Microlife A200 Navigation Manual
Contents
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45. 88622470 www microlife com Cubs alls 3810 BP BHS Stergiou GS Karpettas N Protogerou A Nasothimiou EG Kyri akidis 1 Diagnostic accuracy of a home blood pressure monitor to detect atrial fibrillation J Hum Hyperten 2009 15 2 Wiesel J Fitzig L Herschman Y amp Messineo FC Detection of Atrial Fibrillation Using a Modified Microlife Blood Pressure Monitor Am J Hypertens 2009 848852 16 AFIB AFIB e AFIB
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56. EG amp Kyriakidis M Diagnostic accuracy of a home blood pressure monitor to detect atrial fibrillation J Hum Hyperten 2009 1 5 2 Wiesel J Fitzig L Herschman amp Messineo FC Detection of Atrial Fibrillation Using a Modified Microlife Blood Pressure Monitor Am J Hypertens 2009 848 852 O ON OFF button 2 M button memory 3 Display 4 Cuff Socket 5 Time Button 6 Cuff 2 Cuff Connector Mains Adapter Socket 9 USB Port Battery Compartment 1D AFIB MAM Switch Display 2 Date Time 63 Systolic Value Diastolic Value 5 Pulse Rate AFIB MAM Mode 67 MAM Interval Time Battery Display Stored Value 69 Pulse Indicator 1 Atrial Fibrillation Indicator AFIB 2 Arm Movement Indicator 63 Cuff Check Indicator 24 Traffic Light Display BH Read the instructions carefully before using this device Type BF applied part BP A200 AFIB 14 Technical Specifications Guarantee Card see Back Cover 1 Important Facts about Blood Pressure and Self Measurement Blood pressure is the pressure of the blood flowing in the arteries generated by the pumping of the heart Two values the systolic upper value and the diastolic lower value are always measured The device indicates the pulse rate the number of times the heart beats in a minute Permanently high blood pressure values can damage your health and must be treated by your doctor Always discuss your values with your doctor and tell him
57. blood pres sure measurement technology for the detection of atrial fibrillation AFIB and hypertension These are the two top risk factors of getting a stroke or heart disease in the future It is important to detect AFIB and hypertension at an early stage even though you may not experience any symptoms Appropriate treatment will reduce your risk of suffering a stroke For this reason it is recom mended that you visit your doctor when the device gives an AFIB signal during your blood pressure measurement The AFIB algo rithm of Microlife has been clinically investigated by several prom inent clinical investigators and showed that the device detects patients with AFIB at a certainty of 97 100 1 Please read through these instructions carefully so that you under stand all functions and safety information We want you to be happy with your Microlife product If you have any questions problems or want to order spare parts please contact your local Microlife Customer Service Your dealer or pharmacy will be able to give you the address of the Microlife dealer in your country Alternatively visit the internet at www microlife com where you will find a wealth of invaluable information on our products Stay healthy Microlife AG This device uses the same measuring technology as the award winning BP 3BTO A model tested according to the British Hypertension Society BHS protocol 1 Stergiou GS Karpettas N Protogerou A Nasothimiou
58. 300 mmHg OR the pulse is too high too high over 200 beats per minute Relax for 5 minutes and repeat the measurement LO Pulse too The pulse is too low less than 40 beats low per minute Repeat the measurement Please consult your doctor if this or any other problem occurs repeatedly microlife displayed Although the device will continue to measure reliably you should obtain replacement batteries Flat battery replacement When the batteries are flat the battery symbol 68 will flash as soon as the device is switched on flat battery displayed You cannot take any further measurements and must replace the batteries 1 Open the battery compartment 00 at the back of the device 2 Replace the batteries ensure correct polarity as shown by the symbols in the compartment 3 To set date and time follow the procedure described in Section 3 The memory retains all values although date and time must be reset the year number therefore flashes automatically after the batteries are replaced Which batteries and which procedure gt Use 4 new long life 1 5 V size AA batteries Do not use batteries beyond their date of expiry ce Remove batteries if the device is not going to be used for a prolonged period Using rechargeable batteries You can also operate this device using rechargeable batteries cg Only use NiMH type reusable batteries gt Batteries must be removed and recharged when the fla
