Introduction
Intended Use
This device is a digital monitor intended for use in measuring blood pressure and
pulse rate in adult patient population. The device detects the presence of irregular
heartbeats during measurement and gives a warning signal with the measurement
result.
Please follow this instruction manual thoroughly for your safety.
Please keep for future reference. For specific information about your own blood
pressure, CONSULT YOUR PHYSICIAN.
Important Safety Information
Warning: Indicates a potentially hazardous situation which, if not avoided,
could result in death or serious injury.
General Usage
DO NOT adjust medication based on measurement results from this blood
pressure monitor. Take medication as prescribed by your physician. Only a
physician is qualified to diagnose and treat high blood pressure.
Consult your physician before using the device for any of the following
conditions: common arrhythmias such as atrial or ventricular premature beats or
atrial fibrillation, arterial sclerosis, poor perfusion, diabetes, age, pregnancy,
pre-eclampsia, renal diseases.
Note that PATIENT motion, trembling, shivering may affect the measurement
reading.
Do not use the device on an injured arm or an arm under medical treatment.
Stop using the device and consult your physician if you experience skin irritation
or other troubles.
Do not apply the arm cuff on the arm while being on an intravenous drip or blood
transfusion.
Consult your physician before using the device on the arm with an arterio-venous
(A-V) shunt.
Do not use the device with other medical electrical (ME) equipment
simultaneously.
Do not use the device in the area of high frequency (HF) surgical equipment,
magnetic resonance imaging (MRI), or computerized tomography (CT) scanner
exists, or in the oxygen rich environment.
The air tube or the AC adapter cable may cause accidental strangulation in
infants.
Contains small parts that may cause a choking hazard if swallowed by infants.
Data Transmission
Do not use this product on an aircraft or in hospitals. Please remove the battery
and AC adapter from the device. This product emits radio frequencies (RF) in the
2.4 GHz band, use of this product in locations where RF is restricted is not
recommended.
The use of RF in this product is licensed for use by the FCC, for further
information on any potential restrictions refer to documentation on Bluetooth
®
usage by the FCC.
AC Adapter (optional accessory)
Do not use the AC adapter if the device or the power cord is damaged. Turn off
the power and unplug the power cord immediately.
Plug the AC adapter into the appropriate voltage outlet. Do not use in a
multi-outlet plug.
Never plug in or unplug the power cord from the electric outlet with wet hands.
Do not disassemble or attempt to repair the AC adapter.
Battery Usage
Keep the battery out of reach of children.
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.
General Usage
Always consult your physician. Self-diagnosis of measurement results and
self-treatment are dangerous.
Consult your physician before using the device for any of the following
conditions:
•If you have had a mastectomy.
•People with severe blood flow problems or blood disorders as cuff inflation can
cause bruising.
Do not take measurements more often than necessary. It may cause bruising
due to blood flow interference.
Remove the arm cuff if it does not start deflating during the measurement.
Do not use this device on infants or persons who cannot express their intentions.
Do not use the device for any purpose other than measuring blood pressure.
Use only the approved arm cuff for this device. Use of other arm cuffs may result
in incorrect measurement results.
Do not use a mobile phone or other devices that emit electromagnetic fields near
the device except when in use for wireless communications. This may result in
incorrect operation of the device.
Do not disassemble or attempt to repair the device or components. This may
cause an inaccurate reading.
Do not use in a location with moisture, or a location where water may splash on
the device. This may damage the device.
Do not use the device in a moving vehicle. For example, the car or airplane.
Read “What to do if your systolic pressure is more than 210 mmHg” of this
instruction manual, if your systolic pressure is known to be more than 210
mmHg. Inflating to a higher pressure than necessary may result in bruising of the
arm where the cuff is applied.
Data Transmission
Do not replace the battery or unplug the AC adapter when in use for wireless
communications. This may result in incorrect operation of the device or damage
to the data.
Do not place integrated circuit cards, magnets, metal objects, or other devices
that emit electromagnetic fields near the device when in use for wireless
communications. This may result in incorrect operation of the device or damage
to the data.
AC Adapter (optional accessory)
Fully insert the power plug into the outlet.
When disconnecting the power plug from the outlet, be sure to safely pull from
the power plug. Do not pull from the power cord.
When handling the power cord, take care not to do the following:
Wipe any dust off of the power plug.
Unplug the monitor when not in use.
Disconnect the power plug before cleaning.
Battery Usage
Do not insert the batteries with their polarities incorrectly aligned.
Use only 4 “AA” alkaline or manganese batteries with this device. Do not use
other types of batteries. Do not use new and used batteries together.
Remove the batteries if the device will not be used for three months or more.
If battery fluid should get in your eyes, immediately rinse with plenty of clean
water. Consult a physician immediately.
