Microlife WatchBP O3 User manual

EN
3
WatchBP O3
EN 3
Professional 24-hour ambulatory
blood pressure monitor with
Atrial Fibrillation (AFIB) detection
Instruction Manual
WatchBP O3

The Microlife WatchBP O3AFIB is designed to provide reliable and unbiased ambulatory blood pressure
measurement results, and strictly follows European Society of Hypertension (ESH) andAmerican Heart
Association (AHA) recommendations for ambulatory blood pressure measurement. The WatchBP O3
AFIB device has been clinically validated according to the ESH protocol. In addition, this ambulatory
blood pressure monitor has an implemented algorithm that allows the detection of atrial brillation (AFIB)
during 24-hour blood pressure measurement.

EN
WatchBP O3
Product description
Name of parts and display ............................................ 6-7
Before using WatchBP O3 AFIB for the rst time
Activating the device ....................................................... 8
Conrm the cuff size........................................................ 9
Selecting operation mode ....................................................10
In «AMBULATORY» mode .............................................. 10-11
Measurement programming......................................12-14
Taking blood pressure measurements ..................... 15-19
In «CASUAL» mode ....................................................... 20
Taking blood pressure measurements .......................... 21
Recording intake medication
Medication record .................................................... 22-23
Special Function: AFIB detection
Screening for atrial brillation during
blood pressure measurement ............................................ 24
Atrial brillation detector................................................ 24
Important facts about atrial brillation ............................ 25
Viewing, transferring and deleting measurement data
Viewing measurement data...................................... 26-27
Transferring measurement data.................................... 28
Deleting measurement data .......................................... 29
Appendix
Battery indicator and how to replace batteries ............... 30
Safety, care, accuracy test and disposal................... 31-33
Error messages........................................................ 34-36
Technical specications ................................................ 37
Table of Contents

6
SYS
mmHg
DIA
mmHg
PUL
/min
AMBULATORY CASUAL
AMBULATORY CASUAL
Battery compartment
Cuff socket
Mode switch
USB port
Medication button
Display
ON/OFF button
M button (Memory)
ERP NO.3MZ1-1
Microlife AG, 9443 Widnau / Switzerland
www.watchbp.com
Batteries:4xAAA 1.5VDC
SN:WWYYXXXX Patent Pending
Product description
Name of parts

EN
7
WatchBP O3
Mode indication
Battery display
Stored value
Time left to next measurement
Morning data
Evening data
Date/Time
Systolic value
Diastolic value
Pulse indicator
Pulse rate
Number of stored data
Display

8
SYS
mmHg
DIA
mmHg
PUL
/min
2) Set the month – Use the M button to set the month. Press
the ON/OFF button to conrm.
Before using the WatchBP O3 AFIB for the rst time
Activating the device
Pull out the protective strip from the battery compartment.
3) Set the day – Press the M button to set the day. Press the
ON/OFF button to conrm.
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.
Setting the date and time
Upon removing the protective strip or installing new batteries,
the year number ashes in the display.
1) Set the year – Use the M button to select the year. Press the
ON/OFF button to conrm your selection.
ERPNO.3MZ1-1
MicrolifeAG, 9443 Widnau / Switzerland
www.watchbp.com
Batteries:4xAAA1.5VDC
SN:WWYYXXXX PatentPending
ERP NO.3MZ1-1
Microlife AG, 9443 Widnau / Switzerland
www.watchbp.com
Batteries:4xAAA 1.5VDC
SN:WWYYXXXX Patent Pending

EN
9
WatchBP O3
5) To change the date and time, briey take out and put back
one battery from the battery compartment. The Year
number will ash. Complete the process as described
above.
Conrm the cuff size
A variety of different cuff sizes are available.
Only use Microlife cuff!
Washable cuffs are available in both nylon and cotton.
Tube with cuff
connector
50cm tube with
cuff connector
100cm tube with
cuff connector
S
M
L
XL
S, XLsize cuffs can be ordered optionally .
F
F
M, Lsize cuffs are standard delivered.
F

10
AMBULATORY CASUAL
AMBULATORY CASUAL
«AMBULATORY» mode
Select «AMBULATORY» mode for fully programmable 24-
hour ambulatory blood pressure measurement.
Prior to each measurement, use the mode switch on the side
of the device to select the preferred measurement mode.
The WatchBP O3AFIB offers two measurement modes:
«AMBULATORY» and «CASUAL».
Selecting the operation mode
AMBULATORY CASUAL
AMBULATORY CASUAL
AMBULATORY CASUAL
AMBULATORY CASUAL

