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Home HEALTH INFORMATION Frequently Asked Questions Blood Pressure Monitors

Blood Pressure Monitors

What is Blood Pressure?
In the most basic sense, blood pressure is a measure of the force against the walls of your arteries. Arterial blood pressure is constantly changing during the course of the heart’s cycle. The highest pressure in the cycle is called the Systolic Blood Pressure; the lowest the Diastolic Blood Pressure.
Both pressure readings, the Systolic and Diastolic, are necessary to enable a doctor to evaluate the status of a patient’s blood pressure.

Systolic is the pressure exerted as your heart contracts to send a surge of blood through the vessels. Diastolic is the pressure exerted in the arteries when your heart relaxes between heartbeats. A reading between 135 mm Hg (millimetres of Mercury), Systolic and 85 mm Hg Diastolic is considered normal.
According to WHO (World Health Organisation), and ISH (International Society for Hypertension), blood pressure should normally be less than 140 / 90 mm Hg but above 120 / 80 mm Hg for an adult. Blood pressure that stays between 140 -160 / 90 - 95 is considered critical (mild Hypertension), and above this level (160 / 95 mm Hg or higher) is considered high (Hypertension).
The values indicated above may differ by region and country.
Note - your doctor should evaluate unusually low readings.
For additional information please refer to the Instruction Manual for your device.

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How does a digital blood pressure monitor measure blood pressure?
Digital monitors measure blood pressure using the Oscillometric method rather than by Auscultation.
In Auscultation the method typically used by healthcare professionals, a combination of a stethoscope and an arm cuff is used to take blood pressure reading by listening for the sounds which correspond to Systolic and Diastolic pressures (called Korotkoff sound). To take accurate blood pressure readings using this method requires training and practice.
Oscillometric technology measures the vibration of blood travelling through the arteries and converts the movement into digital readings.
OMRON Blood Pressure Monitors use the Oscillometric method of blood pressure measurement. An Oscillometric monitor does not require a stethoscope thus creating a simple to use device.

What is the accuracy of OMRON Blood Pressure Monitors?
All OMRON Blood Pressure Monitors must meet stringent specifications for accuracy. Pressure: +/- 3 mm Hg (millimetres of Mercury), Pulse: +/- 5% of display reading. These values meet or exceed the provisions of EC directive 93/42/EEC(Medical Device Directive), and the European Standard EN1060, Non-invasive sphygmomanometers Part 1: General Requirements and Part 3: Supplementary requirements for electromechanical blood pressure measuring systems.

Is an upper arm blood pressure Monitor more accurate than a wrist type?
Both of these devices must meet the same stringent specifications for accuracy. Pressure: +/- 3 mm Hg (millimetres of Mercury), Pulse: +/- 5% of display reading. These values meet or exceed the provisions of EC directive 93/42/EEC(Medical Device Directive), and the European Standard EN1060, Non-invasive sphygmanometers Part 1: General Requirements and Part 3: Supplementary requirements for electromechanical blood pressure measuring systems.
The choice of device is basically one of convenience. Some people find the compactness of a wrist blood pressure monitor a benefit especially if one is travelling. Others prefer the larger buttons and display on the upper arm blood pressure monitors (easier to use and read).

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What size cuff do I need?
It is very important to use the appropriate size cuff for your arm to obtain accurate measurement results when using your blood pressure monitor. In order to determine the appropriate cuff size, you need to measure the circumference of your arm. You should periodically measure your arm size. This is especially true if you have a borderline arm size measurement, or you may have gained or lost weight.
It is important to ensure the arm cuff you are using with your monitor is the correct size for you. If the incorrect cuff is used the result may be an inaccurate reading and/or the cuff will be damaged (air bladder).
To determine your arm size, use a cloth tape measure and place the tape measure midway between your elbow and your shoulder around the circumference of your upper arm. Wrap the tape measure evenly around your arm. Do not pull the tape tight. Note the precise measurement in centimetres.

Standard Cuff Sizes *:
Small Cuff        - arm sizes 17 – 22 cm
Medium Cuff     - arm sizes 22 – 32 cm
Large Cuff        - arm sizes 32 – 42 cm

Comfort Cuff Sizes *:
The Comfort Cuff will fit arms 22 – 42 cm*

* Please note, not all cuffs can be used with each model of upper arm OMRON Blood Pressure Monitor. Refer to your Instruction Manual for compatibility.

