Omron Blood Pressure Monitor M4 I User Manual

Instruction manual  
Page 2  
Mode d’emploi  
Page 41  
The World Hypertension League  
Gebruiksaanwijzing  
Pagina 15  
Istruzioni per l’uso  
Pagina 54  
Gebrauchsanweisung  
Seite 28  
Instrucciones de uso  
Página 67  
SYS  
m m Hg  
DIA  
m m Hg  
PULSE/m in  
EU representative / EU Vertreter  
START  
Représentant UE / Rappresentante UE  
Representante UE / EU Vertegenwoordiger  
OMRON Healthcare Europe BV  
Kruisweg 577  
NL-2132 NA Hoofddorp  
Fully automatic blood pressure monitor  
M4-I Int-5-1  
 
English  
Important instructions to help you obtain  
Important: Blood pressure measurement is not sui-  
table in cases of serious arteriosclerosis (hardening  
of the arteries).  
Contents  
Important instruc-  
tions to help  
you obtain  
meaningful  
readings  
meaningful readings . . . . . . . . . . . . . . . . . . . . . . . .3  
Your blood pressure monitor: the benefits . . . . . . . . .4  
Measuring your blood pressure . . . . . . . . . . . . . .5 – 7  
Hints on taking blood pressure readings . . . . . . . . . .8  
Failure, causes and rectification . . . . . . . . . . . . . . . .9  
Maintenance and storage . . . . . . . . . . . . . . . . . . . .10  
Technical data . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11  
OMRON spare parts . . . . . . . . . . . . . . . . . . . . . . . .12  
Some useful information about  
• The pulse display is not suitable for monitoring the  
frequency of cardiac pacemakers.  
• If you suffer from disorders of heart rhythm, known  
as arrythmia, you should only use this blood pres-  
sure monitor in consultation with your doctor. In cer-  
tain cases the oscillometric measuring method can  
produce incorrect readings.  
blood pressure . . . . . . . . . . . . . . . . . . . . . . .13 – 14  
Thank you for purchasing an OMRON product. You  
can be sure you have made a wise choice. By buy-  
ing the OMRON M4-I blood pressure monitor, you  
have chosen a high-quality, innovative instrument  
for health monitoring. During its development, parti-  
cular emphasis was placed upon reliability and ease  
of use. Before using for the first time, please  
read through this manual carefully. If you should  
still have any questions regarding its use, please  
contact the OMRON customer service at the given  
address on the packaging. They will be pleased to  
help you.  
• Pregnant women should only measure their own  
blood pressure in consultation with their doctor,  
since the readings may be changed by pregnancy.  
Dear Customer  
You should avoid eating, drinking (alcohol), smoking  
and sports before measuring your blood pressure,  
as this could affect your blood pressure level.  
• Don’t move, don’t speak while measurement is  
being taken.  
• Make yourself comfortable in a chair and relax  
before each reading.  
Best wishes for a healthy future.  
Yours sincerely,  
• We recommend that you monitor your blood pres-  
sure twice a day, in the morning after getting up and  
in the evening after work, or as advised by your  
doctor.  
OMRON HEALTHCARE  
Regular blood pressure monitoring is essential for the  
prevention, the control and the management of hyperten-  
sion. It also helps to support the doctors' work.  
The World Hypertension League is a world-wide asso-  
ciation of experts specialising in hypertension. The World  
Hypertension League recommends regular blood pres-  
sure monitoring by doctors and patients with clinically  
validated devices.  
Please remember: Self-measurement is not the  
same as medical treatment!  
You should never change the dose of medicines  
prescribed by your doctor.  
As the worlds leading manufacturer OMRON provides a  
range of products for regular blood pressure monitoring.  
The World Hypertension League  
recommends regular  
blood pressure monitoring by  
doctors and patients with clinically  
validated devices  
3
2
 
