Bayer HealthCare Contour TS User manual

For Use With
CONTOUR
™
TS Blood Glucose Meter
and CONTOUR
™
TS Test Strips
Blood Glucose Monitoring System
User Guide

Welcome to Accuracy
and Convenience
The CONTOUR TS Meter balances science and simplicity for ease and
accuracy you can depend on. We’re proud to be your partner in helping
you manage your diabetes.
Unlike many meters, the CONTOUR TS Meter does not require you to enter
a numeric code or put in a coding chip; therefore it eliminates coding
steps and inaccurate results due to miscoding.

Your CONTOUR TS System 2
CONTOUR TS Meter Display 3
Meter Features 4
System Information 5
Symptoms of High or Low Blood Sugar 7
Important Things to Know 8
Before You Begin 9
Error Codes and Symbols 24
Setting the Date, Time and Sound 20
Replacing the Battery 28
Caring for the System 29
Transferring Results to a Computer 30
Specifications 31
Symbols Used 32
Service Information 33
Warranty 34
Supplies 36
Table of Contents
Important
Testing
Setup
Solving
Problems
Care and
Extras
Preparing the Lancing Device 10
Inserting the Test Strip 11
Getting the Blood Drop 12
Testing Your Blood 13
Alternative Site Testing 15
Viewing Stored Test Results 16
Testing with a Control Solution 17

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Important Your CONTOUR TS System
Your CONTOUR TS Meter:
Gray Electrode End:
This end (with the
gray end facing up) is in-
serted into the orange test
strip port on the meter.
Sample Tip: The
end of the test strip
where the blood is
drawn in.
Orange Test
Strip Port
Button
(Scroll)
Display
Your CONTOUR TS
Test Strip:
NOTE: Your CONTOUR TS Meter only works with
CONTOUR TS Test Strips!
Button
(On/Off,
Memory
Recall, Enter)

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Important
CONTOUR TS Meter Display:
A full display, as shown below, indicates that all characters in the
display are working properly. You will briefly see this display each
time you turn the meter on. You can see the complete display when
the meter is off by pressing and holding the button. Compare your
meter to the display shown below.
While all characters are displayed, it is most important to
verify that is fully displayed. If there is a difference,
see Error Codes and Symbols (page 27). This may affect the
way you see your results.
or
Displays the
date format.
or will
appear if the meter
is in 12 hour setup.
CONTOUR TS Meter Display
14 day
average.
Control result
marker.
Indicates
the meter is
ready to test.
Indicates the
battery is low
and needs to be
changed.
Results are
displayed as
either mg/dL
or mmol/L.
Beeper on/off
indicator.
Indicates it is too cold or
too hot for your meter
to test accurately.
Center area on the display
that shows either your test
result or any error codes.
Bottom area on
the display show-
ing date and time.

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Important Meter Features
Meter Features
Your New CONTOUR TS Monitoring System is the
Perfect Balance of Science and Simplicity
The CONTOUR™TS Blood Glucose Monitoring System from
Bayer Diabetes Care is designed to make testing your blood
glucose levels easier.
Essential Features for Testing
The CONTOUR TS System requires No Coding
for ease and reliability. This means that the
CONTOUR TS Test Strips automatically code
the meter, so you don’t have to. It provides
accurate results in just 8 seconds, while only requiring 0.6 µL
of blood. The alternate site testing capability allows for more
options—test on your fingertip, palm or forearm.
Designed for Simplicity
The CONTOUR TS Meter is easy to learn and use. The two
large buttons enable simple navigation, while the large
LCD display is easy to read. The orange test strip port
makes for easy test strip insertion.
Overall Convenience
With its optimal size, the CONTOUR TS Meter fits well in the
palm of your hand. It is compact and portable. It provides
the accuracy you need with the ease of use you want.

