Mocacare MOCACuff User manual

Instruction Manual
Automatic Wrist Blood Pressure Monitor
Medical grade
technology
meets elegant,
compact design.

Medical Disclaimer
Intended Use
About Blood Pressure
Measurement Method
Accuracy
Precautions
Device Overview
Symbol Denitions
Features
Installing Batteries

Medical Disclaimer
Intended Use
About Blood Pressure
Measurement Method
Accuracy
Precautions
Device Overview
Symbol Denitions
Features
Installing Batteries
02
02
03
06
07
08
12
14
16
23
Table of Contents
Applying the Cu
Positioning Guide
Measurement Procedure
Memory Function
Bluetooth Transmission
Storage and Maintenance
Troubleshooting
Warranty & Recalibration
Specications
Note
Appendix
25
26
27
31
33
35
37
39
40
42
46

2
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
MOCACuff automatically measures human’s Systolic, Diastolic blood
pressure and heart rate by using the oscillometric method during deation.
All values can be read out in one LCD panel. Measurement position is at
human being’s wrist. The intended use of this over-the-counter device is
for adults aged 18 years and older with wrist circumference ranging from
5.3 inches to 7.7 inches (approx. 135 mm to 195 mm) and for home use.
MOCACuff detects the appearance of irregular heartbeats during
measurement; an indicated symbol will appear with measuring reading.
And the Risk Category Indicator will show the information with the
readings on the screen for the user tracking their blood pressure level.

3
Blood pressure is the measurement of the force of blood pushing against
the walls of the arteries. Arterial blood pressure is constantly uctuating
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.
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 specic time of day.
Why is it useful to measure blood pressure at home?
What is blood pressure?
About Blood Pressure

4
WHO blood pressure classications
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
classication 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.
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.
Severe Hypertension
Moderate Hypertension
Mild Hypertension
High-Normal
Normal
Optimal
110
130 140 160 180150 170120
105
100
95
90
85
80
Diastolic
(mmHg)
Systolic
(mmHg)
Red
Red
Red
Orange
Yellow
Green
n

5
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.
23222120 11101918171615141312
140
120
100
80
60
40
20
160
24 8765432
blood pressure (mmHg)
Time
A B
(Direct arterial pressure recording in unrestricted man.
Beven, Honour & Stott: Clin. Sci. 36:329. 1969)
1 9

6
Measurement Method
MOCACuff Automatic Wrist Blood Pressure Monitor measures
blood pressure and heart rate by oscillometric method, meaning
the fluctuations in pressure are measured. Once the cuff is
wrapped around your wrist, just turn on the monitor and inflation
automatically starts. The ination of the cu creates pressure around
the arteries inside the wrist.
Within the cu is a gauge which senses the uctuations (oscillations)
in pressure. The fluctuation measured represents the degree of
intensity that your arteries contracting with each heart beat, and
also a result of the pressure that the cu has placed on the wrist. The
monitor measures these contractions and converts the information to
a digital value. This is the result displayed on the monitor screen.
Once the measurement is complete, the cu will automatically deate.
NOTE
• The patient is an intended operator.
• The applied part is the cu.

7
Accuracy
MOCACuff Automatic Wrist Blood Pressure Monitor has been
clinically tested against a scientific device called a mercury
sphygmomanometer, considered the gold standard in blood pressure
measurement.
All MOCACuff Automatic Wrist Blood Pressure Monitors have
performed equivalent to measurements taken with this scientific
device and are within the accuracy limits prescribed by the American
National Standard for Electronic or Automated Sphygmomanometers.
The SPHYGMOMANOMETER was clinically investigated according
to the requirements of ISO 81060-2:2013.
• We suggest our users have their blood pressure monitor checked every
2 years. This operation should only be performed by Manufacturer or
by authorized representatives.

8
Precautions
• Do not use this manual and product as a substitute
for advice, diagnosing or treating a health problem or
prescribing any medication by your doctor. If you
have a medical problem, promptly consult your
healthcare provider.
• Read the Instruction Manual thoroughly before
measuring and keep it at hand for your reference at
any time.
• This device uses the oscillometric method to measure
systolic and diastolic blood pressure as well as your
heart rate. It’s recommended for use by people over
the age of 18 and not to be used on infant or children.
• The device is designed for home use and not suitable for
clinical use.
• This monitor is not intended for use in the MR environment.
• Do not take a measurement in a low (less than 41 °F/5 °C) and
high (more than 104 °F/40 °C) 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.

9
• 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 wrist (preferably the left
wrist) and measuring around the same time each day.
• Sit down comfortably and place your elbow on the table with
your feet at on the oor. Please do not cross your legs during
measurements.
• Keep the device at heart level. Relax your hand with the palm facing up.
• 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: 1. Pregnant women 2. People
with arrhythmias 3. Undergoing intravenous injection on any limb
4. Currently in a dialysis treatment 5. 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.
• When used among medical electronic equipments on the same
limb, pressurization of the cuff may cause temporarily malfunction
to other devices.