59. ct standard mode slide the AFIB MAM switch 1D on the side of the device downwards to position 1 and to select AFIB MAM mode slide this switch upwards to position 3 AFIB MAM mode In AFIB MAM mode 3 measurements are automatically taken in succession and the result is then automatically analysed and displayed Because blood pressure constantly fluctuates a result determined in this way is more reliable than one produced by a single measurement AFIB detection is only activated in AFIB MAM mode e After pressing the ON OFF button 1 the MAM symbol appears in the display e The bottom right hand section of the display shows a 1 2 or 3 to indicate which of the 3 measurements is currently being taken e There is a break of 15 seconds between the measurements 15 seconds are adequate according to Blood Pressure Moni toring 2001 6 145 147 for oscillometric instruments A count down indicates the remaining time The individual results are not displayed Your blood pressure will only be displayed after all 3 measurements are taken e Do not remove the cuff between measurements If one of the individual measurements was questionable a fourth one is automatically taken 4 Taking a Blood Pressure Measurement using this Device Checklist for taking a reliable measurement 1 Avoid activity eating or smoking immediately before the measurement The memory data can be transferred to the PC by connectin
60. e comprises sensitive components and must be treated with caution Observe the storage and operating condi tions described in the Technical Specifications section e Protect it from water and moisture extreme temperatures impact and dropping contamination and dust direct sunlight heat and cold e The cuffs are sensitive and must be handled with care e Do not exchange or use any other kind of cuff or cuff connector for measuring with this device e Only pump up the cuff once fitted e Do not use this device close to strong electromagnetic fields such as mobile telephones or radio installations e Do not use this device if you think it is damaged or notice anything unusual e Never open this device e f the device is not going to be used for a prolonged period the batteries should be removed e Read the additional safety information provided within the indi vidual sections of this instruction manual Ensure that children do not use this device unsupervised some parts are small enough to be swallowed Device care Clean the device only with a soft dry cloth Cleaning the cuff Carefully remove spots on the cuff with a damp cloth and soapsuds A WARNING Do not wash the cuff in a washing machine or dishwasher Accuracy test We recommend this device is tested for accuracy every 2 years or after mechanical impact e g being dropped Please contact your local Microlife Service to arrange the test see foreword
61. ecom mended that doctors perform double arm measurements on a patients first visit in order to determine which arm to measure in the future The arm with the higher blood pressure should be measured 4 Remove close fitting garments from the upper arm To avoid constriction shirt sleeves should not be rolled up they do not interfere with the cuff if they are laid flat 5 Always ensure that the correct cuff size is used marking on the cuff e Fit the cuff closely but not too tight e Make sure that the cuff is positioned 2 cm above the elbow e The artery mark located on the cuff ca 3 cm long bar must lie over the artery which runs down the inner side of the arm e Support your arm so it is relaxed e Ensure that the cuff is at the same height as your heart Press the ON OFF button to start the measurement The cuff will now pump up automatically Relax do not move and do not tense your arm muscles until the measurement result is displayed Breathe normally and do not talk 8 When the correct pressure is reached the pumping stops and the pressure falls gradually If the required pressure was not reached the device will automatically pump some more air into the cuff 9 During the measurement the pulse indicator 20 flashes in the display 10 The result comprising the systolic 3 and the diastolic blood pressure and the pulse rate 69 is displayed Note also the explanations on further display symbols in this book
62. ed batteries accidents or non compliance with the operating instructions e The cuff has a functional guarantee bladder tightness for 2 years Please contact your local Microlife Service see foreword 14 Technical Specifications Operating 10 40 C 50 104 F temperature 15 95 relative maximum humidity Storage temperature 20 55 C 4 131 F 15 95 relative maximum humidity Weight 393 g including batteries Dimensions 152 x 92 x 42 mm Measuring procedure oscillometric corresponding to Korotkoff method Phase systolic Phase V diastolic Measurement range 20 280 mmHg blood pressure 40 200 beats per minute pulse Cuff pressure display range 0 299 mmHg Resolution 1 mmHg Static accuracy pressure within 3 mmHg Pulse accuracy of the readout value Voltage source 4x 1 5 V Batteries size AA Mains adapter DC 6V 600 mA optional Reference to EN 1060 1 3 4 IEC 60601 1 standards IEC 60601 1 2 EMC This device complies with the requirements of the Medical Device Directive 93 42 EEC Technical alterations reserved Ifyou think the results are unusual please read through the information in Section 1 carefully 12 Safety Care Accuracy Test and Disposal A Safety and protection e This device may only be used for the purposes described in these instructions The manufacturer cannot be held liable for damage caused by incorrect application e This devic
