Beurer BGL40 User manual

GB
instruction for use BGL40
BLOOD PRESSURE AND
BLOOD GLUCOSE MONITOR
TWO IN ONE
Step by step
Beurer GmbH & Co. KG. Söflinger Straße 218. 89077 Ulm. Germany. www.beure
r
-medical.de

Beurer BGL40 mg/dL 1
Contents of BGL40 mg/dL Blood Pressure and Blood Glucose Monitor
1Getting to know your instrument.................................................2
1.1 Contents and purchasing supplies ...................................................... 2
1.2 Monitor functions................................................................................. 4
1.3 Health information............................................................................... 5
1.4 Explanation of symbols ....................................................................... 6
2Warning and safety information ..................................................8
3Description of monitor and accessories...................................13
3.1 Lancing device and lancets ............................................................... 13
3.2 Blood pressure and blood glucose monitor ....................................... 13
3.3 Test strips ......................................................................................... 16
4Operation and Basic Settings....................................................18
4.1 Inserting and replacing batteries ....................................................... 18
4.2 Making basic settings........................................................................ 19
5Measuring blood pressure .........................................................20
5.1 Positioning the cuff............................................................................ 21
5.2 Correct posture ................................................................................. 22
5.3 The measurement ............................................................................. 22
5.4 Evaluating blood pressure results ..................................................... 23
6Ensuring blood glucose measurability.....................................24
6.1 Checking code number (coding)........................................................ 24
6.2 Checking test strips with control solution........................................... 25
7Measuring blood glucose...........................................................29
7.1 Taking a blood sample ...................................................................... 29
7.2 Measuring blood glucose .................................................................. 34
7.3 Evaluating blood glucose results....................................................... 35
8Memory ........................................................................................37
8.1 Displaying single values.................................................................... 38
8.2 Displaying average blood glucose values.......................................... 38
8.3 Deleting stored values....................................................................... 39
9Storage and maintenance of the monitor .................................40
10 In the event of problems.............................................................41
11 BGL40 mg/dL technical Specifications:....................................44
12 Customer Service........................................................................47

Beurer BGL40 mg/dL 2
1 GETTING TO KNOW YOUR INSTRUMENT
Before your first blood pressure and blood glucose test read the Instructions for Use
and all accompanying information carefully and completely. Keep these instructions
in a safe place where they can also be read by other persons using the device.
1.1 Contents and purchasing supplies
Check that the external packaging of the Beurer BGL40 mg/dL monitor is
undamaged and that all components are included.
A 1 blood pressure and blood glucose monitor BGL40 mg/dL REF 162.546
B 10 test strips REF 162.511
C 1 lancing device with AST cap for taking blood samples at
different parts of the body
REF 162.501
D 10 sterile lancets REF 162.513
E 1 vial of MEDIUM control solution REF 457.02
F 1 handy bag REF 162.503
G 2 alkaline batteries 1.5 V AAA (in bag)
Instructions for Use, additional information

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If the packaging is seriously damaged or the contents are incomplete, please return
the monitor to your dealer.
The blood pressure and blood glucose monitor, the test strips, and the control
solution are specially designed to work together. Use only test strips and control
solutions that are designed for this monitor.
Note
Use only original accessories supplied by the manufacturer.
Purchasing supplies
You can obtain test strips, control solution, lancets and lancing device without a
prescription.
Article REF
50 test strips REF 457.00
control solution MEDIUM REF 457.02
control solution HIGH REF 457.03
control solution LOW REF 457.04
100 lancets REF 457.01

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1.2 Monitor functions
This monitor combines two functions in one unit. This device is intended for blood-
pressure/pulse measurement at the wrist on adults and also for measurement of the
blood glucose content. It is suitable for private use.
The monitor can perform the following functions quickly and easily:
•measure your blood pressure and blood glucose (mg/dL)
•display and store your readings
•display the average values of your blood glucose readings for 7, 14, 21, 28, 60
and 90 days
•setting date and time
•setting the blood pressure unit (mmHg or KPa) and temperature unit (°C or °F)
•coding the monitor
The monitor also has the following control functions:
•display of the ambient temperature and warning of unsuitable temperatures
•'change battery' display when batteries are low
Note
•Do not use the monitor to diagnose diabetes but for regular blood
glucose monitoring only.
•Consult your doctor to set insulin dosages.

