PRONTEX INTEGRA AUTOMATIC DIGITAL BLOOD PRESSURE GAUGE

Description
Digital blood pressure monitor with integrated user memory.
This device is designed to non-invasively measure systolic and diastolic blood pressure, heart rate and determine pulse pressure values ​​in adults. Designed for easy and convenient use at home. This device has two memory channels, which allow you to record the measurements of two different users separately.
This device measures blood pressure and heart rate using the oscillometric method. The cuff is connected to the main unit and wrapped around the upper arm. Sensors inside the cuff detect the small oscillations in pressure exerted against it as the arteries in the arm expand and contract with each heartbeat. The electronic system then measures the amplitude of each pressure wave, converts it into millimeters of mercury, and displays the value digitally on the large LCD display.
INFLATING is the latest technology that guarantees direct measurement of blood pressure values ​​only during cuff inflation, thus ensuring greater comfort thanks to the lower constriction force applied to the arm and its shorter application time. With this technology, the measurement procedure consists of three distinct phases. In the first phase, the device quickly inflates the cuff to a preset value ideal for securing the cuff to the limb and starting the second phase. The second phase begins when the device reduces the inflation speed of the cuff so as to allow accurate detection of the heartbeat. The third and final phase is the actual measurement of blood pressure values ​​and begins when the heart symbol starts to flash on the screen and ends when the device automatically deflates the cuff and displays the measurement result on the screen.
To shorten the measurement time and make it more comfortable, this special function regulates the inflation of the cuff by the device, based on the values ​​of the last three measurements present in the selected memory channel. If the last three recordings in memory indicate high blood pressure values, the function will set a rapid inflation of the cuff up to a higher value than the preset one. However, if this new setting is not suitable for the current blood pressure values, the device automatically deflates the cuff and resumes the measurement by setting a new and lower inflation value for the cuff. For this function to work correctly, each of the two potential users of the device must select the memory channel before starting the measurement. In fact, the device records the last memory channel for which a measurement was displayed before switching off and uses the data contained therein to set the personal mode for the next measurement. To select the correct personal mode, before starting the measurement, press the memory channel button, then press the START/STOP button to switch off the device and then press it again to start the measurement.
The measured blood pressure values ​​are classified according to the following table (WHO Guideline). When systolic and diastolic pressures fall into different categories, the higher class applies.

WHO CLASSIFICATION	SYS (mmHg)	DIA (mmHg)
Optimal	<120	<80
Normal	120-129	80-84
Above normal	130-139	85-89
Hypertension (mild)	140-159	90-99
Hypertension (moderate)	160-179	100-109
Hypertension (severe)	>180	>110
Isolated systolic hypertension	>140	<90

WHO: World Health Organization.

PULSE PRESSURE DISPLAY
This device also calculates and displays the pulse pressure value for each individual measurement. A pulse pressure value of 45 mmHg is generally considered normal. Pulse pressure itself is not an indicator of arteriosclerosis, however it is important to monitor its progress over time.

