Microlife BP A3L Comfort Blood Pressure Monitor

Manufacturer: Microlife AG, Espenstrasse 139, 9443 Widnau / Switzerland

Website: www.microlife.com

Introduction

Dear Customer,

Your new Microlife blood pressure monitor is a reliable medical device for taking measurements on the upper arm. It is simple to use, accurate and highly recommended for blood pressure monitoring at home. Developed in collaboration with physicians, clinical tests prove its measurement accuracy to be of a very high standard.*

Please read these instructions carefully to understand all functions and safety information. We want you to be happy with your Microlife product. For questions, problems, or spare parts, contact your local Microlife-Customer Service. Your dealer or pharmacy can provide the address of your country's Microlife dealer. Alternatively, visit www.microlife.com for invaluable product information.

Stay healthy - Microlife AG!

* This device is tested according to the ESH protocol and ISO81060-2:2013.

Read the instructions carefully before using this device. ⚕️ Type BF applied part ? Keep dry

Device Overview

Main Unit Components:

  • 1: ON/OFF button
  • 2: Display
  • 3: Cuff Socket
  • 4: Battery Compartment
  • 5: Mains Adapter Socket
  • 6: Cuff
  • 7: Cuff Connector
  • 8: USB Port
  • 9: MAM Switch
  • 10: User Switch
  • 11: M-button (memory)
  • 12: Time Button

Display Indicators:

  • 13: User Indicator
  • 14: Battery Display
  • 15: Date/Time
  • 16: Systolic Value
  • 17: Diastolic Value
  • 18: Pulse Rate
  • 19: Traffic Light Indicator
  • 20: MAM Interval Time
  • 21: Pulse Indicator
  • 22: Cuff Check Indicator
  • 23: MAM Mode
  • 24: Pulse Arrhythmia Indicator (PAD)
  • 25: Arm Movement Indicator
  • 26: Stored Value

Important Facts about Blood Pressure and Self-Measurement

Blood pressure is the pressure of blood flowing in arteries, generated by the heart's pumping. Two values are measured: systolic (upper) and diastolic (lower).

The device also indicates pulse rate (heartbeats per minute).

Warning: Permanently high blood pressure values can damage your health and require medical treatment.

Always discuss your readings with your doctor and report any unusual observations or uncertainty. Never rely on single readings.

High blood pressure can have various causes. Your doctor will explain these and recommend treatment. Lifestyle changes like weight loss and exercise can also help lower blood pressure.

Crucially: Never alter medication dosages prescribed by your doctor.

Blood pressure fluctuates significantly throughout the day based on activity and condition. Take measurements under the same quiet, relaxed conditions. For reliable results, take at least two readings (morning and evening) and average them.

It is normal for two consecutive measurements to differ. The MAM technology is recommended for this reason.

Differences between home and clinical readings are normal due to differing conditions.

Multiple measurements provide more reliable information than a single one; MAM technology is recommended.

Allow a break of at least 15 seconds between measurements.

If you have an irregular heartbeat, consult your doctor for evaluation of measurements.

The pulse display is not for checking pacemaker frequency.

During pregnancy, monitor blood pressure closely as it can change drastically.

This monitor is tested for use in pregnancy and pre-eclampsia. If unusual high readings occur during pregnancy, re-measure after 4 hours. If still high, consult your doctor or gynecologist.

How to Evaluate Blood Pressure

The following table classifies home blood pressure values in adults according to international guidelines (ESH, AHA, JSH) in mmHg.

Range Systolic Diastolic Recommendation
Blood pressure too low < 100 < 60 Consult your doctor
1. Blood pressure optimum 100 - 130 60 - 80 Self-check
2. Blood pressure elevated 130 - 135 80 - 85 Self-check
3. Blood pressure too high 135 - 160 85 - 100 Seek medical advice
4. Blood pressure dangerously high ≥ 160 ≥ 100 Urgently seek medical advice!

Evaluation is based on the higher value. Example: 140/80 mmHg or 130/90 mmHg indicates "blood pressure too high".

Using the Device for the First Time

Inserting the Batteries

After unpacking, insert batteries into compartment 4 (bottom of device). Ensure correct polarity for 4 x 1.5 V AA batteries.

Setting the Date and Time

  1. After inserting batteries, the year flashes. Set year using M-button 11. Press Time button 12 to confirm and set month.
  2. Set month with M-button 11. Press Time button 12 to confirm and set day.
  3. Follow similar steps for hour and minutes.
  4. After setting minutes and pressing Time button 12, date and time are displayed.
  5. To change date/time, press and hold Time button 12 for ~3 seconds until year flashes. Re-enter values as described.

Selecting the Correct Cuff

Choose cuff size based on upper arm circumference (measured snugly at mid-upper arm):

Cuff Size Circumference of Upper Arm
M 22 - 32 cm
M - L 22 - 42 cm
L 32 - 42 cm

Optional preformed "Easy" cuffs are available. Use only Microlife cuffs. Contact Microlife Service if the enclosed cuff 6 does not fit.

