Medisense Blood Glucose Meter Art06986 Users Manual Precision Xtra Advanced Diabetes Management System

MediSense Blood Glucose Meter ART06986 ART06986-Rev-B

art06986 0b702622-2d48-4c0b-a73f-d28134d62c61 MediSense Blood Glucose Meter ART06986 User Guide |

2015-02-09

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For in vitro diagnostic use.

Advanced Diabetes Management System

User’s Guide

Artwork File Name: ART06986-Rev-B

Orig. Creation Date: 28/Apr/05 By: Donald McAtee

Last Modified Date: 15/Aug/05 By: Donald McAtee

Software/Version: QuarkXpress 5.0, Photoshop,

Illustrator.

Fonts: Please Refer to Collection report.

Bar Code (Code 39):PRT06986 Rev B 8/05

Colors:

FILE INFORMATION — For Artwork and Packaging Department Use Only

PMS

286

CMYK PMS

289

ART06986-Rev-B-CVR 8/15/05 2:11 PM Page 1

Table of Contents

Welcome 1

1 Important Things to Know about

Your Precision Xtra Advanced Diabetes

Management System 3

Intended Use 3

How Your Precision Xtra Advanced Diabetes

Management System Works 4

Precision Xtra Kit Contents 5

Getting to Know Your Monitor’s Features 6

2 Setting Up Your Precision Xtra Monitor 9

Buttons to Use 9

Setup Options 9

How to Set the Beeper, Date, Time, & View

Measurement Units 11

Set Beeper 11

Set Time 13

Set Date 15

Set Time Format 18

Set Date Format 19

Blood Glucose Measurement Units 20

3 Calibrating Your Precision Xtra Monitor 22

Why Calibrate Your Monitor? 22

When to Calibrate Your Monitor 22

What You Will Need 23

How to Calibrate Your Monitor 23

How to Recall the LOT Number or Calibration CODE 28

4 Monitoring Your Blood Glucose 30

What You Will Need 30

Important Information about Monitoring

Your Blood Glucose 30

How to Monitor Your Blood Glucose 31

Understanding Your Result 39

5 Monitoring Your Blood ß-Ketone 43

What You Will Need 43

Important Information about Monitoring

Your Blood ß-Ketone 44

How to Monitor Your Blood ß-Ketone 45

Understanding Your Result 52

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6 Doing A Control Solution Test 55

Why Do A Control Solution Test? 55

When Is Doing A Control Solution Test Recommended? 55

Important Information about Control Solution Testing 55

What You Will Need 57

How to Do Control Solution Testing 57

Understanding Your Result 64

7 Reviewing & Using Your Results 65

What Can Your Monitor Show You? 65

How to See Results in Memory 66

How to See Averages 69

Transferring Your Results to A Computer 71

8 Understanding & Troubleshooting

Error Messages 72

What An Error Message Means & 72

What You Need to Do

9 Your Monitor’s Specifications

& Limitations 77

Important Information about Using Blood 80

Samples from the Forearm, Upper Arm,

or Base of the Thumb

10 Caring For Your Monitor 82

Cleaning Your Monitor 82

Replacing Your Monitor’s Battery 83

11 Support, Guarantee & Limited Warranty 87

References 89

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 3

Welcome

Thank you for choosing the Precision Xtra™

Advanced Diabetes Management System.

Important steps for using the System are inside this

guide. Please read it carefully.

Your new Precision Xtra Advanced Diabetes

Management System is an important tool that can

help you better manage your diabetes. The System

measures both blood glucose (sugar) and blood

ß-Ketone. Blood glucose and blood ß-Ketone results

can help you understand your diabetes and what

happens with:

•Food

•Exercise

•Stress and illness

•Diabetes medications

Always monitor your blood glucose and

blood ß-Ketone according to your healthcare

professional’s recommendations.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 4

In the United States, call Customer Care at

1-800-527-3339 with any questions you may have

about the Precision Xtra Advanced Diabetes

Management System. We are available 24 hours a

day, 365 days a year. If you cannot reach Customer

Care, contact your healthcare professional.

Outside the United States, please contact your

local Abbott Laboratories, Abbott Diabetes Care

office or distributor.

Please read the following items before using

your Precision Xtra Advanced Diabetes

Management System:

•User guide

•Blood glucose test strip instructions for use

•Blood ß-Ketone test strip instructions for use

•Lancing device instructions for use and

other information

•Warranty card

IMPORTANT:

Any user guide text shown

in a shaded box like this one

is important information.

Please pay special attention

to these boxes.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 5

CHAPTER 1

Questions? Call

Customer Care:

1-800-527-3339

▼

Important

Information

Important Things

to Know about

Your Precision Xtra

Advanced Diabetes

Management System

Intended Use

Your Precision Xtra System:

•Is indicated for home (lay user)

or professional use in the

management of Patients

with diabetes.

•Is for use outside the body

(in vitro diagnostic use).

•Is for monitoring glucose

in fresh whole blood (for

example, from the fingertip).

•Is for monitoring ß-Ketone

in fresh whole blood from

the fingertip.

•Measures ß-hydroxybutyrate

(ß-Ketone), the most

important of the three

ketone bodies circulating in

the bloodstream.

•Is for use with Precision Xtra™

or Precision™POC Blood

Glucose Test Strips and

Precision Xtra™Blood

ß-Ketone Test Strips.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 6

• Precision Xtra™and Precision™

POC Blood Glucose Test Strips

are different. Please refer to

your test strip instructions for

use for important information

about sample types that may

be used with these test strips.

• Precision™POC Blood Glucose

Test Strips are for use by

healthcare professionals only.

Potential Infection Risk:

Healthcare professionals performing

blood tests with this system on

multiple patients must always wear

gloves and should follow the

infection control policies and

procedures approved by their facility.

How Your Precision Xtra

Advanced Diabetes

Management System Works

When you insert a test strip into

your monitor, the Apply Blood

message shows on your monitor’s

display window. When a blood

sample or control solution sample is

applied to the test strip, the glucose

or ß-Ketone reacts with the

chemicals on the test strip.

This reaction produces a small

electrical current that is

measured. The result shows on

your monitor’s display window.

Important

Information

▼

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 7

Precision Xtra

Kit Contents

Precision Xtra Monitor

Precision Xtra User’s Guide

– Contains system information

and directions.

Carrying Case

– Use this to store and carry

your monitor and other

monitoring supplies.

Your kit may also contain:

Precision Xtra Quick

Reference Guide

– Gives the basic steps to calibrate

your monitor and check your

blood glucose.

Logbook

– Use this to record your test

results, activities, and medications.

Precision Friends for

Life Card

– Please fill this out and return to

the address provided to activate

your warranty. Filling out this card

helps to ensure that you receive

any updates regarding your

Precision Xtra monitor.

