Ascensia Diabetes Care US O5 Contour Next One Blood Glucose Monitoring System User Manual Manual
Ascensia Diabetes Care US Inc. Contour Next One Blood Glucose Monitoring System Manual
Manual
Blood Glucose Monitoring System Works with the CONTOUR™DIABETES app available for download on the App Store or on Google Play™. ® Uses only CONTOUR®NEXT blood glucose test strips. USER GUIDE 85025015_CntrNxtONE_UG_EN.indd 1 PROCESS C PROCESS M PROCESS Y 8/18/16 10:14 AM PROCESS K FILE NAME: 85025015_CntrNxtONE_UG_EN.indd DESCRIPTION: Onyx Contour NEXT ONE Meter User Guide 5050 1st Ave South Suite #101 Seattle, WA 98134 Tel: 206.587.0800 Fax: 206.587.0356 NEW COMP BAN: 85025015 REV: 08/16 DATE: 08/18/16 CLIENT: Ascensia Diabetes Care PROGRAM VERS: InDesign CC(2014) SKU: MULTI MARKET: US SPEC: 10000774658 REV 01 LANGUAGES: EN PARENT BAN: MULTI TRIM SIZE: 6” (H) x 4.5” (W) PREVIOUS BAN: N/A UNIT of MEASURE: mg/dL MASTER REF: DCAM-69-1823 version 5.0 LASER PROOF EPSONS PROOF APPROVED APPROVED RESUBMIT WITH CHANGES RESUBMIT WITH CHANGES V0 V1 V2 V3 V4 V5 V6 V7 09/23/15 10/19/15 10/24/15 11/11/15 04/19/16 05/02/16 08/11/16 08/18/16 Initial build DMC Annotation DMC Annotation DMC Annotation DMC Annotation DMC Annotation DMC Annotation DMC Annotation BAR CODE: 85025015 (2D) VERSION: V7 SIGNATURE PROJ. MGR. SIGNATURE _________________________________ DATE ____________ PROJ. MGR. SIGNATURE _________________________________ DATE ____________ PROJ. MGR. SIGNATURE _________________________________ DATE ____________ INTENDED USE The CONTOUR®NEXT ONE blood glucose monitoring system is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood drawn from the fingertips or palm. The CONTOUR NEXT ONE blood glucose monitoring system is intended to be used by a single person and should not be shared. The CONTOUR NEXT ONE blood glucose monitoring system is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid in monitoring the effectiveness of a diabetes control program. The CONTOUR NEXT ONE blood glucose monitoring system should not be used for the diagnosis of or screening for diabetes or for neonatal use. Alternative site testing (palm) should be done only during steady state times (when glucose is not changing rapidly). The CONTOUR®NEXT test strips are for use with the CONTOUR®NEXT ONE blood glucose meter to quantitatively measure glucose in fresh capillary whole blood drawn from the fingertips or palm. The system is intended for in vitro diagnostic use only. 85025015_CntrNxtONE_UG_EN.indd 1-2 IMPORTANT SAFETY INFORMATION WARNING Talk to Your Health Care Professional: • Before setting any Target Ranges in the CONTOUR™DIABETES app. • Before changing your medication based on test results. • If your blood sugar reading is under 50 mg/dL follow medical advice immediately. • If your blood sugar reading is over 250 mg/dL, or the critical level you have established with your health care professional: 1. Wash and dry your hands well. 2. Retest with a new strip. If you get a similar result, call your health care professional as soon as possible. • About whether Alternative Site Testing (AST) is appropriate for you. Potential Biohazard • Always wash your hands with soap and water and dry them well before and after testing or handling the meter, lancing device, or test strips. • All parts of the kit are considered biohazardous and can potentially transmit infectious diseases, even after you have performed cleaning and disinfection. For complete instructions on cleaning and disinfecting your meter and lancing device, see pages 47 to 50. • For more information about cleaning and disinfecting your meter or lancing device see: “US Food and Drug Administration. Use of fingerstick devices on more than one person poses risk for transmitting bloodborne pathogens: initial communication. US Department of Health and Human Services; update 11/29/2010.” http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ ucm224025.htm CONTOUR®NEXT ONE blood glucose monitoring system ii 8/18/16 10:05 AM • • • • • • “Centers for Disease Control and Prevention. CDC clinical reminder: use of fingerstick devices on more than one person poses risk for transmitting bloodborne pathogens. US Department of Health and Human Services; 8/23/2010.” http://www.cdc.gov/injectionsafety/FingerstickDevicesBGM.html The meter and lancing device are for single patient use. Do not share them with anyone including other family members! Do not use on multiple patients.1,2 The lancing device usually provided with your kit should not be used for assisted blood draws by health care professionals or at health care provision sites. Always dispose of used test strips and lancets as medical waste or as advised by your health care professional. All products that come in contact with human blood should be handled as if capable of transmitting infectious diseases. Keep out of reach of children. This kit contains small parts that could cause suffocation if accidentally swallowed. Keep batteries away from children. Many types of batteries are poisonous. If swallowed, immediately contact your poison control center. LIMITATIONS • Serious Illness: The system should not be used to test critically ill patients. Capillary blood glucose testing may not be clinically appropriate for persons with reduced peripheral blood flow. Shock, severe hypotension and severe dehydration are examples of clinical conditions that may adversely affect the measurement of glucose in peripheral blood.3-5 • Meter Operating Temperature Range: 41°F–113°F • Control Testing Temperature Range: 59°F–95°F iii 85025015_CntrNxtONE_UG_EN.indd 3-4 • • • • • • • • • • Test Strip Storage Temperature Range: 41°F–86°F Meter Operating Humidity Range: 10% RH–93% RH Sample Volume: 0.6 μL Measuring Range: 20 mg/dL–600 mg/dL of glucose in blood Altitude: Up to 20,674 feet (6301 meters) does not significantly affect results. Alternative Site Testing: See Alternative Site Testing instructions on page 25. Lipemic Specimen: Cholesterol concentrations >1168 mg/dL or triglyceride concentrations >4709 mg/dL may produce inaccurate results. Peritoneal Dialysis Solutions: Icodextrin does not interfere with CONTOUR NEXT test strips. Xylose: Do not use during or soon after xylose absorption testing. Xylose in the blood will cause an interference. Neonatal Use: The CONTOUR NEXT ONE meter is not indicated for neonatal use. PRECAUTIONS Read your CONTOUR NEXT ONE user guide, the lancing • device package insert, if provided, and all instructional materials provided in your meter kit before testing. Follow all instructions for use and care exactly as described to help avoid inaccurate results. • Examine the product for missing, damaged, or broken parts. If the test strip bottle is open inside a new box of strips, do not use those strips. For replacement parts, contact Diabetes Care Customer Service. See the back cover for contact information. • Your CONTOUR NEXT ONE meter works ONLY with CONTOUR NEXT test strips and CONTOUR®NEXT control solution. CONTOUR®NEXT ONE blood glucose monitoring system iv 8/18/16 10:05 AM • Always keep the CONTOUR NEXT test strips in their original bottle. Tightly close the bottle immediately after removing a test strip. The bottle is designed to keep the test strips dry. Do not place or store other items or medications in the test strip bottle. Avoid exposing meter and test strips to excessive humidity, heat, cold, dust, or dirt. Exposure to room humidity by leaving the bottle open or not storing the strips in their original bottle can damage your test strips. This could lead to inaccurate results. Do not use a test strip that appears damaged or has been used. • Do not use expired materials. Using expired material can cause inaccurate results. Always check the expiration dates on your test materials. NOTE: If this is the first time you are opening the control solution, write the date on the bottle. • Do not use control solution that is more than 6 months past the date you first opened the bottle. • If your control solution test result is out of range, contact Diabetes Care Customer Service. See the back cover for contact information. Do not use the meter for blood glucose testing until you resolve this issue. • The meter is designed to give accurate blood testing results at temperatures between 41°F and 113°F. If meter or test strip is outside this range, you should not test until the meter and test strip are within this range. Whenever the meter is moved from one location to another, allow approximately 20 minutes for the meter to adjust to the temperature of the new location before performing a blood glucose test. • Do not attempt to perform a blood glucose test when the CONTOUR NEXT ONE meter is connected to a computer. • Use only approved equipment from the manufacturer or certified body such as UL, CSA, TUV, or CE. 85025015_CntrNxtONE_UG_EN.indd 5-6 • Your CONTOUR NEXT ONE meter has been preset and locked to display results in mg/dL (milligrams of glucose per deciliter of blood). v Results in mg/dL will never have a decimal point. v Results in mmol/L will always have a decimal point. or Example: v Check your display screen to be sure the results are shown correctly. If not, contact Diabetes Care Customer Service. See the back cover for contact information. • The CONTOUR NEXT ONE blood glucose monitoring system has a measuring range of 20 mg/dL to 600 mg/dL. v For results over 600 mg/dL or under 20 mg/dL: o If your blood sugar reading is under 20 mg/dL, the meter displays the LO screen. Contact your health care professional immediately. o If your blood sugar reading is over 600 mg/dL, the meter displays the HI screen. Wash your hands or the test site. Repeat the test with a new strip. If results are still over 600 mg/dL, follow medical advice immediately. Your Meter Features Easy: The CONTOUR NEXT ONE blood glucose monitoring system is about simplicity. You will notice this the first time you use it. Automatic: The CONTOUR NEXT ONE meter is designed with No Coding technology, to automatically code itself every time you insert a test strip. It will also automatically mark a control solution test. CONTOUR®NEXT ONE blood glucose monitoring system vi 8/18/16 10:05 AM Second-Chance® sampling allows blood sample re-application to the same test strip if the first blood sample is not enough. Your test strip is designed to easily ‘sip’ the blood into the sample tip. Do not drop blood directly on the flat surface of the test strip. Thank you for choosing the CONTOUR NEXT ONE blood glucose monitoring system. We are proud to be your partner in helping you manage your diabetes. CAUTION: Your CONTOUR NEXT ONE meter works ONLY with CONTOUR NEXT test strips and CONTOUR NEXT control solution. Ascensia, the Ascensia Diabetes Care logo, Contour, Glucofacts, the No Coding logo, Microlet, and Second-Chance are trademarks and/or registered trademarks of Ascensia Diabetes Care Holdings AG. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc. The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc., and any use of such marks by Ascensia Diabetes Care is under license. Google Play and the Google Play logo are trademarks of Google Inc. (® = registered trademark. ™ = unregistered trademark. SM = service mark.) All other trademarks are properties of their respective owners and are used solely for informative purposes. No relationship or endorsement should be inferred or implied. vii 85025015_CntrNxtONE_UG_EN.indd 7-1 Table of Contents Intended Use, Important Safety Information .................................i Your Meter Features .................................................................... vi GETTING STARTED Your CONTOUR NEXT ONE meter ..................................................3 The CONTOUR DIABETES app for Your ONE meter .......................6 Initial Setup from the CONTOUR DIABETES app ............................7 Initial Setup from the Meter ..........................................................8 Target Ranges and Meal Markers .............................................10 TESTING Get Ready to Test.......................................................................12 Get the Blood Drop: Fingertip Testing........................................17 Select a Meal Marker .................................................................19 About Meal Markers ...................................................................23 Turn Meal Markers On ................................................................23 Test Results ................................................................................24 Expected Test Result Values ......................................................24 LO or HI Results .........................................................................25 Alternative Site Testing (AST): Palm ...........................................25 Control Solution Testing .............................................................33 FEATURES Logbook .....................................................................................36 Settings ......................................................................................37 Pairing Mode ..............................................................................46 HELP Meter Care .................................................................................46 Transfer Results to the CONTOUR DIABETES app ........................50 Transfer Results to a Personal Computer ..................................50 Batteries .....................................................................................51 TECHNICAL INFORMATION Error Detection Displays.............................................................53 Customer Service Checklist .......................................................55 Technical Information .................................................................56 CONTOUR®NEXT ONE blood glucose monitoring system 8/18/16 10:05 AM GETTING STARTED Symptoms of High or Low Blood Glucose.................................59 Specifications .............................................................................61 Warranty .....................................................................................64 Index ..........................................................................................66 Your CONTOUR NEXT ONE meter Up Button • Press to scroll up • Press and hold to keep scrolling OK Button • Press and hold to turn the meter On or Off • Press to accept a selection Test Strip Port Down Button • Press to scroll down • Press and hold to keep scrolling Up/Down Scroll Buttons Using the Meter Buttons Press and hold the OK button until the meter turns On. Press and hold the OK button until the meter turns Off. The or buttons on the meter allow you to scroll through the options. You can hold the or button to scroll continuously through a list. Press the OK button to accept a selection. To exit from the Logbook or the last Settings screen and return to Home, press the OK button. NOTE: The meter screen dims after 30 seconds of inactivity. Press any button to bring up the screen. 85025015_CntrNxtONE_UG_EN.indd 2-3 CONTOUR®NEXT ONE blood glucose monitoring system 8/18/16 10:05 AM GETTING STARTED Your CONTOUR NEXT ONE meter Screen Symbol Time Test Result in Target What the Symbol Means No marker selected. A Target Range or Target setting. Meal Marker Target Light (smartLIGHT) setting. Meter is ready to test. Add more blood to strip. Test Strip Port Date Control solution result. Bluetooth® symbol: indicates the Bluetooth setting is On; the meter can communicate with a mobile device. Symbol What the Symbol Means Indicates low batteries. Blood sugar test result is in Target Range. Indicates dead batteries. Blood sugar test result is above 600 mg/dL. Indicates a meter error. Blood sugar test result is below 20 mg/dL. Blood sugar test result is above Target Range. Blood sugar test result is below Target Range. Logbook entry. Meter Settings. Fasting marker. Before Meal marker. After Meal marker. 85025015_CntrNxtONE_UG_EN.indd 4-5 CONTOUR®NEXT ONE blood glucose monitoring system 8/18/16 10:05 AM GETTING STARTED Your CONTOUR NEXT test strip Grey Square End: Insert this end into the test strip port Sample Tip: Blood sample pulled in here The CONTOUR™DIABETES app for Your ONE meter Your CONTOUR NEXT ONE meter was designed to work with the CONTOUR DIABETES app and your smartphone or tablet. You can do the following things with your CONTOUR DIABETES app: • Perform your initial meter setup. • Add Notes after testing that help to explain your results. o List meals containing carbs. o Note changes in medication. o Add photos of your meal. o Log an increase or decrease in activity. • Set testing reminders. • Access easy-to-read graphs of test results over a day or over a period of time. 85025015_CntrNxtONE_UG_EN.indd 6-7 • Share reports. • Discreetly view information. • Review your Fasting, Before Meal, After Meal, and Overall results on a daily graph. • Change meter settings, as necessary. The CONTOUR DIABETES app does these things for you: • Automatically displays your results. • Saves your Notes in the Logbook. • Displays your Trends and test results as they compare with your targets. Download the CONTOUR DIABETES app 1. On your smartphone or tablet, go to the App Store® or the Google Play™ store. 2. Search for the CONTOUR DIABETES app. 3. Install the CONTOUR DIABETES app. OR Scan with QR Code app or visit www.contourone.com to learn more. Initial Setup from the CONTOUR DIABETES app The easiest way to set up your new meter is to download the CONTOUR DIABETES app to your smartphone or tablet and follow the instructions in the app. If you do not pair your meter with the CONTOUR DIABETES app, follow the instructions in Initial Setup from the Meter the first time you turn on your meter. CONTOUR®NEXT ONE blood glucose monitoring system 8/18/16 10:05 AM GETTING STARTED Initial Setup from the Meter Set the Time The hour is blinking. OK Button 1. To change the hour, press the Press and hold the OK button for 2 seconds until the meter turns on. or button on the outer ring. Outer Ring The screen displays the Power On Self Test. All symbols on the screen and the white strip port briefly light up. It is very important to verify that 8.8.8 displays fully and that the white light from the test strip port is visible. If there are missing characters or if the strip port light is a color other than white, contact Diabetes Care Customer Service. This may affect the way you see your results. Initial Setup begins with View Pre-Set Target. 2. To set the hour and move to minutes, press the OK button. 3. To change the minutes, press the or button on the outer ring, then press the OK button. For a 12-hour format, select AM or PM, press the or button, then press the OK button. Continue to Set the Date. View Pre-Set Target The meter displays a pre-set Overall Target Range. You can change this pre-set Target Range from the CONTOUR DIABETES app after initial setup. To move to the next screen, press the OK button. Continue to Set the Time. 85025015_CntrNxtONE_UG_EN.indd 8-9 CONTOUR®NEXT ONE blood glucose monitoring system 8/18/16 10:05 AM GETTING STARTED Set the Date The year is blinking. 1. To change the year, press the OK button. or Above Your Target Range. button, then press the Below Your Target Range. 2. To change the month, press the or button, then press the OK button. 