Cambridge Sensors MicroDot Xtra Instruction Manual

Xtra
OPERATIONS & QUALITY ASSURANCE
PROCEDURE MANUAL
For
Healthcare
Professionals
CAMBRIDGE SENSORS USA, LLC
10051 Bode Rd. Plainfield, IL 60585
•
Customer Service:
toll free: 877.374.4062 Monday–Friday 9am–5pm CST
www.microdotcs.com
FAST. ACCURATE. EASY TO USE.

Xtra Xtra

TABLE OF CONTENTS
Chapter Page
1. Microdot® Xtra Meter Overview & System Components
2. Initial Setup of the Microdot Xtra Meter
3. Control Solution Testing
4.Testing with Patients
5. Microdot Xtra Meter Specifications
6. In-Service Training Outcomes
7. Microdot Xtra Blood Glucose Meter Log Sheets
7A. Microdot Xtra BGMS In-Service Form
7B. Microdot Xtra BGMS Qualified Trainers Form
7C. Microdot Xtra BGMS Qualified Trainer/Operator
Certification Form
7D. Microdot Xtra BGMS Quality Control Record
8. Material Safety Data Sheets
8A. Microdot Xtra Test Strips
8B. Microdot Control Solutions
9.Troubleshooting the Microdot Xtra Meter
10. Manufacturer Cleaning Instructions
Notes
8 - 10
11 - 12
26
27 - 28
Contents
1
Cambridge Sensors USA, LLC
2 - 4
5 - 7
13
14
15
16
17
18
19
20
21 - 24
25
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Cleaning Your Meter
Xtra
CLEANING YOUR METER
Customer Service available from from 8am - 5pm CST Monday - Friday
Toll free 1.877.374.4062 | www.microdotcs.com
Cambridge Sensors USA, LLC
First, remove the anti-microbial meter cover. Second,
use a lint free cloth dampened with soapy water or
isopropyl (70% - 80%) to clean the outside of the blood
glucose meter.
Microdot Meter Disinfecting Guideline: To disinfect the
meter, dilute 1 mL of household bleach (5% - 6% sodium
hypochlorite solution) in 9 mL of water to achieve a 1:10
dilution (nal concentration of 0.5% - 0.6% sodium
hypochlorite). The solution can then be used to dampen
a paper towel (do not saturate the towel). Then use
the damped towel to thoroughly wipe down the meter.
Please note that there are commercially available 1:10
bleach wipes from a variety of manufactures.
Germicidal wipes are readily available through major
medical distributors. To use these products, remove a
wipe from container and follow product label instructions
to disinfect meter. Take extreme care not to get liquid in
the test strip dock or key code parts of the meter.
®

BLOOD GLUCOSE METER OVERVIEW
This section provides general information on the Microdot Xtra Blood
Glucose Monitoring System
The Microdot Xtra Blood Glucose Monitoring
System is a portable whole blood testing
system which performs tests with quick
and accurate results.
It consists of three main parts:
1. Microdot Xtra Blood Glucose Meter
2. Microdot Xtra Test Strips
3. Microdot High and Low Control
Solution
These products have been designed,
tested and proven to work together
as a system to produce safe and
accurate results.
Use only Microdot Xtra Test Strips
and Control Solutions with the
Microdot Xtra Glucose Meter.
Your system includes:
Microdot Xtra Meter
Anti-microbial Meter Cover
Quality Assurance Manual
Warranty Registration Card
3V Lithium Battery (installed)
Additional components include:
Microdot Xtra Test Strips
Microdot Control Solutions
2
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®Xtra
TROUBLESHOOTING THE METER
The blood glucose level is higher than
525 mg/dL.
The blood glucose level is lower than
20 mg/dL.
Error message that indicates that there
is a problem with the meter, e.g.,
measurement error (time out, overflow,
offset) or temperature out of range.
Error message that indicates that there
may be a problem with the test strip, e.g,
the test strip may be damaged, moved,
or removed during testing, or inserted
improperly.
Error message could be caused by a used
or damaged test strip.
Error message indicates serial
communications error.
The battery sign appears on the display
with the unit of measurement.The power
of the battery is getting low.You can
complete about 50 more tests from the
time this symbol first appears.
This message indicates very high
blood sugar.You should recheck the
blood glucose level. If “Hi”again,
follow facility protocol.
This message indicates very low
blood sugar.You should recheck the
blood glucose level. If “Lo” again,
follow facility protocol.
Review the instructions and try again
with a new test strip. If the problem
persists, contact Customer Service.
Check the test strip for damage and
retest as necessary. Repeat the test.
If the error message appears again,
contact Customer Service.
Repeat the test with a new strip.
If the error message appears again,
contact Customer Service.
If error persists, contact Customer
Service.
Test results will be accurate but
replace the battery as soon as
possible. Battery type is
CR2032 3 volt.
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®Xtra

