Microlife WatchBP Office Navigation Manual

Simultaneous dual-arm measurement and auscultatory function for accurate office blood pressure measurement.
Instruction Manual
EN
3
WatchBP Office combines the advantages of an automatic blood pressure device and hybrid
blood pressure measurement following recommended guidelines of the European Society
of Hypertension (ESH), American Heart Association (AHA), and World Health Organization
1
(ESH)
1
measurement. European Society of Hypertension Working Group on Blood Pressure Deviceing. J Hypertens 2003;21:821-848.
.
O’Brien E, Asmar R, Beilin L, Imai Y, et al. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure
Table of Contents
Product description
Name of parts and display ..................................6 -7
Components and accessories ............................. 8- 9
Before using WatchBP Office
Selecting and fitting the correct cuff ...............10-11
Three operation modes
«AUSCULTATION» Mode ........................................ 12
«1st VISIT» Mode .............................................13-14
«FOLLOW-UP» Mode .............................................15
Taking measurements using WatchBP Office
«AUSCULTATION» Mode ...................................16-17
«1st VISIT» Mode .............................................18-20
«FOLLOW-UP» Mode ........................................21-23
Special Functions
Hiding measurement values ................................24
Mean arterial pressure and pulse pressure ......... 25
Taking fewer than three measurements ............ 26
Skipping the 60-second countdown .................... 26
Setting inflation pressure ..................................... 27
Setting measurement intervals ........................... 27
Viewing Measurements
«AUSCULTATION» Mode ....................................... 28
«1st VISIT» and «FOLLOW-UP» Mode ..............28-29
Controlling the WatchBP Office Wirelessly
Setting up the Bluetooth receiver ...................30-31
Installation of the software program ................... 32
Controlling the device wirelessly ................... 32-33
Appendix
Rechargeable battery and power adaptor .......... 34
Troubleshooting ................................................... 35
Error messages ................................................36-37
Safety, care, accuracy test and disposal ..........38-39
Technical specifications ....................................... 40
EN
L
R
mmHg
mmHg
SYS mmHg
DIA
SYS
DIA
mmHg
PUL /min
AUSCULT 1st FOLLOW UP
L/R
3 sec.
INTERVAL
3 sec.
HIDE
7 sec.
PRESSURE
7 sec.
DC 6V 600mADC 6V 600mA
Product description
Name of parts
Cuff Socket (L)
6
Cuff Socket (R)
I/O switch Bluetooth Switch Main Adaptor Socket Battery Compartment
Recharge Indicator
M Button (Memory)
Start/Stop Button
Display
Mode Switch
Display
Mean Arterial Pressure (MAP)
Pulse Pressure (PP)
Mode Indication
External Power
Bluetooth
Rest and Arm Position Reminder
Battery Symbol
Hide Display
Memory Mode
Pulse Rate
Heart Beat
L/R Cuff
Value for Left Arm
Systolic Value
Diastolic Value
Value for Right Arm
Systolic Value
Diastolic Value
7
EN
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
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WatchBP Analyzer Office
Version 1.0.2.4
WatchBP Office and components
mmHg
mmHg
SYS mmHg
DIA
SYS
DIA
mmHg
PUL /min
AUSCULT 1st FOLLOW UP
L/R
3 sec.
INTERVAL
3 sec.
HIDE
7 sec.
PRESSURE
7 sec.
How to take blood presssure measurement in three different modes
Quick start guide
Flip over the quick start guide to see ‘Product description’.
1
Plug cuff connector in the cuff socket
Turn on the device
Switch the mode
«1st VISIT» Mode (Double arm)
«FOLLOW-UP» Mode (Single arm)
«AUSCULTATION» Mode (Single arm)
Press Start/Stop button to begin a measurement
Note blood presure using auscultatory method
Place the stethoscope on the hollow of the elbow, over the brachial artery
Press Start/Stop button to begin a measurement
An averaged result will be displayed after three consecutive measurments
2
3
EN
1
Simultaneous dual-arm measurement and auscultatory function for accura te in- offi ce blood pressure measurement.
Instruction Manual
AC Adaptor X1 (Input: 100-240V~50/60Hz 0.7A Output: +7.5V 2A)
M size (22cm~32cm) X2 L size (32cm~42cm) X2
8
WatchBP Office blood pressure device (1 pcs.)
