Microlife BP A200 AFIB User manual

Europe / Middle-East / Africa

Microlife AG
Espenstrasse 139
9443 Widnau / Switzerland
Tel. +41 / 71 727 70 30
Fax +41 / 71 727 70 39
Email [e-mail]
www.microlife.com

Asia

Microlife Corporation.
9F, 431, RuiGang Road, NeiHu
Taipei, 11492, Taiwan, R.O.C.
Tel. [phone]
Fax.[phone]
Email [e-mail]
www.microlife.com

North / Central / South America

Microlife USA, Inc.
1617 Gulf to Bay Blvd., 2nd Floor Ste A
Clearwater, FL 33755 / USA
Tel. [phone]
Fax [phone]
Email [e-mail]
www.microlife.com

Microlife BP A200 AFIB

EN  1
RU  8
BG  16

IB BP A200 AFIB BY-V3 1314

www.microlife.by
www.microlife.bg
www.microlife.com

Microlife BP A200 AFIB

TIME

MONTH-DAY

Microlife BP A200 AFIB

1

ON/OFF button

2

M-button (memory)

3

Display

4

Cuff Socket

5

Time Button

6

Cuff

7

Cuff Connector

8

Mains Adapter Socket

9

USB Port

AT

Battery Compartment

AK

MAM Switch

Display

AL

Date/Time

AM

Systolic Value

AN

Diastolic Value

AO

Pulse Rate

AP

Atrial Fibrillation Indicator (AFIB)

AQ

MAM Interval Time

AR

Battery Display

AS

Stored Value

BT

Pulse

BK

MAM Mode

Read the instructions carefully before using this device.

Type BF applied part

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 collabora­tion 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 blood pres­sure measurement technology for the early detection of atrial fibril­lation (AFIB) and hypertension. These are the two top risk factors
of heart disease and stroke which increase the risk 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 can reduce your
risk of suffering a stroke. For this reason, it is recommended that
you visit your doctor when the device gives an AFIB signal during
your blood pressure measurement. The AFIB algorithm of Microlife
has been clinically investigated by several prominent clinical inves­tigators and showed that the device detects patients with AFIB at
97-100% certainty.
Please read through these instructions carefully so that you under­stand 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 Microlife­Customer 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 EG, &
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 Y, & Messineo FC Detection of
Atrial Fibrillation Using a Modified Microlife Blood Pressure
Monitor. Am J Hypertens 2009; 848-852.

1,2

EN

1BP A200 Afib

Table of Contents

1. Important Facts about Blood Pressure and Self-Measurement

• How do I evaluate my blood pressure?

2. 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 MAM mode)

• Risk factors you can control

3. Using the Device for the First Time

• Activating the fitted batteries

• Setting the date and time

• Selecting the correct cuff

• Select the measuring mode: standard or MAM mode

• MAM mode

4. Taking a Blood Pressure Measurement using this Device

• How not to store a reading

5. Appearance of the Atrial Fibrillation Indicator for early
Detection (only in MAM mode)

6. PC-Link Functions

• Installation and data transmission

7. Data Memory

• Viewing the stored values

• Memory full

• Clearing all values

8. Battery Indicator and Battery change

• Low battery

• Flat battery – replacement

• Which batteries and which procedure?

• Using rechargeable batteries

9. Using a Mains Adapter

10. Error Messages

11. Safety, Care, Accuracy Test and Disposal

• Safety and protection

•Device care

• Cleaning the cuff

• Accuracy test

•Disposal

12. Guarantee

13. Technical Specifications

2

1. Important Facts about Blood Pressure and Self­Measurement

• 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/her if

you have noticed anything unusual or feel unsure. Never rely

on single blood pressure readings.

• Enter your readings in the enclosed blood pressure diary.

This will give your doctor a quick overview.

• There are many causes of excessively high blood pressure

values. Your doctor will explain them in more detail and offer

treatment where appropriate. Besides medication, relaxation
techniques, 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.

therefore take your measurements in the same quiet condi­tions and when you feel relaxed!

ments per day, one in the morning and one in the evening.