Lancing Device, Lancets,

Instructions for Use and

Other Information

Blood Glucose Test Strips

and Instructions for Use

Important

Information

▼

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 8

Important

Information

Display Check

Back

Button

Backlight

Button

Strip

Port

Mode

Button

Forward

Button

Display

Window

▼

Items not included:

MediSense Control Solutions

Blood ß-Ketone Test Strips

and Instructions for Use

Data Management System

Getting to Know Your

Monitor’s Features

Display Window

This shows:

•Blood glucose and blood

ß-Ketone results

•Glucose LOT numbers and

ß-Ketone calibration CODEs

•Previous test results and

error messages

•Blood glucose averages

IMPORTANT:

Each time you turn your

monitor on, a full display shows.

This is called a Display Check.

Look at the Display Check each

time it appears on your

monitor’s display window,

especially before you check

your blood glucose or blood

ß-Ketone. The Display Check

shows on the display

window briefly.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 9

Do not use the monitor if the

monitor Display Check does

not exactly match the picture

here (for example, if you see

a "3" instead of an "8").

The monitor may show an

incorrect result when you use

it. Please call Customer Care

for assistance.

Strip Port

This is where you insert:

•A blood glucose test strip

•A blood ß-Ketone test strip

•A glucose calibrator

•A ketone calibrator

•Data cable (not included)

for uploading results to

a computer

Mode Button

Use this button to:

•Turn monitor ON and OFF

•Access monitor setup options

•Access and save

monitor settings

•Access previous results

and averages

Important

Information

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 10

Forward Button

Back Button

Use these buttons to:

•Review and select

monitor settings

•Review results and averages

Backlight Button

Use this button to:

•Turn backlight ON and OFF

Battery Compartment

This is where the battery

is installed.

•If your monitor does not turn

on, check that your battery is

installed properly.

•For new battery installation,

see Chapter 10.

Important

Information

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 11

CHAPTER 2

Questions? Call

Customer Care:

1-800-527-3339

▼▼

Setting Up

Your Monitor

Setting Up Your

Precision Xtra Monitor

Buttons to Use

Mode Button

Forward Button

Back Button

Setup Options

Set Beeper

If the beeper is set ON, it will

beep when:

•The calibrator is fully inserted

•The test countdown starts

•The test countdown finishes

Set Time, Set Date

Important: Set the correct

time and date before you use

the monitor for the first time.

This will help you keep records

of when you monitor and will

help you and your healthcare

professional make informed

decisions about your care.

You must set the time and

date to review averages.

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You may need to re-set the

time and date:

•After you replace the battery.

•When you travel between

time zones or when the time

zone you are in changes.

In "Set Date", you set the year,

month, and day.

Set Time Format

In "Set Time Format", you

choose how the time shows on

the monitor’s display window.

Set Date Format

In "Set Date Format", you

choose how the month and

day show on the monitor’s

display window.

Measurement Units

Blood glucose measurement

units are factory-set in

mg/dL or mmol/L.

Blood ß-Ketone measurement

units are in mmol/L only.

Setting Up

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 13

How to Set the Beeper,

Date, Time, & View

Measurement Units

To begin, pull the battery tab

out. Your monitor should be

turned OFF.

Before you start, please

note: "Press and Hold" means

that you press the button in for

at least 2 seconds. "Press and

Release" means that you press

the button and let it go quickly.

Press and Hold the button

to turn the monitor off and

save your settings at any time.

The monitor automatically turns

off after 30 seconds of

no action.

If you like the setting that you

see on your monitor and do

not want to change it, Press

and Release the button to

move to the next setup option.

Set Beeper

The means the beeper is ON.

The means the beeper is OFF.

Setting Up

Your Monitor

Beeper ON

Beeper OFF

▼

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1To turn your monitor ON,

Press and Hold the button.

The beeper ON message

shows on the display

window. The musical

notes flash on and off,

and the monitor beeps.

2To change the beeper setting,

Press and Release the

button or the button

once.

3Press and Release the

button to save the beeper

setting and to move to Set

Time (Hour).

Setting Up

Your Monitor

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Set Time

Hour:

The Hour flashes on and off.

1Press and Release the

button to move the

hour forward.

2If you go past the correct

hour, Press and Release

the button to move

the hour back.

3Press and Release the

button to save the

hour and to move to

Set Minutes.

Setting Up

Your Monitor

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Minutes:

The Minutes flash on

and off.

1Press and Release the

button to move the

minutes forward.

2If you go past the correct

minute, Press and Release

the button to move the

minutes back.

3Press and Release the

button to save the minutes

and to move to Set Date.

Setting Up

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 17

Set Date

Year:

The Year flashes on and off.

1Press and Release the

button to move the

year forward.

2If you go past the correct

year, Press and Release the

button to move the

year back.

3Press and Release the

button to save the year

and to move to Set Month.

Setting Up

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 18

Month:

The Month flashes on

and off.

1Press and Release the

button to move the

month forward.

2If you go past the correct

month, Press and Release

the button to move the

month back.

3Press and Release the

button to save the month

and to move to Set Day.

Setting Up

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 19

Day:

The Day flashes on and off.

1Press and Release the

button to move the

day forward.

2If you go past the correct

day, Press and Release the

button to move the

day back.

3Press and Release the

button to save the day

and to move to Set

Time Format.

Setting Up

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 20

Choice #1

Choice

Set Time Format

You have two choices:

Choice #1: For the 12-hour

format, AM or PM shows.

Choice #2: For the 24-hour

format, AM or PM does

not show.

1To change the Time Format,

Press and Release the

button or the button

once.

2Press and Release the

button to save the Time

Format and to move to Set

Date Format.

Setting Up

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 21

Set Date Format

You have two choices:

Choice #1: For the month-

day format, "-" shows with

the date.

Example:

"May 25" shows as "5-25".

Choice #2: For the day.month

format, "•" shows with

the date.

Example:

"25 May" shows as "25.5".

1To change the Date Format,

Press and Release the

button or the

button once.

2Press and Release the

button to save the Date

Format and to move to

Measurement Units.

Setting Up

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 22

Blood Glucose

Measurement Units

Consult your healthcare

professional if you have

any questions about blood

glucose measurement units.

This screen shows the blood

glucose measurement units

(mg/dL or mmol/L).

Press and release the button

to return to Set Beeper.

Setting Up

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 23

Press and Hold the

button to turn your

monitor off.

You have successfully set

up your monitor.

Setting Up

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 24

Questions? Call

Customer Care:

1-800-527-3339

CHAPTER 3

Questions? Call

Customer Care:

1-800-527-3339

Calibrating Your

Precision Xtra Monitor

Why Calibrate

Your Monitor?

Your Precision Xtra monitor

must be calibrated so that it

can recognize the test strip

you are using. Calibration

ensures that your results

are accurate.

When to Calibrate

Your Monitor

• When you use the monitor for

the first time.

• EACH time you open and use a

new box of blood glucose or

blood ß-Ketone test strips.

