B

Unstable blood pressure due tomovement during measurement.

Digital Blood Pressure Monitor
Model UA-611Plus / UA-651Plus
Instruction Manual1WMPD4003707C
Original

We recommend that you read through this manual carefully before
using the device for the first time.

2. Preliminary Remarks

This device conforms to the European Directive 93/42 EEC for
Medical Products. This is made evident by themark ofconformity. (0123: The reference number to the involved notified
body)
The device is designed for use on adults, not newborns or infants.
Environment for use. The device is for use to operate by yourself inthe home healthcare environment.
This device is designed to measure blood pressure and pulse rateof people for diagnosis.

The following are precautions for proper use of the device.
Do not apply the cuff on an arm with another medical electricalequipment attached. The equipment may not function properly.
People who have a severe circulatory deficit in the arm must consult adoctor before using the device, to avoid medical problems.
Do not self-diagnose the measurement results and start
treatment by yourself. Always consult your doctor for evaluationof the results and treatment.
Do not apply the cuff on an arm with an unhealed wound.
Do not apply the cuff on an arm receiving an intravenous drip or
blood transfusion. It may cause injury or accidents.
Do not use the device where flammable gases such as
anesthetic gases are present. It may cause an explosion.
Do not use the device in highly concentrated oxygen
environments, such as a high-pressure oxygen chamber or an
oxygen tent. It may cause a fire or explosion.

4. Parts Identification
Proper fit range
Index
Artery position markModel UA-651Plus only
DC jack

Symbols
SYS
DIA
PUL/minKeep dry

6. Using the Monitor

6.1. Installing / Changing The Batteries
1. Remove the battery cover.
Step 4
2. Remove the used batteries fromthe battery compartment in caseof changing them.
3. Insert new batteries into thebattery compartment as shown,taking care that the polarities (+)
Step 2and (-) are correct.
4. Replace the battery cover. Use
only R6P, LR6 or AA batteries.

Step 3Insert the batteries as shown in the battery compartment. If installed
incorrectly, the device will not work.
Whenblinks on the display and the device announces that thebattery needs to be replaced, replace all batteries with new ones. Do
not mix old and new batteries. It may shorten the battery life, or cause
the device to malfunction. Replace the batteries two seconds or more
after the device turns off.
does not appear when the batteries are drained.
The battery life varies with the ambient temperature and may be shorterat low temperatures.
Generally, four new R6P batteries will last approximately for threemonths when used twice for measurement each day.
Use the specified batteries only. The batteries provided with the device
are for testing the device performance and may have a limited life.
Remove the batteries if the device is not to be used for a long time. The
batteries may leak and cause a malfunction.

6.2. Connecting The Air Hose

Air Socket
Air Connector Plug

Model UA-651Plus only
AC adapter Plug
Insert the AC adapter plug into the DC
jack. Then, insert the AC adapter into
DC jack
an electrical outlet. The AC adapter,the model TB-233C is sold separately.
When disconnecting the AC
adapter from the electrical outlet,
grasp and pull the AC adapter
body out of the outlet.
When disconnecting the AC adapter plug from the blood pressure
monitor, grasp and pull the AC adapter plug out of the monitor.

6.4. Selecting The Correct Cuff

Using the correct cuff size is important for an accurate reading. If thecuff is not the proper size, the reading may yield an incorrect bloodpressure value.
The arm size is printed on each cuff.
The index
and proper fit range, on the cuff, tell you if you are
applying the correct cuff. Refer to "6.5 Applying The Arm Cuff".
If the index
points outside of the range, contact your local dealer topurchase a replacement cuff.
The arm cuff is a consumable. If it becomes worn, purchase a new one.
Recommended Cuff Size
Large adult cuff
Wide range cuff
Semi large cuff
Adult cuff
Small adult cuff

Catalog Number
CUF-D-LA-ISO
CUF-I-ISO
CUF-D-MA-ISO
CUF-D-A-ISO
CUF-D-SA-ISO

The circumference at the biceps.

