Microlife WatchBP Home User manual

EN 3
Accurate home blood
pressure measurements
with the WatchBP home A.
Instruction Manual

Microlife WatchBP Home A is the world’s rst digital blood pressure measurement device that
strictly follows European Society of Hypertension (ESH)1, 2 and American Heart Association (AHA)
recommendations for home blood pressure measurement. Using the WatchBP Home A device helps you
collect accurate home blood pressure measurements your doctor can trust. This WatchBP Home A device
has been clinically validated according to the ESH protocol 3.
1 O’Brien E, Asmar R, Beilin L, Imai Y, et al. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure
measurement. European Society of Hypertension Working Group on Blood Pressure Monitoring. J Hypertens 2003;21:821-848.
2 Stergiou GS, et al. A tool for reliable self-home blood pressure monitoring designed according to the European Society of Hypertension
recommendations: The Microlife WatchBP Home monitor. Blood press Monit. 2007;12:127-131.
3 Stergiou GS, Giovas PP, Gkinos CP, Patouras JD. Validation of the Microlife WatchBP Home device for self home blood pressure measurement according
to The International Protocol. Blood Press Monit. 2007;12(3):185-188.

EN
Before using WatchBP Home A for the rst time
Product description .....................................................6–7
Activating the device ...................................................... 8
Selecting the correct cuff ................................................ 9
Taking measurements using WatchBP Home A
«DIAG.» Mode ......................................................... 10–12
«USUAL» Mode ............................................................. 13
Eight steps for measure blood pressure properly
Blood pressure measurement procedures ............. 14–17
Special Function
Atrial Fibrillation Detection .......................................... 18
About Atrial Fibrillation ................................................ 19
Atrial Fibrillation Detector ............................................ 20
Atrial brillation detection instructions ....................... 21
Information for the doctor ............................................ 21
Viewing, deleting, and transferring measurements
Viewing measurements ......................................... 22–23
Deleting measurements ......................................... 24–25
Transferring measurements ................................... 26–27
Appendix
Batteries and power adaptor ................................. 28–29
Safety, care, accuracy test and disposal ................. 30–31
Error messages ....................................................... 32–33
Important facts ....................................................... 34–35
Technical specications ................................................ 36
Table of Contents

6
SYS
mmHg
mmHg
/min
USUAL
DIAG.
NOCTURNAL
DIA
PUL
M Button (Memory)
Display
ON/OFF Button
Cuff Socket
Power Socket
Serial Port Battery Compartment
Mode Switch

7EN
Mode Indication
Doctor Symbol
Atrial Fibrillation Detection
Outside Measurement Time
Relax
Battery Display
Delete Memory Data
Stored Value
Morning Data
Evening Data
Date/Time
Systolic Value
Diastolic Value
Pulse Indicator
Pulse Rate
Number of Stored Data

8
2) Set the month – Press the M Button to set the Month.
Press the ON/OFF Button to conrm.
Before using WatchBP Home A for the rst time
Activating the Device
Pull out the protective strip from the battery
compartment.
Press M Button to make selection
Press ON/OFF Button to conrm
3) Set the day – Press the M Button to set the Day.
Press the ON/OFF Button to conrm.
SYS
mmHg
mmHg
/min
USUAL
DIAG.
NOCTURNAL
DIA
PUL
1) Set the year – Upon removing the protective strip or
installing new batteries, the Year number ashes in
the display. Use the M Button to select the Year. Press
the ON/OFF Button to conrm your selection.

EN
9
4) Set the time – Once you have set the Hour and
Minutes and pressed the ON/OFF Button, the date and
time are set, and the current time is displayed.
5) If you want to change the date and time, take out one
battery from the battery compartment briey and
put it back. The Year number will ash. Complete the
process as described above.
M (Medium size)
22 - 32 cm (8.7 - 12.6 inches)
M is the correct size for most people.
L (Large size)
32 - 42 cm (12.6 - 16.5 inches)
Selecting the correct cuff
The WatchBP Home A device is available with different
cuff sizes. If the cuff provided with the device is an
unsuitable size , please consult your doctor.
* please use only Microlife cuffs!

