UA-853 Instruction Manual May 2006

IMPORTANT INFORMATION



Please read this important information before using your monitor.

Please remember that only a medical practitioner is qualified to interpret your blood pressure measurements. Use of this device should not replace regular medical examinations. Consult your physician if you have any doubt about your readings. Should a mechanical problem occur, contact LifeSource® at 1-888-726-9966. Do not attempt to service, calibrate, or repair this monitor. Because your UA-853 monitor contains delicate, high-precision parts, avoid exposing it to extremes in temperature or humidity or to direct sunlight, shock and dust. LifeSource® guarantees the accuracy of this monitor only when it is stored and used within the temperature and humidity ranges noted on page E-21. Clean the monitor and cuff with a dry, soft cloth or a cloth dampened with water and a mild detergent. Never use alcohol, benzene, thinner or other harsh chemicals to clean monitor or cuff. Remove and replace batteries if monitor is not used for more than six months. Alkaline batteries recommended. PRECAUTIONS The UA-853 is designed to be used at home, by those who are eighteen (18) years and older, to monitor blood pressure (systolic and diastolic) and pulse rate.

Fast. Easy. Accurate. Congratulations on purchasing a state-of-the-art LifeSource® blood pressure monitor-one of the most technologically advanced monitors available today. Designed for ease of use and accuracy, this monitor will facilitate your daily blood pressure regimen. Physicians agree that daily self-monitoring of blood pressure is an important step individuals can take to maintain cardiovascular health and prevent the serious consequences associated with undetected and untreated hypertension. A&D Medical has been manufacturing high quality healthcare products for ove 20 years. We are committed to providing you and your family with monitoring devices that provide the utmost in accuracy and convenience. LifeSource - Designed for Life.

TABLE OF CONTENTS

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WHAT DISPLAY SYMBOLS MEAN... E-2 MONITOR COMPONENTS... E-3 HOW UA-853 WORKS... E-4

BEFORE YOU START... E-4 SELECTING THE CORRECT CUFF SIZE... E-5

TAKING YOUR BLOOD PRESSURE... E-6 WHAT IS AN IRREGULAR HEARTBEAT... E-11 ABOUT CUFF INFLATION METER... E-11 ABOUT AVERAGE READING... E-12 ABOUT PRESSURE RATING INDICATOR™... E-12 ABOUT MEMORY... E-13

USING THE MONITOR WITH AC ADAPTER... E-14

ABOUT BLOOD PRESSURE... E-15

TROUBLESHOOTING... E-20 SPECIFICATIONS... E-21

CONTACT INFORMATION... E-22

FRENCH INSTRUCTIONS... F-1 SPANISH INSTRUCTIONS...S-1 In Canada - Auto Control Medical (Toll-Free): 1-800-461-0991

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WHAT DISPLAY SYMBOLS MEAN

Display/ Symbol

Condition/Cause The symbol shown while measurement is in progress. It blinks while detecting the pulse. An irregular heartbeat or body movement may have occurred. Refer to page E-11 for more information on irregular heartbeats.

Battery Full

Battery Low

Take measurement again and consult with your physician.

Replace all batteries with new ones when the symbol blinks. Alkaline batteries recommended.

The systolic and diastolic values are within 10 mmHg of each other.

Fasten the cuff correctly, and try the measurement again.

The pressure value did not increase during inflation.

Check for air leaks along the tube and around the air socket.

The cuff is not fastened correctly.

Refasten the cuff and retake measurement. Make sure tube is properly connected to cuff and monitor. Try the measurement again. Remain very still during the measurement.

The pulse is not detected correctly. PULSE DISPLAY ERROR

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Measurement is in progress, remain as still as possible.

Previous measurement stored in MEMORY. The battery power indicator during measurement. The batteries are low when it blinks. Unstable blood pressure due to excessive body movement.

There is an air leak in the cuff or monitor.

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Recommended Action

Try the measurement again. Remain very still during the measurement.

Cuff Inflation Meter

Measurement is in progress, remain as still as possible.

