CoaguChek XS Plus
System
®
User Manual
For meters shipped before January 2013
This is a CLIA waived system.
Revisions to this document are provided by Roche Diagnostics when necessary. No part of this
document may be reproduced in any form or by any means without prior written consent.
Manual version
Revision date
Changes
05021464001 (01)
June 2009
New document
05021464001 (02)
November 2009
Revised for new firmware,
claims changes, and new
cleaning recommendations
05021464001 (03)
May 2010
Revised for CLIA waiver.
0 8103062001 (01)
August 2016
Revised to add Rx only
statement.
The CoaguChek XS Plus System
The CoaguChek XS Plus System
The CoaguChek XS Plus System
The CoaguChek XS Plus System is used to monitor coagulation (blood-clotting) values
(prothrombin time, PT, Quick value) with CoaguChek XS PT test strips.
Please note: This manual contains the information you need to operate and care for
the CoaguChek XS Plus System. Please read this entire manual carefully before you use
the meter.
CLIA Waived
This is a CLIA Waived test system. A Certificate of CLIA Waiver (or higher) is required to
perform the test. Information on obtaining CLIA certificates can be found at
www.cms.hhs.gov/clia.
Before testing, refer to the appropriate package insert for more complete information.
Laboratories with a certificate of waiver must follow the manufacturer’s instructions for
performing the test. 42 CFR 493.15(e)(1).
Any modifications and/or failure to follow test system instructions, including those for
limitations/intended use and performance of QC testing as a failure alert mechanism, results
in use that is considered high complexity and subject to all applicable CLIA requirements.
All applicable state and local laws must be met.
Any adverse reactions experienced with the use of this product, and/or quality problems
should also be reported to the FDA’s MedWatch Adverse Event Reporting program online
(at www.fda.gov/MedWatch/report.htm), by phone (1-800-FDA-1088), or by returning the
postage-paid FDA form 3500 (which may be downloaded from
www.fda.gov/MedWatch/getforms.htm) by mail to (MedWatch, 5600 Fishers Lane, Rockville,
MD 20852-9787) or fax (1-800-FDA-1078).
If there are any problems with the CoaguChek XS Plus meter, notify CMS at
http://www.cms.hhs.gov/clia/ro-map.asp
3
CoaguChek XS Plus
®
User Manual
Version 3.1
For meters shipped before January 2013
0 8103062001 (01) 2016-08 USA
The contents of this manual, including all graphics and photographs, are the property of Roche
Diagnostics. No part of this document may be reproduced or transmitted in any form or by any
means, electronic or mechanical, for any purpose, without the express written permission of Roche
Diagnostics.
Roche Diagnostics has made every reasonable effort to ensure that all the information contained
in this manual is correct at the time of printing. However, Roche Diagnostics reserves the right to
make any changes necessary without notice as part of ongoing product development.
This training manual was created by the Roche Diagnostics Engineering Operations Department.
Direct questions or concerns regarding the contents of this document to:
Roche Diagnostics
Engineering Operations Department
9115 Hague Road
P.O. Box 50457
Indianapolis, IN 46250-0457
USA
COAGUCHEK is a trademark of Roche.
All other trademarks are the property of their respective owners.
On the packaging and on the identification plate of the instrument you may encounter the
following symbols, shown here with their meaning:
Caution (consult accompanying documents). Refer to safety-related notes in
the manual accompanying this instrument.
Temperature limitation (Store at)
Use by
Manufacturer
Batch code / Lot number
Catalog number
In vitro diagnostic medical device
Consult instructions for use
Global Trade Item Number
Rx Only For prescription use only
© 2007-2016, Roche Diagnostics.
US Order Number: 0 8103062001 (01) 2016-08 USA
Distribution in USA by: Roche Diagnostics, Indianapolis, IN
This document is available electronically at www.coaguchek-usa.com.
The CoaguChek XS Plus System
The CoaguChek XS Plus System
Introduction........................................................................................................................... 7
The CoaguChek XS Plus System....................................................................................................7
Test principle..........................................................................................................................................8
Contents of the pack..........................................................................................................................8
Safety information................................................................................................................................9
Operating conditions.........................................................................................................................10
Quality control.....................................................................................................................................11
About this manual......................................................................................................... 12
Manual format.....................................................................................................................................12
The CoaguChek XS Plus meter............................................................................ 14
Meter elements overview................................................................................................................15
Power supply........................................................................................................................................16
Operating the instrument......................................................................................... 17
Inserting the batteries......................................................................................................................18
Meter setup........................................................................................................................ 19
Display field and symbols ..............................................................................................................20
Settings summary .............................................................................................................................23
Conventions used in this manual.................................................................................................27
Screen setup .......................................................................................................................................28
Contrast ................................................................................................................................................28
Units .......................................................................................................................................................29
Language Selection .........................................................................................................................30
Setting the date .................................................................................................................................32
Setting the time .................................................................................................................................33
Setting the display options for date and time .......................................................................34
Options setup ......................................................................................................................................35
Sort .........................................................................................................................................................35
Beeper ...................................................................................................................................................36
Auto off .................................................................................................................................................38
Computer .............................................................................................................................................39
ID setup..................................................................................................................................................40
System Administrator (Admin.) ...................................................................................................41
Operator ................................................................................................................................................45
Patient ...................................................................................................................................................46
Lockouts setup ...................................................................................................................................48
Operator lockout ...............................................................................................................................49
QC (Quality Control) lockout ........................................................................................................51
9
Testing a capillary blood sample....................................................................... 53
Important notes .................................................................................................................................53
Getting a good capillary blood sample ....................................................................................54
Getting a good test with venous whole blood .......................................................................54
Preparing to test ................................................................................................................................55
Test strip code chip ..........................................................................................................................56
Inserting the code chip ...................................................................................................................56
Switching on the meter ..................................................................................................................58
Performing a test ...............................................................................................................................60
Optional Quality control............................................................................................ 69
Preparing to run an optional liquid quality control test .....................................................70
Performing an optional liquid quality control test ................................................................72
Review Results................................................................................................................. 79
Viewing test results ..........................................................................................................................79
Display Patient Result memory ....................................................................................................81
Display QC (Quality Control) memory ......................................................................................82
Cleaning/Disinfecting........................................................................................ 83
Cleaning/Disinfecting the Exterior .............................................................................................83
Cleaning/Disinfecting the Test Strip Guide ............................................................................84
Error messages................................................................................................................ 86
Error messages overview ...............................................................................................................86
Troubleshooting error messages after turning the meter on ..........................................90
Troubleshooting error messages when preparing to test .................................................91
Troubleshooting error messages during or after blood application .............................92
Troubleshooting other error messages ....................................................................................94
Further information....................................................................................................... 97
Ordering ................................................................................................................................................97
Product limitations ............................................................................................................................97
Disposing of the instrument .........................................................................................................97
Information about the software license ...................................................................................97
Product specifications............................................................................................. 105
Operating conditions and technical data ............................................................................. 105
Sample material .............................................................................................................................. 106
Storage and transport conditions ............................................................................................ 106
Support/Services ............................................................................................................................ 106
Repairs ............................................................................................................................................... 106
Warranty ........................................................................................................................... 107
Introduction
Introduction
The CoaguChek XS Plus System
The CoaguChek XS Plus System measures blood-clotting time (prothrombin time) for
people who are taking anticoagulation medications, such as Coumadin® or warfarin. The
CoaguChek XS Plus System measures blood-clotting time using blood from the fingertip or
whole blood from a vein (nonanticoagulated venous whole blood).
The CoaguChek XS Plus System quantitatively measures prothrombin (blood-clotting) time
(PT/Quick value/INR). INR is a measure of the rate at which blood clots. A low INR can
increase the risk of blood clots, while a high INR can increase the risk for internal bleeding.
The patient’s physician will determine the best INR range for that patient, depending on why
the patient is taking anticoagulants and how the patient reacts to them. The doctor will also
determine how often the patient needs blood testing.
The system includes the CoaguChek XS Plus meter and CoaguChek XS PT test strips.
Optional liquid CoaguChek XS Plus PT Controls are also available. The meter guides you
through the test step by step using the symbols and instructions on the display. Each box of
test strips has its own code chip that you insert into the meter. This code chip contains lotspecific information about its test strips, such as the expiration date and calibration data.
The CoaguChek XS Plus System makes coagulation testing easy. You only need to insert
the code chip, turn the meter on, insert the test strip, and apply a blood sample. The blood
mixes with the ingredients on the test strip, and the meter determines when the blood is
clotted. The meter displays the result in about one minute. After the measurement, the
meter automatically stores the results in memory so you can easily recall them. The patient’s
physician will use these results to successfully treat the patient’s condition.
The CoaguChek XS Plus System also includes data management with security features, such
as the QC (quality control) lockout for use with optional liquid quality controls.
Please note: Before you use the meter for the first time (after you have first inserted
the batteries), you must set the date and time correctly to allow you to carry out
measurements properly.
Each time you replace the batteries you need to check (and, if necessary, adjust) the
date and time.
If you need technical help, call Roche Diagnostics Technical Service Center
at 1-800-428-4674, 24 hours a day, 7 days a week, 365 days a year.
11
Introduction
Test principle
The CoaguChek XS PT Test, used as directed with the CoaguChek XS Plus Meter, will
provide an electrochemical measurement of prothrombin time following activation of blood
coagulation with human recombinant thromboplastin. In simple terms, blood works with the
chemicals in the test strip to make a small electric current in the test strip that measures
blood-clotting time.
Contents of the pack
n CoaguChek XS Plus meter
n Power adapter
n User manual
n Training DVD
n Getting Started Guide
n Warranty Card
n Policy and Procedure CD
n 4 AA Batteries
n 5 CoaguChek Lancets
12
The CoaguChek XS Plus System
Safety Information
Protection against infection
Medical staff using the CoaguChek XS Plus System to perform tests on
patients must be aware that any contact with human blood is a potential
source of infection.
n Use gloves.
n Use a separate lancet and lancing device for each person.
n Dispose of used lancets and test strips in a sturdy sharps container
with a lid.
n Follow all health and safety regulations applicable to your laboratory
or practice.
Caution: There is a potential risk of infection. Medical staff and other persons
using the CoaguChek XS Plus Meter to perform tests on more than one patient
must be aware that any object coming into contact with human blood is a
potential source of infection. (See: National Committee for Clinical Laboratory
Standards: Protection of Laboratory Workers from Instrument Biohazards and
Infectious Disease Transmitted by Blood, Body Fluids, and Tissue. Approved
Guideline, NCCLS document M29-A, 1997.) Dispose of used items according to
the disposal policy of your facility.
13
Introduction
Operating conditions
To be sure that your CoaguChek XS Plus System functions properly, please observe the
following guidelines:
n Only use the meter at a room temperature between 59°F and 90°F (15°C and 32°C).
n Only use the meter at a relative humidity between 10 and 85 percent.
n When operating the meter using the power adapter, use only a voltage of 100 V to
240 V (± 10%), 50/60 Hz.
n A touch screen makes the meter easier to operate. To use the touch screen, simply use
your finger (even when wearing gloves) or special pens designed for use with handheld
devices to select a screen prompt. Pointed or sharp objects can damage the touch screen.
Touch lightly, holding until the prompt is selected.
n When testing, place the meter on a level, vibration-free surface, or hold it so it is roughly
horizontal.
Electromagnetic interference
Do not use the meter near strong electromagnetic fields, which could interfere
with the proper operation of the meter.
14
Introduction
Quality control
The CoaguChek XS Plus System has a number of built-in quality-control functions.
n A check of the electronic components and functions every time the meter is turned on.
n A check of the test strip temperature while a test is in progress.
n A check of the expiration date and lot information on the test strip carried out by the
code chip.
n A two-level, on-board quality control test and patient result determination within a single
test chamber.
Roche Diagnostics has available optional liquid quality controls for the CoaguChek XS Plus
System. These controls are provided to assist with regulatory compliance requirements as
applicable to your facility.
15
About this manual
About this manual
Manual format
The layout of this operator’s manual has been specially designed to help you locate the most
important information quickly and easily.
All instructions that require you to actively do something, as well as very important
information, appear on a blue background.
This symbol draws attention to the possible risk of injury or of harm to your health.