▼

Calibrating

Your Monitor

▼

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 25

What You Will Need

• Precision Xtra monitor

• For glucose calibration:

Blood glucose test strip

instructions for use

Blood glucose test

strip calibrator

• For ß-Ketone calibration:

Blood ß-Ketone test strip

instructions for use

Blood ß-Ketone test

strip calibrator

How to Calibrate

Your Monitor

When you insert a test strip for

the first time, the display

window shows:

This means the monitor is not

calibrated for blood

glucose monitoring.

This means the monitor is not

calibrated for blood

ß-Ketone monitoring.

Calibrating

Your Monitor ▼▼

➡

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 26

IMPORTANT:

•Use only the calibrator that is

packaged in the box of test

strips you are using.

•Do not use test strips that

have expired. Check the

expiration date on the test

strip foil packet and test strip

box. If only the year and

month are shown, the

expiration date is the last

day of the month.

1Remove the glucose or

ß-Ketone calibrator package

from the new box of

test strips.

2Open the calibrator

package. Find the three

raised bumps on the

calibrator package. Peel the

clear cover away from the

three raised bumps.

4. the the . it in until it stops.

Calibrating

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 27

3Hold the calibrator with the

LOT number (glucose) or

calibration CODE

(ß-Ketone) facing you.

4Insert the calibrator into

the strip port. Push it in

until it stops.

The Display Check shows

on the display window,

followed by the time,

month, and day.

Next, the LOT number

(glucose) or calibration

CODE (ß-Ketone) shows

on the display window.

a. Example of glucose LOT

number: LOT 13758

b. Example of ß-Ketone

calibration CODE: CODE JC7

Then you hear the beeper, if

the beeper is ON.

Glucose

ß-Ketone

Calibrating

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 28

5Check that the LOT number

or calibration CODE on all

these items matches:

✓ Display window

✓ Test strip calibrator

✓ Test strip instructions for use

✓ Test strip foil packet

When the LOT number or

calibration CODE on all

these items matches:

What It Means:

Calibration is complete.

What to Do:

You may now monitor

your blood glucose or

blood ß-Ketone.

When the LOT number or

calibration CODE on all these

items DOES NOT match:

What It Means:

Your monitor may not be

calibrated for the box of test

strips you are using.

What to Do:

•Check that you are using the

calibrator that came in the box

of test strips you are using.

•Try to calibrate again.

Calibrating

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 29

Calibrating

Your Monitor

IMPORTANT: If the LOT

number or calibration CODE

still does not match, contact

Customer Care. Do not

attempt to monitor your blood

glucose or blood ß-Ketone.

Your monitor may show an

incorrect result.

6Remove the calibrator from

the monitor and store it in

your monitor’s carrying case.

IMPORTANT: Do not throw

the calibrator away until you

have used all of the test strips

in the box.

If you have any trouble

calibrating your system, please

contact Customer Care.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 30

How to Recall the

LOT Number or

Calibration CODE

1To recall the glucose LOT

number, Press and Hold the

button. While holding the

button, Press and Hold

the button.

The Display Check shows on

the display window, then the

glucose LOT number shows

with the time, month, and

day of the most recent

glucose calibration.

2After the glucose LOT

number is displayed, you

can recall the ß-Ketone

calibration CODE. Press and

Release the button or

the button.

The ß-Ketone calibration CODE

shows with the time, month,

and day of the most recent

ß-Ketone calibration.

▼

Calibrating

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 31

Calibrating

Your Monitor

Note: If the LOT number or

calibration CODE that shows

on your monitor’s display

window is not correct:

What It Means:

Your monitor may not be

calibrated for the box of test

strips you are using.

What To Do:

•Re-calibrate your monitor.

•Check that you are using

the calibrator that came in

the box of test strips you

are using.

Remember, improper

calibration will cause

incorrect results.

3Press and Hold the

button to turn your

monitor off.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 32

CHAPTER 4

Questions? Call

Customer Care:

1-800-527-3339

L O T 13758

E X P 2006/03

▼▼

Example:

Expiration date

March 31, 2006

Monitoring Your

Blood Glucose

What You Will Need

•Blood glucose test strip with

its instructions for use

•Precision Xtra monitor

calibrated to match the LOT

number of the blood glucose

test strip you are using

•Lancing device and a new,

sterile lancet

Important Information

about Monitoring Your

Blood Glucose

•Do not use out-of-date test

strips. Check the expiration

date printed on the test strip

box and on each test strip foil

packet. If only the month and

year are printed on the test

strip, then the expiration date

is the last day of that month.

•For more detailed information

about your test strip, please

read its instructions for use

before monitoring.

•Use the test strip

immediately when you

take it out of its foil packet.

Monitoring

Blood Glucose

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 33

Monitoring

Blood Glucose

•Do not use a wet, bent,

scratched, or damaged

test strip.

•Do not use the test strip if its

foil packet has a puncture or

tear in it.

•Before you monitor your

blood glucose or blood

ß-Ketone, allow your monitor

and test strip to reach the

recommended operating

range of the test strip. The

test strip operating range is in

the “Limitations of Procedure”

section of your blood glucose

test strip instructions for use.

•Read the lancing

device instructions for use.

How to Monitor Your

Blood Glucose

Getting Started

1Prepare your lancing device.

▼

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 34

2Wash your hands using

warm soapy water and

dry them completely.

3Remove the test strip from its

foil packet.

Note: For pictures that show

how to open the blood

glucose test strip foil packet,

please see the information

card in the box of blood

glucose test strips.

4Insert the three black lines at

the end of the test strip into

the strip port.

5Push the test strip in until

it stops.

The monitor turns on automatically.

These items show on the display

window, one after the other:

•Display Check – Remember to

make sure that all items in the

picture here show on the display

window. (See Chapter 1 for

more information about the

Display Check.)

Monitoring

Blood Glucose

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 35

•Time, month, and day (if set)

If date and time are not

set, dashes will show instead

of numbers.

•LOT number for the box of

blood glucose test strips

you are using.

•Apply Blood message, which

tells you that the monitor is

ready for you to apply blood

to the blood glucose test strip.

Monitoring

Blood Glucose

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 36

Monitoring

Blood Glucose

Obtaining A Blood Drop

Use your lancing device to

obtain a blood drop.

Recommendations for

Obtaining a Blood Drop

•To obtain a sample from an

alternative site (forearm, upper

arm, or base of the thumb),

use an appropriate alternative

site lancing device.

•Before you obtain a blood

sample from the fingertip,

forearm, upper arm, or base

of the thumb, make sure the

sample site is clean, dry, and

warm. To warm the sample

site, wash it in warm water,

rub the skin vigorously for a

few seconds, or apply a warm

pad to it.

•Hang your arm down before

pricking your finger or the

base of the thumb to help

blood flow.

•To obtain a blood sample from

the arm, use a fleshy area

away from bone. Avoid areas

where there is a lot of hair.

