Symbols

Digital Blood Pressure Monitor
Model UA-654MR
Instruction Manual Original

Function / Meaning

Device internal error

Symbols printed on the device case.
Symbols

1WMPD4003847

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.

SYS
DIA
PUL

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 formark of
Medical Products. This is made evident by the
conformity. (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 rate ofpeople for diagnosis.

Precision components are used in the construction of this device.
Extremes in temperature, humidity, direct sunlight, shock or dust
should be avoided.
Clean the device and cuff with a dry, soft cloth or a cloth dampened
with water and a neutral detergent. Never use alcohol, benzene,
thinner or other harsh chemicals to clean the device or cuff.
Avoid tightly folding the cuff or storing the hose tightly twisted for long
periods, as such treatment may shorten the life of the components.
The device and cuff are not water resistant. Prevent rain, sweat andwater 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.
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.
When the AC adapter is used, make sure that the AC adapter can bereadily removed from the electrical outlet when necessary.
Do not modify the device. It may cause accidents or damage to thedevice.
To measure blood pressure, the arm must be squeezed by the cuff hardenough to temporarily stop blood flow through the artery. This may cause
pain, numbness or a temporary red mark to the arm. This condition willappear especially when measurement is repeated successively. Any pain,
numbness, or red marks will disappear with time.
Take care to avoid accidental strangulation of babies or infants withthe hose.
Do not twist the air hose during measurement. This may cause injury
due to continuous cuff pressure.
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.
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 swallowedby mistake by infants.
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 distanceof 1 meters (3.2 feet) should be kept from such devices.
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 and potentiallycause burns.
Allow the device to adapt to the surrounding environment before use(about one hour).
Clinical testing has not been conducted on newborn infants andpregnant woman. Do not use on newborn infants or pregnant woman.
Do not touch the batteries, the DC jack, and the patient at the sametime. That may result in electrical shock.
Do not inflate without wrapping the cuff around the upper arm.

Contraindications
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 consulta doctor 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 evaluation of 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 markAir Hose
Cuff Holder

DC jackSY S Hg
mm

DmIAmHg

AC adapter Plug

ULin
P/m

Manufacturer
Date of manufacture
WEEE label
Serial number
Refer to instruction manual/booklet
Polarity of DC jackInternational protection symbol
Keep dry

2018

SN

IP

START Button

Step 3

Step 1
Step 4

CAUTION
Insert 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 thedevice to malfunction. Replace the batteries two seconds or more after thedevice turns off.
does not appear when the batteries are drained.
The battery life varies with the ambient temperature and may be shorter at
low temperatures. Generally, four new R6P batteries will last approximately
for three months when used twice for measurement each day.
Use the specified batteries only. The batteries provided with the device arefor 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. Installing the Cuff Holder

This device comes equipped with a removable cuff
holder for your convenience.
When not in use, simply slip your cuff into the holder
for storage.
To install the cuff holder :1. Align the cuff holder with the rear of the device.
2. Slide the cuff holder into the rear of the device until it
snaps securely into place.
To remove the cuff holder :1. Push the tab on the cuff holder away from the bloodpressure monitor.
2. Slide the cuff holder away from the blood pressure
monitor as shown to the right.

6.3. Connecting The Air Hose
Insert the air connector plug
into the air socket firmly.

6.4. Connecting The
AC Adapter

Air Hose
Air Connector Plug

Insert the AC adapter plug into the
DC jack. Then, insert the AC
adapter into an electrical outlet.
The AC adapter, the model
TB-233, is sold separately.

Air Socket
AC adapter Plug
DC Jack

When disconnecting the AC adapter from theelectrical 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.

6.5. Selecting The Correct Cuff

Using the correct cuff size is important for an accurate reading. If the cuff is
not the proper size, the reading may yield an incorrect blood pressure
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 "6.6 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.

Arm Size
Catalog Number
Recommended Cuff Size
31 cm to 45 cm
Large adult cuff
CUF-F-LA
22 cm to 32 cm
Adult cuff
CUF-F-A
Arm size: The circumference at the biceps.
Note:
Model UA-654MR is not designed for using a small cuff.

Symbols printed on the cuff.
Recommended Action
mark on the
Set theartery of the upper arm orin line with the ring finger
on the inside of the arm.

Symbols Function / Meaning

Air Socket

Arm Cuff

Artery Position MarkAir Connector Plug
Battery Compartment
Battery CoverREF

MEMORY

Pulse Rate

5. Symbols

Proper fit range

Adult cuff

Symbols that appear on the display
Function / Meaning
Appears while measurement isin progress. It blinks when thepulse is detected.
Appears when an irregularheartbeat is detected. It may lightwhen a very slight vibration likeshivering or shaking is detected.
Previous measurements stored
in memory.
FULL BATTERY
The battery power indicatorduring measurement.
LOW BATTERY
The battery power is low when it
blinks.