Example 1:
The left column contains an illustration of the display screen. The right column states what you should
do at this point.
1 Touch PATIENT TEST.
16
About this manual
Example 2:
This column contains an illustration of the
display screen. This column contains information linked to
the display screen.
The main menu of the CoaguChek XS Plus
09:15 am
Main Menu
System contains buttons for the following
functions:
Patient Test
n Patient Test for performing a test
Control Test
Review Results
Setup
n Control Test for performing an optional
liquid quality control test
n Review Results to recall results from the
memory
n Setup to edit settings
09/16/2009
17
The CoaguChek XS Plus meter
The CoaguChek XS Plus meter
A
B
C
F
E
D
I
F
G
H
J
18
The CoaguChek XS Plus meter
Meter elements overview
A Touch screen
Shows results, information, symbols and
results recalled from memory. To select
any of the screen prompts, touch the
prompt lightly, holding until the prompt
is selected.
B On/Off button
Press and hold this button until the
meter turns on or off.
C Test strip guide cover
Remove this cover to clean the test strip
guide. (REF 05039657001)
D Test strip guide
Insert the test strip here.
E Battery cover
F Battery cover tab
Press tab to slide cover off.
G Code chip slot with
code chip
Insert the code chip here.
H Connection socket for
power adapter
Plug in the power adapter here.
I Contacts for optional
base unit
Charges battery pack when connected
to base unit.
J Infrared interface
Used for data communication.
Covers the battery compartment
(four standard AA batteries or a
rechargeable battery pack).
19
The CoaguChek XS Plus meter
Power supply
The CoaguChek XS Plus meter can operate with either the power adapter provided, batteries,
or a special rechargeable battery pack (REF 04805640001). The CoaguChek XS Plus System
uses four AA batteries. The batteries should last for about 60 tests, depending on the type of
battery used. You should insert the batteries or optional rechargeable battery pack even when
you use the power adapter. This ensures that you will not lose the date and time settings if
the power goes out.
To save power, the CoaguChek XS Plus meter has the option to automatically turn itself off
based on your setup selections, unless a screen prompt has been pressed or a new test strip
has been inserted. The default setting is set to OFF. When the meter turns itself off, all results
obtained up to that point remain in memory and the settings will still be there when you
power the meter back on. (Refer to Auto off in the chapter entitled Options setup.)
During battery operation, the meter always
09:15 am
Main Menu
displays the battery power level.
Patient Test
Control Test
Review Results
Setup
09/16/2009
When replacing the batteries, you must
insert the new batteries within 10 minutes
of removing the old ones, to keep the
date and time settings. If you take longer
than this, you may need to re-enter the
date and time. To make sure that you
do not lose your date and time settings,
connect the power adapter while you
change the batteries.
The meter retains results in memory even when no batteries are inserted. All other settings,
other than date and time after 10 minutes, are retained as well.
20
Operating the instrument
Operating the instrument
Before using the meter for the first time, carry out the following steps:
1 Insert batteries* and/or connect the power adapter.
2 Set the current date and time.
3 Enter the settings of choice (language, unit of measure, user administration if applicable, etc.).
* Instead of batteries, you can use a special rechargeable battery pack. If you choose this
option, order the pack separately from Roche Diagnostics. To recharge, connect the power
adapter to the CoaguChek XS Plus meter.
21
Operating the instrument
Inserting the batteries
1 With the meter turned off, press the
battery compartment cover release tab
and slide the cover off.
2 Insert the four batteries in the battery
compartment as indicated.
(The CoaguChek XS Plus System uses
AA batteries. The batteries should last
about 60 tests, depending on the type
of battery used.)
3 Slide the battery compartment back
onto the meter and close it.
The meter turns itself on after the
batteries have been inserted.
22
Meter setup
Meter setup
Please note: If you have not set the date and time (after turning the meter on for
the first time or because the batteries were removed from the meter for more than
10 minutes), you cannot perform a test. In that case, turning on the meter takes you
immediately to the Setup mode, where you must set the date and time.
Once the date and time are set, the meter automatically moves to the main menu, where
you can start a test or enter more settings. The next time you turn the meter on, the date
and time will remain and you will automatically go to the main menu.
ou can call up any displayed function by
Y
touching the screen prompt for it with your
finger (or a special pen for this purpose).
Touch the screen lightly, holding until the
prompt is selected.
If the meter did not automatically enter the
SETUP mode (e.g., after the batteries were
replaced), you can call up the SETUP menu
from the main menu.
1 T ouch the SETUP screen prompt to
call up the meter settings.
2 Select the group of settings of choice.
Main Menu
09:15 am
Patient Test
Setup Menu
Screen
Control Test
Options
Review Results
Setup
ID Setup
Lockouts
09/16/2009
09/16/2009
09:15 am
The following screen prompts are used in the
Setup menus:
n SCREEN for changing the way the
display looks
n OPTIONS for setting SORT, BEEPER,
AUTO OFF, and COMPUTER options
n ID SETUP for user management and
patient management options
n LOCKOUTS for optional liquid quality
control options
23
Meter setup
Display field and symbols
The screen prompts that appear during normal operation are shown here, along with their
meaning. Error messages and the description of the symbols linked to them are provided in
the chapter entitled Error messages.
Symbol
Meaning
OK, Save setting
Cancel, discard setting
Return (to previous menu)
Reduce/increase the value displayed
Move screen contents
List of tests of a specific patient
Scroll through the list
Operator must wait until the meter has completed an action.
Test strip
Insert test strip
Remove test strip
24
Meter setup
Symbol
Meaning
Apply blood sample (the time left to apply sample is counted
down in the display)
180 SEC
Apply QC sample (the time left to apply sample is counted down
in the display)
180 SEC
Insert the code chip
QC
%Q
Sec
INR
Automatic quality control completed successfully
Results are displayed as a Quick percentage value.
Results are displayed in seconds.
Results are displayed in INR units.
Result in the chosen unit of measure is above the
measuring range.
esult in the chosen unit of measure is below the
R
measuring range.
Quality control: Result is above/below the specified range.
25
Meter setup
Symbol
Meaning
Battery status:
• When the batteries still have their full charge, all segments
are lit.
• Individual segments disappear one by one as the batteries
become weaker.
• When there is no segment remaining, you can no
longer perform a test. However, test results are still
saved in memory.
Operation with power supply adapter
am
Time between midnight and noon (in 12-hour time format)
pm
Time between noon and midnight (in 12-hour time format)
Reports a warning message
Reports an error (see: Error messages)
Reports a serious error (see: Error messages)
Room or meter temperature is outside the acceptable range.
The cover on the test strip guide is open.
Communication is taking place via the infrared interface
26
Meter setup
Settings summary
The diagram below shows all of the SETUP areas that can be accessed on the meter.
Setup
Screen
Contrast
Units
Language
Date/Time
Sort
Beeper
Auto Off
Computer
Options
ID Setup
Admin.
Operator
Patient
Lockouts
Operator Lockout
QC Lockout
27
Meter setup
Group
Subgroup
Setting
Values *
SCREEN
CONTRAST
0 - 10 (5 *)
RESULT UNITS
INR *
INR/SEC
INR/%Q
LANGUAGE
Dansk
Deutsch
English *
Español
Français
Italiano
Nederlands
Norsk
Português
Svenska
DATE/TIME
SET DATE
01/01/2005 *
SET TIME
12:00 AM *
Date formats
Day.Month.Year (12.06.2006)
Month/Day/Year (06/12/2006) *
Year-Month-Day (2006-06-12)
Time formats24-hour time format (24h)
12-hour time format (12h),
with am/pm *
* Settings that are in the meter when it leaves the factory are labeled with an asterisk (*).
28
Meter setup
Group
Subgroup
Setting
OPTIONS
SORT
Values *
DATE/TIME *
PATIENT ID NUMBER
OFF
BEEPERBEEPER
LOW
MEDIUM *
HIGH
OFF *
KEY CLICK
ON
OFF *
AUTO OFF
[minutes]
1 … (5)* … 10
15
20
25
30
40
50
60
ACTIVE
COMPUTER
INACTIVE *
* Settings that are in the meter when it leaves the factory are labeled with an asterisk (*).
29
Meter setup
Group
Subgroup
Setting
ID SETUP
Admin. (Administrator)
Values *
Blank (off) *
OPERATOR (Operator list is optional)
Blank (off) *
NO
PATIENT
OPTIONAL *
MANDATORY
LOCKOUTS
OFF *
OPERATOR LOCKOUT (only if the Operator option is set to Action and an operator listWEEKLY
is available)
MONTHLY
EVERY 3 MONTHS
EVERY 6 MONTHS
YEARLY
YES
QC LOCKOUT
NEW CODE
NO *
GENERALNO *
DAILY
WEEKLY
MONTHLY
* Settings that are in the meter when it leaves the factory are labeled with an asterisk (*).
30
Meter setup
Conventions used in this manual
This manual refers to all the various operations of the meter. When discussing a particular
operation, a picture guide will appear at the top of the page. This guide shows how to
navigate to this particular operation from the meter’s main menu.
For example: This picture guide shows you how to get from the main menu to the date/time
setup section.
Main Menu
09:15 am
Patient Test
Control Test
Review Results
Setup
09/16/2009
Setup Menu
09:15 am
Screen
Options
ID Setup
Lockouts
09/16/2009
Date/Time
Set Date
Date
09:15 am
Year:
09:15 am
2009
Set Time
Month:
1
Day:
1
Format
09/16/2009
09/16/2009
31
Meter setup
Screen setup
The Screen setup area contains the options for changing the way the display looks.
Contrast
Use this setup option to make the screen display easier to see, depending on the lighting
conditions where you are.
Main Menu
09:15 am
1 F rom the main menu screen, touch Setup
to call up the meter settings.
Patient Test
2 F rom the Setup menu screen, touch
Screen.
Control Test
Review Results
Setup
09/16/2009
Setup Menu
3 F rom the Screen menu screen, touch
Contrast.
09:15 am
4 T ouch
or
to your liking.
Screen
Options
ID Setup
Screen
09:15 am
Contrast
Lockouts
Result Units
09/16/2009
Language Selection
Date / Time
09/16/2009
Contrast
09:15 am
Contrast (0-10):
5
09/16/2009
32
to change the contrast
5 W
hen you have set the contrast to your
liking, touch
(OK) to save, or touch
(Cancel) to cancel this procedure.
The program automatically returns to the
Screen menu.
Meter setup
Units
Use this setting to select the unit(s) of measure to be displayed with the results.
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
Screen.
Control Test
Review Results
Setup
09/16/2009
Setup Menu
3 F rom the Screen menu screen, touch
Result Units.
09:15 am
Screen
Options
ID Setup
Screen
09:15 am
Contrast
Lockouts
Result Units
09/16/2009
Language Selection
The current unit of measure setting
is shown with white type on a black
background. You can select either:
n INR
n INR and seconds
n INR and Quick value in %
Date / Time
09/16/2009
Units
09:15 am
INR
INR/SEC
INR/%Q
09/16/2009
4 T ouch the screen prompt to select
the unit of measure of choice. Your
selection is now displayed with a black
background.
5 After you make your selection, touch
(OK) to save, or touch
(Cancel)
to cancel this procedure. The program
automatically returns to the Screen
menu.
33
Meter setup
Language Selection
Use this setting to select the language for all displays (that contain text).
Main Menu
09:15 am
1 Touch Setup in the main menu.
Patient Test
2 F rom the Setup menu screen, touch
Screen.
Control Test
Review Results
3 F rom the Screen menu screen, touch
Language Selection.
Setup
09/16/2009
Setup Menu
09:15 am
Screen
Options
ID Setup
Screen
09:15 am
Contrast
Lockouts
Result Units
09/16/2009
Language Selection
Date / Time
09/16/2009
Language
Dansk
Deutsch
English
Español
Français
09/16/2009
34
09:15 am
The current language setting is shown with
white type on a black background. You can
select any of these languages:
n DANSK
n DEUTSCH
n ENGLISH
n ESPA—OL
n FRANÇAIS
n ITALIANO
n NEDERLANDS
n NORSK
n PORTUGUÊS
n SVENSKA
Meter setup
Language
Dansk
Deutsch
English
Español
Français
09/16/2009
09:15 am
4 T ouch
or
to scroll to the
language of choice on the screen. If
the arrow is just an outline
, this
means the arrow is not active. On
this screen, for example, there are no
languages listed above “Dansk”.
