rossmax AC1000f Blood Pressure Monitor User Manual

Model: AC1000f

Blood Pressure Monitor

www.rossmax.com

Introduction

Blood pressure measurements determined with AC1000f are equivalent to those obtained by a trained observer using cuff/stethoscope auscultation method, within the limits prescribed by the American National Standard, Electronic or Automated Sphygmomanometers. This unit is to be used by adult consumers in home, physicians’ offices, hospitals, clinics and other medical facilities. The patient is an intended operator. Do not use this device on infants or neonates. AC1000f is protected against manufacturing defects by an established International Warranty Program. For warranty information, you can contact the manufacturer, Rossmax International Ltd.

Attention: Consult the accompanying documents. Please read this manual carefully before use. For specific information on your own blood pressure, contact your physician. Please be sure to keep this manual.

Cautionary Notes

1. The unit contains high-precision assemblies. Therefore, avoid extreme temperatures, humidity, and direct sunlight. Avoid dropping or strongly shocking the main unit, and protect it from dust.
2. Clean the blood pressure monitor body and the cuff carefully with a slightly damp, soft cloth. Do not press. Do not wash the cuff or use chemical cleaner on it. Never use thinner, alcohol or petrol (gasoline) as cleaner.
3. Leaky batteries can damage the unit. Remove the batteries when the unit is not used for a long time.
4. The unit should not be operated by children so to avoid hazardous situations.
5. If the unit is stored near freezing, allow it to acclimate at room temperature before use.
6. This unit is not field serviceable. You should not use any tool to open the device nor should you attempt to adjust anything inside the device. If you have any problems, please contact the store or the doctor from whom you purchased this unit or please contact Rossmax International Ltd.
7. As a common issue for all blood pressure monitors using the oscillometric measurement function, the device may have difficulty in determining the proper blood pressure for users diagnosed with diabetes, poor circulation of blood, kidney problems, or for users suffered from stroke, or for unconscious users.
8. This unit is able to detect common arrhythmia (atrial or ventricular premature beats or atrial fibrillation). The ARR, AF(AFib) and PC icons are displayed after the measurement if Atrial Fibrillation and Premature Contraction was detected during the measurement. If ARR, AF(AFib) or PC icons are displayed, you are advised to wait for a while and take another measurement. It is strongly recommended that you consult your physician if the ARR, AF(AFib) or PC icons appears often.
9. While the given device is able to detect specific pulse arrhythmia, the measurement accuracy of the blood pressure meter may be impaired with the occurrence of pulse arrhythmia.
10. To stop operation at any time, press the ON/OFF or START/STOP key, and the air in the cuff will be rapidly exhausted.
11. Once the inflation reaches 300 mmHg, the unit will start deflating rapidly for safety reasons.
12. Please note that this unit can be a home healthcare product, but it is not intended to serve as a substitute for the advice of a physician or medical professional.
13. Do not use this device for diagnosis or treatment of any health problem or disease. Measurement results are for reference only. Consult a healthcare professional for interpretation of pressure measurements. Contact your physician if you have or suspect any medical problem. Do not change your medications without the advice of your physician or healthcare professional.
14. Electromagnetic interference: The device contains sensitive electronic components. Avoid strong electrical or electromagnetic fields in the direct vicinity of the device (e.g. mobile telephones, microwave ovens). These may lead to temporary impairment of measurement accuracy.
15. Dispose of device, batteries, components and accessories according to local regulations.
16. This monitor may not meet its performance specification if stored or used outside temperature and humidity ranges specified in Specifications.
17. Please note that when inflating, the functions of the limb in question may be impaired.
18. During the blood pressure measurement, blood circulation must not be stopped for an unnecessarily long time. If the device malfunctions, remove the cuff from the arm.
19. Avoid any mechanical restriction, compression or bending of the cuff line.
20. Do not allow sustained pressure in the cuff or frequent measurements. The resulting restriction of the blood flow may cause injury.
21. Ensure that the cuff is not placed on an arm in which the arteries or veins are undergoing medical treatment, e.g. intravascular access or therapy, or an arteriovenous (AV) shunt.
22. Do not apply the cuff on the side, where a mastectomy has been performed in your patient history.
23. Do not place the cuff over wounds as this may cause further injury.
24. Only ever use the cuffs provided with the monitor or original replacement cuffs. Otherwise erroneous results will be recorded.
25. Batteries can be fatal if swallowed. You should therefore store the batteries and products where they are inaccessible to small children. If a battery has been swallowed, call a doctor immediately.
26. Do not use the tubing and/or AC adaptor for any other purpose than those specified, as they can cause risk of strangulation.
27. Do not service or maintain device and cuff while in use.

