GLUCOCARD Expression User Manual

GLUCOCARD Expression User Manual
User Instruction Manual
Read this User Instruction Manual carefully
before you start testing.
TABLE OF CONTENTS
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
In Vitro Diagnostic Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
The GLUCOCARD Expression System Includes . . . . . . . . . . . . . . . . . . . . . 8
Getting to Know the GLUCOCARD Expression Blood Glucose Meter . . . . . . . . 9
Meter Display Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
The GLUCOCARD Expression Test Strip . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
GLUCOCARD Expression Control Solution (required). . . . . . . . . . . . . . . 15
Setting Up Your GLUCOCARD Expression System. . . . . . . . . . . . . . . . . . 16
The Set Up Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Setting the Clock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Setting the Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Voice and Beeper Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Voice Function Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Control Solution Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Performing a Control Solution Test . . . . . . . . . . . . . . . . . . . . . . . . . . 34
2 Control Solution Trouble Shooting . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Testing Your Blood Glucose. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Preparing Your Lancing Device. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Important Information on Alternate Site Testing (AST) . . . . . . . . . . . 45
Performing a Blood Glucose Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Understanding Your Blood Glucose Test Results . . . . . . . . . . . . . . . . . . . 54
Viewing the Meter Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Caring for the Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Changing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Cleaning and disinfection procedures for GLUCOCARD Expression
meter and Lancing Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Purchase information for Dispatch Hosptal Cleaner Disinfectant
Towels with Bleach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Storage and Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Downloading Test Results to a Computer . . . . . . . . . . . . . . . . . . . . . . . . 74
Solving Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
3
Introduction
Thank you for choosing the GLUCOCARD Expression Blood Glucose
Monitoring System to help you monitor your diabetes. We designed
the GLUCOCARD Expression Blood Glucose Monitoring System to be
accurate and easy to use. The added convenience of the bilingual voice
feature can be used as a verbal aid for using the meter and hearing
test results by visually impaired users. This manual contains all the
information needed to use and maintain your new blood glucose meter.
Please read carefully before use.
If you have any questions, call Customer Service at 800.566.8558 (USA
and Canada only). Contact your healthcare professional with questions if
you are unable to reach Customer Service.
4
Intended Use
The GLUCOCARD Expression Blood Glucose Monitoring System is
intended for the quantitative measurement of glucose in fresh capillary
whole blood samples drawn from the fingertips, forearm, or palm. Testing
is done outside the body (In Vitro diagnostic use). The meter includes
voice functionality to assist visually impaired users. It is indicated for lay
use by people with diabetes, as an aid to monitoring levels in Diabetes
Mellitus and should only be used by a single patient and it should not be
shared. It is not indicated for the diagnosis or screening of diabetes or for
neonatal use.
5
IMPORTANT:
•Dehydration – Severe dehydration may lead to inaccurate blood glucose
test result. If you suspect you are severely dehydrated, contact your
healthcare professional immediately.
•Hematocrit range – A hematocrit range that is higher than 55% or lower
than 30% can cause inaccurate blood glucose test results.
•Not intended for use on neonates.
•Alternate site testing should be performed only during steady-state
(when glucose is not changing rapidly). Testing is done outside the body.
6
in vitro diagnostic use
Important Safety Instructions
•The meter and lancing device are for single patient use. Do not share
them with anyone including other family members! Do not use on
multiple patients!
•All parts of the kit are considered biohazardous and can potentially
transmit infectious diseases, even after you have performed cleaning
and disinfection.
•Users should wash hands thoroughly with soap and water after
handling the meter, lancing device, or test strips.
Links to the public health notification and standard practice guidelines are:
•“FDA Public Health Notification: Use of Fingerstick Devices on More
than One Person Poses Risk for Transmitting Bloodborne Pathogens:
Initial Communication” (2010) http://www.fda.gov/MedicalDevices/
Safety/AlertsandNotices/ucm224025.htm
•“CDC Clinical Reminder: Use of Fingerstick Devices on More than One
Person Posed Risk for Transmitting Bloodborne Pathogens” (2010)
http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html
7
THE GLUCOCARD EXPRESSION SYSTEM INCLUDES:
•GLUCOCARD Expression Meter
•User Instruction Manual
•Carrying Case
•Self-testing Log Book
•May include Test Strips, Control Solution, and Lancing Device
and/or Lancets
8
GETTING TO KNOW THE GLUCOCARD EXPRESSION
BLOOD GLUCOSE METER
Test Strip Port
Insert test strip (see page 48) to turn on the meter.
Meter Display
Shows your blood glucose test results, memory
values, averages, and other messages.
Enter ( ) and
buttons
Press and hold Enter ( ) for 2 seconds to turn
on or off the Meter, or press Enter ( ) to go into
setup mode when not testing (see page 16)
<
<
Press or to enter control mode with test strip
inserted (see page 33), during meter setup (see
page 16), or to navigate the stored test values
and averages (see page 56)
9
Battery Compartment
Holds two AAA batteries
Data Port
Connect an ARKRAY data cable*
here to send data to a PC.
*Purchased separately
10
METER DISPLAY SCREEN
BATTERY
Appears when batteries need to be changed (see page 62).
CABLE
Indicates the meter is in data transfer
mode to PC.
mem
MEM
Indicates the number in the meter display
is a stored test value (see page 56).
ALARM
Indicates alarm has been set (see page 22).
CTL
This icon indicates a control solution test
(see page 33) or the stored value is a
control solution result (see page 60).
mg /dL
ctl
DAY
AVG
AM
PM
11
BEEPER
Set sound volume (see page 24).
mem
TEMPERATURE
Appears when meter is outside of
temperature range (50˚F~104˚F).