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Important
System Information
Intended Use
CONTOUR TS Test Strips are intended for self-testing by people
with diabetes and by healthcare professionals to monitor glu-
cose concentrations in whole blood.
CAUTION
• For in vitro diagnostic use only. External use, do not
swallow.
• Potential Biohazard: Healthcare professionals using
this system on multiple patients should be aware that
all products or objects that come in contact with human
blood, even after cleaning, should be handled as if
capable of transmitting viral diseases.1
Principles of the Procedure
The CONTOUR TS blood glucose test is based on measurement
of electrical current caused by the reaction of glucose with
the reagents on the electrode of the strip. The blood sample
is drawn into the tip of the test strip through capillary action.
Glucose in the sample reacts with FAD glucose dehydrogenase
(FAD-GDH) and potassium ferricyanide. Electrons are gener-
ated, producing a current that is proportional to the glucose in
the sample. After the reaction time, the glucose concentration
in the sample is displayed. No calculation is required.
System Information

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Important
Limitations
1. Preservatives: Blood may be collected by healthcare pro-
fessionals into test tubes containing heparin. Do not use
other anticoagulants or preservatives.
2. Altitude: Up to 3048 meters does not significantly affect
results.
3. Lipemic Specimen: Cholesterol concentrations >13.0 mmol/L
or triglyceride concentrations >33.9 mmol/L may produce
elevated readings.
4. Peritoneal dialysis solutions: Icodextrin does not interfere
with CONTOUR TS Test Strips.
5. Xylose: Do not use during or soon after xylose absorption
testing. Xylose in the blood will cause an interference.
6. Contraindications: Capillary blood glucose testing may not
be clinically appropriate for persons with reduced peripheral
blood flow. Shock, severe hypotension, hyperosmolar
hyperglycemia and severe dehydration are examples of clini-
cal conditions that may adversely affect the measurement of
glucose in peripheral blood.2
7. Interference: Reducing substances occurring in the blood
naturally (uric acid, bilirubin) or from therapeutic treatments
(ascorbic acid, acetaminophen) will not significantly affect
results. The limiting concentrations of these compounds are
listed in your test strip insert.
Performance Data Summary
The international standard, ISO 15197, requires that at least 95%
of the results from blood glucose meters should be within 20% of
laboratory results when equal to or above 4.2 mmol/L and within
0.8 mmol/L when below 4.2 mmol/L. The CONTOUR TS System
exceeded this goal. A study was conducted on 105 untrained
users with diabetes, testing fingertip blood, to see how well the
CONTOUR TS System compared to laboratory results. The study
demonstrated that 97.9% of the CONTOUR TS System results were
within the accuracy standard.
System Information

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Important
Symptoms of High or Low Blood Sugar:
You can better understand your test results by being aware of
the symptoms of high or low blood sugar; this will also help you
decide what to do if your results seem unusual.
Some of the most common symptoms are:3
High blood sugar
(Hyperglycemia):
•frequent urination
•excessive thirst
•blurred vision
•increased fatigue
•extreme hunger
•irritability
Ketones (Ketoacidosis) from
untreated Hyperglycemia:
•shortness of breath
•nausea and vomiting
•very dry mouth
If you are experiencing any of these symptoms,
test your blood glucose. If your result is displayed
as LO or HI, contact your doctor immediately.
For additional information and symptoms, contact a healthcare
professional or refer to the website for the American Diabetes
Association: www.diabetes.org
Symptoms of High or Low Blood Sugar
Low blood sugar
(Hypoglycemia):
•shakiness
•sweating
•fast heartbeat
•blurred vision
•strange behavior
•confusion
•passing out
•seizure

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Important
Important Things to Know:
Your CONTOUR TS Blood Glucose Meter is specific for
glucose and has been referenced to plasma/serum values.
Methods calibrated to plasma/serum can be 9 to 15% high-
er than the results of whole blood glucose assay methods.
•Always keep the test strips in the original bottle. Firmly
snap the lid closed immediately after removing a test
strip. The bottle is especially designed to provide a dry envi-
ronment for the test strips. Extended exposure to room humid-
ity from leaving the bottle open or not storing the test strips in
the original bottle will damage your test strips. Do not expose
test strips to direct sunlight.
•Avoid excessive “milking” of your finger when forming a drop
of blood and test immediately after forming the blood drop.
•DO NOT drop blood directly on the flat surface of the
test strip. Your test strip is designed to easily draw the blood
in through the sample tip.
•DO NOT press the test strip against your finger. This may
block the sample tip.
•DO NOT use a test strip that appears damaged or has
been used. Test strips are for single use only.
IMPORTANT NOTE: Your meter has been preset to display
results in mmol/L (millimoles of glucose per liter). Results in
mmol/L will always have a decimal point (e.g., );
results in mg/dL will never have a decimal point (e.g., ).
Check your display to ensure that results are being displayed
in the expected units; if they are not, contact your authorized
Bayer Diabetes Care representative.
Important Things to Know

