Panasonic Blood Pressure Monitor EW3153 User Manual

Instructions  
Upper Arm Blood Pressure  
Model  
EW3153  
Before operating this device, please read these instructions completely and  
save this manual for future use.  
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Panasonic Oscillometric Diagnostec™ Automatic Arm Blood Pressure  
Monitor Model EW3153 is a device intended to measure systolic and  
diastolic blood pressure and pulse rate of an adult individual by using  
a pressurized cuff on the arm. The device is not intended for use on  
infants and children. The device is designed for home use only, not for  
ambulatory measurement (measurement recorded continuously during  
the day).  
Specification of this device including pulse rate (30–160 pulse/min. +/–  
5%) are listed in page ꢀ9.  
Blood pressure measurements determined with this device are  
equivalent to those obtained by a trained observer using the cuff/  
stethoscope auscultation method, within the limits prescribed by the  
American National Standard, Manual, Electronic or automated  
sphygmomanometers.  
If you suffer from disorder of heart rhythm, known as arrhythmia only  
use this blood pressure monitor in consultation with your doctor. In  
certain cases oscillometric measurement method can produce  
incorrect readings.  
Flashing System for hypertensive readings are based on blood  
pressure values classified in the paper: “JNC 7 Express; The Seventh  
Report of the Joint National Committee on Prevention, Detection,  
Evaluation and Treatment of High Blood Pressure; U.S. DEPARTMENT  
OF HEALTH AND HUMAN SERVICES; National Institute of Health;  
National Heart, Lung, and Blood Institute; National High Blood  
Pressure Education Program; NIH Publication No. 03-5ꢀ33; May ꢀ003.”  
The display values are generally known, but not proven, to be an  
indicator of your blood pressure.  
The EW3153 is not intended to be used as a diagnostic device.  
Contact your physician if prehypertensive or hypertensive values are  
indicated.  
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1
Table of Contents  
Introduction ............................................................................................... 3  
Basics of Blood Pressure ......................................................................... 3  
Important Instructions Before Use ............................................................ 4  
Precautions to Ensure Safe, Reliable Operation ...................................... 6  
Easily Check Your Blood Pressure Readings Against  
the JNC 7* Classification .......................................................................... 8  
Preparations Prior to Taking Measurements ............................................. 9  
Parts Identification .................................................................................. 10  
When Using the Main Unit with the AC Adapter ..................................... 11  
When Using the Main Unit with Batteries ............................................... 1ꢀ  
Inserting the Batteries into the Wireless Display .................................... 13  
Setting the Time and Date ...................................................................... 14  
Taking a Reading .................................................................................... 15  
Storing and Calling up Blood Pressure Readings .................................. ꢀ4  
Comparing AM and PM Average Systolic Blood Pressure ..................... ꢀ7  
After Use ................................................................................................. ꢀ8  
Specifications ......................................................................................... ꢀ9  
Q & A ...................................................................................................... 30  
Care and Maintenance ........................................................................... 3ꢀ  
Troubleshooting ...................................................................................... 33  
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Introduction  
Thank you for purchasing the Panasonic Automatic Arm Blood Pressure  
Monitor EW3153.  
Measuring your own blood pressure is an important way of monitoring  
your health. High blood pressure (hypertension) is a major health problem  
which can be treated effectively once detected. Measuring your blood  
pressure between doctor visits on a regular basis in the comfort of your  
home, and keeping a record of the measurements, will help you monitor  
any significant changes in your blood pressure. Keeping an accurate  
record of your blood pressure will help your doctor diagnose and possibly  
prevent any health problems in the future.  
Basics of Blood Pressure  
Your heart acts like a pump, sending blood surging through your blood  
vessels each time it contracts. Blood pressure is the pressure exerted by  
blood pumped from the heart on the walls of blood vessels. Systolic  
pressure is the pressure exerted when the heart contracts and pumps  
blood into the arteries. Diastolic pressure is the pressure exerted when the  
heart expands, or relaxes. When you or your doctor take your blood  
pressure, both your systolic and diastolic pressures are measured. If your  
blood pressure measurement is 1ꢀ0 mmHg over 80 mmHg (1ꢀ0/80), for  
example, your systolic pressure is 1ꢀ0 mmHg while your diastolic pressure  
is 80 mmHg.  
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3
Important Instructions Before Use  
1. Do not confuse self-monitoring with self-diagnosis. Blood pressure  
measurements should only be interpreted by a health professional who  
is familiar with your medical history.  
ꢀ. If you are taking medication, consult with your physician to determine the  
most appropriate time to measure your blood pressure. NEVER change  
a prescribed medication without first consulting with your physician.  
3. Blood pressure can vary based on many factors, including age, gender,  
weight and physical condition. In general, a person’s blood pressure is  
lower during sleep and higher when he or she is active. Blood pressure  
can change easily in response to physiological changes. The setting in  
which a person’s blood pressure is measured can also affect the results.  
Having one’s blood pressure measured by a healthcare professional in  
a hospital or clinic can cause nervousness and may result in a  
temporarily elevated reading. Because blood pressure measurements  
taken in a clinical setting can vary considerably from those taken at  
home, a person’s blood pressure should be measured not only  
occasionally in the doctor’s office, but also on a regular basis at home.  
Also, if you find that your blood pressure is lower at home, this is not  
unusual. To accurately compare with your physician’s reading, take  
your Panasonic blood pressure monitor to your doctor’s office and  
compare readings in this setting.  
