ACONLABS On Call Vivid 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®Vivid Blood Glucose
Monitoring System. The On Call®Vivid Blood Glucose Monitoring System will
give you accurate blood glucose results in just a few simple steps.
The On Call®Vivid Blood Glucose Monitoring System is an electrochemical
enzymatic assay. It is for the quantitative detection of glucose in fresh capillary
whole blood. It allows diabetics 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. Alternate testing sites (forearm and palm) should be used only
during steady-state times (when blood glucose level is not changing rapidly). The
On Call®Vivid 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®Vivid Blood Glucose Monitoring System is for single patient
use only. Do not share with others.
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. It’s for monitoring the effectiveness of diabetes
control. It should not be used for the diagnosis of diabetes.
•For self testing use only.
•Test only whole blood samples with the On Call®Vivid Blood Glucose Test
Strips and 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.
•Not for use on critically ill patients, patients in shock, dehydrated patients or
hyper-osmolar patients.
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.

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Table of Contents
Getting Started.................................................................................................... 1
Component Descriptions............................................................................ 2
On Call®Vivid Blood Glucose Meter........................................................... 4
Meter Display............................................................................................. 6
On Call®Vivid Blood Glucose Test Strips ................................................... 8
On Call®Vivid Glucose Control Solution ...................................................10
Installing the Battery .........................................................................................12
Meter Setup Before Testing ..............................................................................13
Performing a Quality Control Test....................................................................18
Testing Your Blood............................................................................................21
Step 1 - Getting a Drop of Blood ...............................................................21
Step 2 – Testing Blood Glucose ................................................................27
“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....................................................39
Comparing Meter and Laboratory Results.......................................................41
Troubleshooting Guide .....................................................................................42
Specifications ....................................................................................................44
Warranty.............................................................................................................45
Index ...................................................................................................................46

1
Getting Started
Before testing, read the instructions carefully. Learn about all the components of
your On Call®Vivid Blood Glucose Monitoring System. Depending on the On Call®
Vivid product you purchased, you may need to buy some accessories 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
level.
2. 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. Allows 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 sample taken.
Discard after use.
6. 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. Control Solution 1 is all you need
most of the time. Control Solution 2 is also available if you want to do a level 2
test. The two levels of control solution are available in the On Call®Vivid
Glucose Control Solution package. This package is sold separately.
7. Carrying Case: Makes this blood glucose testing system easy to carry
anywhere.
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. Logbook: Allows users to record their blood glucose data. Used to identify any
trends.
11. Warranty Card: Should be completed and returned to the Warranty Center.
Qualifies your meter for the 5-year warranty.
Note:
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 biohazardous. They can potentially transmit
infectious diseases, even after you have performed cleaning and disinfection.
Please follow proper precautions when handling your meter and lancing

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

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Liquid Crystal Display (LCD): Shows your test results. Helps you through the
testing process.
M Button: Recalls previous test results from the meter memory. 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 are turned 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. 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.
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
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. It 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 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.
Memory: 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
Memory
Ketone
Battery Symbol
Pound Sign (#)
Control Solution Symbol
Test Remind Symbol
Before Meal Symbol
After Meal Symbol
Measurement Unit

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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). This depends on your
country’s standard unit of measurement. This unit of measure cannot be
adjusted. The meter will be set to mg/dL by default when sold in the United
States.
•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 extreme temperatures 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 18 for instructions.
•Do not take the meter apart. This 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. 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. The
requirements are described in EN61326-1 and EN61326-2-6. Do not use this
instrument in close proximity to sources of strong electromagnetic radiation.
These may interfere with proper operation of the meter.