How do I assemble and use the upper arm cuff (small, medium or large)?
When the cuff is assembled correctly, the Velcro hook material will be on the outside of the cuff loop and the metal ring will not touch your skin. If the cuff is open, pass the end of the cuff furthest from the tubing through the metal ring to form a loop. The smooth cloth should be on the inside of the cuff loop.
1. Remove tight-fitting clothing from your upper arm.
2. Sit in a chair with your feet flat on the floor.
3. Put your left arm through the cuff loop. The bottom of the cuff should be about 1 – 2 cm above your elbow (thickness of your index or middle finger). Adjust the cuff around your arm so that the tubing runs down the centre of your arm in line with your middle finger (palm open and facing upwards).
4. Secure the cuff around your arm using the cloth closure. Pull the cuff so that the top and bottom edges are tightened evenly around your arm.
5. The cuff should be firmly secured but not too tight – just enough so that it is difficult to slide 2 fingers under the cuff. This space is imperative for an accurate reading. OMRON's digital Blood Pressure Monitors use the Oscillometric method of blood pressure measurement that detects your blood's movement through your brachial artery and converts this movement into a digital reading.
6. Relax your arm and place your elbow on the table so that the cuff is at the same level as your heart. Turn the palm of your hand upward.
7. Check there are no kinks in the air tubing. Be careful that you do not rest your elbow on the air tube when taking a blood pressure reading.
8. Press the ‘O/I START’ or ‘START’ button to begin the blood pressure reading.
For additional information please refer to the Instruction Manual for your device.

How do I know if the arm cuff is wrapped too tight or too loose?
Small, Medium or Large Cuff:
It is recommended that you apply the cuff using the following directions:
1. Remove tight-fitting clothing from your left upper arm.
2. Sit in a chair with your feet flat on the floor.
3. Put your left arm through the cuff loop. The bottom of the cuff should be about 1 – 2 cm above your elbow (thickness of your index or middle finger). Adjust the cuff around your arm so that the tubing runs down the centre of your arm in line with your middle finger (palm open and facing upwards).
4. Secure the cuff around your arm using the cloth closure. Pull the cuff so that the top and bottom edges are tightened evenly around your arm.
5. The cuff should be firmly secured but not too tight – just enough so that it is difficult to slide 2 fingers under the cuff. This space is imperative for an accurate reading. OMRON's digital Blood Pressure Monitors use the Oscillometric method of blood pressure measurement that detects your blood's movement through your brachial artery and converts this movement into a digital reading.
6. Relax your arm and place your elbow on the table so that the cuff is at the same level as your heart. Turn the palm of your hand upward.
7. Check there are no kinks in the air tubing. Be careful that you do not rest your elbow on the air tube when taking a blood pressure reading.
8. Press the ‘O/I START’ or ‘START’ button to begin the blood pressure reading.
For additional information please refer to the Instruction Manual for your device.

Comfort Cuff:
1. Remove tight-fitting clothing from your left upper arm.
2. Sit in a chair with your feet flat on the floor and place your arm on a table so that the cuff will be at the same level as your heart.
3. Clip the cuff over your lower left arm so the cloth flap is hanging down and slide the cuff up to your upper arm.
4. Turn the palm of your hand upward.
5. Align the middle of the green strip (early version of Comfort Cuff), or the blue line (current version) on the cuff with the inside of the arm in line with the middle finger.
6. The cuff tube should run down the centre of the arm even with the middle finger.
7. The bottom of the cuff should be about 1 – 2 cm above your elbow (thickness of your index or middle finger).
8. Secure the cuff around your arm using the cloth closure.
9. Secure the cuff firmly but not too tight – just enough so that it is difficult to slide 2 fingers under the cuff. This space is imperative for an accurate reading because OMRON's digital Blood Pressure Monitors use the Oscillometric method of blood pressure measurement that detects your blood's movement through your brachial artery and converts this movement into a digital reading.
10. Relax your arm and place your elbow on the table so that the cuff is at the same level as your heart. Turn the palm of your hand upward.
11. Check there are no kinks in the air tubing. Be careful that you do not rest your elbow on the air tube when taking a blood pressure reading.
12. Press the ‘O/I START’ or ‘START’ button to begin the blood pressure reading.
For additional information please refer to the Instruction Manual for your device.