Connect the cuff to the device by inserting connector 7 into socket 3.

Selecting the User

The device stores results for 2 users. Before each measurement, set User Switch 10 for User 1 or User 2.

Selecting the Measuring Mode: Standard or MAM Mode

Choose between standard (single measurement) or MAM (automatic triple measurement). Slide MAM Switch 9 downwards for standard (position '1') and upwards for MAM (position '3').

MAM Mode (Highly Recommended)

In MAM mode, 3 measurements are taken automatically in succession, then analyzed and displayed. This provides a more reliable result due to blood pressure fluctuations.

  • The MAM symbol 23 appears when MAM mode is selected.
  • The display shows 1, 2, or 3 to indicate the current measurement number.
  • A 15-second break occurs between measurements, with a countdown timer.

Taking a Blood Pressure Measurement

Checklist for a Reliable Measurement:

  1. Avoid activity, eating, or smoking before measurement.
  2. Sit down and relax for at least 5 minutes before measuring.
  3. Always measure on the same arm (usually left). If measuring on both arms for the first time, use the arm with the higher reading for subsequent measurements.
  4. Remove tight clothing from the upper arm. Sleeves should not be rolled up if they cause constriction; flat sleeves are fine.
  5. Ensure correct cuff size and fit.
  6. Fit cuff snugly but not too tight.
  7. Position cuff 2 cm above the elbow.
  8. Align the artery mark on the cuff (approx. 3 cm bar) with the arm artery on the inner side.
  9. Support your arm relaxed.
  10. Ensure cuff is at heart level.
  11. Press ON/OFF button 1 to start.
  12. The cuff inflates automatically. Relax, do not move, tense muscles, or talk. Breathe normally.
  13. Measurement occurs during inflation; speed may vary.
  14. Pulse indicator 21 flashes during measurement.
  15. The result (systolic 16, diastolic 17, pulse 18) is displayed. Refer to booklet for other symbols.
  16. Remove cuff after measurement.
  17. Switch off device (auto-off after ~1 min).

How Not to Store a Reading

Press and hold ON/OFF button 1 until 'M' 26 flashes. Press M-button 11 to confirm deletion.

You can stop a measurement anytime by pressing the ON/OFF button 1 (e.g., if feeling uneasy).

Pulse Arrhythmia Indicator (PAD)

Symbol 24 indicates pulse irregularities detected during measurement. Results may differ from normal. If the symbol appears regularly (e.g., several times a week), consult your doctor.

Information for the Doctor: This device analyzes pulse irregularity. The symbol appears if irregularities occur during measurement. Seek medical advice if frequent. The device detects irregularities early but does not replace a cardiac examination.

Traffic Light Indicator

Bars on the left of the display 19 show the blood pressure range: green (optimum), yellow (elevated), orange (too high), red (dangerously high), corresponding to international guidelines.

PC-Link Functions

Connect to a PC using Microlife Blood Pressure Analyser (BPA) software. Download software from www.microlife.com if CD/cable is not included. Use a USB cable with a Mini-B 5-pin connector.

Installation and Data Transmission

  1. Insert CD into PC's CD-ROM drive; installation starts automatically. If not, run "SETUP.EXE".
  2. Connect monitor to PC via cable. Device does not need to be switched on. Three horizontal bars appear on display for 3 seconds.
  3. Bars flash to indicate successful connection. Buttons are disabled while connected. The computer controls the device. Refer to the "help" file for software instructions.

Data Memory

Stores up to 99 measurement values per user (for 2 users).

Viewing Stored Values

Select User 1 or 2 with switch 10. With the device off, briefly press M-button 11. Display shows 'M' 26 and 'A' (average). Subsequent presses cycle through stored values.

Memory Full

Memory capacity is 99 values per user. The oldest value is overwritten when full. Consult a doctor before memory is full to avoid data loss.

Clearing All Values

Ensure correct user is selected. With device off, set switch 10 to 1 or 2. Hold M-button 11 until 'CL' appears, then release. Press M-button 11 while 'CL' flashes to clear all values for that user. Cancel deletion by pressing ON/OFF button 1. Individual values cannot be cleared.

Battery Indicator and Battery Change

Low Battery

When batteries are ~1/4 empty, battery symbol 14 flashes on startup. Device still measures reliably, but replacement batteries should be obtained.

Flat Battery - Replacement

When batteries are flat, symbol 14 flashes on startup. No further measurements are possible. Replace batteries:

  1. Open battery compartment 4.
  2. Replace batteries, observing polarity.
  3. Reset date and time as per Section 2. The year will flash automatically.

Batteries and Procedure

Use 4 new, long-life 1.5 V AA alkaline batteries. Do not use expired batteries. Remove batteries if the device will not be used for a prolonged period.