10
DIAG.
DIAG.
USUAL
USUAL
«DIAG.» Mode
The «DIAG.» mode should be selected as requested
by your doctor when blood pressure is measured in
accordance with the measurement guidelines of the
European Society of Hypertension (ESH).
Prior to each measurement, use the Mode Switch on the
right side of the device to select the proper measurement
mode. The two options include:
«DIAG.» (Diagnostic) or «USUAL» (Usual) mode.
Taking measurements using WatchBP Home A
DIAG.
DIAG.
USUAL
USUAL

EN
11
No measurements on non-work days
In «DIAG.» mode, blood pressure measurements are
taken on 7 consecutive working days (or normal
week days). No readings should be taken on
«non-working» days (or particularly relaxing days)
in this mode!
Two sets of measurements per day
ESH guidelines recommend one double measurement
taken in the morning between 06:00 - 09:00 and one in
the evening between 18:00 - 21:00. Always perform
measurements before taking your medication,
unless otherwise directed by your doctor.
Jan
JAN
30 7working
days
X1
X1
06:00 - 09:00
18:00 - 21:00
ESH Guidelines

12
Evaluation
After measurements have been carried out for a total
of 7 working days, take the device to your doctor for
evaluation of your home blood pressure data.
Extended measurement period
WatchBP Home A has an extended measurement period
and allows morning measurements between 04:00 -
12:00 and evening measurements between 18:00 - 24:00.
Outside these times, measurements cannot be
taken and the symbol on the right will be displayed
on the screen.
When measurements
have been carried out
for the full 7 days, the
doctor symbol will
ash on the screen.
Taking measurements using WatchBP Home A (cont.)
X1
X1
04:00 - 12:00
18:00 - 24:00
Extended Time

EN
13
DIAG.
DIAG.
USUAL
USUAL
«USUAL» Mode
The «USUAL» mode is selected for regular blood
pressure measurement with Ab detection. In «USUAL»
mode, three consecutive measurements are taken
automatically at 15 second intervals. The results are
averaged and displayed. The averaged readings are
automatically stored for later evaluation by your doctor.
250 measurements safely stored
The WatchBP Home A device can store up to 250
averaged measurement readings in «USUAL» mode.
250
Measurements
Anytime
15 sec.
1 2
15 sec.
3
15 sec.
*When memory is full, each new reading will automatically
overwrite the earliest measurement.
*To review the last three individual measurements, press
and hold the M button until a “1” is displayed on the screen.
The values of the last three individual measurements are
displayed sequentially.

14
Eight steps for measure blood pressure properly
Step 1
Avoid taking measurements directly after eating,
drinking or smoking. Allow at least one hour between
these activities and measurement of your blood pressure.
Step 2
Prepare a chair and table for the measurement. The
chair should have a vertical back-rest and the table
should allow your upper arm to rest at the same height
as your heart.
1 Hour Before

EN
15
Step 3
Remove all clothing covering or constricting the arm to
be measured. Apply the cuff. Make sure the lower edge
of the cuff is exactly 2–3cm from the inner fold of your
arm. The tube connecting the cuff to the device should
be placed on the inside of the arm. (Additional visual
instruction can be found on the cuff)
Step 4
Sit down and relax for at least ve minutes prior to the
measurement.

16
Step 5
Sit upright and lean comfortably against the chair’s
backrest. Press the start button. The device will
initiate a 60-second countdown in «DIAG.» mode or a
15-second countdown in «USUAL» mode. During the
measurement do not move, cross your legs, or tense
your arm muscles. Breath normally and do not talk.
Step 6 (in «DIAG.» mode)
One measurement cycle includes two measurements.
Once the rst measurement is complete, continue to
relax as you wait for the second measurement. The
second measurement will start after 60-seconds. During
this time avoid any movement.
SYS
mmHg
mmHg
/min
USUAL
DIAG.
NOCTURNAL
DIA
PUL
Eight steps for measure blood pressure properly (cont.)
1 2
60 sec.

