iXensor POC-X01 PixoTest POCT Analyzer User Manual

iXensor Co. Ltd. PixoTest POCT Analyzer Users Manual

Users Manual

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Instructions for Use
PixoTest Point of Care Test
(POCT) System
文件名稱 Instruction for Use
表單編號:FT‐73‐01‐0008‐0007A
Doc. No. 文件編碼 CDM‐C01‐C3‐IFU‐POCX1‐ALL‐01
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The Instruction for Use of PixoTest POCT System on PixoTest A1c & Lipid test strip ............ 1
1.
Indication for use ................................................................................................................ 4
2.
Test principle....................................................................................................................... 4
3.
Before test .......................................................................................................................... 4
4.
The PixoTest POCT System includes ................................................................................ 5
5.
Test strip ............................................................................................................................. 5
6.
Settings ............................................................................................................................... 6
7.
Preparing for measurement ............................................................................................... 6
8.
Running test‐A1c ................................................................................................................. 7
9.
Running test‐lipid ................................................................................................................ 9
10. Understanding result .......................................................................................................... 9
11. Record ............................................................................................................................... 10
12. Calibration ......................................................................................................................... 11
13. Control solution test ......................................................................................................... 11
14. CS test for A1c ................................................................................................................... 12
15. CS test for Lipid ................................................................................................................. 13
16. Control Solution range and meaning ................................................................................ 13
17. Shutdown procedure ........................................................................................................ 13
18. Maintenance and troubleshooting ................................................................................... 14
19. Clean and disinfection ...................................................................................................... 14
20. Error and Warning message ............................................................................................. 18
21. Disposal information ......................................................................................................... 20
22. Product information ......................................................................................................... 20
23. Limitation .......................................................................................................................... 22
24. Manufacturer .................................................................................................................... 22
25. Symbol .............................................................................................................................. 22
26. Servicing ............................................................................................................................ 23
27. Limited Warranty .............................................................................................................. 23
文件名稱 Instruction for Use
表單編號:FT‐73‐01‐0008‐0007A
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Appendix 1: Reference……………………………………………………………………………………………………………………………………..24
1. Indication for use
The iXensor PixoTest POCT System is comprised of PixoTest A1c/Lipid Test Strip, PixoTest POCT
Analyzer, PixoTest POCT Calibration Card, and the PixoHealth POCT‐A1c/Lipid APP as the display
component of the system. The iXensor PixoTest POCT System is intended to be used for the quantitative
measurement of HbA1c and Lipids (including Total ciholesterol, Triglycerides, and High‐Density Lipoprotein
(HDL) cholesterol) in whole blood from both capillary and venous. Estimated values for Low‐Density
Lipoprotein (LDL) cholesterol are calculated by the PoxoHealth POCT‐Lipid APP.
The PixoTest POCT System is a professional use only product and intended for in vitro diagnostic use and is
not intended for use on neonates. Untrained personnel could perform it well
2. Test principle
The iXensor PixoTest POCT System combines enzymatic methodology and reflectance photometry to
measure HbA1c and Lipids. Samples from both capillary and venous whole blood can be used. This whole
blood sample is applied to PixoTest A1c/Lipid Test Strip, and a reaction occurs to produce a color that is
read by using reflectance photometry of the reagent area. The level of color produced is proportional to the
concentration.
PixoTest POCT System‐A1c uses an anti‐HbA1c (%) antibody which is specific for the first few amino acid
residues of the glycated N‐terminus of the ß‐chain of hemoglobin A0. PixoTest A1c Test Kit contains the
PixoTest A1c Test Strip (nitrocellulose membrane), Spoit with latex‐tablet (blue dyed latex micro particles
conjugated to specific antibodies) and Buffer solution tube (hemolysis reagent). When whole blood is added
to the buffer solution and is mixed with the latex‐tablet, the erythrocytes are instantly lysed to release the
glycated hemoglobin (hereafter, HbA1c). When the sample mixture is loaded onto the sample port of the
test panel, the mixture fluid migrates along the membrane of the test panel by capillary action, and the
HbA1c is then immobilized onto the anti‐HbA1c antibody coated line. The amount of the blue conjugates on
the anti‐HbA1c line reflects the amount of HbA1c in the sample, the intensity of hemoglobin color
measured from the desired area on the membrane of test panel is measured. Chemical and immune
reaction that occurs on the test strip is measured by the optical system in PixoTest POCT System. This
system measures both fractions and an algorithm which converts the result into the percentage HbA1c in
the sample.
PixoTest POCT System‐Lipids combines enzymatic methodology and reflectance photometry to measure
Total cholesterol, Triglycerides, and HDL cholesterol. When whole blood sample is applied to PixoTest Lipid
Test Strip, the blood reacts to produce color that is read by using reflectance photometry of the reagent
area. The level of color produced is proportional to the concentration. All lipid enzymatic reactions can refer
to Lipid test strip insert.
3. Before test
Before using this product to test your A1c and Lipids, carefully read this Instruction for Use. Prior to
launching the PixoHealth POCT A1c/Lipids App, use the PixoTest POCT Calibration Card to verify that the
PixoTest POCT System is working properly. The A1c/Lipids Control Solution is used to verify that the
PixoTest POCT System and PixoTest A1c/Lipid Test Strip are working properly.
