ADC
ADC Sphygmomanometer Accessories Directions for Use, Care & Maintenance rev 2
Directions for Use, Care & Maintenance
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ADC Sphygmomanometer Accessories ®
Maintenance: Clean and disinfect as required Cleaning • Use one or more of the following methods and allow to air dry: • Wipe with mild detergent and water solution (1:9 solution). Rinse.
Directions for Use, Care, & Maintenance
• Wipe with Enzol per manufacturer’s instructions. Rinse. • Wipe with .5% bleach and water solution. Rinse. • Wipe with 70% isopropyl alcohol. • Launder with mild detergent in warm water, normal wash cycle. Remove bladder first. Cuff is compatible with 5 wash cycles.
Low Level Disinfection Prepare Enzol enzymatic detergent according to the manufacturer’s instructions. Spray detergent solution liberally onto cuff and use a sterile brush to agitate the detergent solution over entire cuff surface for five minutes. Rinse continuously with distilled water for five minutes. To disinfect, first follow the cleaning steps above, then spray cuff with 10% bleach solution until saturated, agitate with a sterile brush over entire cuff surface for five minutes. Rinse continuously with distilled water for five minutes. Wipe off excess water with sterile cloth and allow cuff to air dry.
! WARNING: Do not allow a blood pressure cuff to remain on patient for more than 10 minutes when inflated above 10 mmHg. This may cause patient distress, disturb blood circulation, and contribute to the injury of peripheral nerves. ! WARNING: Do not apply cuff to delicate or damaged skin. Check cuff site frequently for irritation. ! WARNING: Safety and effectiveness with neonate cuff sizes 1 through 5 is not established.
®
! WARNING: Only use the cuff when the range markings indicated on the cuff show that the proper cuff size is selected, otherwise erroneous readings may result.
AMERICAN DIAGNOSTIC CORPORATION
! WARNING: Allow space between patient and cuff. Two fingers should fit in this space if the cuff is correctly positioned.
Warranty ! WARNING: Do not apply cuff to limbs used for IV infusion. ! WARNING: Patient should remain still during measurement to avoid erroneous readings.
American Diagnostic Corporation’s (ADC®) warranty service extends to the original retail purchaser only and commences from the date of delivery. ADC warrants its products against defects in materials and workmanship under normal use and service as follows:
! CAUTION: Do not iron cuff. • Your Manometer is warranted for 10 years, 20 years, or Life depending upon the model. Refer to label or end panel for specific warranty denotation. The manometer is warranted to remain accurate to +/-3mmHg (or the prevailing standard) over its full range when compared to a reference standard for life.
! CAUTION: Do not heat or steam sterilize cuff.
Bulb and Valve Assembly - Model 872N Intended Use
• AdcuffTM inflation system components (cuff, bladder, tubing, bulb, valves, connectors) are warranted for three years. Specialty cuffs and bladders are warranted for 2 years.
ADC blood pressure bulb and valves allow for controlled inflation and deflation of the blood pressure cuff. They are intended for use with manual noninvasive blood pressure measurement devices. ®
What is Covered: Replacement of parts, and labor.
To Operate: Close the valve by fully rotating thumbscrew clockwise. To open, rotate counterclockwise. Deflation should be maintained at a consistent rate of 2-3mmHg/second throughout measurement for best results (in accordance with recommendations set forth by the AHA).
Maintenance: Your bulb and valve assembly is equipped with an end valve that allows the intake of air into your blood pressure device. It is recommended that the end valve be checked for debris and cleared on a regular basis to ensure that dust and other debris does not reduce airflow. NOTE: Some end valves are equipped with a filter screen to help prevent the ingress of dust from the environment.
What is Not Covered: Transportation charges to and from ADC®. Damages caused 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®, Attn: Repair Dept., 55 Commerce Dr., Hauppauge, NY 11788. Please include your name and address, phone no., proof of purchase, and a brief note explaining the problem. 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.
Manometer Quality Control A Serial number and Lot number are automatically assigned to every aneroid during manufacturing, ensuring every item is "controlled".
To register your product visit us at This Serial Number can be located on the faceplate of each aneroid (Figure 6).
www.adctoday.com/register
The Lot number is located on the outside label of all accessory packaging (Figure 7).
Serial Number
(Figure 6)
FOR QUESTIONS, COMMENTS, OR SUGGESTIONS CALL TOLL FREE:
1-800-ADC-2670 Lot Number
OR VISIT LOT: 0000
www.adctoday.com/feedback LOT 0 00000 000
This manual is available online in a variety of languages, follow the links for language options.
