Microlife WatchBP Home N Navigation Manual
Contents
1. The average blood pressure value of the 1 2d and 34 measurement will be calculated by the device 11 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 Measurements NOCTURNAL mode Medication Recording medication intake The patient can record the time of the medicine intake by pressing the Medication Button 1 Press and hold the Medication Button for 2 seconds then release it the Pill icon and the record number appear 2 The Pill icon will flash alternately with the recorded time 3 Medication record is saved Delete stored medication records Medication intake can be recorded in any of the three modes 3 Press and hold for 2 Seconds 13 microlife To clear the memory of all medication records press and hold the Medication button for 7 seconds until the CL2. 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 Device fulfills the stipulations of the standard IEC 60601 1 2 The stipulations of the EU Directive 93 42 EEC for Medical Devices Class Ila have been fulfilled Reference number aal Manufacturer 35 microlife 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 N Product Number BP 3MX1 4 Date WatchEP home w Name Address Date Telephone E mail 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 ce0044 amp amp microlife Asia Microlife Corporation 9F 431 RuiGang Road NeiHu Taipei 114 Taiwan R O C Tel 886 2 8797 1288 Fax 886 2 8 97 1283 Email watchbp microlife com tw www watchbp com Read the instructions carefully before using this device North Central South America Microlife Medical Home Solut
3. ESH Guidelines Ve Extended Time 9 microlife Extended measurement period 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 x 2D If itis notin the weeny measuring time iH period the symbol 4 will be displayed and Ha the measurements en aa can not be taken A ns Evaluation WatchBP home w After measurements have been carried out for a total of 7 working days take the device to your doctor for evaluation of your home blood pressure Q CETE o D MONTH DAY PM meri Vhs o LIL e 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 Three measurements during sleep time The NOCTURNAL mode enables you to measure and Select NOCTURNAL mode while you are going to record blood pressures during sleep time It can be sleep Press the start button for 3 seconds the device selected when requested by your doctor will take one measurement automatically to activate the nocturnal procedure It will take the first measurement two hours later the second measurement one hour after m the first measurement and the third measurement one hour after the second measurement NOCTURNAL DIAG USUAL OS C 6 G a Press for ee ee 3 seconds 2 hours 1 hour 1 hour
4. WatchBP homew h 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 nocturnal blood pressure during sleep time It strictly follows European Society of Hypertension ESH 2 and American Heart Association AHA recommendations for home blood pressure measurement Using the WatchBP Home N device helps you collect accurate home and nocturnal blood pressure measurements This gives a good insight into your daily blood pressure pattern and therefore provides valuable information for your doctor The WatchBP Home N device has been clinically validated according to the ESH protocol 4 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 Pickering TG Hall JE Appel LJ et al Recommendations for Blood Pressure Measurement in Humans and Experimental Animals Part 1 Blood Pressure Measurement in Humans A Statement for Professionals From the Subcommittee of Prof
5. it is recommended to visit a 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 ST a mm mbar lam an Atrial fibrillation 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 problem It affects more than 2 million people in North America It is more common in older age and is found in 10 of people over 80 years old It is a common cause of strokes 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 too days weeks or even years Atrial fibrillation can cause blood clots in the upper chambers of the heart the atria These clot
6. operating conditions described This device may be used only for the purpose described 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 t
7. or tense your arm muscles Breath normally and do not talk Ya 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 17 microlife WatchBP home w Step 7 in DIAG mode Step 8 in DIAG mode In DIAG mode there is a 60 second countdown before When seven days of measurements have been collected the measurement starts Two measurements will be the Doctor Symbol will flash on the display Do not forget performed subsequently After the first measurement to take your WatchBP Home N device with you on your another 60 second countdown starts before the second next visit to the doctor Note the doctor symbol is only measurement Be relaxed and do not move during the displayed for measurements in DIAG Mode countdown 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 is displayed The device can detect atrial fibrillation with high accuracy sensitivity of 95 and specificity of 86 If the atrial fibrillation icon is displayed after the measurement