Notes on Safety

Warning:

• Self diagnosis of measured results or treatment is dangerous. Please follow the instruction of the doctor or healthcare provider.
• If cuff inflation does not stop, remove the cuff or pull out the air tube from the main unit.
• If battery fluid gets into your eye or comes in contact with skin, wash the effected area with water repeatedly. Immediately consult a doctor for treatment.
• Do not wrap the cuff over an arm to which intravenous injection or transfusion is being conducted, or when otherwise contraindicated.
• Do not connect the air tube or the cuff to other equipment which is connected to an intra corporeal organ. Air embolisms may result.
• Do not use this unit in the presence of flammable gas or anesthetics or in a high pressure oxygen room or oxygen tent.
• Do not use the battery pack for devices other than for this unit.
• Do not disassemble the battery.
• Do not touch the AC adaptor with wet hands.
• Do not use any cuff other than the models exclusive for this unit.
• Do not use this unit on infants.
• Do not use this unit on patients using a pump oxygenator.
• Do not use an AC adaptor or battery pack no specified for this unit.
• Do not use a cellular pone near this unit.
• Do not use this unit in a vehicle.
• Do not install the parts and/or instruments not specified for this unit.
• Do not use a broken power cord or AC adaptor.
• Do not install or store this unit where it may come in contact with water or liquid medication.
• This is a Class II device with double insulation.

General advice:

• Do not place or put anything on this unit.

• Do not drop this unit.

• Turn off power to the unit and unplug the AC adaptor from the electric outlet before moving the unit.

• Read the instruction manual of the other devices to be used at the same time with this unit, to understand and be aware of the interaction between the devices.

• When using the unit:
  – Do not inflate the cuff without being wrapped over the arm.
  – Do not use a damaged cuff.
  – Be sure that patients do not touch the buttons of this unit.

• After using the unit:
  – Do not disinfect this unit by autoclave or gas sterilization (EtO, glutaralde-hyde, or high concentration ozone).

• Do not install or store this unit in the following places.
  – Under the direct sunlight.
  – Dusty or salty environment.
  – Places having slope or where combustible gas may be generated.
  – Under high temperature and high humidity.

Name/Function of Each Part

1. Arm Cuff
2. LCD Display
3. Charging LED
4. START/ STOP key
5. ON/OFF key
6. Memory/ Marker key
7. Air Tube and Connector

Protection Jelly

1. Deflation Rate setting key

2. Data Link Socket

3. Battery Cover
   (Located on back of unit)

4. AC Adaptor Jack

5. Auto / Manual Switching Key

Battery Pack:
4.8V, 1800mAh
NIMH Battery

Monitor Installation – Trolley (Optional)

Placing Protection Jelly onto the Monitor

Installing Monitor on the Trolley

PARR (Pulse Arrhythmia) Technology

Pulse Arrhythmia (PARR) technology specifically detects the existence of pulse arrhythmia, including atrial fibrillation (AF, AFib), Atrial and / or Ventricular Premature Contractions (PC), Tachycardia (TACH), and Bradycardia (BRAD). Pulse Arrhythmia may be related to cardiac disorders, needs medical attention and thus early diagnosis is of paramount importance. The PARR technology detects arrhythmia during regular blood pressure checks without any additional user skills, user interaction and measurement prolongation. Beside the blood pressure diagnosis a specific pulse arrhythmia diagnosis is provided with PARR.

