American Diagnostic Corporation (ADC) e-sphyg2 9002 User Manual

TM

®

e-sphyg

2

9002

Automatic Sphygmomanometer

User’s

Manual

ADC
55 Commerce Drive

Hauppauge, NY 11788

IB p/n 93-9002-00 rev 6 Printed in Japan

tel: [phone]

Inspected in the U.S.A.

fax: [phone]

www.adctoday.com

email: [e-mail]

Made in Japan

AMERICAN DIAGNOSTIC CORPORATION

A Special
Thank You...

Thank you for choosing an ADC®blood pressure instrument. We're proud of
the care and quality that goes into the manufacture of each and every item that
bears our name. Only the finest materials are used to assure you of a timeless
instrument designed for optimum performance.

You'll quickly appreciate the results, for you now own one of the finest
sphygmomanometers that money can buy.

®

With proper care and maintenance, your ADC
to provide you with many years of dependable service. Please read the following
instructions and general information which will prove helpful in allowing you to
enjoy your ADC

®

product.

blood pressure instrument is sure

Replacement Parts

Component Part No. Latex-free Model Use

Coiled Tubing 4’ 886N Desk

Coiled Tubing 8’ 885N All Models

Cuff & Bladder - Sm. Adult 845-10SABK-IF All Models

Cuff & Bladder - Adult 845-11ABK-IF All Models

Cuff & Bladder - Lg. Adult 845-12XBK-IF All Models

Female Luer Conncetor 891F All Models

Male Luer Conncetor 891M All Models

Plastic Connector 9002-2 All Models

AC Adapter 9002-3 All Models

Rechargeable Battery Pack 9002-5 All Models

Advantages of Digital

Your new ADC®e-sphyg
with all of the functionality of a traditional sphygmomanometer, with none of the
problems associated with these devices. Using state-of-the-art technology,
your e-sphyg
versatility, and reliability exceeding the most popular aneroid and mercurial
instruments.

Its dual mode design will permit the instrument to fully measure a patient’s
blood pressure and pulse automatically. In manual mode, it allows you to use
the time proven auscultatory method to obtain blood pressure readings.

Thank you for your patronage. It is indeed our pleasure to serve you.

©2012 AMERICAN DIAGNOSTIC CORP.

TM

2 sphygmomanometer is intended to provide you

TM

2 sphygmomanometer will provide you with performance,

Sincerely,
American Diagnostic Corp.

2

FOR QUESTIONS, COMMENTS,

OR SUGGESTIONS

CALL TOLL FREE: 1-800-ADC-2670

©2013 ADC®. All rights reserved. No one is permitted to reproduce or duplicate in any form, this
manual or any part thereof without the expressed written permission of ADC
responsibility for any injury to anyone, or for any illegal or improper use of the product that may
result from failure to use the product in accordance with the instructions, cautions, warnings, or
statement of intended use published in this manual. The 9002 e-sphyg 2
marks of ADC

®

.

27

®

. ADC®assumes no

TM

and AdcuffTMare trade-

Limited Warranty

American Diagnostic Corporation (ADC®) warrants its products against defects in
materials and workmanship under normal use and service as follows:

1. Warranty service extends to the original retail purchaser only and commences
with the date of delivery.

2. The entire sphygmomanometer is warranted for one year.

3. Cuff, bladder and coiled tubing are warranted for three years.

4. The manometer is warranted to remain accurate to ±3mmHg over its full
range when compared to a reference standard for life.

What is Covered: Repair, or replacement of parts, and labor.

®

What is not covered: Transportation charges to and from ADC
by abuse, misuse, accident, or negligence. Incidental, special, or consequential
damages. Some states do not allow the exclusion or limitation of incidental,
special, or consequential damages, so this limitation may not apply to you.

To Obtain Warranty Service: Send item(s) postage paid to ADC
55 Commerce Dr., Hauppauge, NY 11788. Please include your name and address,
daytime phone no., proof of purchase, a brief note explaining the problem, and
$2.00 to cover the cost of return shipping and handling.

Implied Warranty: Any implied warranty shall be limited in duration to the terms
of this warranty and in no case beyond the original selling price (except where
prohibited by law). This warranty gives you specific legal rights and you may have
other rights which vary from state to state.

