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NISSEI BLOOD PRESSURE MONITOR DS-B10
Instruction
Manual
Operating Principles
The cuff applies pressure to the artery in your arm
which pulses with your heart rate. The pressure in the
cuff moves with the pulse. This pulse changes
according to the amount of pressure the cuff applies
to your arm. The oscillometric method can find the
systolic and diastolic values as the level of pressure
applied from the cuff changes gradually.
PRECAUTIONS AND CONTRAINDICATIONS
Read this instruction manual carefully before use and use this product correctly. The instructions below
are to help you use the product correctly and to prevent you from being harmed or injured.
The subjects or use which exceeds the responsibility of the manufacturer such as the use beyond the design
Prohibition
limit or the unjustified use. (Ones with possible death or serious injury are indicated.)
General cautions for use of the product. (The subjects which may result in personal injury or property damage
Caution
in case the product is incorrectly handled are indicated.)
*Property damage means consequential damage for house, household belongings, livestock or pet.
Prohibition
• Do not use the product for infants or persons who cannot express their will. It may cause an accident or an injury.
• Do not bring the product in the test room when having a MRI scan. It may cause the attraction by
magnetic force or the thermal burn.
• Do not use the product near flammable gas, such as anesthetic gas, or in locations or atmospheres
with high oxygen concentration such as hyperbaric oxygen chambers/therapy devices or oxygen
tents. It may cause malfunction, breakage, deterioration or inducement of explosion.
• Do not make any diagnoses or treat yourself based on your own measurement results. Make
measurement based on the consultation with your doctor and receive professional treatment and prescription.
• Do not use the product, if you have an injury on/around your arm. It may cause the aggravation of the injury.
• Do not use the product during intravenous drip injections or blood transfusions. It may cause an
accident or an injury.
• Do not use the product with exceeding its service life. The service life of the product is either 5 years or
30,000 times.
• Do not use the product in the medical institution or public area where the product is subject to be
used by unspecified persons. It may cause an accident or a trouble.
Caution
• Do not use the product near mobile phones, micro ovens or other strong electromagnetic devices. It
may cause malfunctions or damage the product.
• Be cautious about using the product in conjunction with the medical electrical equipment listed
below. It may cause malfunctions.
· Pace makers, implantable defibrillators, or other wearable medical electrical equipment that is easily affected by
electromagnetic force
· Wearable medical electrical equipment such as an electrocardiographic monitor.
• Consult a doctor when persons in pregnancy use the product.
• Do not use the product for purposes other than measuring blood pressure. It may damage the product or
cause an accident.
• Do not use the cuff around anywhere other than your upper arm. It may damage the product or cause an accident.
• When using the monitor in an environment where systems connecting fluid with blood vessels such
as dialysis and intravenous drip injection are used, do not connect the blood pressure monitor and
the system. An accident may be caused if the air enters a blood vessel.
• Consult a doctor before using the product for persons suffering from arrhythmia or peripheral
circulatory disorders caused by diabetes, liver disease, arteriosclerosis or hypertension.
• When using the cuff, use the supplied equipment. Using equipment other than that supplied may cause
measurement error.
• Measure the circumference of your upper arm and make sure that it is within the suggested range.
Using the product for an arm outside the suggested range may cause measurement error.
• Do not place heavy items on the product or tie up the air hose. It may damage the product.
• Do not make an impact on or drop the product. It may cause malfunctions or damage the product.
• Wear the cuff correctly and keep it level with the heart during measurement. Wearing the cuff
incorrectly or at the wrong height may cause measurement error.
• Be cautious that blood pressure is affected by the factors below.
· Time and season
· Physical activity
· Taking medicine for high blood pressure
· Eating and drinking (including Alcohol)
· Smoking
· The urge to urinate
· Conversation
· Other environment (during medical examination etc.)
· Measurement posture (including the cuff level against the heart)
• Press the START/STOP BUTTON if the product applies an excessive level of pressure to your arm.
Pressing the START/STOP BUTTON releases the air from the cuff immediately, and the product stops measuring.
