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TD-4230

BLOOD GLUCOSE 

MONITORING SYSTEM

Owner’s

Manual

311-4230200-003
Version 1.0  2009-11 

Summary of Contents for TD-4230

Page 1: ...TD 4230 BLOOD GLUCOSE MONITORING SYSTEM Owner s Manual 311 4230200 003 Version 1 0 2009 11 ...

Page 2: ...s 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 si...

Page 3: ...ep the equipment and its flexible 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 ...

Page 4: ... 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...

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

Page 6: ...est 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 acet...

Page 7: ...ey 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 fingertip When to use AST Food medication illness stress and exercise can affect blood glucose levels Capillary blood at fingertip reflects these changes faster than capillary blood at other sites Therefore when testing blood glucose during or immediately af...

Page 8: ...timulating blood perfusion by rubbing the puncture site prior to blood extraction has a significant influence on the glucose value obtained Blood from the site without rubbing exhibits a measurably different glucose concentration than blood from the finger Please follow suggestions below before getting a drop of blood Rub the puncture site about 20 seconds before penetration Use a clear cap includ...

Page 9: ...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 an...

Page 10: ... 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 find 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 h...

Page 11: ...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 ...

Page 12: ...ry MEASUREMENT UNIT Appears with the test result either in mmol L or in mg dL KETONE WARNING Appears 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 firs...

Page 13: ... 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 firmly until it will go no further Test Strip Handle Hold this part to insert the test strip into the slot Confirmation Window This is where you confirm if enough blood has been applied to the absorbent hole of the strip Absorbent Hole Apply...

Page 14: ...en 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...

Page 15: ...e 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 ...

Page 16: ...ear 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 th...

Page 17: ...ur 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 flash 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 bu...

Page 18: ...e 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...

Page 19: ... 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 firstly Press the M button to turn on or turn off Alarm 1 Alarm 1 setting If you press the M button to sele...

Page 20: ...inute 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 fi...

Page 21: ...ct OFF then press the set button to go to set Alarm 4 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 After finished press the set button to go to set Alarm 4 ...

Page 22: ...FF press the set button to turn off the meter 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 After finished setting Alarm 4 press set button to turn off the meter ...

Page 23: ... Select and Set Alarm Function for information If you have turned on the alarm function the meter will auto start at the time point you set with short beeps for two minutes An example if set Alarm 1 at 10 00 AM The meter automatically turns on at 10 00 AM everyday with beeping for two minutes blinking and You can directly insert a new strip to perform blood glucose test now ...

Page 24: ...cally PLEASE NOTE If the alarm function is set the alarm symbol will appear on the screen when the meter is off Each alarm setting function is independent you can set alarm function separately and the setting will not affect other alarm function An example if set Alarm 1 at 10 00 AM and Alarm 2 at 2 00 PM The meter automatically turns on at 10 00 AM first and next turns on at 2 00 PM You can direc...

Page 25: ...he control solution test be performed When you use this system to test your blood for the first time practice the procedure using control solution When you can do three tests in a row that are within the expected range you are ready to test your blood To routinely check the meter and test strips perform a single test for each level of control solution at least once a week When should the control s...

Page 26: ...od sample and an accurate result Use only for 3 months after first opening Record the first opening date on the control solution vial Discard after 3 months Store the control solution tightly closed at temperatures 2 C to 30 C 36 F to 86 F Do not freeze PLEASE NOTE The control solution range printed on the test strip vial is for TaiDoc control solution only It is used to test meter and test strip ...

Page 27: ...ith contact bars end first and facing up into the test slot The meter turns on automatically and displays the following in sequence CHK and and flashing with date and time Doing a Control Solution Test TAKE A TEST STRIP OUT WITH CLEAN AND DRY HANDS FIRST ...

Page 28: ... a control solution test press the C button again and the CTL sign will disappear WARNING Contact bars must be inserted all the way into the meter or you may get an inaccurate test result Every time you perform a control solution test you must enter into the CTL test mode so that the test result will not be stored in the meter memory Failure to do so will confuse the blood glucose test result with...

Page 29: ...e drop to the top of cap STEP 4 Apply Control Solution While holding the meter move the absorbent hole of the test strip to touch the drop of control solution Then the drop will be automatically drawn into the test strip Make sure the confirmation window fills completely The meter begins to count down To avoid contaminating the control solution with the content of the test strip you have to place ...

