ADC 6021 Instruction manual

ADC ® 6021N, 6022N, 6023N
AdvantageTM Automatic
Blood Pressure Monitor
Directions for Use
Congratulations on your purchase of an ADC® Advantage™ Automatic Blood Pressure
In hospitals and physician's offices throughout the world, where accuracy and
dependability are critical, ADC® professional diagnostic products are the instruments of
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.
Read this booklet thoroughly before attempting to use your new ADC® Advantage™
Automatic Blood Pressure Monitor.
This manual is for Advantage™ (6021N), Advantage™ PLUS (6022N), and Advantage™ ULTRA
(6023N) models. To find the model number of your device, look on the rating label located on
the underside of the unit.
Your blood pressure monitor with ADC Averaging Mode, Irregular Heartbeat Detection, and
PC Link Blood Pressure Analyzer Software (6023N model only) is a fully automatic digital
blood pressure measuring device for use by adults on the upper arm at home or in your
doctor’s/nurse’s office. It enables very fast and reliable measurement of systolic and
diastolic blood pressure as well as pulse through the oscillometric method. This device
offers clinically proven accuracy and has been designed to be user friendly.
Before using, please read this instruction manual carefully and then keep it in a safe place.
Please contact your doctor for further questions on the subject of blood pressure and its
• Only a healthcare 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.
• 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.
Warning: The device contains sensitive electronic components. Avoid strong electrical or
electromagnetic fields in the direct vicinity of the device (e.g., mobile telephones, microwave
ovens). These can lead to temporary impairment of the measuring accuracy.
Warning: Use of this instrument on patients under dialysis therapy or on anticoagulant,
antiplatelets, or steroids could cause internal bleeding.
Warning: Do not use cuffs, AC adapters or batteries other than those included with this
product or replacement parts supplied by the manufacturer.
Warning: This system may fail to yield specified measurement accuracy if operated or stored in
temperature or humidity conditions outside the limits stated in the specifications section of this
Warning: This product may contain a chemical known to the state of California to cause cancer,
birth defects, or other reproductive harm.
Caution: The standard material used is latex-free.
Attention: Self-measurement means control, not diagnosis or treatment. Unusual values must
always be discussed with your doctor. Under no circumstances should you alter the dosages of any
drugs prescribed by your doctor.
Attention: The pulse display is not suitable for checking the frequency of heart pacemakers!
Attention: In cases of irregular heartbeat, measurements made with this instrument should only be
evaluated after consultation with your doctor.
NOTE: To obtain the greatest accuracy from your blood pressure instrument, it is recommended that
the instrument be used within a temperature range of 50°F (10°C) to 104°F (40°C), with a relative
humidity range of 15-85% (non-condensing).
3.1. 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 affected 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 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.
3.2. 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.
3.3. 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.
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
Your diet, including beverages containing caffeine or alcohol, may affect blood pressure.
Emotional stress can have a
dramatic impact on your blood
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.
3.4. 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 (page 8) illustrates the fluctuations that could
occur in a typical day.
3.5. What is Hypertension?
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
Blood Pressure
Blood Pressure
Monitor regularly
120 - 139
80 - 99
Contact your physician
Stage 1
Stage 2
140 - 159
90 - 99
Contact your
physician Immediately
Contact your
physician URGENTLY
(JNC-7 report: Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure / 2003)
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 in adults have been established by the
Joint National Committee, 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.
3.6. 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
3.7. 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.
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.
3.8. How is Blood Pressure Measured?
Healthcare 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, digital, or mercurial. 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).
3.9. How should I record my blood pressure?
Record your blood pressure 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.
The illustration shows your blood pressure monitor, consisting of:
Each model has its own specific cuff:
Item No
6021N, 6022N 850-6022N
Wide Range Soft Cuff
For arm circumference: 8.7−16.5” (22−42 cm)
850-6021NSA Small Adult Soft Cuff
For arm circumference: 6.7−8.7” (17−22 cm)
Wide Range Rigid Cuff
For arm circumference: 8.7−18.1” (22−46 cm)
NOTE: Arm circumference should be measured with a measuring tape in the middle of the
relaxed upper arm. Do not force 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 1-800-232-2670
for further information. You may prefer to use one of our wrist-type monitors.