5 T ouch the screen prompt to select the
language of choice. Your selection
is now displayed with a black
background.
6 A
fter you have made your selection,
save, touch
(OK) to save, or touch
(Cancel) to cancel this procedure.
The program automatically returns to
the Display menu.
35
Meter setup
Setting the date
When you turn on the meter for the first time (or after a long period without power), the input
field for the date automatically appears first. The date (and time) must be entered before the
meter can be used further. If at a later time a date adjustment is needed, go to the Setup
menu, then select the input field of choice.
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
Screen.
Control Test
Review Results
Setup
Setup Menu
09/16/2009
3 F rom the Screen menu screen, touch
Date/Time.
09:15 am
4 F rom the Date/Time menu screen, touch
Set Date to set the date.
Screen
Options
ID Setup
Screen
09:15 am
Contrast
Lockouts
Result Units
Language Selection
09/16/2009
Date / Time
Date/Time
09:15 am
09/16/2009
Set Date
Date
Set Time
Year:
09:15 am
2009
Format
09/16/2009
Month:
1
Day:
1
09/16/2009
36
5 T ouch
or
to set the year, then
the month, then the day.
6 W
hen you have entered all settings, touch
(OK) to save, or touch
(Cancel)
to cancel this procedure. The program
automatically returns to the Date/Time
menu.
ote: If the Setup menu appeared
N
automatically after turning the meter on,
you must press
to complete the first
date setting.
7 T ouch the back arrow
the Screen menu screen.
to return to
Meter setup
Setting the time
When you turn on the meter for the first time (or after a long period without power), the Setup
menu appears automatically after you set the date. If at a later time a time adjustment is
needed, go to the Setup menu, then select the input field of choice.
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
Screen.
Control Test
Review Results
Setup
Setup Menu
09/16/2009
3 F rom the Screen menu screen, touch
Date/Time.
09:15 am
4 F rom the Date/Time menu screen, touch
Set Time to set the time.
Screen
Options
Screen
ID Setup
09:15 am
Contrast
Lockouts
Result Units
09/16/2009
Language Selection
Date / Time
Date/Time
09:15 am
09/16/2009
Set Date
Time
Set Time
Hour:
09:15 am
9
Format
Minute:
09/16/2009
59
AM
PM
5 T ouch
or
to set the hours, then
the minutes. Touch AM or PM.
6 W
hen you have entered these settings,
(OK) to save, or touch
touch
(Cancel) to cancel this procedure. The
program automatically returns to the
Date/Time menu.
If the Setup menu appeared automatically
after turning the meter on, you must
press
to complete the first time
setting.
7 T ouch the back arrow
the Screen menu screen.
to return to
09/16/2009
37
Meter setup
Setting the display options for date and time
You don’t have to select display options for date and time, even though you must enter
the date and time. However, if you want to reset the time and date formats, first go to the
Setup menu.
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
Screen.
Control Test
Review Results
Setup
Setup Menu
09/16/2009
3 F rom the Screen menu screen, touch
Date/Time.
09:15 am
4 F rom the Date/Time menu screen, touch
Format to set the display format.
Screen
Options
Screen
ID Setup
09:15 am
Contrast
Lockouts
Result Units
09/16/2009
Language Selection
Date / Time
Date/Time
09:15 am
09/16/2009
Set Date
Format
Set Time
DD.MM.YYYY
Date:
Format
09:15 am
MM/DD/YYYY
YYYY-MM-DD
09/16/2009
Time:
09/16/2009
38
24H 12H
The current factory default settings
are shown with white type on a black
background. You can select one of the
following display formats:
n DD.MM.YYYY, e.g., 15.06.2007
n MM/DD/YYYY, e.g., 06/15/2007
n YYYY-MM-DD, e.g., 2007-06-15
n Time: 24H or 12H
5 T ouch the screen prompt with the display
format of your choice for date and time.
Your selection is now displayed with a
black background.
6 W
hen you have entered both settings,
touch
(OK) to save, or touch
(Cancel) to cancel this procedure. The
program automatically returns to the
Date/Time menu.
7 T ouch the back arrow
the Screen menu screen.
to return to
Meter setup
Options setup
Sort
Sort refers to the order in which measured and stored results are displayed when you use your
CoaguChek XS Plus meter’s memory function. You can display stored results chronologically
by date and time or by person, based on the patient ID.
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
Options.
Control Test
Review Results
Setup
09/16/2009
Setup Menu
3 F rom the Options menu screen, touch
Sort.
09:15 am
Screen
The current factory default setting is shown
with white type on a black background. You
may select from the following sort options:
n Date/Time
n Patient ID
Options
ID Setup
Lockouts
09/16/2009
Options
09:15 am
Sort
4 T ouch the screen prompt to select the
sort option of choice. Your selection is
now displayed with a black background.
Beeper
Auto Off
Computer
09/16/2009
Sort
Sort By:
09:15 am
5 W
hen you have made your selection,
touch
(OK) to save, or touch
(Cancel) to cancel this procedure. The
program automatically returns to the
Options menu.
Date / Time
Patient ID
09/16/2009
39
Meter setup
Beeper
Note: Your CoaguChek XS Plus meter can display information visually and alert you to special
circumstances with a beeper. When the beeper is activated, the meter beeps when:
n it is switched on
n it detects a test strip
n warming up of the test strip is complete and you need to apply a sample
n it detects a sample
n the test is completed and the results are displayed (a long beep)
n an error occurs (three short beeps)
n an external power adapter is connected when the meter is on
We recommend that you keep the beeper activated at all times.
You can also activate a key click. When a key click is activated, the meter beeps briefly every
time a button is pressed, facilitating the input of information.
40
Meter setup
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
Options.
Control Test
Review Results
Setup
09/16/2009
Setup Menu
3 F rom the Options menu screen, touch
Beeper.
09:15 am
Screen
Options
ID Setup
Lockouts
09/16/2009
Options
09:15 am
Sort
The current setting is shown with white type
on a black background. You may select from
the following options:
For the beep tone
n Off
n Low
n Medium
n High
Beeper
For the key click
n On
n Off
Auto Off
Computer
09/16/2009
Beeper
09:15 am
Off
Low
Medium
High
Key Click:
09/16/2009
On
Off
4 T ouch the screen prompt with the desired
setting for the beeper, then touch the
prompt with the setting of choice for
the key click. Both selections are now
displayed with a black background.
5 W
hen you have entered both settings,
touch
(OK) to save, or touch
(Cancel) to cancel this procedure. The
program automatically returns to the
Options menu.
41
Meter setup
Auto off
You can set up your CoaguChek XS Plus meter so that it turns itself off automatically if it
has not been used (no buttons pressed or tests run) for a period of time you select. Use this
feature to save power and extend the life of the batteries.
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
Options.
Control Test
Review Results
Setup
09/16/2009
Setup Menu
3 F rom the Options menu screen, touch
Auto Off.
09:15 am
Screen
You may select from the following options:
n Off (meter never turns itself off)
n Time until meter turns itself off:
1...10, 15, 20, 25, 30, 40, 50, 60 minutes
Options
ID Setup
Lockouts
09/16/2009
Options
09:15 am
4 T ouch
or
to select the time of
choice in minutes or to turn the feature off.
Sort
Beeper
5 W
hen you have made your selection,
(OK) to save, or touch
touch
(Cancel) to cancel this procedure. The
program automatically returns to the
Options menu.
Auto Off
Computer
09/16/2009
Auto Off
09:15 am
Minutes:
5
09/16/2009
42
Meter setup
Computer
Your CoaguChek XS Plus meter can connect with a computer via an infrared interface using
optional base unit. Using a computer, you can set up operator or patient lists, for example,
or you can transfer test results stored in the meter to a PC for further evaluation. Using this
computer capability requires software. The COMPUTER screen prompt option allows you to
activate or deactivate the meter’s ability to communicate with a computer.
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
Options.
Control Test
Review Results
Setup
09/16/2009
Setup Menu
3 F rom the Options menu screen, touch
Computer.
09:15 am
Screen
You may select from the following options:
n Active
n Inactive
Options
ID Setup
Lockouts
09/16/2009
Options
09:15 am
Sort
Beeper
Auto Off
Computer
09/16/2009
Computer
09:15 am
4 T ouch the screen prompt with the desired
setting for communication with the PC.
Your selection is now displayed with a
black background.
5 W
hen you have made your selection,
touch
(OK) to save, or touch
(Cancel) to cancel this procedure. The
program automatically returns to the
Options menu.
Active
Inactive
43
09/16/2009
Meter setup
ID Setup
Use the ID Setup screen to enter settings for user management and patient management.
These settings are optional; the meter can be operated without these settings.
There are three types of identification used with the CoaguChek XS Plus meter:
n The System Administrator, who has special rights to enter certain meter settings (provided
the administrator has been set up), and is the only one who can enter and change these
settings. It is not necessary for Administrator identification to be activated to use the
CoaguChek XS Plus meter. However, it can be desired or necessary, depending on the
environment and site of use.
n The Operator, who uses the meter to test patients. Operators are defined in the CoaguChek
XS Plus meter using external software (i.e., in operator lists managed by the facility’s
meter administrator. Administrators assign operator passwords and expiration dates and
may download these lists into the meter). This option can be helpful in a clinical setting
to provide further documentation and to ensure that the meter is used only by qualified
personnel.
n The Patient, whose test results are recorded. You can block input of a unique patient ID
(in this case, every test is simply numbered in consecutive order), permit it, or require it for
every test.
ID Setup
Admin.
Operator
Patient
09/16/2009
44
09:15 am
The screen prompts in ID Setup show what the
current settings are, and how the particular area is
set up:
n The standard display of Admin. means the
function is available but not activated (an Admin.
password has not been assigned).
n When the text in the Operator prompt is displayed
in gray, this means an operator list has not been
loaded (from the PC). The function is not available.
n When the Patient button has a black background,
this means the function is available and activated
(either as an option or a requirement).
Meter setup
System Administrator (Admin.)
In the default setting, the meter is not protected with an Admin. password, and all setup
options are accessible to anyone. If you set up a Admin. password, the following setup areas
are automatically reserved only for the Admin:
n Screen: Units, Date/Time
n Options: (connection to a) computer
n ID Setup (the entire area)
n QC Lockout
n Operator Lockout (only available with optional software)
Please note: When you enter a Admin. password, this password must be entered from
this point forward before a password can be set up (anywhere in the ID Setup menu). The
Admin. password also must be entered before you can delete or change it.
Main Menu
09:15 am
If an Admin. password has not
been set up yet:
Patient Test
Control Test
1 F rom the main menu screen, touch
Setup.
Review Results
Setup
09/16/2009
Screen
2 F rom the Setup menu screen, touch
ID Setup.
Options
3 Touch Admin..
Setup Menu
09:15 am
ID Setup
Lockouts
09/16/2009
ID Setup
09:15 am
Admin.
Operator
Patient
09/16/2009
45
Meter setup
***|
Admin.
A
B
09:15 am
C
D
0
1
2
3
4
5
6
7
8
9
F
G
H
I
J
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
ABC
123
Repeat ID
09:15 am
***|
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
123
09:15 am
E
K
Z
Admin.
|
4 U
sing the keypad displayed on the
screen, enter the Admin. password of
choice. The password should include
up to 20 characters and/or symbols of
choice. Pay close attention to the buttons
you press, because the actual characters
and/or symbols are not displayed on
the screen. Asterisks are displayed
instead (as if entering a password on a
computer).
5 U
se 123 to switch to input numbers and
special characters.
6 Use
ABC
to switch back to input text.
7 U
se
to backspace and correct a
mistake.
8 W
hen you have completed the entry,
touch
(OK) to save, or touch
(Cancel) to cancel this procedure.
9 E nter the Admin. password again (the
keypad is automatically displayed again
on the screen) to confirm the first entry.
hen you save the entry, the Admin.
W
password is set.
hen you cancel the entry, the Admin.
W
password is not set and is therefore
inactive.
46
T he program automatically returns to the
ID Setup menu. Exit the Setup menu to
activate the Admin. function. After you
return to the main menu screen, only an
authenticated administrator may set up
any further passwords.