4. People suffering from cardiac arrhythmia, vascular constriction, liver  
disorders or diabetes, people with cardiac pacemakers or a weak  
pulse, and women who are pregnant should consult their physician  
before measuring their blood pressure themselves. Different values  
may be obtained due to their condition.  
5. Try to take your blood pressure measurements at the same time and  
under the same conditions every day.  
• The ideal time to measure your blood pressure (to obtain your so-  
called “base blood pressure”) is in the morning just after waking up,  
before having breakfast and before any major activity or exercise. If  
this is not possible, however, try to take measurements at a specified  
time prior to breakfast, and before you have become active.You  
should relax for about 5 minutes before taking the measurement.  
• The following situations may cause substantial variations in blood  
pressure readings and should therefore be avoided at least  
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4
30 minutes prior to taking your blood pressure.  
Blood pressure will be higher than usual:  
- when you are excited or tense  
- when you are taking a bath  
- during exercising or soon after exercising  
- when it is cold  
- within one hour after eating  
- after drinking coffee, tea or other beverages containing caffeine  
- after smoking tobacco  
- when your bladder is full  
- when in a moving vehicle  
Blood pressure will be lower than usual:  
- after taking a bath  
- after drinking alcohol  
6. Measurements may be impaired if this unit is used near a television,  
microwave oven, X-ray equipment or other devices with strong  
electrical fields. To prevent such interference, use the unit at a sufficient  
distance from such devices or turn the devices off.  
7. This unit is designed for use by adults. Consult with your physician  
before using this unit on a child. Do not use on infants or toddlers.  
8. This unit is not suitable for continuous monitoring during medical  
emergencies or operations.  
9. Do not use the unit for any purpose other than measuring blood  
pressure. Do not use the unit together with other devices.  
10.Improper handling of batteries may result in battery rupture or in  
corrosion from battery leakage. Please observe the following to ensure  
proper use of batteries.  
a. Be sure to turn off the power after use.  
b. Do not mix different types or sizes of batteries.  
c. Change all batteries at the same time. Do not mix old and new  
batteries.  
d. Be sure to insert batteries with correct polarity, as instructed.  
e. Remove batteries when they are worn out, and dispose of them  
properly according to all applicable environmental regulations.  
f. Do not disassemble batteries or throw them into a fire.  
g. Do not short-circuit batteries.  
h. Do not attempt to recharge the batteries included with the unit.  
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5
Precautions to Ensure Safe, Reliable Operation  
1. Do not drop the unit. Protect it from sudden jars or shocks.  
ꢀ. Do not insert foreign objects into any openings.  
3. Do not attempt to disassemble the unit.  
4. If the unit has been stored at temperatures below 0 °C (3ꢀ °F), leave it  
in a warm place for about 15 minutes before using it. Otherwise, the  
cuff may not inflate properly.  
5. Do not store the unit in direct sunlight, high humidity or dust.  
6. When cleaning, unplug the AC adapter from the AC outlet before  
cleaning. Also, do not plug in or unplug the AC adapter with wet hands.  
Doing so may result in electric shock or fire.  
7. Do not spill water on the main unit, wireless display or AC adapter.  
Doing so may cause electric shock, short-circuiting, or product  
damage.  
8. Do not use the AC adapter if it is damaged or if it plugs into the AC  
outlet loosely. Doing so may result in electric shock or short-circuiting.  
9. If the product does not operate properly or seems strange, stop use  
and unplug the AC adapter immediately, and request inspection and  
service. Failure to do so could result in the risk of an accident, electric  
shock, or fire.  
10.When using the AC adapter, make sure it is fully inserted into the AC  
outlet. Failure to do so could result in electric shock or short-circuiting.  
11.When the product is not in use, unplug the AC adapter from the AC  
outlet. Failure to do so could result in deterioration of the insulation due  
to dust or moisture, causing a leakage electricity fire.  
1ꢀ.When unplugging the AC adapter, do not pull on the cord. Always grasp  
the AC adapter body and unplug it. Failure to do so could result in the  
risk of electric shock, short-circuiting, or fire.  
13.Do not insert any object in the AC adapter or allow debris to collect on  
it. Doing so could result in the risk of electric shock, short-circuiting, or  
fire.  
14.Do not scratch, damage, modify, forcibly bend, pull, or twist the AC  
adapter cord. In addition, do not place heavy objects on top of the cord  
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6
or pinch it with objects. Do not wrap the cord around the main unit and  
the AC adapter. Doing any of these things may result in the risk of fire  
or electric shock.  
15.Do not step on the AC adapter. Doing so may cause an accident or  
injury.  
16.Do not use a voltage converter. Doing so may cause fire or electric  
shock.  
17.This AC adapter is designed for use only with Panasonic Blood  
Pressure Monitor, model EW3153. Use with other electrical devices  
may result in death or serious personal injury.  
18.ALWAYS unplug the AC adapter from the power outlet before  
performing maintenance.  
19.Do not let this product to be used by children.  
ꢀ0.Do not let this product to be used by people who cannot express their  
feelings, or who cannot operate the product by themselves. Do not use  
the unit on an arm where a catheter has been inserted. Such use may  
result in an accident or injury.  
