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INDEX:
10
(THIS SIDE)
10
About the WaveSense™
Your WaveSense™ KeyNote™ System includes:
KeyNote™ System
- WaveSense™ KeyNote™ Blood Glucose Meter
- Two pre-installed CR2032, 3 volt, lithium batteries
11
Time-of-Day Averages and
- Lancing Device with Gray Cap
- Clear AST Lancing Device Cap
Individual Results
- 10 Lancets (33 Gauge)
12
- Compact Carrying Case
View 14, 30, and 90 Day
- Control Solution
Averages and Graphs
- Owner's Guide
13
Setting Meter Volume
About the WaveSense™ KeyNote™ Test Strip:
and Backlight
With your WaveSense™ KeyNote™ System, you can
test your blood glucose on your ngertips, palms (at
14
Setting Time and Date
the base of the thumb), and forearms. Testing with the
WaveSense™ KeyNote™ System requires a small sample
15
Setting Hypoglycemic and
Hyperglycemic Warning
Alarms
16
Contact Bars: Insert
Setting Alarms
this end, facing up, into
the meter's strip port.
17
Batteries
Sample Area: Apply
blood or control solution
18
Important Health-Related
to the edge of the test
strip here.
Information
11
T
ime-of-Day Averages and Individual Results
This section covers the steps on how to view
Press the RIGHT arrow button. The
your:
display now shows your lunch average.
– Most Recent Glucose Test Result
– 300 Past Glucose Test Results, with time and date
Press the RIGHT arrow button. The
– Breakfast, Lunch, Dinner and Bedtime Averages
display now shows your dinner
average.
The WaveSense™ KeyNote™ Meter calculates averages
of all the test results during breakfast, lunch, dinner
Press the RIGHT arrow button. The dis-
and bedtime. Control solution, Hi and Lo test results,
play now shows your bedtime average.
out-of-temperature-range results, and results without
a valid date / time are not included in the averages.
Note: To return to the most recent test
Averages are composed of results only within the
result, press CENTER button.
last 14 days. Breakfast averages include glucose
[2] Viewing Individual Results
measurements between 4:00 am and 10:00 am, lunch
averages are between 10:00 am and 4:00 pm, dinner
Press and release the CENTER button.
averages are between 4:00 pm and 10:00 pm, and
The display will show the most recent
bedtime averages are between10:00 pm and 4:00 am.
glucose test result with the time and
date.Use the LEFT arrow button to
[1] Viewing Time-of-Day Averages
view every test result, starting from
Press any button once when the meter is
the most recent and ending with the oldest.
OFF. The display shows the most recent
glucose test result with the time
Note: At any point, press CENTER button to return to
and date. Press the RIGHT arrow
the most recent test result.
button. The display now shows
your breakfast average.
13
Setting Meter Volume
Select the preferred setting with the
RIGHT or LEFT arrow buttons. Press
and Backlight
the CENTER button to con rm and
continue on to set the Time Format and Time.
[1] Enter MENU Mode: When your meter is OFF,
press and hold any button for 2 seconds to enter the
Note: Disabling the backlight in the SET menu also
MENU mode.
disables backlight for alarms.
[2] Enter SET Option: The MEM
symbol will appear. Press the RIGHT
14
arrow button until the SET symbol is
displayed. Press the CENTER button.
[3] Setting Meter Volume: There
[1] Enter MENU Mode: When your meter is OFF,
are three beep volume options. The default setting
press and hold any button for 2 seconds to enter the
is "high." Select the preferred volume setting with
MENU mode.
the RIGHT or LEFT arrow buttons. Your selection
[2] Enter SET Option: The MEM
will be highlighted by the blinking of the symbol.
Press the CENTER button to con rm
symbol will appear. Press the RIGHT
your selection. Continue to set the
arrow button until the SET symbol is
MENU Mode Backlight option.
displayed. Press the CENTER button.
[4] Setting Backlight
[3] Setting Time: Press CENTER
Option: You can enable or disable the backlight.
repeatedly until you see a screen with
The default setting for the backlight is enabled. The
the message 12H or 24H, you are ready
changed status of the backlight will be activated
to set the meter's time.
immediately.
Select a 12 or 24 hour clock format with the RIGHT or
16
Setting Alarms
until the alarm you want to set is
displayed (AL1 to AL6). If this is your
There are 6 alarms you can set to remind you
rst time setting an alarm, use AL1.
when to test your glucose levels.