Symbols Function / Meaning

Index

W
Note: Model UA-611Plus doesn't have the DC jack for AC adapter.
The DC jack is located on the rear of the model, UA-651Plus only.
The AC adapter is an optional accessory.(sold separately)M

MEMORY
Systolic Pressure
Diastolic Pressure
Pulse Rate
I.H.B./AFib symbol
Heart Mark
Battery Indicator

Symbols Function / Meaning
Recommended Action
Appears while measurement Measurement is in progress.
is in progress. It blinks when Remain as still as possible.
the pulse is detected.
I.H.B./AFib symbol appears
when an irregular heartbeat
is detected. It may light whena very slight vibration likeshivering or shaking is
detected.
Previous measurements
stored in memory.
FULL BATTERY
The battery power indicatorduring measurement.
LOW BATTERY
Replace all batteries withnew ones when the markThe battery power is low
blinks.
when it blinks.
Remove the batteries andpress the _START_ button,
and then install the batteries
Device internal error
again. If the error still
appears, contact the dealer.

Catalog number
Proper fit range for the large adultcuff. It's printed on the large adult
cuff.
Proper fit range for the wide range
cuff. It's printed on the wide range
cuff.
Proper fit range for the semi large
cuff. It's printed on the semi large
cuff.
Proper fit range for the adult cuff.
It's printed on the adult cuff.
Proper fit range for the small cuff.
It's printed on the small cuff.
Over range printed on the adultcuff/semi large cuff/wide range
cuff.
Under range printed on the adultcuff/semi large cuff/wide range
cuff.

M/A

Over range printed on the small
cuff.

M

Under range printed on the large
adult cuff.

Large adult cuff
M
Wide range cuff
Semi large cuff
Adult cuff

7. Measurements

Use the large adult cuff
instead of the adult cuff /semi
large cuff /wide range cuff.
Use the small cuff instead of
the adult cuff / semi large
cuff / wide range cuff.
Use the adult cuff/ semi
large cuff instead of thesmall cuff.
Use the semi large cuff
instead of the large adult
cuff.

Proper fit range

3. When inflation is complete,deflation starts automatically andthe(heart mark) blinks,
indicating that the measurement
is in progress. Once the pulse isdetected, the mark blinks witheach pulse beat.
Note: If an appropriate pressure is
not obtained, the device starts
to inflate again automatically.

Blood pressure is the force exerted by blood against the walls of
the arteries. Systolic pressure occurs when the heart contracts.
Diastolic pressure occurs when the heart expands. Bloodpressure is measured in millimeters of mercury (mmHg). One's
natural blood pressure is represented by the fundamentalpressure, which is measured first thing in the morning while one
is still at rest and before eating.

13. WHO Classification Indicator

Each segment of the bar indicator corresponds to the WHO bloodpressure classification.
WHO Classification Indicator: The indicator displays
a segment, based on
the current data,
corresponding to the
WHO classification.

Starts inflation

Pressurizing

Systolic pressure
Diastolic pressure
WHO classification
Pulse rate
Exhausts remaining air
automaticallyTurn off with the_START_ button
5. Press the _START_ button again to turn off the power.
Note: Model UA-611Plus and UA-651Plus are provided with an automatic
power shut-off function. Allow at least 3 minutes between
measurements on the same person.

At heart level

1. Place the cuff on the arm at heartlevel (preferably the left arm).

Press the _START_ button

2. Press the _START_ button.
3. During the zero blinks, press andhold the _START_ button until a
number about 30 to 40 mmHg higher
than your expected systolic pressure
appears.
4. When the desired number isreached, release the _START_ button
to start measurement. Then continue
to measure your blood pressure as
described on the section "7.1
Normal Measurement".

Press and hold the_START_ button
Inflation in progress
Release the _START_
button to stop inflation
The desired pressure
Refer to the section"7.1 Normal Measurement"

Sit comfortably on a chair. Rest your arm on the table. Do not crossyour legs. Keep your feet on the floor and straighten your back.
Sit down in a comfortable position. Place your arm on a table with yourpalm facing upward and the cuff at the same level as your heart.
Place the center of the cuff at the same level as your heart.
Relax for about five to ten minutes before measurement. If you are
excited or depressed by emotional stress, the measurement will reflect
this stress as a higher (or lower) than normal blood pressure reading
and the pulse reading will usually be faster than normal.
Remain still and keep quiet during measurement.
Do not measure immediately after physical exercise or a bath. Rest fortwenty or thirty minutes before taking the measurement.
An individual's blood pressure varies constantly, depending on what
you are doing and what you have eaten. What you drink can have avery strong and rapid effect on your blood pressure.
This device bases its measurements on the heartbeat. If you have avery weak or irregular heartbeat, the device may have difficulty
determining your blood pressure.
Should the device detect a condition that is abnormal, it will stop themeasurement and display an error symbol. Refer to the section "5
Symbols" for the description of the symbols.
This device is intended for use by adults. Consult with your physician
before using this device on a child. A child should not use this device
unattended.
Try to measure your blood pressure at the same time every day.
The automatic blood pressure monitor's performance may be affected byexcessive temperature or humidity, or altitude.

