Omron Healthcare HEM6232T User Manual

Introduction
Important Safety Information
1. Know Your Monitor
2. Preparation
3. Using Your Monitor without a Smart Device
4. Using Your Monitor with a Smart Device
5. Using Memory Function
6. Other Settings
7. Error Messages and Troubleshooting
8. Maintenance
9. Specifications
10. FCC/IC Statement
11. Limited Warranty
12. Guidance and Manufacturer’s Declaration

Thank you for purchasing the 

OMRON BP4350 Wrist Blood 

Pressure Monitor. This blood pressure monitor is to be worn on your 
wrist.
This new blood pressure monitor uses the oscillometric method of 
blood pressure measurement. When the cuff inflates, this monitor 
senses the pressure pulsations of the artery underneath the cuff. 
The pulses are called oscillometric pulses. The electronic pressure 
sensor displays a digital reading of blood pressure.

This instruction manual provides you with important information 
about the OMRON BP4350 Wrist Blood Pressure Monitor. To ensure 
the safe and proper use of this monitor, READ and UNDERSTAND 
all of the safety and operating instructions. If you do not 
understand these instructions or have any questions, 
contact 1-800-634-4350 before attempting to use this monitor. 
For specific information about your own blood pressure, 
consult with your physician.

The device is a digital monitor intended for use in measuring blood 
pressure and pulse rate in adult patient population with wrist 
circumference ranging from 5.3 inches to 8.5 inches (13.5 cm to 
21.5 cm). The device detects the appearance of irregular heartbeats 
during measurement and gives a warning signal with readings.

Environments of Use: Home
Patient Population: Adult

Remove this monitor from the packaging and inspect for damage. If 
this monitor is damaged, DO NOT USE and contact 1-800-634-
4350.

For symbol information, visit:
OmronHealthcare.com/symbols-glossary

• This monitor is contraindicated for use in ambulatory 

environments.

• This monitor is contraindicated for use on aircraft.

manual before using this monitor.
Please follow this instruction manual thoroughly for your safety.
Please keep for future reference. For specific information about your 
own blood pressure, CONSULT WITH YOUR PHYSICIAN.

2829250-8A

Monitor, 2 “AAA” alkaline batteries, storage case, instruction manual, 
quick start guide

a. Wrist cuff

(Wrist circumference 5.3" to 8.5" (13.5 cm to 21.5 cm))

b. Display
c. Battery compartment
d. [User ID selection] switch
e. [Memory] button
f. [Morning average] button
g. [START/STOP] button
h. [Connection] button

Appears when viewing the average readings of the 
latest 2 or 3 readings taken within 10 minutes span.

Appears when viewing readings stored in the memory.

Pulse rate appears after the measurement. 
When pressing the 

 button, the memory number appears 

for approximately one second before the pulse rate appears on 
the display.

Flashes during cuff deflation.

Flashes while taking a measurement.

Flashes when your data needs to be transferred 
because the stored memory is either almost, or 
completely full. Once you pair your monitor with a smart 
device, transfer your readings immediately before your 
monitor deletes the oldest readings. Up to 100 readings 
can be stored in the internal memory per user.

Flashes when your monitor is connected to the smart 
device or readings are transferred successfully.

Appears when viewing the weekly average readings 
taken in the morning.
Weekly averages for the measurement taken in the 
morning within 4 weeks appear on the display.

The user ID number appears when selecting the user 
with [User ID selection] switch.

The “ 

 ” symbol appears if your systolic blood 

pressure is 135 mmHg or above and/or the diastolic 
blood pressure is 85 mmHg or above.

The “ 

 ” symbol appears when the morning weekly 

average is 135/85 mmHg or above.

a

b

c

d

e

f

g

h

C

D

E

G

H

I

J

F

L

K

B

A

M

O

S

N

P

Q

R

Definitions of hypertension by office and home blood pressure levels

These are from statistical values for blood pressure.
* European Society of Hypertension (ESH) and European Society of 
Cardiology (ESC).

