Instruction Manual
Wrist T
Blood Pressure Monitor
Model BPM180
This manual and product are not meant to be a substitute for advice provided by
your doctor or other medical professional. You are not to use the information
contained herein, or this product for diagnosing or treating a health problem or
prescribing any medication. If you have or suspect that you have a medical
problem, promptly consult your healthcare provider.
The device is designed for non-invasive measurements and monitoring of adults’
arterial blood pressure. It measures human's systolic blood pressure, diastolic blood
pressure and heart rate on wrist by oscillometric measurement method.
The device is recommended for use by people over the age of 18 and is for home
use and not clinical use.
Blood Pressure Monitor Intended Use
*Attention!
To operate the device properly and get the best result from it, please read the
Instruction Manual thoroughly before you begin measuring and keep it carefully
so that you can access and consult it at any time.
Medical Disclaimer
1-1. What is blood pressure ?
1.
Having one's blood pressure measured by a doctor in a hospital or a clinic, and a
group health checks, tends to stimulate nervousness in the subject and may even
create high blood pressure, blood pressure also varies in accordance with a variety of
conditions and so judgment is not possible on the basis of a single measurement.
The blood pressure measured first thing in the morning after getting up, before taking
any food and with the subject still, is known as the fundamental blood pressure. In
practice it is rather difficult to record the fundamental blood pressure, but to come as
near as possible to measuring the blood pressure in an environment that is close to
this is why it is useful to take the measurement at home.
Blood pressure is a measurement of the force of blood flowing against the walls of
the arteries. Arterial blood pressure is constantly changing during the course of the
cardiac cycle. The highest pressure in the cycle is called the systolic blood pressure
and the lowest is the diastolic blood pressure. Both of pressure readings, the systolic
and the diastolic, are necessary to enable a physician to evaluate the status of a
patient's blood pressure. Many factors such as physical activity, anxiety or the time of
day can influence your blood pressure. Blood pressure is typically low in the morning
and increases from the afternoon to the evening. It is lower in the summer and higher
in the winter.
1-2. Why is it useful to measure blood pressure at home?
A. WHO blood pressure classifi cations
Standards for assessment of high or low
blood pressure without regard to age, have
been established by the World Health
Organization (WHO), as shown in the chart.
Optimal
Normal
High normal
Mild hypertension
Moderate hypertension
Severe hypertension
120 130
85
80
95
100
90
105
110
140 150 160 170 180
* Figure No.1
B. Variations in blood pressure
* Figure No.2
Individual blood pressures vary greatly
both on a daily and a seasonal basis.
These variations are even more pronounced in hypertense patients.
(Hypertense: means a person who has high blood pressure symptom.)
Normally the blood pressure rises while at work
and is at its lowest during sleeping period. The
graph below illustrated the variations in blood
pressure over a whole day with measurement
taken every five minutes. (The thick line
represents sleep. The rise in blood pressure at 4
PM <A in the graph> and 12 PM <B in the
graph> correspond to an attack of pain.)
● Please rest for at least 5 ~ 10 minutes before taking the measurement.
● To allow your blood vessels to return to the condition prior to taking the measurement,
please wait at least 3 ~ 5 minutes between measurements. You may need to adjust the
wait time according to your personal physiological situation.
● If you have one of the circulatory problems as arteriosclerosis, diabetes, liver disease,
kidney disease, severe hypertension, peripheral circulation......, please consult your doctor
or healthcare professional before using the devices.
● Blood pressure measurements should be interpreted by a physician or trained health
professional who is familiar with one's medical history. By using the unit regularly and
recording the results for the physician to interpret, one can keep physician informed of the
continuing trends in one's blood pressure.
● Wind the cuff snugly around your wrist and the cuff must be at the same level as your heart.
● Do not move the unit during measurement, or the proper measurement will not be achieved.
● Take measurement in a relaxed position without talking.
● Do not wind the cuff over jacket or sweater sleeve, or measurement cannot be done.
● Keep in mind that blood pressure naturally varies from time to time throughout the day and
also is affected by lots of different factors such as smoking, alcohol consumption, medication
and physical activity.
2. Important information before use of the unit
● People with a condition that causes circulatory problems (diabetes, kidney disease,
arteriosclerosis or poor peripheral circulation) may get lower readings with this
monitor than with a blood pressure monitor that is used on the upper arm.
Please consult your physician to determine if your wrist blood pressure
accurately reflects your actual blood pressure.
