Freestyle LIBRE PRO Operator's Manual

Page 1
Operator’s Manual
FLASH GLUCOSE MONITORING SYSTEM
CAUTION: Federal law restricts this device to sale by or on the order of a physician.
Spine depth for perfect binding will be determined by supplier.
Page 2
Reader Symbols .........................................1
Important Safety Information........................... 2
Indications for Use........................................ 2
Contraindications ........................................3
Getting to Know the System.............................7
Reader Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Sensor Kit ................................................ 9
FreeStyle Libre Pro Software .............................11
Setting up the Reader for the First Time................12
Using the Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Applying the Sensor .....................................15
Starting the Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Patient Wear.............................................21
Getting Sensor Data .....................................22
Removing the Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Charging the Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
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Reader Symbols
Symbol What It Means
View previous/next screen
Options
Low battery
Battery charging
Conrm Sensor reminder
Communication strength
Data to report
Reader Options.........................................27
Maintenance and Disposal .............................30
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Reader Does Not Power On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Problems at the Sensor Application Site ..................32
Problems Starting the Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Problems Getting Sensor Data . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Reader Error Messages...................................36
Perform a Reader Test....................................37
Customer Service........................................37
System Specications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Labeling Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Performance Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Electromagnetic Compatibility.........................64
Limited Warranty.......................................74
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Important Safety Information
Indications for Use
The FreeStyle Libre Pro Flash Glucose Monitoring System is a professional continuous glucose monitoring (CGM) device indicated for detecting trends and tracking patterns in persons (age 18 and older) with diabetes. The System is intended for use by health care professionals and requires a prescription. Readings from the FreeStyle Libre Pro Sensor are only made available to patients through consultation with a health care professional. The System does not require user calibration with blood glucose values.
The FreeStyle Libre Pro System aids in the detection of glucose level excursions above or below the desired range, facilitating therapy adjustments. Interpretation of the FreeStyle Libre Pro Flash Glucose Monitoring System readings should be based on the trends and patterns analyzed through time using the reports available.
IMPORTANT: The device may inaccurately indicate hypoglycemia. The results of the clinical study conducted for this device showed that 40% of the time when the device indicated that user sensor glucose values were at or below 60 mg/dL, user glucose values were actually in the range of 81-160 mg/dL. Therefore, interpretation of the FreeStyle Libre Pro Flash Glucose Monitoring System readings should only be based on the trends and patterns analyzed through time using the reports available per the intended use.
Contraindications
The FreeStyle Libre Pro Flash Glucose Monitoring System must be removed prior to Magnetic Resonance Imaging (MRI), Computed Tomography (CT) scan, or high-frequency electrical heat (diathermy) treatment. The eect of MRI, CT scans, or diathermy on the performance of the System has not been evaluated. The exposure may damage the Sensor and may impact proper function of the device to detect trends and track patterns in the user’s glucose values during the wear period.
WARNING: The FreeStyle Libre Pro Flash Glucose Monitoring System contains small parts that may be dangerous if swallowed.
CAUTIO N:
• Performance of the System when used with other implanted
medical devices, such as pacemakers, has not been evaluated.
• Some individuals may be sensitive to the adhesive that
keeps the Sensor attached to the skin. If your patient notices signicant skin irritation around or under their Sensor, they should remove the Sensor and stop using the FreeStyle Libre Pro System. Follow your facility’s procedures for handling skin reactions.
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Warnings/Limitations
• Review all product information before use.
• Physiologic dierences between the interstitial uid and capillary blood
may result in dierences in glucose readings. Dierences in glucose readings between interstitial uid and capillary blood may be observed during times of rapid change in blood glucose, such as after eating, dosing insulin, or exercising.
• Severe dehydration and excessive water loss may cause inaccurate
results.
• Do not reuse Sensors. The Sensor and Sensor Applicator are designed
for single use. Reuse may result in no glucose readings and infection. Not suitable for re-sterilization. Further exposure to irradiation may cause inaccurate results.
• Interfering Substances: Taking ascorbic acid (vitamin C) while wearing
the Sensor may falsely raise Sensor glucose readings. Taking salicylic acid (used in some pain relievers such as aspirin and some skin care products) may slightly lower Sensor glucose readings. The level of inaccuracy depends on the amount of the interfering substance active in the body. Test results did not indicate interference for methyldopa (used in some drugs to treat high blood pressure) or tolbutamide (infrequently used in some drugs to treat diabetes in the US) at maximum circulating levels. However, concentrations of potential interferents in interstitial uid are unknown compared to circulating blood. Taking medications with acetaminophen (such as Tylenol and some cold medicines) while wearing the Sensor may falsely raise
Sensor glucose readings. The level of inaccuracy depends on the amount of acetaminophen active in the body and may be dierent for each person.
• Take standard precautions for transmission of blood borne pathogens
to avoid contamination.
• The Reader should be cleaned between patients.
• If a Sensor breaks inside a patient, remove with tweezers, treat any
medical complications and call Customer Service.
• Use of the System is not recommended in the critically ill population
since performance is unknown due to dierent conditions and medications.
• Sensor placement is not approved for sites other than the back of the
arm. If placed in other areas, the Sensor may not function properly.
• If the Sensor Kit package or contents or the Reader appear to be
damaged, do not use as there may be a risk of electric shock, no results, and/or infection.
• Store the Sensor Kit between 39°F-77°F. While you don’t need to keep
the Sensor Kit in a refrigerator, you can as long as the refrigerator is between 39°F-77°F.
• Store the Sensor Kit between 10-90% non-condensing humidity.
• The System does not provide real-time results. Patients need to rely on
blood glucose readings for monitoring glucose during System use.
• Clean hands prior to Sensor handling/insertion to help prevent
infection.
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• Clean the application site and ensure that it is dry prior to Sensor
insertion. This helps the Sensor stay attached to the body.
• Change the application site for the next Sensor application to prevent
discomfort or skin irritation.
• Select an appropriate Sensor site to help the Sensor stay attached to the
body and prevent discomfort or skin irritation. Avoid areas with scars, moles, stretch marks, or lumps. Select an area of skin that generally stays at during normal daily activities (no bending or folding). Choose a site that is at least 1 inch away from an insulin injection site.
• The Sensor should not be worn more than 14 days. Readings are not
obtained after 14 days.
• The Sensor should be removed prior to exposing it to an X-ray machine.
The eect of X-rays on the performance of the system has not been evaluated. The exposure may damage the Sensor and may impact proper function of the device to detect trends and track patterns in the user’s glucose values during the wear period.
• The FreeStyle Libre Pro Flash Glucose Monitoring System has not been
evaluated for use in pregnant women, persons on dialysis, or people less than 18 years of age.
Getting to Know the System
The FreeStyle Libre Pro Flash Glucose Monitoring System has three main parts: a handheld Reader, a disposable Sensor, and FreeStyle Libre Pro software. A single FreeStyle Libre Pro Reader can be used to gather data from FreeStyle Libre Pro Sensors on multiple patients.
When opening the Reader Kit and Sensor Kit, check that the contents are undamaged and that you have all parts listed. If any parts are missing or damaged, contact Customer Service.
IMPORTANT: Safety information about the System is in this Operator’s Manual. Read all of the information in the Operator’s Manual before using the System.
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Reader Kit
The Reader Kit includes:
• FreeStyle Libre
Pro Reader
• USB Cable
• Power Adapter
• Operator’s Manual
• Quick Start Guide
The Reader is used to start the Sensor on a patient and gather their glucose readings. Multiple patients can have their Sensor started by the same Reader.
USB Port
Used to charge the Reader and connect it to a computer.
Touchscreen
Home Button
Turns the Reader on/o
and takes you to the
Home Screen from any
other screen.
Sensor Kit
The Sensor Kit includes:
• Sensor Pack
• Sensor Applicator
• Alcohol wipe
• Product insert
Sensor Pack
Used with the Sensor Applicator to prepare the Sensor for use.
Sensor Applicator
Applies the Sensor to the patient’s body.
The Sensor measures and stores glucose readings when worn on the body. It initially comes in two parts: one part is in the Sensor Pack and the other part is in the Sensor Applicator. By following the instructions, prepare and apply the Sensor on the back of the patient’s upper arm. The Sensor has a small, exible tip that is inserted just under the skin. The Sensor can be worn for up to 14 days.
Sensor
Measures glucose while on body
(only visible after applied).
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FreeStyle Libre Pro Software
FreeStyle Libre Pro software can be used to create reports based on glucose readings from the most recently downloaded Sensor. The software is compatible with most Windows and Mac operating systems. Go to www.FreeStyleLibrePro.com and follow onscreen instructions to download and install the software.
INTENDED USE
The FreeStyle Libre Pro software is intended for use by health care professionals to aid in the review, analysis and evaluation of a patient’s glucose readings uploaded from the FreeStyle Libre Pro Flash Glucose Monitoring System in support of an eective diabetes health management program.
