Abbott Precision Xtra User manual

Blood Glucose & Ketone Monitoring System
User’s Manual

Definition of Symbols
These symbols are associated with your meter.
Batch code
Catalog number
Caution
Consult instructions for use
Date of manufacture
Do not drink
Do not reuse
In vitro diagnostic medical
device
This packaging is capable of
being recycled
Manufacturer
Sterilized using irradiation
(lancets only)
Temperature limitation
Use by
Serial Number
The batteries in this product
should be removed and
disposed in accordance with
local regulations for separate
collection of spent batteries.

Table of Contents
Welcome 1
1 Important Things to Know about
Your Precision Xtra Blood Glucose and
Ketone Monitoring System 3
Intended Use 3
How Your Precision Xtra
Blood Glucose and Ketone Monitoring System Works 4
Precision Xtra Kit Contents 5
Getting to Know Your Meter’s Features 6
2 Setting Up Your Precision Xtra Meter 9
Buttons to Use 9
Setup Options 9
How to Set the Beeper, Date, Time, & View
Measurement Units 10
Set Beeper 10
Set Time 11
Set Date 12
Set Time Format 14
Set Date Format 14
Blood Glucose Measurement Units 15
3 Monitoring Your Blood Glucose 16
What You Will Need 16
Important Information about Monitoring
Your Blood Glucose 16
How to Monitor Your Blood Glucose 17
Understanding Your Result 22
4 Monitoring Your Blood Ketone 25
What You Will Need 25
Important Information about Monitoring
Your Blood Ketone 25
How to Monitor Your Blood Ketone 27
Understanding Your Result 31

5 Doing A Control Solution Test 34
Why Do A Control Solution Test? 34
When Is Doing A Control Solution Test Recommended? 34
Important Information about Control Solution Testing 34
What You Will Need 35
How to Do Control Solution Testing 35
Understanding Your Result 39
6 Reviewing & Using Your Results 40
What Can Your Meter Show You? 40
How to See Results in Memory 41
How to See Averages 43
Transferring Your Results to a Computer 44
7 Understanding & Troubleshooting
Error Messages 45
What An Error Message Means & 45
What You Need to Do
8 Your Meter’s Specifications & Limitations 49
Important Information about Using Blood 51
Samples from the Forearm, Upper Arm,
or Base of the Thumb
9 Caring For Your Meter 52
Cleaning Your Meter 52
Replacing Your Meter’s Battery 52
References 55

1
Welcome
Thank you for choosing the Precision Xtra® Blood Glucose and
Ketone Monitoring System.
Important steps for using the System are inside this manual.
Please read it carefully.
Your new Precision Xtra Blood Glucose and Ketone
Monitoring System is an important tool that can help you
better manage your diabetes. The System measures both
blood glucose (sugar) and blood ketone. Blood glucose and
blood ketone results can help you understand your diabetes
and what happens with:
•Food
•Exercise
•Stress and illness
•Diabetes medications
Always monitor your blood glucose and blood ketone
according to your healthcare professional’s recommendations.

2
In the United States, call Customer Service at 1-800-527-3339
with any questions you may have about the Precision Xtra
Blood Glucose and Ketone Monitoring System. We are available
24 hours a day, 365 days a year. If you cannot reach Customer
Service, contact your healthcare professional.
Outside the United States, please contact your local Abbott
Diabetes Care Inc. office or distributor.
Please read the following items before using your Precision Xtra
Blood Glucose and Ketone Monitoring System:
•User's manual
•Blood glucose test strip instructions for use
•Blood ketone test strip instructions for use
•Lancing device instructions for use and other information
•Warranty card
IMPORTANT:
Any user's manual text shown in a shaded box like this
one is important information. Please pay special attention
to these boxes.