• The cuff may leave bruises on your arm. If you feel any pain, press the START/STOP BUTTON to
stop the operation of the product. Pressing the START/STOP BUTTON releases the air from the cuff
immediately, and the product stops measuring.
• Do not plug/unplug the AC adaptor with wet hands, or touch it with tweezers, or other electronically
conductive devices.
• Do not touch another person while touching the batteries, battery terminals of the device or the output
plug of the AC adaptor, such as when replacing the batteries or plugging/unplugging the AC adaptor.
• Do not use new batteries in conjunction with old batteries or different types of batteries at the same
time. It may generate heat and damage the product.
• Pull the plug out from the power outlet if anything unusual is detected during use. Plugging the AC adaptor
in a power outlet located behind furniture may be inconvenient if it needs to be pulled out in an emergency.
• Do not unplug the AC adaptor by pulling the cable. It may damage the cable and cause a fire or electric shock.
• Take the batteries out when not using the product for a long period of time. Battery fluid may leak from
the batteries and damage the product.
• Do not allow children to handle the product alone or leave the product in a place children can
reach. It may injure the children.
• Do not disassemble, repair or modify the product. It may cause malfunctions or damage the product.
• Check if the product is dirty or wet before use.
• If the product stops functioning properly, stop using it. Please contact us for repair or assistance.
• Follow the local regulations of your area when disposing the product or batteries.
PART NAMES AND PRODUCT COMPONENTS
Make sure that the following items are in the package. If you do not have all the necessary items in the
package, please contact the shop from which you brought the product or call our customer service
(
0120-211-164).
AIR CONNECTOR
MEMORY BUTTON
AIR HOSE
DISPLAY
START/STOP
BUTTON
AC ADAPTOR
JACK
BATTERY
COMPARTMENT
MAIN UNIT
ATTACHED
INSTRUCTIONS
DOCUMENT
(Japanese/English or Chinese/Korean)
INSERTING BATTERIES
Remove the cover of the battery compartment on the underside of the unit.
Insert four AA type batteries into the compartment, observing
proper polarity (refer to the marking in battery compartment).
Inserting the battery with (+) first may damage the spring.
Close the battery compartment by pressing the battery cover back into
the unit until it clicks.
The battery symbol [
] flashes when the batteries are low.
The main unit cannot be used if the battery symbol is lit (not flashing).
Replace all the batteries with new AA batteries when the battery symbol is
displayed.
The product can also be used with the optional AC adaptor.
Connect the AC adaptor to the AC ADAPTOR JACK located to the right of the monitor.
The AC Adaptor is sold separately. Purchase the designated AC adaptor,
ADP-W5, separately from the unit.
ADJUST DATE AND TIME AND ACTIVATE THE CLOCK
When the batteries are properly inserted, "20 14" starts flashing on the display.
Set the year, month, day, hour and minute in order.
Set the year
The number increases when the MEMORY BUTTON is pressed.
Touch the START/STOP BUTTON to confirm the setting.
Proceed to the next setting.
Set the month, day, hour, and minute in the same way
After adjusting the number, press the START/STOP BUTTON to confirm.
When the minute is set, the procedure is complete.
If you wish to change the time, take the batteries out and press the START/STOP BUTTON. Make sure
there is nothing shown on the display and then put the batteries back in.
©
2014 NIHON SEIMITSU SOKKI CO., LTD.
Reproduction and reprinting are prohibited.
TIPS ON TAKING YOUR BLOOD PRESSURE
The reading may vary slightly, depending on your posture. Take your blood pressure at the same time
every day.
●
Designate a time in the morning and the evening.
It is said that your blood pressure is most stable before going to bed and soon after waking up in the
morning. Check your blood pressure in the morning within an hour of waking up, before eating, and
in the evening an hour or more after eating.
●
Use one designated arm (right/left) when taking blood pressure.
The blood pressure of one arm may differ from that of the other. Designate an arm for measurement
when you take your blood pressure.
●
Take your blood pressure in a quiet environment and use the same environment every time.
Changes in the surroundings such as movement or noise may affect your blood pressure.
