Kroger BP3NM1-4NKRO User manual

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Important Product and Safety Information
Follow Instructions for Use. This document provides
important product operation and safety information
regarding this Blood Pressure Monitor. Please read this doc-
ument thoroughly before using the device and keep for future
reference.
This blood pressure monitor is an automatic digital blood pressure
measuring device for use by adults on the upper arm at home or in the
doctor’s office. It enables a very fast and reliable measurement of the
systolic and diastolic blood pressure, as well as the pulse rate, by way
of the oscillometric method. This device detects the appearance of
irregular heartbeats during measurement and provides a warning sig-
nal when the irregular heartbeat is detected.
This blood pressure monitor IS intended to be used:
•For self-measurement/monitoring of blood pressure and pulse in adults;
whereas the person being measured may be the user/operator of the
device.
•Within a home healthcare environment.
•With a cuff located upon the user’s upper arm; ½ inch above the
elbow over the artery as indicated on the cuff.
This blood pressure monitor IS NOT intended for use with:
• Pregnancy
• Preeclampsia
•Children under 12
•Neonatal patients
WARNING – Potentially hazardous situation that if not
avoided may result in serious injury or death.
•Self-measuring means monitoring, not diagnosis or treatment.
Unusual values must always be discussed with your doctor. Under no
circumstances should you independently alter the dosages of any

drugs prescribed by your physician.
•Consult your physician before using this device if any of the follow-
ing or similar conditions are present: arrhythmias such as atrial or
ventricular premature beats or atrial fibrillation, arterial sclerosis,
poor perfusion, diabetes, age, pregnancy, preeclampsia, renal dis-
eases. Motion during measurement, including trembling or shivering
may affect the measurement.
•Though not for use with children under 12, ensure that any children
around this device are supervised; some parts are small enough to be
swallowed and any present tubes or cables may provide a risk of
strangulation.
•Ensure the cuff tubing is not kinked during use as harmful injury may
occur due to the effect of blood flow interference caused by high
pressure in the cuff not releasing.
DO NOT:
Use this device if you think it is damaged or anything appears
unusual (e.g. sporadic operation, open packaging upon purchase).
Use the displayed pulse for checking the frequency of heart pace-
makers as this device is not suitable for this action.
Open/modify this device; inaccuracy and/or harmful injury may
result.
Conduct many frequent measurements as this may result in harmful
injury due to blood flow interference.
Place the Cuff over a wound as this may cause additional injury.
Place and pressurize the Cuff over/near any present intravascular
access or therapy, or arteriovenous shunt, as this may cause blood
flow interference and result in harmful injury.
Place and pressurize the Cuff over a limb near the side of a mastec-
tomy as this may cause harmful injury.
Use the Blood Pressure Monitor on a limb simultaneously with other
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medical equipment on the same limb due to possible interference
with such medical equipment.
Maintain pressure in the Cuff applied to the limb for a prolonged
amount of time. Ensure that circulation in the limb is not impaired
by checking circulation if prolonged/repeated exposure to pressure
occurs.
Service the device when being used or when power is supplied.
When the device is not in use and power is removed, cuff assembly,
batteries and AC adapter (if applicable) may be replaced by the user
with Microlife supplied replacements. No other parts/components
are accessible.
CAUTION – Potentially hazardous situation that if not
avoided may result in minor/moderate injury, property
damage, and/or damage to the device
•This device contains sensitive electronics components. Avoid strong
electrical or electromagnetic fields in the direct vicinity of the device
(e.g., mobile telephones, microwave ovens). These can lead to tem-
porary impairment of the measuring accuracy. Move the device to
another location if interference is determined.
•When not using the Blood Pressure Monitor for extended lengths of
time, remove the batteries to avoid potential battery leakage and
damage to the monitor.
•When replacing the batteries, ensure all the batteries are replaced
simultaneously to avoid battery damage and potential damage to the
monitor. Microlife USA does not recommend using rechargeable batteries.
•To avoid inaccurate measurements and to lessen any discomfort
from Cuff pressure, ensure the Cuff is placed correctly on the limb
and fits correctly when snug (not tight), as indicated by markings
with the Cuff.
•Consult your physician in cases of frequent irregular heartbeat detec-
tions.