CLOCK
Indicates the meter is ready to set up
time and date (see page 18).
mg /dL
ctl
DAY
AVG
AM
PM
VOICE
Indicates the voice feature is turned on
(see page 24).
UNITS
Unit of measurement for blood glucose is mg/dL.
BLOOD DROP and ARROW
Indicates the meter is ready for testing (see page 48).
Displays the date, time, am/pm (in 24-hours format, see page 18), or type
of day averages (7, 14, or 30, see page 56)
12
The GLUCOCARD EXPRESSION Test Strip
Contact Points
Sampling End
Insert this end to the test
strip port on the meter.
Apply blood or control
solution here.
The GLUCOCARD Expression Test Strips require a small blood sample
to quickly test glucose in fresh capillary whole blood. The test results
are plasma-calibrated for easy comparison to lab results, however
results may be 10% to 15% higher than results obtained from wholeblood referenced blood glucose assays. The test strip is also equipped
with under-fill detection to alert you when there is not enough blood
to perform a test. This ensures that every reading is accurate and
meaningful.
13
IMPORTANT:
•Immediately close the test strip bottle cap tightly after each use. Keep
the unused test strips in the original bottle. DO NOT store any test strips
outside the bottle while not in use.
•DO NOT reuse test strips. Test strips are for single use only.
•Carefully discard used test strips and lancets in proper waste containers.
14
GLUCOCARD EXPRESSION Control Solution (required)
GLUCOCARD Expression Control Solution is the standard
glucose concentration solution required to perform a Glucose
Control Solution Test. (See Control Solution Testing, page 33).
GLUCOCARD Expression Control Solution is available in 2 levels.
GLUCOCARD Expression Control Solution Level 1 (L1) helps you
validate the performance of your system for a normal range
blood glucose reading. Level 2 (L2) solution helps you validate
your system performance for a high range blood glucose reading.
Run a control test to make sure the Test Strips and Meter are
working together properly, to practice testing procedure, and
after opening a new bottle of GLUCOCARD Expression Test Strips.
Call your local supplier or pharmacy to order control solution.
If they do not stock the product, please call Order Services at
1-800-818-8877 (USA and Canada).
15
Setting Up Your GLUCOCARD expression System
The Setup Screen
The Setup Screen of the GLUCOCARD Expression
meter lets you take advantage of the GLUCOCARD
functions of this meter. To access the Setup Screen:
Step 1:
Press and hold Enter (
Step 2:
Press Enter (
mem
) to turn on meter.
PM
) to enter into the Setup Screen.
Step 3:
Simply use < > buttons to navigate to the desired function icon, and press
the Enter ( ) button to enter the function when the icon is flashing.
Step 4:
Navigate to End at the display screen to exit the Setup Screen. The Meter
will also announce each function when the voice feature is turned on.
16
Press Enter ( ) to enter Memory Recall to
retrieve stored results. Your meter stores up
to 300 test results with date and time
(see page 54).
mem
Press Enter ( ) to enter PC Link Mode for
data transfer onto a PC.
Press Enter ( ) to enter Time and Date Setup
(see page 18).
PM
Press Enter ( ) to enter Alarm Setup (see page 22).
Your meter has 3 alarm settings.
Press Enter (
Press Enter (
) to enter Volume Setup (see page 25).
) to enter Language Selection (see page 26).
End Exit Setup Screen and return to testing.
17
Setting the Clock
You will need:
•Your GLUCOCARD Expression Meter.
NOTE
If date and time on the GLUCOCARD Expression Meter has not been
set, test or control result will not be stored in memory.
Step 1:
Press and hold Enter (
) to turn on the meter.
<
<
Step 2:
Press Enter ( ) to go into the setup screen, then press < or > until
starts to flash. If the voice function is on, the meter will say, “Set date and
time.” Press Enter ( ) to enter clock setup.
18
Step 3:
Set the Year. The current year will flash. If the voice
function is on, the meter will say, “Set Year.” Press < or
> to select the correct year. Press Enter ( ) to confirm
your choice. The screen advances to set the month.
Step 4:
Set the Month. The current month will flash. If the
voice function is on, the meter will say, “Set Month.”
Press < or > to select the correct month. Press Enter
( ) to confirm your choice. The screen advances to
set the date.
Step 5:
Set the Date. The current date will flash. Press < or >
to select the correct day. If the voice function is on,
the meter will say, “Set Day.” Press Enter ( ) to
confirm your choice. The screen advances to the time
format setting.
PM
PM
PM
19
Step 6:
Set the Time Format to 12-hour or 24-hour:
The current time format will flash. Press < or > to select
either 12-hour format or 24-hour format. Press Enter ( )
to confirm your choice. The screen advances to the hour
setting.
PM
Step 7:
Set the Hour. The current hour will flash. If the voice
function is on, the meter will say, “Set Hour.” Press < or
> to select the correct hour. Press Enter ( ) to confirm
your choice. The screen advances to the minutes setting.
PM
Step 8:
Set the Minute. The current minutes will flash. If the voice
function is on, the meter will say, “Set Minutes.” Press
< or > to select the correct minute. Press Enter ( ) to
confirm your choice and finish setting the clock.
20
PM
NOTE:
•Anytime during set up, inserting a GLUCOCARD Expression Test
Strip will begin testing. Any changes made so far will be stored.
•You may need to reset time after changing batteries.
After date and time has been set, the meter will announce the date and
time if the voice feature is on. Begin testing by inserting a GLUCOCARD
Expression Test Strip (see page 40, Testing Your Blood Glucose), or press
and hold Enter ( ) to turn the meter off. See the next section to set up
the alarm feature on your meter.
21
Setting the Alarms
You can set up to three alarms on the GLUCOCARD Expression meter.
You must set the clock before the alarms can be set. When an alarm
sounds, the meter turns on, and a melody sounds for 30 seconds.
