Фристайл либре показывает lo что делать как исправить

Re: Устройство флеш-мониторинга СК Freestyle Libre

Re: Устройство флеш-мониторинга СК Freestyle Libre

Yaomama » 31 янв 2017, 12:42

Sapiens sat…

Re: Устройство флеш-мониторинга СК Freestyle Libre

АлтушкА » 31 янв 2017, 12:50

Re: Устройство флеш-мониторинга СК Freestyle Libre

Yaomama » 31 янв 2017, 13:20

Sapiens sat…

Re: Устройство флеш-мониторинга СК Freestyle Libre

АлтушкА » 31 янв 2017, 13:43

Re: Устройство флеш-мониторинга СК Freestyle Libre

turtle_cherry » 31 янв 2017, 14:09

Re: Устройство флеш-мониторинга СК Freestyle Libre

АлтушкА » 31 янв 2017, 15:18

Re: Устройство флеш-мониторинга СК Freestyle Libre

Yaomama » 31 янв 2017, 15:55

Sapiens sat…

Re: Устройство флеш-мониторинга СК Freestyle Libre

turtle_cherry » 31 янв 2017, 16:12

Последний раз редактировалось turtle_cherry 31 янв 2017, 16:26, всего редактировалось 1 раз.

Re: Устройство флеш-мониторинга СК Freestyle Libre

Yaomama » 31 янв 2017, 16:19

Sapiens sat…

Re: Устройство флеш-мониторинга СК Freestyle Libre

maryall » 31 янв 2017, 21:41

Re: Устройство флеш-мониторинга СК Freestyle Libre

turtle_cherry » 31 янв 2017, 21:46

Re: Устройство флеш-мониторинга СК Freestyle Libre

datura » 01 фев 2017, 12:31

Re: Устройство флеш-мониторинга СК Freestyle Libre

OlegS » 01 фев 2017, 14:11

Здравствуте всем! Подскажите пожалуйста, был ли у кого опыт установки сенсора на ногу, например, внешнюю часть бедра? Испытывал ли кто дискомфорт при ношении по сравнению с рекомендуемым Abbot местом на руке ниже плеча?

Re: Устройство флеш-мониторинга СК Freestyle Libre

Фантик » 01 фев 2017, 14:58

Жизнь делится на два этапа — сначала нет ума, потом здоровья.

Суть этой статьи — показать пользователям сенсоров FreeStyle Libre 2, что если даже сенсор закончил свою работу, не важно, произошло это через 7 дней или через 14, то есть возможность продлить работу сенсора минимум на 8-12 часов и максимум

Данная статья будет расширяться и публиковаться снова — как только будет пополняться новым контентом

1. Manuals
2. Brands
3. Abbott Manuals
4. Blood Glucose Meter
5. FreeStyle Libre
6. User manual

• Page 1
  User’s Manual FLASH GLUCOSE MONITORING SYSTEM…

• Page 2: Table Of Contents

  FreeStyle Libre Software . . . . . . . . . . . . . . . . . . .

• Page 3
  Changing the Reader Settings . . . . . . . . . . . . . . . . . . . . . . . . . 64 Living With Your FreeStyle Libre System . . . . . . . . . . . . . . . 67…
• Page 4
  Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Reader Does Not Power On .

• Page 5: Reader Symbols

  Reader Symbols Symbol What It Means Active sensor Direction your glucose is going . See Checking Your Glucose section for more information Caution View previous/next screen Notes Add more information to notes Food note Rapid-acting insulin note Time changed on Reader Reminders…

• Page 6
  Symbol What It Means Blood glucose or ketone test Settings Control solution test result Rapid-acting insulin calculator Details of your suggested insulin dose Estimated rapid-acting insulin remaining in body Low battery Battery charging Sensor too cold Sensor too hot…

• Page 7: Important Safety Information

  . It is designed to replace blood glucose testing in the self-management of diabetes with the exceptions listed below . Under the following circumstances, use a blood glucose meter to check the current glucose readings from the FreeStyle Libre Flash Glucose Monitoring System Sensor: •…

• Page 8: Contraindications

  Contraindications The FreeStyle Libre Flash Glucose Monitoring System must be removed prior to Magnetic Resonance Imaging (MRI) . WARNING: • The FreeStyle Libre Flash Glucose Monitoring System contains small parts that may be dangerous if swallowed . • During times of rapidly changing glucose (more than 0 .1 mmol/L…

• Page 9
  CAUTION: • On rare occasions, you may get inaccurate Sensor glucose readings . If you believe your glucose readings are not correct or are inconsistent with how you feel, perform a blood glucose test on your finger to confirm your glucose . If the problem continues, remove the current Sensor and apply a new one .
• Page 10
  System-Related Information • The FreeStyle Libre Flash Glucose Monitoring System is designed to be used only with FreeStyle Optium blood glucose and blood ketone test strips and MediSense control solution . • Avoid getting dust, dirt, blood, control solution, water or other substances in the Reader’s USB and test strip ports .
• Page 11
  The effect of these types of procedures on the performance of the system has not been evaluated . • The FreeStyle Libre Flash Glucose Monitoring System has not been evaluated for use in pregnant women, persons on dialysis, or people less than 18 years of age .

• Page 12: Getting To Know Your System

  Getting to Know Your System The FreeStyle Libre Flash Glucose Monitoring System has two main parts: a handheld Reader and a disposable Sensor, which you wear on your body . You use the Reader to wirelessly scan the Sensor and get your glucose readings .

• Page 13: Reader Kit

  Reader Kit The Reader Kit includes: • • • 1 FreeStyle Libre Reader 1 Power Adapter Quick Start Guide • • 1 USB Cable User’s Manual Touchscreen USB Port Used to charge the Reader and connect it to a computer.

• Page 14: Sensor Kit

  Sensor Kit The Sensor Kit includes: • • 1 Sensor Pack 1 Alcohol wipe • • 1 Sensor Applicator Product insert Sensor Pack Sensor Applicator Used with the Sensor Applicator to Applies the Sensor to your body . prepare the Sensor for use . The Sensor measures and stores glucose readings when worn on your body .

• Page 15: Home Screen

  The Reader Home Screen provides access to information about your glucose and the System . You can press the Home Button to get to the Home Screen . Home Screen Time Battery Level Current time set on Battery charge remaining. the Reader.

• Page 16: Sensor Glucose Readings

  The Sensor Glucose Readings screen appears after you use the Reader to scan your Sensor . Your Reading includes your Current Glucose, a Glucose Trend Arrow indicating which way your glucose is going, and a graph of your current and stored glucose readings . Sensor Glucose Readings Message Add Notes…

• Page 17: Freestyle Libre Software

  FreeStyle Libre Software FreeStyle Libre software can be used to view reports and change Reader settings . The software is compatible with most Windows and Mac operating systems . Go to www .FreeStyleLibre .com and follow onscreen instructions to download and install the software .

• Page 18: Setting Up Your Reader For The First Time

  Setting up Your Reader for the First Time Before using the System for the first time, the Reader must be set up . Step Action Press the Home Button to turn on the Reader . If prompted, use the touchscreen to select your preferred language for the Reader .

• Page 19
  Step Action Set the Current Time . Touch next to continue . Current Time CAUTION: It is very important to set the time and date correctly . These values affect the Reader data and settings . back next Set your Target Glucose Range . Work with your Target Glucose Range health care professional to determine your Target…
• Page 20
  Step Action The Reader now displays important information about two key topics to help you use the system: • How to understand the Glucose Trend Arrow included on the Glucose Reading screen . • How to return to the Home Screen from any other screen . When you scan your Sensor an arrow will indicate your recent glucose trend:…

• Page 21: Using Your Sensor

  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 FreeStyle Libre before using your Sensor Pack and Sensor Sensor Pack Applicator . Sensor Packs and Sensor…

• Page 22: Applying Your Sensor

  Applying Your Sensor Action Step Apply Sensors only on the back of your upper arm . Avoid areas with scars, moles, stretch marks or lumps . Select an area of skin that generally stays flat during your normal daily activities (no bending or folding) .

• Page 23
  Action Step Open the Sensor Pack by peeling the lid off completely . Unscrew the cap from the Sensor Applicator and set the cap aside . CAUTION: Do NOT use if the Sensor Pack or the Sensor Applicator seem to be damaged or already opened .
• Page 24
  Action Step The Sensor Applicator is prepared and ready to apply the Sensor . CAUTION: The Sensor Applicator now contains a needle . Do NOT touch inside the Sensor Applicator or put it back into the Sensor Pack . Place the Sensor Applicator over the prepared site and push down firmly to apply the Sensor to your body .
• Page 25
  Action Step Gently pull the Sensor Applicator away from your body . The Sensor should now be attached to your skin . Sensor 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 different site .

