Andon Health BG5S Wireless Smart Glucose Meter User Manual

Andon Health Co., Ltd Wireless Smart Glucose Meter

User Manual

iHealth® Wireless Smart Gluco-Monitoring System Model: BG5S     OWNER'S MANUAL For in vitro diagnostic use only Read instructions before use for self-testing
Table of Contents   INTRODUCTION ............................................................................................................................ 1 INTENDED USE ............................................................................................................................. 1 IMPORTANT SAFETY INSTRUCTIONS .................................................................................... 1 LIMITATIONS OF USE .................................................................................................................. 2 CONTENTS OF THE WIRELESS SMART GLUCO-MONITORING SYSTEM ..................... 4 Parts and Displays ..................................................................................................................... 6 Mobile Device Compatibility .................................................................................................... 7 TEST PRINCIPLE .......................................................................................................................... 8 IMPORTANT TEST INFORMATION ............................................................................................ 8 TEST BLOOD GLUCOSE LEVEL ............................................................................................... 8 DATA SYNCING ........................................................................................................................... 13 REVIEWING SAVED TEST RESULTS ON THE METER ...................................................... 13 CLEANING AND DISINFECTION .............................................................................................. 13 SIGNS OF POTENTIAL PHYSICAL AND PERFORMANCE DETERIORATION ............... 14 INFORMATION ABOUT ALTERNATIVE SITE TESTING (AST) ........................................... 14 What Is Alternative Site Testing? ............................................................................................ 14 What Is the Advantage of Alternative Site Testing? ................................................................ 15 When Should You Use Alternative Site Testing? .................................................................... 15 IMPORTANT INFORMATION ABOUT CONTROL SOLUTION TESTS ............................... 16 PERFORMING A CONTROL SOLUTION TEST ..................................................................... 16 Out-of-Range Results .............................................................................................................. 17 COMPARING GLUCOSE METER TEST RESULTS WITH LABORATORY RESULTS .... 18 Before the Lab Test ................................................................................................................. 18 While at the Lab ...................................................................................................................... 18 THE iHealth Wireless Smart Gluco-Monitoring System SPECIFICATIONS ....................... 18 MAINTENANCE AND STORAGE OF YOUR METER............................................................ 19 SYSTEM TROUBLESHOOTING ............................................................................................... 19 Display Messages .................................................................................................................... 19 Troubleshooting ...................................................................................................................... 21 WARRANTY INFORMATION ..................................................................................................... 22 EXPLANATION OF SYMBOLS .................................................................................................. 23 IMPORTANT INFORMATION REQUIRED BY THE FCC ...................................................... 24 ELECTROMAGNETIC COMPATIBILITY INFORMATION ..................................................... 26
  1 / 27 INTRODUCTION Thank you for purchasing the iHealth Wireless Smart Gluco-Monitoring System (the iHealth system). This manual provides important information to help you use the system properly. Before using this product, please read the Owner’s Manual thoroughly. INTENDED USE The  iHealth  Wireless Smart  Gluco-Monitoring System (BG5S)  is  intended  to  be  used for  the  quantitative measurement  of  glucose  (sugar)  in  fresh  capillary  whole  blood  samples  drawn  from  the  fingertip,  palm, forearm, upper arm, calf or thigh. The iHealth Wireless Smart Gluco-Monitoring System (BG5S) is intended to be used by a single person and should not be shared. The  iHealth Wireless Smart  Gluco-Monitoring System(BG5S)  is intended for self-testing  outside the body (in vitro diagnostic use) by people with diabetes at home as an aid to monitor the effectiveness of diabetes control. The  iHealth  Wireless  Smart  Gluco-Monitoring  System  (BG5S)  should  not  be  used  for  the  diagnosis  of  or screening of diabetes or for neonatal use. Alternative  site  testing  should  be  done  only  during  steady  -  state  times  (when  glucose  is  not  changing rapidly). The AGS-1000I & EGS-2003 test strips are for use with the iHealth BG5S meter to quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips, palm, forearm, upper arm, calf or thigh. The  iHealth  control  solutions  are  intended  for  use  with  the  iHealth  BG5S  Wireless  Smart  Blood  Glucose Monitoring System, to check that the glucose meter and test strips are working properly. These solutions contain a known range of glucose, as indicated on the bottles.   The iHealth  Gluco-Smart App  is the application for  the iHealth Gluco-Monitoring System, and is used  for data extraction and analysis.   In  order to  use  the  iHealth  BG5S  Wireless  Smart Gluco-Monitoring  System, a  compatible  Android or  iOS mobile device with the necessary mobile application installed is required. IMPORTANT SAFETY INSTRUCTIONS Please  read  the  following  information  carefully  before  using  the  iHealth  system.  Always  keep  these