Your blood pressure may increase when the temperature is low. A room temperature of 20° is ideal.
●
It is best to take your blood pressure when you are relaxed.
Mental tension or nervousness may affect your blood pressure. Take a deep breath a few times, rest
for approximately five minutes, and take your blood pressure.
●
Sit quietly and stay still while taking your blood pressure.
Your blood pressure can be affected by speaking and moving your body. This product uses the
oscillometric method for measurement of blood pressure and pulse rate. The oscillometric method
can detect subtle pulsatory changes. For this reason, for accurate results, it is best not to speak, or
move your body while taking your blood pressure.
Note
・If you need to urinate, do so before taking your blood pressure.
・Do not take your blood pressure after smoking.
・Rest after taking a bath or exercising before taking your blood pressure.
Your blood pressure increases if you need to urinate, and after eating, smoking, or exercising.
Connect the cuff and the main unit
Insert the AIR PLUG into the AIR CONNECTOR
securely.
Sit on a chair and attach the cuff
Put the cuff on your left arm with the AIR HOSE
positioned toward your hand.
* If you are unable to wear the cuff on your left arm,
wear it on your right arm. Once you have decided to
wear it on one arm, always wear it on the same arm.
Your blood pressure cannot be measured accurately in the conditions listed below.
・When wearing thick clothes.
・When your sleeve is rolled up.
・When wearing tight clothes that prevent your blood from
circulating freely.
· Mental nervousness
· Bathing
Fasten the cuff
Fasten the cuff with the velcro, making sure
t h a t t h e l o w e r e d g e o f t h e c u f f i s
approximately 2 to 3 cm above the inner
elbow. Hold the cuff around your arm and
fasten it tightly.
If the cuff still moves around, fasten it more tightly.
Be careful not to fasten it too tightly.
Adjust the position of the cuff
Adjust the position of the cuff so that the ARTERY
MARK is over the brachial artery or the AIR HOSE
is at the center of your arm.
Let your forearm rest naturally on the table and
keep the cuff at the height of your heart during
measurement
If the cuff is higher than the heart, the measured reading tends to be
lower whereas if the cuff is lower than the heart, the measured reading
tends to be higher.
In order to measure your blood pressure accurately, adjust
the height of your chair or place a cushion under your elbow
so that the cuff is level with your heart.
AIR PLUG
You may lay on your back and take your blood pressure. Even then, keep the cuff at the same level as your heart.
The measured value may vary depending on your posture (whether sitting or lying on your back).
Start measuring your blood pressure
CUFF
POUCH
Press the START/STOP BUTTON. All the indicators light up and measuring begins automatically.
(For a test run)
The life of the batteries might
be short.
4 AA BATTERIES
If you wish to stop the measurement, press the START/STOP BUTTON. The cuff releases the
air and the main unit turns off.
The measured value displayed
1
The cuff releases the air, the measurement
2
stops and the main unit displays the result.
Turn off the main unit
Click
3
Pressing the START/STOP BUTTON saves the measured value, and then the main
unit turns off automatically.
* When the main unit is left on, it turns off automatically approximately 3 minutes after saving
the measured value.
BATTERY
BODY MOTION SYMBOL
SYMBOL
When you move your body during measurement, the result may not be as accurate as it
may be otherwise. Sit still and take your blood pressure again.
IRREGULAR PULSE RHYTHM SYMBOL
When the intervals between pulses are irregular, the IRREGULAR PULSE RHYTHM
SYMBOL is displayed.
Set the number
Month
Day
Hour
Minute
ATTACHING THE CUFF
AIR
CONNECTOR
AIR PLUG
AIR HOSE
2 to 3 cm
Pull
Fasten
Velcro
Too loose
ARTERY
ARTERY
MARK
MAKING A MEASUREMENT
Time used for
measurement
VIEWING AND DELETING THE SAVED READINGS
Year
The main unit can save up to 60 readings and their average value.
Display the readings
Press the MEMORY BUTTON. The average blood pressure value is displayed.
Press the MEMORY BUTTON repeatedly to see the other results from the
latest to the oldest.