ꢀ1.Use AC adapter only with electrical outlet of voltages marked on name  
plate. For use in the U.S.A., use AC adapter only with AC 1ꢀ0 V  
electrical outlet. Use with electrical outlets at other voltages may results  
in the risk of fire, electric shock, or burns.  
ꢀꢀ.Do not allow any material to drape over the AC adapter. Doing so could  
result in the risk of fire.  
ꢀ3.Do not modify or attempt to repair the product or AC adapter by  
yourself.  
Doing so could result in the risk of fire, electric shock, or personal  
injury.  
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7
Easily Check Your Blood Pressure Readings  
Against the JNC 7* Classification  
Blood Pressure Categories  
Stage 2 Hypertension e.g.: SBP 165  
DBP105  
100  
Stage 1 Hypertension e.g.: SBP 150  
DBP 95  
90  
Prehypertension e.g.  
:
SBP 130  
DBP 85  
80  
Normal e.g.:SBP 115  
DBP 75  
120 140 160  
Systolic Blood Pressure (SBP)  
If the two blood pressure measurements (systolic, diastolic) fall into  
separate categories, your level is classified in the higher of the two  
categories. For example, a Stage ꢀ systolic reading, but a diastolic  
pressure reading in the normal range.  
*JNC 7: The Seventh Report of the Joint National Committee on  
Prevention, Detection, Evaluation and Treatment of High Blood Pressure  
National Institute of Health (NIH) Publication; No. 03-5ꢀ33, May ꢀ003  
IMPORTANT:  
• Do not be alarmed by temporarily high or low readings because  
fluctuations in a person’s blood pressure are not uncommon. If possible,  
measure and record your blood pressure at the same time every day,  
and consult your physician if you have questions or concerns.  
• If abnormal variations in blood pressure are observed in measurement,  
please consult your physician.  
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8
Preparations Prior to Taking Measurements  
To use this product, the power supplies are required for both the  
main unit and the wireless display.  
Main unit  
Wireless display  
Power supply  
• ꢀ AA-size LR6 batteries  
Approximately ꢀ000  
Power supply  
• Exclusive AC adapter (EW31555)  
(included) or  
• 4 AA-size Panasonic LR6 batteries  
Approximately 150 measurements  
can be taken.  
measurements can be taken.  
Depending on the conditions,  
battery life may be dramatically  
shorter.  
Use of the main unit with the  
dedicated AC adapter (EW31555)  
(included) is recommended.  
Main unit and wireless display are not sold separately and cannot be  
purchased as replacement parts.  
For Batteries  
• Unit with batteries can be used up to 6 times a day when using  
Panasonic Alkaline batteries (AA-sized LR6 batteries) under the following  
conditions:  
Room temperature: 73 °F (ꢀ3 °C)  
Pressurized to 170 mmHg  
Circumference of the arm: 11-51/64(30 cm)  
• If batteries other than alkaline batteries are used or batteries are used in  
a room colder than 73 °F (ꢀ3 °C), and when measuring a person with  
thin arms or high blood pressure, battery life may be dramatically  
shortened.  
*Use alkaline batteries. (Panasonic Oxyride batteries can also be used.)  
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9
Parts Identification  
Main unit  
1
2
Measuring section  
Pressure cuff  
Battery cover for main unit  
Battery cover  
for main unit  
Bottom of main unit  
3
4
5
IR transmitter (on both sides)  
Connector  
Arm support  
The angle of this product can be  
adjusted so that measurements can  
be taken without having to be in a  
forced posture.  
View from Top  
Elbow rest  
6
7
8
Quick air release button  
Handle  
On/Off and Start button  
AC Adapter (EW31555)  
(included)  
Power cord  
AC adaptor  
Plug  
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10  
Parts Identification (continued)  
Wireless display  
View from Bottom  
1
2
3
4
5
6
7
8
9
Blood pressure indicator  
Display  
Memory/Recall button  
User selection button  
Battery cover for wireless display  
IR receiver  
Set button  
Adjust button (Display off)  
AM/PM comparison button  
*Specifications of the product or parts may be changed without prior notice.  
When Using the Main Unit with the AC Adapter  
Be sure to use only the exclusive AC adapter (included).  
Do not use the power cord with any product other than this AC  
adaptor (EW31555).  
Use of other AC adapters could cause damage to the unit or physical  
harm to the user.  
AC 1ꢀ0 V  
1. Connect the power cord to the  
AC adaptor.  
2. Insert the AC adapter plug into  
the connector on either side of  
the main unit.  
3. Plug the power cord fully into  
the AC outlet.  
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11  
When Using the Main Unit with Batteries  
*Always use alkaline batteries. (4 AA-size Panasonic LR6 alkaline  
batteries)  
• When replacing batteries, always use 4 fresh alkaline batteries of the  
same type from the same manufacturer, and replace them  
simultaneously.  
1. Turn the main unit over and  
remove the battery cover by  
sliding it in the direction of  
the arrow while pressing  
lightly on the  
mark.  
2. Check the polarities of the  
batteries and install them  
correctly.  
3. Replace the battery cover  
and slide it closed.  
Notes for using the main unit with batteries  
Approximately 150 measurements can be taken. Depending on the  
conditions, battery life may be dramatically shortened.  
Use of the main unit with the dedicated AC adapter (EW31555)  
(included) is recommended.  
Replace batteries when:  
• The mark shown to the left appears during use.  
• No display appears even if the On/Off and Start button is  
pressed.  