3. To change the day, press the or button, then press the OK button. The meter briefly displays your saved settings, then beeps and turns OFF. Setup is complete. You are ready to test your blood. Target Ranges and Meal Markers The meter compares your blood sugar results with a Target Range (for example, 70 mg/dL–130 mg/dL) to let you know if your test result is: your Target Range. • within your Target Range. • above your Target Range. • below You can attach a Meal Marker to your blood sugar result using the Meal Marker feature in the meter. This feature lets you track your blood sugar levels over time with separate target ranges for Fasting, Before Meal, and After Meal markers. • If you mark your test result as Fasting, the meter compares your result against the Fasting Target Range. • If you mark your test result as Before Meal, the meter compares your result against the Before Meal Target Range. • If you mark your result as After Meal, the meter compares the result against the After Meal Target Range. • If you do not mark the result, the meter compares your test result against the Overall Target Range. Symbol Target Range Pre-set Fasting Target Range: 70 mg/dL – 130 mg/dL Pre-set Before Meal Target Range: 70 mg/dL – 130 mg/dL Pre-set After Meal Target Range: 70 mg/dL – 180 mg/dL Pre-set Overall Target Range: 70 mg/dL – 180 mg/dL Within Your Target Range. 10 85025015_CntrNxtONE_UG_EN.indd 10-11 Your CONTOUR NEXT ONE meter comes with Meal Markers turned Off. CONTOUR®NEXT ONE blood glucose monitoring system 11 8/18/16 10:05 AM TESTING You can change the time format, time, date format, date, Sound setting, Meal Marker setting, and the Target Light (smartLIGHT) setting by going to the Home screen and selecting Settings . See page 37. Get Ready to Test Read your CONTOUR NEXT ONE user guide, the lancing device package insert, if provided, and all instructional materials provided in your meter kit before testing. Follow all instructions for use and care exactly as described to help avoid inaccurate results. Examine the product for missing, damaged, or broken parts. If the test strip bottle is open inside a new box of strips, do not use those strips. For replacement parts, contact Diabetes Care Customer Service. See the back cover for contact information. CAUTION: Your CONTOUR NEXT ONE meter works only with CONTOUR NEXT test strips and CONTOUR NEXT control solution. Fingertip Testing Ensure that you have the materials you need before you begin testing: • CONTOUR NEXT ONE meter. • CONTOUR NEXT test strips. • Lancing device and lancets from your kit, if provided. To perform a quality control check, you also need CONTOUR NEXT control solution. Some supplies are sold separately. Contact Diabetes Care Customer Service. See the back cover for contact information. 12 85025015_CntrNxtONE_UG_EN.indd 12-13 WARNING: Potential Biohazard • All parts of the kit are considered biohazardous and can potentially transmit infectious diseases, even after you have performed cleaning and disinfection, see pages 47–50. • Always wash your hands with soap and water and dry them well before and after testing or handling the meter, lancing device, or test strips. • For complete instructions on cleaning and disinfecting your meter and lancing device, see pages 47–50. Prepare the Lancing Device The lancing device graphics are for illustration purposes only. Your lancing device may look different. Refer to your lancing device insert for detailed instructions on preparing the lancing device. WARNING: Potential Biohazard • The lancing device usually provided with your kit is intended for single-patient use only. It should not be used for assisted blood draws by health care providers or at health care provision sites, and should never be shared with anyone else, even a family member, due to risk of infection. • Do not reuse lancets. Used lancets are not sterile. Use a new lancet each time you test. WARNING: Potential Biohazard Always dispose of used test strips and lancets as medical waste or as advised by your health care professional. CONTOUR®NEXT ONE blood glucose monitoring system 13 8/18/16 10:05 AM TESTING 4. Twist off the round protective lancet cap. Save the cap for disposing of the used lancet. 1. Remove the endcap from the lancing device. 14 85025015_CntrNxtONE_UG_EN.indd 14-15 2. Loosen the round protective cap on a lancet by rotating the cap ¼ turn, but do not remove the cap. 5. Replace the endcap. 3. Insert the lancet firmly into the lancing device until the lancet comes to a complete stop. 6. Rotate the endcap dial to adjust the puncture depth. The amount of pressure applied to the puncture site also affects puncture depth. CONTOUR®NEXT ONE blood glucose monitoring system 15 8/18/16 10:05 AM TESTING Insert the Test Strip Get the Blood Drop: Fingertip Testing CAUTION: Do not use expired materials. Using expired material can cause inaccurate results. Always check the expiration dates on your test materials. 1. Remove a CONTOUR NEXT test strip from the bottle. 2. Tightly close the bottle lid immediately after you have removed the test strip. 3. Hold the test strip with the grey square end facing toward the meter. 4. Insert the grey square end firmly into the test strip port until the meter beeps. The screen displays the blinking blood drop indicating it is ready to test a blood drop. NOTE: After you insert the test strip, apply blood to the test strip within 3 minutes or the meter turns off. Remove the test strip and reinsert it to begin a test. 16 85025015_CntrNxtONE_UG_EN.indd 16-17 NOTE: For Alternative Site Testing instructions, see page 25. 1. Press the lancing device firmly against the puncture site and press the release button. 2. Stroke your hand and finger toward the puncture site to form a drop of blood. Do not squeeze around the puncture site. 3. Test immediately after you have formed a small, round blood drop, as shown. 4. Immediately touch the tip of the test strip to the drop of blood. The blood is drawn into the test strip through the tip. CONTOUR®NEXT ONE blood glucose monitoring system 17 8/18/16 10:05 AM TESTING Select a Meal Marker CAUTION: Do not press the tip of the test strip against the skin or place the blood on top of the test strip. These actions could lead to inaccurate results or errors. NOTE: During a blood sugar test, if Meal Markers are On, you can select a Meal Marker when the meter displays your result. You cannot select a Meal Marker in the Settings screen. If the Meal Marker feature is On, a Fasting , Before Meal , marker is blinking on the blood sugar After Meal , or No Mark result screen. The meter suggests this Meal Marker based on the time of day and the meal period: fasting/breakfast, lunch, dinner, or overnight. Example: 5. Hold the tip of the test strip in the blood drop until the meter beeps. NOTE: If Meal Marker feature is On, do not remove the test strip until you select a Meal Marker. Do not press the OK button yet. OK Button You can select the blinking marker or choose a different Meal Marker. Apply More Blood 1. If the meter beeps twice and the screen displays a blinking blood drop, the test strip does not have enough blood. 2. Apply more blood to the test strip within 60 seconds. 3. If the screen displays an E 1 error message, remove the strip and start with a new strip. The meter displays your blood sugar result. If the Meal Markers are On, the Meal Marker symbol is blinking. 18 85025015_CntrNxtONE_UG_EN.indd 18-19 OK Button 1. If the blinking Meal Marker is the one you want, press the OK button or Outer Ring 2. To select another Meal Marker, press the or button on the outer ring to scroll between markers. CONTOUR®NEXT ONE blood glucose monitoring system 19 8/18/16 10:05 AM TESTING Meal Marker choices if Meal Marker feature is On Symbol What the Symbol Means Fasting: Use the Fasting marker when testing blood sugar levels after fasting (no food or drink for 8 hours, except water or non-caloric beverages). Before Meal: Use the Before Meal marker when testing blood sugar levels within 1 hour before a meal. After Meal: Use the After Meal marker when testing blood sugar levels within 2 hours after the first bite of a meal. No Mark Selected: Use the No Mark symbol when testing at times other than after fasting or before or after a meal. Related Target Range Fasting Target Range Before Meal Target Range OK Button 3. When the Meal Marker you want is blinking, press the OK button. If you do not make a Meal Marker selection within 30 seconds, the screen dims. Press any button to turn the screen back on and make your selection. If you do not make a Meal Marker selection within 3 minutes, the meter turns off. Your blood sugar reading is stored in the Logbook without a Meal Marker. Blood Sugar Test is Complete After Meal Target Range When your blood sugar test is complete, the meter displays your result with the units, time, date, meal marker (if selected), and target indicator: In Target , Below Target , or Above Target . Example: Blood test result with Meal Marker selected: Overall Target Range Example: If you scroll up to Fasting, the Fasting marker blinks. NOTE: To change a Meal Marker you selected, you must use the CONTOUR DIABETES app. Example: Blood test result with Meal Markers Off or marker not selected: Example: If you scroll down to After Meal, the After Meal marker blinks: 20 85025015_CntrNxtONE_UG_EN.indd 20-21 CONTOUR®NEXT ONE blood glucose monitoring system 21 8/18/16 10:05 AM TESTING If the Target Light (smartLIGHT) setting is On, the test strip port displays a color representing your result value compared to the Before Meal, After Meal, or Overall Target Range. About Meal Markers During a blood sugar test, you can attach a Meal Marker to your blood sugar result when the Meal Marker feature in the meter is turned On. This feature lets you track your blood sugar levels over time with separate Target Ranges for Fasting, Before Meal, and After Meal markers. Your CONTOUR NEXT ONE meter comes with Meal Markers turned Off. You can turn Meal Markers On in Settings. In Target Below Target Above Target If your blood sugar result is below target, the Target Light (smartLIGHT) is red and meter beeps twice. If you do not select a Meal Marker, your blood sugar test result is compared to an Overall Target Range. OK Button Turn Meal Markers On To turn Meal Markers On see Settings: Set Meal Markers on page 41. NOTE: You can select a Meal Marker only when the blood sugar test result displays on the screen. 