The device automatically stores up to sixty blood pressure and pulse
measurements in memory. Data stored in memory are assigned a data
number in the order of the newest to the oldest. The oldest data displays as"". Thesymbol in the upper left corner of the display indicates thatyou are viewing previous data stored in memory.
No dataPress and hold the8.1. Recalling Data
_START_ button
1. When nothing is displayed, press

2. Release the button whendisplaying the average data.
3. The data number and stored
data are automatically displayedin order from the lastmeasurement.

Release the button
mark
Average data
Data number

Stored Data

M/A

1. Wrap the cuff around the upper arm, about 1 to 2 cm above the insideof the elbow, as shown.
Place the cuff directly against the skin, as clothing may cause a faintpulse and result in a measurement error.
2. Constriction of the upper arm, caused by rolling up a shirtsleeve, may
prevent accurate readings.
3. Confirm that the index
points within the proper fit range.
Note: During measurement, it is normal for the cuff to feel very tight. (Donot be alarmed).

8.2. Clearing Data

1. When turning off the device,press and hold the _START_
button until the "" isdisplayed.
2. Select "" to clear
data.
3. Data is cleared when themark blinks.
4. Thedeviceturns
off
automatically.

Release thebuttonSelect "" toclear data.

5 seconds

Themark blinks.
Data is cleared.
Turns off automatically

ProblemPossible Reason
Recommended Action
Batteries are
Replace all batteries with new
Nothing
ones.
appears on drained.
the display,
Reinstall the batteries witheven when Battery terminals negative and positive terminals
the power is are not in thematching those indicated on thecorrect
position.
turned on.
battery compartment.
Battery voltage is
too low.
The cuffblinks. If theReplace all batteries with newdoes notbatteries are
inflate.
drained completely, ones.
the mark does notappear.
The cuff is not
Apply the cuff correctly.
applied properly.
You moved yoursure you remain still andarm or body during Make
quiet during measurement.
The device measurement.
does notSit comfortably and still. Placemeasure.
The cuff position is your arm on a table with yourReadings
palm facing upward and the cuff
notcorrect.
are too highat the same level as your heart.
or too low.
If you have a very weak or
irregular heartbeat, the device
may have difficulty in determining
your blood pressure.
At a clinic or doctor's office, an
The value isapprehension may cause andifferent from that elevated reading. Home
measurement reduces the effects
measured at aof outside influences on blood
clinic or doctor’s
Otherpressure readings, supplements
office.
the doctor's readings.
Remove the batteries. Place themback properly and take anothermeasurement.
Note: If the actions described above do not solve the problem, contact
the dealer. Do not attempt to open or repair this product, as any
attempt to do so will make your warranty invalid.

15. Maintenance7.3. Notes for Accurate Measurement

and hold the _START_ button torecall the stored data.

Severe hypertension
Moderate hypertension
Mild hypertension
High normal
NormalOptimal

14. Troubleshooting

Measurement in progress

4. When the measurement iscomplete, the systolic anddiastolic pressure readings andpulse rate are displayed. The cuff
exhausts the remaining air anddeflates completely.

Measurement in progress
Inflation complete
Inflation in progress

What is Blood Pressure?

Note: If you press the _START_ button
Turns off automaticallywhile recalling data, the device
turns off.
Press and hold the_START_ buttonM

6.5. Applying The Arm Cuff

cuff to feel very tight. A pressurebar indicator is displayed, as in
the figure at the right, during
inflation.
Note: If you wish to stop inflation at any time,press the _START_ button again.

4. The display will turn off
automatically after all data isdisplayed.

W

Small adult cuff

12. About Blood Pressure

At heart level

8. Recalling the Memory Data

Lot number

Symbols that appear on the display

and Proper fit range

To next data

Pressure Bar Indicator and
WHO Classification Indicator

Recommended Action
Set themark on theartery of the upper arm or inline with the ring finger on
the inside of the arm.

