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Upper Arm Blood Pressure Monitor Model Number MD 12450 BBlood Pressure Pass

Contents 5 Warranty Details 6 Welcome Section 7 Symbols and key words used in these instructions 8 Proper use 9 Safety instructions 13 Blood pressure and measuring blood pressure 17 Notes on correct measurement 20 What is included 21 Overview of the appliance 24 Preparing the unit 26 Basic Settings 32 Switch device on and off 3

33 Measuring your blood pressure and pulse 45 Retrieving saved values 48 Error messages and troubleshooting 50 Cleaning, storing and servicing the unit 51 Disposal 52 Technical specifications 4

Wrist Type Blood Pressure Monitor Warranty Details The product is guaranteed to be free from defects in workmanship and parts for a period of 12 months from date of purchase. Defects that occur within this warranty period, under normal use and care, will be repaired, replaced or refunded at our discretion, solely at our option with no charge for parts and labour. The benefits conferred by this warranty are in addition to all rights and remedies in respect of the product that the consumer has under the Competition and Consumer Act 2010 and similar state and territory laws. Our goods come with guarantees that cannot be excluded under the Australian Consumer Law. You are entitled to a replacement or refund for a major failure and for compensation for any other reasonably foreseeable loss or damage. You are also entitled to have the goods repaired or replaced if the goods fail to be of acceptable quality and the failure does not amount to a major failure. 5

Welcome Section Congratulations on choosing to buy a Visage product. All products brought to you by Visage are manufactured to the highest standards of performance and safety, and, as part of our philosophy of customer service and satisfaction are backed by our comprehensive 1 Year Warranty. We hope you will enjoy using your purchase for many years to come. 6

Symbols and key words used in these instructions CAUTION! Please note the following guidelines to avoid minor or moderate injuries and property damage! ATTENTION! Please note the following guidelines to avoid property damage! NOTICE! Additional information on using the device. Bulleted item/information on operating steps and results Tasks to be performed 7

Proper use The appliance is used to measure blood pressure at the upper arm. It can store 30 measurement values in each of its two memories. It is suitable for comparative measurements in healthy adults. This device is intended for use in dry, indoor areas only. The device is only intended for private use and not for industrial or commercial use. Use under extreme environmental conditions may result in damage to the device. If the values obtained give you cause to be concerned about your health, take medical advice. Do not take any treatment or medication as a result of the values unless you have discussed this with your doctor! Do not change any treatments or dosage of medication! The manufacturer is not liable for damages that are caused by improper use or operation. Improper use Do not use the appliance for medical diagnosis. It cannot replace medical intervention. 8

Safety instructions General This device is not intended for use by people (including children) with reduced physical, sensory or mental abilities or for those without experience and/or knowledge, unless they are supervised by a person responsible for their safety or they have been instructed in its use. Children should be supervised to ensure they do not play with this device. Keep plastic packaging out of the reach of children. There is a risk of suffocation. The device is suitable for healthy adults. Use the device for comparative measurements, particularly during sporting activities. Do NOT use the device for medical diagnosis. It cannot replace medical intervention. Keep the device and its accessories out of reach of children. Do not start the air supply until the device is attached correctly to the arm. Do not drop the device and do not place objects on top of it. Never immerse the device in water. Do not expose it to water or moisture! 9

Do not use the device under extreme temperature conditions. Do not bend the fixed part of the sleeve! Safe handling of batteries Batteries may contain combustible materials. If not handled correctly, batteries can leak, become very hot, ignite or even explode, which could damage your device and/or your health. It is very important that you follow the instructions below: Keep batteries away from children. If batteries are mistakenly swallowed, consult your doctor immediately. Before inserting the batteries, check that the contacts in the device and on the batteries are clean and, if necessary, clean them. Never charge batteries (unless it is expressly specified). Risk of explosion! Never short-circuit the batteries. Do not dismantle or deform the batteries. You could injure your hands or fingers or battery fluid could come into contact with your eyes or skin. If this happens, rinse the affected areas immediately with a large amount of clean water and contact your doctor immediately. 10