  2 / 27 instructions in a safe place for reference.    Misuse of the iHealth system can cause electrocution, burns, fire, and other hazards.    The meter and lancing device are for single patient use.  Do not use either item on multiple patients.    Do not share the meter or lancing device with anyone, including other family members.    Do not place the iHealth system in or near liquid.  The iHealth system can be used up to an altitude of 3276 meters (10744 feet).  Use the iHealth system only for the purpose described in the Owner’s Manual.  Use only accessories that are supplied by the manufacturer.  Do not use the iHealth system if it has sustained any damage or is not working properly.  Keep the iHealth system away from heat at all times. Do not let the iHealth system come into contact with surfaces that are hot to the touch.  Do not block test port or place the iHealth system on soft surfaces that may block the test port. Keep test port free from lint, hair, debris, etc.  Do not place anything on top of the iHealth system.  Do not place foreign objects into any opening in the iHealth system.  Do not use the meter in a manner not specified by the manufacturer.  All  parts  of  the  iHealth  system  are  considered  biohazards  and  can  potentially  transmit  infectious diseases, even after you have performed cleaning and disinfection.  Please refer to the resources identified below for detailed information: “FDA  Public  Health  Notification:  Use  of  Fingerstick  Devices  on  More  than  One  Person  Poses  Risk  for Transmitting Bloodborne Pathogens: Initial Communication” (2010) http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.htm   “CDC Clinical Reminder: Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens” (2010) http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html LIMITATIONS OF USE The iHealth system is not intended for use on neonates.  The iHealth system is not intended for use on artery blood, serum, and plasma.  The  following  substances  at  levels  greater  than  normal  or  therapeutic  levels  may  cause  significant interference (affect the result by greater than 10%), resulting in an inaccurate result: ascorbic acid, uric
  3 / 27 acid, acetaminophen, dopamine, L-dopa. These substances do not affect test results in normal concentrations but may affect test results in high concentrations. Do not use haemolysis samples, icterus samples, or high lipemia samples.  Patients undergoing oxygen therapy may yield falsely lower results    The glucose meter and lancing device are for single patient use    Not for use for patients in a hyperglycemic-hyperosmolar state, with or without ketosis.  Not for use on critically ill patients.  This  device  is  not  for  use  in  people  who  are  severely  dehydrated,  in  people  who  are  severely hypotensive, or people who are in shock, consult your healthcare professional immediately when this happens.    Use only fresh whole blood samples to test your blood glucose.  Very low or very high red blood cell count (hematocrit) can lead to incorrect test results. If you do not know your hematocrit level, please consult your healthcare provider.  For Over-the-Counter use  Do not perform AST if you think your glucose is low, you are unaware that you might have hypoglycemia, you are testing for hyperglycemia, your AST results do not match the way you feel, your routine glucose results fluctuate often  Do not use AST results to calibrate a continuous glucose monitor (CGM)  Do not use AST results for insulin dosing calculations  If  you  take  acetaminophen  or  acetaminophen  containing  medications  (Tylenol,  certain  cold  and  flu remedies,  or  certain  prescription  drugs)  higher  than  the  recommended  levels  (>5  mg/dL)  then  you should  know  that  this  medication  might  affect  the  reliability  of  your  blood  glucose  results  and  you should not use this Blood Glucose Monitoring System. If you are unsure, than ask your doctor.  Certain  conditions  may  cause  your  blood  level  of  uric  acid  to  rise.  These  conditions  include  gout  or kidney disease. Uric acid levels in your blood are measured by a laboratory test that your doctor orders. You  should  know  that  if  your  blood  level  of  uric  acid  is  high  (≥10  mg/dL)  then  your  blood  glucose results may be not reliable. If your doctor tells you that your uric acid level is greater than 10 mg/dL, then do not use this blood glucose monitoring system. If you are unsure, then ask your doctor.  Vitamin  C  (Ascorbic  acid  (>2  mg/dL)  naturally  in  your  blood  or  from  food  or  taking  Vitamin  C supplements might  cause  inaccurate  blood  glucose  results when  using  this  blood  glucose monitoring system.
  4 / 27 CONTENTS OF THE WIRELESS SMART GLUCO-MONITORING SYSTEM Package contents vary from country to country. Please refer to the package contents listed on the package you purchased.   1. iHealth Wireless Smart Glucose Meter (BG5S)  2. iHealth Test Strips *  3. iHealth Lancing Device  4. Lancet*  5. Clear Cap for Alternative Site Testing  6. iHealth Control Solution(Level II)*
  5 / 27  7. Owner’s Manual  8. Quick Start Guide  9. USB Charging Cable  10. Carry case    The contents in package of item * is vary from the sales area. Note:   •  There are three levels for the control solutions: Level I, Level II and Level III. Please note that only the level II control solution may be included in the your kit. The level I and level III control solution are not included in the your kit. You can call iHealth Labs Customer Service for additional levels. •  If  any  items  printed  on  the  package  are  missing  from  your  package  or  the  package  appears to  have been opened prior to your use, please call iHealth Labs Customer Service.
  6 / 27 •  iHealth Labs Customer Service hotline: 1-855-816-7705   (8:30AM – 5:30PM PST, Monday to Friday except holidays) Parts and Displays  iHealth Wireless Smart Glucose Meter (BG5S)     iHealth Test Strips     Use only iHealth test strips with the meter. Each test strip can be used only once, and consists of the following parts.