EN
17
Step 7 (in «DIAG.» mode)
Once the two readings are complete, measurement
data is automatically stored for future reference by your
doctor. If an error displays after the readings, please
repeat the rst six steps once again.
Step 8 (in «DIAG.» mode)
When seven days of measurements have been collected,
the Doctor Symbol will ash on the display. Do not forget
to take your WatchBP Home A device with you on your
next visit to the doctor. (Note: the doctor symbol is only
displayed for measurements in «DIAG.» Mode.)
Automatically stored

18
Special Function
Atrial brillation detection
This device is designed to screen for atrial brillation
during blood pressure measurements both in
«USUAL» Mode and «DIAG.» Mode. If atrial
brillation is detected during all readings of the triple
measurements in usual mode or all four readings
of one day in diagnostic mode, the Ab icon is
displayed. If the Ab icon is displayed after a blood
pressure measurement follow the instructions on page
21.
IAD
*Joseph Wiesel, et al. Detection of Atrial Fibrillation Using a
Modied Microlife Blood Pressure Monitor.
American Journal of Hypertension 2009; 22, 8, 848–852.
* Atrial brillation, a major cause of stroke can be detected by
this device. However, not all risk factors for stroke, including
atrial utter, may be detected by this device.
* This device may not detect atrial brillation in people with
pacemakers or debrillators. People with pacemakers or
debrillators should therefore not use this device to detect
atrial brillation.

EN
19
About Atrial Fibrillation
Atrial brillation is a common heart rhythm problem
and a common cause of major strokes. It affects more
than 2 million people in North America. It is more
common with older age and found in 10% of people
over 80 years old. About 20% of all strokes are caused
by atrial brillation. The elderly, or those with high blood
pressure, diabetes or heart disease are more likely to get
a stroke if they have atrial brillation.
Atrial brillation is a rhythm problem that can last from
a few minutes, to days or weeks and even years. Atrial
brillation can lead to the formation of blood clots in the
upper chambers of the heart (the atria). These clots can
break off and ow to the brain causing stroke. The use
of blood thinners, such as warfarin , can lower the risk of
stroke in patients with atrial brillation.
A doctor can conrm the presence of atrial
brillation by using an EKG. Atrial brillation can
sometimes come and go. So a doctor may not see it
on regularly scheduled visits.
One sign of atrial brillation is palpitations. But,
many people don’t feel anything. These people can
still get a stroke and should be checked for atrial
brillation regularly. Finding atrial brillation earlier
and followed by treatment can lower the chances of
getting a stroke.

20
Atrial Fibrillation Detector
The WatchBP home can screen for atrial brillation
during blood pressure measurement.
Some people may have atrial brillation occasionally
that lasts longer than a day. In this situation the WatchBP
Home A allows frequent screening on multiple days for
optimal diagnosis of atrial brillation.
Sometimes the device might falsely detect atrial
brillation which can have two causes:
1) The arm has moved during blood pressure
measurement. For this reason it is of essential
importance that the arm is kept still during the
measurement.
2) Some other arrhythmia (irregular heart beat) than
atrial brillation might be present. In such a case it is
still recommended to pay a visit to the doctor.
For people with pacemakers or debrillators it is not
recommended to use the WatchBP Home A.
Measurement
If atrial brillation is detected during all readings of
the triple measurements in «USUAL» Mode or all
four readings of one day in «DIAG.» Mode then atrial
brillation is most likely present.
Since atrial brillation sometimes lasts for only a
few minutes. It is recommended to perform another
measurement session one hour later. If this also shows
the presence of atrial brillation then a doctor should
be seen. It is recommended to take the device when
visiting the doctor.

EN
21
Atrial brillation detection instructions
• Use this device regularly, once per week, or once per
month to screen for atrial brillation.
• If atrial brillation is detected during all readings of the
triple measurements, another measurement session
should be done approximately one hour later.
• If this last reading shows atrial brillation contact your
doctor.
• Take this device with you when you see the doctor.
Information for the doctor
This device is designed to detect atrial brillation and
false negative readings are very rare. Though it is
programmed to specically detect atrial brillation,
frequent premature beats, marked sinus arrhythmia
or other rhythm abnormalities might cause false
positive readings. If atrial brillation is detected by
the device at home, we suggest another reading done
in the doctor’s ofce. If the atrial brillation icon is
not displayed then the previous abnormal readings
may have been due to transient atrial brillation.
If the atrial brillation icon is displayed then EKG
performance is suggested for determining the exact
rhythm abnormality.

22
DIAG.
DIAG.
USUAL
USUAL
Viewing, deleting and transferring measurements
In «DIAG.» Mode
1) When the M Button is pressed, it briey displays the
total number of measurements stored, e.g. N=20 and
then switches to the average of all readings.
Viewing measurements
1) Use the Mode switch to rst select the type of
measurements you wish to view.
2) Then press the M Button.
*«- -» will display when the
number of measurements
is less than 12.
*«A» is displayed when
the number shown is
the average of all data.