Pressing Enter ( ) or inserting a test strip will silence the alarm. You can
set one, two, or all three alarms.
You will need:
Your GLUCOCARD Expression Meter
Step 1:
Press and hold Enter (
Step 2:
Press Enter (
) to turn on the meter.
<
<
) to enter setup screen.
Step 3:
starts to flash. If the voice function is on, the meter
Press < or > until
will say, “Set Testing Alarm.” Press Enter ( ) to enter alarm setting.
screen advances to the minute setting.
22
Step 4:
The display screen will indicate alarm 1 status
(the default is OFF). You can turn alarm on or off by
pressing < or >.
Step 5:
Press Enter ( ) and the hour will flash. Press < or >
to select the hour. Press Enter ( ) to confirm your
choice and the screen advances to the minute setting.
Step 6:
The current minutes will flash. Press < or > to select
the correct minute. Press Enter ( ) to confirm your
choice. The screen advances to the alarm 2 setting.
PM
PM
Step 7:
To set alarm 2 and alarm 3 following steps 4 through 6.
After you have finished setting up alarm 3, press Enter
( ) to exit alarm setup.
PM
23
NOTE:
•Alarm will not sound during testing.
•Alarm will follow the time format (12-hour or 24-hour) you choose
when setting up the clock.
•Alarm settings will not be erased when changing batteries.
Begin testing by inserting a GLUCOCARD Expression Test Strip (see page
40, Testing Your Blood Glucose), or press and hold Enter ( ) to turn off
the meter, or see the next section on how to set up the voice feature on
your meter.
Voice and Beeper Function
Your meter has a bilingual voice function that can be used as a verbal
aid for using the meter and hearing test results. The default setting
for the voice function is on, and can be turned off to conserve battery
power. When the voice function is off, the meter will beep to alert you of
important messages.
You will need: Your GLUCOCARD Expression Meter
24
Setting Volume
Step 1:
Press and hold Enter (
<
<
) to turn on the meter.
Step 2:
Press Enter ( ) to go into setup screen.
Press < or > until
starts to flash.
Press Enter ( ) to enter volume setting.
Step 3:
The screen displays the current sound volume (default is 2).
Press < or > to adjust the sound volume from 1 (lowest)
to 5 (highest). A melody will sound according to the
sound volume you have selected. Setting to 0 will turn
off the voice function. When the voice is turned off, the
meter will beep to alert you of important messages.
Once you have determined the suitable volume, press
Enter ( ) to exit volume setting.
PM
25
Language Selection
Step 1:
Press and hold Enter (
Step 2:
Press Enter (
<
<
) to turn on the meter.
) to enter setup screen.
Step 3:
Press < or > until
starts to flash. If the voice function is on, the meter
will announce “Language Selection.”
Step 4:
Press Enter ( ) to enter the language set up. English
is the default language (1 on the display screen) and is
announced. Press < or > to select Spanish (2 on the display
screen). Press Enter ( ) when you have finished selecting
the language and exit language selection.
26
PM
NOTE:
•Any time during set up you can insert a GLUCOCARD Expression
Test Strip and begin testing. Any changes made so far are stored.
•Your choice of language and volume settings will not be erased when
changing batteries.
Begin testing by inserting a GLUCOCARD Expression Blood Glucose
Test Strip (see page 40, Testing Your Blood Glucose) or press and hold
Enter ( ) to turn off the meter.
Voice Function Table
The voice function can be used as an aid for you to hear the test results
and use the meter. The following table lists WHEN the meter will speak
and WHAT the meter will say when voice function is turned on.
27
WHEN the meter will speak...
WHAT the meter will say...
Turned on
Melody
Prompt user to insert test strip
“Please insert test strip”
Test strip is inserted and the meter is ready
to test (with flashing arrow and blood drop)
“Blood glucose test. Please
apply blood onto the test strip”
Blood Glucose test is completed and the
result is shown on screen
“Your blood glucose reading is
(number) milligrams per deciliter”
Blood Glucose test result is BELOW the
measurement range of 20 mg/dL
“Your blood glucose reading is
below 20 mg/dL”
Blood Glucose test result is ABOVE the
measurement range of 600 mg/dL
“Your blood glucose reading is
above 600 mg/dL”
Temperature is out of range (between
50˚F~104˚F)
“Temperature is out of range”
When the meter is turned off
Melody
28
Voice Function: Control Solution and Blood Glucose Testing
(See page 33 - Control Solution Testing and page 40—Testing Your
Blood Glucose)
Insert the test strip and press < or >
(ctl appears next to the test strip icon)
“L1 control solution test.
Please apply control solution
onto the test strip.”
<
<
<
<
<
“Blood glucose test.
Please apply blood onto
the test strip.”
<
“L2 control solution test.
Please apply control solution.”
29
Voice Function: The Setup Screen
(See page 16—Setting Up Your Glucocard Expression System)
Pressing Enter ( ) to enter setup screen
(after the meter has been turned on)
“End Function
Mode”
< <
<
<
< <
“Memory
Recall”
< <
“PC Link”
30
“Set Date and
Time”
“Set Testing
Alarm”
< <
<
< <
<
“Language
Selection”
“Set Sound
Volume”
Voice Function: Setting the Clock
WHEN the meter will speak...
WHAT the meter will say...
During date and time setup,
setting up the year
“Set Year”
During date and time setup,
setting up the month
“Set Month”
During date and time setup,
setting up the date
“Set Day”
During time format setup,
setting up the time format
“Set 12 Hour, Set 24 Hour”
During date and time setup,
setting up the hour
“Set Hour”
During date and time setup,
setting up the minutes
“Set Minutes”
After finish setting up date and time
“The date and time is (year)
(month) (date) (hour) (minutes)”
31
Voice Function: Setting the Alarms
WHEN the meter will speak...