Note: The PARR detection of AF(AFib), PC, TACH and BRAD is provided with a clinically proven high detection probability [1]. However, the sensitivity and specificity is limited, thus most, but not all pulse arrhythmia will be detected and displayed. In certain patients with uncommon clinical conditions the PARR technology may not be able to detect pulse arrhythmia. This partly comes from the fact that some arrhythmia can only be found with an ECG diagnosis, but not with a pulse diagnosis. Thus PARR is not meant to replace any medical ECG diagnosis by your doctor. PARR provides an early detection of certain pulse arrhythmia, which inevitably need to be presented to your doctor in charge.

Remark: [1] Clinical Investigation of PARR – A new Oscillometric Pulse Arrhythmia Type Discriminating Detection Technology

Atrial Fibrillation Detection (AF, AFib)

The upper chambers of the heart (the atria) do not contract, but quiver and thus blood is driven irregularly and with lower efficiency into the ventricles. Subsequently irregular heartbeats occurs, which mostly are associated with a fast, yet highly instable heart rate. This condition is associated with a higher risk for the formation of cardiac blood clots. Amongst others, they may elevate the risk of brain strokes. Beside this atrial fibrillation may contribute to the severity of a chronic or acute heart failure condition and may be associated with other heart-related complications. Age dependent, about 10 %- 20 % percent of patients who suffer from an ischemic stroke also suffer from atrial fibrillation.

Atrial fibrillation most often initially occurs with temporary periods of arrhythmia and may progress to a permanent state of this disorder in the course of time. No matter, whether you intent to safeguard yourself from an undetected AF(AFib) state, or you measure during an ongoing period of active atrial fibrillation, or you measure in between periods of AF(AFib), the PARR technology can be applied at any of these conditions. This unit is able to detect Atrial fibrillation (AF, AFib). The ARR and AF(AFib) icons ( AF ) are displayed right after the measurement if Atrial Fibrillation was detected.

Note: It is strongly recommended, that you consult your physician, if either the AF(AFib) icon occurs newly for several times, or, if your AF(AFib) is known to your doctor, but the incidence of AF(AFib) readings changes over time. Your doctor will then be able to provide all required medical test and possible therapeutic procedures.

Note: The presence of a cardiac pacemaker may impair the AF(AFib) detection by PARR.

Premature Contraction Detection (PC)

Extra abnormal heartbeats generated in irregular excitation sites of your heart, either in the atria (PAC), the ventricle (PVC) or the cardiac conduction nodes (PNC). These extra beats may disrupt your regular rhythm, they may come in early or cause a significant pauses regarding your perceivable pulse. This is called palpitations, which can be felt in your chest. They may occur as isolated, single events, as a series of irregular pulses or can be distributed all over your pulse beats. If they are not related to mental stress, or acute demanding physical load, they may be a marker for a multitude of cardiac disorders. Some of these disorders go along with an elevated risk profile for ischemic events, either in the heart (e,g, coronary heart disease) or outside the heart, e.g. an elevated risk for a stroke. Some PCs may indicate on valvular or myocardial disorders and become very important if a myocarditis (infection of the heart muscle) is suspected. This unit is able to detect premature contractions. The ARR and PC icons ( PC ) are displayed right after the measurement if premature contractions have been detected.

Note: It is strongly recommended, that you consult your physician, if either the PC icon occurs newly for several times, or, if your PC is known to your doctor, but the incidence of PC readings changes over time. Your doctor will then be able to provide all required medical test and possible therapeutic procedures.

Tachycardia Detection (TACH)

A fast heart rate of higher than 100 beats per minute (bpm) in adults. Unless being caused by physical or mental stress, a tachycardia may be an indicator for both cardiac (e.g. Coronary heart disease, valvular disorder), or extra- cardiac disorders (e.g. hyperthyroidism, fever, hypoxemia), as well as medication and stimulant substance side effects (e.g. caffeine). The unit is able to detect Tachycardia (TACH). The ARR and TACH icons ( TACH ) are displayed right after the measurement if tachycardia has been detected.

Note: It is strongly recommended, that you consult your physician, if either the TACH icon occurs newly for several times, or, if your TACH is known to your doctor, but the incidence of TACH readings changes over time. Your doctor will then be able to provide all required medical test and possible therapeutic procedures.