4. To move to the Home screen, press the OK button. or 5. To turn the meter off, remove the test strip. 22 85025015_CntrNxtONE_UG_EN.indd 22-23 CONTOUR®NEXT ONE blood glucose monitoring system 23 8/18/16 10:05 AM TESTING Test Results LO or HI Results WARNING • Always consult your health care professional before changing your medication based on test results. • If your blood sugar reading is under 50 mg/dL, follow medical advice immediately. • If your blood sugar reading is over 250 mg/dL: 1. Wash and dry your hands well. 2. Retest with a new strip. If you get a similar result, call your health care professional as soon as possible. Expected Test Result Values Blood sugar values will vary depending on food intake, medication dosages, health, stress, or activity. Nondiabetic plasma glucose concentrations should be less than 110 mg/dL in the fasting state and less than 140 mg/dL in the post-prandial state (after a meal).6 You should consult with your health care professional for glucose values specific to your needs. • If the meter beeps twice and displays the LO screen, your blood sugar reading is under 20 mg/dL. Follow medical advice immediately. Contact your health care professional. • If the meter beeps once and displays the HI screen, your blood sugar reading is over 600 mg/dL: 1. Wash and dry your hands well. 2. Retest with a new strip. If results are still over 600 mg/dL, follow medical advice immediately. Alternative Site Testing (AST): Palm WARNING • Ask your health care professional if Alternative Site Testing (AST) is right for you. • Do not calibrate a continuous glucose monitoring device from an AST result. • Do not calculate an insulin dose based on an AST result. Always wash your hands with soap and water and dry them well before and after testing or handling the meter, lancing device, or test strips. 24 85025015_CntrNxtONE_UG_EN.indd 24-25 CONTOUR®NEXT ONE blood glucose monitoring system 25 8/18/16 10:05 AM TESTING For Alternative Site Testing, use the clear endcap. Your CONTOUR NEXT ONE meter can be used for fingertip or palm testing. See the lancing device insert for detailed instructions on Alternative Site Testing. Do not use AST under the following conditions: • If you think your blood sugar is low. • When blood sugar is changing rapidly, such as after a meal, after an insulin dose, or during or after exercise. • If you are unable to feel symptoms of low blood sugar (hypoglycemic unawareness). • If you get alternative site blood sugar results that do not agree with how you feel. • During illness or times of stress. • If you will be driving a car or operating machinery. Alternative site results may be different from fingertip results when glucose levels are changing rapidly (e.g., after a meal, after taking insulin, or during or after exercise). Additionally, glucose levels may not rise as high or fall as low as levels in the fingertip. As such, fingertip results may identify hypoglycemic levels sooner than alternative site results. Alternative Site Testing is recommended only when it is more than 2 hours after a meal, diabetes medication, or exercise. If you do not have a clear lancing device endcap to perform AST, contact Diabetes Care Customer Service. See the back cover for contact information. 26 85025015_CntrNxtONE_UG_EN.indd 26-27 Get a Blood Drop: Alternative Site Testing 1. Wash your hands and the puncture site with soap and warm water. Rinse and dry well. 2. Attach the clear AST endcap to the lancing device, if provided with your kit. Refer to the lancing device insert for detailed instructions. 3. Select a puncture site from a fleshy area on the palm. Avoid veins, moles, bones, and tendons. The lancing device graphics are for illustration purposes only. 4. Press the lancing device firmly against puncture site, then press the release button. 5. Maintain steady pressure until a small, round blood drop forms. CONTOUR®NEXT ONE blood glucose monitoring system 27 8/18/16 10:05 AM TESTING Apply More Blood for Alternative Site Testing 1. If the meter beeps twice and the screen displays a blinking blood drop, the test strip does not have enough blood. 6. Lift the lancing device straight up and away from the skin without smearing the blood. 7. Test immediately after you have formed a small, round blood drop, as shown. Immediately touch the tip of the test strip to the drop of blood. The blood is drawn into the test strip through the tip. Do not test the blood sample from palm if you get: • Smeared blood. • Clotted blood. • Runny blood. • Clear fluid mixed with the blood. 8. Hold the tip of the test strip in the blood drop until the meter beeps. 2. Apply more blood to the test strip within 60 seconds. 3. If the screen displays an E 1 error message, remove the strip and start with a new strip. If the Meal Marker feature is On, the meter suggests a Fasting , Before Meal , After Meal , or No Mark marker for your blood sugar result. This is based on the time of day and the meal period: fasting/breakfast, lunch, dinner or overnight. The Meal Marker is blinking. Do not press the OK button yet. OK Button OK Button Outer Ring 85025015_CntrNxtONE_UG_EN.indd 28-29 4. If the blinking Meal Marker is the one you want, press the OK button or CAUTION: Do not press the test strip tip against the skin or place the blood on top of the test strip. These actions could lead to inaccurate results or errors. 28 You can select the blinking marker or choose a different Meal Marker. 5. To select another Meal Marker, press the or button on the outer ring to scroll between markers. CONTOUR®NEXT ONE blood glucose monitoring system 29 8/18/16 10:05 AM TESTING Meal Marker choices if Meal Marker feature is On Symbol What the Symbol Means Fasting: Use the Fasting marker when testing blood sugar levels after fasting (no food or drink for 8 hours, except water or non-caloric beverages). Before Meal: Use the Before Meal marker when testing blood sugar levels within 1 hour before a meal. After Meal: Use the After Meal marker when testing blood sugar levels within 2 hours after the first bite of a meal. No Mark Selected: Use the No Mark symbol when testing at times other than after fasting or before or after a meal. Related Target Range Fasting Target Range Before Meal Target Range 85025015_CntrNxtONE_UG_EN.indd 30-31 1. Do not use your fingers to remove the lancet from the lancing device. The lancing device usually provided with your kit has an automatic lancet ejection feature. 2. Refer to the separate lancing device insert, if provided with your kit, for instructions on automatic ejection of the lancet. WARNING: Potential Biohazard After Meal Target Range Overall Target Range 6. When the Meal Marker you want is blinking, press the OK button. For more information about Meal Markers, see Select a Meal Marker on page 19. 30 Eject and Dispose of the Used Lancet • The lancing device, lancets, and test strips are for singlepatient use. Do not share them with anyone including other family members. Do not use on multiple patients.1,2 • All products that come in contact with human blood should be handled as if capable of transmitting infectious diseases. • Always dispose of used test strips and lancets as medical waste or as advised by your health care professional. • Do not reuse lancets. Used lancets are not sterile. Use a new lancet each time you test. • Always wash your hands with soap and water and dry them well before and after testing or handling the meter, lancing device, or test strips. CONTOUR®NEXT ONE blood glucose monitoring system 31 8/18/16 10:05 AM TESTING Control Solution WARNING WARNING Shake the control solution well before testing. CAUTION: Use only CONTOUR NEXT control solution (Level 1 and Level 2) with your CONTOUR NEXT ONE blood glucose monitoring system. Using anything other than CONTOUR NEXT control solution can cause inaccurate results. Quality Control • Shake the control solution bottle well, about 15 times before every use. • Unmixed control solution may cause inaccurate results. • Do not calibrate your continuous glucose monitoring device from the control result. • Do not calculate a bolus based on a control result. CAUTION: Do not use expired materials. Using expired material can cause inaccurate results. Always check the expiration dates on your test materials. Level 1 and Level 2 control solutions are available and sold separately if not included in the meter kit. You can test your CONTOUR NEXT ONE meter with control solution when the temperature is 59°F–95°F. Always use CONTOUR NEXT control solutions. Other brands could yield incorrect results. If you need help locating CONTOUR NEXT control solutions, contact Diabetes Care Customer Service. See the back cover for contact information. Control Solution Testing You should perform a control test when: • Using your meter for the first time. • You open a new bottle or package of test strips. • You think your meter may not be working properly. • You have repeated, unexpected blood sugar results. 1. Remove a CONTOUR NEXT test strip from the bottle. 