63. ftware BP A200 AFIB 2 Plug the adapter plug into the wall socket When the mains adapter is connected no battery current is consumed 11 Error Messages If an error occurs during the measurement the measurement is interrupted and an error message e g ERR 3 is displayed Error Description Potential cause and remedy ERR 1 Signal too The pulse signals on the cuff are too weak weak Re position the cuff and repeat the measurement ERR 2 Error signal During the measurement error signals 22 were detected by the cuff caused for instance by movement or muscle tension Repeat the measurement keeping your arm still ERR 3 No pressure An adequate pressure cannot be gener 23 in the cuff ated in the cuff A leak may have occurred Check that the cuff is correctly connected and is not too loose Replace the batteries if necessary Repeat the measurement 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 There were too many errors during the measurement in AFIB MAM mode making it impossible to obtain a final result Read through the checklist for performing reliable measurements and then repeat the measurement Hl Pulse or cuff The pressure in the cuff is too high over ERR 5 Abnormal result ERR 6 AFIB MAM Mode pressure
64. g the monitor via a cable If no CD and cable is included download the BPA software from www microlife com and use a USB cable with a Mini B 5 pin connector Installation and data transmission 1 Insert CD into the CD ROM drive of your PC The installation will start automatically If not please click on SETUP EXE 2 Connect the monitor via the cable to the PC there is no need to switch the device on 3 horizontal bars will appear on the display and last for 3 seconds 3 The bars will then flash to indicate that the connection between PC and device is successful As long as the cable is plugged in the bars will keep flashing and the buttons are disabled During the connection the device is completely controlled by the computer Please refer to the help file for software instructions 8 Data Memory This device automatically stores the last 200 measurement values Viewing the stored values Press the M button 2 briefly when the device is switched off The display first shows M 49 and an average value The device then switches to the last stored value Pressing the M button again displays the previous value Pressing the M button repeatedly enables you to move from one stored value to another Memory full A Pay attention that the maximum memory capacity of 200 memories is not exceeded When the 200 memory is full the oldest value is automatically overwritten with the 201st value Values should be eval
65. hecking the frequency of heart pacemakers microlife Table of Contents Important Facts about Blood Pressure and Self Measurement How 00 evaluate my blood pressure Important Facts about Atrial Fibrillation AFIB What is Atrial Fibrillation AFIB How does AFIB impact my family or me Microlife AFIB detection provides a convenient way to screen for AFIB only in AFIB MAM mode Risk factors you can control Using the Device for the First Time Inserting the batteries Setting the date and time Selecting the correct cuff Select the measuring mode standard or AFIB MAM mode AFIB MAM mode Taking a Blood Pressure Measurement using this Device How not to store a reading Appearance of the Atrial Fibrillation Indicator for early Detection only in AFIB MAM mode Traffic Light Indicator in the Display PC Link Functions Installation and data transmission Data Memory e Viewing the stored values Memory full Clearing all values Battery Indicator and Battery change Low battery Flat battery replacement e Which batteries and which procedure Using rechargeable batteries Using a Mains Adapter Error Messages Safety Care Accuracy Test and Disposal Safety and protection Device care Cleaning the cuff Accuracy test Disposal Guarantee 1 2 10 11 12 13 sure hypertension diabetes coronary hear
66. her if you have noticed anything unusual or feel unsure Never rely on single blood pressure readings There are several causes of excessively high blood pressure values Your doctor will explain them in more detail and offer treatment where appropriate Besides medication weight loss and exercise can also lower your blood pressure Under no circumstances should you alter the dosages of any drugs prescribed by your doctor Depending on physical exertion and condition blood pressure is subject to wide fluctuations as the day progresses You should therefore take your measurements in the same quiet conditions and when you feel relaxed Take at least two readings every time in the morning and in the evening and average the measurements It is quite normal for two measurements taken in quick succes sion to produce significantly different results Therefore we recommend using the MAM technology Deviations between measurements taken by your doctor or in the pharmacy and those taken at home are quite normal as these situations are completely different Several measurements provide much more reliable information about your blood pressure than just one single measurement Therefore we recommend using the MAM technology Leave a small break of at least 15 seconds between two measurements If you suffer from an irregular heartbeat measurements taken with this device should be evaluated with your doctor The pulse display is not suitable for c