• NEVER diagnose or treat yourself based on your readings. 

ALWAYS consult with your physician.

Push down the hook of the 

battery cover and pull 

downward.

Insert 2 “

AAA” alkaline batteries 

as indicated in the battery 

compartment.

Close the battery cover.



• When the “ 

 ” symbol appears on the display, it is 

recommended you replace batteries.

• To replace batteries, turn your monitor off and remove all batteries. 

Then replace with 2 new alkaline batteries at the same time.

• As soon as batteries are correctly installed, the year flashes on the 

date and time display to set the date and time.

• Replacing batteries will not delete previous readings.
• The supplied batteries may have a shorter life than new batteries.
• Disposal of used batteries should be carried out in accordance 

with local regulations.



• Set your monitor to the correct date and time before taking a 

measurement for the first time.

• As soon as batteries are correctly installed, the year flashes on the 

display of your monitor.

• The date and time will automatically be set when the monitor is 

paired with 

OMRON connect US/CAN app. Refer to section 4.1.

Press the 

 or 

 button once to adjust the year. 

Press and hold down the 

 button to quickly advance the 

years.

The “ 

 ” symbol lights in blue when your monitor is at 

the correct position relative to your heart during a 
measurement. When your monitor is higher or lower 
position relative to your heart, the heart position locator 
bar will appear up above, or below the heart symbol to 
guide correct wrist positioning.

Appears along with 
readings when an 
irregular rhythm is 
detected 2 or more 
times during a 
measurement.
An irregular heartbeat 
rhythm is defined as a 
rhythm that is 25% 
less or 25% more 
than the average rhythm detected while your monitor is 
measuring the systolic and diastolic blood pressure. If it 
continues to appear, we recommend you to consult with 
and follow the directions of your physician.

Appears along with readings when your body is moving 
during a measurement. If it appears, remove the wrist 
cuff, and wait for 2 to 3 minutes. Then, remain still and 
take another measurement.

Appears if the wrist cuff is not wrapped around the wrist 
correctly while taking a measurement. It also appears 
when viewing past readings.

Appears when batteries are low.

Appears when batteries are depleted.

Appears when Bluetooth is enabled.

Appears when Bluetooth is disabled.

Systolic Blood 

Pressure

≥ 140 mmHg

≥ 135 mmHg

Diastolic Blood 

Pressure

≥ 90 mmHg

≥ 85 mmHg

Irregular Heartbeat

Normal Heartbeat

Pulse

Blood pressure

Blood pressure

Short Long

Pulse

2

1

Press and hold down the 

 button to quickly go backwards 

through the years.

Press the [

START/STOP] button to confirm the year and 

the month will flash. Repeat the same steps to adjust 

the month, day, hour, and minute.

Press the [

START/STOP] button to store the setting.

It automatically turns off after 3 seconds.



• If you need to reset the date and time, replace batteries or press 

the 

 button until the year flashes, and set the date and time as 

above steps.

To help ensure an accurate reading, follow these directions:

• Stress raises blood pressure. Avoid taking measurements during 

stressful times.

• Measurements should be taken in a quiet place.
• It is important to take measurements at same times each day. 

Taking measurements in the morning and in the evening is 
recommended.

• Remember to have a record of your blood pressure and pulse 

readings for your physician. A single measurement does not 
provide an accurate indication of your true blood pressure. You 
need to take and record several readings over a period of time.

• Avoid bathing, drinking alcohol or caffeine, smoking, exercising 

and eating for at least 30 minutes before taking a measurement.

• Rest for at least 5 minutes before taking a measurement.



• Following steps are for applying the wrist cuff to your left wrist. 

When you take a measurement on the right wrist, apply the wrist 
cuff using the same steps as on the left wrist.

• The blood pressure can differ between the right wrist and the left 

wrist, and the measured blood pressure values can be different. 