CAUTION:  
• Always follow the cautions printed on the batteries.  
• Check the polarities of the batteries and install them correctly.  
• Remove exhausted batteries promptly.  
• If the product will not be used for long periods of time, remove the  
batteries first.  
• Batteries should be used before their expiration date.  
Use after the expiration date may result in injury or staining of the  
surrounding area due to generation of heat, bursting, or leakage.  
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1ꢀ  
Inserting the Batteries into the Wireless Display  
*Always use alkaline batteries. (2 AA-size LR6 alkaline batteries)  
• When replacing batteries, always use ꢀ fresh alkaline batteries of the  
same type from the same manufacturer, and replace them  
simultaneously.  
1. Turn the wireless display over and remove  
the battery cover by sliding it in the  
direction of the arrow while pressing  
lightly on the  
mark.  
2. Check the polarities of the batteries and  
install them correctly.  
3. Replace the battery cover and slide it  
closed.  
Replace batteries when:  
• The mark shown at left appears during use.  
In this case, press the On/Off and the Start button on the  
main unit to interrupt the measurement.  
If both batteries for the main unit and the wireless display must be  
replaced at the same time,  
are alternately displayed.  
(main unit) and  
(wireless display)  
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13  
Setting the time and date  
*Please be sure to set the date and time before taking the first  
measurement after purchasing the blood pressure monitor, or after  
replacing the batteries.  
(If you attempt to take measurements without first setting the time and  
date then “–” will be displayed.)  
1. Press the Set button “1” on the wireless  
display for at least 3 seconds.  
2. Adjust the month.  
Press the Adjust button “ꢀ” to adjust the  
number of the month.  
3. Adjust the date.  
(1) Press the Set button “1” and the number for  
the date will flash.  
(ꢀ) Press the Adjust button “ꢀ” to adjust the  
number of the date.  
4. Adjust the hour.  
(1) Press the Set button “1” and the time will  
flash on and off.  
(ꢀ) Press the Adjust button “ꢀ” to adjust the  
number of the hour.  
5. Adjust the minutes.  
(1) Press the Set button “1” and the number for  
minutes will flash.  
(ꢀ) Press the Adjust button “ꢀ” to adjust the  
number of minutes.  
6. Finally, synchronizing with a time signal,  
press the Set button “1” to complete the  
procedure.  
• The date and time are alternately displayed in  
approximately ꢀ seconds.  
7. Press the Adjust button “2” to turn off the unit.  
During leap years, 3/1 will be displayed when it is February ꢀ9th. Please  
manually reset the date to ꢀ/ꢀ9.  
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14  
Taking a Reading  
Advice:  
In general, blood pressure measurements are lower on the second  
attempt because you are calmer.  
For people who easily get tense, measuring twice each time is advised.  
When two measurements are taken, normally the smaller  
measurement is stored.  
When taking two measurements, always stay quiet for 4 to 5 minutes  
after the first measurement before taking the second measurement.  
Getting into the proper position for taking a measurement  
Place the main unit on a table so that it is flat and the center of  
the unit is at heart height.  
*Differences in height will cause differences in blood pressure values.  
If the heights of the chair and table are not suitable, you may have to lean  
forward. In this case, form a stable stack of books or similar objects under  
the main unit to adjust the height of the main unit.  
*You cannot use the unit while lying down. Use only in a sitting position.  
1
Put the main unit on a table in front of you  
and slide your arm through the  
measurement section of the unit.  
• Remove your shirt or roll up your sleeve so  
that the measuring section will be on your  
bare skin.  
• If rolling up your sleeve causes pressure on  
your arm or underarm, remove your shirt for  
measurements.  
Be sure that the rolled-up sleeve is not  
inside the cuff area when taking  
measurements.  
2
Place your elbow on the elbow rest with  
your palm up and relax.  
Elbow rest  
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15  
3
Place the wireless display in front of your  
body where you can see it easily.  
• The main unit and the wireless display  
transmit/receive the measured values  
through infrared rays. (See page 18.)  
• Do not put your hand or any other objects in  
front of the wireless display.  
Differences in blood pressure values between  
the left and right arms may be around  
10 mmHg. The blood pressure can be  
measured in either the left or right arm, but all  
measurements should be taken using the  
same arm for comparative consistency.  
Posture to obtain accurate measurements  
Measure on bare skin.  
Put your elbow on the elbow rest.  
Put your palm up and relax.  
Stretch your back.  
Place the wireless display where  
you can see it easily.  
Place the main unit in  
front of you on a table  
at heart height.  
Do not put your hand or any other  
objects in front of the wireless display.  
Cautions to obtain accurate measurements  
Sit quietly and relax while taking measurements.  
Do not lean forward  
with your body at an  
angle during  
Do not let your rolled- Do not take  
up sleeve be inside the measurements at the  
measuring section. elbow. Place your elbow  
Roll your sleeve far up in the elbow rest.  
measurements.  
Take measurements in your arm.  
the proper posture.  
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16  
Taking a Reading (continued)  
Do not take measurements.  
• Within 1 hour of eating or drinking alcohol  
• Immediately after drinking coffee or tea, or smoking  
• In a moving vehicle  
• Immediately after exercising or taking a bath  
(Wait at least ꢀ0 minutes and take a measurement while staying quiet.)  
• In cold places  
[Take measurements at room temperatures around ꢀ0 °C (68 °F).]  
