Instructions for Use

Detailed instructions

This chapter contains all the information required by users of the device for safe, correct and accurate measurement. It includes a detailed and complete description of all the functions of the device, safety instructions and all the information required to understand the operation of the device.

5.1 FIRST TIME USE

5.1.1 BASIC FUNCTIONALITIES

MESI mTABLET BP package consists out of a MESI TUBELESS CUFF UNIT diagnostic device and 2 tubeless cuffs. Before first use, the MESI TUBELESS CUFF UNIT needs to be paired with MESI mTABLET UNIT. Follow the instructions carefully.

5.1.2 AC/DC POWER SUPPLY AND BATTERY

The MESI TUBELESS CUFF UNIT uses two power sources. The mains electricity, using an AC/DC power supply for charging and battery power while performing measurement.

Connect the AC/DC power supply to a wall socket with a mains voltage of 100-240 V at 50-60 Hz and to the connector at the back of the device. The device is now recharging its battery. During this process the light on the module will be flashing yellow. Only when the device is completely charged it will start flashing green. For more information see chapter 5.5 MULTIFUNCTIONAL LED BUTTON.

5.1.3 ACTIVATION

When setting up the MESI TUBELESS CUFF UNIT for the first time, it needs to be activated out of the shipping mode. The device will not respond until it is placed on the MESI LARGE CHARING PLATE and a multifunctional button illuminates. It is recommended that, before initial use, the MESI TUBELESS CUFF UNIT is fully charged.

NOTE: The battery inside a completely new device is most likely not completely empty and can provide enough power to start the device up. Nonetheless, connect the device to the mains electricity using the AC/DC power supply before first use.

NOTE: When the battery needs to be replaced, the MESI mTABLET UNIT will display a battery warning. For more information see chapter 8 ERRORS.

5.1.4 FIRST USE BATTERY STATUS

The MESI TUBELESS CUFF UNIT comes with an internal battery. To check the battery status, press multifunctional button on top of MESI TUBELESS CUFF UNIT. The button will respond by lighting up green or red depending on the battery state. Otherwise, see the chapter 6.1 CHARGING THE BATTERY for more information on battery charging.

5.1.5 PAIRING

Before any measurements can be performed the MESI TUBELESS CUFF UNIT has to be paired with the MESI mTABLET UNIT. Take the MESI mTABLET UNIT and open user profile (for more information about user accounts see the USER PROFILE Chapter of the MESI mTABLET Instruction Manual) and observe the following instructions.

Step 1

Go to User profile > Settings > Modules > +Add module

MESI mTABLET BP - Pairing - Step 1

Step 2

Press and hold the button on the top of the MESI TUBELESS CUFF UNIT until the multifunctional button light changes to blue.

MESI mTABLET ABI - Pairing - Step 2

Step 3

When the MESI mTABLET UNIT establishes a connection with MESI TUBELESS CUFF UNIT, the light on top of the module will change green. Confirm the pairing process by pressing the button on top of the module again.

MESI mTABLET BP - Pairing - Step 3

NOTE: While operating only with one MESI mTABLET UNIT, performing this operation is required only once. In case of more MESI mTABLET UNITS this process will have to be repeated on each MESI mTABLET UNIT.

Step 4

The final screen indicates successful connection between the MESI mTABLET UNIT and the MESI TUBELESS CUFF UNIT. It is possible to access all technical information about the connected modules in User profile >Settings > Modules > Connected modules

MESI mTABLET BP - Pairing - Step 4

5.1.6 ATTACHING THE CUFFS

Before first use, cuffs should be disconnected from the MESI TUBELESS CUFF UNIT. The conical cuff can be orientated any way to the MESI TUBELESS CUFF UNIT. To connect the cuff, follow the next steps:

Step 1

Hold MESI TUBELESS CUFF UNIT firmly in your hands.

MESI mTABLET ABI - Attaching the cuffs - Step 1

Step 2

Attach cuff to the MESI TUBELESS CUFF UNIT. You will hear a click sound when the tubeless cuff is securely attached.

MESI mTABLET ABI - Attaching the cuffs - Step 2

5.1.7 DETACHING THE CUFFS

During transportation, each conical cuff should be disconnected from the MESI TUBELESS CUFF UNIT. To detach the cuff, follow the next steps:

Step 1

Hold MESI TUBELESS CUFF UNIT firmly in your hands.

Step 2

Push the sliding lock in the direction indicated on it and detach the conical cuff.

MESI mTABLET ABI - Detaching the cuffs

5.2 PATIENT SELECTION

Before performing a measurement, patient needs to be selected or added to your working groups a patient list.

5.2.1 SELECTING A PATIENT

Step 1

Select the patient tab button.

MESI mTABLET ABI - Selecting a patient - Step 1

Step 2

Use the search bar (1) or scroll (2) to the patient who is having their blood pressure measured.

MESI mTABLET ABI - Selecting a patient - Step 2

Step 3

Select the patient.

MESI mTABLET ABI - Selecting a patient - Step 3

5.2.2 ADDING A PATIENT

Step 1

On your home screen, press the + button in the Patient tab.

MESI mTABLET ABI - Adding a patient - Step 1

Step 2

Fill out required fields (Name, Surname, Date of Birth and Gender) and any additional information regarding the patient.

MESI mTABLET ABI - Adding a patient - Step 2

Step 3

Save the patient by pressing the ✔️ button.

MESI mTABLET ABI - Adding a patient - Step 3

5.3 PERFORMING BLOOD PRESSURE MEASUREMENT

During the test it is important that the patient is sitting comfortably, legs uncrossed, feet flat on the floor, has the back, elbow and forearm supported, palm-side up. Patient must relax as much as possible and not talk during the measurement procedure. Blood pressure reading can be affected by measurement site, the position of the patient (standing, sitting, lying down), exercise, or the patient´s physiologic condition.

NOTE: It is recommended that the patient lies still for at least 5 minutes before starting the measurement process.

NOTE: The person carrying out the measurement should always remain by the patient’s side and closely monitor the measurement process.

NOTE: Factors which can affect the performance of the automated sphygmomanometer and affect blood pressure reading are: common arrhythmias such as arterial or ventricular premature beats or atrial fibrillation, arterial sclerosis, poor perfusion, diabetes, age, pregnancy, pre-eclapsia, renal diseases, patient motion, trembling, shivering.

5.3.1 CUFF PLACEMENT

MESI mTABLET BP includes two cuffs to perform a measurement on either arm. The blood pressure measurement can be done with left arm cuff or right arm cuff. Choose the arm on which you want to measure blood pressure and select the appropriate cuff colour. Use red color cuff for measurement on the right arm and yellow cuff when performing measurement on the left arm.

BP MEASUREMENT – LEFT ARM PLACEMENT

The images below are presenting left arm placement (yellow cuff). The similar procedure follows for right arm (red cuff).

Position the cuff 1-2 cm above the elbow joint. Align the label Artery with the Artery on inner side of an arm.

MESI mTABLET BP - BP MEASUREMENT – LEFT ARM PLACEMENT

Place the cuff so that there is two fingers’ width of room between the limb and the cuff. Check that you have chosen the correct size using the SIZE marking and the OK area of the cuff.

MESI mTABLET ABI - Cuff placement - Arm cuff (2)

NOTE: For other cuffs observe Instructions for use of the cuff available in the MESI TUBELESS CUFF MODULE package or contact your local distributor for more information.

NOTE: Be careful when wrapping the cuffs. Do not wrap them too tightly.

5.3.2 PERFORMING THE BP MEASUREMENT

Step 1

On the MESI mTABLET UNIT select existing patient (1) or add a new one (2). Then press the ‘‘APPLICATIONS’’ button (3). For additional information see chapter 5.2 Patient selection.

MESI mTABLET BP - PERFORMING THE BP MEASUREMENT - Step 1

Step 2

After selecting a patient, select the BP application in application menu.

