REF

EnglishINSTRUCTION MANUALFORDIGITAL BLOOD PRESSURE MONITOR

CH-406D

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.

0801

GENERAL REMARKS
EnglishGeneral 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 23-33 cm (9-13
inches).
3. When attaching the cuff, the air hose should be placed on the inside of yourarm on top of the artery.
4. Self measurement is not therapy! In no event should you change the dosageof your medication prescribed by your physician.
5. As preparation for measuring your blood pressure, you should urinate andthen remain relatively still for 10 to 15 minutes prior to measurement.
6. Exercising, eating, drinking, smoking, etc., prior to measurement may affectthe results.
7. Your blood pressure varies constantly throughout the day. Measurements
should be taken regularly at the same time each day.
8. DO NOT place too much emphasis on the results of one measurement. Keepa continuing record of your blood pressure variations. A complete picture canonly be obtained from a large number of readings.
9. Emotional stress tends to cause your blood pressure to rise.

To obtain correct blood pressure measurements
1. Take ﬁve or six deep breaths and then relax before measuring your bloodpressure. If you are tense when taking the measurement, you will not get avalid reading.
2. Your blood pressure will be elevated if you are anxious or irritated, sufferingfrom lack of sleep or constipation, or have just taken some exercise or eaten
a meal.
3. Wrap the cuff around your arm and tighten it so that one ﬁnger can beinserted between the cuff and arm. (See page 14)
4. DO NOT measure your blood pressure after bathing or drinking.
5. If you feel the need to urinate, do so before measuring your blood pressure.
6. Measure your blood pressure where the room temperature is around 20°C
(68°F). DO NOT measure your blood pressure when it is too cold (below
10°C/50°F) or too hot (above 40°C/104°F) in the room.

- Eng 2 -

7. DO NOT try to measure your blood pressure immediately after drinking coffee
or tea or after smoking.
8. Measure your blood pressure when you are relaxed and still. Keep the centerof the cuff at the level of your heart and DO NOT move your arm or talk.
9. DO NOT measure blood pressure when the cuff has been on your arm fora 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.

Deﬁnitions and Classiﬁcations of Blood Pressure Levels

Measure your blood pressure at the same time each day.
* Your blood pressure changes all the time. This means that data gathered overa long period has far more signiﬁcance than data from just one measurement.
For this reason, you must measure your blood pressure on a daily basis. Ideally,
you should measure your blood pressure at the same time each day wherever
possible.

- Eng 3 -EnglishGENERAL REMARKSPRECAUTIONS FOR USE AND MAINTENANCE
Precautions for use
English

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 youpurchased the monitor.
3. If you think the measurement is abnormal or if measurement makes you feelunwell, discontinue use and consult your physician.
4. Blood pressure measurement may not be possible for anyone with a weakpulse or arrhythmia.
5. Repeated blood pressure measurement may cause problems such ascongestion or swelling in some people.
6. Frequently repeated blood pressure measurements will not give accurate
results. Allow an interval of about 3 minutes between measurements.
7. If you suffer from a severe problem with blood circulation in your arms,
consult your physician before using the monitor. Failure to do so could be
hazardous to your health.
8. Measurement may not be possible for anyone with insufﬁcient blood ﬂow tothe area where measurements will be taken or who suffers from a frequentirregular heartbeat. Consult your physician for advice on whether to use themonitor.
9. DO NOT wrap the cuff around an injured arm.
10. DO NOT wrap the cuff around an arm in which a drip (intravenous infusion)is inserted or which is being used for blood transfusion as part of medical
treatment. Doing so could result in an injury or a serious accident.
11. DO NOT use the monitor in the vicinity of ﬂammable gases such as thoseused for anaesthesia. Doing so could ignite the gases and cause an
explosion.
12. DO NOT use the monitor in enriched oxygen environments such as a
hospital’s hyperbaric chamber or oxygen tent. Doing so could ignite theoxygen and cause a ﬁre.
13. DO NOT use mobile phones near the monitor as this could result in amalfunction.
14. If you use a cardiac pacemaker, consult your physician before using themonitor.