  7 / 27   iHealth Lancing Device  Mobile Device Compatibility  Works with the iOS version 8.0/9.0 devices, for example: iPhone 4S iPhone 5 iPhone 5c iPhone 5s iPhone 6 iPhone 6 Plus iPhone SE iPod Touch 5G iPod Touch 6G iPad 3 iPad 4 iPad Air iPad Mini 2G iPad mini 3G iPad mini 4G iPad Air 2  Works with the Android version 4.2/5.0/6.0 devices, for example: Samsung Galaxy S6 Edge (SM-G9250)
  8 / 27 Samsung Galaxy Note3 (SM-N9006) Motorola Nexus 6  For a complete list of compatible devices, visit our support on page on www.ihealthlabs.com  TEST PRINCIPLE Testing  with  the  iHealth  system  is  based  on  the  measurement  of  electrical  currents  generated  by  the reaction of glucose with the reagent of the test strip. The iHealth system measures the current and converts it to the corresponding blood glucose level. The  strength  of  the  current  produced  by  the  reaction  depends  on  the  amount  of  glucose  in  the  blood sample. IMPORTANT TEST INFORMATION Please read the following:  Severe  dehydration  and  excessive  water  loss  may  cause  inaccurate  results..  If  you  believe  you  are suffering from severe dehydration, consult your healthcare professional immediately.    Inaccurate  results  may  occur  in  severely  hypotensive  individuals  or  patients  who  are  in  shock.  Test results  that  are  lower  than  actual  values  may  occur  in  individuals  who  are  in  a hyperglycemic-hyperosmolar state, with or without ketosis. Critically ill patients should not be tested with blood glucose meters.  If you think your blood glucose results are inconsistent with your feeling or symptoms which you are experiencing, repeat the test first. If you have symptoms or continue to get similar results, follow the treatment advice of your healthcare professional.  If  you  are  experiencing  symptoms  that  are  inconsistent  with  your  blood  glucose  test,  and  you  have followed all of the instructions provided in this Owner’s Manual, contact your healthcare professional immediately.  Use only fresh whole blood samples to test your blood glucose.    Do not use test strips that are expired or appear to be damaged as they may return inaccurate results.  The lancing device is for self-use only. Do not share or re-use lancets. Please refer to the Lancing Device Manual for the detailed procedure. TEST BLOOD GLUCOSE LEVEL When  you  get  a  new  BG5S  iHealth  Wireless  Smart  Gluco-Monitoring  System,  please
  9 / 27 confirm your test strip type first. And then following the instruction below according the test strip type.   Test strip type is EGS-2003.  About the first time test. We recommend you finish the first time test through online mode showing below from PROCESS 1 to PROCESS 5. But you can also finish the first time test through offline mode (only following PROCESS 5).  About the general time test. After you have finished the first  time test, you can finish test through online mode (launch  your app and then only following PROCESS 5).   But you can also finish test through offline mode (only following PROCESS 5).  • PROCESS 1 Download the companion app Prior to first use, download and install the free Gluco-Smart App from the App Store or Google Play Store to your mobile device.    • PROCESS 2 Login in your app Create an iHealth ID first, and then you can login your app. Note2: You can create an iHealth ID by following instructions in your app, or go to www.ihealthlabs.com to create.  • PROCESS 3 Activate your meter Your meter is powered by a built-in, rechargeable battery. When you use this meter first time, activate it as following instruct. Plug one end of the charging cable into the side of the meter and the other end into your computer’s USB port.   Note 3: About Low battery message After you have used your meter for some time,  appears for three seconds when the battery in your meter is low on power. You must recharge the battery before using it again.   Important: If battery is completely drained, fully charge the battery.  • PROCESS 4 Confirm your test strip model Keeping your meter is closed to your Android or iOS mobile device within 30cm. And then launch your app and select the “No Coding” model.  Note 4: •If you want to change the other strip model, you can re-choose anytime in setting pages. •Must re-confirm your test strip model, once you have changed the model of test strip into the other one.
  10 / 27 • PROCESS 5 Test blood glucose level Step 5-1: Insert the test strip into the meter’s strip port with the contact bars facing toward you.  Step 5-2: Prepare the lancing device. ①  Snap off the lancet device cap     ②  Insert a new lancet firmly into the lancing holder cup ③  Twist the lancet cover off ④  Replace the lancing device cap ⑤  Set the lancing level ⑥  Cock the handle until it clicks  Step 5-3: Obtain a blood sample. Press the lancing device against the site to be lanced. Press the release button to puncture the site. Gently squeeze your finger until a drop of blood forms. Wipe away the first blood drop and squeeze until a second small blood drops forms.   Step 5-4: Apply the blood sample to the test strip. Quickly apply the blood sample to the absorbent hole of the test strip. Make sure the confirmation window of the test strip is completely filled with the blood sample.  Quickly remove your finger from the test strip when you hear a sound alert from your Android or iOS mobile device, or when the countdown (from 5 to 1) begins on the meter display.
  11 / 27  Step 5-5: Read the test results. Case  ①:If the meter is connecting with the app, the test result will appear both on the app and your meter.   Case  ②:If the meter is not connecting with the app, the test result will appear on the meter after counting down from 5 to 1.    Note 5-5: The results obtained from the glucose meter are plasma-calibrated. This helps you and your physician or other qualified healthcare providers to compare your meter results with laboratory tests. Refer to the instructions given by your physician or other qualified healthcare providers, do not deviate from these instructions on the basis of the result without first consulting your physician. Step 5-6: Discard the used test strip and lancet. Remove the used test strip from the meter using a small amount of tissue paper. Discard the used test strip and lancet properly.   Tip: Prior to disposal, stick the lancet into the cover.
  12 / 27     Test strip type is AGS-1000I.  About the first time test. You  must  finish  the  first  time  test  through  online  mode  showing  below  from  PROCESS ⅠⅠⅠⅠ  to PROCESSⅤⅤⅤⅤ.  About the general time test. After  you  have  finished  the  first  time  test,  you  can  finish  test  through  online  mode  (following PROCESS 4 and 5).   But you can also finish test through offline mode (following step5-2 to step5-7).  • PROCESS ⅠⅠⅠⅠ  Download the companion app Same to PRCESS 1 (above). • PROCESS ⅡⅡⅡⅡ  Login in your app Same to PRCESS 2 (above). • PROCESS ⅢⅢⅢⅢ  Activate your meter Same to PRCESS 3 (above). • PROCESS ⅣⅣⅣⅣ  Confirm your test strip model Keeping your meter is closed to your Android or iOS mobile device within 30cm. And then launch your app and select the “QR Code” model.  Note Ⅳ: •If you want to change the other strip model, you can re-choose anytime in setting pages. •Must re-confirm your test strip model, once you have changed the model of test strip into the other one. • PROCESS ⅤⅤⅤⅤ  Test blood glucose level StepⅤⅤⅤⅤ-1: Scan the QR code on the top of the iHealth test strip vial to calibrate the test strips with the meter.