The Reader Home Screen provides access to starting a new Sensor, getting Sensor data, and information about the System.
Home Screen
10:23pm
Start New
Sensor
Get Sensor
Data
Time
Current time set on the Reader.
Battery Level
Battery charge remaining.
Options
Touch to view or change
the Reader’s options.
Get Sensor Data
Touch to download all
glucose readings from the
Sensor into the Reader.
Start New Sensor
Touch to start a new Sensor.
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Step Action
4
Set the Current Time. Touch next to continue.
5
mg dL
80
to
140
back next
Target Glucose Range
?
Set the Target Glucose Range. Touch next to continue.
Note: The Target Glucose Range is displayed on the Daily Graph on the Reader once Sensor data has been downloaded. While the glucose data are gathered in the System range of 40-500 mg/dL, the Daily Graph display range is 0-350 mg/dL for ease of review on screen.
6
doneback
While using the Reader, press the Home button to return to the Home screen.
The Reader now indicates how to return to the Home Screen from any other screen. Touch done to go to the Home Screen.
Note: Charge the Reader if the bat tery level is low. Only use the USB cable and power adapter include d with the System.
12 am 00
back next
Current Time
CAUTIO N: It is very important to set the time and date correctly for correct interpretation of Sensor data.
Setting up the Reader for the First Time
Before using the System for the rst time, the Reader must be set up.
Step Action
1
Press the Home Button to turn on the Reader.
2
If prompted, use the touchscreen to select your preferred language for the Reader. Touch OK to continue.
Note: Use the pad of your nger. Do NOT use your ngernail or any other object on the screen.
3
Set the Current Date using the arrows on the touchscreen. Touch next to continue.
11
back next
Current Date
June 2017
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Applying the Sensor
Step
Action
1
Apply Sensors only on the back of your patient’s upper arm. Avoid areas with scars, moles, stretch marks, or lumps.
Select an area of skin that generally stays at during normal daily activities (no bending or folding). Choose a site that is at least 1 inch (2.5 cm) away from an insulin injection site. To prevent discomfort or skin irritation, you should select a dierent site other than the one most recently used.
2
Clean application site with an alcohol wipe and allow site to dry before proceeding. This helps the Sensor stay attached to the body.
Note: The area MUST be clean and dry, or the Sensor may not stick to the site.
Using the Sensor
After you assemble and apply the Sensor to your patient’s body, start the Sensor with the Reader and conrm it is working. The Sensor stores glucose readings every 15 minutes for up to 14 days. The rst reading is stored 1 hour after the Sensor is successfully started.
CAUTIO N: The Sensor Pack and Sensor Applicator are packaged as a set
(separately from the Reader) and have the same Sensor code. Check that the Sensor codes match before using the Sensor Pack and Sensor Applicator. Sensor Packs and Sensor Applicators with the same Sensor code should be used together or Sensor glucose readings may be incorrect.
CODE
FreeStyle Libre
Sensor Pack
XXXXXXXXX
XXX
YYYY-MM-DD
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Step
Action
6
The Sensor Applicator is prepared and ready to apply the Sensor.
7
Place the Sensor Applicator over the prepared site and push down rmly to apply the Sensor to the body.
CAUTIO N: The Sensor Applicator now contains a needle. Do NOT touch inside the Sensor Applicator or put it back into the Sensor Pack.
CAUTIO N: Do NOT push down on the Sensor Applicator until placed over prepared site to prevent unintended results or injury.
Step
Action
3
Open the Sensor Pack by peeling the lid o completely. Unscrew cap from the Sensor Applicator and set the cap aside.
4
Line up the dark mark on the Sensor Applicator with the dark mark on the Sensor Pack. Press rmly down on the Sensor Applicator until it comes to a stop.
5
Lift the Sensor Applicator out of the Sensor Pack.
Lid
Cap
CAUTIO N: Do NOT use if the Sensor Pack or the Sensor Applicator seem to be damaged or already opened. Do NOT use if past expiration date.
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Starting the Sensor
Step
Action
1
Press the Home Button to turn on the Reader.
2
Touch Start New Sensor.
3
Hold the Reader within 1.5 inches (4 cm) of the Sensor to start it. If sounds are turned on, the Reader beeps when the Sensor has been started. You can check the Sensor has successfully started in 2 minutes.
Note: If communication is not established within 15 seconds, the Reader displays a prompt to try again. Touch OK to return to the Home Screen and touch Start New Sensor to start the Sensor.
10:23pm
Start New
Sensor
Get Sensor
Data
Check Sensor status when prompted in:
minutes
OK
Sensor Starting
2
Step
Action
8
Gently pull the Sensor Applicator away from the body. The Sensor should now be attached to the skin.
Note: Applying the Sensor may cause bruising or bleeding. If there is bleeding that does not stop, remove the Sensor, and apply a new one at a dierent site.
9
Make sure the Sensor is secure after application. Put the cap back on the Sensor Applicator.
Discard the used Sensor Pack and Sensor Applicator according to your facility’s procedures.
Sensor
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Step Action
4
When prompted, touch yes to check the Sensor status. Hold the Reader within 1.5 inches (4 cm) of the Sensor to verify Sensor is working.
5
Touch OK to go to the Home Screen.
Reminder
yesno
Check Sensor Status?
Sensor can be used for up to 14 more days.
OK
Sensor Working
Patient Wear
The Sensor stores your patient ’s glucose readings every 15 minutes for up to 14 days. The rst reading is stored 1 hour after the Se nsor is successfully started.
IMPORTANT:
• The Sensor should not be worn for more than 14 days.
• Data can be downloaded at anytime from Sensors that are on or o
the body.
• Before your patient goes home, revi ew and give them the “Living
with Your FreeStyle Libre Pro Sensor” section of th e insert in the Sensor Kit.
CAUTIO N: Intense exercise may cause the Sensor to loosen due to sweat or movement of the Sensor. If the Sensor becomes loose, the Sensor readings may be unavailable or unreliable. Your patient should return to your facility for application of a new Sensor.
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Step Action
4
The Reader will indicate how many days of Sensor wear are left, if any. Touch view to view the daily graph. Touch next. For more information about the daily graph, se e Daily Graph section.
5
To create reports, connect the Reader to a computer. See Creating Reports section in th e FreeStyle Libre Pro software Use r’s Manual. The User’s Manual can be found in the Help Menu of the software. Touch done to return to the Home Screen.
Note: The Home Screen will show this symbol
near the top of the screen when there is new Sensor data in the Reader that has not been transferred to a computer. A report should be generated from this data before the next Sensor is downloaded.
Sensor can be used for up to 7 more days.
Sensor Data Received
view next
Days Recorded
7
doneback
To create reports, connect Reader to a computer.
Getting Sensor Data
Data can be downloaded at anytim e from Sensors that are on or o the body.
Step Action
1
Press the Home Button to turn on the Reader.
2
Touch Get Sensor Data.
3
Hold the Reader within 1.5 inches (4 cm) of the Sensor. If sounds are turned on, the Reader will beep when all the data has been successfully downloaded from the Sensor. This may take up to 5 seconds.
Note: If communication is not established within 15 seconds, the Reader displays a prompt to try again. Touch OK to return to the Home Screen and touch Get Sensor Data again.
10:23pm
Start New
Sensor
Get Sensor
Data
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Removing the Sensor
The Sensor automatically stops working and should be removed 14 days after being started. You should also replace the Sensor if there is any irritation or discomfort at the application site or if the Reader reports a problem with the Sensor currently in use.
Step Action
1
Pull up the edge of the adhesive that keeps the Sensor attached to the skin. Slowly peel away from the skin in one motion.
Note: Any remaining adhesive residue on the skin can be removed with warm soapy water or isopropyl alcohol.
2
Discard the used Sensor according to your facility’s procedures. See Maintenance and Disposal section.
Daily Graph
The Daily Graph shows the Sensor glucose rea dings by day and the Target Glucose Range that is set on the Reader. You can change the target glucose range by touching the Options symbol
on the Home
Screen and selecting Target Range.
Notes:
• If you want the graph to show the current
patient’s target range, set their target range before downloading their data.
• The graph displays glucose readings up to
350 mg/dL. Glucose readings above 350 mg/dL are displayed at 350 mg/dL. For sequential readings above 350 mg/dL, a line is displayed at 350 mg/dL.
12am6am12pm6pm12
am
350
250
150
50
OK
Daily Graph (mg/dL)
22 Feb
Wednesday
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Reader Options
You can go to the Options menu to check Sensor or System Status or change settings on the Reader, like Time & Date or Sounds.
Step
Action
1
To get to the Options menu, touch the Options symbol
on the Home Screen.
10:23pm
Start New
Sensor
Get Sensor
Data
Check Sensor Status
Target Range
Sounds
1 / 2
Options
Charging the Reader
A fully charged Reader battery should last up to 2 weeks. The battery life may vary depending on your usage.
