Abbott Precision XceedPro User manual

Precision Xceed Pro, TrueID, TrueMeasure, TrueAccess, PrecisionWeb, Precision, MediSense
and Precision PCx are trademarks of the Abbott Group of Companies. Other trademarks
are the property of their respective owners.
© 2007 Abbott
Operator’s Manual
Point of Care System
ART14576 Rev. A 11/07
Abbott Diabetes Care Inc.
1360 South Loop Road
Alameda, CA 94502 USA
for Blood Glucose Monitoring

I
Questions? Refer to Page 10-9 For Technical Support Instructions.
This Operator's Manual provides basic information about the Precision Xceed Pro System. It is organized into three sections. First,
the overview in Chapter 1 describes the components of the Precision Xceed Pro System and the physical features of the monitor. Next,
Chapters 2 through 8 give step-by-step procedures to operate the monitor. Finally, Chapters 9 through 12 provide additional information
to help care for the monitor.
1. Overview........................................................................................................................................................................ 1
Intended Use........................................................................................................................................................................................1-1
True ID, TrueMeasure, and TrueAccess ...........................................................................................................................................1-1
Icons and Warnings ............................................................................................................................................................................1-2
Conventions ........................................................................................................................................................................................1-2
System Components...........................................................................................................................................................................1-3
2. Using the Monitor ......................................................................................................................................................... 2
Barcode Scanner .................................................................................................................................................................................2-1
Data Entry Keypad..............................................................................................................................................................................2-1
Audible Indicator................................................................................................................................................................................2-2
Data Port..............................................................................................................................................................................................2-2
Battery Compartment ........................................................................................................................................................................2-2
Port Protector ......................................................................................................................................................................................2-2
Monitor Identification........................................................................................................................................................................2-3
Menu Tree............................................................................................................................................................................................2-3
3. PatientTest .................................................................................................................................................................... 3
Operating Guidelines for All Samples ..............................................................................................................................................3-1
Collecting Blood Samples ..................................................................................................................................................................3-2
How to Obtain a Capillary Blood Sample.....................................................................................................................................3-2
How to Obtain a Venous Blood Sample........................................................................................................................................3-2
How to Obtain an Arterial Blood Sample.....................................................................................................................................3-2
How to Obtain a Neonatal Capillary Blood Sample....................................................................................................................3-2
Disposing of Waste .............................................................................................................................................................................3-2
Patient Test Procedure - Glucose.......................................................................................................................................................3-3
4. ControlTest ................................................................................................................................................................... 4
Operating Guidelines for Control Solution Testing........................................................................................................................4-1
Control Test Procedure - Glucose .....................................................................................................................................................4-2
5. Data Review ................................................................................................................................................................... 5
Data Review for Patient by Operator ID...........................................................................................................................................5-3
Data Review for Patient by Patient ID...............................................................................................................................................5-4
Data Review for All Patient Data.......................................................................................................................................................5-5
Data Review for Control Data ...........................................................................................................................................................5-6
Data Review for Proficiency Data .....................................................................................................................................................5-7
Data Review for Linearity Data .........................................................................................................................................................5-8
6. ProficiencyTest.............................................................................................................................................................. 6
7. LinearityTest ................................................................................................................................................................. 7
8. Review Setup ................................................................................................................................................................. 8
Monitor Configuration ......................................................................................................................................................................8-1
Review Setup .......................................................................................................................................................................................8-3
Review Test Setup for All Tests ..........................................................................................................................................................8-4
Review Test Setup for Test Type.........................................................................................................................................................8-5
Review Test Setup for Patient Test.....................................................................................................................................................8-6
Review Test Setup for Control Test ...................................................................................................................................................8-7
Review Test Setup for Security...........................................................................................................................................................8-8
System Status .......................................................................................................................................................................................8-9
9. Data Upload................................................................................................................................................................... 9
Docking Station ..................................................................................................................................................................................9-2
Connecting Cables to the Docking Station......................................................................................................................................9-2
Mounting Instructions.......................................................................................................................................................................9-3
Table of Contents

