Unstable blood pressure due
Take another measurement.
The systolic and diastolic
values are within 10 mmHg of
Apply the cuff correctly, and
take another measurement.
The pressure value did not
increase during the inflation.
The pulse is not detected
then install the batteries again.
If the error still appears, contact
Symbols printed on the device case.
Symbols Function / Meaning
Standby and Turn the device on.
Systolic blood pressure in mmHg
Diastolic blood pressure in mmHg
Battery installation guide
Type BF: Device, cuff and tubing are designed to provide
special protection against electrical shocks.
EC directive medical device label
Refer to instruction manual/booklet
International protection symbol
6.
6.
6.
6.6. Using the M
Using the M
Using the M
Using the MUsing the Monitor
onitor
onitor
onitoronitor
Installing / Changing The Batteries
Installing / Changing The Batteries
Installing / Changing The Batteries
Installing / Changing The Batteries Installing / Changing The Batteries
1. Remove the battery cover.
2. Remove the used batteries from
the battery compartment in case
3. Insert new batteries into the
battery compartment as shown,
taking care that the polarities (+)
4. Replace the battery cover. Use
only R6P, LR6 or AA batteries.
Insert the batteries as shown in the battery compartment. If installed
incorrectly, the device will not work.
When blinks on the display and the device announces that the
battery needs to be replaced, replace all batteries with new ones. Do
not mix old and new batteries. It may shorten the battery life, or cause
the device to malfunction. Replace the batteries two seconds or more
after the device turns off.
does not appear when the batteries are drained.
The battery life varies with the ambient temperature and may be shorter
Generally, four new R6P batteries will last approximately for three
months when used twice for measurement each day.
Use the specified batteries only. The batteries provided with the device
are for testing the device performance and may have a limited life.
Remove the batteries if the device is not to be used for a long time. The
batteries may leak and cause a malfunction.
Connecting The Air Hose
Connecting The Air Hose
Connecting The Air Hose
Connecting The Air Hose Connecting The Air Hose
Insert the air connector plug
into the air socket firmly.
Connecting The AC Adapter
Connecting The AC Adapter
Connecting The AC Adapter
Connecting The AC Adapter Connecting The AC Adapter
Insert the AC adapter plug into the DC
jack. Then, insert the AC adapter into
an electrical outlet. The AC adapter, the
model TB-233C is sold separately.
When disconnecting the AC
adapter from the electrical outlet,
grasp and pull the AC adapter body
When disconnecting the AC adapter plug from the blood pressure
monitor, grasp and pull the AC adapter plug out of the monitor.
Selecting The Corr
Selecting The Corr
Selecting The Corr
Selecting The CorrSelecting The Correct Cuff
ect Cuff
ect Cuff
ect Cuff ect Cuff
Using the correct cuff size is important for an accurate reading. If the
cuff is not the proper size, the reading may yield an incorrect blood
The arm size is printed on each cuff.
The index and proper fit range, on the cuff, tell you if you are
applying the correct cuff. Refer to "6.5 Applying The Arm Cuff
6.5 Applying The Arm Cuff
6.5 Applying The Arm Cuff
6.5 Applying The Arm Cuff6.5 Applying The Arm Cuff".
If the index points outside of the range, contact your local dealer to
purchase a replacement cuff.
The arm cuff is a consumable. If it becomes worn, purchase a new one.
Arm Size Recommended Cuff Size Catalog Number
31 cm to 45 cm Large adult cuff CUF-F-LA
22 cm to 32 cm Adult cuff CUF-F-A
Arm size: The circumference at the biceps.
Note: Models UA-611 and UA-651 are not designed for using a small
Symbols printed on the cuff.
Symbols Function / Meaning Recommended Action
Proper fit range for the adult cuff. It's
printed on the adult cuff.
Over range printed on the adult cuff.
instead of the adult cuff.
Proper fit range for the large adult cuff.
It's printed on the large adult cuff.
Under range printed on the adult cuff.
Under range printed on the large adult
Applying The Arm Cuff
Applying The Arm Cuff
Applying The Arm Cuff
Applying The Arm Cuff Applying The Arm Cuff
1. Wrap the cuff around the upper arm, about 1 to 2 cm above the inside
Place the cuff directly against the skin, as clothing may cause a faint
pulse and result in a measurement error.
2. Constriction of the upper arm, caused by rolling up a shirtsleeve, may
prevent accurate readings.
3. Confirm that the index points within the proper fit range.
Note: During measurement, it is normal for the cuff to feel very tight. (Do
7.
7.
7.
7.7. Measurements
Measurements
Measurements
Measurements Measurements
Normal Measureme
Normal Measureme
Normal Measureme
Normal MeasuremeNormal Measurement
nt
nt
nt nt
1. Place the cuff on the arm at heart
level (preferably the left arm). Sit
quietly during measurement.
