ONCALL Extra User manual

i
Blood Glucose Monitoring System
Self-monitoring of blood glucose (SMBG) is an integral part of diabetes care, but
the high cost of testing can make this impossible. At ACON, our goal is to provide
high quality glucose monitoring at a price that allows you to test as often as
necessary. Together, we can better manage your diabetes and help you live a
longer and healthier life.
Welcome, and thank you for choosing the On Call®Extra Blood Glucose
Monitoring System. The On Call®Extra Blood Glucose Monitoring System will
give you accurate blood glucose results in just a few simple steps.
To ensure accurate results from your On Call®Extra Blood Glucose Monitoring
System, please follow these guidelines:
•Read instructions before use.
•Use only On Call®Extra Blood Glucose Test Strips with the On Call®Extra
Blood Glucose Meter.
•For in vitro diagnostic use only. Your blood glucose monitoring system is to be
used only outside the body. It’s for monitoring the effectiveness of diabetes
control. It should not be used for the diagnosis of diabetes.
•For self-testing and professional use.
•Test only whole blood samples with the On Call®Extra Blood Glucose Test
Strips and On Call®Extra Meter.
•For self-testers, consult your physician or diabetes healthcare professional
before making any adjustments to your medication, diet or activity routines.
•Keep out of reach of children.
•Keep this User’s Manual in a safe place, do not discard it.
Following the instructions outlined in this User's Manual. You will be able to use
your On Call®Extra Blood Glucose Monitoring System to monitor your blood
glucose and better manage your diabetes.

ii
Table of Contents
Getting Started.................................................................................................... 1
Component Descriptions............................................................................ 2
On Call®Extra Blood Glucose Meter.......................................................... 3
Meter Display............................................................................................. 5
On Call®Extra Blood Glucose Test Strips .................................................. 7
On Call®Extra Glucose Control Solution.................................................... 9
Installing the Battery .........................................................................................11
Meter Setup Before Testing ..............................................................................12
Performing a Quality Control Test....................................................................17
Testing Your Blood............................................................................................21
Step 1 – Getting a Drop of Blood ..............................................................21
Step 2 – Testing Blood Glucose ................................................................26
“HI” and “LO” Messages............................................................................29
“Hypo” and “Hyper” Messages ..................................................................30
“Ketone?” Message...................................................................................30
Using the Meter Memory ...................................................................................31
Viewing Stored Records............................................................................31
Clearing the Memory.................................................................................33
Transferring Records.................................................................................33
Maintenance.......................................................................................................35
Replacing the Battery................................................................................35
Caring for Your On Call®Extra Blood Glucose Monitoring System ............36
Suggested Testing Times and Target Goals....................................................37
Comparing Meter and Laboratory Results.......................................................38
Troubleshooting Guide .....................................................................................39
Specifications ....................................................................................................41
Warranty.............................................................................................................42
Index of Symbols ...............................................................................................43
Index ...................................................................................................................44

Before t
e
your O
n
On Call
®
purchas
e
on whic
h
e
sting, read the in
n
Call
®
Extra B
l
®
Extra product y
o
e
d separatel
y
. Pl
e
h
components ar
e
Blood Gluc
o
Lancing
D
Sterile
L
1
Getting
S
structions careful
l
l
ood Glucose M
o
u purchased, so
m
e
ase check the lis
t
e
included with yo
u
Carrying
o
se Mete
r
D
evice
L
ancet
S
tarted
ly
and learn abou
t
onitoring Syste
m
m
e of the compo
n
t
of contents on t
h
u
r purchase.
Case
T
Co
n
t
all the compone
n
m
. Depending on
n
ents may need
t
h
e outer box for d
e
T
est Strips
n
trol Solution
Clear Cap
n
ts of
n
the
t
o be
e
tails