Using Rechargeable Batteries

Use only "NiMH" type rechargeable batteries. Remove and recharge them when the flat battery symbol appears. Do not leave them in the device, as they may be damaged by deep discharge. Always remove rechargeable batteries if not using the device for a week or more. Batteries cannot be charged in the monitor; use an external charger.

Using a Mains Adapter

Operate the device using the Microlife mains adapter (DC 6V, 600 mA). Use only genuine Microlife adapters. Ensure adapter and cable are undamaged.

  1. Plug adapter cable into mains adapter socket 5.
  2. Plug adapter into wall socket.

Battery power is not consumed when the mains adapter is connected.

Error Messages

If an error occurs during measurement, the process stops and an error message (e.g., 'ERR 3') is displayed.

Error Description Potential Cause and Remedy
ERR 1 Signal too weak Pulse signals too weak. Re-position cuff and repeat measurement.*
ERR 2 25 Error signal Cuff detected errors due to movement or muscle tension. Repeat measurement, keeping arm still.
ERR 3 22 No pressure in cuff Adequate cuff pressure not generated; possible leak. Check cuff connection and fit. Replace batteries if necessary. Repeat measurement.
ERR 5 Abnormal result Measurement signals inaccurate; result cannot be displayed. Follow checklist for reliable measurements and repeat.*
ERR 6 MAM Mode Too many errors in MAM mode; final result unobtainable. Follow checklist for reliable measurements and repeat.*
HI Pulse or cuff pressure too high Cuff pressure > 299 mmHg OR pulse > 200 bpm. Relax for 5 minutes and repeat measurement.*
LO Pulse too low Pulse < 40 bpm. Repeat measurement.*

* Consult your doctor if problems recur. If results seem unusual, review Section 1.

Safety, Care, Accuracy Test, and Disposal

Safety and Protection

  • Use device only as described in this booklet. Manufacturer is not liable for damage from incorrect use.
  • Device contains sensitive components; handle with care. Observe storage/operating conditions in "Technical Specifications".
  • Protect from: water/moisture, extreme temperatures, impact/dropping, contamination/dust, direct sunlight, heat/cold.
  • Cuffs are sensitive; handle gently.
  • Do not use other cuffs or connectors.
  • Pump cuff only when fitted.
  • Avoid strong electromagnetic fields (e.g., mobile phones, radios). Maintain minimum 3.3m distance.
  • Do not use if damaged or unusual.
  • Never open the device.
  • Remove batteries for prolonged periods of non-use.
  • Read additional safety information in relevant sections.

Measurement results are not a diagnosis and do not replace medical consultation, especially if symptoms don't match. Consider other symptoms and patient feedback. Seek medical attention or call an ambulance if needed.

Ensure children do not use the device unsupervised due to small parts (swallowing risk) and potential strangulation risk from cables/tubes.

Device Care

Clean the device with a soft, dry cloth only.

Cleaning the Cuff

Gently remove spots with a damp cloth and soapy water. WARNING: Do not wash the cuff in a washing machine or dishwasher!

Accuracy Test

Recommended every 2 years or after mechanical impact (e.g., dropping). Contact local Microlife-Service for testing.

Disposal

Dispose of batteries and electronic devices according to local regulations; do not discard with household waste.

Guarantee

The device has a 5-year guarantee from the date of purchase. Valid with a dealer-completed guarantee card or receipt confirming purchase date.

  • Batteries and wear parts are not covered.
  • Opening or altering the device voids the guarantee.
  • Guarantee does not cover damage from improper handling, discharged batteries, accidents, or non-compliance with instructions.
  • Cuff has a 2-year guarantee for bladder tightness. Contact local Microlife-Service.

Technical Specifications

Operating conditions: 10 - 40 °C / 50 - 104 °F; 15 - 95 % relative maximum humidity

Storage conditions: -20 - +55 °C / -4 - +131 °F; 15 - 95 % relative maximum humidity

Weight: 385 g (including batteries)

Dimensions: 143 x 85 x 58 mm

Measuring procedure: Oscillometric, corresponding to Korotkoff method: Phase I systolic, Phase V diastolic

Measurement range: 20 - 280 mmHg (blood pressure); 40 - 200 beats per minute (pulse)

Cuff pressure display range: 0 - 299 mmHg

Resolution: 1 mmHg

Static accuracy: Pressure within ± 3 mmHg

Pulse accuracy: ± 5 % of the readout value

Voltage source: 4 x 1.5 V alkaline batteries (AA); Mains adapter DC 6V, 600 mA (optional)

Battery lifetime: Approx. 580 measurements (with new batteries)

IP Class: IP20

Reference to standards: EN 1060-1 /-3 /-4; IEC 60601-1; IEC 60601-1-2 (EMC); IEC 60601-1-11

Expected service life: Device: 5 years or 10000 measurements; Accessories: 2 years

This device complies with Medical Device Directive 93/42/EEC. Technical alterations reserved.

Date of production: First four digits of serial number (week/year).

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