(Figure 7)
www.adctoday.com/care Disposal When your sphygmomanometer or any of its parts have reached its end of life, please be sure to dispose of it in accordance with all regional and national environmental regulations. Devices that have become contaminated should be disposed of in accordance with all local ordinances and regulations.
Symbol Definitions The following symbols are associated with your ADC® Sphygmomanometer Symbol
Definition
Symbol
Important Warning/Caution
Manufacturer’s Information
Latex-Free Circumference Size Conforms to EU Standards
Definition Authorized European Represenative’s Information
°F
Temperature Limit Humidity Limitation
ADC 55 Commerce Drive Hauppauge, NY 11788 U.S.A.
Inspected & Packaged in the U.S.A. tel: 631-273-9600 toll free: 1-800-232-2670 fax: 631-273-9659 www.adctoday.com
ADC (UK) Ltd. Unit 6, PO14 1TH United Kingdom IB p/n 9355N-00 rev 2
Printed in the U.S.A.
®
ADC Sphygmomanometer Replacement Parts
2 Tube Connection
1 Tube Connection
(manometer, cuff, bladder, bulb and valve)
Manometer
Convertible Bladder
Convertible Bladder
Adult Size 11
Adult Size 11
p/n 815-11A
p/n 815-11A
100% LEAK TESTED
Intended Use: ADC® blood pressure manometers are designed to be used with ADC® and compatible noninvasive blood pressure cuffs. They are intended for use with compatible inflation systems and in conjunction with a stethoscope to obtain manual blood pressure readings.
General Warnings: ! ! WARNING: If this equipment is modified, appropriate inspection and testing must be conducted to ensure its continued safe use.
100% LEAK TESTED
NOTE: Rubbing alcohol or soapy water can facilitate connections. Make sure connection is secure.
! WARNING: Connections are not designed to be converted back and forth on a regular basis.
! WARNING: This Product May Contain A Chemical Known To The State of California To Cause Cancer, Birth Defects, Or Other Reproductive Harm. ! CAUTION: 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%-85% (non-condensing). ! CAUTION: Manometer pressure range is 0 mmHg to 300 mmHg.
To insert the bladder into the cuff; (Figure 2)
1. Roll bladder into a tube starting from long edge opposite tubing (Figure 2). 2. Insert left edge of bladder into cuff opening (at bottom edge of cuff) until it is completely inside. Shake cuff until bladder fully unravels. (Figure 3).
TM
x Li
Inde ne
! CAUTION: Extreme altitudes may affect blood pressure readings. Your device has been designed for normal environmental conditions. ! CAUTION: This product will maintain the safety and performance characteristics specified at temperatures ranging from 32°F to 104°F (0°C to 40°C) at a relative humidity level of 15% to 85%.
Inserting Bladder into Cuff
11
Connecting the manometer to the inflation system: Pocket Style Models: 800, 802, 808N, 809N
160 180 140 200 120 220 100
80
AMERICAN DIAGNOSTIC CORPORATION
0197
240
60 Lifetime Certified 260 280 40 300 20 mmHg
The barb at the bottom of the manometer will friction fit onto the tubing of most commercially available two tube cuff and bladder systems.
! WARNING: The pocket style manometer is designed for use with TWO tube systems where one tube connects to the manometer and the other connects to the inflation source (bulb and valve).
3. Thread tubes through smaller openings (from inside of cuff out) and tuck flap in to secure bladder. To make sure that bladder fills compartment, inflate before initial use. (Figure 4).
(Figure 3)
TM
Palm Style Model: 804 Assemble the supplied luer slip connector onto the free end of the cuff tubing by inserting the barbed end of connector into tubing. Connector will friction fit onto the tubing of most commercially available ONE tube cuff and bladder systems. Insert luer slip connector into the port at the top of the palm gauge and twist slightly to engage.
160 140 180 200 120 220 100 80
0197
240
Index Line
! WARNING: If luer lock connectors are used in the construction of tubing, there is a possibility that they might be inadvertently connected to intra-vascular fluid systems, allowing air to be pumped into a blood vessel. Immediately consult a physician if this occurs.
11
(Figure 4)
60 Lifetime Certified 260 40 280 300 20 mmHg
! WARNING: The palm style manometer is designed for use with ONE tube systems.
