all | frequencies |
|
|
|
|
|
exhibits | applications |
---|---|---|---|---|---|---|---|---|
manual | photos | labels |
app s | submitted / available | |||||||
---|---|---|---|---|---|---|---|---|
1 2 |
|
User Manual | Users Manual | 5.85 MiB | December 28 2020 / February 02 2021 | delayed release | ||
1 2 |
|
Internal Photo | Internal Photos | native | 3.24 MiB | December 28 2020 / February 02 2021 | delayed release | |
1 2 |
|
External Photo | External Photos | native | 339.73 KiB | December 28 2020 | ||
1 2 |
|
Label | ID Label/Location Info | 137.27 KiB | December 28 2020 | |||
1 2 |
|
Label Location | ID Label/Location Info | native | 2.33 MiB | December 28 2020 | ||
1 2 |
|
Block Diagram | Block Diagram | 49.14 KiB | December 28 2020 / February 02 2021 | delayed release | ||
1 2 |
|
Confidentiality Request | Cover Letter(s) | 4.11 MiB | December 28 2020 | |||
1 2 |
|
Letter of Agency | Cover Letter(s) | 1.21 MiB | December 28 2020 | |||
1 2 |
|
Operational Description | Operational Description | 481.23 KiB | December 28 2020 | |||
1 2 |
|
RF Exposure | RF Exposure Info | 369.07 KiB | December 28 2020 | |||
1 2 | Schematics | Schematics | December 28 2020 | confidential | ||||
1 2 |
|
Test Report | Test Report | 3.89 MiB | December 28 2020 | |||
1 2 |
|
Test Setup Photos | Test Setup Photos | 1.06 MiB | December 28 2020 |
1 2 | User Manual | Users Manual | 5.85 MiB | December 28 2020 / February 02 2021 | delayed release |
User Guide Welcome to Bigfoot Unity The Bigfoot Unity Diabetes Management System consists of a set of connected devices for people who use disposable insulin pens for their diabetes care. With Bigfoot Unity you get a set of connected devices to:
Monitor your glucose continuously and give you readings on demand without fingersticks.1 Do the math for you to calculate the correction and meal doses recommended by your health care provider. Let you see your glucose range and insulin dose information directly on your mobile phone.2 Provide the capability for alerts when your glucose is low. Help you remember when you took your last insulin dose. Black Cap for Long-Acting Insulin White Cap for Rapid-Acting Insulin Bigfoot Unity App Abbott FreeStyle Libre 2 Sensor Bigfoot Blood Glucose Meter The System offers a suite of tools to help you streamline your diabetes care using two Bigfoot Unity Caps (Caps) with digital displays (that replace the pen caps from your disposable long-acting and rapid-
acting insulin pens), a FreeStyle Libre 2 Sensor (Sensor) for continuous glucose monitoring, a Bigfoot Blood Glucose Meter (Meter), and the Bigfoot Unity Mobile App (App) on your mobile phone (phone). 1 Fingersticks are required for treatment decisions when you see Use Meter on the White Cap, when symptoms do not match System readings, when you suspect readings may be inaccurate, or when you experience symptoms that may be due to high or low blood glucose. 2 The Bigfoot Unity App is compatible with iPhone 7 or later. Use of the Bigfoot Unity App requires registration with Bigfoot Biomedical. Table of Contents 1 Tips for Reading and Understanding this User Guide 1.1 Abbreviations and Conventions used throughout this User Guide, the App and Cap displays 1.2 Symbols that appear in this User Guide, the App and Cap displays 1.3 Customer Care and Technical Service 2 Before you Begin Using Bigfoot Unity 2.1 Overview 2.2 The Bigfoot Unity App 2.3 The Black Cap for Long-Acting Insulin 2.4 The White Cap for Rapid-Acting Insulin 2.5 Monitoring Glucose with the Sensor 2.6 Monitoring Glucose with the Meter 2.7 About Cloud Services and Wireless Communication 3 Indications and Safety Information 3.1 Indications for Use 3.2 Benefits and Risks Associated with Bigfoot Unity Benefits Risks 3.3 Contraindications 3.4 Who should not use Bigfoot Unity 3.5 Bigfoot Unity Components 3.6 Cap and App Usage 3.7 Sensor Glucose 3.8 Interfering Substances 4 10 11 11 12 12 13 13 14 14 15 16 16 16 17 18 19 19 20 23 26 The Bigfoot Unity Diabetes Management System User Guide 4 Bigfoot Unity Welcome Kit 4.1 Working With Your Health Care Provider 4.2 Bigfoot Unity Welcome Kit Package Contents 4.3 Compatible Insulin Pens 4.4 Compatible Insulin Pen Needles 4.5 Compatible Mobile Phones 5 First Time Setup of Bigfoot Unity 5.1 Getting Ready to Set Up Bigfoot Unity 5.2 Download the App and Create an Account 5.3 Enter Settings Enter Insulin Settings Entering Long-Acting Insulin Settings Entering Rapid-Acting