Content
The most important measure for the effective treatment of hypertension is the measurement of blood pressure (BP) at home. If a hypertensive patient does not regularly carry out this procedure, then there will be little sense from the treatment, and everything may end up sadly in the end. To take measurements, an apparatus called a tonometer is used. It should be in every home, because jumps in blood pressure occur in people of any age, especially the elderly. In this case, it is very important to find the most accurate pressure meter.
A tonometer means a medical diagnostic apparatus for pressure: the diastolic rate is 80 mm Hg. Art., and systolic - 120 mm Hg. Art. In another way, this device is called a sphygmomanometer. It consists of a pressure gauge, an air blower equipped with an adjustable release valve, and a cuff that is worn on the patient's arm. You can order a suitable device today in online pharmacies with delivery. It may differ in the following parameters:
Norm indicators can deviate up and down by no more than 10 mm. rt. Art. If the deviations exceed them, then this indicates that the cardiovascular system the patient suffers from pathology. If blood pressure is constantly elevated, then this is already a hypertensive disease, which is fraught with heart attack and stroke. For correct therapy, daily monitoring of blood pressure is required, which is performed using a tonometer. Such a device helps:
It is recommended to have the device in the first-aid kit for all those people who suffer from heart diseases, diabetes mellitus, pathologies of blood vessels, experiencing constant stress and psycho-emotional stress, with hormonal disorders. In addition, the device will not be superfluous for those who often drink alcohol and smoke, as well as for athletes for proper control over physical activity and for the elderly in connection with a general deterioration in health. If indicated, frequent blood pressure measurements may be recommended for pregnant women.
To select a device that is simple and convenient to use, read the classification. Groups of devices according to the degree of patient involvement in the measurement process, cuff position and functionality are presented below. Separately, it would be possible to classify devices by manufacturer, but the issue of choosing a brand is not the main one, since most of the production of foreign medical equipment is located in China.
It is believed that the first pressure measuring instruments appeared in Austria in 1881. Pressure in those years was measured using a mercury manometer. Subsequently, the Russian surgeon NS Korotkov described a method for measuring systolic and diastolic tones by listening. What a tonometer is accurate: over time, mechanical devices began to give way to semi-automatic ones, which later began to be crowded out by automatic devices. The difference between all three options lies in the degree of patient involvement in the measurement process:
The location of the cuff and its size are important factors. This element consists of fabric (mainly nylon) located inside the pneumatic chamber and fasteners (fasteners) in the form of Velcro. From the inside, it is made of medical rubber. To squeeze the patient's hand and block the blood flow through the vessels to determine an accurate reading, given element filled with air. This element is located depending on the model on the shoulder, wrist and finger:
Simpler and more budgetary models do not have any additional functions, but their presence can be a good plus in favor of choosing a particular tonometer. The more functionality, the easier and more convenient it is to carry out the procedure for measuring blood pressure. Modern high-tech devices can have:
The selection algorithm is straightforward. It is important to decide on the specific type of device, taking into account the frequency of operation of the device, the age of the patient, the presence of cardiovascular diseases, etc. Which tonometer is more accurate - selection criteria:
The most accurate is a mercury device, because pressure, by definition, is measured in millimeters of mercury (mmHg). They are practically not sold in pharmacies, they are cumbersome and have all the disadvantages inherent in manual meters. It is very difficult to measure blood pressure on your own using a handheld device - you need to have skills, good hearing and vision, which not all patients have. In addition, once every six months, you need to calibrate (adjust) in a special center.
An automatic device can lie, it has some error (often about 5 mm is declared), but in most cases this is not critical for the selection of therapy. There are no alternatives to automatic blood pressure meters for use at home, you just need to be able to use them correctly. Which tonometer is more accurate: according to experts from the country's calibration laboratories, the percentage of incorrect measurements is:
To find out which tonometer is accurate, pay attention to mechanical devices. They consist of a shoulder cuff, a pressure gauge and an air blower with an adjustable valve. Blood pressure readings are established by listening to characteristic sounds through a stethoscope. In this case, blood pressure is measured by a person who has the appropriate skills, therefore this type of equipment is recommended for health workers. It is often used in public health facilities such as hospitals. Which tonometer is more accurate - popular models:
When measuring, the stethoscope must be applied to the inside of the elbow. After that, the specialist needs to pump air into the cuff - he does this until, due to compression, the blood pressure indicator becomes 30-40 mm Hg. Art. more than the expected systolic pressure (upper limit) of the person being tested. The air is then slowly released so that the pressure in the cuff decreases at a rate of 2 mmHg. per second.
Gradually falling, the pressure in the cuff reaches the patient's systolic value. In the stethoscope at this moment, noises, called "Korotkoff tones", begin to be heard. Diastolic pressure (lower) is the point at which these murmurs end. The principle of operation is obtained as follows:
Which tonometer is more accurate - when answering this question, a mechanical device is in the lead. Mechanical advantages:
The main disadvantage is the difficulty of operation, especially for the elderly and patients with weak eyesight and hearing, impaired limb movements - for them it will become a useless acquisition. To facilitate the measurement of blood pressure, some models are equipped with a cuff with a built-in phonendoscope head and a supercharger with a pressure gauge combined. For this reason, the sphygmomanometer can still be purchased for home use.
Compared to a mechanical device, it has many differences, but it has many similarities with an automatic device. For the price, the semi-automatic device is somewhere in between the other two varieties. On sale you can find dozens of high-quality and durable mobile products of this type, among which they gained considerable popularity:
The semiautomatic device determines the blood pressure and pulse in the same way as the automatic one. A distinctive feature is that you need to manually inflate the cuff in it, i.e. rubber bulb. The list of their additional functions is more modest, but at the same time such a device has all the functionality necessary for measuring pressure. Many users and experts believe that a basic semiautomatic device is the best choice for home use.
One of the disadvantages of the device is the need for manual inflation with a pear, which is not suitable for weakened people. In addition, the accuracy of the data depends on the battery charge - it can also be affected by external influences. The pluses include:
When a question arises about which tonometer is more accurate, consider the automatic device and the principle of its operation. The peculiarity of this type of device is as follows: all stages of blood pressure measurement are performed automatically. An automatic pressure meter appeared at the end of the last century. The user only needs to correctly position the cuff on himself and press the appropriate buttons - then the device will do everything on its own. Additional functionality makes this procedure more informative and easy.