SYSTEM COMPONENTS
Blood Glucose Meter
LCD Screen: Shows blood glucose result and
symbols that guide you through the test.
Up/Down Toggle Buttons: Scrolls the memory, sets
time and date.
Eject Button: Releases test strip.
Test Strip Port: Insertion site for test strip.
Serial Number: Located in the upper left hand corner
of the meter. Required when calling Customer
Service for troubleshooting or meter replacement.
Battery Compartment: Holds one 3V Lithium
battery (CR2032).
SN 00023463
Customer Service:
888-425-1149
Customer Service Number: Located on the back of the meter.
Call this number if you have any questions or
problems with the Microdot Xtra Glucose Meter.
[phone]
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Xtra
MATERIAL SAFETY DATA SHEET
Section XII - Transport Information (See also Section IX)
Section XIV - Regulatory Information
Not known
Not known
Not known
EEC Hazard Classification
Risk Phrases
Safety Phrases
Section XV - Other Information
ADR / RID
CEFIC Tremcard
Hazchem Code
Kemmler Code
IMDG Classification
IATA Classification
Marine Pollutant
UN Number
UN Class
UN Packing Group
Not known
Not known
Not known
Not known
Not known
Not known
Not known
Not known
Not known
Not known
Directives 88/379/EEC and 91/155/EEC have been considered when compiling this MSDS; the
information is provided for health and safety assessment by an industrial user. Reference
should be made to any relevant local or national health, safety or environmental legislation.
This information does not constitute indication of suitability for specific uses. The information,
data, and recommendations contained herein are based upon information believed by Cambridge
Sensors USA, after reasonable investigation and research, to be accurate. However, Cambridge
Sensors USA does not warrant the accuracy of this information. All materials and mixtures may present
unknown hazards and should be used with caution. When necessary or appropriate, independent
opinions regarding the risk of handling or exposure should be obtained from trained professionals.
Cambridge Sensors USA disclaims any warranty against patent infringement and the implied warranties
of merchantability and fitness for a particular purpose. Customer’s sole and exclusive remedy shall be
replacement of the product or return of the product and refund of the purchase price, at Cambridge
Sensors USA option. In no case can Cambridge Sensors USA be liable for incidental or consequential
damages, including lost profits.
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Microdot® Control Solutions

MATERIAL SAFETY DATA SHEET
Section IX - Physical and Chemical Properties
Section X - Toxicological Information
Route of Entry
Effects of Chronic Exposure
Effects of Acute Exposure
Special Health Effects
Target Organs
Ingestion, skin and/or eye contact
Not known
Not known
Not known
Not known
Not known
Not known
Not known
Not known
Not known
Not known
Potential Effect on Environment
Potential to Bioaccumulate
Mobility
Ecotoxicity
Persistence and Degradeability
Aqua Toxicity
Preparation Physical Form Liquid
Blue, odorless pH AS is neutral
Not determined
Not determined
Not determined
Not determined
Not determined
Not determined
Not determined
Not determined
Not determined
Not determined
Not determined
Not determined
Stable
Strong bases, strong acids and water reactive materials
Thermal decomposition may emit carbon monoxide and
carbon dioxide.
Section XI - Ecological Information
Pure Substance or preparation
Appearance/Odor
Odor Threshold
Melting/Freezing
Partition
Evaporation Rate
Vapor Pressure (mmHg)
Vapor Density (air =1)
Viscosity
Volatiles
Volatile Organic Compounds
Auto-flammability
Flash Point
Oxidizing Properties
Stability
Materials to Avoid
Hazardous Decomposition
Products
Section XII - Disposal Considerations
Water Disposal
Empty Container Warnings
Please consult local, state and federal regulations for
additional guidance on disposal.
Not known
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Microdot® Control Solutions
SYSTEM COMPONENTS
Test Strip
The Microdot Xtra Blood Glucose Test Strip offers the latest advances in biosensor,
auto-code technology. Blood is applied to the top edge of the Microdot Xtra Test
Strip and is automatically drawn into the white channel where the reaction takes
place. Only 600 nanoliters (0.6 microliters) is needed.
The Microdot Xtra Test Strip consists of the following parts:
Top Edge: Apply a drop of blood here, where the
white channel meets the top of the edge strip.
White Channel: This is where you check if enough
blood has been applied to the top edge.
Contact Bars: Insert this end of the test strip into the meter.
Push firmly until the strip can go no further.
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Xtra

