Walgreens WGNBPA-220 Automatic BP Monitor User Manual

Walgreens WGNBPA-220 Automatic BP Monitor

IMPORTANT PRODUCT NOTICES AND SAFETY INSTRUCTIONS

When using your blood pressure monitor, basic precautions should always be followed. Please read and follow all instructions and warnings before using this product. Save these instructions for future reference.

• This is a home health care product only and it is not intended to serve as a substitute for the advice of a physician or medical professional.
• This device uses the oscillometric method to measure systolic and diastolic blood pressure, as well as heart rate.
• DO NOT use this device for diagnosis or treatment of any health problem or disease. Measurement results are for reference only. Consult a health care professional for interpretation of pressure measurements. Contact your physician if you have or suspect any medical problem. Do not change your medications without the advice of your physician or health care professional.
• Proper cuff size is critical for accurate measurements. Follow the instructions in this manual and printed on the arm cuff to ensure the appropriate size cuff is being used.
• For those who have undergone mastectomy surgery (especially those who have had lymph nodes removed), it is recommended to take a measurement on the unaffected side.
• Wearing the arm cuff properly is critical for accurate measurements. If the circumference of the upper arm differs largely from the circumference of the forearm, an excessive gap may occur between the arm and the arm cuff, which could result in an inaccurate measurement. Please consult your healthcare professional if you have questions on how to properly wear the arm cuff.
• This product is not suitable for people with arrhythmias, those undergoing intravenous injections on any limb, or those currently on dialysis treatment. This device may have difficulty determining the proper blood pressure for users with irregular heartbeat, diabetes, poor circulation of blood, kidney problems, or for users who have suffered from a stroke.
• This monitor is clinically validated for use in pregnancy and preeclampsia. If you experience unusual readings, even after the recommended rest period, please consult your physician.
• Excessive use 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 advice from a medical professional.
• The pulse display is not suitable for checking the frequency of heart pacemakers.
• Electromagnetic interference: The device contains sensitive electronic components. Avoid strong electrical or electromagnetic fields in the direct vicinity of the device (ex. mobile telephones, microwave ovens). These may lead to temporary impairment of measurement accuracy.
• Consider the electromagnetic compatibility of the device (ex. power disturbance, radio frequency interference, etc.). Please use this device in a home healthcare environment only.
• Use blood pressure monitor only for its intended use.
• DO NOT wrap the cuff around body parts other than your arm.
• DO NOT touch, move, or shake the device during a measurement as this could cause an inaccurate blood pressure reading.
• DO NOT talk or move your arm or hand muscles during a measurement as this could cause an inaccurate blood pressure reading.
• DO NOT use this device on infants, children, or those who cannot express their own intention.
• Not for use by or on persons under the age of 18.
• Use only 1.5V “AAA” alkaline batteries for power supply.
• The patient is an intended operator.
• The applied part is the cuff.

Blood pressure measurements determined with this device are equivalent to those obtained by a trained observer using the cuff/stethoscope auscultatory method, within the accuracy limits prescribed by the American National Standard, manual, electronic, or automated sphygmomanometers. The sphygmomanometer was clinically investigated according to the requirement of ISO 81060-2: 2013.

ABOUT BLOOD PRESSURE

Blood pressure is the pressure exerted on the artery walls while blood flows through the arteries. The pressure measured when the heart contracts and sends blood out of the heart is systolic (highest) blood pressure. The pressure measured when the heart dilates with blood flowing back into the heart is called diastolic (lowest) blood pressure.Both the systolic and diastolic pressure are necessary for a physician to
evaluate the status of a patient’s blood pressure.

Why Measure Your Blood Pressure?
Among today’s various health problems, those associated with high blood pressure are very common. High blood pressure dangerously correlates with cardiovascular disease. Therefore, blood pressure
monitoring is important for identifying those at risk.
Why Do My Readings Vary?
Blood pressure is a body parameter that is subject to normal variations throughout the day. A single reading that is different from yours or your doctor’s readings are not necessarily inaccurate. The average of several readings, taken under similar conditions, using the same arm, is preferred for accurate blood pressure readings.
Why Are My Readings Different Than Those Taken at My Doctor’s Office?
Many experience a phenomenon called “White Coat Hypertension” when measured by a doctor. White Coat Hypertension refers to blood pressure that rises above its usual level when measured in a clinical
setting, such as a doctor’s office.

