Mocacare MOCAarm User manual

Instruction For Use

01 MEDICAL DISCLAIMER
01 INTENDED USE
02 ABOUT BLOOD PRESSURE
05 PRECAUTIONS
07 DEVICE OVERVIEW
09 SYMBOL DEFINITIONS
11 FEATURES
14 BLUETOOTH TRANSMISSION
16 INSTALLING BATTERIES
17 USING THE AC/DC ADAPTER
17 APPLYING THE CUFF
20 MEASUREMENT PROCEDURE
24 MEMORY FUNCTION
27 STORAGE AND MAINTENANCE
29 LIMITED WARRANTY
30 TROUBLESHOOTING
32 SPECIFICATIONS
34 NOTE
36 CAUTION
38 APPENDIX
43 BLOOD PRESSURE DIARY
44 DOWNLOAD MOCACARE APP
Automatic Upper Arm Blood PressureAutomatic Upper Arm Blood Pressure
MonitorMonitor
Model Number: MOCAarm

| 01 |
MEDICAL DISCLAIMER
This manual and product are not meant as a substitute for advice
provided by your doctor.
You are not to use the information contained herein, or this product
for diagnosing or treating a health problem or prescribing any
medication. If you have or suspect that you have a medical problem,
promptly consult your healthcare provider.
INTENDED USE
This device uses the oscillometric method to automatically measure
systolic and diastolic blood pressure as well as heart rate.
The measurement position is at human being’s arm.
All values can be read out in one LCD panel. The device is designed
for home use and recommended for use by adults aged 18 years
and older with upper arm circumference ranging from 9 inches to 13
inches (approx.23 cm to 33 cm) and for home use.
MOCAarm detects the appearance of irregular heartbeats during
measurement; an indicated symbol will appear with measuring
reading. And the BP Category Indicator will show the information
with the readings on the screen for the user tracking their blood
pressure level.

| 02 |
1. What is blood pressure?
Blood pressure is the measurement of the force of blood pushing
against the walls of the arteries. Arterial blood pressure is
constantly fluctuating during the course of the cardiac cycle. The
highest pressure in the cycle is called the systolic blood pressure,
and represents the pressure in the artery when the heart is beating.
The lowest pressure is the diastolic blood pressure, and represents
the pressure in the artery when the heart is at rest. Both the systolic
and the diastolic pressure are necessary for a physician to evaluate
the status of a patient's blood pressure.
Many factors such as physical activity, anxiety or the time of day, can
influence your blood pressure. Blood pressure is typically low in the
mornings and increases from the afternoon to the evening. It is on
average lower in the summer and higher in the winter.
2. Why is it useful to measure blood pressure at home?
Having one's blood pressure measured by a doctor in a hospital or
a clinic, is often associated with a phenomenon called “White Coat
Hypertension” where the patient becomes nervous or anxious, thus
raising his blood pressure. There are also numerous other factors
that might cause your blood pressure to be raised at a specific
time of day. This is why medical practitioners recommend home
monitoring as it is important to get readings of blood pressure
during different times of the day to really get an idea of your real
blood pressure.
Medical practitioners generally recommend the “Rule of 3”, where
you are encouraged to take your blood pressure three times in a
row (at 3 ~ 5 minute interval), three times a day for three days. After
three days you can average all the results and this will give you an
accurate idea of what your blood pressure really is.
ABOUT BLOOD PRESSURE

| 03 |
WHO blood pressure classifications:
Standards for assessment of high or low blood pressure without
regard to age, have been established by the World Health
Organization (WHO), as shown in the chart.
However this chart is not exact for classification of blood pressure
and it's intended to be used as a guide in understanding non-invasive
blood pressure measurements. Please consult with your physician
for proper diagnosis.
Severe Hypertension
Moderate Hypertension
Mild Hypertension
Hight-Normal
Normal
Optimal
120 130 140 150 160 170 180
110
105
100
95
90
85
80
DIASTOLIC
(mmHg)
SYSTOLIC (mmHg)
DIASTOLIC BLOOD PRESSURE
SYSTOLIC BLOOD PRESSURE
●Green ●Yellow ●Orange ●Red ●Red ●Red