- Eng 4 -

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 measurements taken using this monitor are equivalent tothose obtained by a trained observer using the cuff/stethoscope auscultation
method within the limits prescribed by the American National Standard forelectronic or automated sphygmomanometers.
18. 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. DO NOT store the blood pressure monitor in locations exposed to direct
sunlight, high temperatures (over 60°C/ 140°F), low temperatures (below-20°C/-4°F), high relative humidity (over 95%) or excessive amounts of dust.
2. DO NOT drop the blood pressure monitor or subject it to other shocks orvibration.
3. Remove the batteries if the monitor will be left unused for a long period.
4. DO NOT attempt to disassemble the monitor.
5. DO NOT bend the cuff or air hose excessively.
6. If the monitor is very dirty, wipe it clean with a cloth moistened with sterilizing
alcohol or a neutral detergent. Then wipe it with a dry cloth.
7. NEVER clean the blood pressure monitor with thinners or benzene, as this
could damage the monitor.
8. To clean the cuff, wipe it with a moist cloth. Avoid hard rubbing as this willcause air leakages. Take care also not to get water into the air hose.

- Eng 5 -English

PRECAUTIONS FOR USE AND MAINTENANCE

PRECAUTIONS FOR USE AND MAINTENANCE

Nature and frequency of maintenance:
EnglishThis 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.

WEEE MARK
If you want to dispose this product, do not mix with general household
waste. There is a separate collection systems for used electronics
products in accordance with legislation under the WEEE Directive(Directive 2002/96/EC) and is effective only within European Union.

Reference European standard:This product complies with EC instructions 93/42/EEC (Medical Device Directive)
and with the following standards: EN1060-1: 1995+AM1:2002 “Noninvasive
Sphygmomanometers, Part 1 General requirement” and EN 1060-3: 1997
“Noninvasive Sphygmomanometers, Part 3 Supplementary requirements forElectromechanical Blood pressure Measuring Systems” and EN60601-12:2001 “Medical Electrical equipment, Part 1-2: General requirements for safety– Collateral standard: Electromagnetic compatibility – Requirements and tests”.

Manufacturer:
Name : Health & Life Co., Ltd.
Address : 9F. NO.186 Jian Yi Road
Chung Ho City, Taipei, Taiwan.

European Representative:
Name : Innovative business promotion GmbH
Address : Botzstr.6 07743 Jena, Germany- Eng 6 -

STANDARDSBFClassiﬁcation:- Internally powered equipment- BF type applied part
- IPX0- Not suitable for use in presense of ﬂammable anaesthetic mixture with
air or with oxygen or nitrous oxide- Continuous operation with short-time loadingThis Blood Pressure Monitor complies with theEuropean regulations and bears the CE mark"CE 0197".

The quality of the device has been veriﬁed and is in line with theprovisions of the EC council directive 93/42/EEC(EN IEC60601-1-2:2001, EN IEC60601-1) dated 14 June 1993
concerning medical devices, as well as the EMC directive
89/336/EEC:
EN 1060-1 Non-invasive blood pressure measuring equipment
General requirements
EN 1060-3 Non-invasive blood pressure measuring equipment
Supplementary requirements for electromechanical bloodpressure measuring systems.

- Eng 7 -EnglishImportant!
Read the operating instructions.

COMPONENT NAMES AND LOCATIONS
Component names
English

MODE Switch
Air hose connector

SET Switch
MEMORY Switch
START/STOP Switcha Stand-by

LCD display
Air hose socket

Air hose

Cuff- Eng 8 -

DEVICE DESCRIPTIONEnglishKey to display icons

Date display

Time display

InﬂationDeﬂation

Systolic bloodpressure display

Battery icon

Diastolic bloodpressure display

Error icon
Memory number
display

Pulse display

Measurement icon

- Eng 9 -

LOADING THE BATTERIES
1 Open the battery compartment cover.
English1 While pressing on the lock section of the battery compartment cover, 2pull the cover toward you to open it.

Battery compartment cover

2 Insert the batteries into the compartment.
Insert the batteries, taking care to ensure that the positive m and negative ,terminals are positioned correctly.

