Microlife WatchBP Office ABI User manual

EN 3
Ankle-brachial index and
simultaneous dual arm
measurement function for
accurate of ce blood pressure
measurement.
Instruction Manual
accurate of ce blood pressure accurate of ce blood pressure

WatchBP Ofce ABI is a professional automatic ofce blood pressure measurement device
which can determine the ankle brachial index (ABI) and inter arm difference (IAD) fast
and accurately. The ABI is a measure for the assessment of peripheral arterial disease. The
WatchBP Ofce ABI can perform automated dual-arm measurements for the most reliable
IAD. In addition, the WatchBP ofce ABI can detect atrial brillation1,2 with high reliability.
ABI, IAD and Ab are all important prognostic indicators for cardiovascular risk which make
the WatchBP ofce ABI an important tool in the screening for cardiovascular risks.
1Joseph Wiesel, Lorenzo Fitzig, Yehuda Herschman and Frank C. Messineo. Detection of Atrial Fibrillation Using a Modied Microlife
Blood Pressure Monitor. American Journal of Hypertension 2009, 22, 848–852.
2 G S Stergiou, N Karpettas, A Protogerou, E G Nasothimiou and M Kyriakidis. Diagnostic accuracy of a home blood pressure monitor to
detect atrial brillationHome monitor for atrial brillation. Journal of Human Hypertension 2009, 23, 654-658.

EN
Product description
Name of parts and display ................................. 6–7
WatchBP ABI, components and accessories .......8-9
Before using WatchBP Ofce ABI
Selecting and tting the correct cuff .............. 10–11
Application of the ankle cuff ................................ 12
Three operation modes
«ABI» Mode ..........................................................13
«ROUTINE» Mode ................................................. 14
«SCREEN» Mode ............................................. 15–16
Inter-arm difference (IAD) ................................... 16
Taking measurements using WatchBP Ofce ABI
«SCREEN» Mode ............................................. 17–18
«ROUTINE» Mode ........................................... 19–20
Skipping the countdown time .............................. 21
Taking less than three measurements ................ 21
Setting measurement intervals ........................... 22
«ABI» Mode .................................................... 23–24
Special Functions
Hiding measurement values ................................ 25
Mean arterial pressure and pulse pressure ......... 26
Atrial brillation detection ............................. 27–28
ABI (Ankle Brachial Index) ..................................29
Viewing and transferring Measurements
Viewing measurements in memory .............. 30–31
Viewing MAP and PP ............................................ 31
Transferring measurements .......................... 32–33
Appendix
Rechargeable battery and power adaptor .......... 34
Troubleshooting ................................................... 35
Error messages ............................................... 36–37
Safety, care, accuracy test and disposal ......... 38–39
Technical specications ....................................... 40
Table of Contents

6
L
R
AUSCULT.
ROUTINE
SCREEN
ABI ROUTINE SCREEN
MAP
IAD
I/O switch
Main Adaptor Socket
Battery Compartment
Cuff Socket (L)
Cuff Socket (R)
Recharge Indicator
Display
M Button (Memory)
Mode Switch
Start/Stop Button
DC 7.5V 2.0A
DC 7.5V 2.0A
Product description
Name of parts
Serial Port

7EN
Mean Arterial Pressure (MAP)
Pulse Pressure (PP)
Mode Indication
External Power
Atrial Fibrillation Detection
Rest and Arm Position Reminder
Supine Position Reminder
Battery Symbol
Hide Display
Memory Mode
ABI indicator and Pulse Rate
Heart Beat
L/R Cuff
Value for Left Arm
Systolic Value
Diastolic Value
Inter-arm Difference
Value for Right Arm
Systolic Value
Diastolic Value
ABI
ROUTINE
SCREEN
INDEX
IAD
Display

