressure and pulse rate in
adults with an arm circumference of 17-42 cm, and to calculate radial augmentation index (AI).
The HEM-9000AI is intended for use in physicians’ offices, hospitals, clinics and other medical
facilities where non-invasive blood pressure and radial AI measurements/calculations are
performed on patients and invasive measurement is contraindicated.
The Augmentation Index (AI) function of the HEM-9000AI has not been evaluated on patients who
have intra-ventricular conduction delays (VCD).
Contraindications for use
As with any non-invasive measurement device, there are clinical conditions which can influence
the accuracy of the results. Also, the subject’s position, physiological condition and other
environmental factors can affect the measurement/calculation.
The OMRON HEM-9000AI Non-Invasive Blood Pressure Monitor with Augmentation Index should
not be used with patients who have the following conditions:
1. Patients with a known arrhythmia.
2. Patients with insufficient peripheral circulation, acute cases of low blood pressure or low
temperature.
3. Patients who use a pacemaker.
4. Patients experiencing a seizure.
5. Children younger than 18 years old.
6. Patients who should not have blood pressure measurements taken from their arms.
7. Patients with an artificial heart.
8. Patients whose artery cannot be found by palpation.
5
2.Exemptions
EN
2. Exemptions
Read and familiarize yourself with all Instruction Manual materials, including the instructions for
use, warnings, precautions, limitations and capabilities before using the OMRON HEM-9000AI
Device.
OMRON will not bear any responsibilities on the following matters.
1.When a problem or damage occurs caused by the maintena nce and/or rep air cond ucted by a
person other than OMRON or the dealer specified by OMRON.
2.The problem or damage of OMRON product caused by the produ ct of othe r man ufacturer not
delivered by OMRON.
3.The problem and damage caused by the maintenance and/or repair using the rep air p art s not
specified by OMRON.
4.The problem and damage caused by the results not observing the Notes on Safety or the
operational method mentioned in this Instruction Manual.
5.Under the circumstances not within the operating conditions of this unit including the power
source or the setting environment mentioned in this Instruction Manual.
6.The problem and damage caused by the result(s) of remodeling or improper repair of this
product.
7.The problem and damage caused by act of god such as fire, earthquake, flood, or lightening.
1.The contents of this lnstruction Manual may be changed without prior notice.
2.We have thoroughly reviewed the contents of this lnstruction Manual.
However, if an inadequate description or error is found, please let us know.
3.It is prohibited to copy a part of or the entire lnstruction Manual without obtaining OMRON’s
permission. Unless this lnstruction Manual is used by an individual (company), it cannot be
used without getting OMRON’s permission from the standpoint of the Copyright Law.
6
3.Notes on Safety
3. Notes on Safety
GIVE PARTICULAR ATTENTION TO ALL SAFETY PRECAUTIONS
Warning signs and graphic symbols are intended for the safe and correct use of the product, and
to prevent harm or damage to you and others.
Symbols and definitions are as follows:
Warning
Indicates a possibility that people will suffer death or serious injury resulting from
incorrect use.
Caution
Indicates a possibility that people will be injured or objects will be damaged resulting from
incorrect use.
7
3.Notes on Safety
EN
Warning:
Clinical
•Do not use unless you are a healthcare worker.
•Do not use for monitoring vital signs in an intensive care unit.
•The device has a safety mechanism built in to prevent pressure from rising above 300 mmHg. If
this safety mechanism fails or pressurization fails to stop while measuring, disconnect the AI
pulse wave sensor unit or cuff, or unplug the air tube from the blood pressure monitor itself.
•Peripheral nerve damage might result.
•Do not apply a cuff or use the AI pulse wave measurement unit on an arm being transfused or
injected with an intravenous injection.
•Intravenous injection or transfusion cannot be performed properly.
•Do not use this device on patients who cannot clearly describe their pain.
•It may cause injury to the user if cuff pressurization release stops or pulse wave sensor
pressure release is delayed.
•Do not use this device during an MRI scan.
•It might cause an accident.
•If a power outage occurs while the device is measuring, promptly detach the cuff and pulse wave
sensor unit.
•Injury may result when pressing the wrist for a long period.
•Do not slide the AI pulse wave sensor during AI measurement.
•Injury to the wrist might result.
Device Set Up
•Do not touch the power cord with a wet hand.
•Electric shock might result.
•Do not use cords except those provided.
•Electric shock might result.
