promed BDS-700 Upper Arm Blood Pressure Monitor Instruction Manual

: June 6, 2024
: promed

promed BDS-700 Upper Arm Blood Pressure Monitor

About this device

A. Start/Stop button
B. Memory button
C. LCD display
D. WHO scale
E. Tube connection
F. Tube connector
G. Arm cuff
H. Battery compartment
I. Batteries
J. Power adapter port

LCD display

Time display
Date display
Systolic blood pressure
Diastolic blood pressure
Measurement unit set
Pulse rate display
Display for the pulse rate
Memory display
Residual air display
Error during measurement
Blood pressure analysis display (WHO scale)
Battery status display
Display for irregular heartbeat

Explanation of the display symbols

SYMBOL	Meaning
Battery status display	This symbol appears when the battery is empty. When

this symbol appears, we recommend you to replace all batteries by new ones and to guarantee that the +/- poles are correctly positioned.
Display for the pulse rate| When a pulse is measured, the symbol ﬂashes with each pulse beat.
Display for irregular heartbeat (arrhythmia)| This symbol appears for 1 minute when the monitor detects an irregular heart rhythm.
Memory display| With the adjacent number, this symbol shows the selected memory.
Residual air display| The pressure in the cuff is unsteady or there is still residual air in the cuff.
Error during measurement| This symbol shows that an error occurred during measurement.

SCOPE OF DELIVERY / ACCESSORIES

The following components are included in the scope of delivery of your Promed BDS-700 blood pressure monitor:

– 1x blood pressure monitor
– 1x arm cuff, size S (arm circumference of 22-30cm)
– 1x tube connector
– 4x batteries, 1.5VDC AA
– 1x storage bag
– 1x instructions
– 1x blood pressure pass

You can buy the following accessories / spare parts at Promed:

Accessories:
– arm cuff, size M (arm circumference of 30-42cm), part no.: 414013
– arm cuff, size L (arm circumference of 42-48cm), part no.: 414014
– power adapter, item no.: 402093
Spare parts
– arm cuff, size S (arm circumference of 22-30cm), part no.: 414011
– tube connector, part no.: 414012
– storage bag, part no.: 964001
– batteries, 4x 1.5VDC AA, part no.: 359993

DESCRIPTION OF THE DEVICE

Please keep the instructions carefully!

Please read the instructions carefully before using the device for the first time. Many thanks for purchasing the Promed BDS-700 blood pressure meter. You have acquired a high-quality medical product for the personal checking of health. Promed is a leading company with decades of experience in personal hygiene, wellness and health areas. The Promed unit has been designed and manufactured in accordance with the Medical Device Directives 93/42/EEC to guarantee quality during use.
The device may be used once this user manual has been read. We, as the manufacturer, cannot be made liable in any way for injury or damages to people or objects that arise from failure to comply with this user manual. We wish you a lot of enjoyment with your new Promed BDS-700. In the following we would like to familiarise you with the Promed BDS-700 blood pressure meter.

Please read the user manual thoroughly before using the device for the first time. You can receive professional advice wherever Promed products are sold or get in touch with us if you have any questions. We can provide you with the name of the representative responsible for you.

Promed GmbH Kosmetische Erzeugnisse

Lindenweg 11, D-82490 Farchant, Ph: +49 (0) 8821/9621-0,
Fax: +49 (0) 8821/9621-21, E-Mail: info@promed.de
Further informations can be found on our homepage: www.promed.de

PROPER USE

IT The Promed BDS-700 is a blood pressure monitor which automatically measures the systolic and diastolic blood pressure using the oscillometric measuring method. Furthermore, it measures the pulse and displays an irregular heartbeat, where appropriate. A voice output guides you through all the steps during measurement and announces the measured values at the end. It is only intended for the application to human beings. The Promed has been developed for the use at home and should only be used by adults over 18 years.

MEDICAL LIABILITY NOTE

These instructions and the described products are not intended as a substitute for the advice provided by your own physician. The information contained herein or the values measured PL by the product shall not be used for self- diagnosis, self-treatment of a health problem or for self-prescription of medicaments. If you suspect, based on the measurement results, that you have a medical problem, please consult your physician.

SAFETY INFORMATION

Special warnings!