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1.3 Health information
Blood pressure
Classification of blood pressure values for adults (mmHg)
Range of blood pressure values Systole Diastole Measure
Hypotonia (low blood pressure) < 105 < 60 Have it checked
by your doctor
Normal pressure 105-120 60-80 Check it yourself
Prehypertensive blood pressure
(transition to high pressure)
120-140 80-90 Have it checked
by your doctor
Hypertonia, grade I high blood
pressure
140-160 90-100 Seek medical
advice
Hypertonia, grade II high blood
pressure
>160 > 100 Seek medical
advice
Source: Adapted from JNC 2003
Blood glucose
The table below shows blood glucose values for persons without diabetes for
comparison with your own readings.
Time of day Blood glucose range without diabetes
Before breakfast 70 to 105 mg/dL
Before lunch 70 to 110 mg/dL
1 hour after meals Below 160 mg/dL
2 hours after meals Below 120 mg/dL
Between 2 and 4 a.m. Over 70 mg/dL
Source: Krall, L.P., and Beaser, R.S :Joslin Diabetes Manual. Philadelphia: Lea and Febiger (1989),1 8

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1.4 Explanation of symbols
The following symbols can be found on the packaging, the nameplate of the monitor
and the accessories:
In-vitro diagnostics Application part type BF
Serial number Manufacturer
Temperature range
+4°C to +30°C
Observe the
Instructions for Use.
Not for reuse / single
use only
Use by
PCT: Certification
symbol for products
that are exported to the
Russian Federation and
CIS countries
Maximum storage time
in months after opening
Green Dot: German
dual waste disposal
system
Batch
Contents sufficient for
<n> tests
Sterilised by irradiation
(lancets)
/Art.-Nr. Order number
Attention!
Read accompanying
documentation
Biohazard, danger of
infection

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When measuring blood pressure hold monitor at heart level.
When measuring blood pressure keep monitor and wrist about 1 cm
apart.
For wrist circumference of 5-9 in (13.5 to 22 cm)
When measuring blood pressure do not stand or walk around.
When measuring blood pressure do not talk.
Blood glucose measurement unit
The symbols in the Instructions for Use denote the following:
WARNING
Warning of risk of injury or health hazards
CAUTION
Safety information about possible damage to monitor and accessories
Note
Important information

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2 WARNING AND SAFETY INFORMATION
Infection hazard
All components of the monitor and accessories may come into contact
with human blood and may therefore be sources of infection.
WARNING
•This monitor must show the blood glucose level in mg/dL. The unit
mg/dL is always shown with the blood glucose level. Contact
Customer Service immediately if your monitor does not display
mg/dL. You will endanger your health if you measure your blood
glucose content in a different unit, interpret the results incorrectly
and take incorrect action.
•This monitor must be used by one person only. Use of the same
monitor by more than one person may cause infection.
•The lancing device is suitable for private use. Never use the lancing
device and lancet with other persons (danger of infection).
•Use a new sterile lancet for every blood sample (single-use only).
Measuring blood pressure
WARNING
•If circulation on the lower arm is restricted as a result of chronic or
acute vascular disease (including vasoconstriction), the precision of
any wrist measurement is impaired. In this case, use a blood pressure
monitor for the upper arm.
•The readings that you take may only be used for information
purposes – they are not a substitute for a medical examination!
Discuss your results with the doctor. Never use them to make medical
decisions independently (e.g. regarding medication and dosage).