•Do not plug into outlet without grounding pin or pin receptacle.
•If plugged into incorrect outlet, electric shock might result.
Device Use
•Plug the main unit into an outlet (do not plug into a multi-plug outlet adapter).
•Fire or electrical shock might result.
•Plug the power cord in firmly. Clean dust off on the power cord.
•Electric shock, a short-circuit or fire might result.
•Do not use when the power cord is damaged or not firmly plugged in.
•Electric shock, a short-circuit or fire might result.
•Do not pull the power cord when unplugging the power cord from an outlet.
•It might cause fire or electric shock due to breaking or short circuiting the power cord.
•Do not use in the presence of a flammable gas or where flammable gas may be generated or
released. (e.g., combustible anesthetics, hyperbaric chambers, oxygen tents, in presence of
combustible/flammable liquids.)
•Explosion or fire might result.
•When you use this device with other medical devices, read the instruction manuals of those
devices carefully. Ensure that all the warnings and notes are also understood on those devices
before using.
•If the following cases or situations occur, stop using this device immediately, turn it off, unplug the
power cord from the outlet, and contact OMRON.
•If there is smoke or an unusual order.
•If this device is dropped or subject to a strong impact.
•If liquid or foreign substances enter the device.
•Failure state.
•Electric shock, a short circuit or fire might result.
•In addition, follow the instructions below in any of the above situations:
•Display an “Out of Order, Do Not Use” sign on the front of the main unit.
•Stop using the device.
•Electric shock might result.
8
3.Notes on Safety
•Do not disassemble or modify this device.
•Electric shock, fire, failure or malfunction might result.
•Do not use with any cuffs except those provided by OMRON specifically for this device and
model.
•It might cause incorrect measurement results.
•Do not use any power cords except power cords provided by OMRON specifically for this device.
•Fire or electric shock might result.
•Do not replace the fuses on your own.
•Fire or electric shock might result.
•The fuses are specifically designed for this device. Contact Professional Services for
replacement of the fuses.
•Do not connect the HEM-9000AI to commercial computers or devices that do not meet medical
safety standards:
•This could cause electric shock.
•This device meets medical safety standards and the leakage current is limited to be within
standard specifications.
•Apply the pulse wave sensor on bare skin.
•Pulse waves might not be detected, and unnecessary pressure might be applied on the
pulse wave sensor.
•The user might be injured.
Device Maintenance
•After using the unit or cleaning, do not plug the power cord into a mains outlet until the unit and
power cord are sufficiently dry.
•Fire or electric shock might result.
•Do not place or store in a place that can be reached by water or chemicals.
•Electric shock might result.
9
3.Notes on Safety
EN
Caution:
Clinical
•When results seems unreliable, use other measurement procedures prior to invasive techniques.
•Make sure that the patient does not touch this device while the test is being conducted.
•Only measure when the patient is quiet, not talking or moving.
•In the following cases, check blood pressure and pulse by auscultation:
(a) When an irregular pulse wave is found
•Advise the patient not to shake or move the body while measuring. This may cause a
condition similar to irregular pulse wave.
(b) When an error occurs or you have doubt about the measurement value.
•An incorrect measurement may be registered due to external vibration or patient
movement while measuring.
•A measurement error or inability to measure may occur in cases of abnormal
peripheral circulation or very low blood pressure.
•A measurement error or inability to measure may occur in cases of a patient with a
short blood pressure fluctuation, such as an irregular heartbeat.
Device Set up
•Do not connect the air tube, cuff or AI pulse wave measurement unit to another device.
•Erroneous results may occur.
•Do not insert or remove the AI pulse wave sensor if a connector or an air tube is unplugged.
•It may cause damage to the AI pulse wave sensor or pressure air bag might result.
•Do not place this device upside down.
•Electric parts and mechanical parts might break down.
Device Use
•Do not install parts or instruments not specified for this device.
•Do not push the buttons or LCD display with any sharp or hard material.
•Failure or damage might result.
•Do not touch the AI pulse wave sensor with any sharp or hard material.
•Damage might result.
•Do not insert and remove the memory card while saving or retrieving data.
•Memory card data damage might result.
•Make sure the time is set correctly on the main unit.
•Measurement might be recorded with the wrong time.
•Turn off the power to the unit and unplug the power cord from the electrical outlet before moving
the unit.
•Do not insert or remove the AI pulse wave sensor while measuring AI.
