ADC GNOSTIX 922 Maintenance manual

DIAGNOSTIXTM
22
MERCURIAL
BLOOD
PRESSURE
INSTRUMENT
USE, CARE, &
MAINTENANCE

A
Special
Thank
You...
Thank you for choosing an ADC bloo pressure instrument . We’re prou of the care an quality that goes
into the manufacture of each an every sphygmomanometer that bears our name.
Only the finest materials are use to assure you of a timeless instrument esigne for optimum perform-
ance.
You’ll quickly appreciate the results for you now own the finest sphygmomanometer that money can buy.
With proper care an maintenance your ADC bloo pressure instrument is sure to provi e you with many
years of epen able service. Please rea the following instructions an general information which will
prove helpful in allowing you to enjoy your ADC pro uct.
Thank you for your patronage. It is in ee our pleasure to serve you.
Sincerely,
American Diagnostic Corp.
Device Description and Intended Use
ADC®aner id sphygm man meters are used by pr fessi nal healthcare pr viders and individuals trained in auscultat ry
bl d pressure technique t determine syst lic and diast lic bl d pressure in humans and animals.
A warning statement in this manual identifies a condition or practice which, if not corrected or discontin
ued immediately could lead to patient injury, illness, or death.
CAUTION: Federal law restricts this device t sale by r n the rder f a physician r licensed healthcare practi-
ti ner.
WARNING:
If luer l ck c nnect rs are used in the c nstructi n f tubing, there is a p ssibility that they might be inad-
vertently c nnected t intra-vascular fluid systems, all wing air t be pumped int a bl d vessel. Immediately c nsult a
physician if this ccurs.
WARNING: D n t all w a bl d pressure cuff t remain n patient f r m re than 10 minutes when inflated ab ve 10
mmHg. This may cause patient distress, disturb bl d circulati n, and c ntribute t the injury f peripheral nerves.
WARNING: Safety and effectiveness with ne nate cuff sizes 1 thr ugh 5 is n t established.
WARNING:
D n t twist c nnect rs when j ining the bl d pressure cuff t tubing as this may cause the c nnect rs t
stick and make changing the bl d pressure cuff difficult.
WARNING: When using with an infant r child cuff, extra care must be taken t prevent ver-inflati n. With smaller
cuffs (infant r child) the cuff can inflate t ver 300mmHg with just tw full c mpressi ns f the bulb. T prevent dis-
c mf rt r injury t the patient and damage t the instrument, bulb sh uld nly be partially squeezed, s that each “str ke”
inflates the cuff in 40mmHg t 60mmHg increments until inflated t the desired level.
WARNING: This pr duct may c ntain a chemical kn wn t the state f Calif rnia t cause cancer, birth defects, r ther
repr ductive harm.

