Abbott Diabetes Care ART06986 User's Manual
Contents
1. Bl ML ABBA AAAA Blood Glucose result in Memory Blood B Ketone result in Memory A control solution result in Memory shows with a control bottle as long as you marked the test as a control solution test Glucose control solution result in Memory Reviewing Results B Ketone control solution result in Memory 3 review previous results Press and Release the button once per result When you reach the Tlast result in Memory the display window shows three dashes L To return to a result you J previously reviewed Press and Release the button once per result gt How to See Averages Reviewing aed Important e Results that show as LO during blood glucose monitoring are included as 20 mg dL 1 1 mmol L in blood glucose averages e Results that show as HI during blood glucose monitoring are included as 500 mg dL 27 8 mmol L in blood glucose averages While in Memory Press and Release the button at any time to see the 7 Day average of your blood glucose results Note n means how many tests performed within the 7 14 or 30 Day average period Press and Release the button once to see the 14 Day average of your blood glucose results Press and Release the 4 button again to see the 30 Day average of your blood glucose results If you Press and Release the button again th2. e Precision Xtra monitor calibrated to match the LOT number of the blood glucose test strip you are using eLancing device and a new sterile lancet Monitoring Blood Glucose gt Important Information about Monitoring Your Blood Glucose Do not use out of date test strips Check the expiration date printed on the test strip box and on each test strip foil C 13758 packet If only the month and H Exe 20010 year are printed on the test strip then the expiration date Example is the last day of that month Seana date For more detailed information gt 2006 about your test strip please read its instructions for use before monitoring Use the test strip immediately when you take it out of its foil packet Do not use a wet bent scratched or damaged test strip Do not use the test strip if its foil packet has a puncture or tear in it Before you monitor your blood glucose or blood B Ketone allow your monitor and test strip to reach the recommended operating range of the test strip The test strip operating range is in the Limitations of Procedure section of your blood glucose test strip instructions for use eRead the lancing device instructions for use J 4 Monitoring Blood Glucose gt How to Monitor Your Blood Glucose Getting Started Prepare your lancing device 5 Wash your hands using l lt warm
3. N Remove the test strip from Z its foil packet Note For pictures that show how to open the blood glucose test strip foil packet please see the information card in the box of blood glucose test strips Control Solution Testing at the end of the test strip aay VY Insert the three black lines L into the strip port A y Push the test strip in until it stops The monitor turns on automatically These items show on the display window one after the other e Display Check Remember to make sure that all items in the picture here show on the display window See Chapter 1 for more information about the Display Check d Testing Control Sol eTime month and day if set If date and time are not set dashes will show instead of numbers dL OW mmol L MIDE EL ABB BB eLOT number glucose or calibration CODE 8 Ketone for the box of test strips you are using eApply Blood message which tells you that the monitor is ready for you to apply control solution to the test strip Note If you are a doing a B Ketone control solution test KETONE will show on the monitor s display window with the B Ketone Apply Blood message Control Solution Testing L To mark the test as a control J test Press and Release the button once lt shows on the display window Important
4. ART06986 Rev B 8 05
5. Blood glucose test strip Blood glucose test strip instructions for use sy Calibrati Your Monitor cn Blood glucose test strip calibrator le For B Ketone calibration Blood B Ketone test strip Blood B Ketone test strip instructions for use Blood B Ketone test strip calibrator gt How to Calibrate Your Monitor When you insert a test strip for the first time the display window shows This means the monitor is not mE calibrated for blood glucose monitoring This means the monitor is not calibrated for blood B Ketone monitoring 30 5 25 IMPORTANT e Use only the calibrator that is packaged in the box of test strips you are using Do not use test strips that have expired Check the expiration date on the test strip foil packet and test strip box If only the year and month are shown the expiration date is the last day of the month Remove the glucose or B Ketone calibrator package from the new box of test strips V Open the calibrator package Find the three raised bumps on the calibrator package Peel the clear cover away from the three raised bumps Calibrating Your Monitor ra A Calibrati Your Monitor Hold the calibrator with the LOT number glucose or calibration CODE B Ketone facing you Insert the calibrator into the strip port Push it in until it stops The Display Check shows on
6. J Removing the test strip from lt A the strip port turns off the Fa monitor You can use the opened foil packet to remove and discard your used test strip Control Solutio Testing Discard the test Z strip properly Note You may also turn the monitor off by Pressing and Holding the o button If you do not turn your monitor off or pull the test strip out the monitor shuts off automatically after 60 seconds gt Understanding Your Result Compare the control result to the Expected Results for Use with MediSense Control Solutions range printed on eThe blood glucose test strip instructions for use for glucose control solution testing eThe blood B Ketone test strip instructions for use and foil packet for B Ketone control solution testing If the control result falls within the range What It Means Your monitor and test strips are working correctly If the control result does not fall within the range What It Means Your monitor and test strips may not be working correctly What to Do Repeat the test with a new test strip and ensure the control solution testing instructions are followed completely If the result is still not within the printed range contact Customer Care Control olution Testing 7 Reviewing may Your Results gt What Can Your Monitor Show You Memory Your Precision Xtra monitor has a memory that stores up