. Damages caused

®

, Attn: Service Dept.,

ADC®9002 e-sphyg

TM

2

Table of Contents

Introduction and Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Warnings and Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

Product Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

Name and Function of Each Part . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

Preparation for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-10

How to Assemble Wall Model . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

How to Assemble Mobile Model . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Cuff Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Taking Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13-16

Memory Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Error Displays and Troubleshooting . . . . . . . . . . . . . . . . . . . . .18-20

Care and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

Wall Unit Parts and Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

Mobile Unit Parts and Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

Mobile Base Assembly Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

Replacement Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

To Register Your Product, visit us at

www.adctoday.com
and follow the links

26

This manual is intended to assist the user in the safe and efficient operation of the Automatic
Sphygmomanometer 9002. The product must be used in accordance with the procedures
contained in this manual and must not be used for purposes other than those described herein.
It is essential to read and understand the entire manual.

3

Introduction and Intended Use

Specifications

The 9002 digital ADC®e-sphyg

TM

2 sphygmomanometer is a digital
sphygmomanometer intended for measurement of systolic and diastolic
blood pressure and pulse rate in adult patients, i.e., age 12 and above.
This product is not designed for neonatal use. Inaccurate readings may
result if it is used on a child's arm.

Accuracy was evaluated during clinical studies in which results with the
9002 digital ADC®e-sphyg

TM

2 sphygmomanometer were compared
with simultaneous auscultatory measurements obtained with a standard
sphygmomanometer. In these studies, the onset of the fourth (or fifth)
Korotkoff sound was taken as the diastolic pressure for the purpose of
determining overall efficacy. A copy of this study is available from ADC
on request. To ensure that accuracy is maintained, compare readings
obtained with the 9002 digital ADC®e-sphyg

TM

2 sphygmomanometer
with values measured by a trained observer using a manual
sphygmomanometer at least every 6 months.

Blood pressure measurements determined with this device are equivalent
to those obtained by a trained observer using the cuff stethoscope
auscultatory method, within the limits prescribed by the American
National Standard, Manual, electronic, or automated sphygmomanometers.

The 9002 digital ADC®e-sphyg

TM

2 sphygmomanometer has the ability
to function according to its specifications in the presence of common
arrhythmia such as atrial or ventricular premature beats or atrial
fibrillation.

Operating Principle: Oscillometric method*

Indicator: 300 digits column LCD and 10 digits segment LCD

Pressure Indicating Range: 0 to 300 mmHg (cuff pressure)

Measuring Range: 50 to 250 mmHg (systolic)

Accuracy: ±3 mmHg (cuff pressure)

Inflation : Automatic inflation

Deflation: Electric control valve

®

Power Consumption : 14W (max.)

Operating Environment: +50°F to+104°F, 15 to 90% relative humidity

Storage Environment: -4°F to+122°F, 15 to 95% relative humidity

Coverage Arm Circumference

Large Adult Size Cuff: 13.3 to 19.6 inches (34.0 to 50.0 cm)
Small Adult Size Cuff: 7.4 to 10.6 inches (19.0 to 27.0 cm)

Main Unit

Exhaust: Automatic exhaust valve

Power Supply: 7.0 VDC AC adapter (MODEL 9605+02225-1UOC) or

Memory: single measurement result*

Adult Size Cuff: 9.0 to 15.7 inches (23.0 to 40.0 cm)

Weight: Approx. 2.2 lb. [1000 g], without AC adapter or battery

40 to 180 mmHg (diastolic)
40 to 160 bpm (pulse rate)

±5% of reading (pulse rate)

4.8 VDC rechargeable NiMH battery

Size: 5.4 x 10.6 x 3.8 in [136 x 266 x 96 mm] (W x D x H)

Specifications are subject to change without notice due to improvements in performance.
* marks only apply to "AUTO" measurement.

4

25

Mobile Base Assembly Parts

9

8

9B

5

7

4

6

ADC Item Item no.

1 Center Pole Screw (1) Washer (1) 972-101
2 Base 972-080
3 Casters (5) 972-106

3A Single Caster 972-106-1

4 Outer Pole 972-107
5 Knob 972-108

6A

2

3

1

3A

ADC Item Item no.