8
WatchBP Of ce ABI, components and accessories
WatchBP Of ce ABI
Blood Pressure Device
AC Adaptor X1
(Input: 100-240V~50/60Hz 0.48A
Output: +7.5V 2A)
Cuff for upper arm
M size (22cm~32cm) X2
L size (32cm~42cm) X2
Instruction Manual X 1
Quick Start Guide X 1
AUSCULT.
ROUTINE
SCREEN
ABI ROUTINE SCREEN
MAP
IAD
AUSCULT.
ROUTINE
SCREEN
ABIROUTINE SCREEN
MAP
IAD
L
R
ROUTINEAUSCULT.IAD
I/O switch
Main Adaptor Socket
BatteryCompartment
CuffSocket (L)
CuffSocket (R)
DC7.5V2.0A
Product description
Quick start guide
Flip over the quick startguide to see ‘How to take blood pressure measurement in three different modes’.
Printed2009 August
Artery Mark
CuffConnector
Recharge Indicator
Start/Stop Button
Mode Switch
M Button (Memory)
AUSCULT.
ROUTINE
SCREEN
ABIROUTINE SCREEN
MAP
IAD
INDEXLINE
22-32cm
8.7-12.6inches
Msize
WatchBP
2-3cm
2-
3cm
LEFTRIGHT
OK
ARTERYMARK
Artery Mark
R
I/O
wi
t
ch
C
w
t
o
R
echa
S
tart/
M Bu
Instruction Manual
Bedienungsanleitung
Mode d’emploi
Manuale di istruzioni
EN 3DE 43 FR 83 IT 123
Cuff for ankle
M size (22cm~32cm) X1
INDEXLINE
8
LEF
Serial Port Connecting Cable

EN
9
Selective Cuffs for upper arm and ankle
M (Medium size,
standard delivered)
22 - 32 cm (8.7 - 12.6 inches)
With air tube 130 cm
* Please contact Microlife or its distributor to purchase L-XL size or other size cuffs.
L (Large size, standard delivered)
32-42 cm (12.6-16.5 inches)
With air tube 130 cm
INDEXLINE
22-32cm
8.7-12.6inches
Msize
WatchBP
2-3cm
2-
3cm
LEFTRIGHT
OK
ARTERYMARK
INDEXLINE
WatchBP
2-3cm
2-
3cm
LEFTRIGHT
OK
ARTERYMARK
32 - 42 cm
12.6 - 16.5 inches
L size
M (Medium size, standard delivered)
22 - 32 cm (8.7 - 12.6 inches)
With air tube 200 cm
L-XL (Large to extra arge size,
to be ordered)
32-52 cm (12.6-20.5 inches)
With air tube 130 cm
For upper arm
For ankle
INDEXLINE
22-32cm
8.7-12.6inches
Msize
WatchBP
2-3cm
2-
3cm
LEFTRIGHT
OK
ARTERYMARK
INDEXLINE
WatchBP
2-3cm
2-
3cm
LEFTRIGHT
OK
ARTERYMARK
32 - 42 cm
12.6 - 16.5 inches
L size
L (Medium size, to be ordered)
32 - 42 cm (12.6 - 16.5 inches)
With air tube 200 cm

10
M (Medium size)
22 - 32 cm (8.7 - 12.6 inches)
With air tube 130 cm
L (Large size)
32-42 cm (12.6 - 16.5 inches)
With air tube 130 cm
Before using WatchBP Of ce ABI
Selecting the correct cuff
Two different sizes of cuffs for upper arms are provided
with the WatchBP Of ce ABI: Medium and Large. Use
the cuff marker to select the cuff size that best matches
the circumference of the patient’s upper arm.
Fitting the cuff properly
1) Place the cuff over the left (or right) upper
arm so that the air tube and artery mark
arrow point toward the lower arm.
2) Lay the cuff on the arm. Make sure that the
lower edge of the cuff lies approximately 2 to
3cm ( ¾ to 1 inch) above the elbow.
Connect the cuff to the device by inserting the cuff
connector into the cuff connector socket.
2-3 cm
(3/4 to 1 inch)
R
R

EN
11
3) Wrap and tighten the cuff around the arm.
4) Leave a little free space between the arm of
the patient and the cuff. Two ngers should t
between the arm and the cuff. Clothing must not
constrict the arm. Remove all clothing covering or
constricting the measurement arm.
5) It may result in incorrect blood pressure readings
if the cuffs are not tted properly. Use a different
size cuff if the range Index at the end of the cuff
does not fall into the range specied by the
range stripes.
6) Apply the same steps to the other arm if a double
arm measurement is required.
* The range index of cuff should
fall into this range.

