i SENS GM505YAA AUTO-CHEK T User Manual User s Manual revised

i-SENS, Inc. AUTO-CHEK T User s Manual revised

Contents

User's Manual (revised)

                                  i-SENS, Inc. 465-6 Wolgye4-dong, Nowon-gu Seoul 139-845, Korea www.i-sens.com Medical Technology Promedt Consulting GmbH, Altenhofstrasse 80,D-66386 St. Ingbert, Germany ⓒ    2012    i-SENS, Inc. All Rights Reserved. PGA1E3121 REVx 05/2012 0123
      Owner’s Booklet      Blood Glucose Monitoring System        Data Transmission
       Welcome to the AutoChek t BGMS Blood Glucose Monitoring System  Thank you for purchasing the AutoChek t Blood Glucose Monitoring System.   The system provides you with safe, convenient, and painless blood glucose in vitro (i.e., outside the body) diagnostic monitoring. You can obtain accurate results in just 5 seconds with a small (0.5  ㎕  ) blood sample.  The AutoChek t Blood Glucose Monitoring System is intended for the quantitative measurement of glucose in fresh capillary whole blood samples drawn from the fingertips and alternative sites such as the forearm, palm, thigh, and calf.    The AutoChek t Blood Glucose Monitoring System is intended for self testing outside the body (in vitro) by people with diabetes at home as an aid to monitor the effectiveness of diabetes control.  The AutoChek t is capable of sending test results to AutoChek t’s remote database by using cellular data transmission. AutoChek t securely uploads and manages blood glucose readings, eliminating the need to maintain personal logbooks.
Table of Contents   Important Information : Read This First! -------------------------------------- 6 Important Information----------------------------------------------------------- 7 Specifications ------------------------------------------------------------------- 8 AutoChek t Blood Glucose Monitoring System ------------------------------ 9 AutoChek t Blood Glucose Test Strip --------------------------------------- 10 AutoChek t Blood Glucose Meter -------------------------------------------- 12 AutoChek t Blood Glucose Meter -------------------------------------------- 13 AutoChek t Blood Glucose Meter Display ---------------------------------- 14  Adjusting the Date, Time and Unit ------------------------------------------- 15 Setting up Your System ------------------------------------------------------- 15 Setting the Sound On/Off ---------------------------------------------------- 19 Setting the Cellular function On/Off ----------------------------------------- 20 Setting the ‘Test Result Reset’ ----------------------------------------------- 23 Checking the System --------------------------------------------------------- 24 Comparing the Control Solution Test Results ------------------------------ 27  Using the Lancing Device ---------------------------------------------------- 28 Preparing the Lancing Device for Blood Sample Retrieval --------------- 29 Preparing the Meter and Test strip ------------------------------------------ 31 Applying Blood Sample ------------------------------------------------------ 32 Information Preparation Testing
   Result Data Transmission I--------------------------------------------------- 34 Result Data Transmission II -------------------------------------------------- 35 Automatic time adjusting ----------------------------------------------------- 37 Discarding Used Lancets ----------------------------------------------------- 38 Alternative Site Testing ------------------------------------------------------- 39 HI and Lo Message ------------------------------------------------------------ 42 Target Blood Glucose Ranges ----------------------------------------------- 43  Meter Memory ----------------------------------------------------------------- 44 Setting the post-meal alarm (PP2 alarm) ------------------------------------ 46 Setting the Alarm Function --------------------------------------------------- 46 Setting the Time Alarms (alarm 1~3) ---------------------------------------- 48  Charging Your AutoChek t Blood Glucose Meter -------------------------- 50 Caring for Your System ------------------------------------------------------- 52 Understanding Error and Other Message ----------------------------------- 52 General Troubleshooting ----------------------------------------------------- 52 Understanding Error and other Message ----------------------------------- 53 Performance Characterstic --------------------------------------------------- 58 Warranty Information --------------------------------------------------------- 60 Additional function Maintenance
  www.i-sens.com                                                  6  To receive safe and optimum system benefits, please read the entire manual contents before the system. Please note the following instructions:  • Do not use the system for the diagnosis of diabetes or for   testing newborns. • Use only fresh capillary whole blood samples for testing. • Alterative site and fingertip test result may differ significantly due   to rapid change in the glucose level post meal, insulin injection,  or exercise.  The following chart explains the symbols you’ll find in the AutoChek t User Manual, product packaging, and product inserts.  For in vitro diagnostic use  This product fulfills the requirements for Directive 98/79/EC 0123 In vitro diagnostic medical devices  Cautions for safety and optimum product use  Consult instruction for use  Manufacturer  Serial number  Authorized representative  Do not reuse  Temperature limitations   Batch code  Use by (unopened or opened test strip container)  Do not discard this product with other household-type waste    Important Information : Read This First!