•It may cause damage to the AI pulse wave sensor or pressure air bag might result.
•Do not inflate without wrapping the cuff around the arm.
•Do not use a damaged cuff.
•Do not use a cellular phone or a radio transceiver in the room where this device is located.
•Malfunction might result.
•Do not use other medical devices near this device.
•Malfunction might result.
•Other medical devices might be affected.
•This device might be affected by an electric appliance or microwave apparatus. Do not use any
electronics or microwaves in the vicinity of this device.
•Do not use in extreme meteorological environments, such as unmanaged high temperature, high
humidity, low temperature, and low humidity.
•Malfunction might result.
•Do not use this unit in a vehicle, such as an ambulance.
10
3.Notes on Safety
•Do not use any printer paper other than the printer paper provided by OMRON specifically for this
device and model.
•Damage to the printer might result.
•Printed text, waveforms and measurement results may smear or fade.
•Do not pull on paper before printing is complete.
•Damage to the printer might result.
•Use only an OMRON designated memory card.
•Using memory cards not designated for use with this device might result in measurement
results or ID information not saving correctly, or might prevent them from being retrieved
later.
•Do not drop this device.
•Do not put anything on this device.
•The printer cover might crack.
•Do not install or store this unit near water or liquid medication.
•Electric parts might break down.
•A patient might receive an electric shock.
•Do not slide the pulse wave sensor when the power supply is off.
•The pulse wave sensor might be damaged.
•Attach the Pulse Wave Sensor Unit properly. (Refer to Section 9.2.)
•The device might display an inaccurate measurement result.
•Apply the Blood Pressure Cuff properly. (Refer to Section 9.1.)
•The device might display an inaccurate measurement result.
Device Maintenance
•Unplug the main unit connector from outlet when not in use for a long period.
•Electric shock or an electric discharge fire due to deterioration of the insulating material
might result.
•Turn off and unplug the main connector when installing/removing parts or performing
maintenance.
•Electric shock or injury might result.
•Do not damage, modify, bend forcefully, pull, twist, or bundle the power cord. In addition, do not
put heavy material on it.
•Failure or damage might result.
•Do not disinfect this device by autoclave or gas sterilization.
•Damage might result.
•The user might get a rash.
•Do not wash with water or immerse in water.
•Damage might result.
•The device may display an inaccurate measurement result.
•Do not slide the AI pulse wave sensor when the power supply is off.
•It may cause damage to the AI pulse wave sensor.
•Be sure to inspect the unit on regular basis. Check accuracy on a 1 year interval.
Shipping
•This is a high-precision device. Before shipping this device contact OMRON for shipping
instructions.
11
4.Cleaning and Maintenance
EN
4. Cleaning and Maintenance
Maintenance prior to use
1. Check this device regularly.
2. When not in use for a long time, ensure that this device functions correctly and safely before
using it.
•Check all cord, cable and tube connections.
•Check that this device functions correctly by checking button functions.
•Check that the time displayed on the device is accurate.
3. Do not install or store this unit in the following conditions:
•In direct sunlight.
•In a location that is dusty or has high air salinity.
•On a sloping or vibrating object that creates impact
•Where chemicals are stored or combustible gas is generated.
•In high temperature or high humidity.
•Where water, liquid medications or chemicals may be spilled.
Maintenance after use
Store this device and the attachments after performing the proper maintenance and in an
orderly way.
Clean the surface of the main unit, the surface of the wrist rest, the outside of the AI pulse
wave measurement unit, the cuff and cables with the following procedure.
1. Use a damp cloth with 30 to 50% isopropyl alcohol or
70% ethyl alcohol for cleaning the surface.
DO NOT use gasoline, thinner, benzene or highly
concentrated alcohol when cleaning this device.
Do not disinfect this unit by autoclave or gas
sterilization (EOG, formaldehyde, or high
concentration ozone), or do not implement ultraviolet
disinfection.
Do not wash or wet the wrist belt.
Do not wash or wet the cuff.
2. Wipe with a soft, dry cloth. [Fig. 1]
PLEASE NOTE
•Do not sterilize
ART.
INDEX
INDEX
MAX
MAX
[Fig. 1]
Turn the power on.
Slide the pulse wave sensor into position as
illustrated in [Fig. 2].
Turn the power off.
Wipe the sensor gently with a dry clean cotton
swab or with a moistened cotton swab dipped in
diluted rubbing alcohol. [Fig. 2]
After cleaning is completed, turn the power on.
