American Diagnostic Corporation (ADC) e-sphyg 7002 - Manual (Page 8)

Assembling your Sphygmomanometer
Your inflation system is pre-assembled and ready for use. You will need to simply connect your
digital gauge to the complete inflation system by inserting the twist lock connector (pre-assem-
bled on a bladder tube) into the air port at the bottom of the digital gauge, twist to lock.
Measurement Procedure
(Auscultatory Method)
1. Patient Position: The patient should sit or lie comfortably. The arm should be fully sup-
ported on a flat surface at heart level. (If the arm’s position varies, or is not level with the heart,
measurement values obtained will not be consistent with the patient’s true blood pressure.)
2. Apply the cuff: To attach the digital gauge, plug the connector into the gauge and twist
clockwise to ensure a secure connection. The e-sphyg TM gauge can be either clipped on the
gauge hang tab, or held in your hand during use. ADCUFF TM nylon cuffs are specially designed to
promote the accurate determination of blood pressure. Index and range markings ensure use of
the correct cuff size. The artery mark indicates proper cuff positioning.
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 one inch above
the antecubital fold. Wrap the end of the cuff not containing the bladder around the arm snugly
and smoothly and engage adhesive strips. To verify a correct fit, check that the Index Line falls
between the two Range Lines.
3. Activate the digital aneroid and inflate the cuff: Press the “ ” On/Off button to activate
your digital gauge. After zeroing, your digital gauge is ready to measure. Close the ADFLOW TM
valve by turning thumbscrew clockwise. Palpate the radial artery while inflating the cuff. Be sure
to inflate cuff quickly by squeezing bulb rapidly. Inflate cuff 20-30 mmHg above the point at
which the radial pulse disappears.
4. Position the Stethoscope: Position the chestpiece in the antecubital space below the cuff,
distal to the brachium. Do not place the chestpiece underneath the cuff, as this impedes accurate
measurement. Use the bell side of a combination stethoscope for clearest detection of the low
pitched Korotkoff (pulse) sounds.
5. Systolic Assist Function and Pulse Rate Display: Your digital e-sphyg TM gauge is
equipped with a systolic assist function to help you more easily determine the onset of systolic
blood pressure. As you deflate the cuff, a heart symbol will flash when the pressure is within
about 20 mmHg of systolic pressure. Once you see the flashing symbol, pay close attention for
the start of phase 1 Korotkoff sounds. Press the “Systolic Assist” button to record the systolic
pressure in memory. The digital gauge will also measure the patient’s pulse while you are meas-
uring blood pressure, and display this information on the LCD screen once the cuff has been de-
flated.
Note: Systolic assist and pulse display features are NOT motion tolerant. Excessive move-
ment may interfere with accurate display of these features. Excessive movement will NOT inter-
fere with accurate determination of blood pressure using the e-sphyg TM .
6. Deflate the cuff: Open the valve to deflate the cuff gradually at a rate of 2-5 mmHg per sec-
ond (2-3 is preferred). The display will show the average deflation rate in the lower right corner
of the LCD screen.