Artery Position Mark

REF

Index

If re-inflation occurs repeatedly,
use the following methods. If yoursystolic pressure is expected to
exceed 230 mmHg, use thisprocedure.

Air Connector Plug6.3. Connecting The AC Adapter

Arm Size
31 cm to 45 cm
22 cm to 42 cm
23 cm to 37 cm
22 cm to 32 cm
16 cm to 24 cm

Air hose

7.2. Measurement with the Desired Systolic Pressure

Air Hose

Air Socket

Battery Compartment
Battery Cover

5. Symbols

Step 1CAUTION

Display

DisplayInternational protection symbol

Insert the air connector plug
into the air socket firmly.

The indicator monitors the progress of pressure during
measurement.
Pressurizing
Releasing air

Press the _START_ button
2. Press the _START_ button.
All of the display segments are
displayed. Zero is displayed All of the display segments
blinking briefly. Then the display
changes, as indicated in the
figure at the right, as themeasurement begins. The cuff
Zero display
starts to inflate. It is normal for the

Polarity of DC jackIP

11. Pressure Bar Indicator

Secure the fabric fastener

1. Place the cuff on the arm at heartlevel (preferably the left arm). Sit
quietly during measurement.

WEEE label
Serial number
Refer to instruction manual/booklet

SN

START Button
Arm Cuff

The heart contracts due to electrical signals occurring in heart andsends blood through the body. Atrial fibrillation (AFib) occurs whenthe electrical signal in the atrium becomes confused and leads todisturbances in the pulse interval. AFib can cause blood tostagnate in the heart, which can easily create clots of blood, acause of stroke and heart attack.

7.1. Normal Measurement

Symbols printed on the cuff.
AC adapter plug

10. What is AFibArtery position markFunction / MeaningStandby and Turn the device on.
Systolic blood pressure in mmHg
Diastolic blood pressure in mmHg
Pulse per minuteBattery installation guide
Direct current
Type BF: Device, cuff and tubing are designed to provide
special protection against electrical shocks.
EC directive medical device label
Manufacturer
Date of manufacture

Arm size:

Air Hose

1 to 2 cm

Symbols printed on the device case.

EU-representative

Contraindications

When the monitor detects an irregular rhythm during themeasurements, the I.H.B./AFib indicator will appear on thedisplay with the measurement values.
Note: We recommend contacting your physician if you see this
I.H.B./AFib symbol frequently.

Cuff

PUL DISPLAY ERROR
The pulse is not detected correctly.

3. Precautions

Precision components are used in the construction of thisdevice. Extremes in temperature, humidity, direct sunlight, shockor dust should be avoided.
Clean the device and cuff with a dry, soft cloth or a cloth dampened withwater and a neutral detergent. Never use alcohol, benzene, thinner orother harsh chemicals to clean the device or cuff.
Avoid tightly folding the cuff or storing the hose tightly twisted forlong periods, as such treatment may shorten the life of thecomponents.
Take care to avoid accidental strangulation of babies or infants
with the hose and cable.
Do not twist the air hose during measurement. This may cause
injury due to continuous cuff pressure.
The device and cuff are not water resistant. Prevent rain, sweat
and water from soiling the device and cuff.
Measurements may be distorted if the device is used close to
televisions, microwave ovens, cellular telephones, X-ray or otherdevices with strong electrical fields.
Wireless communication devices, such as home networking
devices, mobile phones, cordless phones and their base stations,
walkie-talkies can affect this blood pressure monitor.
Therefore, a minimum distance of 30 cm should be kept fromsuch devices.
When reusing the device, confirm that the device is clean.
Used equipment, parts and batteries are not treated as ordinary
household waste, and must be disposed of according to theapplicable local regulations.
Do not modify the device. It may cause accidents or damage tothe device.
To measure blood pressure, the arm must be squeezed by the
cuff hard enough to temporarily stop blood flow through theartery. This may cause pain, numbness or a temporary red markto the arm. This condition will appear especially whenmeasurement is repeated successively. Any pain, numbness, or
red marks will disappear with time.
Measuring blood pressure too frequently may cause harm due toblood flow interference. Check that the operation of the device
does not result in prolonged impairment of blood circulation,
when using the device repeatedly.
Clinical testing has not been conducted on newborn infants andpregnant woman. Do not use on newborn infants or pregnant woman.
If you have had a mastectomy, please consult a doctor before
using the device.
Do not let children use the device by themselves and do not use
the device in a place within the reach of infants. It may cause
accidents or damage.
There are small parts that may cause a choking hazard if
swallowed by mistake by infants.
Do not touch the batteries, the DC jack, and the patient at thesame time. That may result in electrical shock.
Unplug the AC adapter when not in use during the measurement.
Use of accessories not detailed in this manual may compromise safety.
Should the battery short-circuit, it may become hot andpotentially cause burns.
Allow the device to adapt to the surrounding environment beforeuse (about one hour).
Do not inflate without wrapping the cuff around the upper arm.