Slide the AI pulse wave sensor back in holder.
Note: The sensor may be damaged or scratched if the
power is off when sliding pulse wave sensor.
[Fig. 2]
Be careful when cleaning the AI pulse wave sensor!
12
5.Package Contents
5. Package Contents
5.1. Main Unit
5.2. ACCESSORIES (Included and Sold Separately)
Items identified with an asterisk (*) are consumable and not covered under the warranty
Main Unit (display unit)
AI Pulse Wave Measurement Unit
(Including the AI pulse wave sensor unit)
RANGE
MIN
MAX
INDEX
ART.
22
~
32cm
(
9"
~
13"
)
REF
HEM
CR19
TUBE
Adult arm cuff
(in 3 sizes - S, M and L with built-in air bag)
See cuff size information in Section 6,
ACCESSORIES.
Air Tube (1.3 m)
Model: HEM-9T1.3
Art no.: 6984328-4
Connection Cable
Model: HEM-9000-CABLEZ
Art no.: 9956251-4
Power Cord
Model: NEU12-2
Art no.: 1096522-0
Printer Paper*
(1 Roll Included)
Sold 5 rolls to a box
Model: HEM-9000-PAPERZ
Art no.: 6970159-5
Memory Card to record*
measurements (128 MB)
Model: HEM-9000-IC128Z
Art no.: 9956250-6
Instruction Manual
(Including warranty card)
Art no.: 1658718-9
Quick Start Instruction
Manual
Art no.: 1664287-2,
1664288-0,
1664289-9
13
6.Accessories
EN
6. Accessories
ACCESSORIES (Sold Separately)
To purchase accessories or replacement parts call OMRON.
•Large size
adult arm cuff
Model: HEM-9CLC
Art no.: 4928654-0
Applicable arm circumference:
32 to 42 cm
•Medium size adult arm
cuff
Model: HEM-9CMC
Art no.: 4928640-0
Applicable arm circumference:
22 to 32 cm
•Small size adult arm cuff
Model: HEM-9CSC
Art no.: 4928639-7
Applicable arm circumference:
17 to 22 cm
•Air Tube (1.0 m)
Model: HEM-TUBE-100X
Art no.: 6984327-6
•Keyboard
Model: HEM-9000-KEYBZ
Art no.: 9951049-2
•Wheeled Cart
(with basket to place cuff)
Model: HEM-9000-STANDZ
Art no.: 7980234-9
•Memory Card (128MB)
Model: HEM-9000-IC128Z
Art no.: 9956250-6
•Printer Paper (5 Roll Set)
Model: HEM-9000-PAPERZ
Art no.: 6970159-5
•Power Cord (for U.K.)
Model: HEM-9000-ACCAU
Art no.: 9983975-3
INDEX
ART.
RANGEMIN
MAX
32
~
42cm
(
13"
~
17"
)
REF
HEM
CL19
TUBE
RANGE
MIN
MAX
INDEX
ART.
22
~
32cm
(
9"
~
13"
)
REF
HEM
CR19
TUBE
ART.
RANGE
MIN
MAX
INDEX
REF
HEM
CS19
17
~
22cm
(
7"
~
9"
)
TUBE
14
7.Introduction to the HEM-9000AI
7. Introduction to the HEM-9000AI
Functional Description
The OMRON Non-Invasive Blood Pressure Monitor with AI, HEM-9000AI, has been
developed for blood pressure measurement and AI calculations.
Blood pressure measurement is obtained via digital oscillometric method using a blood pressure cuff. An
accompanying AI calculation is made based on several components of the patient's pulse wave, which is
obtained through applanation tonometry (measures pressure required to indent the artery) using a sensor
placed against the radial artery.
Configuration of Pulse Waves
A pulse wave is a wave in a blood vessel generated when blood is pressurized into the aorta by the
contraction of the heart. The pressure changes within the blood vessels create the wave action, and this is
called a pressure pulse wave. Looking closely at the wave, it consists of two primary ele ments: ejected wave
and reflected wave.
(Refer to Figure 1)
The ejected wave is generated by the contraction of the heart, which sends blood throughout the body. The
reflected wave is generated by the reflection of the ejected wave, after the ejected wave propagates
throughout the body, reflecting from an artery bifurcation or from a peripheral artery.