7. MediSense Precision Xtra Advanced Diabetes Management System User s Guide Table of Contents Welcome Important Things to Know about Your Precision Xtra Advanced Diabetes Management System Intended Use How Your Precision Xtra Advanced Diabetes Management System Works Precision Xtra Kit Contents Getting to Know Your Monitor s Features Setting Up Your Precision Xtra Monitor Buttons to Use Setup Options How to Set the Beeper Date Time amp View Measurement Units Set Beeper Set Time Set Date Set Time Format Set Date Format Blood Glucose Measurement Units Calibrating Your Precision Xtra Monitor Why Calibrate Your Monitor When to Calibrate Your Monitor What You Will Need How to Calibrate Your Monitor How to Recall the LOT Number or Calibration CODE Monitoring Your Blood Glucose What You Will Need Important Information about Monitoring Your Blood Glucose How to Monitor Your Blood Glucose Understanding Your Result Monitoring Your Blood B Ketone What You Will Need Important Information about Monitoring Your Blood B Ketone How to Monitor Your Blood B Ketone Understanding Your Result 6 Doing A Control Solution Test Why Do A Control Solution Test When Is Doing A Control Solution Test Recommended Important Information about Control Solution Testing What You Will Need How to Do Control Solution Testing Understanding Your Result 7 Reviewing amp Using Your Results What Ca
8. Monitor Test Strips Control Solution Blood Glucose Assay Range Blood B Ketone Assay Range Control Solution Range Functions 13 to 131 F 25 to 55 C See test strip instructions for use See control solution instructions for use See blood glucose test strip instructions for use See blood B Ketone test strip instructions for use See blood glucose or blood B Ketone test strip instructions for use Blood glucose monitoring Blood 8 Ketone monitoring Memory Glucose averaging 7 Day 14 Day and 30 Day Averages Control solution marking and testing Backlight If ON Stays ON during countdown turns OFF 30 seconds after result is displayed If OFF Stays OFF during countdown stays OFF during data upload Beeper If ON Beeps when calibrator is fully inserted and when countdown starts and finishes Specifications amp Limitations INS J Specificatio amp Limitations Data port Yes Monitor Operating Range Temperature 50 to 122 F 10 to 50 C Relative Humidity 10 to 90 non condensing System Operating Range Temperature The system operating range is the operating range of the test strip you are using See Limitations of Procedure section in test strip instructions for use Relative Humidity 10 to 90 non condensing nt Information ing Blood e Thumb s change rapidly after you
9. a puncture or tear in it eUse each test strip only once e Before you monitor your blood glucose or blood B Ketone allow your monitor and test strip to reach the recommended operating range of the test strip The test strip operating range is in the Limitations of Procedure section of your blood 8 Ketone test strip instructions for use Monitoring Blood B Ketone JS Monitoring Blood B Keton eRead the lancing device instructions for use eThe blood B Ketone test strip foil packet contains a desiccant tablet Zeolite Sodium Calcium Aluminosilicate Although this material is not considered dangerous the following safety advice should be observed 1 Keep away from children 2 Do not expose to water as product gets hot and could cause burns 3 Do not eat and avoid contact with eyes and skin May cause burns to the mouth and throat 4 If swallowed drink two glasses of water Seek medical help gt How to Monitor Your Blood B Ketone Getting Started Prepare your lancing device Wash your hands using warm soapy water and dry ce them completely fe Remove the test strip from d its foil packet Insert the three black lines at the end of the test strip into the strip port Monitoring Blood B Ketone w Push the test strip in until it stops The monitor turns on automatically x These items
10. in the box If you have any trouble calibrating your system please contact Customer Care gt How to Recall the LOT Number or Calibration CODE To recall the glucose LOT number Press and Hold the gt button While holding the button Press and Hold the button The Display Check shows on the display window then the glucose LOT number shows with the time month and day of the most recent glucose calibration Calibrating Your Monitor After the glucose LOT number is displayed you can recall the B Ketone calibration CODE Press and Release the button or the button The B Ketone calibration CODE shows with the time month and day of the most recent B Ketone calibration di Calibrating Your Monitor Note If the LOT number or calibration CODE that shows on your monitor s display window is not correct What It Means Your monitor may not be calibrated for the box of test strips you are using What To Do Re calibrate your monitor eCheck that you are using the calibrator that came in the box of test strips you are using Remember improper calibration will cause incorrect results Press and Hold the button to turn your monitor off Questions Call Vionitoring Your Customer Care sabe dallas 1 800 527 3339 Blood Glucose gt What You Will Need eBlood glucose test strip with its instructions for use
