Microlife Aponorm Professional Control User manual

Instructions for use
* 2 year functional warranty on the cuff as a wear part
Detects atrial fibrillation
one of the most common causes of strokes
user
Arrhythmia
detection
storage slots
Children
Diabetics
Kidney disease
Also suitable for:
Pregnant
women
YEARS
WARRANTY*
CLINICALLY
VALIDATED
Traffic-light
display
Traffic-light
Atrial brillation
detection
Upper arm PROFESSIONAL CONTROL
display
Multiple
measurments

aponorm®Professional Control
D
E

3
Switches, housing and accessories
1On/off switch
2Display
3M button (Memory)
4MAM & time combi button
5Cuff connection
6Mains adapter connector
7Battery compartment
8Cuff
9Cuff tube
10 Cuff connector
aponorm®Professional Control
BF part.
Important! Please observe the information in this booklet in order to
prevent damage to the device and to avoid error messages.
Protect from moisture.
Carefully read the operating instructions before use.
Display
11 Systolic value
12 Diastolic value
13 Pulse indicator
14 MAM mode (multiple measurement mode active)
15 Stored value
16 Cuff check
-A Cuff position and pressure optimal
-B Cuff position and pressure not optimal
-C Arm movement disturbance indicator «Err 2»
-D Cuff pressure disturbance indicator «Err 3»
-E Cuff signal disturbance indicator «Err 1»
17 Battery level warning light
18 Pulse arrhythmia detector (PAD)
19 MAM waiting time symbol/
Atrial fibrillation detector (AFIB)
20 Blood pressure traffic light indicator
21 Pulse measurement active
22 Date/time display

4
aponorm®Professional Control
Use:
This oscillometric blood pressure monitor serves
for the non-invasive blood pressure measurement
for persons aged 12 years or more.
It is clinically validated for patients suffering from
hypertension, diabetes, for pregnant women, preg-
nant women suffering from preeclampsia, patients
suffering from atherosclerosis, terminal kidney
diseases, obesity and for the elderly.
The monitor can detect irregular pulse rate which
suggests atrial fibrillation (A-fib). Please note that
the monitor cannot diagnose atrial fibrillation. An
A-fib diagnosis can only be confirmed by electro-
cardiography (ECG). We recommend you see your
doctor.

5
Dear Customer,
This monitor was developed in collaboration with
physicians and clinical tests prove its measure-
ment accuracy to be very high.*
Microlife AFIBsens is the world’s leading digital
blood pressure measuring technology for detecting
atrial fibrillation (A-fib) and arterial hypertension.
These are the two best known risk factors for
a stroke or future heart diseases. It is essential
that atrial fibrillation and high blood pressure are
detected at an early stage, even if the patient
does not feel any symptoms yet. An examination
for atrial fibrillation is recommended from the age
of 65 onwards, generally and with the Microlife
AFIB algorithm. The AFIB algorithm shows that
the patient possibly suffers from atrial fibrillation.
Therefore, we recommend you to see your doctor if
the AFIB symbol is displayed on a regular basis.
The Microlife AFIB algorithm was developed and
clinically tested in cooperation with internationally
renowned medical specialists. Atrial fibrillation is
detected with a certainty of 97 to 100%. 1,2
If you have any questions or problems or want to
order spare parts, please contact the aponorm®
customer service at the product website www.
aponorm.de or the distributor where you purchased
the monitor. The product website provides much
additional useful information on your product.
Stay healthy - the aponorm®team!
* This device uses the same measuring technology as the award
winning «BP 3BTO-A» model tested according to the British and
Irish Hypertension Society (BIHS) protocol.
1 Kearley K, Selwood M, Van den Bruel A, Thompson M, Mant D,
Hobbs FR et al.: Triage tests for identifying atrial fibrillation in
primary care: a diagnostic accuracy study comparing single-lead
ECG and modified BP monitors. BMJ Open 2014; 4:e004565.
2 Wiesel J, Arbesfeld B, Schechter D: Comparison of the Microli-
fe blood pressure monitor with the Omron blood pressure monitor
for detecting atrial fibrillation. Am J Cardiol 2014; 114:1046-1048.