Cuff Models: 845 Series
! WARNING: To avoid damage to the instrument, do not force connector into port.
Intended Use: Clock Style Model: 805 The barb at the bottom of the manometer will friction fit onto most commercially available coiled tubing.
140 160 180 200 120 220
100
240
80 60
! WARNING: The clock style manometer is designed for use with TWO tube systems where one tube connects to the coiled tubing attached to the manometer, and the other connects to the inflation source (bulb and valve)
40
ADC® blood pressure cuffs are noninvasive blood pressure cuffs that are intended for use with manual and automated noninvasive blood pressure measurement devices.
SPHYGMOMANOMETER
Lifetime Certified
260
Size Chart
280 20 mmHg 300 0197
Contraindications: Aneroid sphygmomanometers are contraindicated for neonate use. Do not use with neonatal cuffs or neonate patients. Review the size chart for proper age and limb range usage (Right).
! CAUTION: 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.
Maintenance: The manometer may be cleaned with a soft cloth but should not be dismantled under any circumstances. Gauge accuracy can be checked visually; simply be certain the needle rests within the printed oval when the unit is fully deflated. Should the indicator needle of the manometer rest outside of this calibration mark, then the manometer must be re-calibrated to within ±3 mmHg when compared to a reference device that has been certified to national or international measurement standards. No manometers that have their indicator needle resting outside of this mark are acceptable for use (Figure 1). The manufacturer recommends a calibration check every 2 years. NOTE: Store gauge with valve in full exhaust position.
Standards:
(Figure 1)
ANSI/AAMI/ISO 81060-1:2007 • ANSI/AAMI SP-10:2002
Cuff
Size
Infant
Limb Range Inches
CM
7
3.5 to 5.5
9 to 14
Child
9
5.1 to 7.6
13 to 19.5
Sm. Adult
10
7.4 to 10.6
19 to 27
Adult
11
9 to 15.7
23 to 40
Lg. Adult
12
13.3 to 19.6
34 to 50
Thigh
13
15.7 to 25.9
40 to 66
Size GuideTM Marking System: ADC®’s Size Guide™ marking system assures use of correct cuff size and proper cuff alignment. Printed Index and Range markings and applicable limb range (in cm) allow easy identification of the correct cuff size. An artery mark printed on both sides indicates bladder midpoint for correct cuff positioning. A convenient nylon hang tag permits flexible use with either pocket aneroids or mercury manometers. Hook and loop adhesive surface provides a snug, infinitely variable fit and is designed to withstand a minimum of 30,000 open/close cycles.
EN 1060-1:1995 • EN 1060-2:1995 Gauge Hang Tab
Hook & Loop Closure Adhesive TM
Bladder Model: 815 Series Index Line
Intended Use:
TM
Reusable BP Cuff
ADCUFF™ latex free bladders are noninvasive inflation bags designed to be used with ADC® and compatible blood pressure cuffs. They are intended for use with manual and automated noninvasive blood pressure measurement devices.
13 T
12 X
11 A
10 SA
9 C
7 I
Adult - 11
11 23-40 cm
23-40 cm
11
Size Icons
Artery Mark
Bladder Flap
Assembling the Converitble Bladder Build a 1 or 2 tube bladder connection depending upon your requirements.
• Pocket or Clock Aneroids or Mercurial Sphygs require a 2 tube bladder. • Palm or Multicuff Aneroids require a 1 tube bladder.
Index Line
One simple connection is all that is necessary:
Bladder Shell
What is included:
Index Line
(1) Bladder Shell with 1 tube attached and an open barb
Artery Mark
Range Lines
Convertible Bladder
Adult Size 11 p/n 815-11A
100% LEAK TESTED
(1) Cap: To close off open barb for 1 tube bladder use (1) Tube: To connect to open barb for 2 tube bladder use
Applying Cuff: Cap
Tube
Converitble Bladder Connections (1 or 2 tube)
Place the cuff over the bare upper arm with the artery mark positioned directly over the brachial artery. The bottom edge of the cuff should be positioned approximately (1”) one inch (2-3cm) above the antecubital fold.
Left Arm
Tube
1 tube - Securely attach enclosed Cap to exposed barb on bladder shell. 2 tube - Securely attach enclosed second tube to exposed barb on bladder shell.
Wrap the end of the cuff NOT (Figure 5) containing the bladder around arm snugly and smoothly and engage adhesive strips. To verify a correct fit, check that the INDEX line falls between the two RANGE lines (Figure 5).