2. Press the _START_ button.
All of the display segments are
displayed. Zero is displayed
blinking briefly. Then the display
changes, as indicated in the
figure at the right, as the
measurement begins. The cuff
starts to inflate. It is normal for the
cuff to feel very tight. A pressure
bar indicator is displayed, as in
the figure at the right, during
Note: If you wish to stop inflation at any time,
press the _START_ button again.
3. When inflation is complete,
deflation starts automatically and
indicating that the measurement
is in progress. Once the pulse is
detected, the mark blinks with
Note: If an appropriate pressure is not
obtained, the device starts to
4. When the measurement is
complete, the systolic and
diastolic pressure readings and
pulse rate are displayed. The cuff
exhausts the remaining air and
5. Press the _START_ button again to turn off the power.
Note: Model UA-611 and UA-651 are provided with an automatic power
shut-off function. Allow at least 3 minutes between measurements on
Measurement with the Desired Systolic P
Measurement with the Desired Systolic P
Measurement with the Desired Systolic P
Measurement with the Desired Systolic PMeasurement with the Desired Systolic Pressure
ressure
ressure
ressureressure
If re-inflation occurs repeatedly,
use the following methods. If your
systolic pressure is expected to
exceed 230 mmHg, use this
1. Place the cuff on the arm at heart
level (preferably the left arm).
2. Press the _START_ button.
3. During the zero blinks, press and
hold the button until a _START_
number about 30 to 40 mmHg higher
than your expected systolic pressure
4. When the desired number is
reached, release the _START_ button
to start measurement. Then continue
to measure your blood pressure as
described on the section "7.1
7.1
7.1
7.1 7.1
Normal Measurement
Normal Measurement
Normal Measurement
Normal MeasurementNormal Measurement".
Notes for Accurate Measurement
Notes for Accurate Measurement
Notes for Accurate Measurement
Notes for Accurate Measurement Notes for Accurate Measurement
Sit comfortably on a chair. Rest your arm on the table. Do not cross
your legs. Keep your feet on the floor and straighten your back.
Sit down in a comfortable position. Place your arm on a table with your
palm facing upward and the cuff at the same level as your heart.
Place the center of the cuff at the same level as your heart.
Relax for about five to ten minutes before measurement. If you are
excited or depressed by emotional stress, the measurement will reflect
this stress as a higher (or lower) than normal blood pressure reading
and the pulse reading will usually be faster than normal.
Remain still and keep quiet during measurement.
Do not measure immediately after physical exercise or a bath. Rest for
twenty or thirty minutes before taking the measurement.
An individual's blood pressure varies constantly, depending on what
you are doing and what you have eaten. What you drink can have a
very strong and rapid effect on your blood pressure.
This device bases its measurements on the heartbeat. If you have a
very weak or irregular heartbeat, the device may have difficulty
determining your blood pressure.
Should the device detect a condition that is abnormal, it will stop the
measurement and display an error symbol. Refer to the section "5
5
5
5 5
Symbols
Symbols
Symbols
SymbolsSymbols" for the description of the symbols.
This device is intended for use by adults. Consult with your physician
before using this device on a child. A child should not use this device
Try to measure your blood pressure at the same time every day.
The automatic blood pressure monitor's performance may be affected by
excessive temperature or humidity, or altitude.
8.
8.
8.
8.8. Recalling the Memory Data
Recalling the Memory Data
Recalling the Memory Data
Recalling the Memory Data Recalling the Memory Data
The device automatically stores up to thirty blood pressure and pulse
measurements in memory. Data stored in memory are assigned a data
number in the order of the newest to the oldest. The oldest data displays as
" ". The symbol in the upper left corner of the display indicates that
you are viewing previous data stored in memory.
Recalling Data
Recalling Data
Recalling Data
Recalling Data Recalling Data
1. When nothing is displayed, press
and hold the _START_ button to
2. Release the button when
displaying the average data.
3. The data number and stored data
are automatically displayed in
order from the last measurement.
4. The display will turn off
automatically after all data is
Note: If you press the _START_ button
while recalling data, the device
Cleari
Cleari
Cleari
CleariClearing Data
ng Data
ng Data
ng Data ng Data
1. When turning off the device,
press and hold the _START_
3. Data is cleared when the
9.
9.
9.
9.9. What is an Irregular
What is an Irregular
What is an Irregular
What is an Irregular What is an Irregular Heartbeat
Heartbeat
Heartbeat
Heartbeat Heartbeat
The UA-611 and UA-651 provide a blood pressure and pulse rate
measurement even when an irregular heartbeat occurs. An
irregular heartbeat is defined as a heartbeat that varies by 25%
from the average of all heartbeats during the blood pressure
measurement. It is important that you are relaxed, remain still
and do not talk during measurements.
Note: We recommend contacting your physician if you see this
10.