How to use
PREPARING TO USE THE DEVICE
Before using the device, you must install the batteries and activate the clock. The device will also work without adjusting the clock function, but in this case the data will be saved without any reference to the date and time to be consulted later. If the batteries are removed, the clock will stop working and will have to be adjusted again. The device (and the clock) can also be powered by its designated AC adapter (see specific paragraph of this manual).
When the battery symbol starts flashing, the batteries are completely empty and it may not be possible to take a further measurement. The battery symbol will flash for 10 seconds after which the device will automatically switch off. In this case, replace the empty batteries immediately. The batteries included in this package are only for initial use of the device and their lifespan may be shorter than that of commercially available batteries. The batteries included in this package are not covered by the device warranty.
OPERATION WITH AC MAINS POWER SUPPLY
The AC power supply connector is located on the back of the device. It is recommended to use only the AC power supply indicated by the manufacturer in this manual (ADP-W5 series). When the device is used with the power supply, it is possible to remove the batteries from their compartment. However, as soon as you disconnect the battery, the clock deactivates and, therefore, to keep it always working, you can leave the batteries inserted at all times. Even if the batteries are left in the device with the sole purpose of keeping the clock working, it is recommended to occasionally perform some measurements without using the power supply, to prevent their prolonged disuse from becoming a cause of leakage of the internal liquid. Electrical protection: this device is double insulated and protected by a primary thermal fuse against short circuits and overloads. Casing and protective covers: the main unit is protected from any possibility of contact with live or electrically conductive parts (fingers, hooks, etc.). To avoid potential dangerous conditions, overheating, falls and/or accidental damage, it is recommended to unplug the power supply from the power outlet immediately after finishing using the device.
Before starting the blood pressure measurement, it is necessary to insert the air tube connector into the respective air tube connection hole identified by a blue ring.
Make sure the air hose is not bent, twisted or pinched against the table.
The bracelet is applicable on arms with a circumference between 22 and 42 cm. Before starting, it is therefore advisable to make sure that your arm falls within these measurements.
To use the personal mode effectively, it is recommended to select the memory bank before starting the measurement.
Use a table and chair that you can sit on comfortably, making sure your feet are flat on the floor and your arms and back can also be supported comfortably.
The cuff should preferably be applied to the left arm (or in any case always to the same arm as the previous measurements) so that the air tube coming out of it is facing the hand.
If you apply the cuff over heavy clothing, tight clothing that may restrict blood circulation in the upper limb, or with the sleeve rolled up, the measurements taken may be inaccurate.
Wrap the cuff around your arm, securing it with the Velcro only after making sure that the lower edge is approximately 2-3 cm from the inside crease of your elbow. The cuff should be tight but comfortable, leaving enough room to insert two fingers between the cuff and your arm.
If the cuff is wound too tightly or loosely than indicated, the measured values ​​may be inaccurate.
Adjust the position of the cuff so that the AIR TUBE remains on the inside of the arm and above the flow area of ​​the brachial artery.
Press the surface of the bracelet to ensure it is securely fastened.
2. The forearm should rest naturally on the table and during the measurement the band should be at the height of the heart.
If the cuff is at a lower (or higher) level than the heart, the measurement values ​​tend to increase (or decrease).
Breathe deeply and relax.
Press the "START/STOP" button.
The device releases air from the cuff. The device emits three short beeps and then automatically begins to inflate the cuff.
If you need to stop the measurement, press the "START/STOP" button. The meter will quickly and immediately vent the air and then turn off.
The inflation symbol disappears and the inflation slows down. As soon as the device detects a heartbeat, it displays the corresponding symbol on the display and begins measuring and identifying the blood pressure values. As soon as the blood pressure values ​​have been detected, the device stops the inflation phase and begins to release air from the cuff, while displaying the measurement results on the display and emitting a measurement end tone. The measurement results, blood pressure/pulse values ​​and pulse pressure, are displayed alternately on the screen.
To save the results press one of the memory buttons, M1 or M2. The result will be stored in the selected bank.
To turn off the device, press the "START/STOP" button.
The device switches off. In any case, the device will automatically switch off after 2 minutes of inactivity. The measurement result is stored in the selected memory when the device is switched off. Never repeat measurements in quick succession, blood congestion may cause false readings. Let your arm rest for at least 5/10 minutes between measurements. Do not take continuous measurements throughout the day, limit yourself to those indicated by your doctor.
Viewing/deleting data in memory (memory function):
1. Press the M1 button to review the readings saved in the M1 memory channel, press the M2 memory button to review those in the M2 memory channel.
The average value of the last three measurements is displayed as A3;
2. The last reading taken and saved in the selected memory is displayed. The read pressure and pulse values ​​are displayed alternately with the pulse pressure value.
The display shows the memory record number, the date and time of the blood pressure/heart rate measurement in sequence, alternating with the pulse pressure value and the measurement date and time (always alternating). The most recent measurement is displayed with the memory number "No. 1". The measurements are recalled in sequence from the most recent to the oldest by pressing the corresponding memory button. The larger the memory record number, the older the measurement date.