• Page 26: Starting Your Sensor

  Starting Your Sensor Action Step Press the Home Button to turn on the Reader . Touch Start New Sensor . 22:23 No Active Sensor Start New Review Sensor History Hold the Reader within 4 cm (1 .5 inches) of the Sensor to scan it .

• Page 27: Checking Your Glucose

  Checking Your Glucose Step Action Turn the Reader on by pressing 22:23 the Home Button or touch Ends in 14 days Check Glucose from the Home Check Review Screen . Glucose History Hold the Reader within 4 cm (1 .5 inches) of your Sensor to scan it .

• Page 28
  Step Action The Reader displays your current glucose reading along with your glucose graph and an arrow Glucose Going indicating the direction your glucose is going . mmol 14:00 18:00 22:00…

• Page 29: Sensor Glucose Readings

  Sensor Glucose Readings Glucose Going Glucose Trend Arrow mmol Current Glucose Target Glucose Range 14:00 18:00 22:00 Notes: • The graph displays glucose readings up to 21 mmol/L . Glucose readings above 21 mmol/L are displayed at 21 mmol/L . •…

• Page 30
  The Glucose Trend Arrow gives you an indication of the direction your glucose is going . Glucose is rising quickly (more than 0 . 1 mmol/L per minute) Glucose is rising (between 0 .06 and 0 . 1 mmol/L per minute) Glucose is changing slowly (less than 0 .06 mmol/L per minute) Glucose is falling…
• Page 31
  The following table shows messages you may see with your glucose readings . Display What To Do If LO appears on the Reader, your reading is lower Low Glucose than 2 .2 mmol/L . If HI appears on the Reader, your reading is higher than 27 .8 mmol/L .
• Page 32
  Display What To Do If your glucose is projected to be higher than Glucose Going 13 .3 mmol/L or lower than 3 .9 mmol/L within 15 minutes, you will see a message on the screen . mmol You can touch the message button for more Glucose Going information and set a reminder to check your High…

• Page 33: Adding Notes

  Adding Notes Notes can be saved with your glucose readings . You can add a note at the time of your glucose reading or within 15 minutes after your reading was obtained . You can track food, insulin, exercise and any medication you take .

• Page 34
  Step Action After you tick the box for food and Add Notes insulin notes, the symbol appears Rapid-Acting Insulin to the right of the Note . You can touch Long-Acting Insulin it to add more specific information to Enter Rapid-Acting Insulin Food your note .

• Page 35: Reviewing Your History

  Reviewing Your History Reviewing and understanding your glucose history can be an important tool for improving your glucose control . The Reader stores about 90 days of information and has several ways to review your past glucose readings, notes, and other information . Step Action Press the Home Button to turn on…

• Page 36
  Step Action Use the arrows to view the available options . Review History Logbook Daily Graph Daily Patterns Average Glucose Time In Target 1 / 2 Low-Glucose Events Sensor Usage IMPORTANT: Work with your health care professional to understand your glucose history .

• Page 37: Logbook

  Notes you entered . You can add or edit (change) Notes for the most recent Logbook entry, provided your glucose reading was within the last 15 minutes and you have not used FreeStyle Libre software to create reports .

• Page 38: Daily Graph

  Daily Graph A graph of your Sensor glucose readings by day . Daily Graph The graph shows your Target Glucose Range and (mmol/L) symbols for food or rapid-acting insulin notes you have entered . Notes: 00:00 12:00 24:00 • 22 Feb The graph displays glucose readings up to Wednesday 21 mmol/L .

• Page 39: Other History Options

  Other History Options Use the arrows to view information about your last 7, 14, 30 or 90 days . Information about the average of your Sensor Average Glucose glucose readings . The overall average for the time Average: mmol/L is displayed above the graph . The average is also shown for four different 6-hour periods of the day .

• Page 40
  A graph showing the percentage of time your Time In Target Sensor glucose readings were above, below or Above within your Target Glucose Range . In Target Below Target Range 4.4-10.0 mmol/L Last 7 Days Time In Target Information about the number of low glucose Low Glucose events measured by your Sensor .

• Page 41: Removing Your Sensor

  Removing Your Sensor Step Action 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 .

• Page 42: Replacing Your Sensor

  Sensor currently in use . Taking action early can keep small problems from turning into larger ones . CAUTION: If the glucose readings from the FreeStyle Libre Flash Glucose Monitoring System do NOT seem to match with how you feel, check to make sure that your Sensor has not come loose .

• Page 43: Using Reminders

  Using Reminders You can use Reminders to help you remember to check your glucose, take insulin or as a general alarm . Step Action From the Home Screen, touch the symbol . 22:23 Ends in 14 days Check Review Glucose History Touch to select which Type of reminder you want Set Reminder…

• Page 44
  Step Action Set the reminder Time using the arrows on the touchscreen . Touch save . From the Reminders screen, you can turn the Reminders reminder On/Off or add new reminders . 08:30 Touch done to return to the Home Screen . 12:30 00:00:00 add new…

• Page 45: Using The Built-In Meter

  Using the Built-in Meter The Reader has a built-in meter that can be used to test your blood glucose and blood ketone or to test the meter and strips with control solution . WARNING: Do NOT use the built-in meter while the Reader is connected to an electrical outlet or a computer .

• Page 46
  IMPORTANT: • Use the Reader within the test strip operating temperature range as blood glucose and ketone results obtained outside the range may be less accurate . • Use only FreeStyle Optium test strips . • Use a test strip immediately after removing from its foil packet .

• Page 47: Blood Glucose Testing

  Blood Glucose Testing You can use the built-in meter to check your blood glucose, whether you are wearing a Sensor or not . You can perform a blood glucose test on your fingertip or approved alternate site . Be sure to read the test strip instructions for use prior to using the built-in meter .

• Page 48
  Step Action Check the test strip expiry date . 13758 2016/ 03 E .g . Expiry date: March 31, 2016 Open the foil test strip packet at the notch and tear down to remove the test strip . Use the test strip immediately after removing from the foil packet .
• Page 49
  Step Action You will see a butterfly on the screen while you wait for your result . If sounds are turned on, the Reader beeps once when your result is ready . After reviewing your result, remove and discard the used test strip according to local regulations .
• Page 50
  Display What To Do If LO appears on the Reader, your result is lower Low Glucose than 1 .1 mmol/L . If HI appears on the Reader, your result is higher than 27 .8 mmol/L . You can touch mmol the message button for more information .

• Page 51: Blood Ketone Testing

  After you get your blood glucose result, you can add Notes by touching symbol . If you do not want to add a Note, press the Home Button to go to the Home Screen or hold the Home Button to turn the Reader off . Blood Ketone Testing You can use the built-in meter to check your blood ketone (β-hydroxybutyrate) .

• Page 52
  Step Action Check the test strip expiry date . 13758 2016/ 03 E .g . Expiry date: March 31, 2016 Open the foil test strip packet at the notch and tear down to remove the test strip . Use the test strip immediately after removing from the foil packet .
• Page 53
  Step Action Use your lancing device to obtain a blood drop Apply Blood and apply blood to the white area at the end of the test strip . If sounds are turned on, the Reader beeps once Ketone Test to let you know you have applied enough blood . Note: See test strip instructions for use for re-application instructions .
• Page 54
  Your Blood Ketone Results 22:23 Blood ketone results are marked on the results screen and in the Logbook with the word Ketone . mmol Ketone Test Notes: • Blood ketone is expected to be lower than 0 .6 mmol/L . •…
• Page 55
  Display What To Do If your blood ketone is high, you will see a High Ketone message on the screen . You can touch the message button for more information . mmol Ketone Test If HI appears on the Reader, your ketone result is High Ketone higher than 8 mmol/L .

• Page 56: Control Solution Testing

  Control Solution Testing You should do a control solution test when you are not sure of your test strip results and want to check that your Reader and test strips are working properly . You can do a control solution test with a blood glucose or ketone test strip .

• Page 57: Control Solution Test

  Action Step From the Home Screen, touch the Settings 22:23 Ends in 14 days . Touch Control Solution Test to do symbol a control solution test . Check Review Glucose History Settings Sounds Target Range Control Solution Test 1 / 3 Check the test strip expiry date .

• Page 58
  Action Step Insert the test strip with the three black lines facing up . Push the strip until it stops . Shake the control solution bottle to mix the Apply Control Solution solution . Apply a drop of control solution to the white area at the end of the test strip .
• Page 59
  Control Solution Results 22:23 Compare the control solution result to the range printed on the test strip instructions for use . The result on your screen should be mmol in this range . Control solution results are marked on Control Solution Test the results screen and in the Logbook with a symbol .