II
Questions? Refer to Page 10-9 For Technical Support Instructions.
10. Troubleshooting ......................................................................................................................................................... 10
Troubleshooting Patient Test Results..............................................................................................................................................10-1
Troubleshooting Out-of-Range Control Test Results...................................................................................................................10-1
Troubleshooting Out-of-Range Linearity Test Results.................................................................................................................10-2
Error Messages ..................................................................................................................................................................................10-2
Technical Support Instructions.......................................................................................................................................................10-9
Returning an Instrument .................................................................................................................................................................10-9
Contacting Abbott for Service.......................................................................................................................................................10-10
11. Maintenance................................................................................................................................................................ 11
Cleaning the Exterior Surface..........................................................................................................................................................11-1
Replacing the Port Protector............................................................................................................................................................11-2
Battery Life.........................................................................................................................................................................................11-2
Replacing the Batteries .....................................................................................................................................................................11-2
12. Specifications .............................................................................................................................................................. 12
Precision PCx Plus Test Strips .........................................................................................................................................................12-1
Precision Xceed Pro Monitor...........................................................................................................................................................12-1
Symbols..............................................................................................................................................................................................12-2
Barcode Types ...................................................................................................................................................................................12-3
Important Safety Instructions .........................................................................................................................................................12-4

1. Overview
Intended Use
TrueID, TrueMeasure, and TrueAccess
Icons and Warnings
Conventions
System Components

1-1
Questions? Refer to Page 10-9 For Technical Support Instructions.
Intended Use
e Precision Xceed Pro Point of Care System for Blood Glucose Testing is intended for in vitro (outside the body)
diagnostic use for the quantitative measurement of glucose in fresh capillary whole blood. e Precision Xceed Pro
System is for home (lay user) or professional use. e Precision Xceed Pro System is not for use in diagnosis or screening
of diabetes mellitus, but is to be used as an aid in monitoring the eectiveness of diabetes control programs. e
Precision Xceed Pro System may also be used by healthcare professionals for the quantitative measurement of glucose in
venous, arterial or neonatal whole blood, provided the sample is used within 30 minutes.
e Precision Xceed Pro System simplies point-of-care testing for healthcare professionals, providing features that
enhance the reliability of the testing process and that support compliance with point-of-care policies.
TrueID
Easy Data Entry Choose between the built-in barcode scanner and the alphanumeric keypad for entering
data as required by point-of-care policy. The monitor can be configured to accept patient
identification, operator identification, test strip lot number, comment code, and up to two
free text fields for other data such as physician name.
Patient ID Confirmation The monitor can display the patient name, date of birth and gender for confirmation,
supporting positive patient identification procedures. Entry of the year of birth also can be
required for confirmation.
Data Integrity Many options are available to help ensure that correct data is collected with each test
including: specifying the minimum and maximum length of an ID, restricting the types of
bar codes to be accepted, using a check digit to verify the bar code, or requiring repeated
entry of data on the keypad if the bar code scanner is not used. The monitor also records
the method of patient and operator identification data entry (scanned versus manually
entered on the keypad) to help Point of Care Coordinators identify and correct errors.
TrueMeasure
Fast, Simple Testing To perform a test, simply insert a strip into the monitor’s port, apply a small drop of blood
and wait for the countdown to complete. For convenience, the sample may be applied to
either the top or end of the test strip. The test will not start until adequate sample has been
applied.
Simple Calibration Scanning the barcode label on each test strip foil packet prior to use automatically
calibrates the monitor and checks the expiration date, helping ensure reliable and accurate
test results. Testing can also be restricted to approved strip lots.
QC Lock-out The monitor can be configured to require periodic testing using control solutions, and to
lock out access to the system if these tests are not completed. QC results can be displayed
as pass/fail only, preventing patient testing while in control test mode.
TrueAccess
Operator Management Access to the monitor can be restricted to certified operators, locking out untrained users.
A warning can also be displayed to an operator whose ID is set to expire in the near
future.
Results Storage The Precision Xceed Pro monitor can store up to 2,500 patient test results and 1,000
control test results, in addition to 20 proficiency test results and 1 linearity panel. All
stored data can be automatically uploaded to the data management system using the
docking station (optional) or a data upload cable (optional).
Network Connectivity Precision Xceed Pro Monitors can upload data and be configured via a central data
management system, across the organization’s computer network. This provides a simple
and automated way to manage multiple instruments, monitor point of care testing, and
report test data to the Laboratory Information System (LIS) or Hospital Information
System (HIS) for inclusion in the patient's Electronic Medical Record (EMR).
Overview
Chapter 1: Overview