AVERAGE DISPLAY
Confirm
MEMORY
SYMBOL
AVERAGE
SYMBOL
Finished
NUMBER OF SAVED RESULTS
The result number, date and time of measurement change automatically.
Delete the saved results
1. Press the MEMORY BUTTON and select the results you wish to delete.
* Delete all the results by displaying the average.
2. Press and hold the MEMORY BUTTON down for more than 4 seconds.
3. Hold the MEMORY BUTTON down until the results start flashing.
4. The results are deleted.
Press the MEMORY BUTTON
and hold it down.
You cannot restore deleted results.
TROUBLESHOOTING
When
Cause
The cuff is not level with your heart.
Blood pressure is
The cuff is wrapped incorrectly.
extremely high or
low.
You moved or spoke during measurement.
T h e r e s u l t s a r e
The condition of your mind and body and the
different from usual.
measurement method are affecting the result.
The measured value
Mental conditions such as nervousness at a
hospital or feeling relaxed at home is
differs from one
influencing blood pressure.
taken at a hospital.
You moved or spoke during measurement.
is displayed.
The AIR HOSE is bent or squeezed.
The AIR CONNECTOR is not connected
properly.
The cuff is wrapped incorrectly.
is displayed.
You moved or spoke during measurement.
The pressure reached its maximum limit as
you moved your hand or arm, or spoke during
measurement.
is displayed.
Nothing is displayed
The batteries are weak.
even when the buttons
are pressed.
Batteries are inserted incorrectly.
(Measurement does
The batteries terminals are not clean.
not start)
The buttons were being pressed when the
batteries were put in or when the AC adaptor
was plugged in.
is displayed.
If the above solutions do not fix the problem, contact the store from which you bought the product.
GENERAL INFORMATION
Blood pressure
Blood pressure is the pressure exerted by circulation of blood upon the walls of blood vessels.
Systolic blood pressure value
When the heart shrinks and a larger amount of blood flows out, blood pressure increases.
Diastolic blood pressure value
When the heart expands and blood returns to the heart,
blood pressure decreases.
Blood pressure is constantly changing
Blood pressure varies depending on both mental and
physical conditions.
Blood pressure is affected by the factors below.
・ Time and season
・ Physical activity
・ Taking medicine for high blood pressure
Press
・ Eating and drinking (including Alcohol)
・ Smoking
・ Mental nervousness
・ Bathing
・ The urge to urinate
・ Conversation
In order to take your blood pressure accurately, rest
longer than 5 minutes and measure it a few times.
High blood pressure
Too tight
Measured blood pressure values are classified against
WHO guideline. Measured blood pressure values vary
depending on racial background, area, sex, and age.
Therefore the ideal blood pressure is different for each
individual. Do not diagnose yourself based on your
own measurement results. Consult with your doctor.
CARE AND MAINTENANCE
This product can be used without the professional skills or knowledge required to perform maintenance on the
product. The overall condition of the product may deteriorate depending on the number of times it is used, the way it
is used/maintained and the number of years it is used. The service life of the product is either 5 years or 30,000
times.
● Cleaning the product
Make sure that you clean the product after use. If it becomes dirty, wipe the surface of the main unit with a cloth
using warm water or soapy water, then wipe it dry with a soft cloth. To clean the cuff, lightly pat the surface of it with
a cloth using neutral detergent. Make sure that water never enters the AIR HOSE. Dry the cuff thoroughly. Do not use
a washing machine.
Do not use benzine, gasoline, paint thinner or alcohol. It may damage the product.
● Storing the product
Do not store the product in the places described below for a long period of time. It may damage the product or may
allow it to deteriorate.
・
Places exposed to direct sunlight
・
Places affected by differences in temperature or warm places with a high degree of humidity
・
・
Dusty places
Wardrobes where insecticide is used
When not using the product for a long period of time, remove the batteries from the main unit.
Otherwise, battery fluid may leak from the batteries and damage the product.