• Page 60: Using The Rapid-Acting Insulin Calculator

  Using the Rapid-Acting Insulin Calculator This optional feature requires an understanding of the use of insulin . Misuse or misunderstanding of this feature and the suggested dose may lead to inappropriate insulin dosing . The calculator suggests doses for rapid-acting insulin only . The calculator is only for use with fingerstick blood glucose results from the built-in meter .

• Page 61
  CAUTION: The rapid-acting insulin calculator cannot account for all the factors that may affect your insulin dose . These include incorrectly entered data, incorrectly set date or time, un-logged insulin, smaller or larger meals, sickness, exercise, etc . It is important that you review your suggested dose and account for these factors before taking insulin .
• Page 62
  Step Action Enter information about any Have you forgotten to log any rapid-acting rapid-acting insulin you may have insulin you have taken since X:XX? forgotten to log . Touch next . Enter any rapid- acting insulin you have forgotten to log. units How long ago was back…
• Page 63
  Step Action If your calculator was programmed with Easy Breakfast Setup, touch the meal you plan to eat now . Touch Lunch next . Dinner No meal back next If your calculator was programmed with Enter Carbs Advanced Setup, enter the grams of carbohydrates or carbohydrate portions you grams plan to eat now .
• Page 64
  Step Action Review your suggested dose . If needed, use the Suggested Dose arrow buttons to adjust your suggested dose for Adjust if needed any planned activity, a smaller or larger meal, sickness, etc . Touch the symbol to see details of what is included in your suggested dose .
• Page 65
  Step Action Touch log dose to save to your Logbook and take your dose . Your dose is only saved to the Logbook if you touch log dose . CAUTION: It is important to log all your rapid-acting insulin doses so your Reader can account for active insulin when calculating your suggested doses .
• Page 66
  If your health care professional turned on the Active 22:23 Ends in 3 days Insulin feature, the symbol may appear on your Home Screen . It shows an estimate of the amount of rapid-acting insulin left in your body and how much Check Review longer it may be active .

• Page 67: Charging The Reader

  Charging the Reader A fully charged Reader battery should last up to 7 days . Your battery life may vary depending on your usage . A Low Battery message accompanies your result when you have enough charge remaining for about one day of Low Battery use .

• Page 68: Changing The Reader Settings

  Changing the Reader Settings You can go to the Settings menu to change many settings on the Reader, like Time & Date or Sounds . The Settings menu is also where you go to do a Control Solution Test or to check the System Status . Action Step To get to the Settings menu, touch the Settings…

• Page 69
  Action Step Touch the setting you want to change: Sounds – Set tones and vibrations Target Range – Set range displayed on Reader glucose graphs Control Solution Test – Perform a Control Solution test Time & Date – Change the Time or Date Language –…
• Page 70
  Action Step • View Event Logs: A list of events recorded by the Reader, which may be used by Customer Service to help (cont.) troubleshoot your System • 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…

• Page 71: Living With Your Freestyle Libre System

  Living With Your FreeStyle Libre System Your FreeStyle Libre Flash Glucose Monitoring System can be used during a wide variety of activities . Activity What You Need To Know Bathing, The Reader is not water-resistant and should Showering and NEVER be submerged in water or other liquids .

• Page 72
  Activity What You Need To Know Travelling by Air Check with the airline prior to departure as rules and regulations may change without notice . Follow these guidelines when travelling: • Notify security personnel of the presence of the device when going through security systems . • Do not scan your Sensor or power on the Reader using the Home Button while flying, if restricted by flight regulations .

• Page 73: Maintenance And Disposal

  Avoid getting dust, dirt, blood, control solution, water or any other substance in the test strip or USB ports . Maintenance The FreeStyle Libre 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 fluids .

• Page 74: Troubleshooting

  Troubleshooting This section lists problems or observations that you may have, 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…

• Page 75: Problems At The Sensor Application Site

  Problems at the Sensor Application Site Problem What It May Mean What To Do The Sensor is The site is not free 1 . Remove the Sensor . not sticking of dirt, oil, hair or 2 . Consider shaving and/or to your skin .

• Page 76: Problems Starting Your Sensor Or Receiving Sensor

  Problems Starting Your Sensor or Receiving Sensor Readings Display What It May Mean What To Do New Sensor Sensor is not ready Wait until the 60 minute Sensor Starting Up to read glucose . start-up period has completed . Scan The Reader is not Hold the Reader within Timeout…

• Page 77
  Display What It May Mean What To Do New Sensor You scanned a new Your Reader can only be used Found Sensor before your with one Sensor at a time . If previous Sensor you start a new Sensor, you will ended .
• Page 78
  Display What It May Mean What To Do Glucose Your Sensor is too Move to a location where the Reading hot or too cold . temperature is appropriate and Unavailable scan again in a few minutes . Sensor The Sensor was A Sensor can only be scanned Already in started by another…

• Page 79: Blood Glucose Or Ketone Error Messages

  Blood Glucose or Ketone Error Messages Error What It May Mean What To Do Message The temperature is 1 . Move the Reader and test too hot or too cold strips to a location where the for the Reader to temperature is within the test work correctly .

• Page 80
  Error What It May Mean What To Do Message Blood drop is too 1 . Review the testing small . instructions . 2 . Repeat the test using a new test strip . Incorrect test 3 . If the error reappears, contact procedure .
• Page 81
  Error What It May Mean What To Do Message Blood was applied 1 . Review the testing to the test strip too instructions . soon . 2 . Repeat the test using a new test strip . 3 . If the error reappears, contact Customer Service .
• Page 82
  Error What It May Mean What To Do Message Test strip may be 1 . Check that you are using damaged, used or the correct test strip for the Reader does not the Reader . (See test strip recognise it . instructions for use to verify your strip is compatible with the Reader) .

• Page 83: Problems Checking Your Blood Glucose Or Ketone

  Problems Checking Your Blood Glucose or Ketone Problem What It May Mean What To Do The Reader Test strip is not 1 . With the 3 black lines facing does not inserted correctly up, insert the test strip into start a or not inserted fully the strip port until it stops .

• Page 84
  Problem What It May Mean What To Do The test Blood sample is too 1 . See test strip instructions does not small . for use for re-application start after instructions . applying 2 . Repeat the test using a new the blood test strip .

• Page 85: Perform A Reader Test

  . Customer Service Customer Service is available to answer any questions you may have about your FreeStyle Libre Flash Glucose Monitoring System . Please go the back cover of this manual for your Customer Service phone number .

• Page 86: Professional Options

  Professional Options This section is only meant for health care professionals . It describes the access code-protected features of the Reader . Health care professionals can change dose increments or set up the insulin calculator . From the Home Screen, touch the Settings symbol .

• Page 87: Changing Dose Increments

  Changing Dose Increments You can set the insulin dose increments to either 1 .0 or 0 .5 units for use with the Rapid-acting insulin calculator and insulin notes . From the Professional Options screen, select Dose Increment Dose Increment . Then choose 1 unit or 0.5 unit . 1 unit Touch done .

• Page 88: Setting Up The Insulin Calculator

  Setting up the Insulin Calculator The insulin calculator can help your patients calculate their rapid-acting insulin doses based on meal and fingerstick blood glucose level information . From the Professional Options screen, select Insulin Calculator . CAUTION: This feature requires an understanding of the use of insulin .

• Page 89
  You can set up the insulin calculator using the Easy or Advanced settings . The Easy Setup is for patients who start with a fixed dose of rapid-acting insulin for meals . The Advanced Setup is for patients who count carbohydrates (in grams or carbohydrate portions) to adjust their rapid-acting insulin dose for meals .

• Page 90: Easy Setup Of The Insulin Calculator

  Easy Setup of the Insulin Calculator Action Step Choose the Easy option on the slide bar and Choose Setup Option touch next . Easy Note: You need to know your patient’s For patients who start with a fixed dose of rapid-acting mealtime insulin doses, target glucose range insulin at meals.