Use the battery within recommended period mentioned to it.
General Precautions
• Do not forcibly crease the arm cuff or the air tube excessively.
• Do not fold or kink the air tube while taking a measurement. This may cause
harmful injury by interrupting blood flow.
• To unplug the air plug, pull on the air plug at the connection with the monitor, not
the tube itself.
• Do not drop the monitor or subject the device to strong shocks or vibrations.
• Do not inflate the arm cuff when it is not wrapped around your arm.
• Do not use the device outside the specified environment. It may cause an
inaccurate reading.
• Use only an AC adapter, arm cuff, batteries and etc, specified for this device. Use
of unsupported adapters, arm cuff and batteries may damage and/or may be
hazardous to the device.
• Dispose of the device, components and optional accessories according to
applicable local regulations. Unlawful disposal may cause environmental pollution.
• Please check (for example, by observation of the limb concerned) if the device is
not causing a prolonged impairment of PATIENT blood circulation.
1. Know Your Device
Contents:
Monitor, arm cuff, battery set, instruction manual, quick start guide
Monitor:
Arm cuff:
Arm circumference 22 - 42 cm (9" - 17")
Display:
1.1 Display symbols
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 25% less or 25% more
than the average rhythm detected while
the monitor is measuring the systolic and
diastolic blood pressure.
If the irregular heartbeat symbol displays with your measurement results, we
recommend you consult your physician. Follow the directions of your
physician.
Movement Error Symbol ( )
The movement error symbol is displayed if you move your body during the
measurement. Please remove the arm cuff, and wait 2 - 3 minutes.
Take another measurement, remain still during measurement.
SYNC Symbol ( )
The SYNC symbol is displayed if the device is not connected to Telehealth
service receiver or if measured data is not transmitted successfully. Please
refer to “Connection failure. / Data is not being transmitted.” in section 4.2.
1.2 Wireless Function
Before use, thoroughly read the instruction manual included with the
Telehealth service receiver (in some cases, receiver may be your
smartphone) being used with this blood pressure monitor for instruction about
your monitor to Telehealth service receiver, and receiver transmission range.
It will be necessary for the blood pressure monitor to be within the receiver’s
transmission range to successfully transfer data. This Omron blood pressure
monitor is designed to connect to specific Bluetooth Smart receivers, and is
not guaranteed to connect to all Bluetooth Smart compatible devices and
Telehealth service receivers. “OMRON HEALTHCARE Co., Ltd. cannot
accept liability for any damages incurred due to impaired operation or
data loss, etc. that occur through the use of this product.”
1.3 Before Taking a Measurement
To help ensure an accurate reading, follow these directions:
1. Avoid bathing, drinking alcohol or caffeine, smoking, exercising and eating
for 30 minutes before taking a measurement.
2. Rest for at least 5 minutes before taking the measurement.
3. Stress raises blood pressure. Avoid taking measurements during stressful
times.
4. Measurements should be taken in a quiet place.
5. Remove tight-fitting clothing from your arm.
2. Preparation
Battery Installation
Below connection process (step 4 and 5) can only be completed when
inserting batteries.
1. Remove the battery cover.
2. Insert 4 “AA” batteries as
indicated, into the battery
compartment.
3. Replace the battery cover.
Notes:
• When the depleted battery symbol “ ” appears on the display, turn the
monitor off and remove all the batteries. Replace with 4 new batteries at the
same time. Long life alkaline batteries are recommended.
• The measurement values continue to be stored in memory even after the
batteries are replaced.
• The supplied batteries may have a shorter life than new batteries.
• Disposal of used batteries should be carried out in accordance with the
national/local regulations for the disposal of batteries.
4. The device will start the connection process.
As soon as inserting the batteries, it will automatically start to connect to the
Telehealth service receiver, as below.
If the display shown above does not appear, refer to “Connection failure.
/ Data is not being transmitted.” in section 4.2.
To retry connecting the Telehealth service receiver, remove batteries
and press [START/STOP] button for 2-3 times. Then start with step 2
again.
Note: If your Telehealth service receiver asks for a PIN code, enter the digits
of the PIN code located on the rating label at the bottom of the device.
5. Confirm the device is successfully connected.
If the device is connected successfully to the Telehealth service receiver, OK
symbol “ ” will appear on the display, as shown below.
If “Err” appears, refer to “Connection failure. / Data is not being
transmitted.” in section 4.2 for more detail.
Notes:
• We recommend keeping batteries in the device at all times, even if you
choose to use the AC adapter.
• If only the AC adapter is used without keeping the batteries in the device, the
device connection process (steps 4 and 5) is necessary each time you
unplug and plug back the AC adapter.
