MULTICARE ING 06
Contents
1. In Vitro Diagnostic aid for self testing i da r METER 1 DISPLAY 2 NAVIGATOR 3 STRIP HOLDER 4 PC CONNECTION 5 TEMPERATURE SENSOR NAVIGATOR 1 ON OFF 2 SETTING 3 MEMORY DELETING 4 LEFT ARROW 5 RIGHT ARROW DISPLAY 1 METER S MODE 2 RESULT AND DATA CHIP NUMBER 3 UNIT OF MEASUREMENT 4 BATTERY 5 DATE AND AVERAGE OF RESULTS 6 ALARM 7 TIMES 8 TEST PARAMETER multi Care Table of content Introduction 3 What is multiCare General information on the multiCare line 3 Turning ON the instrument for the first time 4 Carrying out the measurement 5 How to insert the data chip 5 How to obtain a drop of blood 7 How to perform the test 11 The multiCare strips 14 Checking the working of the multiCare 15 General Settings 17 Modification of the obligatory settings 17 Setting the average of results 17 Setting the acoustic signal 18 Setting the alarms 19 Deleting the results from the memory 20 Recalling results and the average of the results from the memory 21 How to cancel one value from the memory 21 1 multi Table of content data transfer to a computer 22 care and maintenance 23 qu and easuring conditions A ro messages 25 Possivie error reasons 28 30 bligatory Settings 31 information on the conditions of guarantee 34 used packaging 352. Use a new strip to perform the measurement E02 The strip is not correctly inserted Remove and insert the strip again checking that it is plan on the plastic support of the instrument E02 E02 The blood was applied on the strip before waiting for the drop blinking on the display The plastic support or the reading window are dirty Take a new strip insert it in the instrument and only after visualized blinking drop on the display apply the blood on the strip Pull out the plastic support where you insert the strip and clean the glass window using only water Dry the glass without scratch it Do not use solvents or soap Insert the plastic support and repeat the test E03 The strip is removed from the meter without applying the drop of blood Switch off the meter by ON OFF button Insert the strip again and apply the blood on the strip without remove the strip from the strip holder E04 The strip that you are using does not correspond to the parameter of the data chip Remove the data chip and use the one corresponding to the strip that you want to use and check that the parameter symbol on the display is the same of the one printed on the strip 25 multi Care Error Problem Solution message E04 The strip is inserted Insert the strip again and be upside down careful that the parameter symbol printed on the strip is on t
3. multi Care Enabling data transfer to a computer The multiCare system offers the possibility to transfer the measured values memorized in the memory of the instrument to a computer and read them with an analysis software and the aid of a cable The cable and the software are part of the multiCare Data Manager that can be bought as an accessory through specialized retailers Ku Procedure Li Install the software according to its instructions Insert the serial port of the cable in the computer and the connector to the instrument Press and release D key PC will appear on the display of the instrument Install the software to receive information from the instrument After the data has been transferred it is possible to turn OFF the instrument with the D key and remove the cable from it Detailed information can be found in the multiCare Data Manager manual 22 multi Care and maintenance It is important to carefully clean the multiCare instrument at least once a week It is also necessary to immediately clean the plastic support of the reader or the optics if contaminated with blood or other material debris dust etc Use only wet tissue to clean the instrument Do not soak the instrument in cleaning agents not place under running water After cleaning the plastic support of the reader dry without scratching Itis possible to rem
4. mance 36 E i H Introduction multi Thank you for choosing multiCare In this manual there are all the information for the correct use of the instrument It is very important to carefully read them What is multiCare multiCare is a system that measures the concentration of glucose cholesterol and triglycerides in the whole blood The multiparameter technology allows to measure using only the multiCare instrument different parameters by simply changing the type of strips and by using the correct data chip for each parameter General information on the multiCare line The multiCare line includes everything that is needed for daily check ups of the desired parameters multiCare meter multiCare strips lancing device sterile lancets multiCare control solution multiCare data manager software multi Care il Turning ON the instrument or the first time When you turn on the meter for the first time check if date time and unit of measurement are correct before performing the test When you replace or remove the batteries it is necessary to set the time the hour and the date to perform the test see pag 31 4 i multi Carrying out the measurement It is necessary to insert the data chip contained in the correspondent strip pack in order to perform the desaired measurement How to insert the data chip Open the back cover o