•Avoid squeezing the

puncture site.

•Apply the blood sample to the

test strip immediately.

Fingertip sampling

Upper arm sampling

Forearm sampling

Base of thumb sampling

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 37

Monitoring

Blood Glucose

Lancets and Lancing Device

•Lancets are for one-time use

only. Use a new lancet each

time you monitor.

•Discard your used lancet

properly. Put it in an empty

puncture-resistant container,

such as a plastic milk carton or

detergent bottle.

•Never share your lancing

device or lancet with

another person.

Applying the Blood Drop to

the Test Strip

1Touch the blood drop to the

white area at the end of the

test strip. The blood is

drawn into the test strip.

Note: If the monitor shuts off

before you apply blood to the

test strip, remove the test strip

from the monitor and try again.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 38

Status bar

Countdown

2Continue to touch the blood

drop to the end of the test

strip until the monitor

begins the test. The monitor

begins the test when:

•You hear the beeper, if the

beeper is ON.

•The display window shows

the status bar.

•Then the display window

shows the countdown.

Note: Do not remove the test

strip from the monitor or

disturb the test strip during

the countdown.

Monitoring

Blood Glucose

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 39

Correct

Apply second drop

✔

Important: If the countdown

does not start:

What It Means:

You might not have applied

enough blood to the test strip.

What to Do:

•Apply a second drop of blood

to the test strip. Refer to your

test strip instructions for use

for the number of seconds you

have to apply a second drop.

•If the countdown still does not

start, or if the number of

seconds you have to apply a

second drop have passed,

discard the test strip, turn off

your monitor, and try again

with a new test strip.

3At the end of the

countdown:

•If the beeper is ON, listen for

the beeper.

•The blood glucose result

shows on the display window.

•The result is stored in your

monitor’s memory. You may

also write the result

in your logbook.

Monitoring

Blood Glucose

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 40

Monitoring

Blood Glucose

Shutting Off Your Monitor

1Removing the test strip from

the strip port turns off the

monitor. You can use the

opened foil packet to

remove and discard your

used test strip.

2Discard the test

strip properly.

Note: You may also turn the

monitor off by Pressing and

Holding the button. If you

do not turn your monitor off or

pull the test strip out, the

monitor shuts off automatically

after 60 seconds.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 41

▼

Understanding

Your Result

"LO" Result

What It Means:

Your monitor has determined

that your blood glucose result

is lower than 20 mg/dL (1.1

mmol/L) or there may be a

problem with the test strip.

What to Do:

Monitor your blood glucose

again with a new test strip. If

LO shows on the display

window again, contact your

healthcare professional

immediately.

Result 300 mg/dL or Higher

When your blood glucose result

is 300 mg/dL (16.7 mmol/L) or

higher, KETONES? flashes on

and off on the display window.

What to Do:

If you check your ketones

as part of your diabetes

management program, it

is recommended that you

check your blood ß-Ketone.

Monitoring

Blood Glucose

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 42

"HI" Result

What It Means:

Your monitor has determined

that your blood glucose result

is higher than 500 mg/dL

(27.8 mmol/L) or there may

be a problem with the

test strip.

What to Do:

Monitor your blood glucose

again with a new test strip. If

HI shows on the display

window again, contact your

healthcare professional

immediately.

If you check your ketones

as part of your diabetes

management program, it

is recommended that you

check your blood ß-Ketone.

Monitoring

Blood Glucose

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 43

Monitoring

Blood Glucose

"E-4" Result

What It Means:

Your blood glucose may be too

high to be read by the system,

or there may be a problem with

the test strip.

What to Do:

Monitor your blood glucose

again with a new test strip. If

E-4 shows on the display

window again, contact your

healthcare professional

immediately.

Important:

It is recommended that you

repeat the blood glucose test

with a new test strip when:

•LO shows on the

display window.

•You obtain a low blood

glucose result, but you do

not have symptoms of low

blood glucose.

•Your monitor displays a blood

glucose result that is unusually

low, lower than 50 mg/dL

(2.8 mmol/L).

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 44

•HI shows on the

display window.

•You obtain a high blood

glucose result, but you do

not have symptoms of high

blood glucose.

•Your monitor displays a

result that is unusually high,

higher than 300 mg/dL

(16.7 mmol/L).

•You question your result.

Important:

A result that is incorrect may

have a serious medical

outcome. Consult your

healthcare professional before

changing your diabetes

medication program.

Monitoring

Blood Glucose

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 45

CHAPTER 5

Questions? Call

Customer Care:

1-800-527-3339

Monitoring Your

Blood ß-Ketone

It is important to check your

ketones when:

•You have an illness.

•Your blood glucose is

higher than 300 mg/dL

(16.7 mmol/L).

•You are experiencing unusual

blood glucose results.

•You and your healthcare

professional determine that it

is necessary.

What You Will Need

•Blood ß-Ketone test strip with

its instructions for use

•Precision Xtra monitor

calibrated to match the

calibration CODE of the

blood ß-Ketone test strip you

are using

•Lancing device and a new,

sterile lancet

▼

Monitoring Blood

ß-Ketone

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 46

Made in UK.

P/N 120-1025

Rev. 0 1/03

ß-Ketone Test Strip

Abbott Laboratories

Abbott Diabetes Care

Alameda, CA 94502

USA

70208

2006/03/09

. JC7

0.3-0.7 mmol/l

1.9-2.9 mmol/l

3.7-5.7 mmol/l

Example:

Expiration date

March 9, 2006

Important Information

about Monitoring Your

Blood ß-Ketone

•For more detailed information

about your blood ß-Ketone test

strip, please refer to its

instructions for use

before monitoring.

•Do not use out-of-date test

strips. Check the expiration date

printed on the test strip box and

on each test strip foil packet.

•Do not put urine on the

blood ß-Ketone test strip.

•Use the test strip immediately

when you take it out of its

foil packet.

•Do not use a wet, bent,

scratched, or damaged

test strip.

•Do not use the test strip if its

foil packet has a puncture or

tear in it.

•Use each test strip only once.

•Before you monitor your blood

glucose or blood ß-Ketone, allow

your monitor and test strip to

reach the recommended

operating range of the test strip.

The test strip operating range is

in the “Limitations of Procedure”

section of your blood ß-Ketone

test strip instructions for use.

Monitoring

Blood ß-Ketone

▼

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 47

▼

•Read the lancing device

instructions for use.

•The blood ß-Ketone test strip

foil packet contains a

desiccant tablet (Zeolite -

Sodium Calcium

Aluminosilicate). Although

this material is not

considered dangerous1,

the following safety advice

should be observed:

1. Keep away from children.

2. Do not expose to water as

product gets hot and could

cause burns.

3. Do not eat, and avoid

contact with eyes and skin.

May cause burns to the

mouth and throat.

4. If swallowed, drink two

glasses of water. Seek

medical help.

