Acon on call vivid pal User manual

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Blood Glucose Monitoring System
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®Vivid Pal Blood
Glucose Monitoring System. The On Call®Vivid Pal Blood Glucose
Monitoring System will give you accurate blood glucose results, from adult and
neonatal capillary whole blood samples, in just a few simple steps.
WARNING:
To ensure accurate results from your On Call®Vivid Pal Blood Glucose
Monitoring System, please follow these warning instructions:
•Read instructions before use.
•Use only On Call®Vivid Blood Glucose Test Strips with the On Call®Vivid
Pal Blood Glucose Meter.
•For in vitro diagnostic use only. Your blood glucose monitoring system is
to be used only outside the body 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®Vivid Blood Glucose Test
Strips and On Call®Vivid Pal 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 properly, do not discard it.
By following the instructions outlined in this User's Manual, you will be able to
use your On Call®Vivid Pal 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®Vivid Pal Blood Glucose Meter........................................................ 3
Meter Display ................................................................................................. 5
On Call®Vivid Blood Glucose Test Strips....................................................... 7
On Call®Vivid Glucose Control Solution...................................................... 10
Installing the Battery ............................................................................................. 12
Meter Setup Before Testing.................................................................................. 13
Performing a Quality Control Test ....................................................................... 17
Testing Your Blood ...............................................................................................20
Step 1 - Getting a Drop of Blood.................................................................. 20
Step 2 – Testing Blood Glucose................................................................... 27
“HI” and “LO” Messages .............................................................................. 30
Using the Meter Memory....................................................................................... 31
Viewing Stored Records............................................................................... 31
Clearing the Memory.................................................................................... 33
Transferring Records ................................................................................... 33
Maintenance........................................................................................................... 35
Replacing the Battery................................................................................... 35
Caring for Your On Call®Vivid Pal Blood Glucose Monitoring System ........ 37
Suggested Testing Times and Target Goals....................................................... 38
Comparing Meter and Laboratory Results.......................................................... 40
Troubleshooting Guide ......................................................................................... 41
Specifications ........................................................................................................ 43
Warranty ................................................................................................................. 44
Index of Symbols................................................................................................... 45
Index ....................................................................................................................... 46

1
Getting Started
Before testing, read the instructions carefully and learn about all the
components of your On Call®Vivid Pal Blood Glucose Monitoring System.
Depending on the On Call®Vivid Pal 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.
Carrying Case
SterileLancet ControlSolution
Blood Glucose Meter Test Strips
LancingDevice ClearCap

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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 and 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 and 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. If you want to do additional levels of tests, Control Solution 0 and
Control Solution 2 are also available. The three levels of control solution,
Control Solution 0, Control 1 and Control 2, are available in the On Call®
Vivid 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®Vivid Pal Blood Glucose Meter
The meter reads the test strips and displays the blood glucose concentration.
Use these diagrams to become familiar with all the parts of your meter.
<▲> Button
<OK> Button
<▼> Button
Liquid Crystal
Display (LCD)
Battery Cover
Data Port
Strip Port

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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 previous 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 CR2032 coin cell
battery.
Data Port: Sends information to a computer via an optional data transfer
cable to view, analyze and print stored data in the meter. The data transfer
cable is available for order as an optional add-on.

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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 test result.
Test Remind Symbol: Appears to remind you to test your blood glucose.
Measurement Unit: Only one unit will be displayed on your meter and cannot
be adjusted.
MEM: Shows a test result stored in memory.
Test Remind Symbol: Appears to remind you to test your blood glucose.
Before Meal Symbol: Appears when before-meal test results are displayed.
After Meal Symbol: Appears when after-meal test results are displayed.
Month Day Hour Minutes
MEM
Before Meal Symbol
After Meal Symbol
Pound Sign (#)
Test Result Area
Test Remind Symbol
Measurement Unit
Battery Symbol
Blood Drop /Strip SymbolControl Solution Symbol

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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) depending
on which unit of measure is standard in your country. This unit of measure
cannot be adjusted.
•Meter will shut off automatically 2 minutes after 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 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 17 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 37 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.
All Glucose Systems Preventive Warnings with Regard to EMC:
•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.
•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.
•For professional use, the electromagnetic environment should be
evaluated prior to operation of this device.