The pattern formed by the superimposition of these two wave elements is regarded as the pulse wave
pattern.
In addition, an incisura (notch) on the back of the reflected wave represents a pressure change caused by
reverse flow as the aortic valve, located at the opening of the aorta, is closed.
Pulse Wave and Blood Pressure
The pulse wave represents a local blood pressure change caused by the passage of blood from the left
ventricle into the aorta, accompanied by the wave action through the artery. Systolic blood pressure is
measured during the period of ventricular contraction, creating a wave. Diastolic blood pressure is measured
between periods of ventricular contraction.
AI is defined as
AI defines an amplitude value ratio of the peak point (P2) at which the reflected wave is overlapped to the
peak point (P1) at which the ejected wave is overlapped. (Refer to Figure 2)
What AI indicates
When a peripheral blood vessel is stiff, the reflected wave becomes larger. When the blood vessels in the
pulse wave propagation path are stiff, the time in which the reflected wave returns becomes shorter. As a
result, the peak of the reflected wave will be near the peak of the ejected wave. Both of these phenomena
increase AI. The heart enhances myocardial contractility to overcome the increased blood pressure. If this
lasts for a long time, the heart will become strained, showing that when the AI is higher, the “load on the
heart” is higher.
Ejected wave
incisura
Ejected wave
Reflected wave
Reflected wave
The pulse wave is represented
by a combination of the "ejected"
and the "reflected" wave.
[Figure 1] [Figure 2]
P1 P2
15
8.General Preparation
EN
8. General Preparation
8.1. Component Names/Descriptions
A. Printer cover
B. Print paper storage (built-in)
C.Print paper release button
D.Air connector
E. Handle
F. Memory card slot
G. Eject button
H.Main unit
I. START button
J. STOP button
K. DISPLAY button
L. DISPLAY light
M.LCD display
The material used in the front of the panel is
PMMA.
N.Function keys
O.Left, right, up, down movement/select
buttons
P. SET button
Q.Power switch
R.Power connector
S. AI measurement unit connector
T. USB connectors × 2
U.Maintenance connector (not used)
A
D
E
I
M
N
O
P
J
K
L
Q
R
S
T
U
B
C
F
G
H
16
8.General Preparation
A. Slide stoppers
B. Palpation window
C.Base line
D.Indicator lights
E. AI Pulse Wave sensor unit
F. AI Pulse Wave sensor unit connector
G. Air connector
H.Elbow placement board
I. AI Pulse Wave sensor unit storage
clip
J. Rubber wrist rest
K. Main unit connector
L. Wrist belt
M.Fastener
A
E
F
G
H
B
C
I
J
L
M
K
D
C
17
8.General Preparation
EN
8.2. Connecting the Main Unit and AI Pulse Wave Measurement Unit
Inserting the Memory Card
1. Make sure that the power switch is in the OFF
position. [Fig. 1]
2. Insert the air plug of the blood pressure cuff in the air
connector on the left side of the main unit. (Refer to
9.1.) [Fig. 2]
3. Attach the rubber wrist rest to the pulse wave
measurement unit
Attach the wrist rest so that the side marked “thumb
side” is on the thumb side of the arm (i.e., the thumb
side is on the left side of the patient when using the
patient’s left hand for measurement and on the
patient’s right side for right-hand measurement).
4. Plug one end of the connection cable (see Section 5.
for illustration) into the main unit connector on the
back of the AI pulse wave measurement unit. The
plug will click and lock into place. [Fig. 3]
5. Plug the other end of the connection cable into the
AI measurement unit connector on the back of the
main unit. [Fig. 4]
6. Plug the connection cable of the AI Pulse Wave
sensor unit into the AI Pulse Wave sensor unit
connector.
Attach the air plug of the AI Pulse Ware Sensor unit
on the Air connector. [Fig. 5]
A cap is attached on the sensor when the unit is
shipped. Remove it before you use it for the first
time.
[Fig. 1]
[Fig. 2]
[Fig. 3]
[Fig. 4]
[Fig. 5]
18
8.General Preparation
Turning on the power, and checking the time/date
7. Insert the memory card into the slot on the right side
of the main unit.
All measurement data will be saved to the memory
card. The measurement results will not be saved if
the memory card is not properly inserted in or if
there is insufficient memory available on the card.
Note that since the file system takes up 7MB of
memory, the available space on a new card will be
slightly less than the total card memory. [Fig. 6]
8. Load the printer paper.
(Refer to 8.5. “Loading Printer Paper”.)
