Mocacare MOCACuff, MOCACuff-Black Instruction Manual
Instruction Manual
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Automatic Wrist Blood Pressure Monitor
Model Number: MOCACuff-Black
04 Medical Disclaimer
04 Intended Use
04 About Blood Pressure
06 Measurement Method
07 Accuracy
07 Precautions
11 Device Overview
13 Symbol Definitions
15 Features
20 Installing Batteries
22 Applying the Cuff
23 Positioning Guide
24 Measurement Procedure
28 Memory Function
30 Bluetooth Transmission
32 Storage and Maintenance
34 Troubleshooting
36 Warranty & Recalibration
37 Specifications
39 Note
42 Appendix
MEDICAL DISCLAIMER
This manual and product are not meant
as a substitute for advice provided by your
doctor. You are not to use the information
contained herein, or this product for di-
agnosing or treating a health problem or
prescribing any medication. If you have or
suspect that you have a medical problem,
promptly consult your healthcare provider.
INTENDED USE
MOCACuff automatically measures human’s
systolic, diastolic blood pressure and heart
rate by using the oscillometric method
during deflation. All values can be read out
in one LCD panel. Measurement position
is at human being’s wrist. The intended
use of this over-the-counter device is for
adults aged 18 years and older with wrist
circumference ranging from 5.3 inches to
7.7 inches (approx. 135 mm to 195 mm)
and for home use. MOCACuff detects
the appearance of irregular heartbeats
during measurement; an indicated symbol
will appear with measurment readings.
The BP Category Indicator will show the
information with the readings on the
screen for the user to track their blood
pressure level.
and increases from the afternoon to
the evening. It is on average lower in
the summer and higher in the winter.
Why is it useful to measure blood
ABOUT BLOOD PRESSURE
What is blood pressure?
Blood pressure is the measurement of the
force of blood pushing against the walls
of the arteries. Arterial blood pressure is
constantly fluctuating during the course
of the cardiac cycle. The highest pressure
in the cycle is called the systolic blood
pressure, and represents the pressure
in the artery when the heart is beating.
The lowest pressure is the diastolic blood
pressure, and represents the pressure
in the artery when the heart is at rest.
Both the systolic and the diastolic pres-
sure are necessary for a physician to
evaluate the status of a patient’s blood
pressure. Many factors such as physical
activity, anxiety or the time of day, can
influence your blood pressure. Blood
pressure is typically low in the mornings
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pressure at home?
Having one’s blood pressure measured
by a doctor in a hospital or a clinic, is
often associated with a phenomenon
called “White Coat Hypertension” where
the patient becomes nervous or anxious,
thus raising his blood pressure. There
are also numerous other factors that
might cause your blood pressure to be
raised at a specific time of day. This is
why medical practitioners recommend
home monitoring as it is important to
get readings of blood pressure during
different times of the day to really get an
idea of your real blood pressure. Medical
practitioners generally recommend the
“Rule of 3”, where you are encouraged
to take your blood pressure three times
in a row (at 3 ~ 5 minute interval), three
times a day for three days. After three
days you can average all the results and
this will give you an accurate idea of what
your blood pressure really is.
WHO blood pressure classifications:
Standards for assessment of high or
low blood pressure without regard to
age, have been established by the World
Health Organization (WHO), as shown in
the chart. However this chart is not exact
for classification of blood pressure and
it’s intended to be used as a guide in un-
derstanding non-invasive blood pressure
measurements. Please consult with your
physician for proper diagnosis.
120 130 140 150 160 170 180Systolic (mmHg)
Red Orange
Yellow
Red Red
Severe Hypertension
110
Moderate Hypertension
105
100
Mild Hypertension
95
90
Hight-Normal
85
Normal
80
Diastolic
Optimal
(mmHg)
Green
160
140
120
100
80
60
40
20
Blood Pressure (mmHg)
A B
Time
Variations in blood pressure:
Individual blood pressures vary greatly
both on a daily and a seasonal basis. These
variations are even more pronounced
in hyper tense patients. Normally the
blood pressure rises while at work and
is at its lowest during sleeping period.
