Accurate home blood pressure measurements with the WatchBP home A.
Microlife WatchBP Home A is the world’s first digital blood pressure measurement device that strictly follows European Society of Hypertension (ESH)1, 2 and American Heart Association (AHA) recommendations for home blood pressure measurement. Using the WatchBP Home A device helps you collect accurate home blood pressure measurements your doctor can trust. This WatchBP Home A device has been clinically validated according to the ESH protocol 3. 1 O’Brien E, Asmar R, Beilin L, Imai Y, et al.
Table of Contents Before using WatchBP Home A for the first time Atrial fibrillation detection instructions ........................ 21 Product description ......................................................6–7 Information for the doctor............................................. 21 Activating the device ...................................................... 8 Viewing, deleting, and transferring measurements Selecting the correct cuff.................................................
USUAL DIAG.
Mode Indication Morning Data Doctor Symbol Evening Data Atrial Fibrillation Detection Date/Time Outside Measurement Time Systolic Value Relax Diastolic Value Battery Display Delete Memory Data Stored Value Pulse Indicator Pulse Rate Number of Stored Data 7 EN
DIA mmHg Before using WatchBP Home A for the first time PUL /min Activating the Device Pull out the protective strip from the battery compartment. Press M Button to make selection Press ON/OFF Button to confirm 2) Set the month – Press the M Button to set the Month. Press the ON/OFF Button to confirm. 1) Set the year – Upon removing the protective strip or installing new batteries, the Year number flashes in the display. Use the M Button to select the Year.
4) Set the time – Once you have set the Hour and Minutes and pressed the ON/OFF Button, the date and time are set, and the current time is displayed. 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 consult your doctor. * please use only Microlife cuffs! M (Medium size) 22 - 32 cm (8.7 - 12.
Taking measurements using WatchBP Home A Prior to each measurement, use the Mode Switch on the right side of the device to select the proper measurement mode. The two options include: «DIAG.» (Diagnostic) or «USUAL» (Usual) mode. «DIAG.» Mode The «DIAG.» mode should be selected as requested by your doctor when blood pressure is measured in accordance with the measurement guidelines of the European Society of Hypertension (ESH). DIAG. DIAG.
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). No readings should be taken on «non-working» days (or particularly relaxing days) in this mode! ESH guidelines recommend 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.
Taking measurements using WatchBP Home A (cont.) Extended measurement period Evaluation WatchBP Home A has an extended measurement period and allows morning measurements between 04:00 12:00 and evening measurements between 18:00 - 24:00. 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 data.
«USUAL» Mode 250 measurements safely stored The «USUAL» mode is selected for regular blood pressure measurement with Afib detection. In «USUAL» DIAG. 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. The WatchBP Home A device can store up to 250 averaged measurement readings in «USUAL» mode. 250 Measurements USUAL DIAG. Anytime 1 15 sec.
Eight steps for measure blood pressure properly 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 as your heart.
Step 3 Step 4 Remove all clothing covering or constricting the arm to be measured. Apply the cuff. Make sure the lower edge of the cuff is exactly 2–3cm 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) Sit down and relax for at least five minutes prior to the measurement.
Eight steps for measure blood pressure properly (cont.) Step 5 Step 6 (in «DIAG.» mode) Sit upright and lean comfortably against the chair’s backrest. Press the start button. The device will USUAL initiate a 60-second countdown in «DIAG.» mode or a DIAG. 15-second countdown in «USUAL» mode. During the measurement do not move, cross your legs, or tense SYS your arm muscles. Breath normally and do not talk. One measurement cycle includes two measurements.
Step 7 (in «DIAG.» mode) Step 8 (in «DIAG.» mode) Once the two readings are complete, measurement data is automatically stored for future reference by your doctor. If an error displays after the readings, please repeat the first six steps once again. When seven days of measurements have been collected, the Doctor Symbol will flash on the display. Do not forget to take your WatchBP Home A device with you on your next visit to the doctor.
Special Function Atrial fibrillation detection This device is designed to screen for atrial fibrillation during blood pressure measurements both in «USUAL» Mode and «DIAG.» Mode. If atrial fibrillation is detected during all readings of the triple measurements in usual mode or all four readings of one day in diagnostic mode, the Afib icon is displayed. If the Afib icon is displayed after a blood pressure measurement follow the instructions on page 21. Wiesel, et al.