BLOOD PRESSURE STANDARD

The table below contains defined levels for hypertension that are publicly available from the American Heart Association® (AHA 2017). Users can compare their own blood pressure readings against these defined levels to determine if they may be potentially at increased risk. This table is applicable to most adults aged 18 and older.

*Source: AHA 2017

Blood pressure tends to go up and down, even in people who normally don’t have high readings. If your numbers stay above the normal range most of the time, you may be at increased risk and should consult
your physician.

Although one can easily find where their own blood pressure readings fall on this table, this monitor comes equipped with a Risk Category Index that automatically compares each reading to the defined levels and provides a helpful cue if your reading falls into one of the stages that could potentially indicate increased risk. See page 21 for more information on this feature.

Please note that cues provided by this monitor are only intended to assist you in using this table. The table and cues are only provided for convenience to help you understand your noninvasive blood pressure reading as it relates to the American Heart Association® information. They are not a substitute for a medical examination by your physician. It is important for you to consult with your physician regularly. Your physician will tell you your normal blood pressure range as well as the point at which you may actually be considered to be at risk.

HOW THIS BLOOD PRESSURE MONITOR WORKS

This monitor uses innovative GentleInflateTM technology to measure your blood pressure. With one touch of a button, the monitor automatically takes the reading during inflation, then deflates, delivering
a quick, comfortable, and quiet measurement every time. Please note that any muscle movement during inflation will cause measurement errors. When the measurement is complete, the monitor will display your systolic pressure, diastolic pressure, and pulse readings. The monitor automatically finds where your measurement results fall on the American Heart Association (AHA 2017) table and provides a cue if your reading falls into one of the stages that could potentially indicate increased risk. Please refer to page 21 for more information on this feature.

The appearance of theicon indicates that a pulse irregularity consistent with an irregular heartbeat was detected during measurement. Refer to page 22 for more information on the Irregular Heartbeat Detector.

NAME/FUNCTION OF EACH PART

NOTE: The “MEM” button is also used to set the date and time.

DISPLAY EXPLANATIONS

Display Symbols:

If ERROR and any of the following letters and numbers appear in the area where systolic pressure should be displayed, an error has occurred with your reading. See the Troubleshooting section of this manual for more information.

INSTALLING BATTERIES

1. Press down on the latch and lift the battery cover to open the battery compartment.
2. Install or replace 4 “AAA” sized batteries in the battery compartment according to the indications inside the compartment.
3. Close the battery cover by pushing in the top end of the battery door.

Replace the batteries if:

• The low battery symbol appears on the display.
• When any button is pressed and nothing is displayed on the screen.

NOTE:

• The date and time will need to be reset if the batteries are removed or replaced.
• Replace all batteries at one time (as a simultaneous set). Do not mix old and new batteries.
• Use only 1.5V “AAA” alkaline batteries. Do not mix alkaline, standard (carbon-zinc) or rechargeable (Ni-Cad, Ni-MH, etc.) batteries.
• When installing batteries, observe proper +/- polarities. Incorrect installation of batteries may cause damage to the unit.
• Remove batteries when the unit is not in use for extended periods of time.
• When the batteries are removed, the measurement values stored in memory are retained. However, the date and time must be reset.
• Clean contacts on the battery and in the battery compartment with a soft dry cloth each time you install batteries.
• Keep batteries away from children as they could pose a choking hazard.
• Recycle or dispose of properly in accordance with all local, state, province, and country regulations.
• Batteries are hazardous waste. Do not dispose of them together with the household garbage.
• DO NOT dispose of batteries in a fire. Batteries may explode or leak.

DATE & TIME SET PROCEDURE

1. To adjust the date and time, press the “DATE & TIME SET”button.
2. The display will show a blinking number showing the MONTH. Change the MONTH by pressing the “MEM” button. Each press will increase the number by one in a cycling manner. Press thebutton to confirm the entry. The screen will then show a blinking number representing the DAY.
3. Change the DAY, YEAR, HOUR, & MINUTE as described in Step 2 above, using the “MEM” button to change the numbers and thebutton to confirm the entries.Repeat the process to set DAY, YEAR, HOUR, and MINUTE.

