ReliOn BP200W Owner's Manual
BP3NP1-3ERL-0813-2
Wrist Blood Pressure Monitor
Instruction Manual
Table of contents
1. Introduction
1.1. Features of the Wrist Blood Pressure Monitor
1.2. Inflation Mode Technology
1.3. Important information about self-measurement
2. Important information about blood pressure and its measurement
2.1. How does high/low blood pressure arise?
2.2. Which values are normal?
2.3. What can be done if regular high/low values are obtained?
3. Components of your blood pressure monitor
4. Using your blood pressure monitor for the first time
4.1. Inserting the batteries
4.2. Setting the date and time
5. Taking a blood pressure measurement
5.1. Before the measurement
5.2. Common sources of error
5.3. Fitting the cuff
5.4. Measuring procedure
5.5. Discontinuing a measurement
5.6. Irregular heartbeat detection
5.7. Hypertension risk indicator
5.8. Memory – storage and recall of the last 90 measurements
5.9. Memory – cancellation of all measurements
6. Battery charge indicator
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7. Error messages/troubleshooting
8. Care and maintenance
9. Warranty
10. Certifications
11. Technical specifications
12. How to contact us
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1. Introduction
1.1. Features of the Wrist Blood Pressure Monitor
This blood pressure monitor (with irregular heartbeat detection) is a fully
automatic, digital blood pressure measuring device for use on the wrist.
This monitor enables very fast and reliable measurement of your systolic
and diastolic blood pressure as well as pulse by way of the oscillometric
method of measuring. This device offers a very high and clinically tested
measurement accuracy and is designed for maximum user-friendliness.
Before using it, please read through this instruction manual carefully and
keep it in a safe place. For further questions on the subject of blood pressure and its measurement, please contact your doctor.
1.2. Inflation Mode Technology
Please note that this device employs our new “Inflation Mode Technology.”
This means your blood pressure is measured while the wrist cuff is inflating, rather than first inflating to a peak pressure and then measuring during a slow deflation process. This unique technology provides a faster,
more comfortable blood pressure reading for you.
If you have any questions about your blood pressure reading or monitor,
please call us at 1-855-776-0662.
Attention!
1.3. Important information about self-measurement
• Self-measurement means control, not diagnosis or treatment. Unusual
values must always be discussed with your doctor. Under no circumstances should you alter the dosages of any drugs prescribed by your
doctor.
• The pulse display is not suitable for checking the frequency of heart
pacemakers.
• In cases of irregular heartbeat, measurements made with this instrument should only be evaluated after consultation with your doctor.
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Electromagnetic interference:
The device contains sensitive electronic components. Avoid strong electrical or electromagnetic fields in the direct vicinity of the device (e.g.,
mobile telephones, microwave ovens). These can lead to temporary
impairment of the measuring accuracy.
2. Important information about blood pressure and its measurement
2.1. How does high/low blood pressure arise?
Your level of blood pressure is determined in the circulatory center of the
brain and adjusts to a variety of situations through feedback from the nervous system. To adjust blood pressure, the strength and frequency of the
heart (pulse), as well as the width of circulatory blood vessels is altered.
Blood vessel width is affected by way of fine muscles in the blood vessel
walls. Your level of arterial blood pressure changes periodically during
heart activity. During the "blood ejection" (Systole), the value is highest
(systolic blood pressure value). At the end of the heart’s "rest period"
(Diastole), pressure is lowest (diastolic blood pressure value). Your blood
pressure values must lie within certain normal ranges in order to prevent
particular diseases.
2.2. Which values are normal?
Blood pressure is very high if your diastolic pressure is above 100 mmHg
and/or your systolic blood pressure is over 160 mmHg, while at rest. In
this case, please consult your physician immediately. Long-term values at
this level endanger your health due to continual damage to the blood vessels in your body.
If your systolic blood pressure values are between 140 mmHg and 159
mmHg and/or the diastolic blood pressure values are between 90 mmHg
and 99 mmHg, consult your physician. Regular self-checks are necessary.
If you have blood pressure values that are too low (i.e., systolic values
under 105 mmHg and/or diastolic values under 60 mmHg), consult your
physician.
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Even with normal blood pressure values, a regular self-check with your
blood pressure monitor is recommended. You can detect possible changes
in your values early and react appropriately.
If you are undergoing medical treatment to control your blood pressure,
keep a record of values along with time of day and date.
Show these values to your physician. Never use the results of your
measurements
to independently alter the drug doses prescribed by
your physician.
Which values are normal?
The following standards for assessing high blood pressure (in adults) have
been established by the U.S. National Institutes of Health JNC7, 2003.