Meter setup
Main Menu
09:15 am
Changing an existing Admin.
password:
Patient Test
Control Test
1 F rom the main menu screen, touch
Setup.
Review Results
Setup
09/16/2009
Setup Menu
2 F rom the Setup menu screen, touch
ID Setup.
09:15 am
Screen
3 U
sing the keypad displayed on the
screen, enter the valid Admin. password.
Options
ID Setup
Lockouts
09/16/2009
***|
Admin.
A
B
09:15 am
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
T he ID Setup is displayed. The Admin.
screen prompt has a black background,
which means a Admin. password is active.
4 T ouch Admin. and use the keypad on the
screen to enter a new ID of choice (enter
it twice).
123
ID Setup
09:15 am
Admin.
Operator
Patient
09/16/2009
47
Meter setup
Main Menu
09:15 am
Deactivating an existing
Admin. password:
Patient Test
Control Test
1 F rom the main menu screen, touch
Setup.
Review Results
Setup
Setup Menu
09/16/2009
2 F rom the Setup menu screen, touch
ID Setup.
09:15 am
Screen
3 U
sing the keypad displayed on the
screen, enter the valid Admin. password.
(OK).
Touch
Options
ID Setup
Lockouts
09/16/2009
***|
Admin.
09:15 am
A
B
C
D
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
ID Setup
E
123
Operator
Patient
Admin.
|
09:15 am
A
B
C
D
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
48
4 Touch Admin.
5 T ouch
(OK) to close the keypad on
the screen without entering a password.
T he Admin. password has been deleted
and therefore deactivated. The Admin.
prompt is now displayed with a white
background.
09:15 am
Admin.
09/16/2009
T he ID Setup is displayed. The Admin.
prompt has a black background, which
means a Admin. password is active.
123
E
Meter setup
Operator (only available with optional software)
To specify operators, an operator list must be created on the PC and downloaded into the
meter using software. In the default setting, the meter is not set up for use with Operator
ID numbers. You can enter settings to activate or deactivate the use of the operator list.
Otherwise, the Operator screen prompt is not active (gray).
Main Menu
09:15 am
If Operator ID numbers are
available:
Patient Test
Control Test
1 F rom the main menu screen, touch
Setup.
Review Results
Setup
09/16/2009
Screen
2 F rom the Setup menu screen, touch
ID Setup.
Options
3 Touch Operator.
Setup Menu
09:15 am
ID Setup
Lockouts
09/16/2009
ID Setup
09:15 am
Admin.
5 W
hen you have made your selection,
(OK) to save, or touch
touch
(Cancel) to cancel this procedure. The
program automatically returns to the ID
Setup menu.
Operator
Patient
09/16/2009
Operator ID
4 T ouch the screen prompt with the
setting of choice (active or inactive) for
setting up the Operator ID number. Your
selection is now displayed with a black
background.
09:15 am
Active
Inactive
09/16/2009
49
Meter setup
Patient
In the default setting, input of Patient ID is “optional.” This means a Patient ID can be entered
for each test, but this isn’t required. If you don’t enter a Patient ID , the test is simply assigned
a consecutive number (the same as when the Patient ID is deactivated). However, you can
require that a Patient ID be entered.
To set up a patient list, it must be created on the PC and downloaded into the meter using
software.
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
ID Setup.
Control Test
Review Results
Setup
09/16/2009
3 Touch Patient.
Setup Menu
09:15 am
You may select from the following options:
Screen
Options
ID Setup
Lockouts
ID Setup
09:15 am
n No (tests will be assigned numbers
automatically)
n Optional (automatic numbering or
manual input)
n Required (manual input)
Admin.
09/16/2009
4 T ouch the screen prompt with the setting
of choice. Your selection is now displayed
with a black background.
Operator
Patient
5 When you have selected the option, touch
(OK) to save, or touch
(Cancel) to
cancel this procedure.
09/16/2009
Patient ID
No
Optional
Required
50
09/16/2009
09:15 am
T he entries for the option No are now
completed. For the options Optional and
Required, continue by selecting the input
format.
Meter setup
Patient ID
09:15 am
Alphanumeric
6 S elect the input format of the Patient ID
to be entered.
Numeric
You may select from the following options:
Max. Length:
09/16/2009
20
n Alphanumeric (text and numbers, e.g.,
“J. Doe 3378”)
n Numeric (numbers only, e.g., “3387”)
n Max. Length: Indicate the maximum
number of characters (1 … 20) the
Patient ID can have.
7 T ouch the screen prompt with the
format of choice for the Patient ID. Your
selection is now displayed with a black
background.
8 T ouch
or
to set the number of
characters (length) of choice.
9 W
hen you have entered all settings,
touch
(OK) to save, or touch
(Cancel) to cancel this procedure.
The program automatically returns to
the ID Setup menu.
51
Meter setup
Lockouts setup
Note: The Lockouts menu contains the options for liquid quality control that require the
operator to perform a liquid quality control test at specified intervals.
If the liquid quality control test is not performed correctly, or if the result is outside the
target value range, the meter is locked out from further use. The lockouts also can be set up
selectively for individual operators.
The option of setting up lockouts for operators is available only when operator lists are stored
in the meter and are activated. These lists are only available through the use of your computer
and the optional base unit.
A liquid quality control test must be completed successfully before the meter is made available
again for testing (either by the operator or in general).
52
Meter setup
Operator lockout (only available with optional software)
To perform a test with the CoaguChek XS Plus meter, the individual steps must be performed
properly. Optional liquid quality control can be performed on a regular basis to ensure proper
performance of these steps.
The operator lockout prescribes regular liquid quality controls of this type for each operator
(who has been set up).
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
Lockouts.
Control Test
Review Results
Setup
09/16/2009
3 Touch Operator Lockout.
Setup Menu
If this button is shown in gray (inactive),
either no operators have been set up
or the Operator ID option has been
deactivated.
09:15 am
Screen
Options
ID Setup
Lockouts
09/16/2009
Lockouts
09:15 am
Operator Lockout
QC Lockout
09/16/2009
4 S elect the interval of choice in which the
mandatory liquid quality control tests
must be carried out.
You may select from the following options:
n No (deactivated)
n Weekly
n Monthly
n Every 3 Months or Every 6 months
n Yearly
53
Meter setup
Op. Lockout
09:15 am
No
Weekly
Monthly
6 T ouch the screen prompt to select the
interval of choice. Your selection is now
displayed with a black background.
Every 3 Months
Every 6 Months
09/16/2009
Op. Lockout
Number of Levels
One Level
Two Levels
09/16/2009
54
5 T ouch
or
to display the option of
choice on the screen. If the arrow is just
an outline
, this means the button is
not active.
09:15 am
7 W
hen you have selected the option of
your choice, touch
(OK) to save,
or touch
(Cancel) to cancel this
procedure without saving.
8 F or every option except No, you must
now indicate the number of levels in
which the liquid quality control must be
performed.
9 When you have selected the option, touch
(OK) to save, or touch
(Cancel)
to cancel this procedure. The program
automatically returns to the Lockouts
menu.
Meter setup
QC (Quality control) lockout
QC Lockout ensures that the optional liquid quality control tests are run at preset intervals
such as NO, DAILY, WEEKLY, or MONTHLY for the meter to be used. This is independent of
the operator, however. Use this option if you work without operator lists. It is also possible
to mandate Operator (OP) Lockout and QC Lockout in parallel. In addition to defining time
intervals, QC Lockout can also be used to specify that a liquid quality control test must be
carried out when a new test strip lot is used (new code).
Main Menu
09:15 am
1 F rom the main menu screen, touch
Setup.
Patient Test
2 F rom the Setup menu screen, touch
Lockouts.
Control Test
Review Results
Setup
09/16/2009
3 Touch QC Lockout.
Setup Menu
4 M
ake a selection, based on lot and/
or time, for requiring a liquid quality
control test.
09:15 am
Screen
Options
ID Setup
You may select from the following options:
Lockouts
n New Code Yes/No (applies every time a
new test strip lot is used)
09/16/2009
Lockouts
09:15 am
The general intervals are:
n No
n Daily
n Weekly
n Monthly
Operator Lockout
QC Lockout
09/16/2009
QC Lockout
New Code
09:15 am
Yes
No
No
Daily
Weekly
Monthly
55
09/16/2009
Meter setup
QC Lockout
Number of Levels
One Level
Two Levels
09/16/2009
09:15 am
5 T ouch the screen prompt with your option
of choice for changing the test strip lot.
6 T ouch the screen prompt to select the
interval of choice. Your selection is now
displayed with a black background.
7 W
hen you have selected the option of
(OK) to save,
your choice, touch
or touch
(Cancel) to cancel this
procedure.
8 F or every option except for No, you must
now indicate the number of levels in
which the liquid quality control must be
performed.
9 W
hen you have selected the option of
your choice, touch
(OK) to save,
(Cancel) to cancel this
or touch
procedure. The program automatically
returns to the Lockouts menu.
56
Testing a capillary blood sample
Testing a capillary blood sample
Gather what you need:
n CoaguChek XS Plus meter
n CoaguChek XS PT Test Strips and matching code chip
n CoaguChek Lancet
n CoaguChek Capillary tube/bulb (optional)
Do not use glass capillary tubes or capillary tubes that contain anticoagulants.
n Cotton ball and alcohol wipe
Important notes
Always …
n … close the container immediately after having removed a test strip.
n … operate the meter at an ambient temperature between 59°F and 90°F (15°C and 32°C).
n … place the meter on a level, stable surface (table) or hold it so it is roughly horizontal.
n … follow the information on correct handling of test strips in the package insert.
n … keep the test strip guide and housing clean. See the chapter entitled Cleaning.
When collecting samples always observe the general precautions and
guidelines related to blood sampling.
Dispose of all test strips used for patient testing in line with the disposal
policy of your laboratory or practice.
Never …
n … store the meter at extreme temperatures (greater than 104°F or 40°C).
n … store the meter in damp or humid conditions without protection.
n … remove or insert the code chip while the meter is performing a test.
n … use the code chip from a pack other than the one in use.
n … touch or remove the test strip during a test.
n … wait more than 15 seconds after lancing the fingertip before applying the blood.
n … add more blood after the test has begun.
n … perform a test with a drop of blood from a previous puncture.
Failure to comply with the above may lead to inaccurate results.
57
Testing a capillary blood sample
Getting a good capillary blood sample
To get a suitable drop of blood:
n Warm the hand. Have the patient hold it under his or her arm, use a hand warmer, or wash
with warm water.
n Have the patient let that arm hang down by his or her side before lancing a finger.
n Massage the finger from its base.
Use these techniques until the fingertip has increased color.
n Immediately after lancing, massage gently along the side of the finger to obtain a good
blood drop without pressing or squeezing too hard.
n Apply the blood drop directly to the test strip immediately (within 15 seconds).
Optionally, you may use a CoaguChek Capillary tube/bulb to collect the fingerstick blood
sample (REF 11621173001).
Getting a good test with venous whole blood
As an alternative to performing a test with capillary blood, you can also perform a test using
venous whole blood. Please note the following:
n Use a plastic syringe to collect the blood sample. Do not use anticoagulants (EDTA, citrate,
oxalate or heparin) to collect the blood sample.
n Use a needle at least 23 G or larger in size.
n Discard the first four drops of blood. Then, immediately place one drop of blood (at least
8 µl) directly onto the target area of the test strip, being sure not to introduce air bubbles
into the sample.
Follow the appropriate infection control guidelines in force in your facility.
n Use gloves.
n Use a lancing device that is approved for use by healthcare professionals.
n Dispose of used lancets and test strips in a sturdy sharps container with lid.
n Follow all health and safety regulations in force locally.
Medical staff and other persons using the CoaguChek XS Plus meter to
perform tests on more than one patient must be aware that any object
coming into contact with human blood is a potential source of infection.
(See: Clinical and Laboratory Standards Institute: Protection of Laboratory
Workers from Occupationally Acquired Infections; Approved Guideline Third Edition; CLSI document M29-A3, 2005.)
58
Testing a capillary blood sample
Preparing to test
1 Have the test strip container at hand.
2 M
ake sure that the code chip supplied
with these test strips is at hand.
