Digital Blood Pressure Monitor
Model UA-789XL
Instruction Manual
Original

Manuel d’instructions
Traduction

Manual de Instrucciones
Traducción

Manuale di Istruzioni
Traduzione

BedienungsanleitungÜbersetzung

使用手冊
翻譯
1WMPD4001765C

Contents
Dear Customers........................................................................................... 1
Preliminary Remarks .................................................................................... 2
Precautions .................................................................................................. 2
Parts Identification ....................................................................................... 3
Symbols ....................................................................................................... 4
Operation Mode........................................................................................... 5
Using The Monitor ....................................................................................... 6
Installing / Changing The Batteries ......................................................... 6
Connecting The Air Hose ........................................................................ 6
Connecting The AC adapter .................................................................... 6
Adjusting The Built-in Clock ................................................................... 7
Setting Three Reminders......................................................................... 7
Alarm ON/OFF Mark On The Display....................................................... 8
Selecting The Correct Cuff ...................................................................... 8
Applying The Arm Cuff ........................................................................... 8
How To Take Proper Measurements........................................................ 9
Measurement .......................................................................................... 9
After Measurement.................................................................................. 9
Measurements ........................................................................................... 10
ormal Measurement .............................................................................. 10
Measurement With The Desired Systolic Pressure ................................. 11
Notes For Proper Measurement............................................................. 11
Recalling Memory Data .............................................................................. 12
What Is An Irregular Heartbeat................................................................... 12
Pressure Bar Indicator ................................................................................ 12
WHO Classification Indicator...................................................................... 13
About Blood Pressure ................................................................................ 13
What Is Blood Pressure?......................................................................... 13
What Is Hypertension And How Is It Controlled? ................................... 13
Why Measure Blood Pressure At Home? ................................................ 13
WHO Blood Pressure Classification........................................................ 14
Blood Pressure Variations...................................................................... 14
Troubleshooting ........................................................................................ 15
Maintenance .............................................................................................. 15
Technical Data ........................................................................................... 16

Dear Customers
Congratulations on purchasing a state-of-the-art A&D blood pressure monitor,
one of the most advanced monitors available today. Designed for ease of use
and accuracy, this device will facilitate your daily blood pressure regimen.
We recommend that you read through this manual carefully before using
the device for the first time.
English 1

Preliminary Remarks
This device conforms to the European Directive 93/42 EEC for Medical Products.
mark of conformity.
This is made evident by the(0123: The reference number to the involved notified body)
The device is designed for use on adults only, not newborns or infants.
Environment for use. The device is for use in the home healthcare environment.
This device is designed to measure blood pressure and pulse rate of people fordiagnosis.

Precautions
This device is designed for big arm. This device is not designed for using the
medium and small cuff. Only use Large cuff or Extra Large cuff.
Arm Size
Recommended Cuff Size
32 cm to 45 cm
Large adult cuff
42 cm to 60 cm
Extra large adult cuff
Arm size : The circumference of the biceps

Catalog Number
CUF-D-LA
CUF-B-XLA

Precision components are used in the construction of this device. Extremes intemperature, humidity, direct sunlight, shock or dust should be avoided.
Clean the device and cuff with a dry, soft cloth or a cloth dampened with waterand a neutral detergent. Never use alcohol, benzene, thinner or other harshchemicals to clean the device or cuff.
Avoid tightly folding the cuff or storing the hose tightly twisted for long periods, assuch treatment may shorten the life of the components.
The device and cuff are not water resistant. Prevent rain, sweat and water fromsoiling the device and cuff.
Measurements may be distorted if the device is used close to televisions,microwave ovens, cellular telephones, X-ray or other devices with strong
electrical fields.
Used equipment, parts and batteries are not treated as ordinary household
waste, and must be disposed of according to the applicable local regulations.
When the AC adapter is used, make sure that the AC adapter can be readily
removed from the electrical outlet when necessary.
When reusing the device, confirm that the device is clean.
Do not modify the device. It may cause accidents or damage to the device.
To measure blood pressure, the arm must be squeezed by the cuff hard enoughto temporarily stop blood flow through the artery. This may cause pain,
numbness or a temporary red mark to the arm. This condition will appear
especially when measurement is repeated successively. Any pain, numbness,or red marks will disappear with time.