2. Tightly close the bottle lid immediately after you remove the test strip. 3. Hold the test strip with the grey square end facing up. 32 CONTOUR®NEXT ONE blood glucose monitoring system 85025015_CntrNxtONE_UG_EN.indd 32-33 33 8/18/16 10:05 AM TESTING 8. Immediately touch the tip of the test strip to the drop of control solution. 4. Insert the grey square end of the test strip into the test strip port until the meter beeps. The meter turns on, displaying a test strip with a flashing blood drop. CAUTION: Do not use control solution that is more than 6 months past the date you first opened the bottle. 9. Hold the tip in the drop until the meter beeps. The meter counts down for 5 seconds before the control test result displays on the meter. The meter automatically marks the result as a control test. Control test results are not included in your meter Logbook, in blood sugar averages, or in targets in the CONTOUR DIABETES app. NOTE: If this is the first time you are opening the control solution, write the date on the bottle. 5. Shake the control solution bottle well, about 15 times before every use. 6. Remove the bottle cap and use a tissue to wipe away any solution around the bottle tip before dispensing a drop. 7. Squeeze a small drop of solution onto a clean, nonabsorbent surface. CAUTION: Do not apply control solution to your fingertip or to the test strip directly from the bottle. 34 85025015_CntrNxtONE_UG_EN.indd 34-35 10. Compare your control test result with the range printed on the test strip bottle or on the bottom of the test strip box. 11. Remove the test strip and dispose as medical waste or as advised by your health care professional. If your result does not fall within the range listed on the test strip bottle label or carton, there may be a problem with the test strips, the meter, or your testing technique. If your control test result is out of range, do not use your CONTOUR NEXT ONE meter for blood sugar testing until you resolve the issue. Contact Diabetes Care Customer Service. See the back cover for contact information. CONTOUR®NEXT ONE blood glucose monitoring system 35 8/18/16 10:06 AM FEATURES Logbook Settings The Logbook contains blood sugar test results and markers that you have made to those test results. The Logbook holds up to 800 results. When the Logbook reaches the maximum, the oldest test result will be removed as a new test is completed and saved to the Logbook. In Settings you can: Review the Logbook NOTE: To return to the Home screen while viewing the Logbook, press the OK button. To review entries in the Logbook: 1. Press and hold the OK button until the meter turns on, about 2 seconds. is blinking. The Logbook 2. To select the blinking Logbook symbol, press the OK button. 3. To view your individual test results, press the button. • Change the time format. • Change the time. • Change the date format. • Change the date. • Turn Sound On or Off. • Turn Meal Markers On or Off. • View Target Ranges. • Turn Target Lights (smartLIGHT) On or Off. • Turn Bluetooth On or Off. You must accept or change each setting with the OK button before moving to the next one. Access Settings 1. Press and hold the OK button until the meter turns on. 4. To scroll through your test results, press the or button. To scroll faster, press and hold the or OK Button button. If you scroll past the oldest entry, the meter displays the End screen. If you see a LO or HI test result, go to page 25 for more information. 5. To go back to the beginning to review entries, press the OK button symbol. to go to the Home screen, then select the Logbook The Home screen has 2 options: Logbook and Settings 2. To highlight the Settings symbol , press the button. 3. When the Settings symbol is blinking, press the OK button to enter Settings. 36 85025015_CntrNxtONE_UG_EN.indd 36-37 CONTOUR®NEXT ONE blood glucose monitoring system 37 8/18/16 10:06 AM FEATURES Change the Time The time format is blinking. 1. To change the time format, if needed, press the then press the OK button. 4. Continue to press the OK button until you see the Date Format screen. or button, or Time Format The hour is blinking. 2. To change the hour, press the or button, then press the OK button. The minutes are blinking. 3. To change minutes, press the or button, then press the OK button. 4. For a 12-hour time format, select AM or PM, as needed, then press the OK button. Change the Date or Date Format The date format (m/d or d.m) is blinking. 5. To select Month/Day/Year (m/d) or Day.Month.Year (d.m), press the or button, then press the OK button. 6. To change the year (blinking), press the or button, then press the OK button. 7. To change the month (blinking), press the or button, then press the OK button. 8. To change the day (blinking), press the or button, then press the OK button. The meter displays the Sound screen. If your meter is not ON: 1. Press and hold the OK button until the meter turns on. and Settings . The Home screen has 2 options: Logbook 2. To highlight the Settings symbol , press the button. 3. When the Settings symbol is blinking, press the OK button to enter Settings. 38 85025015_CntrNxtONE_UG_EN.indd 38-39 CONTOUR®NEXT ONE blood glucose monitoring system 39 8/18/16 10:06 AM FEATURES Set the Sound Set Meal Markers If your meter is not ON: 1. Press and hold the OK button until the meter turns on. and Settings The Home screen has 2 options: Logbook If your meter is not ON: 1. Press and hold the OK button until the meter turns on. and Settings The Home screen has 2 options: Logbook 2. To highlight the Settings symbol , press the button. 3. When the Settings symbol is blinking, press the OK button to enter Settings. 4. Continue to press the OK button until you see the Sound screen. 2. To highlight the Settings symbol , press the button. 3. When the Settings symbol is blinking, press the OK button to enter Settings. 4. Continue to press the OK button until you see the Meal Marker screen. or or Sound Symbol: Your meter comes with the Sound turned On. Certain error messages override any Sound setting. When Sound is On: • One long beep indicates a confirmation. • Two beeps indicate an error or something that needs your attention. 5. To turn the Sound On or Off, press the or button to display the option you want. 6. Press the OK button. NOTE: Some sounds remain On even when you turn the Sound feature Off. To turn sounds Off for a below-target blood sugar reading, turn the Target Light setting to Off. The meter displays the Meal Marker screen. 40 85025015_CntrNxtONE_UG_EN.indd 40-41 Meal Marker Symbols: Your meter comes with Meal Marker feature turned OFF. 5. To turn Meal Markers On or Off, press the or button to display the option you want. 6. Press the OK button. NOTE: When the Meal Marker feature is On, you can select a Meal Marker during a blood sugar test. CONTOUR®NEXT ONE blood glucose monitoring system 41 8/18/16 10:06 AM FEATURES View Target Ranges 7. To move to the next Target Range, press the OK button. WARNING Discuss your Target Range settings with your health care professional. When the Meal Marker feature is On, your meter displays a Fasting, Before Meal, After Meal, and Overall Target Range. You can change these ranges only in the CONTOUR DIABETES app. If your meter is not ON: 1. Press and hold the OK button until the meter turns on. and Settings The Home screen has 2 options: Logbook The meter displays the Overall Target Range. 8. To move to the next screen, press the OK button. When the Meal Marker feature is Off, your meter displays the Overall Target Range. You can change this range only in the CONTOUR DIABETES app. 2. To highlight the Settings symbol , press the button. 3. When the Settings symbol is blinking, press the OK button to enter Settings. 4. Continue to press the OK button until you see the Fasting Target Range screen below. 9. To move to the next screen, press the OK button. The meter displays the Target Lights screen. Set Target Lights (smartLIGHT) Your meter comes with the Target Light setting turned ON. When this feature is On, the test strip port on your meter displays a Target Light in a color that corresponds to your test result. 5. To move to the next Target Range, press the OK button. The meter displays the Before Meal Target Range. 6. To move to the next Target Range, press the OK button. The meter displays the After Meal Target Range. 42 85025015_CntrNxtONE_UG_EN.indd 42-43 In Target Below Target Above Target CONTOUR®NEXT ONE blood glucose monitoring system 43 8/18/16 10:06 AM FEATURES If your meter is not ON: 1. Press and hold the OK button until the meter turns on. and Settings . The Home screen has 2 options: Logbook 2. To highlight the Settings symbol , press the button. 3. When the Settings symbol is blinking, press the OK button to enter Settings. 4. Continue to press the OK button until you see the Target Lights screen. or Set Bluetooth Bluetooth is not available until you pair your meter with a mobile device. After pairing, the Bluetooth setting is turned ON. If your meter is not ON: 1. Press and hold the OK button until the meter turns on. and Settings . The Home screen has 2 options: Logbook 2. To highlight the Settings symbol , press the button. 3. When the Settings symbol is blinking, press the OK button to enter Settings. 4. Continue to press the OK button until you see the Bluetooth screen. Target Light Symbol: 5. To turn Target Lights On or Off, press the the option you want. 6. Press the OK button. or button to display or Bluetooth Symbol: 5. To turn Bluetooth On or Off, press the or button to display the option you want. 6. Press the OK button. The meter briefly displays your saved settings, then beeps and returns to the Home screen. 