• Page 91
  Action Step Enter the Correction Factor (for example: if 1 unit Correction Factor of insulin lowers blood glucose 2 . 8 mmol/L, then 1 u insulin for the correction factor is 2 .8) . If the blood glucose mmol value is outside the blood glucose target, the calculator will use the correction target and factor to calculate a correction dose .
• Page 92
  Notes about the Easy Option: • The calculator estimates the amount of rapid-acting insulin still in the body and how much longer it may be active (if the correction factor is set to “no correction insulin”, active insulin is not calculated) . The active insulin estimate is based on a 4-hour insulin duration calculated from the time and amount of the last logged rapid-acting insulin dose .
• Page 93
  Calculator Settings — Easy Option This page can be used to record insulin calculator settings . This is the insulin Breakfast Lunch Dinner Dose Dose Dose required to cover food . units of insulin units of insulin units of insulin 0-50 0-50 0-50…

• Page 94: Advanced Setup Of The Insulin Calculator

  Advanced Setup of the Insulin Calculator Action Step Choose the Advanced option on the slide bar Choose Setup Option and touch next . Advanced Note: You need to know your patient’s For patients who count carbs (in grams or portions) to adjust mealtime insulin settings, target glucose their rapid-acting insulin dose at meals.

• Page 95
  Action Step If you chose to enter Grams of carbs in Step 2: Carbohydrate Ratio The rapid-acting insulin dose suggestion is based 1 u insulin for on grams of carbs . grams carbs Enter the Carbohydrate Ratio (1 unit of rapid- by time Optional: of day…
• Page 96
  Action Step If you chose to enter Carb Portions in Step 2: Carb Portions Definition The rapid-acting insulin dose suggestion is based 1 portion = on carbohydrate portions . grams carbs Enter the Carb Portions (10 to 15 grams of carbs) and touch next . Enter the Carb Carb Portion Ratio back next…
• Page 97
  Action Step Select how you want your patient to correct their How does your patient correct their glucose . Touch next glucose? To a single target To a target range back next Enter the Correction Target value or range . This Correction Target is the desired target value or range for blood glucose values before meals .
• Page 98
  Action Step Enter the Correction Factor (for example: if 1 Correction Factor unit of insulin lowers blood glucose 2 .8 mmol/L, 1 u insulin for then the correction factor is 2 .8) . If the blood mmol glucose reading is outside the blood glucose by time target, the calculator will use the correction Optional:…
• Page 99
  Action Step Enter the Insulin Duration . This is the amount of Insulin Duration time that rapid-acting insulin remains active in 4:30 the patient’s body . hrs:min Touch next . back next IMPORTANT: In general, the insulin duration for rapid- acting insulin ranges from 3-5 hours, and can vary for each person .
• Page 100
  Action Step Select whether or not to show the Active Insulin Do you want the Active Insulin symbol symbol on the Home Screen . to be displayed on the Home Screen? This symbol shows an estimate of the amount of rapid-acting insulin still in the body and how much longer it may be active .
• Page 101
  Notes about the Advanced Option: • The calculator estimates the amount of rapid-acting insulin still in the body and how much longer it may be active . The active insulin estimate is calculated from the set insulin duration, the time, and amount of the last logged rapid-acting insulin dose .
• Page 102
  This graph shows how the insulin calculator estimates the amount of active insulin as a function of logged insulin dose and insulin duration over time . It also shows the relationship between the symbol and amount of active insulin . Active insulin curvilinear model % insulin duration Adapted from Mudaliar et al .
• Page 103
  Calculator Settings — Advanced Option This page can be used to record insulin calculator settings . This is the number of grams Carbohydrate Ratio of carbs that one unit of 1 unit of insulin for rapid-acting insulin will cover OR the number of units of rapid-acting insulin grams of carbs that will cover one carb…
• Page 104
  This is the estimated Correction Factor amount blood glucose will 1 unit of insulin for drop by taking one unit of insulin . (Option to enter by mmol/L time of day .) 0.1-5.5 This is the amount of time Insulin Duration that a dose of rapid-acting Insulin is active in the body for insulin remains active in the…

• Page 105: Changing The Insulin Calculator Settings

  Changing the Insulin Calculator Settings Action Step From the Home Screen, touch the Settings symbol . Scroll down using the arrows and System Status touch Professional Options . Enter the access code . Touch Insulin Calculator . Calculator Settings Reader Basics Professional Options Touch Turn Off Calculator to turn off the insulin Calculator Settings…

• Page 106: System Specifications

  System Specifications See test strip and control solution instructions for use for additional specifications . Sensor Specifications Sensor glucose assay Amperometric electrochemical sensor method Sensor glucose reading 2 .2 to 27 .8 mmol/L range Sensor size 5 mm height and 35 mm diameter Sensor weight 5 grams Sensor power source…

• Page 107
  Sensor life Up to 14 days 8 hours (glucose readings stored every Sensor memory 15 minutes) Operating temperature 10 °C to 45 °C Sensor Applicator and Sensor Pack storage 4 °C to 30 °C temperature Operating and storage 10-90%, non-condensing relative humidity IP27: Can withstand immersion into Sensor water resistance…
• Page 108
  Reader Specifications Blood glucose assay 1 .1 to 27 .8 mmol/L range Blood ketone assay range 0 .0 to 8 .0 mmol/L 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 7 days of typical use Reader memory…
• Page 109
  System must only be used with Requirements EN60950-1 rated computers Mean service life 3 years of typical use Abbott Diabetes Care PRT25612 Power Adapter Operating temperature: 10 °C to 40 °C Abbott Diabetes Care PRT21373 USB Cable Length: 94 cm (37 inches)

• Page 110: Rapid-Acting Insulin Calculator Specifications

  Rapid-Acting Insulin Calculator Specifications Parameter Unit Range or Value Correction target mmol/L 3 . 9 to 10 . 0 1 unit per X grams Carbohydrate ratio 1 to 50 of carbs Units of insulin per Carb portion ratio 0 . 5 to 15 carb portion Carb portions definition Grams of carbs…

• Page 111
  Parameter Unit Range or Value Dose increments Units of insulin 0 . 5 or 1 Maximum insulin dose Units of insulin…

• Page 112: Labelling Symbols

  Labelling Symbols Consult instructions for Use-by date Temperature limit Catalogue number Manufacturer Serial number Do not use if package is CE Mark damaged Batch code Keep dry Type BF applied part Non-ionizing radiation Sensor code Caution CODE Sterilised using Do not re-use irradiation This product must not be disposed of via municipal waste collection .

• Page 113: Electromagnetic Compatibility

  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 affect the System. • The use of accessories, transducers and cables other than those specified 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 configuration in which it will be used.

• Page 114: Electromagnetic Emissions

  Guidance and manufacturer’s declaration – electromagnetic emissions The System is intended for use in the electromagnetic environment specified below. The customer or the user of the System should assure that it is used in such an environment. Electromagnetic Emissions test Compliance environment – guidance RF emissions Group 1 The System uses RF energy CISPR 11 only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emissions Class B The System is suitable for use CISPR 11 in all establishments, including domestic establishments and Harmonic emissions Class A those directly connected to the IEC 61000-3-2 public low voltage power supply network that supplies buildings Voltage fluctuations / Complies used for domestic purposes. flicker emissions IEC 61000-3-3…

• Page 115
  Guidance and manufacturer’s declaration – electromagnetic immunity The System is intended for use in the electromagnetic environment specified below. The customer or the user of the System should assure that it is used in such an environment. IMMUNITY IEC 60601 Compliance Electromagnetic test test level Level environment – guidance Electrostatic ± 6 kV contact ± 6 kV contact Floors should be wood, concrete or discharge (ESD) ceramic tile. If floors are covered ± 8 kV air ± 8 kV air with synthetic material, the relative IEC 61000-4-2 humidity should be at least 30 %. Electrical fast ± 2 kV for ± 2 kV for Mains power quality should be that transient/burst power supply power supply of a typical domestic, commercial or lines lines hospital environment.
• Page 116
  IMMUNITY IEC 60601 Compliance Electromagnetic test test level Level environment – guidance Surge ±1 kV ±1 kV Mains power quality should be that differential differential of a typical domestic, commercial or IEC 61000-4-5 mode mode hospital environment. ±2 kV common ±2 kV common mode mode Voltage <5 % U <5 % U Mains power quality should be that dips, short (>95 % dip in (>95 % dip in of a typical domestic, commercial interruptions and ) for 0.5 cycle ) for 0.5 cycle or hospital environment. If the user voltage variations of the System requires continued…
• Page 117
  IMMUNITY IEC 60601 Compliance Electromagnetic test test level Level environment – guidance Power frequency 3 A/m 3 A/m Power frequency magnetic fields (50/60 Hz) should be at levels characteristic magnetic field of a typical location in a typical domestic, commercial or hospital IEC 61000-4-8 environment. NOTE U is the a.c. mains voltage prior to application of the test level.
• Page 118
  IMMUNITY IEC 60601 Compliance Electromagnetic test test level Level environment – guidance Conducted RF 3 Vrms 3 Vrms Portable and mobile RF communications equipment should IEC 61000-4-6 150 kHz to be used no closer to any part of the 80 MHz System, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance…
• Page 119
  IMMUNITY IEC 60601 Compliance Electromagnetic test test level Level environment – guidance Radiated RF 3 V/m 3 V/m Recommended separation distance IEC 61000-4-3 80 MHz to 2.5 GHz 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 metres (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, should be less than the compliance level in each frequency range. 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.
• Page 120
  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. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
• Page 121
  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 Separation distance according to frequency of transmitter output power of transmitter 150 kHz to 80 MHz to 800 MHz to 80 MHz 800 MHz 2.5 GHz…
• Page 122
  For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (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.
• Page 123
  Flash Glucose Monitoring System is in compliance with the essential requirements and other relevant provisions of the R&TTE Directive . A copy of the original declaration of conformity may be obtained from Abbott Diabetes Care Ltd ., Range Road, Witney, Oxon, OX29 0YL, UK . Font Licence ©2013 Abbott Licensed under the Apache Licence, Version 2 .0 (the “Licence”);…
• Page 124
  SL6 4UD 0500 467 466 FreeStyle and related brand marks are trademarks of Abbott Diabetes Care Inc. in various jurisdictions. Other trademarks are the property of their respective owners. This product(s) and/or its manufacture and/or use are protected by one or more of the following patents: US6,134,461;…