English 2

Contraindications

The following are precautions for proper use of the device.
People who have a severe circulatory deficit in the arm must consult a 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 bloodtransfusion. It may cause injury or accidents.
Do not use the device where flammable gases such as anesthetic gases arepresent. It may cause an explosion.
Do not use the device in highly concentrated oxygen environments, such as ahigh-pressure oxygen chamber or an oxygen tent. It may cause a fire or explosion.

Parts Identification
MEMORY Button

Display

DC Jack
START Button (Blue illumination)

CLOCK Button

Air Hose

Arm Cuff(Extra large adult cuff)
Battery Cover
Air Socket

Battery Compartment

Air Connector Plug
1.5v Batteries(R6P,LR6 or AA)

Part of Display

MEMORY

Systolic Pressure
Diastolic Pressure

Pressure Bar IndicatorandWHO Classification Indicator

Pulse Rate

Heart Mark
I.H.B. Indicator(Irregular heartbeat indicator)
English 3

Battery IndicatorSymbols
Symbols

Function / Meaning
Recommended Action
Standby and Turn the device on.
CLOCK button markIf you want to stop the sound,
Alarm ON/OFF mark of the reminder press the START button.
Systolic blood pressure in mmHg
SYS.
Diastolic blood pressure in mmHg
DIA.
PUL./min. Pulse per minuteBattery installation guide
Direct current
Type BF: Device, cuff and tubing aredesigned to provide special
protection against electrical shocks.
The indicator while measurement is
Measurement is in progress.
in progress. It blinks while detecting
Remain as still as possible.
the pulse.
Irregular Heartbeat indicator. (I.H.B.)
The indicator that detects irregularheartbeats or any excessive body
movement during the measurement.
Previous measurements stored in
MEMORY.
The battery power indicator during
Full Battery measurement.
Replace all batteries with new
Low Battery The battery is low when it blinks.
ones, when the indicator blinks.
Try measurement again.
Unstable blood pressure due tomovement during the measurement. Remain very still during themeasurement.
The systolic and diastolic values arewithin 10 mmHg of each other.
The pressure value did not increase
Fasten the cuff correctly, andduring inflation.
try the measurement again.
The cuff is not fastened correctly.
PUL. DISPLAY ERROR The pulse is not detected correctly.
EC directive medical device label
EU-representative
Manufacturer
Date of manufacture
Class II device
English 4

Symbols

Function / Meaning

Recommended Action

WEEE label
SN

Refer to instruction manual/booklet
Serial number
Polarity of DC jackOperation Mode
1. Normal Measurement With Storing Data (Refer to page 10)

Press the START button. Blood pressure is measured and data is stored
within the device. The device can store the last sixty sets of data in memory
automatically.

2. Recalling Data (Refer to page 12)

Press the MEMORY button to recall thedata. The date and the most recent data
are displayed.
The device can store the last sixty sets ofdata in memory automatically.

Press the MEMORY button

Date

Month
Day
Time

Data

3. Clearing Data (Refer to page 12)

Press and hold the MEMORY button until
the “ ” (memory) mark blinks to clear thestored data.

4. Measurement With The Desired Systolic Pressure

Refer to page 11 for the measurement with the desired systolic pressure.

English 5

Using The Monitor
Installing / Changing The Batteries
1. Slide the battery cover up to open it.

Step 2

2. Remove the used batteries and insert
new batteries into the battery
compartment as shown, taking carethat the polarities (+) and (-) arecorrect.
3. Slide the battery cover down to close it.
Use only R6P, LR6 or AA batteries.

Step 3
Step 1CAUTION
Insert the batteries as shown in the battery compartment. If not, the device will
not work.
When(LOW BATTERY mark) blinks on the display, replace all batteries withnew ones. Do not mix old and new batteries. It may shorten the battery life, orcause the device to malfunction.
(LOW BATTERY mark) does not appear when the batteries are drained.
Battery life varies with the ambient temperature and may be shorter at low
temperatures.
Use the specified batteries only. The batteries provided with the device are fortesting monitor 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.
Stored data are cleared when the batteries are removed.

Connecting The Air Hose

Insert the air connector plug into the
air socket firmly.

Air connector plug

Air socket

Connecting The AC adapter

Insert the AC adapter plug into the DC
jack. Next, connect the AC adapter to anelectrical outlet.
Use the specified AC adapter.
(Refer to page 16)

DC jack

AC adapter plug
English 6

Using The Monitor
Adjusting The Built-in Clock

The device has a built-in clock.
We recommend that you adjust the clock prior to use.