Plug the included USB cable into an electrical outlet using the included power adapter. Then, plug the other end of the USB cable into the USB port on the Reader.
OK
Please charge the Reader to continue using it.
Low Battery
Charging
CAUTIO N: Be sure to select a location for charging that allows the power adapter to be easily unplugged.
Notes:
• You must charge the Reader when the battery is low to
keep using the Reader.
• To fully charge the battery, charge the Reader for at least
3 hours.
• Only use the USB cable and power adapter included with
the system.
• Fully charge the Reader before storing it for more than
3 months.
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Step
Action
2
(cont.)
•Perform a Reader Test: The Reader Test will perform internal
diagnostics and allow you to check that the display is showing all pixels, sounds (including both tones and vibrations) are working, and the touchscreen is responding when touched
•View Event Logs: A list of events recorded by the Reader,
which may be used by Customer Service to help troubleshoot the System
Touch OK when you are done.
Step
Action
2
Touch the option you want to view or change:
Check Sensor Status – Check if a Sensor is working or has ended
Target Range – Set range displayed on Reader Daily Glucose graph
Sounds – Set tones and vibrations Time & Date – Change the Time or Date Language – Change the language on the Reader (option only
available on Readers with multiple languages) System Status – Check Reader information and performance
•View System Information: The Reader will display information
about the system including:
- Reader serial and version numbers
- Sensor serial number for most recently downloaded Sensor
- Sensor version for most recently downloaded Sensor
- Sensor start date and time for most recently downloaded Sensor
- Sensor download date and time for most recently downloaded Sensor
- Amount of data downloaded from Sensor
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Troubleshooting
This section lists problems or observations that may occur, the possible cause(s), and recommended actions. If the Reader experiences an error, a message will appear on the screen with directions to resolve the error.
Reader Does Not Power On
Problem What It May Mean What To Do
Reader does not power on after you press the Home Button.
Reader battery is too low.
Charge the Reader.
Reader is outside of its operating temperature range.
Move the Reader to a temperature between 50 °F and 113 °F and then try to power it on.
If the Reader still does not power on after trying these steps, contact Customer Service.
Maintenance and Disposal
Cleaning
You may clean the Reader using a damp cloth. Gently wipe the exterior of the Reader and allow to air dry.
Maintenance
The FreeStyle Libre Pro Flash Glucose Monitoring System has no serviceable parts.
Disposal
This product should be disposed of in accordance with all applicable local regulations related to the disposal of electronic equipment, batteries, sharps, and materials potentially exposed to body uids.
Contact Customer Service for further information on the appropriate disposal of system components.
CAUTIO N: Do NOT place the Reader in water or other liquids. Avoid getting dust, dirt, water, or any other substance in the USB port.
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Problems Starting the Sensor
Display What It May Mean What To Do
Sensor Ended You may be trying
to start a used Sensor.
If you need to start a Sensor, then apply and start a new one. Otherwise, return to the Home Screen to get Sensor data.
Communication Error
The Reader was unable to communicate with the Sensor.
Hold the Reader within
1.5 inches (4 cm) of the Sensor.
Note: You may need to move away from potential sources of electromagnetic interference.
Replace Sensor The System
has detected a problem with the Sensor.
Apply and start a new Sensor.
Problems at the Sensor Application Site
Problem What It May Mean What To Do
The Sensor is not sticking to the patient’s skin.
The site is not free of dirt, oil, hair, or sweat.
1. Remove the Sensor.
2. Consider shaving and/or cleaning the site with soap and water.
3. Follow the instructions in
Applying and Starting the Sensor sections.
Skin irritation at the Sensor application site.
Seams or other constrictive clothing or accessories causing friction at the site.
Ensure that nothing rubs on the site.
The patient may be sensitive to the adhesive material.
Follow your facility’s procedures for handling skin reactions.
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Problems Getting Sensor Data
Display What It May Mean What To Do
Data Transfer Error
The Reader is not held close enough or long enough to the Sensor.
Hold the Reader within
1.5 inches (4 cm) of the
Sensor for up to 5 seconds.
New Sensor Found
The Sensor was never star ted.
If you would like to begin using this Sensor, touch Yes .
Communication Error
The Reader was unable to communicate with the Sensor.
Hold the Reader within
1.5 inches (4 cm) of the
Sensor.
Note: You may need to move away from potential sources of electromagnetic interference.
Display What It May Mean What To Do
Sensor Starting The Sensor has
not completed starting.
Wait for the reminder to check Sensor status. This will take approximately 2 minutes.
No Data Available
There is no data available to download.
Sensor data is usually available for download 80 minutes after a Sensor was started. Try again after this time.
Sensor Error Th ere is no data
available from this Sensor. The Sensor may not be working.
If the Sensor was recently applied, wait 1 hour and try again. If this doesn’t work, contact Customer Service.
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Display What It May Mean What To Do
Data to Report You have not yet
generated reports from the data already on the Reader.
To create reports from the data already on the Reader, connect the Reader to a computer. Or, to overwrite with data from the current Sensor, touch yes.
Reader Error Messages
Display What It May Mean What To Do
E-2
Reader error. Turn off the Reader and try
again. If the error reappears, contact Customer Service.
E-9
Reader error. Turn off the Reader and try
again. If the error reappears, contact Customer Service.
Perform a Reader Test
If you think the Reader is not working prop erly, you can check the Reader by per forming a Reader Test. Touch the Options symbol
from the Ho me
Screen, select System Status and then selec t
Reader Test. Note: The Reader Test will perform internal
diagnostics and will allow you to check that the display, sounds, and touchscreen are working properly.
Customer Service
Customer Service is available to answer any questions you may have about the FreeStyle Libre Pro Flash Glucose Monitoring System. Please go to the back cover of this manual for your Customer Service phone number.
System Info
Reader Test
Event Log
System Status
OK
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System Specications
Sensor Specications
Sensor glucose assay method
Amperometric electrochemical sensor
Sensor glucose reading range
40 to 500 mg/dL
Sensor size 5 mm height and 35 mm diameter
Sensor weight 5 grams
Sensor power source One silver oxide battery
Sensor wear period Up to 14 days
Sensor memory
Up to 14 days (glucose readings stored every 15 minutes)
Operating temperature 50 °F to 113 °F
Sensor Applicator and Sensor Pack storage temperature
39 °F to 77 °F
Operating and storage relative humidity
10-90%, non-condensing
Sensor water resistance
IP27: Can withstand immersion into 3 ft (one meter) of water for up to 30 minutes
Operating and storage altitude
-1,250 ft (-381 meters) to 10,000 ft (3,048 meters)
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Reader Specications
Reader size 95 mm x 60 mm x 16 mm
Reader weight 65 grams
Reader power source One lithium-ion rechargeable battery
Reader battery life 2 weeks of typical use
Reader Sensor memory 1 Sensor
Reader operating temperature
50 °F to 113 °F
Reader storage temperature
-4 °F to 140 °F
Operating and storage relative humidity
10-90%, non-condensing
Reader moisture protection
Keep dry
Operating and storage altitude
-1,250 ft (-381 meters) to 10,000 ft (3,048 meters)
Reader display timeout 60 seconds
Radio Frequency
Near Field Communication* (13.56 MHz RFID); ASK Modulation; 124 dBuV/m;
1.5 inch communication range
Data port Micro USB
Minimum Computer Requirements
System must only be used with EN60950-1 rated computers
Mean service life 3 years of typical use
Power Adapter
Abbott Diabetes Care PRT25611 Operating temperature: 50 °F to 104 °F
USB Cable
Abbott Diabetes Care PRT21373 Length: 37 inches (94 cm)
* Security measures: The communication between Reader and Sensor is a short range near
eld communication method making it dicult to interfere with or intercept data that is being transferred. The Sensor and Reader are protected by proprietary data format, memory mapping, and cyclic redundancy check (CRC) generation and verication of data.
Quality of Ser vice (QoS): QoS for the FreeStyle Libre Pro Reader and Sensor wireless
communications using the near eld communications is assured within the eective range of 4 cm between the Sensor and Reader that is specied to occur within 15 seconds.
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Labeling Symbols
Consult instructions for use
Use-by date
Temperature limit Catalog number
Manufacturer Serial number
Batch code
Do not use if package is damaged
Type BF applied part Keep dr y
CODE
Sensor code Non-ionizing radiation
Do not re-use Caution
MR unsafe Humidity limitation
FCC Declaration of Conformity mark
Sterilized using irradiation
Not made with natural rubber latex
CAUTION: Federal law restricts this device to sale by or on the order of a physician.
This product contains electronic equipment, batteries, sharps and materials that may contact bodily uids during use. Dispose of product in accordance with all applicable local regulations.