Parts and Assembly
This booklet contains operating an maintenance information
for the DIAGNOSTIX™922 series esktop mercurial bloo
pressure instrument. Please rea an retain.
Your DIAGNOSTIX™922 consists of a main unit with 4mm
calibrate unbreakable plastic cartri ge tube, inflation sys-
tem (which inclu es the ADCUFF™nylon cuff with Size
Gui e™ marking system, latex-free inflation bla er, bulb,
an the ADFLOW™ valve), luer connector, an operating in-
structions.
Connectin the Inflation System to Manometer
Remove the re cap which seals the reservoir containing mer-
cury. Attach the free en of reservoir tube securely to air inlet.
Save re safety cap for later use. When transporting mercury
instrument we recommen replacing the re safety cap.
Please note: It is normal for negligible amounts of resi ual
mercury roplets to accumulate aroun the air inlet beneath
the re safety cap uring transportation.
Warning: Before transporting this instrument, mercury must be stored in the tank and the reservoir lock
MUST be switched to the off position to prevent mercury spills.
Operatin Instructions
Your DIAGNOSTIX™ 922 Desktop Mercury Sphygmomanometer incorporates a special safety feature that locks the
mercury within the reservoir uring storage, transport, or maintenance.
To Operate the 922: To release the mercury from the reservoir, move the locking lever to the left. Mercury will flow
up into the plastic cartri ge tube an rest at the “0” mark. If the mercury oesn’t rise within the tube, tilt the entire
unit 45° to the left. If mercury fails to rise, or oesn’t reach the “0” level, have unit service .
To Lock Mercury within the Reservoir: Tilt the entire unit back 45° towar s the reservoir to permit mercury to
flow out of cartri ge tube an into reservoir. When cartri ge tube is completely emptie of ALL mercury (an
while it is still tilte 45°), move locking lever to the right. Mercury shoul be locke within the reservoir uring
maintenance or transport.
PLEASE NOTE: MERCURY SHOULD BE SECURED WITHIN THE RESERVOIR BEFORE CLOSING LID, DURING
TRANSPORT, OR WHEN SERVICING THE CARTRIDGE TUBE, DIAPHRAGMS, OR FILTERS. NEVER DISAS
SEMBLE UNIT UNLESS MERCURY IS FIRST LOCKED WITHIN RESERVOIR.
MEASUREMENT PROCEDURE
1. Patient Position
The patient shoul sit or lie comfortably. The arm shoul be fully sup-
porte on a flat surface at heart level. (If the arm’s position varies, or is
not level with the heart, measurement values obtaine will not be consis-
tent with the patient’s true bloo pressure.) Observer shoul view
manometer in a irect line an at eye level to avoi “parallax error.”
2. Apply the cuff
ADCUFF™ nylon cuffs, with proprietary Size Gui e™marking system,
are specially esigne to promote the precise, accurate etermination
of bloo pressure. In ex an range markings ensure use of the correct cuff size. The artery mark in icates proper cuff
positioning. Place the cuff over the bare upper arm with “artery” mark positione irectly over the brachial artery. The
bottom e ge of the cuff shoul be positione approximately one inch above the antecubital fol . Wrap the en of the
cuff, not containing the bla er, aroun arm snugly an smoothly an engage a hesive strips. To verify a correct fit,
check that the ADCUFF™ nylon cuffs, with proprietary Size Gui e™marking system, are specially esigne to promote
the precise, accurate etermination of bloo pressure. In ex an range markings ensure use of the correct cuff size.
The artery mark in icates proper cuff positioning. Place the cuff over the bare upper arm with “artery” mark positione
irectly over the brachial artery. The bottom e ge of the cuff shoul be positione approximately one inch above the
Select Smaller Cuff
▲
CORRECT
▲
Select Lar er Cuff
▲
Cartrid e Tube
Lockin
Mechanism
Bulb &
Valve
Main Unit
Reservoir
Cuff