With the help of an electric motor built into the housing, air is pumped into the cuff independently to the required level. The electronic filling “hears” tones, pulsation, and then displays all readings on the monitor. The machine is able to measure blood pressure not only on the shoulder, but also on the wrist and finger. Which tonometer is more accurate of these three - the first is the most common, and the last is the least accurate.
If you have a question about which tonometers are more accurate, check out the pros and cons of the device. Advantages of the automatic device:
The simpler the device is, the more reliable and durable it is. In this sense, an automatic device is considered not the best choice:
For the treatment of arterial hypertension (hypertension) and prehypertension (borderline state in the range of 129-130 / 80-89 mm Hg), you need to find out which tonometer is more accurate and reliable. The market is saturated with a large number of offers: some models have high-speed measurement due to the no-decompression method, the second are equipped with a correct hand position sensor (APS) with indication (sound, light), from the third you can download data to a computer via a USB port, etc. Which tonometer is accurate - reviews best models:
Model name and manufacturer |
Country of Origin |
Description |
Operating principle |
Price (rubles) |
Shoulder |
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Equipped with LCD screen, cuff 22-32 cm long. Operated by one button. There is a memory for 30 cells. Powered by batteries (4xAA) and mains (no adapter included). Weighs 260 g. |
Auto |
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Omron M2 Classic |
The set includes batteries, mains adapter, log for recording results. Intellisense available, indicator high blood pressure, WHO scale, memory for 30 cells. The device gives an average value based on 3 indicators. |
Auto |
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Germany |
Displays information on the LCD screen, powered by 4 AA batteries and mains, but the adapter is not included. The number of memory cells is 60, there is an indication of arrhythmia, average value, WHO scale, USB connection. Dimensions - 100x58x150 mm, weight - 364 g. |
Auto |
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Microlife BP A2 Basic |
LCD screen, heart rate measurement with an accuracy of 5%, cuff 22-42 cm, 4xAA batteries, 30-cell memory, arrhythmia indication, movement indicator, WHO scale. Can be powered from mains, but adapter is not included. Dimensions - 82x57x135 mm, weight - 340 g. |
Auto |
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Liquid crystal display, 4 batteries, 5 years warranty service, memory for 90 cells. It can be powered from the mains, but the adapter must be purchased separately. Total weight 490 g. |
Auto |
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LCD screen, pulse measurement, powered by 1 AA battery, 30-cell memory, arrhythmia indication, WHO scale. Operated by one button. Weighs 120 g. |
Semi-automatic |
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LCD screen, 2 AAA batteries, heart rate measurement, 14-cell memory, blower. Dimensions - 64x35x105 mm, weight - 80 g. |
Semi-automatic |
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CS Helthcare CS-105 |
Japan (going to China) |
Built-in stethoscope, sealing insert, storage case, dial gauge, cuff 22-38 cm.Weights 400 g. |
Mechanical |
|
Microlife BP AG1-30 |
Built-in stethoscope, cuff 22-32 cm, dial gauge, case-bag, no additional functions. Dimensions - 175x70x103 mm, weight - 450 g. |
Mechanical |
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Wrist strap |
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Germany |
Measures by oscillometric method, works only on batteries, turns off after 1 minute of inactivity. Equipped with a large display with large numbers and a WHO indicator. The measurement results are stored in memory. The length of the cuff is 14-20 cm.Dimensions - 67x29x88 mm, weight - 98 g. |
Auto |
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Japan (going to China) |
There is a WHO scale, an arrhythmia indicator, a sound signal about measurement errors. The memory capacity is designed to store the last 90 readings. Extended cuff - 13.5-21.5 cm. Powered by 3 AAA batteries. Dimensions - 38x72x64 mm, weight - 102 g. |
Auto |
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Japan (going to China) |
The Intellisense system is used to determine the discharge air level. Information is displayed on the LCD screen. Cuff length - 14-22 cm, power supply - batteries (2хААА). Dimensions - 71x41x71 mm, weight - 117 g. |
Auto |
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Indonesia |
LCD screen, powered by 4xAA batteries, rechargeable battery. The memory capacity is designed for 30 cells. Dimensions - 163x49x122 mm, weight - 354 g. |
Semi-automatic |
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Little Doctor LD-71А |
Pointer manometer, cuff 25-36 cm, built-in metal stethoscope, weight 328 g. |
Mechanical |
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Connected to smartphone |
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Qardio QardioArm |
Transfers data to smartphone with iOS, Anroid OS via Bluetooth, so there is no screen. Easy setup, graphing capability, arrhythmia indication, dual user memory and dual measurement method. Batteries - 4 types AAA. Dimensions - 68x38x140 mm, weight - 310 g. |
Auto |
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The LCD screen duplicates readings on a smartphone via Bluetooth - there is a special A&D Connect application. The ability to save information in your personal account, 30 memory cells, battery power (4xAA), network (adapter not included), arrhythmia indication. Weighs 300 g. |
Auto |
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Automatic blood pressure monitors with double measurement |
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Japan (made in China) |
Operates on batteries and mains. Only one memory cell. Has its own battery, adapter, double measurement capability. The size of the cuff is 22-32cm. |
Auto |
||
Hartmann Tensoval Duo control |
Germany |
Device with double measurement on the shoulder. It is powered by 4 AAx1.5V batteries, 3 minutes after the measurement, it switches itself off. The memory is designed for 30 measurements for each of two users. There is a large display, a bag-case, but there is no WHO scale, an arrhythmia indicator. |
Auto |
|
Indonesia |
LCD screen, power supply from 4xAA, mains (there is an adapter), memory for 30 cells, arrhythmia indication, double measurement method, blood pressure control by two Twin Check methods. Dimensions - 135x51x140 mm, weight - 434 g. |
Auto |
About an hour before taking blood pressure measurements, the patient should refrain from smoking, drinking caffeinated products or alcoholic beverages. During the procedure, you cannot talk, move, and the hand must be completely relaxed. The measurement is performed in a sitting position of the patient, not earlier than after 5 minutes. after he relaxes. Which tonometer is more accurate - instructions for using a mechanical (hand-held) device:
Many, when answering the question, which tonometer is accurate, prefer automatic (electronic) devices. They are expensive but simple to operate. Instructions for using them are as follows:
As for the semi-automatic device, it practically does not differ in its principle of operation from the previous analogue. What a tonometer is accurate - both devices practically do not differ in this indicator from each other. The only difference is that the user needs to pump air on their own, and this physical labor, which, according to experts, can raise blood pressure by 10-15 mm Hg. Art. In order to avoid such inaccuracy when using a semi-automatic device, another person must pump the air.
