Blood pressure measurements determined with Z5 are equivalent to those obtained by a trained
observer using cu/stethoscope auscultation method, within the limits prescribed by the American
National Standard, Electronic or Automated Sphygmomanometers.
This unit is to be used by adult consumers in a home environment. The patient is an intended op-
erator. Do not use this device on infants or neonates. Z5 is protected against manufacturing defects
by an established International Warranty Program. For warranty information, you can contact the
manufacturer, Rossmax International Ltd.
use. For specic information on your own blood pressure, contact your physician. Please be
sure to keep this manual.
Pulse Arrhythmia (PARR) technology specically detects the existence of pulse arrhythmia, including
atrial brillation (AFib), Atrial and / or Ventricular Premature Contractions (PC). Pulse Arrhythmia may
be related to cardiac disorders, needs medical attention and thus early diagnosis is of paramount
importance. The PARR technology detects arrhythmia during regular blood pressure checks without
any additional user skills, user interaction and measurement prolongation. Beside the blood pressure
diagnosis a specic pulse arrhythmia diagnosis is provided with PARR.
Note: -
ability [1]. However, the sensitivity and specicity is limited, thus most, but not all pulse arrhyth-
mia will be detected and displayed. In certain patients with uncommon clinical conditions the
PARR technology may not be able to detect pulse arrhythmia. This partly comes from the fact
that some arrhythmia can only be found with an ECG diagnosis, but not with a pulse diagnosis.
Thus PARR is not meant to replace any medical ECG diagnosis by your doctor. PARR provides
an early detection of certain pulse arrhythmia, which inevitably need to be presented to your
doctor in charge.
Remark:
Detection Technology.
The upper chambers of the heart (the atria) do not contract, but quiver and thus blood is driven irreg-
ularly and with lower eciency into the ventricles. Subsequently irregular heartbeats occurs, which
mostly are associated with a fast, yet highly instable heart rate. This condition is associated with a
higher risk for the formation of cardiac blood clots. Amongst others, they may elevate the risk of brain
strokes. Beside this atrial brillation may contribute to the severity of a chronic or acute heart failure
condition and may be associated with other heart-related complications. Age dependent, about 10
%- 20 % percent of patients who suer from an ischemic stroke also suer from atrial brillation.
Atrial brillation most often initially occurs with temporary periods of arrhythmia and may progress to
a permanent state of this disorder in the course of time. No matter, whether you intent to safeguard
yourself from an undetected AFib state, or you measure during an ongoing period of active atrial
brillation, or you measure in between periods of AFib, the PARR technology can be applied at any of
these conditions. This unit is able to detect Atrial brillation (AFib). The ARR and AFib icons ( )
are displayed right after the measurement if Atrial Fibrillation was detected.
Note:
newly for several times, or, if your AFib is known to your doctor, but the incidence of AFib read-
ings changes over time. Your doctor will then be able to provide all required medical test and
possible therapeutic procedures.
Note:
Extra abnormal heartbeats generated in irregular excitation sites of your heart, either in the atria
(PAC), the ventricle (PVC) or the cardiac conduction nodes (PNC). These extra beats may disrupt your
regular rhythm, they may come in early or cause a signicant pauses regarding your perceivable
pulse. This is called palpitations, which can be felt in your chest. They may occur as isolated, single
events, as a series of irregular pulses or can be distributed all over your pulse beats. If they are not
related to mental stress, or acute demanding physical load, they may be a marker for a multitude of
cardiac disorders. Some of these disorders go along with an elevated risk prole for ischemic events,
either in the heart (e,g, coronary heart disease) or outside the heart, e.g. an elevated risk for a stroke.
Some PCs may indicate on valvular or myocardial disorders and become very important if a myocar-
ditis (infection of the heart muscle) is suspected. This unit is able to detect premature contractions.
The ARR and PC icons ( ) are displayed right after the measurement if premature contractions
have been detected.
Note:
for several times, or, if your PC is known to your doctor, but the incidence of PC readings chang-
es over time. Your doctor will then be able to provide all required medical test and possible
therapeutic procedures.
Once the occurrence of pulse arrhythmia has been detected in the course of your blood pressure
measurement, the icon ARR is displayed. In the case, that the found pulse arrhythmia can be specied
by the PARR technology, the ARR icon is accompanied by the specically detected type of arrhyth-
mia, e.g. PC or AFib. Once the kind of found pulse arrhythmia cannot be safely determined by PARR,
the device is displaying ARR without any additional pulse arrhythmia type icon.
Note:
for several times, or, if your ARR is known to your doctor, but the incidence of ARR readings
changes over time. This is independent whether the ARR icon is specied by another pulse
arrhythmia icon or not. Your doctor will then be able to provide all required medical test and
possible therapeutic procedures.
The PARR technology is able to detect and display combined pulse arrhythmia ndings.