How do I use the pre-formed Comfort Cuff?
1. Remove tight-fitting clothing from your left upper arm.
2. Sit in a chair with your feet flat on the floor and place your arm on a table so that the cuff will be at the same level as your heart.
3. Clip the cuff over your lower left arm so the cloth flap is hanging down and slide the cuff up to your upper arm.
4. Turn the palm of your hand upward.
5. Align the middle of the green strip (early version of Comfort Cuff), or the blue line (current version) on the cuff with the inside of the arm in line with the middle finger.
6. The cuff tube should run down the centre of the arm even with the middle finger.
7. The bottom of the cuff should be about 1 – 2 cm above your elbow (thickness of your index or middle finger).
8. Secure the cuff around your arm using the cloth closure.
9. Secure the cuff firmly but not too tight – just enough so that it is difficult to slide 2 fingers under the cuff. This space is imperative for an accurate reading because OMRON's digital Blood Pressure Monitors use the Oscillometric method of blood pressure measurement that detects your blood's movement through your brachial artery and converts this movement into a digital reading.
10. Relax your arm and place your elbow on the table so that the cuff is at the same level as your heart. Turn the palm of your hand upward.
11. Check there are no kinks in the air tubing. Be careful that you do not rest your elbow on the air tube when taking a blood pressure reading.
12. Press the ‘O/I START’ or ‘START’ button to begin the blood pressure reading.

For additional information please refer to the Instruction Manual for your device.

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Can I take blood pressure measurements on my right arm?
Although it is recommended to use your left arm for blood pressure readings it is possible to use the right. When using your right arm the cuff must be positioned correctly over the artery. The air tube should now be beside your elbow in line with the left side of your hand (palm facing up. Be careful that you do not rest your elbow on the air tube when taking a blood pressure reading.
The bottom of the cuff should be about 1 – 2 cm above your elbow (thickness of your index or middle finger). Secure the cuff firmly but not too tight – just enough so that it is difficult to slide 2 fingers under the cuff. This space is imperative for an accurate reading because OMRON's digital Blood Pressure Monitors use the Oscillometric method of blood pressure measurement that detects your blood's movement through your brachial artery and converts this movement into a digital reading.
Please note - If the cuff is wrapped too loose or too tight, the result may be an inaccurate reading or error message.
For additional information please refer to the Instruction Manual for your device.

Why can the measurement values differ when measurements are taken on the right and left arm?
Blood pressure measurement values vary from the left arm to the right arm. The average is generally within 10 mm Hg (millimetres of Mercury) for most individuals. The user should consult a doctor before using the right arm to take a measurement. The doctor can assist the user in determining their measurement values for the right arm.
The cuff is designed mainly for use on the left arm. All validation testing is done on the left arm for the general population.

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Why do my blood pressure readings seem to vary?
There are are several reasons why you may have inconsistent readings. Many factors exist that can cause a variation in blood pressure measurement values, for example, recent activities or even the time of day can alter the reading.
Additionally, the user's technique is very important for reliable measurement results. Listed below are some of the common reasons you may see an inconsistent or inaccurate reading:

Cuff Size
It is very important to use the appropriate size cuff for your arm to obtain accurate measurement results when using your blood pressure monitor. In order to determine the appropriate cuff size, you need to measure the circumference of your arm. You should periodically measure your arm size. This is especially true if you have a borderline arm size measurement, or you may have gained or lost weight.
It is important to ensure the arm cuff you are using with your monitor is the correct size for you. If the incorrect cuff is used the result may be an inaccurate reading and/or the cuff will be damaged (air bladder).
To determine your arm size, use a cloth tape measure and place the tape measure midway between your elbow and your shoulder around the circumference of your upper arm. Wrap the tape measure evenly around your arm. Do not pull the tape tight. Note the precise measurement in centimetres.