  13 / 27 NoteⅤ-1: •Please carefully read and follow the App’s instructions on the page of scanning-result. •When you have scanned the QR Code once and you haven’t changed strip’s model, there’s no need to scan for this vial unless you change anther mobile device. •As soon as your vial is changed, must follow StepⅤ-1 which is scanning the QR code on the top of the iHealth test strip vial. •When your mobile device is changed, please re-scan the QR code on the top of the iHealth test strip vial which you are using. StepⅤⅤⅤⅤ-2~ StepⅤⅤⅤⅤ-7: Corresponding to Step 5-1~Step 5-6 (above), they are same.  DATA SYNCING The meter can save up to 500 of the most recent blood glucose test results. When the meter needs to save a new test result and has already stored 500 test results, the oldest test result will be overwritten by the new test result. The data in your meter will be uploaded to the app as soon as the meter is connected to the app on your mobile device REVIEWING SAVED TEST RESULTS ON THE METER Press the memory button to view the test results stored in the meter. The first reading you’ll see is your most recent blood glucose result. To review earlier test results, press the memory button repeatedly. When you reach the last test result, the word “End” will appear, and the meter will shut off automatically. Similarly, the meter will shut automatically when it is idle for three minutes.  CLEANING AND DISINFECTION The  cleaning  and disinfection  is  absolutely  necessary  for the test procedure, because  cleaning  can insure the meter works well (for example, display will be clear to see after cleaning); and disinfection can avoid the infection to you or to the other people, and the cross-infection. The meter and lancing device should be cleaned and disinfected following each use. We suggest that you use  CaviWipes™  (Metrex®  Research  Corporation,  EPA  Reg.  No.  46781-8,  EPA  Est.  No.  56952-WI-001). CaviWipes,  with  isopropanol  and  diisobutyl-phenoxy-ethoxyethyl  dimethyl  benzyl  ammonium  chloride  as the active ingredient, have been shown to be safe for use with the meter and lancing device. You can purchase this product from the suppliers listed below: (1) Visit  the  website  www.metrex.com  or  contact  Metrex  at  800-841-1428  for  product  or  technical information. (2) Visit store like Walmart or Sears holdings. (3) Visit the following websites: •  Amazon.com :   http://www.amazon.com/s/ref=nb_sb_noss?url=search-alias%3Daps&field-keywords=CaviWipes •  Endochoice.cm : http://www.endochoice.com/Equipment?search=wipe •  Metrex corporate and distributor : http://www.metrex.com/how-to-buy The  meter and  lancing device  are validated to support  10,000 individual tests—and consequently 10,000 cleanings over their 5 year life spans.
  14 / 27 Below are the steps on how to clean the meter and lancing device. (1) After a test, clean and wash your hands. (2) Use one CaviWipe to carefully clean the entire external surface of the meter. (3) Then wipe the entire external surface of the meter with another wipe, and keep the surface wet for 2 minutes. (4) Use the same method with the CaviWipes to clean and disinfect the lancing device. Note: •  Wash hands thoroughly with soap and water after handling the meter, lancing device, or test strips. •  Only  the  surface  of  the meter can be  cleaned  and disinfected  with  the  disinfecting  towelette. Do not insert  the  disinfecting  towelette  into  the  test  strip  port  and  the  metal  connector,  or  else  the performance of the meter may be affected. •  If you have any questions you can call your local customer service. •  If the meter is being operated by a second person who is providing testing assistance to the user, the meter and lancing device should be cleaned and disinfected prior to use by the second person. SIGNS OF POTENTIAL PHYSICAL AND PERFORMANCE DETERIORATION If you encounter one of the following circumstances, stop using the meter and contact local customer services or the place of purchase for assistance, or call the toll free customer service number 1-855-816-7705 (8:30 AM-5:30PM PST, Monday to Friday). (1) The device does not work; for example, the Android or iOS mobile device can’t begin testing when the meter is connected with the Android or iOS mobile device or when a test strip is inserted into the meter. (2) Discoloration of the meter casing or lancing device; for example, it is difficult to read the labeling information. (3) Corrosion, crazing (-any cracks), embrittlement, and/or cracking of the meter casing or lancing device. If you have questions or need assistance outside the operational days and times, please contact your health care provider. INFORMATION ABOUT ALTERNATIVE SITE TESTING (AST) What Is Alternative Site Testing? Alternative site testing (AST) is the use of parts of the body, other than the fingertips, to check blood glucose levels. The iHealth Wireless Smart Gluco-Monitoring System allows you to test on the palm, forearm,  upper  arm,  calf,  or  thigh  with  equivalent  results  to  fingertip  testing  when  used  at appropriate times.