Display Results
- Normal nding
ARR Pulse Arrhythmia without type-specic detec
ARR PC Pulse Arrhythmia-P
ARR AFib Pulse Arrhythmia-Atrial brillation detection
ARR AFib PC Combined Pulse Arrhythmia: Atrial brillation & P
This unit uses the oscillometric method to detect your blood pressure. Before the cu starts inat-
ing, the device will establish a baseline cu pressure equivalent to the air pressure. This unit will
automatically determine the appropriate ination level based on pressure oscillations, followed by
cu deation.
This Blood Pressure Monitor complies with the European regulations and bears the CE mark “CE 1639”.
The quality of the device has been veried and conforms to the provisions of the EC council directive
93/42/EEC (Medical Device Directive), Annex I essential requirements and applied harmonized stand-
ards.
EN 1060-1: 1995/A2: 2009 Non-invasive sphygmomanometers - Part 1 - General requirements
EN 1060-3: 1997/A2: 2009 Non -invasive sphygmomanometers - Part 3 - Supplementary requirements
for electro-mechanical blood pressure measuring systems
EN 1060-4: 2004 Non-invasive sphygmomanometers - Part 4: Test Procedures to determine the overall
system accuracy of automated non-invasive sphygmomanometers.
ISO 81060-2: 2013 Non-invasive sphygmomanometers -- Part 2: Clinical investigation of automated
measurement type.
This blood pressure monitor was designed for long service periods. In order to ensure continued ac-
curacy, it’s recommended that all digital blood pressure monitors require re-calibration. This monitor
(under normal usage with approx. 3 measurements a day) does not require re-calibration for 2 years.
Once the unit should be re-calibrated the device will display . The unit should also be re-calibrated
if the monitor sustains damage due to blunt force (such as dropping) or exposure to uids and / or
extreme hot or cold temperature / humidity changes. When appears, simply return your device to
your nearest dealer for re-calibration service.
Refer to the denitions of the World Health Organization, the blood pressure ranges can be classied
into 6 grades. (Ref. 1999 WHO-International Society of Hypertension Guidelines for the management of
Hypertension). This blood pressure classication are based on statistical data, and may not be directly
applicable to any particular patient. It is important that you consult with your physician regularly. Your
physician will tell you your normal blood pressure range as well as the point at which you will be con-
sidered at risk. For reliable monitoring and reference of your blood pressure, keeping long-term records
is recommended. Please download the blood pressure log at our website www.rossmax.com.
Blood Pressure Standard W
Systolic Pr
(mmHg)
Diastolic Pressure
(mmHg)
Optimal <120 and <80
Normal 120~129 or 80~84
High-normal 130~139 or 85~89
Grade 1 hypertension (mild) 140~159 or 90~99
Grade 2 hypertension (moderate) 160~179 or 100~109
Grade 3 hypertension ≥180 or ≥110
If the cu was applied too loosely, it may cause unreliable measurement results or measurements can
fail to start. The “Loose Cu Detection” can help to determine if the cu is wrapped snugly enough. The
specied icon appears once a “loosen cu” has been detected during measurement. Otherwise the
specied icon appears if the cu is wrapped correctly during measurement.
The “Movement Detection” helps reminding the user to remain still and is indicating any adverse body
movement during measurement. The specied icon appears once a “body movement” has been de-
tected during and after such a measurement.
Note: appears.
This monitor has a non-stored single measurement function. Press the User-Switching key to select the
memory zone of guest , and follow the Measurement Procedure to take a measurement correctly.
When the measurement is completed, the measurement value will not be stored in memory zone.
The World Health Organization, classifying blood pressure ranges into 6 grades. This unit is equipped
with an innovative blood pressure risk indication, which visually indicates the assumed risk level (op-
timal / normal / high-normal/ grade1 hypertension / grade 2 hypertension / grade 3 hypertension) of
your result, making the meaning of your ndings comprehensive.
EE / Measurement Error: Make sure the L-plug is securely connected to the air socket and calmly
measure again. Wrap the cu correctly around your arm and keep arm steady during measurement. If
the error keeps occurring, return the device to your local distributor or service centre.
E1 / Air Circuit Abnormality: Make sure the L-Plug is securely connected to the air socket on the side
of the unit and calmly measure again. If the errors still occur, return the device to your local distributor
or service centre for help.
E2 / Pressure Exceeding 300 mmHg: Switch the unit o and measure again quietly. If the error keeps
occurring, return the device to your local distributor or service centre.
E3 / Data Error: Remove the batteries, wait for 60 seconds, and reload. If the error keeps occurring,
return the device to your local distributor or service centre.
Er / Exceeding Measurement Range: Measure again quietly. If the error keeps occurring, return the
device to your local distributor or service centre.
The unit is equipped with a non-detachable and high-capacity rechargeable lithium-ion battery and
has a LED light for charge indication. We recommend charging the battery to a full capacity for initial
use, and it may take about 3 hours to fully charge.
