AgaMatrix Presto Owner's Manual
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  • Page 3 Manufacturer: AgaMatrix, Inc. 7C Raymond Avenue Salem, NH 03079 USA ©2009-2014 AgaMatrix, Inc. Meter Firmware ©2004-2014 AgaMatrix, Inc. For patent information, see www.agamatrix.com/patents All rights reserved. All trademarks and copyrights are the property of their respective owners. 8100-07060 Rev B...
  • Page 4: Table Of Contents

    Contents CHAPTER TITLE PAGE Getting Started Important Information About Your System About the System Important Cleaning Procedures Meter Basics Important Health-related Information Performing a Control Solution Test How To Test Your Blood Glucose Level Testing on Your Palm or Forearm View 14, 30, and 90 Day Averages and Graphs...
  • Page 5 CHAPTER TITLE PAGE Time-of-Day Averages and Individual Results Display Messages Setting Alarms Setting Meter Volume and Backlight Setting Time Format, Time, and Date Setting Hypoglycemic and Hyperglycemic Warning Alarms Error Messages and Troubleshooting Batteries Meter Specifications Warranty...
  • Page 6: Getting Started

    [2] For in vitro (i.e. outside of the body) diagnostic use only. [3] With the test strips specified on the inside front cover of this owner’s guide and AgaMatrix Control solution only. Do not use other brands of test strips and control solution with this meter.
  • Page 7 Do not use the system for: [1] The diagnosis of diabetes. [2] Testing the glucose levels of neonates (children under 4 weeks). [3] Testing glucose levels of arterial or venous blood. [4] Testing glucose from sites other than the fingertip, palm (at the base of the thumb), or forearm.
  • Page 8 It is recommended that you use a fi ngertip sample if: [1] You are testing for hypoglycemia or if you suffer from hypoglycemia unawareness, [2] You are testing your blood glucose within 2 hours of eating, taking insulin, medication, exercise, or [3] Your blood glucose results obtained from the palm (at the base of the thumb) or forearm are not consistent with the way you feel.
  • Page 9: About The System

    About the System About the Test Strip With your system, you can Contact Bars: test your blood glucose Insert this end, facing on your fingertips, palms up, into the meter’s test strip port. (at the base of the thumb) and forearms. Testing Visual Fill Window: with the system requires The window will turn...
  • Page 10 Important Test Strip Information: [1] Store the test strip vial in a cool, dry place at 46 °F to 86 °F (8 °C to 30 °C). [2] Use test strips only within the system operating tempera- ture range of 50 °F to 104 °F (10 °C to 40 °C). [3] Keep away from direct sunlight and heat.
  • Page 11 About the Meter Display Segments (1) Date and Time: Appears here, including when the meter is deactivated. (2) Glucose Test Results (3) Low Battery: Appears when the batteries in your meter are running low. (4) Temperature Symbol: Appears when the meter is outside its operating temperature range of 50 °F to 104 °F (10 °C to 40 °C ).
  • Page 12 (8) Apply Sample to Test Strip: The test strip symbol and flashing droplet symbol will signal you to apply sample to the test strip. (9) Sample Entering Test Strip: The three droplet symbols will appear within the test strip symbol when blood or control solution enters the test strip.
  • Page 13 About the Lancing System Note: Lancing devices and Lancets are only intended for a single user and should not be shared between users. (1) Cocking Handle: Cocks the device so it is ready to lance. (2) Depth Adjustment Dial: Adjusts how deep the lancet will lance the skin.
  • Page 14: Important Cleaning Procedures

    Important Cleaning Procedures When using your meter, avoid getting dirt, dust, blood, control solution, water, or any other liquid into the test strip port, or data port. You should wash your hands thoroughly after handling the meter, lancing device, or test strips. Your meter and lancing device should be cleaned periodically.
  • Page 15: Meter Basics

    Meter Basics METER SYSTEM CHECK Each time your meter is first activated, the meter will perform a meter system check. All display segments and the backlight will briefly flash ON. IMPORTANT: If all the display segments DO NOT fl ash ON (each time your meter is fi rst activated), do not use the meter.
  • Page 16 [2] Press the RIGHT or LEFT arrow buttons to view the options: MEM (14, 30, and 90 Day Averages and Graphs), SET (meter settings), and AL1 to AL6 (reminder alarms 1 thru 6). Enter MEM (Memory) Mode to view 14, 30, and 90 Day Averages and Graphs: [1] Enter the MENU mode.
  • Page 17: Important Health-Related Information

