Simultaneous dual-arm measurement and auscultatory function for accurate office blood pressure measurement.
WatchBP Office combines the advantages of an automatic blood pressure device and hybrid sphygmomanometer and is designed to provide convenient, accurate and reliable in-office blood pressure measurement following recommended guidelines of the European Society of Hypertension (ESH) 1, American Heart Association (AHA), and World Health Organization (WHO). 1 O’Brien E, Asmar R, Beilin L, Imai Y, et al.
Table of Contents Product description Name of parts and display.................................. 3–4 Components and accessories.............................. 5–6 Before using WatchBP Office Selecting and fitting the correct cuff................... 7–8 Three operation modes «AUSCULTATION» Mode........................................... 9 «1st VISIT» Mode............................................. 10–11 «FOLLOW-UP» Mode..............................................
Product description Name of parts I/O switch Bluetooth Switch Main Adaptor Socket Battery Compartment L Cuff Socket (R) DC 6V 600mA DC 6V 600mA R Cuff Socket (L) SYS mmHg DIA mmHg Recharge Indicator Display M Button (Memory) SYS mmHg DIA mmHg PUL /min Mode Switch I N T E R VA L Start/Stop Button 3 3 sec. L/R 3 sec. HIDE 7 sec. 7 sec.
Display Mean Arterial Pressure (MAP) Pulse Pressure (PP) Mode Indication External Power Value for Left Arm Systolic Value Diastolic Value Bluetooth Rest and Arm Position Reminder Battery Symbol Hide Display Memory Mode Pulse Rate Value for Right Arm Systolic Value Diastolic Value Heart Beat L/R Cuff 4 EN
WatchBP Office and components Bluetooth Receiver Driver SYS g mmH DIA mmHg Install CD SYS g mmH DIA mmHg PUL /min AUSC ULT W 1st FOLLO UP WatchBP Office blood pressure device (1 pcs.) AC Adaptor X1 (Input: 100-240V~50/60Hz 0.7A Output: +7.
Selective Cuffs M (Medium size) 22 - 32 cm (8.75 - 12.5 inches) With air tube 130 cm L (Large size) 32-42 cm (12.5-16.5 inches) With air tube 130 cm * Please contact Microlife or its distributor to purchase cuffs.
Before using WatchBP Office Selecting the correct cuff Fitting the cuff properly 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. 1) Place the cuff over the left (right) upper arm so that the air tube and artery mark arrow point toward the lower arm. M (Medium size) 22 - 32 cm (8.75 - 12.5 inches) 2) Lay the cuff on the arm.
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.
Three operation modes SY S Choose a desired operationmmHg mode «AUSCULTATION» Mode DIA The WatchBP Office device includesmmHg three convenient operation modes: «AUSCULTATION», «1st VISIT» and «FOLLOW-UP» Mode.Use the ModeSYSwitch on the S mmHg side of the device to select the desired 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.
«1st VISIT» Mode Simultaneous dual-arm measurements Select «1st VISIT» Mode to complete a fullyautomated triple measurement on both arms according to recommended ESH/AHA blood pressure measurement protocols for a patient’s first office visit. 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.
Three operation modes (cont.) Automated triple measurement Determine proper measurement arm 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.
W UP «FOLLOW-UP» Mode Automated triple measurement Select «FOLLOW-UP» Mode to complete a fullyautomated triple measurement on the preferred measurement arm. According to recommended ESH/AHA blood pressure measurement protocols for follow-up blood pressure measurement. In «FOLLOW-UP» Mode, the WatchBP Office device automatically takes three consecutive measurements at one minute intervals by default.
Taking measurements using WatchBP Office «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. 600mA 3) Switch to «AUSCULTATION» Mode – Slide the Mode Switch to «AUSCULTATION» Mode. DC 6V 600mA AUSCULT 1st FOLLOW UP 2) Apply the cuff – Properly fit one cuff to the preferred measurement arm.
5) Start inflation – Press the Start/Stop Button to start inflation of the cuff. Press and hold for 3 seconds... 6) Take note – Take note of the systolic and diastolic values in the same manner used for sphygmomanometer measurements. * 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.
Taking measurements using WatchBP Office (cont.) «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. 600mA DC 6V 600mA 3) Switch to «1st VISIT» Mode – Slide the Mode Switch to «1st VISIT» Mode. AUSCULT 1st FOLLOW UP 2) Apply the cuff – Properly fit one cuff to each of the patient’s arms.
Press and hold for 3 seconds... 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... * The default inflation pressure is 180 mmHg. * The device will delate and re-pump more air into the cuff 6) Three consecutive measurements – The device if the blood pressure of the patient is higher than that of the inflation setting of the device.
Taking measurements using WatchBP Office (cont.) 7) View the average measurement – Only the average measurement will be displayed once the triplicate measurement is completed. 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.
«FOLLOW-UP» 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.. DC 6V 600mA DC 6V 600mA AUSCULT 1st FOLLOW UP 3) Switch to «FOLLOW-UP» Mode – Slide the Mode Switch to «FOLLOW-UP» Mode. AUSCULT 1st FOLLOW UP 2) Apply the cuff – Properly fit one cuff to the preferred measurement arm.
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. 19 Press and hold for 7 seconds...
8) Three consecutive measurements – The device will take three consecutive measurements with one minute intervals in between measurements. 1 60 seconds 2 60 seconds 3 9) View the average measurement – Only the average measurement will be displayed once the triplicate measurement is completed. 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.
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 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.
MAP (Mean Arterial Pressure) PP (Pulse Pressure) The WatchBP Office device measures the true 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. The WatchBP Office device measures the pulse pressure (PP) of the patient: pulse pressure = systolic - diastolic pressure.