NOTE
The battery life needs to be over 20% before using the PixoTest POCT System.
Do not charge your PixoTest POCT System when it is in use.
If the battery is below 20% or charging, an error will appear and the test cannot be started.
文件名稱 Instruction for Use
表單編號:FT‐73‐01‐0008‐0007A
Doc. No. 文件編碼 CDM‐C01‐C3‐IFU‐POCX1‐ALL‐01
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4. The PixoTest POCT System includes
The PixoTest POCT Analyzer :
* PixoHealth POCT A1c/Lipid App
* USB Charger
* Indications For Use
* USB Type C Charge Cable
* Test Strip Insert
* PixoTest POCT Calibration Card
Fig.1 Front sight of PixoTest POCT Analyzer (POC‐X01)
Fig.2 Back sight of PixoTest POCT Analyzer (POC‐X01)
Display
Shows a test result, messages, and the test results
stored in memory.
Sliding Door
Open to apply sample.
Item Selection Key
Select measurement mode.
Power Key
Press to turn analyzer ON or OFF.
USB Charge Port
Charge the analyzer.
Protection Cover
Remove to clean.
Lipid Test Strip Slot
Insert a lipid test strip here.
A1c Test Strip Slot
Insert A1c test strip here.
Strip Module
Strip Module Lock Switch
Unlock to change the strip module.
Camera Module
Scan QR code
5. Test strip
PixoTest POCT System includes PixoTest POCT A1c Test kit and PixoTest POCT Lipid Test Strip (both sold
separately). The following contents are included:
PixoTest POCT A1c Test kit (use with PixoTest POCT Analyzer):
• 20 PixoTest A1c Test Strips (for different package)
• 20 Spoit with latex‐tablet
• 20 Buffer solution tube
• 1 package insert
文件名稱 Instruction for Use
表單編號:FT‐73‐01‐0008‐0007A
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PixoTest POCT Lipid Test Strip (use with PixoTest POCT Analyzer):
• 25 PixoTest Lipid Test Strips (for different package)
• 1 package insert
6. Settings
When using the PixoTest POCT System for the first time, perform the following steps:
Step 1. Press the Power Key for 2 seconds to turn on the Analyzer.
Step 2. Slide up the screen to unlock the Analyzer.
Step 3. Select “Language” option. The selected language is shown on the 2nd line item.
Step 4. Turn on the Wifi connection, typing in the password if necessary. Connection status is shown at the
2nd line item.
Step 5. Click “Version Check” to verify that the most up‐to‐date APP version is installed or needs to be
updated.
Step 6. Select “Time Zone” option to set the 24‐hour Format, and manually select the correct time zone.
Step 7. Press “Next” on the System Activation screen to scan the product key which is provided by the local
distributor or the service center to activate the analyzer. Once it is activated, press “Finish” button to
complete all settings.
On Home screen, the main screen of the PixoTest POCT system, press the “Settings” button for the change
of the system settings, includes Language, Wifi and Time Zone.
NOTE
After completing all settings, a calibration is required before operating, and must be done daily. Refer to
Chapter 13 for the calibration process.
7. Preparing for measurement
The iXensor PixoTest POCT System
• PixoTest A1c/Lipid Test Strip
• PixoTest POCT Analyzer : POC‐X01
• PixoHealth POCT‐A1c/Lipid APP
• PixoTest POCT Calibration Card
• A1c/Lipid Control Solution
• Spoit with latex‐tablet and Buffer solution tube for A1c test
• 35 µl tube for Lipid test*
• Instructions for use
• Additional required materials:
• Alcohol swabs to clean puncture site
• The EPA‐registered disinfectant wipes to disinfect the surface of POCT system
• Lancets for capillary or venous blood collection supplies (vacuum collection tubes, needles and tube
holders)
• Gloves
• Biohazard waste containers
NOTE
*: 35 µl tube are not included and can be purchased from a local distributor; collect sample with a suitable
tool for 35µL (ex: micropipette or quantitative dropper.)
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表單編號:FT‐73‐01‐0008‐0007A
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POC‐X01
PixoTest POCT System is intended to monitor A1c and Lipids using POC‐X01 (Fig.1) to conduct the test.
Item selection key: To test A1C, slide the Item Selection key to the “II” indication. To test Lipids, slide the
item selection key to the “I” indication.
Sliding door: When testing Lipids, open the sliding door to insert the PixoTest lipid test strip into the Lipid
Test Strip Slot.
A1c Test Strip Slot: To insert the PixoTest A1c test strip into the A1c test strip slot (Fig.2).
Lipid Test Strip Slot: To insert the PixoTest lipid test strip into the lipid test strip slot (Fig.2)
CAUTION
• Keep PixoTest Lipid Test Strip stored in a dry place between 36 – 90°F(2 – 32°C ), and avoid direct sun
exposure.
• Keep A1c Test Strip stored in a dry place between 34 – 86°F(1 – 30°C ), and avoid direct sun exposure.
