Welcome Important Things to Know about Your Precision Xtra Advanced Diabetes Management System Intended Use How Your Precision Xtra Advanced Diabetes Management System Works Precision Xtra Kit Contents Getting to Know Your Monitor’s Features Setting Up Your Precision Xtra Monitor...
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Doing A Control Solution Test Why Do A Control Solution Test? When Is Doing A Control Solution Test Recommended? Important Information about Control Solution Testing What You Will Need How to Do Control Solution Testing Understanding Your Result Reviewing & Using Your Results What Can Your Monitor Show You? How to See Results in Memory How to See Averages...
Welcome Thank you for choosing the Precision Xtra ™ Advanced Diabetes Management System. Important steps for using the System are inside this guide. Please read it carefully. Your new Precision Xtra Advanced Diabetes Management System is an important tool that can help you better manage your diabetes.
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In the United States, call Customer Care at 1-800-527-3339 with any questions you may have about the Precision Xtra Advanced Diabetes Management System. We are available 24 hours a day, 365 days a year. If you cannot reach Customer Care, contact your healthcare professional.
•Measures ß-hydroxybutyrate (ß-Ketone), the most important of the three ketone bodies circulating in the bloodstream. ™ •Is for use with Precision Xtra ™ or Precision POC Blood Glucose Test Strips and ™ Precision Xtra Blood...
How Your Precision Xtra Advanced Diabetes Management System Works When you insert a test strip into your monitor, the Apply Blood message shows on your monitor’s...
Precision Xtra Kit Contents Precision Xtra Monitor Precision Xtra User’s Guide – Contains system information and directions. Carrying Case – Use this to store and carry your monitor and other monitoring supplies. Your kit may also contain: Precision Xtra Quick Reference Guide –...
Items not included: MediSense Control Solutions Blood ß-Ketone Test Strips and Instructions for Use Data Management System Backlight Getting to Know Your Display Button Window Monitor’s Features Back Button Display Window This shows: •Blood glucose and blood ß-Ketone results •Glucose LOT numbers and ß-Ketone calibration CODEs...
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Do not use the monitor if the monitor Display Check does not exactly match the picture here (for example, if you see a "3" instead of an "8"). The monitor may show an incorrect result when you use it. Please call Customer Care for assistance.
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Forward Button Back Button Use these buttons to: •Review and select monitor settings •Review results and averages Backlight Button Use this button to: •Turn backlight ON and OFF Battery Compartment This is where the battery is installed. •If your monitor does not turn on, check that your battery is installed properly.
CHAPTER 2 Setting Up Your Questions? Call Customer Care: Precision Xtra Monitor 1-800-527-3339 Buttons to Use Mode Button Forward Button Back Button Setup Options Set Beeper If the beeper is set ON, it will beep when: •The calibrator is fully inserted •The test countdown starts...
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You may need to re-set the time and date: •After you replace the battery. •When you travel between time zones or when the time zone you are in changes. In "Set Date", you set the year, month, and day. Set Time Format In "Set Time Format", you choose how the time shows on the monitor’s display window.
How to Set the Beeper, Date, Time, & View Measurement Units To begin, pull the battery tab out. Your monitor should be turned OFF. Before you start, please note: "Press and Hold" means that you press the button in for at least 2 seconds.
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To turn your monitor ON, Press and Hold the button. The beeper ON message shows on the display window. The musical notes flash on and off, and the monitor beeps. To change the beeper setting, Press and Release the button or the button once.
Set Time Hour: The Hour flashes on and off. Press and Release the button to move the hour forward. If you go past the correct hour, Press and Release button to move the hour back. Press and Release the button to save the hour and to move to Set Minutes.
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Minutes: The Minutes flash on and off. Press and Release the button to move the minutes forward. If you go past the correct minute, Press and Release button to move the minutes back. Press and Release the button to save the minutes and to move to Set Date.
Set Date Year: The Year flashes on and off. Press and Release the button to move the year forward. If you go past the correct year, Press and Release the button to move the year back. Press and Release the button to save the year and to move to Set Month.
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Month: The Month flashes on and off. Press and Release the button to move the month forward. If you go past the correct month, Press and Release button to move the month back. Press and Release the button to save the month and to move to Set Day.
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Day: The Day flashes on and off. Press and Release the button to move the day forward. If you go past the correct day, Press and Release the button to move the day back. Press and Release the button to save the day and to move to Set Time Format.