11. is important to check your ketones when eYou have an illness e Your blood glucose is higher than 300 mg dL 16 7 mmol L eYou are experiencing unusual blood glucose results I eYou and your healthcare professional determine that it is necessary A Monitoring Blood N B Ketone gt What You Will Need e Blood 8 Ketone test strip with its instructions for use e Precision Xtra monitor calibrated to match the calibration CODE of the blood B Ketone test strip you are using eLancing device and a new Sterile lancet MediSense Lor 70208 B Ketone Test Strip EXP Q 2006 03 09 CODE JC7 Abbott Laboratories Abbott Diabetes Care T Alameda CA 94502 0 USA 0 3 0 7 mmol l 1 9 2 9 mmol l 3 7 5 7 mmol l Example Expiration date March 9 2006 gt Important Information about Monitoring Your Blood B Ketone eFor more detailed information about your blood B Ketone test Strip please refer to its instructions for use before monitoring eDo not use out of date test strips Check the expiration date printed on the test strip box and on each test strip foil packet eDo not put urine on the blood B Ketone test strip e Use the test strip immediately when you take it out of its foil packet Do not use a wet bent scratched or damaged test strip Do not use the test strip if its foil packet has
12. the display window followed by the time month and day Next the LOT number glucose or calibration CODE B Ketone shows on the display window a Example of glucose LOT number LOT 13758 b Example of 8 Ketone calibration CODE CODE JC7 Then you hear the beeper if the beeper is ON Glucose i040 S25 B Ketone LE Check that the LOT number _ or calibration CODE on all these items matches v Display window v Test strip calibrator v Test strip instructions for use v Test strip foil packet When the LOT number or calibration CODE on all these items matches What It Means Calibration is complete What to Do You may now monitor your blood glucose or blood B Ketone When the LOT number or calibration CODE on all these items DOES NOT match What It Means Your monitor may not be calibrated for the box of test strips you are using What to Do eCheck that you are using the calibrator that came in the box of test strips you are using eTry to calibrate again Calibrating Your Monitor r D S T S S Your Monitor IMPORTANT If t number or calibrat still does not ma Customer Care D attempt to monito glucose or blood B Your monitor ma incorrect result Remove the calibrator from the monitor and store it in your monitor s carrying case IMPORTANT Do r the calibrator aw have used all of
13. to 450 events This is a combination of control results your personal blood glucose and blood B Ketone results and other monitor information You can review up to 450 of your most recent events on your monitor s display window Glucose Averages You can view the average of all your blood glucose results from the last 7 14 or 30 days If you marked your control solution tests the averages do not include control solution results For more information on marking control solution tests see Chapter 6 Questions Call Customer Care 1 800 527 3339 aot mark control sts this may affect gt averages ose averages do e blood B Ketone ose control results trol results or 2 are no previous blood glucose y review the display fx ws three dashes Reviewing Resul gt How to See Results in Memory Begin with your monitor turned off Make sure there is nothing in the strip port esults eviewing R x Press and Release the button eThe Display Check shows on the display window eThen your most recent result shows with its units on the monitor s display window along with the time month and day that you got the result To set the correct date and time follow the steps in Chapter 2 A blood glucose result in Memory will show with the N letters MEM A blood B Ketone result in Memory will show with the letters KET MEM
14. turns off the monitor You can use the opened foil packet to remove and discard your used test strip 2 Discard the test strip properly Note You may also turn the monitor off by Pressing and Holding the button If you y do not turn your monitor off or pull the test strip out the monitor shuts off automatically sA after 60 seconds 9 gt Understanding Your Result Blood B Ketone is expected to be lower than 0 6 mmol L Blood B Ketone may be higher when a person is ill is fasting exercises vigorously or if blood glucose levels are not controlled gt Monitoring Blood B Keto Monitoring Blood B Ketone When Blood B Keto remains high or higher than 1 What It Means You may be at developing diab ketoacidosis D What to Do Contact your professional i HI Result What It Means n SSE Your monitor h that your blood result is higher mmol L or the problem with t What to Do Monitor your b again with a new HI shows on the window again c healthcare profes immediately E 4 Result ew test strip If he display contact your ssional N Ni is recommended it the blood Monitoring Blood B Keto your result 0 mmol L ne result BUT ylucose is higher dL 16 7 mmol L A result tha
15. DENTAL OR CONSEQUENTIAL DAMAGES RESULTING DIRECTLY OR INDIRECTLY FROM THE FAILURE OF THE PRODUCT TO PERFORM IN ACCORDANCE WITH SPECIFICATIONS Some states do not allow the exclusion or limitation of other express or implied warranties or incidental or consequential damages so the above limitations or exclusions may not apply to you For Warranty Service contact Customer Care for assistance and or instructions for obtaining a replacement monitor at 1 800 527 3339 Abbott may require as a condition to obtaining warranty service that you return the Monitor postage prepaid to an address specified by Customer Care Your Rights Under State Law This warranty gives you specific legal rights and you may also have other rights that vary from state to state Free Lifetime Monitor Upgrades Monitor upgrade requires enrollment in the Precision Friends for Life Program and use of your Monitor for a minimum of three years Choice of replacement monitor will be at the discretion of Abbott Support Repair amp Guarantee References JS References 1 Directive 1999 45 EC of the European Parliament and of the Council of 31 May 1999 concerning the approximation of the laws regulations and administrative provisions of the Member States relating to the classification packaging and labelling of dangerous preparations 2 Schade DS Eaton RP Metabolic and clinical significance of ketosis Special Topics in Endocrinolo