5. on how to use the multiCare System can be found on our site www biosys it 29 x multi Care Substituting the batteries The multiCare instrument houses two lithium batteries 3V type CR 2032 If the battery icon is blinking the charge is low and the battery must be replaced before taking a measurement Note Every time the battery is replaced or simply removed the time and date must be set again Always insert a new battery and not a used one Shut down the instrument before removing the battery Check out the new battery to see if it is of the right type before placing How to change the battery Open the back panel of the instrument Press the lever and remove the cover Remove the battery by pulling the plastic ribbon Place the new battery so that the type is readable The positive side of the battery must be at the top Close the back cover until a click is heard Flat batteries can be disposed of trhough recycling centers T vr NA 30 multi Care Obligatory Settings The blinking line indicates the month Select the month with the arrow keys left or right Press D button to confirm SET b The blinking two lines indicate the day Select the day with the arrow keys left or right Press O button to confirm x g SET The month and day blink together With the arrow left or right choose the preferred visualisation of the date configuration MM DD month day or con
6. to increase the circulation of the blood in the fingers This will ease up the procedure multi Care gt Dry hands thoroughly gt Make sure that the finger to be pricked is completely dry P Prepare the lancing device contained in the multiCare kit by inserting the sterile needle Use a new undamaged needle for each blood sample and use the lancing device always on the same person gt Unscrew the calotte of the lancing device turning it anti clockwise while holding its body firmly gt Insert a new needle until it stops in the support of the lancing device Before inserting make sure that the needle and its protecting cover is undamaged Only an undamaged protecting cover will guarantee that the needle is sterile After inserting carefully remove the protection cover from the needle while holding firmly the needle with the index and thumb Keep the protecion cover so that it can be used to close and safely seal the needle after use multi Care Carefully tighten the calotte of the lancing device on the lancing device Attention Avoid touching the tip of the needle By turning the calotte it is possible to adjust the depth of the needle Setting on 1 is appropriate for a particularly delicate skin like children s while setting on 5 is more suitable for thick skin When using the lancing device for the first time select a setting in between position 3 After using it will be possible
7. e 25 500 mg dl 1 4 28 mmol l glucose 130 400 mg dl 3 3 10 2 mmol l cholesterol 50 500 mg dl 0 56 5 6 mmol l triglycerides 2x3V lithium button cell type CR 2032 The battery can be used for approx 1 year with 3 measurements per day approx 1000 measurements 105 mm length 20 5 mm height 52 mm width 65 g incl battery LCD 5 to 45 C 41 F to 113 F 0 to 9096 relative humidity non condensing 250 measured values with time and date Connecting cable The CE mark on the device indicates that it complies with the requirements of the EC directives 89 336 EEC relating to electro magnetic compatibility 73 23 EEC for electrical equipment intended for use in areas of specific voltage levels The appropriate legal provisions apply or the use of multiCare The accuracy of the instrument should be checked after 3 years Please refer to local updated regulation 34 multi Care Symbols used on the packaging Follow instructions IVD In Vitro Diagnosticum bo Use until LOT Batch number Store at temperatures between i CR uad 3V direct current and battery type C CE mark 0123 Do not dispose the instrument in the urban waste Perfom a separated collecting specific for Electric and Electronic waste give the instrument to the distributor when you buy a new one or when you want to sobstitute it Please refere to local update regulation 35 multi Car
8. e Information on the conditions of guarantee Biochemical Systems International Srl grants to the customer that the instrument will be free of material defects and manufacturer handling for 3 years starting from the purchasing date During such period Biochemical Systems International Srl should replace the defected instrument with an equivalent version or the same model after verifying the defect Such warranty is subject to exception and limitation as described below The warranty is limited to the replacement due to defects in some parts and handling Instruments that present defects due to damages caused from improper use alteration negligence technical assistance performed from not authorised personnel accident abuse or by using strips which are different from multiCare will not be replaced Biochemical Systems International Srl reserves the right to apply technical modifications to the instrument multiCare without the obligation to insert such specification to those products already introduced in the market Any other warranty will be granted for this product unless the replacement option described above Every responsibility for special indirect or consequential damages is excluded Customer Service Web wwwbiosys it e mail multicare biosys it Telephone 0039 0575 984164 36 In Vitro Diagnost aid for self chec multi Care Change your living choose multicare NES S Cus