59
Testing a capillary blood sample
Test strip code chip
The test strip code chip provides the meter with important information that it needs to perform
the coagulation test. The chip contains information about the test method, the lot number
and the expiration date. The test strip code chip is required when a new test strip container is
opened to store the lot information about the test strips in the meter.
Your CoaguChek XS Plus meter stores the data from up to 60 code chips that were inserted.
n Don’t forget to use the test strip code chip that was supplied with each new test strip
container before you perform the first test. We recommend that you leave the code chip in
the meter to protect the electrical contacts in the meter from becoming dirty.
n Each code chip belongs to a particular lot of test strips. Only remove the code chip when
you are testing with test strips taken from a new pack (with a new code chip).
n Protect the code chip from moisture and equipment that produces magnetic fields.
Inserting the code chip
1 R
emove the old code chip, if one is
inserted in the meter.
S tore the code chip with the
appropriate strip lot.
60
Testing a capillary blood sample
2 A
lways make sure that the number on
the code chip matches the number on
the label of the test strip container.
3 S lide the new code chip into the code
chip slot (as shown) until you feel it
snap into place.
Always compare the code number you see on the display with the number that is
printed on the test strip container you are using. If the two code numbers don’t
match, insert the correct code chip in the slot in the meter.
If the code chip is missing or incorrectly inserted, error messages appear in the display.
(Please refer to the chapter Error messages.)
61
Testing a capillary blood sample
Switching on the meter
1 P lace the meter on a level, vibrationfree surface, or hold it in your hand so
it is roughly horizontal. Turn the meter
on by pressing the On/Off button
and holding until the meter turns on.
Alternatively, you can insert a test strip
or connect it to the power adapter to
turn it on.
The next steps depend on whether you
work with or without operator lists.
Without operator list
Main Menu
09:15 am
Patient Test
2 Wait until the main menu is displayed.
Control Test
Review Results
Setup
09/16/2009
62
If no operator list exists, go to Step 8.
Testing a capillary blood sample
With operator list (only available with optional software)
Operator
09:15 am
3 If an operator list exists, wait until this
list is displayed.
Alan Smithee
Jane Brown
4 S elect the operator of choice by
touching the screen prompt for it.
Touch
or
to scroll to the
language of choice on the screen.
If the arrow is just an outline
,
this means the arrow is not active.
Ann Casey
Joe Dalton
Scan
09/16/2009
Password
|
09:15 am
0
1
2
3
4
5
6
7
8
9
ABC
Main Menu
09:15 am
Patient Test
Control Test
5 E nter the password provided by your
facility’s meter supervisor.
6 After you enter the password, touch
(OK) to log on. The main menu is
displayed and you can start the test.
7 W
hen you touch
(Cancel), the
operator pick list is displayed again.
When the tests are completed or another
operator wants to perform additional
tests, touch the Logout prompt to log
out. (This screen prompt is available
only when the operator list is displayed.)
The meter returns to the display of the
operator pick list.
Review Results
Setup
Logout
09/16/2009
63
Testing a capillary blood sample
Performing a test
Main Menu
09:15 am
Patient Test
Control Test
Review Results
Setup
09/16/2009
Main Menu
09:15 am
QC Lockout
Control Test
Review Results
8 C
heck the battery level. If there are
no bars left in the battery symbol, you
cannot perform any more tests.
9 C
heck that the date and time are
correct. Correct any wrong entries
as described in the chapter entitled
Meter setup/Setting the date.
If a lockout (OP or QC Lockout) is
displayed instead of Patient Test,
you must run a liquid quality control
before you can perform a test. (Refer
to the chapter entitled Optional Quality
control.)
When the meter is in lockout status, a
test cannot be performed.
Setup
Logout
09/16/2009
64
The next steps depend on whether
you work with or without patient
lists.
Testing a capillary blood sample
Without patient list
10 Touch Patient Test.
Patient ID
|
09:15 am
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
,
123
Z
Scan
11 If the Patient ID option was chosen as
either optional or required when the
meter was set up (see Meter Setup,
ID Setup), you are prompted to enter
a Patient ID.
If required, enter the Patient ID, then
press
(OK) to move to the next
screen.
If optional, ignore the prompt and
press
(OK) to move to the next
screen. The meter will assign the test
a consecutive number.
If neither option was chosen, a screen
appears that prompts you to insert a
test strip.
If no patient list exists, go to Step 15.
65
Testing the capillary blood sample
With patient list (only available with optional software)
12 Touch Patient Test.
Test
09:15 am
PID01
Smith, Henry
Patient ID
|
09:15 am
A
B
C
D
F
G
H
I
J
K
L
M
N
O
PID04
Miller, Ted
P
Q
R
S
T
PID05
Reed, William
U
V
W
X
Y
,
123
PID02
Jones, Walther
PID03
Hamilton, Fran
New
09/16/2009
Scan
Z
Scan
E
13 S elect the patient to be tested from
the list that is displayed. Touch
or
to display the entry of your
choice. If the arrow is just an outline
, this means you have reached the
end of the list. After you have selected
the patient, the screen appears that
prompts you to insert the test strip.
14 If the patient is not in the list, touch
New to create a new entry. You must
now enter a Patient ID.
66
Testing a capillary blood sample
15 T he test strip symbol prompts you
to insert a test strip. Remove a test
strip from its container and close the
container again with the stopper.
16 H
old the test strip so the lettering
“CoaguChek XS PT” is facing upward.
17 S lide the test strip into the test strip
guide in the direction indicated by the
arrows.
Slide the test strip in as far as it will
go. A beep tone indicates that the
meter has detected the test strip
(provided the beeper is turned on in
the settings).
Please note: Exposure to external influences (such as humidity) may
deteriorate the test strips and lead to error messages. Therefore, always close
the container with the stopper in place immediately after removing a test strip.
Test
P-ID: PID01
Smith, Henry
Op:
Operator 1
Par: PT
184
09/16/2009
09:15 am
If you use a new test strip lot and have
not inserted the code chip yet, you must
do so now. Otherwise you cannot perform
a test. Depending on the setting, you may
also be required to run a liquid quality
control at this point.
67
Testing a capillary blood sample
Test
09:15 am
P-ID: PID01
Smith, Henry
Op:
Operator 1
Par: PT
Code: 184
The hourglass symbol shows that the test
strip is warming up. When the warmingup process is complete, a further beep
tone (provided the beeper is turned on)
indicates that you can now apply blood.
09/16/2009
Test
09:15 am
P-ID: PID01
Smith, Henry
Op:
Operator 1
Par: PT
Code: 184
180 SEC
09/16/2009
68
The blood drop symbol flashes to indicate
that the meter is ready to perform the test
and is waiting for blood to be applied.
At the same time, a 180-second
countdown begins. You must apply the
drop of blood to the test strip within this
time; otherwise, you will receive an error
message.
Testing a capillary blood sample
18 N
ow lance the side of a fingertip with
the lancing device.
We recommend obtaining the capillary
blood from the side of the fingertip, as
this causes the least pain.
Massage the lanced finger until a drop of
blood is formed. Do not press or squeeze
the finger.
Apply the first drop of blood from the
finger.
19 Apply the blood directly from the finger
to the semicircular, transparent sample
application area of the test strip.
69
Testing the capillary blood sample
Alternatively...
n …you can touch the blood drop
against the side of the sample
application area. The test strip draws
up the blood by capillary action.
uring this process, you must hold
D
the blood drop to the test strip until
the flashing blood drop icon has
disappeared and the meter beeps
(provided the beeper is turned on).
n … you can also apply the blood using
the CoaguChek capillary tube.
Test
09:15 am
P-ID: PID01
Smith, Henry
Op:
Operator 1
Par: PT
Code: 184
Apply the blood drop to the test strip
within 15 seconds of lancing the
fingertip. Applying blood after this period
of time may lead to an erroneous result.
You hear a beep tone when you have
applied enough blood (provided the
beeper is turned on). The blood drop
symbol disappears and the test starts.
09/16/2009
Do not add more blood. Do not touch the test strip until the result is
displayed.
70
Testing a capillary blood sample
Test
09:15 am
P-ID: PID01
Smith, Henry
Op:
Operator 1
Par: PT
Code: 184
QC
The meter performs an automatic quality
control test on the test strip before it
displays the test result. “QC” appears in
the display.
Following a successful outcome of the
quality control test, a check mark appears
after “QC”.
09/16/2009
Test
09:15 am
P-ID: PID01
Smith, Henry
Op:
Operator 1
Par: PT
Code: 184
09/16/2009 09:14 am
2.5INR
Comm.
The result is displayed in the unit of
measure you chose when setting up
the meter. It is automatically saved to
memory.
When interpreting the result, please
also read the test strip package insert
carefully.
09/16/2009
Test
09:15 am
P-ID: PID01
Smith, Henry
Op:
Operator 1
Par: PT
Code: 184
09/16/2009 09:14 am
INR
> 8.0
Comm.
09/16/2009
The valid measuring ranges for
CoaguChek XS PT test strips are:
n INR: 0.8-8.0
n %Q: 120-5
n Sec: 9.6-96
Results that are outside the measuring
range are indicated by the symbols
> (greater than) or < (less than). In this
case, refer to the section Limitations of
Procedure in the package insert supplied
with the test strips, and repeat the test.
71
Testing a capillary blood sample
In this display, you can scroll through
additional results or return to the main
menu.
Menu symbol:
Return to main menu.
Individual symbol:
Scroll through older values stored for this
patient. (This feature is active only if older
values are present.)
Remove
09:15 am
20 A
fter the test and results are
displayed, a Remove menu will
appear on the screen. Remove the
test strip from the measurement
chamber.
21 T urn the meter OFF.
09/16/2009
22 D
ispose of the used lancet and test
strip in line with the disposal policy of
your laboratory or medical practice.
23 C
lean the meter if this becomes
necessary. (See the chapter entitled
Cleaning.)
72
Quality control
Quality control
The CoaguChek XS Plus System has a number of built-in quality-control functions.
n A check of the electronic components and functions every time the meter is turned on.
n A check of the test strip temperature while a test is in progress.
n A check of the expiration date and lot information on the test strip carried out by the
code chip.
n A two-level, on-board quality control test and patient result determination within a single
test chamber.
Roche Diagnostics has available optional liquid quality controls for the CoaguChek XS Plus
System. These controls are provided to assist with regulatory compliance requirements as
applicable to your facility.
To perform an optional liquid quality control test using controls, you need:
n CoaguChek XS Plus meter
n The test strip code chip supplied with the test strip container you are using. (A code chip is
provided with every test strip container.)
n Test strips that came with that code chip.
n Bottles of CoaguChek XS Pro PT Controls, diluent droppers, and the quality control code
chip provided.
You can choose the frequency of liquid quality control tests and specify your choice in the
meter setup. (Refer to the chapter entitled Meter Setup/QC Lockout.) If the control results
in the display are in the specified range, this confirms that the liquid control test was
performed correctly.
Quality control
Preparing to run an optional liquid quality control test
Prepare for a liquid quality control test in the same way you would prepare to perform a
test with a capillary blood sample. The only difference is the use of control solution instead
of blood.
1 Have the test strip container at hand.
2 If you are using the test strip lot for the
first time, make sure that the test strip
code chip that came with these test
strips is at hand.
3 Make sure the bottle of freeze-dried
control plasma and the dropper for
making the control solution are at hand.
This bottle should remain refrigerated
(not frozen) until use.
4 Make sure that the quality control code
chip that came with the control solution
is at hand.
5 Open the lid of the bottle and remove
the rubber cap.
6 Hold the dropper with the sealed
dropper neck pointing upward, then cut
off the end of the cap with scissors. Do
not hold the dropper close to your face.
aution: To avoid loss of diluent, hold the
C
dropper by the stem; do not squeeze the
bulb of the dropper while cutting the tip.
74
pply gentle pressure to the reservoir
A
to transfer the entire contents of the
dropper to the bottle. Make sure that the
dropper does not come in contact with
the dried control plasma.
Quality control
7 Close the container again.
8 M
ake sure the dropper is at hand for
the next steps in the liquid quality
control test.
9 S wirl the bottle using a circular motion
to completely dissolve all of the control
plasma inside. Do not shake the
bottle or turn it on its side. Doing so
can cause components in the control
plasma to stick to the sides of the bottle.