1-2
Questions? Refer to Page 10-9 For Technical Support Instructions.
Icons and Warnings
Information that is of particular relevance to the reader is called out in gray boxes throughout the manual, with an
appropriate icon and warning level.
IMPORTANT: Indicates that inconvenience to the operator or danger to the patient may result if the instruction
is not followed.
Note: Provides or refers the operator to additional or background information that may be helpful to them.
Conventions
The glucose unit of measure is set using the data management system. It is not changed via the monitor keypad.
In this manual, when a monitor screen shot shows a glucose test result in one unit of measure (e.g. mg/dL) the
equivalent value in the other unit of measure (e.g. mmol/L) appears below the image.
IMPORTANT: Please confirm that the correct unit of measure shows on your monitor with every glucose result.
Chapter 1: Overview
5.8 mmol/L

1-3
Questions? Refer to Page 10-9 For Technical Support Instructions. Chapter 1: Overview
System Components
The Precision Xceed Pro Monitor is part of an overall system designed to simplify point of care testing.
These components are purchased separately and some are optional.
Precision Xceed Pro System Components
The Precision Xceed Pro System includes the following items:
Monitor (figure to the right)•
Port Protector•
Blood Glucose Test Strips•
Control Solutions•
Calibration Verification Controls (optional)•
Isolation Bags (optional)•
Carry Case (optional)•
Docking Station (optional)•
Data Upload Cable (optional)•
Data Management System•
IMPORTANT: Observe caution when using around children. Small parts may constitute a choking hazard.
IMPORTANT: Use product and accessories only as directed. Failure to operate the product(s) in accordance
with the manufacturer’s documentation may impair product safety.
Monitor
The Precision Xceed Pro Monitor has many features designed to help simplify testing. It can be used with one hand, either
the left or the right. The display has large text and is backlit to make reading easy. The keypad is similar to a telephone and
each button clicks when pressed. Use of the monitor is described in Chapters 2 through 8 of this Operator’s Manual and in
the Quick Reference Guide (available separately).
At the top of the monitor is the test strip port, covered by the port protector. The port protector is designed to minimize
liquid entering the monitor through the strip port (Chapter 11 provides instructions for changing the port protector).
Underneath this is the window for the bar code scanner. On the back of the monitor is the battery cover (Chapter 11 also
provides instructions for changing the batteries). Just below the battery compartment is a label with the unique serial
number of the monitor. On the side of the monitor is the meter identification space. This untextured area (.875 inch wide
x .483 inch high) provides a space in which to apply a facility-specific location label. At the bottom is the data port for
connecting the monitor to a data upload cable or docking station (Chapter 9 provides information on uploading data to a
data management system).
Each Precision Xceed Pro Monitor is shipped with this Operator’s Manual, one Port Protector installed, and two AA
Batteries.
IMPORTANT: Do not put blood or foreign objects into the test strip port of the monitor.
Test Strips
Precision PCx Plus Blood Glucose Test Strips offer the latest advancements in biosensor technology. The test strips work
by first inserting the contact bars into the monitor. Then the sample is applied to the target area, covering both the working
electrode and the reference electrode. This area is coated with enzymes that react in the presence of glucose to make a small
electric current. This current is passed through the strip to the contact bars and the monitor, which calculates a glucose
result.
Test Strip Port
Barcode
Scanner
Display
Keypad
Data Port
Battery
Compartment
Monitor
Identification Space
Port
Protector
Serial
Number