Pressure Rating Indicator™

Refer to the section “About Pressure Rating Indicator” for further explanation.

The alarm is turned on.

Press AM button once to turn alarm off.

LifeSource Health Line (Toll-Free): 1-888-726-9966

MONITOR COMPONENTS

AM Button PM Button Air Connector Plug

MEMORY Button

Display

FRONT

Arm Cuff Air Hose Air Socket

START Button (Orange illumination during the AM) (Blue illumination during the PM)

BACK

Battery Compartment Battery Cover

AC Adapter Jack

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AC Adapter

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HOW UA-853 WORKS

LifeSource® blood pressure monitors are easy to use, accurate and digitally display full measurement readouts. Our technology is based on the “oscillometric method” – a noninvasive blood pressure determination. The term “oscillation” refers to any measure of vibrations caused by the arterial pulse. Our monitor examines the pulsatile pressure generated by the arterial wall as it expands and contracts against the cuff with each heartbeat. The cuff is inflated until the artery is fully blocked. The inflation speed is maximized and the pressure level is optimized by the device. The monitor takes measurements while the cuff is both inflating and deflating. This results in a faster measurement providing greater comfort to the user. AM/PM TimeWise™ Technology This monitor automatically stores each measurement as an AM or PM reading in memory (note: clock must be properly programmed before initial use). Healthcare providers agree that understanding your AM and PM readings can assist in the proper diagnosis and management of your heart health through lifestyle and/or medication modifications.

BEFORE YOU START You must install 4 type AA (1.5 volt) batteries (alkaline batteries recommended), or use the AC Adapter (see page E-14 for using the Monitor with AC Adapter) and attach the cuff to the monitor before using it. To install batteries (or replace them if the “Low Battery” symbol appears on display), proceed as follows: 1. Remove battery compartment cover by gently pushing down on arrow and sliding cover forward. 2. Put in bottom row of batteries first. Place the batteries in compartment with positive (+) and negative (–) terminals matching those indicated in the compartment. Be sure batteries make contact with compartment terminals.

Step 2

Step 1 Step 3

3. Replace cover by sliding it into the compartment and gently pressing into place. NOTE: Rechargeable batteries will not work with this monitor.

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LifeSource Health Line (Toll-Free): 1-888-726-9966

SELECTING THE CORRECT CUFF SIZE Using the correct cuff size is important for an accurate reading. A cuff that is too large will produce a reading that is lower than the correct blood pressure; a cuff that is too small will produce a reading that is higher than the correct blood pressure. With your arm hanging at the side of your body, measure the circumference of your upper arm at the midpoint between the shoulder and elbow. ARM SIZE

RECOMMENDED CUFF SIZE

REPLACEMENT CUFF MODEL #

9.4" - 14.2" (24 - 36cm)

Medium Cuff

UA-280

14.2" - 17.7" (36-45cm)

Large Cuff

UA-281

NOTE: The LifeSource small cuff is not compatible with the UA-853 monitor.

Cuff Size Indicator On The Cuff

Our cuff has an indicator which tells you whether you are using the correct cuff size or not. Place the cuff on your arm (see Page E-6 to learn how to put the cuff on correctly) and if the Index Mark points within the Proper Fit Range, you are using the correct cuff size. If the Index points outside of the Proper Fit Range, contact A&D Medical at 1-888-726-9966 (in Canada, call Auto Control Medical at 1-800-461-0991) for more information on where to obtain a cuff replacement. NOTE: If the cuff size indicator falls on a borderline between two size categories, pick either one and make sure to use the same cuff size for each measurement.

USE SMALL CUFF

PROPER FIT RANGE

USE LARGE CUFF

INDEX

In Canada - Auto Control Medical (Toll-Free): 1-800-461-0991

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TAKING YOUR BLOOD PRESSURE Adjusting the Built-in Clock The UA-853 Automatic Blood Pressure Monitor has a built-in clock that gives you the time and date and can tell you when a blood pressure reading stored in memory was taken. We recommend that you adjust the clock prior to use. To adjust the clock, follow these simple steps: 1. Press and hold the AM button until the digits start blinking. 2. Select the year using the PM button. Press the AM button to set the current year and move to month/day selection. The date can be set anywhere between the years 2006 and 2056. 3. Select the month using the PM button. Press the AM button to set the current month and move to day selection. 4. Select the day using the PM button. Press the AM button to set the current day and move to hour/minute selection. 5. Select the hour using the PM button. Press the AM button to set the current hour and move to minute selection. 6. Select the minute using the PM button. Press the AM button to set the current minute and activate the clock. 7. The Clock is now set.