  www.i-sens.com                                                  7 · The AutoChek t blood glucose monitoring system is intended for self-testing outside the body (in vitro diagnostic use). · The glucose in the blood sample mixes with special chemicals on the test strip where to produce a small electrical current. The AutoChek t meter detects this electrical current and measures the amount of glucose in the blood sample. · The AutoChek t blood glucose meter is designed to minimize code related errors in monitoring by using the no-coding function. · The AutoChek t blood glucose meter should be used only with the AutoChek t strip. · Do not use the system for testing newborns or pregnant women because test results may be affected by the red blood cell count (hematocrit). · Very high (60% or more) or very low (20% or less) hematocrit can lead to incorrect test results. · A glucose value of less than 3.9 mmol/L may indicate hypoglycemia and a value of more than 13.3 mmol/L may indicate hyperglycemia.  If you need assistance, please contact your authorized i-SENS sales representative or visit www.i-sens.com for more information.      Important Information
  www.i-sens.com                                                  8  • Product specifications Reported result range  20 ~ 600 mg/dL(1.1 ~ 33.3 mmol/L) Sample size  Minimum 0.5 ㎕ Test time  5 seconds Sample type  Fresh capillary whole blood Calibration  Plasma-equivalent Assay method  Electrochemical Power  3.7V Lithium – Polymer Battery (Rechargeable Type) Memory  250 test result Size  45L x 96.9W x 18H (mm) Weight  66.1g  • Operating ranges Temperature  10~40°C(50 ~ 104  °F) Relativity humidity  10 ~ 90% Hematocrit  20 ~ 60%    Specifications
  www.i-sens.com                                                  9   •Components       •    Certain components may not be included depending on the   place of purchase •    Check all the components after opening the AutoChek t   blood glucose monitoring system package.   The exact contents are listed on the main box •    The cable for data transmission can be ordered separately. Please contact your authorized i-SENS sales representative.    ①Glucose Meter ②Lancing Device ③Lancets(10)  ⑦Carrying Case ④Owner’s Booklet  ⑧Test Strip ⑤Quick Reference Guide   ⑥Logbook   Autochek t Blood Glucose Monitoring System
  www.i-sens.com                                                  10  The AutoChek t blood glucose monitoring system measures blood glucose quickly and accurately. It automatically absorbs the small blood sample applied to the narrow edge of the test strip.      Autochek t Blood Glucose Test Strip
  www.i-sens.com                                                  11  Warning!  · The AutoChek t test strip should be used only with fresh capillary whole blood samples. · Do not reuse test strips. · Do not use test strips past the expiration date. · Test strips in new, unopened containers and test strips in containers that have been opened can be used up until the expiration date printed on the test strip box and container label if the test strips are used and stored according to its storage and handling methods. · Store test strips in a cool and dry place at a    temperature   · of 1 ~ 30˚C (34 ~ 86˚F). · Keep away test strips from direct sunlight or heat and do not refrigerate or freeze. · Store test strips only in their original vial. · Close the vial tightly after removing a test strip for testing and use the strip immediately. · Handle test strips only with clean and dry hands. · Do not bend, cut, or alter test strips in any way. · For detailed storage and usage information, refer to the AutoChek t test strip package insert.  Caution: Keep the meter testing supplies away from young children.
  www.i-sens.com                                                  12   Display Shows  results and messages  ▲▼ Buttons Select or changes information S Button Turns the meter on/off and   confirms menu   selections Test Strip Port Insert test strip here Autochek t Blood Glucose Meter
  www.i-sens.com                                                  13                          SIM Card Slot Insert a Mobile SIM Card Communication port Charging the   Battery  or  Used  to transfer  data  from  the meter to a computer a Mini USB Cable Autochek t Blood Glucose Meter Note: The mini USB cable for data transmission to PC can be ordered Separately, Please contact your authorized i-SENS sales representative.