  15 / 27  Caution: When performing Alternate Site Testing, please remember to change the cap of the lancing device to the clear cap specially designed for AST. There are limitations for doing AST: •  Please consult your healthcare professional before you conduct AST.   •  The  iHealth  Wireless  Smart  Gluco-Monitoring  System  should  only  be  used  for  AST  under steady-state blood glucose conditions. What Is the Advantage of Alternative Site Testing? Pain is felt more readily on the fingertips because they are full of nerve endings (receptors). At other body sites where nerve endings are not so condensed, pain is not felt as acutely. When Should You Use Alternative Site Testing?   Food, medication, illness, stress, and exercise can affect blood glucose levels. Capillary blood from the fingertips reflects these changes faster than capillary blood from other sites. Therefore, when testing blood  glucose  levels  during  or  immediately  after  meals  or  exercise,  or  when  another  of  the above-noted conditions applies, take a blood  sample from your fingertips only. AST should be used only during steady-state times when glucose levels are not changing rapidly. Blood glucose results from the forearm, upper arm, hand, thigh and calf are not always the same as results from fingertips. Alternative Site Testing is suitable in the following instances:  In a pre-meal or fasting state (two hours or more after the last meal).  Two hours or more after taking insulin.
  16 / 27  Two hours or more after exercising. Caution: Do not use sites other than fingertips for testing when blood glucose is rapidly rising or falling, within 2 hours of eating, after taking insulin, immediately after exercise, or when you are ill or under stress. Alternative Site Testing should not be used to calibrate continuous glucose monitoring systems (CGMs). Results from Alternative Site Testing should not be used in insulin dose calculations. Do not use AST if: •  You think your blood glucose is low. •  You are unaware that you might have hypoglycemia •  You are testing for hyperglycemia. •  Your AST results do not match the way you feel. •  Your routine glucose results fluctuate often. IMPORTANT INFORMATION ABOUT CONTROL SOLUTION TESTS Control solution contains a known amount of glucose that reacts with test strips and is used to check that your meter and test strips are working together properly. Materials needed to perform a control solution test:  iHealth Wireless Smart Glucose Meter (BG5S)  iHealth Test Strips (AGS-1000I / EGS-2003)  iHealth Control Solution (Level I, Level II, or Level III) Perform a control solution test when:  First receiving or purchasing the meter  Checking the meter and test strips (which should be done at least once a week)  Using a new vial of test strips  You suspect the meter or test strips are not working properly  Your blood glucose test results are not consistent  with your expectation, or you think the results are not accurate  Practicing the testing process  The meter has been dropped or damaged PERFORMING A CONTROL SOLUTION TEST    When the meter is not connected to your app on your Android or iOS mobile device: You  can  only  perform  this  test  with  the  test strip  whose  type  is  EGS-2003  in  this  situation, and  it  is
  17 / 27 forbidden to perform a control solution test with test strip AGS-1000I. Step A-1: Turn on the control solution test (CTL) mode. Insert the test strip into the meter’s strip port to turn on the meter. When the blood sample symbol appears on the meter display, press the memory button to turn on the CTL mode. When the  CTL symbol appears, the  meter  is in  control solution test  mode  and  will not  save this test result in memory. Note:   •  Be sure to set the meter and/or app on the CTL mode before performing a control solution test. The control solution test result will not be saved in the meter. •  You can press the memory button again to turn off the CTL mode and switch back to the regular testing mode. Step A-2: Apply the control solution. •  Shake the control solution vial before each use. •  Squeeze a drop of control solution into the vial cap. For better results, it is recommended that you use the second drop of the control solution (discard the first drop). •  Hold  the  meter  and  move  the  absorbent  hole  of  the  test  strip  to  catch  the  drop.  Once  the conformation window fills completely, the meter will start counting down. Remove the control solution sample from the test strip when the countdown begins. Note:   •  To  avoid  contaminating  the  entire  vial  of  control  solution,  do  not  directly  apply  control  solution onto a strip. Step A-3: Read and compare the results. After the meter counts down to “1,” the control solution test result will appear on the meter display. The result of the control solution test should be within the range printed on the test strip vial label. If the test result falls outside the specified range, repeat the test, carefully following the steps above.   When the meter is not connected to your app on your Android or iOS mobile device: You can perform this test with either EGS-2003 test strip or test strip AGS-1000I. Step B-1: Launch the app, and select the CTL test mode. Step B-2: Follow Step A-2 above. Step B-3: Read and compare the results. The  control  solution  test  result  will  appear  on  the  app  both  on  your device  and  meter. The result of the control solution test should be within the range printed on the test strip vial label. If the test result falls outside the specified range, repeat the test, carefully following the steps above. Out-of-Range Results Results falling outside the specified range may be caused by: •  An error in the test •  Expired or contaminated control solution •  An expired or contaminated test strip •  Meter malfunction If you continue to get control solution test results that fall outside of the range printed on the vial, the meter  may  not  be  working  properly.  Discontinue  use  and  call  iHealth  Labs  Customer  Service  at 1-855-816-7705 for assistance. To purchase additional control solution, call iHealth Labs Customer Service
