Liberty System User manual

INTRODUCTION:
iberty Blood Glucose Monitoring System
The Liberty System is a simple, accurate way to
test whole blood glucose (sugar) level, anytime,
anywhere. Our goal is to provide quality healthcare
products and dedicated customer service.
Caution! Pl as r ad compl t Own r’s Bookl t
and all product Instructions for Us .
Importance of Blood Glucose Monitoring
The more you know about diabetes, the better you
will be able to care for yourself. A Doctor or Diabetes
Healthcare Professional will determine your target
range for blood glucose results and how often to test.
Keeping results within your target range helps slow or
stop complications from diabetes.
Having most blood glucose results within your target
range shows how well a treatment plan is working to
control glucose levels. NEVER change your
treatment plan without consulting a Doctor or
Diabetes Healthcare Professional.
Use of the Liberty System in a manner not specified
in this Owner’s Booklet is not recommended and may
affect ability to determine true blood glucose levels.
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IMPORTANT INFORMATION:
Health Related Information
• Inaccurate results may occur in severely
hypotensive individuals or patients in shock.
Inaccurate results may occur for individuals
experiencing a hyperglycemic-hyperosmolar
state, with or without ketosis. ritically ill
patients should not be tested with a blood
glucose meter.2
• Low blood glucose (hypoglycemia) symptoms
may be:
- trembling, sweating, intense hunger,
nervousness, weakness, and trouble speaking.
• High blood glucose (hyperglycemia) symptoms
may be:
- intense thirst, a need to urinate often, a dry
mouth, vomiting, and headache.
If you have any of these symptoms, check your
blood glucose. If your result does not match the
way you feel, repeat the test. If your results still do
not match the way you feel, call your Doctor or
Healthcare Professional.
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WARNING!
Do not use the Liberty System if you are receiving:
• Peritoneal dialysis using solutions containing
icodextrin (Extraneal®, Icodial®) that is
metabolized to maltose,
• Injections or infusions of solutions containing
galactose or maltose, including some human
immunoglobulin preparations (Octagam®),
• Xylose absorption testing,
• Intervenous solutions containing maltose,
• Any drugs which contain or metabolize to
maltose, galactose, or xylose.
Using the System when receiving the above
treatments may cause false high glucose results.
False high results may cause you to give insulin,
which may result in coma and death.3
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IMPORTANT INFORMATION:
For the most accurate results using the Liberty System:
•Read all instructions before testing.
• Meter displays results as Plasma values.
• Use only iberty Test Strips and iberty Glucose
Control with the iberty Meter.
• Do not use for diagnosis of diabetes or for testing
blood glucose in newborns.
• Perform Control Tests b for performing a blood
glucose test for the first time (see Getting Started).
Not :
Two levels of Liberty Glucose Control Solution are
available for Quality Control Testing. Call for
availability using the number located on the cover of
the wner's Booklet for information on obtaining
different levels of Liberty Glucose Control Solution.
• The iberty system is an in vitro (outside body)
quantitative system that is used for self-testing and
point-of-care testing of human whole blood only.
For Healthcare Professionals:
• The most accurate results come from using fresh, capillary
whole blood from fingertip or forearm. Venous whole blood
drawn in EDTA (purple top tube) or heparin (green top
tube) may be used. Mix tube contents gently before using.
• If comparing results between the Liberty System and a lab
system, perform a Liberty System blood test within 30
minutes of lab test. Results from the Liberty System are
considered accurate if within + 20% of lab results. If patient
has recently eaten, fingerstick results from the Liberty System
can be up to 70 mg/dL higher than venous lab results.4
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Phone Number, Fast Test Guide, Expected Result ..................
...................................................................................see covers
Introduction and Important Information ........................1-4
Table of Contents ...................................................................5
Know Your System
Meter .................................................................................6-7
Meter Display.......................................................................8
Test Strip .............................................................................9
Test Strip Vial Label...........................................................10
Glucose ontrol Bottle Label ............................................11
Getting Started
Quality ontrol .............................................................12-13
ontrol Test...................................................................14-17
Testing your Blood
Obtaining a Blood Sample............................................18-19
Testing Blood Glucose..................................................20-21
System Out of Range Warning Messages..........................22
Meter Set Up
Time and Date...............................................................23-24
Alert and Reminders .....................................................25-27
Memory
Viewing Averages (7, 14 and 30-day) ................................28
Viewing Results in Memory ..............................................29
Care and Troubleshooting
aring for the Liberty System ......................................30-31
hanging Battery ..........................................................32-33
Troubleshooting..................................................................34
Display Messages ......................................................35-36
Meter Specifications/ hemical omposition........................37
Meter Warranty ......................................................................38
References..............................................................................39
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Know Your System
Meter
➀“ + ” Button
Increase numbers in Meter Set Up; add Alternate
Site Symbol; move forward by date/time when
viewing results in Memory.
➁“ S ” Button
Select settings; view Average values; view results in
Memory.
