Arkon PRT03831-xxx Performance Characteristics

OVER

Performance Characteristics

Note: Please consult your healthcare team on how to use the information in this section.

Performance of the FreeStyle Navigator® Continuous Glucose Monitoring System was evaluated in a controlled

clinical study. e study was conducted in 3 centers and included a total of 58 subjects with diabetes. Each

subject wore two FreeStyle Navigator Sensors over a 5-day period. e subjects wore one sensor on the back of

the upper arm and one on their abdomen. e FreeStyle Navigator system was calibrated with capillary nger-

stick measurements using the built-in FreeStyle Blood Glucose Meter at approximately 10, 12, 24 and 72 hours

aer insertion of the sensor.All measurements were performed by a trained clinic study sta or the subject.

During the study, subjects came to the clinical center for frequent glucose samples measured once every

15 minutes on the YSI (Yellow Springs Instrument) STAT Plus™ Glucose Analyzer. YSI measurements were

performed in duplicate on venous whole blood and the FreeStyle measurements were performed in duplicate on

capillary blood from the nger. All YSI whole blood measurements were adjusted by applying a +12% correction

factor (based on a normal hematocrit value of 45%).

Users and healthcare providers should consider that performance in this study might be idealized. Participants

enrolled in the clinical study and certain conditions of the study tend to result in above average glucose control.

is, in turn, may result in the appearance that the FreeStyle Navigator Continuous Glucose Monitoring

System agrees with blood glucose levels better than it does under typical conditions. Monitors that measure

glucose in interstitial uid oen show better agreement to blood glucose levels when glucose levels are not

changing rapidly or when glucose levels are not extremely low or high. e following are some examples of why

performance of the FreeStyle Navigator Continuous Glucose Monitoring System may be idealized.

Subjects saw, on average, 15 ngerstick results per day in the clinic and 8 ngerstick results per day at home. •

is enables subjects to control their glucose levels better.

While subjects participated in the clinic portion of the study, they were more limited in their activities than •

someone at home. ey were also provided with all their meals. Subjects who are more active, or with poor

eating habits, may create more challenging conditions for the FreeStyle Navigator Continuous Glucose

Monitoring System.

e built-in FreeStyle glucose meters used in the study were well maintained. Because the built-in FreeStyle •

meter is used to calibrate the FreeStyle Navigator Continuous Glucose Monitoring System, performance

may be poorer if the system is not well maintained. It is important to carry out quality-control checks on

the system and code the system according to the manufacturer’s instructions to optimize performance of the

FreeStyle Navigator Continuous Glucose Monitoring System.