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 with older age and found in 10% of people over 80 years old. About 20% 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 Detector The WatchBP home can screen for atrial fibrillation during blood pressure measurement. For people with pacemakers or defibrillators it is not recommended to use the WatchBP Home A. Some people may have atrial fibrillation occasionally that lasts longer than a day. In this situation the WatchBP Home A allows frequent screening on multiple days for optimal diagnosis of atrial fibrillation.
Atrial fibrillation detection instructions Information for the doctor • Use this device regularly, once per week, or once per month to screen for atrial fibrillation. This device is designed to detect atrial fibrillation and false negative readings are very rare. Though it is programmed to specifically detect atrial fibrillation, frequent premature beats, marked sinus arrhythmia or other rhythm abnormalities might cause false positive readings.
Viewing, deleting and transferring measurements Viewing measurements In «DIAG.» Mode 1) Use the Mode switch to first select the type of measurements you wish to view. 1) When the M Button is pressed, it briefly displays the total number of measurements stored, e.g. N=20 and then switches to the average of all readings. DIAG. USUAL 2) Then press the M Button. DIAG. USUAL is displayed when * «A» the number shown is the average of all data.
2) Press the M Button again to display the average of all morning data. Press the M Button once again to show the average of all evening data. In «USUAL» Mode 1) When the M Button is pressed, the number of readings with Afib detected is 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. 3) Press the M Button repeatedly to review all the individual readings one by one.
Viewing, deleting and transferring measurements (cont.) Deleting measurements Data from «DIAG.» and «USUAL» can be deleted independent of each other. 24 DIAG.DIAG. USUAL USUAL DIAG.DIAG. USUAL USUAL deleting data, be sure to ask your doctor if the * Before measurement data is still required. Only delete the stored measurements when you are sure that you no longer need the data.
1) Use the Mode switch to select the mode of measurements you want to delete. DIAG. 3) Release the M Button and press it once more while the delete symbol flashes. The deleting is confirmed by the beep sound. USUAL 2) Press the M Button and hold it for 7 seconds until USUAL the DIAG. delete symbol flashes. * Only measurements in the selected mode will be deleted. Press and hold for 7 seconds...
Viewing, deleting and transferring measurements (cont.) Transferring measurements Transferring data to the computer Installation of the software program 1) Start the software program and connect the device to the computer using the cable supplied. 1) Put the CD in the CD-ROM drive of 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.
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».
Batteries and power adaptor Battery indicator Replacing low batteries When the batteries have ¼ power supply left, the Battery Symbol will flash each time the device is switched on. 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 – ensure correct polarity as shown by the symbols in the compartment. * Use 4 new, long-life 1.5V, size AA batteries.
Using a power adaptor The WatchBP Home A device can also be operated using a Microlife power adaptor (DC 6V, 600mA). * Only use Microlife branded power adaptors. 1) Plug the adaptor cable into the Power Plug in the WatchBP Home A 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 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. • Only activate the pump when cuff is installed.
Device care Cuff care Clean the device with a soft, dry cloth. DO NOT wash the cuff. DO NOT iron the cuff cover. Do not wash the cuff! Do not iron the cuff! Accuracy test Disposal 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. 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. consult microlife, if • Please this or any other problem occurs repeatedly. you think the results are • Ifunusual, please read through the information in this instruction manual carefully. 32 Error Description Potential cause and remedy «Er 1» Signal too weak The pulse signals on the cuff are too weak. Re-position the cuff and repeat the measurement.
«Er 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. «Er 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.
Important facts about blood pressure and home measurements diastolic (lower) value, are always measured. • The pulse rate is the number of times the heart beats in a minute. • Permanent high blood pressure can damage your health and therefore must be treated! • 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.
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 Hypertension (ESH). (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».
Technical specifications Operating temp.: Storage temp.
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.
Europe / Middle-East / Africa Microlife WatchBP AG Espenstrasse 139 9443 Widnau, Switzerland Tel. +41 71 727 7000 Fax +41 71 727 7011 Email: watchbp@microlife.ch www.watchbp.com Asia United States 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 Microlife Medical Home Solutions, Inc. 2801 Youngfield St., Suite 241 Golden, CO 80401, USA Tel.