NOTE: If you ever need to buy a replacement cuff, use only ADC brand
5.1. Inserting the batteries
After you have unpacked your device, insert the batteries. The
battery compartment is located on the underside of the device
(see illustration).
a) Remove cover as illustrated.
b) Insert the batteries (4 x AA, 1.5V), observing the indicated polarity.
c) Reinstall battery cover.
• If a battery warning
appears in the display, the batteries are almost
discharged and must be replaced.
• After battery warning
appears, the device will not work until the batteries
have been replaced.
• If the blood pressure monitor is not used for long periods, remove the batteries from the
• Use “AA” Long-Life or Alkaline 1.5V batteries. Do not use rechargeable batteries.
• Functional check: Press the «MEMORY» button down to test all the display elements. When
functioning correctly many icons will appear.
5.2. Using the AC Power Adapter
It is possible to operate the Automatic Blood Pressure Monitor with
an AC adapter.
1. Push the plug into the port on the right side of the device.
2. Plug the AC adapter into a 120V power socket. The device is ready
for measurement.
3. Test that power is available by pressing the «ON/OFF» button.
• Use only the AC adapter provided with your device. ADC is not
responsible for the warranty servicing/repair of the monitor if any
other adapter is used.
• No power is taken from the batteries while the AC adapter is
connected to the device.
• Consult ADC if you have any questions relating to the AC adapter.
5.3. Cuff Connection
Insert the cuff connector into the opening provided on the side of the
device as shown in the picture.
5.4. Setting the Time and Date
This blood pressure monitor incorporates an integrated clock with date
display. The device will also store the date and time of each
measurement in its memory. After new batteries have been inserted,
the device will request the date and time to be reset.
1. To set the date, begin with the year. The 4 characters (2014) on the
screen will blink. You can change the year by pressing the
«MEMORY» button. To confirm and set the year, press the «TIME»
2. The device will automatically advance to the month. To change the
month, use the «MEMORY» button. To confirm and set the month,
press the «TIME» button.
3. To set the day, hour, and minutes, use the same steps. Push the
«MEMORY» button to change the display value. Press the «TIME»
button to confirm and set the value.
4. Once you have set the minutes and pressed the «TIME» button, the date
and time are set and the time is displayed.
• If you want to change date and time, press and hold the «TIME» button down for approx.
5 seconds until the user icon
flashes. Press the «TIME» button again, and then you
can enter the new values as described above.
• A single press of the «MEMORY» button or «TIME» button advances one operation.
• Holding the button down speeds up the procedure.
5.5. Select the User
This blood pressure monitor is designed to store 99 measurements for each of
two users. Before taking a measurement, be certain that the correct user has
been selected.
a) With the unit off, press and hold the «TIME» button until the user
starts blinking.
b) Press the «MEMORY» button to toggle between users.
c) Press the «ON/OFF» button to make your selection.
5.6. Selecting Measurement Mode (6022N, 6023N only)
This instrument enables you to select either standard (single
measurement) or measurement averaging mode (automatic triple measurement).
a) To select Standard mode, push the switch on the side of the instrument towards
position "1."
b) To select Averaging mode, push the switch toward position "3." Note
the MAM Advantage™ Averaging mode
icon will illuminate
on the display.
If you select 1, then only one measurement will be taken. If you select 3, the unit
will inflate and deflate three times resulting in one final average.
5.7. Using MAM Advantage™ Averaging Mode (6022N, 6023N only)
1. In MAM Advantage™ Averaging mode, three measurements are automatically taken
in succession and the result then automatically analyzed and displayed. Because
your blood pressure constantly fluctuates, a result determined in this way is more
reliable than one produced by a single measurement.
2. After pressing the «ON/OFF» button, the MAM Advantage™ Averaging mode
icon appears in the display.
3. 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.
4. There is a break of 15 seconds between the measurements (15 seconds are adequate
according to “Blood Pressure Monitoring, 2001, 6:145-147” for oscillometric
instruments). A countdown indicates the remaining time and a beep will sound 5
seconds before the 2nd and 3rd readings will begin.