MATERIAL SAFETY DATA SHEET
Section V - Fire Fighting Measures
Section VI - Accidental Release Measures
Section VII - Handling and Storage
Storage Temperature
Handling/Storage
Ventilation Requirements
Sensitivity to Static Electricity
Sensitivity to Mechanical Impact
Store vials as directed in the package insert.
Handle and store vials as directed by the package insert.
No special requirements.
Not known
Not known
Not required under normal use of this product.
Not required under normal use of this product.
Wear appropriate gloves to prevent skin contact. Replace
torn or punctured gloves promptly.
Wear appropriate eye protection to prevent eye contact.
Wear appropriate body protection to prevent skin contact.
Eye wash stations and deluge showers.
Good laboratory technique should be used when handling
this product. Observe appropriate chemical hygiene.
Do not place in mouth.
Do not eat, drink or smoke while working with this product.
Upon completion of work activities involving this product,
wash hands thoroughly with soap and water.
Respiratory Protection
Ventilation
Protective Gloves
Other Protective Equipment
Other Engineering Controls
Work Practices
Hygienic Practices
Not determined
Not determined
Use fire extinguishing media appropriate for site collections.
Structural fire fighting gear and self-contained breathing
apparatus will provide adequate protection if this product
is in a fire area.
Not determined
Thermal decomposition may emit carbon monoxide and
carbon dioxide.
Not determined
Not determined
Use an absorbent material to contain/pick up the spilled
solution. Place all contaminated disposals into a suitable
container, seal, label and hold for disposal.
Spill and Leak Procedures
Section VIII - Exposure Controls / Personal Protection
Auto-flammability
Flash Point (test method)
Extinguishing Media
Special Fire Fighting
Procedures
Fire and Explosion Hazards
Hazardous Combustion
Products
Upper Explosion Limit (%)
Lower Explosion Limit (%)
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Microdot® Control Solutions
INITIAL SETUP OF THE METER
Before using the Microdot Xtra Meter for the first time, you should set the actual Time,
Date and Year. The unit of measurement is preset and can not be changed.
Setting the Time, Date and Year
Enter the Set Mode.
To Enter the set mode, turn the meter on by
pressing the C button. After the segment test,
the time and date will start to flash.
Step 1
Set the Time and Date Format.
Pressing the C button again will now toggle
between US and International Time
and Date formats.
For US: 12h Time format, mm-dd (begins with
AM setting).To accept the desired setting,
press the M button.
Step 2
Set the Hour.
The Hour will start to flash. It can now be
changed by pressing the C button.The US
setting will begin at 12:01 AM and will move
to PM.To accept the correct setting, press
the M button.
Step 3
Set the Minutes.
The Minute will start to flash, it can now be
changed by pressing the C button.To accept
the correct setting, press the M button.
Repeat Steps 1 & 2 to set Month and Year.
1.
2.
3.
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®Xtra

INITIAL SETUP OF THE METER
Setting the Beeper
After setting the Time and Date, the Sound
symbol will appear and can now be changed
by pressing the C button.To accept the setting,
press the M button.
This option is used to switch on or off the
beeper.When turned ON, a sound will be
heard when blood or control solution is
applied to the strip and when the test is
finished.The sound will be heard when an
error has occurred or if an alarm is
triggered.
When the M button is pressed to accept the
beeper option, the meter will display END
and switch off.
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®Xtra
MATERIAL SAFETY DATA SHEET
Section I - Identification
Trade Name:
Common Name:
Supplier:
Emergency Phone Number:
Microdot Control Solutions
Control Solutions for use with Microdot Xtra
Blood Glucose Test System
Cambridge Sensors USA
10051 Bode Rd.
Palinfield, IL 60585
[phone]
Section II - Composition / Information on Ingredients
Chemical Family:
Chemical Name:
Salt solution
N/A
Section III - Hazards Identification
Eye Contact:
Skin Contact:
Ingestion:
Inhalation:
Chronic Exposure
May cause irritation if in contact with eye.
Skin contact may cause irritation.
Though not a likely route of occupational exposure,
ingestion of the product may cause choking, vomiting
or nausea.
N/A
N/A
Section IV - First Aid Measures
Although no adverse health reactions are expected from
the normal use of this product, it is recommended to flush
eyes with water and seek medical advise whenever there
is a potential injury to the eye.
If contact with this product leads to reddening, inflammation
or irritation, flush the exposed area with running water. If
irritation persists, get medical attention.
As a precaution, get medical attention if there has been
ingestion of this product.
If breathing becomes difficult, remove victim to fresh air
and get medical attention.
N/A
Eye Contact:
Skin Contact:
Ingestion:
Inhalation:
Chronic Exposure:
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Microdot® Control Solutions

