Microlife CVS 344534 Instruction Manual

by
DELUXE
ADVANCED
AUTOMATIC
Blood Pressure Monitor
Model #BP3MC1-PC
ID #344534 (3MC1-PC/A100+)
Instruction Manual
Instrucciones de Uso
1-866-464-6184
THIS MEDICAL INSTRUMENT MUST BE USED ACCORDING TO
INSTRUCTIONS TO ENSURE ACCURATE READINGS.
NOTA: PARA DOTENER LECTURAR CORRECTAR ESTE
INSTRUMENTO DEBER SER UTILIZADO SIGUIENDO LAS
PLEASE NOTE:
INSTRUCCIONES DJUNTAS
Automatic Blood Pressure Monitor - Instruction Manual
Table of contents
1. Introduction
1.1. Features of your blood pressure monitor
1.2. Important information about self measurement
2. Important Information on Blood Pressure and its Measurement
2.1. How does high/low blood pressure arise?
2.2. Which values are normal?
2.3. What can be done if regular high/low values are obtained?
3. Components of your Blood Pressure Monitor
4. Using your Monitor for the First Time
4.1. Activating the pre-installed batteries
4.2. Setting the date and time
4.3. Selecting the correct cuff
4.4. Cuff tube connection
4.5. Select the measuring mode: Standard or Microlife Averaging Mode
4.6. Select the user
4.7. Microlife Averaging Mode
5. Measurement Procedure
5.1. Before measurement
5.2. Common sources of error
5.3. Fitting the cuff
5.4. Measuring procedure
5.5. Irregular Heartbeat Detector
5.6. Traffic Light Indicator
5.7. Memory - Displaying the last 99 measurements
5.8. Discontinuing a measurement
5.9. Setting the Medication Reminder
5.10. Battery Charge Indicator
5.11. Using the AC Adapter
6. Software Functions
6.1. Installation and data transmission
7. Error Messages/Troubleshooting
8. Care and Maintenance
8.1. Accuracy test
9. Warranty
10. Certifications
11. Technical Specifications
12. Contacts for Support
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1. Introduction
1.1.Features of your Automatic Blood Pressure Monitor
Your blood pressure monitor with Microlife Averaging Mode, Irregular Heartbeat Detection, and PC Link Blood Pressure Analyzer Software is a fully automatic digital blood pressure measuring device for use by adults on the upper arm at home or in your doc­tor’s/nurse’s office. It enables very fast and reliable measurement of systolic and diastolic blood pressure as well as pulse through the oscillometric method. This device offers clini­cally proven accuracy and has been designed to be user friendly.
Before using, please read this instruction manual carefully and then keep it in a safe place. Please contact your doctor for further questions on the subject of blood pressure and its measurement.
Attention!
1.2.Important information about self-measurement
• Self-measurement means control, not diagnosis or treatment. Unusual values must always be discussed with your doctor. Under no circumstances should you alter the dosages of any drugs prescribed by your doctor.
The pulse display is not suitable for checking the frequency of heart pacemakers!
In cases of irregular heartbeat, measurements made with this instrument should only
be evaluated after consultation with your doctor.
Electromagnetic interference:
The device contains sensitive electronic components. Avoid strong electrical or electro­magnetic fields in the direct vicinity of the device (e.g. mobile telephones, microwave ovens). These can lead to temporary impairment of the measuring accuracy.
2. Important Information on Blood Pressure and its Measurement
2.1. How does high or low blood pressure arise?
Your level of blood pressure is determined in the circulatory center of the brain and adjusts to a variety of situations through feedback from the nervous system. To adjust blood pressure, the strength and speed of the heart (Pulse), as well as the width of circu­latory blood vessels is altered. Blood vessel width is controlled by fine muscles in the blood vessel walls.
Your level of arterial blood pressure changes periodically during heart activity: During the “blood ejection” (Systole) the value is highest (systolic blood pressure value). At the end of the heart’s “rest period” (Diastole) pressure is lowest (diastolic blood pressure value).
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Blood pressure values must lie within certain normal ranges in order to prevent particular diseases.
2.2. Which values are normal?
Blood pressure is very high if your diastolic pressure is above 90 mmHg and/or your systolic blood pressure is over 160 mmHg, while at rest. In this case, please con­sult your physician immediately. Long-term values at this level endanger your health due to continual damage to the blood vessels in you body.