(hyper tense: means a person who has
high blood pressure symptom.) The
graph above illustrated the variations
in blood pressure over a whole day with
measurement taken every five minutes.
inflation automatically starts. The inflation
of the cuff creates pressure around the
arteries inside the wrist. Within the cuff
is a gauge which senses the fluctuations
(oscillations) in pressure. The fluctuation
measured represents the degree of
intensity that your arteries contracting
with each heart beat, and also a result of
1 9
23222120 11101918171615141312
24 8765432
(Direct arterial pressure recording in unrestricted man.
Beven, Honour & Stott: Clin. Sci. 36:329. 1969)
the pressure that the cuff has placed on
the wrist. The monitor measures these
contractions and converts the informa-
tion to a digital value. This is the result
displayed on the monitor screen. Once
The thick line represents sleep. The rise
in blood pressure at 16:00 (A in the graph)
the measurement is complete, the cuff
will automatically deflate.
and 24:00 (B in the graph) correspond to
an attack of pain.
* Note!
1. The patient is an intended
MEASUREMENT METHOD
MOCACuff Automatic Wrist Blood Pres-
operator.
2.
The applied part is the cuff.
sure Monitor measures blood pressure
and heart rate by oscillometric method,
meaning the fluctuations in pressure are
measured. Once the cuff is wrapped around
your wrist, just turn on the monitor and
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ACCURACY
MOCACuff Automatic Wrist Blood Pres-
sure Monitor has been clinically tested
against a scientific device called a mercury
sphygmomanometer, considered the gold
standard in blood pressure measurement.
All MOCACuff Automatic Wrist Blood
Pressure Monitors have performed
equivalent to measurements taken with
this scientific device and are within the
accuracy limits prescribed by the Amer-
ican National Standard for Electronic
or Automated Sphygmomanometers.
The SPHYGMOMANOMETER was clinically
investigated according to the requirements
of ISO 81060-2:2013.
*
We suggest our users have their
blood pressure monitor checked
every 2 years. This operation
should only be performed by
Manufacturer or by authorized
representatives.
PRECAUTIONS
•
Do not use this manual and product as
a substitute for advice, diagnosing or
treating a health problem or prescribing
any medication by your doctor. If you have
a medical problem, promptly consult
your healthcare provider.
•
Read the Instruction Manual thoroughly
before measuring and keep it at hand
for your reference.
•
This device uses the oscillometric method
to measure systolic and diastolic blood
pressure as well as your heart rate.
It’s recommended for use by people
over the age of 18 and not to be used
on infant or children.
•
The device is designed for home use
and not suitable for clinical use.
• This monitor is not intended for use in
the MR environment.
•
Do not take a measurement in a low
(less than 41 °F/5 °C) and high (more
than 104 °F/40 °C) temperature, nor in
a place outside humidity ranges (15% ~
93% R.H.), and atmospheric pressure
ranges (700 ~ 1060 hPa), or you may
get inaccurate readings.
•
Wait 30 ~ 45 minutes before measure-
ment if you’ve just consumed caffeinated
beverages or smoked cigarettes.
•
Rest at least 5 ~ 10 minutes before
taking a measurement.
• To allow your blood vessels to return
to the condition prior to taking the
measurement, please wait at least 3 ~
5 minutes in between measurements.
You may need to adjust the wait time
according to your physiological situation.
•
We recommend you using the same wrist
(preferably the left wrist) and measuring
around the same time each day.
•
Sit down comfortably and place your
elbow on the table with your feet flat
on the floor. Please do not cross your
legs during measurements.
•
Keep the device at heart level. Relax
your hand with the palm facing up.
•
Perform measurements in a quiet
and relaxed environment at room
temperature.
•
Do not move or shake the device during
a measurement. Please keep quiet
and do not talk during measurements.
• This product is not suitable for:
* Pregnant women
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* People with arrhythmias
*
Undergoing intravenous injection
on any limb
* Currently in a dialysis treatment
* In pre-eclampsia condition
• For those who have had mastectomy
surgery (especially whose’ lymph nodes
were removed), it’s recommended to take
a measurement on the unaffected side.