6 Spring 972-109

6A Gasket, Rubber 972-107A

7 Inner Pole 972-110
8 Basket Tightening Key 972-111
9 Basket 972-112

9B Manometer Mounting Hardware 752-114

Warnings and Precautions

Warning - A warning statement in this manual identifies a condition or practice which, if not

corrected or discontinued immediately could lead to patient injury, illness, or death.

Warning - If luer lock connectors are used in the construction of tubing, there is a possibility
that they might be inadvertently connected to intravascular fluid systems, allowing air to be
pumped into a blood vessel. Immediately consult a physician if this occurs.

Warning - Do not allow a blood pressure cuff to remain on patient for more than 10 minutes
when inflated above 10mmHg. This may cause patient distress, disturb blood circulation, and
contribute to injury of peripheral nerves.

Warning - Safety and effectiveness with neonate cuff sizes 1 through 5 is not established.

Warning - For all blood pressure systems that can be wall mounted, ensure that the unit is

securely mounted prior to use to avoid damage to the instrument and potential patient injury.

Warning - Do not use the 9002 in an explosive environment such as where flammable anesthet-
ics exist or inside an oxygen chamber with strong electrostatic and electromagnetic fields e.g.,
mobile phones.

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.

Caution - Federal law restricts this device to sale by or on the order of a physician or licensed
healthcare practitioner.

Caution - To avoid any possibility of accidental strangulation, keep this unit away from children
and do not drape tubing around your neck.

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 15-90% (non-condensing).

Note - All connectors and inflation system should remain connected to the device during storage
to avoid dust entering through the connector port.

24

5

Product Features

2

e-sphyg

130

82

73

PRESET PRESSURE

MANUAL

AUTO

280

260

220

180

140

100

10

20

40

60

80

100

120

140

160

180

200

220

240

260

280

300

30

50

70

90

110

130

150

170

190

210

230

250

270

290

POWER

LOW BATTERY

AC

START/STOPSET/MEMORY

SELECT
LARGER CUFF

ADCUFF

ADULT SIZE

RANGE / MAX

ARTERY

DUAL DISPLAY ­COLUMN LCD and SEGMENT LCD (Simulated Mercury Column)

The pressure can be read in the column LCD height and as digital value in the
segment LCD.

DUAL MEASUREMENT MODE ­"AUTO" and "MANUAL" Modes of Measurement

Determination of blood pressure can be made either automatically by the
oscillometric method or manually by the auscultatory method using a
stethoscope.

MODE DEFLATION RATE MEMORY

AUTO Maintained at 4.0 to 4.9mmHg/sec Last measured result auto saved

MANUAL

Cuff Sizes (Auto Mode)

The Small Adult size cuff will accommodate arms of approximately 7.4 to

10.6 inches (19.0 to 27.0 centimeters). A Small Adult cuff should be used on
patients 12 or older only (in auto mode).

The Adult size cuff will accommodate an upper arm circumference range of
approximately 9.0 to 15.7 inches (23.0 to 40.0 centimeters).

The Large Adult size cuff will accommodate that of approximately 13.3 to

19.6 inches (34.0 to 50.0 centimeters).

Cuff Sizes (Manual Mode)

In manual mode, any of ADC’s
adult or thigh) may be used, on any patient.

Operation with AC Adapter or Rechargeable Battery

The digital ADC
Adapter or rechargeable nickel metal hybrid (NiMH) battery (both included).

Maintained at preset rates of:

2.5, 4.5 or 6.5mmHg/sec

®

e-sphyg

N/A

®

5 cuff sizes (child, small adult, adult, large

TM

2 sphygmomanometer is powered by either an AC

6

ADC Item Item no.

