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Select the measuring mode: standard or AFIB/MAM mode
This device enables you to select either standard (standard single
measurement) or AFIB/MAM mode (automatic triple measure-
ment). To select standard mode, slide the AFIB/MAM switch 8 on
the side of the device downwards to position «1» and to select
AFIB/MAM mode, slide this switch upwards to position «3».
AFIB/MAM mode (highly recommended)
In AFIB/MAM mode, 3 measurements are automatically taken in
succession and the result is then automatically analysed and
displayed. Because blood pressure constantly fluctuates, a result
determined in this way is more reliable than one produced by a single
measurement. AFIB detection is only activated in AFIB/MAM mode.
• When you select the 3 measurements, the MAM-symbol AS
appears in the display.
• The bottom, right hand section of the display shows a 1, 2 or 3 to
indicate which of the 3 measurements is currently being taken.
• There is a break of 15 seconds between the measurements
(15 seconds are adequate according to «Blood Pressure Moni-
toring, 2001, 6:145-147» for oscillometric instruments). A count
down indicates the remaining time.
• The individual results are not displayed. Your blood pressure
will only be displayed after all 3 measurements are taken.
• Do not remove the cuff between measurements.
• If one of the individual measurements was questionable, a
fourth one is automatically taken.
4. Taking a Blood Pressure Measurement using this
Device
Checklist for taking a reliable measurement
1. Avoid activity, eating or smoking immediately before the
measurement.
2. Sit down for at least 5 minutes before the measurement and relax.
3. Always measure on the same arm (normally left). It is recom-
mended that doctors perform double arm measurements on a
patients first visit in order to determine which arm to measure in
the future. The arm with the higher blood pressure should be
measured.
4. Remove close-fitting garments from the upper arm. To avoid
constriction, shirt sleeves should not be rolled up - they do not
interfere with the cuff if they are laid flat.
5. Always ensure that the correct cuff size is used (marking on the
cuff).
• Fit the cuff closely, but not too tight.
4
• Make sure that the cuff is positioned 2 cm above the elbow.
• The artery mark located on the cuff (ca. 3 cm long bar) must
lie over the artery which runs down the inner side of the arm.
• Support your arm so it is relaxed.
• Ensure that the cuff is at the same height as your heart.
6. Slide the lock switch 9 down to the «unlock» position. Press
the START/STOP button 1 to start measuring.
7. The cuff will now pump up automatically. Relax, do not move
and do not tense your arm muscles until the measurement
result is displayed. Breathe normally and do not talk.
8. When the correct pressure is reached, the pumping stops and the
pressure falls gradually. If the required pressure was not reached,
the device will automatically pump some more air into the cuff.
9. During the measurement, the pulse indicator AP flashes in the
display.
10.The result, comprising the systolic AT and the diastolic AK
blood pressure and the pulse rate AL is displayed. Note also the
explanations on further display symbols in this booklet.
11.When the device has finished measuring, remove the cuff.
12.Switch off the device. (The monitor does switch off automati-
cally after approx. 1 min.).
You can stop the measurement at any time by pressing the
START/STOP button (e.g. if you feel uneasy or an
unpleasant pressure sensation).
If the systolic blood pressure is known to be very high,
it can be an advantage to set the pressure individually.
Press the START/STOP button after the monitor has been
pumped up to a level of approx. 30 mmHg (shown on the
display). Keep the button pressed until the pressure is
about 40 mmHg above the expected systolic value – then
release the button.
5. Appearance of the Atrial Fibrillation Indicator for
early Detection (only in AFIB/MAM mode)
This device is able to detect atrial fibrillation (AFIB). This symbol AQ
indicates that atrial fibrillation was detected during the measurement.
If the AFIB symbol appears after having performed a full blood pres-
sure measurement episode (triplicate measurements), you are
advised to wait for one hour and perform another measurement
episode (triplicate measurements). If the AFIB symbol appears
again, then you are advised to visit your doctor. If after repeated
measurement the AFIB symbol is no longer displayed there is no
cause for concern. In such case it is recommended to measure again
the next day.
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