1. Manuals
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6. User manual

• Page 1
  User’s Manual FLASH GLUCOSE MONITORING SYSTEM…

• Page 2: Table Of Contents

  FreeStyle Libre Software . . . . . . . . . . . . . . . . . . .

• Page 3
  Changing the Reader Settings . . . . . . . . . . . . . . . . . . . . . . . . . 64 Living With Your FreeStyle Libre System . . . . . . . . . . . . . . . 67…
• Page 4
  Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Reader Does Not Power On .

• Page 5: Reader Symbols

  Reader Symbols Symbol What It Means Active sensor Direction your glucose is going . See Checking Your Glucose section for more information Caution View previous/next screen Notes Add more information to notes Food note Rapid-acting insulin note Time changed on Reader Reminders…

• Page 6
  Symbol What It Means Blood glucose or ketone test Settings Control solution test result Rapid-acting insulin calculator Details of your suggested insulin dose Estimated rapid-acting insulin remaining in body Low battery Battery charging Sensor too cold Sensor too hot…

• Page 7: Important Safety Information

  . It is designed to replace blood glucose testing in the self-management of diabetes with the exceptions listed below . Under the following circumstances, use a blood glucose meter to check the current glucose readings from the FreeStyle Libre Flash Glucose Monitoring System Sensor: •…

• Page 8: Contraindications

  Contraindications The FreeStyle Libre Flash Glucose Monitoring System must be removed prior to Magnetic Resonance Imaging (MRI) . WARNING: • The FreeStyle Libre Flash Glucose Monitoring System contains small parts that may be dangerous if swallowed . • During times of rapidly changing glucose (more than 0 .1 mmol/L…

• Page 9
  CAUTION: • On rare occasions, you may get inaccurate Sensor glucose readings . If you believe your glucose readings are not correct or are inconsistent with how you feel, perform a blood glucose test on your finger to confirm your glucose . If the problem continues, remove the current Sensor and apply a new one .
• Page 10
  System-Related Information • The FreeStyle Libre Flash Glucose Monitoring System is designed to be used only with FreeStyle Optium blood glucose and blood ketone test strips and MediSense control solution . • Avoid getting dust, dirt, blood, control solution, water or other substances in the Reader’s USB and test strip ports .
• Page 11
  The effect of these types of procedures on the performance of the system has not been evaluated . • The FreeStyle Libre Flash Glucose Monitoring System has not been evaluated for use in pregnant women, persons on dialysis, or people less than 18 years of age .

• Page 12: Getting To Know Your System

  Getting to Know Your System The FreeStyle Libre Flash Glucose Monitoring System has two main parts: a handheld Reader and a disposable Sensor, which you wear on your body . You use the Reader to wirelessly scan the Sensor and get your glucose readings .

• Page 13: Reader Kit

  Reader Kit The Reader Kit includes: • • • 1 FreeStyle Libre Reader 1 Power Adapter Quick Start Guide • • 1 USB Cable User’s Manual Touchscreen USB Port Used to charge the Reader and connect it to a computer.

• Page 14: Sensor Kit

  Sensor Kit The Sensor Kit includes: • • 1 Sensor Pack 1 Alcohol wipe • • 1 Sensor Applicator Product insert Sensor Pack Sensor Applicator Used with the Sensor Applicator to Applies the Sensor to your body . prepare the Sensor for use . The Sensor measures and stores glucose readings when worn on your body .

• Page 15: Home Screen

  The Reader Home Screen provides access to information about your glucose and the System . You can press the Home Button to get to the Home Screen . Home Screen Time Battery Level Current time set on Battery charge remaining. the Reader.

• Page 16: Sensor Glucose Readings

  The Sensor Glucose Readings screen appears after you use the Reader to scan your Sensor . Your Reading includes your Current Glucose, a Glucose Trend Arrow indicating which way your glucose is going, and a graph of your current and stored glucose readings . Sensor Glucose Readings Message Add Notes…

• Page 17: Freestyle Libre Software

  FreeStyle Libre Software FreeStyle Libre software can be used to view reports and change Reader settings . The software is compatible with most Windows and Mac operating systems . Go to www .FreeStyleLibre .com and follow onscreen instructions to download and install the software .

• Page 18: Setting Up Your Reader For The First Time

  Setting up Your Reader for the First Time Before using the System for the first time, the Reader must be set up . Step Action Press the Home Button to turn on the Reader . If prompted, use the touchscreen to select your preferred language for the Reader .

• Page 19
  Step Action Set the Current Time . Touch next to continue . Current Time CAUTION: It is very important to set the time and date correctly . These values affect the Reader data and settings . back next Set your Target Glucose Range . Work with your Target Glucose Range health care professional to determine your Target…
• Page 20
  Step Action The Reader now displays important information about two key topics to help you use the system: • How to understand the Glucose Trend Arrow included on the Glucose Reading screen . • How to return to the Home Screen from any other screen . When you scan your Sensor an arrow will indicate your recent glucose trend:…

• Page 21: Using Your Sensor

  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 FreeStyle Libre before using your Sensor Pack and Sensor Sensor Pack Applicator . Sensor Packs and Sensor…

• Page 22: Applying Your Sensor

  Applying Your Sensor Action Step Apply Sensors only on the back of your upper arm . Avoid areas with scars, moles, stretch marks or lumps . Select an area of skin that generally stays flat during your normal daily activities (no bending or folding) .

• Page 23
  Action Step Open the Sensor Pack by peeling the lid off completely . Unscrew the cap from the Sensor Applicator and set the cap aside . CAUTION: Do NOT use if the Sensor Pack or the Sensor Applicator seem to be damaged or already opened .
• Page 24
  Action Step The Sensor Applicator is prepared and ready to apply the Sensor . CAUTION: The Sensor Applicator now contains a needle . Do NOT touch inside the Sensor Applicator or put it back into the Sensor Pack . Place the Sensor Applicator over the prepared site and push down firmly to apply the Sensor to your body .
• Page 25
  Action Step Gently pull the Sensor Applicator away from your body . The Sensor should now be attached to your skin . Sensor 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 different site .

• Page 26: Starting Your Sensor

  Starting Your Sensor Action Step Press the Home Button to turn on the Reader . Touch Start New Sensor . 22:23 No Active Sensor Start New Review Sensor History Hold the Reader within 4 cm (1 .5 inches) of the Sensor to scan it .

• Page 27: Checking Your Glucose

  Checking Your Glucose Step Action Turn the Reader on by pressing 22:23 the Home Button or touch Ends in 14 days Check Glucose from the Home Check Review Screen . Glucose History Hold the Reader within 4 cm (1 .5 inches) of your Sensor to scan it .