  18 / 27 NOTE: •  Do not use expired control solution. •  The control solution range printed on the test strip vial is for control solution use only. It  is  not a recommended range for your blood glucose level. COMPARING GLUCOSE METER TEST RESULTS WITH LABORATORY RESULTS The  iHealth  System  provides  you  with  whole  blood  equivalent  results.  The  result  you  obtain  from  your glucose meter may differ somewhat from your laboratory results due to normal variation.   The iHealth System results can be affected by factors and conditions that do not affect laboratory results in the same way.   To make an accurate comparison between meter and laboratory results, follow the guidelines below. Before the Lab Test  Perform a control solution test to make sure that the meter is working properly.  If possible, fast at least eight hours before conducting a comparison test.  Take your iHealth System to the lab. While at the Lab   Make sure that samples for both tests are taken and tested within 15 minutes of each other.  Wash your hands before obtaining a blood sample.  Never use your glucose meter with blood samples collected in a test tube.  Use fresh capillary blood only. THE iHealth Wireless Smart Gluco-Monitoring System SPECIFICATIONS 1. Model: BG5S 2. Machine size: 3.85’’ × 1.37’’ × 1.09’’ (98 mm × 35 mm × 27.8 mm) 3. Measuring method: Amperometric technology using glucose oxidase or glucose dehydrogenase 4. Result range: 20 mg/dL ~600 mg/dL (1.1 mmol/L ~33.3mmol/L) 5. Power source: DC 3.7V, Li-ion 250 mAh Charging condition: DC 5V 250mA 6. Wireless communication: Bluetooth V4.1 BLE Only Mode (EIRP: <3dBm) Frequency Band: 2.402-2.480 GHz
  19 / 27 7. Storage condition: Test Strips 39°F~86°F (4°C~30°C), Humidity 10%~85%RH The meter -4°F~131° F (-20°C~55°C); Humidity 10%~80%RH 8. Operating conditions: 50°F~104°F (10°C~40°C) , 25%RH~80%RH 9. Blood source: Fresh capillary whole blood 10. Blood volume: Minimum 0.7 micro liter 11. Life span: Five years 12. If you are taking acetaminophen containing drugs (Tylenol and other medicines containing acetaminophen, blood concentrations >5 mg/dL) or Vitamin C (ascorbic acid, blood concentrations >4 mg/dL) at doses higher than recommended, these may interfere with your glucose meter and cause you to get inaccurate results with this system MAINTENANCE AND STORAGE OF YOUR METER  Always  use  care  when  handling  the  iHealth  Wireless  Smart  Glucose  Meter  (BG5S).  Dropping  or throwing the meter may cause damage.  Always wash your hands with soap and water, and rinse and dry them completely before handling the iHealth Wireless Smart Glucose Meter (BG5S) and test strips. SYSTEM TROUBLESHOOTING If  you follow  the recommended  action  but  the  problem  persists,  or error  messages  other  than the  ones below appear, please call iHealth Labs Customer Service at 1-855-816-7705. Do not attempt to repair the meter by yourself and never try to disassemble the meter under any circumstances. Display Messages MESSAGE  WHAT It Means?  ACTION  Blood glucose level is lower than 20mg/dL (1.1mmol/L) - Repeat the test using a new test strip. - If your result still flashes Lo, seek medical advice immediately.  Blood glucose level is higher than 600 mg/dL (33.3mmol/L) - Wash and dry your hands, and the test site, thoroughly. Repeat the test using a new test strip. - If your result still flashes HI, seek medical advice immediately.
  20 / 27  The battery in your meter in low on power.  Charge the battery.   Problem with the meter. Re-test with a new test strip. If the problem persists, call iHealth Labs Customer Service at 1-855-816-7705 for assistance.  Problems have occurred that are related to test strip use, such as: - Test strip may be wet or damaged - Test strip may have been removed too soon - You applied more blood Re-test using a new test strip.  The environmental temperature is lower than 50°F(10°C) The operating Temperature is 50°F~104°F (10°C~40°C).  The environmental temperature is higher than 104°F(40°C). The operating temperature is 50°F~104°F (10°C~40°C).  Communication error.  Touch START to re-test.  Strip is removed during measurement. Start again using a new test strip.
  21 / 27  Your meter is not synced to the app on your mobile device yet. Follow the instructions above in the “FIRST TIME SETUP INSTRUCTIONS” to sync your meter.  The remaining test strip in the vial is “0”.  Scan a new vial of test strips.  The test strip has expired.  Use a new test strip. Troubleshooting Problems  Possible Causes  Solution(s) Display remains blank after the test strip has been inserted into the meter. 1. Battery power is too low for use.   2. Too much time has passed between inserting the test strip and performing                                                   the test.   3. 3. Test strip has not been fully inserted into the meter. 1. Please change the battery. 2. Reinsert the test strip into the meter.    3. Reinsert the test strip into the meter, pressing firmly. Test results are inconsistent or control solution test results are not within the specified range. 1. Not enough sample in the test strip.     2. Test strip or control solution has expired.  3. Test strip has been damaged due to heat or humidity so that the sample cannot be applied, or the speed of application is too slow.    4. 4. System is not performing due to the environment being above or below room temperature. 1. Re-test with a new test strip and make sure that enough sample has been applied. 2. Re-test with a new test strip or new control solution. 3. Perform a control solution test using a new test strip. If the results are still out of range, replace with new vial of test strips. 4. Bring the system to a room-temperature environment and wait approximately 30 minutes before performing a new test.
