ADC Advantage 6021N User manual

PLEASE NOTE:
THIS MEDICAL INSTRUMENT MUST BE
USED ACCORDING TO INSTRUCTIONS
TO ENSURE ACCURATE READINGS.
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Automatic
Blood Pressure
Monitor
6021N, 6022N, 6023N
Instruction Manual
6023N

2
Automatic Blood Pr ssur Monitor
Tabl of Cont nts
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 Bloo Pressure? 6
3.2. What is a Normal Bloo Pressure? 7
3.3. What Influences Bloo Pressure? 7
3.4. Does Bloo Pressure Vary? 8
3.5. What is Hypertension? 8
3.6. Can Hypertension be Controlle ? 9
3.7. Why Measure Bloo Pressure at Home? 9
3.8. How is Bloo Pressure Measure ? 10
3.9. How Shoul I Recor My Bloo 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 A apter 13
5.3. Cuff Connection 13
5.4. Setting the Time an Date 13
5.5. Select the User 14
5.6. Selecting Measurement Mo e (6022N, 6023N only) 15
5.7. Using MAM A vantage™ Averaging Mo e (6022N, 6023N only) 15
6. MEASUREMENT PROCEDURE 16
6.1. Before Measurement 16
6.2. Common Sources of Error 16

6.3. Fitting the Rigi Cuff (6023N only) 17
6.4. Fitting the D-Bar Cuff (6021N, 6022N only) 18
6.5. Measurement Proce ure 19
6.6. Rea ing 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 an Data Transmission 21
7.2 Installing an Using Microsoft® Healthvault™ 22
8. IRREGULAR HEARTBEAT DETECTOR 23
8.1. Traffic Light In icator (6023N only) 24
9. MEMORY FUNCTION 24
9.1. Recall an 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®A vantage™Automatic
Bloo Pressure Monitor.
In hospitals an physician's offices throughout the worl , where accuracy an
epen ability are critical, ADC®professional iagnostic pro ucts are the
instruments of choice.
Now you, too, can enjoy the benefits of ADC®engineering an quality in the
home. This feature rich instrument was esigne to simplify the measurement
of bloo pressure an pulse rate at home an eliver consistent, epen able
results.
Rea this booklet thoroughly before attempting to use your new ADC®
A vantage™Automatic Bloo Pressure Monitor.
1. INTRODUCTION AND INTENDED USE
This manual is for A vantage™(6021N), A vantage™PLUS (6022N), an
A vantage™ULTRA (6023N) mo els. To fin the mo el number of your evice,
look on the rating label locate on the un ersi e of the unit.
Your bloo pressure monitor with ADC®Averaging Mo e, Irregular Heartbeat
Detection, an PC Link Bloo Pressure Analyzer Software (6023N mo el only) is
a fully automatic igital bloo pressure measuring evice for use by a ults on
the upper arm at home or in your octor’s/nurse’s office. It enables very fast
an reliable measurement of systolic an iastolic bloo pressure as well as
pulse through the oscillometric metho . This evice offers clinically proven
accuracy an has been esigne to be user frien ly.
Before using, please rea this instruction manual carefully an then keep it in a
safe place. Please contact your octor for further questions on the subject of
bloo pressure an its measurement.
R m mb r…
Only a healthcare professional is qualifie to interpret bloo pressure•
measurements. This evice is NOT inten e to replace regular me ical
checkups.

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It is recommen e that your physician review your proce ure for using•
this evice.
Bloo pressure rea ings obtaine by this evice shoul be verifie before•
prescribing or making a justments to any me ications use to control
hypertension. Un er no circumstances shoul YOU alter the osages of
any rugs prescribe by your octor.
This monitor is inten e for use by a ults only. Consult with a physician•
before using this instrument on a chil .
In cases of irregular heartbeat (Arrhythmia), measurements ma e with•
this instrument shoul only be evaluate after consultation with your
octor.
Familiarize yourself with the section title "About Bloo Pressure". It•
contains important information on the ynamics of bloo pressure
rea ings an will help you to obtain the best results.
2. WARNINGS AND PRECAUTIONS
Warning: The evice contains sensitive electronic components.
Avoi strong electrical or electromagnetic fiel s in the irect vicinity of
the evice (e.g., mobile telephones, microwave ovens). These can lea to
temporary impairment of the measuring accuracy.
Warning: Use of this instrument on patients un er ialysis therapy or on
anticoagulant, antiplatelets, or steroi s coul cause internal blee ing.
Warning: Do not use cuffs, AC a apters or batteries other than those
inclu e with this pro uct or replacement parts supplie by the
manufacturer.
Warning: This system may fail to yiel specifie measurement accuracy
if operate or store in temperature or humi ity con itions outsi e the
limits state in the specifications section of this manual.
Warning: This pro uct may contain a chemical known to the state of
California to cause cancer, birth efects, or other repro uctive harm.
Caution: The stan ar material use is latex-free.