Bradycardia Detection (BRAD)

A slow heart rate of less than 55 beats per minute (bpm) in adults. Unless not genetically determined or subsequent to a high cardiac endurance training adaptation, bradycardia may be related to multitude of cardiac disorders (e.g. valvular heart disease, heart failure) or extra-cardiac disorders (e.g. hypothyroidism, electrolyte imbalance) or medications (e.g. beta-receptor blocker). This unit is able to detect Bradycardia (BRAD). The ARR and BRAD icons ( BRAD ) are displayed right after the measurement if bradycardia was detected.

Note: It is strongly recommended, that you consult your physician, if either the BRAD icon occurs newly for several times, or, if your BRAD is known to your doctor, but the incidence of BRAD readings changes over time. Your doctor will then be able to provide all required medical test and possible therapeutic procedures.

Pulse Arrhythmia Detection (ARR)

Once the occurrence of pulse arrhythmia has been detected in the course of your blood pressure measurement, the icon ARR is displayed. In the case, that the found pulse arrhythmia can be specified by the PARR technology, the ARR icon is accompanied by the specifically detected type of arrhythmia, e.g. PC, AF(AFib), TACH or BRAD. Once the kind of found pulse arrhythmia cannot be safely determined by PARR, the device is displaying ARR without any additional pulse arrhythmia type icon.

Note: It is strongly recommended, that you consult your physician, if either the ARR icon occurs newly for several times, or, if your ARR is known to your doctor, but the incidence of ARR readings changes over time. This is independent whether the ARR icon is specified by another pulse arrhythmia icon or not. Your doctor will then be able to provide all required medical test and possible therapeutic procedures.

The PARR technology is able to detect and display combined pulse arrhythmia findings.

detection
ARR AF(AFib)| Pulse Arrhythmia-Atrial fibrillation detection
ARR TACH| Tachycardia detection
ARR BRAD| Bradycardia detection
ARR PC BRAD| Combined Pulse Arrhythmia: Premature beats & Bradycardia detection
ARR PC TACH| Combined Pulse Arrhythmia: Premature beats & Tachycardia detection
ARR AF(AFib) TACH| Combined Pulse Arrhythmia: Atrial fibrillation & Tachycardia detection
ARR AF(AFib) PC| Combined Pulse Arrhythmia: Atrial fibrillation & Premature beats detection
ARR AF(AFib) PC TACH| Combined Pulse Arrhythmia: Detection of Atrial Fibrillation, Premature Beats and Tachycardia.

Real Fuzzy Measuring Technology

This unit uses the oscillometric method to detect your blood pressure. Before the cuff starts inflating, the device will establish a baseline cuff pressure equivalent to the air pressure. This unit will automatically determine the appropriate inflation level based on pressure oscillations, followed by cuff deflation.
During the deflation, the device will detect the amplitude and slope of the pressure oscillations and thereby determine your actual the systolic blood pressure, diastolic blood pressure, and pulse rate.

Preliminary Remarks

This Blood Pressure Monitor complies with the European regulations and bears the CE mark “CE 1639”. The quality of the device has been verified and conforms to the provisions of the EC council directive 93/42/EEC (Medical Device Directive), Annex I essential requirements and applied harmonized standards.
EN 1060-1: 1995/A2: 2009 Non-invasive sphygmomanometers – Part 1 – General requirements
EN 1060-3: 1997/A2: 2009 Non -invasive sphygmomanometers – Part 3 – Supplementary requirements for electro-mechanical blood pressure measuring systems
EN 1060-4: 2004 Non-invasive sphygmomanometers – Part 4: Test Procedures to determine the overall system accuracy of automated non-invasive sphygmomanometers.
ISO 81060-2: 2013 Non-invasive sphygmomanometers – Part 2: Clinical investigation of automated measurement type
This blood pressure monitor was designed for long service periods. In order to ensure continued accuracy, it’s recommended that all digital blood pressure monitors require re-calibration. This monitor (under normal usage with approx. 3 measurements a day) does not require re-calibration for 2 years. Once the unit should be re-calibrated the device will display . The unit should also be re-calibrated if the monitor sustains damage due to blunt force (such as dropping) or exposure to fluids and / or extreme hot or cold temperature / humidity changes. When appears, simply return your device to your nearest dealer for re-calibration service.