10.
10.
10.10.
Pressure Ba
Pressure Ba
Pressure Ba
Pressure BaPressure Bar Indicator
r Indicator
r Indicator
r Indicator r Indicator
The indicator monitors the progress of pressure during
11.
11.
11.
11.11.
About Blood Pre
About Blood Pre
About Blood Pre
About Blood PreAbout Blood Pressure
ssure
ssure
ssure ssure
Blood pressure is the force exerted by blood against the walls of
the arteries. Systolic pressure occurs when the heart contracts.
Diastolic pressure occurs when the heart expands. Blood
pressure is measured in millimeters of mercury (mmHg). One's
natural blood pressure is represented by the fundamental
pressure, which is measured first thing in the morning while one
is still at rest and before eating.
12.
12.
12.
12.12.
WHO Classification Indicator
WHO Classification Indicator
WHO Classification Indicator
WHO Classification Indicator WHO Classification Indicator
Each segment of the bar indicator corresponds to the WHO blood
: The indicator displays a
13.
13.
13.
13.13.
Troubleshooting
Troubleshooting
Troubleshooting
Troubleshooting Troubleshooting
Problem Possible Reason Recommended Action
Replace all batteries with new
Reinstall the batteries with
negative and positive terminals
matching those indicated on the
Replace all batteries with new
Apply the cuff correctly.
Make sure you remain still and
quiet during measurement.
Sit comfortably and still. Place
your arm on a table with your
palm facing upward and the cuff
at the same level as your heart.
If you have a very weak or
irregular heartbeat, the device
may have difficulty in determining
At a clinic or doctor's office, an
apprehension may cause an
measurement reduces the effects
of outside influences on blood
pressure readings, supplements
Remove the batteries. Place them
back properly and take another
Note: If the actions described above do not solve the problem, contact
the dealer. Do not attempt to open or repair this product, as any
attempt to do so will make your warranty invalid.
14.
14.
14.
14.14.
Maintenance
Maintenance
Maintenance
Maintenance Maintenance
Do not open the device. It uses delicate electrical components and
an intricate air unit that could be damaged. If you cannot fix the
problem using the troubleshooting instructions, contact the
authorized dealer in your area or our customer service department.
The A&D customer service will provide technical information, spare
parts and units to authorized dealers.
The device was designed and manufactured for a long service life.
However it is generally recommended to have the device inspected
every 2 years, to ensure proper functioning and accuracy. Please
contact the authorized dealer in your area or A&D for maintenance.
15.
15.
15.
15.15.
Technical Data
Technical Data
Technical Data
Technical Data Technical Data
Measurement method Oscillometric measurement
Measurement range Pressure: 0 - 299 mmHg
Systolic pressure: 60 - 279 mmHg
Diastolic pressure: 40 - 200 mmHg
Pulse: 40 - 180 beats / minute
Measurement accuracy Pressure: ±3 mmHg
Power supply 4 x 1.5V batteries (R6P, LR6 or AA)
Optional AC adapter (TB-233C) (Not included)
With pressure value 180 mmHg, room
Classification Internally powered ME equipment
Continuous operation mode
Clinical test According to ISO81060-2：2013
Memory Last 30 measurements
Operating conditions +10 to +40 °C / 15 to 85 %RH / 800 to 1060 hPa
Transport / Storage conditions
-20 to +60 °C / 10 to 95 %RH / 700 to 1060 hPa
Dimensions Approx. 96 [W] x 68 [H] x 130 [D] mm
Weight Approx. 230 g, excluding the batteries
Ingress protection Device: IP20
Applied part Cuff Type BF
Useful life Device: 5 years (
when used six times a day
when used six times a day
when used six times a day
Accessory AC adapter/TB233C
The adapter is to connect the device to a
power source at home. Please contact your
local A&D dealer for purchasing. The AC
adapter is required to be inspected or
Symbols that are printed on the AC adapter.
Symbols Function / Meaning
EC directive device label
EAC certification device label
Polarity of AC adapter plug
Accessories sold separately
Cuff Catalog Number Cuff Size Arm Size
CUF-F-LA Large adult cuff 31 cm to 45 cm
CUF-F-A Adult cuff 22 cm to 32 cm
Arm size: The circumference at the biceps.
AC Adapter Catalog Number Plug (Outlet type)
Note: Specifications are subject to change without prior notice.
IP classification is the degrees of protection provided by
enclosures in accordance with IEC 60529. This device is
protected against solid foreign objects of 12 mm diameter and
greater such as a finger. This device is not protected against
Digital Blood Pressure Monitor
1.
1.
1.
1.1. Dear Customers
Dear Customers
Dear Customers
Dear Customers Dear Customers
The A&D blood pressure monitor is one of the most advanced
monitors available and is designed for ease of use and accuracy.