16. If you do not mark the test as a control test it will be saved in your monitor s memory as one of your personal blood glucose or blood B Ketone results This could affect your blood glucose averages Applying Control Solution to the Test Strip Turn the control solution bottle upside down three to four times to mix the solution 2 Remove the cap Apply a drop of control E solution to the test strip in i a Glucose S the area shown here The 3 D control solution is drawn 8 into the test strip B Ketone S d A Continue to touch the Status 1 control solution to the test bar Strip until the monitor begins the test The monitor begins the test when eYou hear the beeper if the beeper is ON eThe display window shows the status bar eThen the display window shows the countdown Countdown Glucose B Ketone remove the countdown ave applied solution to the drop of vn still does if the number of At the end of the countdown elf the beeper is ON listen for the beeper eThe control result shows on the display window Control Solution Testing Note If you are doing a B Ketone control solution test KETONE will also show with the result eThe result is stored in your monitor s memory as a control result In your logbook record the result as a control result Shutting Off Your Monitor
17. Xtra and Precision POC Blood Glucose Test Strips are different Please refer to your test strip instructions for use for important information about sample types that may be used with these test strips e Precision POC Blood Glucose Test Strips are for use by healthcare professionals only Important Information y Potential Infection Risk Healthcare professionals performing blood tests with this system on multiple patients must always wear gloves and should follow the infection control policies and procedures approved by their facility gt How Your Precision Xtra Advanced Diabetes Management System Works When you insert a test strip into your monitor the Apply Blood message shows on your monitor s display window When a blood sample or control solution sample is applied to the test strip the glucose or B Ketone reacts with the chemicals on the test strip This reaction produces a small electrical current that is measured The result shows on your monitor s display window gt Precision Xtra Kit Contents Precision Xtra Monitor S Precision Xtra User s Guide Contains system information and directions Carrying Case Use this to store and carry your monitor and other monitoring supplies Important Information Your kit may also contain Precision Xtra Quick Reference Guide Gives the basic steps to calibrate your monitor and check your blood glucose Logboo
18. ay format shows with the date Example May 25 shows as 5 25 Choice 2 For the day month format e shows with the date Example 25 May shows as 25 5 To change the Date Format Press and Release the button or the gt button once Press and Release the button to save the Date Format and to move to Measurement Units Blood Glucose Measurement Units k f It your healthcare f s onal if you have S2 uestions about blood measurement units s This screen shows the blood glucose measurement units mg dL or mmol L Press and release the button to return to Set Beeper Press and Hold the button to turn your monitor off Setting Up Your Monitor You have successfully set up your monitor Questions Call Customer Care 1 800 527 3339 Calthrating Varir Ca in l g P ecision Xtra Monitor gt Why Calibrate Your Monitor Your Precision Xtra monitor must be calibrated so that it can recognize the test strip you are using Calibration ensures that your results are accurate lt p D Calibrating Your Monitor gt When to Calibrate Your Monitor e When you use the monitor for the first time e EACH time you open and use a new box of blood glucose or blood B Ketone test strips gt What You Will Need e Precision Xtra monitor e For glucose calibration
19. d off Press and Release the button to move the year forward If you go past the correct year Press and Release the lt button to move the year back Press and Release the button to save the year and to move to Set Month Month k N The Month flashes on and off Setting Up Your Monitor Press and Release the gt button to move the month forward If you go past the correct month Press and Release the button to move the month back Press and Release the button to save the month and to move to Set Day Setting Up Your Monitor Day The Day flashes on and off Press and Release the gt button to move the day forward If you go past the correct day Press and Release the lt button to move the T day back D IE LA Press and Release the button to save the day and to move to Set Time Format Choice 1 Set Time Format You have two choices Choice 1 For the 12 hour format AM or PM shows Choice 2 For the 24 hour format AM or PM does not show To change the Time Format Press and Release the button or the button once Press and Release the button to save the Time Format and to move to Set Date Format Setting Up Your Monitor Setting Up Your Monitor Set Date Format You have two choices Choice 1 For the month d
20. e display window shows the 7 Day average Reviewing Results Press and Release the button at any time to return to Memory Reviewing g gt Transferring Your Results L Press and Hold the button to turn off your monitor Otherwise the monitor turns off after 30 seconds to a Computer The results in your Precision Xtra monitor s memory along with the time and date of the reading can be transferred to a computer with the use of the Precision Link Direct Software Version 2 5 and a Precision Link communications cable For information on how to purchase the software and cable contact Customer Care at 1 800 527 3339 To install the software please follow the instructions provided in the Precision Link User s Guide Questions Call ya Customer Care 1 800 527 3339 Troubleshooting Error Messages There are times when error messages may show on your monitor s display window In the next few pages we describe the error messages that may show on your monitor s display window what they mean and what you need to do Message What It What You Means Need to Do Temperature is Move your too hot or too monitor and test strips to a location cold for the Hey Salih system to work temperature is properly appropriate and monitor again Are with a new test strip You may have to wait for your monitor to Y adjust to the new temperat