1. Press and hold the CLOCK button until the digits start blinking.
2. Select the year using the START button.

CLOCK button

Press the CLOCK button to set the current year andmove to month/day selection. The date can be set
anywhere between the years 2004 and 2053.
3. Select the month using the START button.

Year

Press the CLOCK button to set the current monthand move to day selection.
4. Select the day using the START button.

Month / day

Press the CLOCK button to set the current day andmove to hour/minute selection.
5. Select the hour using the START button.
Press the CLOCK button to set the current hour andmove to minute selection.
6. Select the minute using the START button.
Press the CLOCK button to set the current minuteand activate the clock.

Hour / Minute

Clock

Setting Three Reminders

This device has 3 reminder alarms. You can set 3
different reminder alarms within a 24-hour period.

1. Press and hold the CLOCK button until the digits
start blinking. Then press the MEMEORY button.
“P-1” is shown at the middle line of the display.
2. Select the hour using the START button and press
the CLOCK button to set the hour and move tominute selection. Press the MEMORY button tocomplete the reminder setting after selecting theminute.
3. Then the display shows “P-2” for the second
reminder. Repeat the above process if you need asecond reminder.
4. A third reminder can be set as well.
English 7

CLOCK button

MEMORYbuttonFirstbuzzerSecondbuzzerThird
buzzerUsing The Monitor
Alarm ON/OFF Mark On The Display
When the alarm is on, a “p” appears on the LCD. To turn the alarm off, simply
press the CLOCK button once. The alarm will sound for 1 minute. To stop thealarm sound, press the START button once.

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 arm cuff is a consumable. If it becomes worn, purchase a new one.
Arm Size
Recommended Cuff Size
Catalog Number
32 cm to 45 cm
Large adult cuff
CUF-D-LA
42 cm to 60 cm
Extra large adult cuff
CUF-B-XLA
Arm size: The circumference at the biceps.
Note: Model UA-789XL is not designed for using a small adult cuff.

Symbols printed on the cuff.
Symbols Function / Meaning

REF

Recommended Action
mark on the artery of the upper arm or
Set theArtery position markin line with the ring finger on the inside of the arm.
Catalog number
Lot number

Applying The Arm Cuff

Do not roll up shirtsleeve tightly

1. Wrap the cuff around the upper arm,
about 1 to 2 cm above the inside of theelbow, as shown.
Place the cuff directly against the skin, as
clothing may cause a faint pulse andresult in a measurement error.
2. Constriction of the upper arm, caused byrolling up a shirtsleeve, may prevent
accurate readings.

Cuff
1 to 2 cm

Artery position markSecure the fabricfastener firmly
Air hose

English 8

How To Take Proper Measurements

For the most accurate blood pressure measurement:
Sit comfortably on a chair. Rest your arm on the table. Do not cross your legs.
Keep your feet on the floor and straighten your back.
Relax before measurement.
Place the center of the cuff at the same height as your heart.
Remain still and keep quiet during measurement.
Do not measure right after physical exercise or a bath. Rest before taking themeasurement.
Try to measure your blood pressure at the same time every day.

Measurement

During measurement, it is normal for the cuff to feel very tight. (Do not be
alarmed).

After Measurement

After measurement, press the START button to turn off the power. Remove thecuff and record your data.

Note: The device has an automatic power shut-off function, which turns the power
off automatically one minute after measurement.
Allow at least three minutes between measurements on the same person.

English 9

Measurements
Model UA-789XL is designed to detect the pulse and to inflate the cuff to asystolic pressure level automatically. If your systolic pressure is expected to
exceed 230 mmHg, read "Measurement With The Desired Systolic
Pressure" on the next page.

Normal Measurement

1. Place the cuff on the arm (preferably the left arm).
Sit quietly during measurement.
2. Press the START button.
The average blood pressures and last data
number are displayed briefly. Then the display
changes, as indicated in the figure at the right,
as the measurement begins. The cuff starts to
inflate. It is normal for the cuff to feel very tight.
A pressure bar 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.
3. When inflation is complete, deflation starts(heart mark) blinks,
automatically andindicating that the measurement is in progress.
Once the pulse is detected, the mark blinks witheach pulse beat.
Note: If an appropriate pressure is not
obtained, the device starts to inflateagain automatically.
4. When the measurement is complete, thesystolic and diastolic pressure readings
and pulse rate are displayed. The cuff
exhausts the remaining air and deflates
completely.
5. Press the START button again to turnoff the power.
Note: Model UA-789XL is provided with anautomatic power shut-off function.