• When you need to urinate  
(Wait several minutes after urinating before taking measurements.)  
Be sure to obey the following points for accurate measurements:  
• Do not move your body, arm, or fingertips.  
• Do not touch the main unit.  
• Do not talk.  
• Do not use a cellular phone near the main unit.  
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17  
Positions of the main unit and the wireless display  
Your body reflects infrared • Face the wireless display towards you  
rays.  
into position within reach of your hand  
[within approx. 23(60 cm)].  
*Do not put your hand or any other objects  
in front of the wireless display.  
The main unit and the wireless display  
communicate with each other using infrared  
rays.  
Infrared rays are transmitted from the  
transmitter on the side panel of the main  
unit, and reflected on your body and then  
received on the bottom of the front panel of  
the wireless display. The units may not  
communicate due to improper positioning of  
the wireless display or other environmental  
conditions (lighting, sunlight, etc.) In those  
cases, place the wireless display closer to  
your body.  
For the measurement on  
your left arm  
The same range  
(restrictions) as the  
measurement on your left  
arm is applied.  
*If you place the wireless display where it  
cannot receive signals from the main unit,  
and then press the On/Off and the Start  
button, the main unit starts a measurement  
but nothing appears on the wireless display.  
*If the wireless display is placed where it can  
receive signals from the main unit while the  
measurement is executed, results are  
displayed.  
For the measurement on  
your right arm  
If the wireless display cannot receive signals from the  
main unit, the mark flashes on the wireless  
display (on the display panel) as shown in the figure  
on the left.  
In this case, set the wireless display in the proper  
position.  
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18  
Taking a Reading (continued)  
Measurement  
1
Press the On/Off and Start button on the main  
unit.  
(1) After the entire display on the wireless display  
has been lit, the pressure cuff will be tightened  
automatically.  
(ꢀ) Pressurization will be performed automatically  
and measurements will be taken.  
*It may take about 1 second for the wireless display  
to turn on after pressing the On/Off and the Start  
button. This is not abnormal.  
*The angle of the main unit may change slightly  
while pressurizing. This will not affect accuracy.  
The entire display  
will light for approx.  
1 second.  
2
When measurement has been completed, the  
blood pressure and pulse values will be  
displayed.  
The cuff will loosen after the measurement  
result has been shown for about 5 seconds.  
The pressure cuff  
will be tightened  
automatically.  
• The blood pressure indication ( mark) will flash  
for 6 seconds then stay lit. If the measurement is  
high, it will also flash for 6 seconds to indicate high  
blood pressure. (See page ꢀꢀ.)  
• The mark will light. (For storing measurement  
values, see page ꢀ4.)  
• The pulse rate value is the beats per minute  
calculated based on the pulse rate during  
measurement.  
• The mark is displayed when pulse rate could not  
be measured.  
The heart mark  
will blink when pulse  
is detected during  
pressurization.  
3
4
Remove your arm from the main unit.  
To switch off the blood pressure monitor, press  
the On/Off and Start button on the main unit.  
• If you forget to switch it off, the blood pressure  
monitor will switch off automatically after  
approximately ꢀ minutes.  
• When the Adjust button “ꢀ” on the wireless display  
is pressed, indications disappears but the power  
of the main unit is still on for about ꢀ minutes.  
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19  
Movement detection function  
If movement is detected while measurement is being taken and more  
pressure is applied by the pressure cuff, the  
• Please redo blood pressure measurement again if the  
or is lit.  
mark will be displayed.  
mark flashes  
• If the arm to which the pressure cuff is attached is moved while  
measurement is being taken (e.g. the elbow is bent suddenly), in some  
cases correct measurements may not be obtained.  
• When movement has been detected during measurement, the  
mark flashes when the blood pressure reading obtained during that  
measurement is displayed.  
(If this reading is saved, the  
mark will light whenever it is recalled.)  
Movement Mark  
Explanation  
Movement has been detected.  
· The elbow has been bent suddenly.  
· The upper arm has been tensed.  
· The arm has been moved, etc.  
With correct posture, please take the measurement  
again after measurement has been completed (see  
page 16).  
Flashing  
Movement has been detected that will significantly  
affect the reading.  
· Significant movement has been detected.  
· Movement has been detected repeatedly.  
· Significant arm movement has been detected, etc.  
Please take the measurement again (a  
appear on the display).  
will  
Lit  
*This function is designed to help you to take measurements accurately  
(see page 33). Even if the Movement mark is not displayed, we  
recommend that measurements be taken ꢀ times, with 5 minutes  
between readings, in order to obtain an accurate reading (see pages 15–  
18 for correct position).  
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ꢀ0  
Taking a Reading (continued)  
Irregular pulse function  
If the pulse rate varies by more than ±ꢀ5% from the average while a  
measurement is being taken, when measurement is completed the  
mark will be displayed.  
• The  
mark will be lit after approx. 6 seconds of blinking when  
the measurement is completed.  
• If the  
mark is lit, please take the measurement again.  
• In some cases, if the pulse rate fluctuates greatly while a measurement  
is being taken, it may be impossible to obtain an accurate reading.  
(Flashes.)  
(Is lit.)  
• If you save a reading where an irregular pulse was recorded, the  
mark will be displayed when you recall that reading.  
If the  
mark is displayed an irregular pulse rate is detected,  
not necessarily due to atrial fibrillation. However, if this mark continues  
to be displayed in subsequent readings, please consult with your  
physician.  