Choice #1 Set Time Format You have two choices: Choice #1: For the 12-hour format, AM or PM shows. Choice #2: For the 24-hour format, AM or PM does not show. Choice To change the Time Format, Press and Release the button or the button once.
Set Date Format You have two choices: Choice #1: For the month- day format, " " shows with the date. Example: "May 25" shows as "5-25". Choice #2: For the day.month format, " " shows with • the date. Example: "25 May"...
Blood Glucose Measurement Units Consult your healthcare professional if you have any questions about blood glucose measurement units. This screen shows the blood glucose measurement units (mg/dL or mmol/L). ress and release the button to return to Set Beeper.
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Press and Hold the button to turn your monitor off. You have successfully set up your monitor.
Customer Care: Customer Care: Precision Xtra Monitor 1-800-527-3339 1-800-527-3339 Why Calibrate Your Monitor? Your Precision Xtra monitor must be calibrated so that it can recognize the test strip you are using. Calibration ensures that your results are accurate. When to Calibrate Your Monitor •...
What You Will Need • Precision Xtra monitor • For glucose calibration: Blood glucose test strip Blood glucose test strip instructions for use Blood glucose test strip calibrator • For ß-Ketone calibration: Blood ß-Ketone test strip Blood ß-Ketone test strip instructions for use Blood ß-Ketone test...
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IMPORTANT: •Use only the calibrator that is packaged in the box of test strips you are using. •Do not use test strips that have expired. Check the expiration date on the test strip foil packet and test strip box. If only the year and month are shown, the expiration date is the last day of the month.
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Hold the calibrator with the LOT number (glucose) or calibration CODE (ß-Ketone) facing you. Glucose Insert the calibrator into the strip port. Push it in until it stops. The Display Check shows on the display window, followed by the time, month, and day.
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Check that the LOT number or calibration CODE on all these items matches: ✓ Display window ✓ Test strip calibrator ✓ Test strip instructions for use ✓ Test strip foil packet When the LOT number or calibration CODE on all these items matches: What It Means: Calibration is complete.
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IMPORTANT: If the LOT number or calibration CODE still does not match, contact Customer Care. Do not attempt to monitor your blood glucose or blood ß-Ketone. Your monitor may show an incorrect result. Remove the calibrator from the monitor and store it in your monitor’s carrying case.
How to Recall the LOT Number or Calibration CODE To recall the glucose LOT number, Press and Hold the button. While holding the button, Press and Hold button. The Display Check shows on the display window, then the glucose LOT number shows with the time, month, and day of the most recent glucose calibration.
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Note: If the LOT number or calibration CODE that shows on your monitor’s display window is not correct: What It Means: Your monitor may not be calibrated for the box of test strips you are using. What To Do: •Re-calibrate your monitor. •Check that you are using the calibrator that came in the box of test strips you...
Blood Glucose 1-800-527-3339 What You Will Need •Blood glucose test strip with its instructions for use •Precision Xtra monitor calibrated to match the LOT number of the blood glucose test strip you are using •Lancing device and a new, sterile lancet...
•Do not use a wet, bent, scratched, or damaged test strip. •Do not use the test strip if its foil packet has a puncture or tear in it. •Before you monitor your blood glucose or blood ß-Ketone, allow your monitor and test strip to reach the recommended operating range of the test strip.
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Wash your hands using warm soapy water and dry them completely. Remove the test strip from its foil packet. Note: For pictures that show how to open the blood glucose test strip foil packet, please see the information card in the box of blood glucose test strips.
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•Time, month, and day (if set) If date and time are not set, dashes will show instead of numbers. •LOT number for the box of blood glucose test strips you are using. •Apply Blood message, which tells you that the monitor is ready for you to apply blood to the blood glucose test strip.
Obtaining A Blood Drop Use your lancing device to obtain a blood drop. Fingertip sampling Recommendations for Obtaining a Blood Drop •To obtain a sample from an alternative site (forearm, upper arm, or base of the thumb), use an appropriate alternative site lancing device.
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Lancets and Lancing Device •Lancets are for one-time use only. Use a new lancet each time you monitor. •Discard your used lancet properly. Put it in an empty puncture-resistant container, such as a plastic milk carton or detergent bottle. •Never share your lancing device or lancet with another person.
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Status bar Continue to touch the blood drop to the end of the test strip until the monitor begins the test. The monitor begins the test when: •You hear the beeper, if the beeper is ON. •The display window shows the status bar.