• When used among medical electronic
equipments on the same limb, pressur-
ization of the cuff may cause temporarily
interference to other devices.
•
Keep in mind that blood pressure
naturally varies from time to time
through out the day and is affected by
lots of different factors such as stress,
eating, smoking, alcohol consumption,
medication, and physical activity, etc.
•
Normally the blood pressure rises
while at work and is at its lowest during
sleeping period.
•
Blood pressure measurements should
be interpreted by a physician or a trained
health professional who is familiar with
your medical history. By using the unit
and recording the results regularly for
your physician to interpret, you will keep
your physician informed of the continuing
changes in your blood pressure.
•
If you have one of the circulatory
problems as arteriosclerosis, diabetes,
liver disease, kidney disease, severe
hypertension, peripheral circulation……,
please consult your healthcare profes-
sional before using the device.
• Blood pressure measurements taken
with this device are equivalent to those
obtained by a trained observer using
the cuff / stethoscope auscultation
method and are within the accuracy
limits prescribed by the Standard of EN
1060-4 and American National Standard
for Manual, electronic, or Automated
Sphygmomanometers.
•
Results are not intended for direct
diagnosis. Please consult with a
physician if you have any questions
or concerns about your results.
* Attention!
1.
Do not use the device on
infants, children, or those
who cannot express their
own intention.
2.
The device is equipped with
sensitive electronic compo-
nents. While measuring,
avoid strong electrical or
electromagnetic fields, e.g.
mobile phones, microwave
ovens, etc; or it may lead
to temporary reading error
or inaccuracy.
3.
Consider the electromagnet-
ic compatibility of the device
(ex. power disturbance, radio
frequency interference etc.)
Please use it indoor only.
4.
Over high frequency mea
surements may result in
blood flow interference,
which is likely to cause
uncomfortable sensations,
such as partial subcutaneous
hemorrhage, or temporary
numbness to your wrist. In
general, these symptoms
should not last long. How-
DEVICE OVERVIEW
Product components
6 7
ever, if you do not recover
in time, please seek your
medical practitioners for
help.
1
2
3
4
5
1. LCD Display
2. Mode Button
3. Set Button
-
4. Start/Stop Button
5. Memory Button
6. BP Category Indicator
7. Storage Case
8. AAA “LR03”(1.5V) Alkaline Battery x 2
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8
* Caution!
Substitution of a component
different from that supplied might
result in measurement error.
DEVICE OVERVIEW
Units display
SYMBOL DEFINITIONS
1
2
3
4
5
6
7
8
9
1. Hour : Minute
(Also represents
YEAR in Setting Mode)
2. Month / Date
3. Bluetooth Symbol
4. Blood Pressure Unit
5. Low Battery Symbol
6. Memory Record Number
7. Irregular Heartbeat Detector
Symbols Definitions
10
This symbol appears when the battery power is
excessively low or the polarity reverses. We suggest
LOW BATTERY SYMBOL
11
you replace all batteries with new ones, and make
sure the +/- polarities are properly positioned.
Once pulse is detected, the symbol flashes with each
12
PULSE SYMBOL
pulse beat. Our suggestion: Please do not talk or
move during measurements.
This symbol appears for 1 minute when the user
8. Pluse Symbol
9. Heart Rate
10. Systolic Rate
11. Diastolic Rate
12. BP Category Indicator
IRREGULAR
HEARTBEAT DETECTOR
was talking, moving, shaking, or an irregular
heart beat was detected during measurements.
Our suggestion: Please do not talk or move during
measurements. Repeat the measurement after
resting for at least 5 minutes, and restart your
measurement while sitting down comfortably
and quietly.
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Symbols
BLUETOOTH SYMBOL
BP Category
Indicator BAR
MEMORY RECORD
SYMBOL
Definitions
LCD displays this symbol when Bluetooth Function
turns ON.
The arrowhead points out the specific BP
Category that your measurement reading fits in.