Category Systolic Diastolic
Normal Self-Check <120 and <80
Pre-Hypertension 120 - 139 or 80 - 89
Stage 1 Hypertension 140 - 159 or 90 - 99
Stage 2 Hypertension
(mmHg) (mmHg)
≥160 or ≥100
+ Further information
• If your values are mostly normal under resting conditions but exceptionally high under conditions of physical or psychological stress, it is
possible that you are suffering from so-called "labile hypertension."
Consult your physician.
• Correctly measured diastolic blood pressure values above 120 mmHg
require immediate medical treatment.
This device is not intended for use on children 12 years of age or
younger.
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2.3. What can be done if regular high/low values are obtained?
a) Consult your physician.
b) Increased blood pressure values (various forms of hypertension) are
associated with considerable health risks over time. Arterial blood vessels in your body are endangered due to constrictions caused by
deposits in the vessel walls (arteriosclerosis). A deficient supply of
blood to important organs (heart, brain, muscles) can result. Furthermore, the heart will become structurally damaged with increased
blood pressure values.
c) There are many different causes of high blood pressure. We differenti-
ate between the common primary (essential) hypertension and secondary hypertension. Secondary hypertension can be ascribed to specific organ malfunctions. Please consult your physician for information
about the possible origins of your own increased blood pressure values.
d) There are measures you can take to reduce and even prevent high
blood pressure. These measures must be permanent lifestyle changes.
1) Eating habits
• Strive for a normal weight corresponding to your age. See your doctor
for your ideal weight.
• Avoid excessive consumption of common salt.
• Avoid fatty foods.
2) Previous illnesses
Follow consistently any medical instructions for treating illness such as:
•
• Diabetes (diabetes mellitus)
• Fat metabolism disorder
• Gout
3) Habits
• Give up smoking completely.
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• Drink only moderate amounts of alcohol.
M
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• Restrict your caffeine consumption (e.g., coffee).
4) Physical constitution
• After a preliminary medical examination, do regular exercise.
• Choose sports which require stamina and avoid those which require
strength.
• Avoid reaching the limit of your performance.
• With previous illnesses and/or an age of over 40 years, please consult
your doctor before beginning your exercise routine. He will advise you
regarding the type and extent of exercise that is appropriate for you.
3. Components of your blood pressure monitor
The illustration shows your blood pressure monitor, consisting of:
Universal Size
Wrist Cuff
Time/Date Button
Hypertension
Risk Indicator
ON/OFF/START
Button
Memory Recall
Battery Cover
Fits wrist size 13.5-19.5 cm (5.3"-7.7")
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4. Using your blood pressure monitor for the first time
TIME PM
4.1. Inserting the batteries
After you have unpacked your device, insert the batteries. The battery
compartment is located on the underside of the device.
a) Remove the battery cover.
b) Insert the batteries (2 x size AAA 1.5 V), following the indicated polarity.
c) If the battery warning appears in the display, the batteries are
discharged and must be replaced with new ones.
Attention!
• Please use «AAA» Long-Life or Alkaline 1.5 V batteries.
4.2. Setting the date and time
1. After the new batteries are activated, the year number flashes in the
display. You can advance the year by pressing
the "M" button. To confirm and then set the
month, press the time button.
2. You can now set the month using the "M" button. To confirm and then set the day, press the
time button.
3. Please follow the instructions above to set the
day, hour and minutes.
4. Once you have set the last minute and pressed
the time button, the date and time are set and
the time is displayed.
5. If you want to change the date and time, press
and hold the time button down for approx. 3
seconds until the year starts to flash, then
release and press the time button again. The
year will now be flashing and you can enter the
new values as described above.
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Memory
Button
Time/Date
Button
5. Taking a blood pressure measurement
Please note: You should always be seated before and during the
measurement.
5.1. Before the measurement:
• Avoid eating, smoking as well as all forms of exertion directly before
your measurement. These factors influence the measurement result.
Relax by sitting in an armchair in a quiet atmosphere for about ten
minutes before your measurement.
• Always measure on the same wrist (normally left).
• Compare readings at the same time of day, since your blood pressure
changes during the course of the day.
5.2. Common sources of error
Note:
Comparable blood pressure measurements always require the
same conditions. These are normally always quiet conditions.
• All efforts to support the arm can increase blood pressure. Make sure
you are in a comfortable, relaxed position and do not flex any of the
muscles in the measurement arm during the measurement. Use a
cushion for support if necessary.
• If the wrist artery lies considerably lower (higher) than the heart, an
erroneously higher (lower) blood pressure will be measured. (Each 15
cm/6"
difference in height results in a measurement error of 10 mmHg.)
• A loose cuff causes false measurement values.