Persons with arrhythmia, diabetes, circulatory disorders or apoplexia mustonly use this device under medical supervision.
Consult your physician regarding specific information on your blood pressure – selfdiagnosis and self-treatment using the measurement results may be dangerous. Please follow the instructions of your physician.
Modifications to this device are prohibited.
Do not change anything on this device without the approval of the manufacturer.
If this device was modified, a respective inspection and test must be carried out in order to ensure a safe use of the device.
Do not use a mobile phone near the device. This may result in an operational failure.
Please avoid using the device close to radiating surfaces in order to not falsify the measurements.
Never place the cuff tube around the neck as this may cause asphyxiation.
Only use approved cuffs, otherwise the correct functionality of the device cannot be guaranteed.

Consider before commissioning:

Only for use in indoor spaces.
When using a device in the presence of children, an attentive supervision is required.
Never position or use the device in a wet or moist environment.
Do not use the device under water, e.g. in a shower.
Never bring the device into direct contact with fire, gas or oxygen as well as hot objects, such as hobs.
Take every possible precaution to ensure that the device does not fall down or is damaged otherwise.
If problems at the device occur, absolutely have it repaired immediately.
Do not lubricate or wash the device.
Never press the Start/Stop button (A) when no cuff is applied.

**Danger!**

Do not bring the device into direct contact with water or other liquids.
The device must not be used outdoors.
Do not touch the device with wet hands.
Do not store the device near a sink or a bathtub as it may fall or be pulled into the sink or the bathtub.

INTRODUCTION

The speaking Promed BDS-700 blood pressure monitor uses the oscillometric method of the blood pressure measurement and is thus particularly suitable for the personal blood pressure measuring and monitoring.
With the oscillometric measurement method the meter measures the flow of your blood through the upper arm artery and converts these into readable measured values. In addition to this, it is not necessary to use a stethoscope with this measurement technique. The Promed BDS-700 is an automatic blood pressure meter that can measure the systolic, diastolic pressure and pulse. This device is only intended for use by adults. An intelligent control system for the pumping process ensures that the unpleasant feeling caused by incorrect pumping is reduced and shortens the measuring time. In this way, the useful life of the arm cuff is substantially extended. Each measurement result is displayed on the screen and automatically saved.
60 memory spaces are available for this. The Promed BDS-700 possesses a WHO (World Health Organisation) blood pressure classification index with which you can interpret the measured values more easily. The voice output guides you through all steps during measurement and announces the measured values afterwards.

What is irregular heartbeat?
The Promed BDS-700 blood pressure meter can measure blood pressure and pulse even in the event of an irregular heartbeat. An irregular heartbeat is defined as a heartbeat that differs by at least 25% from the average of all the heartbeats during the blood pressure measurement. It is important that you sit still and relaxed during the measurement and do not speak.

Note:
If the symbol for irregular heartbeat is frequently displayed during measurement, we strongly recommend you to consult your physician as an arrhythmia is possible here.
The device displays an irregular heartbeat if one of the following conditions is fulfilled:

The coefficient of variation (CV) of the pulse duration > 25%.
The difference of the subsequent pulses * 0,14s and the number of the measured pulse is more than 53% of the total number of the pulses.

What is blood pressure?
Blood pressure is the force exerted by the 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 millimetres of mercury (mmHg). The natural blood pressure of a person is represented by blood pressure at rest. This is obtained by measuring blood pressure in the morning before getting up.

What is high blood pressure and how can this be controlled?
High blood pressure is abnormally high arterial blood pressure which, if it remains uncontrolled, can cause many health problems such as stroke and heart attack. High blood pressure can be regulated by means of lifestyle, the avoidance of stress and medication under medical supervision. In order to prevent high blood pressure or keep it under control, the following principles should be adhered to:
• do not smoke
• regularly do a sport
• eat less salt and fat
• go to the doctor regularly
• keep to the correct weight

Why should one measure one’s blood pressure at home?
Visiting a clinic or doctor’s practice can lead to nervousness and thus produce increased blood pressure The measured values can be 25 to 30 mmHg higher than in a measurement at home. Measuring at home reduces the effects of other influences on the blood pressure measurement and thus supplements the measurements taken at the doctors and show the course of blood pressure more accurately and completely.

The blood pressure classification index of the WHO
Standards for assessing high blood pressure, without taking age into account, have been specified by the World Health Organisation (WHO) in accordance with the following table.