    Important Health-related Information Please Read the Following: [1] Inaccurate results may occur in severely hypotensive individuals or patients in shock. Inaccurate low results may occur for individuals experiencing a hyperglycemic- hyperosmolar state, with or without ketosis. Critically ill patients should not be tested with blood glucose meters. [2] Severe dehydration and excessive water loss may yield inaccurate results.
  • Page 18 instructions described in this Owner’s Guide, follow your healthcare professional’s recommendations. [8] If you get repeated error messages and are experiencing symptoms of hypo or hyperglycemia, contact your healthcare professional immediately as this may indicate low or high glucose. If this error code persists on retesting, consult your healthcare professional.
  • Page 19: Performing A Control Solution Test

    IMPORTANT: Count forward 90 days from the date you open a new bottle of AgaMatrix Control Solution. This is your discard date. Write the discard date on the AgaMatrix Control Solution bottle.
  • Page 20 [5] Are advised by your healthcare professional to do so. Important AgaMatrix Control Solution information: [1] Use only AgaMatrix Control Solution with your system. [2] Always replace the cap on the control solution bottle immediately after use.
  • Page 21 Bring the tip of the test strip to the control solution sample. The system will automatically detect if a test is performed with AgaMatrix Control Solution. This is the visual fi ll window. DO NOT PUT CONTROL SOLUTION HERE.
  • Page 22 When control solution is applied, the visual fill window on the test strip turns blue. The entire visual fi ll window will turn blue. Your meter will beep once indicating that you should remove the tip of the test strip from the control solution sample. On the meter display, the droplet symbols appear on the test strip symbol.
  • Page 23 from the control solution tests continue to fall outside that range, do not use the system to test your blood glucose. Call customer service. IMPORTANT: Out-of-range results may be due to one or more of the following factors: [1] Expired or defective control solution. [2] Expired or defective test strip.
  • Page 24: How To Test Your Blood Glucose Level

    How to Test Your Blood Glucose Level CAUTION: To ensure accurate results, wash your hands and the test site with warm, soapy water and dry before every test. Unwashed hands and test sites may lead to inaccurate results. Make sure there is no grease, oil or lotion on the test site.
  • Page 25 1-2-3 begins on the meter’s display. [8] Carefully read the test results on the display before making any treatment decisions. CAUTION: The lancing device and lancets should only be used by one person. Never share lancing devices or lancets. Used test strips, lancets, and lancing devices may be considered biohazardous or medical waste in your city or town.
  • Page 26 Twist the Lancet Cover Off : Hold the lancet firmly in place with one hand and use your other hand to twist off the lancet cover. Do not discard the lancet cover. It should be used when discarding your used lancet. Replace Lancing Device Cap: Replace the lancing device cap until it snaps into place.
  • Page 27 [2] Insert a Test Strip: Insert a new test strip into the meter. Make sure you insert the test strip, with the contact bars facing up, into the test strip port. The meter will be activated when the test strip is fully inserted. Note: If you do not start the test within 3 minutes, the meter will be deactivated.
  • Page 28 Lance Test Site: Press the lancing device against the site to be lanced. Press the release button. Release Button Express Blood Drop: Wipe away the first blood drop that appears using a clean tissue or paper towel. Squeeze from the base of your finger up towards the tip, until a second small blood drop forms.
  • Page 29 The test strip acts like a sponge and draws the blood into the test strip through the sample area. The visual fill window of the test strip will turn red. This is the visual fi ll window. DO NOT PUT The entire BLOOD HERE.
  • Page 30 [5] Final Steps Remove the Test Strip: Remove the used test strip. The meter will automatically deactivate. Remove the Lancet: When you have finished testing, snap off the cap from the lancing device. Be careful not to touch the lancet tip. Place the lancet cover onto a hard, even surface (such as a tabletop) with the open-end facing up.
  • Page 31 Extract the lancet from the lancet holder cup by pulling on the plastic collar of the lancet (near the middle of the lancet). Replace the lancing device cap onto the lancing device until it snaps or clicks into place. Discard Properly: Discard the used test strip and lancet properly.
  • Page 32: Testing On Your Palm Or Forearm