How to Monitor Your

Blood ß-Ketone

Getting Started

1Prepare your lancing device.

Monitoring

Blood ß-Ketone

▼

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 48

2Wash your hands using

warm soapy water and dry

them completely.

3Remove the test strip from

its foil packet.

4Insert the three black lines

at the end of the test strip

into the strip port.

5Push the test strip in until

it stops.

The monitor turns

on automatically.

These items show on the display

window, one after the other:

•Display Check – Remember to

make sure that all items in the

picture here show on the

display window. (See Chapter

1 for more information about

the Display Check.)

Monitoring

Blood ß-Ketone

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 49

•Time, month, and day (if set)

If date and time are not set,

dashes will show instead

of numbers.

•Calibration CODE for the

box of blood ß-Ketone test

strips you are using.

•KETONE and Apply Blood

message, which tell you that

the monitor is ready for you to

apply blood to the blood

ß-Ketone test strip.

Monitoring

Blood ß-Ketone

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 50

Fingertip sampling

Obtaining A Blood Drop

Use your lancing device to

obtain a blood drop.

Important: Blood ß-Ketone

test strips have not been

evaluated for alternative site

monitoring. Use only

fingertip blood samples for

blood ß-Ketone monitoring.

Recommendations for

Obtaining A Blood Drop

•Before you obtain a blood

sample from the fingertip,

make sure the sample site is

clean, dry, and warm. To

warm the sample site, wash it

in warm water or rub the skin

vigorously for a few seconds.

•Hang your arm down before

pricking your fingertip to help

blood flow.

•Avoid squeezing the fingertip.

•Apply the blood sample to the

test strip immediately.

Monitoring

Blood ß-Ketone

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 51

Monitoring

Blood ß-Ketone

Lancets and Lancing Device

•Lancets are for one-time use

only. Use a new lancet each

time you monitor.

•Discard your used lancet

properly. Put it in an empty

puncture-resistant container,

such as a plastic milk carton or

detergent bottle.

•Never share your lancing

device or lancet with

another person.

Applying the Blood Drop to

the Test Strip

1Touch the blood drop to

the purple area on the top

of the test strip. The blood

is drawn into the test strip.

Note: If the monitor shuts off

before you apply blood to the

test strip, remove the test strip

from the monitor and try again.

2Continue to touch the

blood drop to the purple

area on the top of the test

strip until the monitor

begins the test. The monitor

begins the test when:

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 52

Monitoring

Blood ß-Ketone

Status bar

Countdown

•You hear the beeper, if the

beeper is ON.

•The display window shows the

status bar.

•Then the display window

shows the countdown.

Note: Do not remove the

test strip from the monitor

or disturb it during

the countdown.

Important: If the countdown

does not start:

What It Means:

You might not have applied

enough blood to the test strip.

What to Do:

•Apply a second drop of blood

to the test strip. Refer to your

test strip instructions for use

for the number of seconds

you have to apply a second

drop.

•If the countdown still does

not start, or if the number of

seconds you have to apply a

second drop have passed,

discard the test strip, turn off

your monitor, and try again

with a new test strip

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 53

Monitoring

Blood ß-Ketone

3At the end of

the countdown:

•If the beeper is ON, listen for

the beeper.

•The blood ß-Ketone result

shows on the display window

with the word KETONE.

•The result is stored in your

monitor’s memory as a blood

ß-Ketone result. You may

also write the result in

your logbook.

Shutting Off Your Monitor

1Removing the test strip from

the strip port turns off the

monitor. You can use the

opened foil packet to

remove and discard your

used test strip.

2Discard the test

strip properly.

Note: You may also turn the

monitor off by Pressing and

Holding the button. If you

do not turn your monitor off or

pull the test strip out, the

monitor shuts off automatically

after 60 seconds.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 54

▼

Understanding

Your Result

Blood ß-Ketone is expected to

be lower than 0.6 mmol/L.3

Blood ß-Ketone may be higher

when a person is ill, is fasting,

exercises vigorously, or if

blood glucose levels are

not controlled.2-4

When:

•Blood ß-Ketone result is

between 0.6 and 1.5 mmol/L

and blood glucose result is

300 mg/dL (16.7 mmol/L)

or higher:

What It Means:

A problem requiring medical

assistance may be occurring.

What to Do:

Contact your healthcare

professional. Follow his or

her instructions for sick

day management.

Monitoring

Blood ß-Ketone

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 55

When:

•Blood ß-Ketone result

remains high or becomes

higher than 1.5 mmol/L:

What It Means:

You may be at risk of

developing diabetic

ketoacidosis (DKA).3-7

What to Do:

Contact your healthcare

professional immediately.

"HI" Result

What It Means:

Your monitor has determined

that your blood ß-Ketone

result is higher than 6.0

mmol/L, or there may be a

problem with the test strip.

What to Do:

Monitor your blood ß-Ketone

again with a new test strip. If

HI shows on the display

window again, contact your

healthcare professional

immediately.

Monitoring

Blood ß-Ketone

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 56

Monitoring

Blood ß-Ketone

"E-4" Result

What It Means:

There may be a problem with

the test strip.

What to Do:

Monitor your blood ß-Ketone

again with a new test strip. If

E-4 shows on the display

window again, contact your

healthcare professional

immediately.

Important: It is recommended

that you repeat the blood

ß-Ketone test with a new test

strip when:

•HI appears in the

display window.

•Your result is unusually high.

•You question your result.

•You obtain a 0.0 mmol/L

blood ß-Ketone result BUT

your blood glucose is higher

than 300 mg/dL (16.7 mmol/L).

Important: A result that is

incorrect may have a serious

medical outcome. Consult your

healthcare professional before

changing your diabetes

medication program.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 57

CHAPTER 6

Questions? Call

Customer Care:

1-800-527-3339

▼▼

Control Solution

Testing

▼

Doing A Control

Solution Test

Why Do A Control

Solution Test?

The control solution test tells

you that your monitor and test

strips are working correctly. A

control solution test is similar to

when you monitor your blood

glucose or blood ß-Ketone,

except you use a MediSense

Control Solution. You do not

use a drop of blood in a

control solution test.

When Is Doing A

Control Solution

Test Recommended?

•When you question

your results

•To make sure that your

monitor and test strips are

working properly

Important Information

about Control

Solution Testing

•For more detailed information

about control.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 58

solutions, read the control

solution instructions for use.

•MediSense Control

Solutions may be used for

glucose or ketone control

solution testing.

•Do not use the control

solution if the expiration date

has passed. Check the

expiration date printed on the

control solution bottle.

•When you open a control

solution bottle for the first

time, count forward 90 days

and write this date on the

control solution bottle using

a pen that won’t smear or

wipe off. Throw away any

remaining solution after

this date.

•The results obtained from

control testing do not reflect

your personal blood glucose

or blood ß-Ketone levels in

any way.

•Do not swallow the

control solution.