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Important: If the countdown does not start: ✔ Correct What It Means: You might not have applied enough blood to the test strip. What to Do: •Apply a second drop of blood to the test strip. Refer to your test strip instructions for use for the number of seconds you Apply second drop have to apply a second drop.
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Shutting Off Your Monitor Removing the test strip from the strip port turns off the monitor. You can use the opened foil packet to remove and discard your used test strip. Discard the test strip properly. Note: You may also turn the monitor off by Pressing and Holding the button.
Understanding Your Result "LO" Result What It Means: Your monitor has determined that your blood glucose result is lower than 20 mg/dL (1.1 mmol/L) or there may be a problem with the test strip. What to Do: Monitor your blood glucose again with a new test strip.
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"HI" Result What It Means: Your monitor has determined that your blood glucose result is higher than 500 mg/dL (27.8 mmol/L) or there may be a problem with the test strip. What to Do: Monitor your blood glucose again with a new test strip. If HI shows on the display window again, contact your healthcare professional...
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"E-4" Result What It Means: Your blood glucose may be too high to be read by the system, or there may be a problem with the test strip. What to Do: Monitor your blood glucose again with a new test strip. If E-4 shows on the display window again, contact your healthcare professional...
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•HI shows on the display window. •You obtain a high blood glucose result, but you do not have symptoms of high blood glucose. •Your monitor displays a result that is unusually high, higher than 300 mg/dL (16.7 mmol/L). •You question your result. Important: A result that is incorrect may have a serious medical...
What You Will Need •Blood ß-Ketone test strip with its instructions for use •Precision Xtra monitor calibrated to match the calibration CODE of the blood ß-Ketone test strip you are using •Lancing device and a new,...
Important Information about Monitoring Your Blood ß-Ketone •For more detailed information about your blood ß-Ketone test strip, please refer to its instructions for use before monitoring. •Do not use out-of-date test strips. Check the expiration date printed on the test strip box and 70208 2006/03/09 ß-Ketone Test Strip...
•Read the lancing device instructions for use. •The blood ß-Ketone test strip foil packet contains a desiccant tablet (Zeolite - Sodium Calcium Aluminosilicate). Although this material is not considered dangerous the following safety advice should be observed: 1. Keep away from children. 2.
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Wash your hands using warm soapy water and dry them completely. Remove the test strip from its foil packet. Insert the three black lines at the end of the test strip into the strip port. Push the test strip in until it stops.
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•Time, month, and day (if set) If date and time are not set, dashes will show instead of numbers. •Calibration CODE for the box of blood ß-Ketone test strips you are using. •KETONE and Apply Blood message, which tell you that the monitor is ready for you to apply blood to the blood ß-Ketone test strip.
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Obtaining A Blood Drop Use your lancing device to obtain a blood drop. Important: Blood ß-Ketone test strips have not been evaluated for alternative site monitoring. Use only fingertip blood samples for Fingertip sampling blood ß-Ketone monitoring. Recommendations for Obtaining A Blood Drop •Before you obtain a blood sample from the fingertip, make sure the sample site is...
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Lancets and Lancing Device •Lancets are for one-time use only. Use a new lancet each time you monitor. •Discard your used lancet properly. Put it in an empty puncture-resistant container, such as a plastic milk carton or detergent bottle. •Never share your lancing device or lancet with another person.
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•You hear the beeper, if the Status bar beeper is ON. •The display window shows the status bar. •Then the display window shows the countdown. Note: Do not remove the test strip from the monitor or disturb it during the countdown. Important: If the countdown does not start: What It Means:...
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At the end of the countdown: •If the beeper is ON, listen for the beeper. •The blood ß-Ketone result shows on the display window with the word KETONE. •The result is stored in your monitor’s memory as a blood ß-Ketone result. You may also write the result in your logbook.
Understanding Your Result Blood ß-Ketone is expected to be lower than 0.6 mmol/L. Blood ß-Ketone may be higher when a person is ill, is fasting, exercises vigorously, or if blood glucose levels are not controlled. When: •Blood ß-Ketone result is between 0.6 and 1.5 mmol/L and blood glucose result is 300 mg/dL (16.7 mmol/L)
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When: •Blood ß-Ketone result remains high or becomes higher than 1.5 mmol/L: What It Means: You may be at risk of developing diabetic ketoacidosis (DKA). What to Do: Contact your healthcare professional immediately. "HI" Result What It Means: Your monitor has determined that your blood ß-Ketone result is higher than 6.0 mmol/L, or there may be a...