WHAT the meter will say...
Setting alarm 1, 2, or 3
“Set Alarm (number)”
When sending data to PC
“Sending data to PC”
Finish sending data to PC
“Data transmission complete”
Voice Function: Other warning messages (See page 74 - Solving Problems)
Meter date and time has not been set
“Please set date and time”
Meter failure
“Error 1 meter failure”
Used test strip
“Error 3 used test strip”
Not enough blood or control solution
“Error 4 not enough sample”
32
Control Solution Testing
The purpose of the control solution testing is to make sure the
GLUCOCARD Expression meter and the GLUCOCARD Expression Test
Strip is working properly. You should perform control solution testing when:
•Using the meter for the first time.
•Using a new bottle of GLUCOCARD Expression Test Strips.
•You left the test strip bottle cap open.
•You dropped the meter.
•You suspect your meter and test strips are not working properly.
•The blood glucose test results do not reflect how you feel.
•You want to practice the testing procedure.
Call your local supplier or pharmacy to order control solution. If they
do not stock it, call ARKRAY Order Services at 800.818.8877 (USA and
Canada only).
33
Performing a Control Solution Test
IMPORTANT:
•Use only the GLUCOCARD Expression Control Solution with the
GLUCOCARD Expression Test Strips. Other brands of control solution
will produce inaccurate results.
•Always check the expiration date. DO NOT use control solution if it is
expired.
• DO NOT FREEZE. Store the control solution at room temperature.
You will need:
•GLUCOCARD Expression Control Solution (Level 1 or Level 2)
•Your GLUCOCARD Expression meter
•A new GLUCOCARD Expression test strip
Step 1:
Remove a GLUCOCARD Expression Test Strip from the
test strip bottle. Close the bottle cap immediately. Insert
the test strip to turn on the meter.
34
IMPORTANT:
•Check the expiration date printed on the test strip bottle and its
package. Do not use expired test strips.
•Use test strip immediately after removing from the bottle.
•Do not use wet or damaged test strips.
•Keep away from direct sunlight and heat. Store the test strip bottle in
a dry, cool place.
•Record the “date opened” on the bottle label. Discard the bottle and
any remaining test strips after 3 months from date of opening.
•Test under the temperature range of 50˚F to 104˚F. Your meter will not
work outside of this range.
• Must insert test strip into the test strip port.
• Must see a flashing blood drop icon when the test strip has been
inserted into the test strip port.
35
Step 2:
Wait until the flashing blood drop and arrow icons appear
on the meter display screen. The meter will also announce,
“Please apply blood onto the test strip” if you have the
voice feature turned on. Press > to enter L1 control
solution testing.
ctl
Step 3:
icon will appear next to the test strip icon and L1 will appear on
the meter display screen. The meter will also announce “L1 control
solution test, please apply control solution onto the test strip.” If you
decide not to do a control solution test, Press < until
disappears
from the meter display.
Step 4:
Squeeze a drop of control solution onto a clean, dry, non-absorbent
surface. Do not apply control solution to the test strip directly from
the bottle. Replace the cap on the control solution bottle immediately
after use.
36
mo /dL
PM
<
<
Step 5:
Gently touch the drop of the control solution to the tip
of the test strip. The meter will beep indicating it has
received the control solution.
Step 6:
The screen will start to count down. After 6 seconds,
the control test result will appear on the meter display
screen.
Step 7:
Compare the reading on the screen to the Level 1
range printed on the test strip bottle or its package. If
the reading falls outside the Level 1 range printed on
the test strip bottle or its package, see Control Solution
Trouble Shooting, on page 39.
PM
Level 1: 53 - 79
Level 2: 135 - 203
37
NOTE:
•Control solution test results will be stored into the meter memory and
indicated by
icon.
•Control solution test results will not be used for calculating averages.
Step 8:
Remove the used test strip. The meter will automatically turn off. Discard
the used test strip into a proper waste container.
IMPORTANT:
Do not re-use Test Strips.
Follow steps 3 through 8 to complete a Level 2 control solution test and
compare the result with the Level 2 range printed on the test strip bottle.
38
Control Solution Trouble Shooting
If your control solution test is out of range (too high or too low), it may
be caused by the following:
Possible Causes
WHAT you can do…
Wrong brand of Control
Solution used
Make sure you are using GLUCOCARD
Expression Control Solution.
Control solution not at
room temperature
Make sure the testing environment is between
50˚F to 104˚F.
Check the expiration and open bottle date on
Expired or contaminated
both the control solution and test strips. Repeat
control solution or damaged test using a new test strip. If the result is still
test strip.
out of range, use a new bottle of control solution
and retest.
Meter malfunction
If problem persists, Please call Customer Service
at 1-800-566-8558 (USA and Canada only).
Contact your diabetes healthcare professional if
you cannot reach Customer Service.
39
Testing Your Blood Glucose
You will need:
•Your GLUCOCARD Expression meter
•A new GLUCOCARD Expression test strip
•Lancing device with a clean, unused lancet (or safety lancets)
•Wide tip (lancing device) for Alternate Site Testing (AST) on palm and
forearm
Before you begin, make sure:
•The meter has been set up properly and you’ve completed a control test.
See Setting Up Your GLUCOCARD Expression System on page 16, and
Control Solution Testing on page 33 for details.
•Wash your hands and the testing site thoroughly with soap and warm
water, dry well.
•You are testing in an area between the temperature ranges of 50˚F~104˚F.
NOTE: Your meter will not test outside of this range and will display a
thermometer icon with verbal indication if the voice feature is turned on.
Move the meter into an area that is between 50˚F~104˚F, and let sit for
10 to 15 minutes before testing again.