6
Table of contents
1. Indication of the A-fib symbol for early
detection of atrial fibrillation 8
· Information for the physician in the event of
frequent appearance of the AFIB indicator 8
· What is atrial fibrillation (A-fib)? 8
· Who should be checked for
atrial fibrillation? 9
· Risk factors which you can control 9
2. Using the monitor for the first time 9
· Inserting the batteries
9
· Setting the date and time 9
· Selecting the correct cuff 10
· Selection of multiple/MAM or single
measurement 10
3. Checklist for taking a reliable
measurement 11
4. Taking the blood pressure 12
· Manual inflation ...........................................13
· How not to store a reading 13
· How do I evaluate my blood pressure? 13
· Pulse arrhythmia detector (PAD) 13
5. Data memory 14
· Viewing the stored values 14
· Clearing all values 14
6. Battery level indicator and
battery change 15
· Batteries almost flat 15
· Batteries flat - replacement 15
· Which batteries and which procedure? 15
· Using rechargeable batteries 15
7. Using a mains adapter 16
8. Error messages and problems 16
9. Safety, care, accuracy test
and disposal 18
· Safety and protection 18
· Monitor care 19
· Cleaning the cuff 19
· Accuracy test 19
· Disposal 19
10. Warranty terms 20
11. Technical data 22
Warranty card 23

7
1. Indication of the AFIB symbol for
early detection of atrial fibrillation
(active only in multiple-measurement mode
MAM, see page 10)
This monitor can detect atrial fibrillation. Symbol 19
indicates that atrial fibrillation was detected during
the measurement.
Information for the physician in the event of
frequent appearance of the AFIB indicator
This device is an oscillometric blood pressure monitor
which also analyses irregular pulse rates during the
measurement.
The monitor was clinically tested. The AFIB symbol
appears after the measurement if atrial fibrillation
was detected during the measurement. If the AFIB
symbol appears after a cycle of multiple measure-
ments, the patient is advised to repeat the multiple
measurement.
If the AFIB symbol appears again, we recommend
that the patient see his/her doctor.
When the AFIB symbol appears on the monitor’s
display, it suggests that the patient may suffer from
atrial fibrillation. However, atrial fibrillation must be
diagnosed by a cardiologist based on his/her interpre-
tation of an electrocardiogram.
· Keep your arm still during the measurement in
order to prevent incorrect results.
· In patients with pacemakers or defibrillators, this
monitor cannot detect atrial fibrillation at all or
can incorrectly detect it.
· If the patient suffers from atrial fibrillation, it is
NOT POSSIBLE that the diastolic blood pressure
indicated is correct.
· If the patient suffers from atrial fibrillation, it is
recommended to take the blood pressure in the
multiple-measurement mode (MAM) to get more
reliable readings.
What is atrial fibrillation (A-fib)?
Normally your heart contracts regularly with your
heartbeat and then relaxes again. Certain cells in
your heart produce electrical signals that cause the
heart to contract and pump blood through your body.
There is atrial fibrillation if quick and inharmonic
electrical signals occur in the two upper ventricles,
the atria, and cause them to contract irregularly
(flutter). Atrial fibrillation is the most frequent form
of heart arrhythmias. Often the patient has no
symptoms, but nevertheless the risk of suffering a
stroke is increased. Consult your doctor to keep the
problem in check.

8
Who should be checked for atrial fibrillation?
An A-fib check is recommended to persons aged 65
years and more, as the probability of a stroke in-
creases with age. Persons suffering from hyperten-
sion (e.g. SYS exceeding 159 or DIA exceeding 99),
diabetes, heart failure or persons having suffered a
stroke before are recommended to be checked for
atrial fibrillation from the age of 50 on. However, it is
not recommended to check youths or pregnant wo-
men for atrial fibrillation, as there can be incorrect
results which could raise undue concerns. Further-
more, young persons suffering from atrial fibrillation
have a lower risk of stroke than the elderly.
Risk factors which you can control
An early diagnosis of atrial fibrillation and adequate
treatment can significantly reduce the risk of a
stroke.
The first proactive move against a stroke is to know
your blood pressure and to know whether you suffer
from atrial fibrillation. For more information, refer to
the website of the monitor manufacturer Microlife at
www.microlife.ch/afib.
2. Using the monitor for the first time
Inserting the batteries
After having unpacked the monitor, first insert the
batteries. The battery compartment 7is on the
bottom of the monitor. Insert the batteries (4 x 1.5 V,
size AA), observing the polarity +/- indicated on the
housing.
Setting the date and time
1.After the new batteries are fitted, the year
flashes in the display. Press the M button 3
several times to set the present year. To confirm
the year you want to set, press the MAM & time
combination button 4.
2.Now you can set the present month in the
same way, using the M button 3and confirm
your setting by pressing the MAM & time
button 4.
3.Now repeat the instructions above to set the
day, hour and minutes.
4.Once you have set the minutes and confirmed
the setting, the date/time setting is com-
plete. When the monitor is not in operation,
it displays the time 22 . The date, however, is
only required for the memory display.