    Testing on Your Palm or Forearm Testing glucose levels with blood obtained from the palm (at the base of the thumb) or forearm may reduce the pain of testing. The technique for testing on the palm and forearm is slightly different than testing on the finger.
  • Page 33 · You are checking your blood glucose within 2 hours of eating, taking insulin or medication, exercising, or · Your blood glucose results obtained from the palm (at the base of the thumb) or forearm are not consistent with the way you feel.
  • Page 34 [3] Rub Test Site: To increase the blood flow in your palm (at the base of the thumb) or forearm, rub the area that you will be testing. Ensure that your palm or forearm is facing up and held level. Palm: Forearm: [4] Lance Test Site: Press the tip of the clear cap against your...
  • Page 35 [5] Express Blood Drop: After lancing, hold the lancing device against your skin until a blood droplet forms. Do not squeeze directly around the lanced area. Make sure the blood drop is large enough to completely fill the visual fill window of the test strip.
  • Page 36: View 14, 30, And 90 Day Averages And Graphs

    View 14, 30, and 90 Day Averages and Graphs This chapter covers the steps on how to view your: – 14 Day Numerical Average and Trend Graph – 30 Day Numerical Average and Trend Graph – 90 Day Numerical Average and Trend Graph –...
  • Page 37 The number of glucose test results saved (within the time period) is displayed in the top right corner. mg /dL [3] Viewing MEMORY Test Results View 14 Day Averages and Graphs: The display shows your 14 day numerical average. Press the RIGHT or mg /dL LEFT arrow buttons to view your 14 day trend graph.
  • Page 38 One dot represents 50 mg/dL. 14 day view 30 day view 90 day view Days View 14, 30 and 90 Day Average Comparison Graph: Press CENTER button to view your 14, 30 and 90 day average comparison graph. The display shows an overview with three trend bars comparing the 14, 30 and 90 days averages.
  • Page 39: Time-Of-Day Averages And Individual Results

    Time-of-Day Averages and Individual Results This chapter covers the steps on how to view your: – Most Recent Glucose Test Result – 300 Past Glucose Test Results, with time and date – Breakfast, Lunch, Dinner and Bedtime Averages The meter calculates averages of all the test results during breakfast, lunch, dinner and bedtime.
  • Page 40 Press the RIGHT arrow button. The display now shows your lunch average. Press the RIGHT arrow button. The display now shows your dinner average. Press the RIGHT arrow button. The display now shows your bedtime average. Note: To return to the most recent test result, press CENTER button.
  • Page 41: Display Messages

    Display Messages CAUTION: Low or high blood glucose test results can indicate a potentially serious medical condition. Follow your healthcare professional’s recommendations. LO MESSAGE: Flashing message, with double beep (if volume is enabled in SET Options) MEANING: Glucose test result is lower than 20 mg/dL. This Lo result may indicate hypoglycemia (low blood glucose).
  • Page 42 ACTIONS: If you feel symptoms such as fatigue, thirst, excessive urination, or blurry vision, follow your healthcare professional’s recommendations. If you get a Hi glucose test result but have no symptoms of high blood glucose, then retest with a new test strip. If you still get a Hi glucose test result, follow your healthcare professional’s recommendations.
  • Page 43 TEMPERATURE MESSAGE: Flashing message, with double beep (if volume is enabled in SET Options) MEANING: The test has been performed outside the operating temperature range. ACTIONS: Move to an area with an ambient temperature of 50 °F to 104 °F (10 °C to 40 °C). Wait for the meter and test strips to reach the new temperature (usually 10-20 minutes) and retest.
  • Page 44: Setting Alarms

    Setting Alarms There are 6 alarms you can set to remind you when to test your glucose levels. When alarms are activated: [1] If an alarm is set and the meter is deactivated, the alarm will activate the meter. “AL1” thru “AL6” (depending which alarm is set) is displayed.
  • Page 45 to AL6). If this is your first time setting an alarm, use AL1. Press CENTER to select an alarm to set. [3] Turning Alarms ON or OFF: Press the RIGHT or LEFT arrow buttons to enable (ON) or disable (OFF) the alarm. The default setting is OFF.
  • Page 46: Setting Meter Volume And Backlight

    will not sound, regardless of the individual alarm setting. Also, if your meter is set to low volume mode, then an alarm set for high volume will default to low volume mode. [6] Setting Multiple Alarms: To set other alarms, press the RIGHT or LEFT arrow buttons until the alarm you want to set (AL1 to AL6) is displayed.
  • Page 47: Setting Time Format, Time, And Date