  www.i-sens.com                                                  14               mem Appears when test result stored in the memory are displayed Sound icon Appears only when the sound is set to   OFF alarm Appears when the time alarm has been set check Appears when test result have not been savedmmol/L Unit for measuring blood glucose Battery icon Battery level indicatorPost-meal test flag Appears during post- Meal testing and When post-meal test Result are displayed Test result Test results   displaying panel Decimal point Appears when the blood glucose measuring unit is set to mmol/L mg/dL Unit for measuring blood glucose Blood insertion icon Unit for measuring blood glucose Autochek t Blood Glucose Meter Display Alarm icon Appears when the post -meal  alarm  has  beenset
  www.i-sens.com                                                  15  Press and hold the S button for 3 seconds to turnon the meter. After all settings are finished, press and hold the S button for 3 seconds to turn off the meter. Press ▲ or  ▼  to reach the accurate value. Press and hold  ▼  to scroll faster  Adjusting the Date, Time and Unit    Press and hold the S button for 3 seconds to   turnon the meter. After all the segments   flash across the screen, the ‘SET’ character icon   will be displayed on the screen.  Press the S button again to enter the year setting mode.     Enter the SET mode and press the S button until   the ‘AUT’ appears on the screen.   By pressing the S button one more time,   the meter will automatically adjust itself to   the correct current time.  (refer the Automatic time adjusting)    Setting up Your System Step 1 Entering the SET Mode Step 2 Select the automatic time adjusting mode
  www.i-sens.com                                                  16    If user didn’t select the ‘automatic time adjusting mode ‘ at the “Step 2”, The number that appears on the screen   after the meter is turned on indicates the year of   manufacture. Press and release the or to adjust until the correct year appears.   Press and hold the button to scroll through the   numbers quickly. After setting the year,   press the S button to confirm your selection and   enter the month setting mode   A number indicating the month will be   blinking on the left corner of the screen.   Press the  ▲ or ▼  until the correct month appears.  Press the S button to confirm your selection and   enter the date setting mode.      Step 3 Setting the Year Step 4 Setting the Month
  www.i-sens.com                                                  17    Press the▲ or ▼until the screen displays   The correct date. Press the S button to   confirm the date and enter the time setting mode.        The meter can be set in    AM/PM 12-hour or   24-hour clock format. Press the▲ or ▼  to select a   format. The AM / PM icon is not displayed in the 24- hour format. After selecting the format press the S  button to enter the hour setting mode.    Press the  ▲  or  ▼  until the correct hour   appears. After the hour is set, press the S  button to enter the minute setting mode.     Step 5 Setting the DateStep 6 Setting the TimeStep 7 Setting the Hour
  www.i-sens.com                                                  18    Press the    ▲ or ▼  until the correct minute   appears. After setting the minute, press the S  button to enter the unit setting mode   Step 8 Setting the Minute
  www.i-sens.com                                                  19  Setting the Sound On/Off    On the sound option menu, pressing the  ▲ or ▼, the screen will display the On or OFF. Press the S button to confirm the selection.  The meter will beep in the following instances,   if the meter’s sound is set to On. • When the test strip is inserted in the meter  • When the blood sample is absorbed into the test strip and the test starts  • When the test result is displayed  • When you push the    S button or  ▲button to check the memory  • When you push the  ▲  button to set the post-meal (PP2) alarm  • When it is time for a preset blood glucose test  If the sound is set to OFF, none of the sound   functions will work      Note: Only when the sound is set to OFF, icon appears on the display Step 9
  www.i-sens.com                                                  20  Setting the Cellular function On/Off    Enter the SET mode and press the S button until   the ‘CEL’ appears on the screen. On this screen, the cellular function of the meter can be activated   or deactivated.            From the ‘CEL’ screen, press the ▲ or ▼ button until   the ‘On’ character icon appears on the screen. Press the S button to turn on the cellular function of the meter.  From the ‘CEL’ screen, press the ▲ or ▼ button until OFF’ appears on the screen. Press the S button to turn   off the cellular function of the meter.       Step 10 Step 11
  www.i-sens.com                                                  21    Once the cellular function of the meter is turned on,   the meter can immediately transmit the test result   data to the designated server by choosing Transfer Mode 1 (T1 mode).  After turning on the cellular function is turned on, the ‘T1’   will be appeared, once the ‘T1’ appears, press the S button to choose Transfer Mode 1    Once the cellular function of the meter is turned on, the meter can transmit the test result data to the   designated SMS server once a day at a reserved   time by choosing Transfer Mode 2 (T2mode).  In order to choose Transfer Mode 2, press the ▲ or ▼ until   ‘T2’ appears from the ‘T1’ screen. Once the ‘T2’ appears, press the S button and the ‘OFF’ will blink. Press the ▼ button to turn on Transfer Mode 2.      Step 12 Step 13
  www.i-sens.com                                                  22    Once Transfer Mode 2 is turned on,     press the ▲ or ▼ until the correct hour appears.   After the hour is set, press the S button to enter   the minute setting mode. Press the ▲ or ▼  until the correct minute appears. Once correct   hour and minutes are set, press S button to   confirm the schedule.             Step 14
  www.i-sens.com                                                  23  Setting the ‘Test Result Reset’ (Deleting all the saved test result)      In this mode all the test results stored in the meter can be deleted.   Please note that if you select YES, all the stored test results will be deleted and   cannot be restored. After the beeper mode is set,   press the S button to enter the ‘Test Result Reset’   mode.   The ‘dEL’ will blink on the screen.   Press the  ▲  or  ▼  to alternate between ‘YES’ or   ‘no’. To delete all the stored test results press the   S button when the screen displays   ‘YES’. Then, all the test results stored in   the meter will be deleted and the screen will   be similar to the picture on the right. If you do not want to delete the results press the S button when the screen   displays ‘no’. Then, the screen will return to step 2. Please, see page 12.    Note: At any stage, If the S button is pressed for 3 seconds, Time, Date another setting mode will finish and meter will be turned off. Press and hold the  ▼  to scroll through number quickly Step 15