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Att ntion: Self-measurement means control, not iagnosis or treatment.
Unusual values must always be iscusse with your octor. Un er no
circumstances shoul you alter the osages of any rugs prescribe by your
octor.
Att ntion: The pulse isplay is not suitable for checking the frequency of
heart pacemakers!
Att ntion: In cases of irregular heartbeat, measurements ma e with this
instrument shoul only be evaluate after consultation with your octor.
NOTE: To obtain the greatest accuracy from your bloo pressure instrument,
it is recommen e that the instrument be use within a temperature range
of 50°F (10°C) to 104°F (40°C), with a 15-90% relative humi ity.
3. ABOUT BLOOD PRESSURE
3.1. What is Blood Pr ssur ?
Simply put, arterial bloo pressure is the force of bloo exerte against the walls of
the arteries. There are two components to bloo pressure — systolic an iastolic
pressure. Systolic, the higher pressure, occurs uring contraction of the heart.
Diastolic, the lower pressure, occurs when the heart is at "rest."
Your level of bloo pressure is etermine in the circulatory center of the brain
an a justs to a variety of situations through fee back from the nervous system.
To a just bloo pressure, the strength an frequency of the heart (Pulse), as well
as the wi th of circulatory bloo vessels is altere . Bloo vessel wi th is affecte
by fine muscles in the bloo vessel walls. Bloo pressure is tra itionally measure
in millimeters of mercury (mmHg).
It is recor e as systolic/ iastolic. For example a systolic of 120 an
iastolic of 80 woul be recor e 120/80.
Bloo pressure is a ynamic vital sign — one that changes constantly
throughout the ay. A person's "resting" bloo pressure is the pressure that
exists first thing in the morning while a person is still at rest an before
consumption of foo or rink.

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3.2. What is a Normal Blood Pr ssur ?
A systolic pressure of less than 120mmHg an a iastolic pressure of un er
80mmHg are recognize as normal by the Joint National Committee on
Prevention, Detection, Evaluation, an Treatment of High Bloo Pressure,
2003.
NOTE: Bloo pressure oes increase with age, so you must check with
your octor to fin out what is “normal” for you! Even with normal bloo
pressure values, a regular self-check with your bloo pressure monitor is
recommen e . You can etect possible changes in your values early an
react appropriately. If you are un ergoing me ical treatment to control your
bloo pressure, keep a recor of values along with time of ay an ate.
Show these values to your octor. Never use the results of your
measurements to in epen ently alter the rug oses prescribe by your
octor.
3.3. What Influ nc s Blood Pr ssur ?
Bloo pressure is influence by many factors inclu ing age, weight,
physical con itioning, past illness, time of ay, altitu e, activity, an
climate, to name just a few. In general, bloo pressure is lower in the
morning an increases throughout the ay. It is lower in warm weather,
an higher in col weather.
Physical activity can have a significant short term impact on bloo
pressure. Work, exercise, smoking, eating, rinking - even talking,
laughing, or crying will all affect a person's bloo pressure.
Your iet, inclu ing beverages containing caffeine or alcohol, may
affect bloo pressure. Emotional stress can have a ramatic impact on your
bloo pressure.
Even repeate bloo pressure measurements taken without a equate rest
between rea ings will alter your bloo pressure as the vessels in your arm
engorge with bloo . Many of these influences are only temporary or short
term, though chronic (long term) exposure to some factors may result in
permanently elevate bloo pressure levels.