| 04 |
Variations in blood pressure:
Individual blood pressures vary greatly both on a daily and a
seasonal basis. These variations are even more pronounced in hyper
tense patients. Normally the blood pressure rises while at work and
is at its lowest during sleeping period.
(hyper tense: means a person who has high blood pressure symptom.)
The graph below illustrated the variations in blood pressure over a
whole day with measurement taken every five minutes.
The thick line represents sleep. The rise in blood pressure at 4 PM (A in
the graph) and 12 PM (B in the graph) correspond to an attack of pain.
Time (Direct arterial pressure recording in unrestricted man.
Beven, Honour & Stott: Clin. Sci. 36:329. 1969)
A B
Blood Pressure (mmHg)
12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11
160
140
120
100
80
60
40
20

| 05 |
*Read the Instruction Manual thoroughly before measuring and
keep it at hand for your reference at any time.
*The device is designed for home use and not suitable for clinical
use.
* The patient is an intended operator, who can operate the device by
himself or herself, not necessarily by a physician or operator.
*This monitor is not intended for use in the MR environment.
● Do not take a measurement in a low (less than 5℃/ 41 ℉) and high (more
than 40 ℃/ 104 ℉) temperature, nor in a place outside humidity ranges (15
% ~ 93 % R.H.), and atmospheric pressure ranges (700 ~ 1060 hPa), or you
may get inaccurate readings.
● Wait 30 ~ 45 minutes before measurement if you’ve just consumed caffeinated
beverages or smoked cigarettes.
● Rest at least 5 ~ 10 minutes before taking a measurement.
To allow your blood vessels to return to the condition prior to taking the
measurement, please wait at least 3 ~ 5 minutes in between measurements.
You may need to adjust the wait time according to your personal physiological
situation.
● We recommend you using the same arm (preferably the left arm) and
measuring around the same time each day.
● Perform measurements in a quiet and relaxed environment at room
temperature.
● Do not move or shake the device during a measurement. Please keep quiet
and do not talk during measurements.
● This product is not suitable for:
．Pregnant women
．People with arrhythmias
．Undergoing intravenous injection on any limb
．Currently in a dialysis treatment
．In pre-eclampsia condition
● For those who have had mastectomy surgery (especially whose’ lymph nodes
removed), it’s recommend take a measurement on the unaffected side.
PRECAUTIONS

| 06 |
Attention!
．Do not use the device on infants, children, or those who cannot express their own
intention. To avoid accidental strangulation, keep this product away from children
and do not drape tube around neck.
．The medical device should not use adjacent to or stacked with other equipment. In
case adjacent or stacked use is necessary. The medical device should be observed
to verify normal operation in the configuration in which it will be used.
．Consider the electromagnetic compatibility of the device (ex. power disturbance,
radio frequency interference etc.) Please use it indoor only.
．Over high frequency measurements may result in blood flow interference, which is
likely to cause uncomfortable sensations, such as partial subcutaneous hemorrhage,
or temporary numbness to your arm. In general, these symptoms should not last
long. However, if you do not recover in time, please seek your medical practitioners
for help.
● When used among medical electronic equipments on the same limb,
pressurization of the cuff may cause temporarily malfunction to other
devices.
● If you have one of the circulatory problems as arteriosclerosis, diabetes, liver
disease, kidney disease, severe hypertension, peripheral circulation….., please
consult your healthcare professional before using the device.
● Blood pressure measurements taken with this device are equivalent to those
obtained by a trained observer using the cuff / stethoscope auscultation
method and are within the accuracy limits prescribed by the Standard of EN
1060-4.
●If the cuff is worn incorrectly, or the shape of the upper arm is special
(for example, the circumference of the upper arm differs largely from the
circumference of the forearm), excessive gap might occur between the arm
cuff and the arm, and it might lead to measurement errors or inaccuracies.
If you have any question about the condition of cuff wearing and/or
measurement result, please consult your healthcare professional.
●The applied part is cuff.

