BP A9030 - Blood pressure monitor MICROLIFE - Free user manual and instructions

USER MANUAL BP A9030 MICROLIFE

Display Read the instructions carefully before using this device. Type BF applied part Intended use: This oscillometric blood pressure monitor is intended for measuring non-invasive blood pressure in people aged 12 years or older. It is clinically validated in patients with hypertension, hypotension, diabetes, pregnancy, pre-eclampsia, atherosclerosis, end-stage renal disease, obesity and the elderly. Dear Customer, This device was developed in collaboration with physicians and clinical tests carried out prove its measurement accuracy to be of a very high standard.* If you have any questions, problems or want to order spare parts please contact your local Microlife-Customer Service. Your dealer or pharmacy will be able to give you the address of the Microlife dealer in your country. Alternatively, visit the internet at www.microlife.com where you will find a wealth of invaluable infor- mation on our products. Stay healthy – Microlife AG!

• This device uses the same measuring technology as the award winning «BP 3BTO-A» model tested according to the British Hypertension Society (BHS) protocol. Table of Contents

1. Important Facts about Blood Pressure and Self-Measure-

• How do I evaluate my blood pressure?

2. Using the Device for the First Time

• Inserting the batteries

• Selecting the correct cuff

3. Taking a Blood Pressure Measurement

4. Appearance of the Heart Arrhythmia Indicator for early

6. Battery Indicator and Battery change

• Which batteries and which procedure?

• Using rechargeable batteries

8. Safety, Care, Accuracy Test and Disposal

• Safety and protection

Guarantee Card (see Back Cover)

1. Important Facts about Blood Pressure and Self-

Measurement Blood pressure is the pressure of the blood flowing in the arteries generated by the pumping of the heart. Two values, the systolic (upper) value and the diastolic (lower) value, are always measured. The device indicates the pulse rate (the number of times the heart beats in a minute). Permanently high blood pressure values can damage your health and must be treated by your doctor! Always discuss your values with your doctor and tell him/her if you have noticed anything unusual or feel unsure. Never rely on single blood pressure readings. Enter your readings in the enclosed blood pressure diary. This will give your doctor a quick overview.

There are many causes of excessively high blood pressure values . Your doctor will explain them in more detail and offer treat- ment where appropriate. Besides medication, relaxation techniques, weight loss and exercise can also lower your blood pressure.

Under no circumstances should you alter the dosages of drugs or initiate a treatment without consulting your doctor.

Depending on physical exertion and condition, blood pressure is subject to wide fluctuations as the day progresses. You should therefore take your measurements in the same quiet condi- tions and when you feel relaxed! Take at least two measure- ments per day, one in the morning and one in the evening. It is quite normal for two measurements taken in quick succes- sion to produce significantly different results. Deviations between measurements taken by your doctor or in the pharmacy and those taken at home are quite normal, as these situations are completely different. Several measurements provide a much clearer picture than just one single measurement. Leave a small break of at least 15 seconds between two measurements. If you are pregnant, you should monitor your blood pressure regularly as it can change drastically during this time. If you suffer from an irregular heartbeat, measurements taken with this device should only be evaluated after consultation with your doctor. The pulse display is not suitable for checking the frequency of heart pacemakers! How do I evaluate my blood pressure? The higher value is the one that determines the evaluation. Example: a readout value between 150/85 or 120/98 mmHg indi- cates «blood pressure too high».

2. Using the Device for the First Time

Inserting the batteries After you have unpacked your device, first insert the batteries. The battery compartment

is at the back of the device. Insert the batteries (

), thereby observing the indicated polarity. Table for classifying blood pressure values in adults in accordance with the World Health Organisation (WHO) in 2003. Data in mmHg. Range Systolic Diastolic Recommenda- tion

normal < 120 < 80 Self-check

4. blood pressure too

dangerously high ≥180 ≥110 Urgently seek medical advice!3BP A90

Selecting the correct cuff Microlife offers different cuff sizes. Select the cuff size to match the circumference of your upper arms (measured by close fitting in the centre of the upper arm).

Pre-shaped cuffs are optionally available.

Contact your local Microlife Service if the enclosed cuff 5 does not fit.