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Performance Characteristics
Clinical Study Overview
Performance of the FreeStyle Libre Pro Flash Glucose Monitoring System (the System) was evaluated in a clinical study. The study was conducted in 4 centers; a total of 72 subjects with diabetes (81.9% Type 1, 18.1% Type 2) aged eighteen and older were included in the study; all subjects required insulin administration either by an insulin pump or via multiple daily injections to manage their diabetes. Each subject wore two sensors for up to 14 days, one on the back of each upper arm. During the study, subjects tested their blood glucose using ngerstick capillary samples using a FreeStyle Precision blood glucose meter. Additionally, subjects had their venous blood glucose analyzed approximately 96 times over three separate visits to the clinical center using the Yellow Spring Instrument Life Sciences 2300 STAT Plus™ Glucose & Lactate Analyzer (YSI). YSI is a laboratory-grade glucose and lactate analyzer of whole blood and plasma and is a widely recognized standard in laboratory analysis of blood glucose. Glucose readings obtained from the System were compared to glucose readings obtained from the YSI to evaluate the performance of the System. Three lots of sensors were evaluated in the study.
Agreement with YSI Levels
Agreement between GM and venous blood was characterized by using paired GM and plasma equivalent Yellow Springs Instrument measurements (YSI). The accuracy of GM versus YSI reference was assessed by calculating the percentage of System readings that were within 15%, 20%, 30% and 40% for reference values 80 mg/dL and above, and 15 mg/dL, 20 mg/dL, 30 mg/dL and 40 mg/dL for values below 80 mg/dL when glucose levels are assigned using the YSI values. The results are presented in Table 1. Overall 83.8% of results were within ±20 mg/dL / 20% of YSI reference.
Table 1: Number and Percent of Results within YSI Reference
YSI Glucose Level (mg/dL)
Number of GM­Reference Pairs
Within ±15% / ±15 mg/dL
Within ±20% / ±20 mg/dL
Within ±30% / ±30 mg/dL
Within ±40% / ±40 mg/dL
Outside ±40% / ±40 mg/dL
Overall 12323 71.8 83.8 95.2 98.5 1.5
40-50 30 53.3 83.3 93.3 100.0 0.0
51-80 505 58.4 73.3 89.1 96.0 4.0
81-180 7373 68.3 80.2 93.7 98.0 2.0
181-300 4115 79.0 90.4 98.3 99.5 0.5
301-400 286 84.6 96.5 99.7 100.0 0.0
401-500 14 85.7 100.0 100.0 100.0 0.0
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Agreement with GM Glucose Levels
The accuracy of GM versus YSI reference was also assessed by calculating the percentage of System readings that were within 15%, 20%, 30% and 40% for reference values 80 mg/dL and above, and 15 mg/dL, 20 mg/dL, 30 mg/dL and 40 mg/dL for values below 80 mg/dL when glucose levels are assigned using the GM readings. The results are presented in Table 2. Overall 83.6% of results were within ±20 mg/dL / 20% of the YSI reference.
Table 2: Number and Percent of Results within YSI Reference
GM Glucose Level (mg/dL)
Number of GM­Reference Pairs
Within ±15% / ±15 mg/dL
Within ±20% / ±20 mg/dL
Within ±30% / ±30 mg/dL
Within ±40% / ±40 mg/dL
Outside ±40% / ±40 mg/dL
Overall 12323 71.7 83.6 94.9 98.2 1.8
40-50 28 17.9 28.6 50.0 71.4 28.6
51-80 586 54.1 70.6 88.2 94.2 5.8
81-180 6685 72.2 83.0 94.2 97.9 2.1
181-300 4449 73.9 86.2 96.9 99.2 0.8
301-400 541 70.1 86.7 97.2 98.9 1.1
401-500 34 55.9 88.2 97.1 100.0 0.0
Agreement on Day 1 against YSI Reference
The accuracy of GM versus YSI reference on the rst day of sensor wear was assessed by calculating the percentage of System readings that were within 15%, 20%, 30% and 40% for reference values 80 mg/dL and above, and 15 mg/dL, 20 mg/dL, 30 mg/dL and 40 mg/dL for values below 80 mg/dL by hourly intervals. The results are presented in Table 3.
Table 3: Number and Percent of Results within YSI Reference
Time Interval (hour)
Number of GM­Reference Pairs
Within ±15% / ±15 mg/dL
Within ±20% / ±20 mg/dL
Within ±30% / ±30 mg/dL
Within ±40% / ±40 mg/dL
Outside ±40% / ±40 mg/dL
(0-2) 235 60.9 73.2 92.8 98.3 1.7
(2-4) 552 67.4 77.7 90.4 96.4 3.6
(4-6] 557 61.4 74.3 89.2 95.9 4.1
(6-8] 534 65.5 80.5 94.0 98.3 1.7
(8-12] 239 66.1 83.3 97.9 99.2 0.8
(12-24] 436 59.9 77.1 93.6 97.7 2.3
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Overall Accuracy against YSI Reference
Accuracy was measured by comparing the absolute relative dierence between the System and reference YSI glucose values. The absolute relative dierence measures the level of disagreement between the System and the reference value, but does not tell you whether the System glucose value was, on average, higher or lower than the reference glucose value. The Mean Absolute Relative Dierence gives an indication of the average percent disagreement between the GM and the reference. Table 4 shows the absolute dierence measures by glucose level. Overall the Mean Absolute Relative Dierence was 12.3% for the comparison with YSI reference. The Median Absolute Relative Dierence shows that half of the time the System was within 10.1% of the YSI reference.
Table 4: Dierence Measures by YSI Reference Glucose Levels
YSI Reference
Reference Glucose Level (mg/dL)
Number of GM­Reference Pairs
Median Absolute Relative Dierence (%)
Mean Absolute Relative Dierence (%)
Overall 12323 10.1 12.3
40-50* 30 14.2 15.8
51-80* 505 12.5 15.5
81-180 7373 10.7 12.9
181-300 4115 8.7 10.1
301-400 286 7.8 8.8
401-500 14 4.2 7.2
* For reference values ≤ 80 mg/dL, the mean and median absolute dierences (mg/dL) are presented instead of
mean and median absolute relative dierences (%).
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Agreement with BG Levels
Agreement between the System and capillary FreeStyle Precision blood glucose values (BG) was characterized by using paired System Glucose Measurements (GM) and BG reference. The accuracy of GM versus BG reference was assessed by calculating the percentage of System readings that were within 15%, 20%, 30% and 40% for reference values 80 mg/dL and above, and 15 mg/dL, 20 mg/dL, 30 mg/dL and 40 mg/dL for values below 80 mg/dL. The results are presented in Table 5. Overall 79.4% of results were within ±20 mg/dL / 20% of BG reference. Please note that dierent blood glucose meters have dierent levels of performance compared to the meter used in this study. The performance presented here is not representative of a comparison to all blood glucose meters.
Table 5: Number and Percent of Results within BG Reference*
BG Glucose Level (mg/dL)
Number of GM­Reference Pairs
Within ±15% / ±15 mg/dL
Within ±20% / ±20 mg/dL
Within ±30% / ±30 mg/dL
Within ±40% / ±40 mg/dL
Outside ±40% / ±40 mg/dL
Overall 11918 66.5 79.4 93.4 97.9 2.1
40-50 152 57.2 66.4 86.8 92.8 7.2
51-80 841 68.4 80.6 93.6 98.1 1.9
81-180 6397 65.7 78.5 92.6 97.4 2.6
181-300 3719 66.5 80.2 94.1 98.7 1.3
301-400 695 71.7 83.5 97.3 99.3 0.7
401-500 114 81.6 90.4 97.4 99.1 0.9
* Comparison to BG was performed using the FreeStyle Precision blood glucose meter. Dierent performance
may be expected when compared to other models of blood glucose meters.
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Table 6: Dierence Measures by BG Reference Levels*
BG Reference
Reference Glucose Level (mg/dL)
Number of GM­Reference Pairs
Median Absolute Relative Dierence (%)
Mean Absolute Relative Dierence (%)
Overall 11918 11.1 13.9
40-50** 152 13.5 19.1
51-80** 841 10.0 12.6
81-180 6397 10.9 13.5
181-300 3719 10.9 12.9
301-400 695 9.1 11.3
401-500 114 7.1 9.2
* Comparison to BG was performed using the FreeStyle Precision blood glucose meter. Dierent performance may be expected when compared to
other models of blood glucose meters.
** For reference values ≤ 80 mg/dL, the mean and median absolute dierences (mg/dL) are presented instead of mean and median absolute relative
dierences (%).
