ADC 6015 Instruction manual

Digital Wrist
Blood Pressure
Monitor
Automatic Blood Pressure Monitor
60 1 5
Instruction Manual
PLEASE NOTE:
THIS MEDICAL INSTRUMENT MUST BE
USED ACCORDING TO INSTRUCTIONS
TO ENSURE ACCURATE READINGS.
American Diagnostic Corporation
55 Commerce Drive, Hauppauge, New York 11788
1-800-232-2670
www.adctoday.com
Part #93-6015-00
®
Questions?
Call ADC toll free at 1-800-232-2670
American Diagnostic Corp.
6015 Automatic Wrist Blood Pressure Monitor
Table of Contents
1.
Introduction
2.
Important Information About Blood Pressure and Its Measurement
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
2.9
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?
3.
Components of Your Blood Pressure Monitor
4.
Setting Up Your Blood Pressure Monitor
4.1
4.2
4.3
Inserting the Batteries
Reading the Display
Icons
5.
The Measurement Procedur e
5.1
5.2
5.3
5.4
5.5
Applying the Cuff
Correct Measurement Posture
Measurement Procedure
Memory – Recalling Values
Clearing the Memory
6.
Troubleshooting
7.
Care and Maintenance
8.
Technical Specifications
9.
Warranty
10.
How to Contact Us
1
9. WARRANTY
The blood pressure monitor (6015) is warranted for 5 years from date of purchase. This
guarantee includes the instrument and the cuff. The warranty does not apply to damage
caused by improper handling, accidents, improper use of the device, or alterations made to
the instrument by third parties.
The warranty is honored only after the unit has been registered at www.adctoday.com.
10. HOW TO CONTACT US
To register your product and obtain further detailed user information
about our products and services visit us at:
www.adctoday.com
and follow the links.
For questions, comments, or suggestions
call us toll free at:
1-800-232-2670
American Diagnostic Corporation
55 Commerce Drive, Hauppauge, New York 11788
Telephone: 631-273-9600 • Fax: 631-273-9659
Email: service@adctoday.com
8. TECHNICAL SPECIFICATIONS
Weight:
1. INTRODUCTION
.69 lbs. / 125 g (without batteries)
1. Introduction
Congratulations on your purchase of the ADC® 6015 ADvantage TM Blood Pressure Monitor.
Size:
3.75” (L) x 4.25” (W) x 4.25” (H)
79mm (L) x 72mm (W) x 71mm (H)
In hospitals and physician's offices throughout the world, where accuracy and dependability are
critical, ADC® professional diagnostic products are the instruments of choice.
Storage temperature:
–10°C to 60°C (14°F - 140°F)
Storage humidity:
10% to 95% relative humidity maximum
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.
Operation temperature:
5°C to 45°C (41°F to 113°F)
Operation humidity:
40% to 85% relative humidity maximum
Your ADC® ADvantageTM blood pressure monitor is a fully automatic digital blood pressure
measuring device for use on the wrist. 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.
Display:
LCD (Liquid Crystal Display)
Read this booklet thoroughly before attempting to use your new ADC® ADvantageTM
Digital Blood Pressure Monitor.
Measuring method:
Oscillometric
Pressure sensor:
Semi-conductor
Measuring range:
SYS/DIA:
Pulse:
20 to 280 mmHg
40 to 180 per minute
Cuff pressure display range:
20–280 mmHg
• 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.
Memory:
Automatic storage
• This monitor is intended for use by adults only. Consult with a physician before using this
instrument on a child.
Measuring resolution:
1 mmHg
• In cases of irregular heartbeat (Arrhythmia), measurements made with this instrument should
only be evaluated after consultation with your doctor.
Accuracy:
Pressure
Pulse
Within ± 3 mmHg
± 5% of the reading
Power source:
2 AAA (Alkaline batteries) 1.5 V
Remember…
17
• 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.
• 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
2. ABOUT BLOOD PRESSURE
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. 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.
3
Your diet, including beverages containing caffeine or alcohol, may affect blood pressure.
Emotional stress can have a dramatic impact on your blood pressure. 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.