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11
WatchBP O3
Programmable measurement intervals
The device automatically takes measurements at
xed intervals of 15, 20, 30, or 60 minutes, as can be
programmed.
15
20
30
60
The default measurement interval is 30 minutes for the awake hours
and 60 minutes for the asleep hours.
Two measurement periods
The awake (day) measurement period can be programmed
to start at any hour between 00 to 23, and the asleep (night)
measurement period can be set to any hour between 00 to 23.
Measurement intervals can be set to 15, 20, 30, or 60 minutes
for both awake and asleep time periods.
F

12
Measurement programming in «AMBULATORY» mode
Installing the software program
1) Put the CD in the CD-ROM drive of your computer.
Alternatively click on «setup.exe» in the CD’s directory.
2) Simply follow the instructions provided in the installation
window on the computer screen.
3) When the installation is nished, restart the computer
before working with the program for the rst time.
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System Requirements: 550MHz CPU. 256MB Memory,1024x768
pixel resolution, 256 color,CD-ROM drive, 1 free USB port, 40MB
free hard disk space, Microsoft Windows XP / Vista/ Win7.
Install CD
WatchBP Analyzer O3
Connecting the device to a computer
1) Connect the device to the PC.A successful connection is
displayed by «PC» on the device.
2) Start the software program.
3) Enter name, identity number, and date of birth to create a
new record (if required).
AMBULATORY CASUAL
AMBULATORY CASUAL
AMBULATORY CASUAL
AMBULATORY CASUAL
F
Software can also be downloaded from the website
www.watchbp.com.
User manual can be found in the software by clicking on «Help» in the
main window.
F

EN
13
WatchBP O3
Programming the measurement procedure
1) With “Ambulatory settings” the 24-hour measurement
procedure can be programmed.Choose at what time the
Day Period and Night Period starts. Using the drop-down
menu on the lower-left of the screen, choose from 00 to
23 as the start of day and night periods. For instance the
awake time is 06AM and asleep time is 10PM.
Setting Day and Night Period
Day Period
Night Period
06
22
~22 with
~06 with
minutes interval
20
60 minutes interval
2) Assign the measurement intervals for the awake and
asleep hours by using the drop-down menu to choose
from 15, 20, 30, and 60 minutes as the measurement
interval.
15
20
60
30

14
5) Once you have completed the settings, press “Program”
to program the schedule into the device.
Program
3) Setting ambulatory options. 4) For setting the highest ination pressure click on the
circle left to “Enable” and click on the arrow to determine
the height of the ination pressure. “Disable” means that
the device will automatically search for the right ination
pressure (default).
Setting Highest Ination pressure
Enable Disable
180
140
160
180
200
220
Measurement interval programming in «AMBULATORY» mode (cont.)
Setting ambulatory options.
Hiding BP data
Silent mode
The beeper of«AMBULATORY» mode can be enabled or disabled.
F
The display of blood pressure values on the LCD screen can be enabled
or disabled.
F
On default the blood pressure data are hidden and
the device is in silent mode. In order to show the
measured blood pressure values on the LCD screen
and to provide a beep before each measurement,
click on the squares to the left.

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15
WatchBP O3
Taking blood pressure measurements in «AMBULATORY» mode
Be sure the device is set to «AMBULATORY» mode.
AMBULATORY CASUAL
AMBULATORY CASUAL
1) Preparing measurement arm – Remove all clothing
covering or constricting the measurement arm.
2) Positioning the cuff and device – Fit the cuff closely,
but not too tight. Make sure that the cuff is 2~3 cm (1 inch)
above the elbow with the tube on the inside of the arm. The
cuff tube should point upward and be mounted over the
patient’s shoulder.
Adjust the tube holder on the belt of the pouch
so it is properly positioned on the shoulder.
AMBULATORY CASUAL
AMBULATORY CASUAL
Avoid rolling up long
sleeves, as this may lead
to constriction of blood
ow to the measurement
arm.
2-3 cm
F
F

16
3) Proper positioning of the cuff using the anchor strap
Option 1: Use the Shoulder sling 1and the Anchor
strap 2to position the cuff as demonstrated in the
diagram below.
Instructions: Place the Shoulder sling over the shoulder.
Insert the device into the pouch. Position the device at front.
Apply the cuff to the arm. Buckle up theAnchor strap with the
Shoulder sling. Snap the connector of theAnchor strap into
the D-ring of cuff. Adjust length for t and comfort.
Option 2: Use the Shoulder strap 3and theAnchor Strap
2to position the cuff as demonstrated.
Instructions: Place the Shoulder strap over both shoulders
as demonstrated in the diagram. Connect the device to a
belt. Position the device at front.Apply the cuff to the arm.
Buckle up theAnchor strap with the Shoulder strap. Snap the
connector of theAnchor strap into the D-ring of the cuff.Adjust
the length for t and comfort.
Taking blood pressure measurements in «AMBULATORY» mode (cont.)

