Accurate home and nocturnal blood pressure
Contents
1. cceeeeeees 25 26 Appendix Batteries and power adaptor ou cece ecceeeeeeeeeees 27 28 Safety care accuracy test and disposal 29 30 EL FON MCS SAC CS x tecreavomesurtneructneteiovaereianetiniaetuernes 31 32 important facis sirmon 33 34 Technical specifications cccccccceseessesscesecssceseeseeeaes 35 WatchEP homew microlife l Watc hBP home n Ama ON OFF Button Display Battery Compartment M Button Memory NOCTURNAL Serial Port Mode Switch Medication Button Power Socket 3 microlife Mode Indicators Doctor Symbol i Atrial Fibrillation Detection Outside Measurement time N T i Relax Battery Display Delete Memory Data WatchBP home w O 2 MONTH DAY PM at it 1 lal Morning Data Evening Data Date Time Systolic Value Diastolic Value Pulse Indicator Pulse Rate Number of Stored Data Before using WatchBP Home N for the first time WatchBP home Press M button to select Press ON OFF button to confirm Sa ng y 2 Set the month Press the M button to select the PULL gt month Press the ON OFF button to confirm i Sosi 0 1 Set the year Upon removing the protective strip or 3 Set the day Press the M button to select the day installing new batteries the year number flashes in Press the ON OFF button to confirm the display Use the M button to selec2. ESH AHA WatchBP home microlife Accurate home and nocturnal blood pressure measurements with the WatchBP Home N instruction Manual microlife Microlife WatchBP Home N is the device designed to measure daily and nocturnal blood pressure It strictly follows European Society of Hypertension ESH and American Heart Association AHA recommendations of 7 day home measurement period with two measuremetns in the morning and two in the evening Using the WatchBP Home N device helps you collect accurate diurnal and nocturnal blood pressure measurements This gives a good insight in your daily blood pressure pattern and therefore provides valuable information to your doctor The WatchBP Home N device has been clinically validated according to the ESH protocol O Brien E Asmar R Beilin L Imai Y et al European Society of Hypertension recommendations for conventional ambulatory and home blood pressure measurement European Society of Hypertension Working Group on Blood Pressure Monitoring J Hypertens 2003 21 821 848 Stergiou GS et al A tool for reliable self home blood pressure monitoring designed according to the European Society of Hypertension recommendations The Microlife WatchBP Home monitor Blood press Monit 2007 12 127 131 3 Thomas G Pickering Nancy Houston Miller Gbenga Ogedegbe Lawrence R Krakoff Nancy T Artinian and David Goff Call to Action on Use and Reimbursement for Hom
3. Clear Memory or Exit Batteries and power adaptor Battery indicator When the batteries have 1 4 power supply left the Battery Symbol will flash each time the device is switched on LUSUAL o4 oe PM mem al o LOLS oZ On me D 4 4 h N rire wm N Replacing low batteries When the batteries need to be replaced the Battery Symbol will flash each time the device is switched on 1 Open the battery compartment at the back of the device 2 Replace the batteries be sure to have the correct polarity as shown by the symbols in the compartment Use 4 new long life 1 5V size AA batteries Do not use batteries out of date of expiration Remove batteries if the device will not be used for a prolonged period 27 microlife Using a power adaptor The WatchBP Home N device can also be operated using a Microlife power adaptor DC 6V 600mA 1 Plug the adaptor cable into the Power Plug of the WatchBP Home N device 2 Plug the adaptor plug into the wall socket When the power adaptor is connected no battery power is consumed Only use power adaptors supplied by Microlife Caution please use battery power under Nocturnal mode not AC adapter to avoid the risk of electroshock WatchEP home w 3 s Ss Safety care accuracy test and disposal Safety and protection Observe the storage and operating conditions described This device may be used only for the purpose descri