2
Component Descriptions
1. Blood Glucose Meter: Reads the test strips and displays the blood glucose
concentration.
2. Test Strips: Strips with a chemical reagent system used with the meter to
measure glucose concentration in blood.
3. Lancing Device: Used with sterile lancets to prick the fingertip, palm (at the
base of the thumb) or forearm for blood sample collection. The packaged
lancing device has multiple depth settings, allowing users to adjust the depth
of the puncture and minimize discomfort. It can also eject the used lancets.
4. Clear Cap: Used with the lancing device and sterile lancet to draw a blood
sample from the forearm or palm.
5. Sterile Lancets: Used with the lancing device to draw a blood sample. Sterile
lancets are inserted into the lancing device with each blood draw and
discarded after use.
6. Control Solution: Verifies the proper operation of the blood glucose monitoring
system by checking the test strips and meter against a pre-calibrated control
solution. Control Solution 1 is all you need most of the time. Control Solution 0
and Control Solution 2 are also available if you want to do a level 0 or level 2
test. The three levels of control solution, CTRL 0, CTRL 1 and CTRL 2 are
available in the On Call®Extra Glucose Control Solution package which is sold
separately.
7. Carrying Case: Provides portability for blood glucose testing wherever you go.
8. User's Manual: Provides detailed instructions on using the blood glucose
monitoring system.
9. Quick Reference Guide: Provides a brief overview of the blood glucose
monitoring system and testing procedures. This small guide can be kept in
your carrying case.
10. Warranty Card: Should be completed and returned to the distributor to qualify
for the 5-year meter warranty.

3
On Call®Extra Blood Glucose Meter
The meter reads the test strips and displays the blood glucose concentration. Use
these diagrams to become familiar with all the parts of your meter.
Battery Cover
Strip Port
Liquid Crystal
Display (LCD)
Strip Ejector
►Button◄Button
Data Por
t

4
Liquid Crystal Display (LCD): Shows your test results and helps you through the
testing process.
◄Button: Recalls previous test results from the meter memory and performs
other menu selection functions.
►Button: Selects meter settings and performs other menu selection functions.
Strip Port: Test strips are inserted into this area to perform a test.
Strip Ejector: Slide the ejector forward to discard the used test strip.
Note: Dispose of blood samples and materials with care. Treat all blood samples
as if they are infectious materials. Follow your healthcare provider’s
recommendations for disposal.
Battery Cover: Remove the battery cover to install one CR 2032 coin cell battery.
Data Port: Sends information to a computer via an optional data transfer cable.
Allows you to view, analyze and print stored data in the meter. The data transfer
cable is available for order as an optional add-on.

5
Meter Display
Battery Symbol: Warns when you should replace the battery.
Blood Drop / Strip Symbol: Wait for the Blood Drop / Strip Symbol to appear
before applying the sample. These two symbols appear at the same time.
Pound Sign (#): Appears with the control solution test result or when you mark an
invalid result to prevent it from being included in the average.
Control Solution Symbol: Indicates a control test result. A pound sign (#) will also
be displayed when control solution symbol appears.
Test Result Area: Indicates the test result.
Test Remind Symbol: Appears when reminding you to test blood glucose.
Before Meal Symbol: Appears when before-meal test results are displayed.
After Meal Symbol: Appears when after-meal test results are displayed.
Measurement Unit: Only one unit will be displayed on your meter. It cannot be
adjusted.
Hyper Symbol: Appears when the blood glucose concentration is above the
“Hyperglycemia” (high blood sugar) target level that you have set.
Hypo Symbol: Appears when the blood glucose concentration is below the
“Hypoglycemia” (low blood sugar) target level that you have set.
Ketone: Appears when the blood glucose concentration is above 16.7 mmol/L
(300 mg/dL). This simply suggests that a ketone test is recommended. Consult
your healthcare professional about testing for ketones.
Note:This symbol does not mean that the system has detected ketones. It
recommends that a ketone test should be taken.
MEM: Shows a test result stored in memory.
Month Day Hour Minutes
Pound Sign (#)
Test Remind Symbol
Before Meal Symbol
After Meal Symbol
Battery Symbol
Measurement Unit
Hyper Symbol
Blood Drop
/
Strip Symbol
Memory Ketone Hypo Symbol
Test Resul
t
Area
Control Solution
Symbol

