microlife B2 Plus Blood Pressure Monitor User Manual

microlife B2 Plus Blood Pressure Monitor

Preparation

1. Sit on a back-supported chair and keep your legs uncrossed.
2. Avoid thick or close-fitting garments on the upper arm.
3. Place the artery-mark on the cuff over your artery.
4. Fit the cuff closely, but not too tight.
5. Position the cuff 2-3 cm above your elbow.
6. Keep your arm still and do not speak during the measurement.

Overview

Before each measurement

1. Avoid eating bathing smoking and cafeine
2. Avoid activity and relax for 5-10 min.
3. Measure before medication intake.

Guarantee Card

• Name of Purchaser
• Serial Number
• Date of Purchase
• Specialist Dealer

Instruction

1. ON/OFF button
2.  Display
3.  M-button (memory)
4.  Time/ User Button
5.  Cuff Socket
6.  Mains Adapter Socket
7.  Battery Compartment
8.  Cuff
9.  Cuff Connector
10.  CuffTube
11. Systolic Value
12.  Diastolic Value
13.  Pulse Rate
14. 8. Battery Display
15.  Traffic Light Indicator
16.  Stored Value
17.  Pulse Indicator
18.  Cuff Fit Check
19.  Suboptimal Cuff Fit
20.  Arm Movement Indicator «Err 2»
21.  Cuff Pressure Check «Err 3»
22. Cuff Signal Indicator «Err 1»
23. Pulse Arrhythmia Indicator (PAD)
24. Date/Time
25. MAM Mode
26. User Indicator

Intended use:

This oscillometric blood pressure monitor is intended for measuring non- invasive blood pressure in people aged 12 years or older. It is clinically validated in patients with hypertension, hypotension, diabetes, pregnancy, pre-eclampsia, atherosclerosis, end-stage renal disease, obesity and the elderly.
Dear Customer,
This device was developed in collaboration with physicians and clinical tests carried out prove its measurement accuracy to be of a very high standard.* If you have any questions, problems or want to order spare parts please contact your local Microlife-Customer Service. Your dealer or pharmacy will be able to give you the address of the Microlife dealer in your country. Alternatively, visit the internet at www.microlife.com where you will find a wealth of invaluable information on our products.

Using the Device for the First Time

Inserting the batteries
After you have unpacked your device, first insert the batteries. The battery compartment 7 is on the bottom of the device. Insert the batteries (4 x 1.5 V, size AA), thereby observing the indicated polarity

Setting the date and time

1. After the new batteries are fitted, First the MAM-iconBL ( flashes in the display, You can set ON/OFF by pressing the M- button 3, press the Time button 4 to confirm, Then the year number flashes in the display. Set the year by pressing the M-button 3. To confirm and then set the month, press the Time button 4.
2.  Press the M-button to set the month. Press the time button to confirm and then set the day.
3.  Follow the instructions above to set the day, hour and minutes.
4.  Once you have set the minutes and pressed the time button, the date and time are set and the time is displayed.
5.  If you want to change the date and time, press and hold the Time button for approx. 3 seconds, you need confirm MAM mode first and then you can enter the new values of date and time as described above.

Selecting the correct cuff
Microlife offers different cuff sizes. Select the cuff size to match the circumference of your upper arms (measured by close fitting in the centre of the upper arm).

Checklist for Taking a Reliable Measurement

• Avoid activity, eating or smoking immediately before the measurement.
• Sit down on a back-supported chair and relax for 5 minutes. Keep the feet flat on the floor and do not cross your legs.
• Always measure on the same arm (normally left). It is recom-mended that doctors perform double arm measurements on a patients first visit in order to determine which arm to measure in the future. The arm with the higher blood pressure should be measured.
• Remove close-fitting garments from the upper arm. To avoid constriction, shirt sleeves should not be rolled up – they do not interfere with the cuff if they are laid flat.
• Always ensure that the correct cuff size is used (marking on the cuff).
  • Fit the cuff closely, but not too tight.
  • Make sure that the cuff is positioned 2 cm above the elbow.
  • The artery mark on the cuff (ca. 3 cm long bar) must lie over the artery which runs down the inner side of the arm.
  • Support your arm so it is relaxed.
  • Ensure that the cuff is at the same height as your heart.

Taking a Blood Pressure Measurement

1.  Select standard (single measurement) or MAM mode (automatic double measurement): see details in chapter «1.».
2.  Press the ON/OFF button 1 to start the measurement.
3.  The cuff will now pump up automatically. Relax, do not move and do not tense your arm muscles until the measurement result is displayed. Breathe normally and do not talk.
4.  The cuff fit check AR on the display indicates that the cuff is perfectly placed. If the icon AR-A appears, the cuff is fitted suboptimally, but it is still ok to measure.
5.  When the correct pressure is reached, the pumping stops and the pressure falls gradually. If the required pressure was not reached, the device will automatically pump some more air into the cuff.
6.  During the measurement, the pulse indicator AQ flashes in the display.
7.  The result, comprising the systolic AK and the diastolic AL blood pressure and the pulse rate AM is displayed. Note also the explanations on further display symbols in this booklet.
8.  When the device has finished measuring, remove the cuff.
9.  Switch off the device. (The monitor does switch off automatically after approx. 1 min.).

