Accurate home blood
pressure measurements
with the WatchBP Home.
Instruction Manual
EN
3
Microlife WatchBP Home 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 device helps you
collect accurate home blood pressure measurement your doctor can trust. This WatchBP Home device has
been clinically validated according to the ESH protocol 3.
1
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.
2
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
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.
Pull out the protective strip from the battery
compartment.
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. Press
the ON/OFF Button to confirm your selection.
5
Press ON/OFF Button to confirm
Press M Button to make selection
2) Set the month – Use the M Button to set the Month.
Press the ON/OFF Button to confirm.
3) Set the day – Press the M Button to set the Day.
Press the ON/OFF Button to confirm.
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.
5) If you want to change the date and time, briefly
take out and put back one battery from the battery
compartment. The Year number will flash. Complete
the process as described above.
Selecting the correct cuff
The WatchBP Home device is available with different
cuff sizes. If you believe the cuff size provided with your
device is incorrect, please consult your doctor.
please use only Microlife cuffs!
*
M (Medium size)
22 - 32 cm (8.7 - 12.6 inches)
M is the correct size for most people.
L (Large size)
32 - 42 cm (12.6 - 16.5 inches)
EN6
DIAG.USUAL
Taking measurements using WatchBP Home
DIAG.USUAL
Prior to each measurement, use the Mode Switch on
the side of the device to select the proper measurement
mode. The two options include: «DIAG.» (Diagnostic) or
«USUAL» (Usual) mode.
7
«DIAG.» Mode
The «DIAG.» mode should be selected when blood
pressure is to be measured in accordance with
measurement guidelines of the European Society of
Hypertension (ESH), and as requested by your doctor.
No measurements on non-work days
In «DIAG.» mode, blood pressure measurements are
taking 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!
Two sets of measurements per day
ESH guidelines recommend to take two measurements
in the morning between 06:00 - 09:00 and two
measurements in the evening between 18:00 - 21:00.
Always take measurements before taking your
medication, unless otherwise directed by your
doctor.
JAN
30
7
working
days
X1
06:00 – 09:00
X1
18:00 – 21:00
EN8
Taking measurements using WatchBP Home (cont.)
Extended measurement period
WatchBP Home has an extended measurement period and
allows morning measurements between 04:00 - 12:00
and evening measurements between 18:00 - 24:00.
Outside these times,
measurements
cannot be taken and
the symbol on the left
will be displayed on
the screen.
9
Evaluation
After measurements have been carried out for a total
of 7 working days, bring the device to your doctor for
evaluation of your home blood pressure.
When measurements
have been carried out
for the full 7 days, the
doctor symbol will
flash on the screen.
«USUAL» Mode
The «USUAL» mode should be selected when
blood pressure is to be measured independent of
recommended guidelines. In «USUAL» mode, single
measurements can be taken at any time, and results are
automatically stored for later evaluation by your doctor.
Anytime
250 measurements safely stored
The WatchBP Home device can store up to 250 single
measurements in «USUAL» mode.
When memory is full, each new measurement will
*
automatically overwrite the earliest measurement.
250
Measurements
EN10
Eight steps for taking proper blood pressure
Step 1
Avoid taking measurements directly after eating,
drinking, or smoking. Allow at least one hour between
these activities and measurement of your blood pressure.
1 Hour Before
11
Step 2
Prepare a chair and table for the measurement. The
chair should have a vertical back-rest and the table
should allow for your upper arm to rest at the same
height as your heart.
Step 3
Remove all clothing covering or constricting the
measurement arm. Apply the cuff. Make sure the lower
edge of the cuff is 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)
Step 4
Sit down and relax for at least five minutes prior to the
measurement.
EN12
SYS
mmHg
DIA
mmHg
Pulse
/min
Eight steps for taking proper blood pressure (cont.)
Step 5
Sit upright and lean comfortably against the chair’s
backrest. Press the start button. The device will initiate
a 60-second countdown. During the measurement do
not move, cross your legs, or tense your arm muscles.