Special Function (cont.) Taking fewer than three measurements Skipping the 60-second countdown In «FOLLOW-UP» Mode only, the measurement sequence can be stopped at anytime by pushing the Start/Stop Button. By pushing the Start/ Stop Button remaining the device enters standby, cancelling remaining measurements in the sequence. Data from the measurements completed can be by viewed by pushing the M Button.
Setting inflation pressure Setting measurement intervals Inflation pressure can be set manually from 140 to 280 mmHg by pressing and holding the Start/Stop Button for 7 seconds. It is concluded that a 15-second interval between blood pressure readings and these measurements are started after a 5 minute rest period. Press and hold for 7 seconds... Press the M Button to adjust the pressure and press Start/Stop again to save the setting. 1) Pressing and holding the Start/Stop Button for 3 seconds.
Viewing Measurements «AUSCULTATION» Mode «1st VISIT» and «FOLLOW-UP» 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. 1) Switch the mode switch –The M Button can be pressed in either «1st VISIT» or the «FOLLOWUP» mode to retrieve the last set of the triplicate 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...
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. 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.
3) Insert the Bluetooth receiver into a USB port of the computer after the installation program requests to do so. 4) Restart the computer after installation is completed. 5) Turn on the Bluetooth function of the WatchBP Office device on 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. * Select a single USB port and make sure to always use * the same port in the future.
Controlling the WatchBP Office wirelessly (cont.) Installation of the software program Controlling the device wirelessly 1) Put the CD in the CD-ROM drive of your computer. Then click on «setup.exe» in the CD’s directory. 1) Turn on the Bluetooth switch located on the back of the device. 2) Follow the instructions provided in the installation window on the computer screen. 2) Make sure the Bluetooth receiver is at right position and the light is on (if applicable).
Software commands Choose measure blood pressure Click «1st VISIT», «FOLLOW-UP » Enter Patient ID Input Patient ID Start to perform Press the «Measure» button Store blood pressure measurements Click «Save». The data is stored in an Excel data table. The file name is generated automatically from the following format «Patient ID+ WatchBP Office +measurement mode + yyyymmdd.xls». View the data Go to the folder where the file is saved and open the corresponding excel file.
Rechargeable battery and power adaptor Rechargeable Battery Using a power adaptor WatchBP Office features a built-in, rechargeable Ni-MH battery pack that delivers up to 400~500 measurement cycles. The battery can be recharged between use with the provided power adaptor. Please use only the Microlife adaptor (DSA-20P-05 Adaptor) supplied with the WatchBP Office to recharge the device. 1) Plug the adapter cable into the Power Plug in the WatchBP Office device.
Troubleshooting Problem Possible cause How to make correction No power(No LCD display) Power supply is not Plug power supply into wall socket. properly plugged Battery is fully discharged Recharge the rechargeable battery by plugging in the power supply. Cuff does not inflate Loose connection of the Make sure the tube of the cuff is securely properly tube connected to the device. Leakage of the tube / Check for cracks on the tube or the bladder.
Error messages If an error occurs during measurement, the measurement is interrupted and an error message «Err» is displayed. • Please contact your local Microlife service center if the error persists. • If you think the results are unusual, please read through the information in this instruction manual carefully. 33 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.
«Err 3» No pressure in the cuff An adequate pressure cannot be generated in the cuff. A leak may have occurred. Replace the batteries if necessary. Repeat the measurement. «Err 5» Abnormal result 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.
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 sensitive components and must be treated with caution. The manufacturer cannot be held liable for damage caused by incorrect application. • Ensure that children do not use the device unsupervised; some parts are small enough to be swallowed.
Device care Cleaning the cuff Clean the device with a soft, dry cloth. DO NOT wash the cuff. DO NOT iron the cuff cover. Do not wash the cuff! AU SC ULT LLO 1st FO W UP IN Do not iron the cuff! R VA 7 L SU ES P R c. se TE RE Accuracy test Disposal We recommend the WatchBP Office device be tested for accuracy every 2 years or after mechanical impact (e.g. being dropped). Please contact Microlife to arrange for an accuracy test.
Technical specifications Operation temperature/humidity: 10 - 40 °C / 50 - 104 °F Storage temperature/ humidity: Weight: • • -20 - +50 °C / -4 - +122 °F • 15 - 90 % relative maximum humidity • 1100 g (including rechargeable • • IEC60601-1 General requirement for Reference to Standards: EN 1060-1 /-3, NIBP-requirements safety • IEC60601-1-2 Requirements for EMC • EN1060-4, NIBP clinical investigation • ANSI/AAMI SP10, NIBP requirements • Bluetooth system to V2.
harmful interference in a residential installation. This equipment that may cause undesired operation of the device. generates, uses and can radiate radio frequency energy and, if FCC RF Radiation Exposure Statement: not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation.
Guarantee card This device is covered by a two-year guarantee and accessories are cover by a one-year guarantee from the date of Name: Address: purchase. This guarantee is valid only on presentation of the guarantee card Date: completed by the owner confirming date of Telephone: purchase or purchase receipt.
Europe / Middle-East / Africa Asia North / Central / South America Microlife WatchBP AG Espenstrasse 139 9443 Widnau, Switzerland Tel +41 71 727 7000 Fax +41 71 727 7011 Email: watchbp@microlife.ch www.watchbp.com Microlife Corporation 9F, 431, RuiGang Road, NeiHu Taipei, 114, Taiwan, R.O.C. Tel +886 2 8797 1288 Fax+886 2 8797 1283 Email: watchbp@microlife.com.tw www.watchbp.com Microlife Medical Home Solutions, Inc. 2801 Youngfield St.