  www.i-sens.com                                                  24    You may check your meter and test strips using the AutoChek t Control Solution.  The AutoChek t Control Solution contains a known amount of glucose and is used to check that the meter and the test strips are working properly.  The test strip vials have AutoChek t Control Solution ranges printed on their labels. Compare the result displayed on the meter to the AutoChek t Control Solution range printed on the test strip vial. Before using a new meter or a new vial of test strips, you may  conduct a control solution test following the procedure on page 18.  Note: • Use only the AutoChek t Control Solution. • Check the expiration dates printed on the vial. When you first open a control solution vial, record the discard date (date opened plus three months) in the space provided on the label. • Make sure your meter, test strips, and control solution are at room temperature before testing. Control Solution tests must be done at room temperature (20 ~ 25˚C, 68 ~ 77˚F). • Before using the control solution, shake the vial, discard the first few drops and wipe the tip clean. • Close the control solution vial tightly and store at   a temperature of 8 ~ 30˚C (46 ~ 86˚F).  You may do a control solution test: • When using the meter for the first time.  • Whenever you open a new vial of test strips. • If the meter or test strips do not function properly. • If your symptoms are inconsistent with the blood glucose test results, and when you feel that the meter or test strips are not working properly • If you drop or damage the meter.   Checking the System
  www.i-sens.com                                                  25      Control Solution Testing    Insert a test strip into the meter’s test strip port, with the contact bars facing upwards.   Gently push the test strip into the port until the meter beeps.   Be careful not to break the strip while pushing it in. The         icon will be displayed on the screen.       Shake the AutoChek t Control   Solution vial before each test. Remove the cap and squeeze the vial to discard the first drop. Then   wipe the tip with a clean tissue   or cloth. After the           symbol appears on the display, apply the solution to the narrow edge of the   test strip until the meter beeps.   Make sure the confirmation window fills completely.   Caution: If all the results you get from testing continuously (at least three times)are within the range printed on the test strip, the meter and test strips are working properly and you may use them for your blood glucose test. Step 1 Step 2
  www.i-sens.com                                                  26        A test result will appear after the meter counts down from 5 to 1. After your control solution result appears on the display, press the  ▼  for 3 seconds until the ‘check’ icon appears on the display. When the ‘check’ icon is displayed, the result is not stored in the meter’s memory and is not included in the averages.     Compare the result displayed on the meter to the range printed on the test strip vial. The result should fall within     the range on the test strip vial.  Used strips should be discarded and disposed.  Note: The meter may be turned off, if the blood sample is not applied within  2 minutes of the         icon appearing on the screen.  If the meter is turned off, remove the strip, reinsert, and start from step 1. Step 3 Step 4 Caution: • If the results you get are not within this range, the meter and test strip may not work properly. Then, stop using the meter and contact the nearest i-SENS representative.  • The range printed on the test strip vial is for the AutoChek t   Control Solution only. It does not have any connection to your   blood glucose level.
  www.i-sens.com                                                  27  Comparing the Control Solution Test Results Repeat the control test if the test result falls outside the range   printed on label of the test strip vial. Out of range results   may occur due to the following factors:  • When the control solution vial was not shaken well,   • When the control solution is past its expiration date or is contaminated,   • When the meter, the strip or the control solution were exposed to high or low temperatures,   • When the first few drops of the control solution were not discarded or the tip of the vial was not wiped clean,   • When the test strip is past its expiration date,   • When the meter is not functioning properly.          Note: The AutoChek t Control Solution can be purchased separately. Please contact your authorized i-SENS sales representative.
  www.i-sens.com                                                  28  You will need a lancing device in order to collect a blood sample. You may use the lancing device contained in the AutoChek t Blood Glucose Monitoring System or any other medically approved lancing device.    • The lancing device should be used by one individual and communal use is strongly discouraged • Use a soft cloth or tissue to wipe the lancing device. If necessary, a small amount of alcohol on a soft cloth or tissue may be used.     Caution: To avoid infection when drawing a sample, use a lancet only one time, and: • Do not use a lancet that has been used by others.   • Always use a new sterile lancet.   • Keep the lancing device clean.   Note: Repeated puncturing at the same sample site may cause pain or skin calluses. Choose a different site each time you test.Using the Lancing Device
  www.i-sens.com                                                  29  Preparing the Lancing Device for Blood Sample Retrieval   Wash hands and fingertip sample site with   soap and warm water.   Rinse and dry thoroughly.       Unscrew the lancing device tip        Firmly insert the new lancet into the lancet   holder. Hold lancet firmly.   Gently twist to pull off the protective disk.   Save the disk to recap the lancet after use.   Replace the lancing device tip.   Step 1 Step 2 Step 3
  www.i-sens.com                                                  30    Select a desired depth of one-to-five   (1-5) on the lance’s adjustable tip. Rotate   the to align the desired number with the  A beginning setting of three (3) is recommended.     To cock the lancing device, hold the tip in one hand. Pull the sliding barrel on with the other hand. The lancing device is cocked when you feel a click.     Step 4 Step 5 Note: The skin depth to retrieve samples will vary for various people at different sample sites. The lance’s adjustable tip allows the best depth of skin penetration for an adequate sample size. A beginning setting of three (3) is recommended.
