Microlife WatchBP Home A - North East London Pharmaceutical
Contents
1. 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 13 Technical specifications Operating temp Storage temp Weight Dimensions Measuring procedure Method Measurement range Cuff pressure display Voltage source 10 40 C 50 104 F 15 90 relative maximum humidity 20 50 C 4 131 F 15 90 relative maximum humidity 385 g including batteries 150 x 100 x 50 mm Oscillometric corresponding to Korotkoff Phase systolic Phase V diastolic 30 280 mmHg blood pressure 40 200 beats per minute pulse Range 0 299 mmHg Resolution 1 mmHg Static accuracy pressure within 3 mmHg Pulse accuracy 5 of the readout value 4x 1 5 V batteries size AA Mains adapter DC 6V 600 mA optional WatchBP Home A Device corresponds to the requirements of the standard for noninvasive blood pres sure monitor EN 1060 1 3 4 IEC 60601 1 Reference to standards IEC 60601 1 2 Electromagnetic Device fulfills the stipulations of the standard compatibility IEC 60601 1 2 The stipulations of the EU Directive 93 42 EEC for Medical Devices Class Ila have C 0044 been fulfilled Microlife reserves the right to alter technical specifications without prior written notice Type BF applied part IREF Reference number Pn Manufacturer SM serial number2. soe p B Setting the date and time Upon removing the protective strip or installing new batteries the year number flashes in the display S 1 Set the year Use the M button to select the year Press the ON B gt u ca oO D OFF button to confirm your selection Press M button to make 4 Set the time Once you have set the hour and minutes and selection pressed the ON OFF button the date and time are set and the current time is displayed Press ON OFF button to confirm WatchBP Home A 5 D n m a a a ir bbe 18 l 5 Ifyou want to change the date and time take out one battery from the battery compartment briefly and put it back The year number will flash Complete the process as described in previous steps Selecting the correct cuff The WatchBP Home A device is available with different cuff sizes If the cuff provided with the device is an unsuitable size please contact Microlife gt Please use only Microlife cuffs eo a S Small size 17 22 cm 6 75 8 75 inches M Medium size 22 32 cm 8 7 12 6 inches M is the correct size for most people L Large size 32 42 cm 12 6 16 5 inches XL X Large size 32 52 cm 12 6 20 5 inches microlife Connect the cuff to the device by inserting the cuff connector into the 3 Selecting the operation mode Prior to each measurement use the Mode switch on the side of the cuff socket as far as it will go devic
3. ce Please store the data before using Clear memory or Exit 22 microlife 9 Battery indicator and battery change Replacing low batteries 1 Open the battery compartment 8 at the back of the device 2 Replace the batteries ensure correct polarity as shown by the symbols in the compartment gt Use 4 new long life 1 5V size AA batteries gt Do not use batteries beyond their date of expiry sy gt Remove batteries if the device will not be used for a MONTH DAY PM prolonged period menm DIAG hbo LOLS Battery indicator When the batteries have 1 4 power supply left the battery symbol will flash each time the device is switched on WatchBP Home A 23 EN Using a power adaptor The WatchBP Home A can also be operated using a Microlife power adaptor DC 6V 600 mA 1 Plug the adaptor cable into the power plug in the device 2 Plug the adaptor plug into the wall socket When the power adaptor is connected no battery power is consumed ce Only use Microlife branded power adaptors 24 10 Safety care accuracy test and disposal This device may be used only for the purpose described in this booklet The manufacturer cannot be held liable for damage caused by incorrect application The device comprises of sensitive components and must be treated with caution Only activate the pump when cuff is installed Do not use the device if you think it is damaged or if anything appear
4. Os ce Outside these times measurements cannot be taken andthe c When measurements have been carried out for the full 7 days symbol on the right will be displayed on the screen the doctor symbol will flash on the screen WatchBP Home A 9 H USUAL mode e With Afib detection In USUAL mode three consecutive measurements are taken automatically at 15 second intervals The results are averaged and displayed The averaged readings are automatically stored for later evaluation by your doctor 1 Anytime 15 sec 15 sec 4 Taking measurements using WatchBP Home A Easy steps for measuring blood pressure properly 1 Avoid taking measurements directly after eating drinking or smoking Allow at least one hour between these activities and measurement of your blood pressure yx microlife 2 Prepare a chair and table for the measurement The chair should 3 Remove all clothing covering or constricting the arm to be have a vertical back rest and the table should allow your upper measured Apply the cuff Make sure the lower edge of the cuff is arm to rest at the same height as your heart 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 WatchBP Home A 1 E9 4 Sit down and relax for at least 5 minutes prior to the measurement 5 Sit upright and lean c