8. symbol flashes Then press M to delete the memory or ON OFF to cancel the deletion Press and hold D for 7 seconds A mm p c recorded data in the selected mode WatchBP homew Pressing the M Button to delete data will erase all medication 4 GY Eight steps for taking proper blood pressure Step 1 Step 2 Avoid taking measurements directly after eating Prepare a chair and table for the measurement The drinking or smoking Allow at least one hour between chair should have a vertical back rest and the table these activities and measurement of your blood pressure should allow your upper arm to rest at the same height a as your heart N KS LL m TT 1 Hour Before 15 microlife Step 3 Remove all clothing covering or constricting the arm to be measured 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 WatchBP home w Step 4 Sit down and relax for at least five minutes prior to the measurement e Relax 5 mins Eight steps for taking proper blood pressure cont Step 5 Sit upright and lean comfortably against the chair s backrest Press the start button and the device will start to measure During the measurement do not move cross your legs
9. the suffix Umode xls Print the data sheet Click Print Delete the memories Click Clear Memory Close the program Click Exit Please store the data before using 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 WatchBP home w ny S Using a power adaptor The WatchBP Home N device can also be operated using a Microlife power adaptor DC 6V 600mA Only use power adaptors supplied by Microlife 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 Safety care accuracy test and disposal Safety and protection Observe the storage and
10. up NOCTURNAL Nocturnal mode for measurements of blood pressure during sleep NOCTURNAL DIAG USUAL DNE S Sa 7 microlife WatchEP home w USUAL Mode DIAG Mode The USUAL mode should be selected when the The DIAG mode should be selected as requested measurement of blood pressure is recommended by The blood pressure can only be measured in guidelines In USUAL mode single measurements can accordance to the measurement schedule as be taken at any time and the measurement values are prescribed by the European Society of Hypertension automatically stored for later evaluation by your doctor ESH Protocol Embedded NOCTURNAL DIAG USUAL ERNS A Anytime NOCTURNAL DIAG USUAL Taking measurements using WatchBP Home N cont No measurements on non work days Two sets of measurements per day In DIAG mode blood pressure measurements are taken on 7 consecutive working days or normal week days Do not take measuremetns on non working days or particularly relaxing days in this mode 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 directed by your doctor ZOL X1 ZOS X1 working 96 00 09 00_ 04 00 12 00 days J Xt J Xt 18 00 21 00 18 00 24 00
11. your computer Alternatively click on setup 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 name identity number if required and date of birth to create a new record 25 microlife WatchBP home w Software commands Refer to the software user manual for detailed information and instructions Transfer DIAG mode data Click Download Corresponding value You can remove the check mark and the corresponding value will not be used to calculate the average Store data Click Save the file name is formed automatically from the patient s identity number and the suffix Dmode xls View the data Click Patient Files Store the USUAL mode data Click Download Usual Mode Data the file name is formed automatically from the patient s identity number and
12. essional and Public Education of the American Heart Association Council on High Blood Pressure Research Hypertension 2005 45 142 161 1 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 aicc ccseanaaeesestenaraieueunione 3 4 Activating the device tissu cscciseersccnnncerseewiuonsatecesrbaanecebaausst 5 Selecting the correct cuff sec ncssievctvsrvarncteuecaeceseninamenere 6 Taking measurements using WatchBP Home N USUAL MOE cccccecscesccsceseeseesecsecsecseesscssceeessesseeaeeaes 8 DIAG Mode sa sesiessectardcsientissnetnesseeeseecvec ivan eaconnenee 8 10 NOCTURNAL Mode ccccecceccsesscsecescssesscesceseeseessenees 11 Storing measurement values and medication intake Measurement values stored automatically 12 Recording medication intake eee eeeeeees 13 14 Eight steps for taking accurate blood pressure Blood pressure measurement procedures 15 18 WatchBP home w Special function Atrial Fibrillation Detection 0 0 0 ceccseeseeseeseees 19 20 Viewing deleting and transferring measurement values Viewing measurement values occ eeeeeeeeeees 21 22 Deleting measurement values 0 eceeseeeeeeeeees 23 24 Transfe