  22 / 27 The meter countdown did not start. Test strip has not been inserted correctly. Use a new test strip and redo the test. WARRANTY INFORMATION iHealth  Labs,  Inc.  ("IHealth")  warrants  the  iHealth  meter  (the  "Product"),  and  only  the  Product,  against defects  in  materials  and  workmanship  under  normal  use  for  a  period  of  three  years  from  the  date  of purchase by the original purchaser ("Warranty Period"). Under this Limited Warranty, if a defect arises and a valid claim is received by iHealth within the Warranty Period regarding the Product, at its option and to the extent  permitted  by  law,  iHealth  will  either  (1)  repair  the  Product  using  new  or  refurbished  replacement parts or (2) exchange the Product with a new or refurbished Product. In the event of a defect, to the extent permitted by law, these are the sole and exclusive remedies. iHealth is a trademark of iHealth Labs Inc. “Made  for  iPod  Touch,”  “Made  for  iPad,”  and  “Made  for  iPhone”  mean  that  an  electronic  accessory  has been  designed  to  connect  specifically  to  the  iPod  Touch,  iPad,  and/or  iPhone,  respectively,  and  has  been certified by the developer to meet Apple performance standards. Apple is not responsible for the operation of this device or its compliance with safety and regulatory standards. Please  note  that  the  use  of  this  accessory  with  the  iPod  Touch,  iPad,  and/or  iPhone  may  a  ect  wireless performance. iPod Touch,  iPad, and iPhone  are trademarks of  Apple  Inc., registered in  the U.S.  and other countries. Manufactured for iHealth Labs Inc. USA: iHealth Labs, Inc.   www.iHealthlabs.com 120 San Lucar Ct. Sunnyvale, CA 94086 1-855-816-7705 (8:30AM – 5:30PM PST, Monday to Friday except holidays) Email: Support@ihealthlabs.com  Europe:   iHealthLabs Europe SARL  www.ihealthlabs.eu 3 Rue Tronchet, 75008, Paris, France +33(0)1 44 94 04 81 (9:00 AM-5:30 PM, Monday to Friday except holidays) Email: support@ihealthlabs.eu  ANDON HEALTH CO., LTD No. 3 Jin Ping Street, Ya An Road, Nankai District, Tianjin 300190, China Tel: +86-22-87611660 If you have questions or need assistance outside the operational days and times, please contact your health care provider.
  23 / 27 EXPLANATION OF SYMBOLS         In vitro diagnostic medical device         Serial number         Caution , consult accompanying documents         Consult instructions for use         Manufacturer         Environmental Protection–Electrical  products  waste  should  not  be  disposed  of  with household  waste.  Please  recycle  where  facilities  exist.  Check  with  your  local  authority  or  retailer  for recycling advice.       Authorised representative in the European Community       Catalog number                   Storage temperature limit       This device complies with part 15 of the FCC rules.         Bluetooth Sign         Keep dry         Batch Code         Use-by date         Sterilized Using Irradiation
  24 / 27         Do not Re-use  Complies with IVD98/79/EC requirements IMPORTANT INFORMATION REQUIRED BY THE FCC This device complies with Part 15 of the FCC Rules. Its operation is subject to the following two conditions: (1) This device may not cause harmful interference, and   (2)  this  device  must  accept  any  interference  received,  including  interference  that  may  cause  undesired operation. Changes  or  modifications not  expressly  approved  by  iHealth  Labs Inc.  would void  the  user’s  authority  to operate the product. NOTE: This product has been tested and found to comply with the limits for a Class B digital device, pursuant to Part  15  of  the  FCC  Rules.  These  limits  are  designed  to  provide  reasonable  protection  against  harmful interference  in  a  residential  installation.  This  product  generates,  uses,  and  can  radiate  radio  frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio  communications.  However,  there  is  no  guarantee  that  interference  will  not  occur  in  a  particular installation. If  this product  does  cause  harmful interference to  radio  or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures:   —Reorient or relocate the receiving antenna. —Increase the separation between the equipment and receiver. —Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. —Consult the dealer or an experienced radio/TV technician for help. Radiofrequency radiation exposure Information: This equipment complies with FCC radiation exposure limits set forth for an uncontrolled environment.
  25 / 27 IC NOTICE   This  device  complies  with  Industry  Canada  licence-exempt  RSS  standard(s).  Operation  is  subject  to  the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of the device. Le  présent  appareil  est  conforme  aux  CNR  d'Industrie  Canada  applicables  aux  appareils  radioexempts  de licence. L'exploitation est autorisée aux deux conditions suivantes : (1) l'appareil ne doit pas produire de brouillage, et (2)  l'utilisateur  de  l'appareil  doit  accepter  tout  brouillage  radioélectrique  subi,  même  si  le  brouillage  est susceptible d'en compromettre le fonctionnement.  Under Industry Canada regulations, this radio transmitter may only operate using an antenna of a type and maximum  (or  lesser)  gain  approved  for  the  transmitter  by  Industry  Canada.  To  reduce  potential  radio interference  to  other  users,  the  antenna  type  and  its  gain  should  be  so  chosen  that  the  equivalent isotropically radiated power (e.i.r.p.) is not more than that necessary for successful communication.  Conformément à la réglementation d'Industrie Canada, le présent émetteur radio peut fonctionner avec une antenne d'un type et d'un gain maximal (ou inférieur) approuvé pour l'émetteur par Industrie  Canada.  Dans le  but  de  réduire les risques de  brouillage  radioélectrique  à l'intention  des autres utilisateurs,  il  faut  choisir  le  type  d'antenne  et  son  gain  de  sorte  que  la  puissance  isotrope  rayonnée équivalente  (p.i.r.e.)  ne  dépasse  pas  l'intensité  nécessaire  à  l'établissement  d'une  communication satisfaisante.