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TAKING YOUR BLOOD PRESSURE Setting the Alarm This monitor has 3 reminder alarms. You can set 3 different reminder alarms within a 24-hour period. 1. Press and hold the AM button until the digits start blinking. Then press the MEMORY button. “P-1” is shown at the middle line of the display.

Press and hold

2. Select the hour using the PM button and press the AM button to set the hour and move to minute selection. Press the MEMORY button to complete the reminder setting after selecting minute.

UA-853 DIGITAL

BLOOD PRESS

R URE MONITO

3. Then the display shows “P-2” and the symbol for the second reminder. Repeat the above process if you need a second or third reminder programmed. 4. If you do not want a second or third reminder set, simply press the MEMORY button until the clock is displayed on the screen. NOTE: To disable the alarm, simply press the AM button. The disappear from the screen.

In Canada - Auto Control Medical (Toll-Free): 1-800-461-0991

symbol will

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TAKING YOUR BLOOD PRESSURE Tips for Blood Pressure Monitoring: Relax for about 5 minutes before measurement. Do not smoke or ingest caffeine at least 30 minutes prior to measurement. Remove constricting clothing and place cuff on bare arm. Unless your physician recommends otherwise, use left arm to measure pressure. Do not talk during measurement. Do not cross legs and keep your feet flat on floor during measurement.

Now you are ready. Follow these simple steps: 1. Sit comfortably with your left arm resting on a flat surface so that the center of your upper arm is at the same height as your heart.

2. Lay left arm on the table, palm up and thread cuff end through metal loop, smooth size against arm. Then position the tube off-center toward the inner side of arm in line with the little finger. 3. Secure cuff around arm. The cuff should be snug but not too tight. You should be able to insert two fingers between the cuff and your arm. 4. Confirm that the Index Mark E-8

points within the proper fit range. LifeSource Health Line (Toll-Free): 1-888-726-9966

TAKING YOUR BLOOD PRESSURE 5. Press the START button. As the cuff pressurizes, measurement will begin and the Cuff Inflation Meter will show on the display screen. It is normal for the cuff to feel very tight. Note: If an appropriate pressure is not obtained, the device automatically starts to inflate again. Note: If you wish to stop inflation at any time, press the START button again.

6. When the measurement is complete, the systolic and diastolic pressure readings and pulse rate are displayed. The cuff deflates and the monitor automatically shuts off after 60 seconds, or you can turn it off by pressing the START button. Your measurement is automatically stored in memory (the monitor can store up to 90 readings in memory). NOTE: If you press the MEMORY button before the auto shut-off, the current measurement will not be stored into memory.

SYSTOLIC DIASTOLIC PULSE

7. Remove cuff and make note of your blood pressure and pulse rate in the Blood Pressure Logbook, indicating the date and time of measurement. IMPORTANT: Measure blood pressure at the same time each day.

In Canada - Auto Control Medical (Toll-Free): 1-800-461-0991

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TAKING YOUR BLOOD PRESSURE Measurement with the desired systolic pressure: If your systolic pressure is expected to exceed 230 mmHg follow these steps: 1. Place the cuff on the left arm, unless your physician tells you otherwise. 2. Press and hold the START button until a number 30 to 40 mmHg higher than your expected systolic pressure appears. 3. Release the START button when the desired number is reached. 280 mmHg is the highest pressure level the monitor can reach. Measurement will then begin. Continue to measure your blood pressure as described on Page E-8.