MATERIAL SAFETY DATA SHEET
Blood Glucose Test Strips
Section I - Identification
Trade Name:
Common Name:
Supplier:
Emergency Phone Number:
Microdot Xtra Blood Glucose Test Strips
Blood glucose test strips for use with Microdot
Xtra Blood Glucose Test System
Cambridge Sensors USA
10051 Bode Rd.
Palinfield, IL 60585
[phone]
Section II - Composition
This product does not present a physical or health hazard under reasonable use or under
emergency situations involving a release of only this product. This material is therefore not
considered to be a“Hazardous Chemical”as defined by the Federal Occupational Safety and
Health Administration in the Hazard Communication Standard (29 CFR 1910.1200) or the
equivalent standards generated by state agencies.
ACCORDINGLY NO MATERIAL SAFETY DATA SHEET IS REQUIRED FOR THIS PRODUCT.
MSDSs that represent non-hazardous chemicals are not covered by the HCS. Paragraph 29
CFR 1910.1200 (g) (8) of the standard requires that“the employer shall maintain in the work-
place copies of the required MSDSs for each hazardous chemical, and shall ensure that they
are readily accessible during each work shift to employees when that are in their work area(s)”.
OSHA does not require or encourage employers to maintain MSDSs for non-hazardous
chemicals. Consequently, an employer is free to discard MSDSs for non-hazardous chemicals.
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®
Xtra
Using Meter Memory
Your Microdot Xtra Meter stores the 500 most recent blood glucose and control
solution test results and insulin data with date and time in the memory. It
also provides you with 14-day averages of your blood glucose test results.
You can review the test results in memory with these easy steps.
Step 1
Enter the Memory Mode.
To Enter Memory Mode, turn on the meter by
pressing the M button.
The meter will display the last result with
Mem. symbol, time and date.
Step 2
Recall Test Results.
Previous results can be displayed by pressing
the C button. As long as the C button is held, the
meter will scroll through the memory displaying
the result and the memory location. Once the
button is released, the meter will display the
selected result with its Time and Date. When the
memory is full (500 results stored), the oldest
result is dropped as the newest is added.
NOTE: When using the meter for the first time
“Mem.---”will appear, showing that there are
no test results stored in memory.
1.
2.
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INITIAL SETUP OF THE METER
®Xtra

CONTROL SOLUTION TESTING
This chapter describes the necessary steps to test with the Microdot® Control
Solutions in order to validate the performance of the Microdot Xtra Meter and
Microdot Xtra Strips.
When Should You Conduct a
Control Solution Test?
Any time you open a new vial of test
strips.
Whenever you think the system
is not working properly.
If the blood glucose test results
differ from the resident’s symptoms
or non-symptoms.
If you believe the results are not
accurate.
If you drop the meter.
If the vial of test strips has been
left open for an extended period
of time.
It is critical to follow the Operating
Guidelines, on the right, to obtain
accurate results while using the
Microdot Xtra Glucose System.
Operating Guidelines:
Use only Microdot Control Solutions
(High and Low).
Check the expiration date on the
control solution vial. Do not use
if expired or if the discard date
has passed.
Control solution, meter and test
strips should come to room
temperature before testing
(66-77˚F / 20-25˚C).
Use solution for three months
after first opening. Record the
discard date (opening date
plus three months) on the
control solution vial. Discard
after three months.
Close tightly and store the control
solution at temperatures between
50-86˚F (10-30˚C).
Do not refrigerate. Do not freeze.
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BLOOD GLUCOSE MONITORING SYSTEM
QUALITY CONTROL RECORD
Date
Microdot Xtra Meter Serial Number
Month/Year
Station/
Initials
Test Strip
Lot #
Low
Control
Range
(mg./dl.)
High
Control
Range
(mg./dl.)
Low
Control
Result
(mg./dl.)
High
Control
Result
(mg./dl.)
Notes:
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®Xtra