| 07 |
DEVICE OVERVIEW
Part names and product components
89
1 2 10
4563 7
11
12

| 08 |
Caution!
Substitution of a component different from that supplied might result in
measurement error.
Arm Cuff Hole
LCD Display
Mode Button
Down Button
START / STOP Button
Memory Button
UP Button
Bluetooth Indicator
BP Category Indicator
DC Jack
6V 1A AC/DC Adapter (Excluded)
Blood Pressure Cuff
Cuff Extension Tube
Storage Case
AAA “LR03” (1.5V)
Alkaline Battery X 4
1
2
3
4
5
6
7
8
9
10
11
12
13
14
13 14

| 09 |
Hour : Minute
(Also represents YEAR in
Setting Mode)
Systolic Pressure
BP Category Indicator
Diastolic Pressure
SYMBOL DEFINITIONS
Unit display
Month / Date
Bluetooth Symbol
Blood Pressure Unit
Memory Record Number
Low Battery Symbol
Pulse Symbol
Irregular Heartbeat Detector
Heart Rate
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
11
11
12
12

| 10 |
Symbols Definitions
Low Battery Symbol
This symbol appears when the battery power is excessively low or
the polarity reverses.
* We suggest you replace all batteries with new ones, and make
sure the +/- polarities are properly positioned.
Pulse Symbol
Once pulse is detected, the symbol flashes with each pulse beat.
* Our suggestion:
Please do not talk or move during measurements.
Irregular Heartbeat
Detector
This symbol appears for 1 minute when the user was talking,
moving, shaking, or an irregular heart beat was detected during
measurements.
* Our suggestion:
Please do not talk or move during measurements.
Repeat the measurement after resting for at least 5 minutes, and
restart your measurement while sitting down comfortably and
quietly.
Bluetooth Symbol
LCD displays this symbol when Bluetooth is active.
BP Category Indicator
The arrowhead points out the specific BP Category that your
measurement reading fits in.

| 11 |
FEATURES
BP Category Indicator
This device is equipped with BP Category Indicator which classifies
your blood pressure measurements into six stages (Optimal to
Severe hypertension) as shown in below chart:
Stages of Blood
Pressure Levels
Systolic
(mmHg)
Diastolic
(mmHg) Color Recommendations by SIGN 49:
Hypertension in older people
Grade 3 Severe
Hypertension ≧180 ≧110 Red
Confirm immediately and repeat
BP in one day and again within
one week depending on clinical
situation.
Grade 2 Moderate
Hypertension 160 ~ 179 100 ~ 109 Red Serial blood pressures repeated
within one month.
Grade 1 Mild
Hypertension 140 ~ 159 90 ~ 99 Red
Provide advice about lifestyle
modification and confirm within
two months.
High-Normal 130 ~ 139 85 ~ 89 Orange
Provide advice about lifestyle
modification and recheck in one
year.
Normal 120 ~ 129 80 ~ 84 Yellow Recheck in 2 - 5 years.
(patients aged > 75 years offered
annual health check)
Optimal < 120 < 80 Green
*Source: WHO, 2003