Display Explanations

1. Arrhythmia Detection (ARR)
2. Premature Contraction Detection (PC)
3. Atrial Fibrillation Detection (AF, AFib)
4. Tachycardia Detection (TACH)
5. Bradycardia Detection (BRAD)
6. Movement Mark
7. Cuff Wrap Detection
8. AC Power Mark
9. Battery Mark
10. Auto Mode
11. Manual Mode
12. Memory Mark
13. Systolic Pressure
14. Diastolic Pressure
15. Pulse Rate

16. Set Deflation Mark
17. Deflation Rate

Loose Cuff Detection

If the cuff was applied too loosely, it may cause unreliable measurement results or measurements can fail to start. The “Cuff Wrap Detection” can help to determine if the cuff is wrapped snugly enough. The specified icon appears once a “loosen cuff” has been detected during measurement. Otherwise the specified icon appears if the cuff is wrapped correctly during measurement.

Movement Detection

The “Movement Detection” helps reminding the user to remain still and is indicating any adverse body movement during measurement. The specified icon appears once a “body movement” has been detected during and after such a measurement.

Note: It’s highly recommended that you measure again if the icon appears.

Error Codes for your reference

EE / Measurement Error: Make sure the L-plug is securely connected to the air socket and calmly measure again. Wrap the cuff correctly around your arm and keep arm steady during measurement. If the error keeps occurring, return the device to your local distributor or service centre.

E1 / Air Circuit Abnormality: Make sure the L-Plug is securely connected to the air socket on the side of the unit and calmly measure again. If the errors still occur, return the device to your local distributor or service centre for help.

E2 / Pressure Exceeding 300 mmHg: Switch the unit off and measure again quietly. If the error keeps occurring, return the device to your local distributor or service centre.

E3 / Data Error: Remove the batteries, wait for 60 seconds, and reload. If the error keeps occurring, return the device to your local distributor or service centre.

Er / Exceeding Measurement Range: Measure again quietly. If the error keeps occurring, return the device to your local distributor or service centre.

How to Use the POWER Source

How to Use the AC Adaptor

1. Connect the AC adaptor with the AC adaptor jack in the back of the unit.
2. Plug the AC adaptor into the socket. Please use the compatible AC adaptors. (AC adaptors with required voltage and current indicated near the AC adaptor jack.)

AC Adaptor

(Ø3.8 / Ø1.35)

Adaptor Information
MODEL: HK-X111-A075
HK-X211-A075
Input: 100-240V~50/60Hz 0.8A
Output: 7.5V ⎓ 1.5A
Brand: ROSSMAX
Manufacurer: HON-KWANG

• When using the battery pack and connect the AC adaptor, the unit also functions as the charger.

Note: The AC adaptor can use with unit individually. (without battery pack).

Warning:

• Do not use this unit in places where inflammable gas, such as highly inflammable anesthetic, may be generated or in a high pressure oxygen room or an oxygen tent. It may cause ignition and explosion.
• Do not touch the AC adaptor with wet hands. You may suffer electric shock.

Caution:

• Be sure to use the AC adaptor appropriate for your country. It may cause fire or you may suffer electric shock.
• Do not install or store this unit where it may be sprayed with water or medication. You may suffer electric shock.

General advice:

• Read the instruction manual of the other advices to be used at the same time with this unit to understand and be aware of the interaction between the devices.

Installation and Replacement of Battery Pack

Warning:

• If the fluid in the battery gets into your eye, wash the eye with sufficient water without rubbing the eye, then immediately consult the doctor for treatment. There is danger in losing your eyesight.
• Do not use the exclusive battery pack other than for this unit.
• Do not throw the battery pack into fire, or heat, or disassemble it. It may cause heat, ignition, short-circuit, or rupture.

Caution:

• Do not short-circuit the polarities of the optional battery pack with a metal object such as wire.
• If the fluid in the battery is stained on your skin or clothes, immediately wash off the fluid with water. Your may suffer injury, or the battery may leak, heat, ignite fire, or explode.

