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GB
Blood Pressure Monitor
BW 333
Instruction Manual
Please read carefully!
GB Unit and LC-Display
2
1
1
approx. 1 cm
2
8
7
9
s
3
2 x LR03, 1.5 V, AAA
a
p
o
i
u
z
t
r
4
a
b
Proper use
•
This fully automatic electronic blood pressure
c
monitor is intended for measuring the blood
pressure at home. It is a non-invasive blood
pressure measurement system to measure the
diastolic and systolic blood pressure and pulse of
an adult using a non-invasive technique by means
of a cuff, which needs to be fitted on the wrist.
Scope of supply
Contraindications
Please check first of all that the unit is complete.
•
The following parts are included as standard:
The device is not suitable for measuring the
• 1 MEDISANA blood pressure monitor BW 333
blood pressure of children. Ask your doctor
• 2 batteries (type AAA, LR03) 1,5V
before using it on older children.
•
• 1 storage box
Persons who suffer from arrhythmia, diabetes,
• 1 instruction manual
cardiovascular problems or who have had a stroke
should consult their doctor before using the device.
Please contact your supplier if you notice any
transport damage on unpacking the unit.
Common factors of wrong measurements
•
Please keep quiet for 5-10 minutes and avoid eating,
Explanation of symbols
drinking alcohol, smoking, exercising and bathing
before taking a measurement. All these factors will
IMPORTANT
influence the measurement result.
Follow the instructions for use!
•
Remove watches or other spruce from your wrist
Non-observance of these instructions
before measurement.
can result in serious injury or damage
•
Always measure on the same wrist (normally left).
to the device.
•
Measurements should be taken regularly at the
same time of each day, as the blood pressure varies
WARNING
These warning notes must be observed
even during the day.
•
Any effort to support the arm during measurement
to prevent any injury to the user.
may increase the measured blood pressure.
•
Make sure, you are in a comfortable, relaxed posi-
CAUTION
tion and do not move or constrict your muscles
These notes must be observed to prevent
during measurement. Use a cushion to support your
any damage to the device.
arm if necessary.
•
If the wrist is not at heart level, a false reading may
NOTE
be obtained.
These notes give you useful additional
•
A loose or open cuff causes false readings.
information on the installation or
•
With repeated measurements, blood accumulates
operation.
in the wrist, what may lead to false readings.
Consecutive blood pressure measurements should
be carried out after a 5-minute pause or after the
Device classification: type BF applied part
arm has been held up in order to allow the accu-
mulated blood to flow normally.
LOT number
Manufacturer
Date of manufacture
GB
Safety Instructions
Read the instruction manual carefully before
using this device, especially the safety
instructions, and keep the instruction manual
for future use. Should you give this device to
another person, it is vital that you also pass on
these instructions for use.
•
The unit is intended only for use in the home. Consult your doctor prior to using
the blood pressure monitor if you are concerned about health matters.
•
Only use the unit for its intended purpose in accordance with the instructions
for use. Warranty claims become void if the unit is misused.
•
Please consult your doctor prior to using the unit if you suffer from illnesses
such as arterial occlusive disease.
•
The unit may not be used to check the heart rate of a pacemaker.
•
Like on any other oscillometric blood pressure measurement devices, certain
medical conditions can affect the measurement accuracy, among others: car-
diac arrhythmias, low blood pressure, circulatory disorders, states of shock,
diabetes, pregnancy, pre-eclampsy etc. Always consult a physician before you
use the device.
•
This device is not suitable to provide a medical diagnosis. The measurement
results are for reference only. Contact your physician to get information about
treatment and medicine, which are necessary for you.
•
The arrhythmia function does not replace a professional cardiac examination.
Check with your doctor if any treatment or medical action is necessary for you.
•
A heartbeat that varies by 25% or more from the average of all heartbeats du-
ring a measurement may cause difficulties to determine the correct blood pres-
sure.
•
Please contact your physician about the specific risks of cuff pressure in your
individual case.
3
•
If you experience discomfort during a measurement, such as pain in the wrist
or other complaints or in case the device does not stop to inflate the cuff,
4
7
press the
- button
to release the air immediately from the cuff. Loosen
5
the cuff and remove it from your wrist.
•
Blood pressure measurements in high repetition rates may lead to unwanted
6
side effects, e.g. nerval compression or blood clots.
•
Blood pressure measurements - especially if executed frequently - may lead to
temporary marks on the skin. These marks may be visible for several days in
individual cases. If necessary, contact your physician to get more information.