Press CENTER to select an alarm
to set.
When alarms are activated: [1] If an alarm
[3] Turning Alarms ON or OFF: Press the
is set and the WaveSense™ KeyNote™ Meter is
turned OFF, the alarm will turn the meter ON.
RIGHT or LEFT arrow buttons to
"AL1" thru "AL6" (depending which alarm is set)
enable (ON) or disable (OFF) the
is displayed. The display backlight ashes, and
alarm. The default setting is OFF.
the meter will beep repeatedly for 15 seconds.
Con rm your selection by pressing
[2] You can turn the alarm OFF by pressing any
CENTER button. Your selections
button. [3] The alarms will not appear during
will be highlighted by a blinking
Menu and Test Modes. If an alarm is set to go
symbol.
o when using these modes, it will be activated
[4] Setting Alarm Times: You can now set the
after the meter is turned OFF.
time. First, set the ashing numbers (hour) with
CAUTION:
Follow your physician's
the RIGHT or LEFT arrow buttons.
recommendations on when and how often
Accelerated change is possible by
to test your glucose.
holding down the arrow buttons.
Press CENTER to con rm and to
[1] Enter MENU Mode: When your meter is
move on to set the minute.
OFF, press and hold any button for 2 seconds to
enter the MENU mode.
Set (minute) with the RIGHT or
LEFT arrow buttons. Press the
[2] Enter Alarm Option: The MEM symbol
CENTER button to con rm the
appears. Press the RIGHT or LEFT arrow buttons
alarm time and to move on to set
Error Messages
there may be a broken component which may cause error
messages. In this case call customer service.
Error 1:
The WaveSense™ KeyNote™ Blood Glucose Monitoring
related to test strip use.
System has been designed to work accurately under
[1] If this message appears the moment the test strip is
most usual conditions. On rare occasions, the meter will
inserted, the test strip may be wet or damaged. [2] If the
display an error message instead of a glucose result. The
WaveSense™ KeyNote™ system is able to detect speci c
message appears during a test, the test strip may have
been removed too early. [3] If this message appears after
problems which may allow you to determine the cause of
the error without wasting valuable test strips. When you
the last progress bar instead of a result, it may indicate
are presented with an error message, check for common
that you applied more blood after testing began.
problems that may explain the source of the error.
Error 2:
Two common errors are listed below:
with the sample.
[1] The meter may return an error code if it is being used
[1] The test strip may be partially lled; you should check
near electrical equipment, like a power generator or a
the window of the test strip to con rm that it is full. [2] The
computer monitor. [2] If the meter rattles when shaken,
sample may not be blood or control solution. [3] You may
About the WaveSense™ KeyNote™ System
size, 0.5 µl of blood, about the size of a pinhead.
WARNING: The test strip vial contains drying
agents that may be harmful if inhaled or
swallowed and may cause skin or eye irritation.
CAUTION:
Discard used test strips properly.
IMPORTANT:
Use WaveSense™ KeyNote™ Test Strips
only once.
Important Test Strip Information:
[1] Store the WaveSense™ KeyNote™ Test Strip vial in
a cool, dry place at 46 °F to 86 °F (8 °C to 30 °C). [2]
Use WaveSense™ KeyNote™ Test Strips only within the
system operating temperature range of 50 °F to 104 °F
(10 °C to 40 °C ). [3] Keep away from direct sunlight and
heat. [4] Store your WaveSense™ KeyNote™ Test Strips
in their original vial only; never store them in another
vial, any other container or outside the vial. [5] After
Visual Fill Window:
removing an WaveSense™ KeyNote™ Test Strip from the
The window will turn
vial, immediately close the vial cap tightly. [6] With
red when enough
clean, dry hands, you may gently handle the WaveSense™
blood has been applied
KeyNote™ Test Strip when removing it from the vial or
or blue when enough
inserting it into the meter. [7] Do not use WaveSense™
control solution has
been applied.
KeyNote™ Test Strips beyond the expiration date or 90
12
View 14, 30, and 90 Day Averages and Graphs
This section 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
– 14, 30, and 90 Day Averages Comparison Graph
The WaveSense™ KeyNote™ Meter calculates the
averages from the last 14, 30 and 90 days, starting from
the current time and date shown on the meter. Control
solution, Hi and Lo test results, out-of-temperature-
range results, and results without a valid time / date
are not included in the averages.
IMPORTANT:
Results stored in memory should
only be used as a reference. Do not make
treatment decisions based solely on stored
results. Consult with your physician regarding
treatment options.