Connect the cuff to the device by inserting the cuff connector 6 into the cuff socket 3 as far as it will go.

3. Taking a Blood Pressure Measurement

Checklist for taking a reliable measurement

1. Avoid activity, eating or smoking immediately before the

2. Sit down on a back-supported chair and relax for 5 minutes.

Keep the feet flat on the floor and do not cross your legs.

3. Always measure on the same arm (normally left).

4. Remove close-fitting garments from the upper arm. To avoid

constriction, shirt sleeves should not be rolled up - they do not interfere with the cuff if they are laid flat.

5. Always ensure that the correct cuff size is used (marking on the

cuff). Fit the cuff closely, but not too tight. Make sure that the cuff is positioned 2 cm above the elbow. The artery mark on the cuff (ca. 3 cm long bar) must lie over the artery which runs down the inner side of the arm. Support your arm so it is relaxed. Ensure that the cuff is at the same height as your heart.

6. Press the ON/OFF button 1 to start the measurement.

7. The cuff will now pump up automatically. Relax, do not move

and do not tense your arm muscles until the measurement result is displayed. Breathe normally and do not talk.

8. When the correct pressure is reached, the pumping stops and the

pressure falls gradually. If the required pressure was not reached, the device will automatically pump some more air into the cuff.

9. During the measurement, the heart symbol AT flashes in the

display and a beep sounds every time a heartbeat is detected. 10.The result, comprising the systolic

blood pressure and the pulse rate

is displayed and a long beep is heard. Note also the explanations on further display symbols in this booklet. 11.When the device has finished measuring, remove the cuff. 12.Switch off the device. (The monitor does switch off automati- cally after approx. 1 min.).

You can stop the measurement at any time by pressing the ON/OFF button (e.g. if you feel uneasy or an unpleasant pressure sensation).

4. Appearance of the Heart Arrhythmia Indicator for

early Detection This symbol AN indicates that certain pulse irregularities were detected during the measurement. In this case, the result may deviate from your normal blood pressure – repeat the measure- ment. 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:

At the end of each measurement, this device automatically stores the result. Viewing the stored values Press the M-button AO briefly, when the device is switched off. The display first shows the last stored result. Pressing the M-button again displays the previous value. Pressing the M-button repeatedly enables you to move from one stored value to another. Cuff size for circumference of upper arm S 17 - 22 cm (6.75 - 8.75 inches) M 22 - 32 cm (8.75 - 12.5 inches) L 32 - 42 cm (12.5 - 16.5 inches) M - L 22 - 42 cm (8.75 - 16.5 inches) Information for the doctor on frequent appearance of the Arrhythmia indicator This device is an oscillometric blood pressure monitor that also analyses pulse frequency during measurement. The device is clinically tested. The arrhythmia symbol is displayed after the measurement, if pulse irregularities occur during measurement. If the symbol appears more frequently (e.g. several times per week on measurements performed daily) we recommend the patient to seek medical advice. This device does not replace a cardiac examination, but serves to detect pulse irregularities at an early stage.4 Memory full

When the memory has stored 30 results, the memory is full. From this point onwards, a new measured value is stored by overwriting the oldest value. Clearing all values

All memory data are cleared when batteries are taken out of the device.

6. Battery Indicator and Battery change

Low battery When the batteries are approximately ¾ empty the battery symbol

will flash as soon as the device is switched on (partly filled battery displayed). Although the device will continue to measure reliably, you should obtain replacement batteries. Flat battery – replacement When the batteries are flat, the battery symbol AK will flash as soon as the device is switched on (flat battery displayed). You cannot take any further measurements and must replace the batteries.

1. Open the battery compartment 4 at the back of the device.

2. Replace the batteries – ensure correct polarity as shown by the

symbols in the compartment. Which batteries and which procedure?

Do not use batteries beyond their date of expiry.

Remove batteries if the device is not going to be used for a prolonged period. Using rechargeable batteries You can also operate this device using rechargeable batteries.

Batteries must be removed and recharged when the flat battery symbol appears. They should not remain inside the device as they may become damaged (total discharge as a result of low use of the device, even when switched off).