WatchBP Office Software CD X1
Bluetooth Receiver Driver
Install CD
Bluetooth receiver X1 Install CD X1
Manual Instruction X1 Quick Start Guide X1
Selective Cuffs
Please contact Microlife or its distributor to purchase cuffs.
*
M (Medium size)
22 - 32 cm (8.7 - 12.6 inches)
With air tube 130 cm
L (Large size)
32 - 42 cm (12.6 - 16.5 inches)
With air tube 130 cm
9
EN
Before using WatchBP Office
R
Selecting the correct cuff
Two different cuff sizes are provided with the WatchBP Office: Medium and Large. Select the cuff size that best matches the circumference of the patient’s upper arm.
M (Medium size)
22 - 32 cm (8.75 - 12.5 inches)
M is the correct size for most people.
L (Large size)
32-42 cm (12.5-16.5 inches)
Connect the cuff to the device by inserting the cuff connector into the cuff connector socket.
10
Fitting the cuff properly
1) Place the cuff over the left (right) upper arm so that the air tube and artery mark arrow point toward the lower arm.
2) Lay the cuff on the arm. Make sure that the lower edge of the cuff lies approximately ¾” to 1”(2 to 3cm) above the elbow.
2–3cm
3) Wrap and tighten the cuff around the arm.
4) Leave a little free space between the arm and the cuff. The patient should be able to fit 2 fingers between the arm and the cuff. Clothing must not restrict the arm. Remove all clothing covering or constricting the measurement arm.
5) Cuffs that do not fit properly can result in incorrect blood pressure measurements. Use a different size cuff if the range Index at the end of the cuff does not fall into the range specified by the range stripes.
6) Apply the same steps to the other arm if a double arm measurement is required.
The range index of cuff should
*
be fallen into this range.
11
EN
AUSCULT 1st FOLLOW UPAUSCULT 1st FOLLOW UP AUSCULT 1st FOLLOW UP
Three operation modes
mmHg
mmHg
SYS mmHg
DIA
SYS
DIA
mmHg
PUL
/min
AUSCULT 1st FOLLOW UP
L/R
3 sec.
INTERVAL
3 sec.
HIDE
7 sec.
PRESSURE
7 sec.
AUSCULT 1st FOLLOW UPAUSCULT 1st FOLLOW UP AUSCULT 1st FOLLOW UP
Choose a desired operation mode
The WatchBP Office device includes three convenient operation modes: «AUSCULTATION», «1st VISIT» and «FOLLOW-UP» Mode. Use the Mode Switch on the side of the device to select the desired mode.
12
«AUSCULTATION» Mode
Select «AUSCULTATION» Mode for blood pressure measurement of patients with arrhythmia, and, if needed, to confirm if a patient is suitable for the oscillometric method using a digital blood pressure monitor.
AUSCULT 1st FOLLOW UPAUSCULT 1st FOLLOW UP AUSCULT 1st FOLLOW UP
«1st VISIT» Mode
Select «1st VISIT» Mode to complete a fully- automated triple measurement on both arms according to recommended ESH/AHA blood pressure measurement protocols for a patient’s first office visit.
Simultaneous dual-arm measurements
In «1st VISIT» Mode, the WatchBP Office device measures the patient’s blood pressure on both arms simultaneously, helping to determine the preferred measurement arm and reveal other potential cardiovascular risks.
13
EN
Three operation modes (cont.)
Automated triple measurement
In «1st VISIT» Mode, the WatchBP Office device automatically takes three consecutive measurements at one minute* intervals by default. The result of these three measurements are averaged to produce the first visit blood pressure measurement.
1
2
3
60 sec. 60 sec.
The user can manually set up the measurement
*
interval of 15, 30, 45 or 60 seconds in 1st Visit and Follow-up Mode. (Please refer to special functions section page.24 “Set up measurement interval”).
14
Determine proper measurement arm
If the measurement result between the two arms differs more than 20mmHg for Systolic or 10mmHg for Diastolic for all three measurements, the device will indicate the higher measurement arm by a flashing L or R.
The higher arm should be used as the preferred measurement arm for future measurements.