● Blood pressure measurements taken with the unit are
equivalent to those obtained by a trained observer using the
cuff / stethoscope auscultation method and are within the accuracy
limits prescribed by the American National Standard for Electronic
or Automated Sphygmomanometers.
● Wait 30 ~ 45 minutes before measurement if you have just consumed
caffeinated beverages or smoked cigarettes.
● We recommend you to use the same wrist (preferably the left wrist) and to
measure around the same time each day.
4-2. Irregular Heartbeat Detector (IHB)
*NoteΜ
● Any irregular heartbeat detected will not be stored in the memory.
The appearance of this symbol, , signifies that a certain pulse irregularity was
detected during the measurement. Talking, moving, shaking or an irregular pulse
during the measurement can result in the appearance of this icon. Usually this is not
a cause for concern, however if the symbol appears often, we recommend you seek
medical advice. Please note that the device will not replace a true cardiac examination,
but serves to detect pulse irregularities at an early stage. As a safeguard, we
recommend that if you have arrhythmias such as atrial or ventricular premature beats
and atrial fibrillation or any other special conditions you should check with your
physician before using your BPM.
The hearbeat rhythm that is more than or less than 25% from the average heart beat
intervals is usually defined as an irregular heartbeat rhythm.In order to filter the unstable
status of user and avoid affecting the detection of heart rate from any movement,
shaking or talking in the begining of measurement, the method of averaging heart beat
intervals of subject device is calculated with the three proper heart beat pulses detected
in the begining of measurement and that is different from a strict mathematical
averaging of all recorded intervals.At least 3 beats with at least 25% difference from the
average heart beat interval will generate the IHB symbol on the LCD.
*Note!
When a person’s systolic and diastolic pressures fall into different
categories, the higher category should apply.
e.g. systolic pressure 181 & diastolic pressure 99 the result should
be in Red category (Severe hypertension)
systolic pressure 110 & diastolic pressure 95 Yellow category
(Mild hypertension)
When the low battery symbol appears on the display, please change the batteries.
Replace all the batteries with new ones and do not mix new and old batteries. Do not mix
alkaline, standard (carbon-zinc) or rechargeable (cadmium) batteries either. It may shorten
the battery life or cause the device to malfunction. Remove the battery cover at the side of
the unit and insert 2 pieces
AAA alkaline batteries into
the battery compartment.
Make sure the polarities
“+” and “–“ ends are
properly positioned.
5. Inserting/ Changing Batteries
* Figure No.5
*Attention!
● Batteries are hazardous waste. Do not dispose them together with the
household garbage. Please take the used batteries to the recycling collection
point according to your local regulations.
● Keep the battery away from small children.
● To prolong the battery life and prevent damage caused by leakage, remove
the batteries from the device if the device is not to be used for a long period.
● Memories (if any) will not be deleted during battery replacement.
● After replacing the batteries, reset the year, date and time.
WHO
SYS.
MEM
START
STOP
mmHg
DIA.
mmHg
Pulse
/mim.
Optimal
Red
Orange
Yellow
Green
Normal
High normal
Mild hypertension
Moderate hypertension
Severe hypertension
120 130
85
80
95
100
90
105
110
140 150 160 170 180
WHO
LCD DISPLAY
START/STOP BUTTON
RECALL MEMORY
BUTTON
WRIST CUFF
CARRYING CASE
ALKALINE
BATTERIES
UM-4 (AAA) 1.5V x 2
* Figure No.3
3-1. Name of the parts
3. Device Description
SETTING BUTTON
FUNCTION BUTTON
3-2. Description of display symbols
* Figure No.4
4. Main feature:
4-1. WHO Indicator
This device is equipped with WHO Blood Pressure Indicator which classifies your
blood pressure measurements into six stages (Optimal to Severe hypertension)
based on WHO classication on blood pressure levels as shown in below chart:
After each measurement is completed, the LCD display will show your position
automatically on the six segments of the bar indicator which corresponds to WHO
Blood Pressure Indicator.
*Source: WHO, 1999
Stages of blood pressure levels Systolic (in mmHg) Diastolic (in mmHg)
Grade 3
Grade 2
Grade 1
Severe hypertension
Moderate hypertension
Mild hypertension
≥180
160~179
140~159
130~139
120~129
<120
High-normal
Normal
Optimal
≥110
100~109
90~99
85~89
80~84
<80
HOUR: MINUTE
SYSTOLIC PRESSURE
MEASUREMENT AVERAGE
BLOOD PRESSURE UNIT
DIASTOLIC PRESSURE
HEART RATE
WHO PRESSURE
INDICATOR
MONTH/ DATE
LOW BATTERY
MEMORY NUMBER
IRREGULAR HEARTBEAT
SYMBOL
* Figure No.6
6. Attaching Pressure Cuff
6-1. Do not place the pressure cuff over a jacket or sweater
sleeve. Wrap the pressure cuff around the bare wrist with
the monitor facing you.