People prone to hypertension are advised to monitor blood pressure by regularly measuring it with a tonometer. Distinguish between mechanical, automatic and semi-automatic devices. Automatic blood pressure monitors - the best solution for retirees, as well as all those who are forced to often resort to measurements. The device automatically inflates the cuff and determines the reading. The cost of tonometers of this type is higher than that of semi-automatic and mechanical counterparts.
Automatic devices are equipped with additional options. It can be an arrhythmia diagnosis or a smart logic system to correctly determine the pressure even with an irregular or weak heart rate by calculating the average. A person who has never faced the choice of a tonometer may be confused when buying. That is why we have compiled for you a rating of the best automatic blood pressure monitors.
Automatic wrist blood pressure monitors are very convenient in terms of their compact size and light weight. You can take them with you to work, on trips. To measure blood pressure, you do not need to take off your clothes - the tonometer can be easily and quickly fixed on the wrist. Devices of this type are recommended for overweight people and athletes with inflated biceps - in these cases, it is not always possible to fasten the shoulder cuff. But with senile atherosclerosis, it is better not to use wrist tonometers - the results may turn out to be incorrect. If you're sure you need just such a device, check out three successful models.
The best combination of reasonable cost and good quality
Country: Japan (going to Indonesia)
Average price: 2 190 rubles.
Rating (2019): 4.7
Compact, stylish and easy-to-use model with intelligent control system. Recognizes arrhythmias, when the heart rate is unstable, it takes three measurements, calculating the average. The cuff is comfortable, there is no pain during blood pressure measurement. The tonometer is designed for two users, it switches quickly and easily. The memory stores up to the last 30 measurements.
According to user reviews, checking with a mechanical tonometer confirms the accuracy of the measurements. The device is compact - it is convenient to use it on the road, to take it with you to work. Some people like the fact that the accuracy of the readings does not depend on arrhythmia. Among the shortcomings, users indicate a very small print, non-Russianized menu, which makes it difficult for older people to use the device. Otherwise, it is a reliable and accurate model at a reasonable price.
Best Selling Tonometer
Country:
Average price: 2,000 rubles.
Rating (2019): 4.8
An inexpensive but functional model of a wrist tonometer. In addition to the main function (blood pressure measurement), it gives users many opportunities - there is a log of the last measurements of 90 cells, an indication of arrhythmia, a WHO scale for easy determination of the compliance of pressure with the norm. There is an intelligent control, the mode of the average value of several measurements. The "Guest" mode is activated, in which measurements are not recorded in the log. The manufacturer gives a ten-year warranty for the device.
Most of the reviews about the device are positive. Users like the accuracy of measurements, compactness, and the presence of a convenient carrying case. One button operation is very simple, but at the same time there are many options for continuous pressure monitoring. Many people additionally note the comfortable shape of the cuff - it does not tighten the arm, does not hurt even with strong inflation. This is one of the most popular and best selling models.
Criteria for choosing a tonometer
To pick up the best option When buying, we recommend that you familiarize yourself with the basics of choosing a tonometer for home use. There are 5 basic principles:
In pharmacies, tonometers of various companies are presented. If you want to choose a really high-quality device, we advise you to pay attention to four main brands: AND (Japan), Omron (Japan), Beurer (Germany) and Microlife (Switzerland).
Price quality. High measurement accuracy
Country: Japan (made in China)
Average price: 2 100 rubles.
Rating (2019): 5.0
One of the simplest but most reliable models with an intelligent control system. It is fixed on the wrist, has a minimum error in blood pressure and pulse measurements - 3 mm Hg. Art. and 5%, respectively. It has a very compact size, fits comfortably on the hand, runs on two "little finger" batteries.
In the reviews, many users write about the accuracy of the tonometer readings (a comparison is made with the measurement by a mechanical device), ease of use, and low cost. Like all Omron blood pressure monitors, this model is popular and trusted by customers. The simplicity and versatility of the device is of no small importance in this - there are no unnecessary options, the standard cuff is suitable for most users. Some mark large numbers and only one button - the best option for older people.
Standard shoulder blood pressure monitors are not as compact and lightweight. To measure the pressure, you will have to take off your shirt, take a comfortable body position, placing the device at the level of your heart. But the shoulder models have a big advantage - they show greater measurement accuracy than the wrist ones. Many of them also have a wider range of options. We recommend that you pay attention to the three most successful models.
Best price
Country: China
Average price: 1 979 rub.
Rating (2019): 4.6
Very user-friendly and functional model at a low cost. The size of the cuff is universal - 22-36 cm, the error of blood pressure indicators is not more than 3 mm Hg. Art. Powered by four AA batteries, connects to a stationary network using the included adapter. The set of options is wide enough - the device detects arrhythmia, calculates the average value of three measurements, on the WHO scale it shows that the pressure corresponds to the norm. An excellent option for elderly couples - the tonometer is designed for two users, stores up to 60 measurements.
Users speak well of this tonometer. They consider the main advantages to be ease of use, the presence of a network adapter, a large amount of memory, the ability to switch between users. Large numbers and the WHO scale help older people to better navigate the received indicators.
Rich functionality at an affordable price
Country: Japan (made in China)
Average price: 2 850 rubles.
Rating (2019): 4.6
Another successful model, fixed on the shoulder, from the well-known company Omron. Differs in universal cuff size - 22-42 cm, arrhythmia indication. The device stores the last 60 measurements. In terms of functionality, the device is simple, but very reliable. According to users, the tonometer's lifespan is longer compared to lesser-known brands. The device is powered by four "finger" batteries.