Never expose the batteries to excessive heat (such as direct sunlight, fire or similar). Always observe the correct polarity. Make sure that the plus (+) and minus (-) poles are correctly inserted to avoid short circuits. Remove spent batteries from the device immediately. Remove the batteries from the device if you do not intend to use it for an extended period. Replace all of the old batteries in a device with new batteries of the same type. Repairs Please contact the Medion Service Centre if you have technical problems with your device. Never try to open or repair the device yourself. If there is a fault, contact the Medion Service Centre or another suitable specialist workshop in order to avoid any risks. 11

Danger of disruption from electrical fields Measurements may be inaccurate in the proximity of strong electrical fields. Do not take any measurements near: High voltage power lines Microwave appliances TV sets Mobile telephones 12

Blood pressure and measuring blood pressure Nowadays, excessively high blood pressure is one of the main causes of death. Many people are unaware that their blood pressure is too high. What is blood pressure? Blood pressure is a measurement of the force that the heart has to exert to pump the blood through the circulatory system and vital organs in the body. The higher the blood pressure, the harder the heart has to work. 13

Normal and high blood pressure With every heartbeat, blood pressure fluctuates between a maximum value (systolic), when the heart pumps blood into the circulatory system and a minimum value (diastolic) when the heart fills up with blood again. Blood pressure is the average of these values. Blood pressure may be higher than usual if parts of the circulatory system are restricted, diseased or abnormal in other ways. High blood pressure can cause damage to vital organs including the brain and heart. 14

Measuring blood pressure Everybody s blood pressure changes constantly. Fluctuations may be caused by mental and physical factors (such as fear, exertion, smoking, caffeine or 15

stress). Blood pressure can also be affected by the time of day, time of year or temperature. This blood pressure measuring unit helps you to take regular, comparative measurements. Individual, irregular measurements are therefore not very meaningful. The guidelines for normal and high blood pressure (diastolic and systolic value) have been defined by the World Health Organization WHO as shown in the following table. 16

Notes on correct measurement Using your unit, you can get an overview of your blood pressure by measuring it regularly and using clear records. To make sure that the values give a realistic picture of your blood pressure, please follow the instructions below: Measure your blood pressure several times during the day. Always measure your blood pressure at the same time of day. Always take blood pressure measurements under the same conditions. Always use the same arm. Measure your pressure when you are relaxed. Try to rest for fifteen minutes before measuring your blood pressure. You should wait an hour after a large meal before measuring your blood pressure. Do not smoke or drink alcohol before measuring your blood pressure. Do not undertake any physical activity an hour before measuring your blood pressure. Do not measure your blood pressure if you are under stress or are tense. 17

Measure your blood pressure at normal body temperature, but not if you are too hot or cold. Wait around five minutes before repeating the measurement. If you record a value that differs greatly from your normal blood pressure measurement, you should take another measurement around five minutes later. This will allow you to rule out any of the factors mentioned above, which could result in an incorrect measurement. Have a doctor diagnose your measurements After you take your measurements, a doctor should interpret the values and diagnose them. The doctor will tell you which blood pressure level is normal for you, and which peculiarities you should report if they occur. CAUTION! Danger from self-treatment or self-medication. Clarify any abnormal values with your doctor. Only take medication as prescribed by your doctor. Inaccurate measurement results may appear in the following groups: Persons with high blood pressure, diabetes, liver disease, hardened arteries, irregular heartbeat (arrhythmia), poor circulation and so on. 18

The unit s measuring technology Your blood measuring unit contains high quality technical components and materials for measuring pressure, processing the signals and displaying the values on a liquid crystal display. It also measures and displays your pulse rate. The unit measures blood pressure indirectly using a sleeve around the wrist. Inflating the sleeve presses the arteries together so that no more blood can flow through them. If the pressure in the sleeve is then reduced, this creates a relation between the sleeve pressure and the blood pressure. The unit has electronic step valves that can detect even slight changes during the measurement, which can be evened out using the sleeve pressure. By reducing the pressure step-by-step, fluctuations in the sleeve are recorded by the unit and included in the assessment. If no fluctuations are recorded for a step, the air pressure is reduced. Existing fluctuations are assessed at the corresponding step level until they can be determined precisely. 19

