Acon On Call ExtraMobile User manual

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Blood Glucose Monitoring System
Self monitoring of blood glucose (SMBG) is an important part of diabetes care. But
the high cost of testing can make this impossible. At ACON, our goal is to provide
high quality glucose monitoring systems at a price that allows you to test as often
as necessary. Together, we can better manage your diabetes and help you live a
longer and healthier life.
Welcome, and thank you for choosing the On Call® Extra Mobile Blood
Glucose Monitoring System. The On Call®Extra Mobile Blood Glucose
Monitoring System will give you accurate blood glucose results in just a few simple
steps.
To ensure accurate results from your On Call®Extra Mobile Blood Glucose
Monitoring System, please follow these instructions:
 Read instructions before use.
 Use only On Call®Extra Blood Glucose Test Strips with the On Call®Extra
Mobile Blood Glucose Meter.
 For in vitro diagnostic use only. Your blood glucose monitoring system is to be
used only outside the body. It is for monitoring the effectiveness of diabetes
control. It should not be used for the diagnosis of diabetes.
 For self-testing and professional use.
 Test only whole blood samples with the On Call®Extra Blood Glucose Test
Strips and On Call®Extra Mobile meter.
 For self-testers, consult your physician or diabetes healthcare professional
before making any adjustments to your medication, diet or activity routines.
 Keep out of reach of children.
 Keep this User’s Manual in a safe place, do not discard it.
By following the instructions outlined in this User's Manual, you will be able to use
your On Call®Extra Mobile Blood Glucose Monitoring System to monitor your blood
glucose and better manage your diabetes.

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Table of Contents
Getting Started ..................................................................................................... 1
Component Descriptions ............................................................................. 2
On Call® Extra Mobile Blood Glucose Meter................................................ 3
Meter Display .............................................................................................. 4
On Call® Extra Blood Glucose Test Strips ................................................... 6
On Call® Extra Glucose Control Solution ..................................................... 8
Installing the Battery ......................................................................................... 10
Meter Setup Before Testing .............................................................................. 11
Performing a Quality Control Test .................................................................... 15
Testing Your Blood ............................................................................................ 18
Step 1 – Getting a Drop of Blood .............................................................. 18
Step 2 – Testing Blood Glucose ................................................................ 23
“HI” and “LO” Messages ............................................................................ 26
Using the Meter Memory ................................................................................... 27
Viewing Stored Records ............................................................................ 27
Clearing the Memory ................................................................................. 28
Manually Transferring Records by Bluetooth® Wireless Technology ......... 29
Maintenance ....................................................................................................... 31
Replacing the Battery ................................................................................ 31
Caring for Your On Call® Extra Mobile Blood Glucose Monitoring System .. 32
Suggested Testing Times and Target Goals.................................................... 33
Comparing Meter and Laboratory Results ....................................................... 34
Troubleshooting Guide ..................................................................................... 35
Specifications .................................................................................................... 37
Warranty ............................................................................................................. 38
Index of Symbols ............................................................................................... 39
Index ................................................................................................................... 40

1
Getting Started
Before testing, read the instructions carefully and learn about all the components of
your On Call
®
Extra Mobile Blood Glucose Monitoring System. Depending on the
On Call
®
Extra Mobile product you purchased, some of the components may need
to be purchased separately. Please check the list of contents on the outer box for
details on which components are included with your purchase.
Carrying Case
Test Strip
Sterial Lancet
Clear Cap
Blood Glucose Meter
Control Solution
Lancing Device