1-4
Questions? Refer to Page 10-9 For Technical Support Instructions. Chapter 1: Overview
Precision PCx Plus Blood Glucose Test Strips use proprietary glucose-specific chemistry that includes the glucose
dehydrogenase enzyme, NAD cofactor and PQ mediator (GDH-NAD/PQ). This chemistry is used for testing glucose
because it is not affected by maltose, icodextrin, and other common substances at normal therapeutic levels. It also ensures
minimal measurement bias from oxygen, hematocrit and other physiological variables.
Precision PCx Plus Blood Glucose Test Strips also have exclusive blood application features to ensure reliable sampling.
First, the target area may be filled by applying a drop of sample to the top of the test strip or by dipping the end of the test
strip in the sample. Second, the fill trigger electrode ensures that the test will only start once sufficient blood has been
applied. Together, these features minimize the possibility of errant results due to sample application technique.
IMPORTANT: Do not apply blood to the test strip when the test strip is out of the monitor. Do not use wet, bent,
scratched or damaged test strips.
Each test strip comes wrapped in a foil packet bearing a barcode label. The individual foil packet maintains the integrity of
each test strip by protecting it from exposure to air and moisture, and accidental contamination. The bar code label holds
information about the test strip including the lot number, calibration, expiration date, and expected control solution ranges.
One quick scan provides the monitor with all this information at the time of the test.
IMPORTANT: Do not scan a packet’s bar code and use a test strip from another packet. This may cause
incorrect results to be generated. Use the test strip immediately after opening its foil packet.
Do not use the test strip if the foil packet has a puncture or tear in it.
e Precision Xceed Pro monitor is compatible with Precision PCx Plus Test Strips. Precision PCx Plus Test Strips are
protected by a gold foil packet and are identied on the barcode label. Inside each box of test strips is a package insert with
detailed instructions for use.
Precision PCx Plus Blood GlucoseTest Strip
IMPORTANT: The Precision Xceed Pro System will only work with Precision PCx Plus brand test strips. Use of
any other test strip may cause erroneous results.
Control Solutions
Control solutions are used to perform regular quality control checks on the monitor to ensure it is functioning correctly.
Control testing is further described in Chapter 4. Precision, Optium, or MediSense® Control Solutions may be used with the
Precision Xceed Pro System. These control solutions are available in one, two or three level configurations.
Calibration Verification Controls
RNA Medical® brand Glucose Calibration Verification Controls may also be used to confirm the calibration and analytical
measurement range of the monitor. This is called linearity testing and requires a kit with 5 levels of control solution.
Linearity testing is further described in Chapter 7.

1-5
Questions? Refer to Page 10-9 For Technical Support Instructions. Chapter 1: Overview
Isolation Bag (optional)
Abbott Isolation Bags are disposable plastic bags for use with the Precision Xceed Pro System. The Isolation Bag provides
a partial barrier between the point of care monitoring device and the patients in isolation for infection control. There is no
need to prep the monitor prior to using the bag and the bag does not affect any monitor functions. Note that Abbott Isolation
Bags are not sterilized.
Carry Case (optional)
The carry case holds the monitor, test
strips, control solutions, the quick
reference guide and other accessories
needed for testing. A transparent
cover allows you to check supply
status without opening the case.
Docking Station (optional)
The docking station provides a convenient way to upload the data from the monitor to
the data management system. When the monitor is placed in the docking station, it will
automatically upload data to the data management system and then shut down. Data
upload is further described in Chapter 9.
Data Upload Cable (optional)
Alternatively, a data upload cable is available to connect the monitor to the computer running the data management system.
Data Management System
A computer running a data management system is necessary to configure and upload results from the Precision Xceed Pro
Monitor. Abbott’s PrecisionWeb Point of Care Data Management System and software from other vendors are available.
Data upload from remote locations requires either Terminal Servers or networked PCs running Abbott's Data Repeater
software.

2. Using the Monitor
Barcode Scanner
Data Entry Keypad
Audible Indicator
Data Port
Battery Compartment
Port Protector
Monitor Identification
Menu Tree