21. eat a ou take insulin or er exercise A lative sites to 58 r your blood glucose RR 7A Yr r more than two E ar G4 you eat a meal Cas or exercise Specifications amp Limitations B Ketone Questions Call Customer Care an A Your Monitor 1 800 527 3339 gt Cleaning Your Monitor Store your monitor in its carrying case If the surface of your monitor gets dirty you may clean it Use a damp cloth and mild soap Healthcare professionals Acceptable cleaning solutions include 10 Bleach 70 Alcohol or 10 Ammonia _ Important Do not try to clean the strip port Do not pour liquid into the strip port or buttons Do not place your monitor in water or any other bath Caring for Your Monitor aring for Your Monitor j _ install It may be gt Replacing Your Monitor s Battery When your monitor needs its batteries replaced the display window shows one of two things This means the battery is low You may still use your monitor and the results will be accurate However the backlight is not useable It is recommended that you replace the battery at this time This means the battery must be replaced The monitor is not useable The monitor turns off automatically Important Do not remove t until you have a nev reset the time and d you install a new be How to Replace Your Mo
22. econds of no action If you like the setting that you see on your monitor and do not want to change it Press and Release the button to move to the next setup option Set Beeper The y means the beeper is ON The X means the beeper is OFF Beeper ON he a d Beeper OFF To turn your monitor ON Press and Hold the button The beeper ON message shows on the display window The musical notes flash on and off and the monitor beeps Setting Up Your Monitor To change the beeper setting Press and Release the button or the button once Press and Release the button to save the beeper setting and to move to Set Time Hour N Setting Up Your Monitor Set Time Hour The Hour flashes on and off Press and Release the P button to move the hour forward If you go past the correct hour Press and Release the button to move the hour back Press and Release the button to save the hour and to move to Set Minutes Minutes t gt y The Minutes flash on fos and off f gt S Doa a eS Press and Release the gt button to move the minutes forward If you go past the correct minute Press and Release the button to move the minutes back Press and Release the button to save the minutes and to move to Set Date Setting Up N Your Monitor Set Date Year The Year flashes on an
23. g the calibrator bar that came with the test strip you are using e Check the date setting on your monitor e Check the expiration date on the test strip foil packet elf the error message appears again contact Customer Care e Monitor again using a test strip designed damaged used for use with or the monitor does not recognize it Precision Xtra elf the error message appears again contact Customer Care Message E i iea S Message What It Means Monitor error ita Gr Monitor error eer SPT What You Need to Do e Remove test strip turn monitor off and try to monitor again elf the error message appears again contact Customer Care e Remove test strip turn monitor off and try to monitor again elf the error message f 4 appears again contact Customer Care Error Messages Questions Call Customer Care 1 800 527 3339 Specifications amp Limitations Size Length 2 94 7 47 cm Width Top 2 10 5 33 cm Bottom 1 70 4 32 cm Thickness 0 64 1 63 cm Weight 1 48 ounces 42 grams os Power Source One CR 2032 Lithium SS coin cell battery cae be Battery Life Approximately 1 000 tests Rey N J Memory Up to 450 events including control results personal blood glucose and blood B Ketone results and other monitor information Storage Temperature
24. gy and Metabolism 1982 4 1 27 3 Wiggam MI O Kane MJ Harper R Atkinson AB Hadden DR Trimble ER Bell PM Treatment of diabetic ketoacidosis using normalization of blood 3 hydroxybutyrate concentration as the endpoint of emergency management Diabetes Care 1997 20 1347 52 4 Harano Y Kosugi K Hyosu T Suzuki M Hidaka H Kashiwagi A Uno S Shigeta Y Ketone bodies as markers for Type 1 insulin dependent diabetes and their value in the monitoring of diabetes control Diabetologia 1984 26 343 8 5 Ubukata E Diurnal variation of blood ketone bodies in insulin dependent diabetes mellitus and non insulin dependent diabetes mellitus patients The relationship to serum C peptide immunoreactivity and free insulin Ann Nutr Metab 1990 34 333 42 6 Luzi L Barrett EJ Groop LC Ferrannini E DeFronzo RA Metabolic effects of low dose insulin therapy on glucose metabolism in diabetic ketoacidosis Diabetes 1988 37 1470 77 7 Hale PJ Crase J Nattrass M Metabolic effects of bicarbonate in the treatment of diabetic ketoacidosis Br Med J 1984 289 1035 8 Distributed by Abbott Laboratories Abbott Diabetes Care Alameda CA 94502 USA Customer Care available 24 hours a day 7 days a week at 1 800 527 3339 or visit us online at AbbottDiabetesCare com Reorder No 70297 01 MediSense and Precision Xtra are trademarks of Abbott Laboratories 2005 Abbott Laboratories PRT06986 Rev B 8 05
25. k Use this to record your test results activities and medications Precision Friends for Life Card Please fill this out and return to the address provided to activate your warranty Filling out this card helps to ensure that you receive any updates regarding your Precision Xtra monitor Lancing Device Lancets Instructions for Use and Other Information Blood Glucose Test Strips and Instructions for Use Display Backlight Window Button Back Button y pha i 4 ELT Rad Strip Mode Forward Port Button Button unje Kog BB B Gen 88 88 Display Check Items not included MediSense Control Solutions Blood B Ketone Test Strips and Instructions for Use Data Management System Important Information gt Getting to Know Your Monitor s Features Display Window This shows e Blood glucose and blood B Ketone results e Glucose LOT numbers and B Ketone calibration CODEs ePrevious test results and error messages eBlood glucose averages _IMPORTANT Each time you turn your monitor on a full display shows This is called a Display Check Look at the Display Check each time it appears on your _ monitor s display window especially before you check _ your blood glucose or blood _B Ketone The Display Check shows on the display window briefly A Importan Information Do not use the mon m