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•This Risk Indicator feature is provided in order to help you under-
stand your potential blood pressure risk. However, this feature is
neither a diagnosis nor a substitute for a medical examination. It is
important to consult with your physician to determine your risk.
DO NOT:
Drop this device or expose it to strong vibrations; sensitive compo-
nents may be affected resulting in inaccuracies and/or operational
issues.
 Use the Blood Pressure Monitor outside of its specified operation
temperature and humidity rating, or if stored outside of its specified
storage temperature and humidity rating. Avoid storage in direct sunlight.
Use this device in a moving vehicle; inaccurate measurements may
result.
Use third party accessories. Only use Microlife authorized accessories,
such as cuffs or AC adapters, as those not approved for use with the
device may provide inaccurate measurements, injury, and/or damage
the device.
STANDARDS
In addition to the standards stated in the Instruction Manual:
•This medical device is compliant with medical device and non-inva-
sive blood pressure monitor standards IEC 60601-1, IEC 60601-1-2,
IEC 60601-1-11, and AAMI/ANSI/IEC 80601-2-30, and
•Electromagnetic standards IEC 60601-1-2 along with FCC Part 15, and
•Clinical Testing per standard ISO 81060-2:2013 was conducted on
blood pressure device using the same measurement technology.
Please note: According to international standards, your monitor should
be checked for accuracy every 2 years.

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TYPE
IP20 Protected against solid foreign particles with a diameter of more
than 12.5 mm, no protection against water. Keep Dry.
Type BF Applied Part
Batteries and electronic instruments must be disposed of in accor-
dance with the locally applicable regulations, not with domestic waste.
Expected Life
Monitor: 5 Years
Cuff: 2 Years
BHS
The B.H.S. (British Hypertension Society) clinical protocol was used to mea-
sure the accuracy of this product. Blood pressure units using the same
measurement technology are graded “AA” for systolic/diastolic accuracy by
independent investigators using the BHS protocol. This is the highest grad-
ing available for blood pressure monitors. Please see bhsoc.org for more
information. (Uses the same algorithm as B.H.S. graded “AA” model num-
ber 3BT0-1)
FCC
This device complies with part 15 of the FCC Rules. Operation is subject
to the following two conditions: (1) This device may not cause harmful
interference, and (2) this device must accept any interference received,
including interference that may cause undesired operation. Changes or
modifications to the product are not approved by Microlife USA and
could void the user's authority to operate the equipment under FCC
jurisdiction.

This equipment has been verified to comply with the limits for a Class
B digital device, pursuant to part 15 of the FCC Rules. These limits are
designed to provide reasonable protection against harmful interference
in a residential installation. This equipment generates uses and can
radiate radio frequency energy and, if not 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. If this equipment does cause harmful interfer-
ence to radio or television reception, which can be determined by turn-
ing the equipment on and off, the user is encouraged to try to correct
the interference by increasing the distance between the product and
the affected device; or if applicable, reorientation the receiving anten-
na, or moving the product’s power plug to another receptacle.
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Automatic Blood Pressure Monitor
Instruction Manual
Table of contents
1. Introduction
1.1. Your automatic blood pressure monitor
2. How is blood pressure measured?
2.1. What is blood pressure, and why does it fluctuate?
2.2. Measurement guidelines
2.3. What can I do to change my blood pressure?
3. Components of your blood pressure monitor
4. How do I get started?
4.1. Inserting the batteries
4.2. Setting the date and time
4.3. Tube connection
4.4. Select the measuring mode: standard or averaging
4.5. Averaging mode
5. How do I take a measurement?
5.1. Preparing to take a measurement
5.2. Common errors
5.3. Select the user
5.4 Using the cuff
5.5. Taking a measurement
5.6. Irregular Heartbeat detection
5.7. Memory: reviewing readings
5.8. Stopping a measurement
5.9. Hypertension risk indicator
5.10. Battery change indicator
5.11. Using an AC Adapter (not included)

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6. Error messages/ troubleshooting
7. Care and maintenance
8. Limited warranty
9. Technical specifications
10. How to contact us

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1. Introduction
1.1. Your automatic blood pressure monitor
Your blood pressure monitor is a fully automatic digital blood pressure
measuring device for use by adults on the upper arm at home or in
your doctor’s office. It enables very fast and reliable measurement of
the systolic and diastolic blood pressure as well as the pulse by way of
the oscillometric method. This device offers clinically proven accuracy
and has been designed to be user friendly.
Before using your blood pressure monitor, please read this instruction
manual carefully and then keep it in a safe place for future reference.
If you have additional questions regarding blood pressure measure-
ments please contact your doctor.
2. How is blood pressure measured?
2.1. What is blood pressure, and why does it fluctuate?
Your level of blood pressure is determined in the circulatory center of
the brain and adjusts to a variety of situations through feedback from
the nervous system. To adjust blood pressure, the strength and frequen-
cy of the heart (Pulse), as well as the width of circulatory blood vessels
is altered. Blood vessel width is affected by fine muscles in the blood
vessel walls.
Your level of arterial blood pressure changes periodically during heart
activity: During the “blood ejection” (Systole) the value is highest (sys-
tolic blood pressure value). At the end of the heart’s “rest period”
(Diastole) pressure is lowest (diastolic blood pressure value). Blood
pressure values must lie within certain normal ranges in order to pre-
vent particular diseases.