Cuff Application
1. Put your left arm through the cuff loop. The bottom of the cuff should be about 1 – 2 cm above your elbow (thickness of your index or middle finger). Adjust the cuff around your arm so that the tubing runs down the centre of your arm in line with your middle finger.
2. Secure the cuff around your arm using the cloth closure. Pull the cuff so that the top and bottom edges are tightened evenly around your arm.
3. Secure the cuff firmly but not too tight – just enough so that it is difficult to slide 2 fingers under the cuff. This space is imperative for an accurate reading because OMRON's digital Blood Pressure Monitors use the Oscillometric method of blood pressure measurement that detects your blood's movement through your brachial artery and converts this movement into a digital reading.

Before Taking a Measurement
Avoid eating, drinking alcohol, smoking, exercising, and bathing for 30 minutes and rest for 15 before starting the measurement. Avoid taking a measurement during stressful times. Take the measurement in a quiet place.

Body Position
Sit in a chair with your feet flat on the floor. Rest your arm on a table with your palm facing upward. The cuff should be level with your heart. Do not talk or move during the measurement.
For additional information please refer to the Instruction Manual for your device.

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Why is home monitoring of blood pressure so important?
Doctors, physician assistants, nurses and other healthcare professionals recommend home blood pressure monitoring for various reasons, including the ability to:
• Be constantly aware of a vital indicator about your overall health
• Provide your doctor with information to better understand and manage your (high) blood pressure
• See how you are responding to medication
Many types of hypertension can only be detected by monitoring your blood pressure at home, including:
• White-coat Hypertension: blood pressure reading is high in doctor's office but lower at home
• Masked Hypertension: blood pressure reading is low in doctor's office but higher at home
Additionally, many factors can affect your blood pressure, including physical exertion, emotional fluctuations, medications and stress, so it is important to regularly monitor your blood pressure at home.
Monitoring your blood pressure at home allows you to more easily be in a relaxed state plus the flexibility to take your measurements at various times during the day. By keeping track of your home blood pressure readings, you can provide your healthcare professional with a log of blood pressure measurements over time, which can help them evaluate the effectiveness of your treatment.

What is Irregular Heartbeat?
This is a condition where the heartbeat rhythm varies by more than 25% from the average heartbeat detected while your unit is measuring the systolic and diastolic pressure. Many OMRON Blood Pressure Monitors have an irregular heartbeat detector. If such an irregular rhythm is detected more than twice during measurement, the irregular heartbeat symbol appears on the display. If this happens frequently during blood pressure measurement it is recommended that you discuss this with a healthcare professional.

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What is Arrhythmia?
This is a condition where the heartbeat rhythm is abnormal due to flaws in the bioelectrical system that drives the heartbeat. Typical symptoms are skipped heartbeats, premature contraction, an abnormally rapid (Tachycardia), or slow (Bradycardia) pulse. It will be difficult if not impossible for an OMRON Blood Pressure Monitor to obtain an accurate measurement if you have this condition. If your device has an irregular heartbeat detector it is possible this will be indicated when a measurement is performed. For additional information, reference material regarding Arrhythmia is available on the Internet or contact a healthcare professional.|

What are the symptoms of high blood pressure?
Unfortunately more often than not there are no symptoms of high blood pressure. The best plan of action is to ask your doctor for a check-up, or use a personal blood pressure monitor.

What are the long term risks of high blood pressure?
Without treatment, high blood pressure can lead to numerous health problems including heart attacks, circulatory problems and kidney failure. It is also one of the most common causes of strokes.

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What causes high blood pressure?
Many day to day activities or habits often linked to modern living. Among the most common are obesity, over-indulgence in alcohol, smoking, lack of exercise and the stress of modern life, although high blood pressure can also be hereditary.

What can I do to lower my blood pressure?
Eat a balanced diet with plenty of fruit, fresh vegetables, potatoes and rice. Avoid animal fats and use less salt. Try to drink less alcohol and exercise more. If you smoke, stop. If needed, your doctor will also prescribe suitable medication.

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What is Morning Hypertension?
Morning Hypertension is defined as the weekly average for morning blood pressure reading (blood pressure measured within 1 to 2 hours after awakening in the morning) exceeding 135 / 85 mmHg. There are two types of morning hypertension: - Patients either have consistently high blood pressure through the night or experience blood pressure increases while asleep.- Patients experiencing extreme dips in blood pressure at night and extreme surges in the morning. In either case, it is very difficult to detect morning hypertension. By the time a patient sees a doctor, their blood pressure may have already decreased -- making the condition impossible to diagnose. That is why doctors recommend monitoring blood pressure at home. Significant Impact There are important reasons why patients are being encouraged to differentiate between general hypertension and morning hypertension. It is common knowledge that cardiovascular events and stroke are more common in the morning, and both appear to be linked to morning hypertension. Organ damage and diabetic complications also seem to correlate with morning blood pressure surges.