9. e strips and use new strips to perform the measurements Blinking result is not saved in the memory 27 multi Care Possible error reasons First of all verify the following points The obligatory settings has been properly followed see page 5 The data chip number shown on the label of the strip s vial is corresponding to the one that appears on the display see page 7 Is the data chip of the package corresponding to the parameter under control see page 7 gt The strip has been inserted on the correct side see page 11 The drop of blood is enough see page 11 The results of the measurement taken with the control solutions are within the reference interval printed on the label of the strip s vial see page 15 Theinstrument and the reading plastic support have been cleaned according to the instructions at page see page 23 28 multi Care The date of the control solutions and of the strips is expired see page 14 Have the strips been used over 90 days after the vial has been opened see page 14 Are the strips kept in their original vial see page 14 gt The strips have been exposed to extreme temperatures and or humidity see page 14 15 battery flat see page 30 If the instrument after verifying the above points does not work correctly contact the multiCare Costumer Service by e mail multicare biosys it or phone 0039 0575 984164 Further information
10. elect the acoustic signal ON enabled or OFF disabled then confirm withthe 18 multi Setting the alarms It is possible to set up four different alarms to remember when the measurements must be taken during the day It is possible to set four different alarms for four different times ex in the morning before breakfast after lunch before bedtime and so on To set the alarm follow the procedure described below Press the S key until 0 blinks on the display Press one of the arrows to select the alarm number to be enabled 0 1 2 or 3 Press the S key again to select the hour and minutes By pressing the S key again it is possible to set the time of the corresponding alarm For the other alarms following the procedure described above By pushing the D key we exit the Settings Mode and the settings are confirmed 19 multi Care Deleting the results from the memory It is possible to cancel one result or all of the memorized results Deleting all of the memorized results m a Turn the instrument ON Za N Press the S key until DEL starts blinking on the display SETMEM Press key C CLr appears on the display uu ed Press key to confirm gt To delete only one value please follow the instruction indicated at page 21 Every result obtained with the control solution
11. f the instrument to uncover the housing of the data chip Insert the data chip following the design Close the cover and turn ON the instrument multi Care When the instrument is turned ON the display will show gt Athree digit number that is specific to the lot of strips data chip number gt The symbol of the parameter GLC for glucose CH for cholesterol TGL for triglycerides b An icon indicating that the data chip is inserted in the instrument WARNING Every time a new package of strips of the same parameter is used or of a different parameter remove the old data chip and insert the data chip contained in the new package If this procedure is not followed the results will be wrong multi Care When the data chip is inserted the display will show three digit number that should correspond to the one printed on the label of the strip s vial If not it means that you are using the wrong data chip and the strips that you are using do not belong to that batch number Check always that the colour of the data chip and the parameter symbol displayed on the instrument correspond to the parameter that you would measure GLC CH TGL How to obtain a drop of blood To carry out a measurement with the multiCare instrument it is necessary to draw a drop of capillary blood from the fingertip following the procedure below gt Wash hands with hot water
12. figuration DD MM day month gt Press D button to confirm p 9 31 multi Care The blinking four lines indicate the year Select the year with the arrow keys left or right Press 0 button to confirm SET The hour blinks Select the hour using the arrow left or right Press 0 button to confirm 120 SET The minutes blink Select the minutes using the arrow left or right N 7 jam 0 00 Press D button to confirm 32 multi Care The complete time blinks and 12h appears on the display Select the visualisation of the hour 12h or 24h using the arrow keys left or right gt Press button to confirm SET gt The unit of measurement mg dl blinks on the display Select the unit of measurement mg dl or mmol l using the arrow keys left or right mg dl gt Press button to confirm After confirmed the selected unit of measurement on the display will blink the symbol of the data chipE the instrument requires data chip to perform the measurement 10 20 5 18 33 Measurement range Power source Dimensions Weight Display Climatic operating conditions Temperature limits Humidity limits Memory capacity Interface for data processing Special requirements for electromagnetic radiation Hint for Healthcare Professionals Waste management disposal when the meter is unusable multi Car