Breath normally and do not talk.
13
Step 6
One measurement cycle includes two measurements.
Once the first measurement is complete, continue to
relax as you wait for the second measurement. The
second measurement will start after 60-seconds. During
this time avoid movement.
12
60 sec.
Step 7
Once the two readings are complete, measurement data
are automatically stored for future reference by your
doctor. If an error displays after the readings, please
repeat the first six steps once again.
Automatically stored
Step 8
When seven days of measurements have been collected,
the Doctor Symbol will flash on the display. Do not
forget to bring your WatchBP Home device with you on
your next doctor visit. (Note: the doctor symbol is only displayed for measurements in «DIAG.» Mode.)
EN14
Viewing, deleting and transferring measurements
DIAG.USUAL
Viewing measurements
1) Use the Mode switch to first select the type of
measurements you wish to view.
2) Then press the M Button.
15
In «DIAG.» Mode
1) When the M Button is pressed, it briefly displays the
total number of measurements stored, e.g. N=20.
«A» is displayed when
*
the number shown is
the average of all data.
«- -» will display when the
*
number of measurements
is less than 12.
2) Pressing the M Button again displays the average of all
morning data.
3) Pressing M Button once again shows the average of all
evening data.
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.
2) All individual readings can be viewed by repeatedly
pressing the M Button.
All individual readings can be viewed by repeatedly pressing
*
the M Button.
Individual
Reading
EN16
Viewing, deleting and transferring measurements (cont.)
DIAG.USUAL
Deleting measurements
Data from «DIAG.» and «USUAL» can be deleted
independent of each other.
17
Before deleting data, be sure to ask your doctor if the
*
measurement data are still required. Only delete the stored
measurements when you are sure that you no longer need
the data.
1) Use the Mode switch to first select the type of
DIAG.USUAL
measurements you wish to delete.
3) Release the M Button and press it once more while the
delete symbol flashes. Deletion is confirmed by the beep
sound.
2) Press the M Button and hold it until the delete
symbol flashes.
Press and hold for 7 seconds...
Only measurements in the selected mode will be deleted.
*
Measurement data in the other mode must be deleted
independently.
Pressing the M Button to delete data will erase all measurement
*
data in the selected mode.
EN18
Viewing, deleting and transferring measurements (cont.)
System Requirements: 550MHz CPU. 256MB Memory, 1024x768
pixel resolution, 256 color, CD-ROM drive, 1 free USB port, 40MB
free hard disk space, Microsoft Windows 2000 / XP / Vista.
Install CD
WatchBP Analyzer Home
Version 1.0.0.7
Transferring measurements
Installation of the software program
1) Put the CD in the CD-ROM drive of your computer.
Alternatively click on «
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.
19
setup.exe» in the CD’s directory.
System Requirements: 550MHz
*
CPU. 256MB Memory, 1024x768
pixel resolution, 256 color, CDROM drive, 1 free USB port, 40MB
free hard disk space, Microsoft
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.
Software commands
Transfer «DIAG.» mode data
Corresponding value
Click «Download»
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
Store the «USUAL» mode data
Click «Patient Files»
Click «Download Usual Mode Data», the file name is formed
automatically from the patient’s identity number and the suffix
«Umode.xls».
Print the data sheet
Delete the memories
Close the program
Stored your data before using «Clear Memory» or «Exit».
*
Click «Print»
Click «Clear Memory»
Click «Exit»
Refer to the software user manual for detailed information and instructions.
EN20
Batteries and power adaptor
Battery indicator
When the batteries have ¼ power supply left, the
Battery Symbol will flash each time the device is
switched on.
21
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 – ensure correct polarity as
shown by the symbols in the compartment.
Use 4 new, long-life 1.5V, size AA batteries.
*
Do not use batteries beyond their date of expiry.
*
Remove batteries, if the device will not be used for a
*
prolonged period.
Using a power adaptor
SYS
mmHg
DIA
mmHg
Pulse
/min
The WatchBP Home 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 device.
