Acon On Call Plus User manual

i
Self monitoring of blood glucose (SMBG) is an integral 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 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® Plus Blood Glucose
Monitoring System. The On Call® Plus 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® Plus Blood Glucose Monitoring
System, please follow these guidelines:
 Read instructions before use.
 Use the code chip that accompanies each box of test strips.
 Use only On Call® Plus Blood Glucose Test Strips with the On Call® Plus Blood
Glucose Meter.
 For in vitro diagnostic use only. Your blood glucose monitoring system is to be
used only outside the body for testing purposes.
 For self testing and professional use.
 Test only whole blood samples with the On Call® Plus Blood Glucose Test
Strips and 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.
 For help with any additional questions or issues, please contact Customer
Support at 1-800-838-9502.
By following the instructions outlined in this User's Manual, you will be able to use
your On Call® Plus 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® Plus Blood Glucose Meter…………………………………………. 3
Meter Display…………………………………………………………………… 4
On Call® Plus Blood Glucose Test Strips………………………….………… 5
On Call® Plus Glucose Control Solution…………………………….………. 8
Installing the Battery…………………………………………………………………. 10
Meter Setup Before Testing…………………………………………………………
.
11
Step 1 – Coding the Meter…………………………………………………….
.
11
Step 2 – Adjusting the Meter Settings………………………………………
…
12
Performing a Quality Control Test…………………………………………………
.
14
Testing Your Blood…………………………………………………………………… 17
Step 1 – Getting a Drop of Blood……………………………………………
…
17
Step 2 – Testing Blood Glucose……………………………………………… 22
"HI" and "LO" Messages………………………………………………………
…
24
Using the Meter Memory…………………………………………………………….. 26
Viewing Stored Records……………………………………………………….
.
26
Clearing the Memory…………………………………………………………
…
27
Transferring Records………………………………………………………………… 28
Maintenance……………………………………………………………………………
.
29
Replacing the Battery…………………………………………………………
…
29
Caring for Your On Call® Plus Blood Glucose Monitoring System………
…
29
Suggested Testing Times and Target Goals……………………………………
…
30
Comparing Meter and Laboratory Results……………………………………….. 31
Troubleshooting Guide………………………………………………………………
.
32
Specifications…………………………………………………………………………
…
34
Warranty………………………………………………………………………………
…
35
Index……………………………………………………………………………………
…
36

1
Getting Started
Before testing, read the instructions carefully and learn about all the components of
your On Call® Plus Blood Glucose Monitoring System. Depending on the On Call®
Plus product you purchase, 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.
Lancing Device
Sterile Lancet
Test Strips
Code Chip
Clear Cap
Control Solution
Carrying Case
Blood Glucose Meter

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. Code Chip: Automatically calibrates the meter with the code number when
inserted into the meter.
4. 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 and minimize discomfort.
5. Clear Cap: Used with the lancing device and sterile lancet to draw a blood
sample from the forearm and palm.
6. 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.
7. 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. If you want to do
additional levels of tests, Control Solution 2 is available. Control 1 and 2 are
available in the On Call® Plus Control Solution package which is sold
separately.
8. Carrying Case: Provides portability for blood glucose testing wherever you go.
9. User's Manual: Provides detailed instructions on using the blood glucose
monitoring system.
10. 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.
11. Logbook: Allows users to record their blood glucose data and get a better
picture of their broader trends.
12. Warranty Card: Should be completed and returned to the distributor to qualify
for the 5-year meter warranty.

3
On Call® Plus Blood Glucose Meter
The meter reads the test strips and displays the blood glucose concentration. Use
this diagram to become familiar with all the parts of your meter.
Liquid Crystal Display (LCD): Shows your test results, and helps you through the
testing process.
M Button: Recalls previous test results from the meter memory and performs
other menu selection functions.
S Button: Selects meter settings and performs other menu selection functions.
Strip Port: Test strips are inserted into this area to perform a test.
Battery Carrier: The battery carrier is located on the back of the meter.
Code Chip Slot: Insert the code chip here.
Code Chip: For coding the meter. A new code chip comes with every box of test
strips.
Data Port: Sends information to a computer via an optional data transfer cable.
Allows you to view, analyze and print stored data in the meter. The data transfer
cable is available for order as an optional add-on.
Strip Port
Battery Carrier
Code Chip
Liquid Crystal
Display (LCD)
Code Chip Slot
M Button S Button
Data Port

