ACONLABS ON CALL EXPRESS 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 it difficult. 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®Express Blood Glucose
Monitoring System. The On Call®Express Blood Glucose Monitoring System will
give you accurate blood glucose results in just a few simple steps.
The On Call®Express Blood Glucose Monitoring System uses an electrochemical
enzymatic assay. It is for the quantitative detection of glucose in fresh capillary
whole blood. It allows people with diabetes to take blood samples from the fingertip,
forearm or palm. It is used at home as a way to monitor the effectiveness of
diabetes control programs. Alternative testing sites (forearm and palm) should be
used only during steady-state times (when blood glucose level is not changing
rapidly). The On Call®Express Blood Glucose Monitoring System is intended to be
used by a single patient and should not be shared. Alternative Site Testing (AST)
should not be used to calibrate continuous glucose monitors (CGMs) nor for use in
insulin dose calculations. On Call®Express Blood Glucose Monitoring System is
for single patient use only. Do not share with others.
To ensure accurate results from your On Call®Express Blood Glucose Monitoring
System, please follow these guidelines:
•Read instructions before use.
•Use only On Call®Express Blood Glucose Test Strips with the On Call®Express
Blood Glucose Meter.
•For in vitro diagnostic use only. Your blood glucose monitoring system is to be
used only outside the body. It’s for monitoring the effectiveness of diabetes
control. It should not be used for the diagnosis of diabetes.

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•For self testing use only.
•Test only whole blood samples with the On Call®Express Blood Glucose Test
Strips and On Call®Express Meter.
•For self-testers, consult your physician or doctor 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.
•Not for use on critically ill patients, patients in shock, severely dehydrated
patients or hyperosmolar patients (with or without ketosis).
Following the instructions outlined in this User's Manual, you will be able to use
your On Call®Express 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®Express Blood Glucose Meter ..................................................... 4
Meter Display............................................................................................. 6
On Call®Express Blood Glucose Test Strips.............................................. 8
On Call®Express Glucose Control Solution ..............................................11
Installing the Battery .........................................................................................13
Meter Setup before Testing...............................................................................14
Testing Your Blood............................................................................................19
Step 1 – Getting a Drop of Blood ..............................................................19
Step 2 – Testing Blood Glucose ................................................................25
“HI” and “LO” Messages............................................................................28
“Hypo” and “Hyper” Messages ..................................................................28
“Ketone?” Message...................................................................................29
Using the Meter Memory ...................................................................................31
Viewing Stored Records............................................................................31
Clearing the Memory.................................................................................33
Transferring Records.................................................................................33
Performing a Quality Control Test....................................................................35
Maintenance.......................................................................................................39
Replacing the Battery................................................................................39
Caring for Your On Call®Express Blood Glucose Monitoring System........40
Suggested Testing Times and Target Goals....................................................43
Comparing Meter and Laboratory Results.......................................................44
Troubleshooting Guide .....................................................................................45
Specifications ....................................................................................................47
Warranty.............................................................................................................48
Index...................................................................................................................49

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Component Descriptions
1. On Call®Express Blood Glucose Meter: Reads the test strips and displays the
blood glucose level.
2. On Call®Express Blood Glucose Test Strips: Equipped with a chemical
reagent system. They measure glucose concentration in blood when inserted
into the meter.
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. It allows users to adjust the depth
of the puncture to minimize discomfort. It can also eject the used lancets.
4. Lancing Device 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 prior to each blood sampling.
Discard after use.
6. On Call®Express Glucose Control Solution: Confirms that the blood glucose
monitoring system is properly working. Use this solution in place of a blood
sample to check the test strips and meter for a pre-calibrated reading. Three
levels of control solution are included in the On Call®Express Glucose Control
Solution kit (sold separately). Control Solution 1 is all you will need most of the
time. Additional testing may be performed with Control Solution 0 and Control
Solution 2 if you think your meter and test strips are not working properly.
Please contact Customer Support at 1-800-838-9502 to order the
On Call®Express Glucose Control Solution kit.
7. Carrying Case: Makes this blood glucose testing system easy to carry anywhere.
8. On Call®Express User's Manual: Provides detailed instructions on using the
blood glucose monitoring system.
9. On Call®Express 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. On Call®Express Quick Start Guide: Provides a brief overview of the
On Call®Express blood glucose meter setup. This small guide can be kept in
the carrying case.
11. Logbook: Allows users to record their blood glucose data. Used to identify any
trends.
12. Warranty Card: Should be completed and returned to the Warranty Center.
Qualifies your meter for the 5-year warranty.