1. Plug the AC adapter into the socket.
2.
the unit.
3.
the battery is fully charged.
Warning:
• Do not
•
eye, then immediately consult the doctor for treatment. There is danger in losing your eyesight.
•
or explode.
Caution:
• AC Adapter
• -
evant safety standards for medical devices including EN 60601-1: 2006+A1:2013 and related collateral
standards as EN 60601-1-2: 2015.
•
used for any other purpose.
• Do not
•
charged to avoid damage to the battery.
Note:
•
•
periods to prolong the battery life.
•
is always charged to the optimal level.
Battery life
Once fully charged, you can use the unit for approximately six hundred measurements depending on
battery life and storage condition.
Note:
1. The battery life will be reduced by letting the unit not be recharged for extended periods.
2. keeps ap-
pearing on the display after fully charging, return the unit to your local distributor or service center
and replace the battery with a new one.
Caution:
service center. Disassembling or repairing the unit will void warranty.
Battery low
You need to recharge the battery as soon as possible when
1. The low battery icon appears on the display.
2. The ON/OFF/START key is pressed and nothing appears on the display.
Caution:
• -
ranty.
•
1.
2.
with the tube pointing in the direction of your arm (Fig. ). Turn your left palm upward and place the
edge of the arm cu at approximately 1.5 to 2.5 cm above the inner side of the elbow joint (Fig. ).
Tighten the cu by pulling the end of the cu.
3.
room for 2 ngers to t between the cu and your arm. Position the artery mark (Ø) over the main
Introduction
P
A
Prema
Pulse Arr
Real F
Preliminary Remarks
Blood Pressur
Loose C
Name/F
Name/F
Mov
Guest Mode
Hyper
Error C
Charging the ba
Applying the C
Center tube over
middle of arm
Here are a few helpful tips to help you obtain more accurate readings:
•
• -
tion and other factors. For greatest accuracy, wait one hour after exercising, bathing, eating, drinking
beverages with alcohol or caeine, or smoking to measure blood pressure.
•
during a relaxed state will have greater accuracy. You should not be physically tired or exhausted
while taking a measurement.
•
• -
ing taken.
•
•
•
before taking a measurement.
•
at least one hour before using it.
•
1.
memory zone is selected, press the ON/OFF/START key to reset the monitor so it can start measure-
ment in the chosen memory zone.
2.
procedure will be completed in 2 seconds.
3.
will automatically inate the cu slowly to start measurement.
4.
diastolic pressure and pulse will be shown simultaneously on the LCD screen. The measurement is
then automatically stored into the pre-designated memory zone.
5. -
urement repetitions are recommended.
6.
completion of the binding process, please see Data Transfer via Bluetooth® .
This blood pressure monitor will re-inate automatically to higher pressure if the system detects that
more pressure is needed to take a blood pressure measurement.
Note: 1.
2. -
ately.
Measurement P
1. Arm Cu
2. LCD Display
3. User-Switching key
4.
status
5
1 3 4
7
2
68
10. Rechargeable
Lithium-ion battery
(non-detachable)
9
10
513
14
1 2
4
6
8
7
9
10
11
12 15
16
17
1. Arrhythmia Detection (ARR)
2.
3.
4. Date/Time Indication
5. Bluetooth® Mark
6.
7. Loose C
8. Morning and N
9. Memor
10. Memor
11.
12. Pulse Rate
13. Systolic P
14. Diastolic P
15. Movement Mark
16.
17. Pulse Mark
During the deation, the device will detect the amplitude and slope of the pressure oscillations and
thereby determine your actual the systolic blood pressure, diastolic blood pressure, and pulse rate.
5. Memory Key
6.
7. ON/OFF/START key
8. Type C port
9. Reset button
artery (on the inside of your arm) (Fig. , ). Note: Locate the main artery by pressing with 2 ngers
approximately 2 cm above the bend of your elbow on the inside of your left arm. Identify where
the pulse can be felt the strongest. This is your main artery.
4. ).
5.
the tube is not kinked (Fig. ).
6.
(Fig. ). If the arrow falls outside the solid color line, you will need a cu with other circumferences.
Contact your local dealer for additional size cus.
1.
ments.
2.
select a memory zone (1 or 2) from which you want to recall values. Press the Memory
key. The rst reading displayed is the average of all morning readings from the last 7
days.
3.
the last 7 days.
4.
in memory, and the last previously stored measurement. Every measurement comes
with an assigned memory sequence number.
5.
tooth® after successful completion of the binding process. Select the desired user
memory zone and follow App instructions, the Bluetooth® transfer starts automatically.
Data transfer will be halted while performing a measurement or operating the device.
Note:
ber of readings exceeds 60, the oldest data will be replaced with the new record.
Note: AM is dened as 4:00 AM – 11:59 AM
Note: PM is dened as 6:00 PM – 2:00 AM
Recalling