IMPORTANT: IF YOU ARE USING THIS BLOOD PRESSURE MONITOR FOR THE FIRST TIME, PLEASE REMOVE THE PROTECTIVE FILM FROM THE DISPLAY SCREEN.

USING THE ULTRASOFT® ARM CUFF

Very Important: Proper cuff size is critical to accurate measurement.

This monitor comes with one UltraSoft Upper Arm Cuff that fits arm circumferences from 9″-17″ (23cm-43cm). If the arrow falls outside of the solid-colored line, you will need a larger cuff. A larger cuff, designed for arms from 17″-22″ (43cm-56cm), is available for this monitor. To purchase, please contact HoMedicsConsumer Relations at 1-800-466-3342.

NOTE:

• If an oversized cuff is used, the blood pressure measurement tends to inaccurately run lower than the actual blood pressure.
• If an undersized cuff is used, the blood pressure measurement tends to inaccurately run higher than the actual blood pressure.

1. If the cuff is not assembled, pass the end of the cuff furthest away from the tubing through the metal D-ring in order to form a loop. The smooth side without the felt material should be on the inside of the cuff loop.
2. Plug the cuff tube into the left side of the unit.
3. Open the arm cuff so that your arm may be placed through it.
4. Remove tight-fitting clothing from your upper left arm so that the cuff can be wrapped around your exposed arm.NOTE: It is recommended to wrap the cuff on a bare arm or bare arm or over thin clothing to ensure accuracy. Thick clothing or a rolled-up sleeve will cause inaccurate blood pressure measurements.
5. Position cuff edge 0.8–1.2 inches (2–3 cm) above elbow.
   NOTE: If using the larger cuff designed for arms 17″-22″ (43cm-56cm), position cuff above inner elbow crease.
6. Center tube over middle of arm.
7. Pull the end of the cuff so that it tightens evenly around your arm. Press the hook and loop material together to secure, ensuring the cuff does not slip during measurement. Allow room for 2 fingers to fit between the cuff and your arm.
8. Lay your arm on a table (palm upward) so the cuff is at the same height as your heart. Make sure the tube is not kinked.

NOTE:

•  This device should not be used when your arm is wounded or injured.
• Thick clothing or a rolled up sleeve will cause inaccurate blood pressure measurements. It is recommended that the cuff be wrapped on a bare arm, or over thin clothing.
• If it is not possible to fit the cuff on your left arm, it can also be placed on your right arm. However, all measurements should be made using the same arm.
• To use on the right arm, you must position the artery symbol “Φ ” over the main artery. Locate the main artery by pressing with 2 fingers approximately 1 inch (2 cm) above the bend of your elbow on the inside of your right arm. Identify where the pulse can be felt the strongest. This is your main artery.

CHECK-WITH-CONFIDENCETM

This monitor includes a built-in Check-with-Confidence feature provides an accuracy assurance function, which enables the device to automatically perform a self-check. It provides a convenient way to ensure the monitor is working properly.

The Check-with-Confidence default setting is “ON.” To turn this feature “OFF,” press the “START/STOP” button for 3 seconds.

On first use, then on every 30th use, the cuff will partially inflate and then deflate. The monitor will display “OK”, confirming the monitor is working properly.

If the monitor is not working properly, “Err” will be displayed on the screen. Please call Consumer Relations at 1-800-466-3342 for further assistance.NOTE:
If the “MEM” and “START/STOP” buttons are pressed at the same time, erasing the values in memory, the monitor will perform the self-check feature on the next measurement.

MEASUREMENT PROCEDURE IMPORTANT NOTES:

• Blood pressure changes with every heartbeat and is in constant fluctuation throughout the day.
• Blood pressure measurement can be affected by the position of the user, his or her physiologic condition, and other factors.

Before Measurement:

To help ensure an accurate reading, follow these instructions before taking a measurement:

• Wait 1 hour after exercising, bathing, eating, drinking beverages with alcohol or caffeine, or smoking to measure blood pressure.
• Sit quietly and rest for 15 minutes.
• Stress raises blood pressure. Avoid taking measurements during stressful times.
• Take your reading in a comfortable environment as measurements can be affected by hot or cold temperatures. Take your blood pressure at normal body temperature.