•
This device is not designed to be used by persons with limited physical, sen-
sory or mental abilities, or by persons with insufficient experience and/or know-
0
ledge, unless under observation by a person responsible for their safety, or
unless they have been instructed in the use of the device.
•
This device is intended to be used by adults. The unit is unsuitable for children
or babies. Contact your doctor, if you want to use this device on young persons.
•
Do not allow children to use the unit. Medical products are not toys!
q
•
The swallowing of small parts like packaging bag, battery, battery cover and
so on may cause suffocation.
•
The user needs to check that the equipment functions properly and that it is in
proper working condition before being used.
•
The device needs to be used in accordance to the specified ambient conditions
w
(see "Technical specifications") only. Otherwise the accuracy of readings might
be affected.
•
The device may not be operated in rooms with high levels of radiation or in the
vicinity of high-radiation devices, such as radio transmitters, mobile telephones
or microwaves, as this could cause functional defects or incorrect measure-
ments.
•
Do not use the equipment where flammable gas (such as anaesthetic gas,
e
oxygen or hydrogen) or flammable liquids (such as alcohol) are present.
•
Do not take measurements, if any other equipment is applied to the same limb
for monitoring. This could lead to disturbances or failures.
•
After a lymph node removal operation a physician should be consulted, before
a blood pressure measurement is executed with this device.
•
Never apply the cuff over hurt skin or in case of an inserted catheter.
•
Do not apply the cuff on any other part of the body than the left wrist.
•
Before applying the cuff, make sure there are no wrinkles in the cuff, as these
could cause bruises.
•
The cuff size should be chosen according to the wrist circumference. Non fitting
cuffs may lead to inaccurate measurements.
•
The cuff must not be applied over clothes as this may lead to injuries or inaccu-
rate readings.
•
Do not kink or fold the cuff and do not pull it over sharp edges.
•
No modification of this unit/device is allowed.
•
Please do not attempt to repair the unit yourself in the event of malfunctions,
since this will void all warranty claims. Only have repairs carried out by
authorised service centres.
•
Protect the unit against moisture. If liquid does manage to penetrate into the
unit, remove the batteries immediately and do not continue to use the unit. In
this case contact your specialist dealer or notify us directly.
•
Extreme temperatures, humidity or altitudes may impair the performance of the
device.
•
Please do not use a dilution agent, alcohol or petrol to clean the unit.
•
Do not hit the device heavily or let if fall down from a high place.
•
Do not insert any objects into the device openings and never push the buttons
with heavy force or with the help of peak objects. This may lead to damages
of the device.
•
If the unit is not going to be used for a long period, please remove the batteries.
SAFETY NOTES FOR BATTERIES
•
Do not disassemble batteries!
•
Replace all batteries if the unit display shows the low battery symbol.
•
Never leave any low battery in the battery compartment since it may leak and
cause damage to the unit.
•
Increased risk of leakage! Avoid contact with skin, eyes and mucous mem-
branes! If battery acid comes in contact with any of these parts, rinse the
affected area with copious amounts of fresh water and seek medical attention
immediately!
•
If a battery has been swallowed, seek medical attention immediately!
•
Replace all of the batteries simultaneously!
•
Only replace with batteries of the same type, never use different types of
batteries together or used batteries with new ones!
•
Insert the batteries correctly, observing the polarity!
•
Keep batteries out of children's reach!
•
Do not attempt to recharge batteries! There is a danger of explosion!
•
Do not short circuit! There is a danger of explosion!
•
Do not throw into a fire! There is a danger of explosion!
•
Do not throw used batteries into the household refuse; put them in a
hazardous waste container or take them to a battery collection point, at the
shop where they were purchased!
Unit and LCD display
Fitting the cuff
1
2
1.
Attach the clean cuff to the left wrist which is free from clothing with the palm
Blood Pressure Indicator (green - yellow - orange - red)
LC-display
3
4
of the hand facing upwards (fig.1).
M - button (Memory Recall)
- button (User Setting)
2.
There should be a gap of approx. 1 cm between the cuff and the palm of the
5
- button (Clock/Date)
6
Lid of the Battery Compartment
hand (fig.2).
7
8
9
- button (START/STOP)
Wrist cuff
Average value
0
q
3.
Press the Velcro tape firmly around the wrist ensuring that it is not so tight that
Memory Location number
Display of Systolic Pressure
it could falsify the measured result (fig.3).
w
Display of Diastolic Pressure
e
Deflation symbol
r
Arrhythmia
t
display (arrhythmia cordis)
Display of Pulse Rate
z
u
i
Correct position for taking readings
Change Battery symbol
Pulse symbol
Inflation symbol
•
o
Blood Pressure Indicator
p
User memory 2
a
User memory 1
Carry out the measurement whilst seated.