3. Using the Device
3.1 Applying the Arm Cuff
Remove tight-fitting clothing from your left upper arm. Do not place the arm
cuff over thick clothing.
1. Connect the air plug to the unit.
2. Wrap the arm cuff firmly in
place around your left upper
arm.
The bottom edge of the arm cuff
should be 1/2 inch (1 to 2 cm) above
the elbow. The air tube is on the inside
of your arm and aligned with your
middle finger.
Note: Please refer to the operating instruction of the HEM-RXL31 for applying
the extra large cuff.
3. Securely close with the
fabric fastener.
Notes:
• When you take a measurement on the
right arm, the air tube will be at the side of
your elbow. Be careful not to rest your arm
on the air tube.
• The blood pressure can differ between the right arm and the left arm, and
the measured blood pressure values can be different. Omron recommends
to always use the same arm for measurement. If the values between both
arms differ substantially, please check with your physician as to which arm
to use for your measurements.
3.2 How to Sit Correctly
To take a measurement, you need to
be relaxed and comfortably seated, at
a comfortable room temperature.
• Sit in a chair with your legs uncrossed
and your feet flat on the floor.
• Sit upright with your back straight.
• Sit with your back and arm being
supported.
• The arm cuff should be placed on your
arm at the same level as your heart.
3.3 Taking a Measurement
Notes:
• To stop the measurement, press the
[START/STOP] button once to deflate the arm cuff.
• Remain still and do not talk while taking a measurement.
• The reading is stored in the memory and cannot be viewed on the display.
1. Press the [START/STOP] button.
The arm cuff will automatically start to inflate.
2. Transfer your readings.
As soon as the measurement is completed, your readings will be
automatically transferred, as shown below.
If the connection symbol “ ” does not appear, refer to
“Connection failure. / Data is not being transmitted.” in section 4.2 for
more detail.
3. After data transfer is completed, press the [START/STOP]
button to turn the monitor off.
It will automatically turn off after 2 minutes.
Note: Wait 2-3 minutes before taking another measurement. Waiting between
measurements allows the arteries to return to their prior condition to
taking a measurement.
4. Remove the arm cuff.
DO NOT adjust medication based on measurement results from this blood
pressure monitor. Take medication as prescribed by your physician. Only a
physician is qualified to diagnose and treat high blood pressure.
Always consult your physician. Self-diagnosis of measurement results and
self-treatment are dangerous.
Read “What to do if your systolic pressure is more than 210 mmHg” of this
instruction manual, if your systolic pressure is known to be more than 210
mmHg. Inflating to a higher pressure than necessary may result in bruising of the
arm where the cuff is applied.
4. Error Messages and Troubleshooting
4.1 Error Messages
Do not damage. Do not break it.
Do not tamper with it. Do not forcibly bend or pull.
Do not twist. Do not bundle during use.
Do not pinch. Do not place under heavy objects.
Error Display Cause Solution
Irregular heartbeat is
detected.
Remove the arm cuff. Wait 2 - 3
minutes and then take another
measurement. Repeat the steps
in section 3.3. If this error
continues to appear, contact
your physician.
Movement during
measurement.
Carefully read and repeat the
steps in section 3.3.
Connection failure. /
Data is not being
transmitted.
Refer to “Connection failure. /
Data is not being transmitted.” in
section 4.2.
The batteries are low.
Recommend to replace 4
batteries with new ones at this
time.
Refer to chapter 2.
The batteries are depleted.
Immediately replace the 4
batteries with new ones.
Refer to chapter 2.
Air plug is disconnected.
Insert the plug securely.
Refer to section 3.1.
Arm cuff is applied too
loosely.
Apply the arm cuff tighter.
Refer to section 3.1.
Air is leaking from the arm
cuff.
Replace the arm cuff with a new
one.
Refer to section 5.3.
Movement during
measurement and the arm
cuff has not been inflated
sufficiently.
Repeat measurement. Remain
still and do not talk during
measurement.
Refer to section 3.3.
If “E2” appears repeatedly,
inflate the arm cuff manually
until it is 30 to 40 mmHg above
your previous measurement
result.
Refer to section 3.3.
The arm cuff was inflated
exceeding the maximum
allowable pressure, and
then deflated automatically.
Do not touch the arm cuff and/or
bend the air tube while taking a
measurement. Do not inflate the
arm cuff more than necessary.
Refer to section 3.3.
Movement during
measurement.
Repeat measurement. Remain
still and do not talk during
measurement.
Refer to section 3.3.
Movement during
measurement.
Clothing is interfering with
the arm cuff.
Remove any clothing interfering
with the arm cuff.
Refer to section 3.1.
Communication failed.
Refer to “Connection failure. /
Data is not being transmitted.” in
section 4.2.
Device error.
Contact your Telehealth service
provider.