Microlife WatchBP Home User manual

Be part of the great movement to
prevent stroke and heart disease
Let’s work together
for better health
Microlife WatchBP
Professional Blood Pressure Monitors www.watchbp.com

1
WatchBP Home
References
WatchBP - The Cardiovascular Management Solution .............................................P.2
WatchBP Product Overview ...............................................................................P.3
Accuracy and Validations ...............................................................................................P.4
Advanced Measurement Technology ...............................................................P.6
Atrial Fibrillation Detection ................................................................................................P.7
WatchBP Ofce
Introduction
WatchBP Ofce Ab ........................................................................................................P.11
WatchBP Ofce ABI ..........................................................................................................P.13
WatchBP Ofce Central ........................................................................................................P.15
WatchBP O3 Ambulatory
WatchBP Cuffs
WatchBP O3 Ambulatory ..............................................................................................P.17
WatchBP Cuffs .......................................................................................................P.27
References .......................................................................................................P.29
WatchBP Home ..........................................................................................................P.23
WatchBP Home A .....................................................................................................P.24
WatchBP Home N .............................................................................................................P.25
WatchBP Home S .........................................................................................................P.25
Features Overview ......................................................................................................P.26
Table of Contents

√Blood pressure variability
√White coat effect/hypertension
√Masked hypertension
√Ambulatory (24-hour) blood pressure measurement
√Self-measurement of blood pressure at home
√Peripheral arterial disease
- ankle brachial index (ABI)
- inter-arm difference (IAD)
√Atrial brillation (AFIB)
Microlife WatchBP presents a solution that makes screening for
these important cardiovascular risks easy, fast and accurate.
2
WatchBP
The cardiovascular
management solution
Clinical blood pressure measurement has limited accuracy because of:
Therefore guidelines also recommend:
Additional cardiovascular screening is recommended for:
AFIB Detection
Recommended by NICE
Protocol Embedded
AHA

WatchBP Product
Overview
Product Overview
3
Ambulatory blood pressure
measurement
Self-measurement of blood
pressure at home
Ofce blood pressure measurement

High Accuracy and Clinically Validated
Clinical devices
Accuracy of
Blood Pressure Monitors
Over the past 10 years Microlife devices
have passed more than 20 validations
according to both the BHS and ESH protocols.
These include validations for special patient
groups such as patients with high blood
pressure during pregnancy (pre-eclampsia),
end stage renal disease and for those with
obesity.
All Microlife devices have passed BHS & ESH validation protocols
Accuracy and Validations
Self-measurement devices
Ambulatory blood pressure monitoring devices
4
* See also References at P29

End stage renal disease
Pre-eclampsia
Available Models:
Most oscillometric blood pressure monitors underestimate blood pressure in pre-
eclampsia. For this reason, oscillometric blood pressure monitors may only be
recommended for use in pregnancy when specically tested in this special patient
group. The WatchBP Home allows pregnant women to measure their blood pressure
at home which could reduce the number of hospital visits and may help to make
motherhood safer.
Patients with moderate to severe renal disease have a very high incidence
of hypertension, paired with stiff (calcied) arteries. As automated measurements
can be inuenced by stiff arteries, a special validation is required before blood
pressure monitors can be recommended for use among patients with end stage
renal disease.
Microlife WatchBP Home is accurate
for use in pregnancy and Pre-
eclampsia
Microlife provides validated blood
pressure monitors for patients with
end stage renal disease
Pre-eclampsia
Pre-eclampsia is dened as new
hypertension and substantial
proteinuria after 20 weeks gestation.
Due to the unpredictable nature of
pre-eclampsia hypertensive women
must have their blood pressure
measured frequently.
WatchBP Home
WatchBP Home
WatchBP Home A WatchBP Home N WatchBP Home S
Accuracy and Validations
5