67. let 11 When the device has finished measuring remove the cuff 12 Switch off the device The monitor does switch off automati cally after approx 1 min How not to store a reading As soon as the reading is displayed press and hold the ON OFF button until M 69 is flashing Confirm to delete the reading by pressing the M button 2 c You can stop the measurement at any time by pressing the ON OFF button e g if you feel uneasy or an unpleasant pressure sensation c If the systolic blood pressure is known to be very high it can be an advantage to set the pressure individually Press the ON OFF button after the monitor has been pumped up to a level of approx 30 mmHg shown on the display Keep the button pressed until the pressure is about 40 mmHg above the expected systolic value then release the button N N O microlife Cuff size for circumference of upper arm S 17 22 cm M 22 32 cm M L 22 42 cm L L XL gt Optional preformed cuffs Easy are available Only use Microlife cuffs lt Contact your local Microlife Service if the enclosed cuff 6 does not fit gt Connect the cuff to the device by inserting the cuff connector 7 into the cuff socket 4 as far as it will go Select the measuring mode standard or AFIB MAM mode This device enables you to select either standard standard single measurement or AFIB MAM mode automatic triple measure ment To sele
68. microlife Microlife BP A200 AFIB i gt gt Gy gt 16 nvm microlife Europe Middle East Africa wl Microlife AG Espenstrasse 139 9443 Widnau Switzerland Tel 41 71727 7030 Fax 41 71 727 7039 Email admin microlife ch www microlife com Asia Microlife Corporation QF 431 RuiGang Road NeiHu Taipei 11492 Taiwan R O C Tel 886 2 8797 1288 Fax 886 2 8797 1283 Email service microlife com tw www microlife com North Central South America Microlife USA Inc 1617 Gulf to Bay Blvd 2nd Floor Ste A Clearwater FL 33755 USA Tel 1 727 442 5353 Fax 1 727 442 5377 Email msa microlifeusa com www microlife com C 0044 BP A200 AFIB microlife Guarantee Card Name of Purchaser Serial Number Date of Purchase Specialist Dealer microlife Microlife BP A200 AFIB Microlife BP A200 AFIB EN Dear Customer Your new Microlife blood pressure monitor is a reliable medical device for taking measurements on the upper arm It is simple to use accurate and comes highly recommended for blood pressure monitoring in your home This device was developed in collabora tion with physicians and clinical tests carried out prove its measurement accuracy to be of a very high standard Microlife AFIB detection is the world s leading digital
69. t battery symbol appears They should not remain inside the device as they may become damaged total discharge as a result of low use of the device even when switched off Always remove the rechargeable batteries if you do not intend to use the device for a week or more Cg Batteries cannot be charged in the blood pressure monitor Recharge batteries in an external charger and observe the information regarding charging care and durability 10 Using a Mains Adapter You can operate this device using the Microlife mains adapter DC 6V 600 mA Only use the Microlife mains adapter available as an original accessory appropriate for your supply voltage Ensure that neither the mains adapter nor the cable are damaged 1 Plug the adapter cable into the mains adapter socket 8 in the blood pressure monitor Disposal Batteries and electronic devices must be disposed of in accordance with the locally applicable regulations not with domestic waste 13 Guarantee This device is covered by a 5 year guarantee from the date of purchase The guarantee is valid only on presentation of the guar antee card completed by the dealer see back confirming date of purchase or the receipt e Batteries and parts that become worn with use are not included e Opening or altering the device invalidates the guarantee e The guarantee does not cover damage caused by improper handling discharg
70. t failure or have had a previous stroke AFIB screening is also recommended Early diag nosis of AFIB followed by adequate treatment can significantly reduce the risk of getting stroke In young people AFIB screening is not recommended as it could generate false positive results and unnecessary anxiety In addi tion young individuals with AFIB have a relatively low risk of getting stroke as compared to elder people For more information please visit our website www microlife com Microlife AFIB detection provides a convenient way to screen for AFIB only in AFIB MAM mode Knowing your blood pressure and knowing whether you or your family members have AFIB can help reduce the risk of stroke Microlife AFIB detection provides a convenient way to screen for AFIB whilst taking your blood pressure Risk factors you can control High blood pressure and AFIB are both considered controllable risk factors for strokes Knowing your blood pressure and knowing whether you have AFIB is the first step in proactive stroke prevention 3 Using the Device for the First Time Inserting the batteries After you have unpacked your device first insert the batteries The battery compartment 69 is on the bottom of the device Insert the batteries 4 x 1 5 V size AA thereby observing the indicated polarity Setting the date and time 1 After the new batteries are fitted the year number flashes in the display You can set the year by pressing the M b