9

If you want to change the date and time
again, press and hold the MAM & time but-
ton 4down for approx. three seconds until
the year starts to flash. Now you can enter
the new values as described above.
Selecting the correct cuff
Microlife offers different cuff sizes. Select the cuff
size to match the circumference of your upper arm
(measured by close fitting in the centre of the upper
arm).
If the cuff 8 coming with the monitor does not fit,
please contact your local pharmacy which can order
an alternative size for you.
Cuff size for circumference of
upper arm
S 17 - 22 cm
M 22 - 32 cm
M - L 22 - 42 cm
L - XL 32 - 52 cm
 In addition to the soft cuffs in the above-
mentioned sizes, as an alternative, a
preformed comfort cuff is available in M - L,
one size fits all.
 Use only aponorm®cuffs manufactured by
Microlife.
 All aponorm®cuffs are latex-free.
 Connect the cuff to the monitor by inserting the
cuff connector 10 into the cuff socket 5as far
as it will go.
Selecting multiple/MAM or individual
measurement
Please select before each measurement whether
you want to perform a normal single measurement
(NO MAM symbol 14 in the display) or a multiple/
MAM measurement (MAM symbol 14 visible in
the display). In the MAM mode, three measure-
ments are automatically taken one after the other,
the result from all measurements is automatically
analysed and then displayed. As the blood pressu-
re varies constantly even within a very short time,
a result determined in such a way is slightly more
reliable than just one single measurement.
To select the MAM mode, press the MAM & time
button 4until the MAM symbol appears in the
display. In order to return to the normal mode (indi-
vidual measurement), press the MAM button again
until the MAM symbol is no longer displayed.
 During the measurement in the MAM mode,
the number 1, 2 or 3 at the bottom right of the
display shows which of the three measure-
ments is currently taken.
 Between the individual measurements, there
is an automatic pause of 15 seconds each,
indicated by the spinning MAM waiting symbol
19 . A countdown indicates the remaining time.

10
 The results of the individual measurements
are not shown. Instead, you will be shown the
total result from the three measurements on
completion of the cycle.
 Leave the cuff on your arm between the indivi-
dual measurements.
 If the monitor detects that one of the individual
measurements in the cycle was unsuccessful,
a fourth measurement is automatically per-
formed.
The atrial fibrillation detection is active only
in the MAM mode. In the single mode, the
monitor screens only for simple arrhythmias
(without narrowing the results down to atrial
fibrillation).
3. Checklist for taking a reliable
measurement
 Please read the enclosed flyer on the
“8 golden rules of taking the blood pressure”.
 Avoid activity, eating or smoking immediately
before taking the measurement.
 Sit down on a chair with a backrest and relax
for at least 5 minutes. Keep your feet flat on
the floor and do not cross your legs.
Always take your blood pressure on the
same arm (normally the left one). It is
recommended that doctors perform double
arm measurements on a patient’s first visit in
order to determine which arm to measure in
the future. Select the arm where the higher
blood pressure was determined.
 Remove close-fitting garments from the upper
arm. To avoid constriction, shirt sleeves should
not be rolled up - sleeves do not interfere with
the cuff if they are laid flat (please take off any
heavy clothing, as it interferes with the signal).
 Always ensure that the correct cuff size is
used (see on the cuff for size information).
· Fit the cuff closely, but not too tight.
· Make sure that the cuff is positioned
approx. 2.5 cm above the crook of the arm.
· The artery mark on the cuff (approx. 3 cm
long yellow 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.