• Page 28
  Step Action The Reader displays your current glucose reading along with your glucose graph and an arrow Glucose Going indicating the direction your glucose is going . mmol 14:00 18:00 22:00…

• Page 29: Sensor Glucose Readings

  Sensor Glucose Readings Glucose Going Glucose Trend Arrow mmol Current Glucose Target Glucose Range 14:00 18:00 22:00 Notes: • The graph displays glucose readings up to 21 mmol/L . Glucose readings above 21 mmol/L are displayed at 21 mmol/L . •…

• Page 30
  The Glucose Trend Arrow gives you an indication of the direction your glucose is going . Glucose is rising quickly (more than 0 . 1 mmol/L per minute) Glucose is rising (between 0 .06 and 0 . 1 mmol/L per minute) Glucose is changing slowly (less than 0 .06 mmol/L per minute) Glucose is falling…
• Page 31
  The following table shows messages you may see with your glucose readings . Display What To Do If LO appears on the Reader, your reading is lower Low Glucose than 2 .2 mmol/L . If HI appears on the Reader, your reading is higher than 27 .8 mmol/L .
• Page 32
  Display What To Do If your glucose is projected to be higher than Glucose Going 13 .3 mmol/L or lower than 3 .9 mmol/L within 15 minutes, you will see a message on the screen . mmol You can touch the message button for more Glucose Going information and set a reminder to check your High…

• Page 33: Adding Notes

  Adding Notes Notes can be saved with your glucose readings . You can add a note at the time of your glucose reading or within 15 minutes after your reading was obtained . You can track food, insulin, exercise and any medication you take .

• Page 34
  Step Action After you tick the box for food and Add Notes insulin notes, the symbol appears Rapid-Acting Insulin to the right of the Note . You can touch Long-Acting Insulin it to add more specific information to Enter Rapid-Acting Insulin Food your note .

• Page 35: Reviewing Your History

  Reviewing Your History Reviewing and understanding your glucose history can be an important tool for improving your glucose control . The Reader stores about 90 days of information and has several ways to review your past glucose readings, notes, and other information . Step Action Press the Home Button to turn on…

• Page 36
  Step Action Use the arrows to view the available options . Review History Logbook Daily Graph Daily Patterns Average Glucose Time In Target 1 / 2 Low-Glucose Events Sensor Usage IMPORTANT: Work with your health care professional to understand your glucose history .

• Page 37: Logbook

  Notes you entered . You can add or edit (change) Notes for the most recent Logbook entry, provided your glucose reading was within the last 15 minutes and you have not used FreeStyle Libre software to create reports .

• Page 38: Daily Graph

  Daily Graph A graph of your Sensor glucose readings by day . Daily Graph The graph shows your Target Glucose Range and (mmol/L) symbols for food or rapid-acting insulin notes you have entered . Notes: 00:00 12:00 24:00 • 22 Feb The graph displays glucose readings up to Wednesday 21 mmol/L .

• Page 39: Other History Options

  Other History Options Use the arrows to view information about your last 7, 14, 30 or 90 days . Information about the average of your Sensor Average Glucose glucose readings . The overall average for the time Average: mmol/L is displayed above the graph . The average is also shown for four different 6-hour periods of the day .

• Page 40
  A graph showing the percentage of time your Time In Target Sensor glucose readings were above, below or Above within your Target Glucose Range . In Target Below Target Range 4.4-10.0 mmol/L Last 7 Days Time In Target Information about the number of low glucose Low Glucose events measured by your Sensor .

• Page 41: Removing Your Sensor

  Removing Your Sensor Step Action 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 .

• Page 42: Replacing Your Sensor

  Sensor currently in use . Taking action early can keep small problems from turning into larger ones . CAUTION: If the glucose readings from the FreeStyle Libre Flash Glucose Monitoring System do NOT seem to match with how you feel, check to make sure that your Sensor has not come loose .

• Page 43: Using Reminders

  Using Reminders You can use Reminders to help you remember to check your glucose, take insulin or as a general alarm . Step Action From the Home Screen, touch the symbol . 22:23 Ends in 14 days Check Review Glucose History Touch to select which Type of reminder you want Set Reminder…

• Page 44
  Step Action Set the reminder Time using the arrows on the touchscreen . Touch save . From the Reminders screen, you can turn the Reminders reminder On/Off or add new reminders . 08:30 Touch done to return to the Home Screen . 12:30 00:00:00 add new…

• Page 45: Using The Built-In Meter

  Using the Built-in Meter The Reader has a built-in meter that can be used to test your blood glucose and blood ketone or to test the meter and strips with control solution . WARNING: Do NOT use the built-in meter while the Reader is connected to an electrical outlet or a computer .

• Page 46
  IMPORTANT: • Use the Reader within the test strip operating temperature range as blood glucose and ketone results obtained outside the range may be less accurate . • Use only FreeStyle Optium test strips . • Use a test strip immediately after removing from its foil packet .

• Page 47: Blood Glucose Testing

  Blood Glucose Testing You can use the built-in meter to check your blood glucose, whether you are wearing a Sensor or not . You can perform a blood glucose test on your fingertip or approved alternate site . Be sure to read the test strip instructions for use prior to using the built-in meter .

• Page 48
  Step Action Check the test strip expiry date . 13758 2016/ 03 E .g . Expiry date: March 31, 2016 Open the foil test strip packet at the notch and tear down to remove the test strip . Use the test strip immediately after removing from the foil packet .
• Page 49
  Step Action You will see a butterfly on the screen while you wait for your result . If sounds are turned on, the Reader beeps once when your result is ready . After reviewing your result, remove and discard the used test strip according to local regulations .
• Page 50
  Display What To Do If LO appears on the Reader, your result is lower Low Glucose than 1 .1 mmol/L . If HI appears on the Reader, your result is higher than 27 .8 mmol/L . You can touch mmol the message button for more information .

• Page 51: Blood Ketone Testing

  After you get your blood glucose result, you can add Notes by touching symbol . If you do not want to add a Note, press the Home Button to go to the Home Screen or hold the Home Button to turn the Reader off . Blood Ketone Testing You can use the built-in meter to check your blood ketone (β-hydroxybutyrate) .

• Page 52
  Step Action Check the test strip expiry date . 13758 2016/ 03 E .g . Expiry date: March 31, 2016 Open the foil test strip packet at the notch and tear down to remove the test strip . Use the test strip immediately after removing from the foil packet .
• Page 53
  Step Action Use your lancing device to obtain a blood drop Apply Blood and apply blood to the white area at the end of the test strip . If sounds are turned on, the Reader beeps once Ketone Test to let you know you have applied enough blood . Note: See test strip instructions for use for re-application instructions .
• Page 54
  Your Blood Ketone Results 22:23 Blood ketone results are marked on the results screen and in the Logbook with the word Ketone . mmol Ketone Test Notes: • Blood ketone is expected to be lower than 0 .6 mmol/L . •…
• Page 55
  Display What To Do If your blood ketone is high, you will see a High Ketone message on the screen . You can touch the message button for more information . mmol Ketone Test If HI appears on the Reader, your ketone result is High Ketone higher than 8 mmol/L .

• Page 56: Control Solution Testing

  Control Solution Testing You should do a control solution test when you are not sure of your test strip results and want to check that your Reader and test strips are working properly . You can do a control solution test with a blood glucose or ketone test strip .

• Page 57: Control Solution Test

  Action Step From the Home Screen, touch the Settings 22:23 Ends in 14 days . Touch Control Solution Test to do symbol a control solution test . Check Review Glucose History Settings Sounds Target Range Control Solution Test 1 / 3 Check the test strip expiry date .

• Page 58
  Action Step Insert the test strip with the three black lines facing up . Push the strip until it stops . Shake the control solution bottle to mix the Apply Control Solution solution . Apply a drop of control solution to the white area at the end of the test strip .
• Page 59
  Control Solution Results 22:23 Compare the control solution result to the range printed on the test strip instructions for use . The result on your screen should be mmol in this range . Control solution results are marked on Control Solution Test the results screen and in the Logbook with a symbol .

• Page 60: Using The Rapid-Acting Insulin Calculator

  Using the Rapid-Acting Insulin Calculator This optional feature requires an understanding of the use of insulin . Misuse or misunderstanding of this feature and the suggested dose may lead to inappropriate insulin dosing . The calculator suggests doses for rapid-acting insulin only . The calculator is only for use with fingerstick blood glucose results from the built-in meter .