English  
OMRON M4-I is a compact, fully automatic blood  
pressure monitor. Monitor, operating on the  
oscillometric principle. It measures your blood pres-  
sure and pulse simply and quickly. It  
Preparing the unit  
Your blood  
pressure  
Measuring your  
blood pressure  
monitor:  
the benefits  
contains an intelligent “fuzzy logic”  
Open the battery compartment and insert 4 x 1.5v  
batteries (supplied). Ensure polarity (+/-) of the bat-  
teries is correct.  
system for controlled inflation, known as  
“Intelli-sense”. This is an advanced method of oscillo-  
metric measurement. and does not require pressure  
pre-setting or re-inflation. OMRON is the world lea-  
ding manufacturer of blood pressure monitors with the  
goal to always fulfill the need for reliable regular moni-  
toring.  
Insert air tube to air jack (on the left side of the  
device). The cuff must be airless.  
Cuff  
Switching on the unit  
Air Jack  
When you press the (  
) button all the symbols on  
-I  
4
Green area  
M
the display light up for approximately two seconds in  
order to check the display.  
S
Y
S
T
R
A
T
S
mmHg  
Air Tube  
in  
/m  
IA  
mmHg  
E
D
S
L
U
P
Then all the symbols disappear and the air release  
symbol (  
) begins to flash.  
LCD  
Display  
Air Plug  
(connects  
to the  
When preparations for measurement are complete  
the ( ) symbol appears in the display to indicate  
that the monitor is ready to take a blood pressure  
measurement.  
SYS  
m m Hg  
DIA  
Air Jack  
air jack)  
m m Hg  
PULSE/m in  
Battery  
Compartment  
Systolic Blood  
Pressure Display  
START  
Diastolic Blood  
Pressure/ Pulse  
Display  
ON/OFF (O/I) button  
Memory button  
START (  
) button  
4
5
 
English  
˜ The measurement starts  
˜ Fitting the cuff  
When the target inflation value is reached, the air is auto-  
matically released. The value in the display counts down-  
wards.  
1 - 2 cm  
Wrap the cuff around your bare left arm so that the  
green colored band (indicating the centre of the blad-  
der) is positioned 1 – 2 cm above your elbow joint on  
the inside of your arm (see picture).  
As soon as the monitor detects your pulse the ( ) sym-  
bol begins to flash.  
When the monitor no longer detects your pulse whilst the  
cuff pressure is dropping, your systolic and diastolic blood  
pressures (upper and lower values) will be displayed.  
Important! If you push up your sleeve, ensure it does  
not constrict the blood flow in your arm.  
The deflation symbol (  
) will now flash to indicate the  
end of the measurement.  
Close the cuff with the fabric fastener. The green area  
of the cuff must cover the brachial artery.  
When all the air has been released the ( ) symbol  
appears on the display and your blood pressure and pulse  
will be displayed on the screen for 5 minutes.  
The standard-sized cuff is designed for an arm  
circumference of 22 – 32 cm. To ensure accurate  
readings on arms with a circumference greater than  
32 cm a large cuff will be required.  
In some rare cases there are people where this measuring  
method does not work due to physical structure. In such  
cases OMRON recommends you to consult a doctor.  
(large cuff code: CL)  
˜ Successive readings  
Please leave an interval of at least 2 – 3 minutes should be  
made in between two successive readings, otherwise the  
blood flow of the arm could be constricted, which would  
distort the results of the reading.  
Lay your arm on a table or support (e.g. a cushion)  
with the palm of your hand facing upwards so that the  
cuff is approximately at heart level. In this way you  
ensure that the blood pressure measurement ob-  
tained is neither artificially high (measurement below  
heart level) nor low (measurement above heart level).  
Switch off the device by pressing the ON/OFF (  
) button.  
The device switches off automatically after approximately 5  
minutes.  
˜ Inflating the cuff  
In order to obtain meaningful readings, you should mea-  
sure your blood pressure regularly at the same time of day,  
ideally every morning and evening.  
Right hand measurement  
The OMRON M4-I is a blood pressure monitor with  
an intelligent system to detect your personal blood  
pressure.  
˜˜How to use the memory function  
This monitor has a memory capable of storing fourteen sets  
of readings. Every time you complete the measurement, the  
monitor automatically stores blood pressure and pulse rate  
values.  
S
T
A
R
T
Using the intelligence of the “Fuzzy Logic” this  
device determines automatically the correct level  
of inflation pressure. Just push the START button  
Push the ( ) button to recall stored readings while the  
Heart Symbol ( ) is displayed.  
(
).  
Once the memory holds fourteen sets of readings, the  
oldest set will be deleted to store a new set.  
The cuff must only be inflated when fitted to  
your arm!  
To delete stored readings, press the ( )button and the  
Start Button together, then all the readings will be deleted.  
S
T A  
R
T
NOTE: You can not delete stored readings partially.  
7
6
 