2
Component Descriptions
1. Blood Glucose Meter: Reads the test strips and displays the blood glucose
concentration.
2. Test Strips: Strips with a chemical reagent system used with the meter to
measure glucose concentration in blood.
3. Lancing Device: Used with sterile lancets to prick the fingertip, palm (at the
base of the thumb) or forearm for blood sample collection. The packaged
lancing device has multiple depth settings, allowing users to adjust the depth
of the puncture to minimize discomfort. It can also eject the used lancets.
4. Clear Cap: Used with the lancing device and sterile lancet to draw a blood
sample from the forearm or palm.
5. Sterile Lancets: Used with the lancing device to draw a blood sample. Sterile
lancets are inserted into the lancing device with each blood draw and discarded
after use.
6. Control Solution: Verifies the proper operation of the blood glucose monitoring
system by checking the test strips and meter against a pre-calibrated control
solution. Control Solution 1 is all you need most of the time. Control Solution 0
and Control Solution 2 are also available if you want to do a level 0 or level 2
test. The three levels of control solution, CTRL 0, CTRL 1 and CTRL 2 are
available in the On Call®Extra Glucose Control Solution package which is sold
separately.
7. Carrying Case: Provides portability for blood glucose testing wherever you go.
8. User's Manual: Provides detailed instructions on using the blood glucose
monitoring system.
9. Quick Reference Guide: Provides a brief overview of the blood glucose
monitoring system and testing procedures. This small guide can be kept in your
carrying case.
10. Warranty Card: Should be completed and returned to the distributor to qualify
for the 5-year meter warranty.

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On Call® Extra Mobile Blood Glucose Meter
The meter reads the test strips and displays the blood glucose concentration. Use
these diagrams to familiarize yourself with all the parts of your meter.
Liquid Crystal Display (LCD): Shows your test results and helps you through the
testing process.
▲ Button: Recalls previous test results from the meter memory, selects meter
settings and performs other menu selection functions.
▼ Button: Recalls next test results from the meter memory, selects meter settings
and performs other menu selection functions.
Strip Port: Test strips are inserted into this area to perform a test.
OK Button: Used to confirm the selection and enter the set up mode.
Battery Cover: Remove the battery cover to install one CR 2032 coin cell battery.
Status Light: The light blinks to indicate the meter is searching for a paired device
and stays illuminated when data is transferring.
▲ Button
OK Button
▼ Button
Strip port Liquid Crystal Display (LCD)
Battery Cover
Status Light

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Meter Display
Battery Symbol: Warns you when you should replace the battery.
Blood Drop / Strip Symbol: Wait for the Blood Drop / Strip Symbol to appear
before applying the sample. These two symbols appear at the same time.
Pound Sign (#): Appears with the control solution test result or when you mark an
invalid result to prevent it from being included in the average.
Control Solution Symbol: Indicates a control test result. A pound sign (#) will also
be displayed when control solution symbol appears.
Test Result Area: Indicates a test result.
Measurement Unit: Only one unit will be displayed on your meter. It cannot be
adjusted.
Before Meal Symbol: Appears when before-meal test results are displayed.
After Meal Symbol: Appears when after-meal test results are displayed.
Test Remind Symbol: Appears to remind you to test your blood glucose.
MEM: Shows a test result stored in memory.
Test Result Area
Test Remind
Symbol
Measurement Unit
Battery Symbol
Memory
Before Meal
Symbol
After Meal Symbol
Pound Sign (#)
Month and Day Hour Minutes
Control Solution Symbol Blood Drop/Strip Symbol

5
Meter Use and Precautions
 Wait for the Blood Drop/Strip Symbol to appear before applying the sample.
 The meter is preset to display blood glucose concentration in either millimoles
per liter (mmol/L) or milligrams per deciliter (mg/dL). This depends on your
country’s standard unit of measurement. This unit of measure cannot be
adjusted.
 The meter will shut off automatically after 2 minutes of inactivity.
 Do not get water or other liquids inside the meter.
 Keep the strip port area clean.
 Keep your meter dry and avoid exposing it to extreme temperatures or humidity.
Do not leave it in your car. Please use the meter indoor.
 Do not drop the meter or get it wet. If you do drop the meter or get it wet, check
the meter by running a quality control test. Refer to Quality Control Test on
page 15 for instructions.
 Do not take the meter apart. This will void the warranty.
 Refer to the Caring for Your Meter section on page 32 for details on cleaning
the meter.
 Keep the meter and all associated parts out of the reach of children.
Note: Follow proper precautions and all local regulations when disposing of the
meter and used battery.
All Glucose Systems Preventive Warnings with Regard to EMC:
1. This instrument is tested for immunity to electrostatic discharge as specified in
IEC 61000-4-2. However, use of this instrument in a dry environment, especially
if synthetic materials are present (synthetic clothing, carpets, etc.) may cause
damaging static discharges that may cause erroneous results.
2. This instrument complies with the emission and immunity requirements
described in EN61326-1 and EN61326-2-6. Do not use this instrument in close
proximity to sources of strong electromagnetic radiation, as these may interfere
with proper operation of the meter.
3. For professional use, the electromagnetic environment should be evaluated
prior to operation of this device.