12
Application of the ankle cuff
(in ABI mode)
1) The patient has to lie down in supine position.
2) Place the ankle cuff on the leg. Make sure the
edge of the ankle cuff lies approximately 2 to 3cm
( ¾ to 1 inch) above the ankle and notice that the
artery mark is on the posterior tibial artery.
INDEXLINE
8
LEF
INDEXLINE
8
LEF
INDEXLINE
8
LEF
INDEXLINE
8
LEF
posterior tibial artery.
2-3 cm
(3/4 to 1 inch)
3) Wrap and tighten the cuff around the leg.
4) Leave a little free space between the leg of
the patient and the cuff. Two ngers should t
between the leg and the cuff.
INDEXLINE
8
LEF
INDEXLINE
8
LEF

EN
13
Three operation modes
AUSCULT.
ROUTINE
SCREEN
ABI ROUTINE SCREEN
MAP
IAD
«ABI» Mode
Select «ABI» Mode for Ankle-Brachial
measurement. Select the arm with the higher
blood pressure value as determined with the
«SCREEN» Mode
Select an operation mode
The WatchBP Ofce ABI device includes three
operation modes: «ABI», «ROUTINE», and «SCREEN»
(Inter-arm difference). Use the Mode Switch to select
the desired mode.
ABI ROUTINE SCREEN
ABI ROUTINE SCREEN
ABI ROUTINE SCREEN
ABI ROUTINE SCREEN
ABI ROUTINE SCREEN ABI ROUTINE SCREEN

14
ABI ROUTINE SCREEN
ABI ROUTINE SCREEN
ABI ROUTINE SCREEN
«ROUTINE» Mode
Select «ROUTINE» Mode to perform automated
duplicate measurements on the preferred arm for
prompt and accurate ofce measurements.
Automated triple measurements
In «ROUTINE» Mode, the WatchBP Ofce ABI device
automatically takes three consecutive measurements
at 15 second intervals on default. The readings of
these three measurements are averaged to produce
the routine visit blood pressure measurement.
*The user can manually set measurement intervals of
15, 30, 45 or 60 seconds in ROUTINE Mode. (Please
refer to special functions section page 19 “Setting
measurement intervals”)
15 sec.
1 2
Three operation modes (cont.)
3
15 sec.

EN
15
Simultaneous dual-arm measurements
In «SCREEN» Mode, the WatchBP Ofce ABI device
measures the patient’s blood pressure on both
arms simultaneously, which helps to determine
the arm with the highest blood pressure value and
reveals other potential cardiovascular risks.
«SCREEN» Mode
Select «SCREEN» Mode to complete fully-
automated triple measurements on both arms
according to recommended ESH/AHA blood
pressure measurement protocols for a patient’s
rst ofce visit.
ABI ROUTINE SCREEN ABI ROUTINE SCREEN
ABI ROUTINE SCREEN

16
Automated triple measurements
In «SCREEN» Mode, the WatchBP Ofce ABI
device automatically takes three consecutive
measurements on both arms at xed one minute*
intervals. The results of these three measurements
are then averaged to conclude the blood pressure
measurement.
*Themeasuringintervalsarexedatoneminutein
SCREEN mode.
*The arm with the higher blood pressure value should
be taken for ABI measurement or future blood pressure
measurements.
60 sec. 60 sec.
1 2 3
Determine the proper arm and inter-arm
difference
If the difference of blood pressure readings between
two arms is more than 20mmHg for Systolic or
10mmHg for Diastolic at all three measurements,
the device indicates the arm with the higher blood
pressure value by displaying L or R and the “IAD” icon.
The “IAD” icon and readings of the higher arm ash to
indicate that more attention is needed.
SCREEN
IAD
L
IAD
Three operation modes (cont.)