Advanced Measurement Technology
Peripheral Arterial Disease (PAD)
Guidelines recommend taking at least
two blood pressure readings each
time and average the measurements
3 consecutive measurements
Peripheral Arterial Disease
Ankle brachial index is commonly assessed with
a Doppler device. This method is time consuming
and prone to error.
Peripheral arterial disease
50% of all patients have no symptoms
WatchBP Ofce ABI, for easy, fast and accurate ABI assessment
The advantages of 3 consecutive measurements
Peripheral arterial disease (PAD) is an important, frequently occurring, cardiovascular
risk factor that often remains undetected for too long. Patients with PAD have a three-
fold higher risk of myocardial infarction, stroke and death. A recommended test for
diagnosing PAD is performing ankle-arm measurements to assess the ankle brachial
index (ABI). In general clinical practice ABI is often determined with a Doppler device.
However, this method is time consuming and requires skills from the observer and
therefore is not performed as well and as frequently as it should.
• Superior reliability for blood pressure monitoring.
• Performing three sequential measurements diminishes the inuence of an
occasional deviating (high) reading.
If one of the measurements is questionable, a fourth one is automatically taken.
Push the
button Resting time
1st
Measurement
Analysis
2nd
Measurement
3rd
Measurement
Result
Resting time
Fatty substances on
the arterial wall
6

Stroke due to atrial brillation
7
Early detection of
atrial brillation
can reduce the risk
of stroke by 68%
Atrial brillation (AFIB)
AFIB is the most common sustained cardiac arrhythmia occurring in 5% of the
population of 65 years and above and in 14% among those older than 85 years. AFIB
leads to a 5-fold higher risk of stroke and is responsible for 20% of all strokes. Many
people have no symptoms from AFIB and therefore remain undiagnosed, whereas
early treatment can reduce the risk of stroke by 68%.
Atrial Fibrillation Detection
Damaged
part of the
brain
The thrombus
blocks the
small vessels
of the brain
Atrial brillation
in the left atrium
Thrombus (clot)
Heart

8
The National Institute for Health and Clinical Excellence (NICE) ofcially recommends using the WatchBP
Home A during routine blood pressure measurement for all GP’s in the United Kingdom.
WatchBP monitors with implemented AFIB detection system allow patients to be screened for AFIB during blood pressure
measurement. The AFIB detection system has convincingly proven its accuracy, and showed that it leads to increased detection
of new patients with AFIB when used in general clinical practice.
Recommended by NICE
Wrist palpation, although commonly performed, has a low reliability.
Wrist palpation
A symbol appears on the LCD screen when AFIB is detected.
Best clinical practice
“WatchBP Home A should be used for
hypertension monitoring in primary care”
Tested and approved for detecting atrial brillation
WatchBP AFIB detects atrial brillation with high accuracy (sensitivity 97-
100% - specicity 89%) as demonstrated in multiple comparative studies
with ECG.
Early detection of AFIB followed by adequate treatment
can reduce the risk of a stroke by 68%
WatchBP monitors with atrial brillation (AFIB) detection system
Atrial Fibrillation Detection
www.nice.org.uk/MTG13

Microlife WatchBP Ofce,
guidelines based
professional blood pressure
monitors
WatchBP Ofce
WatchBP Ofce
9

ABI assessment
Fast, easy and reliable simultaneous ankle-
arm blood pressure measurement for
screening of peripheral arterial disease.
Double arm measurement
Unique dual-cuff design for assessing inter-
arm blood pressure differences.
PC link
Transmit all measurement data to PC
via USB connection.
Auscultatory mode
For use in e.g. elderly, obese and those with
arrhythmia.
Central blood pressure
measurement
Non-invasive, reliable method based on
brachial pulse volume plethysmography
(PVP) waveforms.
3 consecutive measurements
For accurate blood pressure measurement
and better Ab detection.
AFIB detection
Screens for atrial brillation during blood
pressure measurement.
WatchBP Ofce ABI
Cardiovascular Screening Device,
Dual-cuff blood pressure monitor with atrial brillation detection and Ankle-Brachial Index
function.
WatchBP Ofce Ab
Dual-cuff blood pressure monitor with atrial brillation detection and auscultatory measurement
function.
WatchBP Ofce Central
Cardiovascular Screening Solution,
Dual-cuff blood pressure monitor with atrial brillation detection, Ankle-Brachial Index
assessment and central blood pressure measurement function.
WatchBP Ofce ABI
WatchBP Ofce Central
WatchBP Ofce Ab
WatchBP Ofce
10

√Atrial brillation (AFIB) detection.
√Dual-cuff design for simultaneous measurement on both arms to
assess the Inter-Arm Difference (IAD).
√Auscultatory mode, for use in e.g. elderly, obese and those with
arrhythmia.
√Software CD included, and can also be downloaded from the website:
www.watchbp.com
AFIB detection Auscultatory
mode
Double arm
measurement
PC link
3 consecutive
measurements
WatchBP Ofce Ab
WatchBP Ofce
11