4. WatchBP homew WatchBP home w Step 6 When the measurement is complete the readings are stored for future reference by your doctor If an error displays after the readings please repeat the measurement procedure from step 1 to 5 SYS mmHg DIA mmHg Pulse Automatically stored Eight steps for taking proper blood pressure cont Step 7 in DIAG mode In DIAG mode there is a 60 seconds countdown before the measurement starts Two measurements will be performed subsequently After the first measurement another 60 seconds countdown starts before the second measurement Be relaxed and do not move during the countdown oO Step 8 in DIAG mode When seven days of measurements have been collected the Doctor Symbol will flash on the display Do not forget to bring your WatchBP Home N device with you on your next visit to the doctor Note the doctor symbol is only displayed for measurements in DIAG Mode Q 17 microlife In NOCTURNAL mode Change the shorter tube 20 inches to the longer tube 40 inches in NOCTURNAL mode therefore the cuff can be securely attached to the user s upper arm during sleep Avoid the tube to be kinted during sleep Shorter tube 20 inches for USUAL and DIAG mode Longer tube 40 inches for NOCTURNAL mode WatchBP home w The user should be lying supine in bed and put the device on a table by th
5. beats per minute Relax for 5 minutes and repeat the measurement LO Pulse too The pulse is too low less low than 40 beats per minute Repeat the measurement Important facts about blood pressure and home measurements Are home blood pressure measurements valuable Yes The American Heart Association and European Society of Hypertension have demonstrated that home blood pressure measurements are important in determining accurate blood pressure e Blood pressure is the pressure of the blood flowing in the arteries generated by the pumping of the heart Two data the systolic upper value and the diastolic lower value are always measured e The pulse rate is the number of heart beats per minute e Permanently high blood pressure data can damage your health and must be treated by your doctor e Always discuss your home blood pressure measurement data with your doctor and tell him her if you have noticed anything unusual or feel unsure Never rely on single blood pressure readings e There are many causes of excessively high blood pressure readings Your doctor can explain them in more detail and offer treatment where appropriate e Blood pressure is subject to wide fluctuations during the day and can be influenced by emotions physical exertion and other conditions 33 microlife Evaluating blood pressure data The table at right classifies blood pressure data for adults in a
6. measurements you want to view measurements stored is displayed e g N 63 the average of all measurements stored in memory is NOCTURNAL USUAL followed immediately f 195 OLELE TE rai LpiaG CION Aad i i tat 2 Then press the M button M CS 2 All individual readings can be viewed sequentially by pressing the M button repeatedly BSI F I7 K Individual lt 4 t we Reading m a Hie tut M Ia 21 microlife WatchBP home w In DIAG Mode 2 Pressing the M button again to recall the average of all 1 Pressing the M button the total number of morning data measurements stored is displayed e g N 20 DIAG FNH ome Ain E E mit est aeg ml 3 Pressing M button once again to show the average of m EL J J all evening data A is displayed when will display when the the number shown is number of measurements D 2 v ri the average of all data is less than 12 Nm S ra gt H J oe T All individual readings can be viewed by repeatedly pressing the M button 2 Viewing deleting and transferring measurements cont In NOCTURNAL Mode 1 Pressing the M button the total number of measurements stored is displayed e g N 12 then the averages of the measurements in NOCTURNAL Mode are displayed afterward z fo 9 d 5 z gt E ea Zp my ass NOCTURNAL A 9 Me 2 2 Pressing the M button reapeatedly to recall the measuremen
7. bed in the Technical specifications section of this manual in this booklet The device comprises of sensitive 4 Protect the device from water and moisture components and must be treated with caution The manufacturer cannot be held responsible for damage X Protect the device from direct sunlight caused by incorrect application 3 Protect the device from extreme heat and cold A Ensure that children do not use the device unsupervised Avoid proximity to electromagnetic fields such as some parts are small enough to be swallowed those produced by mobile phones Only activate the pump when the cuff is installed J ernn dane Do not use the device if you think it is damaged or if p anything appears unusual ee ae oe Sonne 2 Protect device from impact and drops e Read the further safety instructions in the individual sections of the instruction manual Do not connect the device to a computer until prompted to do so by the computer software 29 microlife Device care Clean the device with a soft dry cloth Accuracy test It is recommended the WatchBP Home N device be tested for accuracy every 2 years or after mechanical impact e g being dropped Please contact Microlife to arrange for an accuracy test WatchEP home w Cuff care DO NOT wash the cuff DO NOT iron the cuff cover oo Do not wash the cuff A Do not iron the cuff Disposal Batteries and electronic instru