If your systolic blood pressure values are between 140 mmHg and 159mmHg and/or the diastolic blood pressure values between 90 mmHg and 99mmHg, consult your physician. Regular self-checks are necessary.
If you have blood pressure values that are too low, (i.e., systolic values under 105mmHg and/or diastolic values under 60 mmHg), consult your physician.
Even with normal blood pressure values, a regular self-check with your blood pres­sure monitor is recommended. You can detect possible changes in your values early and react appropriately.
If you are undergoing medical treatment to control your blood pressure, keep a record of values along with time of day and date. Show these values to your physi­cian. Never use the results of your measurements to independently alter the
drug doses prescribed by your physician. Which values are normal?
The following standards for assessing high blood pressure (without regard to age) have been established by the U.S. National Institutes of Health JNC7, 2003.
Category Systolic Diastolic
(mmHg) (mmHg)
Normal <120 <80 Pre-Hypertension 120-139 80-89
Hypertension
Stage 1 Hypertension 140-159 90-99 Stage 2 Hypertension >160 >100
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Further information
• If your values are mostly normal under resting conditions but exceptionally high under conditions of physical or psychological stress, it is possible that you are suffering from so-called “labile hypertension.” Consult your doctor.
Correctly measured diastolic blood pressure values above 120mmHg require
immediate medical treatment.
2.3. What can be done if regular high or low values are obtained?
a) Consult your doctor. b) Increased blood pressure values (various forms of hypertension) are associated with
considerable health risks over time. Arterial blood vessels in your body are endangered due to constriction caused by deposits in the vessel walls (Arteriosclerosis). A deficient supply of blood to important organs (heart, brain, muscles) can result from arterioscle­rosis. Furthermore, the heart will become structurally damaged with increased blood pressure values.
c) There are many different causes of high blood pressure. We differentiate between the
common primary (essential) hypertension, and secondary hypertension. The latter group can be ascribed to specific organ malfunctions. Please consult your doctor for information about the possible origins of your own increased blood pressure values.
d) There are measures which you can take to reduce and even prevent high blood pres-
sure. These measures must be permanent lifestyle changes.
A) Eating habits
• Strive for a normal weight corresponding to your age. See your doctor for your ideal weight.
• Avoid excessive consumption of common salt.
• Avoid fatty foods.
B) Previous illnesses
• Consistently follow all medical instructions for treating illness such as:
• Diabetes (Diabetes mellitus or sugar diabetes)
• Fat metabolism disorder
• Gout
C) Habits
• Give up smoking completely.
• Drink only moderate amounts of alcohol.
• Restrict your caffeine consumption (coffee, tea, chocolate).
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D) Your physical condition
After a medical examination, and with your doctor’s approval and direction; exercise.
• Choose sports which require stamina and avoid those which require strength.
• Avoid reaching the limit of your performance.
• With previous illnesses and/or an age of over 40 years, please consult your doctor before beginning your exercise routine. Speak with your doctor regarding the type and extent of exercise that is appropriate for you.
3. Components of your blood pressure monitor
a) Measuring unit
Cuff Storage
Traffic Light
AC Adapter
Port
Cuff Socket
Indicator
USB Port
Removable Card Showing
JNC7 Guidelines
On/Off/Start Button
Memory Recall and Advance Button
Mode Switch - Select Single or 3 Measurements (MAM for Microlife Averaging Mode)
Replacing the removable card
You can replace the slot-in card by pulling it out to the side and replacing the paper insert. It may be helpful to have your doctor note your medication dosage or an emergency tele­phone number on the card.
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Time/Date and OK Button
b) Upper arm cuffs:
TIME PM
Type S101 for arm circumference 24 - 33.7 cm or (9.5” - 13.25”) Type S102 for arm circumference 30.5 - 40.64 cm (12” - 16”)
Your blood pressure monitor comes with two cuffs, one medium and one large. If you ever need to buy a replacement cuff, use only Microlife or CVS brand (Model #271237 for large size).
Please Note: Arm circumference should be measured with a measuring tape in the middle of the relaxed upper arm. Do not force cuff connection into the opening. Make sure the cuff connection is not pushed into the AC adapter port. If the cuff is too small, call 1-866-464-6184 for further information. You may prefer to use one of our wrist type monitors.