Page 30: ...trip vial It should fall within this range Out of range results If test results fall outside the range printed on the test strip vial check the section Problem in Operation in troubleshooting guide and repeat the test If you continue to get out of range results it means that the system may not be working properly Do NOT test your blood Please call your local agent for help ...

Page 31: ...needed to test A Blood Glucose Meter B Test Strip C Lancing Device D Sterile Lancet E Clear Cap For AST use A B C D E WARNING To reduce the chance of infection Never share a lancet or the lancing device with others Always use a new sterile lancet Lancets are for single use only Avoid getting hand lotion oils dirt or debris in or on the lancets and the lancing device ...

Page 32: ...rom the lancet Replace the cap by aligning the arrow on the cap with the release button Select the depth of penetration by turning the adjustable tip in either direction so that the arrow on the cap points to the appropriate depth Soft or thin skin Shallow The longer the length of the indicator line the greater the depth of penetration Depth Indicator Deep Average skin Thick or calloused skin This...

Page 33: ...l back until it clicks When lancing the forearm upper arm hand thigh or calf avoid lancing the areas with obvious veins for excess bleeding Blood from sites other than the fingertip The lancing device is now ready for use Set aside for later use STEP 2 Insert Test Strip Insert a test strip with contact bars end first and facing up into the test slot The meter turns on automatically and displays th...

Page 34: ...in blood But be attention NOT to smear the blood sample The volume of blood sample must be at least 0 7 microliter actual size STEP 3 Get a Drop of Blood Select the puncture site either in finger or in other parts AST Clean the puncture site with 70 alcohol cotton and let it air dry PLEASE NOTE Choose a different spot each time you test Repeated punctures in the same spot may cause soreness and ca...

Page 35: ...er with blood on it against the test strip or try to apply a smeared sample on the test strip 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 restart the test procedure The blood should completely fill the confirmation window before the meter begins to count down If you find that the confirma...

Page 36: ...est strip may be potentially biohazardous Please discard it carefully according to your local regulations STEP 7 Remove the Lancet Always use caution when removing the lancet Remove the lancet by pulling the cap off first Safely dispose of the used lancet by placing the protective disk on a hard surface and pushing the exposed tip into the disk Slide the ejector forward to remove the used lancet D...

Page 37: ...sition statement on the Diabetes Control and Complications Trial 1993 Please work with your doctor to determine a target range that works best for you 1 Time of day Fasting and before meals 2 hours after meals Plasma glucose range mmol L for people without diabetes 3 5 5 5 mmol L Less than 8 mmol L Children with Type 1 diabetes NICE 2004 4 8 mmol L Less than 10 mmol L Adults with Type 1 diabetes N...

Page 38: ...ant information on Limitations To make an accurate comparison between meter and laboratory results follow the guide lines below Before going to the lab Perform a control solution test to make sure that the meter is working properly It is best to fast for at least eight hours before doing comparison tests Take your meter with you to the lab While staying the lab Make sure that the samples for both ...

Page 39: ...d drawn from a vein venous sample used for a lab test Therefore it is best to fast for eight hours before doing comparison tests Factors such as the amount of red blood cells in the blood a high or low hematocrit or the loss of body fluid severe dehydration may also cause a meter result to be different from a laboratory result References 2 Surwit R S and Feinglos M N Diabetes Forecast 1988 April 4...

Page 40: ...es of your blood glucose in the intervals of 7 14 21 28 60 and 90 days You can review the results easily by the following steps 1 Recall the Stored Test Results STEP 1 When the meter is off press and release the M button The screen shows Press the M button again 01 appears first and then the latest glucose result along with date and time will be shown on the screen ...

Page 41: ...result press the M button again and the meter will be turned off 2 Read the Average of Blood Glucose Results STEP 1 When the meter is off press and release the M button The screen shows Keep pressing the M button for 2 3 seconds until blinking appears Release the M button and then the 7 day average result will appear on the screen ...

Page 42: ...erage the 14 day average and the times of performing test in the past 14 days will be shown on the screen STEP 3 After the 90 day average press the M button again and it will go to the most recent test result Follow the steps in Recall the Stored Test Results to review individual result Please remember 1 When pressing the M button to recall the stored test results blinking will be displayed on the...