Is software available to connect my device to a Personal Computer (PC)?
The OMRON Health Management Software has been designed to connect various models of Blood Pressure Monitors as well as our Walking style Pro Step Counter to a Personal Computer (PC). This software as well as the User Help Manual is available to download from the OMRON Healthcare website: http://www.OMRON-healthcare.com/en/index.html Click on ‘Products’ (below OMRON logo), and either Blood Pressure Monitors or Step Counters. Part way down the page your will see a box with ‘Types of use’. Click on the down arrow to the right and choose ‘IT connectivity’ to see a list of models that support PC connectivity. Any of these models will have a link to the software and the User Manual (both can be downloaded), at the bottom of the page.

How do I delete the stored data in my unit?
The process for deleting the stored data is unique to your model. Please check your Instruction Manual. If you have misplaced this an electronic copy of your manual available for download from the OMRON website:

http://www.OMRON-healthcare.com/en/index.html

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What is the warranty for the cuff on my blood pressure monitor?
For most models, the warranty coverage for the arm or wrist cuff is one (1) year from date of purchase. Cuffs will need to be periodically replaced throughout the life of the monitor. When purchasing a replacement cuff for an arm unit please be certain to measure the circumference of your arm to purchase the correct cuff size. For additional information please refer to the Guarantee Card included with your device.

How can I clean my Blood Pressure Monitor?
Wipe the casing of the monitor clean using a soft dry cloth. Never use any abrasive type cleaners or submerge the monitor or any of the components in water. The cuff can be cleaned with a soft moistened cloth and a mild soap.

How should I store my Blood Pressure Monitor?

After each use never fold the cuff or the tubing tightly. Store the monitor in a safe, dry location. Do not subject the unit to extreme hot or cold temperatures, humidity or direct sunlight. Be careful not to subject the monitor to any strong shocks such as dropping the unit on the floor. You should remove the batteries if the unit will not be used for an extended period of time. Always operate the unit following the directions provided in the instruction manual. Use only authorised OMRON parts and accessories.

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Can I take a measurement during exercise?
OMRON Blood Pressure Monitors are not intended for use during exercise or activity. We recommend you avoid eating, smoking and exercising for at least 30 minutes before taking a measurement.

What is the cause of the E or EE Error Indicator?
Each model of OMRON Blood Pressure Monitor has some basic diagnostics built into the unit. If the device detects a problem, this will be displayed as an E, EE or Er ## (## = a two digit number). Please refer to the Troubleshooting and Maintenance section in your Instruction Manual for a list of the error codes and explanations applicable to your device.

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Can I purchase a small cuff for my upper arm Blood Pressure Monitor?
Many but not all OMRON Blood Pressure Monitors are capable of using a small cuff (17 – 22cm). Before purchasing a small cuff, please double check the instruction manual to ensure your device can support this cuff. The next step would be to measure the upper arm to ensure a small cuff is appropriate.
To determine your arm size, use a cloth tape measure and place the tape measure midway between your elbow and your shoulder around the circumference of your upper arm. Wrap the tape measure evenly around your arm. Do not pull the tape tight. Note the precise measurement in centimetres.
For additional information please refer to the Instruction Manual for your device.

Can I extend the length of the tube connecting the cuff to the Blood Pressure Monitor?
The standard tube length is 60 cm. This can be extended to a maximum of 120 cm by ordering the optional tube from your local OMRON retailer. This longer tube is available for all cuffs including the Comfort Cuff.

Can I use rechargeable batteries in my Blood Pressure Monitor?
This is not possible. OMRON Blood Pressure Monitors are designed to operate on either 3 volt (Wrist type), and 6 volt (Upper Arm type). The low battery indicator will trigger around 2.4 volt (Wrist type), and around 4.8 volt (Upper Arm type). A fully charged rechargeable battery will typically have a maximum voltage of 1.2 or 1.3 volt whereas a new alkaline or manganese battery will have 1.5 to 1.6 volt. A fully charged rechargeable battery will only operate for a short period of time before the low battery indicator is triggered.