antecubital fol . Wrap the en of the cuff, not containing the bla er, aroun arm snugly an smoothly an engage a -
hesive strips. To verify a correct fit, check that the INDEX line falls between the two RANGE lines.
3. Inflate the cuff
Close the ADFLOW™valve by turning thumbscrew clockwise.
Palpate the ra ial artery while inflating the cuff. Be sure to inflate cuff quickly by squeezing bulb rapi ly. Inflate cuff 20-
30mmHg above the point at which the ra ial pulse isappears.
4. Position the Stethoscope
Position the chestpiece in the antecubital space below the cuff, istal to the brachium. Do not place chestpiece un erneath
the cuff, as this impe es accurate measurement. Use the bell si e of a combination stethoscope for clearest etection of
the low pitche Korotkoff (pulse) soun s.
5. Deflate the cuff
Open the valve to eflate the cuff gra ually at the AHA recommen e rate of 2-3mmHg per secon .
6. Measurement
Recor the onset of Korotkoff soun s (Phase 1) as the systolic pressure, an the isappearance of these soun s (Phase
5) as the iastolic pressure. (Some healthcare professionals prefer recor ing iastolic 1 an iastolic 2. Diastolic one oc-
curs at phase 4).
After measurement is complete , open valve fully to release any remaining air in the cuff. Remove cuff.
Care and Maintenance
Warnin : Before transporting this instrument, mercury must be store in the tank an the reservoir lock MUST be switche
to the off position to prevent mercury spills.
Stora e
After measurement, wrap cuff aroun bulb an store in base of main unit. IT IS NOT NECESSARY TO CLOSE
UNIT AFTER EACH USE - HOWEVER, ALWAYS REMEMBER TO LOCK MERCURY WITHIN THE RESERVOIR BE-
FORE CLOSING LID.
Manometer Perio ically replace the filter plug an iaphragm, an clean the insi e of the plastic cartri ge tube using alcohol
an a lint free pipe brush. Units shoul be cleane an service perio ically epen ing on frequency of use, or whenever in-
si e of cartri ge tube appears irty. Proper servicing of your mercury unit accor ing to a strict maintenance sche ule will as-
sure maximum measurement accuracy an exten the life of your instrument.
For irections on isassembling the unit refer to the enclose schematic iagram an accompanying instruc-
tions.
PLEASE NOTE: MERCURY IS TOXIC. SECURE MERCURY WITHIN THE RESERVOIR BEFORE SERVICING UNIT.
ALWAYS WEAR PROTECTIVE CLOTHING (GLOVES AND GOGGLES) WHEN CLEANING OR SERVICING THE
UNIT. CLEAN ANY SPILLED MERCURY PROMPTLY USING APPROVED MERCURY CONTAINMENT KITS. ONLY
PROPERLY TRAINED SERVICE TECHNICIANS SHOULD ATTEMPT TO SERVICE THE UNIT. CONSULT THE EN-
CLOSED MANUAL ENTITLED “JUST IN CASE” FOR PROCEDURES ON DEALING WITH A MERCURY SPILL.
Symbol Definition
Imp rtant Warning/Cauti n
Latex-Free
Circumference Size
C nf rms t EU Standards
Symbol Definition
Auth rized Eur pean
Represenative’s Inf rmati n
Manufacturer’s Inf rmati n
Temperature Limit
Humidity Limitati n
°F

ADC
55 Commerce Drive
Hauppauge, NY 11788
U.S.A.
ADC (UK) Lt .
Unit 6, PO14 1TH
Unite King om
Inspecte in the U.S.A.
Ma e in China
tel: [phone]
fax: [phone]
www.adctoday.com
email: [e-mail]
IB p/n 9353-00 rev 8 english
Limited Warranty
American Diagnostic Corporation (ADC) warrants its pro ucts against efects in materials an workmanship
un er normal use an service as follows:
1. Warranty service exten s to the original retail purchaser only an commences with the ate of elivery.
2. The entire sphygmomanometer is warrante for one year.
3. The inflation system is warrante for three years.
4. The calibrate plastic cartri ge tube is warrante for life an will be replace FREE OF CHARGE when re-
turne freight prepai with the complete unit.
What Is Covered: Calibration, repair or replacement of parts, an labor.
What is Not Covered: Transportation charges to an from ADC. Damages cause by abuse, misuse, acci ent,
or negligence. Inci ental, special, or consequential amages. Some states o not allow the exclusion or limita-
tion of inci ental, special, or consequential amages, so this limitation may not apply to you.
To Obtain Warranty Service: Sen item(s) postage pai to ADC, Attn: Repair Dept., 55 Commerce Drive, Haup-
pauge, NY 11788. Please inclu e your name an a ress, phone no., proof of purchase, with a brief note explaining the
problem, an $2.00 to cover the cost of return shipping an han ling.
Implied Warranty: Any implie warranty shall be limite in uration to the terms of this warranty an in no
case beyon the original selling price (except where prohibite by law). This warranty gives you specific legal
rights an you may have other rights which vary from state to state.
This manual is available online in a variety of languages, follow the links
for language options.
www.adctoday.com/care
To register your pro uct visit us at
www.adctoday.com/re ister
FOR QUESTIONS, COMMENTS, OR SUGGESTIONS CALL TOLL FREE:
1-800-ADC-2670
OR VISIT
www.adctoday.com/feedback
©2013 AMERICAN DIAGNOSTIC CORP.