Verio OneTouch User Manual

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Blood Glucose Monitoring System

Owner's Booklet

Instructions for Use

Verio Flex

Blood Glucose Monitoring System

Owner's Booklet

Thanks for choosing OneTouch®!

The OneTouchVerio Flex™ Blood Glucose Monitoring System is one of the latest product innovations from OneTouch®.

Your OneTouchVerio Flex™ Meter is designed to connect (sync) with a variety of compatible wireless devices running software applications that let you review and graph your results, and help identify patterns. Meter results are sent to the compatible devices either through BLUETOOTH® Smart (wireless) or USB cable connection.

Every OneTouch® Meter is designed to help you test your blood glucose and manage your diabetes.

This Owner's Booklet offers a complete explanation of how to use your new meter and testing supplies. It reviews the do's and don'ts of testing your blood glucose level. Please keep your Owner's Booklet in a safe place; you may want to refer to it in the future.

We hope OneTouch® products and services will continue to be a part of your life.

Compatible Wireless Devices

Visit www.OneTouch.com for information on which wireless devices are compatible with your OneTouch Verio Flex™ Meter, and where/how to download the OneTouch Reveal® Mobile App on your compatible wireless device.

Meter symbols and icons

Meter Power

Low Battery

Battery Empty

Control Solution

Syncing

BLUETOOTH® Smart Feature On

History Mode (Past results)

Apply Sample

Range Indicator Arrow

Setting Mode

Other symbols and icons

Cautions and Warnings: Refer to the Owner's Booklet and inserts that came with your system for safety-related information.

Direct current

Before you begin

Before using this product to test your blood glucose, carefully read this Owner's Booklet, and the inserts that come with the OneTouchVerio® Test Strips, OneTouchVerio® Control Solution and the OneTouch®Delica® Lancing Device.

IMPORTANT SAFETY INSTRUCTIONS:

• This meter and lancing device are for single patient use only. Do Not share them with anyone else, including family members! Do Not use on multiple patients!

• After use and exposure to blood, all parts of this kit are considered biohazardous. A used kit may potentially transmit infectious diseases even after you have performed cleaning and disinfection.

For more information see: FDA Public Health Notification: "Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens: Initial Communication" (2010) http://www.fda.gov/ MedicalDevices/Safety/AlertsandNotices/ucm224025.htm.

CDC Clinical Reminder: "Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens" (2010) http://www.cdc.gov/ injectionsafety/Fingerstick-DevicesBGM.html.

Intended use

The OneTouchVerio Flex™ Blood Glucose Monitoring System is intended to be used for the quantitative measurement of glucose (sugar) in fresh capillary whole blood samples drawn from the fingertip.

The OneTouchVerio Flex™ Blood Glucose Monitoring System is intended for self-testing outside the body (in vitro diagnostic use) by people with diabetes at home as an aid to monitor effectiveness of diabetes control.

Limitations

The OneTouchVerio Flex™ Blood Glucose Monitoring System is intended to be used by a single patient and should not be shared. The system is not to be used for the diagnosis of or screening of diabetes or for neonatal use. The system is not for use on critically ill patients, patients in shock, severely dehydrated patients or hyperosmolar patients.

Test principle

Glucose in the blood sample mixes with the enzyme FAD-GDH (see page104) in the test strip and a small electric current is produced. The strength of this current calculates your blood glucose level. It then displays the blood glucose result and stores it in the meter memory.

Use only OneTouchVerio® Control Solution and Test Strips with the OneTouchVerio Flex™ Meter.

BLUETOOTH® Smart wireless technology

BLUETOOTH® Smart wireless technology is used by some smartphones and many other devices. Your OneTouchVerio Flex™ Meter uses BLUETOOTH® Smart wireless technology to pair and to send your glucose results to compatible wireless devices.

The OneTouchVerio Flex™ Meter is designed to work with the OneTouchReveal® Mobile App.

Visit www.OneTouch.com for information on which wireless devices are compatible with your OneTouch Verio Flex™ Meter, and where/how to download the OneTouch Reveal® Mobile App on your compatible wireless device.

When using the OneTouchVerio Flex™ System, we suggest you pair your OneTouchVerio Flex™ Meter with a compatible wireless device and track your results. See page31 for pairing instructions.

Changes or modifications not expressly approved by the party responsible for compliance could void the user's authority to operate the equipment.

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.

NOTE: This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures:

• Reorient or relocate the receiving antenna.

• Increase the separation between the equipment and

receiver.

• Connect the equipment into an outlet on a circuit different from that to which the receiver is connected.

• Consult the dealer or an experienced radio/ TV technician for help.

If you experience meter interference problems, try moving your meter away from the source of the interference. You can also move the electronic device or its antenna to another location to solve the problem.

These guidelines help ensure that your meter will not affect the operation of other nearby electronic devices. Additionally, other electronic devices should not affect the use of your meter.

WARNING: The BLUETOOTH® Smart feature on your meter sends test results to your compatible wireless device. To prevent other people's results from being sent to your compatible wireless device, Do Not let anyone else use your meter to test their blood glucose. This meter is for single patient use only.

WARNING: In locations where cell phone use is not permitted, such as hospitals, some healthcare professional oces and airplanes, you should turn the BLUETOOTH® Smart feature o. See page29 for more information.

BLUETOOTH® Smart trademark

The BLUETOOTH® word mark and logos are owned by the Bluetooth SIG, Inc. and any use of such marks by LifeScan Scotland Ltd. is under license. Other trademarks and trade names are those of their respective owners.

