Manual Cresta BPM850 Blood Pressure Monitor

Manual

Model Number

Measurement Method

Measurement Range

Accuracy

Inflation

Deflation

Display

Memory

Unit Dimensions

Unit Weight

Cuff Size

Storage/Transportation

Environment

Operation

Environment

Power Supply

Battery Life

Power-saving Mode

Accessories

BPM580

Oscillometric

Pressure: 0 ~ 300 mmHg ; Pulse: 40 ~ 199 Beats/Minute

Pressure: ±3 mmHg ; Pulse: ±5% Max.

Automatic Inflation (Air Pump)

Automatic Air Release Control Valve

Liquid Crystal Display

120 Memory Total for 3 Users

2.76 x 2.83 x 1.13 inch (L x W x H)

70 x 72 x 28.58 mm (L x W x H)

2.87 ± 0.17 oz (81.4 ± 5 g) (Cuff & batteries excluded)

135 ~ 195 mm (5.3 ~ 7.7 inch)

Temperature: -25 ~ 70 °C (-13 ~ 158 °F)

Humidity: ≤ 93 % R.H.

Temperature: 5 ~ 40 °C (41 ~ 104 °F)

Humidity: 15 ~ 93 % R.H.

AAA / LR03 (1.5V) Alkaline Battery x 2

Approx. 250 Measurements

Device automatically shuts off if no operation in 1 minute

Instruction Manual, 2 AAA / LR03 Alkaline Batteries, Storage Case

*The contents of this manual and the specifications of the device covered by this manual are subject to

change for improvement without notice.

Specifications

Instruction Manual

Wrist Type Blood Pressure Monitor

Model No. BPM580

Intended Use

Medical Disclaimer

1. What is blood pressure?

About Blood Pressure

2. Why is it useful to measure blood pressure at home?

A. WHO blood pressure classifications:

B. Variations in blood pressure:

* Figure No.2

Precautions

This manual and product are not meant as a substitute for advice provided by your doctor. You are not

to use the information contained herein, or this product for diagnosing or treating a health problem or

prescribing any medication. If you have or suspect that you have a medical problem, promptly consult

your healthcare provider.

This device uses the oscillometric method to automatically measure systolic and diastolic blood

pressure as well as heart rate. The measurement position is at human being’s wrist. All values can be

read out in one LCD panel. The device is designed for home use and recommended for use by adults

aged 18 years and older with wrist circumference ranging 135 ~ 195 mm (5.3 ~ 7.7 inch).

Blood pressure is the measurement of the force of blood pushing against the walls of the arteries.

Arterial blood pressure is constantly fluctuating during the course of the cardiac cycle. The highest

pressure in the cycle is called the systolic blood pressure, and represents the pressure in the artery

when the heart is beating. The lowest pressure is the diastolic blood pressure, and represents the

pressure in the artery when the heart is at rest. Both the systolic and the diastolic pressure are

necessary for a physician 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 mornings and increases from the afternoon to the evening. It is on average lower in

the summer and higher in the winter.

Having one's blood pressure measured by a doctor in a hospital or a clinic, is often associated with a

phenomenon called “White Coat Hypertension” where the patient becomes nervous or anxious, thus

raising his blood pressure. There are also numerous other factors that might cause your blood

pressure to be raised at a specific time of day. This is why medical practitioners recommend home

monitoring as it is important to get readings of blood pressure during different times of the day to really

get an idea of your real blood pressure. Medical practitioners generally recommend the “Rule of 3”,

where you are encouraged to take your blood pressure three times in a row (at 1 minute interval),

three times a day for three days. After three days you can average all the results and this will give you

an accurate idea of what your blood pressure really is.

Standards for assessment of high or low blood pressure without regard

to age, have been established by the World Health Organization (WHO),

as shown in the chart. However this chart is not exact for classification of

blood pressure and it's intended to be used as a guide in understanding

non-invasive blood pressure measurements. Please consult with your

physician for proper diagnosis.

Individual blood pressures vary greatly both on a daily and a seasonal

basis. These variations are even more pronounced in hyper tense

patients. Normally the blood pressure rises while at work and is at its

lowest during sleeping period.

(Hyper tense: means a person who has high blood pressure symptom.)

The graph below illustrated the variations in blood pressure over a whole day with measurement taken

every five minutes. The thick line represents sleep. The rise in blood pressure at 4 PM (A in the graph)

and 12 PM (B in the graph) correspond to an attack of pain.

