Select The Measuring Mode: Standard Or Mam Mode; Mam Mode; Taking A Blood Pressure Measurement Using This Instrument; How Not To Store A Reading - Microlife BP A200 AFIB Manual

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Optional preformed cuffs «Easy» are available.
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Only use Microlife cuffs.
Contact Microlife Service if the enclosed cuff 6 does not fit.
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Connect the cuff to the instrument by inserting the cuff
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connector 7 into the cuff socket 4 as far as it will go.

Select the measuring mode: standard or MAM mode

This instrument enables you to select either standard (standard
single measurement) or MAM mode (automatic triple measure-
ment). To select standard mode, slide the MAM switch AK on the
side of the instrument downwards to position «1» and to select
MAM mode, slide this switch upwards to position «3».

MAM Mode

In MAM mode, 3 measurements are automatically taken in succes-
sion and the result is then automatically analysed and displayed.
Because the blood pressure constantly fluctuates, a result deter-
mined in this way is more reliable than one produced by a single
measurement. AFIB detection is activated in MAM mode.
 After pressing the ON/OFF button 1, the selected MAM mode
appears in the display as the MAM-symbol BK.
 The bottom, right hand section of the display shows a 1, 2 or 3 to
indicate which of the 3 measurements is currently being taken.
 There is a break of 15 seconds between the measurements
(15 seconds are adequate according to «Blood Pressure Moni-
toring, 2001, 6:145-147» for oscillometric instruments). A count
down indicates the remaining time and a beep will sound
5 seconds before the 2nd and 3rd readings will begin.
 The individual results are not displayed. Your blood pressure
will only be displayed after all 3 measurements are taken.
 Do not remove the cuff between measurements.
 If one of the individual measurements was questionable, a
fourth one is automatically taken.
4. Taking a Blood Pressure Measurement using this
Instrument
Checklist for taking a reliable measurement
1. Avoid activity, eating or smoking immediately before the
measurement.
2. Sit down for at least 5 minutes before the measurement and relax.
3. Always measure on the same arm (normally left).
4. 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.
4
5. 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 located 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.
6. Press the ON/OFF button 1 to start the measurement.
7. 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.
8. When the correct pressure is reached, the pumping stops and the
pressure falls gradually. If the required pressure was not reached,
the instrument will automatically pump some more air into the cuff.
9. During the measurement, the heart symbol BT flashes in the
display every time a heartbeat is detected.
10.The result, comprising the systolic AM and the diastolic AN
blood pressure and the pulse AO is displayed. Note also the
explanations on further displays in this booklet.
11.When the measurement has finished, remove the cuff.
12.Enter the result in the enclosed blood pressure pass and switch
off the instrument. (The monitor does switch off automatically
after approx. 1 min.).

How not to store a reading

Press the ON/OFF button 1 while the reading is being displayed.
Keep the button pressed until «M» AS is flashing and then release
it. Confirm by pressing the M-button again.
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You can stop the measurement at any time by pressing the
ON/OFF button (e.g. if you feel uneasy or an unpleasant
pressure sensation).
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If the systolic blood pressure is known to be very high,
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.
5. Appearance of the Atrial Fibrillation Indicator for
early Detection (only in MAM mode)
This symbol AP indicates that an atrial fibrillation was detected
during the measurement. This device is able to detect atrial fibrilla-