Table of Contents

1 Getting to know your system ...................................14

2 Setting up your system ............................................ 24

Setting up your meter .....................................................24

Connecting to a compatible wireless device ............... 29

Turning the meter off ......................................................35

3 Taking a test .............................................................. 36

Testing your blood glucose ............................................ 36

Testing with control solution..........................................60

4 Reviewing past results ............................................70

5 Editing Your Settings ............................................... 76

Editing time and date ..................................................... 76

Editing your range limits ................................................ 77

6 Caring for your system ............................................80

7 Battery .......................................................................86

8 Troubleshooting your system .................................90

9 Detailed information about your system ...........100

10 Index ......................................................................... 112

1 Getting to know your

system

Your OneTouchVerio Flex™ Blood Glucose Monitoring System

Included with your kit:

OneTouchVerio Flex™ Meter

(CR2032 lithium coin cell

battery included)

Lancing device Lancets

Getting to know your system

NOTE: If any item is missing or defective in your kit, contact Customer Service. As your partner in diabetes care, we welcome you to contact us (available 7 days a week, 8 a.m. - 10 p.m. Eastern Time) at 1888567-3003 (English), 1888567-3010 (Spanish), or www.OneTouch.com.

NOTE: If another type of lancing device was included, see the separate instructions for that lancing device.

Getting to know your system

Available separately:

Items pictured below are required, but may not be included in your kit:

They are sold separately. Refer to your meter carton for a list of included items.

OneTouchVerio®

Level 3 Control

Solution*

(vial with blue cap)

OneTouchVerio®

OneTouch Verio

Level 4 Control

Solution*

(vial with red cap)

Test Strips*

Getting to know your system

*OneTouchVerio® Control Solution and Test Strips are available separately. For availability of test strips and control solution, contact Customer Service or ask your pharmacist or healthcare professional.

You can use either OneTouch Verio® Level 3 Control Solution or OneTouch Verio® Level 4 Control Solution with your OneTouch Verio Flex™ Meter.

WARNING: Keep the meter and testing supplies away from young children. Small items such as the battery door, batteries, test strips, lancets, protective covers on the lancets, and control solution vial cap are choking hazards. Do Not ingest or swallow any items.

Getting to know your system

Getting to know your OneTouchVerio Flex™ Blood Glucose Monitoring System

Meter

Getting to know your system

Getting to know your OneTouchVerio® Test Strip

Test strip

Getting to know your system

The Range Indicator feature

The OneTouchVerio Flex™ Meter automatically lets you know if your current result is below, above or within your range limits. It does this by displaying your current result with a Range Indicator Arrow, pointing to a corresponding Range Indicator Color Bar below the meter display. Use the Range Indicator Arrow and Color Bar together to interpret your results.

Getting to know your system

3 Possible Range Indicator Displays

A Range Indicator Arrow will appear just below your result after each test depending upon how you set your low and high range limits in the meter.

Things you should know before using the Range Indicator feature:

Example

Below Range Result

• The meter comes with pre-set range limits. The pre-set low range limit is 70mg/dL and the pre-set high range limit is 180mg/dL. You can change these limits as needed to meet your needs. See page77 for

Example

In Range Result details on the pre-set range limits and on editing your range limits.

• If you decide to change your range limits, the Range Indicator Arrows stored with previous results in meter memory will not change.

Example

Above Range Result

However, any new tests will display Range Indicator Arrows which reflect your changes.

Getting to know your system

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2 Setting up your system

Setting up your meter

Turn your meter on

To turn your meter on, press and hold until the start-up test screen appears. Once the device is on, release . You can also turn the meter on by inserting a test strip.

Every time you turn your meter on, a start-up screen will appear for a few seconds. All segments of the display should appear briefly, indicating your meter is working properly. If the meter does not power on, check the battery.

CAUTION:

If you see any missing segments within the start-up screen, there may be a problem with the meter. Contact Customer Service. Contact us at 1888567-3003.

NOTE: If you turned the meter on for the first time by inserting a test strip instead of pressing be able to perform a glucose test until you complete the first time setup.

, you will not

First time setup

Setting up your system

To turn your meter on, press and hold

until the startup screen appears. Once the device is on, release . The meter will now automatically prompt you to set the time and date. The SET icon will appear on the screen to indicate that the meter has entered setup mode.

Setting the time

Hour will ﬂash

• If the hour displayed

is correct, press

confirm.

• If the hour displayed is not

correct, press

or to

change the hour and press

to confirm.

Minutes will ﬂash

• If the minutes displayed

is correct, press

confirm.

• If the minutes displayed is

not correct, press

or to change the minutes and press to confirm.

Setting up your system

AM/PM will ﬂash

• If the AM/PM displayed is correct, press

confirm.

• If the AM/PM displayed is not correct, press

to change AM/PM and press

to confirm.

Setting the date

After completing the time setup, the meter will automatically move to date setup.

Year will ﬂash

• If the year displayed is correct, press

confirm.

• If the year displayed is not correct, press

or to

change the year and press

to confirm.

Setting up your system

Month will ﬂash

• If the month displayed is correct, press

confirm.

• If the month displayed is not correct, press

to change the month

and press to confirm.

Day will ﬂash

• If the day displayed is correct, press

confirm.

• If the day displayed is not correct, press

or to

change the day and press

to confirm.

Setting up your system

You are now ready to take a test. See the section Testing your blood glucose in Chapter 3.

NOTE: After completing first time setup, a screen with three dashes will appear. Once you begin testing, your last result will appear in place of the three dashes, along with the date and time the test was taken.