PRODUCT SPECIFICATIONS
Pulse symbol
Model
: BLOOD PRESSURE MONITOR DS-B10
Operating Principle
: Oscillometric method
Display
: 13 digits liquid crystal display
Pressure Indication Range
: 3 to 300 mmHg (cuff pressure)
Error of cuff pressure indication : within ±3mmHg
Measuring Range
: 50 to 250 mmHg (systolic)
40 to 180 mmHg (diastolic)
40 to 160 bpm (pulse rate)
Errors in blood pressure in clinical testing
*
: Auscultation
Average Error
Standard deviation
Pulse rate measurement accuracy : within 5%
Systolic
Pressure
: Automatic inflation
blood pressure
Exhaust
: Automatic exhaust valve
Power Supply
: 4 AA batteries (alkaline) or AC adaptor (ADP-W5)
Diastolic
Power Consumption
: When using 4 AA batteries (alkaline): 6 V DC/4 W
blood pressure
When using AC adaptor ADP-W5:
Pulse rate
Memory
: The main unit stores 60 readings and their average
Operating Conditions
: +10˚C to +40˚C, Relative humidity 30% to 85% RH (no condensation)
Transportation/Storage Conditions : -20˚C to +60˚C, Relative humidity 10% to 95% RH (no condensation)
Cuff coverage arm circumference : Approx. 22 to 42 cm
Main Unit Dimensions
: Approx. 122.2 x 116.5 x 69.9 mm (W x D x H)
Main Unit Weight
: Approx. 220 g (without batteries)
Protection against electric shock : Internally powered equipment/Class II equipment
Protection against harmful ingress of water
: IPX0
Classification of safety level when used in air/flammable anesthetic gas, oxygen, nitrous oxide/ flammable anesthetic gas.
: Not suitable for use in these environments.
Classification by function (operation) mode
: Continuous function (operation) equipment
: Class II equipment
: BF Applied Parts
: Read the attached manual.
Specifications are subject to change without notice due to improvements in performance.
This product conforms with JIST1115 (Non-invasive electronic sphygmomanometer) or EMC (Electromagnetic compatibility) Specification,
IEC60601-1-2:2007 (Classification and CISPR classification group: Group 1, Class B). Please contact the manufacturer for detailed information.
*
This measuring method is based on ANSI/AAMI SP10:2002, American National Standard for electronic or automated Sphygmomanometers, and
Amendment.
RESULT DISPLAY
RESULT
NUMBER
TIME OF
MEASUREMENT
DATE OF
MEASUREMENT
Solution
Keep the cuff at the level of your heart.
Make sure that the cuff is wrapped correctly.
Do not move or speak during measurement.
Take your blood pressure in the same environment
as usual.
Take records of your blood pressure taken at home
and consult with your doctor.
Do not move or speak during measurement.
Make sure that the AIR HOSE is not squeezed or bent.
Make sure that the AIR CONNECTOR is connected
properly.
Reconfirm how to put the cuff on your arm.
Do not move or speak during measurement.
Do not move or speak during measurement.
Replace all the batteries with four new batteries.
Reinsert batteries correctly.
Clean the terminals with a dry cloth.
Press the START/STOP BUTTON then turn off the
main unit.
Example of pressure changes during the day
Bevan, Honour & Scott (1969) Clin. Sci. 36. 329
Blood pressure
(mmHg)
Systolic
Diastolic
180
blood pressure
blood pressure
140
100
60
20
12 14 16 18 20 22 24 2
4
6
8 10
During sleep
Time
（mmHg）
Systolic blood
Diastolic blood
pressure
pressure
Optimal
< 120
and
< 80
Normal
120 - 129
and/or
80 - 84
130 - 139
and/or
85 - 89
High Normal
140 - 159
and/or
90 - 99
Grade1 Hypertension
Grade2 Hypertension
160 - 179
and/or
100 - 109
Grade3 Hypertension
≥180
and/or
≥110
Isolated Systolic Hypertension
≥140
and
< 90
WHO/JSH Hypertension guidelines (2009)
within ±5 mmHg
less than 8 mm
Power consumption for AC adaptor ADP-W5 100-240 V AC 50/60 Hz 0.12 A
Power consumption for main unit 6 V DC 500 mA
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