Microlife WatchBP Office Afib Navigation Manual
Contents
1. WatchBP office aa Simultaneous dual arm measurement and auscultatory function for E accurate office blood pressure measurement Instruction Manual 7 a microlife WatchBP Office AFIB combines the advantages of an automatic blood pressure device and hybrid sphygmomanometer and is designed to provide convenient accurate and reliable office blood pressure measurement following recommended guidelines of the European Society of Hypertension ESH American Heart Association AHA and World Health Organization WHO 1Q 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 2005 23 697 701 2 World Health Organization International Society of Hypertension Writing Group 2003 World Health Organization WHO International Society of Hypertension ISH Statement on Management of Hypertension J Hypertens 2003 21 1983 1992 microlife Table of Contents Product description Name of parts and display c ce ceeeeeeseeeeeeeee 3 4 Components and ACCESSOTICS cccesceseeseeseeees 5 6 Before using WatchBP Office Selecting and fitting the correct cuff 7 8 Three operation modes ROUTINE MOGE sccciczcrvsausvainsuctosterancanisvendedensauis 9 10 AUSCULTATION MOO cccces2. f Do not iron the cuff Accuracy test Disposal We recommend the WatchBP Office AFIB device Batteries and electronic instruments must be be tested for accuracy every 2 years or after disposed of in accordance with the locally applicable mechanical impact e g being dropped Please regulations and not as domestic waste contact Microlife to arrange for an accuracy test Technical specifications Operation temperature humidity Storage temperature humidity Weight Dimensions Measuring method Measurement range Cuff pressure display Voltage source e 10 to 40 C 50 to 104 F e 20 to 55 C 4 to 131 F e 15 90 relative maximum humidity e 1100 g including rechargeable battery pack e 200 x 125 x 90 mm e Oscillometric corresponding to Korotkoff 30 280 mmHg blood pressure e 40 200 beats per minute pulse e Range 0 299 mmHg e Resolution 1 mmHg e Static accuracy pressure within 3 mmHg or 2 of reading gt 200mmHg e Pulse accuracy 5 of the readout value e Rechargeable battery pack 4 8V C4000 mAh e Mains adapter DC 7 5V 2A Reference to Standards Electromagnetic compatibility C 0044 Type BF applied part SN Serial number Device standard Device corresponds to the requirements of the standard for noninvasive blood pressure monitor EN 1060 1 EN 1060 3 EN 1060 4 IEC 60601 1 IEC 60601 1 2 e Device fulfills the st
3. B epp ma PE LUE D gt mre l PAT 3 Confirm Press Start Stop to confirm the setting Lo E gt n Zz This feature is only available in ROUTINE mode PETI RG When the Hide function is ON the countdown l ae l between each measurement and the Hide icon will The default setting of Hide in SCREEN Mode is set to ON and cannot be set to OFF display 21 microlife MAP Mean Arterial Pressure The WatchBP Office AFIB device measures the true mean arterial pressured MAP of the patient Each measurement includes a single MAP value The average measurement will display the average MAP value When viewing in Memory mode the MAP value will be displayed with the systolic and diastolic pressure once every 5 seconds 9 The Mean Arterial Pressure MAP in this device is determined from the maximum peak of the oscillometric envelope curve WatchBP office PP Pulse Pressure The WatchBP Office AFIB device provides the pulse pressure PP of the patient pulse pressure systolic diastolic pressure Each measurement includes the calculation of a single PP value The average measurement will display the average PP value When viewing in Memory mode the PP value will be displayed with the systolic diastolic pressure once every 5 seconds Special Function cont Appearance of the atrial fibrillation indicator for early detection The WatchBP Office AFIB is designed to
4. IB WatchBP Office TWIN200 AFS 100109
5. detect asymptomatic atrial fibrillation during blood pressure measurements in the SCREEN Mode If two out of three measurements in the SCREEN Mode detect atrial fibrillation the Afib icon displays This device is able to detect atrial fibrillation with high sensitivity of 97 and specificity of 89 If the atrial fibrillation icon displays after the measurement it is 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 lt p os a bs 2 ap mt p A bem og This device detects atrial fibrillation a major cause of stroke 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 pacemakers or defibrillators People with pacemakers or defibrillators should not use this device to detect atrial fibrillation 23 microlife About Atrial Fibrillation Atrial fibrillation is a common heart rhythm problem It affects more than 2 million people in North America It is more common with older age and it is found in 10 of people over 80 years old It is a common cause of major strokes About 15 of all strokes are caused by atrial fibrillation The elderly or those with high bloo