Users call the advantages of the device accuracy, ease of use, reliability. The model is great for older people who find it difficult to understand modern complex electronics. The only drawback of the tonometer is the lack of a power adapter in the kit. However, it can be purchased separately if required.
Useful options for modern blood pressure monitors
Modern automatic blood pressure monitors are equipped with options that allow you to achieve the utmost accuracy of measurements and increase the comfort of using the device. Let's take a look at some additional features worth paying attention to:
Extremely simple control
Country: Japan (made in China)
Average price: 2,400 rubles.
Rating (2019): 4.7
High-quality tonometer of standard design "on the shoulder". It has an increased cuff size of 22-32 cm. The cuff is painless, does not bring significant discomfort during measurement. Powered by four "finger" batteries. The last thirty measurements are stored in memory. There is a mode of several measurements with the calculation of the average value. The control is carried out with just one button, which makes it easier for the elderly to use the device.
The model is very popular primarily due to its availability in pharmacies. Many people note the convenience, low cost of the tonometer, ease of operation, the ability to view the history of the last measurements. But the reviews about it on the network are not only positive - some users point to a large error in pressure readings compared to measurement with a conventional mechanical tonometer. But this can be due to weak batteries. Another drawback - there is no network adapter included.
Automatic blood pressure monitors connected to a smartphone are modern devices that transmit blood pressure readings to the phone using special programs. Users note the convenience of handling these tonometers and the ability to build a graph. By saving the values and creating a visual diagram of the pressure change, it is easier to assess your health and record the measurement results.
Large cuff size, compact, light weight
Country: China
Average price: 8 490 rubles.
Rating (2019): 4.7
Automatic tonometer with standard fixation on the shoulder. There is no screen, all data is transferred to the smartphone on the Android / iOS platform. The connection is made via Bluetooth. The latest results are automatically saved in the device memory - up to 120 measurements. Battery powered, can be connected to a fixed network, but does not include an AC adapter. The size of the cuff is increased - 22-42 cm.
Of the advantages, users note the very small weight of the device - only 135 grams. They also like the ability to view the latest measurements. Judging by the reviews, the device is quite reliable and accurate - the deviations when compared with the readings of a mechanical tonometer are insignificant.
Painless cuff. Ability to save data to smartphone and website
Country: Japan
Average price: 3 720 rubles.
Rating (2019): 4.8
Automatic blood pressure monitor with LCD screen duplicates readings via Bluetooth to a smartphone with Android or iOS platform. To do this, you need to download the A&D Connect app for mobile devices... It is also possible to save data in your personal account on the official website. The lightweight device (300 g) features a painless cuff that uses an internal cylindrical rubber bladder. This contributes to an even distribution of pressure throughout the arm and relieves pain during inflation of the cuff.
A feature of the model is also power supply, both from the mains and from the battery, due to which it will be possible to make measurements in any conditions. Management is carried out with one button, which is especially appreciated by users. Other advantages - 30 memory cells, automatic memory of the last measurement, arrhythmia indication.
Data transfer to Android / iOS smartphone. Dual measurement method and arrhythmia indication
Country: China
Average price: 9 600 rubles.
Rating (2019): 4.9
Automatic blood pressure monitor Quadio does not have a screen. A practical device redirects all information via Bluetooth and a special application to a tethered smartphone on the Android or iOS platform.
Users note the convenience of handling - simple setup, storing data, the ability to build graphs. The tonometer is powered by batteries, so measurements can be taken anywhere, even in the absence of electricity.
The device is distinguished by a double measurement method, the presence of an arrhythmia indication, a pulse measurement function, and automatic saving of the latest indicators. The device memory is designed for two users. The reviews say about the compactness (68 * 38 * 140 mm) and lightness (310 g) of the device, so you can always take it with you.
Automatic blood pressure monitors with double measurement function are characterized by increased accuracy and stability. They use two measurement methods at once - the oscillometric method and the Korotkov method. The first is based on determining the amplitude of the blood pressure pulse, and the second is based on the recording of acoustic noises in the area of the pinched artery. The combined approach promotes up-to-date data while canceling out erroneous readings.
Unique technology GeraWatch professional
Country: Germany
Average price: 4 790 rubles.
Rating (2019): 4.7
The tonometer uses the unique GeraWatch professional technology. The computer microprocessor unmistakably recognizes the presence of cardiovascular diseases, gives accurate readings of blood pressure and pulse. The accuracy of the readings is also ensured by the dual measurement method. The tonometer can be connected to a computer via USB to transfer and organize the measurement results.
In terms of other characteristics, the tonometer is similar to other modern automatic models. It is possible to use it by two people, the last 50 measurements are recorded in the device's memory. There is a WHO scale showing pressure deviations from the norm. Users respond positively to the tonometer, indicating its modernity, functionality, accuracy, ease of use. Some people think that the only drawback is the lack of a network adapter in the kit.
The minimum percentage of error. Comfort Air technology and 60 memory locations
Country: Germany
Average price: 3 990 rubles.
Rating (2019): 4.8
The automatic tonometer Tensoval has established itself as a high-precision device. The pressure measurement error does not exceed 3 mm Hg. Art. thanks to the double measuring method. Comfort Air technology provides a comfortable, accurate and gentle blood pressure measurement without discomfort.
The device memory is designed for two users and is represented by 60 cells. The device is connected to a laptop or computer via USB. This allows you to transmit the results from the tonometer, using a special program to analyze the information, to build graphs of changes in readings.
One-button operation makes it easy and convenient to use. Among the additional functions of the device - automatic memory of the last measurement, indication of arrhythmia, the ability to determine average values in the mode of multiple measurements.
Better measurement accuracy. Fits five different cuff sizes
Country: Japan (made in China)
Average price: 10 590 rubles.
Rating (2019): 4.9
Automatic tonometer Omron is the leader of the rating. The dual measurement method ensures the accuracy of the obtained data, which is displayed on the LCD screen. A unique feature of the model is the ability to use five different-sized cuffs. The tonometer remembers the results of the last measurement and is equipped with an option to detect body movement. The arrhythmia detection function records changes in heart rate.
The device operates on batteries and mains. The package includes one own battery and adapter. The cuff is fixed to the shoulder. Before a new measurement procedure, the device informs the patient about the successful zeroing of the result. The tonometer is intended for adults and children over the age of 3 years. Can be used by professional healthcare professionals in formal healthcare facilities, suitable for home use.