1. e-sphyg

TM

2 9002

2. 6mm Allen Wrench 752M-116

3. 3mm Allen Wrench 752M-117

4. Mounting Bolt/Washer (2) 972-101

5. Mobile Stand 752M-02

6. Coiled tubing 885N

7. Connector 9002-2

8. Connector, Male 891M

9. Connector, Female 891F

TM

& Bladder, Adult 845-11ABK-IF

10. Adcuff

5

752M-02

9002M - Mobile Unit Parts & Tools

1

2

752M-116

752M-117

972-101

10

845-11ABK-IF

6

885N

23

9002

7

9002-2

8 9

891M

891F

3

4

9002W - Wall Unit Parts & Tools

2

e-sphyg

130

82

73

PRESET PRESSURE

MANUAL

AUTO

280

260

220

180

140

100

10

20

40

60

80

100

120

140

160

180

200

220

240

260

280

300

30

50

70

90

110

130

150

170

190

210

230

250

270

290

POWER

LOW BATTERY

AC

START/STOPSET/MEMORY

SELECT
LARGER CUFF

ADCUFF

ADULT SIZE

RANGE / MAX

ARTERY

ADC Item Item no.

1. e-sphyg

2. 6mm Allen Wrench 752M-116

3. Wall Bracket 952-103

4. Wall Basket with

5. Coiled tubing 885N

6. Mounting Bolt/Washer (1) 972-101

7. Connector 9002-2

8. Connector, Male 891M

9. Connector, Female 891F

10. Adcuff

11. (2) Screws (for wall bracket) 952-104

12. (2) Mollys (for wall bracket) 952-105

TM

2 9002

(3) screws / (3) mollys 952-025

TM

& Bladder, Adult 845-11ABK-IF

4

9002

952-025

Name and function of each part

MAIN UNIT

1

2

COLUMN LCD

2mmHg

752M-116

1mmHg

PRESET PRESSURE KNOB

START/STOP BUTTON

SET/MEMORY BUTTON

3

AIR CONNECTOR

952-103

AIR PLUG

SEGMENT LCD

POWER MARK

AC INDICATOR

MODE SELECTOR

INFLATION MARK

DEFLATION
MARK

PULSE
MARK

BATTERY MARK

6

972-101

8

891M

10

5

885N

7

9002-2

9

891F

845-11ABK-IF

22

11

952-104

12

952-105

AC ADAPTER JACK

MAIN POWER
SWITCH

O :OFF

I :ON

BATTERY
COMPARTMENT
COVER

BATTERY
CONNECTOR

ADAPTER PLUG

7

BATTERY PLUG

Name and function of each part

Cuff Sizes

SMALL ADULT

Arm circumferences of 7.4”-10.6”

(19.0-27.0cm)

BLADDER TUBE

(Female Luer Connection)

ADCUFF

AC ADAPTER

ADAPTER PLUG

Other parts included depending upon model selected.

TM

NICKEL METAL HYBRID

ADULT

Arm circumferences of 9.0”-15.7”

(23.0-40.0cm)

RECHARGEABLE

(NiMH) BATTERY

BATTERY PLUG

LARGE ADULT

Arm circumferences of 13.3”-19.6”

(34.0-50.0cm)

LUER CONNECTOR

(Male Luer to Female

Bladder Tube)

COILED TUBING

AIR

CONNECTOR

(to main unit)

INSTRUCTION

MANUAL

Care and Maintenance

Because the device includes precision parts, care should be taken to avoid
extreme temperature variations, humidity, shock, dust, and direct sunlight. Do
not drop or strike the device. Make sure not to expose the unit to moisture. This
unit is not water resistant.

Use only a soft, dry cloth to clean the device. Do not use gasoline, paint thin­ner, chemicals such as strong bases, strong acids, oxidizing agents, and reduc­ing agents, or other strong solvents on the unit. Since the cuffs may absorb per­spiration and other fluids, inspect them for stains and discoloration after each
use. Sponge with a damp cloth. If necessary the cuff can be washed in cool
water with mild soap or detergent-disinfectant. Remember to remove the blad­der prior to washing. After washing, the cuff should be rinsed and allowed to air
dry. NEVER iron.

When storing the device, do not place heavy objects on it and do not coil BLADDER
TUBE too tightly. When the unit has been stored at a temperature below the
freezing point, keep it for at least 1 hour in a warm place before using. Remove
the battery if the device is to be stored for an extended period of time. Keep the
batteries out of the reach of children.

Caution: Do not inflate the cuff when it is not wrapped around an arm.

Caution: Do not disassemble or modify the device.

We suggest that the device be checked every 2 years. This operation may only
be performed by the manufacturer or by firms authorized by the manufacturer.