What is included Please make sure that everything is included in the delivery: Blood pressure measurement device Arm sleeve 4 x 1.5V Mignon batteries type R6/LR6/AA Blood pressure pass Warranty documentation These operating instructions 20

Overview of the appliance 9 8 7 1 2 3 4 5 6 No. Description 1 Display Blood pressure measurement 2 device 3 Button 1 4 Button 2 5 Button CLOCK 6 Loudspeaker Colour scale for evaluating 7 blood pressure 8 Plug for arm sleeve tube 9 Arm sleeve 21

Display 11 10 9 8 1 2 3 7 6 5 4 22

No. Display description 1 Systolic value in mmhg 2 Diastolic value in mmhg 3 Heart beat 4 Pulse rate (heart beats per minute) 5 Battery power remaining 6 Number of stored values 7 AVG (average values) 8 Pump up arm sleeve / Deflate arm sleeve Display for classifying blood pressure measured (volume in basic 9 settings) 10 Time 11 Date 23

Preparing the unit Inserting batteries Open the battery compartment under the device. 24

Insert four 1.5V batteries of type R6/LR6/AA, observing the correct polarity. Close the battery compartment. Basic settings must be made after changing the batteries. See page 26. NOTE Existing measurement values will be stored. 25

Basic Settings You must make the following basic settings before using the device for the first time or after changing the batteries: volume language Year Date (month, day) Time (hour, minute) Press the TIME button for around 3 seconds. NOTE If you do not press any buttons for around 10 seconds, the unit will switch into standby mode. 26

The volume display flashes. To increase the volume, press button 1. To decrease the volume, press button 2. After pressing the button you will hear a confirmation tone in the corresponding volume. Press the TIME key. 27

The language setting display flashes. Press button 1 or 2 to select the required language. Display L1 L2 L3 L4 L0 German English French Turkish No language output Language 28

Press the TIME key. The digits indicating the year will flash. To set the required year, press button 1 or button 2. Press the TIME key. The digits indicating the month will flash. To set the required month, press button 1 or button 2. Press the TIME key. The digits indicating the day will flash. 29

To set the required day, press button 1 or button 2. Press the TIME key. The digits indicating the hours will flash. To set the required hour, press button 1 or button 2. Press the TIME key. The digits indicating the minutes will flash. 30

To set the required minutes, press button 1 or button 2. Press the TIME key. The settings you have made are saved. You will see the following display: 31

Switch device on and off Press button 1 or 2 to switch on the unit. The corresponding button will light up. The measurement starts automatically. Press button 1 or 2 again to switch off the unit. Press the TIME button to switch the unit into standby mode. The unit is in standby mode. The unit will switch off if you do not press any buttons for around 2 minutes. 32

Measuring your blood pressure and pulse Putting on the sleeve The sleeve is suitable for an arm circumference of 22cm to 32cm. Remove any watches, jewellery etc. The upper arm must be exposed because the sleeve must lie directly on the skin. Do not roll up tight sleeves, as this will squash the arm. Remove this item of clothing if the sleeves cannot easily be rolled up. Pull the end of the sleeve through the frame at the other end. The Velcro fastening must face out. 33

Pull the sleeve over the arm so that the tube lies over the top of the upper arm, in the direction of the underarm. The blue mark on the sleeve points to the hand. The bottom edge of the sleeve must end 2-3cm above the elbow. Pull on the sleeve and fold down its ends. Secure the end with the Velcro fastening. 34

The sleeve is in the right position on the arm: When there is room for one finger between the sleeve and the arm, When it sits securely and does not slip. The sleeve must not be too tight because the pressure on the arm will increase further when the sleeve is pumped up. If the shape of the arm does not allow the sleeve to be wrapped around it properly, the sleeve can sit at a slight diagonal. Stick the sleeve s tube plug into the connection provided on the unit. 35