4. Using your Monitor for the First Time
4.1 Activating the pre-installed batteries
Pull out the protective strips projecting from the battery com­partment.
4.2 Setting the date and time
1. After the new batteries are activated, the year number flashes in the display. You can advance the year by pressing the "M" button. To confirm and then set the month, press the time but­ton.
2. You can now set the month using the “M” button. To confirm and then set the day, press the time button.
3. Please follow the instructions above to set the day, hour and minutes.
4. Once you have set the last minute 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.
Memory Button
Time/Date Button
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4.3 Selecting the Correct Cuff
1 3
This monitor includes two different cuff sizes, Medium and Large. Select the cuff size to match the circumference of your upper arm (close fitting, measured in the center of the upper arm). Medium is the correct size for most people.
If the enclosed cuffs do not fit, call 1-866-464-6184. Use only approved cuffs. If you need extra cuffs you may look for the Microlife or the CVS brand Large Cuff (Model #271237) which is compatible with this monitor.
4.4. Cuff tube connection
Insert the cuff tube into the opening on the side of the monitor indicated by the drawing of a cuff.
4.5. Select the Measuring Mode: Standard or Microlife Averaging Mode
This instrument enables you to select either standard (standard sin­gle measurement) or Microlife Averaging Mode (automatic triple measurement). To select standard mode, push the switch on the side of the instrument downward to Position "1“ and to select Averaging mode, upwards to Position “3”. If you select 1 then only one measurement will be taken. If you select 3, the unit will inflate and deflate three times resulting in one final average measurement.
4.6. Select the User
This blood pressure monitor is designed to store 99 measurements for each of two users. Before taking a measurement, be certain that the correct user has been selected.
a) With the unit off, press and hold the TIME button for 3 sec-
onds until the user icon in the upper left corner of the LCD
screen flashes. b) Press the “M” button to toggle between users. c) Press the START button to make your selection.
4.7. Microlife Averaging Mode Technology
• In Microlife Averaging Mode, three measurements are automatically taken in succession and the result then automatically analyzed and displayed. Because your blood pressure constantly fluctuates, a result determined in this way is more reliable than one produced by a single measurement.
• After pressing the On/off button the selected Microlife Averaging Mode appears in the display as the symbol.
• 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.
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• 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 and a beep will sound 5 seconds before the 2nd and 3rd readings will begin.
• The individual results from measurements 1, 2 and 3 are not initially displayed.
If you want to see each of the individual readings making up a triplicate reading,
press and hold the “M” button for 3 seconds immediately after a Microlife Averaging Mode measurement. Please note: You can only see the individual readings one time immediately following an Averaging Mode measurement. See section 5.4 G.
• Do not remove the cuff between measurements.
5. Measurement Procedure
Please note: You should always be seated before and during measurement.
5.1. Before measurement:
• Avoid eating and smoking as well as all forms of exertion directly before measurement. These
factors influence the measurement result. Find time to relax by sitting in an armchair in a quiet atmosphere for about ten minutes before taking a measurement.
• Remove any garment that fits closely to your upper arm.
• Always measure on the same arm (normally left).
• Always compare measurements taken at the same time of day, since blood pressure changes
during the course of the day, as much as 20-40 mmHg.
5.2. Common sources of error:
Note: Comparable blood pressure measurements always require the same conditions! Conditions should always be quiet.
• All efforts by the user to support the arm can increase blood pressure. Make sure you are in a com­fortable, relaxed position and do not flex any of the muscles in the measurement arm during the measurement. Use a cushion for support if necessary.
• If the arm artery lies considerably lower or higher than the heart, an erroneously high or low blood pressure will be measured! Each 15cm (6 inch) difference in height between your heart and the cuff results in a measurement error of 10 mmHg!
•Cuffs that are too narrow or too short result in false measurement values. Selecting the correct cuff is extremely important. Cuff size is dependent upon the circumference of the arm (measured in the center). The permissible range is printed on the cuff. If this is not suitable for your use, please call 1­866-464-6184.
Note: Only use clinically approved CVS or Microlife cuffs!
• A loose cuff or a sideways protruding air pocket causes false measurement values.
