GlucoRx TD-4230 User manual

TD-4230
BLOOD GLUCOSE
MONITORING SYSTEM
Owner’s
Manual
311-4230200-003
Version 1.0 2009-11

Dear GlucoRx TD-4230 System Owner:
Thanks for choosing our GlucoRx TD-4230 system. This manual
provides extremely important information which helps you operate this
meter smoothly. Before using this product, please read the following
contents thoroughly and carefully.
The most prominent feature of this system is its strip-ejection
function, which helps you take out the used strip without touching
used test strip. This may prevent any cross-contamination of potential
biohazardous materials.
Another unique feature is its alarm function, which alerts you to
perform blood glucose test at the designated time This thoughtful
design helps you routinely check your daily blood glucose.
This design not only greatly simplies the process of glucose testing,
but also provides you and your doctor with more precise test results.

IMPORTANT SAFETY INSTRUCTIONS
READ THIS BEFORE USE
The following basic safety precautions should always be taken.
1. This device does NOT serve as a cure for any symptoms or
diseases. The data measured are for reference only. Always consult
your physician to have the results interpreted.
2. Use the device only for the intended use described in this manual.
3. Do not use accessories which are not supplied by the manufacturer.
4. Keep the equipment and its exible cord away from hot surfaces.
5. Do not use the equipment where aerosol sprays are being used, or
where oxygen is being administered.
6. Do not use the device if it is not working properly or has been
damaged.
7. Read all instructions thoroughly and practice the test before using
the product to test your blood glucose. Do all quality control checks
as directed and consult with a diabetes healthcare professional.
8. Keep the device and testing supplies away from young children.
Small items such as the battery cover, batteries, test strips, lancets,
vial caps are choking hazards.
KEEP THESE INSTRUCTIONS

TABLE OF CONTENTS
IMPORTANT INFORMATION 06
ABOUT ATERNATIVE SITE TESTING (AST) 07
GETTING STARTED 09
Intended Use 09
Principle of Measurement 09
Contents of the System 10
Appearance and Key Function of the Meter 11
LCD Display 12
Appearance of the Test Strip 13
PREPARATION BEFORE USE 14
Battery Replacement 14
Setting the Meter and Deleting the Memory 16
Alarm Function 23
BEFORE TESTING 25
Checking the Display 25
Checking with TaiDoc Control Solutions 25
Important Control Solution Information 26
Doing a Control Solution Test 27
TESTING YOUR BLOOD 31
Test Procedure 32
Expected Test Results 37
COMPARING METER AND LABORATORY RESULTS 38
USING THE METER MEMORY 40
VIEWING RESULTS ON A PERSONAL COMPUTER 44
TAKE CARE OF YOUR METER AND STRIP 45
Cleaning 45
Storage 45

5
PROBLEM-SOLVING GUIDES 47
Result Indicator 48
Error Message 49
Problem in Operation 50
SPECIFICATIONS 52
SYMBOL INFORMATION 53
SUMMARY OF OPERATION 54

6
IMPORTANT INFORMATION
Severe dehydration and excessive water loss may cause false low
results. If you believe you are suffering from severe dehydration,
consult a healthcare professional immediately.
If you get your blood glucose results lower or higher than usual, and
do not have symptoms, rst repeat the test. If you have symptoms
or continue to get results higher or lower than usual, follow the
treatment advice of your healthcare professional.
Apply only capillary whole blood sample to the absorbent hole.
Applying other substances to the absorbent hole will cause
inaccurate results.
If you are experiencing symptoms that are not consistent with your
blood glucose test results and you have followed all instructions
described in this owner’s manual, call your healthcare professional.
A red blood cell count (hematocrit) that is very high (above 60%) or
very low (below 20%) can cause false results.
The following WILL NOT affect results:
Elevated blood triglyceride, reducing substances such as uric acid
and ascorbic acid when occurring in expected blood concentration,
or acetaminophen, dopa, methyldopa, L-dopa and tolbutamide
occurring in expected blood concentrations.
This system may be used at altitudes up to 10,742 feet (3,275 m)
without an effect on test results.
Inaccurate results may occur in severely hypotensive individuals or
patients in shock. Inaccurate low results may occur for individuals
experiencing a hyperglycaemic-hyperosmolar state, with or without
ketosis. Critically ill patients should not be tested with blood glucose
meters.

7
ABOUT ALTERNATIVE SITE TESTING (AST)
Important: There are limitations for doing AST. Please consult
your healthcare professional before you do AST.
What is AST?
Alternative site testing (AST) means that people use parts of the body
other than ngertips to check their blood glucose levels. This system
allows you to test on the plam, the forearm, the upper arm, the calf,
and the thigh with the equivalent results to ngertip testing.
What’s the advantage?
Fingertips feel pain more readily because they are full of nerve end-
ings (receptors). At other body sites, since
nerve endings are not so condensed, you
will not feel as much pain as at the ngertip.
When to use AST?
Food, medication, illness, stress and
exercise can affect blood glucose levels.
Capillary blood at ngertip reects these
changes faster than capillary blood at other
sites. Therefore when testing blood glucose
during or immediately after meal, physical
exercise, or any other events, take blood
sample from your nger only.
We strongly recommend you do AST ONLY in the following intervals:
In a pre-meal or fasting state (more than 2 hours since the last
meal).
Two hours or more after taking insulin.
Two hours or more after exercise.

