Blood pressure measurements determined with X5 are equivalent to those obtained by
a trained observer using cu/stethoscope auscultation method, within the limits pre-
scribed by the American National Standard, Electronic or Automated Sphygmomanom-
eters. This unit is to be used by adult consumers in a home environment. The patient is an
intended operator. Do not use this device on infants or neonates. X5 is protected against
manufacturing defects by an established International Warranty Program. For warranty
information, you can contact the manufacturer, Rossmax International Ltd.
-
fully before use. For specic information on your own blood pressure, contact your
physician. Please be sure to keep this manual.
Pulse Arrhythmia (PARR) technology specically detects the existence of pulse arrhyth-
mia, including atrial brillation (AFib), Atrial and / or Ventricular Premature Contractions
(PC). Pulse Arrhythmia may be related to cardiac disorders, needs medical attention and
thus early diagnosis is of paramount importance. The PARR technology detects arrhyth-
mia during regular blood pressure checks without any additional user skills, user interac-
tion and measurement prolongation. Beside the blood pressure diagnosis a specic pulse
arrhythmia diagnosis is provided with PARR.
Note: -
tion probability [1]. However, the sensitivity and specicity 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:
Discriminating Detection Technology.
The upper chambers of the heart (the atria) do not contract, but quiver and thus blood
is driven irregularly and with lower eciency 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 brillation
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 suer from an ischemic stroke also suer from atrial brillation.
Atrial brillation 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 AFib state, or you measure during
an ongoing period of active atrial brillation, or you measure in between periods of AFib,
the PARR technology can be applied at any of these conditions. This unit is able to detect
Atrial brillation (AFib). The ARR and AFib icons (
) are displayed right after the
measurement if Atrial Fibrillation was detected.
Note:
occurs newly for several times, or, if your AFib is known to your doctor, but the inci-
dence of AFib readings changes over time. Your doctor will then be able to provide
all required medical test and possible therapeutic procedures.
Note:
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 signicant
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 disor-
ders. Some of these disorders go along with an elevated risk prole 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 (
) are displayed right after the
measurement if premature contractions have been detected.
Note:
occurs newly for several times, or, if your PC is known to your doctor, but the inci-
dence of PC readings changes over time. Your doctor will then be able to provide
all required medical test and possible therapeutic procedures.
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 ar-
rhythmia can be specied by the PARR technology, the ARR icon is accompanied by the
specically detected type of arrhythmia, e.g. PC or AFib. Once the kind of found pulse ar-
rhythmia cannot be safely determined by PARR, the device is displaying ARR without any
additional pulse arrhythmia type icon.
This unit uses the oscillometric method to detect your blood pressure. Before the cu starts
inating, the device will establish a baseline cu pressure equivalent to the air pressure.
This unit will automatically determine the appropriate ination level based on pressure
oscillations, followed by cu deation.
During the deation, the device will detect the amplitude and slope of the pressure os-
cillations and thereby determine your actual the systolic blood pressure, diastolic blood
pressure, and pulse rate.
This Blood Pressure Monitor complies with the European regulations and bears the CE
mark “CE 0120”. The quality of the device has been veried and conforms to the provisions
of the EC council directive 93/42/EEC (Medical Device Directive), Annex I essential require-
ments and applied harmonized standards.
EN 1060-1: 1995/A2: 2009 Non-invasive sphygmomanometers - Part 1 - General require-
ments
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 con-
tinued accuracy, it’s recommended that all digital blood pressure monitors require re-cal-
ibration. 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 dis-
play
. The unit should also be re-calibrated if the monitor sustains damage due to blunt
force (such as dropping) or exposure to uids and / or extreme hot or cold temperature /
humidity changes. When appears, simply return your device to your nearest dealer for
re-calibration service.
Refer to the denitions of the World Health Organization, the blood pressure ranges can be
classied into 6 grades. (Ref. 1999 WHO-International Society of Hypertension Guidelines
for the management of Hypertension). This blood pressure classication are based on sta-
tistical data, and may not be directly applicable to any particular patient. It is important that
you consult with your physician regularly. Your physician will tell you your normal blood
pressure range as well as the point at which you will be considered at risk. For reliable mon-
itoring and reference of your blood pressure, keeping long-term records is recommended.
Please download the blood pressure log at our website www.rossmax.com.
If the cu was applied too loosely, it may cause unreliable measurement results or meas-
urements can fail to start. The “Loose Cu Detection” can help to determine if the cu is
wrapped snugly enough. The specied icon
appears once a “loosen cu” has been
detected during measurement. Otherwise the specied icon
appears if the cu is
wrapped correctly during measurement.