• Do Not open the test strip package until ready to perform the test. Use test strip immediately after
removal from the package.
• Do Not return the used test strip to the original box after performing the test; dispose of used test strip.
• Do Not re‐use a test strip that had blood or control solution applied to it. The strip is for single use only.
• Do Not modify the test strip in any way.
• Do Not use your PixoTest A1c/Lipid Test Strip if the package is damaged or left open to air.
• Do Not use the device near sources of electromagnetic radiation such as microwaves.
• Do Not carry out the test in direct sunlight. The measurement should be performed in an appropriate
light environment.
• Do Not use test strip after the expiration date (printed on the package) or your results may be
inaccurate.
• Always keep POC‐X01 clean.
• Confirm that the code number is the same as the code on the foil pouch package.
• To conserve power, the Analyzer turns itself off after 10 minutes unless a power button is pressed. When
the Analyzer turns itself off, all test results obtained so far remain in the memory.
• When the low battery warning (less than 20%) appears, a test cannot be performed. Charge the Analyzer
immediately.
• Measurement results, including the related measurement date and time as well as all other Analyzer
settings, remain stored even when there is no power.
8. Running test‐A1c
Step 1. Before testing, wash your hands with warm, soapy water. Rinse and dry completely.
Step 2. Tap “Settings” button on the Home screen of PixoTest POCT System and tap “A1c” button to open
the PixoHealth POCT‐A1c App.
Step 3. Tap “Renew” to scan the QR code, pasted on the test strip box.
Step 4. Tap “Next” button to start A1c measurement.
Step 5. Please slide the item selection key to the “II” indication. Check the strip code number and insert the
test strip in the slot. Press “initialize” button for initialization.
NOTE
1. Please make sure the POC‐X01 is placed on a flat surface.
2. The system shows the number of the remaining test. Please open a new strip box and scan its QR code
to reset the counting when the remaining tests reaches zero.
文件名稱 Instruction for Use
表單編號:FT‐73‐01‐0008‐0007A
Doc. No. 文件編碼 CDM‐C01‐C3‐IFU‐POCX1‐ALL‐01
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Step 6. Obtain a blood sample using the lancet and lancing device. (If you use the venous blood, check the
collection date and the anticoagulant.)
Step 7. Collect the 5 µl blood sample and put it in the buffer solution tube.
Step 8. Mix the buffer solution and blood sample by gently squeezing the rubber top of the spot 6‐8 times.
NOTE
1. Block the hole on the stop of the spot while mixing.
2. Avoid bubbles while mixing.
Step 9. Collect all the reaction mixture from the buffer solution tube. Once the “Apply Blood” animation on
the screen, the blood sample can be applied on the test strip. The A1c test result will appear after 3
minutes.
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表單編號:FT‐73‐01‐0008‐0007A
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9. Running test‐lipid
Step 1. Before testing, wash your hands with warm, soapy water. Rinse and dry completely.
Step 2. Tap “Settings” button on Home screen of PixoTest POCT System and tap “Lipid” button to open the
PixoHealth POCT‐Lipid App.
Step 3. Tap “Renew” to scan the QR code pasted on the test strip box.
Step 4. Tap “Next” button to start the lipid measurement.
Step 5. Please slide the item selection key to the “I” indication. Check the strip code number and insert the
test strip in the slot. Press “initialize” button for initialization.
Step 6. Obtain a drop of blood sample using the lancet and lancing device.
Step 7. Collect a 35 µl blood sample using the tube. Place the blood sample into the application hole of the
test strip. Then, close the sliding door.
Step 8. Lipid test result will appear after 3 minutes.
NOTE
The system shows the number of the remaining test. Please open a new strip box and scan its QR code to
reset the counting when the remaining tests reaches zero.
10. Understanding result
Measuring Range
Test strips can measure numerical results in the following ranges:
• HbA1c: 4‐15% (68.1 – 383.8 mg/dL, 3.77 – 21.26 mmol/L)
• Total Cholesterol: 100 – 450 mg/dL (2.59 – 11.64 mmol/L)
• Triglycerides: 45 – 650 mg/dL (0.51 – 7.34 mmol/L)
• HDL cholesterol: 25 – 95 mg/dL (0.65 – 2.46 mmol/L)
• LDL calculated range: 66‐225 mg/dL (1.71~5.82 mmol/L)
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表單編號:FT‐73‐01‐0008‐0007A
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If the result is outside the measuring range, the system will display “Hi” when the results are above the
measuring range, and display “Lo” when the results are below the measuring range.
CAUTION
If there is a “Lo/Hi” or an unexpected result for any test, test again with a new test strip.
11. Record
Reviewing Past Results
Open up the PixoHealth POCT‐A1c/Lipid App. Three function buttons will appear on the screen. Tap the
“Records” icon to review each past result by date and time.
A1c Records
Lipid Records
Expected Values
A1c:
% HbA1c
<=5.6%
5.6%‐6.5%
>=6.5%
Interpretation of results
Non Diabetic Range
ADA (American Diabetes Association) Target
Above Target
Display color
Green
Yellow
Red
Lipid:
The national Heart, Lung and Blood Institute issued the Third Report of National Cholesterol Education
Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults
(Adult Treatment Panel III) in May 2001. The ATPIII report presented the NCEP’s updated clinical guidelines
for cholesterol testing and management and described the following classifications for cholesterol and
triglyceride testing.