Blood pressure level| Systol| Diastol (mmHg)| Colour| Recommendations
---|---|---|---|---
Grade 3| Sever hypertension| ≥180| ≥110| red| Repeat the measurement after a short waiting period / after 1 minute. If the result is conﬁrmed, you have a severe hypertension and have to check your blood pressure at least once a day. We strongly recommend you to consult a physician.
Grade 2| Moderate blood pressure| 160 ~ 179| 100 ~ 109| Orange| Repeat the measurement after a short waiting period. If the result is conﬁrmed, you have a moderate hypertension and have to check your blood pressure several times per week.
Grade 1| Slight blood pressure| 140 ~ 159| 90 ~ 99| Yellow| Repeat the measurement after a short waiting period. If the result is conﬁrmed, you have a slight hypertension and have to check your blood pressure several times per month.
High-normal| 130 ~ 139| 85 ~ 89| Green| Your blood pressure is slightly increased. It is recommended to seek advice regarding changes in lifestyle and to check the blood pressure regularly.
Normal| 120 ~ 129| 80 ~ 84| Green|
Optimal| < 120| < 80| Green

OPERATING THE DEVICE

Checking/replacing the battery

To replace/insert the batteries, remove the cover of the battery compartment (H) and insert 4 batteries 1.5V AA (I). Ensure that the batteries are inserted with their right polarity (+/-). After inserting, close the battery compartment again.
The Promed BDS-700 checks the charge status of the batteries; the battery status display (12) shows the low capacity of the battery and the symbol appears. If this is the case, the batteries must be replaced immediately, otherwise the measurement result will be falsified.

Note:
After a battery change, date and time must be set again.

Caution:

Remove the batteries when the device is not used for a longer time.
Do not use old and new batteries or different battery types at the same time.
Warning: If batteries leak and come in contact with skin or eyes, immediately clean these areas with plenty of water.
Batteries shall only be used by adults. Keep the batteries out of the reach of children.
It is recommended to use batteries of the same or similar type.
Remove empty batteries from the device.
Dispose of the batteries according to the instructions of the battery manufacturer.
Do not use batteries when they have expired.

Using a power adapter

The device may also be operated using a power adapter. Please ensure that this adapter is approved for the use with medical products and fulfils the following technical requirements: output voltage: 6 VDC, output current: 600 mA, DC connector: plus inside, outer diameter 5.5 mm, inner diameter 2.1mm You can always buy an approved power adapter from Promed.

Note:
When using the power adapter and the batteries at the same time, the batteries will not be charged. Batteries must always be charged in a separate charger.

Connecting the upper arm cuff

To connect the upper arm cuff (G) to the device, insert the tube connector (F) into the tube connection (E). Please ensure that the connector is inserted into the device without using force.

Setting the clock

Upon initial commissioning / battery change
After having inserted new batteries and when the device is switched off, the Promed BDS-700 is always in the time mode.

To set the time, press the Start/Stop button (A) and the Memory button (B) at the same time and hold them down for 2 seconds.
On the display, the month indicator flashes.
By pressing the Memory button (B) you can set the value (1-12).
By pressing the Start/Stop button (A) you can switch to the setting of the day; the day indicator flashes. By pressing the Memory button (B) you can set the value (1-31).
By pressing the Start/Stop button (A) again you can switch to the setting of the hour; the hour indicator flashes. By pressing the Memory button (B) you can set the value (1-24).
By pressing the Start/Stop button (A) again you can switch to the setting of the minutes; the minute indicator flashes. By pressing the Memory button (B) you can set the value (1-60).
To store the entries, press the Start/Stop button (A) again.
When you do not press a button for more than 1 minute, the Promed BDS-700 automatically turns off and switches to the time mode. No entries are stored.

Setting the voice output and volume

When the Promed BDS-700 is in the time mode, you can switch to the language setting mode by pressing the Memory button (B) for a longer time. Hold the button down until the desired language sounds and is shown on the display (L1 = German, L2 = English, L3 = Spanish, L4 = Dutch, L5 = French, L6 = Italian, L7 = Portuguese, L0 = no voice output). By releasing and pressing the Memory button (B) again the desired language is selected.
If you hold down the Memory button (B) , the volume of the voice announcement can bet set. This is shown by a changing bar display on the left side of the display. When you have set the desired volume, store it by releasing the Memory button (B).