40
•If the meter is being operated by a second person who is providing
testing assistance to the user, the meter and lancing device should be
cleaned and disinfected appropriately when testing is conducted by the
second person.
IMPORTANT:
•Check the expiration date printed on the test strip bottle. DO NOT use
expired Test Strips.
•When you open a bottle of Test Strips for the first time, record the
“open date” on the test strip bottle. Discard the bottle and any
remaining Test Strips 3 months after the open date.
•After taking a Test Strip out of the bottle, close the cap of the bottle
immediately.
•Use each Test Strip immediately after taking it out from the bottle.
•Do not use wet, bent, scratched, or visibly damaged Test Strips.
•Keep the Test Strips away from direct sunlight and heat. Store the
test strip bottle in a dry, cool place
41
Preparing Your Lancing Device
Step 1
Remove the adjustable cap by twisting the
cap off the lancing device and insert the
lancet by pushing down firmly until lancet
is fully seated.
Step 2
Twist the protective cover off the lancet.
Attach the adjustable cap by twisting
clockwise onto the lancing device.
42
Step 3
Adjust the puncture setting on the
adjustable cap for the puncture depth
level (1 is the lightest and 5 is the
deepest).
Step 4
With one hand holding the adjustable
cap, pull back the lancing device with
your other hand until you hear a click.
The lancing device is now ready for
blood sampling.
43
Obtaining a Blood Sample
CAUTION:
•The lancets are for single use only. Always use a new sterile lancet each time you
perform the test.
•DO NOT share your device or lancets with other people. Sharing or reusing lancets can
lead to disease transmission.
•Dispose of properly in biohazard waste.
•When performing a blood glucose test, use a new sterile lancet every time. If alcohol
wipes are used to cleanse the fingers, make sure the area is dry before the blood sample
is obtained.
Step 1:
Wash hands with soap and warm water and dry thoroughly. Warm water
stimulates blood flow to the fingers making it easier to obtain a sample.
Step 2:
Hang the arm down at the side for 10 to 15 seconds; massage through the
wrist, palm, and then the finger. This can stimulate the blood flow to the
finger more quickly.
44
Step 3:
Hold the lancing device (puncture) or lancet against the side of the finger
and lance the finger. Follow manufacturer’s instruction for how the lancing
device (puncture) or lancet should be used.
Tip:
To avoid soreness, select a site on the side of your fingertips. To avoid calluses, choose a
different site each time for obtaining the blood sample.
Important Information on Alternate Site Testing (AST)
The GLUCOCARD Expression Blood Glucose
Monitoring System can test blood glucose from
areas other than your fingertip such as palm and
forearm (alternate site testing, or AST). Alternate
site testing can be less painful than fingertip testing,
because of the physiological differences between
your fingertip, palm and forearm;1 alternate site
test results may be significantly different than results from fingertip testing
under certain conditions. You should consult with your doctor or healthcare
45
professional before using an alternate site to test.
DO AST ONLY in the following intervals:
•In a pre-meal or fasting state (more than 2 hours since the last meal).
•2 hours or more after taking insulin.
•2 hours or more after exercise.
Alternate site measurements should never be used to calibrate
continuous glucose monitors (CGMs)
Alternate site measurements should never be used for insulin dosing
calculations.
Alternate Site Testing SHOULD NOT be used when: •You are experiencing Hypoglycemic unawareness (unable to tell if you
have low blood sugar).
•Within 2 hours of a meal, exercise, or medication.
•You will be operating machinery or driving a car.
•You are sick.
•You think your blood glucose is low.
46
•Your AST results do not match the way you feel.
•You are testing for hyperglycemia.
• Your routine glucose results are often fluctuating.
NOTE:
•Rubbing forearm until warm before lancing will help minimize the
difference between fingertip and AST test results. The palm (at the
base of the thumb) does not require rubbing before testing.
•If results from alternate site testing do not agree with how you feel,
use fingertip testing.
1. Shu M, F, Kazuhiro H, Yoshihito A: Hypoglycemia Detection Rate Differs Among Blood Glucose Monitoring Sites.
Diabetes Care 28(3): 708–709, 2005
47
Performing a Blood Glucose Test
Step 1:
Remove a GLUCOCARD Expression test strip from
the test strip bottle. Close the bottle cap immediately.
Insert the test strip to turn on the meter.
IMPORTANT:
•Check the expiration date printed on the test strip bottle and its
package. Do not use expired test strips.
•Use test strip immediately after removing from the bottle.
•Do not use wet or damaged test strips.
•Keep away from direct sunlight and heat. Store the test strip bottle in
a dry, cool place.
•Record the “date opened” on the bottle label. Discard the bottle and
any remaining test strips after 3 months from date of opening.
•Must insert test strip into the test strip port.
•Must see a flashing blood drop icon when the test strip has been
inserted into the test strip port.
48
Step 2:
A flashing blood drop and arrow icon appears on the
meter display screen. The meter will announce, “Please
apply blood onto the test strip” if you have the voice
feature turned on.
Step 3:
Obtain blood sample.
mo /dL
PM
For Fingertip Testing:
Hold the lancing device (use the narrow tip adjustable cap) against the
side of your fingertip and press the release button.
49
TIP:
•Gently massage your hand and finger toward the puncture site to form
a drop of blood (approximate size ). Do not “milk,” or squeeze around
the puncture site.
•Lance the side of your fingertip to avoid soreness. To avoid calluses,
choose a different lancing site each time.
For Testing on Palm and Forearm:
Hold the lancing device (use the wide tip adjustable
cap) against the test site (base of palm or forearm).
Avoid a test site that has veins, moles, excessive
hair, or bone.
Press the lancing device firmly against the test site
and press the release button, hold lancing device in
place.
