User`s guide

Inserting the Sensor (continued)
f. Hold the applicator, and pull the
safety lock straight out away from
the applicator, in the direction of the
arrows in the picture. Give the safety
lock to the patient to help remove the
transmitter at the end of the sensor
session if appropriate.
g. Placethengersofonehandattheedgeofthewhiteadhesive(atthe
opposite side of the sensor from the transmitter latch). You may pinch up
on your skin using this hand.
h. While still pinching, use your other
handtoplacetwongersabovethe
collar(seepicture).Placeyourthumb
on the white plunger and push down
completely. You should hear 2 clicks.
i.  Moveyour2ngersfromabovethecollartobelow
thecollar.Keepyourthumblightlyontopofthewhite
plungerandpullthecollarbacktowardsyourthumbuntil
you hear 2 clicksorcannotpullbackanymore.
j.  Makesurethetransmitterlatchisdown(againstyour
body).Squeezethecenteroftheribbedtabsonthe
sidesofthesensorpod.Rocktheapplicatorbarrel
forwardandoutawayfromyourbody.
Attaching the Transmitter:
a. Cleanthebackofthetransmitterwithanalcoholwipe.Letdry.
b. Placethetransmitterinthesensorpod(with
theatsidedown,andthenarrowerside
away from the transmitter latch).
c. Placeonengeronthetransmitterto
keep it in place. With your other hand,
pull the transmitter latch up and forward
until you hear 2 clicks.
Setting the Alert Prole (continued)
Usethe“TryIt”featureundertheProlesoptionintheMain
Menutohearanexampleofeachalertprole.
Followthesestepstosetthealertprole:
a. From any trend graph, press the SELECTbuttontoget
to the Main Menu.
b.PresstheDOWNbuttontohighlight“Proles.”Pressthe
SELECTbutton.
c. Press the UP or DOWNbuttontohighlightthealertproleyouwantto
use.
d. Press the SELECTbutton.A willappeartotherightoftheproleyou
chose.
NOTE:Nomatterwhatproleyouset,allalertsandalarmswillnotifyyouby
vibratingrst.Therewillbenobeepifyouconrmthealertoralarmafterthe
rstvibration.
Step 4
Inserting the Sensor
Beforeyoubegin,makesureyouhavethetransmitter,receiver,asensorand
alcohol wipes. Wash your hands thoroughly, and dry them.
a. Chooseasiteonyourbellythatisatleast3inchesfromyourinsulin
pumpinfusionsetorinjectionsiteandoutofthewayofyourwaistband.
Avoidareasthatarelikelytobebumpedorpushedorareasofyourskin
with scarring, tattoos or irritation.
b. Removethesensorfromitspackaging.
c. Cleanyourskinatthesensorplacementsitewithanalcoholwipe.Letdry.
d. Removetheadhesivebackingfromthesensorpodone
half at a time.
e. Placethesensorhorizontally,NOTvertically,onyour
skin.Moveyourngersaroundtheadhesivepatchto
secure the tape to your skin.
Preparing the Device for Patients (continued)
Setting the Receiver in Blinded Mode:
Inordertoblindthereceiver,youmustactivatetheClinicalFeatures
throughtheDexcomSTUDIO
™
software.SeetheDexcomG4PLATINUM
ProfessionalSystemUser’sGuideforinstructionstoactivatethisfeature.
a.LaunchtheDexcomSTUDIOsoftwarefromacomputerinyourofce.
b.UsingtheUSBcable,connectthereceivertothecomputer.
c. Click on the Tools drop down menu.
d. Click on the option Blind Attached
Receiver.
e. Conrmyourselectionbyclickingon“OK”
beforethereceiverdisplayisupdated.
NOTE: In some cases the receiver may already
beblinded.IfyouclickontheToolsmenu
option and the Unblind Attached Receiver
is“checked,”thereceiverisalreadyinblind
mode.
Placing the Receiver in the Receiver Shield:
The receiver shield is necessary to help ensure
the receiver is clear of contamination.
a. Wash hands and put on sterile gloves. Peel the acoustic
spacerfromthepaperbackingandsecureontheupper
speaker edge.
Getting to Know the CGM Device (continued)
The sensor is the piece that is inserted and worn
onyourbellyforthewholesession(upto7days).
Ifyouhaveaproblemwithasensorsession,keep
the sensor until you speak with Dexcom Technical
Support.
Step 2
Preparing the Device for Patients
NOTE: For multiple patient use, it is important that each user’s data is
erased from the receiver data memory after each use. This will ensure
patient privacy with subsequent users. See the Dexcom G4 PLATINUM
Professional System User’s Guide for instructions on erasing patient
data from the receiver after each use.