2-1
Questions? Refer to Page 10-9 For Technical Support Instructions. Chapter 2: Using the Monitor
Barcode Scanner
The barcode scanner enables you to scan the information into the monitor instead of manually entering the data using
the keypad. Scanning the barcode on the test strip foil packet automatically enters the test strip information (calibration,
control range, lot number and expiration date). The scanner may also be
used to enter Operator ID, Patient ID, control lot number, comment code
and free text fields. To operate the
monitor:
Step 1: Place the barcode on a flat
surface.
Step 2: Hold the barcode scanner
3-12 inches from the barcode to be
scanned, and at a 30 to 135 degree angle to the barcode.
Step 3: Press and hold down the Scan button until a visible red beam is emitted by
the monitor.
Step 4: Slowly move the monitor, if needed, so that the red beam is directly over
the barcode.
Step 5: The monitor will beep in acknowledgement when it accepts the barcode.
When first learning to use the barcode scanner, some precautions should be taken. It is important that you place the
object to be scanned on a flat surface or hold it, by itself. This will prevent other items from being accidentally scanned.
If data has been manually entered, scanning data will erase the manually entered data (unless the Enter key has been
selected to confirm manual entry) and replace it with the scanned data. This entry will be considered scanned. Upon a
successful barcode scan, this system will automatically proceed to the next screen. The scanning beam shuts off in three
seconds if nothing is detected.
Data Entry Keypad
The data entry keypad allows you to enter identification numbers and letters (only the 26 letter
English alphabet) or to select an option that appears on the display. The keypad contains a 10 digit
telephone-style keypad with the keys for the numbers 0-9. The 2-9 keys also have letters printed
below the number. The keypad also has six special keys, including a scan button, on/off button,
backlight/alphanumeric, clear, menu, and enter key.
Scan
Press this button to operate the bar code scanner. If the audible indicator is enabled, the monitor
will beep once a barcode has been successfully scanned. Continuing to hold the scan button will
display the scanned barcode on the display until the button is released. If no information is scanned
after 3 seconds, the scanner will turn off.
30°
135°
Using the Monitor
IMPORTANT : Never look into the barcode scanner beam or point it toward anyone’s
eyes. The beam could cause permanent damage to the eye. CDRH
Class II/IEC Class 2 Laser Product: Avoid Long Term Viewing of Direct
Laser Light.
Note: If you hold the Scan button for three seconds, the scanner stops.
Reposition scanner and try again. Optimal distance depends on bar
code type.

2-2
Questions? Refer to Page 10-9 For Technical Support Instructions.
On/Off
Press this button to turn the monitor on. Each time the monitor is turned on, the Abbott logo screen will appear in black
for a few seconds and then will appear in gray. This provides an opportunity to ensure that all the pixels are working
correctly.
Press and hold this button for two seconds to turn the monitor off. The monitor will automatically shut itself off after
4 minutes to conserve battery life. The length of time for automatic shut-off can be configured from 4 to 10 minutes
following patient tests only.
Backlight/Alphanumeric
Press and hold this button for approximately 2 seconds to activate the display backlight.
Press this button while manually entering data to toggle between numeric, uppercase alpha mode and lower case alpha
mode during manual data entry. When in alpha mode, enter alpha characters on the screen by pressing the 2 through 9
buttons multiple times to cycle through the characters. Enter a SPACE character in alpha mode by pressing the 1 key.
The monitor displays which mode you are in with a lowercase/uppercase alpha indicator in the lower right side of
the display.
Clear
Press this button to back up one space while entering alphanumeric information on the keypad.
This button is also used to return to a previous screen if necessary.
Menu
Press this button to switch the monitor from Test Mode to Menu Mode. These two modes are described in the next
section. When viewing configuration information in Menu Mode, pressing this button one time will return to the top of
the menu tree. Pressing the button a second time will switch to Test Mode.
Enter
Press the Enter button after entering all needed information.
Audible Indicator (not visible)
The monitor has an audible indicator that can be turned on or off. This indicator emits two tones, a high pitched tone to
indicate success and a low pitched tone to indicate a problem. If enabled, the monitor will beep to indicate the following
actions:
The operator has successfully scanned a barcode;•
The monitor has detected an adequate sample and is starting test analysis;•
The monitor is nearing completion of test analysis (3 beeps with final countdown);•
The monitor has displayed the test result;•
An error has occurred (see Chapter 10 for troubleshooting information);•
The monitor will automatically shut off in thirty seconds (2 beeps);•
The operator has pressed an unexpected button;•
The operator has pressed the• Off button.
Data Port
The Data Port is located at the bottom of the monitor. This port enables the monitor to automatically transfer the data
through a cable or docking station to the data management system.
Battery Compartment
The monitor holds two AA batteries to power the monitor. To prolong the battery life of the monitor, the monitor should
be turned off when not in use. Data is not affected if batteries are removed.
Port Protector
The port protector covers the test strip port. The port protector is designed to minimize the possibility of liquid entering
the monitor through the strip port. Should blood or control solution come in contact with the port protector, the monitor
should be cleaned and dried and the port protector replaced. Chapter 11 provides instructions for replacing the port
protector.
Chapter 2: Using the Monitor