TC (Total Cholesterol)
TG (Triglycerides)
HDL
LDL
文件名稱 Instruction for Use
表單編號:FT‐73‐01‐0008‐0007A
mg/dL
<200
200‐239
>=240
<150
150‐199
>=200
<40
>=60
<100
100‐129
mmol/L
<5.18
5.18‐6.19
>=6.22
<1.69
1.69‐2.25
>=2.26
<1.03
>=1.55
<2.59
2.59‐3.34
130‐159
160‐189
>=190
3.36‐4.11
4.14‐4.89
>=4.91
Classification
Desirable
Borderline high
High
Normal
Borderline high
High
Low
High
Optimal
Near optimal /
above optimal
Borderline high
High
Very high
Display color
Green
Yellow
Red
Green
Yellow
Red
Black
Black
Black
Black
Black
Black
Black
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The ATPIII identified HDL levels below 40 mg/dL (1.03 mmol/L) as associated with increased risk of coronary
heart disease (CHD) in men and women. A high HDL level greater than or equal to 60 mg/dL (1.55 mmol/L)
is protective and decreases CHD risk.
LDL
LDL can be calculated using the equation below. Calculated LDL is an estimation of LDL, defined by the
specification of TC, TG, and HDL.
• LDL (calculated)=Total Cholesterol‐HDL‐(Triglyceride/5) (mg/dL)
• LDL (calculated)=Total Cholesterol‐HDL‐(Triglyceride/2.17) (mmol/L)
12. Calibration
The PixotTest POCT system will automatically alert the User to complete a calibration. The user must to
complete the calibration with PixoTest POCT Calibration Card.
PixoTest POCT Calibration Card is used to calibrate the PixoTest POCT system and to confirm the function
of the front camera and PixoHealth POCT‐A1c/Lipid App.
The PixoTest POCT System must be calibrated daily. If this has not been completed, the PixoHealth POCT
A1c/Lipid App will not be able to perform tests until calibration has completed.
When to do a Calibration:
• When using a new box of A1c/Lipid Test Strip.
• When there is an unexpected test result.
Where to perform a Calibration:
• The system shows “CALIBRATION” on the Home screen automatically at the first time using the Analyzer
every day. Tap the “Calibration” button to start the calibration process.
• To perform a calibration anytime, tap “Settings” button on Home screen of PixoTest POCT system and
tap “Calibration” button to start the calibration process.
• A calibration test can be initialized from the “Settings” of PixoHealth POCT‐A1c/Lipid App anytime.
How to Calibrate:
Step 1: Please slide the item selection key to the “II” indication. Insert the Calibration card into the A1c slot
and press “Calibrate” button.
Step 2: The APP will automatically start the calibration. Wait for a few seconds to complete the calibration.
Step 3: When the calibration is complete, tap “Confirm” to continue the testing mode.
NOTE
1. Avoid long exposures to light.
2. Avoid touching finished surface on color block of calibration card.
3. Keep calibration card in black protective sheath when completed calibration.
13. Control solution test
iXensor Co. Ltd. does not provide control solutions, Bio‐Rad control solution of A1c and Lipid are
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recommended for PixoTest POCT System:
A1c: Bio‐Rad Liquicheck Diabetes Control (level 1, 2), Cat# 171, 172
Lipid: Bio‐Rad Liquicheck Lipids Control (level 1, 2), Cat# 641, 642
The Control Solution is used to verify that the PixoTest POCT System is working properly (A1c/Lipid Control
Solution are sold separately). To purchase the control solution, please contact iXensor Co. Ltd. toll free at 1‐
800‐218‐0929, Mon‐Fri 9AM‐5PM (PST).
When to do a A1c/Lipid Control Solution Test
• If the strip, PixoHealth POCT‐A1c/Lipid App or POCT‐X01 seems to not be working properly.
• If the testing results are unusual or unexpected.
• If the Analyzer has been dropped or damaged.
CAUTION
• Use only the BioRad A1c/Lipid control solution to verify that the PixoTest POCT System is working
properly. Do not use any other brand of control solution.
• A1c/Lipid Control Solution is for in vitro diagnostic use only. This means that is only used for testing
outside of the body.
• Do Not swallow or ingest A1c/Lipid control solution.
• Do Not use A1c/Lipid control solution after the expiration date (printed on control solution bottle, shelf
life: 3 year at ‐20℃ to ‐70℃) or the discard date (14 days from the date the control solution vial was
opened), whichever comes first. Using the solution after the expiration or discard date will cause your
results to be inaccurate.
14. CS test for A1c
Step 1: Before testing, wash your hands with warm, soapy water. Rinse and dry completely.
Step 2: Clean and disinfect the Analyzer surface as instructed. Start a control solution test by tapping the icon
“Settings” and select “Control Solution Test” option in the PixoHealth POCT‐A1c App.
Step 3: The main screen of Control Solution Test lists all test results, tap the “Start testing” button to enter
the Test Info screen.