• It is quite normal for two measurements taken in quick succes-

sion to produce significantly different results.

• 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 a much clearer picture than

just one single measurement.

• Leave a small break of at least 15 seconds between two

measurements.

• If you are pregnant, you should monitor your blood pressure

very closely as it can change drastically during this time!

• If you suffer from an irregular heartbeat, measurements taken

with this device should only be evaluated after consultation with
your doctor.

• The pulse display is not suitable for checking the

frequency of heart pacemakers!

Take at least two measure-

You should

How do I evaluate my blood pressure?

Table for classifying blood pressure values in adults in accordance
with the World Health Organisation (WHO) in 2003. Data in mmHg.

Range Systolic Diastolic Recommendation

blood pressure too low 100 

1. blood pressure
optimum

2. blood pressure normal

3. blood pressure slightly
high

4. blood pressure too
high

5. blood pressure far too
high

6. blood pressure
dangerously high

100 - 120 60 - 80

120 - 130 80 - 85
130 - 140 85 - 90

140 - 160 90 - 100

160 - 180 100 - 110

180 110 Urgently seek

60

Consult your
doctor

Self-check

Self-check
Consult your

doctor
Seek medical

advice
Seek medical

advice

medical advice!

The higher value is the one that determines the evaluation.
Example: a readout value between 150/85 or 120/98 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 quickly
fast and irregularly (this is called fibrillation). Atrial fibrillation is the
most common form of heart arrhythmia or irregular heart beat. You
can live with atrial fibrillation, but it can lead to other rhythm prob­lems, chronic fatigue, heart failure and - worst of all - a stroke.
You’ll need a doctor to help you control the problem.

How does AFIB impact my family or me?

One in every six strokes is AFIB-related. Whilst individuals above the
age of 65 are more likely to have AFIB, individuals as young as 40
can exhibit AFIB. Early diagnosis can help reduce the risk of a stroke.

Microlife AFIB detection provides a convenient way to screen for AFIB (only in 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

Activating the fitted batteries

Pull out the protective strip from the battery compartment AT.

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-button 2. To
confirm and then set the month, press the time button 5.

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).

Cuff size for circumference of upper arm

S 17 - 22 cm (6.75 - 8.75 inches)
M 22 - 32 cm (8.75 - 12.5 inches)
L 32 - 42 cm (12.5 - 16.5 inches)
M - L 22 - 42 cm (8.75 - 16.5 inches)

This device comes with a preformed M-L size cuff «Easy».

Only use Microlife cuffs.





Contact your local Microlife Service if the enclosed cuff 6 does
not fit.



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 MAM mode

This device enables you to select either standard (standard single
measurement) or MAM mode (automatic triple measurement). To

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3BP A200 Afib

select standard mode, slide the MAM switch AK on the side of the
device downwards to position «1» and to select MAM mode, slide
this switch upwards to position «3».

MAM mode

In 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 MAM mode.

• After pressing the ON/OFF button 1, the MAM-symbol BK

appears in the display.

•

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.

• There is a break of 15 seconds between the measurements
(15 seconds are adequate according to «Blood Pressure Moni­toring, 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.

• 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.

2. Sit down for at least 5 minutes before the measurement and relax.

3. Always measure on the same arm (normally left).

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).

• Fit the cuff closely, but not too tight.

• Make sure that the cuff is positioned 2 cm above the elbow.

• 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.

• Support your arm so it is relaxed.

• Ensure that the cuff is at the same height as your heart.

6. Press the ON/OFF button 1 to start the measurement.

7. 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 heart symbol BT flashes in the
display every time a heartbeat is detected.

10.The result, comprising the systolic AM and the diastolic AN
blood pressure and the pulse rate AO is displayed. Note also the
explanations on further display symbols in this booklet.

11.When the device has finished measuring, remove the cuff.

12.Enter the result in the enclosed blood pressure pass and switch
off the device. (The monitor does switch off automatically after
approx. 1 min.).

How not to store a reading

As soon as the reading is displayed press and hold the ON/OFF
button 1 until «M» AS is flashing. Confirm to delete the reading by
pressing the M-button 2.

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).