2-3
Questions? Refer to Page 10-9 For Technical Support Instructions.
Monitor Identification
Each monitor has a unique serial number listed on the back of the device just below the battery compartment. The
Precision Xceed Pro Monitor also features an untextured area on the side of the device. This .875 inch [22 mm]
wide x .483 inch [11 mm] high area allows a facility to apply a label with information pertaining to the monitor.
Please refer to Chapter 1 for an illustration of this feature.
Menu Tree
When using the Precision Xceed Pro Monitor, you will navigate between two main menus, Test Mode and
Menu Mode. Test Mode is used to perform patient tests and control tests. Menu Mode is used to perform
linearity and prociency tests and review the monitor’s conguration settings and status (e.g. battery voltage).
e conguration options shown in Menu Mode must be congured using a data management system. You can
visually verify existing monitor settings, but cannot change them.
e Menu Mode portion of the soware is set up like a tree, with various levels of sub-menus. e Precision
Xceed Pro Menu Tree, shown below, illustrates the multiple sub-menu layers.
Chapter 2: Using the Monitor

3. Patient Test
Operating Guidelines for All Samples
Collecting Blood Samples
How to Obtain a Capillary Blood Sample
How to Obtain a Venous Blood Sample
How to Obtain an Arterial Blood Sample
How to Obtain a Neonatal Capillary Blood Sample
Disposing of Waste
Patient Test Procedure - Glucose

3-1
Questions? Refer to Page 10-9 For Technical Support Instructions.
This chapter describes the steps to be taken to test patient blood glucose levels in fresh whole blood using the
Precision Xceed Pro System. Inside each box of test strips is a package insert with detailed instructions for use.
Operating Guidelines for All Samples
Please follow the recommended guidelines for the most accurate results:
Always wear gloves and follow your facility’s biohazard safety policies and procedures when performing•
tests involving patient blood samples.
Make sure that the monitor and test strips are at room temperature. If the monitor is moved to an area that•
is warmer or cooler than where it was before, allow the monitor to reach the new room temperature before
testing.
Use only control solutions specified in the test strip package insert to verify the performance of the Precision•
Xceed Pro Monitor.
Use only Precision PCx Plus Test Strips with the Precision Xceed Pro Monitor.•
Refer to the package insert for specific directions on storage and use of the test strips.•
Do not use the test strips beyond the expiry date printed on the foil packet and outer box.•
Do not use the test strip if the foil packet has a puncture or tear.•
Do not use test strips that are wet, bent, scratched or damaged. Use the test strip immediately after opening•
its foil packet.
Use each test strip only once.•
Do not scan a test strip packet's barcode and then use a test strip from a different packet. This may cause•
inaccurate results.
Apply a drop of blood to the target area at the end of the test strip. Allow the entire target area to fill with•
blood. The test results will not be affected if the target area has been briefly touched with the patient’s finger,
a capillary tube, syringe, or pipette.
If the test fails to start, apply a second drop of blood to the test strip. Refer to the test strip package insert for•
the number of seconds you have to apply a second drop. If the countdown still does not start, or if the time to
apply a second drop has passed, discard the test strip and repeat the test.
After the blood is applied to the test strip and the test countdown begins, do not remove or disturb the•
test strip.
IMPORTANT: Do not allow blood or other solution to run down the test strip into the monitor's test strip port,
as it may cause irreparable damage to the monitor.
Patient Test
1
CLEAR MENU ENTER
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Chapter 3: Patient Test