6. you the current preset pressure setting by displaying the current pressure setting on the screen 5 Start inflation Press the Start Stop Button to start inflation of the cuff 6 Take note Take note of the systolic and diastolic values in the same manner used for sphygmomanometer measurements 7 Set to stand by The device can be set to Stand by by pressing the Start Stop button without turning off the power The device will automatically switch to Stand by if there is no operation for five minutes O Standby 17 microlife WatchBP office as SCREEN Mode 3 Switch to SCREEN Mode Slide the Mode 1 Turn on the power Turn on the device by Switch to SCREEN Mode switching the 1 0 switch at the back of the device to the ON position m JIL ROUTINE AUSCULT SCREEN amp 2 Apply the cuff Properly fit one cuff to each of the patient s arms 4 Inflation by fuzzy logic The device will adjust inflation pressure by fuzzy logic technology Additional visual instruction can be found on the cuff Taking measurements using WatchBP Office cont 5 Start measurements Press the Start Stop Button to start the measurement sequence A 60 second countdown will proceed the first measurement l7 i 60 second D countdown 6 Three consecutive measurements The device will take three consecutive measure
7. Button Memory Mode Switch Start Stop Button 3 microlife Display Mean Arterial Pressure MAP Pulse Pressure PP Mode Indication External Power Atrial Fibrillation Detection Rest and Arm Position Reminder Battery Symbol Hide Display Memory Mode Pulse Rate Heart Beat L R Cuff WatchBP office as i wy ona P Value for Left Arm AUSCULT Systolic Value a y SCREEN E D ArIB IAD MAP ANRO b e R PP Tm HIDE Diastolic Value inter arm Difference Value for Right Arm Systolic Value ap ap eno Cam SEE Gaps N Diastolic Value WatchBP Office AFIB and components microlife AC Adaptor X1 Input 100 240V 50 60Hz0 7A Output 7 5V 2A WatchBP Office AFIB Blood Pressure Device 1 pcs WatchBP office m E M size 22cm 32cm X2 L size 32cm 42cm X2 Instruction Manual X1 Quick Start Guide X1 5 microlife Selective Cuffs Please contact Microlife or its distributor to purchase cuffs M Medium size 22 32 cm 8 75 12 5 inches With air tube 130 cm WatchBP office as L Large size 32 42 cm 12 5 16 5 inches With air tube 130 cm Before using WatchBP Office AFIB Selecting the correct cuff Fitting the cuff properly Two different cuff sizes are provided with the 1 Place the cuff over
8. In SCREEN Mode the WatchBP Office AFIB device measures the patient s blood pressure on both arms simultaneously which helps to determine the arm with the highest blood pressure value and reveal other potential cardiovascular risks 11 microlife Automated triple measurements In SCREEN Mode the WatchBP Office AFIB device automatically takes three consecutive measurements at fixed one minute intervals The result of these three measurements are averaged to conclude the blood pressure measurement GGG Ld 60 sec 60 sec The measuring intervals are fixed at one minute in SCREEN mode WatchBP office as Determine the proper arm and to indicate inter arm difference If the difference of blood pressure readings between two arms are more than 20mmHg for Systolic or 10mmHg for Diastolic at all three measurements the device indicates the arm with the higher blood pressure value by showing L or Rand the IAD icon The IAD icon and readings of the higher arm flash wet a lal ad CIE G lt 0 lt 4 oe ap vim or ee au The arm with the higher blood pressure value should be taken for future blood pressure measurements 12 GY Taking measurements using WatchBP Office AFIB ROUTINE Mode 3 Switch to ROUTINE Mode Slide the Mode 1 Turn on the power Turn on the device by Switch to ROUTINE Mode switching the 1 0 switch at the back of the device to the ON pos
9. Office AFIB device includes Select ROUTINE Mode to perform a automated three convenient operation modes duplicate measurements on the preferred arm for ROUTINE AUSCULTATION and SCREEN Inter prompt and accurate office measurements arm difference Mode Use the Mode Switch to select the desired mode JIL JIL ROUTINE AUSCULT SCREEN ROUTINE AUSCULT SCREEN 9 microlife Automated duplicate measurements In ROUTINE Mode the WatchBP Office AFIB device automatically takes two consecutive measurements at default 15 seconds interval The readings of these two measurements are averaged to produce the routine visit blood pressure measurement OG Ll 15 sec The user can manually set up the measurement interval of 15 30 45 or 60 seconds in ROUTINE Mode Please refer to special functions section page 26 Setting measuring intervals WatchBP office as AUSCULTATION Mode Select lt AUSCULTATION Mode for blood pressure measurement of patients to confirm if a patient is suitable for the oscillometric method JIL ROUTINE AUSCULT SCREEN Three operation modes cont SCREEN Mode Select SCREEN Mode to complete a fully automated triple measurements on both arms according to recommended ESH AHA blood pressure measurement protocols for a patient s first office visit ESH Protocol Embedded JIL ROUTINE AUSCULT SCREEN Simultaneous dual arm measurements