3 Close the battery compartment cover.
Fit the protrusions on the cover into the recesses in the battery compartment
body and push the cover in the direction of the arrow.

- Eng 10 -

REMOVING THE BATTERIES(

See page 10, “LOADING THE BATTERIES”.)

2 Remove the batteries.

3 Close the battery compartment cover.

Replacing the batteries• If theappears on the display, or if nothing appears on the display
when the “START/STOP” switch is pressed, ﬁt 4 new AA Alkaline batteries.
• Do not use rechargeable batteries.
• Do not use alkaline and manganese batteries together.
• The monitor is powered by the batteries provided. Note that they may notlast as long as indicated.
• Dispose of used batteries properly in accordance with local regulations.
• Your measurements are stored in the monitor’s memory even when thebatteries are removed.

- Eng 11 -English1 Open the battery compartment cover.

USING AC ADAPTER (OPTION)
EnglishUsing the optional dedicated AC adapter for the CITIZEN blood pressure monitor(CH-406D) allows you to measure your blood pressure without having to worry
about the amount of remaining charge in the batteries.
AC adapter socket

1. Insert the AC adapter plug into
the socket on the blood pressure
monitor.
2. Plug the AC adapter into a mains
power outlet.

AC adapter plug

• If you plan to use the AC adapter for an extended period of time, remove thebatteries. If the batteries are left in the compartment, electrolyte may leak fromthe batteries and cause a fault in the blood pressure monitor.
• If the AC adapter is used as the only power supply for the monitor, unplugging
the AC adapter will erase the data stored in the monitor’s memory. It is
recommended that you make a note of any important data .
• When only batteries are used to supply power to the monitor, the AC adapter
should be unplugged from the monitor. Leaving the AC adapter plugged into
the blood pressure monitor could cause a malfunction.

The dedicated AC adapter for the CH-406D is optional.
The AC adapter is available from retailers stocking CITIZEN digital bloodpressure monitors.

- Eng 12 -Your blood pressure varies according to your posture, the time of day and arange of other factors. Ideally, you should measure your blood pressure in thesame 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 levelwith your heart.
3 Open your hand slightly on the table
so that your palm is facing up and yourﬁngers are relaxed.
4 Do not move your body or talk while taking
the measurement.

- Eng 13 -EnglishTIPS FOR OBTAINING ACCURATE MEASUREMENTS

ATTACHING THE ARM CUFF
1 Unroll the arm cuff.
English• Unroll the arm cuff and thread the end
through the metal hoop so that theside with the Velcro patch is on theoutside.

Metal hoop
Velcro patch

2 Put the arm cuff around yourarm so that the air hose is to theleft of your palm.
• The arm cuff should be put directlyagainst your skin but can also be usedover a lightweight sleeve.
• If you are wearing a thick top, remove
it. Do not roll up your sleeve as thismay compress your upper arm andresult in incorrect measurements.

3 Adjust the position of the arm cuff so that the air hose islocated in the center of your arm and the hem of the cuff is 2
to 3 cm above your elbow.
2~3 cmAir hose- Eng 14 -

ATTACHING THE ARM CUFF

outwards so that the cuff is snug
around your arm and then secure
the end to the Velcro.
• Carefully place the cuff on your arm,taking care to use the correct tightness.
The tightness is correct if you canreadily slide a ﬁnger between the cuff
and your arm.

- Eng 15 -English

4 Pull the end of the arm cuff

SETTING THE CLOCK
1 Initial state. (When you load the batteries in the unit for the
Englishﬁrst time, carry out the reset procedure.)• Date/Time setting when the batteries are ﬁrst loaded
into the unit.
Date and time: January 1 12:00

2 Setting the Month, Date and Time:
The current time and date should be set in the order written below.
• Each time you press the “MODE” switch, the data item to be modiﬁed
changes in the sequence shown below. The selected item ﬂashes on and off.
1) Month s 2) Day s 3) Hour s 4) Minute• Press the “SET” switch to increase the setting by 1. Hold down the “SET”
switch on to advance the setting continuously.
• Press the “MODE” switch to set each correct number.