• With repeated measurements, blood can accumulate in the respective
arm, which can lead to false results. Correctly executed blood pressure measurements should therefore first be repeated after a 1
minute pause or after the arm has been held up in order to allow the
accumulated blood to flow away.
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5.3. Fitting the cuff
0.5 - 1.0 cm
(¼” - ½”)
M
T
a) Remove all objects and jewelry (e.g., wrist-
watch) from the wrist in use. Put the cuff
over the wrist with the monitor face on the
inside of the wrist.
b) The distance between the cuff and the
hand should be approx. 10 mm (1/2").
c) Secure the cuff with the hook and loop fas-
tener so that it lies comfortably and not
too tight. No space should remain between
the cuff and the wrist.
d) Support the arm with a small cushion so
that the cuff rests at about the same
height as the heart. Remain still for 2 minutes before beginning the measurement.
5.4. Measuring procedure
After the cuff has been appropriately positioned the measurement can begin:
a) Press the ON/OFF button to begin. After
pressing the ON/OFF button you will hear a
series of short beeps and the pump begins to
inflate the cuff. On the display, the increasing cuff pressure is continually shown.
b) After reaching the proper inflation pres-
sure, the pump stops and the pressure
slowly falls. The cuff pressure is displayed
during the measurement. When the device
has detected the pulse, the heart symbol in
the display begins to blink.
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Pulse Detected -
Unit measuring
c) When the measurement has been con-
cluded, air in the cuff is released. The
measured systolic and diastolic blood
pressure values as well as the pulse are
now displayed. (Pulse=number of heartbeats each minute) Example (Fig.): Systolic 118, Diastolic 73, Pulse 75. The
measurement results are displayed for
about one minute.
5.5. Discontinuing a measurement
If it is necessary to interrupt a blood pressure
measurement for any reason (e.g., the patient
feels unwell), the ON/OFF button can be pressed
at any time. The device then immediately lowers
the cuff pressure automatically and enters into
sleep mode.
5.6. Irregular heartbeat detection
This symbol indicates that certain
pulse irregularities were detected during
the measurement. In this case, the result
may deviate from your normal basal blood
pressure – repeat the measurement. In
most cases, this is no cause for concern.
However, if the symbol appears on a regular basis (e.g., several times a week with
measurements taken daily), we advise you
to tell your doctor.
Please show your doctor the following
explanation:
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Information for the doctor on frequent appearance of the
irregular heartbeat symbol
This instrument is an oscillometric blood pressure monitor device that
also analyzes pulse frequency during measurement. The instrument is
clinically tested.
If pulse irregularities occur during measurement, the irregular heartbeat
symbol is displayed after the measurement. If the symbol appears more
frequently (e.g., several times per week on measurements performed
daily) or if it suddenly appears more often than usual, we recommend the
patient to seek medical advice.
The instrument does not replace a cardiac examination but serves to
detect pulse irregularities at an early stage.
5.7. Hypertension risk indicator
The bars on the left-hand edge of the LCD show you the range within
which the indicated blood pressure value lies. Depending on the height of
the bar, the readout value is either within the normal (green), borderline
(yellow) or danger (orange, red) range.
The classification is based on standards established by the National Institutes of Health JNC7, 2003. Refer to the chart in section 2.2 of this
instruction manual for details of the classifications.
Indication of a
“Normal” Blood
Pressure
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Indication of a “PreHypertension” Blood
Pressure
Indication of a “Stage 1
Hypertension” Blood
Pressure
Indication of a “Stage 2
Hypertension” Blood
Pressure
The traffic light bar raises according to your measurement.
• If the bar is in the green zone, your measurement is "Normal" according to NIH standards
• If the bars are in the yellow zone, your measurement is "Pre-Hypertension" according to NIH standards
• If the bars are in the orange zone, it is "Stage 1 Hypertension"
• If the bars are in the red zone, it is "Stage 2 Hypertension"
5.8. Memory – storage and recall of the measurements
With the unit OFF, press and hold the MEMORY button. The screen will
show "A" followed by an average of all stored readings. The "M" symbol
is displayed in the lower left. Each time you press the memory button an
earlier measurement will be displayed along with time and date.
When the memory has stored 90 results a new measured value is stored
by overwriting the oldest value.
5.9. Memory – cancellation of all measurements
Attention!
Before proceeding to clear all the memory, make sure
that you don’t have to make reference to the readings
in the future.
If you are sure that you want to permanently remove all
stored values, hold down the "M" button (the instrument must have been switched off beforehand) until
"CL" appears and then release the button. If you do not
want to clear the values, press the ON/OFF button. To
permanently clear the memory, press the "M" button
while "CL" is flashing.
Individual values cannot be cleared.
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