D i g i tal Wr i s t

B l ood Pressure

M o n i t o r

Automatic Blood Pre s s u re Monitor

60 1 5

I n s t ruction Manual

Part #93-6015-00

American Diagnostic Corporation

55 Commerce Drive, Hauppauge, New York 11788

1 - 80 0 - 2 3 2 - 2 6 70 w w w. a d c t o d a y. c o m

PLEASE NOTE:

THIS MEDICAL INSTRUMENT MUST BE

USED ACCORDING TO INSTRUCTIONS

TO ENSURE ACCURATE READINGS.

Questions?

Call ADC toll free at 1-800-232-2670

American Diagnostic Corp.

®

1

6015 Automatic Wrist Blood Pressure Monitor

Table of Contents

1.

Introduction

2.

Important Information About Blood Pressure and Its Measurement

2.1 What is Blood Pressure?

2.2

What is a Normal Blood Pressure?

2.3

What Influences Blood Pressure?

2.4

Does Blood Pressure Vary?

2.5

What is Hypertension?

2.6

Can Hypertension be Controlled?

2.7

Why Measure Blood Pressure at Home?

2.8

How is Blood Pressure Measured?

2.9

How Should I Record My Blood Pressure?

3. Components of Your Blood Pressure Monitor

4. Setting Up Your Blood Pressure Monitor

4.1 Inserting the Batteries

4.2 Reading the Display

4.3 Icons

5. The Measurement Procedur e

5.1

Applying the Cuff

5.2 Correct Measurement Posture

5.3 Measurement Procedure

5.4 Memory – Recalling Values

5.5 Clearing the Memory

6. Troubleshooting

7. Care and Maintenance

8. Technical Specifications

9. Warranty

10. How to Contact Us

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: [email protected]

8. TECHNICAL SPECIFICATIONS

Weight:

Size:

Storage temperature:

Storage humidity:

Operation temperature:

Operation humidity:

Display:

Measuring method:

Pressure sensor:

Measuring range:

SYS/DIA:

Pulse:

Cuff pressure display range:

Memory:

Measuring resolution:

Accuracy:

Pressure

Pulse

Power source:

.69 lbs. / 125 g (without batteries)

3.75” (L) x 4.25” (W) x 4.25” (H)

79mm (L) x 72mm (W) x 71mm (H)

–10°C to 60°C (14°F - 140°F)

10% to 95% relative humidity maximum

5°C to 45°C (41°F to 113°F)

40% to 85% relative humidity maximum

LCD (Liquid Crystal Display)

Oscillometric

Semi-conductor

20 to 280 mmHg

40 to 180 per minute

20–280 mmHg

Automatic storage

1 mmHg

Within ± 3 mmHg

± 5% of the reading

2 AAA (Alkaline batteries) 1.5 V

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1. INTRODUCTION

1. Introduction

Congratulations on your purchase of the ADC ® 6015 ADvantage TM Blood Pressure Monitor.

In hospitals and physician's offices throughout the world, where accuracy and dependability are critical, ADC ® professional diagnostic products are the instruments of choice.

Now you, too, can enjoy the benefits of ADC ® engineering and quality in the home. This feature rich i n s t rument was designed to simplify the measurement of blood pre s s u re and pulse rate at home and deliver consistent, dependable results.

Your ADC ® ADvantage TM 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.

Read this booklet thoroughly before attempting to use your new ADC ®

Digital Blood Pressure Monitor.

ADvantage TM

Remember…

• 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.

• 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.

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2. ABOUT B L O O D P R E S S U R E

2.1. What is Blood Pressure?

Simply put, arterial blood pre s s u re is the force of blood exerted against the walls of the a rt e r i e s . 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.

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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 pre s s u re. 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. 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.

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6. TROUBLESHOOTING

If any abnormality should arise during use, check the following points.

Symptom

No display when the

ON/OFF/START key is pressed

Check Point

Have the batteries run down?

Have the battery polarities been positioned correctly?

Is the cuff placed correctly?

Correction

Replace batteries with two new “AAA” alkaline batteries

Re-insert the batteries in the correct positions

Measure again quietly and keep still.

EE mark shown on display or the blood pressure value is displayed excessively low

(high)

Did you talk or move during measurement?

Did you shake the wrist with the cuff on?

Wrap the cuff properly so that it is positioned correctly.

E1 mark shown on display

Is the cuff placed correctly?

Measure again quietly and keep still.

Do not inflate the cuff off your arm

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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?

H y p e rtension (high blood pre s s u re) is elevated systolic or diastolic levels. In 90 to 95 perc e n t of the diagnosed cases, the specific causes are unknown, although the condition is often linked with family history, and lifestyle. This is re f e rred 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

Pre-hypertension

––

Stage 1

(Moderate)

Stage 2

(Severe)

Systolic

Blood Pressur e

<120

120 - 139

H Y P E R

Diastolic

Blood Pressur e

<80

80 - 99

T E N S I O N

Precaution

Measures

Monitor regularly

Contact your physician

––

140 - 159

160+

90 - 99

100+

Contact your physician Immediately

Contact your physician URGENTLY

(JNC-7 report: Joint National Committee on Prevention, Detection, Evaluation and T reatment of High Blood Pressure / 2003)

Remember only a physician is qualified to interpret the readings obtained from your blood p re s s u re monitor. No attempt should ever be made at self-diagnosis or treatment.

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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 pre s s u re due to diet, anxiety, or mis-measure m e n t 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.

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.

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 Pre s s u re Monitor is switched off, as long as the batteries are in place.

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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 a u t o m a t i c 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 ) .

N O T E : The monitor will re-inflate automatically to a p p roximately 220mmHg if the system detects that your body needs more pre s s u re to accurately obtain your m e a s u re m e n t (Fig. D ) .

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 o ff. If no key is pressed, the monitor will automatically shut off in 60 seconds.

Fig. A

Fig. B

Fig. C

Fig. D

Fig. E

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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 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

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.

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3. COMPONENTS OF YOUR BLOOD PRESSURE MONITOR

Battery

Cover

LCD Display

Memory

Recall

Wrist Cuff

ON/OFF/START

5.2. Cor rect Measurement Posture

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.

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 ).

Do not allow hard objects to come in contact with the wrist cuff.

3 . Tu rn your palm upward s .

4. Sit upright in a chair, relax for 5 minutes before starting measurement.

5. Avoid leaning back while the measurement is being taken (Fig. D ).

Fig. A

Fig. B

Fig. C

2 “AAA” 1.5V alkaline batteries included in the car ry case

Fig. D

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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.

COMPONENTS OF YOUR BLOOD PRESSURE MONITOR (cont’d)

Integral Carry Case

2. Apply cuff to your wrist with palm facing upward (Fig. A ).

Fig. A

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3 . Make sure the edge of the cuff is about 1/2” (1.27cm) f rom your palm (Fig. B ) .

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 ).

If the cuff is not wrapped tightly enough, the measurement values will be false.

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. D

Fig. B

Fig. C

4. SETTING UP YOUR BLOOD PRESSURE MONITOR

4.1. Inserting Batteries

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 )

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 )

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 ).

Fig. 2

Replace batteries if:

• The weak battery mark appears in the display.

• Nothing appears in the display when power is switched on.

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.

NOTE: Batteries are hazardous waste.

Do not dispose of them in household garbage.

Fig. 3

Fig. 4

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4.2. Reading the Display

No. of Memory

Sequence

Systolic

Pressure

Diastolic

Pressure

Pulse

Rate

4.3. Icons

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:

Error

Mark:

Appears when an error occurred during measurement.

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