10. Pa MAP i D o Wi D D l aa ag 9 View all measurements Results of the two individual measurements can be accessed by pressing the M Button Press the M Button once to review the first measurement Continue to press the M Button to review the other measurements G SORS WatchBP Office AFIB stores only the last two measurements completed in ROUTINE Mode and the last three measurements completed in SCREEN Mode 15 microlife AUSCULTATION Mode 1 Turn on the power Turn on the device by switching the 1 0 switch at the back of the device into the ON position 2 Apply the cuff Properly fit one cuff to the preferred measurement arm properly Additional visual instruction can be found on the cuff WatchBP office as 3 Switch to AUSCULTATION Mode Slide the Mode Switch to AUSCULTATION Mode ii aL ROUTINE AUSCULT SCREEN 4 Adjust inflation pressure if necessary Inflation pressure can be set manually from 140 to 280 mmHg by pressing and holding the Start Stop Button for 7 seconds Press the M Button to adjust the pressure and press Start Stop to save the setting Taking measurements using WatchBP Office cont Press and hold for 7 seconds O 9 O T Sp er lt p rr A SS gt a r bi The default inflation pressure is 180 mmHg When the device is in standby mode it will remind
11. d 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 afew 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 office as 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 Afib by using an EKG Sometimes Afib is present incidently Therefore a doctor may not see it on regularly scheduled visits One method of detecting Afib is by mean of palpations This method is not very reliable Failure of detecting Afib may lead to the occurrence of stoke at the end whereas early detection may lead to early treatment that can significantly reduce the chances of stroke Taking fewer than two measurements In ROUTINE Mode only the measurement sequence can be stopped at anytime by pushing the Start Stop Button The device enters stand by and remaining measurements are canclled Data from the measured blood pressure can be by viewed by pushing the M Button Cancel remaining n measurements at anytime during the measurement sequence Skipping the countdown time The 60 seconds countdown before measurement in SCREEN Mode and 15 seconds in ROUTINE Mode can be skipped b
12. e gauge No oscillometric measurements will be taken The user has to take notes of the systolic and diastolic values by stethoscope ROUTINE and SCREEN Mode 1 Switch the mode switch The M Button can be pressed in either the ROUTINE or SCREEN mode to retrieve the last sets readings of the measurements ill Ar ROUTINE AUSCULT SCREEN 2 Viewing the average of all measurements At first an A will be displayed followed by an average of all measurements taken in the last sequence of measurements SAS 27 microlife WatchBP office as 3 Viewing MAP and PP values 5 Values for the third measurement including PP Ten seconds after the display of the average and MAP values will be shown on the display blood pressure the device will display values for in the order listed in step 3 Pulse Pressure PP and Mean Arterial Pressure MAP 10 seconds ree mar G 10 seconds PP mar 4 Viewing individual measurements Press 6 Press the M Button to retrieve values for second the M Button once again to view individual and first measurements from the last completed measurements The display will flash a number set of measurements 3 indicating the third measurement 335 Or Gr O QB 28 Gl Rechargeable battery and power adaptor Rechargeable Battery WatchBP Office AFIB features a built in rechargeable Ni MH battery pack that deli
13. e is too low less than 40 beats per minute Repeat the measurement Safety care accuracy test and disposal Safety and protection This device may be used only for the purpose described in this booklet The device comprises of sensitive components and must be treated with caution The manufacturer cannot be held liable for damage caused by incorrect application Ensure that children do not use the device unsupervised some parts are small enough to be swallowed e Only activate the pump when cuff is installed e Do not use the device if you think it is damaged or if anything appears unusual e Read the further safety instructions in the individual sections of the instruction manual e Do not connect the device to a computer until prompted to do so by the computer software rv wy OS Observe the storage and operating conditions described in the Technical specifications section of this manual Protect the device from water and moisture Protect the device from direct sunlight Protect the device from extreme heat and cold Avoid proximity to electromagnetic fields such as those produced by mobile phones Never open device Protect device from impact and drops 33 microlife WatchBP office as Device care Cleaning the cuff Clean the device with a soft dry cloth DO NOT wash the cuff DO NOT iron the cuff cover Do not wash the cuff Oy