➂“ - ” Button
Decrease numbers in Meter Set Up; remove
Alternate Site Symbol; move backward by date/time
when viewing results in Memory.
Top of Meter
1 32
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➀Display Screen
Shows results, messages, user prompts, information.
➁Test Port
Insert Liberty Test Strip here.
➂Strip Release Button
Releases Strip after testing.
➃Battery Door
Use one non-rechargeable 3V lithium battery
(# R2032), positive (“+”) side up (see Changing
Battery).
➄Meter abel
ontains Serial Number of Meter and phone
number to call for assistance.
7
4
5
Back of Meter
2
1
Front of Meter
3
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Full Display Screen
1. Result is from Memory
2. Time, Date
3. Time is AM/PM
4.
Result is from 7, 14, or 30 day Average
5. Day of Week
6. Test Result
7. Units of Measure (Note: Factory set, cannot be
changed by user.)
8. Ketone Test Alert (
see Meter Set-Up)
9. Testing Reminder (see Meter Set-Up)
10. Temperature Symbol
11. Apply Sample Symbols
12. Alternate Site (ALT) Symbol
13. Battery Symbol
14. ontrol Symbol
3
4
2
1
7
6
5
8
9
10
11
12
13
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➀Contact End - Insert into Test Port with contact
end facing up .
➁Sample Tip - Bring sample (fresh, capillary or
venous blood or Glucose ontrol) to edge of Tip.
Tip draws sample into Strip for testing.
Sample Placement
Corr ct Plac m nt Incorr ct Plac m nt
• Allow sample (blood or Glucose ontrol drop)
to be drawn into Sample Tip.
• Do not smear or scrape drop with Strip.
• Do not apply more sample to the Strip after
removing from drop.
Not : Do not apply blood or Glucose Control to
top of Test Strip!
Not : Do not insert Sample Tip with sample into
Meter for testing. May cause Meter not to
turn on.
Test Strip
12
Top of Test Strip
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➀ot Number ( OT) - Used for identification
when calling for assistance.
➁ Expiration Dates (EXP) - Write date first
opened on vial label. Discard vial and unused
Strips if either 3 months after opening or date
printed next to EXP on vial label has passed.
Caution! Use of Test Strips or Glucose Control
past the Expiration Dates may give
incorrect test results. Discard out-of-
date products and test with new
products.
➂Control Range - Range of numbers in which
ontrol Test results must fall to assure the
System is working properly.
10
Test Strip Vial abel
1
2
2
3
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Glucose Control Bottle abel
➀ot Number ( OT) - Used for identification
when calling for assistance.
➁ Expiration Dates (EXP) - Write date first
opened on bottle label. Discard bottle if either 3
months after opening or date printed next to
EXP on bottle label has passed.
➂Control evel (1 and 2) - Two levels of Liberty
ontrol are available. We recommend testing at
least 2 levels of ontrol. Use the number on the
front cover for information on how to obtain
different levels of ontrol.
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Getting Started
The Meter turns on automatically when a Test Strip
is inserted into the Test Port or when “ S ” Button is
pressed (see Memory and Meter Set Up). Meter turns
off automatically when the Strip is released from the
Meter or after 2 minutes of non-use.
Meter comes with pre-set time, date and all testing
Alerts and Reminders off. Before using the Meter
for the first time or after a battery change, check the
time, date, Alerts and Reminders, and update as
needed (see Meter Set Up).
We recommend performing ontrol Tests for
practice before using your Meter for the first time to
test your blood. ontrol Tests should also be
performed:
• When using the System for the first time,
•
Occasionally as you use the container of Test Strips,
• When opening a new vial of Strips,
• When Meter results seem unusually low or high, or
• Meter was dropped.
Quality Control Testing
To assure you are getting accurate and reliable
results, the Liberty system offers two kinds of
quality control tests. These tests let you know that
your Liberty System is working properly.
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Automatic Self-Test
An Automatic Self-Test is performed by the Meter
each time a Liberty Test Strip is inserted correctly
into the Test Port.
( ontact end facing up.)
If after inserting a Test Strip properly in
the Test Port, the Full Display (no
missing segments) displays followed by
the Apply Sample Symbols, when the
Meter is working properly.
If an error message appears in the
Display, the Meter will not perform a
test. If an error message appears, see
Troubleshooting or call for assistance
(see cover for phone number).
Caution! If segments are missing in the Display
when Meter is first turned on, do not
use the Meter for testing. Call for
assistance.
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Control Test
ontrol Tests check that the System is working
properly.
Use ON Y Liberty Glucose ontrol to check
performance of the System.
Important Information: There are two levels of Liberty
Glucose Control Solution available that contain
known amounts of glucose. It is important to
perform Control Tests with more than one level of
Control to assure your System is working properly
and your testing technique is good. See front cover
for phone numbers to call for more information on
obtaining different levels of Control.
Caution! Ranges printed on Strip vial label are
for Control Test results only and ar not
suggested levels for your blood
glucose.
Do not drink Glucos Control.