Posture To measure your blood pressure you should be sitting comfortably on a chair. Take five or six deep breaths and relax. Rest your elbows on the table or other surface. Hold your arm so that the sleeve is level with your heart. Relax your arm and turn up the palm of your hand. 36

You can also take the measurement lying down: Lie on your back. Rest your arm alongside your body. Have your palm facing up. 37

Measuring and storing values If you know that your blood pressure is higher than 230mmHg, proceed as described on page 41. Press button 1 or 2 to interrupt the measurement. Make sure that the air tube is not kinked or being squashed. NOTE You can save 30 measurement values in each of the two memories. To store the values in the first memory, press button 1. To store the values in the second memory, press button 2. The selected button will light up. During measurement, do not move the sleeve or your arm or hand muscles. After a few seconds, the unit will pump up the sleeve. When the sleeve pressure is stable, the unit will start measuring automatically. The current values are shown in the display. Press button 1 or 2 if you want to interrupt the measurement. The sleeve deflates. 38

If you want to repeat the measurement, you should wait at least five minutes. The sleeve must be fully deflated. Measurement starts when the correct sleeve pressure has been reached. The unit also measures your pulse. The value displayed will fall during measurement. If the sleeve pressure is too low, the appliance stops measuring and inflates the sleeve again until sufficient sleeve pressure is reached for the measurement. The sleeve deflates when the measurement is complete. The systolic and diastolic blood pressure and the pulse with the pulse symbol appear on the display. The values measured will be automatically stored with the date and time once measuring is complete. 30 storage spaces are available, whether you start 39

measuring using button 1 or 2. Two people can record their values separately, for example. If there are more than 30 measurements, the oldest value will be overwritten. Arrhythmia detection Normally, the pulse beats with a regular rhythm (rhythmically). When the device detects an abnormal pulse rhythm, the symbol appears on the display. In this case, repeat the measurement. Abnormal pulse rhythms can have different causes. If the pulse is constantly arrhythmic, please consult your doctor. Measuring without storing values You can also measure your blood pressure without storing the values. To do so, press buttons 1 and 2 at the same time. The buttons light up. The measurement is taken as described above. The values measured are not saved. 40

Taking measurements if your blood pressure is higher than 230mmHg If your blood pressure is higher than 230mmHg you must pump up the sleeve manually. NOTE Buttons 1 and 2 are used interchangeably in the following description. If you want to store the values in memory 1, use the first button mentioned for each action. If you want to store the values in memory 2, use the second button mentioned. Press button 1 or 2 and hold the button down for around 3 seconds. 41

The average values of the last three measurements from the selected memory will be shown in the display. Press button 2 or 1 and hold the button down for around 3 seconds. The de-pressurisation symbol will be shown. 42

Wait until 0 is shown on the display. Press button 2 or 1 and hold it down until the required starting value has been reached, e.g. 250mmHg. The measurement is taken. The values measured are saved. 43

Classifying blood pressure The coloured bar chart to the left of the display has the following meanings: red Very high blood pressure light red High blood pressure orange Slightly high blood pressure yellow High to normal blood pressure green Normal blood pressure light green Optimum blood pressure 44

Retrieving saved values Retrieving average values Proceed as follows to retrieve the average values of the last three measurements: Press button 1 or 2 and hold the button down for around 3 seconds. The average values of the last three measurements from the selected memory will be shown in the display. If you have switched on language output, this value will also be given verbally. 45

Retrieving values of individual measurements Saved message values can be displayed. To retrieve the measurement values in memory 1, press button 1 and hold it down for around 3 seconds. To retrieve the measurement values in memory 2, press button 2 and hold it down for around 3 seconds. The average values of the last three measurements from the selected memory will be shown in the display. If you have switched on language output, this value will also be given verbally. Press button 1 or 2 to call up the stored values individually. You can flick through the newest to the oldest values by pressing the button. 46

If you have switched on language output, this value will also be given verbally. To switch off the unit, press the corresponding button for around three seconds. Deleting the values of an user Press button 1 and hold it down for around 2 seconds. Press button 1 again to get into the storing menu. To clear all values of the user 1, press button 2 and 1 and hold it down simultaneously until CLOO is displayed. 47

