BLOOD SCIENCES
DEPARTMENT OF CLINICAL BIOCHEMISTRY
Title of Document: POCT Abbott Precision Xceed Pro Blood Glucose Meter
Q Pulse Reference No: BS/CB/POCT/GLU/2
Version NO: 3
Authoriser: Francesca Mills
POCT – ABBOTT PRECISION XCEED PRO BLOOD GLUCOSE METER
1. INTRODUCTION
1.1 Purpose of the Procedure
Healthcare professionals may use the Abbott Precision Xceed Pro blood glucose
meter in conjunction with test strips for the quantitative measurement of blood
glucose. The system is not for use in the diagnosis of diabetes mellitus, but it is to be
used as an aid in monitoring the effectiveness of diabetes control programs.
1.2 Staff
Only healthcare personnel who have been suitably trained and issued with a POCT
Access ID may perform a blood glucose test using the Precision Xceed Pro.
2. PRINCIPLE OF THE PROCEDURE
When a blood sample is applied to the test strip, the glucose in the blood reacts with
the chemicals on the test strip, producing a small electrical current. This current is
measured and then a result is displayed by the monitor. The size of the current
depends of the amount of glucose in the blood sample.
3. SPECIMEN REQUIREMENTS
Test sample: Whole blood (usually a capillary sample taken from the upper quadrant
of the fingers). Venous or arterial whole blood can also be used with Abbott Precision
Xceed Pro test strips.
Sample volume: 0.6μL. NOTE: The meter will beep and the countdown will
commence when sufficient sample has been applied to the test strip.
4. HEALTH AND SAFETY
All patient samples are a potential infection risk. Follow appropriate procedures (e.g.
use gloves). Cover cuts and abrasions on own hands and forearms with waterrepellent ‘island’ type plasters. If hands do become contaminated with blood, wash
immediately with soap and water.
Used lancets should be disposed of in a sharps bin. Any other used materials should
be discarded into clinical waste in accordance with ward/site procedures.
Page 1 of 5
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Please refer to the POCT website (www.nbt.nhs.uk/POCT) for the most up to
date version.
BLOOD SCIENCES
DEPARTMENT OF CLINICAL BIOCHEMISTRY
Title of Document: POCT Abbott Precision Xceed Pro Blood Glucose Meter
Q Pulse Reference No: BS/CB/POCT/GLU/2
Version NO: 3
Authoriser: Francesca Mills
5. EQUIPMENT AND INSTRUMENTATION
Blood lancing device
Abbott Precision Xceed Pro Blood Glucose Meter
Meter docking station
Strip port
Display
Scan Button
Alphanumeric keypad
Backlight
On/ Off Button
6. REAGENTS, STANDARDS, CALIBRANTS AND CONTROLS
Abbott Precision Xceed Pro Test Strips
Abbott MediSense Glucose & Ketone Control Solutions (High and Low)
7. METHOD
7.1 Calibration
Calibration of the meter is automatic. The calibration data for the meter is encoded
into the barcode on the back of the test strip.
7.2 Control Solution Testing
1. Wash you hands using warm soapy water and dry them completely.
Page 2 of 5
If printed this document is uncontrolled and only valid on day of printing.
Please refer to the POCT website (www.nbt.nhs.uk/POCT) for the most up to
date version.
BLOOD SCIENCES
DEPARTMENT OF CLINICAL BIOCHEMISTRY
Title of Document: POCT Abbott Precision Xceed Pro Blood Glucose Meter
Q Pulse Reference No: BS/CB/POCT/GLU/2
Version NO: 3
Authoriser: Francesca Mills
2. Press the On/Off button on the meter to turn the meter on. The Abbott logo
will appear for a few seconds.
3. The meter will then present two options, one options is to run a patient test
the other to run a control test. Press the number 2 button on the keypad to
select a control test.
4. Enter your operator ID by pressing the SCAN button and barcode reading
your ID badge. The meter will then display the low level solution lot screen.
5. Enter the lot number of the low level solution by scanning the barcode on the
bottle.
6. Enter the lot number of the test strip by scanning the barcode on the test strip
foil pack. The meter will then display the Insert Strip screen.
7. Remove the test strip from its foil pack. Tear the foil pack from the ‘shark’s fin’
and down to the left. Make sure the test strip does not appear torn or
damaged.
8. Insert the three black lines at the end of the test strip into the strip port and
push in until it stops.
9. The test strip with a blood drop will appear and the meter will display Apply
Low Solution screen, letting you know the meter is ready to test.
10. Gently invert the control bottle to mix. Apply a small drop of control solution
to the test strip.
11. Continue to touch the control solution to the test strip until the meter begins
the test with a beep and displays Sample Accepted.
12. The meter will then display the Analyzing Sample screen and countdown 20
seconds. The meter will then display either PASS or FAIL.
13. If FAIL is displayed then press the 2 button on the keypad to repeat the test.
The meter will then display the Remove Strip screen. Remove the test strip
from the meter and discard it, then go back to step 6.
14. If PASS is displayed then press the 1 button on the keypad to move on to the
next control level. The meter will then display the Remove Strip screen.
Remove the test strip from the meter and discard it.