BLOOD GLUCOSE MONITORING SYSTEM
QUALIFIED TRAINER/OPERATOR CERTIFICATION FORM
I. Microdot Xtra Meter - Locate the following:
a. Battery
b. Serial Number
c.Toll Free Customer Service Number
d. Eject Button
II. Identify and explain the following:
a. Blood Test Procedure
b. Control Solution Procedure
c.Troubleshooting
III. Explain proper procedure for:
a. Dating of Microdot Xtra Test Strips and Control Solution
b.When to perform a Control Test
c. Handling Control Solution results that are out of range
IV. Perform and explain the following procedures:
a. Control Solution testing
b. Blood testing
c. Recalling test results
d. Changing the battery
If all tasks were not properly completed, have the operator repeat the procedure
correctly.When all tasks have been properly completed, sign bottom of this form
and fill out the proper Qualified Trainer or In-service form.
Cambridge Sensors USA Sales Rep.
Qualified Trainer
Operator
Date
Date
Date
Chapter 7
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®Xtra
CONTROL SOLUTION TESTING
Notes:
The control solution test is similar
to a blood test except that you use
Microdot® Control Solution instead
of a drop of blood.The control
solution ranges printed on the test
strip vial are for Microdot Control
Solutions only. It is used to check
the meter and test strip performance.
It is NOT a recommended range for
your blood glucose level.When
performing a control solution test
it does not matter which solution
you use first, the Low or High.
Control Solution Test Procedure:
1. Shake Low Control Solution bottle
well before using.
2. Remove cap and discard the first drop
of Control Solution and wipe off the
dispenser tip to ensure a good sample
and an accurate result.
3. Insert a test strip into the Microdot Xtra
meter. Be sure the black contact bars
go into the meter. Push the strip in
firmly. Be sure it can go no further.
4. Invert bottle and squeeze out one
drop of control solution. Apply
the drop to the strip by bringing the
meter and the strip to the drop.
Touch the drop with the top edge
of the test strip and wait until the
test pad fills with the solution. Results
appear in 10 seconds.
3.
4.
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CONTROL SOLUTION TESTING
5. Compare the results with the ranges of
expected results shown on the test strip
vial. (Low = Blue Cap, High = Red Cap)
6. You should obtain results within the
expected range printed on the test
strip vial. If this is not so, repeat the test.
If the results are out of the range printed
on the test strip vial, check the
following:
Was the vial at room temperature?
Did you shake the bottle of control
solution before using?
Has the control solution expiration or discard date expired?
Is the meter malfunctioning?
7. Repeat steps 1-6 for the High
Control Solution procedure.
If the test result is still out of range,
call your Microdot® Customer
Service Representative at:
Toll Free [phone]
DO NOT test blood until you obtain
control results within the expected
ranges.
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BLOOD GLUCOSE MONITORING SYSTEM
QUALIFIED TRAINERS FORM
Date Health Care Professional’s Name Title
Cambridge Sensors Representative
Cambridge Sensors Representative Signature
Date
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®Xtra

TESTING WITH PATIENTS
This section describes the procedure to test patient blood samples using the
Microdot® Xtra Blood Glucose System.
Operating Guidelines
Before attempting to test with real blood, make sure you have performed control solution
tests correctly to ensure the meter and test strips are performing properly and to verify technique.
Use the test strips before their expiration date and within three months after opening.
Do not use test strips that are wet, bent, scratched or damaged. Use each test strip immediately
after removing it from the vial.
Patient Test Procedure:
What You Do Notes
1. Press the C button
to turn the meter on
and/or insert test strip
by pushing the two
contact bars in firmly.
To verify all display symbols are working,
all symbols should appear at the same
time. If any of the symbols are missing
or do not display completely, contact
Cambridge Sensors USA at
[phone]
2. Obtain a drop
of blood.
Using a safety lancet, lance the side of the
finger to obtain a rounded blood sample.
Avoid squeezing the puncture site
excessively.
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BLOOD GLUCOSE MONITORING SYSTEM
IN-SERVICE FORM
The Health Care professionals listed below are trained and have demonstrated
proficiency using the Microdot Xtra Blood Glucose Monitoring System.
Cambridge Sensors Representative/Qualified Trainer
Date Health Care Professional’s Name
The chart is designed for use during the initial training on the Microdot Xtra Blood Glucose System by a
Cambridge Sensors Representative, In-Service Video or Qualified Trainer.
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®Xtra