5. The individual results from measurements 1, 2 and 3 are not initially displayed.
NOTE: If you want to see each of the individual readings making up a
triplicate reading, turn the unit off, then press and hold the Memory button
for 3 seconds immediately after a MAM Advantage™ Averaging Mode
measurement. Note: You can only see the individual readings one time
immediately following an Averaging Mode measurement. See section 5.6.
Do not remove the cuff between measurements.
6.1. Before Measurement:
• Avoid eating and smoking as well as all forms of exertion directly before measurement.
These factors influence the measurement result. Find time to relax by sitting in an
armchair in a quiet atmosphere for about ten minutes before taking a measurement.
• Remove any garment that fits closely to your upper arm.
• Always measure on the same arm (normally left).
• Always compare measurements taken at the same time of day, since blood pressure changes during
the course of the day, as much as 20-40 mmHg.
6.2. Common Sources of Error:
NOTE: Comparable blood pressure measurements always require the same conditions!
Conditions should always be quiet.
• All efforts by the user to support the arm can increase blood pressure. Make sure you are
in a comfortable, relaxed position and do not flex any of the muscles in the measurement
arm during the measurement. Use a cushion for support if necessary.
• If the arm artery lies considerably lower or higher than the heart, an erroneously high or
low blood pressure will be measured! Each 15cm (6 inch) difference in height between
your heart and the cuff results in a measurement error of 10 mmHg!
• Cuffs that are too narrow or too short result in false measurement values. Selecting the
correct cuff is extremely important. Cuff size is dependent upon the circumference of the
arm (measured in the center). The permissible range is printed on the cuff. If this is not
suitable for your use, please call 1-800-232-2670.
NOTE: Only use approved ADC® cuffs!
• A loose cuff or a sideways protruding air pocket causes false measurement values.
• With repeated measurements, blood accumulates in the arm, which can lead to false results.
Consecutive blood pressure measurements should be repeated after a 1 minute pause or
after your arm has been held up in order to allow the accumulated blood to flow away. If you
decide to take your Averaging Mode measurement again, be sure to wait at least one minute
6.3. Fitting the Rigid Cuff (6023N only)
a) The cuff is pre-formed for easier use. Remove tight or bulky
clothing from your upper arm.
b) Wrap the cuff around your upper left arm. The rubber tube
should be on the inside of your arm extending downward to
your hand. Make certain the cuff lies approximately 1/2−3/4” (1−2 cm)
above the elbow.
Important! The red strip on the edge of the cuff (Artery Mark) must lie
over the artery which runs down the inner side of the arm.
Left Arm
c) To secure the cuff, wrap it around your arm and press the hook and
loop closure together.
d) There should be little free space between your arm and the cuff. You
should be able to fit 2 fingers between your arm and the cuff. Cuffs that
don’t fit properly result in false measurement values. Measure your arm
circumference if you are not sure of proper fit.
e) 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.
f) Remain seated quietly for at least two minutes before you begin the measurement.
6.4 Fitting the D-Bar Cuff (6021N, 6022N models)
a) 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.
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
Artery Mark
tube is closer to the inner side of the arm.
Important! The small white (Artery Mark) on the cuff must lie exactly
over the artery which runs down the inner side of the arm.
d) Tighten the cuff by pulling the end and close the cuff by affixing the
hook and loop closure.
e) There should be little free space between the arm and the cuff. You should be 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 removed. Cuffs that don’t fit properly result in false
measurement values. Measure your arm circumference if you are not sure of proper fit.
Other size cuffs are available (Page 12).
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 at least two minutes before you begin the measurement.
Comment: 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. Comparable
blood pressure measurements always require the same conditions (Relax for several minutes
before taking a measurement).
6.5. Measurement Procedure
After the cuff has been appropriately positioned and connected to the monitor, the
measurement can begin:
1. Press the «ON/OFF» button. The built-in pump begins to inflate the cuff. In the
display, the increasing cuff pressure is continually displayed.
2. After a suitable inflation pressure has been reached, the pump stops and the
pressure gradually falls, with cuff pressures being displayed. If that inflation
pressure is not sufficient, the monitor automatically re-starts.
3. When the instrument detects a pulse, the heart symbol
starts to flash and a beep is heard for every heartbeat.
in the display
4. When the measurement has concluded, a long beep tone sounds. The systolic,
and diastolic blood pressures and pulse rate now appear in the display.