  www.i-sens.com                                                  31  Preparing the Meter and Test strip    Insert a test strip with the contact bars   facing upwards into the meter port.   Push the strip in gently until the meter beeps.   Be careful not to bend the test strip.   The         symbol will appear on the screen.           If you want to attach an post-meal flag (        )   to a test result, press and hold the  ▼ for 3  seconds after inserting the test strip. The post-meal flag(    ) and the         symbol will appear on the screen The test result will also be displayed with the post -meal flag(    ). If you do not want to save the result the result as a   Postmeal test, move on to the step 8 after the step 6.  Flagging Post-meal Test Result The AutoCheck t meter allows you to flag a result of an post-meal test with the (        ) icon. The post-meal test flag (        ) can be attached just before applying the blood sample. Once you attach the post-meal flag (        ) to the test results, it cannot be deleted. Step 6 Step 7
  www.i-sens.com                                                  32  Applying Blood Sample   Obtain a blood sample using the lancing device. Place the device against the pad of the finger. The best puncture sites are on the middle or ring fingers. Press the release button. Remove the device from the finger. Wait a few seconds for a blood drop to form. A minimum volume of 0.5 microliter is needed to fill the   Confirmation window. (actual size of 0.5㎕ : • )    After the         symbol appears on the screen, Apply the blood sample to the narrow end of the test strip till the meter beeps. If the confirmation window filled before the meter   Finishes down then discard the test strip new one. If confirmation window is not filled in because of Abnormal viscosity or insufficient volume,   Er4 message will appear.      Step 8 Step 9 Note: The meter may switch off if the blood sample is not applied within 2 minutes of The          icon appearing on the screen. If the turns off, remove the strip and reinsert into the meter.
  www.i-sens.com                                                  33    The test result will appear after the meter   counts down from 5 to 1. The result will   be automatically stored in the meter’s   memory. If the test strip is removed after the test   result is displayed, the meter will be automatically   turned off after 3 seconds.  Discard used test strips safely    and dispose.      Step 10
  www.i-sens.com                                                  34  Result Data Transmission I   In the “T1” mode, the measured data is sent to   a server immediately after each measurement.   (Refer the Setting the Cellular function On/Off ) After measuring Blood glucose and discard an used test strip, the meter will starting the data transfer operation. ‘Snd’ will be appeared on the screen.    Once the data transfer begins, the progress indication dash dot (blinking) will be appeared at the bottom of the   screen.     When the meter successfully sent the test result, ‘SUCC ESS’ will be appeared at the bottom of the screen.  Step 1 Step 2 Step 3
  www.i-sens.com                                                  35  Result Data Transmission II   Transfer mode 2 (T2 Mode) (Refer the Setting the Cellular function On/Off ) User can set the schedule, then BGM sends   all test results to the server once a day only at a   reserved time.     At the reserved time, GSM meter wakes up   automaticallyandgathering all measured data of the day   The data will be sentto the server. “Snd” appears during the   data transfer.        At the bottom of thescreen, it displays the progress indicator dots.      Step 1 Step 2 Step 3
  www.i-sens.com                                                  36      When the meter successfully sent the test result, ‘SUCC ESS’ will be appeared at the bottom of the screen.     Step 4
  www.i-sens.com                                                  37  Automatic time adjusting   In the sleep mode, press the  ▼  button until display “TIM”       When “TIM” appears, release the  ▼ button       When the Autochek t    retrieve cellular network time, it will display the local time at the bottom of the screen.  Step 1 Step 2 Step 3
  www.i-sens.com                                                  38  Discarding Used Lancets   Unscrew the general lancing device tip.       Place the protective cover on the lancet. Push the lancet ejector forward with the thumb and simultaneously pull out the sliding barrel to dispose the used lancet into a proper biohazard container.          Step 1 Step 2 Cautions: The lancet is for single use only. Never share or reuse a lancet. Always dispose of lancets properly.