9. Plug the female end of the power cord into the back of the main unit. Then plug the male
end of the power cord into an electrical outlet with grounding.
10.Press the “I” end of the power switch at the back of the main unit. [Fig. 7]
(After displaying “Starting up.... Please wait fo r a moment” for approximately 30 seconds,
the measurement screen will appear.) [Fig. 8]
11.Check to be sure the time displayed on the upper
right corner of the screen is correct.
If necessary, see the following page for instructions
on how to set the time or date. [Fig. 9]
[Fig. 6]
[Fig. 8]
[Fig. 7]
[Fig. 9]
19
8.General Preparation
EN
8.3. Setting the Date and Time
1. Press the F5 key on a screen where F5 [SETUP]
appears at the bottom. [Fig. 1]
2. The setup screen will be displayed.
Move the [ ] cursor in the upper-left part of the
screen up or down using the [ ] buttons to select
“DA TE/TIME” from the menu column. Press the SET
button or the [ ] button to move the cursor to the
right. [Figs. 2 and 3]
[Fig. 1]
[Fig. 2]
[Fig. 3]
20
8.General Preparation
3. To change the [DATE] under [DATE / TIME]:
Move the [ ] cursor to [DATE] and press the SET
button or the [ ] button. [Fig. 4]
Move the [ ] cursor using the [ ] button to select
the item (day/month/year) under [SETTING VALUE]
to change. [Fig. 5]
Use the [ ] buttons to change the setting value.
[ ] These buttons increase and decrease the
values for day, month and year. The year setting
range is from 2005 to 2030.
Press the SET button to accept the selected values.
The date format can be changed. (Refer to Section
18.6.)
[Fig. 5]
[Fig. 4]
21
8.General Preparation
EN
4. Follow these steps to change the [TIME] under
[DATE / TIME]:
Change the time.
Move the [ ] cursor to [TIME] and press the SET
button or the [ ] button. [Fig. 6]
Move the [ ] cursor using the [ ] button or the [ ]
button to select the item (hour/minute/second) under
[SETTING VALUE] to change. [Fig. 7]
Use the [ ] buttons to change the setting value.
[ ] These buttons increase and decrease the
values for hour, minute and second.
Press the SET button to accept the selected values.
The clock will resume as soon as the SET button is
pressed. To accurately set the clock to the correct
time, set it slightly in advance and press the SET
button as soon as the set time becomes the current
time.
Press the F1 [EXIT] key to go back to the
measurement screen.
[Fig. 6]
[Fig. 7]
22
8.General Preparation
8.4. Setting the Blood Pressure/AI Measurement Method and Registering
ID Information
1. Setting the Blood Pressure/AI Measurement Methods
There are three methods for blood pressure measurement: Single, Average - 2 times, and
Average - 3 times.
The default setting is [SINGLE].
To change this setting, follow the instructions in Section 18.3.
When measuring AI, the duration can be set to any of the following: 15 seconds, 30
seconds, 1 minute, or 3 minutes.
The measurement time set here is the duration of the pulse wave sampling. The total time
required for measurement is slightly longer.
The default setting is [30] seconds.
To change this setting, follow the instructions in Section 18.3.
2. Registering the patient’s ID
Register the patient’s ID before beginning measurement to continuously track trends/
transitions in the measurement results.
Follow the procedure outlined in Section 17.1. to register the ID information.
23
8.General Preparation
EN
8.5. Loading Printer Paper
1. Press the release button at the top of the main unit to open the printer cover.
[Figs. 8 and 9]
2. Load the specially designed printer paper into the holder in the direction shown in the
diagram. [Fig. 10]
3. With a small amount of paper sticking out, push the cover closed until it locks into place.
[Fig. 11]
[Fig. 9]
[Fig. 8]
Load the printer paper as shown in the diagram.
*Pull out the paper so that it protrudes from the
printer cover when closing.
When loading a new roll of paper, pull the end out
about 25 cm (10 inches). The end of the roll is sealed
with glue, which does not make a suitable printing
surface.
* Make sure you use OMRON printer paper, refer to Section 5.2.
[Fig. 10]
*When the power is on, the paper will
automatically advance and cut.
[Fig. 11]
Printed side up
24
9.Measurement Preparation
9. Measurement Preparation
9.1. How to Apply the Blood Pressure Cuff
1. Select a cuff according to the circumference of the
patient’s arm. [Fig. 1]
* Use an appropriate cuff according to the circumference
of the patient’s arm.