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•Incorrect measurements may result where there is cardiocirculatory
disease, very low blood pressure, circulatory disorders, cardiac
arrhythmias and other preexisting diseases.
Measuring blood glucose
WARNING
•The readings that you take may only be used for information
purposes – they are not a substitute for a medical examination!
Discuss your readings with a doctor regularly. Never change your
doctor's instructions without discussing your changes with the doctor.
•Accurate readings are only possible if the code number on the display
is identical to the code number on the test strip container. Check code
numbers before every reading.
•Dehydration or excessive fluid loss, such as by sweating, may result
in incorrect readings.
•A very high or very low haematocrit value (proportion of red blood
cells) may cause inaccurate readings. If the haematocrit value is very
high (over 60%), the blood glucose reading may be too low; if the
haematocrit value is very low (under 20%), it may be too high. If you
do not know your haematocrit value, ask your doctor.
•Do not use test strips to monitor the blood glucose of newborns.
•Metabolites such as uric acid, ascorbic acid, acetominophen, dopa,
methyl dopa, L dopa, and tolbutamide do not influence the results if
they are in the physiological value range.
•Lipaemia effects: Elevated blood triglycerides up to 2000 mg/dL have
virtually no influence on the results. However, triglycerides above this
level may influence the blood glucose test results.
•Use only fresh whole capillary blood. Do not use serum or plasma.

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•Take capillary blood without squeezing the puncture site. If the site is
squeezed the blood will be diluted with tissue fluid and the test result
will be inaccurate.
•Do not use the test strips at altitudes above 3275 m.
Note
The Beurer BGL40 mg/dL monitor is suitable for measuring whole
capillary blood.
Storage and care
WARNING
•Keep monitor and accessories out of reach of small children. Small
parts, such as lancets, batteries or test strips, may cause fatal injuries
if swallowed. If a part has been swallowed, seek medical help
immediately.
•The container with the test strips includes a desiccating agent that
could cause skin and eye irritation if inhaled or swallowed. Keep the
container away from small children.
Batteries/saving readings
WARNING
•Batteries can be fatal if swallowed. You should store the batteries out
of reach of small children. If a battery has been swallowed, seek
medical help immediately.
•Never throw batteries into the fire. Danger of explosion!

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CAUTION
•Remove the batteries if they are flat or if the monitor is not going to be
used for a longer period. This prevents any damage as a result of
leakage.
•Batteries should not be recharged or reactivated in any other way.
Batteries must not be dismantled or short-circuited.
•Do not use rechargeable batteries.
Note
•When the batteries are changed, the stored readings are retained.
The date and time are retained when batteries are replaced and when
the batteries are flat.
•When changing the batteries, always use two batteries of the same
type, brand and capacity. You should preferably use alkaline
batteries.
Repairs
Note
•Never open the monitor. If these instructions are not heeded, the
warranty becomes null and void.
•Never attempt to repair the monitor yourself. We can no longer
guarantee perfect functioning if you do.
•If the monitor requires repair, please send it to our Customer Service.

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Disposal
WARNING
•When disposing of monitor components, strictly observe the generally
applicable precautions for working with blood. Dispose of all blood
samples and materials that you come into contact with correctly to
prevent injury and infection of other persons.
•Dispose of test strips and lancets in a sharps container after use.
Note
•Used, completely discharged batteries must be disposed of in
specially marked collection containers, at toxic waste collection
points, or electrical product retailers. You are legally required to
dispose of the batteries.
Batteries containing pollutants are marked with the
following symbols:
Pb = battery contains lead,
Cd = battery contains cadmium,
Hg = battery contains mercury.
•The monitor should be disposed of according to Regulation
2002/96/EC-WEEE (Waste Electrical and Electronic
Equipment). In case of queries, please contact the
municipal authorities responsible for waste disposal in your area.

