ADC 6013 Instruction manual

Blood Pressure
Automatic Blood Pressure Monitor
Instruction Manual
Inspected in the U.S.A.
Made in China
tel: 631-273-9600, 1-800-232-2670
fax: 631-273-9659
55 Commerce Drive
Hauppauge, NY 11788
ADC (UK) Ltd.
Unit 6, PO14 1TH
United Kingdom
IB p/n 93-6013-00 rev 2
Printed in China
Call ADC toll free at 1-800-232-2670
6013 Automatic Blood Pressure Monitor
Table of Contents
Important Information About Blood Pressure and Its Measurement
What is Blood Pressure?
What is a Normal Blood Pressure?
What Influences Blood Pressure?
Does Blood Pressure Vary?
What is Hypertension?
Can Hypertension be Controlled?
Why Measure Blood Pressure at Home?
How is Blood Pressure Measured?
How Should I Record My Blood Pressure?
Components of Your Blood Pressure Monitor
Setting Up Your Blood Pressure Monitor
Inserting the Batteries
Using an AC Power Adapter
Tube Connection
Setting the Date and Time
Reading the Set Date and Time
The Measurement Procedure
Before Measuring
Common Sources of Error
Fitting the Cuff
Measuring Procedure
Discontinuing a Measurement
Memory – Displaying the Last 14 Measurements
Error Messages/Troubleshooting
Care and Maintenance
Quality Standards
10. Technical Specifications
11. Accessories
12. How to Contact Us
1. Introduction
Congratulations on your purchase of the automatic ADC® ADvantageTM Blood Pressure Monitor.
Optional Accessories:
AC Adapter:
In hospitals and physician's offices throughout the world, where accuracy and dependability are critical,
ADC® professional diagnostic products are the instruments of choice.
Cuff Sizes:
Small Adult*
Large Adult
(9” - 13” / 22.86 - 33.02cm)
850-6013SA (7.5” - 9.4” / 19.05 - 23.87cm)
850-6013X (13” - 17” / 33.02 - 43.18cm)
Now you, too, can enjoy the benefits of ADC® engineering and quality in the home. This feature rich
instrument was designed to simplify the measurement of blood pressure and pulse rate at home and deliver
consistent, dependable results.
*Small Adult cuff can only be sold as a replacement part for 6013SA.
Your ADC® Blood Pressure Monitor is a fully automatic digital blood pressure measuring device for
use on the upper arm. It enables very fast and reliable measurement of the systolic and diastolic
blood pressure as well as the pulse by way of the oscillometric method. This device offers clinically proven
accuracy and has been designed to be user friendly.
Read this booklet thoroughly before attempting to use your new ADC® ADvantageTM Digital Blood
Pressure Monitor.
To register your product and obtain further detailed user information
about our products and services visit us at:
and follow the links.
For questions, comments, or suggestions
call us toll free at:
• Only a health care professional is qualified to interpret blood pressure measurements. This device is
NOT intended to replace regular medical checkups.
• It is recommended that your physician review your procedure for using this device.
• Blood pressure readings obtained by this device should be verified before prescribing or making
adjustments to any medications used to control hypertension. Under no circumstances should YOU
alter the dosages of any drugs prescribed by your doctor.
• This monitor is intended for use by adults only. Consult with a physician before using this
instrument on a child.
• In cases of irregular heartbeat (Arrhythmia), measurements made with this instrument should only be
evaluated after consultation with your doctor.
American Diagnostic Corporation
55 Commerce Drive, Hauppauge, New York 11788
Telephone: 631-273-9600 • Fax: 631-273-9659
• Familiarize yourself with the section titled "About Blood Pressure". It contains important information
on the dynamics of blood pressure readings and will help you to obtain the best results.
NOTE! This device contains sensitive electronic components. Avoid strong electrical or electromagnetic
fields in the direct vicinity of the device (e.g. mobile telephones, microwave ovens) during use.
These can lead to erratic results.
Do not attempt to service or repair this device yourself. Should a malfunction occur, refer to the back
of this booklet for service information.