| 12 |
Severe Hypertension
Moderate Hypertension
Mild Hypertension
Hight-Normal
Normal
Optimal
120 130 140 150 160 170 180
110
105
100
95
90
85
80
DIASTOLIC
(mmHg)
SYSTOLIC (mmHg)
DIASTOLIC BLOOD PRESSURE
SYSTOLIC BLOOD PRESSURE
●Green ●Yellow ●Orange ●Red ●Red ●Red
After each measurement is completed, LCD display will show your
position automatically on the six segments of the bar indicator which
corresponds to BP Category Indicator.
Note!
．When a person’s systolic and diastolic pressures fall into different categories, the
higher category should apply.
e.g. systolic rate 181 & diastolic rate 99 →Red category (Severe Hypertension)
e.g. systolic rate 110 & diastolic rate 95 →Red category (Mild Hypertension)
Note!
．The above table is not exact for classification of blood pressure and it's intended to
be used as a guide in understanding non-invasive blood pressure measurements.
Usually this is not a cause for concern; however we recommend you consult
with your physician for proper diagnosis or seek medical advice according to our
recommendation mentioned above. Please note that the device does not appropriate
to diagnose hypertension, and it is only for user reference on blood pressure
monitoring.

| 13 |
Note!
．The pulse display is not suitable for checking the frequency of heart pacemarkers.
If a certain pulse irregularity is detected during measurement often, we recommend
you seek medical advice.
．As a safeguard, we recommend that if you have arrhythmias such as atrial or
ventricular premature beats and atrial fibrillation or any other special conditions
you should check with your physician before using your device.
．The IHB function is not designed for use by people with arrhythmias nor for
diagnosing or treating an arrhythmic problem. In order to filter the unstable status
of user and avoid affecting the detection of heart rate from any movement, shaking
or talking in the beginning of measurement, the method of averaging heart beat
intervals of subject device is calculated with the three proper heart beat pulses
detected in the beginning of measurement and that is different from a strict
mathematical averaging of all recorded intervals.
．At least 3 beats with at least 25% difference from the average heart beat interval
will generate the IHB icon on the screen.
Irregular Heartbeat Detector
The symbol will appear on screen indicating a certain heartbeat
irregularity was detected during measurement.
The heartbeat rhythm that is more than or less than 25% from the
average rhythm is usually defined as an irregular heartbeat rhythm.
Talking, moving, shaking or an irregular pulse during the
measurement can result in the appearance of this symbol.
Usually this is not a cause for concern, however if the symbol
appears often, we recommend you seek medical advice.
And please note that the device does not replace a cardiac examination,
but serves to detect pulse irregularities at an early stage.

| 14 |
BLUETOOTH TRANSMISSION
Bluetooth Communication Function
MOCAarm features a built-in Bluetooth Communication function, which
enables the device automatically transmit measuring results to paired
Bluetooth device. When connection established, BPM would transmit
memory data such as Measure Date, Systolic Pressure, Diastolic
Pressure and Pulse Rate to the Bluetooth device.
Before attempting to sync the device with your smart device, make
sure Bluetooth function is turned ON in both your smart device and the
monitor, and make sure your Bluetooth-enabled device have downloaded
the App.
Bluetooth feature ON Bluetooth feature OFF
Transmit Readings
1. There are 2 ways to activate Bluetooth function.
Turning Bluetooth Feature ON/OFF
1.This function default setting is on. Under standby mode, user can
switch the function ON or OFF. By pressing “ ” button the device will
enter to setting year, date & time first. When these setting are done,
press the “ ” button again, press or button to turn Bluetooth
function ON or OFF.
a. Automatically activate:
When measurement completed, the device activates Bluetooth function
automatically, and Bluetooth symbol will flash on the screen.
b. Manually activate:

| 15 |
Note!
．MOCAarm is subject to and complies with electromagnetic compatibility (EMC)
standard of EN 60601-1-2, EN 301 489-1, EN 301 489-17, EN 300 328 and U.S. federal
guidelines, Part 15 of the FCC (Federal Communications Commission) rules for
devices with RF capability. These guidelines help ensure that your device will not
affect the operation of other nearby devices. Additionally, other devices should not
affect the use of your device.．As a safeguard, we recommend that if you have
arrhythmias such as atrial or ventricular premature beats and atrial fibrillation or
any other special conditions you should check with your physician before using your
device.
．Other wireless devices that are in use nearby, such as a cell or mobile phone, or a
wireless network, may prevent or delay the transmission of data from your device to
paired Bluetooth device. Moving away from the source of the interference or turning
off these devices to resolve the problem.
．Make sure MOCAarm and paired Bluetooth device are within acceptable distance (no
more than 10 meters) with each other. If not, put them closer.
．If you plan to transmit test results to paired Bluetooth device, be sure to select User
1, 2, or 3 before measurements, in case other people’s results may be transmitted to
your paired Bluetooth device or included in your past results.
．Be sure to select the correct User on the monitor before your blood pressure
measurement begins.
．Bluetooth date transmission is not available under measurement.
Under standby mode, user can press the “ ” button for 3 seconds to
activate Bluetooth function, and Bluetooth symbol will flash on the
screen.
2. If MOCAarm is connected successfully to your smart device, Bluetooth
symbol will appear on the screen.
3. If the monitor cannot be connected to paired Bluetooth-enabled
device over 45 seconds, LCD will display Error message “E4” and
Bluetooth will be turned off.
App for Bluetooth
Download and install “MOCACARE” app on your smart device from Google
Play or App store. System requirement of the Bluetooth-enabled device.
Bluetooth 4.2 for Android 4.3 or above
Bluetooth 4.2 for iOS 7.0 or above

| 16 |
Attention!
．Batteries are hazardous waste. Do not dispose of them together with the household
garbage. Please discard worn-out batteries to the recycling site according to local
regulations.
．Keep the battery away from children in case they choke on it.
．To prolong the battery life and prevent damage caused by leakage, remove the
batteries from the device if the device is not to be used for a long period.
．The device will keep the last measuring results after changing batteries, please
reset date and time.
．Please replace all worn-out batteries with new ones when you are operating the
Bluetooth communication function, and the LOW BATTERY SYMBOL appears
on the display.
INSTALLING BATTERIES
When LOW BATTERY SYMBOL appears on the display, or no
reaction toward operation, please change batteries.
Replace all worn-out batteries with new ones and do not mix new
and used batteries. Do not mix alkaline, standard (carbon-zinc) or
rechargeable (cadmium) batteries either. Such action may shorten
the battery life or cause the device to malfunction.
Slide the battery cover and insert 4 AAA (1.5V,LR03) alkaline
batteries into the battery compartment as shown on the figure
below. Make sure the polarities “+” and “–” ends are coinciding with
similar markings engraved on the battery housing.

| 17 |
Note!
．No batteries are needed when operating with an AC/DC adapter.
．Please unload the batteries when operating with an AC/DC adapter for an extended
period of time.
．Leaving the batteries in the compartment for a long time may cause leakage, which
may lead to damage of the unit.
．Recommend Adapter specification, do not use otherwise:
Model: SINPRO, HPU15-102
Rating:
Input: 100 ~ 240V, AC, 47 ~ 63 Hz, 0.4 ~ 0.2 A
Output: 6V, DC, 1A,
Note!
When you use the blood pressure monitor with AC/DC adapter, do not position the
device to make it difficult to disconnect the adapter plug.
APPLYING THE CUFF
● Wrap the cuff on a bare arm or over thin clothing. Thick clothing
or a rolled up sleeve will cause inaccurate blood pressure
measurements.
● Press your brachial artery approximately 2 ~ 3 cm (approx.1 inch)
above the elbow on the inside of your left arm to determine where
your strongest pulse is.
● Slide the end of arm cuff furthest from the tube through the metal
ring to a loop. The smooth cloth should be on the inside of the cuff.
● If the cuff is located correctly, the velcro will be on the outside of
the cuff and metal ring will not touch your skin.
USING THE AC/DC ADAPTER
This monitor is designed for operation with batteries or an AC/DC
adapter.
Please use only a compatible AC/DC adapter with required voltage
and current as indicated in this manual.