3
Important Things to
Know about Your Precision
Xtra® Blood Glucose and
Ketone Monitoring System
CHAPTER 1
Important
Information
3
▼
Intended Use
Your Precision Xtra System:
•Is indicated for home (lay user) or professional use in the
management of patients with diabetes.
•Is for self testing or healthcare professional
use outside the body (in vitro diagnostic use).
•Is for monitoring glucose in fresh whole
blood (for example, from the fingertip).
•Is for monitoring ketone in fresh whole blood
from the fingertip only.
•Measures β-hydroxybutyrate (ketone), the most important
of the three ketone bodies circulating in the bloodstream.
•Use only Precision Xtra® Blood Glucose Test Strips and
Precision Xtra® Blood β-Ketone Test Strips. Other test
strips may produce inaccurate results.
•Please refer to your test strip instructions for use for
important information about sample types that may be
used with these test strips.
Questions?
Call Customer Service:
1-800-527-3339

4
Important
Information
4
Healthcare Professionals:
Please refer to the test strip instructions for use for more
information about sample types.
Potential Infection Risk:
Healthcare professionals performing blood tests with this
system on multiple patients must always wear gloves and
should follow the infection control policies and procedures
approved by their facility.
Read the instructions in this user’s manual. Failure to follow
instructions will cause incorrect results. Practice the testing
procedures before using the meter. Follow your healthcare
professional’s advice when testing blood glucose levels and
blood ketone levels.
Observe caution when using around children. Small parts
may constitute a choking hazard.
How Your Precision Xtra Blood Glucose and Ketone
Monitoring System Works
When you insert a test strip into your meter, the Apply
Sample message shows on your meter’s display window.
When a blood sample or control solution sample is
applied to the test strip, the glucose or ketone reacts with
the chemicals on the test strip. This reaction produces a
small electrical current that is measured. The result shows
on your meter’s display window.
▼

5
Precision Xtra Kit Contents
Precision Xtra Meter
Precision Xtra User’s Manual
– Contains system information and directions.
Carrying Case
– Use this to store and carry your meter and other
monitoring supplies.
Your kit may also contain:
Logbook
– Use this to record your test results, activities, and
medications.
Lancing Device, Lancets, Instructions for Use and
Other Information.
Blood Glucose Test Strips and Instructions for Use.
Items not included:
MediSense Control Solutions
Blood Ketone Test Strips and Instructions for Use
Data Management System
▼
Important
Information

6
Getting to Know Your Meter’s Features
Display Window
This shows:
•Blood glucose and blood ketone results.
•Previous test results and error messages.
•Blood glucose averages.
IMPORTANT:
Each time you turn your meter on, a full
display shows. This is called a Display
Check. Look at the Display Check each
time it appears on your meter’s display
window, especially before you check
your blood glucose or blood ketone.
The Display Check shows on the display
window briefly.
Do not use the meter if the meter
Display Check does not exactly match the
picture here (for example, if you see a "3"
instead of an "8"). The meter may show an
incorrect result when you use it. Please call
Customer Service for assistance.
▼
Display Check
Important
Information

77
IMPORTANT:
Avoid getting dust, dirt,
blood, control solution, water,
or any other substance in the
test strip port.
Strip Port
This is where you insert:
•A blood glucose test strip.
•A blood ketone test strip.
•Data cable (not included)
for uploading results to a
computer.
Mode Button
Use this button to:
•Turn meter ON and OFF.
•Access meter setup options.
•Access and save meter settings.
•Access previous results and averages.
Forward Button
Back Button
Use these buttons to:
•Review and select meter settings.
•Review results and averages.
Important
Information
Back
Button
Backlight
Button
Display
Window
Strip
Port
Mode
Button
Forward
Button

8
Important
Information
Backlight Button
Use this button to:
•Turn backlight ON and OFF.
Battery Compartment
This is where the battery is installed.
•If your meter does not turn on, check
that your battery is installed properly.
•For new battery installation, see
Chapter 9.

9
CHAPTER 2
Setting Up
Your Meter
Questions?
Call Customer Service:
1-800-527-3339
Setting Up Your
Precision Xtra Meter
Buttons to Use
Mode Button
Forward Button
Back Button
Setup Options
Set Beeper
If the beeper is set ON, it will beep when:
•The test countdown starts.
•The test countdown finishes.
Set Time, Set Date
IMPORTANT: Please check that the correct time and
date is set before you use the meter for the first time. This
will help you keep records of when you monitor and will
help you and your healthcare professional make informed
decisions about your care.
You must set the time and date to review averages.
You may need to re-set the time and date:
•After you replace the battery.
•When you travel between time zones or when the time
zone you are in changes.
In "Set Date", you set the year, month, and day.
Set Time Format
In "Set Time Format", you choose how the time shows on
the meter’s display window.
▼ ▼