Adjusting the time and date settings after ﬁrst time setup

You can adjust the meter's time and date settings after first time setup. Press and hold

to turn the meter on, then press and hold and at the same time. The SET screen will appear. See page76.

After adjusting the settings, your meter will exit settings mode and your last result screen will appear.

Setting up your system

Connecting to a compatible wireless device

Turning the BLUETOOTH® Smart feature on or o

In order to connect your meter with your compatible wireless device, the BLUETOOTH® Smart feature will need to be turned on. The meter screen when the BLUETOOTH® Smart feature is on. When the symbol is not present on the screen the BLUETOOTH® Smart feature is off.

symbol will appear on the

• To turn the BLUETOOTH® Smart feature on press and at the same time.

• To turn the BLUETOOTH® Smart feature off press and at the same time.

symbol indicates

The the BLUETOOTH® Smart

feature is on

NOTE: The BLUETOOTH® Smart feature will turn OFF during a blood glucose test.

Setting up your system

Pairing Overview

Pairing allows your OneTouchVerio Flex™ Meter to communicate with compatible wireless devices. The devices must be within 26feet of each other to pair and sync. Download the OneTouchReveal® Mobile App from the appropriate app store before pairing your meter and compatible wireless device.

Multiple OneTouchVerio Flex™ Meters can be paired with your compatible wireless device. For example, your compatible wireless device can be paired with a meter at home and another at work. To pair multiple meters, repeat the pairing instructions for each meter. See page31 for pairing instructions.

Your OneTouchVerio Flex™ Meter can be paired with multiple compatible wireless devices. To pair multiple compatible wireless devices, repeat the pairing instructions for each compatible wireless device.

Setting up your system

Pairing Instructions

1. Start by turning your meter on using the

button

2. The BLUETOOTH® Smart feature is turned on by

pressing

The

and together

symbol will appear to indicate that the BLUETOOTH® Smart feature is on.

3. Open the OneTouchReveal® Mobile App and follow instructions to pair meter with your compatible wireless device

Setting up your system

4. Look for "OneTouch" and the last 4 characters of the meter serial number on the compatible wireless device display to correctly identify your meter

Setting up your system

5. When prompted by the OneTouchReveal® Mobile App, the meter will display a six digit PIN number

Enter the PIN number into your compatible wireless device using the keypad on your compatible wireless device.

CAUTION:

Make sure the PIN you enter on your compatible wireless device matches the PIN on your meter display. If a PIN number unexpectedly appears on your meter display, cancel the PIN request by either inserting a test strip to take a test or press the

button to enter History Mode.

Example of PIN number

display on meter

6. Wait for your compatible wireless device to indicate that your meter and compatible wireless device are paired

Setting up your system

Syncing to send results wirelessly to the OneTouchReveal® Mobile App

After pairing the meter with your compatible wireless device, you are ready to send results to the OneTouchReveal® Mobile App.

1. Open the OneTouchReveal® Mobile App on your compatible wireless device

2. Press and hold

to turn the meter on and make sure

the BLUETOOTH® Smart feature is ON as indicated by ( )

If needed, press

and at the same time to turn the

BLUETOOTH® Smart feature on.

The Sync symbol (

) flashes on the meter display. "Syncing Data" will appear on the app to notify you that the meter is communicating with the app.

Syncing Data

After syncing, the Sync symbol will disappear, the "Syncing Data" message will disappear on the app, and the app will display a list of any new results sent from the meter.

NOTE: Inserting a test strip during the transmission will cancel the transfer of all results. The flashing

symbol

appears on the screen and you can proceed with testing.

Setting up your system

Turning the meter o

There are three ways to turn your meter off:

• Press and hold

for several seconds until the meter

turns off.

• Remove the test strip.

• Your meter will turn off by itself if left alone for two

minutes.

NOTE: Following a glucose test, the meter will still be available for BLUETOOTH® Smart connection for up to 4hours. See page71 for more details.

3 Taking a test

Testing your blood glucose

Preparing for a blood glucose test

NOTE: Many people find it helpful to practice testing with control solution before testing with blood for the first time. See page60.

Have these things ready when you test:

OneTouchVerio Flex™ Meter OneTouchVerio® Test Strips Lancing device Sterile lancets

NOTE:

• Use only OneTouchVerio® Test Strips.

• Unlike some blood glucose meters, no separate step to

code your OneTouchVerio Flex™ System is required.

• Testing must be done within operating temperature

range (50-104°F).

• Make sure your meter and test strips are about the

same temperature before you test.

• Keep test strips in a cool, dry place between 41°F

and 86°F.

Taking a test

• Do Not test if there is condensation (water build-up) on your meter. Move your meter and test strips to a cool, dry spot and wait for the meter surface to dry before testing.

• Do Not open the test strip vial until you are ready to remove a test strip and perform a test. Use the test strip immediately after removing it from the vial.

• Tightly close the cap on the vial immediately after use to avoid contamination and damage.

• Store unused test strips only in their original vial.

• Do Not return the used test strip to the vial after

performing a test.

• Do Not re-use a test strip that had blood, control solution, or any contaminants applied to it. Test strips are for single use only.

• With clean, dry hands, you may touch the test strip anywhere on its surface. Do Not bend, cut or modify the test strip in any way.

• When you first open a vial of test strips, record the discard date on the label. Refer to the test strip insert or vial label for instructions on determining the discard date.

Taking a test

• Comparing your blood glucose test results taken with this meter to your results taken from a different meter is not recommended. Results may differ between meters and are not a useful measure of whether your meter is working properly.