•Do not inject the control

solution or use the control

solution as eye drops.

Control

Solution Testing

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 59

What You Will Need

•Precision Xtra monitor

calibrated to match the LOT

number (glucose) or

calibration CODE (ß-Ketone)

of the test strip you are using

•Blood glucose or blood

ß-Ketone test strip and its

instructions for use

•MediSense Control Solutions

and instructions for use

How to Do Control

Solution Testing

Getting Started

1Wash your hands using

warm soapy water and dry

them completely.

Control Solution

Testing

▼

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 60

Control

Solution Testing

2Remove the test strip from

its foil packet.

Note: For pictures that

show how to open the

blood glucose test strip foil

packet, please see the

information card in the box

of blood glucose test strips.

3Insert the three black lines

at the end of the test strip

into the strip port.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 61

4Push the test strip in until

it stops.

The monitor turns

on automatically.

These items show on the display

window, one after the other:

•Display Check – Remember to

make sure that all items in the

picture here show on the

display window. (See Chapter 1

for more information about the

Display Check.)

•Time, month, and day (if set)

If date and time are not set,

dashes will show instead

of numbers.

Control Solution

Testing

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 62

Control

Solution Testing

Control

Solution Testing

•LOT number (glucose) or

calibration CODE (ß-Ketone)

for the box of test strips you

are using.

•Apply Blood message, which

tells you that the monitor is

ready for you to apply control

solution to the test strip.

Note: If you are a doing a

ß-Ketone control solution

test, KETONE will show on

the monitor’s display window

with the ß-Ketone Apply

Blood message.

5To mark the test as a control

test, Press and Release the

button once. shows

on the display window.

Important: If you do not mark

the test as a control test, it will be

saved in your monitor’s memory

as one of your personal blood

glucose or blood ß-Ketone results.

This could affect your blood

glucose averages.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 63

Applying Control Solution to

the Test Strip

1Turn the control solution

bottle upside down three

to four times to mix

the solution.

2Remove the cap.

3Apply a drop of control

solution to the test strip in

the area shown here. The

control solution is drawn

into the test strip.

4Continue to touch the

control solution to the test

strip until the monitor

begins the test.

The monitor begins the

test when:

•You hear the beeper, if the

beeper is ON.

•The display window shows

the status bar.

•Then the display window

shows the countdown.

Glucose

ß-Ketone

Status

bar

Countdown

Control Solution

Testing

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 64

Glucose

ß-Ketone

Note: Do not remove the

test strip from the monitor

or disturb it during

the countdown.

Important: If the countdown

does not start:

What It Means:

You might not have applied

enough control solution to the

test strip.

What to Do:

•Apply a second drop of

control solution to the test

strip. Refer to your test strip

instructions for use for the

number of seconds you have

to apply a second drop.

•If the countdown still does

not start, or if the number of

seconds you have to apply a

second drop have passed,

discard the test strip, turn off

your monitor, and try again

with a new test strip.

5At the end of

the countdown:

•If the beeper is ON, listen for

the beeper.

•The control result shows on

the display window.

Control

Solution Testing

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 65

Control Solution

Testing

Note: If you are doing a

ß-Ketone control solution test,

KETONE will also show with

the result.

•The result is stored in your

monitor’s memory as a control

result. In your logbook, record

the result as a control result.

Shutting Off Your Monitor

1Removing the test strip from

the strip port turns off the

monitor. You can use the

opened foil packet to

remove and discard your

used test strip.

2Discard the test

strip properly.

Note: You may also turn the

monitor off by Pressing and

Holding the button. If you

do not turn your monitor off or

pull the test strip out, the

monitor shuts off automatically

after 60 seconds.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 66

▼

Understanding

Your Result

Compare the control result to

the "Expected Results for Use

with MediSense Control

Solutions" range printed on:

•The blood glucose test

strip instructions for use,

for glucose control

solution testing.

•The blood ß-Ketone test strip

instructions for use and foil

packet, for ß-Ketone control

solution testing.

If the control result falls

within the range:

What It Means:

Your monitor and test strips are

working correctly.

If the control result does

not fall within the range:

What It Means:

Your monitor and test strips

may not be working correctly.

What to Do:

Repeat the test with a new test

strip and ensure the control

solution testing instructions are

followed completely. If the result

is still not within the printed

range, contact Customer Care.

Control

Solution Testing

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 67

CHAPTER 7

Reviewing & Using

Your Results

What Can Your Monitor

Show You?

Memory

Your Precision Xtra monitor

has a memory that stores up

to 450 events. This is a

combination of control results,

your personal blood glucose

and blood ß-Ketone results,

and other monitor information.

You can review up to 450 of

your most recent events on

your monitor’s display window.

Glucose Averages

You can view the average of all

your blood glucose results from

the last 7, 14, or 30 days. If you

marked your control solution

tests, the averages do not

include control solution results.

(For more information on

marking control solution tests,

see Chapter 6.)

Questions? Call

Customer Care:

1-800-527-3339

▼

Reviewing Results

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 68

▼

Important:

•To review blood glucose

averages, you must set

the date and time

before monitoring.

•If you do not mark control

solution tests, this may affect

your glucose averages.

•Blood glucose averages do

not include blood ß-Ketone

results, glucose control results,

ß-Ketone control results, or

results that do not show the

time, month, and day.

•When there are no previous

results or blood glucose

averages to review, the display

window shows three dashes.

How to See Results

in Memory

1Begin with your monitor

turned off. Make sure

there is nothing in the

strip port.

Reviewing Results

➡

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 69

2Press and Release the

button.

•The Display Check shows on

the display window.

•Then your most recent result

shows with its units on the

monitor’s display window,

along with the time, month,

and day that you got the

result. (To set the correct date

and time, follow the steps in

Chapter 2.)

A blood glucose result in

Memory will show with the

letters MEM.

A blood ß-Ketone result in

Memory will show with the

letters KET MEM.

Reviewing Results

Blood Glucose result

in Memory

Blood ß-Ketone result

in Memory

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 70

A control solution result in

Memory shows with a

control bottle, as long as

you marked the test as a

control solution test.

3To review previous results,

Press and Release the

button once per result.

Reviewing Results

Glucose control

solution result

in Memory

ß-Ketone control

solution result

in Memory

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 71

Reviewing Results

4When you reach the

last result in Memory,

the display window

shows three dashes.

5To return to a result you

previously reviewed, Press

and Release the button

once per result.

How to See Averages

Important:

•Results that show as LO

during blood glucose

monitoring are included as

20 mg/dL (1.1 mmol/L) in

blood glucose averages.

•Results that show as HI

during blood glucose

monitoring are included as

500 mg/dL (27.8 mmol/L) in

blood glucose averages.

▼

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 72

Reviewing Results

1While in Memory, Press and

Release the button at any

time to see the 7-Day

average of your blood

glucose results.

Note: n means how many tests

were performed within the 7-,

14-, or 30-Day average period.