English10

At heart level
START button

START

Averaged data
Data number

Starts inflation

Pressurizing

Measurementin progress
Systolic pressure
Diastolic pressure
WHO classification
Pulse rate
Exhausts remaining
air automaticallyMeasurements
Measurement With The Desired Systolic Pressure

If your systolic pressure is expected to exceed 230 mmHg, use this procedure.

1. Place the cuff on the arm (preferably the left arm).
2. Press and hold the START button until a
number about 30 to 40 mmHg higher thanyour expected systolic pressure appears.
3. Release the START button to startmeasurement, when the desired number
is reached. Then continue to measure
your blood pressure as described on theprevious page.

At heart level

Press and hold the button
Release the button at
the desired systolicpressure
Refer to the previous page formeasurement

Notes For Proper Measurement

Sit down in a comfortable position. Place the arm to be used for themeasurement on a table or other support so that the center of the cuff will be at
the same height as your heart.

Relax for about five or ten minutes before taking a measurement. If you are
excited or depressed by emotional stress, the measurement will reflect thisstress as a higher (or lower) than normal blood pressure reading and the pulse
reading will usually be faster than normal.
An individual's blood pressure varies constantly, depending on what you aredoing and what you have eaten. What you drink can have a very strong andrapid effect on your blood pressure.
This device bases its measurements on the heartbeat. If you have a very weakor irregular heartbeat, the device may have difficulty determining your bloodpressure.
Should the device detect a condition that is abnormal, it will stop themeasurement and display an error symbol. Refer to page 4 for the description ofsymbols.
This device is intended for use by adults only. Consult with your physician before
using this device on a child. A child should not use this device unattended.

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Recalling Memory Data
Note: This device stores the last sixty measurements in memory automatically.
The data is retained as long as the batteries are in the device. When you
remove the batteries or the batteries are drained, the data will be erased.
Press the MEMORY button

1. Press the MEMORY button.
2. The date and the most recent data are displayed.
3. When the MEMORY button is pressed while data isdisplayed, the previous data is displayed.

Date

4. After the last data is displayed, the display goes blank.
5. Press and hold the MEMORY button until the “(memory) mark blinks to clear the stored data.

”

Data

Note: Pressing the START button while the memory
data is displayed, the device starts.

What Is An Irregular Heartbeat
Model UA-789XL provides a blood pressure and pulse rate measurement evenwhen an irregular heartbeat occurs. An irregular heartbeat is defined as aheartbeat that varies by 25% from the average of all heartbeats during the bloodpressure measurement. It is important that you be relaxed, remain still and do
not talk during measurements.
Note: We recommend contacting your physician if you see thisfrequently.

indicator

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

Inflation in progress

Measurement in progress
Inflation complete
English12

WHO Classification Indicator
Each segment of the bar indicator corresponds tothe WHO blood pressure classification describedon the next page.

Example:WHO Classification Indicator
Severe hypertension
Moderate hypertension
Mild hypertension
High normal
NormalOptimalModerate hypertension

Mild hypertension: The indicator displays a segment, based on
the current data, corresponding to the WHO
classification.
High normal

About Blood Pressure
What Is Blood Pressure?

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). One's natural blood pressure is represented by the fundamentalpressure, which is measured first thing in the morning while one is still at restand before eating.

What Is Hypertension And How Is It Controlled?

Hypertension, an abnormally high arterial blood pressure, if left unattended, cancause many health problems including stroke and heart attack. Hypertension
can be controlled by altering lifestyle, avoiding stress, and with medication undera doctor’s supervision.
To prevent hypertension or keep it under control:
Do not smoke
Exercise regularly
Reduce salt and fat intake
Have regular physical checkups
Maintain proper weight

Why Measure Blood Pressure At Home?

Blood pressure measured at a clinic or doctor's office may cause
apprehension and can produce an elevated reading, 25 to 30 mmHg higher
than that measured at home. Home measurement reduces the effects ofoutside influences on blood pressure readings, supplements the doctor's
readings and provides a more accurate, complete blood pressure history.
English13

WHO Blood Pressure
Classification

Standards to assess high bloodpressure, without regard to age,have been established by theWorld Health Organization(WHO), as shown in the chart.