5. be deleted microlife Transferring measurements Transferring data to the computer the following system requirements are needed 550MHz CPU 256MB Memory 1024x768 E pixel resolution 256 color CD ROM drive WatohBPhomes 1 free USB port 40MB free hard disk space nel Microsoft Windows XP Vista Win7 Win8 c Or download the latest version from www watchbp com 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 computer screen 3 Enter name identity number if required and date of birth to create a new record the WatchBP Home A Software commands Refer to the software user manual for detailed information and instructions Transfer DIAG mode data Corresponding value Click Download You can remove the check mark and the corresponding value will not be used to calculate the average Store data View the data Click Save the file name is formed automatically from the patient s identity number and the suffix Dmode xls Click Patient Files Store the USUAL mode data Print the data sheet Click Download Usual Mode Data the file name is formed automatically from the patient s identity number and the suffix Umode xls Click Print Delete the memories Close the program Click Clear memory Click Exit
6. e Viewing measurements e Deleting measurements e Transferring measurements 9 Battery indicator and battery change e Battery indicator 10 Safety care accuracy test and disposal e Device care e Accuracy test e Cleaning the cuff e Disposal 11 Error messages 12 Important facts about blood pressure and home measure ments 13 Technical specifications e Guarantee Card microlife 1 Product description Name of parts and display 1 Cuff socket 2 Serial port 3 Mode switch 4 Power socket microlife 5 M button Memory Display 7 ON OFF button Battery compartment WatchBP Home A Display reer MONTH DAY PM a iehi A 49 om j af O D 9 Mode indication Doctor symbol 41 Atrial fibrillation detection Afib 2 Outside measurement time 3 Relax 4 Battery display 5 Delete memory data Stored value 47 Morning data Evening data Date Time 0 Systolic value 1 Diastolic value 2 Pulse indicator 23 Pulse rate Number of stored data microlife 2 Before using WatchBP Home A for the first time Activating the device gt ee Pull out the protective strip from the battery compartment BEEPS gt eo P E l id 2 Set the month Use the M button to set the month Press the ON J T OFF button to confirm 3 Set the day Press M button to set the day Press the ON OFF D PULL gt button to confirm Z
7. 30 Guarantee Card This device is covered by a five year guarantee from the date of purchase This guarantee is valid only on presentation of the guarantee card completed by the owner confirming date of purchase or purchase receipt Batteries cuff and wearing parts are not covered by this guarantee Product WatchBP Home A Product Number BP 3MX1 3 Serial Number Date Name Address Date Telephone Email microlife Europe Middle East Africa Microlife AG Espenstrasse 139 9443 Widnau Switzerland Tel 41 71 727 7000 Fax 41 71 727 7011 Email watchbp microlife ch www watchbp com Asia Microlife Corporation 9F 431 RuiGang Road NeiHu Taipei 11492 Taiwan R O C Tel 886 2 8797 1288 Fax 886 2 8797 1283 Email watchbp microlife com tw www watchbp com ce0044 6S United States Microlife Medical Home Solutions Inc 2801 Youngfield St Suite 241 Golden CO 80401 USA Tel 1 303 274 2277 Fax 1 303 274 2244 Email watchop mimhs com www watchbp com Central South America Microlife USA Inc 1617 Gulf To Bay Blvd 2nd Floor Clearwater FL 33755 USA Tel 1 727 442 5353 Fax 1 727 442 5377 Email msa microlifeusa com www watchbp com IB WatchBP Home A EN 3113 WatchBP Home A