T he control solution is now ready to be
applied to the test strip.
T he control solutions may be
reconstituted (mixed) after removal
from the refrigerator. The resulting
solution may be used up to 30 minutes
after reconstitution.
75
Quality control
Performing an optional liquid quality control test
10 Place the meter on a level, vibrationfree surface, or hold it in your hand so
it is roughly horizontal. Turn the meter
on by pressing the ON/OFF button
.
11 A
lternatively, you can insert a test
strip or connect the meter to the
power adapter to turn it on.
Main Menu
09:15 am
Patient Test
Control Test
Review Results
Setup
09/16/2009
76
12 W
ait until the main menu is displayed,
and log on.
13 C
heck the battery level. If there are
no bars left in the battery symbol, you
cannot perform any more tests.
14 Check
that the date and time are
correct. Correct any wrong entries
as described in the chapter entitled
Meter setup/Setting the date.
Quality control
Main Menu
09:15 am
15 Touch Control Test.
QC Lockout
Control Test
Review Results
Setup
Logout
09/16/2009
QC Test
Operator 1
09:15 am
16 T he test strip symbol prompts you
to insert a test strip. Remove a test
strip from its container and close the
container again with the stopper.
17 H
old the test strip so the lettering
“CoaguChek XS PT” is facing upward.
09/16/2009
18 S lide the test strip into the test strip
guide in the direction indicated by the
arrows.
S lide the test strip in as far as it will
go. A beep tone indicates that the
meter has detected the test strip
(provided the beeper is turned on in
the settings).
Please note: Exposure to external influences (such as humidity) may
deteriorate the test strips and may lead to error messages. Therefore,
always close the container with the stopper immediately after
removing a test strip.
77
Quality control
QC Test
Op:
09:15 am
Operator 1
184
09/16/2009
If you are using a new control solution,
remove the code chip from the meter and
insert the code chip that came with the
control solution instead.
QC Test
*
If you are using a new test strip lot and
have not inserted the test strip code chip
yet, you must do so now. As with the test
strips, a quality control code chip is also
provided with the liquid quality controls.
This chip tells the meter the acceptable
ranges of results for that lot of controls.
The information on the code chip is
retained in the memory so you can use
the same control solutions at any time.
09:15 am
19 S elect the code already stored for
your current control solution, or touch
New to use a new control solution.
New
QC 248
QC 379
lease note: When you first run your
P
control, the QC TEST screen will not
display. This screen will display the
next time you use the control.
QC 462
QC 332
09/16/2009
QC Test
09:15 am
Code: 184
Par:
Op:
Operator 1
QC
09/16/2009
78
PT
If the code chips get mixed up, here’s
how to tell them apart: The name on the
code chip that came with the test strips
starts with the letter S, and the name of
the code chip that came with the control
solution starts with the letter C.
Quality control
QC Test
QC:
999
Code: 184
Par:
Op:
Operator 1
09:15 am
PT
20 S elect the level for this measurement.
Level 1
Level 2
09/16/2009
QC Test
09:15 am
QC:
999
Level: 1
Code: 184
Par: PT
Op:
Operator 1
The hourglass symbol shows that the test
strip is warming up. When the warmingup process is complete, a further beep
tone (provided the beeper is turned on)
indicates that you can now apply control
solution.
09/16/2009
QC Test
09:15 am
QC:
999
Level: 1
Code: 184
Par: PT
Op:
Operator 1
180 SEC
The dropper symbol flashes to indicate
that the meter is ready to perform the
test and is waiting for the sample to be
applied.
At the same time, a 180-second
countdown begins. You must apply the
sample within this time; otherwise, you
will receive an error message.
09/16/2009
79
Quality control
21 U
sing the dropper, draw up the
dissolved contents of the vial.
22 A
pply a single drop of control solution
directly from the dropper to the
semicircular, transparent sample
application area of the test strip. Do
not add more control.
80
Quality control
QC Test
09:15 am
QC:
999
Level: 1
Code: 184
Par: PT
Op:
Operator 1
You hear a beep tone when you have
applied enough control solution (provided
the beeper is turned on). The dropper
symbol disappears and the test starts.
09/16/2009
QC Test
09:15 am
QC:
999
Level: 1
Code: 184
Par: PT
Op:
Operator 1
09/16/2009 09:15 am
1.2 INR
(1.0 - 1.4 INR)
The result of the liquid quality control test
is displayed. It is automatically saved to
memory.
The acceptable range of results for the
liquid control is displayed below the
current result.
Comm.
09/16/2009
81
Quality control
QC Test
09:15 am
QC:
999
Level: 1
Code: 184
Par: PT
Op:
Operator 1
If a liquid quality control test fails, an up
arrow (too high) or down arrow (too low)
is displayed and flashes.
09/16/2009 09:15 am
0.9 INR
(1.0 - 1.4 INR)
Comm.
09/16/2009
In this display, you can scroll through
additional results or return to the main
menu.
Menu symbol:
Return to main menu
Scroll symbol:
Scroll through older values stored in
memory. (This feature is active only if
older values are present.)
Remove
09:15 am
23 R
emove the test strip from the
measurement chamber.
24 T urn the meter off.
25 D
ispose of the used test strip in line with
the disposal policy of your laboratory or
medical practice.
09/16/2009
82
26 C
lean the meter if this becomes
necessary. (See also the chapter entitled
Cleaning.)
When the test is complete, remove the
quality control code chip from the meter
and store it with the controls.
Review Results
Review Results
The CoaguChek XS Plus meter can save 1000 patient test results as well as 500 liquid quality
control tests to memory, together with respective time and date. If the memory is full when
you perform a test, the oldest result is automatically deleted. The most recent result is always
saved. In addition, the meter stores up to 60 code chip records (contents of test strip code
chips and control solution code chips).
Viewing test results
1 P lace the meter on a level, vibration-free
surface, or hold it in your hand so it is
roughly horizontal. Turn the meter on by
pressing the ON/OFF button
.
2 Wait until the main menu is displayed.
3 Touch Review Results.
83
Review Results
Memory
09:15 am
4 S elect the function you want to
perform in the memory.
Patient Result
QC Result
You may select from the following
options:
n Patient Result memory
n QC Result memory
09/16/2009
The following symbols for general use are
located in the views described below:
Menu symbol:
Return to main menu
Return symbol:
From the single-result display,
return to the list of results
Individual symbol:
List that contains entries for
this patient only
84
Review Results
Display Patient Result memory
Memory
09:15 am
This memory area contains all test results
for your patients, sorted chronologically
or by Patient ID. The most recent results
are at the top of the list.
PID01
09/15/2009 11:31 am
PID01
09/14/2009 10:10 am
PID01
09/13/2009 10:07 am
PID01
09/12/2009 10:01 am
PID01
09/11/2009 10:03 am
1 Touch
or
to display the entry
of choice on the screen. If the arrow
is just an outline
, this means you
have reached the beginning or the end
of the patient list.
09/16/2009
Memory
09:15 am
P-ID: PID01
Smith, Henry
Op:
Operator 1
Par: PT
Code: 184
09/15/2009 11:31 am
2.5INR
Doctor Notified
Sick
Travel
09/16/2009
Memory
09:15 am
P-ID: PID01
Smith, Henry
2 T ouch the entry you want to open.
09/15/2009 11:31 am
2.5 INR
09/14/2009 10:15 am
3.0 INR
09/13/2009 09:58 am
1.7 INR
09/16/2009
The entry is displayed.
When you press the Individual
symbol, a list of results for the selected
patient is displayed.
85
Review Results
Display QC (Quality Control) memory
Memory
09:15 am
PID01
09/15/2009 11:31 am
PID01
09/14/2009 10:10 am
PID01
09/13/2009 10:07 am
This memory area contains all liquid
quality control tests that were run, sorted
chronologically. The most recent results
are at the top of the list.
PID01
09/12/2009 10:01 am
PID01
09/11/2009 10:03 am
1 Touch
or
to display the entry
of choice on the screen.
09/16/2009
2 T ouch the entry you want to open.
Memory
09:15 am
QC:
999
Level: 1
Code: 184
Par: PT
Op:
Operator 1
09/15/2009 11:31 am
1.2 INR
(1.0 - 1.4 INR)
New Control Lot
New Strip Lot
09/16/2009
86
The entry is displayed.
Cleaning
Cleaning/Disinfecting
It is important to follow the procedures below to clean and disinfect the meter. Failure to
follow these procedures may cause malfunction of the meter.
n Do not use sprays of any sort.
n Ensure that swab or cloth is only damp, not wet.
Cleaning/Disinfecting the Exterior
n Use only the following items for cleaning/disinfecting the CoaguChek XS Plus meter
housing for a contact time of >1 minute:
- 70% isopropyl alcohol
- 10% Sodium hypochlorite solution (1 part bleach to 9 parts deionized water, made fresh
every 24 hours)
- NOTE: Do not use any other cleaning solutions/disinfectants on the
meter housing.
n Ensure that the blue test strip guide cover remains tightly closed while cleaning
the housing.
1 Clean the Exterior
With the meter powered off, wipe the
meter’s exterior clean.
n Do not let liquid accumulate near any
opening. Make sure that no liquid
enters the meter.
2 Dry the Exterior
With a lint-free tissue, dry the meter.
n Wipe away residual moisture and
fluids after cleaning the housing.
n Allow wiped areas to dry for at least
10 minutes before performing a test.
87
Cleaning
Cleaning/Disinfecting the Test Strip Guide
n Use only 70% isopropyl alcohol or 10% bleach solution to clean/disinfect the CoaguChek
Plus test strip guide.
n Do not use any other cleaning/disinfecting solutions on the test strip guide.
Use of other cleaning/disinfecting solutions could result in damage to the meter.
1 Open the cover
With the meter powered off, use your
thumbnail to open the cover of the test
strip guide by pressing its front edge
upward. Move the cover safely away from
the meter. Then rinse the cover with water
or wipe it clean.
2 Clean the test strip guide
n Hold the meter upright with the test
strip guide facing down.
n Clean the easily accessible areas with a
cotton swab.
n E nsure the swab is only damp, not wet.
n Apply cleaning agent for a contact
time of >1 minute (refer to the
corresponding product labeling).
n Wipe away residual moisture and fluids.
aution: Do not insert any objects
C
into the test strip guide. Doing so could
damage the electrical contacts behind the
test strip guide.
88
lease note: Let the inside of the test
P
strip guide dry for at least 10 minutes
before re-attaching the test strip guide
cover and testing again.
Cleaning
3 Allow to dry
With the cover off, allow the test strip
guide to dry for about 10 minutes.
4 Close the cover
Close the cover, and make sure it snaps
into place.
89
Error messages
Error messages
Depending on the circumstances, an error message may appear on the display of your meter.
Error messages can have up to three warning levels as indicated by the following symbols
and their meanings.
Reports a warning message
Reports an error (see: Error messages)
Reports a serious error (see: Error messages)
Error messages users might see during normal testing are included, but not limited to, the
examples on the following pages.
Your first step upon receiving an error message should be to try the solution suggested for
that error. If the problem persists, please call Roche Diagnostics Technical Service Center at
1-800-428-4674, 24 hours a day, 7 days a week, 365 days a year.
Error messages overview
Error message
(always prefaced by Error)
Error
Brief description
Test strip in meter or
Test strip unusable or the test strip is not a
CoaguChek XS PT test strip
90
Error
Meter too warm or too cold
Error
Battery level too low
Error messages
Error message
(always prefaced by Error)
Brief description
Error
Test strip guide cover open
Error
Code chip error
Error
Test strip beyond expiration date
Error
Test strip unusable
Error
Allowed time for blood application exceeded
Error
Blood application error
JVKL
EXP
4
?
Error
Measurement error
6
91
Error messages
Error message
(always prefaced by Error)
Error
QC
Brief description
Quality control: Test strip unusable or quality control
for new lot missing
Error
Measurement error
Error
Diagnostic testing error
Error
Diagnostic testing error
Error
Internal memory error (patient)
Error
Internal memory error (QC)
Error
Internal memory error (setup)
7
8
9
Patient
QC
92
Error messages
Error message
(always prefaced by Error)
Brief description
Error
Data transfer error
Error
Control solution beyond expiration date
Error
Memory (almost) full
Error
Date/time inconsistent
Error
ID error
EXP
?
