INSTRUCTION MANUAL FOR DIGITAL BLOOD PRESSURE MONITOR REF CH-463E CITIZEN is a registered trademark of Citizen Holdings Co., Japan. CITIZEN es una marca registrada de Citizen Holdings Co., Japón. Design and Specification are subject to change without notice.
Contents 3 5 8 9 10 11 12 12 13 17 19 23 23 - 24 25 26 27 28 29 30 - GENERAL REMARKS PRECAUTIONS FOR USE AND MAINTENANCE UNIVERSAL DESIGN IDENTIFICATIONS OF PARTS LOADING THE BATTERIES USING AC ADAPTER (OPTION) REMOVING THE BATTERIES RESETTING OPERATION SETTING THE CLOCK MEASURING YOUR BLOOD PRESSURE TIPS FOR OBTAINING ACCURATE MEASUREMENTS AUTOMATIC CHANGEOVER FEATURE HOW TO CALL UP THE VALUES STORED IN MEMORY TO THE DISPLAY HOW TO CALL UP THE DATA STORED IN MEMORY HOW TO DELETE THE DATA STORED IN MEMO
General remarks on blood pressure and blood pressure measurement 1. To deflate the cuff quickly, press the “START/STOP” switch. 2. The attached cuff is suitable for arm circumferences of 20-32 cm. 3. When attaching the cuff, the air hose should be placed on the inside of your arm on top of the artery. 4. Self measurement is not therapy! In no event should you change the dosage of your medication prescribed by your physician. 5.
English GENERAL REMARKS 9. DO NOT measure blood pressure when the cuff has been on your arm for a few minutes or more. During this time, your arm will have built up a higher blood pressure and you will not get valid reading. 10. The figure below shows the blood pressure classifications under the WHO standards. Remarks: The graph is not exact, but may be used as a guide in understanding non-invasive blood pressure measurements. The device is only intended for use with adults.
Precautions for use 1. If you suffer from heart disease, high blood pressure or other circulatory disease, consult your physician before using the monitor. 2. If the cuff pressure feels abnormal or you experience any other irregularity while using the cuff, reduce the pressure immediately by pressing the “START/STOP” switch and then consult the sales outlet where you purchased the monitor. 3.
English PRECAUTIONS FOR USE AND MAINTENANCE 15. Be sure to use this unit only for measuring blood pressure. DO NOT use it for any other purpose. 16. DO NOT use this unit on infants. 17. Blood pressure measurement may not be possible for anyone with common arrhythmias such as atrial or ventricular premature beats or atrial fibrillation. Maintenance Precautions 1.
Nature and frequency of maintenance: This product is designed for use over an extended period of time; however, it is generally recommended that it be inspected every two years to ensure proper function and performance. Protect the nature environment: Please help to protect natural environment by respecting national and/or local recycling regulations when disposing of the battery and the product at the end of their useful live.
This product has been developed with the concept of Universal Design to ensure safe and easy use for a broader range of users. The product’s shape and color was designed to portray “warmth” and “gentleness” and have functional qualities that compliment the human body, which make it “easy to understand,” “safe to use,” and “easy to use.
English IDENTIFICATION OF PARTS Component names Main Unit Time display Date display Systolic blood pressure display Diastolic blood pressure display Alarm icon Cuff holding pocket Pulse display Memory icon Measurement icon Battery icon Air hose socket START/STOP Switch a Stand-by MODE Switch SET Switch MEMORY Switch Air hose Battery cover Knob Release lever Cuff Cuff RESET switch - Eng 9 - Air hose connector
English LOADING THE BATTERIES (Batteries supplied with the unit should be loaded in compartment before putting the Blood pressure monitor in use.) 1 Open the cover of battery compartment. Pressing the hook down, pull the cover toward you to open. Hook Battery compartment Battery compartment cover Lug (projecting section) 2 Place batteries in the compartment. Put the batteries paying attention to the positive and negative terminal symbols m and ,. 3 Close the battery compartment cover.