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LifeSource Health Line (Toll-Free): 1-888-726-9966

WHAT IS AN IRREGULAR HEARTBEAT The UA-853 Blood Pressure Monitor provides a blood pressure and pulse rate measurement even when an irregular heartbeat occurs. The Irregular Heartbeat symbol will appear in the display window in the event an Irregular Heartbeat has occured during measurement. An irregular heartbeat is defined as a heartbeat that varies by 25% from the average of all heartbeat intervals during the blood pressure measurement. It is important that you relax, remain still and refrain from talking during measurements. NOTE: We recommend contacting your physician if you see this symbol frequently.

ABOUT CUFF INFLATION METER The Cuff Inflation Meter is located on the left side of the display screen to tell you when the blood pressure monitor is inflating and deflating the cuff. The Cuff Inflation Meter moves up during inflation and moves down during deflation. Inflation in Progress

Inflation Complete

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Deflation/Measurement in Progress

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ABOUT AVERAGE READING The UA-853 provides an average blood pressure reading based on the total measurements stored in memory. The average blood pressure reading appears briefly when you recall the measurements stored in memory. You can also access your AM/PM Average Readings by pressing the MEMORY button, then the AM or PM button. AVERAGE NUMBER OF MEASUREMENTS STORED IN MEMORY

ABOUT PRESSURE RATING INDICATOR™ JNC7 Classification Indicator The Pressure Rating Indicator™ is a feature which provides a snapshot of your blood pressure classification Stage 2 Hypertension Stage 1 Hypertension based on your measurements. This will let you quickly Prehypertension Normal know what your blood pressure readings mean. Each segment of the bar indicator corresponds to the Example Seventh Report of the Joint National Committee (JNC7) on Prevention, Evaluation and Treatment of Hypertension Stage 2 High Blood Pressure from the National Heart, Lung and Blood Institute - May 2003. For a more detailed look at this blood pressure classification, please refer to “Assessing High Blood Pressure” on page E-16.

:The indicator displays a segment, based on the current measurement, corresponding to the JNC7 Classification. NOTE: Due to other risk factors (e.g. diabetes, obesity, smoking, etc.) in addition to your blood pressure measurement, the Pressure Rating Indicator is approximate. Please consult with your physician for interpretation and diagnosis of your blood pressure measurements.

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ABOUT MEMORY NOTE: This device stores the last 90 measurements in memory. The data is retained as long as the batteries are in the device. When you remove the batteries or the batteries are drained, the data will be erased.

1. Press the MEMORY button. 2. The average data of all the measurements and the number of measurements stored are displayed. Then, each time the MEMORY button is pressed, the memory data is displayed starting from the most recent. After the last reading is displayed, the display returns to the clock display. 3. To recall AM/PM readings, press:

Press the MEMORY button

Averaged Systolic Averaged Diastolic Number of Readings Average of all readings

MEMORY + AM button

Average of total AM measurements stored is displayed. Each time the AM button is pressed, the memory data taken during the AM is displayed starting from the most recent. After the last measurement is displayed, the display returns to the clock display. MEMORY + PM button

Average of total PM measurements stored is displayed. Each time the PM button is pressed, the memory data taken during the PM is displayed starting from the most recent. After the last measurement is displayed, the display returns to the clock display. If the MEMORY button is pressed again, the display returns to the average data of all the measurements. Clearing the memory data 4. Press and hold the MEMORY button until the “ blinks to clear the stored data.

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” (memory) mark

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USING THE MONITOR WITH AC ADAPTER The UA-853 has an AC adapter jack to allow you to supply power from an outlet in your home. We recommend you use only the supplied AC adapter to avoid potential damage to the monitor. Connecting the AC adapter to the monitor: 1. Gently insert the AC adapter plug into a 120V AC outlet. 2. Connect the AC adapter plug into the jack on the back of the monitor.

Disconnecting the AC adapter from the monitor: 1. Turn the unit off by pressing the START button. 2. Disconnect the plug from the jack of the monitor quickly. 3. Gently remove the AC adapter from the outlet. NOTE: If monitor has batteries and an AC adapter connected, the measurements stored in memory will be lost if AC adapter is unplugged from the wall first. To ensure that measurements remain in memory, make sure the unit is off and that the jack plugged into the monitor is removed quickly before unplugging adapter from the wall.