TESTING WITH PATIENTS
What You Do Notes
3. Apply sample.
4. Results in
10 seconds.
5. Dispose of
lancet.
The blood drop symbol will flash
alternately to indicate the meter has
detected that a test strip has been inserted
and is ready for the blood sample to be
added.
Apply the drop of blood directly to the
edge of the test strip, and allow the sample
to wick automatically into the test zone.
If you do not apply a blood sample within
one minute, the meter will turn itself off.
Either reinsert the test strip or press the
M button to turn the meter back on.
After an adequate blood sample has been
applied to the test strip, the Microdot®
Xtra Meter will display three running
dashes, which indicates the meter is
performing the test. After 10 seconds,
the test result will display.
Dispose of used lancet in an approved
sharps container.
6. Dispose of
test strip.
Simply press the eject button on the
meter to dispose of used test strip.
Note: If the blood test result is lower than 20 mg/dL,
“Lo”will appear on the meter display.
This indicates severe hypoglycemia
(low blood glucose).You should
immediately treat your hypoglycemia
as recommended by your physician’s
protocol.
If the blood test result is higher than 525 mg/dL,
“Hi”will appear on the meter display.
This indicates severe hyperglycemia
(high blood glucose).You should
immediately treat your hyperglycemia
as recommended by your physicians
protocol.
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BLOOD GLUCOSE MONITORING SYSTEM
LOG SHEETS
The forms in this chapter are Master Copies.
Please make photocopies for distribution.
If you need replacement documents, please
contact Customer Service at [phone]
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®Xtra

IN-SERVICE TRAINING OUTCOMES
Once your Microdot® Xtra Meter in-service is complete, Health Care Professionals
should be able to:
1. Locate and explain the following
components of the Microdot Xtra Meter:
Eject Button
Test Strip Port
Battery Compartment
Serial Number
Customer Service Number
2. Locate and explain the label
information on the Microdot Xtra Test
Strip Vial:
Discard Date
Lot Number
Expiration Date
Control Ranges
Storage Temperature Range
3. Set Time and Date of meter
4. Identify three parts of the
Microdot Xtra Test Strips
Top Edge
Test Pad
Contact Bars
5. Identify the following parts of the
Microdot Control Solution Bottles:
Low vs. High
Discard Date
Lot Number
Expiration Date
Storage Temperature Range
6. Properly insert the Microdot Xtra Test Strip
7. Perform control solution tests
8. Document and maintain Microdot Xtra
Quality Control Records
9. Obtain a blood sample
10. Perform a blood test
11. Identify meter result range
12. Access meter memory
13. Change the battery
14. Identify and resolve error readings
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METER SPECIFICATIONS
Sample Size
Total Test Time
Sample Application
Hematocrit Range
Measurement Range
Interference
Strip Removal
Coding
Accuracy of Strip/Meter System
Precision of Strip
Shelf Life of Meter
Operating Humidity range
Operating Temperature
Type of Glucose Result
Strip Vial Packing Size
Typical Control Solution Ranges
when used with Strips/Meter
Strip Shelf Life after Opening
Strip Vial
Altitude
Module Size
Weight
Battery Life
Glucose Units
Memory
Power Source
Automatic Shut-off
Warranty
0.6 Microliters (600 Nanoliters)
10 Seconds
Strip is placed in the meter and sample
wicks into strip
30 - 50%
20 to 525 mg/dL
No interference from over 20 interfering substances
Strip ejection by push button
Auto-code
At least +/- 20% relative to YSI in clinical trials
Correction Coefficient of Regression > 0.969
The strip variation is not greater than 6.4%
Approx. 5 years
10 - 90%; storage 90% max (non-condensing)
50˚- 104˚F (10˚- 40˚C)
Plasma equivalent
50 strips per vial
Printed on vial label
3 months
Plastic with desiccant sleeve vial
To 10,000 ft (Target)
65 mm x 85 mm x 16 mm
Approx. 60 grams / 2 ounces
1,500 tests or about 1 year at three tests per day
mg/dL or mmol/L
Total of 500 glucose results and insulin-input data
One replaceable 3V lithium battery
(CR2032 or equivalent)
One minute after last user action
1 Year Manufacturer Warranty
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®Xtra