This symbol goes along with figures according to
Stages of Blood
Pressure Levels
Grade 3 Severe
Hypertension
Grade 2 Moderate
Hypertension
Grade 1 Mild
Hypertension
High-Normal
Systolic
(mmHg)
≥
180
140-159
130-139
the order of reading stored in the memory.
Normal
Optimal
120-129
<
120
FEATURES
BP Category Indicator
This device is equipped with BP Category
Indicator which classifies your blood pressure
measurements into six stages (Optimal to Se
vere hypertension) as shown in below chart:
After each measurement is completed,
LCD display will show your position
automatically on the six segments of
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Diastolic
(mmHg)
≥
110
100-109160-179
90-99
85-89
80-84
<
80
Recommendations by SIGN 49:
Color
Hypertension in older people
Confirm immediately and repeat BP in one
day and again within one week depending
Red
onclinical situation.
Serial blood pressures repeated within one
Red
month.
Provide advice about lifestyle modification
Red
and confirm within two months.
Provide advice about lifestyle modification
Orange
and recheck in one year.
Yellow
Recheck in 2 - 5 years.
(patients aged > 75 years offered annual
health check)
Green
Red Red Red Orange Yellow Green
Severe Hypertension
110
105
Moderate Hypertension
100
95
Mild Hypertension
-
90
Hight-Normal
85
Normal
80
Diastolic
Optimal
(mmHg)
120 130 140 150 160 170 180Systolic (mmHg)
*Source: WHO, 2003
the bar indicator which corresponds to
BP Category Indicator.
* Note!
When a person’s systolic
and diastolic pressures fall
into different categories, the
higher category should apply.
e.g. systolic rate 181 & dia-
stolic rate 99 Red cate-
gory (Severe Hypertension)
e.g. systolic rate 110 & diastolic
rate 95 Red category (Mild
Hypertension
For adults 18 and older who are not on
medicine for high blood pressure, are
not having a short-term serious illness,
and do not have other conditions, such
as diabetes and kidney disease. To de-
termine category of risk when systolic
and diastolic readings fall into two areas,
use the higher of the two numbers for
classification. There is an exception
to the above definition of high blood
pressure for people with diabetes and
chronic kidney disease. A blood pressure
of 130/80 mmHg or higher is considered
high blood pressure for those individuals.
Irregular Heartbeat Detector
The symbol will appear on screen
indicating a certain heartbeat irregularity
was detected during measurement. The
heartbeat rhythm that is more than or less
* Note !
The above table is not exact
for classification of blood
pressure and it’s intended to
be used as a guide in under-
standing non-invasive blood
pressure measurements.
Usually this is not a cause for
concern; however we recommend
you consult with your physician
for proper diagnosis or seek
than 25% from the average rhythm is usually
defined as an irregular heartbeat rhythm.
Talking, moving, shaking or an irregu-
lar pulse during the measurement can
result in the appearance of this symbol.
Usually this is not a cause for concern,
however if the symbol appears often, we
recommend you seek medical advice.
And please note that the device does not
replace a cardiac examination, but serves to
detect pulse irregularities at an early stage.
medical advice according to
our recommendation mentioned
above. Please note that the
device is not appropriate for
diagnosing hypertension, and
it is only for user reference
on blood pressure monitoring.
* Note!
1.
The pulse display is not
suitable for checking the
frequency of heart pace-
makers. If a certain pulse
irregularity is detected
during measurement often,
we recommend you seek
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medical advice.
2.
As a safeguard, we rec-
ommend that if you have
arrhythmias such as atrial
or ventricular premature
beats and atrial fibrillation
or any other special condi-
tions you should check with
your physician before using
your device.
3.
The IHB function is not
designed for use by people
with arrhythmias nor for
diagnosing or treating an
arrhythmic problem. In order
to filter the unstable status
of user and avoid affecting
the detection of heart rate
from any movement, shaking
or talking in the beginning of
measurement, the method
of averaging heart beat
intervals of subject device
is calculated with the three
proper heart beat pulses
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