IMPORTANT: If another person assists you with testing, the meter should always be cleaned prior to use by that person. See page80.

CAUTION:

• The OneTouchVerio Flex™ Blood Glucose Monitoring System should not be used within 24 hours of receiving a D-xylose absorption test as it may cause inaccurately high results.

• Do Not use the OneTouchVerio® Family of Meters when PAM (Pralidoxime) is known or suspected to be in the whole blood sample.

• Do Not use your test strips if your vial is damaged or left open to air. This could lead to error messages or inaccurate results. Contact Customer Service immediately if the test strip vial is damaged. Contact us at 1888567-3003.

Taking a test

• If you cannot test due to a problem with your testing supplies, contact your healthcare professional. Failure to test could delay treatment decisions and lead to a serious medical condition.

• The test strip vial contains drying agents that are harmful if inhaled or swallowed and may cause skin or eye irritation.

• Do Not use test strips after the expiration date (printed on the vial) or the discard date, whichever comes first, or your results may be inaccurate.

Taking a test

Getting to know your OneTouch®Delica® Lancing Device

Taking a test

NOTE:

• The OneTouch®Delica® Lancing Device uses ONLY OneTouch®Delica® Lancets.

• If another type of lancing device was included, see the separate instructions for that lancing device.

• The OneTouchVerio Flex™ Blood Glucose Monitoring System has not been evaluated for Alternate Site Testing (AST). Use only fingertips when testing with the system.

• The OneTouch®Delica® Lancing System does not include the materials needed to perform Alternate Site Testing (AST). The OneTouch®Delica® Lancing System should not be used on the forearm or palm with the OneTouchVerio Flex™ Blood Glucose Monitoring System.

Taking a test

Lancing precautions

CAUTION:

To reduce the chance of infection and disease spread by blood:

• Make sure to wash the sample site with soap and warm water, rinse and dry before sampling.

• The lancing device is intended for a single user. Never share a lancet or lancing device with anyone.

• Always use a new, sterile lancet each time you test.

• Always keep your meter and lancing device clean (See

page80).

• The meter and lancing device are for single patient use only. Do Not share them with anyone, including family members! Do Not use on multiple patients!

• After use and exposure to blood, all parts of this kit are considered biohazardous. A used kit may transmit infectious diseases even after you have performed cleaning and disinfection.

Preparing the lancing device

1. Remove the lancing device cap

Remove the cap by turning it counterclockwise and then pulling it straight off of the device.

Taking a test

2. Insert a sterile lancet into the lancing device

Align the lancet as shown here, so that the lancet fits into the lancet holder. Push the lancet into the device until it snaps into place and is fully seated in the holder.

Twist the protective cover one full turn until it separates from the lancet.

Save the protective cover for lancet removal and disposal. See page57.

Taking a test

3. Replace the lancing device cap

Place the cap back onto the device; turn clockwise to secure the cap.

Do Not overtighten.

Taking a test

4. Adjust the depth setting

The lancing device has seven puncture depth settings, numbered 1 through 7. Smaller numbers are for a shallower puncture and the larger numbers are for a deeper puncture. Shallower punctures work for children and most adults. Deeper punctures work well for people with thick or callused skin. Turn the depth wheel to choose the setting.

NOTE: A shallower fingertip puncture may be less painful. Try a shallower setting first and increase the depth until you find the one deep enough to get a blood sample of the proper size.

5. Cock the lancing device

Slide the cocking control back until it clicks. If it does not click, it may already have been cocked when you inserted the lancet.

Taking a test

Preparing the meter

1. Insert a test strip to turn the meter on

Insert a test strip into the test strip port with the gold side of the test strip and the two silver prongs facing you.

NOTE: No separate step to code the meter is required.

The flashing blood drop icon

) appears on the display.

( You can now apply your blood sample to the test strip.

Taking a test

Getting a blood sample from the ﬁngertip

Choose a different puncture site each time you test.

Repeated punctures in the same spot may cause soreness and calluses.

Before testing, wash your hands thoroughly with warm, soapy water. Rinse and dry completely.

1. Puncture your ﬁnger

Hold the lancing device firmly against the side of your finger. Press the release button. Remove the lancing device from your finger.

2. Get a round drop of blood

Gently squeeze and/or massage your fingertip until a round drop of blood forms on your fingertip.

NOTE: If the blood smears or runs, Do Not use that sample. Dry the area and gently squeeze another drop of blood or puncture a new site.

Taking a test

Applying blood and reading results

Applying the sample

1. Apply the sample to the test strip

You can apply blood to either side of the test strip.

Apply your sample to the opening of the channel.

Be sure to apply your sample immediately after you get a drop of blood.

Holding the meter at a slight angle, guide the channel to the blood drop.

Taking a test

When it touches your sample, the test strip wicks blood into the channel.

2. Wait for the channel to ﬁll completely

The blood drop will be drawn into the narrow channel. The channel should fill completely.

The channel turns red and the meter will count down from 5 to 1.

Blood should not be applied on the top of the test strip or to the top edge of the test strip.

Taking a test

NOTE:

• Do Not smear or scrape the sample with the test strip.

• Do Not press the test strip too firmly against the

puncture site or the channel may be blocked from filling properly.

• Do Not apply more blood to the test strip after you have moved the drop of blood away.

• Do Not move the test strip in the meter during a test or you may get an error message or the meter may turn off.

• Do Not remove the test strip until the result is displayed or the meter will turn off.