*This function is designed to act as a guide to help you to obtain  
accurate readings (Please see pages 15–18).  
*If the  
mark is frequently displayed, please consult a health  
professional for your health condition.  
Don’t try to interpret readings or attempt to treat any condition  
yourself.  
Always follow the guidance of a health professional.  
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ꢀ1  
Alarm function signals high blood pressure  
Blood pressure values for both systolic and diastolic readings are  
determined and indicated via mark in the display as being within normal  
or hypertensive ranges based on definitions and classification of blood  
pressure levels by the JNC 7. Moreover, when blood pressure is in the high  
range, the reading displayed on screen flashes on and off to alert user.  
According to JNC 7 Classification, values consistently in excess of  
140 mmHg (Sys.) and/or 90 mmHg (Dia.) are considered to constitute high  
blood pressure.  
Blood pressure  
sign  
mark  
positions  
g
(mmH )  
Diastolic  
Hypertension  
(Stage 1, Stage 2)  
Orange  
90  
80  
Yellow  
Green  
Prehypertension  
Normal  
g
(mmH )  
120 140  
Systolic  
• Blood pressure readings will flash for approx. 6 seconds  
when in the high blood pressure range.  
Systolic blood pressure: 140 mmHg and over  
Diastolic blood pressure: 90 mmHg and over  
(Only when measurement is complete)  
When an Error Occurs During Measurement  
A
will appear on the display to indicate that measurement  
was unsuccessful and should be performed again.  
Before performing another measurement, always press the  
On/Off and Start button to turn off the unit and make sure to  
allow a rest period of 4 to 5 minutes before starting again.  
Please consult your doctor without delay if the blood  
pressure indicator repeatedly displays to elevated blood  
pressure values.  
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ꢀꢀ  
Taking a Reading (continued)  
To interrupt measurements quickly  
Press the Quick air release button.  
If pressure cuff will not deflate quickly enough  
even if the On/Off and Start button is pressed,  
press and hold the quick air release button on top  
of the unit. The air will be released in  
approximately 4 seconds.  
If the pressure cuff comes off:  
1
With the belt and seam  
downwards, slide the pressure  
cuff into the main unit.  
2
Press the pressure cuff into  
the groove of the main unit.  
Either the front or the back can  
be attached first.  
Pressure cuff  
Seam  
Groove  
Belt  
Check that the  
pressure cuff is  
inserted in the groove  
on the main unit.  
With the belt and seam  
downwards, slide the  
pressure cuff into the  
main unit.  
*When re-attaching, be sure not to touch the inside of the main unit  
where the pressure cuff has been removed.  
Doing so may result in an accident or injury.  
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ꢀ3  
Storing and Calling up Blood Pressure Readings  
Up to 90 readings each can be stored in the memory for two people.  
Storing blood pressure readings  
• All data is retained even when the batteries go flat or are changed.  
• When measurements are taken and no date has been set, the date and  
time will be displayed as “  
” on the wireless display.  
1. After measurement has been completed, the  
mark will be lit up.  
Press the user selection button on the wireless  
display to select the desired user.  
To select User To Step ꢀ.  
To select User … Press the user selection button.  
2. Press the Memory/Recall button.  
3. Memory storage is completed.  
• A total for and of 90 readings can be stored  
in memory. Readings over the memory capacity  
will be recorded over the oldest measurement in  
memory.  
• Readings cannot be saved when a measurement  
has been unsuccessful (display of the error mark  
for blood pressure readings). Readings can  
be saved, however, when the mark is displayed  
for the pulse rate.  
(After approx.  
2 seconds.)  
• The memory number, measurement date, and  
time are alternately displayed in approximately  
ꢀ seconds.  
(After approx.  
2 seconds.)  
(After approx.  
2 seconds.)  
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ꢀ4  
Storing and Calling up Blood Pressure Readings (continued)  
Calling up readings from memory  
Readings can be recalled after being saved without having to switch the  
unit on.  
1. Press the user selection button on the wireless  
display to select the desired user.  
To select User To Step ꢀ.  
To select User … Press the user selection button.  
2. Press the Memory/Recall button.  
• The average readings of all recorded  
measurements are displayed.  
• When readings from 90 measurements have been  
saved the average of the readings from all  
90 measurements will be displayed. (If there is  
only 1 measurement recorded, mark  
be displayed.)  
will not  
• The mark  
will be displayed.  
• Blood pressure indicator will be lit up for  
approximately 6 seconds.  
3. Press the Memory/Recall button to display  
readings starting with from the most recent  
measurement.  
(After approx.  
2 seconds.)  
• Each time the Memory/Recall button is pressed  
readings are displayed in order of the most recent  
measurement.  
• The memory number, measurement date, and  
time are alternately displayed in approximately  
ꢀ seconds.  
(After approx.  
2 seconds.)  
4. Press the Adjust button “2” on the wireless  
display to switch off the unit.  
• If you forget to switch off the unit it will do so  
automatically after approx. 30 seconds.  
(After approx.  
2 seconds.)  
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ꢀ5  
Deleting all data stored in memory  
(1) Recall the user whom you want to delete using the user selection  
button.  
(ꢀ) Recall stored data using the Memory/Recall button.  
(3) Press the Memory/Recall button again and hold it (for approx.  
3 seconds) until all readings are deleted.  