Questions? Refer to Page 10-9 For Technical Support Instructions.
Collecting Blood Samples
How to Obtain a Capillary Blood Sample:
Use only fresh whole blood samples.•
Make sure that the sampling site is clean and dry before lancing.•
Collect the capillary blood using a lancing device and an appropriate technique.•
Apply a drop of blood to the target area at the end of the test strip. Allow the entire target area•
to fill with blood.
If necessary, blood can be collected in a capillary tube coated with heparin or EDTA may be•
applied to the test strip within 30 minutes of collection.
How to Obtain a Venous Blood Sample:
Use only fresh whole blood samples.•
Collect the venous blood sample in a collection tube containing heparin or EDTA. Make sure•
that the tube is filled to the stated volume. Do not under fill.
Do not use collection tubes that contain fluoride or oxalate.•
If the blood is collected from an intravenous line, clear the line before drawing the sample into•
a heparinized syringe.
Use the sample within 30 minutes of collection.•
Invert the tube with the sample several times immediately before removing the sample.•
Use a disposable transfer pipette to obtain a sample from the center of the collection tube.•
Apply a drop of blood to the target area at the end of the test strip. Allow the entire target area•
to fill with blood.
How to Obtain an Arterial Blood Sample:
Use only fresh whole blood samples.•
Clear the arterial line before drawing a blood sample into a heparinized syringe.•
Use the sample within 30 minutes of collection.•
Mix the blood specimen well immediately before applying the sample to the target•
area of the test strip.
Allow a drop of blood to form at the tip of the syringe.•
Apply a drop of blood to the target area at the end of the test strip. Allow the entire target area•
to fill with blood.
How to Obtain a Neonatal Capillary Blood Sample (heel stick):
The following procedures should only be performed by a trained professional.•
Use only fresh whole blood samples.•
Collect the capillary blood using a lancing device and an appropriate technique.•
Apply a drop of blood to the target area at the end of the test strip. Allow the entire target area•
to fill with blood.
T• he blood can be collected in a capillary tube coated with heparin or EDTA, and then applied
to the test strip.
Alternately, you can use the heel-to-strip method: Allow a hanging drop of blood to form•
from the heel and apply to the target area of the test strip. Results will not be impacted by
gently touching the heel to the test strip.
Disposing of Waste
Observe the following guidelines when disposing of biohazardous waste:
Dispose of used lancets in an approved sharps container.•
Discard used capillary tubes, disposable transfer pipettes or tips and test strips in an approved•
biohazard container.
Follow your facility’s biohazard disposal policy.•
Chapter 3: Patient Test 3-2

Patient Test Procedure - Glucose
Use the following procedure to perform a patient test using the Precision PCx Plus Blood Glucose Test Strip.
Note: The following section illustrates some common settings. Depending on your institution's specific settings,
some screens will display differently or not at all. If the monitor does not display the screens shown, please
refer to Chapter 10, Troubleshooting.
What You See on the Display What You Do Comments
1. Press On/Off to turn on the monitor. The Abbott logo screen will appear in
black for a few seconds and then will
appear in gray to ensure that the display is
functioning properly. Next, the software
version and then the Test Mode menu
screens will appear.
2. Press 1to select Patient Test. The monitor starts in Test Mode. The
Menu button will toggle the monitor to
Menu Mode.
3. Press Scan to scan the Operator ID barcode
or manually enter the Operator ID via the
keypad, then press Enter.
While the Operator ID may be up to 30
digits, not all digits will fit on the display.
The monitor may also be set to truncate
(ignore) leading, trailing, and/or selected
digits of the barcode.
4. Press Scan to scan the Patient ID barcode or
manually enter the Patient ID via the keypad
(if enabled).
If you enter the ID manually, you may be
required to enter it a second time to ensure
it is correct.
While the Patient ID may be up to 30
digits, not all digits will fit on the display.
The monitor may also be set to truncate
(ignore) selected digits of the barcode.
5. Conrm the Patient ID (if prompted).
You may see one of the following four
screens:
Re-enter the ID using the keypad.
3-3
Chapter 3: Patient Test
Questions? Refer to Page 10-9 Technical Support Instructions.