26. monitor begins the test The monitor begins the test when eYou hear the beeper if the beeper is ON eThe display window shows the status bar eThen the display window shows the countdown Monitoring t remove the test monitor or trip during ucose Blood Gl Important If the cot does not start Correct 9 What It Means You might not have enough blood to the What to Do e Apply a second drop to the test strip Refer test strip instruction for the number of s Apply second drop M e a E 4 gt E 7 5 wa g onitoring Blood Glucose start or if the num seconds you have to second drop have p discard the test stri your monitor and t with a new test strip At the end of the countdown elf the beeper is ON listen for the beeper eThe blood glucose result shows on the display window eThe result is stored in your monitor s memory You may also write the result in your logbook Shutting Off Your Monitor 4 Removing the test strip from the strip port turns off the monitor You can use the opened foil packet to remove and discard your used test strip Discard the test Z strip properly Note You may also turn the monitor off by Pressing and Holding the button If you do not turn your monitor off or pull the test strip out the monitor shuts off automaticall
27. n Your Monitor Show You How to See Results in Memory How to See Averages Transferring Your Results to A Computer 8 Understanding amp Troubleshooting Error Messages What An Error Message Means amp What You Need to Do 9 Your Monitor s Specifications amp Limitations Important Information about Using Blood Samples from the Forearm Upper Arm or Base of the Thumb 10 Caring For Your Monitor Cleaning Your Monitor Replacing Your Monitor s Battery 11 Support Guarantee amp Limited Warranty References Welcome Thank you for choosing the Precision Xtra Advanced Diabetes Management System Important steps for using the System are inside this guide Please read it carefully Your new Precision Xtra Advanced Diabetes Management System is an important tool that can help you better manage your diabetes The System measures both blood glucose sugar and blood B Ketone Blood glucose and blood B Ketone results can help you understand your diabetes and what happens with eFood e Exercise eStress and illness eDiabetes medications Always monitor your blood glucose and blood B Ketone according to your healthcare professional s recommendations In the United States call Customer Care at 1 800 527 3339 with any questions you may have about the Precision Xtra Advanced Diabetes Management System We are available 24 hours a day 365 days a year If you cannot reach Customer Care contac
28. nishes Set Time Set Date Important Set the correct time and date before you use the monitor for the first time This will help you keep records of when you monitor and will help you and your healthcare professional make informed decisions about your care You must set the time and date to review averages You may need to re set the time and date eAfter you replace the battery eWhen you travel between time zones or when the time zone you are in changes Setting Up Your Monitor In Set Date you set the year month and day Set Time Format In Set Time Format you choose how the time shows on the monitor s display window Set Date Format In Set Date Format you choose how the month and day show on the monitor s display window Measurement Units Blood glucose measurement units are factory set in mg dL or mmol L Blood B Ketone measurement units are in mmol L only gt How to Set the Beeper Setting Up Your Monitor Date Time amp View Measurement Units To begin pull the battery tab out Your monitor should be turned OFF Before you start please note Press and Hold means that you press the button in for at least 2 seconds Press and Release means that you press the button and let it go quickly Press and Hold the button to turn the monitor off and save your settings at any time The monitor automatically turns off after 30 s
29. nitor s Battery Gently push the battery cover in and up with your thumb Lift the battery cover out of the monitor Pull on the plastic tab sticking out of the monitor to remove the old battery Caring for Your Monitor Insert a new CR 2032 Lithium coin cell battery with the plus sign facing up Place the notches on the battery cover into the appropriate molded areas Gently push the battery cover in and down until you hear a click yy Caring for Yc Monitor gt a 7 Press and Hold the button to turn your monitor on If your monitor does not turn on review the battery installation steps and reinstall the battery Check the date and time on your monitor You may need to reset the date and time See Chapter 2 Setting Up Your System Be sure to discard the old battery in compliance with your local government s regulations Caring for Your Monitor Pi Support Rep amp Guarantee Limited Warranty gt Support Abbott Laboratories Abbott Diabetes Care is committed to providing you with support Call us with any questions you may have about your Precision Xtra monitor 1 800 527 3339 Outside the United States please contact your local Abbott Laboratories Abbott Diabetes Care office or distributor You can view interactive product demonstrations online at AbbottDiabetesCare com Questions Call C