2Press and Release the

button once to see the

14-Day average of your

blood glucose results.

3Press and Release the

button again to see the

30-Day average of your

blood glucose results. If

you Press and Release

the button again, the

display window shows the

7-Day average.

4Press and Release the

button at any time to return

to Memory.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 73

Reviewing Results

5Press and Hold the

button to turn off your

monitor. Otherwise, the

monitor turns off after

30 seconds.

Transferring Your Results

to a Computer

The results in your Precision

Xtra monitor's memory, along

with the time and date of the

reading, can be transferred to

a computer with the use of

the Precision Link®Direct

Software Version 2.5 and a

Precision Link communications

cable. For information on how

to purchase the software and

cable, contact Customer Care

at 1-800-527-3339. To install

the software, please follow

the instructions provided in

the Precision Link User's Guide.

▼

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 74

CHAPTER 8

Temperature is

too hot or too

cold for the

system to work

properly.

• Move your

monitor and test

strips to a location

where the

temperature is

appropriate and

monitor again

with a new test

strip. You may

have to wait

for your

monitor to

adjust to the new

temperature.

Refer to your test

strip instructions

for use for the

appropriate

operating range.

• If the error

message appears

again, contact

Customer Care.

Message What It What You

Means Need to Do

Questions? Call

Customer Care:

1-800-527-3339

Understanding &

Troubleshooting

Error Messages

There are times when error

messages may show on your

monitor’s display window.

In the next few pages, we

describe the error messages that

may show on your monitor’s

display window, what they

mean, and what you need to do.

Error Messages

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 75

What It What You Message

Means Need to Do

Monitor error.

There may be

a problem with

the test strip.

• Turn the

monitor off,

then repeat

monitoring

steps.

• If the error

message

appears again,

contact

Customer Care.

• Review the

monitoring

instructions.

• Monitor again

with a new

test strip.

• If the error

message

appears again,

contact

Customer Care.

Error Messages

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 76

Message What It What You

Means Need to Do

Blood glucose

result may be

too high to be

read by the

system.

There may be a

problem with

the blood

glucose or

blood ß-Ketone

test strip.

Blood applied

to test strip

too soon.

• Monitor again

with a new

test strip.

• If the error

message

appears again,

contact your

healthcare

professional

immediately.

• Review the

monitoring

instructions.

• Monitor

again with

a new

test strip.

• If the error

message

appears again,

contact

Customer Care.

Error Messages

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 77

What It What You Message

Means Need to Do

Calibration/Test

strip error.

Test strip error.

Test strip is

damaged, used,

or the monitor

does not

recognize it.

• Repeat the

calibration

using the

calibrator bar

that came with

the test strip

you are using.

• Check the date

setting on your

monitor.

• Check the

expiration date

on the test

strip foil

packet.

• If the error

message

appears again,

contact

Customer Care.

• Monitor again

using a test

strip designed

for use with

Precision Xtra.

• If the error

message

appears again,

contact

Customer Care.

Error Messages

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 78

Monitor error.

• Remove test

strip, turn

monitor off,

and try to

monitor again.

• If the error

message

appears again,

contact

Customer Care.

• Remove test

strip, turn

monitor off,

and try to

monitor again.

• If the error

message

appears

again,

contact

Customer

Care.

Message What It What You

Means Need to Do

Error Messages

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 79

CHAPTER 9

Your Monitor’s

Specifications

& Limitations

Size

Length 2.94" (7.47 cm)

Width

Top 2.10" (5.33 cm)

Bottom 1.70" (4.32 cm)

Thickness 0.64" (1.63 cm)

Weight 1.48 ounces (42 grams)

Power Source One CR 2032 Lithium

(coin cell) battery

Battery Life Approximately 1,000 tests

Memory Up to 450 events including

control results, personal

blood glucose and blood

ß-Ketone results, and other

monitor information.

Questions? Call

Customer Care:

1-800-527-3339

Specifications

& Limitations

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 80

Specifications

& Limitations

Storage

Temperature

Monitor: –13° to 131ºF (–25º to 55ºC)

Test Strips: See test strip instructions

for use.

Control Solution: See control solution instructions

for use.

Blood Glucose See blood glucose test strip

Assay Range instructions for use.

Blood ß-Ketone See blood ß-Ketone test strip

Assay Range instructions for use.

Control Solution See blood glucose or blood

Range ß-Ketone test strip instructions

for use.

Functions - Blood glucose monitoring

- Blood ß-Ketone monitoring

- Memory

- Glucose averaging: 7-Day,

14-Day, and 30-Day Averages

- Control solution marking

and testing

- Backlight: If ON – Stays ON

during countdown; turns OFF

30 seconds after result is

displayed. If OFF – Stays OFF

during countdown; stays OFF

during data upload.

- Beeper: If ON – Beeps when

calibrator is fully inserted

and when countdown starts

and finishes.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 81

Specifications

& Limitations

Data port Yes

Monitor Operating

Range

Temperature: 50º to 122ºF (10º to 50ºC)

Relative Humidity: 10% to 90%, non-condensing

System Operating

Range

Temperature: The system operating range is

the operating range of the test

strip you are using. See

“Limitations of Procedure”

section in test strip instructions

for use.

Relative Humidity: 10% to 90%, non-condensing

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 82

▼

Important Information

about Using Blood

Samples from the

Forearm, Upper Arm, or

Base of the Thumb:

•Contact your healthcare

professional before you begin

using any one of these

alternative sites to test your

blood glucose.

•Sampling from any one of

these alternative sites may

cause minor bruising and may

leave marks that go away in a

short time.

•There may be times when

alternative site results are

different from fingertip results.

This happens when blood

glucose levels change rapidly

(for example, after you eat a

meal, after you take insulin, or

during or after exercise).

•Use alternative sites to

monitor your blood glucose

before, or more than two

hours after, you eat a meal,

take insulin, or exercise.

Specifications

& Limitations

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 83

•Do not use blood samples

from alternative sites when:

1.You think your blood

glucose is low or is

changing rapidly,

2.You have been

diagnosed with

hypoglycemic unawareness,

3.The results from

alternative sites do not

match the way you feel,

4.It is within two hours

of eating a meal, taking

insulin, or exercising, or

5.You monitor your blood

ß-Ketone.

Specifications

& Limitations

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 84

Questions? Call

Customer Care:

1-800-527-3339

CHAPTER 10

▼

Caring For

Your Monitor

Cleaning Your Monitor

Store your monitor in its

carrying case.

If the surface of your monitor

gets dirty, you may clean it. Use

a damp cloth and mild soap.

Healthcare professionals:

Acceptable cleaning solutions

include 10% Bleach, 70%

Alcohol, or 10% Ammonia.

Important:

Do not try to clean the

strip port.

Do not pour liquid into the

strip port or buttons.

Do not place your monitor in

water or any other bath.