This device will facilitate your daily blood pressure regimen.
We recommend that you read through this manual carefully before
using the device for the first time.
2.
2.
2.
2.2. Preliminary Remarks
Preliminary Remarks
Preliminary Remarks
Preliminary Remarks Preliminary Remarks
This device conforms to the European Directive 93/42 EEC for
Medical Products. This is made evident by the mark of
conformity. (0123: The reference number to the involved notified
The device is designed for use on adults, not newborns or infants.
Environment for use. The device is for use to operate by yourself in
the home healthcare environment.
This device is designed to measure blood pressure and pulse rate
3.
3.
3.
3.3. Precautions
Precautions
Precautions
Precautions Precautions
Precision components are used in the construction of this device.
Extremes in temperature, humidity, direct sunlight, shock or dust
Clean the device and cuff with a dry, soft cloth or a cloth dampened with
water and a neutral detergent. Never use alcohol, benzene, thinner or
other harsh chemicals to clean the device or cuff.
Avoid tightly folding the cuff or storing the hose tightly twisted for
long periods, as such treatment may shorten the life of the
Take care to avoid accidental strangulation of babies or infants
Do not twist the air hose during measurement. This may cause
injury due to continuous cuff pressure.
The device and cuff are not water resistant. Prevent rain, sweat
and water from soiling the device and cuff.
Measurements may be distorted if the device is used close to
televisions, microwave ovens, cellular telephones, X-ray or other
devices with strong electrical fields.
Wireless communication devices, such as home networking
devices, mobile phones, cordless phones and their base stations,
walkie-talkies can affect this blood pressure monitor.
Therefore, a minimum distance of 30 cm should be kept from
When reusing the device, confirm that the device is clean.
Used equipment, parts and batteries are not treated as ordinary
household waste, and must be disposed of according to the
applicable local regulations.
Do not modify the device. It may cause accidents or damage to
To measure blood pressure, the arm must be squeezed by the
cuff hard enough to temporarily stop blood flow through the
artery. This may cause pain, numbness or a temporary red mark
to the arm. This condition will appear especially when
measurement is repeated successively. Any pain, numbness, or
red marks will disappear with time.
Measuring blood pressure too frequently may cause harm due to
blood flow interference. Check that the operation of the device
does not result in prolonged impairment of blood circulation,
when using the device repeatedly.
Clinical testing has not been conducted on newborn infants and
pregnant woman. Do not use on newborn infants or pregnant woman.
If you have had a mastectomy, please consult a doctor before
Do not let children use the device by themselves and do not use
the device in a place within the reach of infants. It may cause
There are small parts that may cause a choking hazard if
swallowed by mistake by infants.
Do not touch the batteries, the DC jack, and the patient at the
same time. That may result in electrical shock.
Unplug the AC adapter when not in use during the measurement.
Use of accessories not detailed in this manual may compromise safety.
Should the battery short-circuit, it may become hot and
Allow the device to adapt to the surrounding environment before
Do not inflate without wrapping the cuff around the upper arm.
The following are precautions for proper use of the device.
Do not apply the cuff on an arm with another medical electrical
equipment attached. The equipment may not function properly.
People who have a severe circulatory deficit in the arm must consult a
doctor before using the device, to avoid medical problems.
Do not self-diagnose the measurement results and start
treatment by yourself. Always consult your doctor for evaluation
of the results and treatment.
Do not apply the cuff on an arm with an unhealed wound.
Do not apply the cuff on an arm receiving an intravenous drip or
blood transfusion. It may cause injury or accidents.
Do not use the device where flammable gases such as
anesthetic gases are present. It may cause an explosion.
Do not use the device in highly concentrated oxygen
environments, such as a high-pressure oxygen chamber or an
oxygen tent. It may cause a fire or explosion.
4.
4.
4.
4.4. Parts Identification
Parts Identification
Parts Identification
Parts Identification Parts Identification
5.
5.
5.
5.5. Symbols
Symbols
Symbols
Symbols Symbols
Symbols that appear on the display
Symbols Function / Meaning Recommended Action
Appears while measurement
is in progress. It blinks when
progress. Remain as still
irregular heartbeat is detected.
It may light when a very slight
vibration like shivering or
The battery power indicator
The battery power is low when
Replace all batteries with
Secure the fabric fastener
Index and Proper fit range
" "
7.1 Normal Measurement
7.1 Normal Measurement
7.1 Normal Measurement
7.1 Normal Measurement7.1 Normal Measurement
WHO Classification Indicator
All of the display segments
(Irregular Heartbeat symbol)
Pressure Bar Indicator and
WHO Classification Indicator
Note: Model UA-611 doesn't have the DC jack for AC adapter.
The DC jack is located on the rear of the model,UA-651 only. The
AC adapter is an optional accessory.(sold separately)
Do not roll up shirtsleeve tightly