The most reliable tool for determining inter-arm
blood pressure differences
Inter-arm difference (IAD) in blood pressure
is an important cardiovascular risk predictor.
Therefore, blood pressure must be measured
in both arms at the rst clinical visit.
WatchBP AFIB detects atrial brillation with high accuracy (sensitivity 97-100%
- specicity 89%) as demonstrated in multiple comparative studies with ECG.
Operation Mode:
Mode
Routine 3 15” default
30”/45”/60” selectable
15” default
30”/45”/60” selectable
Auscult 1 - - - -
-
Screen 3
Interval time AFIB detection Double arm
measurement PC linkMeasurements
IAD Threshold
Diastolic
≧10mmHg
Systolic
≧20mmHg
Atrial brillation detection
WatchBP Ofce
12

Cardiovascular Screening Device
√Fast, easy and accurate Ankle Brachial Index (ABI) assessment.
√Atrial brillation (AFIB) detection.
√Dual-cuff design for simultaneous measurement on both arms to assess
the Inter-Arm-Difference (IAD).
√Software CD included, and can also be downloaded from the website:
www.watchbp.com
PC linkABI
assessment
Double arm
measurement
AFIB detection 3 consecutive
measurements
WatchBP Ofce ABI
WatchBP Ofce
13

Ankle brachial index assessment :
screening for peripheral arterial disease
On the device On the PC
Presentation of the measurement results
Operation Mode:
Mode
Routine 3 15” default
30”/45”/60” selectable
15” default
30”/45”/60” selectable
ABI 1 - - -
--
-
Screen 3
Interval time AFIB detection
ABI
assessment
Double arm
measurement PC link
Measurements
WatchBP Ofce
R
14

√Non-invasive central blood pressure measurement.
√Fast, easy and accurate Ankle Brachial Index (ABI) assessment.
√Atrial brillation (AFIB) detection.
√Dual-cuff design for simultaneous measurement on both arms to
assess the Inter-Arm-Difference(IAD).
Cardiovascular Screening Solution
AFIB detection PC link Central
Blood pressure
measurement
ABI
assessment
Double arm
measurement
3 consecutive
measurements
WatchBP Ofce Central
WatchBP Ofce
15

The WatchBP Ofce Central has surpassed all
requirements of the international standards
Central blood pressure
Central blood pressure is the pressure in the aorta, the largest artery that originates from the heart.
Central blood pressure measurement may better correlate with cardiovascular risk than upper arm
blood pressure measurement because the aorta is more close to the heart and brain, the most vital
organs of the body.
The WatchBP Ofce Central has been
validated against intra-arterial blood
pressure measurement.
The aorta distributes oxygenated blood to
all parts of the body.
Operation Mode:
Mode
Central 2
15” default
30”/45”/60”
selectable
15” default
30”/45”/60”
selectable
ABI 1 - -
- -
-
-
-
- -
Screen 3
Interval
time AFIB detection
Central BP
measurement Double arm
measurement
ABI
assessment
PC link
Measurements
WatchBP Ofce
16

WatchBP O3
WatchBP Ofce
Ambulatory blood
pressure
measurement
17

WatchBP O3 Ambulatory
18
WatchBP O3 Ambulatory
√Highly affordable.
√Fully-programmable.
√Lightweight and compact.
√Pill intake recording button.
√PC connectivity via USB.
√Software CD included, and can also be downloaded from the website:
www.watchbp.com
√Reports provided in PDF, Excel (or Open Ofce).
√Atrial brillation detection (optionally).
Professional 24-hour blood pressure monitor
Available Models:
Model
WatchBP O3 Ab
WatchBP O3 -
24-hour ambulatory blood
pressure monitor Night-time measurement
AFIB detection PC link Pill-button
Highly
Affordable

WatchBP O3 Ambulatory blood pressure monitor
Advanced and user-friendly features
WatchBP O3 Ambulatory
PC connectivity
Easy set-up
Silent mode option
Pill-button
for recording medication intake
19
AMBULATORY
CASUAL
AMBULATORYCASUAL
ESH validated for high accuracy
Transmit BP measurement data to PC via USB connectivity
User friendly software
For quiet measurements
Easy and convenient to carry
Clinically validated
Lightweight and compact