18 Appendix B: Specications (con’t)

Section 18 153

Appendix B: Speciﬁcations

Contents

Main Users Guide Page Indications for Use Contraindications Page How to Use this Guide? Table of Contents nSection 3: Set the Time and Date ................................................21 23 Page Page Page Section 1 Key Terms 1 Getting Acquainted Introduction Getting Acquainted How are the parts packaged? 2 Section 1 OVER What are the key parts of my system? Your FreeStyle Navigator system includes the following major parts: Sensor Delivery Unit Transmitter Receiver Getting Acquainted Key features of the System Statistics Alarms event Log Line Graph 4 Section 1 Using your system Getting Acquainted How do I prepare my system for the rst time? Warnings, Cautions And Important Notes Important Things to Remember About System Calibration Getting Acquainted Important Things to Remember About System Calibration Before You Get Started 8 Section 1 Before Y ou Get Started Getting Acquainted Helpful health related information: Before Y ou Get Started Customer Care: 1-866-597-5520 10 Section 1 What is Hypoglycemia Unawareness? Symptoms of Hypoglycemia Unawareness: Getting Acquainted What are the Continuous Monitoring mode and Blood Glucose mode? Continuous Monitoring Mode (Glucose CM) Blood Glucose Mode (Glucose BG) 12 Section 1 Page Section 2 Key Terms 2 Install or Replace Transmitter and Receiver Batteries Purpose Materials Section 2 15 Install or Replace Transmitter and Receiver Batteries Install or Replace the Transmitter Battery Install or Replace the Receiver Batteries Match what you see on your Receiver with ONE of the screen shots shown below. If the display is en Section 2 17 Install or Replace Transmitter and Receiver Batteries Reconnect the Receiver to the Transmitter. o o o Page Section 3 Key Terms 3 Set the Time and Date Purpose Start Do this procedure: Materials 1. Section 3 21 Set the Time and Date 2. 3. the System Menu screen. 4. 22 Section 3 5. 6. o o Section 3 23 Set the Time and Date Page Page Section 4 Key Terms 4 Perform a Control Solution Test Purpose Start Section 4 27 Perform a Control Solution Test 1. 2. 3. 4. Section 4 29 Perform a Control Solution Test 5. 6. control solution. 30 Section 4 7. 8. o o o If the result And en Section 4 31 Perform a Control Solution Test Page Page Section 5 Key Terms 5 Insert or Remove Your Sensor Purpose Section 5 35 Insert or Remove Your Sensor 1. If you want to en 36 Section 5 Insert or Remove Your Sensor 2. Section 5 37 Insert or Remove Your Sensor 3. 4. the transmitter. 5. 38 Section 5 Insert or Remove Your Sensor 6. 7. unit from package. 8. the sensor support mount. 9. 10. 13. 11. 12. Section 5 41 Insert or Remove Your Sensor Steps Do This 14. mount. Customer Care: 1-866-597-5520 42 Section 5 Insert or Remove Your Sensor 15. 16. Page Page Section 6 Key Terms 6 Attach Your Transmitter Purpose Start Materials Section 6 47 Attach Your Transmitter 1. 2. If en 3. (Optional). 4. your receiver. Section 6 49 Attach Your Transmitter 5. Page Section 7 Key Terms 7 Calibrate Your System/Test Blood Glucose Manually Purpose Materials Section 7 53 Calibrate Your System/Test Blood Glucose Manually Helpful Information (cont) 54 Section 7 Helpful Information (cont) Section 7 55 Calibrate Your System/Test Blood Glucose Manually 1. the receivers test strip port. If en 2. on the screen matches the code number on the test strip vial. 3. n Section 7 57 Calibrate Your System/Test Blood Glucose Manually 4. If your test site is en 58 Section 7 4. If you are lancing en If you are using en to stimulate blood ow Section 7 59 Calibrate Your System/Test Blood Glucose Manually 5. 60 Section 7 6. Section 7 61 Calibrate Your System/Test Blood Glucose Manually 7. results. 8. 62 Section 7 9. 10. 11. Page Page Section 8 Key Terms 8 Set, Review, or Change the Alarm Settings Purpose Start Materials Section 8 67 Set, Review, or Change the Alarm Settings About Glucose Alarms 68 Section 8 High Threshold (180 mg/dL) Low Threshold (80 mg/dL) About Glucose Alarms (cont) 1. 2. If you want to en 70 Section 8 3. Low Glucose alarm. Section 8 71 Set, Review, or Change the Alarm Settings Steps Do This 4. High Glucose alarm. 72 Section 8 5. Projected Low glucose alarm. Section 8 73 Set, Review, or Change the Alarm Settings Steps Do This 6. Projected High glucose alarm. 74 Section 8 7. Data Loss alarms. Section 8 75 Set, Review, or Change the Alarm Settings 8. If en Customer Care: 1-866-597-5520 76 Section 8 9. Section 8 77 Set, Review, or Change the Alarm Settings 10. 1 hour. 11. 12. 78 Section 8 Page Section 9 Key Terms 9 Daily Use Purpose Start Materials Section 9 81 Daily Use 1. 2. transmitter. If you want to en go to this Step If the receiver has en lost connection 3. Location Description Section 9 83 Daily Use 4. is Icon Means 84 Section 9 5. 