English  
• Before measuring, stretch your back and sit up straight,  
breathe normally 5-6 times, relax your shoulders, arms  
and entire body.  
• Slightly bend and support your elbow ( e.g. on a table ).  
• Do not move, talk or touch the device during measure-  
ment.  
Hints on taking  
blood pressure  
readings  
Failure, causes and rectification  
Rectification  
Failure and their possible causes  
Incorrect measurement is indicated by  
E
1. Repeat the measurement keeping  
perfectly still. Do not move your arm and  
do not speak.  
1. A correct reading could not be obtained  
because measurement was disturbed by  
movement of the body.  
• Stress influences your blood pressure, so try to relax  
before taking a measurement.  
To compare results, measurements must always be  
taken from the same arm.  
• Do not place the cuff over thick clothes and do not roll up  
your sleeve if it is too tight.  
2. Check that the cuff is correctly fitted. Then  
repeat the measurement.  
2. The cuff is not fitted correctly.  
• Align the cuff with the height of your heart (breast  
height). If necessary use a pillow or cushion.  
• Coldness raises your blood pressure. It is recommended  
to measure at room temperature ( +20°C).  
• Relax before measurement. If necessary go to the  
bathroom before measurement.  
3. Remove the item of clothing which cau-  
sed the constriction.  
3. Your clothing has constricted your blood flow.  
4. The unit may be defective. Please have it  
examined and, if necessary, repaired by  
OMRON Customer Services.  
4. There is still air in the cuff when the monitor  
is switched off.  
• Do not measure directly after bathing.  
• If you wish to interrupt measurement prematurely, press  
the (  
) button. Inflation is stopped and the air is auto-  
Wait for the ( ) symbol indicating readin-  
ess before you press the start button.  
The start button was pressed before the  
matically released from the cuff.  
(
) symbol was displayed  
• If you wish to repeat the measurement, follow the same  
procedure as before starting at step 4 (Inflating the cuff).  
• Blood pressure measurements taken in a moving vehicle  
may be influenced by vibration.  
Refer to the instructions and then repeat the  
measurement.  
The blood pressure values displayed are ex-  
tremely low or high, or they are implausible.  
• If an error has occurred during measurement E is dis-  
played. Please refer to the next chapter.  
• The monitor should be switched off after measurement  
to avoid running down the batteries unnecessarily. If you  
forget to do so, the monitor switches itself off automati-  
cally after 5 minutes.  
The display does not light up when the (  
button is pressed.  
)
1. Check the batteries and, if necessary, fit 4  
new batteries.  
1. The batteries are exhausted.  
2. Reinsert the batteries with the +/- poles  
the right way round.  
2. The +/- poles of the batteries have been  
reversed.  
3. Clean the battery contacts with a dry cloth.  
Fit new batteries.  
3. The battery contacts are dirty.  
The batteries are weak or exhausted.  
Check that the air tube is properly connec-  
ted to the monitor. Push the tube connector  
firmly into the socket.  
The cuff pressure does not rise although  
the pump motor can be heard.  
Contact Omron Customer Service.  
9
Err problem with mem. function  
8
 