NOTE: Readings from individual measurements cannot be deleted.  
(4) If everything has been deleted, the selected or mark and  
will be displayed.  
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ꢀ6  
Comparing AM and PM Average Systolic Blood Pressure  
Average AM and PM systolic blood pressure is displayed in order to allow  
you to compare readings from both time periods.  
Use of the AM and PM average systolic blood pressure comparison  
function can aid in the detection of a blood pressure pattern known as  
“early morning surge” in which blood pressure rises rapidly in the morning.  
AM/PM comparison can only be done when the date and time have been  
set up.  
These can be compared after readings have been saved, and even when  
the unit is turned off.  
1. Press the user selection button to select the  
user for a comparison of average AM and PM  
systolic blood pressures.  
• Each time the button is pressed the user switches  
from one to the other.  
2. Press the  
button.  
• The average AM and PM systolic blood pressure  
for the selected user will be displayed.  
AM… 3:00 AM to 11:00 AM  
PM… 6:00 PM to ꢀ:59 AM  
• The average systolic blood pressure recorded  
during the time periods shown above will be  
displayed.  
• When the time has not been recorded or a single  
reading has been recorded, “  
displayed.  
” will be  
3. Press the Adjust button “2” to switch off the  
unit.  
• If you forget to switch off the unit it will do so  
automatically after approx. 30 seconds.  
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ꢀ7  
After Use  
1
2
Tilt the main unit (using the  
handle) in the direction of the  
arrow until the unit is locked.  
Place the wireless display on top  
of the unit securely.  
To transport the unit  
• Carry the main unit and the  
wireless display separately.  
Since the wireless display  
cannot be secured in place, be  
careful to avoid dropping the  
unit.  
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ꢀ8  
Specifications  
Power source  
DC 6 V (Main unit: Four AA/LR6 size alkaline  
batteries)  
AC 1ꢀ0 V 60 Hz (when using AC adapter)  
DC 3 V (Wireless display: Two AA/LR6 size  
alkaline batteries)  
Display  
Digital LCD  
Method of measurement Oscillometric system  
Measurement range  
Blood pressure: 0 mmHg to ꢀ80 mmHg  
Pulse rate: 30 to 160 beats per minute  
Accuracy  
Blood pressure: Within ±3 mmHg  
Pulse rate: Within ±5%  
Operation temperature/ 10 °C to 40 °C (50 °F to 104 °F), 15% to 90%  
humidity range  
RH  
Storage temperature/  
humidity range  
–ꢀ0 °C to 60 °C (–4 °F to 140 °F),  
10% to 95% RH  
Measurable arm  
circumference  
Approx. 7¾to 13(ꢀ0 cm to 34 cm)  
Weight  
Main unit: Approx. 1550 g (54.7 oz.) (not  
including batteries)  
Wireless display: Approx. 160 g (5.6 oz.) (not  
including batteries)  
Dimensions  
Main unit: 11× 6× 11(ꢀ8.3 cm ×  
16.9 cm × ꢀ8.1 cm)  
Wireless display: 5¾× 3¼× ꢀ(14.6 cm ×  
8.4 cm × 6.8 cm)  
Protection against  
electric shock  
Internally powered equipment, Type BF  
applied part  
AC adapter  
Input  
AC 1ꢀ0 V 60 Hz  
DC 6 V ꢀ.0 A  
Output  
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ꢀ9  
Q & A  
Q
Why are the blood pressure values measured at home different  
from those measured at the doctor’s office?  
A
Blood pressure varies in a ꢀ4-hour period.  
In addition, it can vary greatly depending on the weather, your  
mental state, amount of exercise, etc.  
In particular, there is the phenomenon of “White uniform  
hypertension” at doctor’s offices, where the blood pressure  
measured in a doctor’s office is higher because of stress or anxiety.  
In addition, if the blood pressure measured at home is  
sometimes higher and sometimes lower than the blood  
pressure measured at the doctor’s office, the following can be  
considered. Please pay attention to these points when taking  
measurements.  
1
3
Measuring posture was poor.  
Did you take measurements while leaning forward with your body  
at an angle?  
Measurements were not taken at the upper arm.  
Please take measurements with your elbow in the arm support of  
the main unit. (See pages 15–17.)  
Were you anxious or upset during measurements?  
Before taking measurements, take ꢀ or 3 deep breaths and relax,  
so that your blood pressure stabilizes.  
Q
Why do the main unit and the wireless display operate together  
even when they are separated?  
A
The main unit and the wireless display communicate using infrared  
rays. Infrared rays are transmitted from the transmitter on the side  
panel of the main unit, and reflected on your body and then received  
on the bottom of the front panel of the wireless display.  
Q
The  
mark does not light when an arm is moved.  
A
The  
mark is a function to notify you that your arm is bent or to  
indicate extra loads on the pressure cuff.  
Therefore, it may not indicate motion (bending an arm slightly, etc.).  
If you are concerned about the result, retry the measurement.  
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30  
Q & A (continued)  
Q
Since the  
mark was displayed, I retried the measurement  
by setting my arm on the unit properly. But the indicated value  
is still higher than usual.  
A
The  
mark is just a guide for the proper measurement method.  
(See page ꢀ0.)  
If you correct your posture when the  
mark is displayed but the  
measured value is still higher or lower than usual, retry the  
measurement.  
The following causes are suspected.  