6. o o o o Page Page Section 10 Key Terms 10 Respond to Alarms, Errors, and Problems Purpose Start Materials If the level of en the alarm urgency is Section 10 89 Respond to Alarms, Errors, and Problems Status Information Status Information Description 90 Section 10 Alarms and Errors 85 Status Information (cont) Status Information Description Display Description Respond to alarm message: 92 Section 10 Section 10 93 Respond to Alarms, Errors, and Problems 94 Section 10 Section 10 95 Respond to Alarms, Errors, and Problems 96 Section 10 Section 10 97 Respond to Alarms, Errors, and Problems 98 Section 10 Section 10 99 Respond to Alarms, Errors, and Problems Respond to Blood Glucose Mode error codes. 100 Section 10 Troubleshoot problems Section 10 101 Respond to Alarms, Errors, and Problems The receiver will not turn on. The Blood Glucose test wont start after you apply a sample. 102 Section 10 Section 10 103 Respond to Alarms, Errors, and Problems There is no glucose value on the screen. 104 Section 10 Skin irritation at sensor insertion site. If the irritation is en The sensor support mount is not sticking to your skin. Section 10 105 Respond to Alarms, Errors, and Problems Discomfort when inserting the sensor. 106 Section 10 You are not sure whether your receiver and transmitter are connected. Section 10 107 Respond to Alarms, Errors, and Problems The system does not prompt you with a message to do BG test for calibration. Check your work. 108 Section 10 Page Section 11 Key Terms 11 Add Events Purpose Start Materials 1. Section 11 111 Add Events 2. want to record. 3. If the event deals with en 112 Section 11 5 . 6 . Section 11 113 Add Events 7. 8. Check your work. 114 Section 11 Page Section 12 Key Terms 12 Re view Reports and Edit Events Purpose Start 1. the Main menu. 2. 3. 118 Section 12 4. glucose level history. Section 12 119 Review Reports and Edit Events 5. of your glucose levels. 120 Section 12 6. reading. If you want to know en highlight Section 12 121 Review Reports and Edit Events 7. event history. If you want to en If you want to At en highlight review/edit your 122 Section 12 8. Event Note s Section 12 123 Review Reports and Edit Events 9. 10. o o o 124 Section 12 Page Page 13 C lean Your System Purpose Materials Section 13 127 Clean Your System 1. 2. 3. o 128 Section 13 Page Section 14 Key Terms 14 L ink and Unlink Your Transmitter and Receiver Purpose Materials Section 14 131 Link and Unlink Your Transmitter and Receiver 1. 2. your transmitter. If you want to en go to Step 132 Section 14 3. transmitter. o o o o If the And this en ID numbers is your Page Page Page 15 Rese t User Settings Purpose Start Materials 1. Section 15 137 Reset User Settings 2. Settings screen. 3. o o If you want to en Page Section 16 Key Terms 16 C hange Country Settings Purpose Start Materials 1. from the Main menu 2. Access the Country Settings menu. 3. If you want to change how en go this is displayed to Step 142 Section 16 4. 5. Section 16 143 Change Country Settings 6. 7. 144 Section 16 Page Section 17 Appendix A 17 Appendix A: Site Maintenance Introduction Site Selection Helpful products Section 17 147 Appendix A: Site Maintenance Page Page Section 18 Appendix B 18 Appendix B: Specications System Specications Section 18 151 Appendix B: Specications 152 Section 18 Performance Characteristics Section 18 153 Appendix B: Specications Accuracy 154 Section 18 Section 18 155 Appendix B: Specications 156 Section 18 Section 18 157 Appendix B: Specications 158 Section 18 Figure 2. Sample of a Representative Excellent Glucose Trace Figure 3. Sample of a Representative Average Glucose Trace Figure 4. Sample of a Representative Poor Glucose Trace Section 18 159 Appendix B: Specications Determination of Alarm Performance 160 Section 18 OVER Detection of Low Glucose Detection of High Glucose * T rue Alarms are the Section 18 161 Appendix B: Specications Measuring Glucose in Interstitial Fluid Precision Sensor Insertion, Calibration and Sensor Wear Skin Interaction 162 Section 18 Page Page 19 Appendix C: FCC Compliance Information Electromagnetic Interference and Your FreeStyle Navigator Continuous Glucose Monitoring System Section 19 165 Appendix C: Classication/Compliance/Declaration Guidance and Manufacturers Declaration Electromagnetic Emissions Compliance Level 166 Section 19 Guidance and Manufacturers Declaration - Electromagnetic Immunity. (cont) Section 19 167 Appendix C: Classication/Compliance/Declaration 168 Section 19 Section 19 169 Appendix C: Classication/Compliance/Declaration Classication FCC Compliance Information 170 Section 19 Section 19 171 Appendix C: Classication/Compliance/Declaration Page Page Page 20 Glossary Section 20 175 Glossary 176 Section 20 Section 20 177 Glossary 178 Section 20 Section 20 179 Glossary 180 Section 20 Page Page 21 Index Section 21 183 Index 21 Index 184 Section 21