7. CARE AND MAINTENANCE
1. This unit contains sensitive components, avoid extreme
temperatures, humidity, and direct sunlight.
2. Avoid dropping the main unit, or subjecting it to severe
vibration, and protect it from dust.
2. Clean the blood pressure monitor body and the cuff
carefully with a slightly damp, soft cloth. Do not press.
Do not bend the pre-formed cuff inside out. Do not wash
the cuff or use chemical cleaners on it.
3. Leaky batteries can damage the unit. Remove the batteries
when the unit is not used for a long period of time.
(will clear memory).
4. Do not press the ON/OFF/START key when the cuff is not
placed around the wrist.
5. This unit should not be operated by children.
6. Do not disassemble the main unit or cuff.
7. If the unit is stored near freezing temperatures, allow it to
acclimate at room temperature before use.
8. The 6015 is not field serviceable. You should not use any
tool to open the device, nor should you attempt to adjust
anything inside the device. If you have any problems,
contact ADC®.
9. For users diagnosed with common ar rhythmia (atrial or
ventricular premature beats or artial fibrillation), diabetes,
poor circulation of blood, kidney problems, or for users
who have suffered from stroke,this device may not be
suitable. Do not use this device on a person who is
unconscious.
16
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.
6. TROUBLESHOOTING
If any abnormality should arise during use, check the following points.
Symptom
No display
when the
ON/OFF/START
key is pressed
EE mark
shown on
display or the
blood pressure
value is
displayed
excessively low
(high)
E1 mark
shown on
display
Check Point
Correction
Have the batteries
run down?
Replace batteries
with two new “AAA”
alkaline batteries
Have the battery
polarities been
positioned correctly?
Re-insert the batteries
in the correct positions
Is the cuff placed
correctly?
Measure again quietly
and keep still.
Did you talk or move
during measurement?
Did you shake the
wrist with the cuff on?
Is the cuff placed
correctly?
Wrap the cuff properly
so that it is positioned
correctly.
Measure again quietly
and keep still.
Do not inflate the cuff
off your arm
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?
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 (with
out regard to age) have been established by the Joint National Committee, 2003.
Range
Classifications
Normal
Systolic
Blood Pressur e
<120
Pre-hypertension
––
Diastolic
Blood Pressur e
<80
120 - 139
H
Y
P
Precaution
Measures
Monitor regularly
80 - 99
E
R T
E
N
S
Contact your physician
I
O
N
––
Stage 1
(Moderate)
140 - 159
90 - 99
Contact your
physician Immediately
Stage 2
(Severe)
160+
100+
Contact your
physician URGENTLY
(JNC-7 report: Joint National Committee on Prevention, Detection, Evaluation and T reatment of High Blood Pressure / 2003)
15
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.
4
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
5.4. Recalling Values from Memor y
1. To read memory values, press the RECALL key while the unit is OFF. The memory values
will be shown on the LCD. The last measurement will be shown first. Every new
press of the RECALL key will display one prior stored value.
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.
5.5. Clearing the Memory
You can erase all the memories stored by one of 2 methods:
• Remove the batteries
• Press the MEMORY RECALL key for more than 5 seconds
NOTE:
The data in the memory will not be lost even when the Blood Pressure Monitor is switched off,
as long as the batteries are in place.
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.
5
14
5.3. Cor rect Measurement Procedure
1. Place the cuff on the wrist. Press the
ON/OFF/START key. All digits will light up,
checking the display functions. The automatic
self-check will be complete after about
2 seconds (Fig. A ).
2. After all symbols appear, the display will show a
blinking “0” . When it stops blinking, the monitor
is “ready to measure”(Fig. B ).
3. Once the monitor inflates the cuff to approximately
180 mmHg, measurement will begin (Fig. C ).
NOTE: The monitor will re-inflate automatically to
approximately 220mmHg if the system detects that your
body needs more pressure to accurately obtain your
measurement (Fig. D ).
Fig. A
Fig. B
2.9. How should I record my blood pressure?
Record by setting up a simple chart in a spiral bound notebook as shown below, or use the
included record book.
