Acon ON CALL VIVID User manual

i
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 Blood Glucose
Monitoring System. The On Call®Vivid 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.
To ensure accurate results from your On Call®Vivid Blood Glucose Monitoring
System, please follow these guidelines:
•Read instructions before use.
•Use only On Call®Vivid Blood Glucose Test Strips with the On Call®Vivid
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 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.
By following the instructions outlined in this User's Manual, you will be able to use
your On Call®Vivid Blood Glucose Monitoring System to monitor your blood
glucose and better manage your diabetes.

ii
Table of Contents
Getting Started.................................................................................................... 1
Component Descriptions............................................................................ 2
On Call®Vivid Blood Glucose Meter........................................................... 3
Meter Display............................................................................................. 5
On Call®Vivid Blood Glucose Test Strips ................................................... 7
On Call®Vivid Glucose Control Solution .................................................... 9
Installing the Battery .........................................................................................11
Meter Setup Before Testing ..............................................................................12
Performing a Quality Control Test....................................................................18
Testing Your Blood............................................................................................21
Step 1 - Getting a Drop of Blood ...............................................................21
Step 2 – Testing Blood Glucose ................................................................26
“HI” and “LO” Messages............................................................................29
“Hypo” and “Hyper” Messages ..................................................................30
“Ketone” Message.....................................................................................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 Blood Glucose Monitoring System.............36
Suggested Testing Times and Target Goals....................................................37
Comparing Meter and Laboratory Results.......................................................39
Troubleshooting Guide .....................................................................................40
Specifications ....................................................................................................42
Warranty.............................................................................................................43
Index of Symbols...............................................................................................44
Index ...................................................................................................................45

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

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 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.

3
On Call®Vivid 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.
Strip Port
Strip Ejector
Liquid Crystal
Display (LCD)
Power Button
S Button
Battery Cover
Tab
Battery Cover
M Button
Data Port

4
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.
Power Button: Used to manually turn the meter on or off, check the display to
confirm that all the display segments turn on, and check the date/time. Turn on or
off display backlight and strip port light.
Strip Ejector: Slide the ejector forward to discard the used test strip.
Note: Dispose of blood samples and materials carefully. Treat all blood samples
as if they are infectious materials. Follow proper precautions and obey all local
regulations when disposing of blood samples and materials.
Battery Cover: Remove the battery cover to install two CR2032 coin cell batteries.
Battery Cover Tab: Press the battery cover tab to open battery cover.
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.

5
Meter Display
Battery Symbol: Warns 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.
Measurement Unit: Only one unit will be displayed on your meter and cannot be
adjusted.
Hyper Symbol: Appears when the blood glucose concentration is above the target
“Hyperglycemia” (high blood sugar) level that you have set.
Hypo Symbol: Appears when the blood glucose concentration is below the
“Hypoglycemia” (low blood sugar) target level that you have set.
Ketone: Appears when the blood glucose concentration is above 16.7 mmol/L
(300 mg/dL), which suggests a ketone test is recommended. Consult your
healthcare professional about testing for ketones.
Note:This symbol does not mean that the system has detected ketones. It
recommends that a ketone test should be taken.
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.
Hypo Symbol Hyper Symbol
Month Day Hour Minutes
Blood Drop /
Strip Symbol
Test Result
Area
MEM
Ketone
Battery Symbol
Pound Sign (#)
Control Solution Symbol
Test Remind Symbol
Before Meal Symbol
After Meal Symbol
Measurement Unit

6
Meter Use and Precautions
•Wait for the Blood Drop / Strip Symbol to appear before applying the sample.
•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.
•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 18 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 36 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.

7
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 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.
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.
Correct Incorrect
Correct Incorrect
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

8
Storage and Handling
Please review the following storage and handling instructions:
•Store test strips in a cool, dry place at room temperature, 2-30ºC (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. 2013-01 means
January, 2013.
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.

9
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 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®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
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 18 for instructions on running a quality
control test.

10
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. 2013-01 means
January, 2013.
•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.

11
Installing the Battery
Batteries may not be preinstalled in the meter. Two CR 2032 3.0V coin cell
batteries are required. Please find the batteries in your carrying case and install
them according to the following steps:
1. Turn over the meter to locate the battery cover. Press the battery cover tab on
the top and lift the cover to open it.
2. Insert two new CR 2032 3.0V coin cell batteries on top of the plastic tape. Make
sure it is aligned with the plus (+) side facing up in the battery carrier.
3. Close the battery cover and make sure that it snaps shut.
Meter Battery
Backlight & Strip Port Light Battery

12
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 S 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 M or S button to
switch between the two settings, then press the Power 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 M or S button to
increase or decrease the year. Once you have selected the correct year, press
the Power button to save your choice and start setting the month. Press the M
or S button to increase or decrease the month. Then press the Power button to
save your choice and start setting the date. Press the M or S button to increase
or decrease the date. Then press the Power button to save your choice and
start setting the time.
4. Time: The hour will appear at the top of the display. Adjust the hour with the M
or S button until the correct hour is displayed. Press the Power button to save
your choice and set the minutes. Press the M or S button to change to the
OR
Year Month Date