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On Call®Vivid Blood Glucose Test Strips
The On Call®Vivid Blood Glucose Test Strips are thin strips with a chemical
reagent which work with the On Call®Vivid Pal 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 and 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 calibrated 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 as this may result in
an inaccurate reading.
Sample Tip
Apply 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
Correct Incorrect

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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 you applied blood
but do not see the starting of the count down, 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.
Storage and Handling
Please review the following storage and handling instructions:
•Store test strips in a cool, dry place at room temperature, 2-30°C
(36-86°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 the
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 format. 2014-01 means
January, 2014.
Correct Incorrect

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Special Instructions for Test strip 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.
Special Instructions for Test Strip in Foil Pouch
•Tear the pouch carefully starting from the tear gap. Avoid damaging or
bending of the test strip.
•Use the test strip immediately after removing it from the pouch.
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.
•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.
See the test strip insert for more details.

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On Call®Vivid Glucose Control Solution
The On Call®Vivid Glucose Control Solution contains a known
concentration of glucose. It is used to confirm that your On Call®
Vivid Pal 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 17 for instructions on running a quality
control test.

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Storage and Handling
Please review the following storage and handling instructions:
•Store the control solution at room temperature, 2-30°C (36-86°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 format. 2014-01 means
January, 2014.
•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 specified 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.

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Installing the Battery
Battery may not be preinstalled in the meter. One CR 2032 3.0V coin cell
battery is required. 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 3.0V coin cell battery into the battery carrier. Make
sure it is aligned with the minus (-) side facing up.
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 by any method.
2. Clock: Set the clock for either 12 or 24 hour mode. Press the <▲> or
<▼> button to switch between the two settings, then press the <OK>
button to save your choice and then start setting the year, month and date.
Note: The clock needs to be reset after replacing the battery.
3. 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 and start setting
the month. Press the <▲> or <▼> button to increase or decrease the
month. Then press the <OK> button to save your choice and start setting
the date. Press the <▲> or <▼> button to increase or decrease the date.
Then press the <OK> button to save your choice and start setting the
time.
OR
Year Month Date

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4. Time: The hour will appear at the top of the display. Adjust the hour with
the <▲> or <▼> button until the correct hour is displayed. 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 and move to set the meal marker feature.
5. Meal Marker: The meter comes with the meal marker feature disabled.
The meter shall allow the user to enable or disable the meal marker option.
The words “On” or “Off” will be displayed on the large center segments of
the display and 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.
6. 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.
OR
Hour Hour
Miniute Miniute
OR
OR

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Press the <▲> or <▼> button to switch between turning the meter beep
“On” and “Off”. Press the <OK> button to confirm your selection.
7. 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.
•Press the <▲> or <▼> button to switch between turning the first Test
Reminder “On” and “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.
•After finishing the fifth Test Reminder set up, it will then end the setup
mode and power off the meter.
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
OR

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shown below.
The meter beeps 5 times at the time you set, again two minutes later, and two
minutes after that unless you insert a test strip or press any button. 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 symbol will be displayed. And the Test Reminder symbol will be
flashed. The display sample is shown below.
OR

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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.
•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. Next, a
dash will move across the display. See illustrations above.
3. The meter is ready for testing when the blinking
blood drop and strip symbol appear. 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 and a drop of control
solution can be added.
Note:If the test strip has been inserted incorrectly, the meter will not turn
on.
NOTREADY NOTREADY NOTREADY
READY TO TEST

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4. Shake the control solution bottle well, then
squeeze it gently and discard the first drop. If the
tip clogs, tap the tip gently on a clean, hard
surface. Then shake again and use. Squeeze out
a second small drop on a clean nonabsorbent surface. Touch the sample
tip of the test strip to the control solution drop. If the audio option is turned
on, the meter will beep to indicate a sufficient sample has been applied.
Notes:
•Do not apply control solution to the test strip directly from the bottle.
•If the control solution sample does not fill the check window, do not add
a second drop. Discard the test strip and start over with a new test strip.
5. Once a sufficient sample has been applied, the meter display will count
down from 5 to 1 and then the result and a control solution symbol will be
displayed on the screen. The control solution test results should be within
the control range (CTRL 1) printed on the test strip vial (or on the foil
pouch). This means that your blood glucose monitoring system is working
properly and that you are performing the procedure correctly.
Test results are displayed either in mmol/L or mg/dL depending on the unit
of measure most common in your country.
Note:The control solution range is the expected range for the control
solution results. It is not a recommended range for a blood glucose level.
6. Remove and discard the test strip.
The display should also show a pound sign (#) indicating the test is a
control solution test. This shows that the number will not be counted in the
7, 14, 30, 60 and 90-day averages. The pound sign (#) will also be
displayed when reviewing the results stored in memory.
If the result falls outside the indicated control range:
OR