•
s
Relax your arm and place it comfortably, on a table for instance.
Display of Time / Date
•
Raise the wrist so that the cuff of the monitor is at heart level (fig. 4, position
a = too high, b = correct, c = too low).
What is blood pressure?
•
Keep still during the measurement: Do not move and do not talk as this may
Blood pressure is the pressure created in the blood vessels by each heart beat.
alter the measurements.
When the heart contracts (= systole) and pumps blood into the arteries, it brings
about a rise in pressure. The highest value is known as the systolic pressure
Taking a blood pressure measurement
i
and is the first value to be measured. When the cardiac muscle relaxes to take
in fresh blood, the pressure in the arteries also falls. Once the arteries are re-
After the cuff has been appropriately positioned,the measurement can begin:
i
laxed, a second reading is taken – the diastolic pressure.
1.
Switch the unit on by pressing the
start immediately.
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2.
The unit is ready for measurement and it automatically inflates the cuff slowly
How is blood pressure measured?
i
in order to measure your blood pressure. The rising pressure in the cuff is
The MEDISANA BW 333 is a blood pressure unit which is used to measure
shown on the display.
blood pressure from the wrist. The measurement is carried out by a micro-
3.
The unit inflates the cuff until sufficient pressure has built up for a measure-
processor, which, via a pressure sensor, measures the vibrations resulting from
ment. Then the unit slowly releases air from the cuff and carries out the mea-
the inflation and deflation of the cuff over the artery.
surement. When the device detects the signal, the heart symbol
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to flash on the display.
Blood pressure classification WHO
4.
When the measurement is finished, the cuff is deflated completely. The
systolic and diastolic blood pressure and the pulse value appear on the
These values have been specified by the World Health Organisation (WHO)
i
display
without making any allowance for age.
coloured bar depending on the WHO blood pressure classification. If the unit
has detected an irregular heartbeat, the arrhythmia display
Low blood pressure
systolic <100
diastolic <60
be shown.
1 o
Normal blood pressure
(green display area
/
)
systolic 100 - 139 diastolic 60 - 89
i
Forms of high blood pressure / hypertension
i
1 o
Mild hypertension
(yellow display area
/
)
systolic 140 – 159 diastolic 90 – 99
Moderate hypertension
(orange display area
1 o
/
)
5.
The readings are automatically saved in the selected memory (
Up to 120 measured values with date and time can be stored in each me-
systolic 160 – 179 diastolic 100 – 109
i
1 o
mory.
Severe hypertension
(red display area
/
)
6.
The measurement readings remain on the display. The unit switches off
systolic ≥ 180
diastolic ≥ 110
i
automatically after approx. 2 minutes if no buttons are pressed. The unit
may also be switched off using the
WARNING
Blood pressure that is too low represents just as great a health
risk as blood pressure that is too high! Fits of dizziness may
Discontinuing a measurement
lead to dangerous situations arising (e.g. on stairs or in traffic)!
If it is necessary to interrupt a blood pressure measurement for any reason
(eg. the patient feels unwell) the
i
The device immediately decrease the cuff pressure automatically.
Influencing and evaluating readings
•
Measure your blood pressure several times, then record and compare the
results. Do not draw any conclusions from a single reading.
i
i
Display stored values
•
Your blood pressure readings should always be evaluated by a doctor who is
This unit features 2 separate memories, each with a capacity of 120 memory
also familiar with your personal medical history. When using the unit regularly
i
slots. Results are automatically stored in the memory selected by the user.
and recording the values for your doctor, you should visit the doctor from time
Press the
to time to keep him updated.
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i
measured values stored, press the
•
When taking readings, remember that the daily values are influenced by se-
and then the M - button
veral factors. Smoking, consumption of alcohol, drugs and physical exertion
appear
influence the measured values in various ways.
i
i
the last measurement value will be shown. Repeatedly pressing the M - button
•
Measure your blood pressure before meals.
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3
•
Before taking readings, allow yourself at least 5-10 minutes rest.
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final entry and do not press a button, the unit automatically switches itself off
•
If the systolic and diastolic readings seem unusual (too high or too low) on
after approximately 2 min. in memory recall mode. Memory recall mode can be
several occasions, despite correct use of the unit, please inform your doctor.
i
exited at any time by pressing the
This also applies to the rare occasions when an irregular or very weak pulse
off. The oldest value is deleted if 120 measured values have been stored in the
prevents you from taking readings.
i
memory and a new value is saved.