MESI mTABLET BP - PERFORMING THE BP MEASUREMENT - Step 2

Step 3

Apply the cuffs to the appropriate arm – left or right arm. Press START.

MESI mTABLET BP - PERFORMING THE BP MEASUREMENT - Step 3

NOTE: If MESI TUBELESS CUFF UNIT has low battery or connectivity issues, a warning will be displayed on the instructions screen. In case of errors please consult Chapters 8 ERRORS and 9 TROUBLESHOOTING.

Step 4

During the measurement there are blood pressure oscillations (Oscillation graph), cuff pressure progress (Progress bar) and cuff pressure (mmHg) presented on the screen.

MESI mTABLET BP - PERFORMING THE BP MEASUREMENT - Step 4

NOTE: If the results of the measurement are unexpected, repeat the measurement three times.

5.4 REVIEWING A BLOOD PRESSURE MEASUREMENT

MESI mTABLET BP - Reviewing a blood pressure measurement

5.4.1 MESI MTABLET RESULTS SCREEN

When the measurement process is completed, result will be displayed on the screen. This consists of different areas: navigation area, parameters from the measurement (Systolic pressure, Diastolic pressure, Mean Arterial Pressure – MAP), oscillation graph and pulse wave form, reference, patient’s measurements history and comments on the result.

5.4.1.1 Navigation area

The buttons in the navigation area can toggle between previous and next measurement of the patient. If the user is not satisfied with the measurement for any reason, it can be discarded or repeated. In case of uncertainty, the user can consult with other doctors by simply sending the measurement through the email.

5.4.1.2 Measurement information

This section shows which arm was used during the measurement (left or right). Then the blood pressure measuring results follow with Systolic pressure (mmHg), Diastolic pressure (mmHg), Mean blood pressure (mmHg) and Heart rate (bpm).

By pressing “show more” button a reference scale will be shown which visually presents patient blood pressure according to the blood pressure classification in the ESH/ESC Guidelines for the management of arterial hypertension (2013).

5.4.1.3 Oscillation graphs and Pulse waveforms

History holds an overview of measurements taken by the same doctor on the same patient. It shows the trend of the patient’s results. By clicking on desired measurement, the user can switch between different measurements.

In this section, the entire BP measurement Pulse waveform graph and Oscillation graph are displayed.

5.4.1.4 Comments area

A comment can be added to every measurement. It will be stored and always available together with measurement report.

5.5 MULTIFUNCTIONAL LED BUTTON

5.5.1 LED INDICATORS

Even though most of the MESI TUBELESS CUFF UNIT control is performed through the MESI mTABLET UNIT interface there is still a multifunctional LED button on top of the device. Next to basic colour light notification functionalities of this button there is also a possibility to perform some additional operations. These operations are based on the current status of the MESI TUBELESS CUFF UNIT.

5.5.1.1 Standby

Green: Battery capacity is more than 25%.

Red: Unit battery is less than 25%, please recharge the unit as soon as possible.

5.5.1.2 Charging

Green: Battery is fully charged.

Orange: Unit is charging.

5.5.1.3 Pairing

Blue: Unit is waiting for confirmation from the mTABLET.

5.5.2 BUTTON FUNCTIONS

5.5.2.1 Standby
Button functions - Standby
Column AColumn B
Status checkQuick press on button in standby mode will perform a basic status check of MESI TUBELESS CUFF UNIT – green, more than 25% battery charge, while red means less than 25% charge is left, and the module should be charged.
Pairing modeHolding the button for 4 seconds will put the module into pairing mode where it can be connected to MESI mTABLET UNIT (for more information look at chapter 5.1.5 Pairing).
Resetting the BP diagnostic moduleTo perform a reset of the MESI TUBELESS CUFF UNIT press and hold the LED button for 10 seconds until it changes colour to red. Unit will be ready to use in a few seconds.
5.5.2.2 Measurement mode
Button functions - Measurement mode
Column AColumn B
Stop measuringPressing the top button on the MESI TUBELESS CUFF UNIT quickly while performing the BP measurement will stop the measurement.

ChatBot