• With repeated measurements, blood accumulates in the arm, which can lead to false results. Consecutive blood pressure measurements should be repeated after a 1 minute pause or after your arm has been held up in order to allow the accumulated blood to flow away. If you decide to take your Averaging Mode measurement again, be sure to wait at least one minute beforehand.
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5.3. Fitting the Cuff
a) Pass the end of the cuff through the flat
metal ring so that a loop is formed. The vel­cro closure must be facing outward. (Ignore this step if the cuff has already been pre­pared.)
b) Place the cuff over the left upper arm so that
the tube is closer to your lower arm.
c) Lay the cuff on the arm as illustrated. Make
certain that the lower edge of the cuff lies approximately 3/4” to 1”(2 to 3cm) above the elbow and that the tube is closer to the inner side of the arm.
Important! The small white arrow (Artery Mark) on the cuff must lie exactly over the
artery which runs down the inner side of the arm.
d) Tighten the cuff by pulling the end and close
the cuff by affixing the velcro.
e) There should be little free space between the
arm and the cuff. You should able to fit 2 fin­gers between your arm and the cuff. Clothing must not restrict the arm. Any piece of cloth­ing which does, must be removed. Cuffs that don’t fit properly result in false measurement values. Measure your arm circumference if you are not sure of proper fit. Larger cuffs are available (Section 3B).
f) Lay your arm on a table (palm upward) so the
cuff is at the same height as your heart. Make sure the tube is not kinked.
g) Remain seated quietly for at least two
minutes before you begin the measurement.
Left Arm
3
/4”-1”
tube
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Comment:
If it is not possible to fit the cuff to your left arm, it can also be placed on your right arm. However, all measurements should be made using the same arm.
Comparable blood pressure measurements always require the same conditions (Relax for several minutes before taking a meas­urement).
5.4. Measuring procedure
After the cuff has been appropriately positioned on the arm and connected to the blood pressure monitor, the measurement can begin:
a) Press the ON/OFF/START button. The pump
begins to inflate the cuff. In the display, the increasing cuff pressure is continually displayed.
b) After automatically reaching an individual pressure,
the pump stops and the pressure slowly falls. The cuff pressure is displayed during the measurement.
c) When the device has detected your pulse, the heart
symbol in the display begins to blink.
d) When the measurement has been concluded, a long
beep tone sounds. The measured systolic and diastolic blood pressure values, as well as the pulse are now displayed and the blue backlight is illuminated.
e) The appearance of this symbol signifies that an
irregular heartbeat was detected. This indicator is only a caution. It is important that you be relaxed, remain still and do not talk during measurements. NOTE: We recommend contacting your physician if you see this indicator frequently.
f) The measurement results are displayed until you
switch the device off. If no button is pressed for 1 minute, the device switches off automatically.
Cuff on
right arm
Pumping Pressure
Measuring
Systolic
Diastolic
Pulse
Measurement
complete
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g) When the unit is set to the MAM (Microlife Averaging Mode) setting, 3 separate
measurements will take place in succession after which your result is calculated and displayed as a single, averaged measurement. There is a 15 second resting time in-between each measurement. A count down indicates the remaining time and a beep will sound 5 seconds before the 2nd and 3rd readings will begin.
If one of the measurements causes an error message, it will be repeated one more time. If any additional error occurs, the measurement will be discontinued and error code displayed.
Expanding the averaged measurement to see the three individual readings: This function allows you to view the three individual measurements used to cal­culate the Microlife AveragingMode measurement. After taking an averaging mode measurement hold the memory button for 3 seconds until you hear a short beep. (Do not hold the button longer than 7 seconds or you will delete all the readings in the memory.) Let go of the button and watch the screen. It will auto­matically scroll through the three measurements used in the measurement.
5.5. Irregular Heartbeat Detector
This symbol indicates that certain pulse irregularities were detected during the measurement. In this case, the result may devi­ate from your normal basal blood pressure – repeat the measure­ment. 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 tell your doctor. Please show your doctor the following explanation:
Information for the doctor on frequent appearance of the Irregular Heartbeat Symbol
This instrument is an oscillometric blood pressure monitor device that also analyzes pulse frequency during measurement. The instrument is clinically tested.