Insulin Settings Entering Notes Review Insulin Settings Set Phone Notifications 5.4 Set Up Devices Start Black Cap Start White Cap Start Meter Start Sensor 5.5 Learn to Use Bigfoot Unity Monitoring Glucose Using the White Cap for Rapid-Acting Insulin Using the Black Cap for Long-Acting Insulin Important Reminders 27 27 28 29 29 30 31 32 33 33 34 42 44 45 47 48 51 54 57 61 62 64 65 67 5 The Bigfoot Unity Diabetes Management System User Guide 6 Using Bigfoot Unity Caps 6.1 Pairing the Black and White Caps 6.2 Using the Black and White Caps Viewing Time Since Last Long-Acting Dose on the Black Cap Viewing Long-Acting Dose Amount on the Black Cap 72 Viewing Time Since Last Rapid-Acting Dose on the White Cap Using your White Cap to View Current Glucose Scanning the Sensor with the White Cap Understanding Glucose Trend Arrows and Glucose Messages Checking Blood Glucose with the Meter Viewing Correction Dose Amount on the White Cap Viewing Meal Dose Amounts on the White Cap Viewing Meal + Correction Dose Amounts on the White Cap 6.3 Using your Caps when Replacing Insulin Pens 6.4 Making Diabetes Treatment Decisions When Not to Use Sensor Glucose for Treatment Decisions Considerations Before Injecting Rapid-Acting Insulin Considerations if You Record a Dose You Did Not Take 87 6.5 Charging your Caps Battery States 7 Using the Sensor 7.1 About your Sensor Sensor Kit Sensor Pack Sensor Applicator Sensor Using Your Sensor Applying Your Sensor 6 69 69 72 74 74 75 76 77 78 79 79 81 82 84 85 88 90 91 91 91 92 92 92 93 The Bigfoot Unity Diabetes Management System User Guide 7.2 Starting (and Scanning) a New Sensor 7.3 Removing your Sensor 7.4 Replacing your Sensor 8 Daily Use and Additional Features 8.1 Home Screen Home Screen Glucose Ranges Alerts Home Screen Main Menu Options 8.2 MY HISTORY Graph View List View Dose Not Taken 8.3 MY DEVICES (Status and Starting New Devices) Sensor (Status and Start a New Sensor) White Cap (Status and Start a New White Cap) Black Cap (Status and Start a New Black Cap) Meter (Status and Start a New Meter) Phone Replacement 8.4 MY SETTINGS Insulin Settings Alerts Low Glucose Alert Sensor Unavailable Alert Long-Acting Dose Alert Supplies App Passcode Share Data Help and Support About 95 95 96 97 98 99 101 102 102 103 104 105 105 106 107 108 108 110 110 120 121 121 122 122 123 123 123 123 7 The Bigfoot Unity Diabetes Management System User Guide 9 Care, Maintenance and Disposal of Bigfoot Unity 9.1 Living with your Bigfoot Unity Diabetes Management System 9.2 Cleaning Cleaning the Outside of the Cap Cleaning the Inside of the Cap Cleaning and Disinfecting your Meter 9.3 Pen Needles 9.4 Insulin Pens 9.5 Disposal 10 Troubleshooting 10.1 Caps Usage Notifications Cap Display Issues Pairing and Communication Problems 10.2 Sensor Scanning and Communication Problems Low and High Sensor Glucose Messages Sensor Wear Problems 10.3 Meter 10.4 App Appendix A: Receiving and Responding to Notifications/Alerts on your App/Phone A.1 Home Screen Display Information Glucose and Sensor Status A.2 Alerts Glucose Alerts Sensor Unavailable Alerts Permanent Sensor Loss Alerts Long-Acting Dose Alert 8 124 126 126 126 127 127 127 127 128 128 130 131 132 132 135 137 138 141 145 145 149 149 149 152 153 The Bigfoot Unity Diabetes Management System User Guide Appendix B: Settings for Bigfoot Unity App B.1 Information to Enter in the App Long-Acting Insulin Rapid-Acting Insulin Notes Appendix C: Technical Information C.1 Labeling Symbols C.2 Sensor Specifications C.3 Cap Specifications C.4 Communications Specifications C.5 Bigfoot Unity Diabetes Management System Specifications C.6 Kit Specifications C.7 Security Measures C.8 Quality of Service (QoS) C.9 Meter Specifications C.10 Performance Characteristics of the FreeStyle Libre 2 Flash Glucose Monitoring System Overview of Clinical Studies Adverse Events C.11 Electromagnetic Compatibility (EMC) FCC Compliance Guidance and manufacturers declaration electromagnetic emissions Guidance and manufacturers declaration electromagnetic immunity Recommended separation distances between portable and mobile RF communications equipment and Bigfoot Unity C.12 Warranty Index 154 154 154 155 156 158 159 160 160 160 161 161 161 162 162 179 180 181 181 182 184 184 185 9 The Bigfoot Unity Diabetes Management System User Guide 11 Tips for Reading and Understanding this User Guide Before starting to use the Bigfoot Unity Diabetes Management System for your diabetes care, you will need to complete tutorials in the App on how to set up Bigfoot Unity and use the App, Caps, Sensor and Meter. Information about viewing this User Guide online can be accessed in the App under MY SETTINGS > Help and Support. To start using Bigfoot Unity, download the Bigfoot Unity App on your mobile phone and create an account. You will use the App to set up Bigfoot Unity and get started. 