Overall Accuracy against BG Reference
Accuracy was measured by comparing the absolute relative dierence between the System and reference BG values. The absolute relative dierence measures the level of disagreement between the System and the reference value, but does not tell you whether the System glucose value was, on average, higher or lower than the reference glucose value. The Mean Absolute Relative Dierence gives an indication of the average percent disagreement between the GM and the reference. Table 6 shows the absolute dierence measures by glucose level. Overall the Mean Absolute Relative Dierence was 13.9% for the comparison with BG reference. The Median Absolute Relative Dierence shows that half of the time the System was within 11.1% of the BG reference.
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Concurrence of System and Reference (YSI vs. GM) The percentage of concurring glucose values (YSI vs. GM) in each glucose reference range is presented for each YSI range in Table 7. For example, when the YSI glucose results are within the 81 to 120 mg/dL range, you can expect the GM values were less than 40 mg/dL 0.2% of the time, between 40 and 60 mg/dL 1.8% of the time, between 61 and 80 mg/dL 9.0% of the time, between 81 and 120 mg/dL 61.4% of the time, between 121 and 160 mg/dL 26.7% of the time, between 161 and 200 mg/dL 0.8% of the time, and above 201 mg/dL 0.0% of the time.
Table 7: Concurrence Analysis by Glucose Level
YSI
(mg/dL)
GM Glucose Level (mg/dL)
N
<40* 40-60 61-80
81­120
121­160
161­200
201­250
251­300
301­350
351­400
401­500
>500*
<40 20.0 80.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 5
40-60 0.0 26.4 60.0 11.8 1.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 110
61-80 0.2 11.1 42.9 43.6 1.7 0.2 0.2 0.0 0.0 0.0 0.0 0.0 422
81-120 0.2 1.8 9.0 61.4 26.7 0.8 0.0 0.0 0.0 0.0 0.0 0.0 2472
121-160 0.0 0.1 0.4 12.4 60.8 25.0 1.2 0.0 0.0 0.0 0.0 0.0 3338
161-200 0.0 0.0 0.1 1.1 16.8 49.8 31.5 0.6 0.1 0.0 0.0 0.0 2853
201-250 0.0 0.0 0.0 0.1 0.8 9.6 62.0 26.6 0.8 0.0 0.0 0.0 1937
251-300 0.0 0.0 0.0 0.0 0.0 0.1 11.3 56.6 29.8 2.1 0.0 0.0 892
301-350 0.0 0.0 0.0 0.0 0.0 0.0 0.0 12.4 53.1 33.2
1.3
0.0 226
351-400 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 35.0 35.0
30.0
0.0 60
401-500 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 6.3 81.3
12.5
16
>500 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0
* Levels outside of system dynamic range.
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Agreement with ‘LO’ or ‘HI’ GM Reading against YSI Reference
The system reports glucose concentrations between 40 and 500 mg/dL. When the system determines that glucose level is below 40 mg/dL, it will report as ‘LO’. When the system determines that glucose level is above 500 mg/dL, it will report as ‘HI’. Table 8 displays the concurrence between the GM and YSI reference glucose when GM reads ‘LO’. For example, when GM reads ‘LO’ you can expect that YSI glucose values were less than 40 mg/dL 16.7% of the time, between 40 and 50 mg/dL 0.0% of the time, between 51 and 60 mg/dL 0.0% of the time, between 61 and 70 mg/dL 16.7% of the time, between 71 and 80 mg/dL 0.0% of the time, and above 80 mg/dL 66.7% of the time.
Table 8: Concurrence Analysis with LO GM Reading
GM Glucose Level
(mg/dL)
YSI (mg/dL)
N
<40 40-50 51-60 61-70 71-80 >80
<40 (LO) 16.7 0.0 0.0 16.7 0.0 66.7 6
Table 9 displays the concurrence between the GM and YSI reference glucose when GM reads ‘HI’. For
example, when GM reads ‘HI’ you can expect that YSI glucose values were less than 200 mg/dL 0.0% of the time, between 200 and 300 mg/dL 0.0% of the time, between 301 and 400 mg/dL 0.0% of the time, between 401 and 500 mg/dL 100% of the time, and above 500 mg/dL 0.0% of the time.
Table 9: Concurrence Analysis with HI GM Reading
GM Glucose Level
(mg/dL)
YSI (mg/dL)
N
<200 200-300 301-400 401-500 >500
>500 (HI) 0.0 0.0 0.0 100.0 0.0 2
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Accuracy by Day of Wear
The sensor can be worn for up to 14 days. To show sensor performance over time, the absolute relative dierence between the System and reference YSI glucose and capillary blood glucose values (BG) over the 14 day wear is presented in Table 10 and Table 11. The accuracy of GM versus YSI reference and BG reference was assessed by calculating the percentage of System readings that were within 15%, 20%, 30% and 40% for reference values 80 mg/dL and above, and 15 mg/dL, 20 mg/dL, 30 mg/dL and 40 mg/dL for values below 80 mg/dL. The results are presented in Table 12 for GM vs. YSI reference and in Table 13 for GM vs. BG reference.
Table 10: Dierence Measures by Day (YSI Reference)
YSI Reference
Day
Number of GM­Reference Pairs
Median Absolute
Relative Dierence (%)
Mean Absolute
Relative Dierence (%)
1 2117 11.4 13.8
2-5 4036 11.0 13.3
6-9 2919 10.2 12.3
10-13 2214 8.4 10.4
14 1037 7.3 9.6
Table 11: Dierence Measures by Day (BG Reference*)
BG Reference
Day
Number of GM-
Reference Pairs
Median Absolute
Relative Dierence (%)
Mean Absolute
Relative Dierence (%)
1 1087 11.9 15.0
2-5 4005 11.9 14.6
6-9 3432 11.7 14.5
10-13 2841 9.8 12.5
14 553 8.3 10.6
* Comparison to BG was performed using the FreeStyle Precision blood glucose meter. Dierent performance
may be expected when compared to other models of blood glucose meters.
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Table 12: Number and Percent of Results within YSI Reference
Day Number
of GM­Reference Pairs
Within ±15% / ±15 mg/dL
Within ±20% / ±20 mg/dL
Within ±30% / ±30 mg/dL
Within ±40% / ±40 mg/dL
Outside ±40% / ±40 mg/dL
1 2117 64.5 77.7 92.1 97.3 2.7
2-5 4036 68.0 80.9 94.2 98.2 1.8
6-9 2919 71.5 84.3 95.7 99.0 1.0
10-13 2214 80.4 90.4 97.9 99.1 0.9
14 1037 84.7 91.3 98.0 99.3 0.7
Table 13: Number and Percent of Results within BG Reference*
Day Number
of GM­Reference Pairs
Within ±15% / ±15 mg/dL
Within ±20% / ±20 mg/dL
Within ±30% / ±30 mg/dL
Within ±40% / ±40 mg/dL
Outside ±40% / ±40 mg/dL
1 1087 61.8 74.1 91.5 96.9 3.1
2-5 4005 64.4 77.6 92.2 97.7 2.3
6-9 3432 64.4 78.2 92.9 97.4 2.6
10-13 2841 71.0 83.4 95.7 98.8 1.2
14 553 80.7 90.2 96.9 99.6 0.4
* Comparison to BG was performed using the FreeStyle Precision blood glucose meter. Dierent performance
may be expected when compared to other models of blood glucose meters.
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System Glucose Availability
The System is designed to generate a GM value every 15 minutes throughout the sensor wear time. Overall, 202 sensors were inserted. 167 sensors produced glucose readings and are included in the analysis. There were 35 sensors that failed at insertion (i.e. no glucose reading generated) and are not included in the analysis. There were 62.5% of primary sensors that worked for 14 days. The mean sensor duration for all primary sensors was determined to be 258 hours, and the median duration of was 327 hours. Table 14 shows the number of available glucose readings reported by all sensors (by sensor operational hour) that produced at least one GM reading during the clinical study over the 14-day wear period. The percentage of available GM readings is presented in comparison to the number of expected GM readings based on the number of hours of sensor wear. Overall, 96.9% (153,169 GM readings out of expected 158,052) of GM readings were available.
Table 14: GM Availability
Operational Hour No. Historic GM Expected No. %
0 - 24 81 83 97.6 24 - 48 795 813 97.8 48 - 72 1170 1201 97.4 72 - 96 1053 1080 97.5 96 - 120 1187 1230 96.5
120 - 144 2630 2725 96.5 144 - 168
3262
3356 97.2
168 - 192
4478
4617 97.0
192 - 216
5101
5223 97.7
216 - 240
3413
3531 96.7
240 - 264
5611
5759 97.4
264 - 288
7021
7184 97.7
288 - 312
6300
6400 98.4
312 - 336
111067
114850 96.7
Overall
153169
158052 96.9
Precision
Precision of the System was evaluated by comparing the results from two separate sensors worn on the same subject at the same time. Data from two sensors worn at the same time for 72 subjects provided 49,806 pairs of GM measurements. The mean PARD during the study was 8.6% with a coecient of variation of 6.1%.