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Note: Important Safety Instructions
1. The meter and lancing device are for single patient use. Do not share them
with anyone!
2. All parts of the kit are considered bio-hazardous. They can potentially transmit
infectious diseases, even after you have performed cleaning and disinfection.
Please follow proper precautions when handling your meter and lancing
device.
3. Cross-use of meter and lancing device may cause Bloodborne Pathogens
Transmission. For more information, please refer to the FDA Public Health
Notification: “Use of Fingerstick Devices on More than One Person Poses Risk
for Transmitting Bloodborne Pathogens: Initial Communication” (2010) at
http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.htm.
You may also refer to the CDC Clinical Reminder: “Use of Fingerstick Devices
on More than One Person Poses Risk for Transmitting Bloodborne Pathogens”
(2010) at http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html.

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On Call®Express 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.
Battery Cover
Strip Port
Liquid Crystal
Display (LCD)
Strip Ejector
Right (►) ButtonLeft (◄) Button
Data Port

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Liquid Crystal Display (LCD): Shows your test results. Helps you through the
testing process.
Left (◄) Button: Recalls previous test results from the meter memory and
performs other menu selection functions.
Right (►) Button: Selects meter settings and performs other menu selection
functions.
Strip Port: Test strips are inserted into this area to perform a test.
Strip Ejector: Slide the ejector forward to discard the used test strip.
Note: Dispose of blood samples and materials with care. Treat all blood samples
as if they are infectious materials. Follow your doctor’s recommendations for
disposal.
Battery Cover: Remove the battery cover to install one CR 2032 coin cell battery.
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.

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Meter Display
Test Result Area: Indicates test result.
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.
Control Solution Symbol: Indicates a control test result. A pound sign (#) will also
be displayed when control solution symbol appears.
MEM: Shows a test result stored in memory.
Ketone?: Appears when the blood glucose concentration is above 300 mg/dl. This
simply suggests that a ketone test is recommended. Consult your doctor 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.
Hypo Symbol: Appears when the blood glucose concentration is below the
“Hypoglycemia” (low blood sugar) target level that you have set.
Hyper Symbol: Appears when the blood glucose concentration is above the
“Hyperglycemia” (high blood sugar) target level that you have set.
Measurement Unit: Only mg/dl will be displayed on your meter. It cannot be
adjusted.
Battery Symbol: Warns when you should replace the battery.
After Meal Symbol: Appears when after-meal test results are displayed.
Before Meal Symbol: Appears when before-meal test results are displayed.
Test Reminder Symbol: Appears when reminding you to test blood glucose.
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.
Month Day Hour Minutes
Pound Sign (#)
Test Remind Symbol
Before Meal Symbol
After Meal Symbol
Battery Symbol
Measurement Unit
Hyper Symbol
Blood Drop
/
Strip Symbol
Memory Ketone Hypo Symbol
Test Resul
t
Area
Control 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 blood glucose concentration in mg/dl when sold in the
United States. If your meter is not set to mg/dl when you first begin using it,
please contact Customer Support at 1-800-838-9502.
•Meter will shut off by itself 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. Avoid exposing it to extremes temperature or humidity.
Do not leave it in your car.
•Do not drop the meter or get it wet. If you do, check the meter by running a
quality control test. Refer to Quality Control Test on page 35 for instructions.
•Do not take the meter apart. This will void the warranty.
•Refer to the Caring for Your Meter section on page 40 for details on cleaning
the meter.
•Keep the meter and all associated parts out of the reach of children.
Note:Follow your doctor’s recommendations when disposing of the meter and
used batteries.
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.
2. This instrument complies with the emission and immunity requirements
described in EN61326-1 and EN61326-2-6.