• Did you measure properly (in proper posture)?  
Measure as indicated on pages 15–17.  
• Measured immediately after smoking.  
• Measured when irritated or emotional.  
• Measured in cold environments  
• For persons who have a physical constitution with less fluctuation  
in the pulse rate.  
• If you are concerned about the results, retry the measurement after  
staying quiet for 4 to 5 minutes.  
Q
When should I measure my blood pressure?  
A
We recommend three measurements a day.  
First ........ Upon Waking (Because, with almost no influence from  
body movement, it’s the blood pressure is closest to that  
at night.)  
Second ... Before Lunch (Because it provides blood pressure values  
close to the highest of the day.)  
Third ....... At Bedtime (So as to obtain data close to your average  
blood pressure values during the day.)  
This way, by taking measurements morning, noon and night, you can  
use the unit to learn the patterns of and monitor your blood pressure.  
• Use of the AM and PM average systolic blood pressure comparison  
function can aid in the detection of a blood pressure pattern known  
as “early morning surge” in which blood pressure rises rapidly in  
the morning. (See page ꢀ7.)  
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31  
Care and Maintenance  
Do not attempt to disassemble, repair or modify the unit.  
• Doing so may cause fire or cause the unit to malfunction. It may also  
lead to injury.  
Do not apply excessive force to the unit or drop the unit.  
• Doing so may cause damage.  
Do not insert dust or foreign objects into the unit.  
• Doing so may result in damage.  
If the unit is stored at temperatures below the freezing point, do not use it  
immediately.  
Leave it in a warm place for at least an hour before use.  
• If the unit is not allowed to warm up, it may not pressurize.  
Do not touch the unit when measurement is in progress.  
• Doing so may cause incorrect readings.  
If the unit becomes dirty, clean it with a soft cloth moistened with warm  
water or soapy water.  
(Do not use alcohol, benzine, or paint thinner.)  
• Use of such chemicals may result in cracking or discoloration.  
When the unit will not be used for a long time (30 days or more), be sure  
to remove the batteries.  
• Otherwise, the batteries may leak and damage the unit.  
The pressure cuff cannot be washed.  
For storage, avoid high temperatures, high humidity, and direct sunlight.  
• Shortage under such conditions may result in damage.  
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3ꢀ  
Troubleshooting  
Display  
Status before error  
Cause and solution  
The indication disappears in  
the middle of the operation.  
Batteries are exhausted.  
(See pages 11–13.)  
(the  
or  
mark is  
is displayed.  
displayed.)  
Pressurization to more than  
ꢀ80 mmHg was performed.  
Were measurements taken  
according to the proper  
procedure and in the  
correct posture?  
The  
mark flashes for  
ꢀ minutes or longer.  
(See pages 15–18.)  
Pressure decreased  
suddenly.  
Be sure your arm is  
properly inserted into the  
main unit.  
is displayed.  
The heart mark  
blinked  
only a few times or not at all.  
(See pages 15–18.)  
Cuff does not inflate.  
Has the unit detected  
movement?  
Your arm or body moved.  
(See page ꢀ0.)  
Take it to the store where it  
was purchased for testing  
and repairs.  
Failure of the main unit  
is displayed.  
Symptom  
Possible cause  
• The position of the main unit is higher or  
lower than your heart when measuring.  
Your arm was not inserted properly into the  
main unit.  
You moved or talked during measurements.  
(See pages 15–18.)  
Systolic or diastolic blood  
pressure value is high or  
low.  
Value is different from  
that measured by the  
doctor.  
• Blood pressure varies in response to minute  
changes in your mental state, such as your  
reaction to a doctor’s presence.  
• Sit quietly for 4 to 5 minutes and then take  
another measurement. (See pages 15–18,  
30–31.)  
Measurement values are  
different with each  
measurement.  
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33  
Symptom  
Possible cause  
• Press the ring portion on the outside of the  
pressure cuff into the main unit.  
(See page ꢀ3.)  
Pressure cuff comes off.  
Indications on the  
wireless display do not  
• The wireless display is improperly  
positioned.  
change during operation. Your hand or another object is in front of the  
wireless display. (See page 18.)  
• Batteries are installed with the polarities  
wrong. (See pages 11–13.)  
No display appears even  
when the On/Off and  
Start button is pressed.  
• Batteries are exhausted.  
(See pages 11–13.)  
• There was a significant fluctuation in pulse  
when readings were being taken.  
(See page ꢀ1.)  
The  
mark  
flashes when readings  
are being taken.  
The  
mark flashes  
Your arm or body moved.  
(See page ꢀ0.)  
when readings are being  
taken.  
• In some cases this will be displayed when  
you have tensed the muscles in your hand.  
Relax the muscles in your hand and take  
the reading again.  
The  
mark flashes  
even though I did not  
move my arm or body.  
(See pages 15–17, ꢀ0.)  
Varying sounds and  
pressurization speeds  
occur during inflation of  
the cuff.  
• Changes in operating sounds and  
pressurization speeds are normal and occur  
due to the fact that measurements are  
being made as the cuff is being inflated.  
The wireless display is  
lost.  
Take it to the store where it was purchased  
for testing and repairs.  
Instrument is broken.  
If the unit still appears to provide unusual or erroneous readings,  
consult your physician. If the unit does not appear to be functioning  
properly, contact Panasonic at 1-800-338-0552.  
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34  

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