5. The appearance of this symbol
signifies that an irregular heartbeat was detected.
This indicator is only a caution. It is important that you be relaxed, remain still and do not
talk during measurements.
NOTE: We recommend contacting your physician if you see this indicator frequently. See
Section 8 (page 23) for more information.
6. The measurement readings remain on the display until you switch off the
instrument. If no button is pressed for a period of 1 minute the instrument
switches itself off in order to preserve the batteries.
7. When the unit is set to the MAM setting, 3 separate measurements will take
place in succession after which your result is calculated and displayed as a single,
averaged measurement. There is a 15 second resting time in-between each
measurement.A countdown indicates the remaining time and a beep will sound 5 seconds
before the 2nd and 3rd readings will begin.
NOTE: If one of the measurements causes an error message, it will be repeated one more time. If
any additional error occurs, the measurement will be discontinued and an error code will be
Expanding the averaged measurement to see the three individual readings: This
function allows you to view the three individual measurements used to calculate the
ADC® Averaging Mode Technology™ measurement. After taking an averaging mode
measurement turn unit off, hold the Memory button for 3 seconds until you hear a short
beep. (Do not hold the button longer than 7 seconds or you will delete all the readings
in the memory!) Let go of the button and watch the screen. It will automatically scroll
through the three measurements used in the measurement.
6.6. Reading Measurement Results:
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.
The appearance of this symbol
signifies that an irregular
heartbeat was detected. This indicator is only a caution.
NOTE: We recommend contacting your physician
if you see this indicator frequently. See Section 8
(page 23) for more information.
To prolong the batteries’ life the device switches
off automatically if no button is pressed for 1 minute. Otherwise you can switch it off by
pressing the «ON/OFF» button.
6.7. Using the Morning/Evening Hypertension Function (6022N, 6023N models)
1. When the blood pressure instrument is on, press the «MEMORY» button to display the
average reading for the current user.
2. Press the «MEMORY» button twice to show the average of all readings taken
between 4:00AM and 11:59AM. The LCD will display the sun icon .
3. Press the «MEMORY» button a third time to show the average of all readings taken
between 6:00PM and 11:59PM. The LCD will display the moon icon .
4. After 30 seconds, the LCD will display the last taken value for that user.
5. Pressing the «MEMORY» button continuously enables you to view each value
7.1. ADC® Advanced PC Link Software Installation and Data Transmission
This unit can be used in connection with your
personal computer (PC) running the ADC®
Advanced PC Link Software. Your PC will allow a
capacity of monitoring 80 patients, each with 1000
records of data (Note: Overuse will lower system
efficiency). The memory data can be transferred to
the PC by connecting the monitor via the included
USB cable with your PC. Note: The software does
not work with Mac computers.
a) Insert CD into CD ROM drive of your PC. The
installation will start automatically. If not, click on
b) Connect the monitor via USB cable with the PC. Operating
Microsoft Windows XP, Vista
Three horizontal bars will appear on the display
and last for 3 seconds.
c) The bars will then flash to indicate that the connection between
computer and device is successfully made. As long as the cable is
plugged, the bars will keep flashing and the buttons are disabled.
During the connection, the device is completely controlled by the
computer. Refer to the ‘Help’ file in the software for detailed
- - -- - 1
7.2 Installing and Using Microsoft® Healthvault™ on your ADC®
Advantage™ Blood Pressure Monitor
The Advantage™ Ultra digital blood pressure monitors are compatible with the Microsoft®
HealthVault™ software application. HealthVault™ allows you to easily store, use, and share
your health information online and on your mobile devices.
To use HealthVault™ with your unit, follow the steps below:
a) Create a user account at
b) Once logged in, click on “Apps & Devices.”
c) Download the “HealthVault Connection Center” app and follow the prompts on screen to
guide you through installation.
d) Once installed, select “Select a Task -> Add Device” from within the HealthVault
e) Plug in your ADC BP monitor to your computer using the supplied USB cable. HealthVault™ will
automatically install the device drivers and associate your device to the HealthVault software.