During Measurement:

• DO NOT talk or move your arm or hand muscles.
• DO NOT cross your legs. Sit with feet flat on the floor.
• DO NOT touch cuff or monitor during measurement.

1. With the cuff wrapped around your arm, press the “START/STOP” button. Do not inflate the cuff unless it is wrapped around your arm. All digits will light up to check the display functions. The checking procedure will be completed after about 3 seconds.
   • NOTE: The Check-with ConfidenceTM iconwill stay on the screen if this is the 1st or 30th use and the feature is “ON”. The monitor will then perform a self-check to ensure it is working properly.
2. After all symbols disappear, the display will show “00”. The monitor is ready to measure and will automatically inflate the cuff to start measurement.
3. When the measurement is completed, the cuff will deflate entirely. Systolic pressure, diastolic
   pressure, and pulse will be shown simultaneously on the LCD screen. The measurement is
   then automatically stored into memory.
   NOTE:
   • This monitor automatically turns off approximately 1 minute after last operation. You may also press the “START/STOP” button to turn the unit off.
   • To interrupt the measurement, you may press the “START/ STOP” (recommended) or “MEM” buttons. The cuff will deflate immediately after a button is pressed.

RISK CATEGORY INDEX

This monitor comes equipped with a Risk Category Indicator that automatically compares each reading to defined levels established by the American Heart Association® (AHA 2017) as described earlier in this
manual, and provides a helpful cue if your reading falls into one of the stages that could potentially indicate increased risk. Please note that cues provided by this monitor are only intended to assist you in using this table.

The table is only provided for your convenience to help you understand your noninvasive blood pressure readings as it relates to the AHA 2017 information. They are not a substitute for a medical examination by your physician. It is important for you to consult with your physician regularly. Your physician will tell you your normal blood pressure range as well as the point at which you may actually be considered to be at risk.

IRREGULAR HEARTBEAT DETECTOR

The appearance of theicon indicates that a pulse irregularity consistent with an irregular heartbeat was detected during measurement. Usually, this is not a cause for concern. However, if the symbol appears often, we recommend you seek medical advice. Please note that the device does not replace a cardiac examination, but serves to detect pulse irregularities at an early stage.

Movement, shaking, or talking during the measurement can result in pulse irregularities that may cause the appearance of this icon. Therefore, it is of great importance to not move or talk during measurement.
To determine the presence of an irregular heartbeat, the average of the heartbeat intervals is calculated with the first 3 normal effective heartbeat values. It is important to note that the average is not a strict
mathematical averaging of all recorded intervals. At least 3 beats with 25% or greater difference from the average heartbeat interval will generate theicon on the screen.

Important Information:

This blood pressure monitor is not designed for use by people with arrhythmias nor for diagnosing or treating an arrhythmia problem. As a safeguard, we recommend that if you have arrhythmias, such as atrial or ventricular premature beats and atrial fibrillation or any other special conditions, you should check with your physician before using your blood pressure monitor.

EXCESSIVE BODY MOTION DETECTOR

Theicon is displayed if body movement is detected during measurement, especially the movement of the arm the blood pressure monitor is worn on.

NOTE:

• The measured blood pressure reading may not be accurate if the icon is displayed.
• If you have purchased and are using the XL cuff for arm sizes 17″-22″, a gap between the cuff and the arm could cause this icon to display. Adjust cuff as directed and measure again.

RECALLING VALUES FROM MEMORY

1. Press the “MEM” button to access the memory.
2. Every new press of the “MEM” button will recall a previous reading. The latest reading will be recalled first.

CLEARING VALUES FROM MEMORY

Press and hold the “MEM” and “START/STOP” buttons at the same time while in memory recall mode, and the data will be erased automatically.

NOTE:

• Once deleted, your readings cannot be restored.
• Once deleted, the device will automatically perform a self-check on the next measurement.