Press the "START/STOP" button
The device turns off, but even without pressing it, the data is displayed for a maximum of 2 minutes, after which the screen and the device turn off automatically.
To switch between memory channels, press the M2 button to switch between displaying data saved in memory channel M1 and data saved in memory channel M2, and press the M1 memory button to switch between displaying data saved in memory channel M1 and data saved in memory channel M2. If a measurement was performed when the DATE/TIME function was deactivated and is displayed when the function is restored, the date and time information will be displayed with --/-- and --:--.
Deleting a single measurement: Press the memory button to view the readings for that memory channel. Then, scroll through the readings by repeatedly tapping the memory button until you reach the one you want to delete. Then hold down the memory button for 4 seconds until the display starts to flash, and continue holding the button for approximately 4 more seconds, until the reading is deleted and the display is cleared. Deleting all data from a memory channel: As described earlier in this manual, select and view the average readings for the memory channel you want to delete.
Then delete it by holding down the memory button continuously until the display is cleared. It is important to know the trend of your blood pressure values ​​by taking measurements regularly and always in the same physical and mental conditions. Adjust the place and time to take measurements regularly every day. The symbol is displayed again on the screen at the end of the cuff inflation and deflation actions which in the meantime are repeated when the initial pressure of the cuff is too high for the blood pressure reading, or when you move your arm or hand, the cuff is deflated and the measurement procedure is repeated. This behavior does not indicate any problem or malfunction of the device. Do not move and/or speak during the measurement.
An overpressure symbol may appear on the screen, meaning that the blood pressure readings could not be detected due to disturbance caused by movement or conversation during the procedure, even though the maximum cuff inflation was reached.
Do not move and/or speak during the measurement.
A symbol may appear on the screen for blood pressure measurement that was not possible due to movement or conversation during the measurement procedure.
Do not move or talk during measurement.
A symbol may appear on the screen because the cuff is not connected to the device properly. Secure the air connector. The cuff is not wrapped properly. Check how to position the cuff correctly.
A symbol may appear on the screen that says:
The batteries are dead. Replace all batteries with new ones. No display on the screen;
The batteries are dead. Replace all batteries with new ones;
The batteries are inserted incorrectly. Check that the batteries are inserted correctly;
The battery terminals are not clean. Clean the battery terminals with a dry cloth. The AC adapter is not connected. Connect the AC adapter.
The time is not displayed.
The clock was not activated.
Activate the DATE/TIME function and set the correct date and time parameters.
The date and time of measurement are displayed with a symbol on the screen and a symbol on the screen The measurement was taken before the clock was set.
The measurement date and time cannot be saved in memory unless the clock has been activated. A symbol may appear on the screen indicating that the "START / STOP" button was held down while inserting batteries or connecting to the AC adapter. Turn off the device by pressing the "START / STOP" button once.
The end of the bracelet is loose.
Place the bracelet with the Velcro facing down and fold the end with the metal hook. Then slide the other end of the bracelet into the metal ring and fold it over it.
If you are unable to obtain a correct measurement using the methods indicated in this manual, contact your dealer. Do not disassemble or tamper with the device under any circumstances. The manufacturer declares that the information contained in this manual is consistent with the technical and safety specifications of the device to which the manual refers. The technical specifications declared are updated on the date of publication of this document and apply only to the device with which they are distributed together. The manufacturer reserves the right to make changes or improvements to the contents, without prior notice.
CARE AND MAINTENANCE
It is recommended to always keep the device clean. It is a good idea to check the cleanliness after each use. Check and make sure that the device is not dirty before use. To clean the main unit, simply wipe it with a soft, dry cloth. Do not use gasoline, thinner or other strong solvents for cleaning. The cuff can be cleaned by gently wiping its surface with a cloth soaked in detergent suitable for synthetic fabrics and then left to dry completely in the air. Always avoid allowing fluids of any kind to enter the air connector of the cuff and therefore into the relative tube. If this happens, detach the tube and connector parts and dry them completely in the air.
The cuff should not be rubbed vigorously or washed in a washing machine. During storage, do not place heavy, hot or sharp objects on the device and its accessories. Never bend the cuff with excessive force or wrap the cuff tube until it bends at an angle. To detach the cuff from the main unit, do not pull the cuff or the tube but grasp the air connector and pull it out gently. Do not pull or twist and avoid putting it in contact with sharp or pointed objects. Do not replace, disassemble or modify components and parts of the device, to avoid malfunctions or damage that may also be dangerous for users. Stop using the device immediately and contact the dealer or the manufacturer, if you find visible damage to the product and its accessories. If you intend to store the device for a long period of time, remove the batteries. As a precaution against potential problems due to poor maintenance, impacts, incorrect use, it is recommended to check the sphygmomanometer every 2 years. This operation can only be performed by the manufacturer or by companies authorized by the manufacturer.