50
For forearm test sites, apply and release pressure
(“pump”) for a few seconds while keeping the
lancing device in constant contact with the skin.
Palm testing (at the base of the thumb) does not
require pumping.
When the blood drop is large enough
(approximate size ), lift the lancing device
straight up without smearing the blood drop.
NOTE:
•Rubbing forearm until warm before lancing will help minimize the
difference between fingertip and AST test results. The palm (at the
base of the thumb) does not require rubbing before testing.
•If results from alternate site testing do not agree with how you feel,
use fingertip testing.
51
<
Step 4:
Gently bring the test strip to the drop of blood at a slight
angle. The test strip acts like a straw to pull the blood in.
Keep the test strip in the blood drop until the meter beeps
to indicate the test strip has enough blood.
<
Step 5:
The screen will start to count down. After 6 seconds,
your glucose test result will appear on the meter display
screen and announce verbally if you have the voice feature
turned on. Your test result will be automatically stored into
the meter memory.
52
CAUTION:
•If you see “HI” or “LO” displayed, your blood
glucose level may be above 600 mg/dL or below
20 mg/dL. Test again using fingertip testing,
DO NOT test on forearm. If you receive the
same result, call your physician or healthcare
professional immediately.
PM
CAUTION cont:
•Wash your hands thoroughly with soap and water after handling the
meter, lancing device or test strips.
•Clean and disinfect the meter and lancing device after the test (see
cleaning and disinfection).
Step 6:
Remove the used test strip into proper waste container. The meter will
automatically shut off.
Step 7:
Remove the used lancet from your lancing device and discard into proper
waste container.
Step 7:
IMPORTANT:
Remove the used lancet from your lancing device according to
You shouldand
consult
yourinto
healthcare
provider
for instructions on how to
instructions
discard
proper waste
container.
properly dispose of used test strip.
53
Understanding Your Blood Glucose Test Results
Blood glucose values vary depending on food intake, medication, health,
stress, and exercise. The ideal range for adults without diabetes:2
•less than 100 mg/dL before meals.
•less than 140 mg/dL after meals.
It is important to consult with your physician or healthcare professional to
determine an appropriate target range for you.
High or Low Blood Glucose Readings
If the meter displays results that are HI or LO, or you get a result that is
more than 250 mg/dL or below 50 mg/dL AND you feel ill:
•Treat your diabetes according to the instruction from your doctor
and/or consult your healthcare provider.
54
If the meter displays results that are “HI” or “LO,” or you get a result that is
more than 250 mg/dL or below 50 mg/dL AND you DO NOT feel ill:
• Test your meter with a control solution, refer to page 33, Control
Solution Testing.
• Test again using fingertip testing.
If you still get a high or low reading, contact your healthcare professional.
NOTE:
•Inaccurate results may occur in severely hypotensive individuals or
patients in shock.
•Inaccurate low results may occur for individuals experiencing a
hyperglycemic-hyperosmolar state, with or without ketosis.
•Critically ill patients should not be tested with blood glucose meters.
Reference:
2. American Diabetes Association Position Statement: Standards of Medical Care in Diabetes—2010. Diabetes Care
2010; 33 (Suppl.1): S11–S61.
55
Viewing the Meter Memory
Your GLUCOCARD Expression meter automatically stores up to 300 test
and control results with date and time. The meter also provides 7, 14, and
30 day averaging to help track your blood glucose trends. You must set
the date and time on your meter to use the memory and day averaging
function (see Setting Up Your GLUCOCARD Expression System on page
16). The meter will not store into memory test or control results if the date
and time are not set.
Viewing Stored Readings and 7, 14, and 30 Day Average
from Memory
You will need:
•Your GLUCOCARD Expression meter
56
Step 1:
Press and hold Enter (
Step 2:
Press Enter (
) to turn on the meter.
) to enter setup screen.
Step 3:
Press < or > until
starts to flash. If the voice function is turned on,
the meter will say “memory recall.” Press Enter ( ) to enter.
will appear at the upper left corner of the display
screen together with your most recent test result. Press <
to see the next result, and the next, and so on. Holding <
will flash through the test results. recent readings.
mem
PM
57
nil will appear on the display screen after the last recorded test result if
less then 300 readings are stored. You can press > to go back viewing
from the oldest to the most recent readings.
mem
mem
mem
mg /dL
mg /dL
PM
PM
Step 4:
When you reach the most recent test result, continue to press > to start
viewing day averages. The meter will display the 7 day average, press
> again to see the 14 day average, and press > again to see the 30 day
average.
58
The number of results included in the average is shown right next to
the
icon. Control solution results are not included in the day average
calculations.
mem
mem
mem
mg/dL
DAY
AVG
mg /dL
mg/dL
DAY
AVG
DAY
AVG
59
NOTE:
•Control testing results are flagged by
on the bottom left corner of
the display screen in addition to
.
•When the meter memory is blank, the display screen will show nil.
•When there is no day average data available, the display screen will
show 4 dashes.
•If the meter memory is full, adding a new test result will cause the
oldest to be deleted.
•Stored test results and day averages will not be erased when
changing batteries.
•You can begin testing anytime by inserting a test strip.
60
caring for the meter
Caring for your GLUCOCARD Expression meter is easy. Follow these
simple guidelines to keep your meter working properly.
NOTE:
•Do not get water inside the GLUCOCARD Expression Meter. Never
immerse the meter or hold it under running water.
•Do not use glass or household cleaners on the meter.
•Do not try to clean the test strip holder.
•Do not contaminate the strip holder with blood or control solution.
•Handle the meter with care; severe shock, such as dropping the
meter, could damage the electronics.
61
Changing the Battery
Batteries need to be changed when the
icon appears on the meter display.