4
Meter Display
Pound Sign (#)
A
ppea
r
s with the control solution test
result or when you mark an invalid
result to prevent it from being
included in the averages.
Control Solution Symbol
Indicates a control test result. A
pound sign (#) will also be
displayed when control solution
symbol appears.
Month Da
y
Hou
r
Minute
Test Strip and Blood
Drop Symbols
These two symbols
appear at the same
time to tell you when to
apply the sample.
Battery Symbol
Warns when you
should replace the
battery.
Test Result Area
Indicates the code
number and the test
result.
MEM
Shows a test result
stored in memor
y
.
CODE
A
ppears with the
code number of the
test strips.
Measurement Unit
Only one unit will be
displayed on your meter and
cannot be ad
j
usted.

5
Meter Use and Precautions
• The meter is pre-set to display blood glucose concentration in either millimoles
per liter (mmol/L) or milligrams per deciliter (mg/dL) depending on which unit of
measure is standard in your country. This unit of measure cannot be adjusted.
The meter will be set to mg/dL by default when sold in the United States.
• 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 extremes in temperature or
humidity. Do not leave it in your car.
• 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 14 for instructions.
• Do not take the meter apart. Taking the meter apart will void the warranty.
• Refer to the Caring for Your Meter section on page 29 for details on cleaning
the meter.
• Keep the meter and all associated parts out of reach of children.
Note: Follow proper precautions and all local regulations when disposing of the
meter and used batteries.
On Call® Plus Blood Glucose Test Strips
The On Call® Plus Blood Glucose Test Strips are thin strips with a chemical
reagent which work with the On Call® Plus 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, and then automatically absorbed
into the reaction cell where the reaction takes place. A transient electrical current is
formed during the blood glucose concentration is calculated based on the electrical
current detected by the meter, and then the result is shown on the meter display.
The meter is calibrated to display plasma equivalent results.
Sample Tip
A
pply blood or control solution here.
Check Window
Check to confirm that sufficient
sample has been applied.
Contact Bars
Insert this end of the test strip
into the meter until it stops.

6
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 as 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 and until the meter begins to count down. If the check window does
not fill, do not add more blood to the test strip. You may get an E-5 message or an
inaccurate test result. Discard the strip and retest. Even if the meter begins to
countdown but check window does not fill, discard the strip and begin the test
again with a fresh test strip.
Code Number
Each package of test strips is printed with a code number (CODE), lot number
(LOT), unopened expiration date ( ) and control range (CTRL 1 and CTRL 2).
Correct Incorrect
Correct Incorrect

7
Storage and Handling
Please review the following storage and handling instructions:
• Store test strips in a cool, dry place at room temperature, 56-86°F (15-30°C).
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.
• Replace the cap on the test strip vial immediately after removing a test strip.
• The test strip should be used immediately after removing it from container.
• 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 format. 2013-01 means
January, 2013.
Special instructions for test strip in the vial
• Test strips should be stored tightly capped in their protective vial to keep them
in good working condition.
• Do not store test strips outside their protective vial. Test strips must be stored
in the original vial with the cap tightly closed.
• Do not transfer test strips to a new vial or any other container.
• Replace the cap on the test strip vial right away after removing a test strip.
• A new vial of test strips may be used for 3 months after first being opened. The
opened expiration date is 3 months after the date the vial was first opened.
Write the opened expiration date on the vial label after opening. Discard the
vial 3 months after you first open it. Usage after this period may result in
inaccurate readings.
Special Instructions for test strip in 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.

8
Test Strip 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.
• Before running a blood glucose test, make sure that the code number on the
meter display matches the number shown on the test strip vial or on the pouch.
• Keep the test strip 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.
• Not intended for the diagnosis of or screening for diabetes mellitus.
• Not for use on neonates.
• When testing alternative sites, test when in steady state only (such as before
eating, before taking medication, before exercising, or 2 hours after eating).
See the test strip insert for more details.
On Call® Plus Glucose Control Solution
The On Call® Plus Glucose Control Solution contains a known
concentration of glucose. It is used to confirm that your On Call® Plus
Blood Glucose Meter and test strips are working together properly and
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 your meter is damaged.
• After cleaning your meter.
• At least once a week.
Refer to Quality Control Test on page 14 for instructions on running a quality
control test.
Please review the following storage and handling instructions:

9
Storage and Handling
• Store the control solution at room temperature, 59-86°F (15-30°C).
• 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 format. 2013-01 means
January, 2013.
• Each bottle of control solution can be used for 3 months after you first open it.
The control solution will expire 3 months after the bottle is opened for the first
time. Record the opened 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 specified to be accurate only when tested between
59 and 104°F (15-40°C).
• 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.
Please contact Customer Support at 1-800-838-9502 for more information on
obtaining the control solution kit.
See the control solution insert for more details.

