Metene TD-4116 User manual

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Blood Glucose Monitoring System
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Owner’s Manual
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BEFORE YOU BEGIN
Important Information
ySevere dehydration and excessive water loss may cause readings
which are lower than actual values. If you believe you are suffering
from severe dehydration, consult a healthcare professional
immediately.
yIf your blood glucose results are lower or higher than usual, and
you do not have any symptoms of illness, first repeat the test. If you
have symptoms or continue to get results which are higher or lower
than usual, follow the treatment advice of your healthcare
professional.
yUse only fresh whole blood samples to test your blood glucose.
Using other substances will lead to inaccurate results.
yIf you are experiencing symptoms that are inconsistent with your
blood glucose test results and you have followed all the instructions
given in this owner’s manual, contact your healthcare professional.
yThe device should not be used on severely hypotensive individuals
or patients in shock. Readings which are lower than actual values
may occur for individuals experiencing a hyperglycemic-
hyperosmolar state, with or without ketosis. Please consult the
healthcare professional before use.
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yLimitation
The device should not be used on individuals in hyperglycemic-
hyperosmolar state, with or without ketosis; not for neonatal use;
not for use on critically ill patients.
This device is not intended for use in healthcare or assisted-use
settings such as hospitals, physician offices, or long-term care
facilities because it has not been cleared by FDA for use in these
settings, including for routine assisted testing or as part of glycemic
control procedures. Use of this device on multiple patients may lead
to transmission of Human Immunodeficiency Virus (HIV), Hepatitis
C Virus (HCV), Hepatitis B Virus (HBV), or other bloodborne
pathogens.
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Test Principle
Your system measures the amount of sugar (glucose) in whole blood.
The glucose testing is based on the measurement of electrical current
generated by the reaction of glucose with the reagent of the strip. The
meter measures the current, calculates the blood glucose level, and
displays the result. The strength of the current produced by the
reaction depends on the amount of glucose in the blood sample.
Contents of System
Your new blood glucose monitoring system kit includes:
Meter
Owner’s Manual
Protective Wallet
Quick Start Guide
Blood Glucose Test Strips
Lancing Device
Sterile Lancets
1 x 1.5 V AAA alkaline batteries
Test strips (c), control solutions (d), sterile lancets (e) or lancing device
(f) are not included in the kit. They must be purchased separately.
Please make sure you have those items needed for a blood glucose
test beforehand.
The USB cable is not provided in the kit but an accessory for the data
transmission feature connecting to your PC (see section Downloading
Results onto your Computer). Please contact local customer services
or the place of purchase for obtaining the cable.
NOTE:
If any items are missing from your kit or opened prior to use, please
contact local customer services or place of purchase for assistance.

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Meter Overview
Test Strip Slot & Strip Indicator ġ
Insert test strip here to turn the meter on for testing.
Display Screen
M Button (M)
Enter the meter memory and mute a reminder alarm.
Data Port
Transfer test results with a cable connection.
Battery Compartment
SET Button (S)
Enter and confirm the meter settings.
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Display Screen
Test Result
Ketone warning
Error Warning
Memory symbol
Control solution mode
QC – control solution test
Measurement modes
AC – before meal
PC – after meal
Gen – any time of day
Date
Time
Day average
Reminder alarms
Measurement unit
Low battery symbol
Test strip symbol
Blood drop symbol
Test Strip
NOTE:
The PHWHQH7' Blood Glucose Meter should only be used
with PHWHQH 7'Blood Glucose Test Strips. Using other test
strips with this meter can produce inaccurate results
Absorbent hole Test strip handle
Confirmation window Contact bars
Attention:
The front side of the test strip should
face up when inserting the test strip.
Test results might be wrong if the
contact bar is not fully inserted into the
test slot.