«FOLLOW-UP» Mode
Select «FOLLOW-UP» Mode to complete a fully- automated triple measurement on the preferred measurement arm. According to recommended ESH/AHA blood pressure measurement protocols for follow-up blood pressure measurement.
Automated triple measurement
In «FOLLOW-UP» Mode, the WatchBP Office device automatically takes three consecutive measurements at one minute intervals by default. The result of these three measurements are averaged to produce the follow-up visit blood pressure measurement.
1
2
3
60 sec. 60 sec.
The user can manually set up the measurement
*
interval of 15, 30, 45 or 60 seconds in 1st Visit and Follow-up Mode. (Please refer to special functions section page 24 “Set up measurement interval”).
15
EN
AUSCULT 1st FOLLOW UPAUSCULT 1st FOLLOW UP AUSCULT 1st FOLLOW UP
Taking measurements using WatchBP Office
DC 6V 600mADC 6V 600mA
«AUSCULTATION» Mode
1) Turn on the power – Turn on the device by
switching the I/O switch at the back of the device into the ON position and make sure Bluetooth switch is in off position.
2) Apply the cuff* – Properly fit one cuff to the
preferred measurement arm.
Additional visual instruction can be found on the cuff
*
16
3) Switch to «AUSCULTATION» Mode – Slide the Mode Switch to «AUSCULTATION» Mode.
4) Adjust inflation pressure if necessary – Inflation pressure can be set manually from 140 to 280 mmHg by pressing and holding the Start/ Stop Button for 7 seconds.
Press the M Button to adjust the pressure and press Start/Stop to save the setting.
Press and hold for 7 seconds...
The default inflation pressure is 180 mmHg.
*
When the device is in standby mode, it will remind you
*
the current preset pressure setting by displaying the current pressure setting on the screen.
5) Start inflation – Press the Start/Stop Button to
start inflation of the cuff.
6) Take note – Take note of the systolic and
diastolic values in the same manner used for sphygmomanometer measurements.
7) Set device to Stand by Mode – The device can
be set to Stand by Mode by pressing the Start/ Stop Button. The device will automatically switch to Idle Mode if left for five minutes.
Stand by mode
17
EN
AUSCULT 1st FOLLOW UPAUSCULT 1st FOLLOW UP AUSCULT 1st FOLLOW UP
Taking measurements using WatchBP Office (cont.)
DC 6V 600mADC 6V 600mA
«1st VISIT» Mode
1) Turn on the power – Turn on the device by
switching the I/O switch at the back of the device to the ON position. and make sure Bluetooth switch is in off position.
2) Apply the cuff – Properly fit one cuff to each of
the patient’s arms.
Additional visual instruction can be found on the cuff
*
18
3) Switch to «1st VISIT» Mode – Slide the Mode Switch to «1st VISIT» Mode.
4) Adjust inflation pressure if necessary – Inflation pressure can be set manually from 140 to 280 mmHg by pressing and holding the Start/ Stop Button for 7 seconds.
Press the M Button to adjust the pressure and press Start/Stop to save the setting.
Press and hold for 7 seconds...
The default inflation pressure is 180 mmHg.
*
The device will deflate and re-pump more air into the
*
cuff if the blood pressure of the patient is higher than that of the inflation setting of the device.
When the device is in standby mode, it will remind you
*
the current preset pressure setting by displaying the current pressure setting on the screen.
5) Start measurements – Press the Start/Stop
Button to start the measurement sequence.
A 60-second countdown will proceed the first
*
measurement .
60-second countdown...
6) Three consecutive measurements – The device
will take three consecutive measurements with one minute intervals in between measurements.
1
60 seconds
2
60 seconds
3
19
EN
Taking measurements using WatchBP Office (cont.)
7) View the average measurement – Only the
average measurement will be displayed once the triplicate measurement is completed.
When the measurements are completed, the blood
*
pressure measurement corresponding with the consistently higher arm will blink continuously for 5 seconds. If no significant difference (20mmHg for systolic blood pressure or 10 mmHg for diastolic blood pressure or both) exists between the two arms, neither measurement will blink.
20
8) View all measurements – Results of the three individual measurements can be accessed by pressing the M Button. Press the M Button once to review the first measurement. Continue to press the M Button to review the other measurements.