If pulse irregularities occur during measurement, the irregular heartbeat symbol is dis­played after the measurement. If the symbol appears more frequently (e.g. several times per week on measurements performed daily) or if it suddenly appears more often than usual, we recommend the patient to seek medical advice.
The instrument does not replace a cardiac examination, but serves to detect pulse irregu­larities at an early stage.
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5.6. Traffic Light Indicator
STAG E 2
Hypertension
STAG E 1
Hypertension
PRE- HYPERTENSION
NORMAL
Self-Check
>160
140-159
120-139
<120
>100
90-99
80-89
<80
High Blood Pressure Standards
E
stablished by the
National Institutes of Health JNC7, 2003
SYSTOLIC DIASTOLIC
*For Diabetics, >130/80 is considered High
>100
90-99
80-89
<80
The bars on the left-hand edge of the display 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 normal (green), borderline (yellow) or danger (red) range.
The classification is based on standards established by the National Institutes of Health JNC7, 2003.
Refer to the removable card on the front of the monitor or the chart in section 2.2 of this instruction manual for details of the classifications.
The traffic light bar raises according to your measurement.
• If your measurement has only one bar, your measurement is in the green zone, or
“Normal” according to NIH standards.
• If your measurement has two or three bars, it is in the yellow zone, or “Pre-
Hypertension” according to NIH standards.
• If your measurement has four bars, it is in the orange “Stage 1 Hypertension” zone.
• If your measurement has five or more bars, it is in the red “Stage 2 Hypertension” zone.
Indication of a
“Normal” Blood
Pressure
Indication of a “Pre­Hypertension” Blood
Pressure
Indication of a “Stage 1
Hypertension” Blood
Pressure
Indication of a “Stage 2
Hypertension” Blood
Pressure
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5.7. Memory – Displaying the last 99 Measurements
Start
ON/OFF
1
At the end of a measurement, this monitor automatically stores each result with date and time. This unit stores 99 memories for each of 2 users.
Viewing the stored values
With the unit off, press the "M" button. The display first shows "A", then shows an average of all measurements stored in the unit. Please note: Measurements for each user are
averaged and stored separately. Be certain that you are viewing the measurements for the correct user.
Pressing the "M" button again displays the previous value. To view a particular stored memo­ry, press and hold the “M” button to scroll to that stored reading.
Memory full
When the memory has stored 99 results a new measured value is stored by overwriting the oldest value.
Clear all values
If you are sure that you want to permanently remove all stored values, hold down the "M" button (the instrument must have been switched off before­hand) until "CL" appears and then release the button. If you do not want to clear the values, press the Start/ON/OFF button. To permanently clear the memory, press the "M" button while "CL" is flashing.
Individual values cannot be cleared.
5.8. Discontinuing a Measurement
If it is necessary to interrupt a blood pressure measurement for any reason (e.g the patient feels unwell), the Start/ON/OFF button can be pressed at any time. The device then immediately lowers the cuff pressure automatically.
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5.9. Setting the Medication Reminder
TIME PM
This instrument allows you to set two alarm times at which an alarm signal will then be trig­gered. This can be a useful aid, for instance as a reminder to take medication or to remind you to take your blood pressure at the same time each day.
1. To set an alarm time, press the time button (the instrument must have been switched off beforehand) and immediately afterwards the "M" button and hold both down until the bell symbol appears in the bottom left of the display. Then release both buttons. The flashing "1" in the display indicates that the first alarm time can now be set.
2. Press the time button to set the hours – the hours display flash­es and pressing the "M" button allows you to set the alarm hour. To confirm, press the time button
3. The minute display will now flash. The minutes can be set using the "M" button. To confirm, press the time button again.
4. The bell symbol will now flash. Use the "M" button to select whether the alarm time is to be active (bell) or inactive (crossed­out bell). To confirm, press the time button.
To set a second alarm time, proceed as above but if the "1" flashes, press the "M" button to select "2" and confirm with the time button.
• An active alarm time is indicated by the bell symbol in the display.
• The alarm sounds at the set time every day.
• To switch-off the alarm when it is sounding, press the START/ON/OFF button.
• To permanently switch-off the alarm, proceed as above (steps 1-4) and select the crossed-out bell symbol. This will then disappear from the display.
• The alarm times must be re-entered each time the batteries are replaced.
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