13. he cuff A Do not iron the cuff Disposal Batteries and electronic instruments 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
14. ions Inc 2801 Youngfield St Suite 241 Golden CO 80401 USA Tel 1303 2742277 Fax 1 303 274 2244 Email watchbp mimhs com www watchbp com IB WatchBP Home N 3MX1 4 011109
15. pressure too is too high over 300 high mmHg OR the pulse is too high over 200 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 readings 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 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 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 pres
16. ress the ON OFF button to confirm the display Use the M button to select the year Press A P r par Z D the ON OFF button to confirm the selection D Sa Cb 9 Press M button to select Press ON OFF button to confirm Activating 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 Saoi me ar b i o HEHE NIZ NI 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 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 1 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 for diagnosis or follow
17. rring measurement VAIUES ceceeeeees 25 26 Appendix Batteries and power adaptor ou ccc cceeeeeeeeeeees 27 28 Safety care accuracy test and disposal 29 30 EMOTIES IOS inciecrnsacsentuceencennerneonenaess 31 32 important iais susen 33734 Technical specifications 5 sicssnnsenssnadecesrenrseaseestuseurderourenes 31 WatchBP homew microlife l Watc hBP home n Ama ON OFF Button Display M Button Memory ony Battery Compartment NOCTURNAL DIAG so Serial Port Mode Switch Power Socket Medication Button 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 WatchEP homew Pull out the protective strip from the battery compartment to activate the device Al BEEPS gt 20 osi B 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 P
18. s 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 a stroke in patients with atrial fibrillation A doctor can confirm if atrial fibrillation is present by performing an ECG Sometimes Atrial fibrillation is present incidentally Therefore a doctor may not see it on regularly scheduled visits One method of detecting atrial fibrillation is by means of palpitations during blood pressure measurement This method is not very reliable Failure to detect Afib may in the end lead to the occurrence of a stroke whereas early detection may lead to early treatment that can significantly reduce the chances of a stroke Viewing deleting and transferring measurements Viewing measurements 1 Use the Mode switch to first select the mode of measurements you want to view NOCTURNAL DIAG USUAL r 2 Then press the M button In USUAL Mode 1 When the M button is pressed it briefly displays the total number of measurements stored e g N 63 followed immediately by the average of all measurements stored in memory gt z AUN al al 2 All individual readings can be viewed by repeatedly pressing the M button Individual J gt atin GF 21 microlife In DIAG Mode 1 When the M button is pressed it briefly displays the total number of measurements stored e g N 20 9 cus
19. sure data The table on right classifies blood pressure data for adults in accordance 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 Storage temp Weight Dimensions Measuring procedure Method Measurement range Cuff pressure display Voltage source Microlife reserves the right to alter technical specfications without prior written notice 10 to 40 C 50 to 104 F 20 to 50 C 4 to 131 F 15 90 relative maximum humidity 385 g including batteries 150 x 100 x 50 mm Oscillometric corresponding to Korotkoff Phase I systolic Phase V diastolic 30 280 mmHg blood pressure 30 200 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 Reference to standards
20. will display when the A is displayed when the number shown is number of measurements the average of all data is less than 12 ozw SS ee aa AUN P aS WatchBEP home vw 2 Pressing the M button again displays the average of all morning data 00 eo 3 Pressing M button once again shows the average of all evening data gt DFN All individual readings can be viewed by repeatedly pressing the M button 2 A Viewing deleting and transferring measurements cont Deleting measurements All the data in different modes can be deleted Before deleting the data be sure that the data are no longer needed NOCTURNAL DIAG USUAL Ot I7 I la Ia 23 microlife 1 Use the Mode switch to select the mode of measurements you want to delete NOCTURNAL DIAG USUAL WOR 2 Press the M Button and hold it for 7 seconds until the delete symbol flashes Press and hold for ae WatchBP home w 3 Release the M Button and press it once more while the delete symbol flashes The deleting is confirmed by the beep sound I rm er v EL Only measurements in the selected mode will be deleted Measurement data in the other mode must 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
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