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"E-4" Result What It Means: There may be a problem with the test strip. What to Do: Monitor your blood ß-Ketone again with a new test strip. If E-4 shows on the display window again, contact your healthcare professional immediately. Important: It is recommended that you repeat the blood ß-Ketone test with a new test...
A control solution test is similar to when you monitor your blood glucose or blood ß-Ketone, except you use a MediSense Control Solution. You do not use a drop of blood in a control solution test.
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•MediSense Control Solutions may be used for glucose or ketone control solution testing. •Do not use the control solution if the expiration date has passed. Check the expiration date printed on the control solution bottle.
What You Will Need •Precision Xtra monitor calibrated to match the LOT number (glucose) or calibration CODE (ß-Ketone) of the test strip you are using •Blood glucose or blood ß-Ketone test strip and its instructions for use •MediSense Control Solutions...
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Remove the test strip from its foil packet. Note: For pictures that show how to open the blood glucose test strip foil packet, please see the information card in the box of blood glucose test strips. Insert the three black lines at the end of the test strip into the strip port.
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Push the test strip in until it stops. The monitor turns on automatically. These items show on the display window, one after the other: •Display Check – Remember to make sure that all items in the picture here show on the display window.
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•LOT number (glucose) or calibration CODE (ß-Ketone) for the box of test strips you are using. •Apply Blood message, which tells you that the monitor is ready for you to apply control solution to the test strip. Note: If you are a doing a ß-Ketone control solution test, KETONE will show on the monitor’s display window...
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Applying Control Solution to the Test Strip Turn the control solution bottle upside down three to four times to mix the solution. Remove the cap. Apply a drop of control solution to the test strip in Glucose the area shown here. The control solution is drawn into the test strip.
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Note: Do not remove the test strip from the monitor or disturb it during the countdown. Important: If the countdown does not start: What It Means: You might not have applied enough control solution to the test strip. What to Do: •Apply a second drop of control solution to the test Glucose...
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Note: If you are doing a ß-Ketone control solution test, KETONE will also show with the result. •The result is stored in your monitor’s memory as a control result. In your logbook, record the result as a control result. Shutting Off Your Monitor Removing the test strip from the strip port turns off the monitor.
Understanding Your Result Compare the control result to the "Expected Results for Use with MediSense Control Solutions" range printed on: •The blood glucose test strip instructions for use, for glucose control solution testing. •The blood ß-Ketone test strip instructions for use and foil packet, for ß-Ketone control...
Customer Care: Your Results 1-800-527-3339 What Can Your Monitor Show You? Memory Your Precision Xtra monitor has a memory that stores up to 450 events. This is a combination of control results, your personal blood glucose and blood ß-Ketone results, and other monitor information.
Important: •To review blood glucose averages, you must set the date and time before monitoring. •If you do not mark control solution tests, this may affect your glucose averages. •Blood glucose averages do not include blood ß-Ketone results, glucose control results, ß-Ketone control results, or results that do not show the time, month, and day.
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Press and Release the button. •The Display Check shows on the display window. •Then your most recent result shows with its units on the monitor’s display window, along with the time, month, and day that you got the result. (To set the correct date and time, follow the steps in Chapter 2.) A blood glucose result in...
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A control solution result in Memory shows with a control bottle, as long as you marked the test as a control solution test. Glucose control solution result in Memory ß-Ketone control solution result in Memory To review previous results, Press and Release the button once per result.
When you reach the last result in Memory, the display window shows three dashes. To return to a result you previously reviewed, Press and Release the button once per result. How to See Averages Important: •Results that show as LO during blood glucose monitoring are included as 20 mg/dL (1.1 mmol/L) in...
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While in Memory, Press and Release the button at any time to see the 7-Day average of your blood glucose results. Note: n means how many tests were performed within the 7-, 14-, or 30-Day average period. Press and Release the button once to see the 14-Day average of your blood glucose results.
Press and Hold the button to turn off your monitor. Otherwise, the monitor turns off after 30 seconds. Transferring Your Results to a Computer The results in your Precision Xtra monitor's memory, along with the time and date of the reading, can be transferred to a computer with the use of the Precision Link...
CHAPTER 8 Questions? Call Understanding & Customer Care: Troubleshooting 1-800-527-3339 Error Messages There are times when error messages may show on your monitor’s display window. In the next few pages, we describe the error messages that may show on your monitor’s display window, what they mean, and what you need to do.