13
correct minute. Press the Power 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 M or S button to switch between turning the meal marker “On” and
“Off”. Press the Power 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.
Minute Minute
Hour Hou
r
OR
OR
OR

14
Press the M or S button to switch between turning the meter beep “On” and
“Off”. Press the Power button to confirm your selection.
7. Ketone Indicator: The
meter comes with the
Ketone indicator feature
disabled. Press the M or S
button to switch between
turning the Ketone indicator
“On” and “Off”. Press the
Power button to confirm your selection. When the Ketone indicator is enabled,
if the test result is higher than 16.7 mmol/L (300 mg/dL) the symbol of
"Ketone?" will appear on the display.
8. Hyper Indicator: The meter
comes with the Hyper
indicator feature disabled.
Press the M or S button to
switch between turning the
Hyper indicator “On” and
“Off”. Press the Power
button to confirm your selection. When the Hyper indicator is “Off”, pressing
the Power button will go to the next Hypo indicator set up. When the Hyper
indicator is “On”, pressing the Power button will go to the Hyper indicator level
set up. At the Hyper level set up, press the M or S button to adjust the Hyper
level then press the Power button to go to the Hypo indicator set up.
Note:The meter allows the hyperglycemia level to be as low as 6.7 mmol/L
(120 mg/dL) or higher. The hyperglycemia level should be above the
hypoglycemia level. Consult your diabetes healthcare professional before
determining what your hyper blood glucose level is.
OR
OR
OR

15
9. Hypo Indicator: The meter comes with the Hypo indicator feature disabled.
Press the M or S button to
switch between turning the
Hypo indicator “On” and
“Off”. Press the Power
button to confirm your
selection. When the Hypo
indicator is “Off,” pressing the Power button will go to the Test Reminder set up.
When the Hypo indicator is “On”, pressing the Power button will go to the Hypo
indicator level set up. At the Hypo level set up, press the M or S button to
adjust the Hypo level then press the Power button to go to the Test Reminder
set up.
Note: The meter allows the hypoglycemia level to be as high as 5.6 mmol/L
(100 mg/dL). The hypoglycemia level should be below the hyperglycemia level.
Consult your diabetes healthcare professional before determining what your
hypo blood glucose level is.
10. 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 M or S button to switch between turning the first Test Reminder
“On” and “Off”. Press the Power button to confirm your selection. When the
Test Reminder is “Off”, pressing the Power button will go to the set up of
the second Test Reminder. When the Test Reminder is “On”, pressing the
Power button will go to the set up of the time for the first Test Reminder.
Press the M or S button to adjust the first Test Reminder time. Press the
Power 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 Power button will go to the set up of the third Test Reminder.
When the Test Reminder is “On”, pressing the Power button will go to the
set up of the time for the second Test Reminder. Press the M or S button to
adjust the second Test Reminder time. Press the Power 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.
OR

16
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 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.
Note: For any step of the set up, if the M or S button is
pressed and held, it will allow a faster adjustment.
11. Using Your Meter's Lights
Depending on what mode your meter is in, pressing the Power Button for 2
seconds lights the display backlight or the test strip port light.
Using the Test Strip Port Light and Display Backlight
•When the meter is off, press and hold the Power button for 2 seconds to turn
on the meter. When turning on the meter, the meter display will first show all
segments and then go into the mode of waiting for strip insertion. After the
meter turns on, press and hold again the Power button for 2 seconds to turn
on the test strip port light. After turning on the test strip port light, press and
hold again the Power button for 2 seconds to turn off the test strip port light
and turn on the meter display backlight. After turning on the meter display
backlight, press and hold again the Power button for 2 seconds to turn off
the meter display backlight.
•When the meter is off, insert a test strip to turn on the meter. When turning
on the meter by test strip insertion, the meter display will first show all
segments and then go into the mode of waiting for sample application. Once
the meter is ready for testing, press again the Power button for 2 seconds to
OR

17
turn on the test strip port light. After applying a blood sample to the test strip,
once the meter detects the sample application, the test strip port light is
turned off automatically. If needed, press and hold the Power button for 2
seconds to turn on the meter display backlight.
Notes:
•If you use either the display backlight or the test strip port light during the
test mode, the display backlight will light again to show you the test results
after the measurement is complete.
•When in the meter modes of other than waiting for strip insertion and waiting
for sample application, press and hold the Power button for 2 seconds can
only turn on the meter display backlight.
•If the test strip port light is turned on during the testing mode, meter will
automatically turn off the test strip port light when meter detects a sample is
applied.
•When you press and hold the Power button to turn on the meter, continue
holding the Power button to enable the meter to show all display segments
until you release the Power button. This allows you to have more time to
examine if all display segments are displayed.