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On Call
®
Extra Blood Glucose Test Strips
The On Call
®
Extra Blood Glucose Test Strips are thin strips. The strips have a
chemical reagent system. They work with the On Call
®
Extra Mobile Blood Glucose
Meter to measure the glucose concentration in whole blood. After the strip is
inserted into the meter, blood is applied to the sample tip of the test strip. The blood
is then automatically absorbed into the reaction cell where the reaction takes place.
A transient electrical current is formed during the reaction. The blood glucose
concentration is calculated based on the electrical current detected by the meter.
The result is shown on the meter display. The meter is set to display plasma
equivalent results.
IMPORTANT: Apply sample only to the sample tip of the test strip. Do not apply
blood or control solution to the top of the test strip. This may result in an inaccurate
reading.
Hold the blood drop to the sample tip of the test strip until the check window is
completely full. The meter will then begin to count down. If you applied blood but do
not see the countdown start, you may reapply a second drop of blood within 3
seconds. If the check window does not fill and the meter starts to count down, then
do not add more blood to the test strip. If you do then you may get an E-5 message
or an inaccurate test result. In this case, if the meter begins to count down and the
check window does not fill, discard the strip and begin the test again with a new test
strip.
Sample Tip
Apply blood or control solution here.
Check Window
Check to confirm that a sufficient
sample has been applied.
Contact Bars
Insert this end of the test strip
into the meter until it stops.
Correct Incorrect

7
Storage and Handling
Please review the following storage and handling instructions:
 Store test strips in a cool, dry place at 2-35 °C (36-95 °F). Store them away from
heat and direct sunlight.
 Do not freeze or refrigerate.
 Do not store or use test strips in a humid place such as a bathroom.
 Do not store the meter, the test strips or control solution near bleach or cleaners
that contain bleach.
 The test strip should be used immediately after removing it from container.
 Repeated insertion and removal of a test strip into the meter strip port may
result in reading errors.
 Do not use your test strips past the unopened expiration date printed on the
label. Using test strips past the unopened expiration date may produce incorrect
test results.
Note: The expiration date is printed in Year-Month-Date format.
Special Instructions for Test Strips in the Vial
 Test strips must be stored in the original vial with the cap tightly closed. This
keeps them in good working condition.
 Do not transfer test strips to a new vial or any other container.
 Replace the cap on the test strip vial immediately after removing a test strip.
 A new vial of test strips may be used for 6 months after being first opened. Write
the opened expiration date on the vial label after opening. Discard the vial 6
months after you first open it. Usage after this period may result in inaccurate
readings.
Correct
Incorrect

8
Special Instructions for Test Strips in the Foil Pouch
 Tear the pouch carefully starting from the tear gap. Avoid damaging or bending
the test strip.
 Use test strip immediately after removing it from the pouch.
Test Strips Precautions
 For in vitro diagnostic use. Test strips are to be used only outside the body for
testing purposes.
 Do not use test strips that are torn, bent, or damaged in any way. Do not reuse
test strips.
 Keep the test strips vial or the foil pouch away from children and animals.
 Consult your physician or healthcare professional before making any changes
in your treatment plan based on your blood glucose test results.
See the test strip insert for more details.
On Call® Extra Glucose Control Solution
The On Call®Extra Glucose Control Solution contains a known concentration of
glucose. It is used to confirm that your On Call®Extra Mobile Blood Glucose Meter
and On Call®Extra Blood Glucose test strips are working together properly. It also
confirms that you are performing the test correctly. It is important to run a quality
control test regularly to make sure you are getting correct results.
You should run a quality control test:
 Before you first use your meter, to familiarize yourself with its operation.
 Before using a new box of test strips.
 When you suspect that the meter or test strips are not working
properly.
 When you suspect that your test results are inaccurate, or if they
are inconsistent with how you feel.
 When you suspect that your meter is damaged.
 After cleaning your meter.
 At least once a week.
Refer to Quality Control Test on page 15 for instructions on running a quality
control test.