Before the measurement
Before you carry out a blood pressure measurement you should remain entirely calm for 5 – 10 minutes, not eat, not drink any alcohol, not smoke, not do any sport and not bathe. All of these factors influence the measurement result. Remove items of clothing that are tight on your upper arm. Always measure on the same arm (normally left). Carry out the measurement regularly at the same time of day, because blood pressure changes during the day.

Factors that can lead to incorrect measurements
Everything that supports the arm during measurement can increase the blood pressure. Make sure that you are in a comfortable position and do not move your arm during the measurement. If necessary, you can place a cushion under the arm to be measured. If the arm artery is lower or higher than the heart this will lead to an incorrect measurement result.

Note:
Only use manufacturer-approved and clinically approved cuffs. A loose cuff or a defective cuff with an exposed bladder leads to wrong measured values.
In the event of repeated measurements, blood is accumulated in the arm arteries which may result in wrong measured values. Consecutive blood pressure measurements should be repeated after a waiting period of 1 minute at the earliest. Otherwise, this may lead to ecchymoses (bleeding into the skin). It is important to hold the arm upwards in order to ensure that the accumulated blood can drain.

Putting on the arm cuff

Place the arm cuff flat on a table with the hook and loop side facing down. Pass the end of the arm cuff through the metal loop so that a circle is formed. The hook and loop fastener is now visible from the outside.
Push the arm cuff over the left upper arm so that the tube lies in the direction of the lower arm.
Push the arm cuff over the arm as shown. Make sure that the lower edge of the arm cuff lies about 2 to 3 cm above the elbow and the rubber tube of the arm cuff lies on the inner side of the arm.
Pull on the free end of the arm cuff and close the arm cuff using the hook and loop fastener.
The arm cuff should now be tight on your upper arm, so that 2 fingers fit between the arm cuff and upper arm. Each item of clothing that is tight on the arm must be removed.
Fasten the arm cuff with the hook and loop fastener in such a way that it fits comfortably and not too tightly. Lay your arm on a table (palm upward), so that the arm cuff is at the same height as the heart. Make sure that the tube is not kinked.
Lying blood pressure measurement

To measure the blood pressure in a lying position, lay on your back and stretch out your arm where the measurement is to be carried out, with the palm facing upwards next to you. Ensure that the cuff is at heart level.

Please note:

If it is not possible to put the arm cuff on the left arm, it can also be placed on the right side. All measurements should, however, be carried out on the same arm.
Ensure that the used cuff has the right size according to your arm.
Do not move your arm, the device or the rubber tube of the cuff during measurement.
Prior to a measurement, relax for 5 minutes.
Please keep the cuff clean. If the cuff becomes dirty, remove it from the device and clean it manually with a mild cleaning agent and rinse it with cold water. Never dry the cuff in a dryer or iron it. We recommend to clean the cuff after 200 measurements at the latest.
Never use the cuff on an arm with an inflammation, acute disease, infections of the skin or a wound.

Measurement

As soon as the cuff is suitably positioned, you can start the measurement.

Now press the Start/Stop button (A) in order to start the measurement.
The device starts with a self-test where all display symbols are shown on the display and a signal tone sounds.
If measured values have already been stored, the last measured value is displayed briefly. When the device is used for the first time and thus there are not measured values stored yet or if all measured values have been deleted, the value “0” is shown here.
When the voice output is activated, this will guide you through the measurement.
The device automatically starts with inflating the cuff.
As soon as the device has built up sufficient pressure within the cuff, it automatically stops inflating and starts deflating the air. The actual measuring process starts.
As soon as the device can measure a pulse beat, this is indicated by a flashing pulse beat display (7).
When the measurement is completed, the systolic and the diastolic pressure as well as the measured pulse frequency are displayed and stored. Furthermore, the measurement result, with regard to the WHO scale, is shown on the blood pressure analysis display (11) and automatically stored in the device. Now the cuff allows the residual air escape from the system until it is completely empty.
When the voice output is activated, the device will announce the measurement results and the classification according to the WHO scale.
When the device is not used for more than one minute, it switches off automatically.

Note:
When the device determines during inflating that the pressure is not sufficient, it automatically starts a new inflating process.