If you need to constantly monitor the pressure, monitor its change during the day, week, month, you need to choose models of tonometers that remember the last measurements. The number of cells in individual devices can reach 500. But usually there is enough memory, storing about 200 measurements with date and time. This data can be used at any time to build a graph for a more accurate diagnosis. We have selected three models for you with the maximum memory capacity.
Best memory capacity - remembers up to 500 last measurements
Country: Germany
Average price: 6 140 rubles.
Rating (2019): 4.5
Automatic model of the tonometer "on the shoulder" with the function of storing up to 500 last measurements. It is possible to connect to a smartphone on the Android / iOS platform. The model is designed for use by two people, when measuring by a third person, you can turn on the "Guest" mode so that unnecessary data is not saved in the device's memory. There is also a mode of several measurements, there is an indication of arrhythmia, a WHO scale, showing the compliance or deviation of pressure from the norm.
The opinions of users about the device differ. Many people note the high quality of its assembly, wide functionality. But at the same time, they write about the difficulty of synchronizing with a smartphone, an uncomfortable rigid cuff. Some people think that the quality of the tonometer does not match its high cost. This model got into the rating because of the largest memory capacity.
Synchronization with a smartphone. 200 memory locations
Country: Japan
Average price: 11 990 rubles.
Rating (2019): 4.8
The memory capacity of this model is 200 cells. The tonometer is designed for two users, so the memory can be doubled - each of them has at their disposal 200 measurements entered into the device's memory. Of the useful options, there is the possibility of synchronizing with a smartphone, a mode of multiple measurements with the calculation of the average value, an indication of arrhythmia. The cuff is large - 22-42 cm. The measurement method is standard - the cuff is fixed on the shoulder.
Omron blood pressure monitors are trusted by users, they always deserve positive reviews. In reviews of this model, they write about the high accuracy of measurements, a large amount of memory, the ability to synchronize with a smartphone. Users like the wide functionality and ease of use. Among the disadvantages is the lack of a network adapter in the kit.
Excellent build quality. Convenient to take with you on the road
Country: China
Average price: 2 680 rubles.
Rating (2019): 5.0
Despite the Chinese production, the model is quite popular, it is considered to be of high quality and accurate. Has 200 memory cells - exactly as many measurements are stored by the device. Very compact device on the wrist - powered by two little finger batteries, weighs only 130 grams. The rest of the functionality is not rich - it is limited to the indication of arrhythmia.
In the reviews, users note the high quality of the product assembly, its accuracy, and convenience. The deviations in comparison with the measurement result with the shoulder tonometer are insignificant. The device is very convenient to take with you on the road. The functionality is small, but it is sufficient for monitoring blood pressure. In the category of models with a large memory capacity, it has the lowest cost.
Every person with a tendency to high blood pressure should have a home blood pressure monitor. This is especially true for the elderly, who often face hypertension and other cardiovascular diseases. The choice of blood pressure monitors is very large. Many people prefer a wrist tonometer, primarily because of its compact size. However, this type of pressure meter has a number of disadvantages that you should be aware of before purchasing.
A wrist tonometer is a small device with a narrow cuff. The automatic device does not require any unnecessary manipulations. The person simply places the cuff on the arm and presses the button. Air enters the cuff automatically from an electronic compressor, the data is displayed on the monitor.
A wrist blood pressure monitor has the following advantages:
It is convenient to keep it always at hand. Automatic blood pressure monitors on the wrist can be easily carried with you in your bag and monitored blood pressure in any conditions. The device can have two types of power supply at once - a rechargeable battery and ordinary finger-type batteries. This allows you to take it with you on your travels.
A wrist-based blood pressure monitor is relatively inexpensive compared to automatic models with a shoulder cuff. It is the cost of the device that often becomes the decisive criterion when choosing a tonometer for the home.
Inexpensive wrist blood pressure monitors are highly reliable and have a rather long service life, of course, only if they are made by a reliable manufacturer. In addition, the warranty period of use of such devices is from two years or more, which is a good indicator considering the cost of the tonometer.
Despite its compact dimensions, the screen of such a device is quite large, the numbers are displayed clearly, so many people prefer a tonometer on the wrist for the elderly.
The main advantage of a wrist tonometer is its compact size
It would seem that a compact and inexpensive tonometer with a narrow cuff is the best choice for home use. From the point of view of practicality, this is true, but as a medical technique, a tonometer on the wrist is not the best option. Its main drawback is its dubious measurement accuracy. This is due to the design of the cuff.
The narrow cuff fits snugly around the wrist. When air enters it, the radial vein is compressed. Gradually, the air leaves the cuff, the pressure on the vein is released and the pressure is measured. This is the main problem of such devices - the radial vein is too thin, the amplitude between compression and relaxation is small, so the pressure value may be unreliable.
In addition, wrist-based blood pressure monitors require proper use. The arm with the cuff should be held exactly at the level of the heart when measuring the pressure. Such blood pressure monitors "lie" if you lower or raise your hand a little. In this case, the deviation can be as much as a few millimeters of mercury, or tens of percent. In the first case, this is not important, since at a pressure of 145 and 148 mm Hg. the same measures are carried out. But if a person has a pressure of 160 to 100, and the tonometer shows 145 to 90, this can become a serious problem in the treatment of hypertension and tracking the dynamics of pressure changes.
Automatic blood pressure monitors can be equipped with various functions, which affects the cost of the device. The basic set of functions is the measurement of upper and lower blood pressure, as well as heart rate. Thus, after measuring the pressure, three digits are displayed on the screen. If a person has arrhythmia, the tonometer data will be incorrect. In addition, some models simply will not work with arrhythmias, and a measurement error message will be displayed on the screen.
It is because of the sensitivity to arrhythmias that wrist-based blood pressure monitors are considered not the best choice for older people who are often diagnosed with this problem.
Models of this type for cardiac arrhythmias show incorrect results.
A brief summary of the features of wrist tonometers will help you understand when to use them.