Caring for

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 85

▼

Caring for Your

Monitor

Replacing Your

Monitor’s Battery

When your monitor needs its

batteries replaced, the display

window shows one of

two things:

This means the battery is

low. You may still use your

monitor and the results will be

accurate. However, the

backlight is not useable. It is

recommended that you replace

the battery at this time.

This means the battery

must be replaced. The

monitor is not useable. The

monitor turns off automatically.

Important:

Do not remove the old battery

until you have a new battery to

install. It may be necessary to

reset the time and date once

you install a new battery.

Caring for Your

Monitor

➡

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 86

How to Replace

Your Monitor’s Battery

1Gently push the battery

cover in and up with

your thumb.

2Lift the battery cover out of

the monitor.

3Pull on the plastic tab

sticking out of the monitor

to remove the old battery.

Caring for

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 87

4Insert a new CR 2032

Lithium (coin cell) battery

with the plus sign (+)

facing up.

5Place the notches

on the battery cover

into the appropriate

molded areas.

6Gently push the battery

cover in and down until

you hear a click.

Caring for Your

Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 88

7Press and Hold the button

to turn your monitor on. If

your monitor does not turn

on, review the battery

installation steps and reinstall

the battery.

8Check the date and time on

your monitor. You may need

to reset the date and time.

(See Chapter 2, Setting Up

Your System).

9Be sure to discard the

old battery in compliance

with your local

government’s regulations.

Caring for

Your Monitor

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 89

Questions? Call

Customer Care:

1-800-527-3339

Support, Guarantee &

Limited Warranty

Support

Abbott Laboratories, Abbott

Diabetes Care, is committed to

providing you with support.

Call us with any questions you

may have about your Precision

Xtra monitor:

1-800-527-3339.

Outside the United States,

please contact your local

Abbott Laboratories, Abbott

Diabetes Care office

or distributor.

You can view interactive

product demonstrations online

at: AbbottDiabetesCare.com

▼

CHAPTER 11

Support, Repair,

& Guarantee

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 90

Guarantee & Limited Warranty

Precision Xtra Advanced Diabetes Management System:

Abbott Laboratories Inc., Abbott Diabetes Care (“Abbott”) offers

a Limited Warranty, as set forth below, to consumers who buy

a Precision Xtra Advanced Diabetes Management System

(“Monitor”) within the United States. Other purchasers, please

contact your local authorized Abbott distributor for information

about possible guarantee and/or warranty coverage for

your purchase.

90-day Guarantee: Abbott offers consumer purchasers a 90-day

money back guarantee. If you are not fully satisfied with your

Monitor, call Customer Care at 1-800-300-0978 (toll free) for a full

refund. Refund will be limited to amount paid by consumer net of

any rebates. You must have a copy of the dated itemized purchase

receipt and the original packaging to obtain this refund.

Limited Warranty: Under the standard warranty your new

Monitor is covered for a period of four years from the original date

of purchase, as long as it has not been modified, altered, or

misused. Lifetime Warranty is a benefit of enrollment in the

Precision Friends for Life Program and choice of replacement

monitor will be at the discretion of Abbott.

Under the warranty, Abbott will replace, free of charge, this

Monitor, if it is defective in material or workmanship. NO OTHER

WARRANTIES, EXPRESS OR IMPLIED, ARE MADE. ABBOTT WILL

NOT BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL

DAMAGES RESULTING DIRECTLY OR INDIRECTLY FROM THE

FAILURE OF THE PRODUCT TO PERFORM IN ACCORDANCE

WITH SPECIFICATIONS.

Some states do not allow the exclusion or limitation of other

express or implied warranties or incidental or consequential

damages, so the above limitations or exclusions may not apply

to you.

For Warranty Service, contact Customer Care for assistance

and/or instructions for obtaining a replacement monitor at

1-800-527-3339. Abbott may require, as a condition to obtaining

warranty service, that you return the Monitor, postage prepaid, to

an address specified by Customer Care.

Your Rights Under State Law: This warranty gives you specific

legal rights, and you may also have other rights that vary from

state to state.

Free Lifetime Monitor Upgrades: Monitor upgrade requires

enrollment in the Precision Friends for Life Program and use

of your Monitor for a minimum of three years. Choice of

replacement monitor will be at the discretion of Abbott.

Support,

Repair, & Guarantee

▼

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 91

References

1. Directive 1999/45/EC of the European Parliament

and of the Council of 31 May 1999 concerning the

approximation of the laws, regulations and

administrative provisions of the Member States

relating to the classification, packaging and labelling

of dangerous preparations.

2. Schade DS, Eaton RP. Metabolic and clinical

significance of ketosis. Special Topics in

Endocrinology and Metabolism 1982; 4:1–27.

3. Wiggam MI, O’Kane MJ, Harper R, Atkinson AB,

Hadden DR, Trimble ER, Bell PM. Treatment of

diabetic ketoacidosis using normalization of blood

3-hydroxybutyrate concentration as the endpoint of

emergency management. Diabetes Care 1997;

20:1347–52.

4. Harano Y, Kosugi K, Hyosu T, Suzuki M, Hidaka H,

Kashiwagi A, Uno S, Shigeta Y. Ketone bodies as

markers for Type 1 (insulin-dependent) diabetes and

their value in the monitoring of diabetes control.

Diabetologia 1984; 26:343–8.

5. Ubukata E. Diurnal variation of blood ketone

bodies in insulin-dependent diabetes mellitus and

non-insulin-dependent diabetes mellitus patients: The

relationship to serum C-peptide immunoreactivity

and free insulin. Ann Nutr Metab 1990; 34:333–42.

6. Luzi L, Barrett EJ, Groop LC, Ferrannini E, DeFronzo

RA. Metabolic effects of low-dose insulin therapy on

glucose metabolism in diabetic ketoacidosis. Diabetes

1988; 37:1470–77.

7. Hale PJ, Crase J, Nattrass M. Metabolic effects of

bicarbonate in the treatment of diabetic ketoacidosis.

Br Med J 1984; 289; 1035–8.

ART06986-Rev-B-MAN 8/22/05 11:02 AM Page 92

Distributed by:

Abbott Laboratories

Abbott Diabetes Care

Alameda, CA 94502

USA

Customer Care available 24 hours a day, 7 days a week at 1-800-527-3339

or visit us online at: AbbottDiabetesCare.com

Reorder No.: 70297-01

MediSense and Precision Xtra are trademarks of Abbott Laboratories.

ART06986 Rev. B 8/05

PRT06986 Rev. B 8/05

ART06986-Rev-B-CVR 8/15/05 2:11 PM Page 2

Medisense Blood Glucose Meter Art06986 Users Manual Precision Xtra Advanced Diabetes Management System

MediSense Blood Glucose Meter ART06986 ART06986-Rev-B

art06986 0b702622-2d48-4c0b-a73f-d28134d62c61 MediSense Blood Glucose Meter ART06986 User Guide |

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