  www.i-sens.com                                                  39   AutoChek t BGMS is caplable of testing your blood glucose from your palm, arms, tight, or calves, usually referred to as an alternative site test, or AST. Alternate site testing can be less painful than fingertip testing,. However, because of the physiological differences between your fingertip and palm, AST results may be significantly different. While AST may reduce the pain during testing, it may not be simple for everyone and the following precautions should be observed during testing.  You should consult with your doctor before using alternate site testing.    Please understand the following informationbefore testing outside of the fingertip (palm, arms, thighs, or calves). The capillary blood of the fingertip shows the change in glucose more rapidly   than AST.   Therefore, the test results from the fingertip test and AST may differ.   This might caused by    lifestyle or    ingested food have an effect on   glucose levels.   What is AST(Alternative Site Testing)? Things to know when using AST Alternative Site Testing
  www.i-sens.com                                                  40  Acceptable situation for AST • Fasting period • Before a meal • Before sleeping        • Do not ignore the symptoms of hyperglycemia or hypoglycemia. • When the results of the test do not reflect one’s opinion, retest using the fingertip test. If the test results do not reflect one’s opinion, please consult a doctor. • Do not rely on the AST results for changing one’s treatment method • The amount glucose in alternative sites differs from person to person • Before using AST, please consult your regular physician   Situation requiring fingertip test • When the glucose levels are rapidly increasing during the   two hours after a meal or exercise • When sick or when glucose levels seem quite lower than test value • When hypoglycemia is not well recognized • When insulin has the biggest effect 2 hours after an insulin injection  •   •  •  •  AST Precautions
  www.i-sens.com                                                  41                       Note: Results from alternative site and fingertip samples may appear differently as there is a time lag for the glucose levels to reach the same value. Use a fingertip for drawing if you suffer from hypoglycemia or have experienced hypoglycemic shock or symptoms. drawing if you suffer from hypoglycemia or have experienced hypoglycemic shock or symptoms.Note: If the sample drop of blood runs or spreads due to contact with hair or with a line in you palm, do not use that sample. Try puncturing again in a smoother area.
  www.i-sens.com                                                  42   The meter displays results between 20 ~ 600 mg/dL (1.1 ~ 33.3 mmol/L). The Hi icon will be appeared when the blood glucose level is more than 600 mg/dL (33.3 mmol/L) and indicates hyperglycemia. If the Hi icon is displayed again on re-testing, please contact your healthcare professional immediately.    The Lo icon appears when the result is less than 20 mg/dL (1.1 mmol/L) and indicates hypoglycemia If the Lo icon is displayed again on re-testing, please contact your healthcare professional immediately.      HI Message Lo Message Note: Please contact your authorized i-SENS sales representative,   if such messages are displayed even though you do not have   hyperglycemia or hypoglycemia.HI and Lo Message
  www.i-sens.com                                                  43               Source : Diagnosis of Diabetes, NIH Publication  No. 05-4642, January 2005     Reminders         Your target ranges Time of day            from your healthcare expert Before breakfast Before lunch or dinner 1 hour after meals 2 hour after meals Between 2 a.m. and 4 a.m. Target Blood Glucose Ranges
  www.i-sens.com                                                  44  The AutoChek t meter can save up to 500 glucose test results with time and date. If the memory is full, the oldest test result will be deleted and the latest test result   will be stored.  The AutoChek t meter calculates and displays the averages of total test results,   pre-meal test (Pr) results, and post-meal test ( ) results from the last 1, 7, 14, 30   and 90 days.  Viewing Test Result Stored in the Meter’s Memory   Press the  ▲  or S button to turn the meter on. p The current date and time will be displayed   at the bottom of the screen for 2 seconds,   followed by the 1 day average value and   the number of the test results saved within   the last 14 days.    Press the  ▼ button to view the average value and the number of tests performed before a meal for the last 14 days. Press the  ▼  button again to check the   average value and the number of tests performed after a meal for the last 14 days.   Step 1 Step 2 Meter Memory
  www.i-sens.com                                                  45    Use the  ▼  button to scroll through the test results, starting from the most   recent and ending with the oldest. Press the  ▲  button to return to the result seen previously. After checking the stored test results, press the S button to turn off the meter.       Step 3 Note: Bypressing the  ▼  button ,the latest test result saved in the meter’s memory will be displayed on the screen along with the date and time.   Press and hold the▼  button to scroll through the test results.