2.2. Measurement guidelines
Blood pressure is very high if your systolic blood pressure is over 140
mmHg and/or your diastolic pressure is above 90 mmHg. In this case, please
consult your doctor immediately. Long-term values at this level endanger
your health due to continual damage to the blood vessels in your body.
Should the systolic blood pressure values lie between 130 mmHg and
139 mmHg and/or the diastolic blood pressure values lie between 80
mmHg and 89 mmHg, consult your doctor. Regular self-checks will be
necessary.
With blood pressure values that are too low (i.e. systolic values under
105 mmHg and/or diastolic values under 60 mmHg), consult your doc-
tor.
Even with normal blood pressure values, a regular self-check with your
blood pressure monitor is recommended. You can detect possible
changes in your values early and react appropriately.
If you are undergoing medical treatment to control your blood pressure,
keep a record of values along with time of day and date. Show these
values to your doctor. Never use the results of your measurements to
independently alter the medication prescribed by your doctor.
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Which values are normal?
The following standards for assessing high blood pressure in adults
have been established by the American Heart Association (AHA) and
American College of Cardiology (ACC) in 2017:
Additional information
•This chart reflects a 2017 update to blood pressure standards.
•If your values are mostly normal under resting conditions but excep-
tionally high under conditions of physical or psychological stress, it
is possible that you are suffering from so-called “labile hyperten-
sion”. Consult your doctor.
Category Systolic Diastolic
(mm Hg) (mm Hg)
Normal <120 and <80
Elevated 120-129 and <80
Hypertension
Stage 1 Hypertension 130-139 or 80-89
Stage 2 Hypertension 140-179 or 90-119
Hypertensive Crisis ≥180 or ≥120

2.3. What can I do to change my blood pressure?
a) Consult your doctor.
b) Increased blood pressure values (various forms of hypertension) are
associated with considerable health risks over time. Arterial blood
vessels in your body are endangered due to constriction caused by
deposits in the vessel walls (Arteriosclerosis). A deficient supply of
blood to important organs (heart, brain, muscles) can result from
arteriosclerosis. Furthermore, the heart will become structurally
damaged with increased blood pressure values.
c) There are many different causes of high blood pressure. We differ-
entiate between the common primary (essential) hypertension, and
secondary hypertension. The latter group can be ascribed to specific
organic malfunctions. Please consult your doctor for information
about the possible origins of your own increased blood pressure val-
ues.
d) There are measures which you can take to reduce and prevent high
blood pressure. These measures must be permanent lifestyle
changes.
A) Eating habits
•Strive for a normal weight corresponding to your age. See your doc-
tor for your ideal weight.
•Avoid excessive consumption of common salt.
•Avoid fatty foods.
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B) Previous illnesses
• Consistently follow all medical instructions for treating illnesses such
as:
•Diabetes (Diabetes mellitus or sugar diabetes)
•Fat metabolism disorder
• Gout
C) Habits
•Give up smoking completely
•Drink only moderate amounts of alcohol
•Restrict your caffeine consumption (coffee, tea, chocolate)
Your physical condition
•After a medical examination, and with your doctor’s approval
and direction; exercise.
•Choose sports which require stamina and avoid those which require
strength.
•Avoid reaching the limit of your performance.
•With previous illnesses and/or an age of over 40 years, please
consult your doctor before beginning your exercise routine. Speak
with your doctor regarding the type and extent of exercise that is
appropriate for you.

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3. Components of your blood pressure monitor
The illustration shows the blood pressure monitor consisting of:
a) Measuring unit
Cuff connection START/STOP
button
LCD-display
Time/Date
Button
Memory
Button
AC Adapter Port
Hypertension
Indicator Mode Switch
Select 1 or 3 Measurements
(MAM)
Heartbeat
User
Hypertension Indicator
Systolic
Diastolic
Pulse Irregular Heartbeat
Battery Indicator
Memory
Averaging Mode