Materials you will need:
•Two Alkaline AAA Batteries
• Your GLUCOCARD Expression Meter
Step 1:
Press firmly on the battery cover and slide in the
direction of the arrow.
Step 2:
Insert new batteries. Slide the battery cover back into
the meter firmly.
NOTE:
•Meter will prompt you to reconfirm the date and time when turned
on. See page 18 for Setting the Clock.
•The date, stored results, alarm settings, volume setting, and language
choice remain in memory when the batteries are changed.
62
Cleaning and disinfection procedures for GLUCOCARD Expression
meter and Lancing Device
Cleaning and disinfection are different and both should be performed.
Cleaning, such as removing dirt with a damp paper towel, is part of
your normal care and maintenance, but cleaning does not kill germs
effectively. After use and exposure to blood, all parts of this kit can
potentially transmit infectious diseases. Disinfection is the only way
to reduce your exposure to disease. For cleaning and disinfecting
information, see pages 63-72 in this manual.
You should disinfect areas where there are both high concentrations of
dangerous germs and a possibility that they will be spread to others.
That is because disinfectants have ingredients that destroy bacteria and
other germs. While surfaces may look clean, many infectious germs may
be lurking around. Given the right conditions some germs can live on
surfaces for hours and even for days.
The proper disinfection of GLUCOCARD Expression blood glucose
monitoring equipment is using DISPATCH® Hospital Cleaner Disinfectant
Towels with Bleach. These are pre-moistened disposable towels for use
63
in health care and other areas where control of cross contamination is
required. Only Dispatch wipes have been validated for use in cleaning and
disinfection of the meter. A cleaning step must be performed before each
disinfection step.
Cleaning and disinfection frequency: The GLUCOCARD Expression
meter and Lancing Device should be cleaned when it appears dirty or
contaminated with blood. It should be disinfected every day according to
the validated cycle of 1825 times. The validated cycle of 365 x 5 = 1825
times is equivalent to one cleaning plus one disinfection per day over 5
years. The lancing device cleaning and disinfecting instructions in this
manual have only been validated using the lancing device.
Cleaning and Disinfecting Your Meter
Clean and disinfect your meter at least 1 time per week using DISPATCH®
hospital cleaner disinfectant towels with bleach, with EPA registration
number 56392-8. Other wipes with EPA Reg. No. 56392-8 may also be
used.
64
1. Wash hands with soap and water.
2. Inspect for blood, debris, dust, or lint anywhere on the meter.
3. Clean or disinfect meter.
4. To clean the GLUCOCARD Expression meter, blood/body fluids must
be thoroughly cleaned from surface and objects before disinfecting.
Dispense the towel (DISPATCH) from its package. Wipe surface with
towel (DISPATCH) until completely wet. You should wipe all external
areas of the meter including both front and back surfaces. Avoid
wetting the test strip holder. Allow to remain wet for one minute
at room temperature (68-77° F). Discard used towel in a sealed
container where it will not be touched by others.
65
5. To disinfect the GLUCOCARD Expression meter, dispense a second
towel (DISPATCH) from its package. Wipe surface with towel
(DISPATCH) until completely wet. You must wipe all external areas of
the meter including both front and back surfaces and allow 1 minute
contact at room temperature. Avoid wetting the test strip holder.
Wipe dry or allow to air dry. Oily substances must be removed prior
to disinfection. Discard used towel in a sealed container where it will
not be touched by others.
6. Wash hands with soap and water.
66
NOTE:
•If the meter is being operated by a second person who is providing
testing assistance to the user, the meter should be decontaminated
prior to use by the second person.
•Avoid alcohol and ammonia. Even though these two ingredients are
excellent disinfectants they are not safe for your meter or lancet device.
Alcohol damages the LED read out and amonnia corrodes the metal parts.
•User should wash hands thoroughly with soap and water after
handling the meter lancing device, and test strip.
•Keep DISPATCH out of reach of children.
•Do not flush towels down toilet.
•Do not get water inside the meter or hold it under running water.
•Do not use glass or household cleaners on the meter.
•Do not try to clean the test strip holder.
•Avoid wetting the test strip holder
•Only DISPATCH hospital cleaner disinfectant towel should be used to
do cleaning and disinfection with your meter.
67
Cleaning and Disinfecting Lancing Device
Clean and disinfect Lancing Device after every use with DISPATCH® hospital
cleaner disinfectant towels with bleach, with EPA registration number 563928. Other wipes with EPA Reg. No. 56392-8 may also be used.
1. Inspect for blood, debris, dust, or lint anywhere on the lancing device.
2. Clean or disinfect lancing device.
3. To clean the lancing device and endcap, blood/body fluids must be
thoroughly cleaned from surface and objects beore disinfecting.
Dispense the towel (DISPATCH) from its package. Wipe surface
with towel (DISPATCH) until completely wet. Allow to remain wet for
one minute at room temperature (68-77° F). Discard used towel in a
sealed container where it will not be touched by others.
68
4. To disinfect the lancing device, dispense a second towel (DISPATCH)
from its package. Wipe surface with towel (DISPATCH) until
completely wet. You must wipe surface with towel (DISPATCH) until
completely wet and allow 1 minute contact at room temperature.
Wipe dry or allow to air dry. Oily substances must be removed prior
to disinfection. Discard used towel in a sealed container where it will
not be touched by others.
5. Wash hand with soap and water.
69
NOTE:
•If the meter is being operated by a second person who is providing
testing assistance to the user, the lancing device should be
decontaminated prior to use by the second person.
•The lancing device is for patient self-monitoring by a single person only.
It must not be used to collect blood from more than one person as this
poses an infection risk.
•Keep DISPATCH out of reach of children.
•User should wash hands thoroughly with soap and water after
handling the lancing device.