[1] Enter MENU Mode
Press and hold any button for 2 seconds to enter the
MENU mode.
[2] Enter Memory Option
When the MEM symbol appears, press the CENTER
LEFT arrow buttons.
The 12 hour clock display option is indicated by a 12H.
The 24 hour clock display option is indicated by a 24H.
Your selection will be highlighted by the blinking of
the symbol.
Press the CENTER button to con rm your selection and
move on to the hour setting.
Set the hour ( ashing) with the RIGHT or LEFT arrow
Setting Time and Date
buttons. Press the CENTER button to con rm and
continue on to set the minute.
Set the minute ( ashing) with the RIGHT or LEFT arrow
buttons. Press the CENTER button to con rm and
continue on to set the date.
[4] Setting Date: Set the month ( ashing) with
the RIGHT or LEFT arrow buttons. Press the CENTER
button to con rm and continue on to the day
:
PM
setting.
Month:
Set the day ( ashing) with the RIGHT or LEFT arrow
buttons. Press the CENTER button to con rm and
the alarm volume.
[5] Setting Alarm Volumes: There are
three volume options. A silent alarm will only
ash the meter's screen. The default setting is
"high". Select your preferred
setting with the RIGHT or LEFT
arrow buttons. Con rm by
:
pressing the CENTER button.
PM
This will bring you back to MENU
Mode.
Note: The volume of an alarm will be a ected by
the meter's volume setting, which can be changed
in the meter's settings (SET) option. If your meter is
set to silent mode, then the alarm will not sound,
regardless of the individual alarm setting. Also, if
your meter is set to low volume mode, then an alarm
:
PM
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)
:
PM
is displayed. Follow the previous steps in this
section 16, "Setting Alarms."
have entered the wrong calibration code.
Error 3:
The meter has detected that the test
Problems have occurred that are
strip is in poor condition.
[1] The test strip may have been improperly stored (e.g.
hot, humid conditions) or may be expired. [2] The test
strip may have been mishandled by vigorous bending
or shaking. [3] Parts of the test strip may have become
covered in grease, oil, or lotion. [4] The strip port
connector may be dirty.
Error 4:
Unusual test strip problems have
The meter has detected an irregularity
occurred that may be related to extreme conditions.
[1] Retest where it is closer to a room temperature of
70 °F to 75 °F (21 °C to 24 °C).
days after rst opening the vial. This may cause inaccurate
results. Write the discard date (90 days from the rst
opening) on the test strip vial. [8] Do not bend, cut, or
alter WaveSense™ KeyNote™ Test Strips. [9] Apply only
fresh capillary blood or control solution to the sample area
of the WaveSense™ KeyNote™ Test Strip.
About the WaveSense™ KeyNote™ Meter
1
(1)
Display: Glucose test results, symbols, messages,
(2)
and graphs appear here.
CENTER Button: Use the
CENTER button to con rm an option or make a selection
(3)
in a menu.
RIGHT Arrow Button: Use the RIGHT
arrow button to scroll forward through options.
Strip Port: Insert the WaveSense™ KeyNote™ Test Strip,
with the contact bars facing up, into the strip port.
LEFT Arrow Button: Use the LEFT arrow button to scroll
backward through options.
About the WaveSense™ KeyNote™ Meter Display
Segments
(1)
(2)
Date and Time
Glucose Test Results
Battery: appears when the batteries in your meter are
button to enter the Memory option.
Note: Use the RIGHT or LEFT arrow
buttons to scroll through the MENU
Mode options.
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
LEFT arrow buttons to view your 14 day trend graph.
You can move from the 14
day trend graph to the 14
day numerical average by
pressing the RIGHT or LEFT
arrow buttons.
− View 30 Day Averages and Graphs: Press the
CENTER button to view your 30 day numerical average.
Press the RIGHT or LEFT arrow buttons to view your 30
day trend graph.
move on the year setting.
Day:
Set the year ( ashing) with the RIGHT or LEFT arrow
buttons. Press the CENTER button to con rm and
continue on to set the Hypo Limit.
Year:
15
Setting Hypoglycemic
Hour:
:
PM
and Hyperglycemic
Warning Alarms
Minute:
:
PM
[1] Enter MENU Mode: When your meter is OFF,
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 arrow button until the SET symbol is
displayed. Press the CENTER button.
17
Batteries
CAUTION:
When the battery symbol appears,
you should replace the batteries immediately.
