Abbott Precision Xtra User manual

Blood Glucose & Ketone Monitoring System
User’s Guide

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 4
Getting to Know Your Monitor’s Features 5
2 Setting Up Your Precision Xtra Monitor 7
Buttons to Use 7
Setup Options 7
How to Set the Beeper, Date, Time, & View
Measurement Units 8
Set Beeper 8
Set Time 9
Set Date 10
Set Time Format 12
Set Date Format 12
Blood Glucose Measurement Units 13
3 Calibrating Your Precision Xtra Monitor 14
Why Calibrate Your Monitor? 14
When to Calibrate Your Monitor 14
What You Will Need 14
How to Calibrate Your Monitor 14
How to Recall the LOT Number 17
4 Monitoring Your Blood Glucose 18
What You Will Need 18
Important Information about Monitoring
Your Blood Glucose 18
How to Monitor Your Blood Glucose 19
Understanding Your Result 24
5 Monitoring Your Blood β-Ketone 27
What You Will Need 27
Important Information about Monitoring
Your Blood β-Ketone 27
How to Monitor Your Blood β-Ketone 29
Understanding Your Result 33

6 Doing A Control Solution Test 36
Why Do A Control Solution Test? 36
When Is Doing A Control Solution Test Recommended? 36
Important Information about Control Solution Testing 36
What You Will Need 37
How to Do Control Solution Testing 37
Understanding Your Result 41
7 Reviewing & Using Your Results 42
What Can Your Monitor Show You? 42
How to See Results in Memory 43
How to See Averages 45
Transferring Your Results to A Computer 46
8 Understanding & Troubleshooting
Error Messages 47
What An Error Message Means & 47
What You Need to Do
9 Your Monitor’s Specifications & Limitations 51
Important Information about Using Blood 53
Samples from the Forearm, Upper Arm,
or Base of the Thumb
10 Caring For Your Monitor 54
Cleaning Your Monitor 54
Replacing Your Monitor’s Battery 55
References 57

Welcome
Thank you for choosing the Precision Xtra® Blood Glucose and
Ketone Monitoring System.
Important steps for using the System are inside this guide. 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 β-Ketone. Blood glucose and blood β-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 β-Ketone
according to your healthcare professional’s recommendations.
1

In the United States, call Customer Care 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
Care, 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 guide
•Blood glucose test strip instructions for use
•Blood β-Ketone test strip instructions for use
•Lancing device instructions for use and other information
•Warranty card
2

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 β-Ketone in fresh whole
blood from the fingertip.
•Measures β-hydroxybutyrate (β-Ketone), the
most important of the three ketone bodies
circulating in the bloodstream.
•Is for use with Precision Xtra™ or Precision® Point of Care Blood
Glucose Test Strips and Precision Xtra™ Blood β-Ketone Test
Strips.
• PrecisionXtra™andPrecision®PointofCareBloodGlucoseTest
Strips are different. Please refer to your test strip instructions for
use for important information about sample types that may be
used with these test strips.
•Precision®Point of Care Blood Glucose Test Strips are for use by
healthcare professionals only.
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.
Important Things to Know
about Your Precision Xtra®
Blood Glucose and Ketone
Monitoring System
Questions? Call
Customer Care:
1-800-527-3339
CHAPTER 1
▼
Important
Information
3

How Your Precision Xtra Blood Glucose and Ketone
Monitoring System Works
When you insert a test strip into your monitor, the Apply
Sample message shows on your monitor’s display window.
When a blood sample or control solution sample is applied
to the test strip, the glucose or β-Ketone reacts with the
chemicals on the test strip. This reaction produces a small
electrical current that is measured. The result shows on your
monitor’s display window.
Precision Xtra Kit Contents
Precision Xtra Monitor
Precision Xtra User’s Guide
– Contains system information and directions.
Carrying Case
– Use this to store and carry your monitor and other
monitoring supplies.
Your kit may also contain:
Precision Xtra Quick Reference Guide
– Gives the basic steps to calibrate your monitor and monitor
your blood glucose.
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:
Precision or MediSense Control Solutions
Blood β-Ketone Test Strips and Instructions for Use
Data Management System
▼▼
Important
Information
4

Important
Information
Getting to Know Your Monitor’s Features
Display Window
This shows:
•Blood glucose and blood
β-Ketone results.
•Glucose LOT numbers and
blood β-Ketone calibration CODEs
•Previous test results and
error messages.
•Blood glucose averages.
IMPORTANT:
Each time you turn your monitor on, a
full display shows. This is called a Display
Check. Look at the Display Check each
time it appears on your monitor’s display
window, especially before you check
your blood glucose or blood β-Ketone.
The Display Check shows on the display
window briefly.
Do not use the monitor if the monitor
Display Check does not exactly match
the picture here (for example, if you see
a "3" instead of an "8"). The monitor may
show an incorrect result when you use
it. Please call Customer Care
for assistance.
▼
Display Check
5
Back
Button
Backlight
Button
Display
Window
Strip
Port
Mode
Button
Forward
Button

Important
Information
Strip Port
This is where you insert:
•A blood glucose test strip
•A blood β-Ketone test strip
•A glucose calibrator
•A ketone calibrator
•Data cable (not included) for uploading
results to a computer
Mode Button
Use this button to:
•Turn monitor ON and OFF
•Access monitor setup options
•Access and save monitor settings
•Access previous results and averages
Forward Button
Back Button
Use these buttons to:
•Review and select monitor settings
•Review results and averages
Backlight Button
Use this button to:
•Turn backlight ON and OFF
Battery Compartment
This is where the battery is installed.
•If your monitor does not turn on, check that
your battery is installed properly.
•For new battery installation, see Chapter 10.
IMPORTANT: Avoid getting dust, dirt, blood, control
solution, water, or any other substance in the receiver's
test strip port or data port.
6