Viewing your result

Your result appears on the display, along with the unit of measure, and the date and time of the test. After your glucose result appears, the meter will also display a Range Indicator Arrow below your glucose result to indicate if your result is below, above or within your range limits (see page21). The arrow will point to the appropriate Range Indicator Color Bar on the meter as a visual reminder.

CAUTION:

Do Not make immediate treatment

decisions based on the Range Indicator feature. Treatment decisions should be based on the numerical result and healthcare professional recommendation and not solely on where your result falls within your range limits.

Taking a test

Example

Below Range Result

Example

In Range Result

Example

Above Range Result

WARNING: Conﬁrm that the unit of measure mg/dL is displayed. If your display shows mmol/L rather than mg/dL, stop using the meter and contact Customer Service.

Taking a test

Interpreting unexpected results

Refer to the following cautions when your results are higher or lower than what you expect.

CAUTION:

Low results

If your result is below 70mg/dL or is shown as LO (meaning the result is less than 20mg/dL), it may mean hypoglycemia (low blood glucose). This may require immediate treatment according to your healthcare professional's recommendations. Although this result could be due to a test error, it is safer to treat first, then do another test.

NOTE: When your glucose result is below 20mg/dL, both the LO and the Range Indicator Arrow will flash on the meter screen.

CAUTION:

Dehydration and low results

You may get false low results if you are severely dehydrated. If you think you are severely dehydrated, contact your healthcare professional immediately.

Taking a test

CAUTION:

High results

• If your result is above 180mg/dL, it may mean

hyperglycemia (high blood glucose) and you should

consider re-testing. Talk to your healthcare professional

if you are concerned about hyperglycemia.

• HI is displayed when your

result is over 600mg/dL.

You may have severe

hyperglycemia (very high

blood glucose). Re-

test your blood glucose

level. If the result is HI again, this indicates a severe

problem with your blood glucose control. Obtain and

follow instructions from your healthcare professional

immediately.

NOTE: When your glucose result is above 600mg/dL, both the HI and the Range Indicator Arrow will flash on the meter screen.

Taking a test

CAUTION:

Repeated unexpected results

• If you continue to get unexpected results, check your system with control solution.

• If you are experiencing symptoms that are not consistent with your results and you have followed all instructions in this Owner's Booklet, call your healthcare professional. Never ignore symptoms or make significant changes to your diabetes management program without speaking to your healthcare professional.

Unusual red blood cell count

A hematocrit (percentage of your blood that is red blood cells) that is either very high (above 60%) or very low (below 20%) can cause false results.

Taking a test

Removing the used lancet

NOTE: This lancing device has an ejection feature, so you do not have to pull out the used lancet.

1. Remove the lancing device cap

Remove the cap by turning it counterclockwise and then pulling it straight off of the device.

2. Cover the exposed lancet tip

Before removing the lancet, place the lancet protective cover on a hard surface then push the lancet tip into the cupped side of the cover.

Taking a test

3. Eject the lancet

Slide the ejection control forward until the lancet comes out of the lancing device. Return the ejection control to its back position.

If the lancet fails to eject properly, cock the device again and then slide the ejection control forward until the lancet comes out.

Taking a test

4. Replace the lancing device cap

Place the cap back onto the device; turn clockwise to secure the cap.

Do Not overtighten.

It is important to use a new lancet each time you obtain a blood sample. Do Not leave a lancet in the lancing device. This will help prevent infection and sore fingertips.

Taking a test

Disposing of the used lancet and test strip

Discard the used lancet carefully after each use to avoid unintended lancet stick injuries. Used lancets and test strips may be considered biohazardous waste in your area. Be sure to follow your healthcare professional's recommendations or local regulations for proper disposal.

Wash hands thoroughly with soap and water after handling the meter, test strips, lancing device and cap.

Testing with control solution

Control solution testing precautions

OneTouchVerio® Control Solution is used to check that the meter and test strips are working together properly and that the test is performing correctly. (Control solution is available separately.)

NOTE:

• Use only OneTouch Verio® Level 3 Control Solution or OneTouch Verio® Level 4 Control Solution with your OneTouch Verio Flex™ Meter. Either level can be used to check your system.

• When you first open a new vial of control solution, record the discard date on the vial label. Refer to the control solution insert or vial label for instructions on determining the discard date.

Taking a test

• Tightly close the cap on the control solution vial immediately after use to avoid contamination or damage.

See page36 for more information on testing.

CAUTION:

• Do Not swallow or ingest control solution.

• Do Not apply control solution to the skin, eyes, ears or

nose as it may cause irritation.

• Do Not use control solution after the expiration date (printed on the vial label) or the discard date, whichever comes first, or your results may be inaccurate.

Taking a test

When to do a control solution test

• When you open a new vial of test strips.

• If you suspect that the meter or test strips are not

working properly.

• If you have had repeated unexpected blood glucose readings.

• If you drop or damage the meter.

Preparing your meter for a control solution test

1. Insert a test strip to turn the meter on

2. Wait for the ﬂashing blood drop icon (

) to appear on

the display

Taking a test

3. Press

or until the control solution icon ( ) appears on the display

Preparing the control solution

1. Before removing the cap, shake the vial gently

2. Remove the vial cap and place it on a ﬂat surface with the top of the cap pointing up

3. Squeeze the vial to discard the ﬁrst drop

Taking a test

4. Wipe both the tip of the control solution vial and the top of the cap with a clean, damp tissue or cloth

5. Squeeze a drop into the small well on the top of the cap or onto another clean, non-absorbent surface

Taking a test

Applying the control solution

1. Hold the meter so that the side edge of the test strip is at a slight angle to the drop of control solution

2. Touch the channel on the side of the test strip to the control solution

3. Wait for the channel to ﬁll completely

Taking a test

Viewing your control solution result

After the control solution is applied, the meter will count down until the test is complete. Your result is displayed along with the date, time, unit of measure, and (for control solution) and stored in the meter.