6-2. Wrap the cuff snugly. Do not make it too tight.
Fold the remaining part of the cuff back out of the way.
6-3. Leave approximately 10 mm (Approx. 0.4 inch) between
the cuff and the bottom of your hand palm.
* Figure No.7
7-1. To get accurate measurements, make sure the cuff is at the same
height as the heart.
Having the cuff higher or lower may cause inaccurate results.
7-2. Measurement while sitting down:
A. Place your elbow on a table or other object (such as the carrying case).
B. Use the armrest to position the arm so that the pressure cuff is at
the same height as the heart.
C. Relax your hand with the palm facing up.
7. Correct Measurement Position
*Note!
● Do not use this device if your wrist has any wound or injury.
● Do not wrap the cuff around any body part other than your wrist.
0.4” (10 mm)
135 ~ 195 mm
8-1. Inserting batteries in position:
8. How to Measure
A. Open battery cover.
B. Refer to the picture in positioning batteries. (Figure No.5)
C. All segments will appear on the display in 3 seconds.
8-2. Setting Date and Time:
A. Press " " button ("year" starts flashing). Press " + " button to set the current
year.
B. Press " " button ("month" starts flashing). Press " + " button to set the current
month.
C. Press " " button ("date" starts flashing). Press " + " button to set current date.
D. Press " " button ("hour" starts flashing). Press " + " button to set current hour.
E. Press " " button ("minute" starts flashing). Press " + " button to set current
minute.
F. Press " " button to save the settings.
8-3. Steps to take blood pressure measurement:
A. Press " + " button to select a particular
memory zone (1,2, or 3).
B. Press "START/STOP" button to start measurement.
The monitor will automatically inflate to the level that is right for you.
*Note!
When taking repeat measurements, make sure to select the same memory
zone so that the measurements are recorded in the appropriate memory.
C. After inflation of the cuff, the pressure will slowly decrease and when a
pulse is detected, the SYMBOL will start flashing.
*Note!
If the cuff does not stop inflating, remove the cuff at once.
c. Press "MEM" button. The latest measurement data will appear with the number as well as
the recording date and time. Data are recalled from the latest measurement to the oldest.
d. Press "MEM" button to read the next measurement data.
e. To stop reading the memories, press the "START/STOP" button.
D. When the measurement is finished, the systolic pressure, diastolic pressure, heart
rate and WHO INDICATOR SYMBOL will be displayed for 1 minute.
E. The monitor will automatically shut off after 1 minute if without any operation.
8-4. Storing, recalling, and erasing measurement data:
A. Storing data:
After each measurement, the systolic and diastolic pressure, heart rate with the time and
date will be automatically stored. The monitor features a 3 zone memory capability. Each
memory zone holds the last 40 measurements, replacing the oldest data with new one.
B. Recalling data:
a.Press " + " button to select the memory zone.
b. Press "MEM" button to enter MEMORY MODE. The average of last 3 measurement
readings will first appear on the display.
*Note!
● If there is no data in the selected memory zone, nothing (except month, date, time and memory
zone) will appear on the display.
● If there is one data in the selected memory zone, the measurement data will appear on the display.
● If there are 2 data in the selected memory zone, the average of the 2 data will appear on the display.
C. Erasing data:
a. Press " + " button to select the memory zone (1, 2 or 3), then press "MEM" button.
b. Press and hold " + " and " " buttons simultaneously, all stored data ,
including the average reading, in the selected memory zone will be erased.
c. To confirm the data has been erased, press "MEM" button, no data
(except month, date, time and memory zone number) should appear.
9. Maintenance
9-1. Clean the device body, case and the cuff carefully with a clean, soft and slightly dampened cloth and
then wipe them dry with another piece of dry cloth.
9-2. Do not use thinner, alcohol, petrol (gasoline) or any strong cleansers to clean.
9-3. Do not wash the cuff or make it wet, and never use chemical cleaner on it.
9-4. Do not in any way twist the cuff.
9-5. Make sure no water will enter the main unit.
9-6. When the unit is not to be used for a long time, remove the batteries. (Leaking of battery liquid can
cause damage.)