*Do not use this manual and product as a substitute for advice, diagnosing or treating a health problem or

prescribing any medication by your doctor. If you have a medical problem, promptly consult your healthcare

provider.

*Read the Instruction Manual thoroughly before measuring and keep it at hand for your reference at any time.

*This device uses the oscillometric method to measure systolic and diastolic blood pressure as well as your

heart rate. It’s recommended for use by people over the age of 18 and not to be used on infant or children.

*The device is designed for home use and not suitable for clinical use.

*Note!

● The pulse display is not suitable for checking the frequency of heart pacemakers. If a certain pulse irregularity

is detected during measurement often, we recommend you seek medical advice

● As a safeguard, we recommend that if you have arrhythmias such as atrial or ventricular premature beats and

atrial fibrillation or any other special conditions you should check with your physician before using your device.

● The IHB function is not designed for use by people with arrhythmias nor for diagnosing or treating an

arrhythmic problem. In order to filter the unstable status of user and avoid affecting the detection of heart rate

from any movement, shaking or talking in the beginning of measurement, the method of averaging heart beat

intervals of subject device is calculated with the three proper heart beat pulses detected in the beginning of

measurement and that is different from a strict mathematical averaging of all recorded intervals.

● At least 3 beats with at least 25% difference from the average heart beat interval will generate the IHB icon on

the screen.

*Note!

When a person’s systolic and diastolic pressures fall into different categories, the higher category

should apply.

e.g. systolic rate 181 & diastolic rate 99 → Red category (Severe Hypertension)

e.g. systolic rate 110 & diastolic rate 95 → Red category (Mild Hypertension)

*Note!

The above table is not exact for classification of blood pressure and it's intended to be used as a guide

in understanding non-invasive blood pressure measurements. Usually this is not a cause for concern;

however we recommend you consult with your physician for proper diagnosis or seek medical advice

according to our recommendation mentioned above. Please note that the device does not appropriate

to diagnose hypertension, and it is only for user reference on blood pressure monitoring.

When LOW BATTERY SYMBOL appears on the display, or nothing appears on the display when the

power is switched on, please change the batteries. Replace all the batteries with new ones and do not mix new

and old batteries. Do not mix alkaline, standard (carbon-zinc) or rechargeable (cadmium) batteries either. It

may shorten the battery life or cause the device to malfunction.

Remove the battery cover and insert 2 AAA / LR03 alkaline

batteries into the battery compartment as shown. Make sure the

polarities “+” and “–” ends are properly positioned.

Inserting/ Changing Batteries

* Figure No.3

● Part names and product components

Device Overview

● Unit display

* Figure No.4

HOUR：MINUTE

(ALSO YEAR IN SETTING MODE)

LCD DISPLAY

MODE

BUTTON

2 AAA / LR03 (1.5V)

Alkaline Batteries

RISK CATEGORY

INDICATOR

WRIST

CUFF

SET BUTTON

START/STOP

BUTTON

MEMORY BUTTON

STORAGE BOX

SYSTOLIC RATE

DIASTOLIC RATE

LOW BATTERY SYMBOL

RISK CATEGORY

INDICATOR BAR

MONTH/DATE

BLOOD PRESSURE UNIT

READING AVERAGE

HEART RATE

MEMORY RECORD NUMBER

IRREGULAR HEARTBEAT DETECTOR

PULSE SYMBOL

*Caution!

Substitution of a component

different from that supplied might

result in measurement error.

SYMBOLS

Pulse Symbol

Low Battery Symbol

Definitions

Irregular Heartbeat

Symbol

Symbol Definitions

● Do not take a measurement in a low (less than 41 °F/5 °C) and high (more than 104 °F/ 40 °C) temperature, nor

in a place outside humidity ranges (15% ~ 93% R.H.), or you may get inaccurate readings.

● Wait 30 ~ 45 minutes before measurement if you’ve just consumed caffeinated beverages or smoked cigarettes.

● Rest at least 5 ~ 10 minutes before taking a measurement.

● To allow your blood vessels to return to the condition prior to taking the measurement, please wait at least 3 ~ 5

minutes in between measurements. You may need to adjust the wait time according to your personal

physiological situation.

● We recommend you using the same wrist (preferably the left wrist) and measuring around the same time each

day.