• Page 61
  CAUTION: The rapid-acting insulin calculator cannot account for all the factors that may affect your insulin dose . These include incorrectly entered data, incorrectly set date or time, un-logged insulin, smaller or larger meals, sickness, exercise, etc . It is important that you review your suggested dose and account for these factors before taking insulin .
• Page 62
  Step Action Enter information about any Have you forgotten to log any rapid-acting rapid-acting insulin you may have insulin you have taken since X:XX? forgotten to log . Touch next . Enter any rapid- acting insulin you have forgotten to log. units How long ago was back…
• Page 63
  Step Action If your calculator was programmed with Easy Breakfast Setup, touch the meal you plan to eat now . Touch Lunch next . Dinner No meal back next If your calculator was programmed with Enter Carbs Advanced Setup, enter the grams of carbohydrates or carbohydrate portions you grams plan to eat now .
• Page 64
  Step Action Review your suggested dose . If needed, use the Suggested Dose arrow buttons to adjust your suggested dose for Adjust if needed any planned activity, a smaller or larger meal, sickness, etc . Touch the symbol to see details of what is included in your suggested dose .
• Page 65
  Step Action Touch log dose to save to your Logbook and take your dose . Your dose is only saved to the Logbook if you touch log dose . CAUTION: It is important to log all your rapid-acting insulin doses so your Reader can account for active insulin when calculating your suggested doses .
• Page 66
  If your health care professional turned on the Active 22:23 Ends in 3 days Insulin feature, the symbol may appear on your Home Screen . It shows an estimate of the amount of rapid-acting insulin left in your body and how much Check Review longer it may be active .

• Page 67: Charging The Reader

  Charging the Reader A fully charged Reader battery should last up to 7 days . Your battery life may vary depending on your usage . A Low Battery message accompanies your result when you have enough charge remaining for about one day of Low Battery use .

• Page 68: Changing The Reader Settings

  Changing the Reader Settings You can go to the Settings menu to change many settings on the Reader, like Time & Date or Sounds . The Settings menu is also where you go to do a Control Solution Test or to check the System Status . Action Step To get to the Settings menu, touch the Settings…

• Page 69
  Action Step Touch the setting you want to change: Sounds – Set tones and vibrations Target Range – Set range displayed on Reader glucose graphs Control Solution Test – Perform a Control Solution test Time & Date – Change the Time or Date Language –…
• Page 70
  Action Step • View Event Logs: A list of events recorded by the Reader, which may be used by Customer Service to help (cont.) troubleshoot your System • 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…

• Page 71: Living With Your Freestyle Libre System

  Living With Your FreeStyle Libre System Your FreeStyle Libre Flash Glucose Monitoring System can be used during a wide variety of activities . Activity What You Need To Know Bathing, The Reader is not water-resistant and should Showering and NEVER be submerged in water or other liquids .

• Page 72
  Activity What You Need To Know Travelling by Air Check with the airline prior to departure as rules and regulations may change without notice . Follow these guidelines when travelling: • Notify security personnel of the presence of the device when going through security systems . • Do not scan your Sensor or power on the Reader using the Home Button while flying, if restricted by flight regulations .

• Page 73: Maintenance And Disposal

  Avoid getting dust, dirt, blood, control solution, water or any other substance in the test strip or USB ports . Maintenance The FreeStyle Libre 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 fluids .

• Page 74: Troubleshooting

  Troubleshooting This section lists problems or observations that you may have, 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…

• Page 75: Problems At The Sensor Application Site

  Problems at the Sensor Application Site Problem What It May Mean What To Do The Sensor is The site is not free 1 . Remove the Sensor . not sticking of dirt, oil, hair or 2 . Consider shaving and/or to your skin .

• Page 76: Problems Starting Your Sensor Or Receiving Sensor

  Problems Starting Your Sensor or Receiving Sensor Readings Display What It May Mean What To Do New Sensor Sensor is not ready Wait until the 60 minute Sensor Starting Up to read glucose . start-up period has completed . Scan The Reader is not Hold the Reader within Timeout…

• Page 77
  Display What It May Mean What To Do New Sensor You scanned a new Your Reader can only be used Found Sensor before your with one Sensor at a time . If previous Sensor you start a new Sensor, you will ended .
• Page 78
  Display What It May Mean What To Do Glucose Your Sensor is too Move to a location where the Reading hot or too cold . temperature is appropriate and Unavailable scan again in a few minutes . Sensor The Sensor was A Sensor can only be scanned Already in started by another…

• Page 79: Blood Glucose Or Ketone Error Messages

  Blood Glucose or Ketone Error Messages Error What It May Mean What To Do Message The temperature is 1 . Move the Reader and test too hot or too cold strips to a location where the for the Reader to temperature is within the test work correctly .

• Page 80
  Error What It May Mean What To Do Message Blood drop is too 1 . Review the testing small . instructions . 2 . Repeat the test using a new test strip . Incorrect test 3 . If the error reappears, contact procedure .
• Page 81
  Error What It May Mean What To Do Message Blood was applied 1 . Review the testing to the test strip too instructions . soon . 2 . Repeat the test using a new test strip . 3 . If the error reappears, contact Customer Service .
• Page 82
  Error What It May Mean What To Do Message Test strip may be 1 . Check that you are using damaged, used or the correct test strip for the Reader does not the Reader . (See test strip recognise it . instructions for use to verify your strip is compatible with the Reader) .

• Page 83: Problems Checking Your Blood Glucose Or Ketone

  Problems Checking Your Blood Glucose or Ketone Problem What It May Mean What To Do The Reader Test strip is not 1 . With the 3 black lines facing does not inserted correctly up, insert the test strip into start a or not inserted fully the strip port until it stops .

• Page 84
  Problem What It May Mean What To Do The test Blood sample is too 1 . See test strip instructions does not small . for use for re-application start after instructions . applying 2 . Repeat the test using a new the blood test strip .

• Page 85: Perform A Reader Test

  . Customer Service Customer Service is available to answer any questions you may have about your FreeStyle Libre Flash Glucose Monitoring System . Please go the back cover of this manual for your Customer Service phone number .

• Page 86: Professional Options

  Professional Options This section is only meant for health care professionals . It describes the access code-protected features of the Reader . Health care professionals can change dose increments or set up the insulin calculator . From the Home Screen, touch the Settings symbol .

• Page 87: Changing Dose Increments

  Changing Dose Increments You can set the insulin dose increments to either 1 .0 or 0 .5 units for use with the Rapid-acting insulin calculator and insulin notes . From the Professional Options screen, select Dose Increment Dose Increment . Then choose 1 unit or 0.5 unit . 1 unit Touch done .

• Page 88: Setting Up The Insulin Calculator

  Setting up the Insulin Calculator The insulin calculator can help your patients calculate their rapid-acting insulin doses based on meal and fingerstick blood glucose level information . From the Professional Options screen, select Insulin Calculator . CAUTION: This feature requires an understanding of the use of insulin .

• Page 89
  You can set up the insulin calculator using the Easy or Advanced settings . The Easy Setup is for patients who start with a fixed dose of rapid-acting insulin for meals . The Advanced Setup is for patients who count carbohydrates (in grams or carbohydrate portions) to adjust their rapid-acting insulin dose for meals .

• Page 90: Easy Setup Of The Insulin Calculator

  Easy Setup of the Insulin Calculator Action Step Choose the Easy option on the slide bar and Choose Setup Option touch next . Easy Note: You need to know your patient’s For patients who start with a fixed dose of rapid-acting mealtime insulin doses, target glucose range insulin at meals.

• Page 91
  Action Step Enter the Correction Factor (for example: if 1 unit Correction Factor of insulin lowers blood glucose 2 . 8 mmol/L, then 1 u insulin for the correction factor is 2 .8) . If the blood glucose mmol value is outside the blood glucose target, the calculator will use the correction target and factor to calculate a correction dose .
• Page 92
  Notes about the Easy Option: • The calculator estimates the amount of rapid-acting insulin still in the body and how much longer it may be active (if the correction factor is set to “no correction insulin”, active insulin is not calculated) . The active insulin estimate is based on a 4-hour insulin duration calculated from the time and amount of the last logged rapid-acting insulin dose .
• Page 93
  Calculator Settings — Easy Option This page can be used to record insulin calculator settings . This is the insulin Breakfast Lunch Dinner Dose Dose Dose required to cover food . units of insulin units of insulin units of insulin 0-50 0-50 0-50…

• Page 94: Advanced Setup Of The Insulin Calculator

  Advanced Setup of the Insulin Calculator Action Step Choose the Advanced option on the slide bar Choose Setup Option and touch next . Advanced Note: You need to know your patient’s For patients who count carbs (in grams or portions) to adjust mealtime insulin settings, target glucose their rapid-acting insulin dose at meals.