Charge Receiver:
Afullchargecantakeupto5hoursandwilllast
about3days.Keep the USB port cover open
after charging.
Tochargethereceiver,plugtheUSBcableinto
theACpoweradapter.Thenplugthisadapterinto
anACpoweroutlet(suchasawalloutlet),and
plugtheotherendofthecableintothereceiver.
Thebatterychargingscreenwillappearrst.
Afterafewseconds,thebatterycharging
symbol will show in the upper left corner
ofthe3-hourtrendgraph(homescreen).
Whenthereceiverisfullycharged,thebattery
chargingsymbolwillbecompletelygray.
Conrm Time/Date and Transmitter ID is Correct:
a. Press the SELECTbuttontogettotheMainMenu.
b. PresstheDOWNbuttontoscrolldowntothe“Settings”menu.
c. Press the SELECTbuttontoentertheSettingsmenu.
Preparing the Device for Patients (continued)
d. The“Time/Date”optionwillbehighlighted.PresstheSELECTbutton.
e. Press the UP or DOWNbuttontoentereachnumberorvalue.
f. Press the RIGHT or SELECTbuttontomovetothenextsection.
g. Aftersettingthe“AM/PM,”presstheSELECT
buttontoacceptchanges.
h. Scrolldowntothe“TransmitterID”menuoption.
i. Press the SELECTbuttontoentertheTransmitterIDmenu.
j.  FindthetransmitterIDonthebackofthe
transmitter.
k. Press the UP or DOWNbuttontoentertheletteror
numberineachspace.
l. Press the RIGHT or SELECTbuttontomovetothe
next space.
m.Afterenteringthelastspace,presstheSELECT
buttontoacceptchanges.
NOTE: You can only enter the transmitter ID when you
are not in an active sensor session.
In blinded mode, setting up the high/low glucose alert settings is only
necessary during the Setup Wizard, which only appears during the rst
time you use the receiver.
WARNING:Low/highglucosealertsandthe55mg/dLlowglucosealarmare
alldisabledwhenusingtheDexcomG4PLATINUMProfessionalSystemin
blindedmodeandwillnotalertyouwhentheglucoseisloworhigh.Check
bloodglucosemeterifthereareanysignsorsymptomsofloworhigh
glucose.
Your healthcare professional has recommended you use the Dexcom G4 PLATINUM
Professional CGM System in blinded mode. This means you will not be able to see your
glucose values and trends or receive any glucose alerts or alarms during the sensor session,
but the Dexcom G4 PLATINUM Professional System will be recording your glucose values.
When you return the CGM system, your healthcare professional will be able to download your
sensor glucose readings and review your glucose patterns and trends.
Your healthcare professional will train you on the basic use of the Dexcom G4 PLATINUM
Professional System in blinded mode. Anytime you have questions, review the Dexcom
G4 PLATINUM Professional System User’s Guide, this quick start guide or call Dexcom
®
Technical Support at 1.877.339.2664 or 1.858.200.0200 24 hours a day, 7 days a week.
Using the Dexcom G4
®
PLATINUM
Professional System in Blinded Mode
Step 1
Getting to Know the CGM Device
TheDexcomG4PLATINUMProfessionalContinuousGlucoseMonitoring
Systemismadeupof4components:thereceiver,thetransmitter,thesensor
and the receiver shield pack.
Dexcom G4 PLATINUM Receiver
You will see this screen when you turn on the receiver during a sensor
session.
Thereceiveristhesmallhand-helddevicethatlookslikeacellphone.It
willrecordyoursensorglucosereadingsevery5minutes,documentyour
glucosepatternsandtrendsandcanbedownloadedforyouandyour
healthcare professional to review. The receiver will also alert you when
troubleshootingmaybeneeded.
Press the UP and DOWNbuttonstoscrollthroughthe1-hour,3-hour,6-hour,
12-hourand24-hourtrendscreens,highlightmenuitems,orsetvalues.
Press the SELECTbuttontoturnthereceiveronorselectthehighlighted
option.
Press the LEFTbuttontogobacktothelastitemorscreen.
Press the RIGHTbuttontohighlightthenextitem.
Plunger
Applicatorbarrel
(containssmall
introducer needle
and sensor)
Transmitter latch
Safetylock
Collar
Sensorpod
Releasetab
Getting to Know the CGM Device (continued)
Dexcom G4 PLATINUM Transmitter
The transmitter is the grey “chip” that snaps into the sensor pod on your
body.ThetransmitterhasauniqueIDthatmakesitpossibleforthe
transmitter and receiver to communicate to each other.
Keepthetransmitterwithin20feetofthereceiverwithoutobstruction
throughouttheentire7daysensorsessioninordertocaptureyoursensor
glucosereadingsevery5minutes.