  26 / 27  This product is approved in accordance to RED directive. ELECTROMAGNETIC COMPATIBILITY INFORMATION Table 1 For All ME EQUIPMENT and ME SYSTEMS Guidance and manufacture’s declaration - electromagnetic emissions The BG5S is intended for use in the electromagnetic environment specified below. The customer or the user of the BG5S should assure that it is used in such an environment. Emissions test  Compliance  Electromagnetic environment - guidance RF emissions CISPR 11  Group 1 The BG5S uses RF energy only for its internal function. Therefore, its  RF  emissions  are  very  low  and  are  not  likely  to  cause  any interference in nearby electronic equipment. RF emissions CISPR 11  Class B  The  BG5S  is  suitable  for  use  in  all  establishments,  including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. Harmonic emissions IEC 61000-3-2  Class A Voltage fluctuations/ flicker emissions IEC 61000-3-3 Complies  Table 2 For All ME EQUIPMENT and ME SYSTEMS Guidance and manufacturer’s declaration - electromagnetic immunity The BG5S is intended for use in the electromagnetic environment specified below. The customer or the user of the BG5S should assure that it is used in such an environment. IMMUNITY test IEC 60601test level  Compliance level  Electromagnetic environment - guidance Electrostatic discharge (ESD) IEC 61000-4-2 ± 6 kV contact ± 8 kV air ± 6 kV contact ± 8 kV air Floors  should  be  wood,  concrete  or ceramic tile. If floors are covered with synthetic  material,  the  relative humidity should be at least 30 %. Electrical fast transient/burst IEC 61000-4-4 ±2kV for power supply lines ±1kV for input/output lines ± 2 kV for power supply lines ±1kV for input/output lines Mains power  quality  should  be  that of a  typical  commercial  or  hospital environment. Power frequency (50/60 Hz) magnetic field IEC 61000-4-8 3 A/m  3 A/m  Power  frequency  magnetic  fields should  be  at  levels  characteristic  of  a typical location in a typical commercial or hospital environment. NOTE: UT is the a.c. mains voltage prior to application of the test level.
  27 / 27 Table 3 For ME EQUIPMENT and ME SYSTEMS that are not LIFE-SUPPORTING Guidance and manufacturer’s declaration - electromagnetic immunity The BG5S is intended for use in the electromagnetic environment specified below. The customer or the user of the BG5S should assure that it is used in such an environment. IMMUNITY test IMMUNITY test IMMUNITY test  IMMUNITY test        Conducted RF IEC 61000-4-6  Radiated RF IEC 61000-4-3        3  Vrms  150  kHz to 80 MHz  3  V/m 80  MHz  to 2,5 GHz        3 Vrms   3 V/m Portable  and  mobile  RF  communications equipment should be used no closer to any part of the  BG5S,  including  cables,  than  the recommended separation distance calculated from the  equation  applicable  to  the  frequency  of  the transmitter. Recommended separation distance::::        80 MHz to 800 MHz  800 MHz to 2,5 GHz  Where P is the maximum  output power rating of the  transmitter  in  watts  (W)  according  to  the transmitter  manufacturer  and  d  is  the recommended separation distance in meters (m). Field  strengths  from  fixed  RF  transmitters,  as determined  by  an  electromagnetic  site  survey,a should  be  less  than  the  compliance  level  in  each frequency range.b Interference  may  occur  in  the  vicinity  of equipment marked with the following symbol:  NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE  2  These  guidelines  may  not  apply  in  all  situations.  Electromagnetic  propagation  is  affected  by absorption and reflection from structures, objects and people. a Field  strengths from fixed transmitters, such as  base stations for  radio  (cellular/cordless) telephones and land  mobile  radiOS  ,  amateur  radio,  AM  and  FM  radio  broadcast  and  TV  broadcast  cannot  be  predicted theoretically  with  accuracy.  To  assess  the  electromagnetic  environment  due  to  fixed  RF  transmitters,  an electromagnetic site survey should be considered. If the measured field strength in the location in which the BG5S  is  used exceeds the applicable  RF  compliance  level  above, the BG5S should be observed  to  verify normal  operation.  If  abnormal  performance  is  observed,  additional  measures  may  be  necessary,  such  as re-orienting or relocating the BG5S. b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3V/m. Pd2.1=Pd 2.1=Pd 3.2=
  28 / 27 Table 4    For ME EQUIPMENT and ME SYSTEMS that are not LIFE-SUPPORTING Recommended separation distances between portable and mobile RF communications equipment and the BG5S The  BG5S  is  intended  for  use  in  an  electromagnetic  environment  in  which  radiated  RF  disturbances  are controlled.  The  customer  or  the  user  of  the  BG5S  can  help  prevent  electromagnetic  interference  by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and  the  BG5S  as  recommended  below,  according  to  the  maximum  output  power  of  the  communications equipment. Rated maximum output power of transmitter W Separation distance according to frequency of transmitter m 150 kHz to 80 MHz   80 MHz to 800 MHz   800 MHz to 2,5 GHz   0,01  0,12  0,12  0,23 0,1  0,38  0,38  0,73 1  1,2  1,2  2,3 10  3,8  3,8  7,3 100  12  12  23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE  2  These  guidelines  may  not  apply  in  all  situations.  Electromagnetic  propagation  is  affected  by absorption and reflection from structures, objects and people.  NOTE 1 It is the manufacturer’s responsibility to provide equipment electromagnetic compatibility information to the customer or user. NOTE 2 It is the user’s responsibility to ensure that a compatible electromagnetic environment for the equipment can be maintained in order that the device will perform as intended. Use of this instrument in a dry environment, especially if synthetic materials are present (synthetic clothing, carpets etc.) may cause damaging static discharges that may cause erroneous results. Do not use this instrument in close proximity to sources of strong electromagnetic radiation, as these may interfere with the proper operation.  Rev.30 / 03 / 2017 Pd 2.1=Pd 2.1=Pd 3.2=

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