Does a Blood Pressure Monitor require any Regular Maintenance?
It is generally recommended to have the unit inspected every two (2) years to ensure correct functioning and accuracy. The OMRON distributor for your country will have the specialised test equipment as well as the trained technicians to facilitate this service. Your local OMRON retailer can assist you with arranging this service. Please bear in mind that this service is not provided free of charge and costs will be involved.

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Which type of OMRON Blood Pressure Monitor should I purchase?
Before purchasing your home blood pressure monitor ensure your satisfaction by selecting the right monitor for you.
The digital ‘manual’ inflation upper arm monitors are the most affordable among the digital blood pressure monitors. This type of monitor requires the user to squeeze the inflation bulb to fill the cuff with air until you reach your correct inflation level. The cuff deflates automatically and your measurements appear on a clear digital display. If you have arthritis or any weakness in the hands you may find it difficult to inflate the cuff.
For greater convenience choose an ‘automatic’ inflation blood pressure monitor (most upper arm and all wrist models). This type of monitor inflates at the touch of a button. In seconds your blood pressure and pulse are displayed. OMRON ‘automatic’ inflation blood pressure monitors have a wide variety of features that include models with printers, memory functions, high-speed measurement, and compact design. IntelliSense Technology offers the advantage of personalised inflation.

Wrist Blood Pressure Monitors give you the portability of a “wristwatch” style blood pressure monitor.
Considering what type of monitor meets your needs is an important decision. You may wish to consult with your healthcare professional regarding what type of monitor is best for you. We recommend those persons with severe hypertension or diabetes or arteriosclerosis to consult their healthcare professional prior to measuring blood pressure at the wrist.

Where do I find the Model and Serial Number for my Blood Pressure Monitor?
For upper arm type blood pressure monitors this can be found on the label on the underside of the unit next to the battery cover. The Model Number typically begins with an M – for example; M3, where as the Product Code always begins with HEM – for example; HEM-7200-E. The Serial Number always begins with the year followed by the month and then the remaining unique digits – for example: 20100700013LF. This indicates July 2010 production.
For most wrist type blood pressure monitors the Model Number and Product Code can be found on the label on the cuff. On some models the Model Number, Product Code and Serial Number can be found on the label on the device and not the cuff. The Model Number typically begins with an R – for example; R6, where as the Product Code always begins with HEM – for example; HEM-6052-E. For those models with the Model Number and Product Code on the cuff, the Serial number can be found on a sticker on the side of the device. The Serial Number always begins with the year followed by the month and then the remaining unique digits – for example: 20100700013LF. This indicates July 2010 production.
When you are ordering accessories or replacement parts it is important to have the Product Code (HEM number), Model Number (beginning with M or R), and Serial Number to hand. This will ensure you receive the correct item for your device.

What does ‘Clinically Validated’ mean and is it the same as Clinically Tested?
The two terms are not the same. Clinically Validated means a product has been evaluated by an independent organisation and tested against as well as met the stringent requirements as set out by numerous international organisations such as the British Hypertension Society (BHS), European Society for Hypertension (ESH), and International Protocol (IP), just to mention a few. A device that is ‘clinically tested’ has not been tested or evaluated against a set of defined criteria it simply means the device has been used by staff in some type of clinic.
Overview of OMRON Clinically Validated blood pressure monitors

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How do I compare the readings on my blood pressure monitor with my doctor’s readings?
When using your unit at home your readings may be lower due to a more relaxed environment. If you want to compare home measurement readings to those taken with the device used by your healthcare professional please follow this direction; use the OMRON Blood Pressure Monitor to take the first measurement followed by the unit used in the healthcare professional office. It is necessary to use the digital unit first because of the different methods used in the devices. The OMRON Blood Pressure Monitor measures the movement of blood through your arteries and converts this into a digital reading (Oscillometric method). A doctor typically uses a stethoscope (to listen to the sounds in the artery) and a gauge for the pressure reading (Auscultation method). The artery is constricted during the measurement so it is important to wait a few minutes between measurements to allow the artery to recover. Please bear in mind that blood pressure is constantly fluctuating therefore a small difference can be expected in the readings between the OMRON Blood Pressure Monitor and the doctor’s unit.

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