The following characteristics are "for" the purchase of this device:
"Against" the compact tonometer is:
At the same time, discrepancies in real pressure values and numbers on the tonometer monitor depend on a number of factors - body position, device charge, pulse, arrhythmia.
Thus, it becomes clear that a compact tonometer cannot be the main and only means for monitoring blood pressure values at home. A wrist tonometer is a good, and sometimes better, choice as an aid to measuring blood pressure. It is convenient to take it with you on a trip, to work, on a business trip for those who must constantly monitor their pressure.
Cardiology advice: For the home, you should choose a tonometer with a shoulder cuff. A device with a wrist cuff will work as a mobile blood pressure monitor, but not for accurate blood pressure monitoring.
In addition, there is a more convenient alternative to this device - fitness bracelets with a heart rate monitor and blood pressure measurement. Such devices also suffer from a small measurement error, but are intended for constant wearing, as they look like a sports watch with a silicone strap.
Fitness bracelet performs the same function but looks like a stylish accessory
If a person decides to opt for a wrist tonometer, one should understand the features of different models. The pricing of blood pressure monitors largely depends on the set of functions. In addition to two main functions (measuring blood pressure and heart rate), the tonometer can have:
Some of these functions can be abandoned in favor of the device's economy, but here you must first decide for what purpose the tonometer is purchased. If the device will serve as an auxiliary meter, and at home there is a full-fledged tonometer with a shoulder cuff, you can safely purchase the simplest basic model. At work or on a short-term business trip, a simple measurement of blood pressure and heart rate will be enough for a person, additional functions will not be used.
There are wrist blood pressure monitors for the elderly, as it can be more difficult for an elderly person to handle this device. When choosing a tonometer for a person over 65 years old, one should take into account the acuity of his vision, hearing and memory. For people who have poor vision, a device with a function of voice recording of the measurement results is an excellent choice. If a person has a hearing problem, but his vision does not fail, this function can be easily abandoned.
For older people, doctors often prescribe regular blood pressure measurements every day, for example, every day after meals, before bedtime, and immediately after sleep. So that a person does not forget to take measurements, the right choice would be to purchase a device with a reminder function. Simply put, this is a regular alarm clock built into the tonometer, which will emit a sound signal at a specified time, reminding hypertensive patients that it is time to take measurements.
The need for a large amount of memory in the tonometer is a controversial issue. Elderly people are usually punished by cardiologists to keep a diary of measurements and it is easier for them to do it by hand, armed with a regular notebook and pen. For middle-aged people, the function of storing data in the device's memory often plays a secondary role, since the pressure is measured more for prophylaxis than for the purpose of making a diagnosis. Everyone decides on the necessity of the function of storing measurement results independently.
The built-in memory will be convenient if several people use the tonometer at once. More advanced models allow you to customize the device for each family member individually. In this case, when measuring pressure, it will be necessary to select the parameters previously entered into the device's memory and take a measurement, and the smart tonometer will write the results to the desired directory.
If you plan to use the device at home, it is better to purchase a model with an adapter so as not to buy batteries
In modern economic realities, the main criterion for choosing a tonometer is its cost. Here you need to understand what a person pays for.
If a tonometer has all imaginable and inconceivable functions, but costs an order of magnitude cheaper than analogs, such a device is definitely not needed. Usually, Chinese manufacturers with untranslatable names offer more functionality and minimal cost. Such devices fail in a matter of weeks, and the measurement results certainly cannot be trusted.
If you want to save money, but buy a high-quality device, you should pay attention to Nissei devices. A tonometer with a minimum of functions will cost a relatively small amount, but it will serve faithfully for at least 5 years.
Another important criterion is how the automatic or semi-automatic tonometer is powered. It is better to pay a little extra and purchase a device with a mixed type of power supply, which is equipped with a rechargeable battery, but can also operate on conventional AA batteries. It is not always convenient to take a tonometer with one battery on a trip, and devices that are powered only by batteries begin to "lie" as they fail.
Nothing prohibits purchasing a wrist tonometer for an elderly person. But cardiologists strongly recommend leaving these devices for relatively young people with an active lifestyle. The main advantage of a wrist tonometer is its compactness and mobility - elderly people usually do not need anything. In this case, it is better to give preference to the reliability and accuracy of measurement, but not to ease of use.
For elderly people, tonometers with a wide cuff, which is designed for the shoulder, are recommended. At the same time, the most accurate, affordable and reliable are semi-automatic devices with a mechanical compressor. In addition, they work great even with arrhythmias, taking additional measurements and showing the average value.
If the tonometer is used on the wrist or for the hand, the instructions for use must be followed exactly - this will allow you to achieve the most correct measurement values.
The rating of blood pressure monitors on the wrist will help you to choose the most optimal option. You can always test a device you like in a medical equipment store or a pharmacy where the device is sold. Moreover, it is recommended to simultaneously measure the pressure with a wrist tonometer and a reference device with a shoulder cuff, which is used to calibrate tonometers in specialized stores - this will determine the maximum degree of discrepancy between the values.
The most affordable, reliable and easy to use is the AND UB-201 tonometer. There is only one button on the device that starts the cuff inflation process. The main advantage is the large battery indicator, which is hard to miss. One set of batteries provides 400 pressure measurements. The disadvantage of the device is that it is not intended for the elderly. For the price, this tonometer is the absolute leader in the rating - its cost ranges from 1200 to 1400 rubles. A more modern model UB-202 is also presented on the market, equipped with many useful functions, for which you will have to pay about 2500 rubles.
Feature of AND UB-201 - the presence of only one button
Medisana HGF is a compact automatic wrist tonometer that can detect arrhythmias. In this case, it takes a series of measurements and displays the average value. A fairly convenient and high-quality device that will last for years. The cost bites a little - about 2,000 rubles. The main disadvantage of the device is that it is difficult to find it on sale.
Medisana HGF can be used even for arrhythmias
The Nissei WS-1000 is an affordable and reliable automatic wrist pressure gauge. It is the leader in sales, as it is represented in most large pharmacy chains. The obvious disadvantages of the device are power only from batteries and the complete absence of additional functions. The main plus is the cost of about 1,500 rubles and a five-year warranty from the manufacturer.
Omron R5 Prestige is an advanced model with many additional features and impressive memory capacity. The cost of the device is about 5 thousand rubles. The main advantage is that it is made in Japan.