Lot number
Large adult cuff

Recommended Action
Measurement is inprogress. Remain as still as
possible.

6.6. Applying The Arm Cuff

1. Wrap the cuff around the upper arm, about 1 to 2 cm above the inside ofthe elbow, as shown.
Place the cuff directly against the skin, as clothing may cause a faint pulse
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. (Do not
be alarmed).
Do not roll up shirtsleeve tightly
Cuff

PUL DISPLAY ERROR
The pulse is not detected correctly.

Press the START button
2. Press the START button.
All of the display segments are
All of the display segments
displayed. Zero is displayed
blinking briefly. Then the display
changes, as indicated in the figure
at the right, as the measurement
begins. The cuff starts to inflate. It
Zero display
is normal for the cuff to feel very
tight. A pressure bar indicator isdisplayed, as in the figure at theright, during inflation.
Starts inflation
Note: If you wish to stop inflation at any time,press the START button again.

13. WHO Classification Indicator

Each segment of the bar indicator corresponds to the WHO bloodpressure classification.
WHO Classification Indicator
Severe hypertension: The indicator displays aModerate hypertension
segment, based on theMild hypertension
current data,
High normal
corresponding to theNormalWHO classification.
Optimal

14. Troubleshooting
Problem

3. When inflation is complete,deflation starts automatically and(heart mark) blinks,
theindicating that the measurement isin progress. Once the pulse isdetected, the mark blinks with eachpulse beat.
Note: If an appropriate pressure is not
obtained, the device starts to
inflate again automatically.

Nothingappears on
the display,even when
the power isturned on.

Pressurizing

Measurement in progress
Systolic pressure

The cuff
does notinflate.

Diastolic pressure
WHO classification
Pulse rate
Exhausts remaining air
automaticallyTurn off with the
5. Press the START button again to
START button
turn off the power.
Note: Model UA-654MR is provided with an automatic power shut-off function.
Allow at least 3 minutes between measurements on the same person.

7.2. Measurement with the Desired Systolic Pressure
If re-inflation occurs repeatedly,
use the following methods. If yoursystolic pressure is expected to
exceed 230 mmHg, use thisprocedure.

At heart level
Press the START button

2. Press the START button.
3. During the zero blinks, press and holdthe START button until a number
about 30 to 40 mmHg higher than yourexpected systolic pressure appears.

Press and hold the
START button

Other

Inflation in progress

4. When the desired number is reached,release the START button to startmeasurement. Then continue tomeasure your blood pressure as
described on the section "7.1 Normal
Measurement".

Release the _START_
button to stop inflation

Refer to the section"7.1 Normal Measurement"

Sit comfortably on a chair. Rest your arm on the table. Do not cross yourlegs. 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 excitedor depressed by emotional stress, the measurement will reflect this stressas 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 a very strong
and rapid effect on your blood pressure.
This device bases its measurements on the heartbeat. If you have a very 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.

8. Recalling the Memory Data

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.

1. When nothing is displayed, press
and hold the START button torecall the stored data.
2. Release the button whendisplaying the average data.

No dataPress and hold the
START button
Release the button
mark
Average data

3. The data number and stored data
are automatically displayed inorder from the last measurement.

Data number

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

Stored Data

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. The device turns off
automatically.

Press and hold the
START button
Release thebuttonSelect "" toclear data.

5 seconds

Themark blinks.
Data is cleared.
Turns off automatically

9. What Is The IHB/AFib Indicator?

When the monitor detects an irregular rhythm during the measurements,
the IHB/AFib indicator will appear on the display with the measurement
values. An irregular heartbeat rhythm is defined as a rhythm that is 15%
less or 15% more than the average rhythm detected while the monitor ismeasuring the systolic and diastolic blood pressure.

Note: We recommend contacting your physician if you see thisfrequently.

symbol

10. What Is The AFib?

Artery position markAir hose

Battery voltage is
too low.
blinks. If thebatteries are
drained completely,
the mark does notappear.
The cuff is notapplied properly.
You moved yourarm or body during
measurement.

and Proper fit range

Apply the cuff correctly.
Make sure you remain still andquiet during measurement.

Sit comfortably and still. Place yourarm on a table with your palm
facing upward and the cuff at thesame level as your heart.
If you have a very weak or irregularheartbeat, the device may havedifficulty in determining your bloodpressure.
At a clinic or doctor's office, anapprehension may cause an
The value iselevated reading. Homedifferent from thatmeasurement reduces the effects
measured at a clinicof outside influences on bloodor doctor’s office.
pressure readings, supplements
the doctor's readings.
Remove the batteries. Place themback properly and take anothermeasurement.