● Sit down comfortably and place your elbow on the table with your feet flat on the floor. Please do not cross your

legs during measurements.

● Keep the device at heart level. Relax your hand with the palm facing up.

● Perform measurements in a quiet and relaxed environment at room temperature.

● Do not move or shake the device during a measurement. Please keep quite and do not talk at the same time.

● Keep in mind that blood pressure naturally varies from time to time throughout the day and is affected by lots of

different factors such as stress, eating, smoking, alcohol consumption, medication, and physical activity, etc.

Normally the blood pressure rises while at work and is at its lowest during sleeping period.

● Blood pressure measurements should be interpreted by a physician or a trained health professional who is

familiar with your medical history. Using the unit and recording the results regularly for your physician to interpret,

you will keep your physician informed of the continuing changes in your blood pressure.

● If you have one of the circulatory problems as arteriosclerosis, diabetes, liver disease, kidney disease, severe

hypertension, peripheral circulation….., please consult your healthcare professional before using the device.

*Attention!

1. Do not use the device on infants, children, or those who cannot express their own intention.

2. The device is equipped with sensitive electronic components. While measuring, avoid strong

electrical or electromagnetic fields, e.g. mobile phones, microwave ovens, etc; or it may lead to

temporary reading error or inaccuracy.

3. Over high frequency measurements may result in blood flow interference, which is likely to cause

uncomfortable sensations, such as partial subcutaneous hemorrhage, or temporary numbness

to your wrist. In general, these symptoms should not last long. However, if you do not recover in

time, please seek your medical practitioners for help.

Once pulse is detected, the symbol flashes with each pulse beat.

→ Our suggestion: Please do not talk or move during measurements.

This symbol appears for 1 minute when the user was talking, moving, shaking, or an irregular heart

beat was detected during measurements.

→ Our suggestion:

Please do not talk or move during measurements.

Repeat the measurement after resting for at least 5 minutes, and restart your measurement while

sitting down comfortably and quietly.

This symbol appears when the battery power is excessively low or the polarity reverses.

→ We suggest you replace all batteries with new ones, and make sure the +/- polarities are properly

positioned.

* Figure No.1

After each measurement is completed,

the LCD display will show your position

automatically on the six segments of

the bar indicator which corresponds to

Risk Category Indicator.

Optimal

Red

Red

Red

Orange

Yellow

Green

Normal

High normal

Mild hypertension

Moderate hypertension

Severe hypertension

120 130

85

80

95

100

90

105

110

140 150 160 170 180

WHO

● Risk Category Indicator

This device is equipped with Risk Category Indicator which classifies your blood pressure

measurements into six stages (Optimal to Severe hypertension) as shown in below chart:

Features

Memory Average

This symbol appears when LCD displays average value of last 3 readings.

Measurement

Number Symbol

This symbol goes along with figures according to the order of reading stored in the memory.

Risk Category

Indicator Bar

The arrowhead points out the specific Risk Category that your measurement reading fits in.

*Source: WHO, 2003

Stages of blood

pressure levels

Systolic

(mmHg)

Diastolic

(mmHg)

Grade 3

Grade 2

Grade 1

Severe Hypertension

Moderate Hypertension

Mild Hypertension

≥180

160~179

140~159

130~139

120~129

<120

High-normal

Normal

Optimal

≥110

100~109

90~99

85~89

80~84

<80

Recommendations by SIGN 49:

Hypertension in older people

Confirm immediately and repeat BP in one day and again within one week

depending on clinical situation.

Serial blood pressures repeated within one month.

Provide advice about lifestyle modification and confirm within two months.

Provide advice about lifestyle modification and recheck in one year.

Recheck in 2-5 years.

(patients aged >75 years offered annual health check)

*Attention!

● Batteries are hazardous waste. Do not dispose of them together with the household garbage.

Please take the used batteries to the recycling collection point according to your local regulations.

● Keep the battery away from small children in case they swallow it.

● To prolong the battery life and prevent damage caused by leakage, remove the batteries from the

device if the device is not to be used for a long period.

● Memories (if any) will not be deleted during battery replacement.

● After replacing the batteries, reset the date and time.

● Setting year, date and time

A. Firstly, to enter Setting Mode, press MODE button then YEAR digit flashes.

Press SET button to select current year.

B. Press MODE button, MONTH digit flashes. Press SET button to select current MONTH.

C. Continue to set current DATE (varies from 1 to 31), HOUR (1, 2……12PM, 1PM……,12) and

MINUTE (00,01……,59) by following Step B.