Jack

Plug

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AC Adapter

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ABOUT BLOOD PRESSURE What Is Blood Pressure?

Blood pressure is the force exerted by blood against the walls of the arteries. Systolic pressure occurs when the heart contracts; diastolic pressure occurs when the heart expands. Blood pressure is measured in millimeters of mercury (mmHg). What Affects Blood Pressure?

Blood pressure is affected by many factors: age, weight, time of day, activity level, climate, altitude and season. Certain activities can significantly alter one’s blood pressure. Walking can raise systolic pressure by 12 mmHg and diastolic pressure by 5.5 mmHg. Sleeping can decrease systolic blood pressure by as much as 10 mmHg. Taking your blood pressure repeatedly without waiting an interval of 5 minutes between readings, or without raising your arm to allow blood to flow back to the heart, can also affect it. In addition to these factors, beverages containing caffeine or alcohol, certain medications, emotional stress and even tight-fitting clothes can make a difference in the readings. What Causes Variations In Blood Pressure?

An individual’s blood pressure varies greatly from day to day and season to season. For hypersensitive individuals, these variations are even more pronounced. Normally, blood pressure rises during work or play and falls to its lowest levels during sleep.

In Canada - Auto Control Medical (Toll-Free): 1-800-461-0991

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ABOUT BLOOD PRESSURE Assessing High Blood Pressure for Adults The following standards for assessing high blood pressure (without regard to age or gender) have been established as a guideline. Please note that other risk factors (e.g. diabetes, obesity, smoking, etc.) need to be taken into consideration and may affect these figures. Consult with your physician for an accurate assessment. JNC7 Classification Table – for adults within the U.S. BP Classification

Systolic (mmHg)

Diastolic (mmHg)

Normal

< 120

and

< 80

Prehypertension

120-139

or

80-89

Stage 1 Hypertension

140-159

or

90-99

Stage 2 Hypertension

≥ 160

or

≥ 100

SOURCE: The Seventh Report of the Joint National Committee on Prevention, Evaluation and Treatment of High Blood Pressure for Adults. National Heart, Lung and Blood Institute - May 2003.

WHO Classification Table - for adults outside of the U.S. (e.g. Canada, Mexico) BP Classification

Systolic (mmHg)

Diastolic (mmHg)

Optimal

< 120

and

< 80

Normal

< 130

or

< 85

High-Normal

130-139

or

85-89

Stage 1 Hypertension

140-159

or

90-99

Stage 2 Hypertension

160-179

or

100-109

Stage 3 Hypertension

≥ 180

or

≥ 110

SOURCE: Standards to assess high blood pressure, without regard to age or gender, have been established by the World Health Organization (WHO).

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ABOUT BLOOD PRESSURE What Is Hypertension?

Hypertension (high blood pressure) is the diagnosis given when readings consistently rise above normal. It is well known that hypertension can lead to stroke, heart attack or other illness if left untreated. Referred to as a “silent killer” because it does not always produce symptoms that alert you to the problem, hypertension is treatable when diagnosed early. Can Hypertension Be Controlled?

In many individuals, hypertension can be controlled by altering lifestyle and minimizing stress, and by appropriate medication prescribed and monitored by your doctor. The American Heart Association recommends the following lifestyle suggestions to prevent or control hypertension: Don’t smoke.

Have regular physical checkups

Reduce salt and fat intake.

Maintain proper weight.

Monitor your blood pressure at periodic intervals.

Exercise routinely.

Why Measure Blood Pressure at Home?

It is now well known that, for many individuals, blood pressure readings taken in a doctor’s office or hospital setting might be elevated as a result of apprehension and anxiety. This response is commonly called “white coat hypertension.” In any case, self-measurement at home supplements your doctor’s readings and provides a more accurate, complete blood pressure history. In addition, clinical studies have shown that the detection and treatment of hypertension is improved when patients both consult their physicians and monitor their own blood pressure at home.

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