Manual inflation In case of high systolic blood pressure (e.g. above 135 mmHg),
it can be an advantage to set the pressure individually. Press the ON/OFF button after the monitor has been pumped up to a level of approx. 30 mmHg (shown on the display). Keep the button pressed until the pressure is about 40 mmHg above the expected systolic value – then release the button.

How not to store a reading
As soon as the reading is displayed press and hold the ON/OFF button 1 until «M» AP is flashing. Confirm to delete the reading by pressing the time button 4.

How do I evaluate my blood pressure?
The triangle on the left-hand edge of the display AO points at the range within which the measured blood pressure value lies. The value is either within the optimum (white), elevated (hatched gray) or high (black) range. The classification corresponds to the following ranges defined by international guidelines (ESH, ESC, JSH). Data in mmHg.

The higher value is the one that determines the evaluation. Example: a blood pressure value of 140/80 mmHg or a value of 130/90 mmHg indicates «blood pressure too high».
Appearance of the Pulse Arrhythmia (PAD)
This symbol BT indicates that certain pulse irregularities were detected during the measurement. In this case, the result may deviate from your normal blood pressure – repeat the measure-ment. In most cases, this is no cause for concern. However, if the symbol appears on a regular basis (e.g. several times a week with measurements taken daily) we advise you to tell your doctor. Please show your doctor the following explanation:

Information for the doctor on frequent appearance of the Arrhythmia indicator
This device is an oscillometric blood pressure monitor that also analyses pulse irregularity during measurement. The device is clinically tested. The arrhythmia symbol is displayed after the measurement, if pulse irregularities occur during measurement. If the symbol appears more frequently (e.g. several times per week on measurements performed daily) we recommend the patient to seek medical advice. This device does not replace a cardiac examination, but serves to detect pulse irregularities at an early stage.

Data Memory

This device automatically stores the last 60 measurement values.
Viewing the stored values
Press the M-button 3 briefly, when the device is switched off. The display first shows «M» AP and «3A», which stands for the average of 3 stored values in last 10 minutes. Pressing the M-button again displays the previous value. Pressing the M-button repeatedly enables you to move from one stored value to another.

• Blood pressure readings with suboptimal cuff fit AR-A are not considered in the average value.
• Pay attention that the maximum memory capacity of 60 memories is not exceeded. When the 60 memory is full, the oldest value is automatically overwritten with the 61st value. Values should be evaluated by a doctor before the memory capacity is reached – otherwise data will be lost.

Clearing all values
If you are sure that you want to permanently remove all stored values, hold down the M-button (the device must have been switched off beforehand) until «CL ALL» appears and then release the button. To permanently clear the memory, press the time button while «CL ALL» is flashing. Individual values cannot be cleared.  Cancel deletion:

Battery Indicator and Battery change

Low battery
When the batteries are approximately¾ empty the battery symbol~ will flash as soon as the device is switched on (partly filled battery displayed). Although the device will continue to measure reliably, you should obtain replacement batteries

Flat battery – replacement
When the batteries are flat, the battery symbol~ will flash as soon as the device is switched on (flat battery displayed). You cannot take any further measurements and must replace the batteries.

1. open the battery compartment (j) at the back of the device.
2.  Replace the batteries – ensure correct polarity as shown by the symbols in the compartment.
3.  To set dale and lime, follow the procedure described in «Section 1.».

Which batteries and which procedure?

• Use 4 new, long-life 1.5 V, size AA alkaline batteries.
• Do not use batteries beyond their date of expiry.
•  Remove batteries if the device is not going to be used for a prolonged period.

Using rechargeable batteries
You can also operate this device using rechargeable batteries.

• Only use «NiMH» type reusable batteries.
•  Batteries must be removed and recharged when the flat battery symbol appears. They should not remain inside the device as they may become damaged (total discharge as a result of low use of the device, even when switched off).
• Always remove the rechargeable batteries if you do not intend to use the device for a week or more.
• Batteries cannot be charged in the blood pressure monitor. Recharge batteries in an external charger and observe the information regarding charging, care and durability.

Using a Mains Adapter
You can operate this device using the Microlife mains adapter (DC 6V, 600 mA).

1.  Plug the adapter cable into the mains adapter socket® in the blood pressure monitor.
2.  Plug the adapter plug into the wall socket. When the mains adapter is connected, no battery current is consumed.