Step 4: Tap “Renew” to scan the code on the test strip box if the code hasn’t been scanned. And press “Next”
button to start the test.
Step 5: Please slide the item selection key to the “II” indication. Check the strip code number and insert the
test strip in the slot. Press “initialize” button for initialization.
Step 6: Once the control solution‐applying animation is displayed on the screen, obtain a control solution
sample of Level 1 or Level 2 and apply the control solution on the test strip. The test result will appear
after 3 minutes.
NOTE
1. Please make sure the Analyzer is placed on a flat surface.
2. The system shows the number of remaining tests. Please open a new strip box and scan its QR code to
reset the counting when the remaining tests reaches zero.
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15. CS test for Lipid
Step 1: Before testing, wash your hands with warm, soapy water. Rinse and dry completely.
Step 2: Clean and disinfect the Analyzer surface as instructed. Start a control solution test by tapping the
icon “Settings” and select “Control Solution Test” in the PixoHealth POCT‐Lipid App.
Step 3: The main screen of Control Solution Test lists all test results, tap the “Start testing” button to enter
the Test Info screen.
Step 4: Tap “Renew” to scan the code on the test strip box if the code hasn’t been scanned. And press
“Next” button to start the test.
Step 5: Please slide the item selection key to the “I” indication. Check the strip code number and insert the
test strip in the slot. Press “initialize” button for initialization.
Step 6: Obtain a control solution sample using the 35 µl tube.
Step 7: Collect the 35 µl control solution using the tube and place the control solution sample to the
application hole of the test strip, then close the sliding door.
Step 8: Lipid control solution test result will appear after 3 minutes.
NOTE
1. The system shows the number of the remaining tests. Please open a new strip box and scan its QR code
to reset the counting when the remaining tests reaches zero.
2. Remove and discard the used test strip. Do not add more blood to a used test strip.
16. Control Solution range and meaning
Out of Range Results
After control solution test, check the result of the control solution value and confirm it is within range. If
test results fall outside of the expected range, please repeat the test. Do not continue with your A1c/Lipid
test if the control solution test results are continuously out of range. Results that fall outside of the
expected range may indicate:
• Test is not performed at room temperature.
• Control solution has expired, is beyond its discard date, or contaminated.
• A technical problem with your PixoTest POCT System.
• Control solution that is too warm or too cold.
• A problem with the Test Strip (expired or damaged).
• An error calls during the test.
17. Shutdown procedure
When finish using the PixoTest POCT System, follow the steps to turn the Analyzer off:
Step 1. Press the Power Key for 2 seconds.
Step 2. Tap “Power off” to turn off the Analyzer.
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18. Maintenance and troubleshooting
Caring for the PixoTest POCT System is easy. Simply keep it free of dust. If the system needs cleaning, follow
these guidelines carefully to obtain the best performance. To prevent malfunction of the Analyzer, keep the
test strip slot free of blood, dirt, or dust. Use a lint‐free cloth dampened with water to clean the Analyzer.
Ensure the cloth is damp, and not wet. Do not use an abrasive cloth or antiseptic solution, as these may
damage the display screen.
A clean optical measuring system is a basic prerequisite for determining precise measured values. Therefore,
clean the Analyzer regularly and immediately after it becomes dirty. Always switch off the Analyzer before
cleaning it.
Use only the following items for cleaning:
• Ordinary lint‐free cotton buds
• Ordinary lint‐free tissues
• Ordinary disinfecting tissues
• Do not use any disinfectant sprays or tissues or cotton buds which are dripping wet as the liquid may
enter the Analyzer and damage it.
Cleaning the outer Analyzer components
1. Wipe the outside of the Analyzer with a lightly moistened, lint‐free cotton cloth.
2. Remove the protection cover.
3. In case of significant dirt, you can rinse the protection cover (separately from the Analyzer) under warm
running water.
4. Dry the measurement chamber cover with a fresh cloth.
Cleaning the optical measuring system
1. Remove the strip module.
2. Clean the easily accessible areas of the optical measuring system with a lint‐free pad or a moistened
cotton swab. Make sure that no liquid enters the Analyzer.
3. Allow the Analyzer to dry thoroughly.
4. Do not fit the strip module into the Analyzer until it is completely dry.
5. Fit the strip module into Analyzer.
6. The Analyzer is now ready for operation again
Maintenance, Testing and Transportation Analyzer
1. Keep the test strip slots free of dust.
2. Protect the internal Analyzer from humidity.
3. There are no effects on product quality in environmental temperatures of ‐20 – 50°C (‐4 – 122°F)
during 8 hours and humidity of up to 93% RH, non‐condensing during 8hours.
19. Clean and disinfection
Due to the risk of spreading blood born infections, clean and disinfect the POC‐X01 after every blood test.
Clean the POC‐X01 to remove visible dirt, blood or other materials prior to disinfecting. Follow with a
second wipe to disinfect the measurement module.
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



Clean and disinfect the measurement module at least once per week and when blood is present on the
surface of the POC‐X01.
For disinfecting your POC‐X01, only use Clorox Healthcare Bleach Germicidal Wipes (EPA* reg. no.