Control solution results can be seen when reviewing past results on the meter.

CAUTION: Make sure you press or until the control

solution icon

appears before you begin a control solution test. Invalid results may be logged into your history if you applied control solution to the test strip without following the steps beginning on page62.

Taking a test

Checking if the result is in range

Each vial of test strips has both OneTouch Verio® Level 3 Control Solution and OneTouch Verio® Level 4 Control Solution ranges printed on its label. Compare the result displayed on the meter to either the OneTouch Verio® Level 3 Control Solution or OneTouch Verio® Level 4 Control Solution range printed on the test strip vial, depending on the type of

Example range

OneTouchVerio® Level 3 Control Solution Control

Range 102-138mg/dL

OneTouch Verio® Level 4

Control Solution Control

Range 298-403 mg/dL

control solution you used.

CAUTION:

The range printed on the test strip vial is for control solution tests only and is not a recommended range for

your blood glucose level.

Taking a test

Causes of out-of-range results

Out-of-range results may be due to:

• Not following the instructions for performing a control

solution test.

• Control solution is contaminated, expired, or past its

discard date.

• Test strip or test strip vial is damaged, expired, or past

its discard date.

• Meter, test strips and/or control solution were not all at

the same temperature when the control solution test was performed.

• A problem with the meter.

• Dirt or contamination in the small well on the top of the

control solution cap.

CAUTION:

If you continue to get control solution results that fall outside the range printed on the test strip vial, Do Not use the meter, test strips, or control solution. Contact Customer Service. Contact us at 1888567-3003.

Taking a test

Cleaning the control solution cap

Clean the top of the control solution cap with a clean, damp tissue or cloth.

4 Reviewing past results

Reviewing past results on your meter

Your meter stores your most recent 500 blood glucose and control solution test results and displays them in the order the tests were taken. The ( ) symbol will appear on your screen when in History Mode.

1. When the meter is o, press and hold to turn History Mode on

The ( results.

The ( above or within range at the time of the test, by pointing to the appropriate color bar.

2. Scroll through your results by pressing to move backwards and to move forward through your results

) symbol indicates you are viewing your past

) symbol indicates if the result was below,

Reviewing past results

Using the meter without syncing to an app

The meter can be used without a compatible wireless device or the app. You can still test your blood glucose and review up to 500 results on the meter.

Sending your results to the app

If the BLUETOOTH® Smart feature on the meter is turned on, indicated by the BLUETOOTH® Smart symbol ( ), the meter will automatically send the latest result to any paired compatible wireless device. The compatible wireless device must have the app running and have already been paired to the meter before sending a result.

NOTE: The compatible wireless device must have the app open and have already been paired to the meter before sending a result. See page30.

NOTE: If the BLUETOOTH® Smart feature on the meter is

turned off, or the meter is out of range, the result is not sent to the compatible wireless device. The result is saved in the meter memory with the current date and time, and will be sent to the app the next time you sync. The sent results are also stored in the meter. To sync, the app must be open and running on your compatible wireless device.

Reviewing past results

To ensure that glucose test results are successfully sent to the app, turn on the BLUETOOTH® Smart feature and check the following:

• The compatible wireless device and meter are both

turned on, and the app is running.

• The meter is correctly paired with your compatible

wireless device.

• The BLUETOOTH® Smart feature on both devices is

running (indicated by

) and the devices are within

26feet of each other.

• The meter will attempt to transmit results up to 4 hours

after a test, even if the meter appears to be off. This is indicated by the BLUETOOTH® Smart symbol (

)

remaining on the meter screen.

Example

Reviewing past results

If you are still unable to send results to the compatible wireless device, please call Customer Service. Contact us at 1888567-3003.

NOTE: Inserting a test strip during the transmission will cancel the transfer of all results. The

symbol appears on

the screen and you can proceed with testing.

Reviewing past results

Downloading results to a computer

Your meter can work with diabetes management software, which provides a visual way to track key factors that affect your blood sugar. To learn more about diabetes management tools available to you, contact Customer Service. As your partner in diabetes care, we welcome you to contact us (available 7 days a week, 8 a.m. - 10 p.m. Eastern Time) at 1888567-3003 (English), 1888567-3010 (Spanish), or www.OneTouch.com.

Connect only to a computer certified to UL 60950-1 (

To transfer meter data, follow the instructions provided with the diabetes management software product to download the results from the meter. You will need a standard micro USB interface cable to connect your OneTouchVerio Flex™ Meter to a computer to download results (not included).

Reviewing past results

Once the command to start the download is sent from the computer to the meter, the meter display will show the flashing Sync symbol ( ) indicating that the meter is in communication mode.

Do Not insert a test strip while the meter is connected to a computer.

If you are unable to download your results to a computer, please call Customer Service. Contact us at 1888567-3003.

5 Editing Your Settings

Editing time and date

You can adjust the meter's time and date settings after first time setup. Press and hold to turn the meter on, then press and hold and at the same time. The SET screen will appear, and the hour will flash.

For instructions on adjusting the time and date, see page25.