At this point, you can start taking readings with your device. Once you have collected a
reading, you can now upload the data using the “HealthVault Connection Center” app.
f) Click “Go online to HealthVault” and sign into your account.
g) Click the box of the user you would like to associate with this device and click “Allow
h) Then, click “Upload Now.” Your readings will then upload from your device to the
HealthVault™ service.
i) You can the click “View Data in HealthVault” to see your readings.
j) Once you have approved a device, you will not need to perform these actions again. You can just
connect your device and start with step H.
For more information on how to use HealthVault™, click “Help” at the top right-hand corner of the page.
There, you will find a detailed help document as well as an FAQ section to help with any issues you may
• You cannot run the PC Link software and HealthVault™ at the same time. Be sure to
completely remove the PC Link software before installing HealthVault™.
• HealthVault™ has a mobile app available in both the Apple® App Store and Microsoft®
Windows® Phone marketplace.
NOTE: The Morning/Evening Hypertension function is only available on the unit. No Morning/Evening
averages will be transmitted to a computer. Only the individual readings in memory will be transmitted.
This function indicates an irregular heart beat. If the symbol of IHD
appears on the
display that means that certain abnormalities in the heartbeat frequency were detected
during the measurement. In this case, the result may deviate from your normal blood
pressure – repeat the measurement. 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 Irregular Heartbeat
This instrument is an oscillometric blood pressure monitor that also analyses pulse frequency
during measurement. The instrument is clinically tested. The 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. The instrument does not replace a cardiac
examination, but serves to detect pulse irregularities at an early stage.
8.1. Traffic Light Indicator (6023N
The bars on the left hand edge of the
display show the range within which the
indicated blood pressure values lie.
Depending on the height of the bar, the
readout value is either within the normal
(green), borderline (yellow), or danger
(red) range. The classification is based
on standards adopted from the WHO
(World Health Organization). Refer to the
chart to the right for details of the
Note: ESH/ESC guidelines may vary
from those indicated. Consult your
physician for information relating to
guidelines in your region.
9.1. Recall and Storage of Measurements
At the end of a measurement, this monitor automatically stores each result with date and time.
This unit stores 99 memories for each of 2 users.
Viewing the Stored Values
With the unit off, press the «MEMORY»
button. The display first shows "3A", then
shows the average of all measurements
stored in the unit.
MR30: Value of the last measurement – MR29:
Value of the measurement before MR 30
NOTE: Measurements for each user are
averaged and stored separately. Be certain that you are viewing the measurements for the
correct user (with no time and date shown).
Pressing the «MEMORY» button again displays the previous value. To view a particular
stored memory, press and hold the «MEMORY» button to scroll to that stored reading.
If an irregular heartbeat is detected, the symbol
the result of the measurement.
is displayed including the time and
Further information
Measurements should not occur soon after each other; otherwise, the results will be
skewed. Wait for several minutes in a relaxed position, sitting or lying, before you repeat a
9.2. Discontinuing a Measurement
If it is necessary to interrupt a blood pressure measurement for any reason (e.g.
the patient feels unwell), the «ON/OFF» button can be pressed at any time. The
device immediately lowers the cuff pressure automatically.
9.3. Delete Memory
Before you delete all memory readings stored, make sure you won’t need to refer to them
at a later date. Keeping a written record is prudent and may provide additional information
for your doctor’s visit.
To delete stored memory readings, hold the «MEMORY» button down
until the LCD shows a «CL». Release the button. Press the
«MEMORY» button while «CL» is flashing to complete the operation.
It is impossible to erase the values individually.
If an error occurs during a measurement, the measurement is discontinued and a
corresponding error code is displayed (Example: Err 2).
Error No.
Possible Cause(s)/Solutions
The systolic pressure was determined, but then the pressure in the cuff went down to less
than 20 mmHg (diastolic blood pressure can’t be measured). The tube may have loosened
after the systolic pressure has been determined. Further possible reason: pulse could not be
Unnatural pressure impulses influence the measurement result. Reason: the arm was moved
during the measurement.
The difference between systolic and diastolic is excessive. Measure again carefully
following proper procedures. Consult your doctor if you still get unusual results of
The measuring signals are inaccurate and no result can be displayed. Read through the
checklist for performing reliable measurements and then repeat the measurement.
The pressure in the cuff is too high (over 300mmHg) or the pulse is too high (over 200 beats
per minute). Relax for 5 minutes and repeat the measurement.