What You See on the Display What You Do Comments
6. Press Scan to scan the test strip barcode or
manually enter the test strip lot number via
the keypad , then press Enter.
Scanning the barcode identifies the strip type,
calibrates the monitor, ensures the expiry
date has not passed, records the strip lot used,
and checks that the lot has been approved for
use by your institution.
7. When using Precision PCx Plus strips, the
Sample Type screen may appear. You can
select one of the following:
Press 1 - Arterial/Capillary or
Press 2 - Venous
Use VENOUS MODE only for venous
samples that have been in capped tubes
and that have not been mixed with air. Use
Arterial/Capillary mode for all other samples.
If the sample type screen is not seen, continue
with step 8.
8. Open the foil test strip packet at the notch
and tear down to remove the test strip.
With clean, dry hands, you may gently touch
the test strip anywhere when removing it
from the foil to insert it into the monitor.
Press 2to Confirm the information and
continue testing or 1to ReEnter the ID.
Enter the year of birth (e.g. 63) and press
Enter.
Press Clear to re-enter the ID. If numbers have
been entered, the Clear key will erase those
first. Multiple presses of the Clear key may
be required to return to the Patient ID entry
screen in step 4.
Press 2to Continue testing or 1to
ReEnter the ID.
Chapter 3: Patient Test 3-4
Questions? Refer to Page 10-9 For Technical Support Instructions.
/

What You See on the Display What You Do Comments
Chapter 3: Patient Test
12. If required, scan or manually enter the
comment code, and press Enter.
The monitor may be enabled to scan or enter
a 1- to 2-digit comment code. If there is no
prompt to enter a comment code, skip down
to Step 13.
If prompted, scan or manually enter the
free text information and press Enter.
The monitor may be enabled to scan or
enter the free text information. If there is no
prompt to enter free text, skip down to step
13. Up to two free text fields may appear.
3-5
Questions? Refer to Page 10-9 For Technical Support Instructions.
5.8 mmol/L
5.8 mmol/L
9. With the contact bars facing up, insert the
test strip into the test strip port until
it stops and Strip Inserted is displayed.
Prior to inserting the test strip, ensure that the
port protector is installed and that it is clean
and dry. Replace if necessary.
10. Apply a drop of blood from the patient’s
finger, transfer pipette or syringe to the
target area of the test strip.
When sufficient sample has been applied,
the monitor beeps, displays Sample
Accepted and automatically starts the test.
For a detailed description of the test strip
target area, refer to the Test Strips section of
Chapter 1.
11. Wait for the monitor to analyze the
sample and display the test result.
The monitor counts down then displays
the test result. If an error is detected during
the assay, the assay is terminated and no
result is displayed. Once the assay begins,
all key presses are ignored until the assay is
completed.

What You See on the Display What You Do Comments
Questions? Refer to Page 10-9 For Technical Support Instructions. Chapter 3: Patient Test 3-6
13. You can select one of the following
options:
Press 1– Next Patient.
Press 2– Patient History.
Press Menu to return to the
Menu Mode menu.
Press On/Off to turn off the monitor.
Remove the test strip from the monitor
and discard it when finished testing.
Follow your facility’s biohazard disposal
policy.
The display shows:
Patient ID or Name (p: prompt)
Comment Code (Number in box)
Date and Time of test
Test Type (Glucose)
If 1is selected, the Scan Patient ID screen
will appear. Return to step 4 to continue with
testing on the next patient.
If 2is selected, the monitor will display the
last test result for this patient as well as allow
you to view previous results.
Refer to the section entitled Data Review for
Patient by Patient ID in Chapter 5 for further
information.
5.8 mmol/L
IMPORTANT: If the blood glucose result appears to be inconsistent (lower or higher than expected), there may
be a problem with the test strip. Repeat the test using a new test strip. Results that are incorrect
may have serious medical consequences. Consult the prescribing physician before making any
changes to diabetes medication plans if:
The blood glucose results are not consistent with the physical symptoms AND•
you have ruled out common errors in technique.
The blood glucose result is less than 50 mg/dL (2.8 mmol/L) or greater than•
300 mg/dL (16.7 mmol/L).
For out-of-range results, refer to your
institution's policy.
The Action Range screen will appear if the
Patient Test Out-of-Range Comment Code is
enabled and the following two conditions are
met:
A. The action range is enabled.
B. The test result is out of the action range.
For out-of-range results, refer to your
institution's policy.
Your institution may narrow the reportable
range for results. is is called the Critical
Range. e monitor will not report results
outside of this range.
>22.2 mmol/L
Above Critical Range
11.5 mmol/L
Above Action Range