Checking pressure accuracy

Connect a cuff wrapped around a firm cylinder to the 9002

TM

e-sphyg
e-sphygTM2 while pressing and holding the START/STOP button

down. Release the button after the initial display (all segment display)
disappears. Two "0"s are displayed and the 9002 e-sphyg
in CHECKING MODE. Inflate the cuff with an inflation bulb and
compare the readings. Pressure accuracy is to be ±3mmHg.
Contact dealer if accuracy of your 9002 e-sphygTM2 is invalid.

(A test kit may be purchased from an authorized dealer)

2 and a standard manometer. Turn on the 9002

TM

2 is

BLADDER

TUBE

9002

e-sphygTM2

9002

PORT

8

21

Error Displays and Troubleshooting

ERROR SYMBOL/SYMPTOM CAUSE REMEDY

Measurement result Blood pressure was taken in Measurement result is saved

cannot be recalled or “MANUAL” mode. only when it is taken in

is not stored. “AUTO” mode.

Cuff inflation does Battery is exhausted. made when BATTERY MARK

not start. is displayed. Recharge the

AC INDICATOR is lit AC INDICATOR also indicates

even when 9002 is The battery is inserted. whether the battery is being

turned off. charged or it is not being

The column LCD is between AC ADAPTER and

dim or brightness is 9002 is operated with the battery lead to differences

not steady. the battery. in LCD brightness. This does

If you cannot get correct measurement with the methods above, do not tamper
with the internal mechanism. Contact your dealer. If the unit malfunctions,
return it to the dealer or an authorized service representative for servicing
according to the warranty. The manufacturer provides service data to qualified
dealers.

20

Measurement cannot be

battery.

charged.

Difference in voltages

not indicate a functional

problem.

Preparation for Use

Connecting and Using the AC Adapter (All models)

Connect AC ADAPTER PLUG to AC ADAPTER JACK

Plug AC ADAPTER in the power socket.

AC INDICATOR is lit when AC ADAPTER is connected correctly.

Installing the RECHARGEABLE NiMH Battery (All models)

NOTE: The battery enclosed in the product package is not charged, and needs to be

charged for about 4 hours before use.

NOTE: Turn off the power and unplug AC ADAPTER
before inserting the battery. Make sure " O " side of
MAIN POWER SWITCH is pressed down.

Remove BATTERY COMPARTMENT COVER by
loosening and removing the screw.

Connect BATTERY PLUG to BATTERY
CONNECTOR inside the battery compartment

and insert the battery.

(Fig. 2)

Put back BATTERY COMPARTMENT COVER and
close it by inserting and tightening the screw.

Connect AC ADAPTER PLUG and plug AC
ADAPTER in the power socket to charge the
battery. The battery is charged regardless of whether

the e-sphygTM2 is powered on or off.

Orange light of AC INDICATOR indicates that
the battery is being charged.

The battery is fully charged after approximately 4 hours.

Unplug AC ADAPTER after the light turns
green as it indicates the battery is charged.

(Fig. 3)

(Fig. 1)

The color of the AC INDICATOR
may switch to green and return to
orange if the 9002 is operated
while charging battery, however it
does not indicate a problem.

9

(Fig. 1)

(Fig. 2)

ADAPTER

PLUG

BATTERY PLUG

(Fig. 3)

BATTERY MARK flashes in the segment LCD when the battery charge is low.

Only a few more measurements remain before the battery runs down.

The battery needs to be recharged when BATTERY MARK is displayed.

Measurement cannot be made.

NOTE: The rechargeable batteries may not be completely full after their initial charge or when
they have not been used for an extended period of time. This should be solved once the unit
has been used a few times and the batteries have been charged and discharged.

Battery life

Life of the rechargeable NiMH battery is approximately 2 years. However it may vary
depending on operating conditions. Replace the battery when BATTERY MARK is displayed
often or when frequent charging of the battery becomes necessary.

Tips on prolonging the battery life

The device is powered by the AC ADAPTER when it is connected;
the installed battery is not used if the AC ADAPTER is connected.

• Remove the battery when operating the device with the AC ADAPTER for an
extended period of time or when the battery does not need to be charged.

• Avoid charging the battery if it is not completely exhausted.