8. blem It affects more than 2 million people in North America It is more common with older age and is found in 10 of people over 80 years old It is a common cause of stroke About 15 of all strokes are caused by atrial fibrillation The elderly or those with high blood pressure diabetes or heart disease are more likely to get a stroke if they have atrial fibrillation Atrial fibrillation is a rhythm problem that can last from a few minutes to days or weeks and even years Atrial fibrillation can cause blood clots in the upper chambers of the heart the atria These clots can break off and flow to the brain causing a stroke WatchBP home w The use of blood thinners such as warfarin can lower the risk of stroke in patients with atrial fibrillation A doctor can confirm if atrial fibrillation is present by using an EKG Sometimes Atrial fibrillation is present incidently Therefore a doctor may not see it on regularly scheduled visits One method of detecting atrial fibrillation is by mean of pulse palpitation This method is not very reliable Failure of detecting Afib may lead to the occurrence of stroke at the end whereas early detection may lead to early treatment that can significantly reduce the chances of stroke Viewing deleting and transferring measurement readings Viewing measurements In USUAL Mode 1 Use the Mode switch to first select the mode of 1 Pressing the M button the total number of
9. ccordance to the guidelines of the European Society of Hypertension ESH in 2007 Data in mmHg The higher value is the one that determines the evaluation Example a readout value between 150 85 or 120 98 mmHg indicates Grade 1 Hypertension WatchBP home w Category Systolic Diastolic Optimal lt 120 lt 80 Normal 120 129 80 84 High normal 130 139 85 89 Grade 1 Hypertension 140 159 90 99 Grade 2 Hypertension 160 179 100 109 Grade 3 Hypertension gt 180 gt 110 Isolated Systolic gt 140 lt 90 Hypertension Technical specifications Operating temp 10 to 40 C 50 to 104 F Reference to Device standard Storage temp 20 to 55 C 4 to 131 F standards Device corresponds to the requirements 15 90 relative maximum humidity of the standard for non invasive blood Weight 385 g including batteries pressure monitor Dimensions 150x 100 x50 mm ANSI AAMI SP10 Measuring Oscillometric corresponding to Korotkoff IEC 60601 1 procedure IEC 60601 1 2 Method Phase I systolic Phase V diastolic Electromagnetic Device fulfills the stipulations of the Measurement 30 280 mmHg blood pressure compatibility standard IEC 60601 1 2 range 30 200 beats per minute pulse Cuff pressure Range 0 299 mmHg Type BF applied part display Resolution 1 mmHg Static accuracy pressure within 3 mmHg or 2 of reading gt 200 mmHg Pulse accuracy 5 of t
10. d until beep peed AMBULATORY qt Soir a paw n BEEP rr a tos Saved The time of taking medication can be recorded in any modes 12 EY Delete stored medication records To clear the memory of all medication records press and hold the Medication button for 7 seconds until the CL symbol flashes Then press M to delete the memory or ON OFF to cancel the deletion Press and hold for 7 seconds SELL D n EL Pressing the M Button to delete data will erase all medication record data in the different mode Pill indicator Uen l of the word is displayed without the dot in the i Due to technical limitation the character pil a m A Paii D SPuic XN 1 ZA SP ott gt indicates the word pill 13 _microlife WatchBP home w Measurements stored automatically In USUAL mode 250 measurements can be stored When the memory of the device is full each new measurement will automatically overwrite the first measurement In lt DIAG gt mode 28 measurements can be stored 250 28 Measurements Measurements USUAL mode DIAG gt mode In NOCTURNAL mode 84 measurements can be stored Up to 21 cycles of nocturnal measurements can be stored 50 medication records can be stored When the memory is full the device will display Full 90 Records G4 Measur