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How to Test Glucose Control
1. Allow ontrol, vial of Strips and Meter to
adjust to room temperature 59-86°F. Write date
first opened on both ontrol label and Strip
vial label.
Not : Running a Control Test at
temperatures outside the range
listed above may cause Control
to read as a blood test.
2. heck dates on ontrol label and Strip vial
label. Do not use ontrol or Strips if either
3 months after opening or after date
printed next to EXP on label. Discard
out-of-date products and use new
products if either date has passed.
3. Swirl or invert bottle gently to mix ontrol.
DO NOT SHAKE!
4. Remove Strip from vial. Recap Strip vial
immediately.
Not : Use Strip quickly after removal
from vial. Strips that have been
left out of vial too long will give
an error message. If error
message appears in Display,
discard old Strip and use new
Strip for testing.
5. Insert Strip into Test Port. ( ontact
end facing up.) Meter turns on.
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6. Wait until Apply Sample Symbols
appear in Display. Keep Strip in
Meter until testing is finished.
Not : If Strip is removed before testing
is finished, an error message
appears. Release and discard
old Strip. Use new Strip for
testing.
7. Turn ontrol bottle upside down.
Squeeze one drop of ontrol onto
a clean tissue. Wipe off bottle tip.
8. Gently squeeze a ontrol drop onto
a small piece of unused aluminum
foil or clear plastic wrap. Dispose
after use.
9. With Strip still in Meter, touch edge
of Sample Tip to drop of ontrol
and allow drop to be drawn into
Strip. Remove Strip from drop when
Meter beeps.
10. Dashes appear across the Display to
show Meter is testing.
Not : If Meter does not beep or begin
testing soon after drawing up sample,
(dashes appear in Display), release and
discard Strip. Repeat test with new Strip.
If problem persists, see Troubleshooting.
Apply Sample
Symbols
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11. ompare result to ontrol Range
printed on Strip vial label for
ontrol Level you are using.
If result is in range, System
can be used for testing blood.
If result does not fall within
range, repeat test using a new
Strip.
Not : Control Test result shows
the Control Symbol in the
Display.
Caution! If Control Test result is outside range,
test again. If result is still outside range,
System should not be used for testing
blood. Call for assistance (see front
cover for phone number).
12. After test, Strip Release
Button flashes. Hold Meter
with Test Strip pointing
down. Press Strip Release
Button to release and discard
Strip in appropriate
container. Meter turns off.
ontrol Symbol
Test Strip
Vial Label
Glucose ontrol
Bottle Label
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Obtaining a Blood Sample
Refer to Lancing Device “Instructions for Use” for
detailed instructions.
•Never share a lancet or lancing device.
• Lancets are for single use only.
From Fingertip
1. Prepare fingertip by washing hands in warm,
soapy water. Rinse well. Dry thoroughly.
2. Place end of Lancing Device
against tip of finger. Lance
fingertip.
3. Set Lancing Device aside. To help blood drop
form, lower hand to waist level, gently massage
finger from palm to fingertip. Allow blood
drop to form before attempting to apply to Test
Strip.
Always remove and discard used Lancet in
appropriate container when testing is complete.
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For Forearm Testing
1. Select area to be lanced. Wash with soap and
warm water, rinse and dry thoroughly.
2. Rub area vigorously or apply a warm dry
compress to increase blood flow.
3. Place end of Lancing Device
firmly against forearm. Press
trigger button. Apply firm
pressure on lancing device
for 10 seconds.
Not : Some lancing devices include a special end
cap for alternate site testing. Check lancing
device Instructions for Use.
Important Notes Regarding Forearm Testing5
• heck with your Doctor or Diabetes Healthcare
Professional to see if forearm testing is right for you.
• Results from forearm are not always the same as
results from finger.
• Use finger instead of forearm for more accurate
results:
- Within 2 hours of eating, exercise, or taking insulin,
- If your blood sugar may be rising or falling
rapidly or your routine results are often fluctuating,
- If you are ill or under stress,
- If your forearm test results do not match how you feel,
- If your blood sugar may be low or high,
- If you do not notice symptoms when blood sugar
is low or high.
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How to Test Blood Glucose
1. heck dates on Test Strip vial being used. Do
not use if either 3 months after opening or after
date printed next to EXP on label has passed.
2. Wash hands (and forearm for alternate site
testing). Rinse well and dry thoroughly.
3. Remove Strip from vial. Recap vial
immediately.
Not : Use Strips quickly after removal from vial.
Strips that have been left out of vial too
long gives an error message. Discard old
Strip and use new Strip for testing.
4. With Meter off, insert Test
Strip ontact End (contact
end facing up) into Test Port.
Meter turns on. Keep Strip
in Meter until testing is
finished.
Not :
To mark t st as alt rnat sit r sult, pr ss
“ + ” Button. ALT Symbol app ars in
Display. Pr ss “ - ” to r mov ALT Symbol.
5. Wait until Apply Sample Symbols
appear in Display.
6. Lance fingertip or forearm. Allow
drop to form (see btaining a Blood
Sample).
Apply Sample
Symbols
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