HoMedics HL858DM Bedienungsanleitung

VER: A001 202203

Automatic

Upper Arm Blood Pressure Monitor

Model No. HL858DM

VER: A001 202203

Table of Contents

Medical Disclaimer……………………………………………………………………………03

Intended Use………………………………………………………………………………..…03

About Blood Pressure………………………………………………………………………04

Measurement Method……………………………………………………………………06

Accuracy……………….…………………………………………………………………0

Precautions………………………………………………………………………….08

Device Overview……………………………………………………………………………….11

Symbol Definitions………………………………………………………………………….13

Features……………………………………………………………………………………………15

Installing Batteries………………………………………………………………………….20

Using the AC/DC Adapter……………………………………………………………21

Applying the Cuff…………………………………………………………………………….22

Measurement Procedure………….…………………………………………………….23

Memory Function…………………………………………………………………………….26

Bluetooth Transmission……………………………………………………………….2

Storage and Maintenance……………………………………………………………….29

Troubleshooting……………………………………………………………………………….31

Limited Warranty…………………………………………………………………………….32

Specifications………………………………………………………………………………….33

Note………………………………………………………………………………………….…….35

Appendix…………………………………………………………………………………….…….36

Blood Pressure Diary……………….……………………………………………….…….39

VER: A001 202203

Medical Disclaimer

This manual and product are not meant as a substitute for advice

provided by your doctor.

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.

Intended Use

This device uses the oscillometric method to automatically measure

systolic and diastolic blood pressure as well as heart rate.

The measurement position is at human being’s arm.

All values can be read out in the LCD panel. Measurement position is

at human being’s upper arm. The intended user of this

over-the-counter device is adults aged 18 years and older with arm

circumference ranging from 9 inches to 1 inches (approx.23 cm to

43 cm) for home use.

HL858DM features BP Category Indicator that will show the

information with the readings on the screen for the user tracking their

blood pressure level.

HL858DM is equipped with an Advanced IHB (Irregular heartbeat)

detection feature to collect and analyze pulses. If the specific

irregular heartbeats are detected and it may affect blood pressure

reading with deviation, the device will give the user a warning signal.

The feature can inform the user that the measured blood pressure

reading may be inaccurate once the specific irregular heartbeats are

detected.

Besides, the device features a built-in "Bluetooth Transmission"

function, which enables the device automatically transmit measuring

results to paired Bluetooth-enabled device. Also, users could simply

synchronize the current date and time, and check the battery status

of blood pressure monitor by means of

DailyChek

application software

with

the paired Bluetooth-enabled device.

VER: A001 202203

About Blood Pressure

A. What is blood pressure?

Blood pressure is the measurement of the force of blood pushing

against the walls of the arteries. Arterial blood pressure is

constantly fluctuating during the course of the cardiac cycle. The

highest pressure in the cycle is called the systolic blood pressure,

and represents the pressure in the artery when the heart is beating.

The lowest pressure is the diastolic blood pressure, and represents

the pressure in the artery when the heart is at rest. Both the

systolic and the diastolic pressure are necessary for 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 mornings and increases from the afternoon to the evening.

It is on average lower in the summer and higher in the winter.

B. Why is it useful to measure blood pressure

at home?

Having one's blood pressure measured by a doctor in a hospital or

a clinic, is often associated with a phenomenon called “White Coat

Hypertension” where the patient becomes nervous or anxious,

thus raising his blood pressure. There are also numerous other

factors that might cause your blood pressure to be raised at a

specific time of day. This is why medical practitioners recommend

home monitoring as it is important to get readings of blood

pressure during different times of the day to really get an idea of

your real blood pressure.

Medical practitioners generally recommend the “Rule of 3”, where

you are encouraged to take your blood pressure three times in a

row (at 3 ~ 5 minute interval), three times a day for three days.

After three days you can average all the results and this will give

you an accurate idea of what your blood pressure really is.

VER: A001 202203

About Blood Pressure

A. AHA blood pressure classifications:

Standards for assessment of high or low blood pressure without

regard to age, have been established by the American Heart

Association (AHA 201 ), as shown in the below chart.

BLOOD PRESSURE CATEGORY

SYSTOLIC mm Hg

(upper number)

DIASTOLIC mmHg

(lower number)

NORMAL LESS THAN 120 and

LESS THAN 80

ELEVATED 120-129 and

LESS THAN 80

HIGH BLOOD PRESSURE

(HYPERTENSION)STAGE 1

130-139 or 80-89

HIGH BLOOD PRESSURE

(HYPERTENSION)STAGE 2

140 OR HIGHER or 90 OR HIGHER

HYPERTENSIVE CRISIS

(consult your doctor immediately)

HIGNER THAN 180

or HIGHER THAN 120

However the above chart is not exact for classification of blood

pressure and it's intended to be used as a guide in understanding

non-invasive blood pressure measurements. Please consult with

your physician for proper diagnosis.

B. Variations in blood pressure:

Individual blood pressures vary greatly both on a daily and a

seasonal basis. These variations are even more pronounced in

hyper tense patients. Normally the blood pressure rises while at

work and is at its lowest during sleeping period.

(hyper tense: eans a person who has high blood

pressure sy pto .)

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 AM (B

in the graph)

correspond to an attack

of pain.

(Direct arterial pressure recording in unrestricted man.

Beven, Honour & Stott: Clin. Sci. 36:329. 1969)

VER: A001 202203

Measurement Method

HL858DM Automatic Upper Arm Blood Pressure Monitor measures

blood pressure and heart rate by oscillometric method, meaning the

fluctuations in pressure are measured. Once the cuff is wrapped

around your upper arm, just turn on the monitor and inflation

automatically starts. The inflation of the cuff creates pressure around

the arteries inside upper arm.