11. e Blood Pressure Monitoring Executive Summary A Joint Scientific Statement From the American Heart Association American Society of Hypertension and Preventive Cardiovascular Nurses Association Hypertension 2008 52 1 9 Stergiou GS Giovas PP Gkinos CP Patouras JD Validation of the Microlife WatchBP Home device for self home blood pressure measurement according to The International Protocol Blood Press Monit 2007 12 3 185 188 microlife Table of Contents Before using WatchBP Home N for the first time Product description 2 cci cceccietvcanieieresercer eins 3 4 Activating the device at asecopasscensacteecuieaetecestanedneiseaiceees 5 Selecting the correct cuff st carceteceaseestaeneraevencerencsuaceastes 6 Taking measurements using WatchBP Home N USUAL MOIE sonrai e AE 7 DIAG MOGE s c0ssacsscsxcannerivenesnevesrensvestnconseemnoansentcees 7 10 NOCTURNAL MOJE sosirii 11 Reording medication intake and Memory Reording medication intake 0 0 eee eeeeeeeeeees 12 13 MOMOD pennrener en pn A 14 Eight steps for taking accurate blood pressure measurements Blood pressure measurement procedures 15 18 WatchBP home w Special function Atrial Fibrillation Detection cccccccececeeceeeeeeees 19 20 Viewing deleting and transferring measurement values Viewing measurement values oe eeeeeeteeees 21 24 Deleting measurement values ec cceeeececeseeeeeees 24 Transferring measurement VAIUES
12. e bed PA Supine means lying on the back or having the face upward 18 Gl Special Function The atrial fibrillation indicator for early detection The WatchBP Home N is designed to detect atrial fibrillation during blood pressure measurements in the USUAL Mode DIAG Mode and NOCTURNAL Mode When atrial fibrillation is detected the Afib icon displays The device can detect atrial fibrillation with high accuracy sensitivity of 95 and specificity of 86 If the atrial fibrillation icon is displayed frequently it is highly recommended to perform a visit to the doctor Joseph Wiesel Lorenzo Fitzig Yehuda Herschman and Frank C Messineo Detection of Atrial Fibrillation Using a Modified Microlife Blood Pressure Monitor American Journal of Hypertension 2009 22 8 848 852 doi 10 1038 ajh 2009 98 cS co cS Z e 2 N gt am at aie wt m T pea vim bm SS a mm mbar lam al Atrial fibrillation which is a major cause of stroke which can be detected by this device However not all risk factors for stroke including atrial flutter may be detected by this device This device may not detect atrial fibrillation in people with pacemokers or defibrillators People with pacemakers or defibrillators should therefore not use this device to detect atrial fibrillation 19 microlife About Atrial Fibrillation Atrial fibrillation is a common heart rhythm pro
13. ed by your doctor N l lg SOE x1 06 00 09 00 J X1 18 00 21 00 ESH Guidelines 1 Gianfranco Paratia et al European Society of Hypertension guidelines for blood pressure monitoring at home J Hypertens 2008 26 1505 1530 2 Thomas G Pickering et al Call to Action on Use and Reimbursement for Home Blood Pressure Monitoring Hypertension 2008 52 1 9 9 microlife However for user s convience WatchBP Home N has an extended measurement period and allows morning measurements between 04 00 12 00 and evening measurements between 18 00 24 00 Ser X1 NS Extended Time If itis notin the measuring time period the symbol will be displayed and the measurements can not be taken 04 00 12 00 WatchBP home w Evaluation After measurements have been carried out for a total of 7 working days bring the device to your doctor for evaluation of your home blood pressure When measurements have been carried out for the full 7 days the doctor symbol will flash on the screen Taking measurements using WatchBP Home N cont NOCTURNAL Mode The NOCTURNAL mode enables to measure and record blood pressures during sleep time It can be used when requested by your doctor The starting time of NOCTURNAL mode is restricted between 6 00pm and 4 00am NOCTURNAL USUAL Lo E Dihs Please lie supine when NOCTURNAL mode is s