The “Movement Detection” helps reminding the user to remain still and is indicating any
adverse body movement during measurement. The specied icon appears once a “body
movement” has been detected during and after such a measurement.
Note:
appears.
This monitor has a non-stored single measurement function. Press the User-Switching key
to select the memory zone of guest
, and follow the Measurement Procedure to take
a measurement correctly. When the measurement is completed, the measurement value
will not be stored in memory zone.
The World Health Organization, classifying blood pressure ranges into 6 grades. This unit
is equipped with an innovative blood pressure risk indication, which visually indicates the
assumed risk level (optimal / normal / high-normal/ grade1 hypertension / grade 2 hy-
pertension / grade 3 hypertension) of your result, making the meaning of your ndings
comprehensive.
EE / Measurement Error: Make sure the L-plug is securely connected to the air socket and
calmly measure again. Wrap the cu correctly around your arm and keep arm steady dur-
ing 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 o 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 oc-
curring, 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.
1.
2.
indicated near the AC adaptor jack.)
Caution:
1.
time . Leaving the batteries in the compartment for a long time may cause leakage,
which may lead to damage of the unit.
2.
3.
4.
the authorized AC adaptor, please refer to APPENDIX 1.
1.
compartment.
2.
indications inside the compartment.
3.
end of the battery cover.
4.
periods of time.
You need to replace the batteries when
1.
2.
Caution:
1. -
bage.
2.
not covered by warranty.
3. -
ies of the same brand and same type.
1.
2.
closer to you with the tube pointing in the direction of your arm (Fig. ). Turn your left
palm upward and place the edge of the arm cu at approximately 1.5 to 2.5 cm above
the inner side of the elbow joint (Fig. ). Tighten the cu by pulling the end of the cu.
3.
securely. Allow room for 2 ngers to t between the cu and your arm. Position the
artery mark (Ø) over the main artery (on the inside of your arm) (Fig. , ). Note: Locate
the main artery by pressing with 2 ngers 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.
4. ).
5.
Make sure the tube is not kinked (Fig. ).
6.
the right (Fig. ). If the arrow falls outside the solid color line, you will need a cu with
other circumferences. Contact your local dealer for additional size cus.
Introduction
P
A
Prema
Pulse Arr
Real F
Preliminary Remarks
Blood Pressur
Loose C
Name/F
Name/F
Mov
Guest Mode
Hyper
Error C
Using the A
Installing Batteries
Applying the C
Blood Pressure Standard W
Systolic Pr
(mmHg)
Diastolic Pressure
(mmHg)
Optimal
<120 and <80
Normal
120~129 or 80~84
High-normal
130~139 or 85~89
Grade 1 hypertension (mild)
140~159 or 90~99
Grade 2 hypertension (moderate)
160~179 or 100~109
Grade 3 hypertension
≥180 or ≥110
1
5
4
2
3
7
6
8
9
10
1. Arm Cu
2. L
3.
Connector
4. Memor
5. ON/OFF/ST
6. User-Switching key
7. Batter
5
13
1 2 3
14
15
4
9
8
6
7
10
11
12
16
17
1. Arrhythmia Detection (ARR)
2.
3.
4. Date/Time Indication
5.
6. Movement Mark
7. Loose C
8.
9.
10. Memor
11. Memor
12. Bluetooth® Mark
13. Systolic P
14. Diastolic P
15. Pulse Rate
16. Pulse Mark
17.
Center tube over
middle of arm
8. Data Link Socket
9. AC Adapt
10.
Note:
occurs newly for several times, or, if your ARR is known to your doctor, but the inci-
dence of ARR readings changes over time. This is independent whether the ARR icon
is specied 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 ndings.
Display Results
- Normal nding
ARR Pulse Arrhythmia without type-specic detec
ARR PC Pulse Arrhythmia-P
ARR AFib Pulse Arrhythmia-Atrial brillation detection
ARR AFib PC C
Here are a few helpful tips to help you obtain more accurate readings:
•
the day.
• recording be by position the his her -
ological condition and other factors. For greatest accuracy, wait one hour after exercising,
bathing, eating, drinking beverages with alcohol or caeine, or smoking to measure blood
pressure.
• -
ment taken during a relaxed state will have greater accuracy. You should not be physically
tired or exhausted while taking a measurement.
•
• -
ment is being taken.
•
•
•
a while before taking a measurement.
•
location for at least one hour before using it.
•
1.
After a memory zone is selected, press the ON/OFF/START key to reset the monitor so it
can start measurement in the chosen memory zone.
Measurement P