Blood Pressure Variations

An individual’s blood pressure
varies greatly on a daily andseasonal basis. It may vary by 30 to 50
mmHg due to various conditions during theday. In hypertensive individuals, variations
are even more pronounced. Normally, theblood pressure rises while at work or playand falls to its lowest levels during sleep. So,
do not be overly concerned by the results ofone measurement.
Take measurements at the same time every
day using the procedure described in thismanual to get to know your normal blood pressure. Regular readings give amore comprehensive blood pressure history. Be sure to note date and time
when recording your blood pressure. Consult your doctor to interpret yourblood pressure data.

English14

Troubleshooting
ProblemPossible Reason
Recommended Action
Replace all batteries with new ones.
Nothing appears Batteries are drained.
on the display,
Reinstall the batteries with negative
Battery terminals are not ineven when theand positive terminals matching thosepower is turned on. the correct position.
indicated on the battery compartment.
Battery voltage is too low.
(LOW BATTERY mark)The cuff does notblinks. [ If the batteries are Replace all batteries with new ones.
inflate.
drained completely, themark does not appear.]
The cuff is not fastened
Fasten the cuff correctly.
properly.
You moved your arm or
Make sure you remain very still andbody during thequiet during the measurement.
The device does measurement.
not measure.
Sit comfortably and still.
The
cuff
positionisnotReadings are too
Raise your hand so that the cuff is atcorrect.
high or too low.
the same level as your heart.
If you have a very weak or irregularheat beat, the device may havedifficulty in determining your bloodpressure.
The value is different from
Refer to “Why measure bloodthat measured at a clinic orpressure at home”.
doctor’s office.
Other
Remove the batteries. Place themback properly and try themeasurement again.
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.

MaintenanceDo not open the device. It uses delicate electrical components and an intricate
air unit that could be damaged. If you cannot fix the problem using thetroubleshooting instructions, request service from your dealer or from the A&D
service group. The A&D service group 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, toensure proper functioning and accuracy. Please contact either your authorized
dealer or A&D for maintenance.
English15

Technical DataType

UA-789XL

Measurement method

Oscillometric measurement

Measurement range

Pressure: 20 - 280 mmHg
Pulse:
40 - 200 beats / minute

Measurement accuracy

Pressure: ±3 mmHg
Pulse:±5%

Power supply

4 x 1.5V batteries (R6P, LR6 or AA) or
AC adapter (TB-242)(Not included)

Number of measurements

Approximately 200 measurements, when AA Alkaline
batteries are used, with pressure value of 180 mmHg
at room temperature of 23 °C.

Classification

Internally powered ME equipment (Supplied bybatteries) /Class II (Supplied by adapter)
Continuous operation mode

Clinical test

According to ANSI / AAMI SP-10 1987

EMC

IEC 60601-1-2: 2007

MemoryLast 60 measurements

Operating condition+10 °C to +40°C / 15 %RH to 85 %RH /800 hPa to 1060 hPa

Transport / Storage condition -10 °C to +60°C / 15 %RH to 95 %RH
Dimensions

Approx. 163 [W] x 62 [H] x 112 [D] mm

WeightApprox. 360 g, excluding the batteries

Applied part

Cuff Type BF

Useful life

Device:Cuff:

Accessory AC adapter

The adapter is to connect the device to a powersource at home.

5 years (when used six times a day)2 years (when used six times a day)TB-242

Please contact your local A&D dealer for purchasing.
The AC adapter is required to be inspected or
replaced periodically.

TB-242C

Input:
Output:100-240V
6V
2A

TB-242BF

Input:
Output:240V
6V

English2A

16

Accessories sold separately
Cuff
Catalog Number
CUF-D-LA
CUF-B-XLA

Cuff Size
Large adult cuff
Extra larg adult cuff

Arm Size
32 cm to 45 cm
42 cm to 60 cm

Arm size: The circumference at the biceps.
AC adapter

Catalog Number
TB-242C
TB-242BF

Plug (Outlet type)Type CType BF

Note: Specifications are subject to change without prior notice.
EMC table information is listed on our website:
http://www.aandd.jp/products/manual/medical/emc_acadapter_en.pdf

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MEMO

English18

Asahi 1-243, Kitamoto-shi, Saitama 364-8585, JAPAN
Telephone: [81] (48) 593-1111 Fax: [81] (48) 593-1119
A&D INSTRUMENTS LIMITED
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,
Telephone: [1] (408) 263-5333 Fax: [1] (408)263-0119

U.S.A.

A&D AUSTRALASIA PTY LTD
32 Dew Street, Thebarton, South Australia 5031, AUSTRALIA
Telephone: [61] (8) 8301-8100 Fax: [61] (8) 8352-7409