•Only DISPATCH hospital cleaner disinfectant towel should be used to
do cleaning and disinfection with the lancing device.
70
The list of things you should look for as signs of deterioration after
disinfection:
•Control solution out of range
•Clouding for LCD display
•Corroding for plastic housing
•Corroding for buttons
•Malfunction of any meter buttons
If these signs of deterioration are noted, you should stop using the device
and call customer service at 1-800-566-8558 (USA and Canada only).
71
Purchase Information for Dispatch Hospital Cleaner Disinfectant
Towels with Bleach
Dispatch is the product of Clorox, the catalog number is CLH69150.
Below is the list of national distributors and its phone number.
•Medline............................................................................. 800.633.5463
•DNR Supplies.................................................................... 763.420.7825
To find a local distributor in your area, call Customer Service at 800.234.7700,
M-F, 8:30–5:00 pm EST. You can purchase the Dispatch on the web site below:
www.amazon.com, keyword CLH69150.
If you need assistance or have questions about cleaning and disinfection
for the meter, please contact customer service at 800.566.8558.
72
storage and precautions
Storage and Precautions
•The meter and test strips are designed to be used within the
temperature range 50˚F to 104˚F. Do not leave in hot car.
•Avoid leaving the meter in extremely hot or cold places, such as near a
heat source or in an extremely hot or cold car.
• Do not store or use the meter or test strips in high humidity levels, such
as a bathroom or kitchen.
• Always close the cap of the test strip bottle immediately after removing
a test strip and make sure the cap is closed tightly.
73
downloading test results to a computer
We offer a diabetes management software system to help you download
your test results to a computer. For more information on ARKRAY
diabetes data management software, call ARKRAY Customer Service at
800.566.8558 (24 hours a day, 7 days a week, USA and Canada only).
Solving problems
Please first read this section. If you have questions, call Customer Service
at 800.566.8558 (USA and Canada only). Contact your health care
professional with questions if you are unable to reach Customer Service
If any part of the display screen is missing when the meter is turned on,
call Customer Service at 800.566.8558 (USA and Canada only).
74
What you see
What meter says What it means What you should do
• Remove the battery
and turn on the meter.
•
Remove the test strip
The meter
and insert a new test
“Error 1 Meter
electronics
strip.
Failure”
or test strip is
• If problem persists,
damaged
call us at 1-800566-8558 (USA and
Canada only).
• Repeat the test with
a new test strip.
Remember to add
Used
or
“Error 3 used test damaged test
sample until you see
prompt on the display
strip
strip
screen or the meter
verbally prompts you
to add sample.
“Error 4 not
enough sample”
Not enough
• Remove the test strip
sample on the
and repeat the test
with a new test strip.
test strip to start
75
What you see
mg /dL
PM
76
What meter says What it means What you should do
Low battery
Change the battery
Batteries are low (see page 62,
Changing the Battery).
“Temperature is
out of range”
Temperature is
out of range
“Your blood
Test result is
glucose reading is higher than 600
above 600 mg/dL.” mg/dL
Move the meter into an
area that is between
50º –104ºF, and allow 10
to 15 minutes to reach
the new temperature.
Wash and dry your
hands and repeat
the test on your
fingertip with a new
test strip. If the result
is still “HI,” contact
your physician or
healthcare professional
immediately.
What you see
mg /dL
What meter says What it means What you should do
Wash and dry your
hands and repeat the
test on your fingertip
with a new test strip.
If the result is still
“Lo”, contact your
physician or health
care professional
immediately.
“Your blood
glucose reading
is below 20 mg/
dL.”
Test result is
lower than 20
mg/dL
NA
Check if the date and
time on your meter is
set. (See Setting Up
There are no
GLUCOCARD
stored results in Your
Expression System on
the meter
page 16 and/or Testing
Your Blood Glucose on
page 40).
PM
mem
77
Warranty
You are a valued customer of ARKRAY. It is important to us that you are
completely satisfied with your GLUCOCARD Expression blood glucose
meter.
ARKRAY warrants your GLUCOCARD Expression blood glucose meter
will be free from defects in materials and workmanship for a period of five
years from the date of the original purchase. If during this time the meter
does not work properly because of a defect in materials or workmanship,
ARKRAY agrees to replace or repair, free of charge any and all parts
proven to be defective and subject to warranty.
This warranty is in lieu of all other warranties, expressed or implied,
including any implied warranty of merchantability or fitness for any
purpose, other than stated herein.
This warranty does not apply to the performance of the GLUCOCARD
Expression blood glucose meter that has been damaged by accident or has
been altered, misused, tampered with, or abused in any way. This warranty
only applies to the original purchaser of the meter and/or its agents.
78
Specifications
Test Strips:
Test Range:
Calibration: Test Time: Sample Size: Hematocrit Range:
Display Type:
Memory: Result Averaging: Dimension:
Weight:
Battery:
Battery Life: Automatic Power-off:
Operating Temperature:
Relative Humidity:
Storage Condition: GLUCOCARD Expression Test Strips
20 - 600 mg/dL
Plasma
6 Seconds
0.8 µL
30-55%
Large LCD screen
300 blood test results with date and time
7, 14, and 30 days averaging
93L x 58W x 20.5H (mm)
79g
2 Alkaline AAA Batteries
1000 tests of continuous use or 1 year
After 2 minutes of non-use
50˚F to 104˚F.
20–85%
Meter at 39˚F ~ 122˚F
Test Strips at 41˚F ~ 86˚F
For additional information, refer to the GLUCOCARD Expression Test Strip insert.
79
TEL 800.566.8558
FAX 952.646.3110
www.arkrayusa.com
©2012 ARKRAY, Inc.
P/N 7888-03 Rev 2/14
65070000093
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