8
Do NOT use AST if:
You think your blood glucose is low.
You are unaware of hypoglycaemia.
Your AST results do not match the way you feel.
You are testing for hyperglycaemia.
Your routine glucose results are often uctuating.
How to increase the accuracy?
Stimulating blood perfusion by rubbing the puncture site prior to blood
extraction has a signicant inuence on the glucose value obtained.
Blood from the site without rubbing exhibits a measurably different
glucose concentration than blood from the nger.
Please follow suggestions below before getting a drop of blood:
Rub the puncture site about 20 seconds before penetration.
Use a clear cap (included in the kit) instead while setting the lancing
device.

9
GETTING STARTED
Intended Use
The system is intended for use outside the body (in vitro diagnostic
use). It should be used only for testing glucose (sugar) and only with
fresh capillary whole blood samples taken from the finger and the
alternative sites including the palm, forearm, upper arm, calf and thigh.
The system is intended for use in the home and in clinical settings.
It should not be used for the diagnosis of diabetes or for testing in
newborns.
AST in this system can be used only during steady-state blood glucose
conditions described in the section of “About AST”.
Principle of Measurement
The test is based on the measurement of electrical current generated
by the reaction of glucose with the reagent in the strip. The meter
measures the current and displays the corresponding blood glucose
level. The strength of the current produced by the reaction depends on
the amount of glucose in the blood sample.

10
Your system includes:
A meter Test strips
Sterile lancets Owner’s manual
Sporty carrying case  Your rst time user guide
Daily log book Warranty card
Lancing device with clear cap for Alternative Site Testing
Control solution
The three main parts are included in this system: the blood glucose
meter, test strips, and a control solution. These products have been
designed, tested, and proven to work together as a system to measure
the concentration of your blood glucose precisely.
Always use the same brand name of test strips and TaiDoc control
solution with the blood glucose meter.
Contents of the System
NOTE
Please make sure that all products listed above are contained and
sealed in the package before using this system. If you nd any imper-
fection in our products, please return the whole system to the place of
purchase.
There are 3 levels for TaiDoc control solutions: low, normal and high.
Please note that the other two levels are optional and are not included
in the standard kit. Please ask your local agent for availability.
TD-4230
TD-4230
WARRANTY CARD
CUADERNO DE REGISTRO
SELF-TEST LOG BOOK
For recording
¡DBlood glucose test results
¡DInsulin and medication doses
¡DNotes

11
Appearance and Key Function of the Meter
1. STRIP-EJECTION BUTTON
is where the used strip will be ejected after you push up the button.
2. TEST SLOT
is where you insert the test strip. The meter will turn on automatically
after insertion.
3. LCD DISPLAY
guides you through the test using symbols and simple messages.
4. MAIN BUTTON
located in front of the meter with “M” on it, is used to turn on the meter,
enter the memory or control steps of setting.
5. C BUTTON
located at the side, is for control solution test.
6. DATA PORT
located at the side, is for cable connection to the PC.
7. BATTERY COMPARTMENT
8. SET BUTTON
located in the battery compartment, is used to set up the meter.
9. STRAP HOLE
S
E
T
1
2
3
9
5
7
8
6
4

12
LCD Display
TEST STRIP
SYMBOL
Appears when the meter
is turned on.
BLOOD DROP
SYMBOL
Flashes when it is
ready to apply the
sample.
TEST RESULT AREA
Displays glucose results.
A decimal point appears
when the measurement
unit is mmol/L.
LOW BATTERY
SYMBOL
Appears when the
battery power is low.
CTL SYMBOL
Appears when doing a
control test and indicates
that the result will not be
stored in the memory.
MEASUREMENT
UNIT
Appears with the test
result either in mmol/L
or in mg/dL.
KETONE WARNING
A
ppears when the
test result is equal or
higher than 15mmol/L
(270 mg/dL)
SMILE SYMBOL
Appears when the test
result is within reference
range.
DATE
TIME
MEMORY SYMBOL
Appears when you review
the memory.
DAY AVERAGE
Indicates that the displayed
test result is an average.
ALARM FUNCTION
INDICATOR
Blinking at first, appears when
perfoming test. Four alarms
can be set in this meter.
FACE SYMBOL
LOW/HIGH
SYMBOL
Both are result indica-
tors. They appear
together with the test
result if it exceeds
the reference range.