Note:
If the device does not stop inflating, press the Start/Stop button (A) which leads to an interruption of the measurement and the immediate reduction of the cuff pressure.

Note:
If it is necessary to abort the measurement for whatever reason (e.g. Discomfort), this is possible by pressing the Start/Stop button (A) at any time. This interrupts the measurement and immediately reduces the cuff pressure.

Using the memory function
This device has a memory for the storage of 60 measurements. Each time a measurement is completed, the device automatically stores the blood pressure as well as the pulse frequency. If 60 data sets have already been stored, the oldest measured values are replaced by the new ones.

Reading the measured values

By pressing the Memory button (B) you enter the memory menu.
If no measured values are stored, the display only shows date and time. Otherwise, the display shows the average of the last measured value.
By pressing the Memory button (B) again you can read the individual measured values (the last value is displayed first, the first value is displayed last).
When the voice output is activated, the device will announce the stored measurement results and the classification according to the WHO scale.
To exit the memory menu, press the Start/Stop button (A).
When the device is in the memory mode and is not used for more than 2 minutes, it automatically switches off.

Deleting measured values

By pressing the Memory button (B) you enter the memory menu.
To delete all measured values, hold down the Memory button (B) for at least 10 seconds. The device confirms the deletion with a signal tone. To switch off the device, press either the Start/Stop button (A) or the Memory button (B).

Note:
Deleting measured values cannot be reversed.

TROUBLESHOOTING

Error/ Error Display	Cause	Corrective action
The display is empty, even though the Start/ Stop button (A) is pressed.	The
batteries are empty

Replace the batteries with new ones

Insert the batteries correctly

The batteries are not inserted correctly / the polarity (+/-) is wrong.
The battery symbol is shown on the display.| The batteries are empty.| Replace the batteries by new ones.

Fault code on the screen is showing.

| You moved yourself or your arm during measurement.| Repeat the measurement and avoid moving.
You talked during measurement.
The device was moved during measurement.| Repeat the measurement and avoid moving the device.
The cuff is not attached correctly| Attach the cuff correctly.
The rubber tube was not free or is kinked.| Ensure that the rubber tube is free and not kinked.
The cuff is not inflated correctly or air escapes during inflating.| Attach the cuff correctly and check the cuff and the tube for possible leakages.
Both symbols are shown on the display| Permanently severe irregular heartbeat (arrhythmia).| Position or close the cuff correctly
The display shows unusual measurement results.| The cuff is not positioned or closed correctly.| Repeat the measurement and avoid moving.
You moved yourself or your arm during measurement.
You talked during measurement.
The device does not react to any button.| Control panels| Remove the batteries from the device for at least 5 minutes.
The device does not react after new batteries have been inserted.| Fault due to electromagnetic fields| Remove the batteries from the device for at least 5 minutes. Ensure that no interfering sources (mobile phone, etc.) are in close proximity.

If the interference cannot be remedied, please contact the manufacturer before trying to repair the device on your own.

CARE / MAINTENANCE / STORAGE

Do not use abrasives or volatile cleaning agents.
Do not immerse the device or parts thereof in water.
Thoroughly wipe off all surfaces of the blood pressure monitor and the cuff and ensure that you clean the inner and outer surface of the cuff. Ensure that no moisture can enter the main device.
Carefully wipe off with a dry cloth in order to remove excess moisture which may remain on the blood pressure cuff. Lay down the cuff unrolled in your apartment in order to allow it to air-dry.
Do not bring the device into direct contact with water or other liquids.
Switch off the device when it is not in use.
Before storing the Promed BDS-700 for a longer period, remove the batteries from the battery compartment. Leaking batteries may damage the device.
Store the device and its accessories in a cool, dry place.
Do not expose the device to direct sunlight and protect it against dirt and moisture.
For inspection and recalibration, the device does not have to be sent to the dealer or the manufacturer.
If you detect other problems, please contact your dealer who sends in the device, if necessary. Never try to correct an error on your own.

DISPOSAL

Power tools, accessories, and packaging should be recycled in an environmentally suitable manner.