9
Storage and Handling
Please review the following storage and handling instructions:
 Store the control solution at 2-35 °C (36-95 °F).
 Do not refrigerate or freeze.
 If the control solution is cold, do not use until it has warmed to room temperature.
 Use before the unopened expiration date that is shown on the bottle.
Note: The expiration date is printed in Year-Month-Date format.
 Each bottle of control solution can be used for 6 months after you first open it.
Record the opened and the resulting expiration date on the bottle label.
Control Solution Precautions
 For in vitro diagnostic use. The control solution is for testing only outside the
body. Do not swallow or inject.
 Shake well before using.
 Control solution tests are designed to be accurate only when tested between 10
and 40 °C (50-104 °F).
 The control ranges shown on the test strip vial (or on the foil pouch) are not
recommended ranges for your blood glucose level. Your personal blood glucose
target ranges should be determined by your diabetes healthcare professional.
 Do not touch the test strip with the tip of the control solution bottle.
 Use only the same brand of control solution that was provided with your kit.
See the control solution insert for more details.

10
Installing the Battery
The battery may not be preinstalled in the meter. The meter requires one CR 2032
3.0 V coin cell battery. Please find the battery in your carrying case and install it
according to the following steps:
1. Turn over the meter and slide the battery cover off the top of the meter.
2. Insert one CR 2032 3.0 V coin cell battery into the battery carrier. Make sure it
is aligned with the plus (+) facing down.
3. Slide the battery cover back on and make sure that it snaps shut.

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Meter Setup Before Testing
Before using your meter for the first time, you will need to adjust the settings that
are listed in detail below.
1. Meter Setup Mode: Press the OK button for 2 seconds to enter the meter setup
mode. The meter will automatically enter the setup mode when turned on for
the first time or every battery change.
2. Clock: Set the clock to 12 or 24 hour mode. Press the ▲ or ▼ button to switch
between the two settings. Then press the OK button to save your choice. Now
you can start to set the Date Format.
Note: The clock needs to be reset after replacing the battery.
3. Date Format: m-d or d-m will appear at the top of the display to indicate either
a month-day-year format or a day-month-year format. Press the ▲ or ▼ button
to switch between the two settings. Then press the OK button to save your choice.
4. Date: The year will appear at the top of the display. Press the ▲ or ▼ button to
increase or decrease the year. Once you have selected the correct year, press
the OK button to save your choice. Then you can start to set the month. Press
the ▲ or ▼ button to increase or decrease the month. Then press the OK button
to save your choice. You can now select the day. Press the ▲ or ▼ button to
increase or decrease the date. Then press the OK button to save your choice.
Then you can start to set the time.
OR
OR
m-d: Year Month Day
d-m: Year Month Day

12
5. Time: The hour will appear at the top of the display. Press the ▲ or ▼ button
to change to the correct hour. Press the OK button to save your choice and set
the minutes. Press the ▲ or ▼ button to change to the correct minute. Press
the OK button to save your choice. You can then start to set the meal marker
feature.
6. Meal Marker: The meter comes with the meal marker feature disabled. The
meter allows the user to enable or disable this option. The words “On” or “Off”
will be displayed on the large center segments of the display. The before meal
symbol together with the after meal symbol will be displayed as shown below.
Press the ▲ or ▼ button to switch between turning the meal marker “On” and
“Off”. Press the OK button to confirm your selection.
7. Audio Feature: The meter comes with the meter audio feature enabled. There
will be a short beep when it is turned on, after sample detection and when the
result is ready. The meter will sound three short beeps to sound a warning when
an error has occurred. Please check the error number on the display to confirm
what kind of error has occurred.
Press the ▲ or ▼ button to turn the meter beep “On” or “Off”. Press the OK
button to confirm your selection.
8. Test Reminder: Test reminders are a useful way to remind you when to test.
You can set 1 to 5 reminders per day. Your meter is preset with the test reminder
disabled. You must turn it on to use this feature.
Hour Hour
OR
Minute Minute
OR
OR
OR