14. elected wont ao Supine means lying on the back mon h h f d ra aa or having the face upward u If itis not in the allowed measuring time the symbol will be displayed and the measurements can not be taken Three measurements during sleep time Select NOCTURNAL mode while you are going to Sleep Please lie supine in bed then press the start button for 3 seconds The device will take one measurement automatically as baseline to activate the nocturnal measurements It will take the first measurement two hours later the second measurement one hour after the first measurement and the third measurement one hour after the second measurement The values of 1 21d and 3 measurement will be averaged The baseline readings will not be counted in as average oG CGGG Lal L 2 hours 1hour 1hour Press for 3 seconds 11 microlife Recording medication intake The patient can record the time of taking the medicine by pressing the Medication Button 1 Press and hold the Medication Button the pill icon will flash Hold until beep sounds then release it The Pill icon and the number of records appear 2 The Pill icon will flash in alternation with the recorded time of taking the medicine 3 The time of taking the medication is saved The device saves only the time of taking the medicine not the pill s name or dosage n WatchBP home w Press and hol
15. ements NOCTURNAL mode Medication Eight steps for taking proper blood pressure Step 1 Avoid taking measurements directly after eating drinking or smoking Allow at least one hour between these activities and measurement of your blood pressure Q 1 Hour SW Before Step 2 g In USUAL and DIAG mode Prepare a chair and table for the n measurement The chair should have D a vertical back rest and the table QT should allow your upper arm to rest at the same height as your heart Step 3 Remove all clothing constricting the arm to be measured Connect the shorter tube to the cuff then apply the cuff Make sure the lower edge of the cuff is exactly 2 3 cm from the inner fold of your arm The tube connecting the cuff to the device should be placed on the inside of the arm Additional visual instruction can be found on the cuff Shorter tube 20 inches for USUAL and DIAG mode Avoid rolling up long sleeves as this may lead to constriction of blood flow to the measurement arm 15 microlife Step 4 OQ Sit down and relax for at Relax 5 mins the measurement Step 5 backrest Press the start button and the device will start to measure During the measurement do not Breath normally and do not talk least five minutes prior to Sit upright and lean comfortably against the chair s move cross your legs or tense your arm muscles gt ie Sw
16. exe in the CD s directory 2 Follow the instructions provided in the installation window on the computer screen 3 When installation is finished be sure to restart the computer before you work with the program System Requirements 550MHz CPU 256MB Memory 1024x768 x WatchBP homew ee pixel resolution 256 color CD a M ROM drive 1 free USB port 40MB free hard disk space Microsoft Oi Windows 2000 XP Vista Transferring data to the computer 1 Start the software program and connect the device to the computer using the cable supplied 2 A successful connection is displayed by Connected on the computer screen 3 Enter identity number Patient Name and Patient Surname to create a new record 25 microlife WatchBP home w Software commands Refer to the software user manual for detailed information and instructions Transfer data of Diagnostic mode Usual mode Nocturnal mode and Medication mode to the computer Click Download Delete the memories Click Clear Memory Write Patient ID to the Device Click Set Patient ID Store data Click Save to excel the file name is formed automatically as patient s ID_WatchBPHomeN_YYYYMMDD xIs View the data Click Open file Version of software and user manual Click Help Close the program Click Exit Please store the data before using
17. f blood pressure during sleep The user should be lying supine in bed when this mode NOCTURNAL USUAL is selected amp il D L DIAG Sa The time of taking medication can be recorded in any modes 7 microlife USUAL Mode In USUAL mode single measurements can be taken at any time and the measurement values are automatically stored for later evaluation by your doctor 1 Anytime sacha ale y USUAL WatchEP home w DIAG Mode The DIAG mode should be selected as requested The blood pressure can only be measured in accordance to the 7 day measurement schedule as prescribed by the European Society of Hypertension ay Taking measurements using WatchBP Home N cont Take measurements on 7 consecutive days In DIAG mode blood pressure measurements are taken on 7 consecutive days ESH and AHA recommend to take a 7 day measurement period with 2 measurements in the morning and 2 measurements in the evening to get an average of at least 12 morning and evening measurements for reference The first day measurments shall be excluded from the analysis consecutive days Two sets of measurements per day ESH guidelines recommend one double measurement to be taken in the morning between 06 00 09 00 and one in the evening between 18 00 21 00 Always take the measurements before taking your medication unless otherwise direct