10
Installing the Battery
Battery may not be preinstalled in the meter. One CR 2032 3.0 V coin cell battery is
required. Please find the battery in your carrying case and install it according to the
following steps:
1. Pull the battery carrier on the left side of the meter.
The battery carrier should be easily opened with your
finger.
2. Place a new CR 2032 3.0 V coin cell battery. Make
sure it is aligned with the (+) side facing up in the
battery carrier.
3. Close the battery cover and make sure that it snaps shut.

11
Meter Setup Before Testing
Before testing, the following steps should be followed:
Step 1 – Coding the Meter
Simply insert the code chip to code the meter. Every time you change to a new box
of test strips, you need to insert the code chip packed with the new box of test
strips. You can see the code number appears on the meter. Make sure this number
matches the code number printed on the test strip vial label (or on the foil pouch)
and the number printed on the code chip.
You can easily find a code chip in your starter kit box. This code chip is used with
the test strip packed in your carrying case when you first open the carrying case. If
there is already one code chip inserted, remove it and insert the new code chip.
1. Take the code chip from the test strip box. Compare the code number on the
code chip with the code number printed on the test strip vial label (or on the foil
pouch). If the two numbers are not the identical, you may get inaccurate results.
If the code number on the code chip does not match the number on the vial or
on foil pouch of strips with which it was packaged, please contact your
Customer Support at 1-800-838-9502.
2. With your meter turned off, insert the new code chip into the code chip slot of
the meter. It should easily snap into place. The code chip should remain in the
meter, do not take it out until you change to another new box of test strips.
Note: If a test strip is inserted and no strip code is stored in memory, the
display will flash “--- CODE”.

12
Step 2 – Adjusting the Meter Settings
Adjust the meter settings to set the clock, ensuring that results stored in the
memory are shown with the correct date and time. You can also turn the meter
audio feature on or off. You need to adjust the meter settings before you first use
your meter.
You will need to set the clock settings after replacing the battery.
1. Press the S button to enter the meter setup mode. The meter will automatically
enter the setup mode when turned on for the first time by any method.
2. Firstly, set the clock for either 12 or 24 hour mode. Press the M button to switch
between the two settings, and then press the S button to save your choice and
start setting the year, month and date.
3. The year will appear at the top of the display. Press the M button until the
correct year is displayed. Once you have selected the correct year, press the S
button to save your choice and start setting the month. Press the M button until
the correct month is displayed, then press the S button to save your choice and
start setting the date. Press the M button until the correct date is displayed,
then press the S button to save your choice and start setting the time.
4. The hour will appear at the top of the display. Adjust the hour with the M button
until the correct hour is displayed. Press the S button to save your choice and
set the minutes. Press the M button to change to the correct minute. Press the
S button to save your choice and move to set the audio feature.
Year Month Date
OR

13
5. Audio Feature:
The meter comes with the meter audio feature enabled. The meter will give
one 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 M button to switch between turning the meter beep “On” and “Off”.
Press the S button to confirm your selection. Pressing S at this point will end
the set up mode and power off the meter.
OR
Hour Hour
Minutes Minutes
OR
OR

14
Performing a Quality Control Test
The quality control test confirms that the test strips and meter are working together
properly, and that you are performing the test correctly. It is important to perform
this 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 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 to turn
on the meter and display all the display segments. If the audio option is on, the
meter will beep, signaling the meter is turned on.
2. Check the display to confirm that all the display segments turn on (see display
illustration above).
3. Following this display check, the system will enter the
test mode. The display will show the date and time
and the strip icon with the blood sample icon blinking.
The code number will be displayed in the center of
the screen. Make sure that the code number that
appears on the display matches the code number
(CODE) on the test strip vial (or on foil pouch). If not,
make sure to locate and insert the code chip that
came with the box of strips. If the codes still do not match, do not perform a test.
You will need a new package of test strips to perform a test.
The blinking test strip and blood drop icon indicates that the test strip is
inserted correctly and a drop of control solution can be added.
Note: If the test strip has been inserted incorrectly, the meter will not turn on.