b) Upper arm cuffs:
For arm circumference 8.7” - 16.5”
If you ever need to buy a replacement cuff
call customer service at 1-800-568-4147 for
information.
Please Note:
Arm circumference should be measured with a measuring tape in the
middle of the relaxed upper arm. Do not force cuff connection into the
opening. Make sure the cuff connection is not pushed into the AC
adapter port. If the cuff is too small, call 1-800-568-4147 for additional
information. You may prefer to use one of our wrist type monitors.
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4. Operation of your blood pressure monitor
4.1. Inserting the batteries
After unpacking your device, insert the batteries. The battery compart-
ment is located on the bottom of the device.
a) Remove cover on the bottom of the monitor.
b) Insert the batteries (4 x size AA 1.5 V), following the indicated
polarity. (+ -)
c) If the low battery indicator appears in the display, the batteries are
discharged and the unit will not function.
d) If the batteries are inserted incorrectly, the display may function
erratically or not at all. Check battery polarity.
Attention!
•After the low battery indicator appears, the device
won’t function until the batteries have been
replaced.
• Please use AA 1.5 V batteries and replace them all
at once.
•Do not use rechargeable batteries.
• If the blood pressure monitor is not used for long peri-
ods, remove the batteries from the device.
Low Battery Indicator

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4.2 Setting the date and time
1. After the new batteries are activated, the year number flashes in
the display. You can advance the year by pressing the "M" button. To
confirm and then set the month, press the time button.
2. You can now set the month using the “M” button. To confirm and
then set the day, press the time button.
3. Please follow the instructions above to set the day, hour and min-
utes.
4. Once you have set the last minute and pressed the time button, the
date and time are set and the time is displayed.
5. If you want to change the date and time, press and hold the time
button down for approx. 3 seconds until the year number starts to
flash. Now you can enter the new values as described above.
4.3. Tube connection
Insert the cuff tube into the opening on
the side of the monitor indicated by the
drawing of a cuff.
4.4. Select the measuring mode: standard or averaging mode
This instrument enables you to select either standard (single measure-
ment) or Averaging Mode (automatic triple measurement). To select
standard mode, push the switch on the side of the instrument down-
ward to Position "1“ and to select Averaging mode, upwards to
Position “3”. If you select 1 then only one measurement will be taken.
If you select 3, the unit will inflate and deflate three times resulting in
one final average measurement.

4.5. Averaging mode
•In Averaging Mode, three measurements are
automatically taken in succession and the
result then automatically analyzed and displayed.
Because your blood pressure constantly fluctuates,
a result determined in this way is more reliable
than one produced by a single measurement.
•After pressing the Start/Stop button the select-
ed Averaging Mode appears in the display as
the symbol.
•The bottom, right hand section of the display
shows a 1, 2 or 3 to indicate which of the 3
measurements is currently being taken.
•There is a break of 15 seconds between the
measurements (15 seconds are adequate
according to “Blood Pressure Monitoring, 2001,
6:145-147” for oscillometric instruments). A
count down indicates the remaining time and a
beep will sound 5 seconds before the 2nd and
3rd readings will begin.
•The individual results from measurements 1, 2
and 3 are not initially displayed.
•If you want to see each of the individual
readings making up a triplicate reading,
press and hold the “M” button for 3 sec-
onds immediately after an Averaging
Mode measurement. Please note: You can
only see the individual readings one time
immediately following an Averaging
Mode measurement. See section 5.4.
•Do not remove the cuff between measurements.
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5. How do I take a measurement?
Please note: You should always be seated before and during
measurement
5.1. Preparing to take a measurement
•Avoid eating and smoking as well as all forms of exertion directly
before measurement. These factors influence the measurement
result. Find time to relax by sitting in an armchair in a quiet atmos-
phere for about 5 minutes before measurement.
•Remove any garment that fits closely to your upper arm.
•Always measure on the same arm (normally left).
•Always perform measurements at the same time of day, since the
blood pressure changes during the course of the day.
5.2. Common errors:
Note: Comparable blood pressure measurements always
require the same conditions. These are normally quiet conditions.
•All efforts by the user to support the arm can increase blood pres-
sure. Make sure you are in a comfortable, relaxed position and do
not flex any of the muscles in the measurement arm during the mea-
surement. Use a cushion for support if necessary.
•If the arm artery lies considerably lower or higher than the heart, an
erroneously high or low blood pressure will be measured. Each 15
cm (6”) difference in height between your heart and the cuff results
in a measurement error of 10 mmHg.
•Cuffs that are too small result in false measurement values.
Selecting the correct cuff is extremely important. Cuff size is depen-
dent upon the circumference of the arm (measured in the center).
The permissible range is printed on the cuff. If this is not suitable
for your use, please call 1-800-568-4147.
•A loose cuff or a sideways protruding air pocket causes false mea-
surement values.