9-7. Do not attempt to disassemble or change any parts of the monitor, including cuff.
9-8. If any suggestion or service is requested please consult your service station.
9-9. Do not place the item directly under the sunlight, in high temperature, or humid and dusty places.
9-10. Do not store in extremely low (less than - 20 °C/ -4 °F) or high (more than 70 °C/ 158 °F) temperature.
Display mark Corrective action
Battery symbol
Measurement in progress.
Do not move or talk.
Replace all two batteries with new ones.
Insert the batteries in correct polarities.
Pulse
symbol
Flashes on the LCD when pulse is
detected during measurement.
Condition/Cause
Appears when the battery voltage is
excessively low.
IHB symbol
Repeat the measurement.
Relax for at least 5 minutes and sit comfortably
and quietly before you restart a measurement.
Appears for 1 minute when the user was
talking, moving or shaking or an irregular
heart beat was detected during measurement.
1
Model Number
Method of Measurement
Range of Measurement
Accuracy
Inflation
Exhaust
Display
Dimension
Unit Weight
Sets of Memory
Cuff Size
Operating Conditions
Storage Conditions
Power Supply
Battery Life
Accessories
BPM180
Oscillometric
Pressure 0 ~ 300 mmHg,
Pulse 40 ~ 199 beats/minute
Pressure +/- 3 mmHg, Pulse +/- 5%
Automatic inflation (Air Pump)
Automatic exhaust valve
Liquid Crystal Display
6.6 x 3.1 x 6.9 cm (L x W x H)
Approx. 140 g (including battery)
3 databases of 40 memory each = total 120 sets
Wrist circumference approx. 135 ~ 195 mm
+10 °C to + 40 °C, less than 85% R.H.
- 20 °C to + 70 °C, less than 85% R.H.
AAA (1.5 V) Alkaline battery x 2
Approx. 250 times measurement
Carrying case, instruction manual, 2pcs”AAA” (1.5 V) battery
These specications are subject to change without notice for purpose of improvement.
11. Specifi cations
0197
This blood pressure monitor complies with the EC Directive and bears the CE
mark “CE0197”. This blood pressure monitor also complies with mainly
following standards,(included but not limited)
Safety standard:
EN 60601-1 Medical electrical equipment part 1: General requirements for safety
EMC standard:
EN 60601-1-2 Medical electrical equipment part 1-2: General requirements for safety- Collateral
standard: Electromagnetic compatibility- Requirements and tests
Performance standards:
EN 1060-1 Non-invasive sphygmomanometers - General requirements
EN 1060-3 Non-invasive sphygmomanometers - Supplementary requirements for
electromechanical blood pressure measuring systems.
EN 1060-4 Non-invasive sphygmomanometers - Test procedures to determine the overall
system accuracy of automated non-invasive sphygmomanometers.
Note
● To ensure precise measurement reading,
recalibration of the device is recommended
after 2 years from the date of purchase.
Shipping plus handling cost and recalibration
service fee shall be charged accordingly.
Important /Note! Read the operating
instructions.
Consult instructions thoroughly before
use.
Classification:
- Internally powered equipment
- BF type applied part
- IPX0
- Not suitable for use in presence of
flammable anaesthetic mixture with
air or with Oxygen or nitrous oxide
- Continuous operation with short-time
loading
To avoid inaccurate results caused by
electromagnetic interference between
electrical and electronic equipments, do
not use the device near a cell phone or
microwave oven.
Discard the used product to the recycling
collection point according to local
regulations.
Authorized Representative in the
European Community
EMERGO EUROPE
Molenstraat 15, 2513 BH,
The Hague, The Netherlands
TEL : +31-70-3458570
FAX : +31-70-3467299
Manufacturer:
HEALTH & LIFE Co., Ltd.
9F, No. 186, Jian Yi Road,
Chung Ho City 235, Taipei, Taiwan
Distributor:
Sabre Nederland b.v.
Ellermanstraat 23
1099 BX Amsterdam the Netherlands
Indicates the average of last 3
measurements.
Indicates the measurement number.
Measurement Error:
Air Circuit Abnormality:
Error Determining Measurement Data:
Pressure Exceeding 300 mmHg:
Measure again. Wrap the cuff correctly and keep wrist
steady during measurement.
Measure again.
Measure again.
Turn the unit off to clear, then measure again.
Measurement
avgerage symbol
Measurement
number
symbol
Measuring
error symbol
Measuring
error symbol
Measuring
error symbol
Measuring
error symbol
P/N: 323101287 VER:001