OMRON recommends to always use the same wrist for 
measurement. If the values between both wrists differ 
substantially, please check with your physician as to which wrist to 
use for your measurements.

• Remove tight-fitting, thick clothing and any accessories from your 

wrist while taking a measurement.

Apply the wrist cuff to your left 

wrist.

Roll up sleeve. Make sure your 
sleeve is not rolled up too tightly on 
your arm. This may constrict the flow 
of blood in your arm.

Put your wrist through the cuff loop.

Your palm and monitor display should both 
face upward.

Position the wrist cuff leaving a 

clearance of 0.5 inch (1 to 2 cm) 

between the cuff and the bottom 

of your palm.

Wrap the wrist cuff firmly around your wrist. Do not apply 

over clothing.

Check to make sure that there is no gap between your wrist 
and the cuff.



• Make sure your wrist cuff does not 

cover the protruding part of the wrist 
bone on the outside of your wrist.

• If the wrist cuff comes 

out of the metal ring, 
slide it back through as 
shown in the figure to 
the right.

Year

Month

Day

Hour

Minute

Wrist cuff

0.5 inch
(1 to 2cm)

1

2

To take a measurement, you need 
to be relaxed and comfortably 
seated in a room with a 
comfortable temperature. Place 
your elbow on the table to support 
your arm.

• Sit in a chair with your legs 

uncrossed and your feet flat on 
the floor.

• Sit with your back and arm 

being supported.

• The distance from the top of 

your seat measuring to the top 
of the table you are sitting at, 
should be 12 plus or minus 2 inches (30 ± 5 cm). If the distance 
measured between the top of your seat and table do not fall within 
this parameter, correct your seat or table height.
If you are unable to make any seat or table adjustments, please 
turn off the heart zone indicator and position your wrist at heart 
level by yourself. Refer to section 6.1.

• Your monitor must be approximately the same level as your heart. 

If the monitor is too high above your heart, your blood pressure will 
be artificially low. If the monitor is too low below your heart, your 
blood pressure will be artificially high.

• Relax your wrist and hand. Do not bend your wrist back, clench 

your fist, or bend your wrist forward.

Your monitor is designed to take measurements and store the 
readings in the memory for 2 people using the [user ID selection] 
switch.

Select your user ID (1 or 2).

You can use your monitor without pairing to a smart device. To pair 
your monitor with a smart device, refer to section 4.1.



• To stop the measurement, press the [

START/STOP] button once 

to deflate the wrist cuff.

• DO NOT use this monitor with other medical electrical (ME) 

equipment simultaneously. This may result in incorrect operation 
of the monitor and/or cause an inaccurate reading.

• Remain still and DO NOT talk while taking a measurement.

Press the [

START/STOP] button.

All symbols appear on the display before starting the 
measurement.

Check the Heart Zone Indicator.

Your monitor has a built-in heart zone indicator that is used as 
an aid in determining if the monitor is at the correct height. It 
has been designed to work with most people so that when your 

wrist is at the correct position relative to your heart, the “ 

 ” 

symbol will light in blue. When your wrist is higher or lower 
position relative to your heart, a locator bar will appear 
according to the wrist position. Due to difference in individual 
size and physique, this feature may not be helpful in all cases 
and you may wish to disable this feature. If you feel the position 
of the wrist according to heart zone indicator's guidance does 
NOT match your heart level, disable this feature and follow 
your judgement. To disable it, refer to section 

6.1.



• After 5 seconds from pressing the [

START/STOP] button, 

even if your monitor is not positioned properly, your monitor 
will start the measurement and the wrist cuff will start to 
inflate.

Wrist is too high

Any locator bar (-) above 

the “ 

 ” symbol appears.

Proper position

The “ 

 ” symbol lights in blue.

Wrist is too low

Any locator bar (-) below 

the “ 

 ” symbol appears.