Warnings
It is recommended that you never interpret the values ​​obtained yourself.
For specific information about blood pressure, it is recommended that you consult your doctor. You should not draw any personal conclusions based solely on the information provided by this device.
Always have your blood pressure readings interpreted by a qualified physician.
The device is not suitable for use on neonates.
Before using the device to measure blood pressure on a child, pregnant woman or pre-eclampsia, it is recommended to always consult with your doctor. The device is not intended for use during transport of a patient outside of a healthcare facility.
Warning! Do not use rechargeable batteries or batteries of a type other than that indicated in this manual. If unsuitable batteries are used, the functional specifications and declared performance may vary. Do not touch other people with the batteries in your hands or when you touch the terminals during insertion or replacement in the device. Close the battery compartment. Do not apply excessive force to the cover when closing.
Do not mix new and old batteries or batteries of different types.
Do not connect the AC adapter to an electrical outlet that is not easily accessible and/or does not comply with standards.
Do not leave the power supply connected to the power outlet for a long time.
Do not hold your breath during the measurement session.
Do not cross your legs during the measurement session.
During the measurement session you must not move or talk.
PRECAUTIONS AND CONTRAINDICATIONS
If you are undergoing dialysis therapy or taking anticoagulants, antiplatelet drugs or steroids, do not use this device without first consulting your doctor. Using this device in these conditions could cause internal bleeding. For specific information about your blood pressure, we recommend that you always consult your doctor and never interpret the values ​​obtained independently.
Do not use this product with implantable and wearable medical devices, such as pacemakers, defibrillators, or an electrocardiogram monitor. It should also not be used in conjunction with high-frequency surgical equipment. Do not use the device in potentially explosive atmospheres, such as in a room with flammable anesthetics or in an oxygen chamber.
The user is cautioned that the system may not provide an accurate measurement if used in temperature or humidity conditions outside the limits indicated in the "Technical Specifications" section of this manual. Use only the cuff and accessories of the original manufacturer. Otherwise, obtaining correct measurements is not guaranteed.
The medical device requires special precautions regarding electromagnetic compatibility and must be installed and used according to the information provided in the accompanying documents: the device must be installed and used away from mobile and portable RF communications equipment (cell phones, microwave ovens, transceivers, etc.) that could affect the device itself. Do not use the cuff on an injured arm, undergoing intravascular access or therapy or arteriovenous shunt, or on the arm next to a mastectomy. In these cases, use of the device could be harmful.
Make sure that the cuff inflation does not impede blood circulation for too long. Also pay attention to any temporary functional abnormalities of other medical monitoring devices that may be applied to the same arm as the cuff. To avoid potential problems resulting from interference with normal circulatory flow by the cuff inflation:
- Before measuring, make sure that the AIR TUBE is not twisted, bent and/or occluded. In such cases, inflation may not occur correctly or may take too long;
- Never take a measurement repeatedly. To avoid any possibility of accidental strangulation, keep the device out of the reach of children and also avoid hanging the AIR TUBE around your neck.
Caution: The presence of small parts and batteries poses a choking hazard if swallowed by children or pets, therefore it is recommended to store the product, its components and batteries in places where children and pets have no access. This unit contains precision components. Therefore, take care to avoid subjecting the appliance to extremes of temperature, humidity, shock, dust and/or direct sunlight. Do not drop or knock the unit. This appliance is not waterproof. Do not press the display and buttons with excessive force, do not place the appliance with the display facing towards the support surface. Do not remove the batteries or disconnect the AC adapter while the appliance is turned on and/or in operation.
Do not touch the AC adapter output connector during measurement. Inflate the cuff only when it is already wrapped around the arm. Do not touch a patient while touching the battery, the device battery terminals, or the AC adapter output plug, such as when replacing batteries or connecting/disconnecting the AC adapter.
This product is not intended for independent use by untrained persons in public environments. Do not apply the cuff to the patient's limb where intravenous infusion is applied. In case the product is kept in an environment with a temperature higher than 40°C or lower than 10°C, leave the device in a suitable environment for at least 2 hours before taking the measurement.
Warning: Do not modify this device without the manufacturer's authorization. No electrical and/or mechanical part contained in the device is designed to be repaired by the user. Failure to comply with the above may compromise the safety of the device and therefore its use.

Code 19870