Within the cuff is a gauge which senses the fluctuations (oscillations)

in pressure. The fluctuation measured represents the degree of

intensity that your arteries contracting with each heart beat, and also

a result of the pressure that the cuff has placed on the upper arm. The

monitor measures these contractions and converts the information to

a digital value. This is the result displayed on the monitor screen.

Once the measurement is complete, the cuff will automatically

deflate.

Note!

* The patient is an intended operator.

* The applied part is the cuff.

VER: A001 202203

Accuracy

HL858DM Automatic Upper Arm Blood Pressure Monitor has been

clinically tested against a scientific device called mercury

sphygmomanometer, considered the gold standard in blood pressure

measurement.

All HL858DM Automatic Upper Arm Blood Pressure Monitors have

performed equivalent to measurements taken with this scientific

device and are within the accuracy limits prescribed by the American

National Standard for Electronic or Automated Sphygmomano-

meters.

The SPHYGMOMANOMETER was clinically investigated according to

the requirements of ISO 81060-2:2018.

VER: A001 202203

 Do not take a measurement in a low (less than 41 ℉/5 ℃) and high

(more than 104 ℉/40 ℃) temperature, nor in a place outside humidity

ranges (15 % ~ 93 % R.H.), and altitude ranges ( 00 ~ 1060 hPa), or

you may get inaccurate readings.

 Wait 30 ~ 45 minutes before measurement if you’ve just consumed

caffeinated beverages or smoked cigarettes.

 Rest at least 5 ~ 10 minutes before taking a measurement.

 To allow your blood vessels to return to the condition prior to taking the

measurement, please wait at least 3 ~ 5 minutes in between

measurements. You may need to adjust the wait time according to

your personal physiological situation.

 We recommend you using the same arm (preferably the left arm) and

measuring around the same time each day.

 Sit down comfortably and place your elbow on the table with your feet

flat on the floor. Please do not cross your legs during measurements.

 Keep the cuff at heart level. Relax your hand with the palm facing up.

 Perform measurements in a quiet and relaxed environment at room

temperature.

 Do not move or shake the device during a measurement. Please keep

quiet and do not talk during measurements.

 This product is not suitable for:

 Pregnant women

 People with arrhythmias

 Undergoing intravenous injection on any limb

 Currently in a dialysis treatment

 In pre-eclampsia condition

Precautions

Do not use this manual and product as a substitute for advice, diagnosing or

treating a health problem or prescribing any medication by your doctor. If you

have a medical problem, promptly consult your healthcare provider.

Read the Instruction Manual thoroughly before measuring and keep it at hand

for your reference at any time.

This device uses the oscillometric method to measure systolic and diastolic

blood pressure as well as your heart rate. It’s recommended for use by people

over the age of 18 and not to be used on infant or children.

The device is designed for home use and not suitable for clinical

use.

The patient is an intended operator, who can operate the device by himself or

herself, not necessarily by a physician or operator.

This monitor is not intended for use in the MR environment.

VER: A001 202203

Precautions

 For those who have had a mastectomy or lymph node clearance, it

is recommended to take a measurement on the unaffected side.

 When used among medical electronic equipment on the same limb,

pressurization of the cuff may cause temporarily malfunction to

other devices.

 Keep in mind that blood pressure naturally varies from time to time

throughout the day and is affected by lots of different factors such

as stress, eating, smoking, alcohol consumption, medication, and

physical activity, etc.

 Normally the blood pressure rises while at work and is at its lowest

during sleeping period.

 Blood pressure measurements should be interpreted by a

physician or a trained health professional who is familiar with your

medical history. Using the unit and recording the results regularly

for your physician to interpret, you will keep your physician

informed of the continuing changes in your blood pressure.

 If you have one of the circulatory problems as arteriosclerosis,

diabetes, liver disease, kidney disease, severe hypertension,

peripheral circulation……, please consult your healthcare

professional before using the device.

 Results are not intended for direct diagnosis. Please consult with a

physician if you have any questions or concerns about your results.

 Blood pressure measurements taken with this device are

equivalent to those obtained by a trained observer using the cuff /

stethoscope auscultation method and are within the accuracy

limits prescribed by the Standard of EN 1060-4.

 If the cuff is worn incorrectly, or the shape of the upper arm is

special (for example, the circumference of the upper arm differs

largely from the circumference of the forearm), excessive gap

might occur between the arm cuff and the arm, and it might lead to

measurement errors or inaccuracies. If you have any question

about the condition of cuff wearing and/or measurement result,

please consult your healthcare professional.



The applied part is cuff.

VER: A001 202203

Precautions

*Attention

！

1. Do not use the device on infants, children, or those who cannot express their own

intention. To avoid accidental strangulation, keep this product away from children and

do not drape tube around neck.

2. The medical device should not used adjacent to or stacked with other equipment. In

case adjacent or stacked use is necessary. The medical device should be observed to

verify normal operation in the configuration in which it will be used.

3. Consider the electromagnetic compatibility of the device (ex. power disturbance, radio

frequency interference etc.) Please use it indoor only.

4. Over high frequency measurements may result in blood flow interference, which is

likely to cause uncomfortable sensations, such as partial subcutaneous hemorrhage, or

temporary numbness to your arm. In general, these symptoms should not last long.

However, if you do not recover in time, please seek your medical practitioners for help.

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