15. MaintenanceDo 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-654MR
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) or
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 (Supplied bybatteries) / Class II (Supplied by adapter)
Continuous operation mode
Clinical test
According to ISO81060-2：2013
EMC
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. 106 [W] x 67 [H] x 143 [D] mm
excluding the cuff holder
WeightApprox. 240 g, excluding the batteries and cuff
holderIngress 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
The adapter is to connect the device to a power source at home.
Please contact your local A&D dealer for purchasing. The AC
adapter is required to be inspected or replaced periodically.
TB-233C
Please contact your local 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
Cuff
Catalog Number
Cuff Size
Arm Size
CUF-F-LA
Large adult cuff
31 cm to 45 cm
CUF-F-A
Adult cuff
22 cm to 32 cm
Arm size: The circumference at the biceps.
AC adapter
Catalog Number
Plug (Outlet type)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.

A&D Company, Limited

1-243 Asahi, Kitamoto-shi, Saitama 364-8585 JAPAN
Telephone: [81] (48) 593-1111 Fax: [81] (48) 593-1119

Measurement in progress
Inflation complete
Inflation in progress

Prinsessegracht 20, 2514 AP The Hague, The Netherlands
Tel: [31] (70) 345-8570
Fax: [31] (70) 346-7299

A&D INSTRUMENTS LTD.

Unit 24/26 Blacklands Way, Abingdon Business Park, Abingdon,
Oxfordshire OX14 1DY United Kingdom
Telephone: [44] (1235) 550420 Fax: [44] (1235) 550485

A&D ENGINEERING, INC.

1756 Automation Parkway, San Jose, California 95131 U.S.A.
Telephone: [1] (408) 263-5333 Fax: [1] (408)263-0119

A&D Australasia Pty Ltd.

32 Dew Street, Thebarton, South Australia 5031 AUSTRALIA
Telephone: [61] (8) 8301-8100 Fax: [61] (8) 8352-7409
OOO A&D RUS
OOO "ЭЙ энд ДИ РУС"121357, Российская Федерация, г.Москва, ул. Верейская, дом 17( Business-Center "Vereyskaya Plaza-2" 121357, RussianFederation, Moscow, Vereyskaya Street 17 )тел.: [7] (495) 937-33-44 факс: [7] (495) 937-55-66

爱安德技研贸易（上海）有限公司

中国 上海市浦东新区浦东大道138号永华大厦21楼A室 邮编200120
电话: [86] (21) 3393-2340 传真: [86] (21) 3393-2347: 91-124-4715555

Index

Replace all batteries with newones.

Emergo Europe

The heart contracts due to electrical signals occurring in heart and sends
blood through the body. Atrial fibrillation (AFib) occurs when the electricalsignal in the atrium becomes confused and leads to disturbances in thepulse interval. AFib can cause blood to stagnate in the heart, which caneasily create clots of blood, a cause of stroke and heart attack.
The indicator monitors the progress of pressure during measurement.
Pressurizing
Releasing air

Secure the fabric fastener firmly.

Battery terminals
are not in thecorrect position.

Recommended Action
Replace all batteries with newones.
Reinstall the batteries with negativeand positive terminals matching
those indicated on the battery
compartment.

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.

The desired pressure

7.3. Notes for Accurate Measurement

8.1. Recalling Data

Possible Reason
Batteries are
drained.

The device
does notmeasure.
The cuff position is
Readings
are too high not correct.
or too low.

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

11. Pressure Bar Indicator

1 to 2 cm

Replace all batteries withnew ones when the markblinks.
Take another
Unstable blood pressure due tomeasurement. Remain still
movement during measurement.
during measurement.
The systolic and diastolic values
are within 10 mmHg of each other.
The pressure value did notincrease during the inflation.
Apply the cuff correctly, andtake another measurement.
The cuff is not applied correctly.

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. Blood pressure
is measured in millimeters of mercury (mmHg).

At heart levelTurns off automatically
Use the large adult cuff
instead of the semi large
adult cuff.

Use the semi large adult
Under range printed on the large adultcuff instead of the large
cuff.
adult cuff.

IHB/AFib symbol
Heart Mark
Battery Indicator

What is Blood Pressure?

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

Note: If you press the START button while
recalling data, the device turns off.

Proper fit range for the large adult cuff.
It's printed on the large adult cuff.
Under range printed on the semi large
adult cuff.

Diastolic Pressure

Pressure Bar Indicator and
WHO Classification Indicator

Index
Catalog number
Proper fit range for the semi large adultcuff. It's printed on the adult cuff.
Over range printed on the semi large
adult cuff.

Systolic Pressure

7.1. Normal Measurement

4. When the measurement iscomplete, the systolic and diastolicpressure readings and pulse rate
are displayed. The cuff exhausts
the remaining air and deflates
completely.

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

12.About Blood Pressure

7. Measurements

To next data

Display

Symbols

Function / 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
EU-representative

6. Using the Monitor

3. Precautions

Display

Recommended Action
Remove the batteries and press
the START button, and theninstall the batteries again. If theerror still appears, contact the
dealer.

: 91-124-4715599