  www.i-sens.com                                                  46  Four types of alarms can be set in the AutoChek t meter: one post- meal alarm   (PP2 alarm) and three time set alarms (alarm1 ~ 3). The PP2 alarm goes off 2 hours after setting the alarm. The alarms ring for 15 seconds and can be silenced by pressing ▲,▼, or the S button.  Also the alarms can be turned of by inserting a test strip. Setting the post-meal alarm (PP2 alarm)    Without inserting a test strip,   press and hold the  ▲  button for 3 seconds to set the   post-meal alarm. The ‘PP2’ character,   the bell ( ) icon and then the ‘On’ character   will be displayed. The screen will then   automatically be switched to the memory   check mode. Thenthe bell ( ) icon,   which indicating that the PP2 alarm has been set,   will be displayed on the screen.   Step 1 Setting the PP2 alarm On Setting the Alarm Function
  www.i-sens.com                                                  47    To turn off the PP2 alarm, press and hold   the  ▲  button for 3 seconds. The ‘PP2’ character, the bell ( ) icon, and then the ‘OFF’ character will be appeared on the screen. Then the   screen will be switched     automatically to the   memory check mode without the bell ( ) icon   being displayed.   Step 2 Setting the PP2 alarm Off
  www.i-sens.com                                                  48  Setting the Time Alarms (alarm 1~3)   Without inserting a test strip, press the  ▲  button and   the S button simultaneously for 3 seconds   to enter the time alarm mode. The ‘alarm1’   will be displayed while the ‘OFF’ character   blinks on the screen.    By pressing the  ▼  button, the ‘alarm1’ is set and the   ‘On’ character will be displayed on the screen. Press the  ▼  button again to cancel the ‘alarm1’. The   ‘OFF’ icon will be blinked on the screen.      Press the  ▲  button to adjust the time of the ‘alarm1’.   A number representing the time will be blinked   on the screen. Press    the  ▼  button to set the time.   Press  the ▲  button to end.    Step 1 Step 2 Step 3
  www.i-sens.com                                                  49    By pressing the  ▲  button, the number indicating the   minute will start blinking. Press the  ▼  button to set the   accurate minute.      Press the S button to finish and to enter the   ‘alarm 2’ mode. Repeat steps 2 to 5 to set the remaining   time alarms (alarm 2 ~ 3).      Press the S button for 3 seconds to finish   and turn the meter off.  Step 4 Step 5 Step 6
  www.i-sens.com                                                  50  Charging Your AutoChek t Blood Glucose Meter    Plug the mini USB cable into AC adaptor   Plug the other end of the mini USB cable   into the BGM’s charging port which is located   on the side of the BGM.   Once the mini USB cable is plugged, the BGM will start charging and the ‘Chr’ will be displayed on the screen.                Step 1
  www.i-sens.com                                                  51     Once charging is completed, the ‘End’ will be appeared at bottom left of the screen.                Step 2 Caution : If the meter won’t charge, please do not attempt to take apart, repair, or modify the meter. Please contact your authorized i-SENS sales representative,
  www.i-sens.com                                                  52  Use a soft cloth or tissue to wipe the meter exterior. If necessary the soft cloth or tissue might be dipped in a small amount of alcohol. Do not use organic solvents such as benzene, or acetone, or household and industrial cleaners that may cause irreparable damage to the meter. Store all the meter components in the portable case to prevent loss.   Caution •      Do not expose the meter to direct sunlight or heat for an   extended period of time. •      Prevent the entry of dirt, dust, blood, or water at the meter’s   test strip port. •      Do not drop the meter or submit it to strong shocks. •      Do not try to fix or alter the meter in any way. •      Keep the meter away from strong electromagnetic fields   such as cell phones and microwave ovens. •   AutoChek t meter should be used only with AutoChek t   strips. •      Keep the meter in a cool and airy place.    Caring for Your System
  www.i-sens.com                                                  53   Message  What It Means  What To Do  A used test strip was   inserted. Repeat the test with a new test strip.  The blood or control   solution sample was   applied before the   icon  appeared. Repeat the test with a   new test strip and   wait until the   icon appears before   applying the blood   sample.  The temperature   during the test was above or below the operating range. Move to an area   where the temperature is within the operating range   (10 ~ 40 °C/ 50 ~ 104   °F) and repeat the test after 30 minutes.      Understanding Error and other Message
  www.i-sens.com                                                  54   Message  What It Means  What To Do  The blood sample   has abnormally high viscosity or   insufficient volume. Repeat the test after   inserting a new test   strip.  A non-AutoChek t test strip was used. Test strip was not   inserted properly. Repeat the test with a   AutoChek t test strip. Insert a test strip with   the contacting bars   facing upwards and   push in gently until   the meter beeps.  There is a problem   with the meter. Do not use the meter.   Contact your   authorized i-SENS   sales representative.    Note:   if the error messages persist, contact your authorized i-SENS sales representative
  www.i-sens.com                                                  55   Message What It Means What To Do   When battery level is low  Charge the battery.  SIM Card error: No SIM Card or invalid   SIM Card insertion Check if the SIM card is Properly inserted in the Meter. If the SIM card is Properly inserted. Check If there is any defect on the SIM card  Radio Signal error: Can’t detect GSM Signal Or Signal strength is not enough Check to see if there is Cellular coverage in your Area. Please move to the Area where you get better Cellular coverage.