Only for EU countries:

Do not throw power tools in with the domestic waste! In accordance with the European Directive 2012/19/EU on waste electrical and electronic equipment and its implementation into national law, nonfunctioning power tools must be collected separately and recycled in an environmentally suitable manner. This symbol indicates that disposal of this product in the domestic waste is not permitted within the EU. Waste devices contain valuable recyclable material that should be recycled. Recycling also prevents uncontrolled waste disposal from damaging the environment and human health. Therefore, please dispose of all waste devices using the appropriate collection systems or send the device to the place of purchase for disposal. The place of purchase will then recycle the device.

Rechargeable batteries/batteries:
Do not throw your rechargeable batteries/batteries in the domestic waste, in fire, or in water. Rechargeable batteries/batteries should be collected, recycled, or disposed of in an environmentally friendly manner.

Only for EU countries:
According to the directive 91/157/EEC, defect or used rechargeable batteries/batteries must be recycled. Waste rechargeable batteries/batteries can be directly handed to: Promed GmbH, Lindenweg 11, D-82490 Farchant.

WARRANTY CONDITIONS

This product was produced with the utmost care and was thoroughly tested before it left the factory. Therefore, we provide a warranty period of 36 months from the date of purchase for this product. Promed products conform to their description and the relevant specifications; it is your responsibility to ensure that the product which you have purchased is designed for your intended use.

In the event of material defects and/or manufacturing errors which appear during proper use and are detected during the warranty period, we will replace all defective parts of the product free of charge within the warranty period, including the labour costs for warranty repairs.
The warranty does not cover:
• Normal wear on the product
• Defects which were caused during transportation or storage of the product
• Defects or damage which were caused through improper use or inadequate maintenance
• Damage resulting from disregarding the notes in the operating manual
• Damage resulting from modifications to the product which were not carried out by Promed.
• Damage caused by sharp objects or as a result of torsion, compression, being dropped, an abnormal impact or other actions which are beyond Promed’s reasonable control.
• Parts which are subject to wear (e.g. moving parts such as ball bearings, etc., fasteners, etc.) are generally excluded from the warranty.
A claim under the warranty is not enforceable if:
• the product is not sent back in its original packaging or in adequately secure packaging;
• it has been modified or repaired by a person or company other than Promed or one of Promed’s authorised dealers;
• the product has been repaired using parts which are not approved by Promed;
• the serial number / LOT number of the product has been removed, deleted, changed or made illegible.
For reasons of hygiene, any products which have been exposed to direct contact with a body or with bodily fluids (e.g. blood) must be packaged in an additional plastic bag before they are sent back. In this case, a specific note of this situation must be made in the package or in the accompanying documents.
For components or products which are replaced during the warranty period, a warranty is only provided for the remainder of the original warranty period; provided that the product or part replacement was carried out by Promed or one of Promed’s authorised dealers.
The warranty period begins on the day of purchase. Claims under the warranty must be established within the warranty period. Complaints arising after the expiry of the warranty period cannot be considered.
• Under these warranty conditions, the warranty shall only apply if the date of purchase can be proven by means of a sales receipt or similar.
• We reserve the right to make technical and visual changes as well as changes to the features.
This warranty is only valid and enforceable in the country in which it was purchased by the original buyer, provided that it was Promed’s intention that the product should be offered for sale in this country. This warranty is also enforceable in any country within the European Economic Area in which Promed has an authorised importer or sales partner. Depending on each country, specific and differing warranties and guarantees may be applicable owing to the particular applicable legislation. These legal provisions are neither excluded nor limited by these warranty conditions. To the extent permissible under national law, the
warranty period shall not be extended, renewed or otherwise affected by any subsequent
resale, repair or replacement of the product.
The provisions of the UN Convention on Contracts for the International Sale of Goods shall not apply.
Our warranty conditions do not affect the seller’s legal warranty obligation.
To the fullest extent possible under the applicable mandatory legislation, these warranty conditions constitute your sole and exclusive legal remedy and shall apply in place of any other express or implied warranty conditions. Promed is not liable for any unusual, incidental, punitive or consequential damages including, but not limited to loss of profits, loss of use, loss of revenue, costs of replacement equipment or facilities, third party insurance claims, and damage to property which are the result of the purchase or use of the product or occur owing to a breach of warranty, a breach of contract, negligence, product defects or any other legal or statutory circumstances, even though Promed was aware of the possibility of such damages. Promed is not liable for any delay in warranty claims.
Promed cannot be held liable for any possible translation errors.