3 Correcting the Month, Date and Time of the clock
1. Press “MODE” switch. ( “month” starts ﬂashing.)
Press “SET” switch to set the correct month. (1,2,3,.….12.)
2. Press “MODE” switch again. ( “date” starts ﬂashing.)
Press “SET” switch to set the correct date. (1,2,3,.….31.)
3. Press “MODE” switch again. ( “hour” starts ﬂashing.)
Press “SET” switch to set the correct hour in 12-hour format.
4. Press “MODE” switch again. ( “minute” starts ﬂashing.)
Press “SET” switch to set the correct minute (0,1,2,3,…..59.)
5. Press “MODE” switch again to switch to normal time.
(month: 7, date: 7, hour: 12 (PM),minute: 38 appear on the display
as shown on the right diagram.)
6. Device is now ready to start.

Date/Time display

P: PM mark- Eng 16 -

MEASURING YOUR BLOOD PRESSURE
arm.
(
See page 14 “ATTACHING THE ARM
CUFF”.)

2 Plug the air hose connector into themain unit.
• Plug the air hose connector ﬁrmly into the air
hose socket on the main unit as illustrated.

3 Sit in the recommended position.
(

See page 13 “ TIPS FOR OBTAINING ACCURATE MEASUREMENTS”.)

4 Start measurement.
• Press the "START/STOP" switch.
The air pressure is increased and thenslowly decreased. When a pulse isstartsdetected, the measurement icon
ﬂashing.
After the blood pressure measurement
is taken, the systolic pressure, diastolicpressure and pulse rate are shown on thedisplay for 1 minute, after which the display turns off unless other instructions
are given.

5 Storing, recalling and erasing measurement data
• Storing data
As long as the unit functions correctly, the blood pressure and the pulse
rate for the result with the record of the time and date are automaticallystored in memory as one set of data.
Up to 48 sets of measurement data can be stored in the memory. If you
measure your blood pressure when 48 sets of measurements havealready been stored in memory, the earliest set of measurements is
automatically deleted to make way for the new measurements.

- Eng 17 -English

1 Wrap the arm cuff tightly around your

RECALLING DATA■ Recalling data
Press the “MEMORY” recall switch.
EnglishPress the “MEMORY” recall switch again. This recalls and displays ﬁrst the
memory number and then the last set of data stored.
DATE

TIME
SYSTOLIC
mmHg
DIASTOLIC
mmHg

MEMORYPULSE/MIN.

Press the “MEMORY” recall switch again. This recalls and displays the second
last set of data stored. Each time you press this switch, the unit displays the dataprior to the last set of data displayed.

■ Erasing data
Press and hold the “MODE” and “SET” switches at the same time until “CLA”
appears on the display. No data will show up on the display.

- Eng 18 -

KEY TO DISPLAY ICONS
Condition/Cause

Measurement icon

This icon appears
when the unit is inmeasurement mode andﬂashes when a pulse isdetected.

Remain quiet whilemeasurement is inprogress.

Battery icon

This appears when thelevel of remaining charge
in the batteries voltage
is very low or when thebatteries are loaded
incorrectly.

Replace all fourbatteries with newbatteries. Insert the
new alkaline batteriescorrectly, making surethat the positive (+) andnegative (-) terminals are
positioned correctly.

Error icon

This appears when an
accurate blood pressure
measurement could not
be obtained.

Press the “START/STOP” switch again totake another reading.
Also check the following:• Make sure the cuff iswrapped around yourarm in accordancewith the instructions.
• Make sure your palm
is relaxed so thatyou are not exertingundue effort.
• Do not talk or move
during measurement.
• Make sure yourposture is correct.

- Eng 19 -Corrective action
EnglishIcon displayed

ABOUT “BLOOD PRESSURE”
What is blood pressure?