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Important
Before You Begin:
1. Have all the materials you will need ready before you begin
testing. This includes your CONTOUR TS Meter, the
CONTOUR TS Test Strips, and the Ascensia®MICROLET
®Lancing
Device with Ascensia MICROLET Lancets. You may also need
CONTOUR TS Control Solution to run a quality control check.
2. Read your user guide and all instructional materials
provided in your meter kit before testing.
3. Let the meter and test strips adjust to the temperature of the
location where you are testing. Whenever the meter is moved
from one location to another, allow 20 minutes for the meter
to adjust to the temperature of that new location before
performing a blood glucose test. The products have been
designed to give accurate results at temperatures between 5°C
and 45°C.
4. It is important not to use the test strips or control solution if
the expiration date printed on the bottle label and carton has
passed or if it has been six months (180 days) since you first
opened the bottle. It will help to write the six month discard
date on the label in the area provided when you first open the
test strips or control solution.
5. Wash your hands thoroughly with warm soapy water and dry
them well.
Potential Biohazard
Healthcare professionals or persons using this system on
multiple patients should follow the infection control proce-
dure approved by their facility. All products or objects which
come in contact with human blood, even after cleaning,
should be handled as if capable of transmitting viral diseases.1
Before You Begin

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10
Testing
Preparing the Lancing Device:
Read the Ascensia MICROLET Lancing Device insert for
complete instructions. If your lancing device does not look
like the one pictured, follow the instructions that came
with your device.
Preparing the Lancing Device
The following steps (pages 10–14) are shown in the proper
order for performing a blood glucose test.
Remove the endcap from the
Ascensia MICROLET Lancing
Device.
Rotate (do not remove) the
lancet protective cap ¼ turn.
Insert the lancet firmly until it
comes to a full stop. This will
“re-set” the device.
Twist off the lancet
protective cap and replace
the device endcap.

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Testing
Inserting the Test Strip:
Remove a test strip from the bottle and firmly snap the lid
closed. Never store test strips outside the bottle!
NOTE: Check the expiration and discard date. Make sure the
test strip does not appear torn or damaged.
Hold the test strip with the gray
end facing up.
Insert the gray end into the
orange test strip port on the
meter. No coding required!
Inserting the Test Strip
The meter will turn on. A test
strip with a flashing blood drop
will appear letting you know the
meter is ready to test. Do not
apply blood to the test strip until
the blood drop symbol flashes.

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12
Testing
Getting the Blood Drop:
With the gray endcap on your Ascensia MICROLET Lancing Device,
select the puncture depth by rotating the dial on the endcap to
a smaller drop for shallower puncture or larger drop for deeper
puncture. Adjusting the amount of pressure applied to the punc-
ture site will also affect puncture depth.
Suggested Actual Drop Size
Getting the Blood Drop
Press the endcap firmly against
the puncture site (the side of the
fingertip is often preferred) and
press the blue release button.
Wait a few seconds. Stroke your
hand and finger towards the
puncture site to form a drop of
blood. Do not squeeze around
the puncture site or ”milk” your
finger excessively.
Test immediately after you have
formed a blood drop. (See page
13.) Only 0.6 µL is needed for
a test.
For Alternative Site
Testing read page 15, and see your Ascensia MICROLET
Lancing Device instructions.

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Testing
Testing Your Blood:
Hold the meter with the
orange test strip port pointing
down or toward you. This will
ensure your meter is oriented
correctly for reading your test
result.
Immediately touch the tip of the
test strip to the drop of blood.
The blood is drawn into the
test strip through the tip.
Do not press the tip
against the skin or
place the blood on top
of the test strip.
Hold the tip of the test strip in the blood drop until the meter beeps.
Testing Your Blood
Fingertip Testing
After the beep, you will see the
meter count down eight seconds
until the test is complete and your
result is displayed. Make sure the
orange test strip port is pointing
down or toward you when you
read the test result.
Your test result will automatically
be stored in the meter memory
with the date and time you tested.