Regular blood pressure measurements are necessary for hypertensive and hypotensive patients, as well as for people suffering from vascular dystonia. Classical devices are time-consuming, and it is difficult to independently measure with such a device. The solution to the problem is an automatic tonometer. The device is easy to use, shows more accurate results than a mechanical analogue.
In this article, we will compile a rating of the best automatic blood pressure monitors of 2019-2020, which are chosen by buyers. Consider the advantages and disadvantages of each model, compose comparative table and tell you how to use them correctly.
Reviews from real buyers - The best way make sure the quality and capabilities of the device before purchasing. It is on their basis that our rating of tonometers is compiled. It includes models from the following manufacturers:
A modern wrist tonometer with a wide range of functionality. The display is backlit, so the information on it is easy to read in any light. Able to detect cardiac arrhythmias for another early stage, thanks to the arrhythmia indicator. The size of the cuff is 13.5-21.5cm, so it will fit most users.
There is a function for calculating the average value of three measurements, thanks to which the device independently calculates the average value of pressure (systolic, diastolic) and pulse. To do this, you only need to take measurements 3 times. A hint in the form of a colored scale on the case will help to evaluate the result.
Equipped with memory for 30 measurements, for tracking dynamics. There is a "guest mode" function, when enabled, data is not stored in memory. For use at night, it is possible to turn off the sound signals so as not to wake up the household.
Tonometer B. Well MED-57
An inexpensive automatic wrist blood pressure monitor quickly measures radial artery pressure. Compact size and plastic case allow you to take the device with you to work, walks, travel. The model does not pump the cuff, it measures pressure with high accuracy.
The user will be able to evaluate the measurement results on the contrast display. In addition to numbers, the screen displays the charging level, heart rate, and a graphic pressure level indicator. For more accurate results, it automatically re-measures as needed.
Price from 1590 RUR
Tonometer AND UB-202
Detailed video review:
This model of an automatic tonometer is powered by an electrical network or four batteries, and is very popular due to its low cost. The cuff on the shoulder is sewn taking into account the anatomical features, therefore it fits tightly on the arm, does not pinch the arm.
The measurement itself takes less than a minute. During this time, the device draws air into the cuff, measures the pressure and records the numbers. The result is displayed on a large screen. The blood pressure monitor always remembers the last measurement so that you can compare the changes in your pressure.
Cost from 1190 rubles.
Tonometer B.Well PRO-33
For a detailed description of the model, see the video:
Automatic tonometer for measuring pressure with a combined type of operation: from the mains or batteries. The cuff is made of high quality nylon and fits over the shoulder. One size fits all body types.
The device takes into account the peculiarities of the user's heart rate, thanks to which it calculates units very accurately. Measures the upper limit of pressure, lower and pulse. It not only saves the last measurements, but also calculates the average for the last three uses.
From 1490 rub.
Tonometer Little Doctor LD3a
The compact and simple network blood pressure monitor notifies the owner of the measurement results not only with digital values on the screen, but also with a voice notification. This feature is especially useful for older people with vision problems.
In addition to blood pressure, the device easily measures the pulse rate, monitors changes in heart rate. It records all data in memory cells, if necessary, you can view measurements for a specific date.
Price from 2290 rubles.
Tonometer ARMED YE-660B
Unpacking and Review from the Buyer:
Reliable blood pressure monitor from the world leader in the production of blood pressure devices. Together with it, the user receives detailed instructions, a compact textile cover for the tonometer.
The control is very simple - with a single start button. The cuff is very easy to put on and take off, the size is suitable for both thin and overweight people. It works almost silently, if necessary, batteries can be used as a battery.
The cost is from 1790 rubles.
Tonometer AND UA-888
Review and video review:
A good automatic wrist tonometer has an intelligent blood pressure measurement system that guarantees accurate results with minimal errors. The device remembers the last measurements, the memory cells are distributed for two users. Powered by two batteries.
The measurement process with a high-quality tonometer is very simple, it takes no more than 40 seconds. There are three buttons on the panel - start, measurements by 1 user, measurements by 2 users. The display also shows the heart rate, time. Equipped with an arrhythmia indicator.
Price from 1990 rubles.
Tonometer Nissei WS-820
Review and testing:
Tonometer model from a trusted manufacturer with an indicator of the frequency of arrhythmia manifestation. Diagnoses the results obtained for the WHO color chalet, displays the values on the screen. The cuff is designed to be attached to the shoulder and has a universal size.
Among the distinctive features - the ability to calculate the average pressure based on the stored results. Quite compact, it also comes with a case made of dense material.
From 2490 rubles.
Tonometer AND UA-777
Owner Review:
Automatic blood pressure monitor with universal shoulder cuff. The complete set is expanded with batteries, a bag for storage and transportation. The type of power supply is combined, like in most models.
Records information about 100 measurements of blood pressure and pulse rate. If the tonometer detects an irregular heartbeat, it displays a blinking indicator on the screen. Calculates the average pressure from the three extreme measurements.
Price from 3190 RUR
Tonometer Omron M3 Expert
Detailed video review, testing and feedback:
A state-of-the-art device with broad capabilities. Microlife is Swiss made, made from quality materials and well assembled. One of the main distinguishing characteristics of the tonometer is the ability to connect to a computer in order to transfer measurement data from the device to a PC.
It has all the functions of this type of device. There are movement indicators as well as cuff fixation. Thanks to its functionality and increased measurement accuracy, the tonometer is able to prevent stroke in the early stages.
Price from 4390 rubles.
Tonometer Microlife BP A6 PC
One of the best automatic tonometer from Omron, it has all the necessary sensors, thanks to which the operation of the device eliminates the appearance of errors. The double precision control also contributes to this. The device not only measures blood pressure, it monitors the heart rate, heart rate. If a rhythm failure is detected, it will warn the user about a possible illness.
The cuff is designed to fit over the shoulder, size one. The memory is able to record the measurements of two users; a convenient slider is provided to switch between them. Equipped with a case, batteries, power adapter.
Price from 5490 rubles.
Tonometer Omron M6 Comfort
Owner's opinion:
Despite the apparent similarity, each model has distinctive features. We will clearly display in the table the most important characteristics of automatic blood pressure monitors from our rating of the best models of 2019-2020.