2) Plug the adaptor plug into the wall socket. When
the power adaptor is connected, no battery power is
consumed.
EN22
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 sensetive
components and must be treated with caution. The
manufacturer cannot be held liable for damage caused
by incorrect application.
• Donotconnectthedevicetoacomputer
until prompted to do so by the computer software.
23
Observe the storage and operating conditions described
in the “Technical specifications” section of this manual.
Protect the device from water and moisture
Protect the device from direct sunlight
Protect the device from extreme heat and cold
Avoid proximity to electromagnetic fields, such as
those produced by mobile phones
Never open device
Protect device from impact and drops
Device care
SYS
mmHg
DIA
mmHg
Pulse
/min
Clean the device with a soft, dry cloth.
Cuff care
DO NOT wash the cuff. DO NOT iron the cuff cover.
Do not wash the cuff!
Do not iron the cuff!
Accuracy test
We recommend the WatchBP Home device to be
tested for accuracy every 2 years or after mechanical
impact (e.g. being dropped). Please contact Microlife to
arrange for an accuracy test.
Disposal
Batteries and electronic instruments must be
disposed of in accordance with the locally applicable
regulations, and not as domestic waste.
EN24
Error messages
If an error occurs during measurement, the
measurement is interrupted and an error message
«Er» is displayed.
Please consult your doctor,
•
if this or any other problem
occurs repeatedly.
If you think the results are
•
unusual, please read through
the information in this
instruction manual carefully.
25
ErrorDescriptionPotential cause and
remedy
«Er 1»
«Er 2»
Signal too
weak
Error signal
The pulse signals on the cuff
are too weak. Re-position
the cuff and repeat the
measurement.
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.
«Er 3»
«Er 5»
No pressure
in the cuff
Abnormal
result
An adequate pressure
cannot be generated in
the cuff. A leak may have
occurred. 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.
«HI»
«LO»
Pulse or cuff
pressure too
high
Pulse too
low
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.
EN26
Important facts about blood pressure and home measurements
Blood pressure is the pressure of the blood flowing in
•
the arteries generated by the pumping of the heart.
Two data, the systolic (upper) value and the diastolic
(lower) value, are always measured.
The pulse rate is the number of times the heart beats
•
in a minute.
Permanently high blood pressure data can damage
•
your health and must be treated by your doctor!
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.
27
There are many causes of excessively high blood
•
pressure readings. Your doctor will explain them in
more detail and offer treatment where appropriate.
Blood pressure is subject to wide fluctuations as the
•
day progresses, and can be impacted by emotions,
physical exertion and other conditions .
Evaluating blood pressure data
The table at 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».
CategorySystolicDiastolic
Optimal
Normal
High normal
Grade 1 Hypertension
Grade 2 Hypertension
Grade 3 Hypertension
lsolated Systolic
< 120< 80
120 - 12980 - 84
130 - 13985 - 89
140 - 15990 - 99
160 - 179100 - 109
≥ 180≥ 110
≥ 140< 90
Hypertension
EN28
Technical specifications
Operating temp.:
Storage temp.
Weight:
Dimensions:
Measuring procedure:
Method:
Measurement range:
Cuff pressure display:
29
10 - 40 °C / 50 - 104 °F
•
-20 - +50 °C / -4 - +122 °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
•
40 - 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
Voltage source:
Reference to
standards:
System
requirements:
Microlife reserves the right to alter technical specfications
without prior written notice.
4 x 1.5 V Batteries; size AA
•
Mains adapter DC 6V, 600 mA (optional)
•
EU Directives 93/42/EEC
•
NIBP requirements: EN 1060-1/-3/-
•
4, ANSI / AAMI SP10, IEC 60601-1,
IEC60601-1-2
550MHz CPU. 256MB Memory
•
1024x768 pixel resolution
•
256 color, CD-ROM drive
•
1 free USB port
•
40MB free hard disk space
•
Microsoft Windows 2000 / XP / Vista
•
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