Sensor Wear Duration
Sensors may be worn for up to 14 days (≥324 hours). To estimate how long a sensor will work over 14 days, 34 sensors were evaluated to determine how many days of readings each sensor provided. Results show that 85.3% of sensors lasted for the intended 14-day wear duration.
Adverse Events
No device-related serious adverse events occurred during the study. Mild skin irritation, such as erythema, edema, rash, bleeding, itching, bruising, scaling skin, and induration were reported around the insertion site and adhesive area by a moderate frequency of subjects (26 out of 72 or 36%). Pain was mostly reported as none with only one reported instance of mild pain.
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Electromagnetic Compatibility
• The System needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in this manual.
• Portable and mobile RF communications equipment can aect the System.
• The use of accessories, transducers and cables other than those specied by Abbott Diabetes Care
may result in increased EMISSIONS or decreased IMMUNITY of the System.
• The System should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary, the System should be observed to verify normal operation in the conguration in which it will be used.
• This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.
• Changes or modications not approved by Abbott could void the user’s authority to operate the equipment.
Guidance and manufacturer’s declaration – electromagnetic emissions
The System is intended for use in the electromagnetic environment specied below. The customer or the user of the System should assure that it is used in such an environment.
Emissions test Compliance
RF emissions CISPR 11 Group 1
RF emissions CISPR 11 Class B
Harmonic emissions IEC 61000-3-2 Not applicable
Voltage fluctuations / flicker emissions Not applicable
The System uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
The System is suitable for use in all establishments, other than domestic and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.
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Guidance and manufacturer’s declaration – electromagnetic immunity
The System is intended for use in the electromagnetic environment specied below. The customer or the user of the System should assure that it is used in such an environment.
IMMUNITY
test
IEC 60601 test level
Compliance
Level
Electromagnetic
environment – guidance
Electrostatic discharge (ESD)
IEC 61000-4-2
Reader: ± 6 kV contact ± 8 kV air
Sensor: ± 8 kV contact ± 15 kV air
Reader: ± 6 kV contact ± 8 kV air
Sensor: ± 8 kV contact ± 15 kV air
Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30 %.
Electrical fast transient/burst
IEC 61000-4-4
± 2 kV for power supply lines
± 1 kV for input/ output lines
± 2 kV for power supply lines
± 1 kV for input/ output lines
Mains power quality should be that of a typical commercial or hospital environment.
IMMUNITY
test
IEC 60601 test level
Compliance
Level
Electromagnetic
environment – guidance
Surge IEC 61000-4-5
±1 kV differential mode
±2 kV common mode
±1 kV differential mode
±2 kV common mode
Mains power quality should be that of a typical commercial or hospital environment.
Voltage dips, short interruptions and voltage variations on power supply input lines
IEC 61000-4-11
<5 % U
T
(>95 % dip in
U
T
) for 0.5 cycle
40 % U
T
(60 % dip in U
T
)
for 5 cycles 70 % U
T
(30 % dip in U
T
)
for 25 cycles <5 % U
T
(>95 % dip in U
T
) for 5
seconds
<5 % U
T
(>95 % dip in
U
T
) for 0.5 cycle
40 % U
T
(60 % dip in U
T
)
for 5 cycles 70 % U
T
(30 % dip in U
T
)
for 25 cycles <5 % U
T
(>95 % dip in U
T
) for 5
seconds
Mains power quality should be that of a typical commercial or hospital environment. If the user of the System requires continued operation during power mains interruptions, it is recommended that the System be powered from an uninterruptible power supply or a battery.
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IMMUNITY
test
IEC 60601 test level
Compliance
Level
Electromagnetic
environment – guidance
Power frequency (50/60 Hz) magnetic field
IEC 61000-4-8
Reader: 3 A/m Sensor: 30 A/m
Reader: 3 A/m Sensor: 30 A/m
Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment.
NOTE U
T
is the a.c. mains voltage prior to application of the test level.
IMMUNITY
test
IEC 60601 test level
Compliance
Level
Electromagnetic
environment – guidance
Conducted RF IEC 61000-4-6
3 Vrms 150 kHz to
80 MHz
3 Vrms Portable and mobile RF
communications equipment should be used no closer to any part of the System, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Recommended separation distance
=
1.2
d
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IMMUNITY
test
IEC 60601 test level
Compliance
Level
Electromagnetic
environment – guidance
Radiated RF IEC 61000-4-3
3 V/m 80 MHz to
2.5 GHz
3 V/m Recommended separation
distance
80 MHz to 800 MHz
800 MHz to 2.5 GHz
P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m).
Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey,
a
should
be less than the compliance level in each frequency range.
b
Interference may occur in the vicinity of equipment marked with the following symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
=
1.2
d
=
2.3
d
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the System is used exceeds the applicable RF compliance level above, the System should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the System.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
70 71
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Page 39
Recommended separation distances between portable and mobile RF communications equipment and the System
The System is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the System as recommended below, according to the maximum output power of the communications equipment.
Rated maximum output power of transmitter
W
Separation distance according to frequency of transmitter
m
150 kHz to
80 MHz
80 MHz to
800 MHz
800 MHz to
2.5 GHz
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
=
1.2
d
=
1.2
d
=
2.3
d
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
Font License
©2013 Abbott
Licensed under the Apache License, Version 2.0 (the “License”); you may not use this le except in compliance with the License. You may obtain a copy of the License at: http://www.apache.org/licenses/LICENSE-2.0
Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an “AS IS” BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specic language governing permissions and limitations under the License.
72 73
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Page 40
Limited Warranty
We hope that you are happy with your FreeStyle Libre Pro system. Please refer to the Operator’s Manual before using your Reader for the rst time.
Abbott Diabetes Care (“Abbott”) warrants that the FreeStyle Libre Pro reader (“Reader”) shall be free from defects in material and workmanship and shall be of satisfactory quality for a period of one (1) year from the original date of purchase provided it is not modied, altered, damaged, misused or used other than in accordance with the applicable labeling, inserts and/or manuals. This Limited Warranty is valid if the Reader is defective in material or workmanship, and it has been used only in accordance with the Operator’s Manual. Abbott’s sole obligation is to replace the Reader, free of charge, with the same or an alternative reader as determined by Abbott in its sole discretion. Your replacement may be a dierent model or type. This Limited Warranty covers only the Reader, does not cover disposable accessories, extends only to the original purchaser, and is not assignable or transferable. This warranty does not aect or preclude any other rights which you may have by law.
TO THE EXTENT POSSIBLE UNDER LAW, THE FOREGOING ARE ABBOTT’S ONLY WARRANTIES FOR THE READER AND STATE YOUR EXCLUSIVE REMEDIES. ABBOTT MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, AND ABBOTT EXCLUDES AND DISCLAIMS ANY OTHER WARRANTIES INCLUDING, BUT NOT LIMITED TO, IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. ABBOTT DOES NOT WARRANT THAT OPERATION OF THE READER WILL BE UNINTERRUPTED OR ERROR FREE AND ABBOTT WILL NOT BE LIABLE FOR ANY LOST PROFITS, LOST SAVINGS OR OTHER SPECIAL, PUNITIVE, INCIDENTAL OR CONSEQUENTIAL DAMAGES RESULTING DIREC TLY OR INDIRECTLY FROM PURCHASE, OPERATION OR USE OF THE READER OR FAILURE OF THE READER TO PERFORM IN ACCORDANCE WITH SPECIFICATIONS. NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, IF ANY IS IMPLIED FROM THE SALE OF THE READER DESPITE ABBOTT’S SPECIFIC DISCLAIMER OF SUCH WARRANTIES, SHALL EXTEND FOR A LONGER DURATION THAN ONE YEAR FROM THE DATE OF PURCHASE OF THE READER.
This Limited Warranty and any dispute or claim arising out of or in connection with it shall be governed by and construed in accordance with the laws of the United States.
Some states do not allow the exclusion or limitation of other express or implied warranties or incidental or consequential damages, so the above limitations or exclusions may not apply to you. Your Rights Under State Law: This Limited Warranty gives you specic legal rights, and you may also have other rights that vary from state to state.
FreeStyle and related brand marks are trademarks of Abbott Diabetes Care Inc.
LIMITED WARRANTY SERVICES If you do not agree to the terms and conditions of this Limited Warranty, you may return the FreeStyle Libre Pro reader for a full refund within 30 days of purchase. You must have proof of purchase, i.e., a copy of the dated itemized purchase receipt and the original packaging to obtain this refund. For questions or warranty service, contact Customer Service at 1-855-632-5297.
ABBOTT MAY MODIFY OR DISCONTINUE THIS PROGRAM AT ANY TIME WITHOUT NOTICE.
74 75
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Page 41
Page 42
©2016 Abbott ART26944 Rev. C 09/16
Manufacturer:
FreeStyle and related brand marks are trademarks of Abbott Diabetes Care Inc. in various jurisdictions. Other trademarks are the property of their respective owners.