1. Remove the screw on the battery cover (Located on back of unit) of this unit.

2. Installation: Connect the battery pack to the connector in the battery cover to install it.
   Replacement: Disconnect the battery pack from the connector and replace with a new one.

3. Install the battery cover and fasten it with screws. At this time, be careful not to pinch the lead wire.

4. Connect the main unit and the AC adaptor, then charge the battery pack. The battery pack is not charged when you purchase the monitor. When you use the battery pack for the first time, charge it for more than twelve hours before use.

Battery life:

• You can use the unit for approximately six hundred measurements with one charge.
• Approximate life of battery pack is two years. However the battery pack life from each charging may be shortened depending on the state of using.

Charging time:

• After connecting the AC adaptor, the battery pack will start charging automatically.
• While the battery is being charged, the and battery marks turn on and LED shows orange light.
• While the charging is completed, LED shows green light.

Battery low:

• If a mark is displayed, the battery is low (blood pressure cannot be measured). Please charge the battery.

Automatic Power Off:

• If you use the unit with the battery pack only, the unit will turn off automatically in approximately five minutes even if you forget to turn off the power.
• While the AC adaptor is connected, the Auto Power Off function does not work.

Full battery Low battery

Applying the Cuff

1. Select cuff according to arm size:

Rossmax
Cuff size

|

Arm
circumference

|
---|---|---

L size

|

34~46 cm
(13.4”~18.1”)

|

M size

|

24~36 cm
(9.4”~14.2”)

|

S size

|

16~26 cm
(6.3”~10.2”)

|

2. Connect the air tube securely.

• Connect the air tube to the main unit by securing the air plug to the base of the air connector.
• Securely connect the air tube and the cuff set by rotating Luer connector.

3. Place the cuff over the bare upper arm, wrap it with the tube pointing your palm, and the artery mark over your main artery.

a) INDEX must be in OK range
b) Main Artery

4. The edge of the cuff should be at approximately 1.5 to 2.5 cm above the inner side of the elbow joint. If the index line falls within the range of the arm circumference indicator, the cuff circumference is suitable, otherwise you may need a cuff with a different circumference.

5. Center the tube over the middle of the arm. Press the hook and loop material together securely. Allow room for 2 fingers to fit between the cuff and your arm. Position the artery mark (Ø) over the main artery (on the inside of your arm).

Note: Locate the main artery by pressing with 2 fingers approximately 2 cm above the bend of your elbow on the inside of your left arm. Identify where the pulse can be felt the strongest. This is your main artery.

6. Lay your arm on a table (palm upward) so the cuff is at the same height as your heart. Make sure the tube is not kinked.

a) Center tube over middle of arm
b) Main Artery

MANUAL Mode:                               AUTO Mode:
with Stethoscope                       without Stethoscope

7. This cuff is suitable for your use if the arrow falls within the OK range line. If the arrow falls outside the OK range line, you will need a cuff with other circumferences. Contact your local dealer for additional size cuffs. Using the correct cuff size is important for an accurate reading.

a) Index Line
b) Artery Mark
c) Arm Circumference Indicator

Measurement Procedures

Here are a few helpful tips to help you obtain more accurate readings:

• Blood pressure changes with every heartbeat and is in constant fluctuation throughout the day.
• Blood pressure recording can be affected by the position of the user, his or her physiological condition and other factors. For greatest accuracy, wait one hour after exercising, bathing, eating, drinking beverages with alcohol or caffeine, or smoking to measure blood pressure.
• Before measurement, it’s suggested that you sit quietly for at least 5 minutes as measurement taken during a relaxed state will have greater accuracy. You should not be physically tired or exhausted while taking a measurement.
• Do not take measurements if you are under stress or tension.
• Sit upright in a chair, and take 5-6 deep breaths. Avoid leaning back while the measurement is being taken.
• Do not cross the legs while sitting and keep the feet flat on the floor during measurement.
• During measurement, do not talk or move your arm or hand muscles.
• Take your blood pressure at normal body temperature. If you are feeling cold or hot, wait a while before taking a measurement.
• If the monitor is stored at very low temperature (near freezing), have it placed at a warm location for at least one hour before using it.
• Wait 5 minutes before taking the next measurement.