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3.4. Do s Blood Pr ssur Vary?
Constantly. An in ivi ual's bloo pressure varies greatly on a aily an 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 ay!
While generally not as volatile, iastolic pressure can still vary significantly. In
hypertensive in ivi uals,
variations are even more
pronounce . Normally,
bloo pressure is at its
lowest uring sleep an
rises in the morning an
throughout the ay. The
chart (left) illustrates the
fluctuations that coul
occur in a typical ay.
3.5. What is Hyp rt nsion?
Hypertension (high bloo pressure) is elevate systolic or iastolic levels. In 90
to 95 percent of the iagnose cases, the specific causes are unknown,
although the con ition is often linke with family history, an lifestyle. This is
referre to as essential hypertension. In the remaining cases, high bloo
pressure is a symptom of an un erlying, often treatable con ition, which if
correcte , may normalize bloo pressure. This less common type is known as
secon ary hypertension. Hypertension, if left untreate , may contribute to ki ney
isease, heart attack, stroke, or other ebilitating illnesses. The following
stan ar s for assessment of high bloo pressure in a ults have been establishe
by the Joint National Committee, 2003.
Range Systol c D astol c Precaut on
Class f cat ons Blood Pressure Blood Pressure Measures
Normal <120 <80 Monitor regularly
Prehypertension 120 139 80 89 Contact your phys c an
–– HYPERTENSION ––
Stage 1 140 159 90 99 Contact your
(Moderate) phys c an Immed ately
Stage 2 ≥160 ≥100 Contact your
(Severe) phys c an URGENTLY
(JNC 7 report: Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure / 2003)

Remember, only a physician is qualifie to interpret the rea ings obtaine
from your bloo pressure monitor. No attempt shoul ever be ma e at
self- iagnosis or treatment.
3.6. Can Hyp rt nsion b Controll d?
Although essential hypertension cannot be cure , it can usually be
controlle by altering lifestyle (inclu ing iet), a opting a program of
exercise, stress management an , where necessary, with me ication
un er a octor's supervision.
To help re uce the risk of hypertension, or keep it un er control, the
American Heart Association (AHA) recommen s the following:
Don't smoke•
Re uce salt an fat intake•
Maintain proper weight•
Exercise regularly•
Have regular physical checkups•
3.7. Why M asur Blood Pr ssur at Hom ?
Clinical stu ies have shown improve etection an treatment of
hypertension when regular home bloo pressure monitoring is one
in consultation with a physician.
Bloo pressure measure in a octor's office or hospital setting may
cause anxiety an lea to an elevate rea ing - a con ition referre
to as "white coat hypertension."
Home measurements generally re uce the "outsi e" influences on
bloo pressure rea ings, an can provi e a more comprehensive an
meaningful bloo pressure history.
Not : While it is important to keep an accurate recor of your bloo pressure
measurements, on't be overly concerne by the results of any one
measurement. In ivi ual results may be influence by spiking of your pressure
ue to iet, anxiety, or mis-measurement resulting from excessive arm
movement, or misapplication of the cuff. Many rea ings taken at the same time
each ay give a more comprehensive bloo pressure history.
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Always be sure to note the ate an time when recor ing bloo pressure
an pulse measurements. For best results, an with time permitting, 3
successive measurements may be taken aily. Make sure to allow at least
5 minute intervals between measurements. Discar any rea ing that
appears suspect an recor the average of the remaining rea ings.
3.8. How is Blood Pr ssur M asur d?
Healthcare professionals tra itionally use a evice known as a
sphygmomanometer along with a stethoscope - essentially a professional
version of the very same instrument you have purchase . The
sphygmomanometer is a system consisting of an inflatable bla er containe
within a cuff, inflation bulb with air control valve, an pressure measuring
manometer (gauge). The gauge may be mechanical or mercurial. The cuff is
wrappe aroun the limb an inflate to constrict bloo flow to the artery. As
pressure is release from the cuff through the eflation valve, bloo flow
returns to the artery pro ucing pulse beats known as Korotkoff soun s, which
are etecte with the stethoscope. Systolic pressure is recor e at the onset
of these soun s. Diastolic pressure is generally recor e when the soun s
isappear (when bloo flow to the artery returns to normal).
3.9. How should I r cord my blood pr ssur ?
Recor your bloo pressure by setting up a simple chart in a spiral-boun
notebook as shown below, or use the inclu e recor book.
Dat Tim R ading Puls
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 a a column for comments about your con ition at the time of
measurement, or a listing of any factors that may have influence your rea ings
(such as "ha a col ", or "just returne from vacation").
For best results, an with time permitting, 3 successive measurements