2.1 What is Blood Pressure?
Simply put, arterial blood pressure is the force of blood exerted against the walls of the arteries. There
are two components to blood pressure - systolic and diastolic pressure. Systolic, the higher pressure,
occurs during contraction of the heart. Diastolic, the lower pressure, occurs when the heart is at "rest."
Your level of blood pressure is determined in the circulatory center of the brain and adjusts to a variety
of situations through feedback from the nervous system. To adjust blood pressure, the strength and
frequency of the heart (Pulse), as well as the width of circulatory blood vessels is altered. Blood vessel
width is effected by fine muscles in the blood vessel walls.
Blood pressure is traditionally measured in millimeters of mercury (mmHg). It is recorded as
systolic/diastolic. For example a systolic of 120 and diastolic of 80 would be recorded 120/80.
Blood pressure is a dynamic vital sign - one that changes constantly and throughout the day. A
person's "resting" blood pressure is the pressure that exists first thing in the morning while a person
is still at rest and before consumption of food or drink.
2.2 What is a Normal Blood Pressure?
A systolic pressure of less than 120mmHg and a diastolic pressure of under 80mmHg are recognized
as normal by the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of
High Blood Pressure, 2003.
Note: Blood pressure does increase with age, so you must check with your doctor to find out what is
"normal" for you! Even with normal blood pressure values, a regular self-check with your blood
pressure monitor is recommended. You can detect possible changes in your values early and react
appropriately. If you are undergoing medical treatment to control your blood pressure, keep a
record of values along with time of day and date. Show these values to your doctor. Never use the
results of your measurements to independently alter the drug doses prescribed by your doctor.
2.3 What Influences Blood Pressure?
Blood pressure is influenced by many factors including age, weight, physical conditioning, past
illness, time of day, altitude, activity, and climate, to name just a few. In general, blood pressure is
lower in the morning and increases throughout the day. It is lower in warm weather, and higher in
cold weather.
2.11 lbs. / 483 g (with batteries)
3.75” (W) x 6.56” (L) x 8.5” (H)
124mm (W) x 205mm (L) x 81mm (H)
Storage temperature:
–5°C to +50°C (23°F - 122°F)
15% to 85% relative humidity maximum
Operation temperature:
10°C to 40°C ( 50°F - 104°F)
LCD (Liquid Crystal Display)
Measuring method:
Pressure sensor:
Measuring range:
30 to 280 mmHg
40 to 200 per minute
Cuff pressure display range:
0–299 mmHg
Automatically stores the last 14 measurements.
Measuring resolution:
1 mmHg
Pressure within ± 3 mmHg
pulse ± 5 % of the reading
Power source:
a) 4 AA batteries, 1.5 V
b) AC adapter 6 V DC 600 mA
(voltage 4.5 V DC to 6 V DC)
Special accessories:
Cuff type 850-6013SA, Small Adult
(7.5” – 9.4”) arm circumference
(19.05 - 23.87 cm)
Cuff type 850-6013X, Large Adult
(13” - 17”) arm circumference
(33.02-43.18 cm)
Cuff type 850-6013, Adult
(9” - 13”) arm circumference
(22.86-33.02 cm)
Physical activity can have a significant short term impact on blood pressure. Work, exercise, smoking,
eating, drinking - even talking, laughing, or crying will all affect a person's blood pressure.
Your diet, including beverages containing caffeine or alcohol, may affect blood pressure. Emotional
stress can have a dramatic impact on your blood pressure.
If fluctuations in readings are larger than 15 mmHg, and/or you hear irregular pulse tones, consult
your doctor.
In order to receive market clearance from governmental bodies, this device was subjected to strict clinical tests.
The computer program used to measure blood pressure values was tested by experienced cardiac specialists in
The manufacture of your ADC® ADvantageTM blood pressure monitor is in accordance with the terms of the
European standard for blood pressure measuring devices (see Quality Standards) under the supervision of the
Technical Monitoring Association Essen (RWTüV-Essen).
Never attempt to repair the instrument yourself!
Any unauthorized opening of the instrument invalidates all warranty claims!
Device standard:
This device is manufactured to meet the
European and United States standards for
non-invasive blood pressure monitors:
EN1060-1 / 1995
EN1060-3 / 1997
Even repeated blood pressure measurements taken without adequate rest between readings will alter
your blood pressure as the vessels in your arm engorge with blood.