5. Appearance of the Atrial Fibrillation Indicator for

early Detection (only in MAM mode)

This symbol AP indicates that an atrial fibrillation was detected
during the measurement. This device is able to detect atrial fibrilla­tion (AFIB). If AFIB is present during blood pressure measurement,
the AFIB Indicator is displayed. In this case, the result may deviate
from your normal blood pressure. It is highly recommended to take
an additional measurement an hour later to increase the specificity
of the detection. In most cases, this is no cause for concern.
However, if the symbol appears on a regular basis (e.g. several
times a week with measurements taken daily) we advise you to visit
your doctor. Please, provide the following explanation:

4

Information for the doctor on frequent appearance of the
atrial fibrillation indicator

This device is an oscillometric blood pressure monitor that also
analyses pulse frequency during measurement. The device is
clinically tested.
The AFIB symbol is displayed after the measurement, if atrial fibril­lation occur during measurement. If the symbol appears more
frequently (e.g. several times per week on measurements
performed daily) we recommend the patient to seek medical advice.
The device does not replace a cardiac examination, but serves
to detect atrial fibrillations at an early stage.

Sometimes the device will detect atrial fibrillation even when



it is not there. This can happen if the arm moves during the
reading or another rhythm problem is present. Keep the arm
still during the reading. Visiting your doctor with this device
may be necessary to check out any rhythm problems.
This device may not detect atrial fibrillation in people with



pacemakers or defibrillators.

6. PC-Link Functions

This device can be used in conjunction with a personal computer
(PC) running the Microlife Blood Pressure Analyser (BPA) software.
The memory data can be transferred to the PC by connecting 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.

7. Data Memory

At the end of each measurement, this device automatically stores
the result, including date and time.

Viewing the stored values

Press the M-button 2 briefly, when the device is switched off. The
display first shows «M» AS and then a value, e.g. «M 17». This
means that there are 17 values in the memory. The device then
switches to the last stored result.
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

Pay attention that the maximum memory capacity of 200 is



not exceeded. When the memory is full, the old values
are automatically overwritten with new ones. Values

should be evaluated 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.

8. Battery Indicator and Battery change

Low battery

When the batteries are approximately ¾ empty the battery symbol AR
will flash as soon as the device is switched on (partly filled battery
displayed). Although the device wi ll continue to measure reliably, you
should obtain replacement batteries.

Flat battery – replacement

When the batteries are flat, the battery symbol AR 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 AT 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.

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5BP A200 Afib

Which batteries and which procedure?

Use 4 new, long-life 1.5 V, size AA batteries.



Do not use batteries beyond their date of expiry.



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.

Only use «NiMH» type reusable batteries.



Batteries must be removed and recharged when the flat



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.
Batteries cannot be charged in the blood pressure monitor.



Recharge batteries in an external charger and observe the
information regarding charging, care and durability.

9. 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, e.g. the
«Microlife 230V adapter».
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.

2. Plug the adapter plug into the wall socket.
When the mains adapter is connected, no battery current is
consumed.

10. 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

weak

The pulse signals on the cuff are too
weak. Re-position the cuff and repeat the
measurement.*

Error Description Potential cause and remedy

«

ERR 2

» Error signal During the measurement, error signals

ERR 3

» No pres-

«

«

«

«

«

* Please consult your doctor, if this or any other problem occurs
repeatedly.



sure in the
cuff

ERR 5

» Abnormal

result

ERR 6

» MAM Mode There were too many errors during the

HI

» Pulse or cuff

pressure too
high

LO

» Pulse too

low

If you think the results are unusual, please read through the
information in «Section 1.» carefully.

were detected by the cuff, caused for
instance by movement or mu scle tension.
Repeat the measurement, keeping your
arm still.

An adequate pressure cannot be gener­ated 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.*

measurement in MAM mode, making it
impossible to obtain a final result. Read
through the checklist for performing reli­able measurements and then repeat the
measurement.*

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.*

The pulse is too low (less than 40 beats
per minute). Repeat the measurement.*

11. Safety, Care, Accuracy Test and Disposal

Safety and protection



• 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.

6