Do not forcefully remove the battery or pull out the plugs holding
cords and cables.

Use indicated AC Adapter and the battery only.
Contact your dealer if they are damaged.

POWER MARK
The device goes to energy saver mode when it is left turned on and not operated

for approximately 3 minutes. The mark will be displayed for an hour and then disap­pear. Make sure to turn off the device by pressing "O " side of MAIN POWER SWITCH
down after each use especially when the device is powered by the battery.

The device activates from energy saver mode when either START/STOP button or
SET/MEMORY button is pressed. It is recommended to activate the device by pressing
SET/MEMORY button since the device could start inflation if START/STOP button is
pressed. Press START/STOP button again and stop inflation if the cuff is not wrapped
around arm.

10

Error Displays and Troubleshooting

ERROR SYMBOL/SYMPTOM CAUSE REMEDY

LOW BATTERY: Change the battery. Only a

Battery is weak. few measurements can be

BATTERY ERROR: Charge the battery.

Battery is exhausted. Measurement cannot be

The indication appearing

during LCD segment test,

which is performed when

the unit is turned on, does

not indicate low battery

or battery error.

ENERGY SAVER MODE: START/STOP button or

The device was left turned SET/MEMORY button to

on and has not been activate the device from

operated for over energy saving mode.

approximately 3 minutes. Make sure to turn off the

Measurement is When the preset pressure This does not indicate a

interrupted once and value was not high enough to problem.

the cuff is inflated again. make measurement or when

Blood pressure is with correct posture. Make sure that

different each time. Blood pressure readings the patient is

The reading is extremely constantly vary with time being measured with

low (or high). of measurement and physical correct posture.

Pulse rate is too low measurement. There was not stays still during

(or too high). enough rest taken before measurement. Allow your

noise was detected, the cuff

is pressurized again to a

higher level.

Patient moved during Make sure that the patient

measurement. stays still and quiet during

Patient is not being measured

and mental condition.

Patient moved during Make sure that the patient

measurement. patient to rest for at least

19

made before the battery

runs down.

conducted.

Turn off the device or press

device by pressing “

of MAIN POWER SWITCH

after use.

measurement.

5 minutes.

o” side

2

e-sphyg

130

82

73

PRESET PRESSURE

MANUAL

AUTO

280

260

220

180

140

100

10

20

40

60

80

100

120

140

160

180

200

220

240

260

280

300

30

50

70

90

110

130

150

170

190

210

230

250

270

290

POWER

LOW BATTERY

AC

START/STOPSET/MEMORY

PRESET PRESSURE

MANUAL

AUTO

280

260

220

180

140

100

10

20

40

60

80

30

50

70

POWER

L

AC

START/STOPSET/MEMORY

Error Displays and Troubleshooting

How to Assemble Wall Model

ERROR SYMBOL/SYMPTOM CAUSE REMEDY

OVER-PRESSURIZATION: Make sure that

The cuff was inflated to the the patient

maximum pressure because stays still during

of movement of body, etc. measurement.

MEASUREMENT ERROR: Make sure the

Measurement could not be patient remains

made because of moving or still and quiet

talking during measurement. during measurement.

INFLATION ERROR: Reinsert AIR PLUG and make

AIR PLUG is not correctly sure that it is securely inserted.

inserted.

Noise was detected. stays still and quiet during

DEFLATION ERROR: Make sure the patient

Movement or talking was remains still and

detected during measurement. quiet during measurement.

Extreme changes in pressure Do not let patient move during

occurred during measurement. measurement.

CHECKING MODE: Turn off the device once and

See page 21. then turn it on again to take

NO POWER: Reinsert AC ADAPTER and

AC ADAPTER is not make sure that it is securely

correctly connected. inserted.

Battery is exhausted. Charge the battery or use

Nothing is being Turn off the device or press

displayed when 9002 was left turned on but START/STOP button or

MAIN POWER SWITCH has not been operated for SET/MEMORY button

is pressed down in the over an hour. to activate the device

ON position. from energy saver mode.

18

Make sure that the patient

measurement.

measurement.

AC ADAPTER.