13. he upper part of the strip E05 Data chip error Remove the data chip and insert it again If E05 still remains contact Multicare customer Service E06 The blood is not enough Repeat the test and apply more blood E07 The data chip is not Insert the data chip corresponding inserted to the strips that you want to use LO The result is lower than If the result does not correspond the limit of that tothe personal sensations repeat parameter see also the test If LO is obtained again instruction for use ofthe contact your physician for strips additional information LO In the case of parameters Repeat the test with a big quantity cholesterol and triglycerides where blood s quantity to be applied has to be abundant it is possible to obtain LO if the quantity of blood is under the limit of enough volume of blood If LO is obtained again contact your physician for additional information 26 multi Care Error message Problem Solution TE JJ HI Value is higher than the limit of reading of that parameter Contact immediately your physician and repeat the test in an hospital The batteries are almost flat It is possible to perform about 30 measurements Get new batteries The batteries are flat Replace the batteries before taking a measurement The result is disco ntinuous when the strip has expired Check expiry date of th
14. ingertip following the procedure described at page 10 gt Do use the first drop of blood place the second drop over the circular white area 11 multi Care In case of cholesterol and triglycerides measurement it is necessary to apply a big drop of blood at least 10 pl The drop must saturate the reactive area completely It is possible to apply the blood when the strip is inserted in the multiCare instrument or it can be applied on the strip after pulling it out The measurement will not be affected if the reactive area is briefly touched with the fingertip measurement is in progress The results of the measurements will be shown after a few seconds The measured value can be shown in mg dl or in mmol l to change unit of measurement follow the instructions on page 17 The moving segments on the display indicate that the r l 10 20 5 19 12 multi Care NOTE If the results obtained do not correspond to the well being of the user proceed with a check up of the multiCare instrument according to the procedure on page 18 and contact your physician If extreme results are obtained too high Hi or too low Lo contact your physician immediately When the measuring is finished it is possible to turn OFF the multiCare instrument The instrument will shut down automatically after one minute and half if not used for other operations The measured value along with date and time will be sa
15. ligatory settings It is possible to modify the following settings date visualisation of the date year time visualisation of the time unit of measurement as described below Select the desired setting by pressing the S key To modify the selected setting use the left or right arrow Press the S key to confirm the modification and to select the next setting To exit from the setting mode press the D key Setting the average of results The multiCare instrument can show the average of the results over one two three or four weeks This function is important for glucose test to understand if the glucose concentration is under control 17 multi Care gt Turn ON the instrument Press the S key until 0 starts blinking and the days AVG appears on the display Press the right or left arrows to select 7 14 21 or 28 days Press O key to confirm the setting Setting the acoustic signal The multiCare is set in such a way that an acoustic signal can be heard beep When a strip is inserted When the segments are visualized on the display When the measured value is displayed When data chip is inserted if the instrument is turned on When an error message is dispalyed SET To enable or able the acoustic signal gt gt Turn the instrument ON Press the S key until BP appears on the display bP A By pushing one of the arrow keys s
16. ove the front cover of the instrument to clean the glass surface of the optics After cleaning perform a working check up with the control solutions For taking measurements on different people like in a hospital for example clean the instrument after every measurement with a solution 7090 alcohol before proceeding with the next measurement 23 Preservation multi Care measuring conditions To ensure the accuracy of each measurement it is important to meet some conditions The measurement with multiCare is possible within a temperature interval of 5 to 45 41 113 F At a temperature above 45 113 F and below 5 C 41 F error E01 will be shown on the display The multiCare instrument must not be kept at temperatures below 25 75 F or above 60 C 140 F 45 F 5 C 41 F Note If the instrument is too cold or too hot ex after being in a car at very low or high temperatures allow it to cool down or to heat up slowly at room temperature 24 multi Care Error Messages Error message Problem Solution E01 The temperature is lower than 5 C 41 F or higher than 45 C 113 F Place the instrument in an area with temperature between 5 C 41 F and 45 C 113 F and wait for the instrument to equilibrate with the external temperature before performing the measurement E02 The strip is used or the reactive area is coloured