6
Meter Use and Precautions
•Wait for the Blood Drop / Strip Symbol to appear before applying the sample.
•The meter is pre-set to display blood glucose concentration in either millimoles
per liter (mmol/L) or milligrams per deciliter (mg/dL) depending on which unit of
measure is standard in your country. This unit of measure cannot be adjusted.
•Meter will shut off by itself after 2 minutes of inactivity.
•Do not get water or other liquids inside the meter.
•Keep the strip port area clean.
•Keep your meter dry and avoid exposing it to extremes temperature or humidity.
Do not leave it in your car.
•Do not drop the meter or get it wet. If you do, check the meter by running a
quality control test. Refer to Quality Control Test on page 17 for instructions.
•Do not take the meter apart. This will void the warranty.
•Refer to the Caring for Your Meter section on page 36 for details on cleaning
the meter.
•Keep the meter and all associated parts out of the reach of children.
Note:Follow proper precautions and all local regulations when disposing of the
meter and used battery.
All Glucose Systems Preventive Warnings with Regard to EMC:
1. This instrument is tested for immunity to electrostatic discharge as specified in
IEC 61000-4-2. However, use of this instrument in a dry environment,
especially if synthetic materials are present (synthetic clothing, carpets, etc.)
may cause damaging static discharges that may cause erroneous results.
2. This instrument complies with the emission and immunity requirements
described in EN61326-1 and EN61326-2-6. Do not use this instrument in close
proximity to sources of strong electromagnetic radiation, as these may interfere
with proper operation of the meter.
3. For professional use, the electromagnetic environment should be evaluated
prior to operation of this device.

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T
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e
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ly full. The mete
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indow does not f
p
.
ample Tip
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pply blood or con
t
C
heck Window
C
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h
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mple has been
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7
o
d Glucose
T
d
Glucose Te s t
S
They work with t
o
ncentration in w
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n
to the reaction
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nt is formed du
r
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d based on the
e
the meter displa
y
sample only to t
o
lution to the top
h
e sample tip of
t
r
will then begin to
s
tart, you may re
a
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ow does not fill
a
the test strip. If y
o
u
lt. In this case if t
ill, discard the st
r
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h
at a sufficient
a
pplied.
o
rrect
T
est Strips
S
trips are thin stri
he On Call
®
Extr
a
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ole blood. After t
h
tip of the test st
r
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ell where the r
e
r
ing the reactio
n
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lectrical current
d
y
. The meter is
s
he sample tip of
of the test strip.
t
he test strip unti
l
count down. If y
o
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pply a second
d
a
nd the meter sta
r
o
u do then you m
a
he meter begins
t
r
ip and begin the
Contact Bars
Insert this end
o
into the meter u
Incorrect
ps. The strips h
a
a
Blood Glucose
M
h
e strip is inserte
d
r
ip. The blood is
e
action takes pla
c
. The blood glu
d
etected by the
m
s
et to display pl
a
the test strip. D
o
This may result i
l
the check wind
o
u applied blood b
u
d
rop of blood wit
h
r
ts to count down,
a
y get an E-5 mes
s
t
o count down an
d
test again with a
o
f the test strip
ntil it stops.
a
ve a
M
eter
d
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then
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cose
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ete
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.
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ut do
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Storag
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Please
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Writ
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vial
inac
c
e
and Handling
r
eview the followi
n
e
test strips in a
m
heat and direct
s
n
ot freeze or refri
g
n
ot store or use te
n
ot store the m
e
n
ers that contain
b
test strip should
b
eated insertion a
u
lt in reading erro
r
n
ot use your test
l. Using test str
r
rect test results.
e
: The expiration
u
ary, 2014.
Instructions for
t
strips must be s
t
p
s them in good
w
n
ot transfer test st
l
ace the cap on t
h
e
w vial of test str
e
the opened ex
p
6 months after
y
c
urate readings.
C
o
8
n
g storage and h
a
cool, dry place a
t
s
unlight.
g
erate.
st strips in a hum
i
e
ter, the test stri
b
leach.
b
e used immediat
e
nd removal of a
r
s.
strips past the u
n
ips past the un
o
date is printed i
Test strip in the
t
ored in the origi
n
w
orking condition.
rips to a new vial
h
e test strip vial i
m
r
ips may be used
p
iration date on t
h
y
ou first open it.
o
rrect
a
ndling instruction
s
t
2-30 °C (36-86
i
d place such as
a
ps or control so
e
ly after removin
g
test strip into th
e
n
opened expirati
o
o
pened expiratio
n
n Yea
r
-Month fo
r
Vial
n
al vial with the c
a
or any other cont
a
m
mediately after r
e
for 6 months af
t
h
e vial label afte
r
Usage after this
Incorrect
s
:
°F). Store them
a
a
bathroom.
l
ution near blea
c
g
it from container
.
e
meter strip port
o
n date printed o
n
n
date may pro
d
r
mat. 2014-01 m
e
a
p tightly closed.
a
iner.
e
moving a test str
i
er being first op
e
opening. Discar
d
period may res
u
a
way
c
h or
.
may
n
the
d
uce
eans
This
i
p.
e
ned.
d
the
u
lt in