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SETTING THE METER
Before using your meter for the first time or if you change the meter
battery, you should check and update these settings.
Entering the Setting Mode (a)
Start with the meter off (no test strip inserted). Press SET (S).
Setting the date
The sequence of the date setting is: YEAR ɦMONTH ɦDAY.
With the YEAR/MONTH/DAY flashing in sequence, press M button
(M) until the correct year/month/day appears. Press S.
Setting the time format
Press Mto select the desired time format (12h or 24h). Press S.
Setting the time
With the Hour/Minute flashing in sequence, press Muntil the
correct hour/minute appears. Press S.
Deleting the memory
With “dEL” and a “ġġġġ” symbol on the display, press Mand
select “no” to keep the results in memory then press Sto skip. To
delete all the results, press Mand select “yes” to delete all
memory records.
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Setting the reminder alarm
Your meter has four reminder alarms. The meter will display
“OFF” and “ ”. If you don’t want to set an alarm, press Sto
skip this step.
To set an alarm, press Mto select “On”, then press S. With the
hour/minute flashing in sequence, press Mto select the correct
hour/minute. Press Sand go to the next alarm setting.
When the alarm beeps, you can press Mto silence it or insert a test
strip to begin testing; if you ignore it, the meter will beep for 2
minutes then switch off.
Congratulations! You have completed all settings!
NOTE:
y These parameters can ONLY be changed in the setting mode.
y If the meter is idle for 3 minutes during the setting mode, it will
switch off automatically.
THE FOUR MEASURING MODES
The meter provides you with four modes for measuring, General, AC,
PC and QC. You can switch between each mode by:
Start with the meter switched off. Insert a test strip to turn on the
meter. The screen will display a flashing blood drop and “Gen”.
Press M button to switch between General, AC, PC and QC mode.

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BEFORE TESTING
Control Solution Testing
Our Control Solution contains a known amount of glucose that reacts
with test strips and is used to ensure your meter and test strips are
working together correctly.
Do a control solution test when:
y You first receive the meter
y At least once a week to routinely check the meter and test strips
y You begin using a new vial of test strips
y You suspect the meter or test strips are not working properly
y Your blood glucose test results are not consistent with how you feel,
or if you think the results are not accurate
y Practicing the testing process
y You have dropped or think you may have damaged the meter
Performing a Control Solution Test
To perform a control solution test, you will need: (b), (c) and (d).
Insert the test strip into the meter. There will be a strip light
indicating the test strip is inserted into the test slot. Wait for the
meter to display “ ” and “ ”.
Press M button to mark this test as a control solution test
With “QC” displayed, the meter will store your test result in memory
under “QC”. If you press Magain, the “QC” will disappear and this
test is no longer a control solution test.