1.1 Abbreviations and Conventions used throughout this User Guide, the App and Cap displays App Software Application on phone Black Cap The connected cap that replaces the cap on your disposable long-acting insulin pen Blood Glucose Carbohydrates Computerized Tomography Blood Glucose Meter Magnetic Resonance Imaging Near Field Communication Pair/Pairing Creating a secure line of data communication between devices Mobile phone Phone Sensor White Cap Device used to continuously monitor interstitial glucose The connected cap that replaces the cap on your disposable rapid-acting insulin pen BG Carbs CT Meter MRI NFC 10 The Bigfoot Unity Diabetes Management System User Guide | Chapter 1 1.2 Symbols that appear in this User Guide, the App and Cap displays Symbol What it means Warning, Caution, Precaution, Limitation or other safety issue that requires immediate attention. Low glucose (possible hypoglycemia). Sensor not able to provide glucose readings or glucose alerts. Possible missed insulin dose from your long-acting insulin pen. Information previously saved and can be edited/
updated. Battery icon indicating how much battery power remains in Caps. Caps attempting to communicate with App. Bluetooth indicator icon. 1.3 Customer Care and Technical Service Contact Bigfoot Biomedical Customer Care using any of the following:
Phone: (551) BIGFOOT or 244-3668
(888) 523-3662 Web: www.support.bigfootbiomedical.com Email: customercare@bigfootbiomedical.com. 11 The Bigfoot Unity Diabetes Management System User Guide | Chapter 1 2 Before you Begin Using Bigfoot Unity Overview 2.1 The Bigfoot Unity Diabetes Management System is designed to help persons with insulin-requiring diabetes manage their insulin pen injections and glucose levels. Although the actual decision on how much insulin to take is yours, Bigfoot Unity can help you with this decision by displaying how long it has been since your last insulin dose, your current glucose level, and your health care providers insulin recommendations. This User Guide describes how Bigfoot Unity works, important safety information, how you set up and use Bigfoot Unity, and what to do if you need help. Bigfoot Unity is available only with a prescription in the U.S. 2.2 The Bigfoot Unity App The App guides you through entering your insulin settings, connecting all of the devices, and learning how to use Bigfoot Unity. Data sharing between the App and the Caps provides the benefit of having helpful information on the Caps and the App when its time to take an insulin dose from either of your pens. The Sensor continuously sends information to the App so you can get a sense of your glucose range on your App Home screen. Additionally, the App provides the capability for a real-time alert when your glucose is low or if there is a problem with your Sensor. The App can also alert you if you may have missed your long-acting insulin dose. Bigfoot Unity App 12 The Bigfoot Unity Diabetes Management System User Guide | Chapter 2 2.3 The Black Cap for Long-Acting Insulin Example: Black Cap with insulin pen The Black Cap is designed to help you remember the long-acting insulin dose that your health care provider recommends and shows how long it has been since you took your last dose of long-acting insulin. It replaces the cap that came with your long-acting insulin pen. You can choose to receive an alert on your phone to let you know if you may have missed a long-acting insulin dose. This alert is based on the use of the Black Cap and Bluetooth communication between the Cap and the App. 2.4 The White Cap for Rapid-Acting Insulin Example: White Cap with insulin pen The White Cap is designed to help you remember the rapid-acting insulin doses that you take before meals (Mealtime Insulin) and to bring down a high glucose (Correction Insulin). It replaces the cap on your rapid-acting insulin pen. The timer on the White Cap also helps you remember when you took your last dose of rapid-acting insulin from your pen. The White Cap works with the FreeStyle