1. Securely attach wall bracket to flat surface using
enclosed mollys and screws at desired height.
(It is advised to use a level to ensure proper mounting).
(Figure 1)

2. Attach manometer to wall bracket by lowering atop wall
bracket, sliding male tab into female seat of the bracket.
Secure the two together using the (6mm) allen bolt and
washer from below. Tighten securely with large (6mm)
allen wrench (Figure 2).

3. Securely attach cuff basket to flat surface to left of
manometer using enclosed mollys and screws at desired
height. (It is advised to use a level to ensure even
mounting) (Figures 3 - 4).

4. Attach 8 foot length coiled tubing to air inlet on face of

e-sphyg 2

TM

(Figure 5).
Insert “male” luer connector (891M) on free end of
coiled tubing to “female” luer connector (891F) on
bladder tubing (Figure 6). Fold cuff and store in basket.

Figure 4

Figure 5

11

Figure 1

Figure 2

Figure 3

Figure 6

2

e-sphyg

130

82

73

PRESET PRESSURE

MANUAL

AUTO

280

260

220

180

140

100

10

20

40

60

80

100

120

140

160

180

200

220

240

260

280

300

30

50

70

90

110

130

150

170

190

210

230

250

270

290

POWER

LOW BATTERY

AC

START/STOPSET/MEMORY

How to Assemble Mobile Model

1. With base on its side connect upright outer pole to base
using large (6mm) allen bolt. Tighten with large (6mm)
allen key provided. Tighten hardware as se curely as
possible. (Note: To prevent loosening, hardware must be
tightened securely and periodically checked) (Figure 1).

2. Slide spring and stainless steel inner pole inside outer
pole with open end up (Figure 2).

3. Loosen (3mm) allen bolt on collar of cuff storage basket
with small (3mm) allen key provided. Place cuff storage
basket on top of stainless steel inner pole making sure
the pole goes completely inside collar and tighten allen
bolt with key (Figure 3).

4. Attach manometer to basket using (6mm) allen bolt and
washer as shown. Tighten securely with large (6mm) allen
key (Figure 4).

5. Connect tubing as noted in Wall configuration #4.

6. Adjust height of manometer by loosening adjusting knob
and raising or lowering inner pole until gauge is at desired
height. Tighten adjusting knob by hand (Figure 5).

Figure 1

Figure 2

Memory Function

Measured result obtained in "AUTO" mode is automatically saved
in the memory and can be recalled until next measurement is taken.
The result is not saved when the measurement is performed
in "MANUAL" mode.

To recall the result, turn on the device by pressing "I" side of
MAIN POWER SWITCH and set the device to "AUTO" with
MODE SELECTOR.

Press SET/MEMORY button and the last
result from "AUTO" measurement is displayed.

Figure 3

Figure 4

12

Figure 5

Turn off the device by pressing "O" side of MAIN POWER SWITCH.

The device will be in the energy saver mode approximately after
3 minutes if it is not turned off. See page 10.

517

Apply the cuff and stethoscope to the patient's arm in the same
manner as the usual auscultatory method.

Press START/STOP button.

The cuff is inflated automatically after zero settings.
Pressurization stops when pressure reaches the preset pressure value and
pressure starts to descend.
Deflation rate is displayed at the lower right corner of the segment LCD.

NOTE: Press START/STOP button whenever the measurement
should be interrupted. The device will rapidly exhaust air from the cuff.

If cuff inflation was not sufficient, press and hold down
START/STOP button once deflation has started and the cuff
is pressurized again. Pressurization will continue while the
button is pressed. Pressure does not exceed 290 mmHg.

Press START/STOP button when blood pressure is taken and air
is rapidly exhausted from the cuff.
Air is also rapidly exhausted from the cuff when pressure
descends to 30 mmHg.

PLUG / PORT

Figure 1

Figure 2

MALE

CONNECTOR

(Coiled Tubing)

FEMALE CONNECTOR

CONNECTION

AIR CONNECTOR

(Coiled Tubing)

(Bladder Tube)

1. Squeeze the middle of the plastic air connector on the
end of coiled tubing between thumb and forefinger,
and insert into the air connection port on the face of the
e-sphyg 2TM. Make sure connector firmly “lock” snaps
into the port(Figure 1).