English  
• For cleaning the monitor only use a soft, lightly moi-  
stened cloth.  
Do not use petroleum spirits, thinners or similar  
solvents!  
This device fulfils the provisions of the EC directive  
93/42/EEC (Medical Device Directive). This blood  
pressure monitor is designed according to the  
European standard EN1060, Non-invasive sphyg-  
momanometers Part 1: General requirements and  
Part 3: Supplementary requirements for electrome-  
chanical blood pressure measuring systems.  
Maintenance and  
storage  
Technical data  
• Stains on the cuff can be carefully removed using a  
moist cloth and soapy water.  
Do not wash the cuff or make it wet!  
Model:  
OMRON M4-I  
Display:  
LCD digital display  
• Keep your blood pressure monitor in the storage  
case to protect it from dust and moisture.  
Blood Pressure  
Measurement Range:  
Pressure: 0 mm Hg to 280 mm Hg  
Pulse: 40 – 180/min.  
Accuracy:  
Pressure: ±3 mm Hg  
Pulse: ±5% of reading  
14 measurements  
Fuzzy-Logic controlled by electric pump  
• Protect your monitor against vibrations and do not  
leave it in a place where temperatures are extreme-  
ly low (below -20 °C) or extremely high (above  
60 °C) or with high humidity(+ 85%).  
Memory:  
Inflation:  
Deflation:  
Automatic pressure release valve  
Capacitive pressure sensor  
Oscillometric method  
• Do not use your monitor at very low temperatures  
(below 10 °C) or very high temperatures (above  
40 °C).  
Pressure Detection:  
Measurement Method:  
Power Source:  
4 Alkaline batteries 1.5V (Type LR6)  
• Do not fold the cuff or air tube together too tightly  
and do not crease them.  
or AC/DC adapter (optional, 6V = 4W)  
Capacity of new batteries is approx.  
300 measurements  
Battery Life:  
• Do not carry out repairs of any kind yourself.  
If a defect occurs, consult the OMRON Customer  
Service or seek the advice of your surgical applian-  
ce stockist or pharmacist.  
Operating Temperature:  
Storage Temperature:  
Humidity:  
10°C to 40°C  
-20°C to 60°C  
30 to 85% RH  
Storage humidity:  
Console Weight:  
Outer Dimensions:  
Cuff Dimensions:  
10 to 95% RH  
• The well confirmed accuracy of this blood  
pressure monitor is designed to last a long time.  
Approximately 450g with batteries  
Approximately 167.5 mm x 65 mm x 106 mm  
• In order to increase the lifetime of the batteries  
take them out when you store the device for a  
longer period than 2 months.  
Approximately 140 mm x 480 mm  
( arm circumference 22 – 32 cm )  
Cuff, Type M (CR17); instruction manual,  
storage case, battery set  
Accessories:  
• Electro-magnetic fields can influence the mea-  
surement. Do not use a potable phone near this  
unit.  
NOTE: Subject to technical modification without prior notice  
• Disposal of this product and used batteries should be carried out in accordance  
with the national regulations for the disposal of electronic products.  
= Type B  
11  
10  
 