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WARNING:
When doing the control solution test, you have to mark it so that the
test result will NOT mix with the blood glucose TEST RESULTS
stored in the memory. Failure to do so will mix up the blood glucose
test results with the control solution test results in memory.
Apply Control Solution (g)
Shake the control solution vial thoroughly before use. Squeeze
out a drop and wipe it off, then squeeze out another drop and
place it on the tip of the vial cap. Hold the meter to move the
absorbent hole of the test strip to touch the drop. Once the
confirmation window fills completely, the meter will begin counting
down. To avoid contaminating the control solution, do not directly
apply control solution onto a strip
Read and Compare the Result
After counting down to 0, the control solution test result will
appear on the display. Compare this result with the range printed
on the test strip vial and it should fall within this range. If not,
please read the instructions again and repeat the control solution
test.
NOTE:
y The control solution range printed on the test strip vial is for
control solution use only. It is not a recommended range for your
blood glucose level.
y See MAINTENANCE section for important information about
your control solutions.
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TESTING WITH BLOOD SAMPLE
WARNING:
To reduce the chance of infection:
yNever share a lancet or the lancing device.
yAlways use a new, sterile lancet. Lancets are for single use only.
yAvoid getting hand lotion, oils, dirt, or debris in or on the lancets
and the lancing device.
yWash and dry your hands thoroughly after handling the meter,
lancing device and test strips to prevent infection. For more
information, please refer to the “Cleaning and Disinfection”
section.
yIf the meter is being operated by a second person who is
providing testing assistance to the user, the meter and lancing
device should be decontaminated prior to use by the second
person.
Sharing the lancing device and lancets may increase the risk of
contracting infectious diseases. Lancing device must not be
used for more than one person.
Preparing the Lancing Device for Blood Testing
Please refer to the manufacturer’s instructions for the lancing device to
collect a blood sample.
Preparing the Puncture Site
Stimulating blood perfusion by rubbing the puncture site before blood
extraction significantly reduces variations between measurements.
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Please follow the suggestions below before obtaining a drop of blood:
yWash and dry your hands before starting.
ySelect the puncture site at fingertips or another body parts (please
see section “Alternative Site Testing” (AST) on how to select the
appropriate sites).
yClean the puncture site using cotton moistened with 70% alcohol
and let it air dry.
yRub the puncture site for about 20 seconds before penetration.
yUse a clear cap (included in the kit) while setting up the lancing
device.
Fingertip testing (h)
Press the lancing device’s tip firmly against the lower side of your
fingertip. Press the release button to prick your finger, then a click
indicates that the puncture is complete.
Blood from sites other than the fingertip (i)
Replace the lancing device cap with the clear cap for AST. Pull the
cocking control back until it clicks. When lancing the forearm, upper
arm, or hand, avoid lancing the areas with obvious veins because of
excessive bleeding.
NOTE:
yChoose a different spot each time you test. Repeated punctures
at the same spot may cause soreness and calluses.
yPlease consult your healthcare professional before you begin
AST.
yIt is recommended that you discard the first drop of blood as it
might contain tissue fluid, which may affect the test result.
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Performing a Blood Glucose Test
To perform a blood glucose test, you will need: meter (b), strip (c),
sterile lancet (f) and lancing device (e).
Insert the test strip to turn on the meter
Wait for the meter to display “ ” andġ“ ”.
Select the appropriate measuring mode by pressing M.
Obtaining a blood sample (j)
Use the pre-set lancing device to puncture the desired site. Wipe off
the first appeared drop of blood with a clean cotton swab. Gently
squeeze the punctured area to obtain another drop of blood. The
volume of blood sample must be at least 0.7 microliter (ȝL) of
volume. ( actual size). Be careful NOT to smear the blood sample.
Apply the Sample (k)
Gently apply the drop of blood to the absorbent hole of the test strip
at a tilted angle. Confirmation window should be completely filled if
enough blood sample has been applied. Do NOT remove your
finger until you hear a beep sound.
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NOTE:
y Do not press the punctured site against the test strip or try to
smear the blood.
y If you do not apply a blood sample to the test strip within 3
minutes, the meter will automatically turn off. You must remove
and reinsert the test strip to start a new test.
y The confirmation window should be filled with blood before the
meter begins to count down. NEVER try to add more blood to the
test strip after the drop of blood has moved away. Discard the
used test strip and retest with a new one.
y If you have trouble filling the confirmation window, please contact
your health care professional or the local customer service for
assistance.
Read Your Result
The result of the blood glucose test will appear after the meter
counts down to 0. This blood glucose result will automatically be
stored in the memory.
Remove the used test strip and lancet (l)
Remove the test strip by hand; throw the strip into a disposal
container. The meter will turn itself off automatically after the test
strip is removed.
Always follow the instructions in the lancing device package
insert when removing the lancet.

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WARNING:
ɁġThe used lancet and test strip may be biohazards. Please follow
your healthcare provider’s recommendations for proper disposal.
ɁġWash your hands thoroughly with soap and water after handling
the meter, lancing device and test strips to avoid contamination.
For more information, please refer to the “Cleaning and
Disinfection” section.
Alternative Site Testing
When you are doing alternative site testing, only samples from the
palm, upper arm and forearm should be used.
IMPORTANT:
There are limitations with AST (Alternative Site Testing). Please
consult your health care professional before you perform AST. AST
should not be used for calibrating continuous glucose monitors
(CGMs). AST should not be used for insulin dose calculations. AST
can be used only during steady-state blood glucose conditions.