44 85025015_CntrNxtONE_UG_EN.indd 44-45 CONTOUR®NEXT ONE blood glucose monitoring system 45 8/18/16 10:06 AM HELP Pairing Mode To pair your meter with the CONTOUR DIABETES app, download the app and follow the instructions to Pair a Meter. To put your meter in pairing mode: • Turn your meter off. • Press and do not release the OK button. • Continue to hold the OK button while all symbols on the screen and the white strip port briefly light up. • Release the OK button when you see a flashing blue light from the test strip port. The Bluetooth icon is blinking and the meter serial number displays. Example: Your meter in pairing mode: The cleaning and disinfecting directions provided should not cause any damage or degradation to the external case, buttons, or display. Your CONTOUR NEXT ONE meter has been tested for 260 cycles of cleaning and disinfection (equivalent to one cycle per week for 5 years). This device has been demonstrated to withstand 5 years of cleaning and disinfection without damage. You should call Diabetes Care Customer Service for assistance if your device malfunctions for any reason or if you notice any changes in the external meter case or display. Cleaning and Disinfection WARNING Always wash your hands with soap and water and dry them well before and after testing or handling the meter, lancing device, or test strips. WARNING: Potential Biohazard Meter Care Caring for your meter: • Store the meter in the carrying case provided, whenever possible. • Wash and dry hands well before handling to keep the meter and test strips free of water, oils, and other contaminants. • Handle the meter carefully to avoid damaging the electronics or causing other malfunctions. • Avoid exposing your meter and test strips to excessive humidity, heat, cold, dust, or dirt. • Clean and disinfect your meter as recommended in the next section. 46 85025015_CntrNxtONE_UG_EN.indd 46-47 All parts of the kit are considered biohazardous and can potentially transmit infectious diseases, even after you have performed cleaning and disinfection. WARNING If your meter is being operated by a second person who is providing testing assistance to you, the meter and lancing device should be disinfected prior to use by the second person. Clean and disinfect your CONTOUR NEXT ONE meter once a week. Use only Clorox Germicidal Wipes containing 0.55% sodium hypochlorite (bleach). The wipes are proven safe to use with the CONTOUR NEXT ONE meter. CONTOUR®NEXT ONE blood glucose monitoring system 47 8/18/16 10:06 AM HELP Clorox Germicidal Wipes are available for purchase online at http://www.officedepot.com or http://www.amazon.com. For more information, contact Diabetes Care Customer Service. See the back cover for contact information. • Cleaning involves the removal of visible dirt and debris, but does not reduce the risk for transmission of infectious diseases. • Disinfecting (if performed properly) reduces the risk of transmitting infectious diseases. Evaluate your device after performing cleaning and disinfection to ensure that the procedure does not cloud the face/display of the meter and does not corrode or erode the plastic housing or buttons. For more information US Food and Drug Administration. Use of fingerstick devices on more than one person poses risk for transmitting bloodborne pathogens: initial communication. US Department of Health and Human Services; update 11/29/2010. http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ ucm224025.htm Centers for Disease Control and Prevention. CDC clinical reminder: use of fingerstick devices on more than one person poses risk for transmitting bloodborne pathogens. US Department of Health and Human Services; 8/23/2010. http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html CAUTION: Do not allow cleaning solution to run into the meter through open areas, such as around the buttons or the meter’s test strip or data ports. 1. Carefully clean the meter with germicidal wipes until all soil is removed. 2. Dry as necessary with a clean paper towel. Disinfecting Your Meter Supplies needed for disinfecting: • Clorox Germicidal Wipes containing 0.55% sodium hypochlorite (bleach). • Paper towels. • Timing device. 1. Before disinfecting, clean the meter as described in Cleaning Your Meter. For proper disinfection, you must keep all meter surfaces wet for 60 seconds. 2. Using a new germicidal wipe, carefully wipe all outer surfaces of your meter until wet. Cleaning Your Meter Supplies needed for cleaning: • Clorox Germicidal Wipes containing 0.55% sodium hypochlorite (bleach). • Paper towels. Buttons 48 85025015_CntrNxtONE_UG_EN.indd 48-49 Test Strip Port CONTOUR®NEXT ONE blood glucose monitoring system 49 8/18/16 10:06 AM HELP 3. After wiping for 60 seconds, use a clean paper towel to dry the meter surfaces and the test strip port. CAUTION: Use only approved equipment from the manufacturer or certified body such as UL, CSA, TUV, or CE. Cleaning and Disinfecting Your Lancing Device Refer to the lancing device insert provided with your kit for detailed instructions for cleaning and disinfecting the lancing device. Transfer Results to the CONTOUR DIABETES app CAUTION: The CONTOUR NEXT ONE meter has not been tested or certified for use with any software other than the CONTOUR DIABETES app. The manufacturer is not responsible for any erroneous results from the use of other software. Batteries When the batteries are low, the Low Batteries symbol displays on every screen. Replace the batteries immediately. When you see this symbol, you can only test about 10 more times over the next 3 days before the batteries are dead. The meter operates normally, displaying the Low Batteries symbol until you replace the batteries. You can automatically transfer results from your CONTOUR NEXT ONE meter wirelessly to your smartphone or tablet. See Download the CONTOUR DIABETES app on page 7 and follow the app instructions to pair your meter and get started. Transfer Results to a Personal Computer CAUTION: Do not attempt to perform a blood glucose test when the CONTOUR NEXT ONE meter is connected to a computer. You can transfer test results from the CONTOUR NEXT ONE meter to a computer where they can be summarized in a report with graphs and tables. To make use of this feature, you need GLUCOFACTS®DELUXE diabetes management software and a 1-meter (or 3-foot) long USB-A to Micro USB-B cable. This type of cable is available in electronics retail stores. For a free download of the software, go to www.glucofacts.ascensia.com 50 85025015_CntrNxtONE_UG_EN.indd 50-51 When you are no longer able to perform a test due to low batteries, the meter displays the Dead Batteries screen. Replace the batteries immediately. Replace the Batteries 1. Before replacing your batteries, turn off your meter. 2. Turn the meter over and slide the back cover in the direction of the arrow. The battery holder comes out. CONTOUR®NEXT ONE blood glucose monitoring system 51 8/18/16 10:06 AM TECHNICAL INFORMATION 3. Remove both of the old batteries and replace them with two 3-volt CR2032 or DL2032 coin cell batteries. NOTE: If you put the new batteries in the meter within 5 minutes of taking the old batteries out, the meter saves all your settings and results. Always check the date and time after you replace the batteries. If they are correct, other settings and results are also saved. 4. Make sure the ‘+’ sign is facing down on the new batteries. 5. Hold the battery holder so that the round end is on the right. 6. Insert the edge of one battery into the left side of the compartment and press down on the right side. 7. Press the other battery into the left compartment. 8. Slide the battery holder back into place. 9. Discard batteries according to your local environmental regulations. WARNING Keep batteries away from children. Many types of batteries are poisonous. If swallowed, immediately contact your poison control center. 52 85025015_CntrNxtONE_UG_EN.indd 52-53 Error Detection Displays The meter screen displays error codes (E plus a number) for test result errors, strip errors, or system errors. When an error occurs, the meter beeps 2 times and displays an error code. Press the OK button to turn off the meter. If you experience continued errors, contact Diabetes Care Customer Service. See the back cover for contact information. Error Code What it Means What to Do Strip Errors E1 Too Little Blood E2 Used Test Strip E3 Strip Upside Down E4 Wrong Strip Inserted E6 Moisture Damaged Strip E8 Strip or Test Errors Remove the strip. Repeat the test with a new strip. Remove the strip. Repeat the test with a new strip. Remove the strip and insert it correctly. Remove the strip. Repeat the test with a CONTOUR NEXT test strip. Remove the strip. Repeat the test with a new strip. Repeat the test with a new strip. If the error persists, contact Customer Service. Testing Errors E20 Testing Error E24 Too Cold to Test Control Solution Repeat the test with a new strip. If the error persists, contact Customer Service. Move the meter, strip, and control solution to a warmer area. Test in 20 minutes. CONTOUR®NEXT ONE blood glucose monitoring system 53 8/18/16 10:06 AM TECHNICAL INFORMATION Error Code What it Means E25 Too Hot to Test Control Solution E27 Too Cold to Test E28 Too Hot to Test What to Do Move the meter, strip, and control solution to a cooler area. Test in 20 minutes. Move the meter and strip to a warmer area. Test in 20 minutes. Move the meter and strip to a cooler area. Test in 20 minutes. Customer Service Checklist When speaking with the Diabetes Care Customer Service representative: 1. Have your CONTOUR NEXT ONE blood glucose meter, CONTOUR NEXT test strips, and CONTOUR NEXT control solution available when you call. 2. Locate the model number (A) and serial number (B) on the back of the meter. System Errors E30–E99 Meter software or hardware malfunctioned Turn the meter off. Turn the meter back on. If the error persists, contact Customer Service. Speak to a Customer Service representative before returning your meter for any reason. Contact Diabetes Care Customer Service. See the back cover for contact information. 