The pulse is too low (less than 40 beats per minute). Relax for 5 minutes and repeat the
Other possible errors and their solutions
If problems occur when using this device, the following points should be checked.
The display remains blank when the device
is switched on though the batteries are in
1. Check battery installation/ polarity.
2. Remove the batteries and if the display is unusual, then
exchange them for new ones.
The pressure does not rise although the
pump is running.
Check the connection of the cuff tube and connect properly.
The device frequently fails to measure, or
the values measured are too low or high.
1. Fit the cuff correctly on the arm.
2. Before starting measurement make sure that clothing is not exerting
pressure on the arm. Take articles of clothing off if necessary. Measure
blood pressure again in complete peace and quiet.
Every measurement results in different
values, although the device functions
normally and normal values are
Refer to Section 3. About Blood Pressure.
Blood pressure values differ from those
measured at the doctor’s.
Refer to Section 3.7. Why Measure Blood
Pressure at Home?
NOTE: Blood pressure is subject to fluctuations even in healthy people. Please remember
that comparable blood pressure measurements always require the same time
and the same conditions! These are normally quiet conditions. If you follow the
procedure described earlier and still get fluctuations of blood pressure of greater than 15
mmHg and/or you repeatedly hear irregular pulse tones, consult your doctor.
Should any technical malfunctions arise with the blood pressure monitor, please contact the
dealer where you bought the device or ADC. Never attempt to repair the instrument
yourself! Any unauthorized opening of the instrument invalidates all warranty claims.
Do not expose the device to either extreme temperatures, humidity, dust or
direct sunlight.
Handle the cuff carefully and avoid all types of stress through twisting or
buckling in order not to damage the sensitive air-tight bubble.
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. Do not submerge the cuff in water!
Handle the tubing carefully.
Keep the tube away from sharp edges.
Do not drop the monitor or treat it roughly in any way.
Never open the monitor!
This invalidates the manufacturer’s warranty.
Note: According to international standards, your monitor should be checked for calibration every
2 years. Contact ADC for an accuracy check.
1.07 lbs. (487 g) (6021N, 6022N with batteries,
850-6022N soft cuff)
1.14 lbs. (515 g) (6023N with batteries,
850-6023N rigid cuff)
5.35” x 3.78” x 2.28”
136mm x 96mm x 58mm (including cuff)
Storage temperature:
23°F−122°F (–5°C− +50°C)
15 to 85% relative humidity maximum
Operation temperature:
50°F−104°F (10°C−40°C)
LCD (Liquid Crystal Display)
Measuring method:
Pressure sensor:
Measuring ranges
SYS/DIA Pressure:
SYS/DIA: 30 to 280 mmHg
40 to 200 beats per minute
Cuff pressure display range: 0-299 mmHg
Automatically stores the last 99 measurements
for 2 users (198 total).
Measuring resolution:
1 mmHg
Pressure within ± 3 mmHg or 2% of the reading ≥200mmHg
Pulse ± 5 % of the reading
Power Source:
4 “AA” batteriesor 1.5V AC adapter
Automatic Blood Pressure Monitor and Cuff, 4
AA batteries, Instruction Book, and Record Book.
Other cuffs are also available as a special accessory:
Item No
Sm. Adult
Lg. Adult
6.7−8.7” (17−22 cm)
8.7−16.5” (22−42 cm)
12.5−20.4” (32−52 cm)
8.7−18.1” (22−46 cm)
This blood pressure monitor 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. The warranty is only valid after the product is registered online
Device standard:
This device is manufactured to meet the European and United States standards for noninvasive blood pressure monitors:
EN1060-1 / 1995 • EN1060-3 / 1997 • EN1060-4 / 2004
Electromagnetic compatibility:
Device fulfills the stipulations of the International standard IEC60601-1-2
Important Warning/Caution
Authorized European
Represenative’s Information
Manufacturer’s Information
Circumference Size
Conforms to EU Standards
55 Commerce Drive
Hauppauge, NY 11788
Temperature Limit
Humidity Limitation
Inspected in the U.S.A.
Made in China
tel: 631-273-9600, 1-800-232-2670
fax: 631-273-9659
ADC (UK) Ltd.
Unit 6, PO14 1TH
United Kingdom
IB p/n 93-6021N-00 rev 0 english