- The Bluetooth® word mark and logos are registered trademarks owned by the Bluetooth SIG, Inc. and any use of such marks by Rossmax International Ltd. is under
license. Other trademarks and trade names are those of their respective owners.
- The blood pressure monitor uses Bluetooth®(Bluetooth® low energy technology)
- Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc.
- Google Play and the Google Play logo are trademarks of Google Inc.
Data Transfer via Bluetooth®
Please download and install the
free Healthstyle APP onto your
smartphone
Healthstyle APP
Blood pressure measurements determined with Z5 are equivalent to those obtained by a trained
observer using cu/stethoscope auscultation method, within the limits prescribed by the American
National Standard, Electronic or Automated Sphygmomanometers.
This unit is to be used by adult consumers in a home environment. The patient is an intended op-
erator. Do not use this device on infants or neonates. Z5 is protected against manufacturing defects
by an established International Warranty Program. For warranty information, you can contact the
manufacturer, Rossmax International Ltd.
Attention: Consult the accompanying documents. Please read this manual carefully 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 arrhythmia, 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 arrhythmia during regular blood pressure checks without
any additional user skills, user interaction and measurement prolongation. Beside the blood pressure
diagnosis a specic pulse arrhythmia diagnosis is provided with PARR.
Note: The PARR detection of AFib and PC is provided with a clinically proven high detection prob-
ability [1]. However, the sensitivity and specicity is limited, thus most, but not all pulse arrhyth-
mia 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: [1] Clinical Investigation of PARR - A new Oscillometric Pulse Arrhythmia Type Discriminating
Detection Technology.
The upper chambers of the heart (the atria) do not contract, but quiver and thus blood is driven irreg-
ularly 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: 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 incidence of AFib read-
ings 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.
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 disorders. 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 myocar-
ditis (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: 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 incidence of PC readings chang-
es 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 arrhythmia can be specied
by the PARR technology, the ARR icon is accompanied by the specically detected type of arrhyth-
mia, 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 incidence 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.
DisplayResults
- Normal nding
ARRPulse Arrhythmia without type-specic detection
ARR PCPulse Arrhythmia-Premature ventricular, atrial or nodal beat detection
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