14. ges If an error occurs during measurement the Error Description Potentialcause and measurement is interrupted and an error remedy message Err is displayed Err1 Signal too The pulse signals weak on the cuff are too weak Re position the Sr os cuff and repeat the EFFEN measurement Err2 Errorsignal During the measurement error signals were e Please contact your local ean cae Can detected by the cuff Microlife service center if caused for instance by the error persists R I movement or muscle e If you think the results lt a tension Repeat the are unusual please read through the information measurement keeping your arm still be 4 in this instruction manual carefully 31 microlife WatchBP office as Err 3 No pressure in the cuff An adequate pressure cannot be generated in the cuff A leak may have occurred Replace the batteries if necessary Repeat the measurement Err 5 Abnormal result The measuring signals are 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 pressure too high The pressure in the cuff is too high over 300 mmHg OR the pulse is too high over 200 beats per minute Relax for 5 minutes and repeat the measurement LO Pulse too low The puls
15. ipulations of the standard IEC 60601 1 2 The stipulations of the EU Directive 93 42 EEC for Medical Devices Class lla have been fulfilled Reference number aal Manufacturer Microlife reserves the right to alter technical specfications without prior written notice 35 microlife WatchBP office as Guarantee card This device is covered by a two year Name guarantee and accessories are cover by Aidei a one year guarantee from the date of purchase This guarantee is valid only on presentation of the guarantee card Date completed by the owner confirming date of Telephone purchase or purchase receipt Email Product WatchBP Office AFIB Product Number TWIN200 AFS Date microlife Europe Middle East Africa Microlife WatchBP AG Espenstrasse 139 9443 Widnau Switzerland Tel 41 71 727 7000 Fax 41 717277011 Email watchbp microlife ch www watchbp com il Asia Microlife Corporation 9F 431 RuiGang Road NeiHu Taipei 114 Taiwan R O C Tel 886 2 8797 1288 Fax 886 2 8797 1283 Email watchbp microlife com tw www watchbp com Read the instructions carefully before using this device Caution Federal law restricts this device to sale by or on the order of a physician North Central South America 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 watchbp mimhs com www watchbp com
16. ition and make sure Bluetooth switch is in off position amp l L ROUTINE AUSCULT SCREEN 2 Apply the cuff Properly fit one cuff to the 4 Select the inflation cuff Set the device to preferred measurement arm inflate only the measured arm of cuff left or right Press and hold the M Button for 3 seconds D Press and hold for 3 seconds Additional visual instruction can be found on the cuff 13 microlife WatchBP office 5 Press the M Button to toggle between the left L 7 Two consecutive measurements The device and right R cuff Press the Start Stop Button to will take two consecutive measurements save the setting with default 15 seconds intervals in between O ROUTINE D cond 8 Inflation by fuzzy logic The device will adjust inflation pressure by fuzzy logic ROUTINE 6 Start measurements Press the Start Stop Button to start the measurement sequence ROUTINE The user can manually set up the measurement interval of 15 30 45 or 60 seconds in ROUTINE Mode Please refer to special functions section page 26 Setting up measuring intervals 15 second countdown Taking measurements using WatchBP Office cont 8 View the average measurement The average measurement will be displayed when the two consecutive measurements are completed Tal T AN C008 la lal a
17. ments with one minute intervals in between measurements C DS ond GLF ae CG 7 View the average measurement Only the average measurement will be displayed once the triplicate measurement is completed be SCREEN SCREEN vat When the measurements are completed the blood pressure measurement corresponding with the consistently higher arm will blink continuously for 5 seconds If no significant difference 20 mmHg for systolic and or 10 mmHg for diastolic blood pressure exists between the two arms neither measurement will blink 19 microlife WatchBP office as 8 View all measurements Results of the three individual measurements can be accessed by pressing the M Button Press the M Button once to review the first measurement Continue to press the M Button to review the other measurements O AOR O C WatchBP Office only stores the last two measurements completed in ROUTINE Mode and the last three measurements completed in SCREEN Special Functions Hiding measurement values 1 Activate the Hide Function pressing and The WatchBP Office AFIB device features a Hide holding the M Button for 7 seconds function in order to prevent unnecessary elevated Srcceand bald blood pressure in patients due to nervousness for 7 seconds triggered by visible blood pressure measurements 2 Select ON or OFF Press the M Button again to turn the Hide function ON or OFF