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When to use AST?
Food, medication, illness, stress and exercise can affect blood glucose
levels. Capillary blood at the fingertip reflects these changes faster
than capillary blood at other sites. Thus, when testing blood glucose
during or immediately after a meal, physical exercise, or any other
event, take a blood sample from your finger only.
We strongly recommend that you perform AST ONLY at the following
times:
yIn a pre-meal or fasting state (more than 2 hours since last meal).
yTwo hours or more after taking insulin.
yTwo hours or more after exercise.
Do NOT use AST if:
yYou think your blood glucose is low.
yYou are unaware of hypoglycemia.
yYou are testing for hyperglycemia.
yYour AST results do not match the way you feel.
yYour routine glucose results often fluctuate.

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METER MEMORY
The meter stores the 450 most recent blood glucose test results along
with respective dates and times in its memory. To enter the meter
memory, start with the meter switched off.
Reviewing Test Results
Press and release M. “ ” will appear on the display. Press M
again, and the first reading you see is the last blood glucose result
along with date, time and the measurement mode.
Press M to recall the test results stored in the meter each time you
press. After the last test results, press M button again and the
meter will be turned off.
Reviewing Blood Glucose Day Average Results
Press and release M. When “ġġġġ” appears on the display, keep
pressing Mfor 3 seconds until the flashing “DAY AVG” appears.
Release Mand then your 7-day average result measured in general
mode will appear on the display.
Press M to review 14-, 21-, 28-, 60- and 90- day average results
stored in each measuring mode in the order of Gen, AC, and then
PC.
Exit the meter memory. Keep pressing the M button and the meter
will turn off after displaying the last test result.
NOTE:
y Any time you wish to exit the memory, keep pressing Mbutton for
5 seconds or leave it without any action for 3 minutes. The meter
will switch off automatically.
y Control solution results are NOT included in the day average.

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DOWNLADING RESULTS TO A COMPUTER
Data transmission via cable
You can use the meter with the USB cable and the Health Care
Software System to view test results on your personal computer. To
learn more about the Health Care Software System or to obtain the
USB cable separately, please contact local customer services or the
place of purchase for assistance.
Obtaining the required cable and installing the software.
To download the Health Care Software System, please visit the
metenecare, website at http://metene.com.
Connecting to a personal computer
Connect the cable to the USB port on your computer. With the
meter switched off, connect the other end of the USB cable to the
meter data port. "USb" will appear on the meter display, indicating
that the meter is in communication mode.
Data transmission
To transmit data, follow the instructions provided with the software.
Results will be transmitted with date and time. Remove the cable
and the meter will automatically switch off.
WARNING:
While the meter is connecting to the PC, it will be unable to perform
a blood glucose test.
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MAINTENANCE
Battery
Your meter comes with one 1.5 V AAA size alkaline battery.
Low Battery Signal
The meter will display one of the messages below to alert you when
the meter power is getting low.
The “ ” symbol appears along with display messages:
The meter is functional and the result remains accurate, but it is
time to change the batteries.
The “ġġġġġġ” symbol appears with E-b andġ“ ”:
The power is not enough to do a test. Please change the batteries
immediately.
To replace the batteries, make sure that the meter is turned off.
(m)
Press the edge of the battery cover and lift it up to remove.
Remove the old batteries and replace with one 1.5 V AAA size
alkaline battery.
Close the battery cover. If the battery is inserted correctly, you will
hear a "beep" afterwards.
NOTE:
y Replacing the batteries does not affect the test results stored in
the memory.
y As with all small batteries, these batteries should be kept away
from small children. If swallowed, promptly seek medical
assistance.
y Batteries might leak chemicals if unused for a long time. Remove
the battery if you are not going to use the device for an extended