    [4] Setting Backlight Option: You can enable or disable the backlight. The default setting for the backlight is disabled. Select the preferred setting with the RIGHT or LEFT arrow buttons. Press the CENTER button to confirm and continue on to set the Time Format and Time. Note: Disabling the backlight in the SET menu also disables backlight for alarms.
  • Page 48 Press the CENTER button to confirm your selection and move on to the hour setting. Set the hour (flashing) with the RIGHT or LEFT arrow buttons. Press the CENTER button to confirm and continue on to set the minute. Hour: Set the minute (flashing) with the RIGHT or LEFT arrow buttons.
  • Page 49: Setting Hypoglycemic And Hyperglycemic Warning Alarms

    Setting Hypoglycemic and Hyperglycemic Warning Alarms [1] Enter MENU Mode: When your meter is deactivated, press and hold any button for 2 seconds to enter the MENU mode. [2] Enter SET Option: The MEM symbol will appear. Press the RIGHT or LEFT arrow buttons until the SET symbol is displayed.
  • Page 50 CENTER button to confirm your selection. Set the Hypoglycemic Limit (flashing) with the RIGHT or LEFT arrow buttons. Press CENTER button to confirm and continue on to set the Hyper Limit. [4] Setting Your Hyperglycemic Warning Alarm: WARNING: Your healthcare professional should recommend what your hyperglycemic limit is.
  • Page 51: Error Messages And Troubleshooting

    Error Messages and Troubleshooting The blood glucose monitoring system has been designed to work accurately under most usual conditions. On rare occasions, the meter will display an error message instead of a glucose result. The system is able to detect specific problems which may allow you to determine the cause of the error without wasting valuable test strips.
  • Page 52 have been removed too early. [3] If this message appears after the last progress bar instead of a result, it may indicate that you applied more blood after testing began. Error 2: The meter has detected an irregularity with the sample. [1] The test strip may be partially filled;...
  • Page 53 [1] This error may be caused by extremely high glucose. If you are experiencing symptoms of hyperglycemia, contact your healthcare professional immediately. If this error code persists on retesting, consult your healthcare professional. [2] Retest where it is closer to a room temperature of 70 °F to 75 °F (21 °C to 24 °C).
  • Page 54 Error 7: Meter problems have occurred that are beyond your control. Contact customer service for assistance. Troubleshooting Situation #1: Meter does not enter the test mode after inserting an test strip. [1] CAUSE: The batteries have insufficient power. ACTION: Replace the batteries, set time and date, and test. [2] CAUSE: The batteries are installed incorrectly or there are no batteries in the meter.
  • Page 55 [1] CAUSE: Defective test strip. ACTION: Repeat the test with a new test strip. If this does not work, call customer service. [2] CAUSE: Sample applied after meter times out and deactivates. ACTION: Repeat the test using a new test strip. Wait until you see the blood and test strip symbols on the display screen before you apply the blood sample.
  • Page 56: Batteries

    Batteries CAUTION: When the battery symbol appears, you should replace the batteries immediately. Only use CR2032 batteries. Your meter comes with two pre-installed, CR2032, 3 volt, lithium batteries. If your batteries run low, the battery symbol flashes until you change the batteries. The backlight is disabled in all modes when the battery symbol is on.
  • Page 57 battery door. Be careful not to misplace the battery door. [2] Remove and Install 1st Battery: To remove the used battery, use a non- metallic tool at point A to pop out the battery. Install the new battery with the positive (+) sign facing up towards you.
  • Page 58: Meter Specifications

    Meter Specifications Assay Method: Dynamic Electrochemistry Maximum Altitude: 10,000 ft Calibration: Plasma equivalent Coding: No Code Control Solution Storage Temperature: 36 °F to 86 °F (2 °C to 30 °C) Sample: Whole blood, capillary Sample Size: 0.5 microliters Average Glucose Test Time: 6 seconds Measurement Units: mg/dL Alarms: 6 programmable alarms Result Range: 20 to 600 mg/dL...
  • Page 59 Memory: 300 blood glucose and control solution test results with date, time, and averaging (14, 30, 90 days and time-of-day) Power Source: Two CR2032, 3 volt, lithium batteries, replaceable Automatic Shutoff : 3 minutes after last user action Size: Width 1.7” x Length 3.0” x Height 0.6” (4.4 cm x 7.7 cm x 1.6 cm) Test Strip Storage Temperature: 46 °F to 86 °F (8 °C to 30 °C) Weight: 46.9 g (including batteries)
  • Page 60: Warranty

    Warranty Warranty Terms We offer customers who buy (“You”) a new blood glucose me- ter (defined as “Meter”) within the United States the following purchase protections. We extend a limited lifetime warranty to customers who buy a new Meter. Under this limited warranty, Your new Meter is covered for the period of ownership as long as it has not been modified, altered, or misused.

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