* If an inappropriate cuff size is used, the device might
not measure blood pressure accurately.
* Check before wrapping the cuff that:
1.The bladder is set inside the cuff.
2.The tube is not twisted in the cuff.
3.The tube of the bladder emerges from the cuff as
shown in the figure at right. [Fig. 2]
2. Connect the air tube firmly.
* When connecting the air tube to the main unit, connect
the air tube plug firmly into the air connector as shown
in [Fig. 3].
* Connect the air tube and the cuff / bladder set by turning
as shown in [Fig. 4].
* A total air tube length of 1.5 m is provided with the Air
Tube (HEM-9T1.3) in the package.
Arm circumference Name of the arm cuff
17 - 22cm Small size adult arm cuff
22 - 32cm Medium size adult arm cuff
32 - 42cm Large size adult arm cuff
INDEX
ART.
RANGEMIN
MAX
32
~
42cm
(
13"
~
17"
)
REF
HEM
CL19
RANGE
MIN
MAX
INDEX
ART.
22
~
32cm
(
9"
~
13"
)
REF
HEM
CR19
ART.
RANGEMIN
MAX
INDEX
REF
HEM
CS19
17
~
22cm
(
7"
~
9"
)
TUBE
TUBE
TUBE
ART.
TUBE
TUBE
Air Connector
Air tube plug
Air tube sideCuff side
Closeup of the O part
[Fig. 1]
[Fig. 2]
[Fig. 3]
Air tube
Cuff
[Fig. 4]
Where the air
tube emerges
Large size adult arm cuff
Medium size adult arm cuff
Small size adult arm cuff
25
9.Measurement Preparation
EN
3. Turn the patient’s right palm up. [Fig. 5]
Always wrap the cuff around the upper part of the
patient’s right arm directly on the skin. Wrapping the
cuff around bulky clothing or a rolled-up sleeve can
cause the readings to be inaccurate.
4. Align the brachial artery with the artery position mark
“ ”. [Fig. 6]
5. Wrap firmly with both hands, snug, and make sure to fasten with the hook and loop
fastener. For this step, place the cuf f 1 ~ 2 cm (a little less than one inch) above the inside
of the elbow joint. [Figs. 7-10]
* If after wrapping, INDEX, printed on the cuff, is misaligned with RANGE, select a different, more
appropriate size cuff according to the circumference of the arm, and wrap again.
* If not wrapped with appropriate cuff, the arm might become num b, or the HEM-90 00AI might not be able to
measure blood pressure correctly.
* Wrapping the cuff at an angle will have no impact on the measurements, so allow the cuff to follow the
shape of the arm.
6. Align the cuff to be at the same height as the heart.
* Maintain the height of the cuff at the same height as the
heart in order to measure accurately.
[Fig. 11]
RANGEMIN
MAX
INDEX
ART.
22
~
32cm
(
9"
~
13"
)
REF
HEM
-
CR19
ART.
TUBE
[Fig. 5]
[Fig. 6]
ART.
MIN
INDEX
ART.
22
~
32cm
(
9"
~
13"
)
REF
HEM
-
CR19
RANGE
TUBE
MIN
ART.
RANGE
TUBE
RANGE
ART.
TUBE
ART.
RANGE
TUBE
TUBE
ART.
INDEX
22
~
32cm
(
9"
~
13"
)
REF
HEM
CR19
RANGE
INDEX
RANGE
[Fig. 7]
[Fig. 9]
[Fig. 10]
[Fig. 8]
1~2 cm
ART.
[Fig. 11]
26
9.Measurement Preparation
9.2. How to Apply the AI Pulse Wave Sensor Unit
AI measurement is intended only for adults with a wrist
circumference of 10-19 cm around the radius protrusion.
Proper posture
Adjust the height of the chair to align the height of the
wrist with the height of the heart. By sitting back and
keeping the back straight, the arm will naturally be
straight. [Figs. 12 and 13]
* Place the AI pulse wave measurement unit on a flat,
horizontal (non-sloping) surface.
* When measuring with the left arm, place the AI pulse wave
measurement unit on the left side of the patient. (The wrist
rest is set up for a left hand as the initial configuration.) Adjust
the elbow placement board of the AI pulse wave
measurement unit according to the length of the arm of the
patient. (The elbow placement board can be extended
approximately 10 cm) [Fig. 14]
* Instruct the patient to relax and not to move during
measurement.