8. Data Memory The WatchBP Home A can store up to 250 averaged measurement readings in USUAL mode In DIAG mode the memory is full after the schedule has been completed 290 Measurements When memory is full each new reading will automatically overwrite the earliest measurement Review the last 3 individual measurements Press and hold the M button until 1 is displayed on the screen The values of the last 3 individual measurements are displayed sequentially microlife 6 Atrial fibrillation detection Afib This device is designed to screen for atrial fibrillation during blood pressure measurements both in USUAL and DIAG mode If atrial fibrillation is detected during all readings of the triple measure ments in USUAL mode or all four readings of one day in DIAG mode the Afib icon is displayed Joseph Wiesel et al Detection of Atrial Fibrillation Using a Modified Microlife Blood Pressure Monitor American Journal of Hypertension 2009 22 8 848 852 SUA eae t ee ZJ ZJ B J e mos im eae bem Ce vm Vee nw r lam onl Important facts about atrial fibrillation Atrial fibrillation is a common heart rhythm problem and a common cause of major strokes It affects more than 2 million people in North America It is more common in old age and found in 10 of people over 80 years old About 20 of all strokes are caused by atrial fibrillation The el
9. Microlife WatchBP Home A JEN The Microlife WatchBP Home A is designed to provide reliable and unbiased blood pressure measurement results and strictly follows European Society of Hypertension ESH and American Heart Asso ciation AHA recommendations for out of office blood pressure measurement The WatchBP Home A device has been clinically validated according to the ESH protocol 1 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 Hyperten sion Working Group on Blood Pressure Monitoring J Hypertens 2003 21 821 848 BA Read the instructions carefully before using this device WatchBP Home A Table of Contents 1 2 Product description e Name of parts and display Before using WatchBP Home A for the first time e Activating the device e Setting the date and time e Selecting the correct cuff Selecting the operation mode e DIAG mode e USUAL mode Taking measurements using WatchBP Home A e Easy steps for measuring blood pressure properly Data Memory e Review the last 3 individual measurements Atrial fibrillation detection Afib e Important facts about atrial fibrillation e Frequent screening on multiple days e Afib icon is displayed Information for the doctor Installation of the software program Viewing deleting and transferring measurements
10. arm has moved during blood pressure measurement For this reason it is of essential importance that the arm is kept still during the measurement Some arrhythmia irregular heart beat other than atrial fibrillation might be present In such a case it is still recommended to pay a visit to the doctor Afib icon is displayed e f atrial fibrillation is detected during all readings of the triple measurements in USUAL mode at both readings of two measurements or all four readings of one day in DIAG mode then atrial fibrillation is most likely present When atrial fibrillation is detected another measurement session should be done approximately one hour later If this last reading shows atrial fibrillation contact your doctor gt Notall risk factors for stroke including atrial flutter may be detected by this device t This device may not detect atrial fibrillation in people with pacemakers or defibrillators cs For detection of atrial fibrillation in USUAL mode a minimum of 2 measurements is required microlife Information for the doctor 8 Viewing deleting and transferring measurements This device is designed to detect atrial fibrillation and false negative readings are very rare Though itis programmed to specifically detect atrial fibrillation frequent premature beats marked sinus arrhythmia or other rhythm abnormalities might cause false positive readings If atrial fibrillation is detected by the de
11. average is displayed after the individual readings of the A is displayed when the will display when the number shown is the average number of measurements is of all data less than 12 microlife In USUAL mode 1 When the M button is pressed the number of readings detected with Afib are displayed 2 Press M button again the number of total readings stored e g N 63 is displayed followed immediately by the average of all measurements stored in memory i SUAL Si LIOLEL RET 3 All individual readings can be viewed by repeatedly pressing the M button N M Individual reading Ha lt Deleting measurements Data from DIAG and USUAL mode can be deleted independent of each other ti f DIAG USUAL d x ay A Ask your doctor if the measurement data is still required before deleting data Only delete the stored measurements when you are sure that you no longer need the data WatchBP Home A 1 Use the Mode switch to select the mode of measurements you want to delete i A _ s T LC E 2 Press the M button and hold it for 7 seconds until the delete symbol flashes Press and hold for 7 seconds 20 3 Release the M button and press it once more while the delete symbol flashes The deleting is confirmed by the beep sound co IONTH DAY PM M Mdr DIAG SEFA di O m gt Only measurements in the selected mode will