• Page 95
  Action Step If you chose to enter Grams of carbs in Step 2: Carbohydrate Ratio The rapid-acting insulin dose suggestion is based 1 u insulin for on grams of carbs . grams carbs Enter the Carbohydrate Ratio (1 unit of rapid- by time Optional: of day…
• Page 96
  Action Step If you chose to enter Carb Portions in Step 2: Carb Portions Definition The rapid-acting insulin dose suggestion is based 1 portion = on carbohydrate portions . grams carbs Enter the Carb Portions (10 to 15 grams of carbs) and touch next . Enter the Carb Carb Portion Ratio back next…
• Page 97
  Action Step Select how you want your patient to correct their How does your patient correct their glucose . Touch next glucose? To a single target To a target range back next Enter the Correction Target value or range . This Correction Target is the desired target value or range for blood glucose values before meals .
• Page 98
  Action Step Enter the Correction Factor (for example: if 1 Correction Factor unit of insulin lowers blood glucose 2 .8 mmol/L, 1 u insulin for then the correction factor is 2 .8) . If the blood mmol glucose reading is outside the blood glucose by time target, the calculator will use the correction Optional:…
• Page 99
  Action Step Enter the Insulin Duration . This is the amount of Insulin Duration time that rapid-acting insulin remains active in 4:30 the patient’s body . hrs:min Touch next . back next IMPORTANT: In general, the insulin duration for rapid- acting insulin ranges from 3-5 hours, and can vary for each person .
• Page 100
  Action Step Select whether or not to show the Active Insulin Do you want the Active Insulin symbol symbol on the Home Screen . to be displayed on the Home Screen? This symbol shows an estimate of the amount of rapid-acting insulin still in the body and how much longer it may be active .
• Page 101
  Notes about the Advanced Option: • The calculator estimates the amount of rapid-acting insulin still in the body and how much longer it may be active . The active insulin estimate is calculated from the set insulin duration, the time, and amount of the last logged rapid-acting insulin dose .
• Page 102
  This graph shows how the insulin calculator estimates the amount of active insulin as a function of logged insulin dose and insulin duration over time . It also shows the relationship between the symbol and amount of active insulin . Active insulin curvilinear model % insulin duration Adapted from Mudaliar et al .
• Page 103
  Calculator Settings — Advanced Option This page can be used to record insulin calculator settings . This is the number of grams Carbohydrate Ratio of carbs that one unit of 1 unit of insulin for rapid-acting insulin will cover OR the number of units of rapid-acting insulin grams of carbs that will cover one carb…
• Page 104
  This is the estimated Correction Factor amount blood glucose will 1 unit of insulin for drop by taking one unit of insulin . (Option to enter by mmol/L time of day .) 0.1-5.5 This is the amount of time Insulin Duration that a dose of rapid-acting Insulin is active in the body for insulin remains active in the…

• Page 105: Changing The Insulin Calculator Settings

  Changing the Insulin Calculator Settings Action Step From the Home Screen, touch the Settings symbol . Scroll down using the arrows and System Status touch Professional Options . Enter the access code . Touch Insulin Calculator . Calculator Settings Reader Basics Professional Options Touch Turn Off Calculator to turn off the insulin Calculator Settings…

• Page 106: System Specifications

  System Specifications See test strip and control solution instructions for use for additional specifications . Sensor Specifications Sensor glucose assay Amperometric electrochemical sensor method Sensor glucose reading 2 .2 to 27 .8 mmol/L range Sensor size 5 mm height and 35 mm diameter Sensor weight 5 grams Sensor power source…

• Page 107
  Sensor life Up to 14 days 8 hours (glucose readings stored every Sensor memory 15 minutes) Operating temperature 10 °C to 45 °C Sensor Applicator and Sensor Pack storage 4 °C to 30 °C temperature Operating and storage 10-90%, non-condensing relative humidity IP27: Can withstand immersion into Sensor water resistance…
• Page 108
  Reader Specifications Blood glucose assay 1 .1 to 27 .8 mmol/L range Blood ketone assay range 0 .0 to 8 .0 mmol/L 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 7 days of typical use Reader memory…
• Page 109
  System must only be used with Requirements EN60950-1 rated computers Mean service life 3 years of typical use Abbott Diabetes Care PRT25612 Power Adapter Operating temperature: 10 °C to 40 °C Abbott Diabetes Care PRT21373 USB Cable Length: 94 cm (37 inches)

• Page 110: Rapid-Acting Insulin Calculator Specifications

  Rapid-Acting Insulin Calculator Specifications Parameter Unit Range or Value Correction target mmol/L 3 . 9 to 10 . 0 1 unit per X grams Carbohydrate ratio 1 to 50 of carbs Units of insulin per Carb portion ratio 0 . 5 to 15 carb portion Carb portions definition Grams of carbs…

• Page 111
  Parameter Unit Range or Value Dose increments Units of insulin 0 . 5 or 1 Maximum insulin dose Units of insulin…

• Page 112: Labelling Symbols

  Labelling Symbols Consult instructions for Use-by date Temperature limit Catalogue number Manufacturer Serial number Do not use if package is CE Mark damaged Batch code Keep dry Type BF applied part Non-ionizing radiation Sensor code Caution CODE Sterilised using Do not re-use irradiation This product must not be disposed of via municipal waste collection .

• Page 113: Electromagnetic Compatibility

  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 affect the System. • The use of accessories, transducers and cables other than those specified 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 configuration in which it will be used.

• Page 114: Electromagnetic Emissions

  Guidance and manufacturer’s declaration – electromagnetic emissions The System is intended for use in the electromagnetic environment specified below. The customer or the user of the System should assure that it is used in such an environment. Electromagnetic Emissions test Compliance environment – guidance RF emissions Group 1 The System uses RF energy CISPR 11 only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emissions Class B The System is suitable for use CISPR 11 in all establishments, including domestic establishments and Harmonic emissions Class A those directly connected to the IEC 61000-3-2 public low voltage power supply network that supplies buildings Voltage fluctuations / Complies used for domestic purposes. flicker emissions IEC 61000-3-3…

• Page 115
  Guidance and manufacturer’s declaration – electromagnetic immunity The System is intended for use in the electromagnetic environment specified below. The customer or the user of the System should assure that it is used in such an environment. IMMUNITY IEC 60601 Compliance Electromagnetic test test level Level environment – guidance Electrostatic ± 6 kV contact ± 6 kV contact Floors should be wood, concrete or discharge (ESD) ceramic tile. If floors are covered ± 8 kV air ± 8 kV air with synthetic material, the relative IEC 61000-4-2 humidity should be at least 30 %. Electrical fast ± 2 kV for ± 2 kV for Mains power quality should be that transient/burst power supply power supply of a typical domestic, commercial or lines lines hospital environment.
• Page 116
  IMMUNITY IEC 60601 Compliance Electromagnetic test test level Level environment – guidance Surge ±1 kV ±1 kV Mains power quality should be that differential differential of a typical domestic, commercial or IEC 61000-4-5 mode mode hospital environment. ±2 kV common ±2 kV common mode mode Voltage <5 % U <5 % U Mains power quality should be that dips, short (>95 % dip in (>95 % dip in of a typical domestic, commercial interruptions and ) for 0.5 cycle ) for 0.5 cycle or hospital environment. If the user voltage variations of the System requires continued…
• Page 117
  IMMUNITY IEC 60601 Compliance Electromagnetic test test level Level environment – guidance Power frequency 3 A/m 3 A/m Power frequency magnetic fields (50/60 Hz) should be at levels characteristic magnetic field of a typical location in a typical domestic, commercial or hospital IEC 61000-4-8 environment. NOTE U is the a.c. mains voltage prior to application of the test level.
• Page 118
  IMMUNITY IEC 60601 Compliance Electromagnetic test test level Level environment – guidance Conducted RF 3 Vrms 3 Vrms Portable and mobile RF communications equipment should IEC 61000-4-6 150 kHz to be used no closer to any part of the 80 MHz System, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance…
• Page 119
  IMMUNITY IEC 60601 Compliance Electromagnetic test test level Level environment – guidance Radiated RF 3 V/m 3 V/m Recommended separation distance IEC 61000-4-3 80 MHz to 2.5 GHz 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 metres (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, should be less than the compliance level in each frequency range. 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.
• Page 120
  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. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
• Page 121
  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 Separation distance according to frequency of transmitter output power of transmitter 150 kHz to 80 MHz to 800 MHz to 80 MHz 800 MHz 2.5 GHz…
• Page 122
  For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (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.
• Page 123
  Flash Glucose Monitoring System is in compliance with the essential requirements and other relevant provisions of the R&TTE Directive . A copy of the original declaration of conformity may be obtained from Abbott Diabetes Care Ltd ., Range Road, Witney, Oxon, OX29 0YL, UK . Font Licence ©2013 Abbott Licensed under the Apache Licence, Version 2 .0 (the “Licence”);…
• Page 124
  SL6 4UD 0500 467 466 FreeStyle and related brand marks are trademarks of Abbott Diabetes Care Inc. in various jurisdictions. Other trademarks are the property of their respective owners. This product(s) and/or its manufacture and/or use are protected by one or more of the following patents: US6,134,461;…