18. sessceseesseeseesseeeees 10 SCREEN MOO C ansetiaestnctasaensanhoteessaeioesaralenbes 11 12 Inter arm OITIET CTC O srcssisssiselsntsnncosirsnensetensinastdosnnss 12 Taking measurements using WatchBP Office KROUTINE Mode occse 13 15 AUSCULTATION MOde cccccccceeeceeeseeeees 16 17 SCREEN Mode cccccccccccccccccecccecccccccceceecess 18 20 Special Functions Hiding measurement VAIUES ceeeseeseeeeeeeeee 21 WatchBP office as Mean arterial pressure and pulse pressure 22 Atrial fibrillation detection cceceseeeeees 23 24 Taking fewer than two measurement 25 Skipping the countdown tiME ccceseeeeees 25 Setting inflation PresSUle ce ceeseeeeseeeeeeees 26 Setting measurement intervals cece 26 Viewing Measurements KAUSCULTATION Mode cccccsccesesseeeeseenseseees 27 SCREEN and ROUTINE Mode cccccecceeees 28 Appendix Rechargeable battery and power adaptor 29 Trou bDIEShOO UNG erosua 30 EERO DIME SSAC Scrces corenarsacanseyesecenstestisereusee one 31 32 Safety care accuracy test and disposal 33 34 Technical Specifications cccceseesseeecesseeeeeees 35 Product description Name of parts 1 0 switch Main Adaptor Socket Battery Compartment Cuff Socket L Recharge Indicator Display M
19. the left right upper arm so WatchBP Office AFIB Medium and Large Use the cuff that the air tube and artery mark arrow point marker to select the cuff size that best matches the toward the lower arm circumference of the patient s upper arm 2 Lay the cuff on the arm Make sure that the lower M Medium size edge of the cuff lies approximately 2 to 3cm 3 4 22 32 cm 8 7 12 6 inches to 1 inch above the elbow With air tube 130 cm L Large size 32 42 cm 12 6 16 5 inches With air tube 130 cm Connect the cuff to the device by inserting the cuff connector into the cuff connector socket a 2 3 cm 314 to 1 inch 7 microlife 3 4 Wrap and tighten the cuff around the arm Leave alittle free space between the arm of the patient and the cuff It has to be able to fit 2 fingers between the arm and the cuff Clothing must not restrict the arm Remove all clothing covering or constricting the measurement arm WatchBP office as 5 It may result in incorrect blood pressure readings if the cuffs are not fit properly Use a different size cuff if the range Index at the end of the cuff does not fall into the range specified by the range stripes 6 Apply the same steps to the other arm if a double arm measurement is required The range index of cuff should be fallen into this range Three operation modes Select an operation mode ROUTINE Mode The WatchBP
20. vers up to 400 500 measurement cycles The battery can be recharged between use with the provided power adaptor An orange recharge indicator means recharge in progress A green recharge indicator means recharge is completed Using a power adaptor Please use only the Microlife adaptor DSA 20P 05 Adaptor supplied with the WatchBP Office AFIB to recharge the device 1 Plug the adapter cable into the Power Plug of the WatchBP Office AFIB device 2 Plug the adaptor plug into the wall socket When the power adaptor is connected no battery power is consumed 29 microlife Troubleshooting WatchBP office as Problem Possible cause How to make correction No power No LCD display Power supply is not properly plugged Battery is fully discharged Plug power supply into wall socket Recharge the rechargeable battery by plugging in the power supply Cuff does not inflate properly Loose connection of the tube Make sure the tube of the cuff is securely connected to the device Leakage of the tube bladder Check for cracks on the tube or the bladder Please contact Microlife customer service for this issue No result displayed between measurements Device is in AUSCULTATION mode or the Hide function is activated Disable hide function or use 1st VISIT FOLLOW UP mode to measure the blood pressure Error messa
21. y pushing the Start Stop Button While the Start Stop Button is pushed the device will immediately begin the next measurement D Skip the countdown time and begin measurement The device can be set into Stand by Mode by pressing the Start Stop Button after the completion of measurements The device will automatically switch to Stand by Mode if left unattended for five minutes gt Stand by mode 25 microlife Special Function cont Setting inflation pressure in AUSCULTATION Mode Inflation pressure can be set manually from 140 to 280 mmHg at an intervals of 20 mmHg by pressing and holding the Start Stop Button for 7 seconds D Press and hold for 7 seconds Press the M Button to adjust the pressure and press Start Stop again to save the setting gE Watch BP office as Setting measuring intervals in ROUTINE Mode The default measuring intervals is 15 seconds The interval can be set as 15 30 45 or 60 seconds 1 Pressing and holding the Start Stop Button for 3 seconds D Press and hold for 3 seconds 2 Press the M Button to adjust the measurement interval then press the Start Stop Button to confirm the meter will go back to stand by Mode SEE amp 15 30 45 60 mn mn my wm gt ar oa Viewing Measurements AUSCULTATION Mode In AUSCULTATION mode the WatchBP Office AFIB blood pressure measurement device serves only asa pressur
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