Thetransmitterhasaninternalbattery.Whenthe
batteryislow,theTransmitter Low Battery screen
appears.Thismeansthereisabout1weekofbattery
life left.
Contact your healthcare professional immediately if
youseetheTransmitterLowBatteryscreensoanew
transmittercanbeordered.
Dexcom G4 PLATINUM Sensor Applicator
Preparing the Device for Patients (continued)
b. NotethelocationoftheUSBopeningonthereceiver
shield.Stretchthereceivershieldoverthereceiver.
c. Peelthetrianglesealfromthepaperbackingandsecure
thesealovertheopeningonthebackofthereceiver.
d. Peel1squaresealfromthepaperbackingandsecure
thesealovertheUSBdooronthesideofthereceiver.
SavetheadditionalUSBsealsforrecharging.
Step 3
Setting the Alert Prole
Youcanchoosereceiver“alertproles”withdifferentsoundsandvolumes
totyourneeds.Inblindedmode,theonlyalertsandalarmsthatwill
beactivatedwhilewearingthesystemarelowbattery,outofrange,
troubleshooting/erroralertsandwhenacalibrationupdateisrequired.
Thealertproleoptionsare:
“Vibrate”canbeusedwhenyouwanttosilencethereceiverandbe
alertedbyvibration.
“Soft”canbeusedwhenyouwantthealerttobediscreet.Thissets
allthealertsandalarmstolowervolumebeeps.
“Normal” is the default. This sets all the alerts and alarms to higher
volumebeeps.
“Attentive”canbeusedwhenyouwantthealerttobenoticeable.
This sets all the alerts and alarms to loud and with distinctive
melodies.
“HypoRepeat”issimilartothenormalprole,butifusedinrealtime,
will provide a repetitive alarms when glucose is severely low. This
prole is not an appropriate option in blinded mode.
Step d
Step e
Step f
Step h
“2 CLICKS”
Transmitter Low Battery
screen
Sensor
Setting Transmitter ID
screen
Proles menu,
Try It highlighted
CONTINUOUS GLUCOSE MONITORING SYSTEM
Quick Start Guide
WARNING: Review all indications, contraindications, warnings, precautions and detailed
procedures in the Dexcom G4 PLATINUM Professional System User’s Guide prior to using
the Dexcom G4 PLATINUM Professional Continuous Glucose Monitoring System.
Receiver shield pack
The information on the
back of the transmitter
may not exactly match
the picture above.
Step a
Step b
Step c
Step d
Receiver USB port cover
USB cable plugged into receiver
Setting Time/Date screen
Blind Attached Receiver
Unblind Attached Receiver
Step i
“ 2 CLICKS”
Step j
Install transmitter in sensor pod
Inserting the Sensor (continued)
d. Hold the sides of the sensor pod with one hand.
Removethetransmitterlatchwiththeotherhandby
quicklytwistingoffthelatchawayfromyourbody.
Step 5
Starting the Sensor Session
Onceyouhaveinsertedthesensorandattachedthetransmitter,youneedto
start the sensor session on the receiver.
a. From any trend graph, press the SELECTbuttontogettotheMainMenu.
b. PresstheDOWNbuttontohighlight“StartSensor.”
Press the SELECTbutton.TheStartSensor
“thinking”screenwillletyouknowthesensor2-hour
startupperiodhasbegun.
c. Checkthereceiver10minutesafterstartingthesensorsessiontomake
surethereceiverandtransmitterarecommunicating.Theantennasymbol
( )shouldbeintheupperleftcornerofthetrendgraph.IftheOutof
Rangesymbol( ) shows in the upper right corner of the trend graph
instead,seetheDexcomG4PLATINUMProfessionalSystemUser’s
Guide for more information.
d. A2-hourcountdownsymbolwillshowinthestatus
areaofthereceiverscreenandwillllinduringthe
2-hourstartupperiod.
NOTE:YouwillNOTgetanysenorglucosereadingsorglucosealertsfrom
theDexcomG4PLATINUMProfessionalSystemwheninblindedmode.
[0-24
minutes]
[24-48
minutes]
[72-96
minutes]
Ready for
calibration
[48-72
minutes]
Start
Countdown symbol lls in during sensor startup. When you see any
of these symbols, you will get NO sensor glucose readings or alerts.
Countdown symbol appears
in upper right corner
UPbutton
DOWNbutton
SELECT
button
LEFT
button
Battery
Trend graph hours
Current
time
RIGHTbutton
Speaker
Statusarea
Antenna
Transmitter Installed
TransmitterLatch
Twist transmitter latch up or down
Side view of transmitter in sensor pod
Start Sensor
“thinking” screen