1
2
3
WatchBP Office only stores the last three measurements
*
completed in «1st VISIT» and «FOLLOW-UP» Modes. To store patient blood pressure for later retrieval, please use the included WatchBP Office software.
«FOLLOW-UP» Mode
DC 6V 600mADC 6V 600mA
1) Turn on the power – Turn on the device by
switching the I/O switch at the back of the device to the ON position and make sure Bluetooth switch is in off position.
3) Switch to «FOLLOW-UP» Mode – Slide the Mode Switch to «FOLLOW-UP» Mode.
2) Apply the cuff – Properly fit one cuff to the
preferred measurement arm.
Additional visual instruction can be found on the cuff
*
4) Select the inflation cuff – Set the device to inflate only the designated (right or left) cuff. Press and hold the M Button for 3 seconds.
Press and hold for 3 seconds...
21
EN
Taking measurements using WatchBP Office (cont.)
5) Press the M Button to toggle between the right(R) and left(L) cuff. Press the Start/Stop Button to save the setting.
6) Change inflation pressure – Inflation pressure can be set manually from 140 to 280 mmHg by pressing and holding the Start/Stop Button for 7 seconds.
Press M Button to adjust the pressure and press Start/Stop again to save the setting.
22
Press and hold for 7 seconds...
7) Start measurements – Press the Start/Stop
Button to start the measurement sequence.
60-second countdown...
8) Three consecutive measurements – The device
will take three consecutive measurements with one minute intervals in between measurements.
60
1
seconds
9) View the average measurement – Only the
average measurement will be displayed once the triplicate measurement is completed.
60
2 3
seconds
10) View all measurements – Results of the three
individual measurements can be accessed by pressing the M Button. Press the M Button once to review the first measurement. Continue to press the M Button to review the other measurements.
1
2
3
WatchBP Office only stores the last three measurements
*
completed in «1st VISIT» and «FOLLOW-UP» Modes. To store patient blood pressure for later retrieval, please use the included WatchBP Office software.
23
EN
Special Functions
Hiding measurement values
The WatchBP Office device features a “Hide” function in order to prevent unnecessary elevated blood pressure in patients due to nervousness triggered by visible blood pressure measurements.
This feature is only available in follow up mode
*
When the «Hide»
*
function is ON, the countdown between each measurement and the Hide icon will be displayed.
Please make sure the
*
Bluetooth switch is in OFF position, otherwise the «Hide» function can not be set.
24
1) Activate the «Hide» Function – pressing and
holding the M Button for 7 seconds.
Press and hold for 7 seconds...
2) Select ON or OFF – Press the M Button again to
turn the “Hide” function ON or OFF.
3) Confirm – Press Start/Stop to confirm the setting.
The «1st VISIT» Mode “Hide” default setting is set to ON
*
and cannot be set to OFF.
MAP (Mean Arterial Pressure)
The WatchBP Office device measures the mean arterial pressured (MAP) of the patient. Each measurement includes the calculation of a single MAP value. The average measurement will display the average MAP value. When viewing in Memory mode, the MAP value will be displayed with the systolic/diastolic pressure once every 5 seconds.
PP (Pulse Pressure)
The WatchBP Office device measures the pulse pressure (PP) of the patient: pulse pressure = systolic
- diastolic pressure. Each measurement includes the calculation of a single PP value. The average measurement will display the average PP value. When viewing in Memory mode, the PP value will be displayed with the systolic/diastolic pressure once every 5 seconds.
25
EN
Special Function (cont.)
Taking fewer than three measurements
In «FOLLOW-UP» Mode, the measurement sequence can be stopped at any time. By pushing the Start/Stop button the remaining measurements in the sequence will be cancelled. Data from the measurements completed can be viewed by pushing the M Button.
Cancels remaining measurements at anytime during the measurement sequence.
26
Skipping the 60-second countdown
In «1st VISIT» and «FOLLOW-UP» Mode, the 60-second pre-measurement countdown can be skipped by pushing the Start/Stop Button. Once the Start/Stop Button is pushed, the device will immediately begin the next measurement.
Skips the 60-second countdown and begins measurement.
The device can put into Stand by Mode by pressing
*
the Start/Stop Button after the completion of measurements. The device will automatically switch to Stand by Mode if left unattended for five minutes.