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What It What You Message Means Need to Do Monitor error. • Turn the monitor off, then repeat previous monitoring steps. • If the error message appears again, contact Customer Care. There may be • Review the a problem with monitoring the test strip.
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Message What It What You Means Need to Do Blood glucose • Monitor again with a new result may be test strip. too high to be • If the error read by the message system. appears again, contact your healthcare There may be a professional problem with...
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Customer Care. Test strip error. • Monitor again using a test Test strip is strip designed damaged, used, for use with or the monitor Precision Xtra. does not • If the error recognize it. message appears again, contact Customer Care.
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Message What It What You Means Need to Do Monitor error. • Remove test strip, turn monitor off, and try to monitor again. • If the error message appears again, contact Customer Care. • Remove test Monitor error. strip, turn monitor off, and try to monitor again.
CHAPTER 9 Questions? Call Your Monitor’s Customer Care: Specifications 1-800-527-3339 & Limitations Size Length 2.94" (7.47 cm) Width 2.10" (5.33 cm) Bottom 1.70" (4.32 cm) Thickness 0.64" (1.63 cm) Weight 1.48 ounces (42 grams) Power Source One CR 2032 Lithium (coin cell) battery Battery Life Approximately 1,000 tests...
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Storage Temperature Monitor: –13° to 131ºF (–25º to 55ºC) Test Strips: See test strip instructions for use. Control Solution: See control solution instructions for use. Blood Glucose See blood glucose test strip Assay Range instructions for use. Blood ß-Ketone See blood ß-Ketone test strip Assay Range instructions for use.
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Data port Monitor Operating Range Temperature: 50º to 122ºF (10º to 50ºC) Relative Humidity: 10% to 90%, non-condensing System Operating Range Temperature: The system operating range is the operating range of the test strip you are using. See “Limitations of Procedure” section in test strip instructions for use.
Important Information about Using Blood Samples from the Forearm, Upper Arm, or Base of the Thumb: •Contact your healthcare professional before you begin using any one of these alternative sites to test your blood glucose. •Sampling from any one of these alternative sites may cause minor bruising and may leave marks that go away in a...
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•Do not use blood samples from alternative sites when: 1.You think your blood glucose is low or is changing rapidly, 2.You have been diagnosed with hypoglycemic unawareness, 3.The results from alternative sites do not match the way you feel, 4.It is within two hours of eating a meal, taking insulin, or exercising, or 5.You monitor your blood...
CHAPTER 10 Questions? Call Caring For Customer Care: Your Monitor 1-800-527-3339 Cleaning Your Monitor Store your monitor in its carrying case. If the surface of your monitor gets dirty, you may clean it. Use a damp cloth and mild soap. Healthcare professionals: Acceptable cleaning solutions include 10% Bleach, 70%...
Replacing Your Monitor’s Battery When your monitor needs its batteries replaced, the display window shows one of two things: This means the battery is ➡ low. You may still use your monitor and the results will be accurate. However, the backlight is not useable.
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How to Replace Your Monitor’s Battery Gently push the battery cover in and up with your thumb. Lift the battery cover out of the monitor. Pull on the plastic tab sticking out of the monitor to remove the old battery.
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Insert a new CR 2032 Lithium (coin cell) battery with the plus sign (+) facing up. Place the notches on the battery cover into the appropriate molded areas. Gently push the battery cover in and down until you hear a click.
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Press and Hold the button to turn your monitor on. If your monitor does not turn on, review the battery installation steps and reinstall the battery. Check the date and time on your monitor. You may need to reset the date and time. (See Chapter 2, Setting Up Your System).
CHAPTER 11 Questions? Call Support, Guarantee & Customer Care: Limited Warranty 1-800-527-3339 Support Abbott Laboratories, Abbott Diabetes Care, is committed to providing you with support. Call us with any questions you may have about your Precision Xtra monitor: 1-800-527-3339. Outside the United States, please contact your local Abbott Laboratories, Abbott Diabetes Care office...
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Abbott Laboratories Inc., Abbott Diabetes Care (“Abbott”) offers a Limited Warranty, as set forth below, to consumers who buy a Precision Xtra Advanced Diabetes Management System (“Monitor”) within the United States. Other purchasers, please contact your local authorized Abbott distributor for information about possible guarantee and/or warranty coverage for your purchase.
References 1. Directive 1999/45/EC of the European Parliament and of the Council of 31 May 1999 concerning the approximation of the laws, regulations and administrative provisions of the Member States relating to the classification, packaging and labelling of dangerous preparations. 2.
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