12. derly 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 lead to the formation of blood clots in the upper chambers of the heart the atria These clots can break off and flow to the brain causing stroke The use of blood thinners such as warfarin can lower the risk of stroke in patients with atrial fibrillation A doctor can confirm the presence of atrial fibrillation by using an EKG Atrial fibrillation can sometimes come and go So a doctor may not see its symptoms on regularly scheduled visits One sign of atrial fibrillation is palpitations But many people don t feel anything These people can still get a stroke and should be checked for atrial fibrillation regularly Diagnosing atrial fibrillation earlier and followed by treatment can lower the chances of getting a stroke WatchBP Home A 15 EY Frequent screening on multiple days Use this device regularly once per week or once per month to screen for atrial fibrillation Some people may have atrial fibrillation occasionally that lasts longer than a day In this situation this device allows frequent screening on multiple days for optimal diagnosis of atrial fibrillation Sometimes this device might falsely detect atrial fibrillation which can have 2 causes f The
13. e to select the proper measurement mode Choose out of 2 measurement modes DIAG Diagnostic or USUAL Usual mode iy WatchBP Home A DIAG mode e Recommended by doctors Blood pressure is measured in accordance with the measurement guidelines of the European Society of Hypertension ESH ESH Protocol Embedded ri om ET e 7 consecutive working day measurements Blood pressure measurements are taken on 7 consecutive working days or normal week days _ 7 working days e Two sets of measurements per day ESH guidelines recom mend one double measurement taken in the morning between 06 00 09 00 and one in the evening between 18 00 21 00 Always perform measurements before taking your medication unless otherwise directed by your doctor JOS X1 115 06 00 09 00 JX 18 00 21 00 ESH Guidelines microlife e Extended measurement period WatchBP Home A has an e Evaluation After measurements have been carried out for a total extended measurement period and allows morning measurements of 7 working days take the device to your doctor for evaluation of between 04 00 12 00 and evening measurements between 18 00 your home blood pressure data 24 00 RUS USUAL Fare ue PM UDAL Mont oy EM 205 Xt pac MENRE aa DD 04 00 12 00 d i H TT ee J X c a gt ir i 18 00 24 00 I Zg ar T c_al a ee cal lt a ay Extended Time bs Ti i Vr Lave o ns fw
14. omfortably against the chair s backrest Press the ON OFF button Relax 5 min ral a it Sw The device will initiate a 60 second countdown in DIAG mode and has no countdown in USUAL mode er er During the measurement do not move cross legs or tense arm muscles Breath normally and do not talk In USUAL mode the device automatically measures three times in row Taking less than three measurements in USUAL mode the measurement sequence can be stopped at any time by pressing the ON OFF button after which the average blood pressure value will be shown on the LCD screen microlife Following steps are in DIAG mode only 6 One measurement cycle includes two measurements Once the first measurement is complete continue to relax as you wait for the second measurement The second measurement will start after 60 seconds During this time avoid any movement 7 Once the two readings are complete measurement data is auto matically stored for future reference SYS mmHg DIA mmHg Pulse min Automatically stored gt Ifan error displays after the readings please repeat the first 6 steps once again WatchBP Home A 8 When seven days of measurements have been collected the doctor symbol will flash on the display gt The doctor symbol is only displayed for measurements in DIAG mode gt Always take this device with you when you see your doctor 5