IMPORTANT NOTES REGARDING YOUR BLOOD PRESSURE MEASUREMENT

• It is suggested that you take your measurements at the same time each day and use the same arm for consistency.
• Users should wait a minimum of 5 minutes before taking additional measurements. More time may be necessary depending upon your physiology.
• The measurement results that users receive are for reference only. If users have any blood pressure concerns, please consult a physician.
• Once inflation reaches 300 mmHg, the unit will deflate automatically for safety reasons.
• This product is not suitable for people with arrhythmias.
• This device may have difficulty determining the proper blood pressure for users with irregular heartbeat, diabetes, poor circulation of blood, kidney problems, or for users who have suffered a stroke.

CARE, MAINTENANCE, & CLEANING

• Clean the blood pressure monitor body and cuff carefully with a slightly damp, soft cloth. Do not press. Do not wash cuff or use chemical cleaner on it. Never use thinner, alcohol or petrol (gasoline) as cleaner.
• Leaky batteries can damage the unit. Remove the batteries when the unit will not be used for a long time.
• Follow local ordinances and recycling instructions regarding disposal or recycling of the device and device components, including batteries.
• If the unit is stored near freezing, allow it to acclimate to room temperature before use.
• This blood pressure monitor is not field serviceable. You should not use any tool to open the device nor should you attempt to adjust anything inside the device. If you have any problems with this device, please contact HoMedics Consumer Relations (contact information can be found in the Warranty section).
• DO NOT immerse the unit in water as this will result in damage to the unit.
• DO NOT subject the monitor or cuff to extreme temperatures, humidity, moisture, or direct sunlight. Protect from dust.
• DO NOT fold the cuff and tubing tightly.
• DO NOT disassemble the monitor or cuff. If in need of repair, refer to the Warranty section of this manual.
• DO NOT subject the monitor to extreme shock (do not drop on floor).
• DO NOT inflate the cuff unless wrapped around arm.
• DO NOT wrap the cuff around body parts other than your arm.
• DO NOT drop or insert any object into any opening or hose.
• To avoid accidental strangulation, keep this product away from children. Do not drape tube around neck.
• This monitor may not meet its performance specifications if stored or used outside of these temperature and humidity ranges:

Storage/Transportation Environment

• Temperature: −13°F~158°F (−25°C~70°C)
• Humidity: less than 93% RH

Operating Environment

• Temperature: 41°F~104°F (5°C~40°C)
• Humidity: 15% ~ 93% RH

POTENTIAL FOR ELECTROMAGNETIC INTERFERENCE

To avoid inaccurate results caused by electromagnetic interference between electrical and electronic equipment, do not use the device near a cell phone or microwave oven. For most wireless communication devices, it is recommended to maintain a distance of 10.8 feet (3.3m) in order to
avoid electromagnetic interference.

This device complies with Part 15 of the FCC Rules. Operation is subject to the following 2 conditions:

1. This device may not cause harmful interference, and
2. This device must accept any interference received, including interference that may cause undesired operation.

FEDERAL COMMUNICATIONS COMMISSION COMPLIANCE STATEMENT

Changes or modifications to this equipment not expressly approved by the manufacturer could void the user’s authority to operate the equipment. This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures:

• Reorient or relocate the receiving antenna.
• Increase the separation between the equipment and receiver.
• Connect the equipment to an outlet on a circuit different from that to which the receiver is connected.
• Consult the dealer or an experienced radio/TV technician for help.

ELECTROMAGNETIC COMPATIBILITY (EMC)

• Guidance and manufacturer’s declaration—electromagnetic emissions The device is intended for use in the electromagnetic environments listed below, and should only be used in such environments:

• Guidance and manufacturer’s declaration—electromagnetic immunity The device is intended for use in the electromagnetic environments listed below, and should only be used in such environments:

•  Recommended separation distances between portable and mobile RF communication equipment and the device.
  The device is intended for use in an electromagnetic environment where radiated RF disturbances are under control. User can help prevent electromagnetic interference by keeping the device at a minimum distance from portable and mobile RF communications equipment (transmitters). Below table details the maximum output power of transmitter:

• Guidance and manufacturer’s declaration – electromagnetic immunity The device is intended for use in the electromagnetic environments listed below, and should only be used in such environments:

TROUBLESHOOTING

If any abnormality arises during use, please check the following points:

NOTE: These specifications are subject to change without notice. If the device needs to be calibrated, please contact Consumer Relations.

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Walgreens WGNBPA-220 Automatic BP Monitor-FAQs