10
• Keep in mind that blood pressure naturally varies from time to
time through out the day and is aected by lots of dierent
factors such as stress, eating, smoking, alcohol consumption,
medication, and physical activity, etc.
• Normally the blood pressure rises while at work and is at
its lowest during sleeping period.
• Blood pressure measurements should be interpreted by a
physician or a trained health professional who is familiar with
your medical history. Using the unit and recording the results
regularly for your physician to interpret, you will keep your
physician informed of the continuing changes in your blood
pressure.
• 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 American National Standard for Manual,
electronic, or Automated Sphygmomanometers.
• Results are not intended for direct diagnosis. Please consult with a
physician if you have any questions or concerns about your results.

11
1. Do not use the device on infants, children, or those who cannot
express their own intention.
2. The device is equipped with sensitive electronic components.
While measuring, avoid strong electrical or electromagnetic
elds, e.g. mobile phones, microwave ovens, etc; or it may lead
to temporary reading error or inaccuracy.
3. Consider the electromagnetic compatibility of the device (ex.
power disturbance, radio frequency interference etc.) Please use
it indoor only.
4. Over high frequency measurements may result in blood ow
interference, which is likely to cause uncomfortable sensations,
such as partial subcutaneous hemorrhage, or temporary
numbness to your wrist. In general, these symptoms should not
last long. However, if you do not recover in time, please seek
your medical practitioners for help.
ATTENTION

12
Device Overview
Risk
Category
Indicator
LCD
Display
Start/Stop
Button
Set
Button
(AAA "LR03"(1.5V)
Alkaline Battery x 2 )
Product components
Mode
Button Memory
Button
Storage Case
Substitution of a component dierent from that supplied might result in
measurement error.
CAUTION

13
Start/Stop
Button
Unit display
Device Overview
Month / Date
Risk
Category
Indicator
Systolic Rate
Bluetooth Symbol
Blood Pressure Unit
Low Battery Symbol
Memory Record
Number
Irregular Heartbeat
Detector Heart Rate Diastolic Rate
Hour : Minute
(Also represents YEAR
in Setting Mode)
Pulse Symbol

14
Symbol Definitions
SYMBOLS DEFINITIONS
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.
Once pulse is detected, the symbol
ashes with each pulse beat.
Our suggestion: Please do not talk or
move during measurements.
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.
LOW BATTERY
SYMBOL
PULSE SYMBOL
IRREGULAR
HEARTBEAT
DETECTOR

15
LCD displays this symbol when
Bluetooth Function turns ON.
The arrowhead points out the specic
Risk Category that your measurement
reading ts in.
This symbol goes along with gures
according to the order of reading
stored in the memory.
BLUETOOTH
SYMBOL
RISK
CATEGORY
INDICATOR BAR
MEMORY
RECORD
SYMBOL
SYMBOLS DEFINITIONS

16
Features
Risk Category Indicator
This device is equipped with Risk Category Indicator which classies
your blood pressure measurements into six stages (Optimal to Severe
hypertension) as shown in below chart:
Stages of Blood
Pressure Levels
Grade 3
Severe Hypertension
Grade 2
Moderate Hypertension
Grade 1
Mild Hypertension
Optimal
High-Normal
Normal
Sytolic
(mmHg)
Diastolic
(mmHg)
≥180
160~179
140~159
130~139
120~129
<120
≥110
100~109
90~99
85~89
80~84
<80
Red Confirm immediately and repeat BP in one day and
again within one week depending on clinical situation.
Serial blood pressures repeated within one month.
Provide advice about lifestyle modification and confirm
within two months.
Provide advice about lifestyle modification and
recheck in one year.
Recheck in 2-5 years. (patients aged > 75
years offered annual health check)
Red
Red
Orange
Yellow
Green
After each measurement is completed, LCD display will show your
position automatically on the six segments of the bar indicator which
corresponds to Risk Category Indicator.
Recommendations by SIGN49:
Hypertension in older people
Color
*Source: WHO,2003

17
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.
NOTE
When a person’s systolic and diastolic pressures fall into dierent
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)
The above table is not exact for classication of blood pressure and it's
intended to be used as a guide in understanding non-invasive blood
pressure measurements.
Severe Hypertension
Moderate Hypertension
Mild Hypertension
High-Normal
Normal
Optimal
110
130 140 160 180150 170120
105
100
95
90
85
80
Diastolic
(mmHg)
Systolic
(mmHg)
Red
Red
Red
Orange
Yellow
Green

18
Features
Irregular Heartbeat Detector
NOTE
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 dened 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.
• The pulse display is not suitable for checking the frequency of
heart pacemakers. If a certain pulse irregularity is detected
during measurement often, we recommend you seek medical advice.