9. What is the I.H.B./AFib

Do not roll up shirtsleeve tightly

The systolic and diastolic values
are within 10 mmHg of each other.
The pressure value did not
Apply the cuff correctly, andincrease during the inflation.
take another measurement.
The cuff is not applied correctly.

1. Dear Customers

The A&D blood pressure monitor is one of the most advanced
monitors available and is designed for ease of use and accuracy.
This device will facilitate your daily blood pressure regimen.

Take another measurement.
Remain still during
measurement.

Do not open the device. It uses delicate electrical components andan intricate air unit that could be damaged. If you cannot fix the
problem using the troubleshooting instructions, contact theauthorized dealer in your area or our customer service department.
The A&D customer service will provide technical information, spareparts and units to authorized dealers.
The device was designed and manufactured for a long service life.
However it is generally recommended to have the device inspected
every 2 years, to ensure proper functioning and accuracy. Pleasecontact the authorized dealer in your area or A&D for maintenance.

16. Technical DataType
Measurement method
Measurement range

UA-611Plus, UA-651Plus
Oscillometric measurement
Pressure:
0 - 299 mmHg
Systolic pressure: 60 - 279 mmHg
Diastolic pressure: 40 - 200 mmHg
Pulse:
40 - 180 beats / minute
Measurement accuracy Pressure:±3 mmHg
Pulse:±5 %Power supply
4 x 1.5V batteries (R6P, LR6 or AA)
Optional AC adapter (TB-233C) (Not included)
Number of measurements
Approx. 700 times LR6 (alkaline batteries)
Approx. 200 times R6P (manganese batteries)
With pressure value 180 mmHg, room
temperature 23 °C.
Classification
Internally powered ME equipment(Suppliedby batteries) / Class II (Supplied by adapter)
Continuous operation mode
Clinical test
According to ISO81060-2：2013
In the clinical validation study, K5 was usedon 85 subjects for determination of diastolicblood pressure.
EMD
IEC 60601-1-2: 2014
MemoryLast 60 measurements
Operating conditions+10 to +40 °C / 15 to 85 %RH / 800 to 1060 hPa
Transport / Storage conditions -20 to +60 °C / 10 to 95 %RH / 700 to 1060 hPa
Dimensions
Approx.
96 [W] x 68 [H] x 130 [D] mm
WeightApprox.
240 g, excluding the batteries
Ingress protection
Device:
IP20
Applied part
Cuff
Type BF
Useful life
Device:5 years (when used six times a day)Cuff:
2 years (when used six times a day)AC adapter:5 years (when used six times a day)Accessory AC adapter/TB233C
The adapter is to connect the device to a
power source at home. Please contact yourlocal A&D dealer for purchasing. The AC
adapter is required to be inspected or
replaced periodically.
Symbols that are printed on the AC adapter.
Symbols
Function / Meaning
For indoor use only
Class II device
Thermal fuse
Fuse
EC directive device label
EAC certification device label
Polarity of AC adapter plug
Accessories sold separately
Catalog Number Cuff Size
Arm Size
Cuff
CUF-D-LA-ISO Large adult cuff
31 cm to 45 cm
CUF-I-ISO
Wide range cuff
22 cm to 42 cm
CUF-D-MA-ISO Semi large cuff
23 cm to 37 cm
CUF-D-A-ISO
Adult cuff
22 cm to 32 cm
CUF-D-SA-ISO Small adult cuff
16 cm to 24 cm
Arm size: The circumference at the biceps.
Catalog Number
Plug (Outlet type)
AC Adapter
TB-233C
Type C
Note: Specifications are subject to change without prior notice.
IP classification is the degrees of protection provided byenclosures in accordance with IEC 60529. This device is protectedagainst solid foreign objects of 12 mm diameter and greater suchas a finger. This device is not protected against water.