After adjusting the settings, you will exit settings mode and your last glucose result screen will appear. The adjusted time and date will be displayed once a new glucose test has been completed and the result appears on the screen.

NOTE: You will not be able to perform a blood glucose test until you finish editing the time and date.

NOTE: The OneTouchReveal® Mobile App on your compatible wireless device checks and updates the time and date in your meter each time you sync. Check the time and date often on your compatible wireless device to be sure they are correct. See the App instructions for more information.

Editing Your Settings

Editing your range limits

Your meter uses low and high range limits to tell you when your result is below, above or within your set range. The meter comes with pre-set range limits that can be changed. The pre-set low range limit is 70mg/dL and the pre-set high range limit is 180mg/dL. To edit the pre-set range limits press and hold and at the same time. The SET screen will appear with the current low range limit displayed, and the number and range indicator arrow will flash.

NOTE: The low and high range limits you set apply to all glucose test results. This includes tests taken before or after mealtimes, medications and around any other activities that may affect your blood glucose.

CAUTION:

Be sure to talk to your healthcare professional about the low and high range limits that are right for you. When selecting or changing your limits, you should consider factors such as your lifestyle and diabetes therapy. Never make significant changes to your diabetes care plan without consulting your healthcare professional.

Editing Your Settings

1. Review the pre-set low range limit displayed

• To accept the pre-set low

range limit, press

• To edit the pre-set low range

limit, press

or to change the value between 60mg/dL-110mg/dL, and then press .

2. Review the pre-set high range limit displayed

• To accept the pre-set high range limit, press

• To edit the pre-set high range limit, press

or to change the value between 90mg/dL-300mg/dL, and then press .

Your meter will exit settings mode and your last result screen will appear.

Editing Your Settings

NOTE: If you change your range limits, this will only affect whether future test results are displayed as below, above or within your range limits. Changing your range limits does not affect how past results are displayed.

NOTE: You will not be able to perform a glucose test until you finish editing the range limits.

NOTE: You can use the OneTouchReveal® Mobile App on your compatible wireless device to change the range limits stored in your meter. See the instructions that came with the app for more information.

6 Caring for your system

Storing your system

Once opened, store your meter, test strips, control solution and other items in your carrying case. Keep in a cool, dry place between 41°F and 86°F and below 65% relative humidity. Keep all items away from direct sunlight and heat.

Cleaning and disinfection

Cleaning and disinfection are different. Both should be performed at least once per week. Cleaning is part of your normal care and maintenance, but does not kill germs. You should clean your meter, lancing device and cap before disinfecting. After use and exposure to blood, all parts of this kit may transmit infectious diseases. Disinfection is the only way to reduce your exposure to disease.

For cleaning information, see page82 and for disinfecting information, see page83.

Caring for your system

For cleaning and disinfecting, Clorox® Germicidal Wipes* containing 0.55% sodium hypochlorite as the active ingredient have been shown to be safe for use with the OneTouchVerio Flex™ System and can be obtained from retail websites offering disinfection products, e.g., www.officedepot.com or www.staples.com. For more information on purchase options, visit www.onetouch.com/disinfection, or contact Customer Service. Contact us at 1888567-3003.

*Other products, such as Clorox® Disinfecting Wipes, have not been tested and should not be used. Only Clorox® Germicidal Wipes should be used. Follow manufacturer's instruction for handling and storage of wipes. Clorox® is a registered trademark of the Clorox Company.

IMPORTANT: If another person assists you with testing, the meter, lancing device and cap should always be cleaned and then disinfected prior to use by that person.

Caring for your system

Cleaning your meter, lancing device and cap

The meter, lancing device and cap should be cleaned at least once per week. Be sure to clean the meter, lancing device and cap before disinfecting.

1. Use a Clorox® Germicidal Wipe to wipe the outside of the meter and lancing device

To clean your meter, hold it with the test strip port pointed down. Be sure to squeeze out any excess liquid before you wipe the meter.

Wipe the outside of the lancing device cap.

2. Wipe dry with a clean, sterile gauze

Caring for your system

Disinfecting your meter, lancing device and cap

The meter, lancing device and cap should be disinfected at least once per week. Be sure to clean the meter, lancing device and cap before disinfecting.

1. First, clean your meter, lancing device and cap prior to disinfecting

Follow step 1 of page82.

2. Use a new Clorox® Germicidal Wipe to wipe the outside of the meter, lancing device and cap until the surface is damp

Be sure to squeeze out any excess liquid before you wipe the meter. Hold the meter with the test strip port pointed down.

Allow the surface of the meter, lancing device and cap to remain damp for 1 minute.

Caring for your system

3. Wipe dry with a clean, sterile gauze

Wash hands thoroughly with soap and water after handling the meter, lancing device and cap.

• Do Not use alcohol or any other solvent.

• Do Not allow liquids, dirt, dust,

blood or control solution to enter the test strip port or the data port.

• Do Not squeeze the germicidal wipe into test strip port.

• Do Not spray cleaning solution on the meter and lancing device.

• Do Not immerse the meter and lancing device in any liquid.

The OneTouchVerio Flex™ System withstood cleaning and disinfection cycles well in excess of LifeScan's recommendation. See page85 for more details.

Caring for your system

Examples of damage to the meter may include fogged display, cracked housing or lens, illegible labels, button not working or meter malfunction (such as repeated error messages). Examples of damage to the lancing device and cap may include cracking, illegible depth setting numbers and lancing device malfunction (such as failure to load, cock or release).