Only use CR2032 batteries.
:
Your WaveSense™ KeyNote™ Meter comes with two
PM
pre-installed, CR2032, 3 volt, lithium batteries. If your
batteries run low, the battery symbol ashes until
you change the batteries. The backlight is disabled
in all modes when the battery symbol is on. When
changing batteries the current time and date settings
will be reset. The time and date will automatically
be set to 01-01 12:00. Correct time and date settings
are needed to get correct averages. Removing the
batteries does not a ect the meter's memory or
previously stored user settings, such as those set in
SET Options (e.g. calibration code, alarms, etc.).
Replacing the Batteries
[1]Open Battery Door: Make
sure the meter is powered OFF. Turn
the meter so you are looking at the
battery door. Press the battery door
clip to open. Remove the battery
door. Be careful not to misplace the
battery door.
Error 5:
The meter was unable to produce a
reliable result.
[1] This may be caused by a non-blood sample, or
a combination of high glucose and other medical
conditions. [2] If this error code persists on retesting,
consult your physician.
Error 6:
The test strip has taken too long to
generate a signal.
[1] This may be caused by a combination of cold
operating temperature and high hematocrit levels. Retest
in a warmer location. [2] If this error code persists on
retesting, consult you physician.
Error 7 with Battery Icon:
Replace batteries immediately before testing.
running low. (4)Temperature Symbol: appears when
the meter is outside its operating temperature range of 50
(5)
°F to 104 °F (10 °C to 40 °C ).
Code Symbol: appears
when displaying the code number of the test stri p .
Ketone Symbol: appears when your glucose test results
are higher than 240 mg/dL (13.3 mmol/L).
Solution Symbol: appears after you have performed
(8)
a control solution test.
Units of Measurement:
Results will be displayed in mg/dL.
3
4
1
:
2
3
4
5
2
5
c ode
Ketone control
mmgl/dL
6
7
13
10
(4)
9
12
14
(5)
30
16
14
90
(9)
Apply Sample to Test Strip: The test strip symbol
and ashing droplet symbol will signal you to apply
(10)
sample to the test strip.
Sample Entering Test
(3)
Low
Strip: The three droplet symbols will appear within the
test strip symbol when blood or control solution enters
You can move from the 30
day trend graph to the 30
day numerical average by
mg /dL
pressing the RIGHT or LEFT
arrow buttons.
− View 90 Day Averages and Graphs:
Press the CENTER button to view your 90 day numerical
average. Press the RIGHT or LEFT arrow buttons to view
your 90 day trend graph.
You can move from the 90
day trend graph to the 90
day numerical average by
mg /dL
pressing the RIGHT or LEFT
arrow buttons.
− View14, 30, and 90 Day Average
Comparison Graph: Press CENTER button
mg /dL
to view your 14, 30, and 90 day average
14
comparison graph. The display shows an
overview with three trend bars comparing
[3] Setting Your Hypoglycemic Warning
Alarm: Press CENTER repeatedly until you see the
HYPO symbol in the top right corner of the screen. You
are ready to set the Hypoglycemic Warning Alarm.
The Hypoglycemic Warning Alarm alerts you when your
glucose test results are below the hypoglycemic limit
that you have set. The meter is pre-set to a hypoglycemic
limit of 70 mg/dL. Always consult your physician for
your recommended target ranges. When your glucose
test results are below your set hypoglycemic limit, the
date, time and result will ash on
the display.
Set the Hypoglycemic Limit ON or
OFF with the RIGHT or LEFT arrow
buttons. Your selection will be highlighted by the
blinking of the symbol. Press the CENTER button to
con rm your selection.
Set the Hypoglycemic Limit ( ashing)
with the RIGHT or LEFT arrow
buttons. Press CENTER button to
con rm and continue on to set the
Hyper Limit.
CAUTION:
Consult your physician for a
recommendation on your hypoglycemic limit.
[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
A
(+) sign facing up towards you.
A
Used:
New:
[3]Remove and Install
2nd Battery: Repeat previous step
for the 2nd battery.
[4]Close Battery Door: Angle
the battery door back onto the
meter and swing down until it
snaps gently into place. Make sure
that the battery door is completely
closed before using.
18
Important Health-
Related Information
Please Read the Following: [1] Severe dehydra-
tion and excessive water loss may yield inaccurate
Error 7:
Meter problems have occurred that are beyond your
control. Contact customer service for assistance.