71. ted 3 blood pressure too 135 160 85 100 Seek medical high advice 4 blood pressure 160 100 4 Urgently seek dangerously high medical advice The higher value is the one that determines the evaluation Example a blood pressure value of 140 80 mmHg or a value of 130 90 mmHg indicates blood pressure too high 2 Important Facts about Atrial Fibrillation AFIB What is Atrial Fibrillation AFIB Normally your heart contracts and relaxes to a regular beat Certain cells in your heart produce electrical signals that cause the heart to contract and pump blood Atrial fibrillation occurs when rapid disorganized electrical signals are present in the heart s two upper chambers called the atria causing them to contract irregu larly this is called fibrillation Atrial fibrillation is the most common form of heart arrhythmia or irregular heart beat It often causes no symptoms yet it significantly increases your risk of stroke You ll need a doctor to help you control the problem How does AFIB impact my family or me People with AFIB have a five fold higher risk of getting stroke Since the chance of having a stroke increases with age AFIB screening is recommended for people over 65 years and older However for people from the age of 50 years with high blood pres BP A200 AFIB Sit down for at least 5 minutes before the measurement and relax Always measure on the same arm normally left It is r
72. that also analyses pulse irregularity during measurement The device is clinically tested The AFIB symbol is displayed after the measurement if atrial fibrillation occurred during measuring If the AFIB symbol appears after having performed a full blood pressure measure ment episode triplicate measurements the patient is advised to wait for one hour and perform another measurement episode triplicate measurements If the AFIB symbol appears again we recommend the patient to seek medical advice The device does not replace a cardiac examination but serves to detect atrial fibrillation that often remains undiagnosed until stroke occurs gt Keep the arm still during measuring to avoid false readings This device may not detect atrial fibrillation in people with pacemakers or defibrillators 6 Traffic Light Indicator in the Display The bars on the left hand edge of the traffic light display 4 show you the range within which the indicated blood pressure value lies Depending on the height of the bar the readout value is either within the optimum green elevated yellow too high orange or dangerously high red range The classification corresponds to the 4 ranges in the table as defined by the international guidelines ESH AHA JSH as described in Section 1 7 PC Link Functions This device can be used in conjunction with a personal computer PC running the Microlife Blood Pressure Analyser BPA so
73. uated by a doctor before the memory capacity is reached otherwise data will be lost Clearing all values If you are sure that you want to permanently remove all stored values hold down the M button the device must have been switched off beforehand until CL appears and then release the button To permanently clear the memory press the M button while CL is flashing Individual values cannot be cleared 9 Battery Indicator and Battery change Low battery When the batteries are approximately 34 empty the battery symbol will flash as soon as the device is switched on partly filled battery 5 5 Appearance of the Atrial Fibrillation Indicator for early Detection only in AFIB MAM mode This device is able to detect atrial fibrillation AFIB This symbol 1 indicates that atrial fibrillation was detected during the measurement If the AFIB symbol appears after having performed a full blood pres sure measurement episode triplicate measurements you are advised to wait for one hour and perform another measurement episode triplicate measurements If the AFIB symbol appears again then you are advised to visit your doctor If after repeated measurement the AFIB symbol is no longer displayed there is no cause for concern In such case it is recommended to measure again the next day Information for the doctor on frequent appearance of the atrial fibrillation indicator This device is an oscillometric blood pressure monitor
74. utton 2 To confirm and then set the month press the time button G 2 Press the M button to set the month Press the time button to confirm and then set the day 3 Follow the instructions above to set the day hour and minutes 4 Once you have set the minutes and pressed the time button the date and time are set and the time is displayed 5 If you want to change the date and time press and hold the time button down for approx 3 seconds until the year number starts to flash Now you can enter the new values as described above Selecting the correct cuff Microlife offers different cuff sizes Select the cuff size to match the circumference of your upper arms measured by close fitting in the centre of the upper arm e lf you are pregnant you should monitor your blood pressure very Closely as it can change drastically during this time cg gt This monitor is specially tested for use in pregnancy and pre eclampsia When you detect unusual high readings in pregnancy you should measure again after 4 hours If the reading is still too high consult your doctor or gynecologist How do evaluate my blood pressure Table for classifying home blood pressure values in adults in accordance with the international Guidelines ESH AHA JSH Data in Systolic Diastolic blood pressure too 100 60 Consult your low doctor blood pressure aes 60 80 Self check 2 optimum blood pressure 130 135 80 85 Self check eleva
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