Many of these influences are only temporary or short term, though chronic (long term) exposure to
some factors may result in permanently elevated blood pressure levels.
2.4 Does Blood Pressure Vary?
Constantly. An individual's blood pressure varies greatly on a daily and seasonal basis. It changes
throughout one's lifetime. It is not
uncommon for systolic pressure to vary
by 40mmHg or more throughout the
course of a single day! While generally
not as volatile, diastolic pressure can still
vary significantly. In hypertensive
individuals, variations are even more
pronounced. Normally, blood pressure is
at its lowest during sleep and rises in the
morning and throughout the day. The
chart (right) illustrates the fluctuations that
could occur in a typical day.
2.5 What is Hypertension?
DIN 58130
Electromagnetic compatibility:
Device fulfills the stipulations of the
European standard EN 60601-1-2
Clinical testing:
Clinical performance tests were carried out in the
U.S. and Germany according to the
DIN 58130/1997 procedure N6
(sequential) and AAMI standards (US).
The stipulations of the EU-Guidelines 93/42/EWG for Medical Products Class IIa have been fulfilled.
Hypertension (high blood pressure) is elevated systolic or diastolic levels. In 90 to 95 percent of the
diagnosed cases, the specific causes are unknown, although the condition is often linked with family
history, and lifestyle. This is referred to as essential hypertension. In the remaining cases, high
blood pressure is a symptom of an underlying, often treatable condition, which if corrected, may
normalize blood pressure. This less common type is known as secondary hypertension.
Hypertension, if left untreated, may contribute to kidney disease, heart attack, stroke, or other
debilitating illnesses.
The following standards for assessment of high blood pressure (without regard to age) have been
established by the Joint National Committee, 2003.
Blood Pressure
Blood Pressure
120 - 139
Monitor regularly
80 - 99
Contact your physician
Stage 1
140 - 159
90 - 99
Contact your
physician Immediately
Stage 2
Contact your
physician URGENTLY
(JNC-7 report: Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure / 2003)
Remember only a physician is qualified to interpret the readings obtained from your blood pressure monitor.
No attempt should ever be made at self-diagnosis or treatment.
2.6 Can Hypertension be Controlled?
Although essential hypertension cannot be cured, it can usually be controlled by altering lifestyle
(including diet), adopting a program of exercise, stress management and, where necessary, with
medication under a doctor's supervision.
To help reduce the risk of hypertension, or keep it under control, the American Heart Association
(AHA) recommends the following:
• Don't smoke
• Reduce salt and fat intake
• Maintain proper weight
• Exercise regularly
• Have regular physical checkups
2.7 Why Measure Blood Pressure at Home?
Clinical studies have shown improved detection and treatment of hypertension when regular home
blood pressure monitoring is done in consultation with a physician.
Blood pressure measured in a doctor's office or hospital setting may cause anxiety and lead to an
elevated reading - a condition referred to as "white coat hypertension."
Home measurements generally reduce the "outside" influences on blood pressure readings, and can
provide a more comprehensive and meaningful blood pressure history.
Important Note: While it is important to keep an accurate record of your blood pressure measurements,
don't be overly concerned by the results of any one measurement. Individual results may be influenced
by spiking of your pressure due to diet, anxiety, or mis-measurement resulting from excessive arm
movement, or misapplication of the cuff. Many readings taken at the same time each day give a more
comprehensive blood pressure history. Always be sure to note the date and time when recording blood
pressure and pulse measurements.
For best results, and with time permitting, 3 successive measurements may be taken daily. Make sure
to allow at least 5 minute intervals between measurements. Discard any reading that appears
suspect and record the average of the remaining readings.
2.8 How is Blood Pressure Measured?
Health care professionals traditionally use a device known as a sphygmomanometer along with a
stethoscope - essentially a professional version of the very same instrument you have purchased. The
sphygmomanometer is a system consisting of an inflatable bladder contained within a cuff, inflation
bulb with air control valve, and pressure measuring manometer (gauge). The gauge may
be mechanical or mercurial.
a) Do not expose the device to extreme temperatures,
humidity, dust, or direct sunlight.
b) The cuff contains a sensitive air-tight bladder.