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On Call®Vivid Blood Glucose Test Strips
The On Call®Vivid Blood Glucose Test Strips are thin strips. The strips have a
chemical reagent system. They 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
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 the 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.
Correct Incorrect
Correct Incorrect
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

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Storage and Handling
Please review the following storage and handling instructions:
•Store test strips in a cool, dry place. Store them at 41-86°F (5-30ºC). Store test
strips 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. The unopened
expiration date is printed on the label. This may produce incorrect test results.
Note: The expiration date is printed in Year/Month format. 2013/01 means
January, 2013.
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.
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 the 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

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test strips.
•Keep the test strips vial or the foil pouch away from children and animals.
•Consult your doctor 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, consider testing before eating, before taking
medication, before exercising, or 2 hours after eating.
See the test strips 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. 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 18 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 36-86°F (2-30ºC).
•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
50 and 104°F (10-40°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 doctor.
•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 to obtain more control
solution materials. See the control solution package insert for more details.

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Installing the Battery
If the batteries have been preinstalled in the meter, a plastic tab will be protruding
from the battery. Simply pull on the tab to remove the plastic strip.
Batteries may not be preinstalled in the meter. The meter requires two CR 2032
3.0V coin cell batteries. 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 they are aligned with the plus (+) side facing up.
3. Close the battery cover until it snaps shut.
Meter Battery
Backlight & Strip Port Light Battery

13
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.
2. Clock: Set the clock to 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.
Now you can start to set 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. Then you can start to set the month.
Press the M or S button to increase or decrease the month. Then press the
Power button to save your choice. You can now start to set the date. Press the
M or S button to increase or decrease the date. Then press the Power button
to save your choice. Then you can start to set the time.
4. Time: The hour will appear at the top of the display. Press the M or S button to
change to the correct hour. Press the Power button to save your choice and
set the minutes. Press the M or S button to change to the correct minute. Press
OR
Year Month Date

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the Power button to save your choice. You can then start to set the meal
marker feature.
5. 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 segment of the display. 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 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
determine what kind of error has occurred.
Minute Minute
Hour Hou
r
OR
OR

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Press the M or S button to turn the meter beep “On” or “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
turn the Ketone indicator “On” or “Off”. Press the Power
button to confirm your selection. When the Ketone
indicator is enabled, if the test result is higher than 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
turn the Hyper indicator “On” or “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. Press the Power button to go to the Hypo
indicator set up.
Note: The meter allows the hyperglycemia level to be as low as 120 mg/dL or
higher. The hyperglycemia level should be above the hypoglycemia level.
Consult your doctor before determining what your hyper blood glucose level is.
9. Hypo Indicator: The meter comes with the Hypo
indicator feature disabled. Press the M or S button to
turn the Hypo indicator “On” or “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

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press the Power button to go to the Test Reminder set up.
Note: The meter allows the hypoglycemia level to be as high as 100 mg/dL.
The hypoglycemia level should be below the hyperglycemia level. Consult your
doctor 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 turn the first Test Reminder “On” or “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.
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 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. The Test Reminder symbol will also flash.
The display sample is shown below.

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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
Pressing the Power Button for 2 seconds will light the display’s backlight or the
test strip’s port light. It depends on what mode your meter is in.
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. 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 the Power button for 2 seconds to turn on the test strip port light. To
turn off the test strip port light and turn on the meter display backlight, press
and hold again the Power button for 2 seconds. To turn off the meter display
backlight, press and hold the Power button for 2 seconds.
•When the meter is off, insert a test strip to turn on the meter. The meter
display will first show all segments and then go into the mode of waiting for a
sample application. Once the meter is ready for testing, press the Power
button again for 2 seconds to turn on the test strip port light. After applying a
blood sample to the test strip, and the meter detects the sample application,
the test strip port light will turn itself off. 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 the meter is not waiting for a test strip to be inserted or for a blood
sample, pressing and holding 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, the meter will
turn off the test strip port light when the meter detects that 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.
When done, release the Power button. This allows you to have more time to
examine if all display segments are displayed.

18
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
then 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 test strip with the blood sample icon
blinking to indicate that the test strip is inserted correctly.
You can then add a drop of control solution.
Note:If the test strip has been inserted incorrectly, the
meter will not turn on.
4. Shake the control solution bottle well. Squeeze it gently and discard the first
READY TO TEST
NOT READY NOT READY NOT READY