54 85025015_CntrNxtONE_UG_EN.indd 54-55 3. Locate the test strips’ expiration date on the bottle. 4. Check the battery status. Parts Information To replace missing parts or reorder supplies, contact Diabetes Care Customer Service. See the back cover for contact information. • Two 3-volt CR2032 or DL2032 Coin Cell Batteries. • CONTOUR NEXT ONE user guide. • CONTOUR NEXT ONE quick reference guide. • CONTOUR NEXT test strips. • CONTOUR NEXT control solution level 1. • CONTOUR NEXT control solution level 2. • Lancing device, as in your kit, if provided. • Lancets, as in your kit, if provided. CONTOUR®NEXT ONE blood glucose monitoring system 55 8/18/16 10:06 AM TECHNICAL INFORMATION Technical Information: User Accuracy Technical Information: Precision The CONTOUR NEXT ONE blood glucose monitoring system was tested by 372 lay users using capillary blood samples and three CONTOUR NEXT test strip lots. The results were compared to the YSI Glucose Analyzer laboratory reference method, traceable to the CDC hexokinase method. The following accuracy results were obtained. Table 1: System accuracy results for glucose concentration < 75 mg/dL A measurement repeatability study was conducted with the CONTOUR NEXT ONE blood glucose monitoring system using 5 venous whole blood specimens with glucose levels from 43 mg/dL to 333 mg/dL. With each blood specimen, each of 3 lots of CONTOUR NEXT test strips was tested 10 times on each of 10 instruments for a total of 300 readings. The following precision results were obtained. Table 1: System repeatability results for CONTOUR NEXT ONE meter using CONTOUR NEXT test strips Difference range in values between YSI laboratory reference method and CONTOUR NEXT ONE meter Within ±5 mg/dL Within ± 10 mg/dL Within ± 15 mg/dL Number (and percent) of samples within specified range 14 of 17 (82.4%) 16 of 17 (94.1%) 16 of 17 (94.1%) Table 2: System accuracy results for glucose concentration ≥ 75 mg/dL Difference range in values between YSI laboratory reference method and CONTOUR NEXT ONE meter Number (and percent) of samples within specified range Within ± 5% Within ± 10% Within ± 15% 288 of 355 342 of 355 354 of 355 (81.1%) (96.3%) (99.7%) Table 3: System accuracy results for glucose concentrations between 32.2 mg/dL and 458 mg/dL Mean, mg/dL Pooled Standard Deviation, mg/dL 95% CI of SD, mg/dL Coefficient of Variation, % 43.7 77.6 129.3 205.3 331.7 0.9 1.2 1.8 2.9 3.9 0.83–0.98 1.14–1.35 1.62–1.92 2.65–3.13 3.63–4.29 2.1 1.6 1.4 1.4 1.2 Intermediate measurement precision (which includes variability across multiple days) was evaluated using control solutions at 3 glucose levels. With each control solution, each of 3 lots of CONTOUR NEXT test strips was tested once on each of 10 instruments on 10 separate days for a total of 300 readings. The following precision results were obtained. Within ± 15 mg/dL or ± 15% 370 of 372 (99.5%) 56 85025015_CntrNxtONE_UG_EN.indd 56-57 CONTOUR®NEXT ONE blood glucose monitoring system 57 8/18/16 10:06 AM TECHNICAL INFORMATION Table 2: System intermediate precision results for CONTOUR NEXT ONE meter using CONTOUR NEXT test strips Control Level Mean, mg/dL Pooled Standard Deviation, mg/dL 42.0 123.6 363.1 0.6 1.5 5.4 95% CI of SD, mg/dL Coefficient of Variation, % 0.55–0.65 1.38–1.63 4.97–5.89 1.4 1.2 1.5 Symptoms of High or Low Blood Glucose You can better understand your test results by being aware of the symptoms of high or low blood glucose. According to the American Diabetes Association (www.diabetes.org), some of the most common symptoms are: Low blood glucose (Hypoglycemia): • • • • • shakiness sweating fast heartbeat blurred vision confusion • • • • • passing out seizure irritability extreme hunger dizziness High blood glucose (Hyperglycemia): • frequent urination • excessive thirst • blurred vision • increased fatigue • hunger Ketones (Ketoacidosis): • shortness of breath • nausea or vomiting • very dry mouth WARNING If you are experiencing any of these symptoms, test your blood sugar. If your test result is under 50 mg/dL or above 250 mg/dL, contact your health care professional immediately. For additional information and a complete list of symptoms, contact your health care professional. 58 85025015_CntrNxtONE_UG_EN.indd 58-59 CONTOUR®NEXT ONE blood glucose monitoring system 59 8/18/16 10:06 AM TECHNICAL INFORMATION Federal Communications Commission (FCC) Certified Device This equipment has been tested and found to meet 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 equipment 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 equipment 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. This portable transmitter with its antenna complies with FCC/IC RF exposure limits for general population/uncontrolled exposure. This device complies with part 15 of the FCC Rules. Operation is subject to the following 2 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. Compliance with these guidelines means that under normal, daily circumstances, the device should not affect the operation of other devices. In addition, the device should operate normally in the presence of other devices. In the event there is interference from another device, it is recommended that you increase the distance between the meter and that device. You can also turn off the interfering device. In addition, you can turn off Bluetooth wireless technology on the meter. Changes or modifications to the device not expressly approved by Ascensia Diabetes Care could void the user’s authority to operate 60 85025015_CntrNxtONE_UG_EN.indd 60-61 the device. The device has been tested and found to comply with the limits for a Class B digital device. The device generates, uses, and can radiate radio frequency energy. If you have questions, contact Diabetes Care Customer Service. See back cover for contact information. Specifications Test Sample: Capillary whole blood only Test Result: Referenced to plasma/serum glucose Sample Volume: 0.6 μL Measuring Range: 20 mg/dL–600 mg/dL of glucose in blood Countdown Time: 5 seconds Memory: Stores most recent 800 test results Battery Type: Two 3-volt CR2032 or DL2032 coin cell batteries, 225 mAh capacity Battery Life: Approximately 1000 tests (1 yr. average use, 3 tests per day) Meter Operating Temperature Range: 41°F–113°F Control Testing Temperature Range: 59°F–95°F Meter Operating Humidity Range: 10% RH–93% RH Dimensions: 97 mm (L) x 28 mm (W) x 14.9 mm (H) Weight: 36 grams Meter Life: 5 years Sound Output: 45 dB(A)–85 dB(A) at a distance of 10 cm Radio Frequency Technology: Bluetooth Smart Radio Frequency Band: 2.4 GHz–2.483 GHz Maximum Radio Transmitter Power: 1 mW Modulation: Gaussian Frequency Shift Keying (GFSK) CONTOUR®NEXT ONE blood glucose monitoring system 61 8/18/16 10:06 AM TECHNICAL INFORMATION Electromagnetic Compatibility (EMC): The CONTOUR NEXT ONE meter complies with the electromagnetic requirements specified in IEC 60601-1-2 Edition 4.0. Electromagnetic emissions are low and unlikely to interfere with other nearby electronic equipment, nor are emissions from nearby electronic equipment likely to interfere with the CONTOUR NEXT ONE meter. The CONTOUR NEXT ONE meter meets the requirements of IEC 61000-4-2 for immunity to electrostatic discharge. The CONTOUR NEXT ONE meter meets the requirements of IEC 61000-4-3 for radio frequency interference. To avoid radio frequency interference, do not use the CONTOUR NEXT ONE meter near electrical or electronic equipment that are sources of electromagnetic radiation, as these may interfere with the proper operation of the meter. reaction of the glucose with the reagents on the electrode of the test strip. The blood sample is drawn into the tip of the test strip through capillary action. Glucose in the sample reacts with FAD glucose dehydrogenase (FAD-GDH) and the mediator. Electrons are generated, producing a current that is proportional to the glucose in the sample. After the reaction time, the glucose concentration in the sample is displayed. No calculation by the user is required. Comparison Options: The CONTOUR NEXT ONE system is designed for use with capillary whole blood. Comparison with a laboratory method must be done simultaneously with aliquots of the same sample. NOTE: Glucose concentrations drop rapidly due to glycolysis (approximately 5%–7% per hour).7 Symbols Used The following symbols are used throughout the product labeling for the CONTOUR NEXT ONE blood glucose monitoring system (meter packaging and labeling, and reagent and control solution packaging and labeling). Symbol What it Means Batch Code Control Discard Date Consult instructions for use In Vitro Diagnostic Medical Device Control Solution – Level 1, Level 2 Shake 15 times Principles of the Procedure: The CONTOUR NEXT ONE blood glucose test is based on measurement of electrical current caused by the 62 85025015_CntrNxtONE_UG_EN.indd 62-63 References 1. US Food and Drug Administration. Use of fingerstick devices on more than one person poses risk for transmitting bloodborne pathogens: initial communication. US Department of Health and Human Services; update 11/29/2010. http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ ucm224025.htm 2. Centers for Disease Control and Prevention. CDC clinical reminder: use of fingerstick devices on more than one person poses risk for transmitting bloodborne pathogens. US Department of Health and Human Services; 8/23/2010. http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html 3. Wickham NWR, et al. Unreliability of capillary blood glucose in peripheral vascular disease. Practical Diabetes. 