(Systolic)(Diastolic)ArteryArteryLeft atrium

Left atrium

Left
ventricle The artery wall expands.
Contraction

Leftventricle

Normal state is restored
to the artery wall.
DilationYour blood pressure changes all the time.
Your blood pressure differs according to your age, gender and a range of otherfactors. It is likely to be affected by your biorhythm during the day and by yourposture, physical activities, mental activities, level of stress and even by the airtemperature. The blood pressure of a healthy person generally varies by 20 to 50
mmHg within a day.
Blood pressure value (mmHg)

EnglishThe 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 thearterial blood pressure and represents, in general terms, your blood pressure.
Blood pressure is indicated by several kinds of pressures, including the systolicpressure that occurs when the heart pumps blood and the diastolic pressure that
occurs when blood returns to the heart.

Systolic blood pressure

Diastolic blood pressure

Time of day- Eng 20 -

BLOOD PRESSURE Q&A
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 bloodpressure, 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.

Q What is the beneﬁt of measuring my blood pressure at home?
A Blood pressure measurements taken at home give reliable data as they canbe taken when you are in a stable and relaxed condition. Physicians placeconsiderable importance on blood pressure measurements taken at home.
You should measure your blood pressure at the same time each day andrecord the variations in your blood pressure.

Always consult your physician for an interpretation of your bloodpressure readings and to determine the proper treatment.

- Eng 21 -EnglishQ Why is the blood pressure measured at home different from that measured by

BEFORE REQUESTING REPAIRS OR TESTING
Make sure to check the following before sending your blood pressure monitor
away to be tested or repaired.
EnglishProblem

ChecksResponse

Display stays blankwhen you press the“START/STOP” switch.

Check whether thebatteries are dead.

Replace all the batteries
with new ones.

Check whether thebatteries are installed
the right way round(m and , oriented
correctly).

Load the batteries in thecorrect direction.

No measurements canbe taken.

Check whether themeasurement icon
displayed.

is

Attach the arm cuff
properly.

Check whether the arm
cuff is applied correctly.
Did you stay calm during
measurement?

Measure your bloodpressure again, making
sure to remain still.

Note that blood pressure measurement may not be
possible for someone with an extremely weak pulse
or cardiac arrhythmia (irregular pulses).
Your blood pressure readings are abnormally highor low compared with those taken in hospital.

See page 21.

Your blood pressure readings are abnormally highor low.

See page 13.

- Eng 22 -Model Number:
Measurement system:
Cuff:
Arm circumference range:
Pressure
Measurement range:
Pulse
Pressure
Accuracy:
Pulse
Pressure
Pulse
Date
LCD displays:
Time
Icons
Switch:Inﬂation:Deﬂation:
Rated voltage:
Exhaust:Power supply:
Battery duration:
Automatic Power Off function:
Memory capacity:
Dimensions:
Weight:Temperature
Operating conditions:
Humidity
Temperature
Storage conditions:
Humidity
Electric shock protection:
Safety Classiﬁcation:
Accessories

CH-406D
Oscillometric method
Soft cuff
23.0 to 33.0 cm (9 to 13 inch)
0 to 280 mmHg
40 to 199 pulse/min±3 mmHg±5% of reading
Systolic blood pressure: 3 digits
Diastolic blood pressure: 3 digits
4 digits
4 digits with P(PM) markMeasurement icon: , Inﬂation/Deﬂation:,
a/b, Battery icon: , Error icon:
4 (START/STOP, MEMORY, MODE, SET)
Automatic Inﬂation by internal pump
Automatic constant speed deﬂation system
6W (: direct current)
6V DC
Electromagnetic quick exhaust valve
4 AA alkaline batteries (LR6) or optional AC/DC
adapter (6V DC, 1A)
Approx. 250 times(160 mmHg, once/day, 22°C)
Approx. 1 min. (after activated)
48 sets of data including date and time
145(W) x 105(D) x 68.8(H) mm
Approx. 380g including batteries
10°C to 40°C
20% to 85% RH-20°C to 60°C
10% to 95%RH
Internal power unit
Type BF Equipment
Set includes an arm cuff, 4 AA batteries for themonitor (LR6), Instruction Manual.

- Eng 23 -EnglishSPECIFICATIONSREFEnglishINSTRUCTION MANUALFORDIGITAL BLOOD PRESSURE MONITOR

CH-406D

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.

0801