30. onitor Display Check not exactly match the here for example if yc a 3 instead of an 8 The monitor may show incorrect result when it Please call Customer for assistance Strip Port This is where you insert e A blood glucose test strip e A blood B Ketone test strip Te S eA glucose calibrator 7s 3 gt eA ketone calibrator ET eData cable not included for uploading results to a computer Mode Button Use this button to eTurn monitor ON and OFF e Access monitor setup options eAccess and save monitor settings e Access previous results and averages gt Forward Button lt d Back Button Use these buttons to e Review and select monitor settings e Review results and averages Backlight Button Use this button to eTurn backlight ON and OFF Battery Compartment This is where the battery is installed elf your monitor does not turn on check that your battery is installed properly eFor new battery installation see Chapter 10 Important Information Setting Up Your Monitor setting Up Your Questions Call Precision Xtra Monitor Customer Care 1 800 527 3339 gt Buttons to Use Mode Button gt Forward Button lt Back Button Setup Options Set Beeper If the beeper is set ON it will beep when eThe calibrator is fully inserted eThe test countdown starts eThe test countdown fi
31. show on the display B886 AB AB window one after the other e Display Check Remember to make sure that all items in the picture here show on the display window See Chapter 1 for more information about the Display Check eTime month and day if set If date and time are not set dashes will show instead of numbers 10 30 t2 5 aS e Calibration CODE for the 5 V box of blood B Ketone test z gt strips you are using 38 aa e KETONE and Apply Blood message which tell you that the monitor is ready for you to apply blood to the blood B Ketone test strip Fingertip sampling Obtaining A Blood Drop Use your lancing device to obtain a blood drop Important Blood B Ketone strips have not been luated for alternative site monitoring Use only fingertip blood samples for blood B Ketone monitoring Recommendations for Obtaining A Blood Drop Before you obtain a blood sample from the fingertip make sure the sample site is clean dry and warm To warm the sample site wash it in warm water or rub the skin vigorously for a few seconds Monitoring Blood B Ketone eHang your arm down before pricking your fingertip to help blood flow e Avoid squeezing the fingertip eApply the blood sample to the test strip immediately S Monitoring Blood B Keton Lancets and Lancing Device eLancets are for one time
32. soapy water and zZ dry them completely See Remove the test strip from its foil packet Note For pictures that show how to open the blood glucose test strip foil packet please see the information card in the box of blood glucose test strips Monitoring Blood Glucose A Insert the three black lines at rthe end of the test strip into the strip port Push the test strip in until lt it stops The monitor turns on automatically VI 4 jal These items show on the display X E window one after the other Display Check Remember to make sure that all items in the picture here show on the display window See Chapter 1 for more information about the Display Check ABBAS 88 88 eTime month and day if set If date and time are not set dashes will show instead of numbers 30 i2 5 Monitoring Blood Glucose eLOT number for the box of blood glucose test strips you are using e Apply Blood message which tells you that the monitor is ready for you to apply blood to the blood glucose test strip Fingertip sampling Forearm sampling Base of thumb sampling Obtaining A Blood Drop Use your lancing device to obtain a blood drop Recommendations for Obtaining a Blood Drop eTo obtain a sample from an alternative site forearm upper arm or base of the thumb use an appropriate al
33. t is have a serious ome Consult your rofessional before ur diabetes Control Solu Testing Yong Solution rontro Questions Call Customer Care Test 1 800 527 3339 gt Why Do A Control Solution Test The control solution test tells you that your monitor and test Strips are working correctly A control solution test is similar to when you monitor your blood glucose or blood B Ketone except you use a MediSense Control Solution You do not use a drop of blood in a control solution test gt When Is Doing A Control Solution Test Recommended eWhen you question your results eTo make sure that your monitor and test strips are working properly Important Information about Control Solution Testing eFor more detailed informatior about control d the control orward 90 days is date on the blood glucose Control Solution Testing gt What You Will Need e Precision Xtra monitor calibrated to match the LOT number glucose or calibration CODE 8 Ketone of the test strip you are using Blood glucose or blood B Ketone test strip and its instructions for use e MediSense Control Solutions and instructions for use gt How to Do Control Solution Testing Getting Started Control Solution Testin Wash your hands using warm soapy water and dry them completely
34. t your healthcare professional Outside the United States please contact your local Abbott Laboratories Abbott Diabetes Care office or distributor Please read the following items before using your Precision Xtra Advanced Diabetes Management System eUser guide Blood glucose test strip instructions for use e Blood B Ketone test strip instructions for use eLancing device instructions for use and other information eWarranty card IMPORTANT Any user guide text shown in a shaded box like this one is important information Please pay special attention to these boxes Questions Call Customer Care 1 800 527 3339 to Know about Your Precision Xtra Advanced Diabetes Management System ole Important f a nformation g gt Intended Use Your Precision Xtra System els indicated for home lay user or professional use in the management of Patients with diabetes els for use outside the body in vitro diagnostic use VAV els for monitoring glucose in fresh whole blood for example from the fingertip els for monitoring B Ketone in fresh whole blood from the fingertip e Measures 3 hydroxybutyrate B Ketone the most important of the three ketone bodies circulating in the bloodstream els for use with Precision Xtra or Precision POC Blood Glucose Test Strips and Precision Xtra Blood B Ketone Test Strips e Precision