Handle this cuff carefully and avoid all types of
stress through twisting or buckling.
c) Clean the device with a soft, dry cloth. Do not use
gas, thinners, or similar solvents. Spots on the cuff
can be removed carefully with a damp cloth and
soapsuds. The cuff must not be washed in a
dishwasher, clothes washer, or submerged in
d) Handle the tube carefully. Do not pull on it. Do not
allow the tubing to kink and keep it away from sharp
e) Do not drop the monitor or treat it roughly in any
way. Avoid strong vibrations.
f) Never open the monitor! This invalidates the
manufacturer’s warranty.
Your ADC® ADvantageTM blood pressure monitor 6013 is warranted for 5 years from date of purchase.
This warranty includes the instrument and the cuff. The warranty does not apply to damage caused by
improper handling, accidents, improper use, or alterations made to the instrument by third parties. There are
no user serviceable parts inside. Batteries or damage from old batteries is not covered by the warranty. The
warranty is only valid after product is registered online at
Note: According to international standards, your monitor should be checked for
calibration every 2 years.
☞ Further information
Blood pressure is subject to fluctuations even in healthy people.
Comparable measurements always require the same conditions (quiet conditions)!
Err 3
Repeat measurement keeping arm still.
If inflation of the cuff takes too long, the cuff is not
correctly seated or the tube connection’s not tight.
Check connections and repeat.
Err 5
The difference between systolic and diastolic is
excessive. Measure again carefully following proper
cuff procedures and ensure measurement under
quiet conditions.
Other possible errors and their solutions
If problems occur when using the device, the following points should be checked:
The display remains blank when the instrument is
switched on although the batteries are in place.
• Check battery installation.
• If the display is unusual, remove the batteries
and exchange them for new ones.
• Check polarity.
The pressure does not rise although the pump
• Check the connection of the cuff tube and
is running.
connect properly.
The device frequently fails to measure,
• Fit the cuff correctly on the arm. (See Section 5.3)
or the values measured are too low or high.
• Before starting measurement make sure
that the cuff is not too tight and that clothing
is not exerting pressure on the arm. Take
articles of clothing off if necessary.
• Measure blood pressure again in complete peace and
Every measurement results in different values, although • Read the section titled “Common sources of
the device functions normally and normal values are diserror” (See Section 5.2). Repeat the measurement.
• Blood pressure changes constantly. The
observed readings may accurately reflect
your pressure.
• Record daily values and consult your doctor.
Blood pressure values differ from those measured by
• Pressure readings in your doctor’s office may
my doctor.
be higher due to anxiety.
• Check cuff connections.
After the instrument has inflated the cuff, the pressure • Ensure the unit has not been tampered with.
falls very slowly, or not at all. (No reasonable measurement possible).
The cuff is wrapped around the limb and inflated to constrict blood flow to the artery. As pressure is
released from the cuff through the deflation valve, blood flow returns to the artery producing pulse beats
known as Korotkoff sounds, which are detected with the stethoscope. Systolic pressure is recorded at
the onset of these sounds. Diastolic pressure is generally recorded when the sounds disappear (when
blood flow to the artery returns to normal).
2.9 How should I record my blood pressure?
Record your measurements by setting up a simple chart in a spiral bound notebook as shown below,
or use the included record book.
If you like you can add a column for comments about your condition at the time of measurement, or a
listing of any factors that may have influenced your readings (such as "had a cold", or "just returned
from vacation").
For best results, and with time permitting, 3 successive measurements may be taken daily. Make sure
to allow at least 5 minute intervals between measurements. Discard any reading that appears suspect
and record the average of the remaining readings. If this method is used, be sure to note that the readings
are averaged.
Cuff Holder
The blood pressure monitor is
model #6013.
Note: Do not force the cuff
connection into the opening.
Make sure the cuff connection is
not pushed into the AC adapter
port. If the cuff is too small, call
ADC for further information. A
larger cuff is available.
AC Adapter
(AC Adapter sold separately)
Cuff Connection
5.5. Discontinuing a measurement
If it is necessary to interrupt a blood pressure
measurement for any reason (e.g the patient feels
unwell), the START button can be pressed at any time.
The device then immediately lowers the cuff pressure
4.1 Inserting the batteries
After you have unpacked your device, insert the batteries. The battery
compartment is located on the back side of the device (see illustration).
a) Remove cover from the bottom plate, as illustrated.
b) Insert the batteries (4 x size AA ). Always use AA long life batteries
or alkaline 1.5v batteries. Do not use rechargeable batteries.
c) If a battery warning appears in the display, the batteries are discharged
and must be replaced.
• After the battery warning appears, the device will not operate until the batteries have been replaced.
• If the blood pressure monitor will be left unused for long periods, remove the batteries from the device.
Functional check: Hold the ON/OFF (START) button down to test all the display elements.
When functioning correctly all segments must appear.
4.2. Using an AC/DC power adapter (special accessory)
It is possible to operate this blood pressure instrument with an AC/DC adapter. (output 6 V DC / 600 mA
with DIN plug). Make certain that you use an adapter which fulfills the legal requirements and electronic
requirements in the U.S. (UL standard)
a) Insert the plug into the left socket on the left side of
the instrument, as shown in the diagram.
b) Plug the AC adapter into a 110 V
power socket (U.S. or Canada).
5.6. Memory – displaying the last 14 measurements
The measured results are stored in the instrument until a new
measurement is carried out or the batteries are removed. With the
unit OFF, press and hold the MEMORY button for at least
3-seconds. The screen will show the last reading along with time and date.
14 readings
The MR symbol is displayed in the lower left. Release the button.The last in memory
reading will be displayed for 3 more seconds. Each time you press the
memory button an earlier measurement will be displayed along with time and date.
☞ Further information
Measurements should not occur soon after each other, since
the results will be inaccurate. Wait 5 minutes in a relaxed position,
sitting or lying down, before you repeat a measurement.
Left Opening
If an error occurs during a measurement, the measurement is
discontinued and a corresponding error code is displayed.
(example: Err 1)
c) Test that power is available by
pressing the ON/OFF button.
• No power is taken from the batteries while the AC/DC adapter is connected to the instrument.
• If the power is interrupted during a measurement (e.g. by removal of the adapter from the wall socket),
the instrument must be reset by removing the plug from the instrument.
• Consult ADC® if you have questions
relating to the AC/DC adapter.
• Use only ADC® or ADC® approved adaptors on your
blood pressure unit. ADC® is not responsible for
damages caused by the use of non-ADC® adaptors.
Using a non-ADC® adaptor voids the warranty on your
digital blood pressure unit.
4.3. Tube connection
Insert the cuff tube into the right socket
on the left side of the instrument,
as shown in the diagram.
Error No.
Err 1
Right Opening
Err 2
Possible cause(s) / Solutions
The systolic pressure was not determined. The tube
may have loosened, or no pulse was detected.
*Ensure cuff connections are tight with
proper cuff placement. See Section 5.3.
Unnatural pressure impulses.
The arm was moved during the measurement.
Repeat measurement keeping arm still.
4.4. Setting the time and date
This blood pressure monitor incorporates an integrated clock with date display. Time and date are
recorded along with pressure and pulse.
5.4. Measuring procedure
After the cuff has been appropriately positioned the
measurement can begin:
You must enter the date and current time. Proceed as follows (Example: Entering 2002-06-15, 09:30 AM):
a) Press the START button. 5 beeps will sound and a “0”
will blink. The pump begins to inflate the cuff. In the
display, the increasing cuff pressure is continually
1. While the unit is OFF, press the DATE/TIME button for at least 3 seconds. The display now indicates
the set year, all characters are blinking.
2. The correct year can be entered by pressing the MEMORY button. Each click will change the
clock 1 year.
3. Press the DATE/TIME button again. The display now switches to the current date, during which the
first character (month) blinks.
Note: Holding the button down speeds up the procedure.
b) After automatically reaching an individual pressure, the
pump stops and the pressure slowly falls. The cuff
pressure is displayed during the measurement.
4. The current month can now be entered by pressing the MEMORY button. (Example: pressing 5 x
advances 5 months)
c) When the device has detected your pulse, the heart
symbol in the display begins to blink and a beep tone is
audible for every pulse beat.
5. Press the DATE/TIME button again. The last two characters (day) are now blinking.
6. The current day can now be entered by pressing the MEMORY button. (Example: 14 x advances the
day from the 1st to 15th)
7. Press the DATE/TIME button again. The display now switches to the current time, during which the
first character (hour) blinks.
8. The corresponding hour can now be entered by pressing the MEMORY button. (Example: 9 presses
advances 9 hours)
9. Press the Date/Time button again. The last two characters (minutes) now blink.
d) When the measurement has been concluded, a long beep
tone sounds. The measured systolic and diastolic blood
pressure values, as well as the pulse, are now displayed.
10. The minutes can now be entered by pressing the MEMORY button. (Example: 30 x advances the time
from 0 to 30 minutes)
e) The measurement results are displayed until you switch
the device off. If no button is pressed for 5 minutes, the
device switches off automatically.
Measurement Diastolic
4.5. Reading the set date
After all settings have been made, press the DATE/TIME button once. The date is briefly displayed and then
the time. The input is now confirmed and the clock begins to run.
Note: You should always be seated or lying down before and during a measurement.
5.1. Before measuring
• Avoid eating and smoking as well as all forms of exertion directly before a measurement. These
factors influence the measurement result. Find time to relax by sitting in an armchair or lying down in a
quiet atmosphere for about ten minutes before the measurement.
• Remove any garment that fits closely to your upper arm.
• Always measure on the same arm (normally left).
• Always perform measurements at the same time of day, since blood pressure changes during
the course of the day.
5.2. Common sources of error:
Comparable blood pressure measurements always require the same conditions!
These are normally quiet conditions.
Important! The 1” white mark on the cuff must lie exactly over the artery which runs down the inner side of the
• Efforts by the patient to support the arm can increase the blood pressure. Make sure you are in a
comfortable, relaxed position and do not activate any muscles in the measurement arm during
measurement. Use a cushion for support and rest your arm on a table.
• If the upper arm artery lies considerably lower or higher than the heart, a false higher or lower blood
pressure will be measured!
*A variation of 6” between cuff and heart level can result in a reading error of + or - 10mmHg.
• Cuffs that do not fit properly result in false measurement values. Selecting the correct cuff is extremely
important. The cuff size is dependent upon the circumference or distance around your upper arm
measured in the center. The permissible range is printed on the cuff. If this is not suitable for your use,
contact ADC®.
Note: Use only clinically approved ADC® cuffs. ADC® cuffs are specially manufactured and tested.
• A loose cuff or a sideways protruding air pocket causes false measurement values.
• Repeated measurements without rest allows blood to accumulate in the arm. This can lead to false
results. Measurements should be done after a 5 minute rest to ensure accuracy.
1” white mark
d) Tighten the cuff by pulling the end and close the
cuff by affixing the hook and loop closure.
proper cuff placement
(inside of inner arm)
e) There should be little free space between the arm
and the cuff. You should able to fit 2 fingers between
your arm and the cuff. Clothing must not restrict the
arm. Any piece of clothing which does must be
f) Lay your arm on a table (palm upward) so the cuff is
at the same height as your heart. Make sure the tube
is not kinked.
g) Remain seated quietly for five minutes
before you begin the measurement.
5.3. Fitting the cuff
a) Position the cuff flat on a table with the hook and
loop adhesive side down. Pass the end of the cuff
through the flat metal ring so that a loop is formed.
The hook and loop closure must be facing outward.
(Ignore this step if the cuff has already been prepared.)
If it is not possible to fit the cuff to your left arm, it can
also be placed on your right arm. However, all
measurements should be made using the same arm.
b) Place the cuff over the left upper arm so that the tube
is closer to your lower arm.
c) Lay the cuff on the arm as illustrated. Make certain
that the lower edge of the cuff lies approximately
3/4” to 1”(2 to 3cm) above the elbow and that the
tube is closer to the inner side of the arm.
Left Arm