1. Place the wrist.
Place the thumb on the side of the wrist rest
indicated by the “thumb side” printing on the wrist
rest. [Figs. 15 and 16]
Align the wrinkle of the wrist joint with the wrist
position mark on the wrist rest. [Fig. 15]
* Instruct the patient, saying “relax your hand”. Patient’s palm
will face the front naturally. (It should be a little limp.)
2. Adjust the elbow placement board.
Adjust the elbow placement board of the AI pulse
wave measurement unit according to the length of
the arm of the patient. [Fig. 14]
Good posture Bad posture
Adjust the elbow placement board
[Fig. 12] [Fig. 13]
[Fig. 14]
Wrist position mark
approx 30 degree
[Fig. 15]
[Fig. 16]
The wrist rest has a slope of approximately 30 degrees.
When putting one’s hand along the slope of the wrist rest,
the wrist goes up by a slope of approximately 30 degrees.
* When measuring with the right arm, adjustment of the
wrist rest will be required. Remove the wrist rest from the
top of the AI Pulse Wave Measurement Unit. Turn it so
that the “thumb side” is facing the opposite direction.
Reinsert the wrist rest on the top of the AI Pulse Wave
Measurement Unit. Y ou will now have the correct slope for
a right hand measurement. Tilt the wr ist to turn the thumb
up.
27
9.Measurement Preparation
EN
The Best Points for Taking an AI Measurement
The best point is right next to the radius protrusion where the pulse is the strongest. If it is not possible to locate the
radius protrusion, the best point is where the pulse feels the stronge st in the area wher e the bone is clo se to the skin
and is hard to the touch.
Once a point for taking a reading is located, att ach the AI pulse wave sensor unit snugly to the wrist allo wing no gap
to form between the unit and the wrist.
With the palm up, take the reading from the
artery next to the protrusion of the radius on the
thumb side.
[Fig. 18]
Even if the pulse is strong but the bone is not
close to the skin, the blood vessel may be hard
to access, making it difficult to apply pressure.
Poorly-positionedWell-positioned
[Fig. 19]
Poorly-positioned
Well-positioned
[Fig. 20]
28
9.Measurement Preparation
3. Locate the radial artery by palpation.
Once you have located the radial artery, use a
commercially-available, non-permanent felt tip
marker to mark the spot on the artery which will be
best for your AI pulse wave measurement.
A proper measurement can only be done over the
bone at the radial artery.
4. Attach the AI pulse wave sensor unit.
Remove the pulse wave sensor unit from its storage
clip and centre the two intersecting black lines on the
sensor unit frame (the point where the reading is
taken) over the wrist artery spot you marked in 3.
above. Align the wrist wrinkle just below the palm
with the inner edge of the frame. Use the hook and
loop fastener to hold the unit in place. [Figs. 21-22]
5. Confirm the artery’s position again.
Confirm if the AI pulse wave sensor unit frame’s
black lines intersect the artery by palpation.
[Figs. 23-24]
* Instruct the patient to relax and not to move.
* If misaligned, go back to 4. above.
6. Adjust the sensor. [Figs. 25 and 26]
Adjust the AI pulse wave sensor by pressing in the
slide stoppers on both sides.
Continue moving the AI pulse wave sensor until the
black line on the AI pulse wave sensor is aligned
with the centre (longest) line of the AI pulse wave
sensor unit’s outer shell.
* The AI pulse wave sensor unit can be moved slightly by
pressing the slide stoppers at both sides.
* Return the AI pulse wave sensor to its original position
after measurement.
AI measurement point
Storage clip
Align the centre line of the outer shell and
the black line on the sensor unit.
[Fig. 21]
[Fig. 22]
[Fig. 23]
[Fig. 24]
[Fig. 25]
[Fig. 26]
29
10.Post - Measurement
EN
10.Post - Measurement
10.1. How to Remove the AI Pulse Wave Sensor Unit
1. Check that measurements are complete. [Fig. 27]
Push down the slide stoppers on both sides and
return the sensor to its original position. Put the AI
pulse wave sensor back in the storage clip.
2. Remove the fastener from around the subject’s
wrist, and store. [Fig. 28]
Attach the protection cap back on the sensor when it
is stored.
[Fig. 28]
[Fig. 27]
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