D. The setting program is designed for our users to adjust YEAR-MONTH-DATE-HOUR-MINUTE in

an orderly manner. Press MODE button to save the settings and switches to Standby Mode.

Measurement Procedure

Applying the Cuff

● Do not place the pressure cuff over a jacket or sweater sleeve. Wrap the pressure cuff

around the bare wrist with the monitor facing you.

● Wrap the cuff snugly. Do not make it too tight.

● Fold the remaining part of the cuff back out of the way.

● Leave approximately 0.4 inch (10 mm) between the cuff and the bottom of your hand palm.

Positioning Guide

It is extremely important that the cuff be at the same height as the heart.

Having the cuff higher or lower may cause inaccurate results.

1. Sit down comfortably with your feet flat on the floor.

2. Position the blood pressure monitor on your wrist.

3. Place your elbow on the table and rest the back of your hand on the device storage case

or other object

4. Rest your wrist on the armrest until it’s at the same height as your heart.

5. Relax your hand and turn your palm upwards.

● Switching on the monitor

A. Switch on the monitor by pressing START/STOP button.

B. All segments will appear on the screen for 3 seconds.

● Taking a measurement

A. Press SET button to select User 1, 2 or 3.

B. With the cuff wrapped around your wrist, press START/STOP

button to confirm the chosen user and start measurement.

*Note!

● Do not use this device if your wrist has any wound or injury.

● Do not wrap the cuff around any body part other than your wrist.

5.3 ~ 7.7 inch

(135 ~ 195 mm)

0.4 inch (10 mm)

Storage and Maintenance

SYMBOLS/ SYMPTOMS CONDITIONS/ CAUSES INDICATION/ CORRECTION

Troubleshooting

● General Use

˙ Do not in any way twist the cuff.

˙ Do not press START/STOP button if the cuff is not wrapped around the wrist.

˙ Do not drop the product and avoid any strong impacts.

● Maintenance

˙ Use a piece of cloth with water or mild cleansing agent to wipe the device and dry it immediately with a dry cloth.

˙ Do not use detergent or any strong chemicals to clean the device.

˙ Use only a dry cloth to wipe the cuff.

˙ Do not attempt to disassemble or change any parts of the monitor, including wrist cuff, due to substitution of a

component different from that supplied might result in measurement error.

˙ If any suggestion or service is requested, please consult your service station.

● Storage

˙ If the device is not to be used for a long time, please remove the batteries from the device (leaking of battery

acid can cause the device to malfunction).

˙ Always store the unit in the storage case after use.

˙ Do not place the device directly under sunlight, in high temperature, or in humid or dusty places.

˙ Do not store the device in extremely low (less than –13 °F/ –25 °C) and high (more than 158 °F/ 70 °C)

temperature, nor in a place its humidity exceeds 93% R.H.

Unit does not turn on when

START/STOP button is pushed.

Batteries have run down. Replace them with 2 new AAA / LR03

alkaline batteries.

Measuring Error Symbol Air circuit abnormality. Measure again.

Measuring Error Symbol Inflation pressure exceeding 300 mmHg. Switch the unit off, then measure again.

Measuring Error Symbol Error determining measurement data. Measure again.

Measuring Error Symbol shown

on display when blood pressure value

displayed is excessively low or high.

Note: If "EP" appears on the display, just return the device to your local distributor or importer.

Battery polarities have been positioned

incorrectly.

Re-insert the batteries in the correct

positions.

Cuff has been placed incorrectly. Wrap the cuff properly so that it is

positioned correctly.

Did you talk or move during measurement? Measure again. Keep wrist steady during

measurement.

Shaking of the wrist with the cuff on.

● Erasing data

A. Press SET button to select User 1, 2 or 3.

B. Press MEM button to enter Memory Mode.

C. Press and hold SET and MODE buttons at the same time, all data for the selected user

will be erased automatically.

D. To confirm the data in the selected user has been erased, press MEM button and no data should appear.

Note: Once deleted, your data can NOT be restored.

SYS.

DIA.

PUL.

mmHg

mmHg

min

MODE

SET

MEM

START

STOP

● This product is not suitable for people with arrhythmias and pregnant women.