1986;3(2):100. 4. Atkin SH, et al. Fingerstick glucose determination in shock. Annals of Internal Medicine. 1991;114(12):1020-1024. 5. Desachy A, et al. Accuracy of bedside glucometry in critically ill patients: influence of clinical characteristics and perfusion index. Mayo Clinic Proceedings. 2008;83(4):400-405. CONTOUR®NEXT ONE blood glucose monitoring system 63 8/18/16 10:06 AM TECHNICAL INFORMATION 6. American Diabetes Association. Standards of medical care in diabetes—2016. Diabetes Care. 2016;39(supplement 1):S15. 7. Burtis CA, Ashwood ER, editors. Tietz Fundamentals of Clinical Chemistry. 5th edition. Philadelphia, PA: WB Saunders Co; 2001;444. Manufacturer’s Warranty: Ascensia Diabetes Care warrants to the original purchaser that this instrument will be free from defects in materials and workmanship for 5 years from the date of original purchase (except as noted below). During the stated 5-year period, Ascensia Diabetes Care shall, at no charge, replace a unit found to be defective with an equivalent or current version of the owner’s model. Limitations of Warranty: This warranty is subject to the following exceptions and limitations: 1. A 90-day warranty only will be extended for consumable parts and/ or accessories. 2. This warranty is limited to replacement due to defects in parts or workmanship. Ascensia Diabetes Care shall not be required to replace any units that malfunction or are damaged due to abuse, accidents, alteration, misuse, neglect, maintenance by someone other than Ascensia Diabetes Care, or failure to operate the instrument in accordance with instructions. Further, Ascensia Diabetes Care assumes no liability for malfunction of or damage to Ascensia Diabetes Care instruments caused by the use of test strips or control solution other than the appropriate products recommended by Ascensia Diabetes Care (i.e., CONTOUR NEXT test strips and CONTOUR NEXT control solutions.) 3. Ascensia Diabetes Care reserves the right to make changes in the design of this instrument without obligation to incorporate such changes into previously manufactured instruments. 4. Ascensia Diabetes Care has no knowledge of the performance of the CONTOUR NEXT ONE blood glucose meter when used with any test strips other than CONTOUR NEXT test strips, and therefore does not warrant the performance of the CONTOUR NEXT ONE meter when used with any test strips other than CONTOUR NEXT test strips or when the CONTOUR NEXT test strip is altered or modified in any manner. 5. Ascensia Diabetes Care makes no warranty regarding the performance of the CONTOUR NEXT ONE meter or test results when used with any control solution other than CONTOUR NEXT control solution. 6. Ascensia Diabetes Care makes no warranty regarding the performance of the CONTOUR NEXT ONE meter or test results when used with any software other than the CONTOUR DIABETES app (where supported) or the GLUCOFACTS DELUXE diabetes management software (where supported) from Ascensia Diabetes Care. ASCENSIA DIABETES CARE MAKES NO OTHER EXPRESS WARRANTY FOR THIS PRODUCT. THE OPTION OF REPLACEMENT, DESCRIBED ABOVE, IS THE ONLY OBLIGATION OF ASCENSIA DIABETES CARE UNDER THIS WARRANTY. IN NO EVENT SHALL ASCENSIA DIABETES CARE BE LIABLE FOR INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGES, EVEN IF ASCENSIA DIABETES CARE HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Some States do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you. This warranty gives you specific legal rights and you may also have other rights which vary from State to State. For warranty service: Purchaser must contact Ascensia Diabetes Care Customer Service for assistance and/or instructions for obtaining service of this instrument. See the back cover for contact information. 64 CONTOUR®NEXT ONE blood glucose monitoring system Warranty 85025015_CntrNxtONE_UG_EN.indd 64-65 65 8/18/16 10:06 AM Index After Meal Marker ....................................................... 4, 19, 20, 29, 30 Alternative Site Testing (AST) ........................................................... 25 Batteries ....................................................................................... 5, 51 Low Batteries ........................................................................ 5, 51 Replacement ............................................................................. 51 Before Meal Marker .................................................... 4, 19, 20, 29, 30 CONTOUR DIABETES app for Your ONE meter ..................................... 6 Control Solution Testing ................................................................... 33 Customer Service Checklist ............................................................. 55 Error Detection Displays ................................................................... 53 GLUCOFACTS DELUXE diabetes management software .............. 50, 65 Initial Setup from the CONTOUR DIABETES app................................... 7 Initial Setup from the Meter ................................................................ 8 Lancing Instruction ........................................................................... 13 LO or HI Results ............................................................................... 25 Logbook ........................................................................................... 36 Meal Markers, About ........................................................................ 23 Meal Markers, Turn On ..................................................................... 23 Meter Care........................................................................................ 46 Meter Symbols ............................................................................... 4, 5 Pairing Mode .................................................................................... 46 Settings ............................................................................................ 37 Bluetooth ................................................................................... 45 Date ........................................................................................... 38 Meal Markers ............................................................................ 41 Sound ........................................................................................ 40 Target Lights .............................................................................. 43 66 85025015_CntrNxtONE_UG_EN.indd 66-67 Time .......................................................................................... 38 Specifications ................................................................................... 61 Symptoms of High or Low Blood Glucose ....................................... 59 Target Ranges (Before Meal, After Meal, Overall)............................. 42 Target Settings.................................................................................... 8 Technical Information ....................................................................... 56 Testing Your Blood Sugar ................................................................. 12 After Meal .......................................................... 11, 19, 20, 29, 30 Before Meal ....................................................... 11, 19, 20, 29, 30 Get Ready to Test...................................................................... 12 Select a Meal Marker ................................................................ 19 Test Results ............................................................................... 24 Transfer Results to a Personal Computer ................................. 50 Transfer Results to the CONTOUR DIABETES app ....................... 50 Turn Meal Markers On ...................................................................... 23 Warranty ........................................................................................... 64 CONTOUR®NEXT ONE blood glucose monitoring system 67 8/18/16 10:06 AM Distributed by: Ascensia Diabetes Care US, Inc. 5 Wood Hollow Road Parsippany, NJ 07054 USA www.contourone.com 1-800-348-8100 Customer Service is available Monday through Sunday, 8:00 am through Midnight, Eastern Time www.contourone.com For information on patents and related licenses, see www.patents.ascensia.com. Purchase of this product does not alone confer a license to use under these patents. Such a license only arises, and extends only to, when the CONTOUR NEXT ONE meters and CONTOUR NEXT test strips are used together. No test strip supplier other than the supplier of this product is authorized to grant such a license. Ascensia, the Ascensia Diabetes Care logo, Contour, Glucofacts, Microlet, the No Coding logo, and Second-Chance are trademarks and/or registered trademarks of Ascensia Diabetes Care Holdings AG. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc. The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc., and any use of such marks by Ascensia Diabetes Care is under license. Google Play and the Google Play logo are trademarks of Google Inc. (® = registered trademark. ™ = unregistered trademark. SM = service mark.) All other trademarks are properties of their respective owners and are used solely for informative purposes. No relationship or endorsement should be inferred or implied. 5025015_CntrNxtONE_UG_EN.indd 68 © 2016 Ascensia Diabetes Care Holdings AG. All rights reserved. 85025015 Rev. 08/16 8/18/16 10:06 AM
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