Troubleshooting #2
Troubleshooting Situation #2:
The glucose test sequence does not start after
applying the blood sample.
[1] CAUSE: Defective test strip. ACTION: Repeat the
test with a new WaveSense™ KeyNote™ Test Strip. If
this does not work, call customer service.
[2] CAUSE: Sample applied after meter times out
and turns OFF. ACTION: Repeat the test using a new
(11)
the test strip.
High Volume: large bell indicates
(12)
high volume.
Low Volume: small bell indicates
(13)
low volume.
Volume OFF: small bell with a
(6)
(14)
line across it indicates mute.
14, 30, and 90
Day Indicators: The appropriate number of days will
(7)
(15)
Control
appear when viewing graphical averages.
1,2,3
Countdown: The 1, 2 and 3 symbols will appear during
(16)
a test.
Graphing Area: Areas of the dot matrix
will appear during a test and when displaying graphs.
AM
About the WaveSense™ KeyNote™ Lancing
PM
System
8
2
5
6
1
3
7
8
4
(1)
Cocking Handle: Cocks the device so it is ready to
11
(2)
lance.
Depth Adjustment Dial: Adjusts how deep
(3)
the lancet will lance the skin.
Depth Indicator
1
Window: Displays the depth setting of the lancing
2
15
(4)
(5)
device.
Release Button: Fires the lancet.
3
Lancet: Lances the skin to produce a drop of blood.
(7)
Lancet Cap: Covers the lancet for safety.
Lancing
Device Cap: Covers the lancet when in lancing device.
(8)
Alternate Site Testing Cap: Used for obtaining a
blood sample on the palm (at the base of the thumb).
the 14, 30, and 90 days averages.
One dot represents 50 mg/dL (2.8 mmol/L).
30
One dot represents 20 mg/dL (1.1 mmol/L).
90
14
30
90
[4] Setting Your Hyperglycemic
Warning Alarm: The Hyperglycemic Warning Alarm
alerts you when your glucose test results are above the
hyperglycemic limit that you have set. The meter is pre-set
to a hyperglycemic limit of 240 mg/dL. Always consult your
physician for your recommended target ranges. When your
glucose test results are above your set
hyperglycemic limit, the date, time and
result will ash on the display.
Set the Hyperglycemic Limit ON or OFF
with the RIGHT or LEFT arrow buttons.
Your selection will be highlighted
mg /dL
by the blinking of the symbol. Press
CENTER button to con rm your
selection.
Set the Hyperglycemic Limit ( ashing)
with the RIGHT or LEFT arrow buttons.
Press CENTER button to con rm. This will bring you back
to MENU Mode at the SET options.
mg /dL
CAUTION:
Consult your physician for a
recommendation on your hyperglycemic limit.
results. If you believe you are su ering from severe
dehydration, consult your physician immediately.
[2] The ADA (American Diabetes Association) recom-
mends the following target ranges for adults with
Diabetes: Pre-Prandial Plasma Glucose 90-130 mg/dL
(5.0-7.2 mmol/L) and Post-Prandial Plasma Glucose
< 180 mg/dL (< 10.0 mmol/L). Always consult your
physician for your recommended target ranges. [3]
Results below 70 mg/dL (3.9 mmol/L) may mean low
blood glucose levels (hypoglycemia). [4] Results
over 240 mg/dL (13.3 mmol/L) may mean high blood
glucose levels (hyperglycemia). Checking ketones may
be advisable. [5] If you get results below 70 mg/dL
(3.9 mmol/L) or above 240 mg/dL (13.3 mmol/L)
and do not have symptoms of hypoglycemia or
hyperglycemia, repeat the test. If you have symptoms,
or continue to get results that fall below 70 mg/dL
(3.9 mmol/L) or rise above 240 mg/dL (13.3 mmol/L),
follow your physician' s recommendations. [6] If you
are experiencing symptoms that are not consistent
with your blood glucose test and you have followed all
instructions described in the WaveSense™ KeyNote™
Owner's Guide, follow your physician' s recommenda-
tions. [7] Patients undergoing oxygen therapy may
receive inaccurate results. [8] Always follow your
physician's recommendations.
WaveSense™ KeyNote™ Test Strip. Wait until you see
the blood and test strip symbols on the display screen
before you apply the blood sample.
[3] CAUSE: Defective meter. ACTION: Call customer
service.
Customer Service:
+1 (866) 906 4197
(6)
mg /dL
mg /dL
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