Starting up
Delete saved values
i
Insert / replace batteries
If you want to delete the record of a saved measurement, first follow the ins-
i
You must insert the batteries provided before you can use your unit. The lid of the
tructions under "Display stored values" to display the respective record. Now
i
battery compartment
6
is located on the underside of the unit. Open it by pushing
press and hold the M - button
i
button
the cover outward and remove it. Insert the 2 AAA LR03 type 1.5 V batteries sup-
If you are sure that you want to permanently remove all stored memories,
plied. Ensure correct polarity when inserting the batteries (as marked on the
i
follow the instructions under "Display stored values" to display the average
battery compartment cover).
i
values of last 3 measurements
Close the battery compartment. Replace the batteries immediately, if the partial
i
z
2
button
change battery symbol
flashes on the display
and "E6" is appearing
deletion. After each successful deletion CL and "00" appears on the display.
at the same time or if nothing appears on the display after the unit has been
i
z
switched on. If the partial change battery symbol
appears on the display
i
constantly together with "E6", the batteries are already in poor condition. If the
i
z
full change battery symbol
appears, the batteries are in good condition.
Error messages and error remedying
Error indicators
Settings
i
The following symbol will appear on the display when measuring abnormal:
After inserting the batteries, time and date need to be adjusted correctly. The
device automatically switches to settings mode after insertion of the batteries.
Symbol
5
If you want to get to settings mode manually, press and hold the
- button
i
i
E-1
for approx. 3 seconds after switching on the unit.
i
1. Adjustment of the year:
i
3
The year figure starts to flash for setting. Keep pressing the M - button
until
i
5
the required year appears. Press
- button
to confirm the year setting.
i
E-2
Afterwards, you will enter the month/date setting mode.
2. Month / date setting:
i
3
The month figure starts to flash for setting. Keep pressing the M - button
i
5
until the required month appears. Press
- button
to confirm the month
setting. Afterwards, the day needs to be set. As with the month setting, keep
E-3
3
pressing the M - button
until the required day appears. Press
- button
5
to confirm the day setting. Afterwards, you will enter the time setting mode.
i
i
E-4
3. Time setting:
3
The hour figure starts to flash for setting. Keep pressing the M - button
un-
i
5
til the required hour appears. Press
- button
to confirm the hour setting
and proceed in the same way for minute setting.
i
After this, all settings are completed. The display shows the actual time and
7
date. Press
- button
to switch off the device.
i
i
If the batteries are changed, the set information is lost and needs to be enter-
i
ed again.
E-5
i
Setting up the user memory
i
E-6
i
The MEDISANA wrist blood pressure monitor BW 333 gives you the opportunity
i
to assign readings to one of two user memories, each of which provides 120 me-
5
i
mory slots. After switching on the device (press
- button
to switch the
4
i
device on), press
- button
to select between user 1
and user 2
.
i
Your selection will be saved by the device and will be considered in next blood
pressure measurement respectively when the measurement result is saved.
Please contact the manufacturer resp. the service centre if you can't solve the
Your selection is valid until you make another selection.
i
problem. Do not disassemble the unit by yourself.
After selecting the user, press
- button
7
to switch off the device.
Cleaning and care
Remove the batteries before cleaning the unit. Clean the unit and the cuff using
i
a soft cloth lightly moistened with a mild soapy solution. Never use abrasive
cleaning agents, alcohol, naphta, thinner or gasoline etc.. Never immerse the
i
unit or any component in water. Be cautiious not to get any moisture in the main
unit. Do not use the unit again until it is completely dry.
Only inflate the cuff when it is in position around the wrist.
Do not expose the unit to direct sunlight; protect it against dirt and moisture.
Do not subject the unit to extreme hot or cold temperature. Keep the unit in the
original packing when not in use. Store the unit in a clean and dry location.
i
i
Disposal
i
This product must not be disposed of together with domestic waste. All
users are obliged to hand in all electrical or electronic devices, regardless
of whether or not they contain toxic substances, at a municipal or commer-
cial collection point so that they can be disposed of in an environmentally
acceptable manner.
Remove the batteries before disposing of the device/unit. Do not dispose of old
7
- button
. The measurement will also
batteries with your household waste, but at a battery collection station at a re-
i
cycling site or in a shop. Consult your local authority or your supplier for infor-
mation about disposal.
i
Guidelines / Standards
This blood pressure monitor meets the requirements of the EU standard for
u
i
starts
non-invasive blood pressure monitors. It is certified in accordance with EC
i
Guidelines and carries the CE symbol (conformity symbol) "CE 0297".
The specifications of EU Guideline "93/42/EEC of the Council Directive dated 14
June 1993 concerning medical devices" are met.
2
. The blood pressure indicator
o
is shown next to the relevant
Electromagnetic compatibility: The device complies with the EN 60601-1-2
standard for electromagnetic compatibility. You can find details on this measure-
r
will also
ment data on the seperate enclosure.
WARNING
Technical specifications
Do not take any therapeutic measures on the basis of a self
Name and model
measurement. Never alter the dose of a medicine prescribed
Display system
by a doctor.
Memory slots
Measuring method
or
).
Power supply
i
Blood pressure measuring range
Pulse measuring range
Maximum error tolerance for
7
- button
.
static pressure
Maximum error tolerance for
pulse rate
Pressure generation
- button
7
can be pressed at any time.
Deflation
Automatic switch-off
Operating conditions
Storage conditions
- button
5
when power off to power on the device. To call up the
Dimensions (main unit)
- button
4
to select the user (
or
)
Cuff
3
. The average values of the last 3 measurements
Weight
9
5
on the display, together with "AVG". Pressing the M - button
again,
Item number
EAN number
displays the respective values measured previously. If you have reached the
In accordance with our policy of continual product improvement, we
reserve the right to make technical and visual changes without notice.
7
- button
, which will also switch the unit
The current version of this instruction manual can be found under
Warranty and repair terms
Please contact your supplier or the service centre in case of a claim under the
warranty. If you have to return the unit, please enclose a copy of your receipt and
3
, until CL and "--" appears. Press the
-
state what the defect is.
4
to confirm the deletion.
i
The following warranty terms apply:
9
("AVG" lights up). Press and hold the M -
1. The warranty period for MEDISANA products is 3 years from date of purchase.
3
4
, until CL and "--" appears. Press the
- button
to confirm the
In case of a warranty claim, the date of purchase has to be proven by means
of the sales receipt or invoice.
2. Defects in material or workmanship will be removed free of charge within the
warranty period.
3. Repairs under warranty do not extend the warranty period either for the unit
or for the replacement parts.
Cause
Correction
4. The following is excluded under the warranty:
Cuff not fitted
Put on the cuff correctly.
a. All damage which has arisen due to improper treatment, e.g.
properly
Repeat the measurement in the
nonobservance of the user instructions.
correct way.
b. All damage which is due to repairs or tampering by the customer or
unauthorised third parties.
c. Damage which has arisen during transport from the manufacturer to the
Movement or
Repeat the measurement in the
consumer or during transport to the service centre.
speaking during
correct way after relaxing 30 minutes.
d. Accessories which are subject to normal wear and tear as batteries etc..
measurement
Do not speak or move during the
measurement.
5. Liability for direct or indirect consequential losses caused by the unit are
excluded even if the damage to the unit is accepted as a warranty claim.
Error during inflation
Put on the cuff correctly.
process
Repeat the measurement.
Measurement can
A weak pulse signal may be the cause
MEDISANA AG, Jagenbergstr. 19, 41468 NEUSS, GERMANY.
not be proceeded
for measurement problems.
E-mail: info@medisana.de, Internet: www.medisana.com
or measurement
Repeat the measurement after relaxing
failed
30 minutes.
If you get unusual readings for 3 times,
please contact your doctor.
For service, accessories and spare parts, please contact:
Too high cuff
Pressure above 300 mmHg. Contact
Murrays Health & Beauty
pressure
your doctor.
School Lane
Chandlers Ford
Weak batteries
See chapter "Insert / replace batteries"
Hampshire
UK SO534YN
-
Device constantly
Remove the batteries and insert new
Tel. +44/2380460600
re-pumps the cuff
ones. Repeat the measurement.
eMail: cservices@paulmurrayplc.co.uk
i
i
i
i
i
:
MEDISANA Blood pressure monitor BW 333
:
Digital display
:
2 x 120 measurement values
:
Oscillometric
:
3 V=, 2 x 1.5V batteries AAA LR03
:
30 – 250 mmHg
:
40 – 180 beats/min.
:
± 3 mmHg
:
± 5 % of the value
:
Automatic with pump
:
Automatic
:
After approx. 2 minutes
:
+5 °C to +40 °C, 15 to 93 % max. relative
humidity; Air pressure 700 hPa to 1060 hPa
:
-25 °C to +70 °C, up to 93 % max. relative
humidity; Air pressure 700 hPa to 1060 hPa
:
Approx. 84 x 77 x 15 mm (L x W x H)
:
13.5 - 23 cm for adults
:
Approx. 115 g without batteries
:
51075
:
40 15588 51075 5
www.medisana.com
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