ADC 6022N User Manual

Automatic

Blood Pressure

Monitor

6021N, 6022N, 6023N

Inst ruction Ma nual

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

6023

N

Automatic Blood Pressure Monitor

Table of Contents

A Special Thank You 4

1. INTRODUCTION AND INTENDED USE 4

2. WARNINGS AND PRECAUTIONS 5

3. ABOUT BLOOD PRESSURE 6

3.1. What is Blood Pressure? 6

3.2. What is a Normal Blood Pressure? 7

3.3. What Influences Blood Pressure? 7

3.4. Does Blood Pressure Vary? 8

3.5. What is Hypertension? 8

3.6. Can Hypertension be Controlled? 9

3.7. Why Measure Blood Pressure at Home? 9

3.8. How is Blood Pressure Measured? 10

3.9. How Should I Record My Blood Pressure? 10

4. COMPONENTS OF YOUR BLOOD PRESSURE MONITOR 11

5. SETTING UP YOUR BLOOD PRESSURE MONITOR 12

5.1. Inserting the Batteries 12

5.2. Using the AC Power Adapter 13

5.3. Cuff Connection 13

5.4. Setting the Time and Date 13

5.5. Select the User 14

5.6. Selecting Measurement Mode (6022N, 6023N only) 15

5.7. Using MAM Advantage™ Averaging Mode (6022N, 6023N only) 15

6. MEASUREMENT PROCEDURE 16

6.1. Before Measurement 16

6.2. Common Sources of Error 16

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6.3. Fitting the Rigid Cuff (6023N only) 17

6.4. Fitting the D-Bar Cuff (6021N, 6022N only) 18

6.5. Measurement Procedure 19

6.6. Reading Measurement Results 20

6.7 Using the Morning/Evening Hypertension
Function (6022N, 6023N only) 20

7. SOFTWARE FUNCTIONS (6022N, 6023N MODELS ONLY) 21

7.1. PC Link Software Installation and Data Transmission 21

7.2 Installing and Using Microsoft® Healthvault™ 22

8. IRREGULAR HEARTBEAT DETECTOR 23

8.1. Traffic Light Indicator (6023N only) 24

9. MEMORY FUNCTION 24

9.1. Recall and Storage of Measurements 24

9.2. Discontinuing a Measurement 25

9.3. Delete Memory 25

10. ERROR MESSAGES/TROUBLESHOOTING 26

11. CARE AND MAINTENANCE 28

12. TECHNICAL SPECIFICATIONS 29

13. WARRANTY 30

14. QUALITY STANDARDS 30

15. SYMBOL DEFINITIONS 30

16. HOW TO CONTACT US 31

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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™(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 measurement.

Remember…

Only a healthcare professional is qualified to interpret blood pressure•
measurements. This device is NOT intended to replace regular medical
checkups.

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®

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.

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, 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 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.

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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 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.

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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.

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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

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(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•

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.

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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 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

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