Patent: https://www.abbott.com/patents
Distributed by: Abbott Diabetes Care Inc. 1360 South Loop Road Alameda, CA 94502 USA Customer Service: 1-855-632-5297 Monday through Friday, 8AM to 8PM Eastern Standard Time
www.FreeStyleLibrePro.com
Page 43
Assembly | Application instructions: STEP 1: Select site.
STEP 2:
Clean site with alcohol wipe and allow site to
dry.
STEP 3:
Peel lid completely o Sensor Pack. Unscrew
cap from Sensor Applicator.
CAUTION: Sensor codes must match on Sensor Pack and Sensor Applicator. Do NOT use if damaged or already opened.
STEP 4:
Line up dark marks on Sensor Applicator and
Sensor Pack. Press down rmly on Sensor Applicator until it comes to a stop.
STEP 5:
Lift Sensor Applicator out of Sensor Pack.
STEP 6:
Sensor Applicator is ready to apply Sensor.
CAUTION: Sensor Applicator now
contains a needle. Do not touch inside Sensor Applicator or put it back into Sensor Pack.
STEP 7:
Place Sensor Applicator over site. Push down
rmly to apply Sensor.
CAUTION: Do NOT push down on Sensor Applicator until placed over prepared site to prevent unintended results or injury.
STEP 8:
Gently pull Sensor Applicator away.
STEP 9:
Make sure Sensor is secure. Discard used
Sensor Applicator and Sensor Pack according to your facility’s procedures.
Refer to your Operator’s Manual for full system instructions and information.
Distributed by: Abbott Diabetes Care Inc. 1360 South Loop Road Alameda, CA 94502 USA Customer Service: 1-855-632-5297 Monday through Friday, 8AM to 8PM Eastern Standard Time
For Health Care Professionals
READ THE READER KIT OPERATOR’S MANUAL BEFORE HANDLING THE SENSOR KIT PARTS.
CAUTION: Federal law restricts this device to sale by or on the order of a physician.
Indications for Use
The FreeStyle Libre Pro Flash Glucose Monitoring System is a professional continuous glucose monitoring (CGM) device indicated for detecting trends and tracking patterns in persons (age 18 and older) with diabetes. The system is intended for use by health care professionals and requires a prescription. Readings from the FreeStyle Libre Pro Sensor are only made available to patients through consultation with a health care professional. The System does not require user calibration with blood glucose values. The FreeStyle Libre Pro System aids in the detection of glucose level excursions above or below the desired range, facilitating therapy adjustments. Interpretation of the FreeStyle Libre Pro Flash Glucose Monitoring System readings should be based on the trends and patterns analyzed through time using the reports available.
CONTRAINDICATION: The FreeStyle Libre Pro System must be removed prior to Magnetic Resonance Imaging (MRI), Computed Tomography (CT) scan, or high-frequency electrical heat (diathermy) treatment. The eect of MRI, CT scans, or diathermy on the performance of the system has not been evaluated. The exposure may damage the Sensor and may impact proper function of the device to detect trends and track patterns in the user’s glucose values during the wear period.
WARNING:
The FreeStyle Libre Pro Flash Glucose Monitoring System contains small parts that may be dangerous if swallowed.
CAUTION:
• Intense exercise may cause the Sensor to loosen due to sweat or movement of the Sensor. If the Sensor becomes loose, the Sensor readings may be unavailable or unreliable. Your patient should return to your facility for application of a new Sensor.
• Severe dehydration and excessive water loss may cause inaccurate results.
• Do not reuse Sensors. The Sensor and Sensor Applicator are designed for single use. Reuse may result in no glucose readings and infection. Not suitable for re-sterilization. Further exposure to irradiation may cause inaccurate results.
• The Sensor Pack and Sensor Applicator are packaged as a set and have the same Sensor code. Check that the Sensor codes match before using the Sensor Pack and Sensor Applicator. Sensor Packs and Sensor Applicators with the same Sensor code should be used together or Sensor glucose readings may be incorrect.
• Some individuals may be sensitive to the adhesive that keeps the Sensor attached to the skin. If your patient notices signicant skin irritation around or under their Sensor, they should remove the Sensor and stop using the FreeStyle Libre Pro System. Follow your facility’s procedures for handling skin reactions.
User Safety, Storage, and Handling
• The Sensor Pack is sterile and non-pyrogenic unless opened or damaged. Using a non-sterile or pyrogenic Sensor might cause infection.
• Store the Sensor Kit between 39 °F and 77 °F. While you don’t need to keep your Sensor Kit in a refrigerator, you can as long as the refrigerator is between 39 °F and 77 °F.
• The Sensor has been tested to withstand immersion into 3 feet (1 meter) of water for up to 30 minutes.
• Do not freeze. Do not use if expiration date has passed.
• Interfering Substances: Taking ascorbic acid (vitamin C) while wearing the Sensor may falsely raise Sensor glucose readings. Taking salicylic acid (used in some pain relievers such as aspirin and some skin care products) may slightly lower Sensor glucose readings. The level of inaccuracy depends on the amount of the interfering substance active in the body. Test results did not indicate interference for methyldopa (used in some drugs to treat high blood pressure) or tolbutamide (infrequently used in some drugs to treat diabetes in the US) at maximum circulating levels. However, concentrations of potential interferents in interstitial uid are unknown compared to circulating blood. Taking medications with acetaminophen (such as Tylenol and some cold medicines) while wearing the Sensor may falsely raise Sensor glucose readings. The level of inaccuracy depends on the amount of acetaminophen active in the body and may be dierent for each person.
• The alcohol wipe is labeled as follows: Saturated with 70% Isopropyl alcohol; For External Use only; Single use; Do not use if package is opened or damaged; Sterilized using irradiation; Not made with natural rubber latex. Covidien llc, 15 Hampshire St., Manseld, MA 02048 www.covidien.com
Living With Your FreeStyle
Libre Pro Sensor
The FreeStyle Libre Pro Sensor measures and stores your glucose data while worn on your body for up to 14 days. Your health care professional can download your data at anytime from a Sensor that’s on or o your body.
IMPORTANT:
• You should not wear a Sensor for more than 14 days.
• Contact your health care professional if: – Your Sensor becomes loose or is removed. – You have irritation or discomfort at the Sensor site. – You have any questions about your Sensor.
Your Sensor is water-resistant and can be worn while bathing, showering, or swimming. Note: Do NOT take your Sensor deeper than 3 feet (1 meter) or immerse it longer than 30 minutes in water.
Removing Your Sensor
Follow these instructions if you need to remove your Sensor.
Pull up the edge of the adhesive that keeps your Sensor attached to your skin. Slowly peel away from your skin in one motion. Note: Any remaining adhesive residue on the skin can be removed with warm soapy water or isopropyl alcohol.
CONTRAINDICATION: The FreeStyle Libre Pro Sensor must be removed prior to Magnetic Resonance Imaging (MRI), Computed Tomography (CT) scan, or high-frequency electrical heat (diathermy) treatment. The eect of MRI, CT scans, or diathermy on the performance of the system has not been evaluated. The exposure may damage the Sensor and may impact proper function of the device to detect trends and track patterns in the user’s glucose values during the wear period.
WARNING: The FreeStyle Libre Pro Sensor contains small parts that may be dangerous if swallowed.
CAUTION: Some individuals may be sensitive to the adhesive that keeps the Sensor attached to the skin. If you notice signicant skin irritation around or under your Sensor, remove the Sensor and stop using the FreeStyle Libre Pro Sensor. Contact your health care professional for handling skin reactions.
INTERFERING SUBSTANCES: Taking ascorbic acid (vitamin C) while wearing the Sensor may falsely raise your Sensor glucose readings. Taking salicylic acid (used in some pain relievers such as aspirin and some skin care products) may slightly lower your Sensor glucose readings. The level of inaccuracy depends on the amount of the interfering substance active in the body. Test results did not indicate interference for methyldopa (used in some drugs to treat high blood pressure) or tolbutamide (infrequently used in some drugs to treat diabetes in the US) at maximum circulating levels. However, concentrations of potential interferents in interstitial uid are unknown compared to circulating blood. Taking medications with acetaminophen (such as Tylenol and some cold medicines) while wearing the Sensor may falsely raise your Sensor glucose readings. The level of inaccuracy depends on the amount of acetaminophen active in your body and may be dierent for each person.
8
1 2 3 4 5 6 7
9
2.25”
2.2”
2.25”
2.25”
2.2”
2.25”
Front
3rd fold2nd fold
1st fold (to half)
Final Facing Fold
ART26946-001_rev-B.indd 1 9/23/16 9:16 AM
Page 44
Labeling Symbols
CODE
Sensor code
Do not re-use
Sterilized using irradiation
Use-by date
Serial number
Caution
Temperature limit
Do not use if package is damaged
Type BF applied part
Manufacturer
Consult instructions for use
Batch code
Catalog number
CAUTION: Federal law restricts this device to sale by or on the order of a physician.