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3 DESCRIPTION OF MONITOR AND ACCESSORIES
3.1 Lancing device and lancets
1
234
56
1: Cap
2: Safety shield of lancet
3: Sterile lancet
4: Lancet holder
5: Trigger button
6: Trigger setting mechanism
3.2 Blood pressure and blood glucose monitor
1: Wrist cuff
2: LCD display
3: ON/OFF button
(Do not press button until the cuff is
in position.)
4: Save button 'M'
5: Slot for test strips
6: Code button ‘C’
7: 'SET' button
8: Battery compartment

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Display symbols for blood pressure and blood glucose readings:
1: Speaker (non-functional)
2: Blood drop symbol 6
3: SYS / blood glucose display
4: Code
5: Normal value
6: Ketone test recommended
7: High value (high)
8: Low value (low)
9: Heart beat symbol
10: Pulse display,
average blood glucose
11: Test strip symbol
12: Confirmation symbol
13: Systolic blood pressure (SYS)
14: Blood glucose unit mg/dL
15: Blood glucose unit mmol/L
(non-functional)
16: Blood pressure unit mmHg
17: Blood pressure unit kPa
18: Diastolic blood pressure (DIA)
19: Memory symbol
20: Display DIA

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Other display symbols:
21: Date or time display
22: Date: month-day
23: Time: hour-minute
24: Replace battery symbol
25: DAY AVG for average reading
7,14,21,28,60,90 days
26: AM (morning)
27: PM (afternoon)
28: CTL for control solution
29: Temperature symbol
Note
The monitor is supplied with the following basic settings:
•Blood pressure unit: mmHg
•Blood glucose unit: mg/dL
•Temperature unit: °C

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3.3 Test strips
Front Back
1: Slot for taking blood
2: Handling area
3: Contacts
The back is indicated by the X symbol.
Insert the test strip into the unit with the contacts first. Make
sure that the front of the test strip is facing you.
Read carefully the following information on the handling and storage of your test
strips. All instructions must be followed to ensure that the test strips will give
accurate test results.
WARNING
A test strip must be used only once and on only one patient.

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Handling test strips
Note
•Before using the strips for the first time check that the seal on the
container is intact. If a container seal is damaged, do not use the test
strips.
•Close container tightly immediately after removing a test strip.
•Do not use test strips after the use-by date. If expired test strips are
used, test results may be inaccurate. The use-by date can be found
on the container beside the hourglass icon .
•The test strips can be stored for up to three months after opening the
container. Write this use-by date (date of opening + 3 months ) on
the label. The storage time is reduced if it extends beyond the use-by
date (see date beside the hourglass icon ).
•Do not use the test strips if one of the use-by dates ( / ) has
expired.
•The test strips can be touched anywhere with clean, dry hands.
•Use the test strip for measurement immediately on removal from the
container.
•Do not bend, cut or alter test strips in any way.
•Do not use test strips for measurements if they have come into
contact with liquids.
Storing test strips
Note
•Store test strips in a cool, dry place above +4°C and below +40°C.
Keep test strips away from direct sunlight or heat. Do not store in a
refrigerator.
•The relative humidity must be between 10% and 85%.
•Store test strips in their original container – never place them in a
different container.

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4 OPERATION AND BASIC SETTINGS
4.1 Inserting and replacing batteries
Note
Two batteries are included with your blood glucose and blood pressure
monitor. The batteries are in the bag.
1 Remove the battery cover from the base of the instrument
2 When you replace batteries, always replace both batteries. The monitor
retains the date and time while the batteries are replaced. Reset the date
and time if the battery replacement takes longer than usual (see "4.2
Making basic settings“ page 18).
3 Insert two new AAA 1.5 V alkaline batteries. Make absolutely sure that you
insert them with the correct polarity as marked. Do not use rechargeable
batteries.
4 Replace the battery cover carefully
If the 'change battery' symbol appears, the battery is almost flat. Replace all
batteries as soon as possible.
The display shows E-b if the batteries are so flat that readings cannot be
taken.