English  
Calibration  
OMRON spare  
parts  
Some useful information about blood pressure  
What is Blood Pressure?  
The accuracy of this blood pressure monitor has been  
carefully tested and is designed for a long service life.  
It is generally recommended to have the monitor ins-  
pected every two years to ensure correct functioning  
and accuracy. Please consult your authorised dealer  
or the OMRON Customer Service at the address  
given on the packaging/attached literature.  
Blood pressure is a measure of the force of blood flowing against the walls of the arteries. Arterial blood  
pressure is constantly changing during the course of the heart’s cycle. The highest pressure in the cycle is  
called the SYSTOLIC BLOOD PRESSURE; the lowest is the DIASTOLIC BLOOD PRESSURE. Both pres-  
sure readings, the SYSTOLIC and DIASTOLIC, are necessary to enable a doctor to evaluate the status of  
a patient’s blood pressure.  
Many factors such as physical activity, anxiety, or the time of day, can influence  
your blood pressure. Blood pressure is typically low in the morning and increases from afternoon to eve-  
ning. It is lower in the summer and higher in the winter.  
OMRON devices are especially designed for regular  
blood pressure monitoring. OMRON therefore has  
direct contact with medical specialists and takes  
advice, on the design and features of its blood pres-  
sure monitors.  
Mains adapter  
Blood pressure is measured in millimetres of mercury (mmHg) and measurements  
are written with the systolic pressure before the diastolic e.g. A blood pressure written  
as 140/90, is referred to as 140 over 90 mmHg.  
Spare parts & accessories  
Small cuff,  
Arm circumference 15 – 22 cm  
Code: CS  
High Blood Pressure  
Due to high company quality standards, OMRON con-  
siders the main unit as a non-serviceable part becau-  
se of the necessity of proper calibration after replace-  
ment of high-tech components.  
The discovery that you have high blood pressure is more often than not a chance finding. People with high  
blood pressure usually feel well unless the blood pressure has been high for some time, and complications  
have occurred. Such complications may effect the heart, brain and other important organs. They may bring  
on ill health and affect your enjoyment of life. It is because of the complications, rather than the high blood  
pressure itself, that this condition is taken so seriously today.  
Normal cuff,  
Arm circumference 22 – 32 cm  
Code: CM  
High blood pressure is sometimes referred to as raised blood pressure, elevated blood pressure, or hyper-  
tension. Most people with this condition require regular long-term drug treatment, usually in the form of  
tablets. Some can lower their blood pressure sufficiently by other means, such as changing diet and life-  
style.  
People who have high blood pressure, and who also understand their condition, have an advantage. They  
are more likely to attend for regular check-ups, to cooperate with advised diets and changes in lifestyle, and  
to take medicines correctly. This immediately leads to better health. It is hoped that, by a better understan-  
ding of high blood pressure and how it is treated, you will take an active and informed part in your health  
care, and so enjoy a better quality of life.  
Extra large cuff,  
Arm circumference 32 – 42 cm  
Code: CL  
12  
13  
 
What Causes High Blood Pressure?  
Blood pressure is only classed as high if it doesn t go down when you rest. Permanently raised blood pres-  
sure can be caused by several factors such as hardening of the arteries, smoking or drinking too much  
alcohol. It can also be caused by cholesterol, a type of fat, building up inside your blood vessels and  
making them narrower. Being under stress can add to the problem.  
High blood pressure is also known to run in families hence if you find you have a high blood pressure it is a  
good idea to test other closely related members of your family.  
Fluctuation within a Day  
(mmHg)  
200  
(Example: 35-year-old male)  
150  
Systolic  
Blood Pressure  
100  
Diastolic  
Blood Pressure  
Arriving  
at the  
Discussion  
on the  
Get-  
Argument  
Leaving the  
50  
ting up Company Telephone in a Meeting Company  
Dinner Sleep  
12  
6AM  
12  
6PM  
Morning  
Afternoon  
Evening  
Why is it a Good Thing To Measure Blood Pressure at Home?  
Having your blood pressure measured by a doctor can cause anxiety which is a cause itself of high blood  
pressure. As a variety of conditions affect blood pressure, a single measurement may not be sufficient for  
an accurate diagnosis.  
The blood pressure measured first thing in the morning after getting up, before eating and while at rest, is  
known as the fundamental blood pressure. In practice it is rather difficult to record the fundamental blood  
pressure, but it is important to get readings in an environment that is as close as possible to this.  
Systolic blood pressure  
(mmHg)  
Classification of Blood Pressure by the  
Severe hypertension  
180  
World Heath Organization  
Moderate hypertension  
160  
Mild hypertension  
The World Health Organization (WHO) and the International  
140  
Society of Hypertention (ISH) devolloped the Blood Pressure  
Nomal systoric value  
Classification shown in this figure.  
This classification is based on the blood presure values mea-  
130  
Nomal blood pressure  
120  
Optimal biood  
pressure  
(target value)  
Diastoric  
blood  
sured on people in a sitting position in outpatient depart-  
ments of hospitals.  
*There is no universally accepted definition of hypotension. However, those  
having the systolic pressure below 100 mmHg are assumed as hypotensive.  
pressure  
(mmHg)  
90  
100  
110  
80  
85  
According to the blood pressure classification by the WHO/ISH* (revised in 1999)  
* International Society of Hypertension  
14  
 

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