Stand by mode
Setting inflation pressure
Inflation pressure can be set manually from 140 to 280 mmHg by pressing and holding the Start/Stop Button for 7 seconds.
Press and hold for 7 seconds...
Setting measurement intervals
In 1st Visit and Follow-up Mode, the measurement intervals of 15, 30, 45 or 60 seconds can be set manually.
1) Pressing and holding the Start/Stop Button for 3 seconds.
Press and hold for 3 seconds...
Press the M Button to adjust the pressure and press Start/Stop again to save the setting.
2) Press the M Button to adjust the measurement interval, then press the Start/Stop Button to confirm, the meter will go back to stand by Mode.
154530
60
27
EN
Viewing Measurements
«AUSCULTATION» Mode
The WatchBP Office blood pressure measurement device in «AUSCULTATION» mode serves only as a pressure gauge. No oscillometric measurements will be taken and a mental note must be made of the systolic and diastolic values.
MemoryMemory
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«1st VISIT» and «FOLLOW-UP» Mode
1) Switch the mode switch –The M Button can be pressed in either «1st VISIT» or the «FOLLOW- UP» mode to retrieve the last set of the triplicate measurements.
2) Viewing the average of all measurements – At first an “A” will be displayed, followed by an average of all measurements taken in the last sequence of measurements.
3) Viewing MAP and PP values – Ten seconds after
the display of the average blood pressure, the device will display values for Pulse Pressure (PP) and Mean Arterial Pressure (MAP).
5) Values for the third measurement (including PP
and MAP values) will be shown on the display in the order listed in step 3.
3
10 seconds...
4) Viewing individual measurements – Press
the M Button once again to view individual measurements. The display will flash a number “3” indicating the third measurement.
10 seconds...
6) Press the M Button to retrieve values for second and first measurements from the last completed set of measurements.
2
1
29
EN
AUSCULT 1st FOLLOW UP
INTERVAL
PRESSURE
7 sec.
Controlling the WatchBP Office wirelessly
The WatchBP Office can be controlled wirelessly via Bluetooth with the included WatchBP Office software. Please follow the steps listed here to set up a wireless connection with a computer.
Before installing the WatchBP Office software, the
*
driver software for the Bluetooth receiver must be first installed on the computer.
The distance between WatchBP office and operating
*
computer should be within 10m.
30
Setting up the Bluetooth receiver
1) Place the included “Bluetooth USB Adaptor” CD
in the CD-ROM of the computer. Click on «setup. exe» in the CD-ROM directory.
2) An installation window will appear. Follow the instructions on the screen.
Bluetooth Receiver Driver
Instruction
Install CD
3) Insert the Bluetooth receiver into a USB port
DC 6V 600mADC 6V 600mA
of the computer after the installation program requests to do so.
4) Restart the computer after installation is completed.
Select a single USB port and make sure to always use
*
the same port in the future.
Do not use other Bluetooth receiver.
*
Restart your computer
5) Turn on the Bluetooth function of the WatchBP Office device by switching the Bluetooth switch at the back of the device to the “ON” position. The Bluetooth icon will illuminate and flash continuously to show a connection.
It is noted that WatchBP office device will not
*
respond to any button pressing or switching when the Bluetooth is on. This is to prevent accidental interruptions during the measurement.
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EN
Controlling the WatchBP Office wirelessly (cont.)
DC 6V 600mADC 6V 600mA
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
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WatchBP Analyzer Office
Version 1.0.2.4
Installation of the software program
1) Put the CD in the CD-ROM drive of your computer.
Then click on «setup.exe» in the CD’s directory.
2) Follow the instructions provided in the installation window on the computer screen.
3) When the installation is complete, be sure to restart the computer before using the program for the first time.
System Requirements:
*
550MHz CPU. 256MB Memory, 1024x768 pixel resolution, 256 color, CD-ROM drive, 1 free USB port, 40MB free hard disk
32
space, Microsoft Windows 2000 / XP / Vista.
Controlling the device wirelessly
1) Turn on the Bluetooth switch located on the back of the device.
2) Make sure the Bluetooth receiver is at right position and the light is on (if applicable).
3) Launch WatchBP Office Software from the computer. Follow these steps to control the WatchBP Office from the computer.
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