  www.i-sens.com                                                  56   Message What It Means What To Do  Network registration error:System can’t register at   Service network (AT&T, T-mobile or other Service providers) Check if the SIM card Is properly inserted in The meter or contact The service provider To see if there is any   Network issue  Message Send error: Your data transmission is Not successful Try to send the test Result data one more time. If the meter fails to send the test result data,   Please contact your authorized i-SENS sale representative  System Error: GSM MODEM Hardware Error occurred Please contact your Authorized i-SENS sales representative
  www.i-sens.com                                                  57  Problem Trouble shooting The display is blank even after inserting a test strip.   Check whether the test strip is inserted with the contact bars facing up. Check if the strip has been   inserted completely till the end.   Check whether the batteries are inserted with the ‘+’ side facing up.  Charging the batteries. The test does not   start even after   applying the blood sample on the strip   Check if the confirmation window is filled adequately.     Repeat the test after inserting a new    test strip. The test result   doesn’t match your   expectation.   Repeat the test after inserting a new test strip.   Check the validity period of the test    strip.   Check the meter. The data transmission is Not successful   Check the battery level   Check the SIM card is properly inserted in the meter or if the SIM card is activated.   If testing indoors, move closer to a window for better cellular reception   Test outdoors and check see if there is cellular coverage in your area     Note:   If the problem is not resolved, please contact your authorized   i-SENS sales representative.
  www.i-sens.com                                                  58     The performance of AutoChek t Blood Glucose Monitoring System Strips has been evaluated in laboratory and in clinical tests.   Accuracy: The accuracy of the AutoChek t BGM System (ModelGM505YAA) was assessed by comparing blood glucose results obtained by patients with those obtained using a YSI Model 2300 Glucose Analyzer, a laboratory instrument   The following results were obtained by 110 diabetic patients at clinic centers.  Accuracy results for glucose concentration<75 mg/dL (4.2 mmol/L)  Accuracy results for glucose concentration≧75 mg/dL (4.2 mmol/L)      Slope Y-intercept Correlation coefficient(r) Number of sample Range tested 0.961 3.5 mg/dL 0.995 110 30 ~ 485 mg/dL Within±5mg/dL (Within±0.28mmol/dL) Within±10mg/dL (Within±0.56mmol/dL) Within±15mg/dL (Within±0.83mmol/dL) 13/17(76%) 16/17(94%)  17/17(100%) Within±5% Within ±10% Within±15% Within±20% 45/93(48%) 88/93(96%) 93/93(100%) 93/93(100%) Performance Characteristic
  www.i-sens.com                                                  59  Precision: The precision of AutoChek t Test strip was estimated with venous   blood sample in the laboratory.  Within Run Precision Blood average  38.1 mg/dL (2.1 mmol/L)  SD = 1.9 mg/dL (0.11 mmol/L) Blood average  86.1 mg/dL (4.8 mmol/L)  SD = 3.2 mg/dL (0.2 mmol/L) Blood average  124.5 mg/dL (6.9 mmol/L)  CV = 4.1% Blood average  189.1 mg/dL (10.5 mmol/L) CV = 2.6% Blood average  334.5 mg/dL (18.6 mmol/L) CV = 2.8%  Total Precision Control average  43.1 mg/dL (2.4 mmol/L)  SD = 2.0 mg/dL (0.11 mmol/L) Control average  113.4 mg/dL (6.3 mmol/L)  CV = 3.3% Control average  381.2 mg/dL (21.2 mmol/L)  CV = 4.2%  This study shows that there could be variation of up to 4.2%
  www.i-sens.com                                                  60  Manufacturer’s Warranty   i-SENS, Inc. warrants that the AutoChek t Meter shall be free of   defects in material and workmanship in normal use for a period   of five (5) years. The meter must have been subjected to normal   use. The warranty does not cover improper handling, tampering,   use, or service of the meter. Any claim must be made within the   warranty period.  The i-SENS company will, at its discretion, repair or replace a   defective meter or meter part that is covered by this warranty.   As a matter of warranty policy, i-SENS will not reimburse the   consumer’s purchase price.  Obtaining Warranty Service To obtain warranty service, you must return the defective meter   or meter part along with proof of purchase to your nearest   i-SENS Authorized Warranty Station. Warranty Information
 * FCC   RF Exposure Statement (2.1091)  FCC RF Radiation Exposure Statement: This equipment complies with FCC rf radiation exposure limits set forth for an uncontrolled environment based on the low operational duty cycle for this device.  Do not make more than one measurement every 2 hours when using T1 mode.    RF du FCC d'exposition  aux  radiations: Cet équipement est  conforme à l'exposition de la  FCC rayonnements RF limites établies pour un environnement non contrôlé. Cet appareil et son antenne ne doivent pas être co-localisés ou fonctionnant en conjonction avec une autre antenne ou transmetteur.    This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.    FCC Part 15.21  Any changes or modifications (including the antennas) made to this device that are not expressly approved by the manufacturer may void the user's authority to operate the equipment.    Part 15.105 (B)  Note : This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation This 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.  --Connect the equipment into an outlet on a circuit different from that to which the receiver is connected.  --Consult the dealer or an experienced radio/TV technician for help.  Modifications not expressly approved by the manufacturer could void the user's authority to operated the equipment under FCC rules.

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