17. s etc give wrong results gt Carefully read the instructions contained in the package of strips gt Take measurements only with original multiCare strips 14 GLC c GLC gt multi Checking the working of the multiCare It is possible to check the working of the multiCare instrument using the multiCare control solutions The control solutions can be obtained as a separate accessory through specialized retailers The control solution is applied on the strip just like blood When testing is done with the control solution the obtained result must be within the interval as shown on the label of the strip s vial In this way it is possible to learn how to use the multiCare properly and at the same time check if it is working Write the date of opening on the vial when the solution is opened for the first time The control solution must be used within 90 days from first opening if the expiry date is valid When to carry out a working check up using the control solutions When suspecting a possible defect of the multiCare instrument When suspecting the possibility of a malfunction or wrong measurement 15 multi Care multi Care General Settings After turning ON the instrument with key by pressing S key you will enter in the setting mode and in the upper part of the display will appear the symbol SET and the date will blink Modification of the ob
18. s must be deleted otherwise it will be included in the calculation for the average 20 multi Recalling results and the average of the results from the memory The multiCare instrument can memorize 250 results Each result is memorized with Time and date Parameter symbol ex GLC Unit of measurement mg dl or mmol l The MEM symbol on the top of the display To recall the results just press the right arrow after turning ON the instrument without a strip inserted Number 1 will be visualized the last result obtained and when the arrow is released the result appears By pressing the same arrow again number 2 will be visualized and when it is released the corresponding result appears If the other arrow is pressed it is possible to see result 1 By keeping one of the arrows pressed a memorized value will be visualized every second If the average of the results has been set when one of the arrows is pressed after turning ON the instrument the first number visualized will be the average of the results By pushing the same arrow again number 1 will be visualized and when it is released the corresponding value How to cancel one value from the memory To cancel only one value from the memory follow the procedure described below gt Turn ON the instrument Recall result to be deleted from the memory by using the left or right arrow Press C key to cancel value 21
19. to find the correct setting Push the handle of the lancing device backwards until it stops The lancing device is now loaded To obtain a drop of blood place the lancing device delicately against the side of the fingertip and then push the button If the blood is not enough squeeze the finger with the other hand to increase the blood flow multi Care To avoid that the skin becomes hard prick the finger in different areas or change finger tip for each test Removing a used needle Unscrew the calotte of the lancing device again Press the lancing device with the needle at the opening of the protection cover of the needle Remove the needle using the thumb and index Once the protection has been inserted the needle can be disposed of with domestic rubbish If the protecting cover of the needle is not available make sure it is disposed of in appropriate vials multi Care How to perform the test Take a strip from the vial and then close it immediately to protect the other strips from humidity and light gt Insert the strip in the reading device of the instrument from the side showing the printed initials of the parameter at the top and push the strip until a click is heard Ifthe strip is inserted correctly a symbol showing a drop of blood appears on the display after about one and a half seconds Using the lancing device take a drop of blood from the f
20. tomer Service wwwbiosys it e mail multicare biosys it Telefono 0039 0575 984164 o 123 tal Biochemical Systems International Arezzo Italy ED 2006 ENG REV 002 multi Clare BIOCHEMICAL SYSTEMS INTERNATIONAL s r l Via G Ferraris 220 Arezzo Italia http www biosys it e mail multicare biosys it e
21. ved in position 1 in the memory of the instrument The values previously measured will be saved in positions 2 3 etc starting from the most recent How to recall from the memory a measured value and how to erase memorized values is described on page 24 and 23 The strips and other used material except the instrument can be disposed of with domestic rubbish In a laboratory and in a hospital the procedures of biological safety must be followed when handling potentially infected material After use all of this material must be deposited in an appropriate container To avoid infections clean the instrument regularly and dispose of the used strips in a way that there is no risk of infections for other people 18 The multiCare strips The correct use of the multiCare strips is very important for obtaining accurate results Therefore it is important to keep in mind the following The strips are sensitive to light and humidity keep the strips only in their original vial Protect the vial from direct sunlight and keep at a temperature between 10 and 35 50 95 F Use the strips immediately after removing from the vial and close the vial immediately with its cap The strips must not be used after the expiry date When first opening write the date on the vial the strips must be used within 90 days after the vial has been opened Do not use strips that are damaged Tears scratches colour change
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