2. Firmly insert male connector of coiled tubing into
female connector at end of the Adcuff
Be sure the connectors are tight (Figure 2).

Taking Blood Pressure (Auto Mode)

Turn on the device by pressing "I" side of MAIN POWER SWITCH.

Cuff Connections

TM

bladder tubing.

Turn off the device by pressing "

O" side of MAIN POWER SWITCH.

The device will be in the energy saver mode approximately after
3 minutes if it is not turned off. See page 10.

Make sure your patient is relaxed, has taken at least 5 minutes of rest before
measurement, and refrains from talking or moving during measurement.

Confirm that the cuff is kept at the height of patient's heart during measurement.

Do not execute repeated measurements for congestion of blood could result
in false measurement. Allow the patient's arm to rest for at least 5 minutes.

16

Move MODE SELECTOR downward and set the device to "AUTO".

See page 15 for "MANUAL" measurement.

Set the initial inflation value with PRESET PRESSURE KNOB.

Select the pressure approximately 30 to 40 mmHg above
expected systolic pressure.
Pressure can be set between 100 mmHg and 280 mmHg.
Set the pressure at 180 mmHg if patient's systolic pressure is
difficult to predict.
The cuff is re-pressurized to a higher value if the preset
pressure is too low for blood pressure to be taken during cuff
deflation.

13

Apply the cuff to patient's arm.
Choose the right size of cuff for
your patient. NOTE: Only these 3 cuffs
may be used in auto mode.

ARM CIRCUMFERENCE CUFF SIZE

9.0 to 15.7 inches (23.0 to 40.0 cm) ADULT

13.3 to 19.6 inches

7.4 to 10.6 inches

(34.0 to 50.0 cm) LARGE ADULT

(19.0 to 27.0 cm) SMALL ADULT

Turn off the device by pressing "O" side of MAIN POWER SWITCH.

The device will go to the energy saver mode after approximately
3 minutes if it is not turned off. See page 10.

The lower edge of the cuff should be about 1” (2 to 3 cm)
above the inner elbow and BLADDER TUBE should be over the
inner part of the arm, positioning the ARTERY MARK of the
cuff over the brachial artery.
Press the surface of the cuff to make sure that the hook and
loop adhesive fastens securely.
The cuff should be wrapped loosely enough so that two fingers can be placed between
the cuff and patient's arm. If the cuff is wrapped tighter or looser than this,
inaccurate blood pressure readings may result.
If your patient is wearing a shirt that might restrict circulation in his/her upper arm or
he/she rolls his/her sleeve up over the upper arm, the blood flow will be restricted,
preventing accurate measurement.

Press START/STOP button.

The cuff is inflated automatically after zero settings.
Pressurization stops when pressure reaches the preset pressure value and
pressure starts to descend.
Heart mark flashes in the segment LCD synchronizing detected pulse.
Deflation rate is displayed at the lower right corner of the segment LCD.

Press START/STOP button whenever the measurement
should be interrupted.

The device will stop during any course of measurement
procedure and rapidly exhaust air from the cuff.

Air is rapidly exhausted from the cuff as
measurement completes.
Blood pressure and pulse rate are displayed.

Make sure your patient is relaxed, has taken at least 5 minutes of rest before measurement
and refrains from talking or moving during measurement.

Confirm that the cuff is kept at the height of patient's heart during measurement.

Do not execute repeated measurements for congestion of blood could result in false
measurement. Allow the patient's arm to rest for at least 5 minutes.

Taking Blood Pressure (Manual Mode)

When you want to take your patient's blood pressure using the auscultatory method with
a stethoscope, set the device to "MANUAL" mode.

Turn on the device by pressing "

Move MODE SELECTOR upward and set the device to "MANUAL".

See page 13 for “AUTO” measurement.

Set the initial inflation value with PRESET PRESSURE KNOB.

Details on preset pressure … page 13.

Press SET/MEMORY button to confirm and/or select the
appropriate deflation rate.

The deflation rate is displayed at the lower right corner of the
segment display.

The deflation rate can be selected from 2.5, 4.5 and 6.5 mmHg\s.
The set deflation rate returns to the default value (2.5) when the
device is turned off.

I" side of MAIN POWER SWITCH.

14

15