15. s unusual Do not connect the device to a computer until prompted to do so by the computer software Read the further safety instructions in the individual sections of the instruction manual Observe the storage and operating conditions described in the Technical specifications section of this manual Q Ensure that children do not use the device unsupervised some parts are small enough to be swallowed microlife 6 Protect the device from water and moisture eo S Protect the device from direct sunlight Protect the device from extreme heat and cold We Avoid proximity to electromagnetic fields such as those produced by mobile phones Never open device Protect device from impact and drops VY OS Device care Clean the device with a soft dry cloth Accuracy test We recommend the WatchBP Home A 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 WatchBP Home A Cleaning the cuff Carefully remove spots on the cuff with a damp cloth and soapsuds Yea Do not wash the cuff ZA Donotiron the cuff Disposal Batteries and electronic devices must be disposed of in accor dance with the locally applicable regulations and not as domestic waste 26 11 Error messages lf an error occurs during measurement the measurement is inter rupted and an error message ERR is displa
16. ure measurement data measurements with your doctor and tell him her if you have noticed anything rr unusual or feel unsure Never rely on single blood pressure readings e There are many causes of excessively high blood pressure Your doctor will explain them in more detail and offer treatment when appropriate e Blood pressure is subject to wide fluctuations as the day progresses and can be impacted by emotions physical exertion and other conditions 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 readings the systolic upper value and the diastolic lower value are always measured e The pulse rate is the number of times the heart beats in a minute e Permanent high blood pressure can damage your health and therefore must be treated 28 microlife Evaluating blood pressure data The table on the right classifies blood pressure data for adults in accordance to the guidelines of the European Society of Hyperten sion ESH Data in mmHg Systolic Diastolic Optimal 120 80 Normal 120 129 80 84 High normal 130 139 85 89 Grade 2 hypertension 160 179 100 109 Isolated systolic hypertension 140 4 90
17. vice at home we suggest another reading done in the doctor s office If the atrial fibrillation icon is not displayed then the previous abnormal readings may have been ti 0o t due to transient atrial fibrillation If the atrial fibrillation icon is displayed then it is suggested to perform an EKG to determine the DIAG 4 9 EATI exact rhythm abnormality 7 Installation of the software program 1 Put the CD in the CD ROM drive of your computer Alternatively 2 Then press the M Button click on setup exe in the CD s directory 2 Follow the instructions provided in the installation window on the computer screen 3 When the installation is finished be sure to restart the computer before using the program Viewing measurements 1 Use the Mode switch to first select the type of measurements you wish to view WatchBP Home A 17 B9 2 Press the M button again to display the average of all morning In DIAG mode 1 When the M button is pressed it briefly displays the total number data Press the M button once again to show the average of all of measurements stored e g N 20 and then switches to the evening data average of all readings rm 2 ons A os A ma A om A 9 1G TIOLA tT Sees rine rin tt wo cs 0s os mim 17 I bl al M E M g n 0 ba Da M Lue MO bh 3 Press the M button repeatedly to review all the individual readings one by one 6 Dae 4 The daily
18. yed rc a Zhrny USUAL DIAG on D E l microlife Error Potential cause and remedy oer i ee ene sone andremecy Hl Pulse or cuff The pressure in the cuff is too high Signal too e pulse signals on tne Cull are too pressure too over 300 mmHg OR the pulse is too weak weak Re position the cuff and repeat high high over 200 beats per minute the measurement Relax for 5 minutes and repeat the ERR 2 Errorsignal During the measurement error measurement signals eee detected by the cuff LO Pulse too low The pulse is too low less than 40 caused for instance by movement or beats per minute Repeat the muscle tension Repeat the measure measurement l ment keeping your arm still ut Please contact Microlife if this or any other problem occurs repeat ERR 3 No pressure in An adequate pressure cannot be edly Wess cenerated Maen ea MAY c If you think the results are unusual please read through have occurred Replace the batteries the information in this instruction manual carefully if necessary Repeat the measure ment ERR 5 Abnormal The measuring signals are inaccurate result and no result can therefore be displayed Read through the checklist for performing reliable measurements and then repeat the measurement WatchBP Home A 27 B9 12 Important facts about blood pressure and home e Always discuss your home blood press
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