67619 – 12), containing Sodium Hypochlorite 0.55%. [Can be purchased from Amazon.com,
Officedepot.com and Walmart.com].
Do not use any other cleaning or disinfecting solutions.
Use of disinfecting products other than Clorox Healthcare Bleach Germicidal Wipes have not been
validated for the PixoTest POCT System have not been validated. Always use Clorox Healthcare Bleach
Germicidal Wipes.
Test process – Lipid
Use two wipes.
Follow the cleaning instruction for the first wipe and the disinfection instruction for the second.
Cleaning:
1. Follow the cleaning instruction first.
2. Put on clean gloves
3. Take one wipe and squeeze out excess moisture from the wipe before use.
4. Follow the Figure 3 to wipe the meter front and meter screen respectively.
Figure 3. Wipe the meter front and meter screen respectively.
5. Follow the Figure 4 to wipe the meter back.
Figure 4. Wipe the meter back
6. Follow the Figure 5 to wipe the insertion area of strip.
Figure 5. Wipe the insertion area of strip
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7. Follow the Figure 6 to wipe the item selection key.
Figure 6. Wipe the item selection key.
8. Follow the Figure 7 to wipe the meter frame.
Figure 7. Wipe the meter frame
9. Make sure all the dirt, dust, blood and other body fluids are cleaned from meter using the first wipe.
Disinfection:
1. After cleaning, use a second wipe and thoroughly wet the surfaces of meter.
2. Make sure the treated area remains wet for a minute to effectively kill blood‐borne pathogens.
3. Ensure the treated area are thoroughly dry.
4. Discard the wipes and achieve a cleaning/disinfection cycle.
Test process – A1c
Cleaning:
1.
Use two wipes.
2.
Follow the cleaning instruction for the first wipe and the disinfection instruction for the second.
3. Put on clean gloves
4. Take one wipe and squeeze out excess moisture from the wipe before use.
5. Follow the Figure 8 to wipe the meter front and meter screen respectively.
Figure 8. Wipe the meter front and meter screen respectively.
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6. Follow the Figure 9 to wipe the meter back.
Figure 9. Wipe the meter back
7. Follow the Figure 10 to wipe the item selection key.
Figure 10. Wipe the item selection key.
8. Follow the Figure 11 to wipe the meter frame.
Figure 11. Wipe the meter frame
9. Make sure all the dirt, dust, blood and other body fluids are cleaned from meter using the first wipe.
Disinfection:
1. After cleaning, use a second wipe and thoroughly wet the surfaces of meter.
2. Make sure the treated area remains wet for a minute to effectively kill blood‐borne pathogens.
3. Ensure the treated area are thoroughly dry.
4. Discard the wipes and achieve a cleaning/disinfection cycle.
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20. Error and Warning message
Error messages and trouble‐shooting tips will be displayed on the screen. Please pay attention to the error
messages and information to make sure the PixoTest POCT System is performing accurately.
The following table lists error message and troubleshooting tips, which may appear on the screen during
performing the system.
Error message – A1c
Error Number
Error Message
Problem Cause
What to Do
Please keep the test strip
stabilized and don’t move the
test strip during measurement.
Note 01
Measurement
The measurement is interrupted
If this error still happens on
Failure
due to improper operation.
blood samples with normal
range of total hemoglobin,
please contact your system
provider.
Note 02
System Tilt
It is detected that the tilts during
measurement.
Please keep the POC‐X01 flat
and stabilized on a table during
measurement.
Perform a test in an
Note 03
Out‐of‐range
Temperature
The ambient temperature is outside
environment with the
the recommended operating
temperature between 15 ‐ 32°C
temperature range.
(59 ‐ 89.6°F). Do not heat or
cool your POC‐X01.
No sample or insufficient sample
Note 04
Blood Sample
volume applied on the test strip was
Discard this test strip and re‐
Error
detected after the system indicates
test with a new test kit.
to apply the blood sample.
Invalid test strip or improper
Note 05
Test Strip Error
installation of the test strip was
detected during measurement.
Reinstall a new test kit properly
and test again.
Insert only the Calibration Card
provided by the manufacturer
Note 06
Calibration Error
Incomplete or incorrect calibration
process was detected.
and switch the Item selection
key to the A1c mode for the
calibration. Do Not move the
Calibration Card during
calibration.
Note 07
System Error
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表單編號:FT‐73‐01‐0008‐0007A
Abnormal signals coming from
Do the calibration again and if
hardware problems were detected
the error still persists, please
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during calibration process.
contact your system provider.
Error Message
Problem Cause
What to Do
Measurement
The measurement is interrupted
Failure
due to improper operation.
Error message – Lipid
Error Number
Note 01
Note 02
Light Signal
Error
The measurement is interrupted
due to the strong stray light in the
strip module.
Please keep the test strip
stabilized and don’t move the
test strip during measurement.
Please make sure that the strip
module is securely attached
and the sliding door is closed
completely.
Perform a test in an
Note 03
Out‐of‐range
Temperature
The ambient temperature is outside
environment with the
the recommended operating
temperature between 18 ‐ 32°C
temperature range.