Using the optional dedicated AC adapter for the CITIZEN blood pressure monitor (CH-463E) allows you to measure your blood pressure without having to worry about the amount of remaining charge in the batteries. 1. Insert the AC adapter plug into the socket on the blood pressure monitor. AC adapter socket 2. Plug the AC adapter into a mains power outlet. AC adapter plug AC ADAPTER (OPTION) Ref: AC-230CZ • If you plan to use the AC adapter for an extended period of time, remove the batteries.
English REMOVING THE BATTERIES • When the icon is displayed, or where the clock is no longer shown or nothing appears in the display, replace the old batteries with four new ones. All four batteries should be changed at once. • The memory is erased if the batteries are removed for replacement. It is recommended to make note of the data stored in memory prior to changing batteries. • Do not use rechargeable batteries. • Do not use alkaline and manganese batteries together.
1 Initial state. (When you load the batteries in the unit for the first time, carry out the reset procedure.) * Date/hour/alarm setting when the batteries are first loaded into the unit. Data and time: 12:00 am, January 1, 2007 Alarm: 12:00 am, alarm is in OFF state 2 Date and time correcting procedure The alarm time, current time and calendar should be set in the written order. • Each time you press the “MODE” switch, the data item to be modified changes in the sequence shown below.
English SETTING THE CLOCK 3 Correcting the “minute” of an alarm time • Press “MODE” switch for one second or more to place the unit in the alarm-time minute correction state. • Press “SET” switch to increase the minute of the alarm time in increments of one minute. 4 Correcting the “hour” of an alarm time • After the completion of the alarm-time minute correction as described above, press “MODE” switch to place the unit in the alarm-time hour correction state.
7 Correcting the “hour” of the current time • After the completion of the current-time minute correction as described above, press “MODE” switch to place the unit in the current-time hour correction state. • Press “SET” switch to increase the hour of the current time in increments of one hour. 8 Correcting the “year” • After the completion of the current-time hour correction as described above, press “MODE” switch to place the unit in the year correction state.
English SETTING THE CLOCK 11 Changeover of the “time system” • After the completion of the day-of-the-month correction as described above, press “MODE” switch to place the unit in the time system selection state. • Every time “SET” switch is pressed, the 12-hour system (12H) and (24H) will be changed over. • Press “MODE” switch after activating the time system indication on the display to revert the display to the time indication. This completes the clock setting procedure.
1 ATTACHING THE ARM CUFF Release lever 1 Press the release lever on the cuff to open the cuff. 2 Slip the arm cuff through your arm so that the blue marker comes to the palm side. 3 Adjust the position of the arm cuff so that the blue marker is located in the center of your arm and the hem of the cuff is 1 to 2 cm above your elbow. Blue marker * The cuff should be put on the bare arm or over a light-weight underwear. * If you wear a heavy-weight top, please remove it.
English MEASURING YOUR BLOOD PRESSURE Turning the knob clockwise tightens the cuff. Turning it to the left will have no effect. 4 Turn the knob clockwise until it idles. 5 Place your arm on a table or the like so that the center of the cuff comes to the height of your heart. 6 Relax your arm and lightly open the palm upward. ■ To loosen the cuff just press the release lever marked “PUSH”.
Your blood pressure varies according to your posture, the time of day and a range of other factors. Ideally, you should measure your blood pressure in the same posture at the same time every day. ■ Taking measurements while sitting 1 Place your arm on a table or similar surface with your forearm extended. 2 It is important to have the arm cuff level with your heart. 3 Open your hand slightly on the table so that your palm is facing up and your fingers are relaxed.
English MEASURING YOUR BLOOD PRESSURE 2 Plug the air hose connector into the main unit. • Plug the air hose connector firmly into the air hose socket on the main unit as illustrated. Air hose socket 3 Start measurement. • Press the "START/STOP" switch. • All of the segment will be displayed. • The mark comes on. • The mark goes out. Now, the pump activates.