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14
Testing
Expected Values: Blood glucose values will vary depending
on food intake, medication dosages, health, stress or exer-
cise. Consult your healthcare professional for the target value
that is appropriate for you. Standard medical practice goals
for a typical non-pregnant individual with diabetes are:4
•Glucose before a meal: 5.0 to 7.2 mmol/L
•Glucose 2 hours after a meal: less than 10.0 mmol/L
CAUTION
• If you see “HI” displayed, your blood glucose level may
be above 33.3 mmol/L. If you see “LO” displayed, your
blood glucose level may be below 0.6 mmol/L. Repeat
test. If you receive a similar result, call your physician or
healthcare professional immediately.
• Do not change your medication based on CONTOUR TS
blood glucose results without the advice of your physi-
cian or healthcare professional.
Testing Your Blood
To turn your meter off, simply
remove the test strip.
Potential Biohazard:
Carefully dispose of the used
test strip.
Your meter will also turn off after
three minutes of inactivity.
Dispose of the used lancet according to instructions for your
Ascensia MICROLET Lancing Device.

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Testing
Blood samples for glucose
testing may be taken from sites
other than your fingertips. Read
the instructions with your lanc-
ing device.
Alternative site testing using
blood from the forearm or palm
may give glucose results that
significantly differ from fingertip
blood. Differences occur when
blood glucose levels are chang-
ing rapidly, such as after a meal,
after insulin, during or after
exercise.
We recommend the following:
1. Consult your healthcare professional to determine if alternative
site testing is right for you.
2. Use a fingertip sample for testing blood glucose whenever you
will be participating in risky activities, such as before driving
a car or operating machinery. Fingertip testing should also be
used during illness, times of stress or when test results do not
agree with the way you feel.
3. Alternative site testing is not recommended if you have hypo-
glycemic unawareness (you do not recognize the symptoms
of or cannot tell when you have low blood glucose). Please
consult with your healthcare professional if you have low blood
glucose levels.
4. Select a soft, fleshy area of skin that is free from hair, moles and
visible veins for alternative site testing. Wash the site with soap
and warm water, then rinse and dry thoroughly.
5. Use alternative site testing for blood glucose tests only when
it is more than 2 hours after:
•a meal •taking medication •exercise
Alternative Site Testing
Alternative Site Testing
Forearm
Palm

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16
Testing
Viewing Stored Test Results:
Viewing Stored Test Results
With the meter off, press and
release on the meter to view
stored test results.
The 14 day average will appear
on the display with the average
of test results taken over the last
14 days.
Press to review previous
test results.
Previous test results: Test re-
sults will be shown starting with
the most recent. Each result will
show the date and time the test
was taken.
You can press to scroll
through the results. You can
press and release the button to
view stored results one at a time
or you can hold it to move through results continuously.
When appears on the dis-
play, you have viewed all of the
results in the memory.
The meter will hold 250 test
results in the memory. When the
memory is full, the oldest test
result will be removed as a new
test is completed and saved to
the memory.
Press to turn the meter off, or it will automatically turn off after
three minutes.

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TestingTesting with a Control Solution
Testing with a Control Solution:
Use CONTOUR TS Control
Solutions to practice using
the system or to run a qual-
ity control test to make sure
the meter and the test strips
are working properly. Low,
Normal and High Control So-
lutions are available. Always
use CONTOUR TS Control Solu-
tions, as other brands could present incorrect results.
Remove a test strip from the bottle and firmly snap the lid
closed.
NOTE: Check the expiration date and discard date of the con-
trol solution and test strips. Make sure the test strip does not
appear torn or damaged.
Hold the test strip with the gray
end facing up.
Insert the gray end into the
orange test strip port on the
meter.
The meter will turn on. A test
strip with a flashing blood drop
will appear letting you know the
meter is ready to test. Do not
apply control solution to the test
strip until the blood drop symbol
flashes.

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18
Testing
Gently rock the control bottle
before opening to ensure it is
mixed well.
Squeeze a small drop of control
solution on a clean non-
absorbent surface, such as a
piece of wax paper.
Do not apply control solution
to the test strip directly from
the bottle.
Replace the cap on the control
solution bottle.
Testing with a Control Solution
Immediately touch the tip of the
test strip to the drop of control
solution. The solution is pulled
into the test strip through the tip.
Hold it in the drop until the
meter beeps.
After the beep, you will see the
meter count down eight seconds
until the test is complete and
your control test result is
displayed.