● Blood pressure measurements taken with this device are equivalent to those obtained by a trained observer

using the cuff / stethoscope auscultation method and are within the accuracy limits prescribed by the Standard of

EN 1060-4.

All display symbols appear on the screen for 3 seconds. After all symbols disappear, the display will show

“00”. The monitor is “Ready to Measure” and will automatically inflate to the level that is right for you.

C. After the initial inflation of the cuff, the pressure will slowly decrease and when a pulse is detected, PULSE

SYMBOL will start flashing.

D. When the measurement is finished, the systolic pressure, diastolic pressure, and heart rate

with RISK CATEGORY INDICATOR bar will be displayed for about 1 minute.

E. The monitor will automatically switch to Power Saving Mode if no operation in 1 minute.

*Note!

● Do not inflate the cuff until it is wrapped around your wrist.

*Note!

● This monitor will re-inflate automatically if the system detects that your body requires more

pressure for measurement.

● If the cuff does not stop inflating, remove the cuff at once.

● To stop measurement, press START/STOP button and switch to Standby Mode.

● Storing data

After each measurement, the systolic and diastolic pressure, heart rate, Risk Category Indicator

bar, and Irregular Heartbeat Detector symbol with the time and date will be automatically stored.

The monitor features a 3 user memory capability. Each user holds the last 40 measurements,

replacing the oldest data with new one.

Memory Function

0197

Note

This blood pressure monitor complies with the EC Directive and bears the CE mark ”CE0197”.

This blood pressure monitor also complies with mainly following standards (included but not limited):

Safety standard:

EN 60601-1 Medical electrical equipment part 1: General requirements for safety

EMC standard:

EN 60601-1-2 Medical electrical equipment part 1-2: General requirements for safety- Collateral standard: Electromagnetic compatibility-

Requirements and tests

Performance standards:

EN 1060-1 Non-invasive sphygmomanometers - General requirements

EN 1060-3 Non-invasive sphygmomanometers - Supplementary requirements for electromechanical blood pressure measuring systems.

EN 1060-4 Non-invasive sphygmomanometers - Test procedures to determine the overall system accuracy of automated non-invasive

sphygmomanometers.

Follow instructions for use.

Keep dry.

Classification:

- Internally powered equipment

- BF type applied part

- IPX0

- Not suitable for use in presence of flammable anesthetic

mixture with air or with Oxygen or nitrous oxide

- Continuous operation with short-time loading

To avoid inaccurate results caused by electromagnetic

interference between electrical and electronic equipments,

do not use the device near a mobile phone or microwave

oven. At least keep a maximum output power of 2 W yields

and a distance 3.3m away from this equipment.

● To ensure precise measurement reading, recalibration

of the device is recommended after 2 years from the

date of purchase. Shipping plus handling cost and

recalibration service fee shall be charged accordingly.

Discard the used product to the recycling

collection point according to local regulations.

HEALTH & LIFE Co., Ltd.

9F, No. 186, Jian Yi Road, Zhonghe District,

New Taipei City, Taiwan

www.healthandlife.com.tw

EMERGO EUROPE

Molenstraat 15, 2513 BH, The Hague, The

Netherlands

Distributor:

Sabre Nederland b.v.

Ellermanstraat 23

1099 BX Amsterdam the Netherlands

● Irregular Heartbeat Detector

The symbol will appear on screen indicating a certain heartbeat irregularity was

detected during measurement. The heartbeat rhythm that is more than or less than

25% from the average rhythm is usually defined as an irregular heartbeat rhythm.

Talking, moving, shaking or an irregular pulse during the measurement can result in the appearance

of this symbol. Usually this is not a cause for concern, however if the symbol appears often, we

recommend you seek medical advice. And please note that the device does not replace a cardiac

examination, but serves to detect pulse irregularities at an early stage.

● Recalling data

A. Press SET button to select User 1, 2 or 3.

B. Press MEM button to enter Memory Mode.

Once there is data stored before, the first reading will be the average of the latest 3 measurements.

If no such data stored before, then monitor displays as it is.

C. Press MEM button again. The latest measurement will appear with the recording date and time.

D. Press MEM button to read the following measurements in sequence.

E. To stop reading the memories, press START/STOP button and switch to Standby Mode.

GB

Optimal

Normal

High normal

Mild hypertension

Moderate hypertension

Severe hypertension

120 130

85

80

95

100

90

105

110

140 150 160 170 180

P/N：32310XXXX VER：001

Rating

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