DD:MM:YY
93
Error messages
Troubleshooting error messages after turning the meter on
Error
Description/Solution
Error: Test strip
A test strip was already inserted when the meter was turned
on with the ON/OFF button.
Error
Solution
Remove the test strip.
The error message disappears. The meter is ready.
Error: Ambient
temperature
Error
The meter is too cold or too warm to measure correctly.
Solution
Turn the meter off (unplug the power adapter) and allow it to
stand for about 30 minutes at room temperature (65°F to 90°F
or 18°C to 32°C).
Please note: When in continuous operation using the power
adapter or when recharging the battery pack, the meter can
generate the Error: Ambient temperature error message
even when the ambient temperature is under 90°F (32°C).
Error: Battery
Error
Battery level too low
Solution
Insert new batteries.
94
Error messages
Troubleshooting error messages when preparing to test
Error
Error: Cover
Error
Description/Solution
The test strip guide cover is not properly closed.
Solution
Close the test strip guide cover.
The error message disappears. The meter is ready.
Error: Test strip
Error
The test strip is unusable or the test strip is not a CoaguChek
XS PT test strip.
Solution
Remove the test strip and repeat the test with a new or
appropriate test strip.
Error: Code chip
Error
The code chip is missing, not properly inserted in the meter,
or damaged.
Solution
Insert the code chip, or remove it and re-insert it.
JVKL
Error: Test strip
Error
The test strip is beyond its expiration date.
Solution
First check whether the date setting is correct in the meter.
If it is not, set the correct date.
EXP
If the date is correct: Turn the meter off, remove the code
chip and test strip. Use a test strip from a new lot of test
strips and insert the code chip that came with the new lot.
Error: Test strip
Error
4
The test strip is unusable.
Solution
Turn the meter off, remove the test strip and re-insert it. If the
error message appears again, discard the unusable test strip
and use a new one.
95
Error messages
Troubleshooting error messages during or after blood application
Error
Description/Solution
Error: Time for application The maximum allowed time of 180 seconds for applying blood
has been exceeded.
exceeded
Error
Solution
Turn the meter off, remove the test strip and start a new
test using the same test strip and blood taken from a new
fingerstick from a different finger.
Error: Blood application
Error
?
Error: Measurement
Error
Error: Quality Control
Error
96
Solution
Turn the meter off and remove the test strip. Re-read the
instructions about applying blood and repeat the test with a
new test strip and blood taken from a new fingerstick from a
different finger.
Measurement error
Solution
Turn the meter off and remove the test strip. Repeat the test
with a new test strip and blood taken from a new fingerstick
from a different finger. Do not touch or remove the test strip
when a test is in progress.
6
QC
Error applying blood to the test strip.
The test strip failed the internal quality control check. The test
strip is unusable.
Solution
Turn the meter off and remove the test strip. Repeat the test
with a new test strip.
Error messages
Error
Error: Quality Control
Description/Solution
This message appears if quality control lockout was set up for
NEW CODE lockout.
A quality control test must be carried out when a new test
strip lot is used. The quality control for new lot is missing.
Solution
Error
QC
Perform a quality control test with the new test strip lot.
Error: Measurement
Measurement error resulting from the blood sample
Error
7
Solution
Turn the meter off and remove the test strip. Repeat the
measurement using a new test strip and blood taken from a
new fingerstick. Do not touch or remove the test strip when a
test is in progress. Be sure to apply the blood drop within 15
seconds of lancing the fingertip.
Note on Error 7 “Measurement”: The CoaguChek XS PT test strip may be used for
patients under a combination therapy of oral anticoagulants plus heparin injections. For
maximum heparin concentrations that do not interfere with the test, please refer to the
package insert. Under no circumstances, however, should heparinized capillary tubes be
used for sample application. If capillary tubes are used, please use only the dedicated
CoaguChek capillary tubes. Be sure to apply the blood drop to the test strip within 15
seconds of lancing the fingertip.
In rare cases, patients with long clotting times (>8 INR) may receive an
“ERROR 7” message on the meter display. If this error message appears again
when the test is repeated, the result must be checked using another method.
Under no circumstances should heparinized capillary tubes be used. Please
use only the dedicated CoaguChek capillary tubes.
97
Error messages
Troubleshooting other error messages
Error
Error: Diagnostic test
Error
Description/Solution
Error during the internal diagnostic test which the meter
performs.
Solution
Turn the meter off and remove the batteries. Wait at least
one minute before re-inserting the batteries in the battery
compartment, and then set the date and time.
8
Repeat the test. If the error message persists, the meter has a
fault. Please call Roche Diagnostics Technical Service Center
at 1-800-428-4674.
Error: Internal error
ERROR
Error: Memory test
(patient)
Error
The memory contains faulty data.
Solution
The meter has a fault. Please call Roche Diagnostics
Technical Service Center at 1-800-428-4674.
Patient
Error: Memory test (QC)
Error
98
Solution
Because this error indicates possible damage to the heater
plate contacts, call the Roche Diagnostics Technical Service
Center at 1-800-428-4674 to have the meter replaced
9
QC
Error due to temperature inconsistency.
The memory contains faulty data.
Solution
The meter has a fault. Please call Roche Diagnostics
Technical Service Center at 1-800-428-4674.
Error messages
Error
Error: Memory test
(setup)
Error
Description/Solution
The memory contains faulty data.
Solution
The meter has a fault. Please call Roche Diagnostics
Technical Service Center at 1-800-428-4674.
Error: Data transfer
Error
Data was transferred incorrectly.
Solution
Repeat the last action.
Error: Quality Control
Error
EXP
The control solution is beyond the expiration date.
Solution
Use a new control solution with the code chip belonging to it.
Error: Test memory
(capacity)
Error
This message appears when using optional software and
memory is almost full.
Solution
Connect meter to PC and download memory results.
99
Error messages
Error
Error: Date/time setting
Error
?
Description/Solution
Date/time is inconsistent
Solution
Check date/time.
DD:MM:YY
Error: Password
Error
The entered operator or supervisor password is wrong.
Solution
Enter the correct password.
100
Further information
Further information
Ordering
Please contact Roche Diagnostics Customer Service at 1-800-428-5076.
CoaguChek XS PT Test, 2 x 24 test strips
REF 04625315160
CoaguChek XS Pro PT Controls
REF 04625382160
Rechargeable battery pack
REF 04805640001
CoaguChek XS PT Optional Base Unit
REF 04803710001
CoaguChek Capillary Tubes/Bulbs
REF 11621173001
Product limitations
Please read the information in the package insert supplied with the test strips for detailed
product data and limitations.
Disposing of the instrument
If the instrument is to be taken out of operation entirely and disposed of, it must be disposed
of in conformity with the relevant legal regulations and in coordination with your local
authority, if appropriate.
Please note that the instrument may potentially be infectious. It should therefore be
decontaminated before disposal. Use a 10% bleach solution to disinfect the meter.
Information about the software license
This product incorporates software that is under license from GPL. The source code for this
software can be requested on a usual data exchange medium from the following address:
Roche Diagnostics GmbH, Sandhofer Str. 116, D-68305 Mannheim
The GPL licensing conditions are printed below (in English only for legal reasons):
GPL, Version 2, June 1991
Copyright © 1989, 1991 Free Software Foundation, Inc. 51 Franklin Street, Suite 330,
Boston, MA 02110, USA
Everyone is permitted to copy and distribute verbatim copies of this license document, but
changing it is not allowed.
101
Further information
Preamble
The licenses for most software are designed to take away your freedom to share and change
it. By contrast, the GNU General Public License is intended to guarantee your freedom to
share and change free software—to make sure the software is free for all its users. This
General Public License applies to most of the Free Software Foundation’s software and to
any other program whose authors commit to using it. (Some other Free Software Foundation
software is covered by the GNU Library General Public License instead.) You can apply it
to your programs, too. When we speak of free software, we are referring to freedom, not
price. Our General Public Licenses are designed to make sure that you have the freedom to
distribute copies of free software (and charge for this service if you wish), that you receive
source code or can get it if you want it, that you can change the software or use pieces of it
in new free programs; and that you know you can do these things.
To protect your rights, we need to make restrictions that forbid anyone to deny you
these rights or to ask you to surrender the rights. These restrictions translate to certain
responsibilities for you if you distribute copies of the software, or if you modify it.
For example, if you distribute copies of such a program, whether gratis or for a fee, you must
give the recipients all the rights that you have. You must make sure that they, too, receive or
can get the source code. And you must show them these terms so they know their rights. We
protect your rights with two steps: (1) copyright the software, and (2) offer you this license
which gives you legal permission to copy, distribute and/or modify the software.
Also, for each author’s protection and ours, we want to make certain that everyone
understands that there is no warranty for this free software. If the software is modified by
someone else and passed on, we want its recipients to know that what they have is not the
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Finally, any free program is threatened constantly by software patents. We wish to avoid the
danger that redistributors of a free program will individually obtain patent licenses, in effect
making the program proprietary. To prevent this, we have made it clear that any patent must
be licensed for everyone’s free use or not licensed at all.
The precise terms and conditions for copying, distribution and modification follow.
TERMS AND CONDITIONS FOR COPYING, DISTRIBUTION AND MODIFICATION.
This License applies to any program or other work which contains a notice placed by the
copyright holder saying it may be distributed under the terms of this General Public License.
The “Program”, below, refers to any such program or work, and a “work based on the
Program” means either the Program or any derivative work under copyright law: that is to say,
a work containing the Program or a portion of it, either verbatim or with modifications and/or
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Further information
translated into another language. (Hereinafter, translation is included without limitation in the
term “modification”.) Each licensee is addressed as “you”.
Activities other than copying, distribution and modification are not covered by this License;
they are outside its scope. The act of running the Program is not restricted, and the output
from the Program is covered only if its contents constitute a work based on the Program
(independent of having been made by running the Program). Whether that is true depends on
what the Program does.
1. You may copy and distribute verbatim copies of the Program’s source code as you receive
it, in any medium, provided that you conspicuously and appropriately publish on each copy
an appropriate copyright notice and disclaimer of warranty; keep intact all the notices that
refer to this License and to the absence of any warranty; and give any other recipients of the
Program a copy of this License along with the Program.
You may charge a fee for the physical act of transferring a copy, and you may at your option
offer warranty protection in exchange for a fee.
2. You may modify your copy or copies of the Program or any portion of it, thus forming a
work based on the Program, and copy and distribute such modifications or work under the
terms of Section 1 above, provided that you also meet all of these conditions:
a) You must cause the modified files to carry prominent notices stating that you changed the
files and the date of any change.
b) You must cause any work that you distribute or publish, that in whole or in part contains
or is derived from the Program or any part thereof, to be licensed as a whole at no charge to
all third parties under the terms of this License.
c) If the modified program normally reads commands interactively when run, you must
cause it, when started running for such interactive use in the most ordinary way, to print or
display an announcement including an appropriate copyright notice and a notice that there
is no warranty (or else, saying that you provide a warranty) and that users may redistribute
the program under these conditions, and telling the user how to view a copy of this
License. (Exception: if the Program itself is interactive but does not normally print such an
announcement, your work based on the Program is not required to print an announcement.)
These requirements apply to the modified work as a whole. If identifiable sections of that
work are not derived from the Program, and can be reasonably considered independent and
separate works in themselves, then this License, and its terms, do not apply to those sections
when you distribute them as separate works. But when you distribute the same sections as
part of a whole which is a work based on the Program, the distribution of the whole must
be on the terms of this License, whose permissions for other licensees extend to the entire
whole, and thus to each and every part regardless of who wrote it. Thus, it is not the intent of
103
Further information
this section to claim rights or contest your rights to work written entirely by you; rather, the
intent is to exercise the right to control the distribution of derivative or collective works based
on the Program.
In addition, mere aggregation of another work not based on the Program with the Program
(or with a work based on the Program) on a volume of a storage or distribution medium does
not bring the other work under the scope of this License.