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17
WatchBP O3
4) Next measurement indicator – The device will display
the next measurement time, indicated by a countdown in
minutes on the display.
5) One minute before the next scheduled measurement, the
device will partially inate and immediately deate the cuff
to remind the patient of the upcoming measurement.
The screen will display X countdown minutes to indicate the time
to the next measurement.
Measurement reminders will be disabled for asleep hours.
2-3 cm
(3/4 to 1 inch)
FF

18
6) Measurement reminder – Five seconds before the
next measurement, the device can emit a short series of
beeps to notify the patient of the coming measurement
(optionally). The beep will be off on default.
7) During measurements – the patient should be
reminded to remain still, refrain from talking, and to
breathe normally during the measurement. If the
patient is occupied when a measurement begins, the
patient should, when safe, relax the measurement
arm.
The device will not beep prior to asleep measurement in
«AMBULATORY » mode.
The patient can stop any single measurement at anytime by
pressing the ON/OFF button.
Taking blood pressure measurements in «AMBULATORY» mode (cont.)
The beeper of «AMBULATORY» mode can be enabled via software
setting.(see P.14)
F
F
F
8) Repeat measurements in case of an error – The
device will automatically repeat the measurement after
a two minute countdown should an error occur during
measurement.
If the repeat measurement encounters an error again, the device will
take an extra measurement after a four minutes countdown. If the extra
measurement is not successfully either, the device will record an error
message.
If the device stops taking measurements, the patient should return the
device to the physician to determine the cause of error.
F
F

EN
19
WatchBP O3
9) Storing measurement data – The WatchBP O3 AFIB
device can store up to 250 single measurements in
«AMBULATORY»mode.
When the memory is full, each new measurement will automatically
overwrite the earliest measurement.
The display of blood pressure values on the LCD screen can be disabled in
<<Ambulatory>> mode by means of software setting.
F
F

20
AMBULATORY CASUAL
AMBULATORY CASUAL
In «CASUAL» mode, the device functions like a regular
blood pressure monitor – single measurements are
automatically stored and can be reviewed at a later
stage. The casual mode can be used to perform a single
blood pressure measurement to test if the device is
functioning properly. Do not forget to put the device back
in «Ambulator» mode before sending away the patient for
24-hour blood pressure measurement.
Taking blood pressure measurements
Be sure the device is set to «CASUAL» mode.
AMBULATORY CASUAL
AMBULATORY CASUAL
AMBULATORY CASUAL
AMBULATORY CASUAL
Taking blood pressure measurements in «CASUAL» mode
1) Applying the cuff – The cuff should t closely around the
arm, but not too tight, and be placed 2~3cm above the
elbow with the tube on the inside of the arm. The patient
should support the arm at the same height as the heart
during the measurement.
Additional instructions on taking proper blood pressure measurement can
be found on www.watchbp.com .
F

EN
21
WatchBP O3
2) Start the measurement – Press the ON/OFF button to
start the measurement.
SYS
mmHg
DIA
mmHg
PUL
/min
3) During the measurement –The cuff will inate
automatically.Asingle measurement will be performed
by each push on the ON/OFF button.
4) Finishing the measurement – Once the
measurement is complete, the measurement value
is automatically stored for later reference. If an error
displays after the measurements, the process should
be repeated.
5 ) 250 measurements safely stored – The WatchBP O3
AFIB device can store up to 250 single measurements
in «CASUAL» mode.
When the memory is full, each new measurement will automatically
overwrite the earliest measurement.
F

22
Medication record
The patient can record the time of medication intake by
pressing the medication button. Press and hold
1) Press and hold the medication button for 2 seconds and
the Pill icon will appear.
2) Release the Medication button and the Pill icon will ash in
alternation with the recorded time.
3) Medication record is saved after the beep sound.
SYS
mmHg
DIA
mmHg
PUL
/min
Recording the taking of medication
Medication record can be used in both modes. The beeper can be disabled via software setting.
FF
Press the pill button and hold two seconds until “Pill”appears.