ADC 6016N User Manual

AdvantageTM6015N, 6016N

Digital Wrist Blood Pressure Monitor

INSTRUCTION MANUAL

PLEASE N OTE:

THIS MEDICAL INSTRUMENT MUST BE
USED ACCORDING TO INSTRUCTIONS
TO ENSURE ACCURATE READINGS.

Questions?

Call ADC toll free

at 1-800-232-2670

I. A SPECIAL THANK YOU

Congratulations on your purchase of an ADC® Advantage™ Automatic 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
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.

1. INTRODUCTION AND INTENDED USE

This manual is for Advantage™ 6015N and Advantage™ Ultra 6016N. To find the model number of your
device, look on the rating label located on the cuff.

Your digital wrist blood pressure monitor with Irregular Heartbeat Detection, ADC® Measurement
Averaging Mode (6016N model only), and PC Link Blood Pressure Analyzer Software (6016N model only)
is a fully automatic, digital blood pressure measuring device for use on the wrist. This monitor enables
very fast and reliable measurement of your systolic and diastolic blood pressure as well as pulse by way
of the oscillometric method of measuring. This device offers a very high and clinically tested measurement
accuracy and is designed for maximum user-friendliness.

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 measurement.

To learn more, visit our website at: www.adctoday.com.

Remember…

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 aphysician 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.

2. WARNINGS AND PRECAUTIONS

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, 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 manual.

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 15-90% relative
humidity.

3. ABOUT BLOOD PRESSURE

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
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 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 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. 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 (left) 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 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.

Range Systolic Diastolic Precaution

Classifications Blood Pressure Blood Pressure Measures

Normal <120 <80 Monitor regularly

Prehypertension 120 - 139 80 - 89 Contact your physician

–– H Y P E R T E N S I O N ––

Stage 1 140 - 159 90 - 99 Contact your

(Moderate) physician Immediately

Stage 2 160 100 Contact your

(Severe) 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.

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•
Reducesalt andfat 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 1 minute 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,
electronic, 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.

Date Time Reading Pulse

4/24 7:50AM 128/83 72

4/25 8:00AM 135/77 77

4/26 7:45AM 130/75 71

4/27 2:00PM 153/89 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 a 1 minute interval 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.

On the Advantage™ Ultra (6016N) model, PC Link software is available. Records can be automatically
transferred to your Windows computer. Many smart phone and tablet apps allow you to record, chart, and
share your BP measurements. ADC recommends Microsoft® Healthvault™.