IN-SERVICE TRAINING OUTCOMES
Once your Microdot® Xtra Meter in-service is complete, Health Care Professionals
should be able to:
1. Locate and explain the following
components of the Microdot Xtra Meter:
Eject Button
Test Strip Port
Battery Compartment
Serial Number
Customer Service Number
2. Locate and explain the label
information on the Microdot Xtra Test
Strip Vial:
Discard Date
Lot Number
Expiration Date
Control Ranges
Storage Temperature Range
3. Set Time and Date of meter
4. Identify three parts of the
Microdot Xtra Test Strips
Top Edge
Test Pad
Contact Bars
5. Identify the following parts of the
Microdot Control Solution Bottles:
Low vs. High
Discard Date
Lot Number
Expiration Date
Storage Temperature Range
6. Properly insert the Microdot Xtra Test Strip
7. Perform control solution tests
8. Document and maintain Microdot Xtra
Quality Control Records
9. Obtain a blood sample
10. Perform a blood test
11. Identify meter result range
12. Access meter memory
13. Change the battery
14. Identify and resolve error readings
Chapter 6
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Cambridge Sensors USA, LLC
METER SPECIFICATIONS
Sample Size
Total Test Time
Sample Application
Hematocrit Range
Measurement Range
Interference
Strip Removal
Coding
Accuracy of Strip/Meter System
Precision of Strip
Shelf Life of Meter
Operating Humidity range
Operating Temperature
Type of Glucose Result
Strip Vial Packing Size
Typical Control Solution Ranges
when used with Strips/Meter
Strip Shelf Life after Opening
Strip Vial
Altitude
Module Size
Weight
Battery Life
Glucose Units
Memory
Power Source
Automatic Shut-off
Warranty
0.6 Microliters (600 Nanoliters)
10 Seconds
Strip is placed in the meter and sample
wicks into strip
30 - 50%
20 to 525 mg/dL
No interference from over 20 interfering substances
Strip ejection by push button
Auto-code
At least +/- 20% relative to YSI in clinical trials
Correction Coefficient of Regression > 0.969
The strip variation is not greater than 6.4%
Approx. 5 years
10 - 90%; storage 90% max (non-condensing)
50˚- 104˚F (10˚- 40˚C)
Plasma equivalent
50 strips per vial
Printed on vial label
3 months
Plastic with desiccant sleeve vial
To 10,000 ft (Target)
65 mm x 85 mm x 16 mm
Approx. 60 grams / 2 ounces
1,500 tests or about 1 year at three tests per day
mg/dL or mmol/L
Total of 500 glucose results and insulin-input data
One replaceable 3V lithium battery
(CR2032 or equivalent)
One minute after last user action
1 Year Manufacturer Warranty
Chapter 5
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®Xtra

TESTING WITH PATIENTS
What You Do Notes
3. Apply sample.
4. Results in
10 seconds.
5. Dispose of
lancet.
The blood drop symbol will flash
alternately to indicate the meter has
detected that a test strip has been inserted
and is ready for the blood sample to be
added.
Apply the drop of blood directly to the
edge of the test strip, and allow the sample
to wick automatically into the test zone.
If you do not apply a blood sample within
one minute, the meter will turn itself off.
Either reinsert the test strip or press the
M button to turn the meter back on.
After an adequate blood sample has been
applied to the test strip, the Microdot®
Xtra Meter will display three running
dashes, which indicates the meter is
performing the test. After 10 seconds,
the test result will display.
Dispose of used lancet in an approved
sharps container.
6. Dispose of
test strip.
Simply press the eject button on the
meter to dispose of used test strip.
Note: If the blood test result is lower than 20 mg/dL,
“Lo”will appear on the meter display.
This indicates severe hypoglycemia
(low blood glucose).You should
immediately treat your hypoglycemia
as recommended by your physician’s
protocol.
If the blood test result is higher than 525 mg/dL,
“Hi”will appear on the meter display.
This indicates severe hyperglycemia
(high blood glucose).You should
immediately treat your hyperglycemia
as recommended by your physicians
protocol.
Chapter 4
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Cambridge Sensors USA, LLC
BLOOD GLUCOSE MONITORING SYSTEM
LOG SHEETS
The forms in this chapter are Master Copies.
Please make photocopies for distribution.
If you need replacement documents, please
contact Customer Service at [phone]
Chapter 7
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Cambridge Sensors USA, LLC
®Xtra