35. ternative site lancing device Before you obtain a blood sample from the fingertip forearm upper arm or base of the thumb make sure the sample site is clean dry and warm To warm the sample site wash it in warm water rub the skin vigorously for a few seconds or apply a warm pad to it eHang your arm down before pricking your finger or the base of the thumb to help blood flow eTo obtain a blood sample from the arm use a fleshy area away from bone Avoid areas where there is a lot of hair Monitoring Blood Glucose e Avoid squeezing the puncture site e Apply the blood sample to the test strip immediately J Monitoring Blood Glucose Lancets and Lancing Device eLancets are for one time use only Use a new lancet each time you monitor Discard your used lancet properly Put it in an empty puncture resistant container such as a plastic milk carton or detergent bottle eNever share your lancing device or lancet with another person Applying the Blood Drop to the Test Strip Touch the blood drop to the white area at the end of the test strip The blood is drawn into the test strip Note If the monitor shuts off before you apply blood to the test strip remove the test strip from the monitor and try again Countdown Status bar Continue to touch the blood drop to the end of the test strip until the
36. ure Refer to your test strip instructions for use for the appropriate operating range y Error Messages o If the error message appears again contact Customer Care Error Messages W Monitor error There may be l a problem with Review the the test strip What You Need to Do e Turn the monitor off then repeat previous monitoring steps elf the error message appears again contact monitoring instructions e Monitor again with a new test strip eIf the error message appears again contact Customer Care Customer Care Message eel Srl EF A VAV What You Need to Do Message What It Means Blood glucose e Monitor again result may be with a new toohightobe teststrip read by the e If the error appears again m OR contact your es Spl healthcare N gt There may be a professional problem with immediately A the blood 2 glucose or blood B Ketone test strip e Review the S Blood applied monitoring to test strip instructions too soon e Monitor again with a new test strip trey 31 e If the error message appears again contact Customer Care Error Messages Error Messages What It Means Calibration Test strip error Test strip error Test strip is What You Need to Do e Repeat the calibration usin
37. use only Use a new lancet each time you monitor Discard your used lancet properly Put it in an empty puncture resistant container such as a plastic milk carton or detergent bottle e Never share your lancing device or lancet with another person Applying the Blood Drop to the Test Strip SE 4 Touch the blood drop to the purple area on the top of the test strip The blood A is drawn into the test strip a Note If the monitor shuts off before you apply blood to the test strip remove the test strip from the monitor and try again Continue to touch the Z blood drop to the purple area on the top of the test strip until the monitor begins the test The monitor begins the test when Countdown Status bar YOu hear the beeper if the beeper is ON eThe display window shows the status bar eThen the display window shows the countdown Monitoring Blood B Ketone d drop of blood p Refer to your ictions for use At the end of the countdown elf the beeper is ON listen for the beeper eThe blood B Ketone result shows on the display window with the word KETONE eThe result is stored in your monitor s memory as a blood B Ketone result You may also write the result in your logbook A Blood B Ketone Shutting Off Your Monitor Monitoring Removing the test strip from the strip port
38. ustomer Care 1 800 527 3339 Abbott Laboratories Inc Abbott Diabe a Limited Warranty as set forth below a Precision Xtra Advanced Diabetes Ma gt Guarantee amp Limited Warranty Precision Xtra Advanced Diabetes Management System es Care Abbott offers to consumers who buy nagement System Monitor within the United States Other purchasers please contact your local authorized Abbott distributor for information about possible guarantee and or warranty coverage for your purchase 90 day Guarantee Abbott offers consumer purchasers a 90 day money back guarantee If you are not fully satisfied with your Monitor call Customer Care at 1 800 300 0978 toll free for a full refund Refund will be limited to amount paid by consumer net of any rebates You must have a copy of the dated itemized purchase receipt and the original packaging to obtain this refund Limited Warranty Under the standard warranty your new Monitor is covered for a period of four years from the original date of purchase as long as it has not been modified altered or misused Lifetime Warranty is a benefit of enrollment in the Precision Friends for Life Program and choice of replacement monitor will be at the discretion of Abbott Under the warranty Abbott will replace free of charge this Monitor if it is defective in material or workmanship NO OTHER WARRANTIES EXPRESS OR IMPLIED ARE MADE ABBOTT WILL NOT BE LIABLE FOR ANY INCI
39. y after 60 seconds Monitoring Blood Glucose J Monitoring Blood Glucose gt Understanding Your Result LO Result What It Means Your monitor has determined that your blood glucose result is lower than 20 mg dL 1 1 mmol L or there may be a problem with the test strip What to Do Monitor your blood glucose again with a new test strip If LO shows on the display window again contact your healthcare professional immediately Result 300 mg dL or Higher When your blood glucose result is 300 mg dL 16 7 mmol L or higher KETONES flashes on and off on the display window What to Do If you check your ketones as part of your diabetes management program it is recommended that you check your blood B Ketone HI Result s determined ucose result Hi F D 10 4 Monitoring Blood Glucose N test strip If display Monitoring Blood Glucose E 4 Result What It Means or there may be a the test strip What to Do immediately Important It is recommended th repeat the blood gl with a new test strip w eLO shows on the display window eYou obtain a glucose result not have sympt blood glucose eYour monitor di glucose result 2 8 mmol L Monitoring Blood Glucose Questions Call Customer Care 1 800 527 3339 f ne U B Keto od It
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