Humidity limitation
MR unsafe
Not made with natural rubber latex
This product contains electronic equipment, batteries, sharps and materials that may contact bodily uids during use. Dispose of product in accordance with all applicable local regulations.
FreeStyle and related brand marks are trademarks of Abbott Diabetes Care Inc. in various jurisdictions. Other trademarks are the property of their respective owners. ©2016 Abbott ART26946-001 Rev. B 09/16
FreeStyle and related brand marks are trademarks of Abbott Diabetes Care Inc. in various jurisdictions. ©2016 Abbott ART26946-001 Rev. B 09/16
Manufacturer | Fabricante: Manufacturer:
Cómo vivir con su sensor
FreeStyle Libre Pro
El sensor FreeStyle Libre Pro mide y guarda sus datos de glucosa hasta por 14 días mientras lo lleva en el cuerpo. Su profesional de la salud puede descargar sus datos del sensor en cualquier momento sin importar si lo lleva en el cuerpo o no.
IMPORTANTE:
• No debe llevar puesto el sensor durante más de 14 días.
• Comuníquese con su profesional de la salud si: – Su sensor se aoja o se le cae. – Tiene irritación o molestias en el lugar donde lleva puesto el
sensor.
– Tiene alguna pregunta acerca de su sensor.
Su sensor es resistente al agua y puede utilizarlo mientras se baña en la bañera, se ducha o cuando nada. Nota: NO sumerja el sensor a más de 3 pies (1 metro) de profundidad ni lo mantenga sumergido durante más de 30minutos en el agua.
Cómo quitarse el sensor
Siga estas instrucciones si necesita quitarse el sensor.
Desprenda el borde del adhesivo que mantiene el sensor adherido a la piel. Despréndalo lentamente de la piel con un solo movimiento. Nota: Puede retirar cualquier residuo de adhesivo que quede en la piel con agua tibia con jabón o alcohol isopropílico.
CONTRAINDICACIÓN: El sensor FreeStyle Libre Pro debe retirarse antes de realizar una imagen resonancia magnética (RM), una tomografía axial computarizada (TAC) o un tratamiento termoeléctrico (diatermia) de alta frecuencia. No se ha evaluado el efecto que la RM, la TAC o la diatermia tiene en el sistema. La exposición puede dañar el sensor y puede alterar el funcionamiento correcto del dispositivo para detectar tendencias y seguir patrones en los valores de glucosa mientras el usuario lo lleva puesto.
ADVERTENCIA: El sensor FreeStyle Libre Pro contiene piezas pequeñas que pueden ser peligrosas si se ingieren.
PRECAUCIÓN: Algunas personas podrían ser sensibles al adhesivo que mantiene el sensor sujeto a la piel. Si observa una irritación signicativa en la piel alrededor o debajo del sensor, quite el sensor FreeStyle Libre Pro y deje de utilizarlo. Póngase en contacto con su profesional de la salud para tratar las reacciones cutáneas.
SUSTANCIAS INTERFERENTES: La lectura de glucosa del sensor podría aumentar falsamente si se encuentra tomando ácido ascórbico (vitamina C). La lectura de glucosa del sensor podría disminuir ligeramente si se encuentra tomando ácido salicílico (utilizado en algunos analgésicos, como aspirina, y en algunos productos para el cuidado de la piel). El nivel de inexactitud depende de la cantidad de sustancia que interere y que está activa en el cuerpo. Los resultados de la prueba no indicaron interferencia en el caso de la metildopa (utilizada en algunos fármacos para tratar la presión arterial alta) ni de la tolbutamida (utilizada rara vez en algunos fármacos para tratar la diabetes en los Estados Unidos) a niveles circulantes máximos. Sin embargo, no se conocen las concentraciones de sustancias que posiblemente pueden interferir en el líquido intersticial en comparación con la sangre circulante. Tomar los medicamentos con acetaminofeno (como Tylenol y algunos medicamentos para el resfriado) mientras lleva puesto el sensor podría elevar falsamente las lecturas de glucosa de su sensor. El nivel de error depende de la cantidad de acetaminofeno activo que tenga en su cuerpo y podría ser diferente para cada persona.
2.25”
2.2”
2.25”
2.25”
2.2”
2.25”
Back
ART26946-001_rev-B.indd 2 9/23/16 9:16 AM
Page 45
ART33738-006 Rev. A 01/16
For use with | À utiliser avec |
使用対象| Para uso con:
Flash Glucose Monitoring Systems Systèmes Flash de surveillance du glucose
フラッシュグルコースモニタリングシステム
Sistemas Flash de monitoreo de glucosa
1
Imported contents. See articles for country of origin. | Contenu importé. Voir les articles pour connaître leur pays d’origine.
71613-01
Abbott Diabetes Care, Canada Mississauga, Ontario L5N 3R3
Abbott Diabetes Care Inc. 1360 South Loop Road Alameda, CA 94502 USA
アボットジャパン株式会社 千葉県松戸市松飛台278
USB Cable and Power Adapter | Câble USB et adaptateur de courant |
USBケーブルと電源アダプタ | Cable USB y adaptador de alimentación eléctrica
ART33738-006_rev-A.pdf 1 1/20/16 11:20 AM
P150021 Amendment
ADC Confidential
Attachment L9, Page 2 of 2
Page 46
71687-01
For use with FreeStyle Libre Pro Sensor
Reader, USB Cable, and Power Adapter products of China.
Patent: https://www.abbott.com/patents
FreeStyle and related brand marks are trademarks of Abbott Diabetes Care Inc. in various jurisdictions.
ART27034 Rev. B 03/16 ©2016 Abbott
NDC 57599-0716-87
Do not use if seal is broken or missing.
Distributed by:
FreeStyleLibrePro.com
Abbott Diabetes Care Inc.
1360 South Loop Road
Alameda, CA 94502
1-855-632-5297
Accurate, Convenient and Insightful
READER
Start Sensor
See Glycemic Prole
Wear Up to 14 days
Review
CONTENTS: 1 FreeStyle Libre Pro Reader 1 USB Cable 1 Power Adapter 1 Operator’s Manual 1 Quick Start Guide
Type BF applied part
Consult instructions for use
Catalog number
Humidity limitation
Temperature limit
This product contains electronic
equipment, batteries, sharps and
materials that may contact bodily
uids during use. Dispose of
product in accordance with all
applicable local regulations.
Manufacturer
FLASH GLUCOSE MONITORING SYSTEM
ART27034_rev-B.pdf 1 3/22/16 5:34 PM
P150021 Amendment
ADC Confidential
Attachment L7B, Page 2 of 2
Page 47
CODE
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ART26950_rev-A.pdf 1 11/30/15 6:33 PM
P150021 Amendment
ADC Confidential
Attachment L5, Page 2 of 2
Page 48
CODE
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ART26951_rev-A.pdf 1 12/1/15 12:12 PM
P150021 Amendment
ADC Confidential
Attachment L4, Page 2 of 2
Page 49
CONTENTS: 1 Sensor Applicator 1 Sensor Pack 1 Alcohol Wipe Product Insert
Open Here
FreeStyleLibrePro.com
SENSOR
Accurate, Convenient and Insightful
The Sensor Pack and Sensor Applicator are packaged as a set and are intended to be used together.
For use with FreeStyle Libre Pro Reader
Sensor Applicator and Sensor Pack products of Ireland. Alcohol Wipe product of USA. FreeStyle and related brand marks are trademarks of Abbott Diabetes Care Inc. in various jurisdictions. Other trademarks are the property of their respective owners. ©2016 Abbott Patent: https://www.abbott.com/patents
Distributed by: Abbott Diabetes Care Inc. 1360 South Loop Road Alameda, CA 94502 1-855-632-5297
Manufacturer
ART26942 Rev. B 03/16
NDC 57599-0715-62
Type BF applied part
Consult instructions for use
Do not re-use
Catalog number
Do not use if package
is damaged
Humidity limitation
Temperature limit
This product contains electronic
equipment, batteries, sharps
and materials that may contact bodily uids during use. Dispose of product in accordance with all
applicable local regulations.
FLASH GLUCOSE MONITORING SYSTEM
NO COAT
AREA
NO COAT
AREA
CAD Reference
AD4
ABBOTT DIABETES CARE
Customer
Size (mm)
18/12/13
Date
118.1 x 57.3 x 86
Copyright
Material
440mic Performa White
32 mm
22 mm
19.05 mm
NO COAT
AREA
CLEAR
ZONE
1.975” x 0.875”
71562-01
ART26942_rev-B.pdf 1 3/18/16 2:40 PM
P150021 Amendment
ADC Confidential
Attachment L3B, Page 2 of 2
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