(64.4 ‐ 89.6°F). Do not heat or
cool your POC‐X01.
No sample or insufficient sample
Note 04
Blood Sample
volume applied on the test strip was
Discard this test strip and re‐
Error
detected after the system indicates
test with a new test kit.
to apply the blood sample.
Invalid test strip or improper
Note 05
Test Strip Error
installation of the test strip was
detected during measurement.
Reinstall a new test kit properly
and test again.
Insert only the Calibration Card
provided by the manufacturer
Note 06
Calibration Error
Incomplete or incorrect calibration
process was detected.
and switch the Item selection
key to the A1c mode for the
calibration. Do Not move the
Calibration Card during
calibration.
Note 07
System Error
Abnormal signals coming from
Do the calibration again and if
hardware problems were detected
the error still persists, please
during calibration process.
contact your system provider.
21. Disposal information
Discard the used test strips carefully. Used test strips may be considered as bio hazardous waste in your area.
Handle and dispose of all materials coming in contact with blood according to universal precautions and
guidelines. Wash your hands with soap and water after handling the test strip.
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22. Product information
Specification
POC‐X01 Analyzer
Dimension
181 mm (L) x 111 mm (W) x 53mm (H)
Weight
131.3g
Power
5000 mAh battery, non‐removable
storage
10000 sets
Temperature 10℃ ~ 40℃ ( 50℉ ~ 104℉ )
Operating
Humidity 10 % ~ 90% RH
Operation atmospheric pressure range
760mmHg ~ 526mmHg
Storage & Transportation condition
Temperature 1℃ ~ 40℃ ( 34℉ ~ 104℉ )
Humidity 10 % ~ 90% RH
Calibration Card
Stored in the package pouch and with 1 years shelf life
others
•
Indoor use
•
Overvoltage category II
•
Pollution degrees 2
Charger
US version
Manufacture: DONGGUAN AOHAI POWER TECHNOLOGY
CO.,LTD.
Model : A18A‐050100U‐US2
Input : 100‐240V~ 50/60Hz Max0.2A
Output : 5V 1.0A
EN version
Manufacture: DONGGUAN AOHAI POWER TECHNOLOGY
CO.,LTD.
Model : A824A‐120150U‐EU1
Input : 100‐240V~ 50/60Hz 0.5A
Output : 5V 2.0A / 9V 2A /12V 1.5A
UK version
Manufacture: DONGGUAN AOHAI POWER TECHNOLOGY
CO.,LTD.
Model : A806‐050100U‐UK1
Input : 100‐240V~ 50/60Hz 0.2A
Output : 5V 1.0A
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Test strip for Lipid
Measuring Range
TC: 100 – 450 mg/dL, ( 2.59 – 11.64 mmol/L )
TG: 45 – 650mg/dL, ( 0.51 – 7.34 mmol/L )
HDL: 25 – 95 mg/dL, ( 0.65 – 2.46 mmol/L )
Sample
Fresh capillary or venous whole blood
Sample Size
35 µL
Test Time
3 minutes
Hematocrit
TC/TG: 30–55%; HDL: 30–52%
Operating Temperature Range
18 – 32°C (64 – 90°F)
Test Strip Storage Temperature
2 – 32°C (36 – 90°F)
Shelf‐life
18 months
: Test strip may be stored in a refrigerator at 2–8°C (36‐46°F), but must be brought to room temperature
before use.
Test strip for A1c
Measuring Range
4.0 – 15.0%
Sample
Fresh capillary or venous whole blood
Sample Size
5 µL
Test Time
3minutes
Hematocrit
25 – 65%
Operating Temperature Range
15 – 32°C (59‐90°F)
Test Strip Storage Temperature*
1 – 30°C (34 to 86°F)
Shelf‐life
18 months
: Test strip may be stored in a refrigerator at 2–8°C (36‐46°F), but must be brought to room temperature
before use.
23. Limitations
PixoTest A1c Test Strip
1. The battery life needs to be over 20% before using the PixoTest POCT System.
2. Do not charge your smartphone when you use the PixoText POCT System.
3. PixoTest POCT System can performs in the hemoglobin a range of 7‐23 g/dL and a hematocrit range of 25 to
65%.
4. Performance of PixoTest POCT System has not been tested on samples from newborns.
5. Cosmetics such as hand creams or lotions often contain glycerol. Use of these products may cause inaccurate
results.
6. For in vitro diagnostic use only.
7. PixoTest A1c Test Strip is for single use.
8. Do not carry out the test in direct sunlight. The measurement should be performed in an appropriate light
environment.