EN
17
«SCREEN» Mode
1) Turn on the power – Turn on the device by
switching the I/O switch at the back of the device
to the ON position.
3) Switch to «SCREEN» Mode – Slide the Mode
Switch to «SCREEN» Mode.
*Additional visual instruction can be found on the cuff
4) Ination by fuzzy logic – The device will adjust
ination pressure by fuzzy logic technology.
2) Apply the cuff – Properly t one cuff to each of
the patient’s arms.
DC 7.5V 2.0A
DC 7.5V 2.0A
ABI ROUTINE SCREEN ABI ROUTINE SCREEN
ABI ROUTINE SCREEN
Taking measurements using WatchBP Ofce ABI

18
5) Start measurements – Press the Start/Stop
Button to start the measurement sequence.
6) Three consecutive measurements – The device
will take three consecutive measurements with
one minute intervals between measurements.
60-second
countdown...
60
seconds
60
seconds
*A60-secondcountdownwillproceedtherst
measurement .
12 3
7) The average value of the measurements –
The average value will be displayed after the
measurements.
If one of the three measurements failed, a
fourth measurement will be conducted.
* If the third measurements are cancelled by pressing
the Start/Stop after the second measurement, the
averages are calculated and saved to the memory as
well.
* Please refer to special functions section page 18
“Taking less than three measurements”
SCREEN SCREEN
SCREEN SCREEN
Taking measurements using WatchBP Ofce ABI (cont.)

EN
19
«ROUTINE» Mode
1) Turn on the power – Turn on the device by
switching the I/O switch at the back of the device
to the ON position.
3) Switch to «ROUTINE» Mode – Slide the Mode
Switch to «ROUTINE» Mode.
4) Select the ination cuff – Set the device to
the preffered measurement side (left or right).
Press and hold the M Button for 3 seconds.
2) Apply the cuff – Properly t one cuff to the
preferred measurement arm.
Press and hold
for 3 seconds...
*Additional visual instruction can be found on the cuff
DC 7.5V 2.0A
DC 7.5V 2.0A
ABI ROUTINE SCREEN
ABI ROUTINE SCREEN
ABI ROUTINE SCREEN

20
5) Press the M Button to switch between left(L) and
right(R). Press the Start/Stop Button to save the
setting.
6) Start measurements – Press the Start/Stop
Button to start the measurements.
15-second
countdown...
ROUTINEROUTINE
ROUTINE
7) Three consecutive measurements –
The device will take three consecutive
measurements with 15 second intervals in
between on default.
15
seconds
12
*The user can manually set the measurement intervals
of 15, 30, 45 or 60 seconds in ROUTINE Mode. (Please
refer to special functions section page 19 “Setting up
measurement intervals”)
8) Ination by fuzzy logic – The device will adjust
ination pressure by fuzzy logic technology.
9) The average value of the measurements–
The average values will be displayed when the
measurements are completed and will be saved
to the memory automatically.
Taking measurements using WatchBP Ofce ABI (cont.)
15
seconds
3

EN
21
Taking less than three measurements
The measurement sequence can be stopped at
anytime by pushing the Start/Stop Button in
«SCREEN» or «ROUTINE» Mode. The device enters
stand-by and the remaining measurements are
cancelled. Average of the measurements is saved
and can be viewed by pushing the M Button.
Skipping the countdown time
The 60 seconds countdown before measurement in
«SCREEN» Mode and 15 seconds in «ROUTINE» Mode
can be skipped by pushing the Start/Stop Button.
While the Start/Stop Button is pushed, the device will
immediately begin the next measurement.
*The device can be set into Stand-by Mode by pressing
the Start/Stop Button after the completion of
measurements. The device will automatically switch to
Stand-byModeifleftunattendedforveminutes.
Cancel remaining
measurements at
anytime during
the measurement
sequence.
Skip the countdown time
and begin measurement.
Stand by mode

22
Setting measuring intervals in «ROUTINE»
Mode
1) Pressing and holding the Start/Stop Button for 3
seconds.
Press and hold
for 3 seconds...
2) Press the M Button to adjust the measurement
interval, then press the Start/Stop Button to
conrm, the device will go back to stand-by
Mode.
15 30
60
45
AUSCULT
*The default measuring interval is 15 seconds. The
interval can be set as 15, 30, 45 or 60 seconds.
Taking measurements using WatchBP Ofce ABI (cont.)