Date
4/24/98
4/25/98
4/26/98
4/27/98
Fig. C
4. When measurement is completed, systolic, diastolic,
and pulse will be shown simultaneously and be saved
automatically in the memory system. Up to 90
measurements can be saved in memor y (Fig. E ).
5. Press the ON/OFF/START key to turn the monitor
off. If no key is pressed, the monitor will automatically
shut off in 60 seconds.
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).
Time
7:50AM
8:00AM
7:45AM
2:00PM
Reading
128/83
135/77
130/75
153/89
Pulse
72
77
71
80
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.
Fig. D
Fig. E
13
6
3. COMPONENTS OF YOUR BLOOD PRESSURE MONITOR
5.2. Cor rect Measurement Posture
LCD Display
Wrist Cuff
1. Place your elbow on a table so that the cuff is at the same
level as your heart (Fig. A ).
NOTE:
Your heart is located slightly below your armpit, a bit to the
left of the middle of your chest (Fig. B ). Relax your entire
body, especially the area between your elbow and fingers.
Fig. A
2. If the cuff is not at the same level as your heart or if you
cannot keep your arm completely still throughout the
reading, use a soft object such as a folded towel to support
your arm (Fig. C ).
ON/OFF/START
Do not allow hard objects to come in contact
with the wrist cuff.
Fig. B
3. Turn your palm upwards.
4. Sit upright in a chair, relax for 5 minutes before
starting measurement.
Battery
Cover
Memory
Recall
5. Avoid leaning back while the measurement is being
taken (Fig. D ).
Fig. C
2 “AAA” 1.5V alkaline batteries
included in the carry case
Fig. D
7
12
COMPONENTS OF YOUR BLOOD PRESSURE MONITOR (cont’d)
5. MEASUREMENT PROCEDURE
5.1. Applying the Cuf f
1. Remove all watches, jewelry, etc. prior to attaching the wrist
monitor. Clothing sleeves should be rolled up and the cuff
should be wrapped on bare skin for correct measurements.
Integral Carry Case
2. Apply cuff to your wrist with palm facing upward (Fig. A ).
Fig. A
4. SETTING UP YOUR BLOOD PRESSURE MONITOR
4.1. Inserting Batteries
3. Make sure the edge of the cuff is about 1/2” (1.27cm)
from your palm (Fig. B ).
1. Place your thumb on the side of the battery
cover. Push the battery cover in the direction of
the cuff to open. (Fig. 1 )
4. In order to ensure accurate measurements, fasten the hook
& loop closure securely around your wrist so there is no
extra space between the cuff and the wrist (Fig. C ).
Fig. B
2. Install lower battery first in the bottom
position with the battery ribbon underneath.
(Battery Type: 2 Alkaline “AAA”, 1.5V). ( Fig. 2 )
Fig. 1
3. Place the other battery in and pull the
battery ribbon over it. ( Fig. 3 )
If the cuff is not wrapped tightly enough,
the measurement values will be false.
4. Replace the cover by placing the end tabs of
the battery cover in the slots on the top of the
battery compartment (Fig. 4.1 ). Click in the
other end to secure battery cover (Fig. 4.2 ).
5. If your physician has diagnosed you with poor circulation
in your left arm, carefully place the cuff around your
right wrist (Fig. D ).
Fig. C
Replace batteries if:
• The weak battery mark appears in the display.
• Nothing appears in the display when power is
switched on.
Fig. 2
Fig. 3
As the supplied batteries are for test only, they may
be discharged earlier than batteries you buy in
stores. Replace batteries in pairs. Remove batteries
when unit is not used for extended periods of time.
NOTE: Removing the batteries will erase the memory.
Fig. 4
Fig. D
11
NOTE:
Batteries are hazardous waste.
Do not dispose of them in
household garbage.
8
4.2. Reading the Display
4.3. Icons
Systolic
Pressure
Memory
Mark:
Shows the number of stored measurements.
Pulse
Mark:
Shows the pulse rate per minute.
Weak Battery Appears when batteries should be replaced.
Mark:
Diastolic
Pressure
No. of Memory
Sequence
9
Error
Mark:
Appears when an error occurred during
measurement.
Pulse
Rate
10