9. Strong electromagnetic fields (e.g. microwave ovens) may affect performance.
10. Interferences: The following substances may cause false results at levels of the below.
Substances concentration (mg/dL)
Acetylsalicylic acid
> 30 mg/dL
Ascorbic acid
Acetaminophenol
Billirubin
Caffeine
Hydroxyzine Dihydrocholoride
Triglyceride
Glyburide
Ibuprofen
Dopamine
> 10 mg/dL
> 30 mg/dL
> 20 mg/dL
> 30 mg/dL
> 30 mg/dL
> 900 mg/dL
> 20 mg/dL
> 20 mg/dL
> 2 mg/dL
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PixoTest Lipid Test Strip
1. The battery life needs to be over 20% before using the PixoTest POCT System.
2. Do not charge POC‐X01 when you use the PixoText POCT System.
3. Hematocrits of 30 to 55% (TC/TG), 30 to 52% (HDL) for Lipid Test Strip do not affect results.
4. Performance of PixoTest POCT System has not been tested on samples from newborns.
5. Cosmetics such as hand creams or lotions often contain glycerol. Use of these products may cause inaccurate
results.
6. For in vitro diagnostic use only.
7. Test strip is for single use.
8. Do not carry out the test in direct sunlight. The measurement should be performed in an appropriate light
environment.
9. Strong electromagnetic fields (e.g. microwave ovens) may affect performance.
10. Interferences: The following substances may cause false results at levels of the below.
24. Manufacturer
iXensor Co., Ltd.
6F., No.9, Aly. 2, Ln. 35, Jihu Rd., Neihu Dist., Taipei City, 11492, Taiwan
www.ixensor.com
Authorized representative
MDSS GmbH
Schiffgraben 4130175 Hannover, Germany
25. Symbol
Catalogue number
Serial number of the analyzer
Consult instructions for use
Contains Sufficient for
 Tests
Authorized representative
in the European Community
Temperature limitation
Manufacturer
Date of Manufacture
Batch Code
In‐vitro diagnostic Use
Use by date
Caution,
Consult accompanying documents
Do not reuse
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26. Servicing
The PixoTest POCT Systems is intended to provide safe and reliable operation according to
the instructions provided by iXensor Co., Ltd. iXensor Co., Ltd recommends that the PixoTest
POCT system can be inspected and serviced by authorized technicians if there is any concern
with device function. Otherwise, service and inspection of the devices generally should not
be required if used by following the instruction for use.
27. Limited Warranty
iXensor Co., Ltd (hereafter ‘iXensor’) gives the customer a limited manufacturer warranty
on new original iXensor products and relative accessories in accordance with the warranty
conditions applicable to the item in question and in accordance with the warranty periods
from purchase date, please refer to the list as below. This warranty does not cover damage
caused by operator himself, accident, misuse, abuse, alteration and other defects not
related to material or workmanship. To exercise your rights under this warranty, please
contact your local, authorized distributors or service center.
Item
Warranty period
PixoTest POCT Analyzer
1 year
USB Charger
1 year
PixoTest POCT Calibration Card
1 year
USB Type C Charge Cable
None
Other disposable parts
None
Customer Name :
______________________________________________________________________
Customer Address:
_______________________________________________________________ ___
Telephone: ____________________________
E‐mail address: _________________________________
Date of purchase: _____________________________________________________
__
Distributor information :
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Appendix 1: Reference
1. American Diabetes Association, Clinical Practice Recommendation Guidelines 2003, Diabetes care, Vol. 26.
Supplement 1. p.22
2. Stedman, TL. Stedman’s Medical Dictionary, 27th Edition, 1999, p. 2082.
3. Ellen T. Chen, James H. Nichols, Show‐Hong Duh, Glen Hortin, MD: Diabetes Technology & Therapeutics,
Performance Evaluation of Blood Glucose Monitoring Devices, Oct 2003, Vol. 5, No. 5: 749 ‐768
4. Siedel J, Hagele EO, Ziegenhorm J, Wahlefeld AW. Reagent for the enzymatic determination of serum total
cholesterol with improved lipolytic efficiency. Clin Chem 1983; 29: 1075‐80.
5. Expert Panel on Detection, Evaluation, and Treatment of High Cholesterol in Adults. Executive summary of
the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation,
and Treatment of High Cholesterol in Adults (Adult Treatment Panel III). JAMA 2001; 285: 2486‐97.
6. IDF Clinical Guidelines Task Force. Global guideline for Type 2 diabetes. Brussels; International Diabetes
Federation, 2005.
7. Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: report of a WHO/IDF
consultation. WHO, Geneva 2006 (ISBN 92 4 159493 4, ISBN 978 98 4 159793 6).
8. D’Orazio et al.: “Approved IFCC Recommendation of Reporting Results for Blood Glucose(Abbreviated);”
Clinical Chemistry 51:9 1573‐1576‐(2005).
9. American Diabetes Association, Position Statement, Diagnosis and Classification of Diabetes Mellitus,
Diabetes Care 35:S4‐S10, 2012.
10. American Diabetes Association: Clinical Practice Recommendations (2013) Diabetes Care, Vol36,
Supplement 1, p. S1‐S100
FCC Caution: To assure continued compliance, any changes or modifications not expressly approved by the party
responsible for compliance could void the user's authority to operate this equipment. (Example - use only shielded
interface cables when connecting to computer or peripheral devices).
FCC Radiation Exposure Statement
This equipment complies with FCC RF radiation exposure limits set forth for an uncontrolled environment.
This transmitter must not be co-located or operating in conjunction with any other antenna or transmitter.
This device complies with Part 15, 22, 24 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.
SAR: 0.73 W/Kg
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