CHAPTER 2
Setting Up Your
Precision Xtra Monitor
Buttons to Use
Mode Button
Forward Button
Back Button
Setup Options
Set Beeper
If the beeper is set ON, it will beep when:
•The calibrator is fully inserted
•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 monitor 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 monitor’s display window.
▼ ▼
Setting Up
Your Monitor
Questions? Call
Customer Care:
1-800-527-3339
7

Set Date Format
In "Set Date Format", you choose how the month and
day show on the monitor’s display window.
Measurement Units
Blood glucose measurement units are factory-set in mg/dL
or mmol/L.
Blood β-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
monitor off and save your settings at any
time. The monitor automatically turns off
after 30 seconds of no action.
If you like the setting that you see on your
monitor 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
Setting Up
Your Monitor
Beeper ON
8

1To turn your monitor ON, Press and
Hold the button.
The beeper ON message shows on
the display window. The musical
notes flash on and off, and the
monitor 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.
9
Setting Up
Your Monitor

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.
10
Setting Up
Your Monitor

Setting Up
Your Monitor
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.
11

Setting Up
Your Monitor
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: "25 May" 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.
12
Choice #1
Choice #2

Setting Up
Your Monitor
Blood Glucose Measurement Units
Consult your healthcare professional
if you have any questions about the
blood glucose measurement units.
For mg/dL or mmol/L:
This screen shows the blood glucose
measurement units (mg/dL or mmol/L).
Press and Release the button to
return to Set Beeper.
Press and Hold the button to turn
your monitor off.
You have successfully set up your monitor.
▼
13

CHAPTER 3
Why Calibrate Your Monitor?
Calibration ensures that your results are accurate.
When to Calibrate Your Monitor
•When you use the monitor for the first time
•EACH time you open and use a new box of blood
glucose or blood β-Ketone test strips
What You Will Need
•Precision Xtra monitor
•For glucose calibration:
- Blood glucose test strip
- Blood glucose test strip instructions for use
- Blood glucose test strip calibrator
•For β-Ketone calibration:
- Blood β-Ketone test strip
- Blood β-Ketone test strip instructions for use
- Blood β-Ketone test strip calibrator
How to Calibrate Your Monitor
Before you insert a test strip for the first
time, please note:
This means the monitor is not
calibrated for blood glucose
monitoring.
This means the monitor is not
calibrated for blood β-Ketone
monitoring.
▼▼▼▼
Calibrating Your
Precision Xtra Monitor
Calibrating
Your Monitor
Questions? Call
Customer Care:
1-800-527-3339
14
➡
➡

IMPORTANT: Use only the calibrator that is packaged in
the box of test strips you are using.
Do not use test strips that have expired. Check the
expiration date on the test strip foil packet and test strip
box. If only the year and month are shown, the expiration
date is the last day of the month.
1Remove the glucose or β-Ketone calibrator package
from the new box of test strips.
2Open the calibrator package. Find the
three raised bumps on the calibrator
package. Peel the clear cover away from
the three raised bumps.
3Hold the calibrator (white for glucose and
purple for blood β-Ketone) with the LOT
number facing you.
4Insert the calibrator into the strip
port. Push it in until it stops.
The Display Check shows on the
display window, followed by the
time, month, and day.
Next, the LOT number shows on the
display window.
a. Example of glucose
LOT number: LOT 13758
b. Example of β-Ketone
LOT number: CODE 12345
Then you hear the beeper, if the
beeper is ON.
15
Calibrating
Your Monitor
Glucose
β-Ketone

5Check that the LOT number on all these items matches:
✓ Display window ✓ Test strip calibrator
✓ Test strip instructions for use ✓ Test strip foil packet
When the LOT number on allthese items matches:
What It Means:
Calibration is complete.
What to Do:
You may now monitor your blood glucose or
blood β-Ketone.
When the LOT number on all these items DOES
NOT match:
What It Means:
Your monitor may not be calibrated for the box of test
strips you are using.
What to Do:
•Check that you are using the calibrator that came in the
box of test strips you are using.
•Try to calibrate again.
IMPORTANT: If the LOT number still does not match,
contact Customer Care. Do not attempt to monitor your
blood glucose or blood β-Ketone. Your monitor may show
an incorrect result.
6Remove the calibrator from the monitor and store it in your
monitor’s carrying case.
IMPORTANT: Do not throw the calibrator away until you
have used all of the test strips in the box.
If you have any trouble calibrating your system, please
contact Customer Care.
16
Calibrating
Your Monitor

Calibrating
Your Monitor
How to Recall the LOT Number or Calibration Code
1To recall the glucose LOT number, Press and Hold the button. While holding the button, Press and Hold
the button.
The Display Check shows on the
display window, then the glucose
LOT number shows with the time,
month, and day of the most recent
glucose calibration.
2After the glucose LOT number is displayed, you can
recall the β-Ketone LOT number. Press and Release the
button or the button.
The β-Ketone LOT number shows
with the word “CODE”, the time,
month, and day of the most recent
blood β-Ketone calibration.
▼
Note: If the LOT number that shows on your monitor’s display
window is not correct:
What It Means:
Your monitor may not be calibrated for the box of test
strips you are using.
What To Do:
•Re-calibrate your monitor.
•Check that you are using the calibrator that came in
the box of test strips you are using.
Remember, improper calibration will cause
incorrect results.
3Press and Hold the button to
turn your monitor off.
17