18. he readout value Voltage source 4x 1 5 V Batteries size AA Mains adapter DC 6V 600 mA optional Microlife reserves the right to alter technical specfications without prior written notice 35 microlife
19. ments must be disposed of in accordance with the locally applicable regulations and not as domestic waste Error messages If an error occurs during measurement the measurement is interrupted and an error message Er is displayed p gt D m A ah S USUAL DIAG ip HE d e Please consult your doctor a a if this or any other problem b J occurs repeatedly e Ifyou think the results are aS unusual please read through the information in this instruction manual carefully Error Description Potential cause and remedy Er1 Signal too The pulse signals on the cuff weak are too weak Re position the cuff and repeat the measurement Er 2 Errorsignal During the measurement error signals were detected by the cuff caused for instance by movement or muscle tension Repeat the measurement keeping your arm still 31 microlife WatchBP home w Er 3 Nopressure An adequate pressure in the cuff cannot be generated in the cuff A leak may have occurred Replace the batteries if necessary Repeat the measurement Er 5 Abnormal The measuring signals are result inaccurate and no result can therefore be displayed Read through the checklist for performing reliable measurements and then repeat the measurement HI Pulse or cuff The pressure in the cuff pressure too is too high over 300 high mmHg OR the pulse is too high over 200
20. t the year Press A P r par Z D the ON OFF button to confirm the selection D Sa Cb 9 Activating the Device Pull out the protective strip from the battery compartment to activate the device 5 microlife 4 Set the time Press the M Button to select the time Press the ON OFF button to confirm When the date and time are set the current time is displayed Sic p Sai b r ii 5 If you want to change the date and time take out one battery from the battery compartment briefly and press ON OFF button to turn off the device then put it back The year number will flash Complete the process as described above WatchBP home w Selecting the correct cuff The WatchBP Home N device is available with different cuff sizes If the cuff provided with the device is not the correct size please consult your doctor please use only Microlife cuffs 1 M Medium size 22 32 cm 8 7 12 6 inches Mis the correct size for most people L Large size 32 42 cm 12 6 16 5 inches Taking measurements using WatchBP Home N Prior to each measurement use the Mode Switch on the right side of the device to select the proper measurement mode There are three modes to be selected USUAL Usual mode for a regular single measurement DIAG Diagnostic 7 day measurement session for diagnosis or follow up NOCTURNAL Nocturnal mode for measurements o
21. ts in NOCTURNAL Mode one by one In each set the readings of baseline is displayed first however it is not calculated in average The readings of the 13t 24 and 3 are displaed consequently The date and time are dispalyed alternatively but IR gt 3 a 5 Et ean 8 2 i ETa n n a m i Tm rm M m Fain 5 SEE mam 8 09 4 ial D 1341 75 2 os l Z M M afl oom 5 ft 8 29 23 microlife mm 3 ae zme A ech D D ue D Hata Au au p M m w a Deleting measurements 1 All the data in different modes can be deleted Use the Mode switch to select the mode of measurements you want to delete NOCTURNAL USUAL n Sle sii t DIAb Before deleting the data be sure that the data have been downloaded or are no longer needed WatchBP home w 2 Press the M Button and hold it for 7 seconds until the delete symbol flashes D Press and hold for ri Z 7 seconds lalan 3 Release the M Button and press it once more while the delete symbol flashes The deleting is confirmed by the beep sound ms gt r lt l la A LL 9 M Only measurements in the selected mode will be deleted Data in different mode have to be deleted independently 24 A Viewing deleting and transferring measurements cont Transferring measurements Installation of the software program 1 Put the CD in the CD ROM drive of your computer Alternatively click on setup
Download Pdf Manuals
Related Search