13
Appearance of the Test Strip
This system measures the amount of sugar (glucose) in whole blood.
Blood is applied to the absorbent hole of the test strip and is automati-
cally drawn into the reaction cell where the reaction takes place.
Please see pages 31~37, “Testing Your Blood”, for complete instruc-
tions.
The test strip consists of the following parts:
Contact Bars
Insert this end of the test strip into the meter.
Push it in rmly until it will go no further.
Test Strip Handle
Hold this part to insert the test strip into the slot.
Conrmation Window
This is where you conrm if enough blood has been
applied to the absorbent hole of the strip.
Absorbent Hole
Apply a drop of blood here,and
The blood will be sucked up automatically.

14
PREPARATION BEFORE USE
Battery Replacement
Your meter comes with one 3V CR2032 Lithium battery. The meter
will alert you when the power is getting low by displaying two different
messages:
1. When symbol is displayed on the
screen: the meter is functional and the
result remains accurate, but it is time to
change the battery.
2. When symbol, low and E-b symbols
are displayed the battery cannot provide
enough power to do a test. You must
change the battery immediately.
PLEASE NOTE
Replacing the battery within 5 minutes does not affect the settings.
Therefore, the settings do not need to be updated when the bat-
tery is changed.
Batteries might leak chemicals if not used for a long time. Remove
the battery if you are not going to use the device for an extended
period (i.e., 3 months or more).
Do not use the used battery. Use only the new one in required size
and type.

15
STEP1 Press the buckle on battery cover and lift up to remove cover.
STEP2 Remove the old battery and replace with one 3V CR2032
Lithium battery.
STEP3 Close the battery cover.
To replace the battery, make sure that the meter is turned off.
STEP 1 STEP 2 STEP 3
WARNING
As with all small batteries, the batteries should be kept away from
small children who still put things in their mouths. If they are swal-
lowed, promptly see a doctor for help.

16
Setting the Meter and Deleting the Memory
Your meter comes with the time, date, unit of measurement, memory
deletion and alarm function setting. If you need to set these
parameters, please follow below steps.
Start with the meter off. Then press
the set button located in the battery
compartment. The meter is now in the
setting mode.
STEP 1. Set the Year
After pressing the set button, the year,
a blinking number, will be shown on the
screen. Press and release the M button to
plus one year. You can also keep pushing
down the M button to proceed faster.
When the correct year is displayed on
the screen, press the set button and then
a flashing number, which stands for the
month, is shown.
STEP 2. Set the Month
Press and release the M button until you
see the correct month. To move faster,
keep pushing the M button down. When
the desired month is displayed, press the
set button and then the day will ash.

17
STEP 3. Set the Day
Press and release the M button until you
see the correct day. To move faster, keep
pushing the M button down. When the
desired month is displayed, press the set
button and the hour will be shown on the
screen.
STEP 4. Set the Hour
Press and release the M button until you
see the correct hour on the screen. To
move faster, keep pushing the M button
down. When the desired hour is displayed
on the screen, press the set button and
then the minute will ash.
STEP 5. Set the Minute
Press and release the M button to
advance one minute. To move faster, keep
pushing the M button down. When the
desired minute is displayed, press the set
button and then the memory deletion will
appear.

18
PLEASE NOTE
The time and date can ONLY be changed in the setting mode.
Therefore, when you perform a glucose testing, those parameters
cannot be changed.
The meter cannot automatically update Daylight Saving Time. You
have to manually adjust the time in the meter according to the
procedures. Please make sure the meter matches the time zone
and adjust the Daylight Saving Time data if required.
Your meter displays 7-, 14-, 21-, 28-, 60- and 90-day averages
which you can access from the meter memory. These averages
are calculated from results obtained during the 7-, 14-, 21-, 28-,
60- and 90-day preceding the current date and time settings.
When the date and time are changed, the 7-, 14-, 21-, 28-, 60-
and 90-day averages may change.
While the meter is in the setting mode, it will turn off automatically
without any action in three minutes.

19
STEP 6. Delete Memory
“dEL” and “ ” and flashing Yes/no is displayed on the screen. If
you do NOT want to delete memory, press the M button to select “no”
and then press set button to go to step 7. If you’d like to delete ALL
memory, press M button to select “yes”. Then press set button to
delete All memory. ”OK” is displayed in the meter, which means that
all data stored is deleted. Go to step 7.
STEP 7. Select and Set Alarm Function
The meter provides four alarms. You are able to set four different
alarm times a day. “On” or “OFF” and “ ” are displayed on the screen
rstly. Press the M button to turn on or turn off Alarm 1.
Alarm 1 setting
If you press the M button to select “OFF”, then press the set button to
go to set Alarm 2.

20
If you press the M button to select “On”, then press set button to
set hour. While the hour is flashing, press the M button to plus an
hour, and then press the set button. Blinking minute is displayed on
the screen. Press the M button to advance one minute. To move
faster, keep pushing the M button down. When the desired minute is
displayed, press the set button to proceed to the next alarm setting.
Alarm 2 setting
If you press the M button to select “OFF”, then press the set button to
go to set Alarm 3.
If you press the M button to select “On”, then press set button to set
hour. Set hour and minute according to the instruction described in
Alarm 1. Once finished, press the set button to go to set Alarm 3.