Error Messages

« Err 1 »

@

| Signal too weak| The pulse signals on the cuff are too weak. Re-position the cuff and repeat the measurement•.
« Err 2 »

@-B

| Error signal| During the measuremen,t error signals were detected by the cuff, caused for instance by movement or muscle tension. Repeat the measurement, keeping your

arm still.

« Err 3»

@ -C

| Abnormal cuff pressure| An adequate pressure cannot be gener­ ated in the cuff. A leak may have occurred. Check that the cuff is correctly connected and is not too loose. Replace the batteries

if necessary. Repeat the measurement.

« Err 5 »| Abnormal result| The measuring signals are inaccurate and no result can therefore be displayed. Read through the checklist for performing reli-

able measurements and then repeat the measurement.•

«Err 6»| MAM Mode| There were too many errors during the measurement in MAM mode, making it impossible to obtain a final result. Read through the checklist for performing reliable measurements and then repeat

the measurement.•

« HI »| Pulse or cuff pressure too high| The pressure in the cuff is too high (over 299 mmHg) OR the pulse is too high (over

200 beats per minute). Relax for 5 minutes and repeat the measurement.•

« LO »| Pulse too low| The pulse is too low (less than 40 beats per minute). Repeat the measurement.•

Safety, Care, Accuracy Test and Disposal

• Follow instructions for use. This document provides important product operation and safety information regarding this device. Please read this document thoroughly before using the device and keep for future reference.
•  This device may only be used for the purposes described in these instructions. The manufacturer cannot be held liable for damage caused by incorrect application.
•  This device comprises sensitive components and must be treated with caution. Observe the storage and operating conditions described in the «Technical Specifications» section.
•  Protect it from: water and moisture extreme temperatures impact and dropping contamination and dust direct sunlight heat and cold
•  The cuffs are sensitive and must be handled with care.
•  Do not exchange or use any other kind of cuff or cuff connector for measuring with this device.
•  Only pump up the cuff once fitted.
•  Do not use this device close to strong electromagnetic fields such as mobile telephones or radio installations. Keep a minimum distance of 3.3 m from such devices when using this device.
•  Do not use this device if you think it is damaged or notice anything unusual.
•  Never open this device.
•  If the device is not going to be used for a prolonged period the batteries should be removed.
•  Read the additional safety information provided within the individual sections of this instruction manual.
•  The measurement results given by this device is not a diagnosis. II is not replacing the need for the consultation of a physician, especially if not matching the patient’s symptoms. Do not rely on the measurement result only,
• lways consider other potentially occurring symptoms and the patient’s feedback. Calling a doctor or an ambulance is advised if needed.
•  Permanently high blood pressure values can damage your health and must be treated by your doctorl
•  Always discuss your values with your doctor and tell him/her if you have noticed anything unusual or feel unsure. Never rely on single blood pressure readings.
•  Under no circumstances should you alter the dosages of drugs or initiate a treatment without consulting your doctor.
•  Deviations between measurements taken by your doctor or in the pharmacy and those taken at home are quite normal, as these situations are completely different.
•  The pulse display is not suitable for checking the frequency of heart pacemakers!
•  If you are pregnant, you should monitor your blood pressure regularly as it can change drastically during this time. ~ Ensure that children do not use this device unsupervised; \e!Y some parts are small enough to be swallowed. Be aware of the risk of strangulation in case this device is supplied with cables or tubes. Device care Clean the device only with a soft, dry cloth. Cleaning the cuff Clean the cuff by using a clean cloth with clear water or 1 % condensed bleach, then stay at shady & cool place until natural air dry.
  WARNING : Do not wash the cuff in a washing machine or dishwasher!

Accuracy test

We recommend this device is tested for accuracy every 2 years or after mechanical impact (e.g. being dropped). Please contact your local Microlife- Service to arrange the test (see foreword).

Technical Specifications

• Operating conditions: 10 – 40 °C / 50 – 104 °F 15 – 95 % relative maximum humidity
• Storage conditions: -20 – +55 °C /-4-+131 °F
• Weight: 15 – 95 % relative maximum humidity 284 g (including batteries)
• Dimensions: 120 x 87 x 59mm
• display range: 0-299 mmHg
• Resolution: 1 mmHg
• Static accuracy: pressure within ± 3 mm Hg
• Pulse accuracy: ± 5 % of the readout value
• Voltage source: 4 x 1.5 V alkaline batteries; size AA
• Reference to EN 1060-1 /-3 /-4; IEC 60601-1;

Expected service life: Device : 5 years or 10000 measurements Cuff: 2 years or 10000 measurements This device complies with the requirements of the Medical Device Directive 93/42/EEC. Technical alterations reserved.

References

• Hypertension and Fever Management - Microlife AG

Read User Manual Online (PDF format)

Read User Manual Online (PDF format)  >>

Download This Manual (PDF format)

Download this manual  >>