10
Setting Up
Your Meter
Set Date Format
In "Set Date Format", you choose how the month and
day show on the meter’s display window.
Measurement Units
Blood glucose measurement units are factory-set in mg/dL.
Blood ketone measurement units are in mmol/L only.
How to Set the Beeper, Date, Time, &
View Measurement Units
Before you start, please note: "Press and
Hold" means that you press the button in
for at least 2 seconds. "Press and Release"
means that you press the button and let it
go quickly.
Press and Hold the button to turn the
meter off and save your settings at any
time. The meter automatically turns off after
30 seconds of no action.
If you like the setting that you see on your
meter and do not want to change it, Press
and Release the button to move to the
next setup option.
Set Beeper
The means the beeper is ON.
The means the beeper is OFF.
▼
Beeper OFF
Beeper ON

11
Setting Up
Your Meter
1To turn your meter ON, Press and
Hold the button.
The beeper ON message shows on
the display window. The musical
notes flash on and off, and the
meter beeps.
2To change the beeper setting, Press
and Release the button or the
button once.
3Press and Release the button to
save the beeper setting and to move
to Set Time (Hour).
Set Time
Hour:
The Hour flashes on and off.
1Press and Release the button to
move the hour forward.
2If you go past the correct hour, Press
and Release the button to move
the hour back.
3Press and Release the button to
save the hour and to move to
Set Minutes.

12
Setting Up
Your Meter
Minutes:
The Minutes flash on and off.
1Press and Release the button to
move the minutes forward.
2If you go past the correct minute, Press
and Release the button to move the
minutes back.
3Press and Release the button to save
the minutes and to move to Set Date.
Set Date
Year:
The Year flashes on and off.
1Press and Release the button to
move the year forward.
2If you go past the correct year, Press
and Release the button to move the
year back.
3Press and Release the button to save
the year and to move to Set Month.

13
Setting Up
Your Meter
Month:
The Month flashes on and off.
1Press and Release the button to
move the month forward.
2If you go past the correct month,
Press and Release the button to
move the month back.
3Press and Release the button to save
the month and to move to Set Day.
Day:
The Day flashes on and off.
1Press and Release the button to
move the day forward.
2If you go past the correct day, Press
and Release the button to move
the day back.
3Press and Release the button to
save the day and to move to Set
Time Format.

14
Setting Up
Your Meter
Choice #1
Choice #2
Set Time Format
You have two choices:
Choice #1: For the 12-hour format, AM
or PM shows.
Choice #2: For the 24-hour format, AM
or PM does not show.
1To change the Time Format, Press
and Release the button or the
button once.
2Press and Release the button to
save the Time Format and to move
to Set Date Format.
Set Date Format
You have two choices:
Choice #1: For the month-day format,
"-" shows with the date.
Example: "May 25" shows as "5-25".
Choice #2: For the day.month format,
"•" shows with the date.
Example: "25 May" shows as "25.5".
1To change the Date Format, Press
and Release the button or the
button once.
2Press and Release the button to
save the Date Format and to move
to Measurement Units.
Choice #1
Choice #2

15
Blood Glucose Measurement Units
Consult your healthcare professional if you have any
questions about the blood glucose measurement units.
This screen shows the blood glucose
measurement units (mg/dL).
Press and Release the button to
return to Set Beeper.
Press and Hold the button to turn
your meter off.
You have successfully set up your meter.
Setting Up
Your Meter

16
16
CHAPTER 3
Monitoring
Blood Glucose
Questions?
Call Customer Service:
1-800-527-3339
Monitoring Your Blood Glucose
▼▼
What You Will Need
•Precision Xtra blood glucose test strip with its instructions
for use
•Precision Xtra meter
•Lancing device and a new, sterile lancet
Important Information about Monitoring Your
Blood Glucose
•Do not use out-of-date test strips. Check the expiration
date printed on the test strip box and on each test strip
foil packet. If only the month and year are printed on the
test strip, then the expiration date
is the last day of that month.
•Use the test strip immediately
when you take it out of its foil
packet.
•Do not use a wet, bent, scratched,
or damaged test strip.
•Do not use the test strip if its foil packet has a puncture or
tear in it.
•Before you monitor your blood glucose allow your meter
and test strip to reach the recommended operating
temperature range of the test strip. The test strip operating
temperature range is in the “What else do I need to know?”
section of the blood glucose test strip instructions for use.
•Read the lancing device instructions for use.
Example:
Expiration date
March 31, 2014
45001
D5
A138
2014/03