1. Press the ON/OFF key. All digits will light up, checking the display functions. The checking procedure will be completed in 2 seconds.

2. After all symbols appear, the display will show a blinking “0”. The monitor is ready to measure.

3. Auto Mode

• In Auto mode, mark appears on the display.
• Press the START key, the monitor will automatically inflate the cuff slowly to start measurement.
• When the measurement is completed, the cuff will exhaust the pressure inside. Systolic pressure, diastolic pressure and pulse will be shown simultaneously on the LCD screen. The measurement is then automatically stored into memory zone.
• In order to enhance the probability of pulse arrhythmia detection by the PARR technology, measurement repetitions are recommended.

4. Manual Mode

• Switch Auto mode to Manual mode by pressing the key on the back of the unit.
• The default deflation rate is 2.5 mmHg/sec.
• Press the START key, the monitor will automatically inflate the cuff slowly to start measurement.
• While the unit starts deflating, press the Marker key to record the onset of Korotkoff sound as the systolic pressure, and press the Marker key again to record the disappearance of the Korotkoff sound as diastolic pressure.

Korotkoff sound of
Systolic pressure

MARKER

Korotkoff sound of
Diastolic pressure

MARKER

• When the measurement is completed, the cuff will exhaust the pressure inside. Systolic pressure and diastolic pressure will be showed simultaneously on the LCD screen.

Note: 1. This blood pressure monitor will re-inflate automatically to higher pressure if the system detects that more pressure is needed to take a blood pressure measurement.
2. This monitor automatically switches off approximately 5 minutes after last key operation.
3. To interrupt the measurement, simply press the START/STOP or ON/ OFF key; the cuff will deflate immediately.

Setting Deflation Rate

In the Manual mode, select the deflation rate of 2.5 mmHg/sec, 4.5 mmHg/sec, 6.5 mmHg/sec by pressing the key on the back of the unit.

Recalling Values from Memory

1. Press the Memory key to view the last previously stored measurement. Every measurement comes with a assigned memory sequence number.
2. The memory bank can store up to 7 readings under Auto mode. The number of readings exceeds 7, the oldest data will be replaced with the new record.

Clearing Values from Memory

Under Auto mode, press and hold the Memory key for approximately 5 seconds, then the data can be erased automatically.

How to clean the unit after use

Caution:

• When cleaning this unit, please unplug the AC adaptor from the electric outlet. You may suffer electric shock.
• After cleaning this unit, please dry it well and do not plug the AC adaptor into the electric outlet with wet hands. You may suffer electric shock.

General advice:

• Do not clean this unit with gasoline, paint thinner, or high concentration alcohol.
• Do not disinfect this unit by autoclave or gas sterilization (EOG, formaldehyde, or high concentration ozone.)

1. Wipe the blood pressure monitor with a soft cloth squeezed well after moistened with water, diluted disinfectant alcohol, or diluted detergent.
2. Then wipe the monitor with a soft dry cloth.

Troubleshooting

If any abnormality should arise during use, please check the following points.

Charge the battery pack or replace with a new one
Have the connector of the battery pack been positioned incorrectly?| Re-insert the connector of the batteries in the correct positions.
EE mark shown on display or the blood pressure value is displayed excessively low (high)| Is the cuff placed correctly?| Wrap the cuff properly so that it is positioned correctly.
Did you talk or move during measurement| Measure again.
Keep arm steady during measurement.
Did you vigorously shake the cuff during measurement?

Note: If the unit still does not work, return it to your dealer. Under no circumstance should you disassemble and repair the unit by yourself.