15. Repeat steps 5 to 12 with the Hi level control solution.
.
7.3 Patient Testing
1. Wash your hands and dry them completely. Wear nitrile/latex gloves.
2. Select and prepare the sample site for blood collection.
3. Press the On/Off button on the meter to turn the meter on. The Abbott logo
will appear for a few seconds. The meter will then present two options, one
options is to run a patient test the other to run a control test.
4. Press the number 1 button on the keypad to select a patient test.
5. Enter your operator ID by pressing the SCAN button and barcode reading
your ID badge.
Page 3 of 5
If printed this document is uncontrolled and only valid on day of printing.
Please refer to the POCT website (www.nbt.nhs.uk/POCT) for the most up to
date version.
BLOOD SCIENCES
DEPARTMENT OF CLINICAL BIOCHEMISTRY
Title of Document: POCT Abbott Precision Xceed Pro Blood Glucose Meter
Q Pulse Reference No: BS/CB/POCT/GLU/2
Version NO: 3
Authoriser: Francesca Mills
6. Enter the patient’s ID by either scanning the PID barcode or by manually
entering it via the keypad and pressing the ENTER key.
7. Enter the lot number of the test strip by scanning the barcode on the test strip
foil pack. The meter will then display the Insert Strip screen.
8. Remove the test strip from its foil pack. Tear the foil pack from the ‘shark’s fin’
and down to the left. Make sure the test strip does not appear torn or
damaged.
9. Insert the three black lines at the end of the test strip into the strip port and
push in until it stops.
10. Using a suitable blood lancing device, obtain a blood sample.
11. Touch the blood drop to the white target area at the tip of the test strip.
12. Continue to hold the finger in place until the test begins with a beep.
13. There is a 20 second countdown before the blood glucose result is displayed.
Record the glucose result in notes and include any action taken.
14. Remove and discard the test strip.
8. QUALITY CONTROL
MediSense Glucose & Ketone Control Solutions are used to check that the meter
and test strips are working properly. Control Solution testing, using both High
and Low, must be performed daily.
9. LIMITATIONS OF THE EXAMINATION
The Abbott Precision Xceed Pro Blood Glucose Meter should not be used if the
patient is severely dehydrated, hypotensive, in hyperglycaemic-hyperosmolar
state, in shock or in peripheral shutdown.
Fluoride/oxalate should not be used as a sample preservative if it is to be used
on the Abbott Precision Xceed Pro.
Neonatal use: The Precision Xceed Pro test strip has been evaluated with neonatal
blood. As a matter of good practice, caution is advised in the interpretation of
neonate glucose values below 2.8mmol/L.
NB. The limitations are also provided in each box of test strips.
10. RECORDING AND CALCULATION OF RESULTS
All results are displayed in mmol/L. The analytical range is 1.1 – 27.8 mmol/L. A
result of less than 1.1mmol/L will be displayed as <1.1 and a result greater than 27.8
mmol/L will be displayed as >27.8
Page 4 of 5
If printed this document is uncontrolled and only valid on day of printing.
Please refer to the POCT website (www.nbt.nhs.uk/POCT) for the most up to
date version.
BLOOD SCIENCES
DEPARTMENT OF CLINICAL BIOCHEMISTRY
Title of Document: POCT Abbott Precision Xceed Pro Blood Glucose Meter
Q Pulse Reference No: BS/CB/POCT/GLU/2
Version NO: 3
Authoriser: Francesca Mills
11. REFERENCE RANGES
Expected results for non-diabetic, non-pregnant adults
Fasting values: 4.1 – 5.9 mmol/L
One to two hours after meals: less than 8.9mmol/L
12. REPORTING AND VALIDATION OF RESULTS
If the result does not fit the clinical condition of the patient the repeat the test. If it still
does not fit then send a venous sample to the laboratory for confirmation.
IMPORTANT:
If the result is less than 3.0mmol/L or greater than 20mmol/L, then you must confirm
the result by sending a venous sample to the laboratory.
For pre-term neonates <37 weeks any glucose result that would suggest clinical
intervention must be confirmed by sending a venous sample to the laboratory.
ERROR CODES
What you see
Meter Error
(followed by a
number)
What it means
The meter may have a
problem that prevents it
from working correctly
Meter Error 2012
The meter has
detected a problem
with the barcode
scanner, preventing the
scanner from operating
Assay Error
(Followed by a
number)
There may be a
problem with the test
strip
What you should do
 Turn meter off and on.
 If that doesn’t work try docking the
meter.
 Record the four digit error code and
contact POCT if the problem persists
 Turn the meter off and wait at least 5
seconds for the meter to reset, and
then turn the meter back on.
 If the problem persists try turning the
meter off again and waiting at least 5
seconds. Contact POCT.
 4327- Strip removed during test, repeat
with new strip
 4330- Blood glucose may be too high
to be read or there may be a problem
with test strip. Repeat with new strip, if
error occurs again confirm results with
lab as soon as possible!
13. REFERENCES
Abbott Precision Xceed Pro Operators Manual.
Replacement meters, QC and batteries can be obtained from POCT ext: 38380.
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Please refer to the POCT website (www.nbt.nhs.uk/POCT) for the most up to
date version.