• The Blood pressure monitor automatically carries out pressurization until the pressure that is best suited to the blood pressure measurement is reached. • When the unit determines that an adequate pressure is not obtained, the unit starts pressurization again. • Wait a while after the completion of pressurization. Then, the mark comes on and the unit automatically starts measuring your blood pressures.
English MEASURING YOUR BLOOD PRESSURE [Manual pressurization] • Keep “START/STOP” switch held pressed until the pressure value you want to stop pressurization is reached (approximately 40mmHg higher than the Systolic blood pressure). You can stop pressurization by the unit by releasing the switch at the aforementioned value is reached. The upper pressure limit is 280mmHg. 4 Revert the display to the time indication. • Press “START/STOP” switch to revert the display to the time indication.
• Press “START/STOP” switch after the completion of blood pressure measurement to revert the display to the time display. If you do not press the switch and leave the unit, the “Automatic changeover feature” of the unit will work approximately three minutes later to automatically revert the display to the time indication. If you leave the unit for three minutes without performing operations, the display will automatically changeover to the time indication.
English HOW TO CALL UP THE DATA STORED IN MEMORY • Press the “MEMORY” switch. • “A” that represents the average value appears on the upper left section of the display. Then, the average of the whole data stored in memory appears on the display. • Press the “MEMORY” switch again. This recalls and displays first the memory number and then the last set of data stored. • Press the “MEMORY” switch again. This recalls and displays the second last set of data stored.
• The data stored in memory can be deleted. • Press “MEMORY” switch to call up the data you want to delete to the display. Keep the switch held pressed for three seconds or more to delete the data. Then, the buzzer sounds to let you know the completion of deletion of the data. • After the completion of data deletion, the average value of the whole data stored in memory will appear on the display.
English KEY TO DISPLAY ICONS Icon displayed Condition/Cause Corrective action Insufficient pressure. Repeat measurement again. Appears when the bloodpressure could not be measured accurately. Reapply cuff properly and measure again. The pressure is 281 mmHg or higher. If the pressure does not automatically decline during measurement, immediately press the “START/STOP” switch and turn the unit off. To take the measurement again, refer to P.21 and correctly re-apply pressure.
What is blood pressure? The heart is a pump that circulates blood throughout your body. Blood is pumped from the heart at a constant pressure into arteries. This pressure is called the arterial blood pressure and represents, in general terms, your blood pressure. Blood pressure is indicated by several kinds of pressures, including the systolic pressure that occurs when the heart pumps blood and the diastolic pressure that occurs when blood returns to the heart.
English BLOOD PRESSURE Q&A Q Why is the blood pressure measured at home different from that measured by the physician or at a hospital? A Your blood pressure may vary due to exercise, the ambient temperature or your mental state. When you have a physician or nurse measure your blood pressure, the pressure value is likely to be 10 to 20 mmHg higher than usual due to anxiety and/or stress. Knowing what affects your blood pressure helps you to better monitor your health.
Make sure to check the following before sending your blood pressure monitor away to be tested or repaired. Problem Checks Response Display stays blank when you press the “START/ STOP” switch. Check whether the batteries are dead. Replace all the batteries with new ones. Check whether the batteries are installed the right way round (m and , oriented correctly). Load the batteries in the correct direction. No measurements can be taken. Check whether the measurement icon displayed.
English SPECIFICATIONS Model Number: Measurement system: Measurement Localization Cuff: Arm circumference range: Measurement range: Accuracy: LCD displays: Pressure Pulse Pressure Pulse Clock Pressure Pulse Date Time Icons Switch: Inflation: Deflation: Rated voltage: Exhaust: Power supply: Alkaline Manganese Automatic changeover function: Memory capacity: Dimensions: Weight: Temperature Operating conditions: Humidity Temperature Storage conditions: Humidity Electric shock protection: Safety Classification:
INSTRUCTION MANUAL FOR DIGITAL BLOOD PRESSURE MONITOR REF CH-463E CITIZEN is a registered trademark of Citizen Holdings Co., Japan. CITIZEN es una marca registrada de Citizen Holdings Co., Japón. Design and Specification are subject to change without notice.