Page 43: ...t the memory keep pressing the M button for 3 seconds until OFF displays The meter then automatically shuts down 4 If no button is pressed within 2 minutes the meter will show OFF and turn off automatically 5 The control solution results are NOT stored in the memory please also go to page 28 WARNING for information The list of past results and the average result are for blood glucose results only ...

Page 44: ...ware Install Health Care System Software on your computer by following the instructions provided at www glucorx co uk STEP 2 Connect to Personal Computer Connect the interface cable to a serial port of your computer With the meter turned off connect the Interface Cable to the Data Port of the meter PC will appear on the display indicating that the meter is ready to transmit data Step 3 Transmit Da...

Page 45: ...ater or a mild cleaning agent then dry the device with a soft and dry cloth Do not flush with water 2 Do not use organic solvents to clean the meter Storage 1 Meter Storage TAKE CARE OF YOUR METER AND STRIP Storage condition 20 C to 60 C 4 F to 140 F below 95 relative humidity Always store or transport the meter in its original storage case Avoid dropping and strong impact Avoid direct sunlight an...

Page 46: ...s Use each test strip immediately after removing it from the vial Write the first opening date on the vial label when you first open it Discard remaining test strips 3 months after first opening date Do not bend cut or alter a test strip in any way Keep the strip vial away from children since the cap and the test strip may be a choking hazard If swallowed promptly see a doctor for help 3 Control s...

Page 47: ...all circumstances Improper use may cause inaccurate results without showing any error message or symbol In the event of a problem refer to the information under action Never try to disassemble the meter under any circumstances If you encounter any error messages not listed below or if you have followed the actions recommended below but the problem is unsolved please call the local dealer for suppo...

Page 48: ...ates that the result is higher than reference range KETONE and are shown when your result is equal or higher than 15 mmol L 270 mg dL This indicates the possibility of ketone accumulation for Type 1 diabetes Please seek medical assistance immediately appears when your result is below measurement limit which is less than 1 1 mmol L 20 mg dL is displayed when your result is higher than the limit of ...

Page 49: ...the above steps do not work please contact the dealer System operation range is 10 C to 40 C 50 F to 104 F Repeat the test after the meter and test strip have reached the above temperature Appear when inserting a used test strip Appear when environmental temperature is above system operation range 40 C Appear when environmental temperature is below system operation range 10 C Remove the strip afte...

Page 50: ... new test strip Did not apply sample until is flashing Repeat the test with a new test strip Apply sample only when flashing appears on the display Defective meter Please call the dealer for service PROBABLE CAUSE WHAT TO DO Battery exhausted Replace the battery Battery incorrectly installed or absent Check that the battery is cor rectly installed Test strip inserted upside down or incompletely In...

Page 51: ...control solution vigorously and repeat the test again Expired or contaminated control solution Check the expiry date or the discarded date of the control solution Control solution that is too warm or too cold Control solution meter and test strips should come to room temperature 20 C to 25 C 68 F to 77 F before testing Test strip deterioration Repeat the test with a new test strip Meter malfunctio...

Page 52: ...F below 95 R H Measurement Range 1 1 to 33 3 mmol L 20 to 600 mg dL Measurement Units mmol L Result indicator appears when glucose value is between 4 0 and 8 9 mmol L 72 and 160 mg dL appearswhenglucosevalueisbetween1 1and3 9 mmol L 20and70mg dL appears when glucose value is less than 1 1 mmol L 20 mg dL appears when glucose value is equal to or greater than 9 0 mmol L 162 mg dL when glucose value...

Page 53: ...eep away from sunlight Keep dry Temperature limitation Use by Batch code Manufacturer Serial number Caution consult accompanying documents Biological risks Authorised representative in the CE mark European Community Do not use if package is damaged Use within 3 months after opening Sterilised using irradiation 3 M ...

Page 54: ... for the owner s manual Please read the entire manual before you begin doing test STEP 1 Insert test strip The meter is automatically turned on STEP 2 Puncture and apply sample Hold the drop of blood and make it fully contact to the absorbent hole of test strip until the confirmation window is completely filled ...

Page 55: ...ood into the absorbent hole even if you find that the confirmation window is not fulfilled Discard the strip and retest with a new strip STEP 4 Eject the used strip by pushing the strip ejection button STEP 5 Discard the used strip and the lancet according to your local regulations ...

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