Always remove the rechargeable batteries if you do not intend to use the device for a week or more.

Batteries cannot be charged in the blood pressure monitor. Recharge batteries in an external charger and observe the information regarding charging, care and durability.

If an error occurs during the measurement, the measurement is interrupted and an error message, e.g. «ERR 3», is displayed.

• Please immediately consult your doctor, if this or any other problem occurs repeatedly.

If you think the results are unusual, please read through the information in «Section 1.» carefully.

8. Safety, Care, Accuracy Test and Disposal

Safety and protection Follow instructions for use. This document provides important product operation and safety information regarding this device. Please read this document thoroughly before using the device and keep for future reference. This device may only be used for the purposes described in these instructions. The manufacturer cannot be held liable for damage caused by incorrect application. 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 2 » Error signal 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.

ERR 3 » No pressure in the cuff An adequate pressure cannot be generated in the cuff. A leak may have occurred. Check that the cuff is correctly connected and is not too loose. 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.*

» Pulse or cuff pres- sure too high The pressure in the cuff is too high (over 299 mmHg) OR the pulse is too high (over 200 beats per minute). Relax for 5 minutes and repeat the measurement.*

» Pulse too low The pulse is too low (less than 40 beats per minute). Repeat the measurement.*5BP A90

This device comprises sensitive components and must be treated with caution. Observe the storage and operating condi- tions described in the «Technical Specifications» section. Protect it from: - water and moisture - extreme temperatures - impact and dropping - contamination and dust - direct sunlight - heat and cold The cuffs are sensitive and must be handled with care. Only pump up the cuff once fitted.

Do not use this device close to strong electromagnetic fields such as mobile telephones or radio installations. Keep a minimum distance of 3.3 m from such devices when using this device. Do not use this device if you think it is damaged or notice anything unusual. Never open this device. If the device is not going to be used for a prolonged period the batteries should be removed. Read the additional safety information provided within the indi- vidual sections of this instruction manual. The measurement results given by this device is not a diag- nosis. It is not replacing the need for the consultation of a physi- cian, especially if not matching the patient’s symptoms. Do not rely on the measurement result only, always consider other potentially occurring symptoms and the patient’s feedback. Calling a doctor or an ambulance is advised if needed. Ensure that children do not use this device unsupervised; some parts are small enough to be swallowed. Be aware of the risk of strangulation in case this device is supplied with cables or tubes. Device care Clean the device only with a soft, dry cloth. Accuracy test We recommend this device is tested for accuracy every 2 years or after mechanical impact (e.g. being dropped). Please contact your local Microlife-Service to arrange the test (see foreword). Disposal Batteries and electronic devices must be disposed of in accordance with the locally applicable regulations, not with domestic waste.

This device is covered by a 3 year guarantee from the date of purchase. The guarantee is valid only on presentation of the guar- antee card completed by the dealer (see back) confirming date of purchase or the receipt. Batteries, cuff and parts that become worn with use are not included. Opening or altering the device invalidates the guarantee. The guarantee does not cover damage caused by improper handling, discharged batteries, accidents or non-compliance with the operating instructions. Please contact your local Microlife-Service (see foreword). 10.Technical Specifications This device complies with the requirements of the Medical Device Directive 93/42/EEC. Technical alterations reserved. Operating conditions: 10 - 40 °C / 50 - 104 °F

Weight: 465 g (including batteries) Dimensions: 146 x 47 x 64 mm Measuring procedure: oscillometric, corresponding to Korotkoff method: Phase I systolic, Phase V diastolic Measurement range: 20 - 280 mmHg – blood pressure

40 - 200 beats per minute – pulse

Cuff pressure display range: 0 - 299 mmHg Resolution: 1 mmHg Static accuracy: pressure within ± 3 mmHg Pulse accuracy: ± 5 % of the readout value Voltage source: 4 x 1.5 V alkaline batteries; size AA Battery lifetime: approx. 920 measurements (using new batteries) IP Class: IP20 Reference to standards: EN 1060-1 /-3 /-4; IEC 60601-1; IEC 60601-1-2 (EMC); IEC 60601-1-11 Expected service life: Device: 5 years or 10000 measurements Accessories: 2 years67BP A90