Specifications

Pulse: 40~199 beats/ minute
Pressure Sensor :| Semi conductor
Accuracy :| Pressure: ±3mmHg;
Pulse : ±5% of reading
Inflation :| Pump Driven
Deflation :| Automatic Pressure Release Valve
Memory capacity :| 7 memories
Auto-shut-off :| 5 minute after last key operation
Operation Environment :| 10°C~40°C (50°F~104°F); 15%~85% RH; 700~1060 hPa
Storage and Transportation Environment :| -10°C~60°C (14°F~140°F); 10%~90% RH; 700~1060 hPa
DC Power Source :| DC 4.8V 1800mAh NIMH Battery
AC Power Source :| DC 7.5V, ≥ 1.5 A(Plug size: outer(-) is Ø3.8, inner(+) is Ø1.35)
Dimensions :| 130(L) x 133(W) x 167.5(H) mm
Weight :| 600 g (G.W.) (w/o Batteries)
Limited users :| Adult users
Arm circumference| L: 34~46 cm (13.4”~18.1”); M: 24~36 cm (9.4”~14.2”); S: 16~26 cm (6.3”~10.2”)
IP Classification| IP21: Protection against harmful ingress of water and particulate matter
:| Type BF: Device and cuff are designed to provide special protection against electrical shocks.

• Specifications are subject to change without notice.

Electromagnetic Compatibility Information

1. This device needs to be installed and put into service in accordance with the information provided in the user manual.
2. WARNING: Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the AC1000f, including cables specified by the manufacturer. Otherwise, degradation of the performance of this device could result.

If higher IMMUNITY TEST LEVELS than those specified in Table 9 are used, the minimum separation distance may be lowered. Lower minimum separation distances shall be calculated using the equation specified in 8.10.

Manufacturer’s declaration-electromagnetic immunity

The AC1000f is intended for use in the electromagnetic environment specified below. The customer or the user of the AC1000f should assure that is used in such and environment.

Immunity test

| IEC 60601 test level| Compliance level|

Electromagnetic environment-guidance

Conducted RF
IEC 61000-4-6| 3 Vrms:
0,15 MHz – 80 MHz
6 Vrms: in ISM and amateur radio bands between 0,15 MHz and 80 MHz80 % AM at 1 kHz| 3 Vrms:
0,15 MHz – 80 MHz
6 Vrms: in ISM and amateur radio bands between 0,15 MHz and 80 MHz80 % AM at 1 kHz| Portable and mobile RF communications equipment should be used no closer to any part of the AC1000f including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Recommended separation distance:
d = 1,2 √P, d = 1,2 √P 80MHz to 800 MHz,
d = 2,3 √P 800MHz to 2,7 GHz
Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m).
Interference may occur in the vicinity of equipment marked with the following symbol:
Radiated RF
IEC 61000-4-3| 10 V/m
80 MHz – 2,7 GHz
80 % AM at 1 kHz| 10 V/m
80 MHz – 2,7 GHz
80 % AM at 1 kHz
NOTE1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.

More information on EMC compliance of the device can be obtained from Rossmax website: www.rossmax.com

Blood Pressure Log

Name:                                              Age:              Weight:

Name:                                              Age:              Weight:

Warranty Card
This instrument is covered by a 2 year guarantee from the date of purchase. The guarantee is valid only on presentation of the warranty card completed or stamped by the seller/dealer confirming date of purchase or the receipt. Batteries, cuff and accessories are not included. Opening or altering the instrument invalidates the guarantee. The guarantee does not cover damage, accidents or non-compliance with the instruction manual. Please contact your local seller/dealer or www.rossmax.com.

Customer Name: __
Address: __
Telephone:
E-mail address: __
Product Information
Date of purchase: __
Store where purchased:

WARNING: The symbol on this product means that it’s an electronic product and following the European directive 2012/19/EU the electronic products have to be disposed on your local recycling centre for safe treatment.

Rossmax Swiss GmbH,
Widnauerstrasse 1, CH-9435 Heerbrugg,
Switzerland

OBM_IB_AC1000f(2)
NA10_EN_SW_ver2008
IN0AC1000f00000XX

www.rossmax.com

Documents / Resources

| rossmax AC1000f Blood Pressure Monitor [pdf] User Manual
AC1000f Blood Pressure Monitor, AC1000f, Blood Pressure Monitor, Pressure Monitor
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References

• Your Total Healthstyle Provider - Rossmax | Your total healthstyle provider
• Your Total Healthstyle Provider - Rossmax | Your total healthstyle provider

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