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 Press the ▲ or ▼ button to turn the first Test Reminder “On” or “Off”. Press
the OK button to confirm your selection. When the Test Reminder is “Off”,
pressing the OK button will go to the set up of the second Test Reminder.
When the Test Reminder is “On”, pressing the OK button will go to the set
up of the time for the first Test Reminder. Press the ▲ or ▼ button to adjust
the first Test Reminder time. Press the OK button to confirm the first Test
Reminder time and then go to the second Test Reminder set up.
 When the Test Reminder is “Off” during the second Test Reminder set up,
pressing the OK button will go to the set up of the third Test Reminder.
When the Test Reminder is “On”, pressing the OK button will go to the set
up of the time for the second Test Reminder. Press the ▲ or ▼ button to
adjust the second Test Reminder time. Press the OK button to confirm the
second Test Reminder time and then go to the third Test Reminder set up.
 Repeat the same set up procedure for Test Reminder 3, 4 and 5.
If one or more test reminders have been set, the reminder symbol will always appear
on the LCD screen when the meter is turned on. The display sample is shown below.
The meter beeps 5 times when it is first set. It will beep again two minutes later, and
two minutes after that unless you insert a test strip. This function will still work with
Audio feature turned off.
When the meter beeps at the time set by the Test Reminder feature, the date, time
and strip symbols will be displayed, and the test reminder symbol will flash. The
display sample is shown below.
Note: For any step of the setup, if the ◄ button is pressed and held, it will allow a
faster adjustment.
9. Bluetooth® Auto-Send: The meter comes with the Bluetooth® auto-send
feature enabled. This feature will allow your glucose result to automatically be
sent to your mobile device if the glucose meter and the mobile device are paired
and within range. The meter allows the user to enable or disable this option.
Press the ▲ or ▼ button to select whether data is automatically sent to the
OR

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default paired device after each test. The words “bt” “Auto” “On” or “bt” “Auto”
“Off” will be shown on the display. Press the OK button to confirm your selection.
10. Bluetooth® Pairing: Before any data can be sent via Bluetooth® wireless with
either the Auto-send option or manual Bluetooth® transmission, the glucose
meter and the mobile device must be paired. From this setting, “bt” will appear
on the screen with either “yES” or “no” and “PAIr” at the top of the display. press
the ▲ or ▼ button to change the setting.
If no new devices need to be paired, select the “no” option and press the OK
button to exit the setup. If you have a new device that needs to be paired with
the glucose meter or you have a new meter that has never been paired with a
mobile device, select the “yes” option and press the OK button to enter pairing
mode.
In pairing mode, “bt” displays along with the word “PAIr” blinking at the top of
the display. The green Status Light on the side of the meter will also blink to
indicate the meter is attempting to connect with the mobile device.
Once the pairing is completed successfully, the word “PAIr” stops blinking and
the “MEM” symbol displays to show that the device is paired and stored in the
meter’s memory. Press the OK button to exit the setup or the meter will
automatically shut off after 30 seconds of inactivity.
OR
OR

15
Performing a Quality Control Test
The quality control test confirms that the test strips and meter are working together
properly; it also confirms that you are performing the test correctly. It is important to
perform this test:
 Before you first use your meter.
 Before using a new box of test strips.
 When you suspect that the meter or test strips are not working properly.
 When you suspect that your test results are inaccurate, or if they are
inconsistent with how you feel.
 When you suspect your meter is damaged.
 After cleaning your meter.
 At least once a week.
1. Insert a test strip into the strip port, contact bars end first and facing up. It will
turn on the meter and display all the display segments. If the audio option is on,
the meter will beep, signaling that the meter is turned on.
2. Check the display to confirm that all the display segments turn on. Next, a dash
will move across the display.
3. Following this display check, the system will enter the test mode. The display
will show the date time and the strip icon with the blood sample icon blinking to
indicate that the test strip is inserted correctly.
Note: If the test strip has been inserted incorrectly, the meter will not turn on.
4. Press the ▲ button to mark the test as a control solution test. Once the ▲ button
is pressed, the control solution symbol will appear on the display. It indicates
that a drop of control solution can be added.
NOT READY
NOT READY
NOT READY
NOT READY