Model | Cuff size, cm | Number of memory cells | Dimensions, mm | Weight, g | Price from, rub. |
---|---|---|---|---|---|
13.5-21.5 | 30 | 73x62x28 | 100 | 1800 | |
13.5-21.5 | 90 | 38x72x64 | 102 | 1590 | |
22-32 | 1 | 87x53x122 | 200 | 1190 | |
25-36 | 30 | 95x50x135 | 435 | 1490 | |
22-32 | 74 | 100x74x130 | 252 | 2290 | |
23-37 | 30 | 60x105x140 | 265 | 1790 | |
12.5-21.5 | 30 | 64x32x70 | 110 | 1990 | |
22-32 | 90 | 145x60x100 | 300 | 2490 | |
22-42 | 60 | 123x85x141 | 340 | 3190 | |
22-42 | 90 | 80x32x160 | 354 | 4390 | |
22-42 | 100 | 123x85x158 | 380 | 5490 |
Doctors insist that mechanical measurement is more accurate. However, an automatic blood pressure monitor is suitable for use at home, since it is simple and convenient to use. Plus, most of them measure heart rate and monitor heart rates, eliminating the need to keep a pressure log.
These models are considered high-precision devices. However, an error is not an exception even with a mechanical tonometer, but if you buy a proven device and follow all the recommendations for use, then the shift in the results to the wrong side is practically reduced to zero. If in doubt, it is better to repeat the measurement a couple of minutes after the first one.
It is very simple to use the device, the main thing is to exclude physical activity, smoking, drinking coffee and alcohol half an hour before the procedure. Carry out the measurement automatically with the tonometer as follows:
Try to measure your blood pressure at the same time, sit quietly for five minutes before the procedure, do not talk during the measurement.
The main place of sale of automatic blood pressure monitors is pharmacies. Devices can be found in online stores, specialized stores of medical equipment. To avoid counterfeiting, buy from trusted places:
Please note that tonometers are also often found in the assortment of large online household appliances stores:
Blood pressure control is essential for all people. This is especially important for older people. Pathologies of the heart and blood vessels are one of the main causes of death.
The main device for determining pressure is. The picture shows a model of a mechanical apparatus. It requires good hearing, vision and effort in the process of measuring blood pressure.
Mechanical models have long been replaced by more modern automatic versions.
A very convenient model is the wrist tonometer. It allows you to quickly get data without anyone's help. The rating of blood pressure monitors on the wrist can help in this.
The wrist is similar to other models. With the help of a special cuff with air, a section of the artery is compressed. The blood flow increases the pressure inside the cuff. A special microprocessor detects fluctuations in the generated pressure and displays the result on the screen. The picture shows how easy it is to use.
Easy wrist pressure measurement
The main functions of tonometers:
Some models may have additional features that facilitate the process of using the device:
High accuracy of indicators is achieved due to the supersensitivity of the microprocessor, because measurements take place in the area of the thin radial artery.
Inaccuracy can arise for the following reasons:
The picture shows the correct way to measure blood pressure with a wrist tonometer.
The main condition is to adopt a comfortable sitting position and relaxation.
The device should be worn on the left hand, which is then brought to the chest in the region of the heart. The time for determining blood pressure is on average 30 seconds. After the results are displayed on the screen, the cuff can be removed.
Wrist models have a number of advantages:
Disadvantages of wrist devices include:
In old age, the risk of serious heart pathologies increases. It is for this reason that they need to keep track of their blood pressure levels. It is important for older people that this process is quick and easy. Manufacturers of blood pressure monitors take into account the needs of different age groups and produce more and more convenient and improved models of devices.
At this age, people may experience some difficulties:
All these problems are solved by a wrist tonometer. Ease and ease of use make such models very popular.
How to choose a wrist tonometer, which is better after 50 years? A large assortment of various models makes the choice difficult. Before buying, you need to consider several models and pay attention to the most necessary details.
When buying a wrist tonometer for the elderly, you need to consider the following points:
Age restrictions are indicated in the product passport. It is necessary to carefully study all the technical characteristics of the models in the process of choosing a wrist tonometer for an elderly person.
Specialists in the store, the attending physician or consumer reviews can help in choosing a device.
Which model of a wrist tonometer is best used for people after 50 years
The most popular model of a well-known manufacturer from Japan. Can be used both in hospitals and at home. The picture below shows that the device has a comfortable strap and a large screen, which is very important for the elderly.
Technical details:
Advantages:
A large list of pluses and excellent technical capabilities make this device the most popular for the elderly. The device is relatively inexpensive. The price for this device ranges from 2500 to 3000 rubles.
This device is a wrist tonometer with the highest accuracy class. No other similar device has ever shown such results. It is also a device that has absolutely no age restrictions. The picture shows the original design of the model.
Technical specifications:
A very popular model. It has many advantages. Convenient design and control. The cost of such a device can range from 2700 to 3200 rubles.
Tonometer from one of the most famous Japanese manufacturers. It is equipped with many useful additional features. The picture shows that the device has a similar design to other models of this manufacturer.
Specifications:
Advantages:
The device itself regulates the accuracy of the results. If a strong error occurs, it automatically makes additional measurements. The device is relatively expensive. The cost of the device can range from 5700 to 7000 rubles.
Also a model of a fairly well-known brand. It is a lightweight, convenient and accurate pressure level meter. The picture shows its appearance.
Technical specifications:
This model should be in every home. It is one of the cheapest and at the same time functional. The price for this device varies from 1,700 to 2,500 rubles.
For older people, the tonometer is one of the most important devices that should always be at hand. For the convenience of both the elderly and the young, wrist devices have been developed. They are compact, highly accurate and very easy to use.
In the process of choosing a measuring device for the elderly, it is important to pay attention to certain characteristics. The most important thing is that the device must correspond to the age category. Not all models of wrist blood pressure monitors are suitable for the elderly.
It is best to purchase the devices in specialized stores, where warranty coupons are issued. And also give preference to devices from well-known manufacturers that have won the trust of buyers. Various ratings of the best available wrist tonometer models can help in your selection. They contain detailed information and technical characteristics and the merits of the models.