3. You may copy and distribute the Program (or a work based on it, under Section 2) in object
code or executable form under the terms of Sections 1 and 2 above provided that you also do
one of the following:
a) Accompany it with the complete corresponding machine-readable source code, which
must be distributed under the terms of Sections 1 and 2 above on a medium customarily used
for software interchange; or,
b) Accompany it with a written offer, valid for at least three years, to give any third party, for
a charge no more than your cost of physically performing source distribution, a complete
machine-readable copy of the corresponding source code, to be distributed under the terms
of Sections 1 and 2 above on a medium customarily used for software interchange; or,
c) Accompany it with the information you received as to the offer to distribute corresponding
source code. (This alternative is allowed only for noncommercial distribution and only if you
received the program in object code or executable form with such an offer, in accord with
Subsection b above.)
The source code for a work means the preferred form of the work for making modifications to
it. For an executable work, complete source code means all the source code for all modules
it contains, plus any associated interface definition files, plus the scripts used to control
compilation and installation of the executable. However, as a special exception, the source
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on which the executable runs, unless that component itself accompanies the executable.
If distribution of executable or object code is made by offering access to copy from a
designated place, then offering equivalent access to copy the source code from the same
place counts as distribution of the source code, even though third parties are not compelled
to copy the source along with the object code.
4. You may not copy, modify, sublicense, or distribute the Program except as expressly
provided under this License. Any attempt otherwise to copy, modify, sublicense or distribute
the Program is void, and will automatically terminate your rights under this License. However,
parties who have received copies, or rights, from you under this License will not have their
licenses terminated so long as such parties remain in full compliance.
104
Further information
5. You are not required to accept this License, since you have not signed it. However, nothing
else grants you permission to modify or distribute the Program or its derivative works. These
actions are prohibited by law if you do not accept this License. Therefore, by modifying or
distributing the Program (or any work based on the Program), you indicate your acceptance
of this License to do so, and all its terms and conditions for copying, distributing or modifying
the Program or works based on it.
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as a consequence you may not distribute the Program at all. For example, if a patent license
would not permit royalty-free redistribution of the Program by all those who receive copies
directly or indirectly through you, then the only way you could satisfy both it and this License
would be to refrain entirely from distribution of the Program.
If any portion of this section is held invalid or unenforceable under any particular
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It is not the purpose of this section to induce you to infringe any patents or other property
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it is up to the author/donor to decide if he or she is willing to distribute software through any
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This section is intended to make thoroughly clear what is believed to be a consequence of
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8. If the distribution and/or use of the Program is restricted in certain countries either by
patents or by copyrighted interfaces, the original copyright holder who places the Program
under this License may add an explicit geographical distribution limitation excluding those
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such case, this License incorporates the limitation as if written in the body of this License.
105
Further information
9. The Free Software Foundation may publish revised and/or new versions of the General
Public License from time to time. Such new versions will be similar in spirit to the present
version, but may differ in detail to address new problems or concerns.
Each version is given a distinguishing version number. If the Program specifies a version
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10. If you wish to incorporate parts of the Program into other free programs whose
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we sometimes make exceptions for this. Our decision will be guided by the two goals of
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NO WARRANTY
11. BECAUSE THE PROGRAM IS LICENSED FREE OF CHARGE, THERE IS NO WARRANTY
FOR THE PROGRAM, TO THE EXTENT PERMITTED BY APPLICABLE LAW. EXCEPT
WHEN OTHERWISE STATED IN WRITING THE COPYRIGHT HOLDERS AND/OR OTHER
PARTIES PROVIDE THE PROGRAM “AS IS” WITHOUT WARRANTY OF ANY KIND, EITHER
EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES
OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THE ENTIRE RISK
AS TO THE QUALITY AND PERFORMANCE OF THE PROGRAM IS WITH YOU. SHOULD THE
PROGRAM PROVE DEFECTIVE, YOU ASSUME THE COST OF ALL NECESSARY SERVICING,
REPAIR OR CORRECTION.
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WILL ANY COPYRIGHT HOLDER, OR ANY OTHER PARTY WHO MAY MODIFY AND/OR
REDISTRIBUTE THE PROGRAM AS PERMITTED ABOVE, BE LIABLE TO YOU FOR DAMAGES,
INCLUDING ANY GENERAL, SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES
ARISING OUT OF THE USE OR INABILITY TO USE THE PROGRAM (INCLUDING BUT NOT
LIMITED TO LOSS OF DATA OR DATA BEING RENDERED INACCURATE OR LOSSES
SUSTAINED BY YOU OR THIRD PARTIES OR A FAILURE OF THE PROGRAM TO OPERATE
WITH ANY OTHER PROGRAMS), EVEN IF SUCH HOLDER OR OTHER PARTY HAS BEEN
ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
END OF TERMS AND CONDITIONS
106
Further information
How to Apply These Terms to Your New Programs If you develop a new program, and you
want it to be of the greatest possible use to the public, the best way to achieve this is to
make it free software which everyone can redistribute and change under these terms. To do
so, attach the following notices to the program. It is safest to attach them to the start of each
source file to most effectively convey the exclusion of warranty; and each file should have at
least the “copyright” line and a pointer to where the full notice is found. One line should give
the program’s name and an idea of what it does. Copyright (C) yyyy name of author.
This program is free software; you can redistribute it and/or modify it under the terms of the
GNU General Public License as published by the Free Software Foundation; either version 2
of the License, or (at your option) any later version.
This program is distributed in the hope that it will be useful, but WITHOUT ANY WARRANTY;
without even the implied warranty of MERCHANTABILITY or FITNESS FOR A PARTICULAR
PURPOSE. See the GNU General Public License for more details.
You should have received a copy of the GNU General Public License along with this program;
if not, write to the Free Software Foundation, Inc., 51 Franklin Street, Suite 330, Boston, MA
02110, USA.
Also add information on how to contact you by electronic and paper mail.
If the program is interactive, make it output a short notice like this when it starts in an
interactive mode:
Gnomovision version 69, Copyright (C) year name of author Gnomovision comes with
ABSOLUTELY NO WARRANTY; for details type `show w’. This is free software, and you are
welcome to redistribute it under certain conditions; type `show c’ for details.
The hypothetical commands `show w’ and `show c’ should show the appropriate parts of the
General Public License. Of course, the commands you use may be called something other
than `show w’ and `show c’; they could even be mouse-clicks or menu items--whatever suits
your program.
You should also get your employer (if you work as a programmer) or your school, if any, to
sign a “copyright disclaimer” for the program, if necessary. Here is a sample; alter the names:
Yoyodyne, Inc., hereby disclaims all copyright interest in the program `Gnomovision’ (which
makes passes at compilers) written by James Hacker.
Signature of Ty Coon, 1 April 1989 Ty Coon, President of Vice
This product incorporates software that is under license from UCB. The UCB licensing
conditions are printed below (in English only for legal reasons):
UCB, Copyright (c) 1993 The Regents of the University of California. All rights reserved.
107
Further information
This software was developed by the Computer Systems Engineering group at Lawrence
Berkeley Laboratory under DARPA contract BG 91-66 and contributed to Berkeley.
All advertising materials mentioning features or use of this software must display the
following acknowledgement: This product includes software developed by the University of
California, Lawrence Berkeley Laboratory.
Redistribution and use in source and binary forms, with or without modification, are permitted
provided that the following conditions are met: Redistributions of source code must retain the
above copyright notice, this list of conditions and the following disclaimer.
Redistributions in binary form must reproduce the above copyright notice, this list of
conditions and the following disclaimer in the documentation and/or other materials provided
with the distribution.
All advertising materials mentioning features or use of this software must display the
following acknowledgement: This product includes software developed by the University of
California, Berkeley and its contributors.
Neither the name of the University nor the names of its contributors may be used to endorse
or promote products derived from this software without specific prior written permission.
THIS SOFTWARE IS PROVIDED BY THE REGENTS AND CONTRIBUTORS “AS IS” AND ANY
EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE
DISCLAIMED. IN NO EVENT SHALL THE REGENTS OR CONTRIBUTORS BE LIABLE FOR ANY
DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES
(INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES;
LOSS OF USE, DATA, OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND
ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT
(INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF
THIS SOFTWARE, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.
108
Product specifications
Product specifications
Operating conditions and technical data
Temperature range
59°F to 90°F (15°C to 32°C)
Relative humidity
10% to 85% (no condensation)
Maximum altitude
14,000 feet (4300 m)
PositionPlace the meter on a level, vibration-free surface or
hold it so it is roughly horizontal.
Measuring range
%Q: 120 - 5
SEC: 9.6 - 96
INR: 0.8 - 8.0
Memory1,000 patient and 500 quality control results with date
and time
60 code chip records
InterfaceInfrared interface, LED/IRED Class 1
(CoaguChek IR key)
Battery operationThe CoaguChek XS Plus System uses four AA
batteries. The batteries should last about 60 tests,
depending on the type of battery used. A special
rechargeable battery pack for the CoaguChek XS Plus
instrument is also available.
Power connectionPower supply adapter: Input: 100-240 V / 50-60Hz /
400 mA
Output: 7.5 V DC / 1.7 A
Number of tests per set of batteriesApprox. 60 tests (approx. 60 tests per charge cycle
when the rechargeable battery pack is used)
Safety class
III
Automatic power-off
Programmable 1 … 60 minutes
Dimensions
185 x 98 x 42 mm
Weight
311 g (without batteries)
109
Product specifications
Sample material
Sample typeCapillary whole blood or non-anticoagulated venous
whole blood.
Sample size
At least 8 µL
Interactions
Refer to test strip package insert
Storage and transport conditions
Temperature range
34°F to 104°F (1°C to 40°C)
Relative humidity
10% to 85% (no condensation)
Support/Services
Please call Roche Diagnostics Technical Service Center at 1-800-428-4674 if you have
questions regarding the handling of your meter, the reliability of your results, if you suspect
the meter is defective or if you have other questions.
Repairs
Please note that repairs and other modifications to the meter may only be performed by
persons authorized by Roche Diagnostics.
110
Warranty
Warranty
CoaguChek XS Plus Meter Limited (1 Year) Warranty
ROCHE DIAGNOSTICS warrants, to the original purchaser only, that the meter shall be free
from all defects in material and workmanship for a period of one year from the date of
purchase. Purchaser’s sole and exclusive remedy, with respect to the CoaguChek XS Plus
meter and parts thereof, shall be the repair and/or replacement of the meter or parts at the
option of Roche Diagnostics.
THE ABOVE WARRANTY IS EXCLUSIVE OF ALL OTHER WARRANTIES, AND ROCHE
DIAGNOSTICS MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING
WITHOUT LIMITATION THE IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR
A PARTICULAR PURPOSE. IN NO EVENT SHALL ROCHE DIAGNOSTICS BE LIABLE TO THE
PURCHASER OR ANY OTHER PERSON FOR ANY INCIDENTAL, CONSEQUENTIAL, INDIRECT,
SPECIAL OR PUNITIVE DAMAGES ARISING FROM OR IN ANY WAY CONNECTED WITH THE
PURCHASE OR USE OF THE METER. NO WARRANTY OF MERCHANTABILITY OR FITNESS
FOR A PARTICULAR PURPOSE, IF ANY IS IMPLIED FROM THE SALE OF THE COAGUCHEK
XS PLUS METER. NO WARRANTY, EXPRESS OR IMPLIED (IF ANY), SHALL EXTEND FOR A
LONGER DURATION THAN THE DURATION OF THE EXPRESS WARRANTY STATED ABOVE.
The foregoing warranty shall not apply to a meter which is damaged by accident or subject to
alteration, misuse, tampering, and/or abuse, including the use of Dispatch® products. Meters
which show damage or misuse will be handled in accordance with Roche Diagnostic’s
non-warranty service policy. The warranty of the repaired/replacement meter will expire
on the date of the original warranty expiration or ninety (90) days after shipment of a
replacement system, whichever period is longer.
111
COAGUCHEK is a trademark of Roche.
Manufactured for and distributed in the U.S.A. by:
Roche Diagnostics
9115 Hague Road
Indianapolis, IN 46250-0457
Rx Only
www.roche.com
www.coaguchek-usa.com
www.usdiagnostics.roche.com
0 8103062001 (01) 2016-08 USA
Roche Diagnostics GmbH
Sandhofer Strasse 116
68305 Mannheim, Germany
Made in Germany
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