Do Not use your meter or lancing device if you see evidence of such damage. If you have questions about cleaning or disinfecting, or if you see evidence of physical damage, contact Customer Service. As your partner in diabetes care, we welcome you to contact us (available 7days a week, 8 a.m. - 10 p.m. Eastern Time) at 1888567-3003 (English), 1888567-3010 (Spanish), or www.OneTouch.com.

Cleaning and Disinfecting Cycles

The meter, lancing device and cap can be cleaned daily for 3 years and have been tested up to 2879 cleaning cycles.

The meter, lancing device and cap can be disinfected weekly for 3 years, and have been tested up to 412 cleaning and disinfection cycles.

7 Battery

Replacing the battery

Your OneTouchVerio Flex™ Meter uses one CR2032 lithium coin cell battery.

IMPORTANT: Use only one CR2032 lithium coin cell battery with your meter. Do Not use rechargeable batteries. Use of an incorrect battery type may result in your meter providing fewer tests than normal.

If the meter does not turn on, you may need to replace the battery. See below for instructions.

WARNING: Certain batteries may cause leaking which can

damage the meter or cause the battery to lose power sooner than normal. Replace leaking battery immediately.

NOTE: After replacing the battery, you will be prompted to set time and date, as if you are turning the meter on for the first time.

1. Remove the old battery

Start with the meter turned off. Remove the battery cover by sliding it downward.

Pull up on the battery ribbon to lift the battery out of the compartment.

Do Not remove the battery while the meter is connected to a computer.

Battery

2. Insert the new battery

Insert one CR2032 lithium coin cell battery on top of the battery ribbon, with the plus (+) side up.

If the meter does not power on after you have replaced the meter battery, check that the battery is correctly installed. If the meter still does not power on, contact Customer Service. Contact us at 1888567-3003.

3. Replace battery cover by

sliding it upwards onto the meter

Battery

4. Check your meter settings

Removing the meter battery will not affect your stored results. However, you will need to check your date and time settings.

5. Dispose of battery

Dispose of the battery according to your local environmental regulations.

8 Troubleshooting your

system

Error and other messages

The OneTouchVerio Flex™ Meter displays messages when there are problems with the test strip, with the meter or when your glucose levels are above 600mg/dL or below 20mg/dL. Improper use may cause an inaccurate result without producing an error message.

NOTE: If the meter is on but does not operate (locks-up), contact Customer Service. Contact us at 1888567-3003.

What it means

You may have a very low blood glucose level (severe hypoglycemia), below 20mg/dL.

NOTE: When your glucose result is below 20mg/dL, both the LO and the Range Indicator Arrow will flash on the meter screen.

What to do

This may require immediate treatment. Although this message could be due to a test error, it is safer to treat first and then do another test. Always treat according to your healthcare professional’s recommendations.

Troubleshooting your system

What it means

You may have a very high blood glucose level (severe hyperglycemia), over 600mg/dL.

NOTE: When your glucose result is above 600mg/dL, both the HI and the Range Indicator Arrow will flash on the meter screen.

What to do

Re-test your blood glucose level. If the result is HI again, obtain and follow instructions from your healthcare professional right away.

Troubleshooting your system

What it means

Meter is too hot (above 104°F) to perform a test.

What to do

Move the meter and test strips to a cooler area. Insert a new test strip when the meter and test strips are within the operating range (50-104°F). If you do not get another HI .t message, you can proceed with testing.

If this message continues to appear, contact Customer Service. Contact us at 1888567-3003.

Troubleshooting your system

What it means

Meter is too cold (below 50°F) to perform a test.

What to do

Move the meter and test strips to a warmer area. Insert a new test strip when the meter and test strips are within the operating range (50-104°F). If you do not get another LO.t message, you can proceed with testing.

If this message continues to appear, contact Customer Service. Contact us at 1888567-3003.

Troubleshooting your system

Error Screens

If there is a problem with your meter, there are six possible error screens that may appear. Along with an error number, there is also an error code in the upper left corner of your meter screen. If you cannot resolve the error with your meter, contact Customer Service. Contact us at 1888567-3003. They will refer to the error number and code to help troubleshoot the problem.

Example Error

Screen Code

Troubleshooting your system

What it means

There is a problem with the meter.

What to do

Do Not use the meter. Contact Customer Service. Contact us at 1888567-3003.

What it means

Error message could be caused either by a used test strip or a problem with the meter or test strip.

What to do

Repeat the test with a new test strip; see page50 or page65. If this message continues to appear, contact Customer Service. Contact us at 1888567-3003.

Troubleshooting your system

What it means

The sample was applied before the meter was ready.

What to do

Repeat the test with a new test strip. Apply a blood or control solution sample only after the flashing

symbol appears on the display. If this message continues to appear, contact Customer Service. Contact us at 1888567-3003.

Troubleshooting your system

What it means

One of the following may apply:

• Not enough blood or control solution was applied or more was added after the meter began to count down.

• The test strip may have been damaged or moved during testing.

• The sample was improperly applied.

• There may be a problem with the meter.

What to do

Repeat the test with a new test strip; see page50 or page65. If the error message appears again, contact Customer Service. Contact us at 1888567-3003.

Troubleshooting your system

What it means

The meter has detected a problem with the test strip. Possible cause is test strip damage.

What to do

Repeat the test with a new test strip; see page50 or page65. If the error message appears again, contact Customer Service. Contact us at 1888567-3003.

What it means

Meter battery power is low but there is still enough battery power to perform a test. The flashing low battery (

) icon will continue to appear until the battery is replaced.

What to do

Replace the meter battery soon.

Verio OneTouch User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual