Blood pressure measurements determined with C5 are equivalent to those obtained by
a trained observer using cuff/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. C5 is protected against
manufacturing defects by an established International Warranty Program. For warranty
information, you can contact your local distributors.
Attention: Consult the accompanying documents. Please read this man ual care-
fully before use. For specific information on your own blood pressure, contact
your physician. Please be sure to keep this manual.
Pulse Arrhythmia (PARR) technology specifically detects the existence of pulse arrhythmia,
including atrial fibrillation (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 arrhythmia dur-
ing regular blood pressure checks without any additional user skills, user interaction and
measurement prolongation. Beside the blood pressure diagnosis a specific pulse arrhyth-
mia diagnosis is provided with PARR.
Note: The PARR detection of AFib and PC is provided with a clinically proven high detection
probability [1]. However, the sensitivity and specificity 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 arrhyth-
mia. 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: [1] Clinical Investigation of PARR - A new Oscillometric Pulse Arrhythmia Type Dis-
criminating Detection Technology.
The upper chambers of the heart (the atria) do not contract, but quiver and thus blood
is driven irregularly and with lower efficiency 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 fibrillation
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 suffer from an ischemic stroke also suffer from atrial fibrillation.
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 significant pauses re-
garding 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 distrib-
uted 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 disorders. Some of these
disorders go along with an elevated risk profile 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 contrac-
tions. The ARR and PC icons (
) are displayed right after the measurement if premature
contractions have been detected.
Note: It is strongly recommended, that you consult your physician, if either the PC icon
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 arrhyth-
mia can be specified by the PARR technology, the ARR icon is accompanied by the specifi-
cally detected type of arrhythmia, e.g. PC or AFib. Once the kind of found pulse arrhythmia
cannot be safely determined by PARR, the device is displaying ARR without any additional
pulse arrhythmia type icon.
Note: It is strongly recommended, that you consult your physician, if either the ARR icon
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 specified 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 findings.
Display
Results
-
Normal finding
ARR
Pulse Arrhythmia without type-specific detection
ARR PC
Pulse Arrhythmia-Premature ventricular, atrial or nodal beat detection
ARR AFib
Pulse Arrhythmia-Atrial fibrillation detection
ARR AFib PC
Combined Pulse Arrhythmia: Atrial fibrillation & Premature beats detection
This unit uses the oscillometric method to detect your blood pressure. Before the cuff starts
inflating, the device will establish a baseline cuff pressure equivalent to the air pressure.
This unit will automatically determine the appropriate inflation level based on pressure
oscillations, followed by cuff deflation.
During the deflation, 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 1639”. The quality of the device has been verified 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 au-
tomated measurement type.
This blood pressure monitor was designed for long service time. To ensure accurate meas-
urements, this monitor is recommended to be re-calibrated every two years.
Refer to the definitions of the World Health Organization, the blood pressure ranges can be
classified into 6 grades. (Ref. 1999 WHO-International Society of Hypertension Guidelines
for the management of Hypertension). This blood pressure classification are based on his-
If the cuff was applied too loosely, it may cause unreliable measurement results or meas-
urements can fail to start. The “Loose Cuff Detection” can help to determine if the cuff is
wrapped snugly enough. The specified icon
appears once a “loosen cuff” has been
detected during measurement. Otherwise the specified icon
appears if the cuff 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 specified icon appears once a “body
movement” has been detected during and after such a measurement.
Note: It’s highly recommended that you measure again if the icon
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/ grade 1 hypertension / grade 2
hypertension / grade 3 hypertension) of your result, making the meaning of your findings
comprehensive.
EE / Measurement Error:
Make sure the L-plug is securely connected to the air socket
and calmly measure again. Wrap the cuff correctly around your arm and keep arm steady
during measurement. If the error keeps occurring, return the device to your local distribu-
tor 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 off 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
occurring, return the device to your local distributor or service centre.
Er / Exceeding Measurement Range:
Measure again quietly. If the error keeps occur-
ring, return the device to your local distributor or service centre.
1. Connect the AC adaptor with the AC adaptor jack on the right side of the unit.
2. Plug the AC adaptor into the socket. (AC adaptors with required voltage and current
indicated near the AC adaptor jack.)
Caution:
1. Please unload the batteries when operating with the AC mode for a longer period
of time . Leaving the batteries in the compartment for a long time may cause leak-
age, which may lead to damage of the unit.
2. No batteries are needed when operating with the AC mode.
3. AC adaptors are optional. Please contact the distributor for the compatible AC adap-
tors.
4. Use only the authorized AC Adaptor with this blood pressure monitor. Information for
the authorized AC adaptor, please refer to APPENDIX 1.
1. Press down and lift the battery cover in the direction of the arrow to open the battery
compartment.
2. Install or replace 4 “AA” sized batteries in the battery compartment according to the
indications inside the compartment.
3. Replace the battery cover by clicking in the bottom hooks first, then push in the top
end of the battery cover.
4. Replace the batteries in pairs. Remove batteries when unit is not in use for extended
periods of time.
You need to replace the batteries when
1. Low battery icon appears on display.
2. The ON/OFF/START key is pressed and nothing appears on display.
Caution:
1. Batteries are hazardous waste. Do not dispose them together with the household
garbage.
2. There are no user serviceable parts inside. Batteries or damage from old batteries are
not covered by warranty.
3. Use exclusively brand batteries. Always replace with new batteries together. Use batter-
ies of the same brand and same type.
Introduction
PARR(Pulse Arrhythmia) Technology
Atrial Fibrillation Detection (AFib)
Premature Contraction Detection (PC)
Pulse Arrhythmia Detection (ARR)
Real Fuzzy Measuring Technology
Preliminary Remarks
Blood Pressure Standard
Loose Cuff Detection
Name/Function of Each Part
Display Explanations
Movement Detection
Guest Mode
Hypertension Risk Indication (HRI)
Error Codes for your reference
Using the AC Adaptor (Optional)
Installing Batteries
1
5
4
2
3
7
6
8
1. Arm Cuff
2. LCD Display
3. Air Tube and Connector
4. User-Switching key
5. ON/OFF/START key
6. Memory Key
Atrial fibrillation 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 fibrillation, 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
fibrillation (AFib). The ARR and AFib icons (
) are displayed right after the measure-
ment if Atrial Fibrillation was detected.
Note: It is strongly recommended, that you consult your physician, if either the AFib icon
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: The presence of a cardiac pacemaker may impair the AFib detection by PARR.
7. Battery Cover
8. AC Adaptor Jack
Center tube over
middle of arm
1. Unwrap the arm cuff, leaving the end of the cuff through the D-ring of the cuff.
2. Put your left arm through the cuff loop. The color strip indication should be positioned
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 cuff at approximately 1.5 to 2.5 cm above
the inner side of the elbow joint (Fig.
). Tighten the cuff by pulling the end of the cuff.
Applying the Cuff
5
13
1
2
3
14
15
4
9
8
6
7
10
11
12
16
17
1. Arrhythmia Detection (ARR)
2. Atrial Fibrillation Detection (AFib)
3. Premature Contraction
Detection (PC)
4. Date/Time Indication
5. Weak Battery Mark
6. Movement Mark
7. Loose Cuff Detection
8. Hypertension Risk Indication
9. Morning and Nighttime Mark
10. Memory/Date Mark
11. Memory Average Mark
12. Bluetooth® Mark
13. Systolic Pressure
14. Diastolic Pressure
15. Pulse Rate
16. Pulse Mark
17. Memory Zone
torical 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
monitoring and reference of blood pressure, keeping long- term records is recommended.
Please download the blood pressure log at our website www.accumed.ch.
Blood Pressure Standard World Health Organization
(WHO) : 1999
Systolic Pressure
(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
www.accumed.ch
Automatic Upper Arm Blood Pressure Monitor
Model:
C5
Blood Pressure
Monitor
Data Transfer via Bluetooth®
Please download and install
the applicable
APP
onto your
smartphone