TESTING WITH PATIENTS
This section describes the procedure to test patient blood samples using the
Microdot® Xtra Blood Glucose System.
Operating Guidelines
Before attempting to test with real blood, make sure you have performed control solution
tests correctly to ensure the meter and test strips are performing properly and to verify technique.
Use the test strips before their expiration date and within three months after opening.
Do not use test strips that are wet, bent, scratched or damaged. Use each test strip immediately
after removing it from the vial.
Patient Test Procedure:
What You Do Notes
1. Press the C button
to turn the meter on
and/or insert test strip
by pushing the two
contact bars in firmly.
To verify all display symbols are working,
all symbols should appear at the same
time. If any of the symbols are missing
or do not display completely, contact
Cambridge Sensors USA at
[phone]
2. Obtain a drop
of blood.
Using a safety lancet, lance the side of the
finger to obtain a rounded blood sample.
Avoid squeezing the puncture site
excessively.
Chapter 4
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Cambridge Sensors USA, LLC
BLOOD GLUCOSE MONITORING SYSTEM
IN-SERVICE FORM
The Health Care professionals listed below are trained and have demonstrated
proficiency using the Microdot Xtra Blood Glucose Monitoring System.
Cambridge Sensors Representative/Qualified Trainer
Date Health Care Professional’s Name
The chart is designed for use during the initial training on the Microdot Xtra Blood Glucose System by a
Cambridge Sensors Representative, In-Service Video or Qualified Trainer.
Chapter 7
16 Cambridge Sensors USA, LLC
®Xtra

CONTROL SOLUTION TESTING
5. Compare the results with the ranges of
expected results shown on the test strip
vial. (Low = Blue Cap, High = Red Cap)
6. You should obtain results within the
expected range printed on the test
strip vial. If this is not so, repeat the test.
If the results are out of the range printed
on the test strip vial, check the
following:
Was the vial at room temperature?
Did you shake the bottle of control
solution before using?
Has the control solution expiration or discard date expired?
Is the meter malfunctioning?
7. Repeat steps 1-6 for the High
Control Solution procedure.
If the test result is still out of range,
call your Microdot® Customer
Service Representative at:
Toll Free [phone]
DO NOT test blood until you obtain
control results within the expected
ranges.
Chapter 3
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Cambridge Sensors USA, LLC
BLOOD GLUCOSE MONITORING SYSTEM
QUALIFIED TRAINERS FORM
Date Health Care Professional’s Name Title
Cambridge Sensors Representative
Cambridge Sensors Representative Signature
Date
Chapter 7
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®Xtra

BLOOD GLUCOSE MONITORING SYSTEM
QUALIFIED TRAINER/OPERATOR CERTIFICATION FORM
I. Microdot Xtra Meter - Locate the following:
a. Battery
b. Serial Number
c.Toll Free Customer Service Number
d. Eject Button
II. Identify and explain the following:
a. Blood Test Procedure
b. Control Solution Procedure
c.Troubleshooting
III. Explain proper procedure for:
a. Dating of Microdot Xtra Test Strips and Control Solution
b.When to perform a Control Test
c. Handling Control Solution results that are out of range
IV. Perform and explain the following procedures:
a. Control Solution testing
b. Blood testing
c. Recalling test results
d. Changing the battery
If all tasks were not properly completed, have the operator repeat the procedure
correctly.When all tasks have been properly completed, sign bottom of this form
and fill out the proper Qualified Trainer or In-service form.
Cambridge Sensors USA Sales Rep.
Qualified Trainer
Operator
Date
Date
Date
Chapter 7
18 Cambridge Sensors USA, LLC
®Xtra
CONTROL SOLUTION TESTING
Notes:
The control solution test is similar
to a blood test except that you use
Microdot® Control Solution instead
of a drop of blood.The control
solution ranges printed on the test
strip vial are for Microdot Control
Solutions only. It is used to check
the meter and test strip performance.
It is NOT a recommended range for
your blood glucose level.When
performing a control solution test
it does not matter which solution
you use first, the Low or High.
Control Solution Test Procedure:
1. Shake Low Control Solution bottle
well before using.
2. Remove cap and discard the first drop
of Control Solution and wipe off the
dispenser tip to ensure a good sample
and an accurate result.
3. Insert a test strip into the Microdot Xtra
meter. Be sure the black contact bars
go into the meter. Push the strip in
firmly. Be sure it can go no further.
4. Invert bottle and squeeze out one
drop of control solution. Apply
the drop to the strip by bringing the
meter and the strip to the drop.
Touch the drop with the top edge
of the test strip and wait until the
test pad fills with the solution. Results
appear in 10 seconds.
3.
4.
Chapter 3
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Cambridge Sensors USA, LLC