Error messages and troubleshooting Error message Possible cause Remedy E1 E2 E3 E4 E5 E6 Pulse rate measurement has failed. Measurement has failed because you moved or spoke. The sleeve is not in the right position on the arm. Measurement error The pressure is beyond the measurement range. The battery power is too low. Put the sleeve on correctly and take the measurement again. Keep still and do not speak during measurement. Put the sleeve on correctly. See page 33. Put the sleeve on correctly and take the measurement again. See page 33. Read the instructions on measuring correctly. See page 17. Measure again after 5 minutes. Insert four new batteries. See page 24. 48

Error message Possible cause Remedy The battery symbol flashes The battery power is low. Insert four new batteries. See page 24. The results of measurement are abnormally high or too low. The sleeve is not at heart level. The sleeve is not in the right position on the arm. The sleeve hose is not connected correctly to the unit. Read the instructions on measuring correctly. See page 17. Put the sleeve on correctly. See page 33. Attach the sleeve s tube plug correctly to the unit. 49

Cleaning, storing and servicing the unit Only use a dry, soft cloth to clean the unit. Do not use chemical solutions and cleaning products because these may damage the unit s surface and/or inscriptions. Do not wash the sleeve. Do not have the sleeve dry-cleaned. If the appliance is not going to be used for long periods, remove the batteries. Put the unit in its original box for storage and transport. It is recommended that you check the operability of the unit every three years at least. Pharmacies sometimes hold campaign days for checking blood pressure monitors. 50

Disposal Packaging Your appliance has been packaged to protect it against transportation damage. The packaging is made of environmentally friendly material which can be recycled. Appliance At the end of its life, the appliance should not be disposed of in household rubbish. Enquire about the options for environmentally friendly disposal. Batteries Do not throw used batteries out with your household waste. Take them to a collection point for old batteries. 51

Technical specifications Measurement method Oscillometric Blood pressure measurement range 30 to 250mmHg Pulse measurement range 40 to 180 beats/minute Blood pressure measurement accuracy ±3mmHg Pulse measurement accuracy ±5% of value displayed Number of storage spaces 2 x 30 Sleeve for arm circumference 22 32cm Operating conditions Temperature: +10 to +40 C Relative humidity: 30 to 85% Storage conditions Temperature: -20 to +60 C Relative humidity: 10 to 95 % Power supply 4 x 1.5V Mignon batteries of type R6/LR6/AA. Subject to technical changes. 52

The product meets the requirements of the guideline 93/42/EWG for medical devices. The unit corresponds to standards for non-invasive blood pressure measuring devices EN 1060-1:1995+A1:2002 and EN 1060-3:1997+A1:2005. The unit meets the requirements of electromagnetic compatibility EN 60601-1- 2:2007. If you have questions about electromagnetic compatibility or the values measured, or would like to view the full declarations of conformity, please contact our customer service department. The helpline number is shown in the footer of this page. 53

The unit is classified in accordance with type B F ( protection against electric shock ). Year of manufacture: 2012 Manufacturer in accordance with guidelines for medical products: Grandway Technology Limited 518118 Shenzhen, P. R. China The serial number of the device can be found in the battery compartment. Australian Sponsor: MEDION Australia Level 4, 621 Pacific Highway St. Leonards, NSW 2065 Sydney, Australia 54

Service If repairs come necessary, please contact our at 1 300 884 987 (Operating Hours: Monday to Friday 8:30 AM to 6:00 PM EST) MEDION Australia Pty Ltd St Leonards, NSW 2065 Australia Always remember to provide or state the following: Date of purchase (invoice / proof of purchase) Type of fault / fault description Status: 07/04/2012 55

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Day Systole mmhg morning Diastole mmhg Pulse min Systole mmhg evening Diastole mmhg Pulse min 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Day Systole mmhg morning Diastole mmhg Pulse min Systole mmhg evening Diastole mmhg Pulse min 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

MEDION Australia Pty Ltd St Leonards, NSW 2065 Australia helpline: 1300 884 987 11/2012 www.medion.com.au