Libre 2 Sensor to help you continuously monitor your glucose. You can scan the Sensor with the White Cap to get current glucose readings on-demand without fingersticks. The White Cap can also receive glucose results from the connected blood glucose Meter. The connected devices of Bigfoot Unity allow for easy transfer of data between the White Cap, the Sensor, the blood glucose Meter, and the App. Information in the App lets you review your glucose and insulin history and share it with your health care provider. When you use the White Cap to scan and display your current glucose level from the Sensor, the Cap will show where your glucose level is headed with a Trend Arrow. The White Cap will record and send the past 8 hours of continuous glucose information to the App. 13 The Bigfoot Unity Diabetes Management System User Guide | Chapter 2 The White Cap can also display the amount of Correction Insulin and Mealtime Insulin based upon the settings your health care provider has recommended for you. If you take an insulin dose, the time of the last dose is displayed on the Cap and sent to the App. 2.5 Monitoring Glucose with the Sensor Bigfoot Unity uses the Sensor to measure your glucose in the interstitial fluid just below the skin surface. Sensor readings are displayed on your White Cap. To help keep you informed, glucose or Sensor status messages will appear on the App Home screen. Abbott FreeStyle Libre 2 Sensor You will need to actively scan your Sensor with the White Cap to display your current glucose reading and Trend Arrow. Every time you scan the Sensor with the White Cap, the last 8 hours of Sensor glucose data will be recorded in the App history. Sensor glucose patterns and trends in history may help you with your diabetes self-care. Behind the scenes, your App is also continuously monitoring your Sensor readings and can alert you on your phone if your glucose level is low or if there is a problem with your Sensor. 2.6 Monitoring Glucose with the Meter When you use a Meter, you use a drop of blood from your fingertip to measure your blood glucose. Blood glucose results taken with the Bigfoot Meter can be displayed on the White Cap and on the App. Bigfoot Blood Glucose Meter Because a Meter measures glucose in blood versus fluid under the skin, there may be a slight difference between Meter and Sensor results, especially when glucose is changing rapidly. This small difference should not affect your diabetes self-care. Talk to your health care provider to learn more about the difference between the two methods of measuring glucose. There will be times when a meter blood glucose reading is required to confirm a Sensor glucose reading. This will be described later in this User Guide. Having a Sensor and a Meter available to measure your glucose provides flexibility for obtaining a glucose measurement when you need it. 14 The Bigfoot Unity Diabetes Management System User Guide | Chapter 2 2.7 About Cloud Services and Wireless Communication The White and Black Caps use Bluetooth communication to share data with the App on your phone. Your phone must have internet service through a cellular or WiFi connection to set up the System, and it must connect to the internet periodically to back up data to the cloud. After Bigfoot Unity has been set up, daily activities can be done without internet service. Cloud-based services let you share your data with your health care provider. Having information securely stored in the cloud also makes it easier to restore the information back into the App if you replace your phone. 15 The Bigfoot Unity Diabetes Management System User Guide | Chapter 2 3 Indications and Safety Information Indications for Use 3.1 The Bigfoot Unity Diabetes Management System is indicated for the management of diabetes in persons age 12 years and older. Bigfoot Unity provides glucose monitoring data via the Abbott FreeStyle Libre 2 Flash Glucose Monitoring Sensor. The System incorporates real time alarm capabilities and is designed to replace blood glucose testing for diabetes treatment decisions, unless otherwise indicated. The device is intended to provide insulin dose information using the available glucose data to assist persons with diabetes mellitus who use disposable pen-injectors for the self-injection of insulin in implementing health care provider recommended insulin dose regimens. The device is intended for single patient use only and requires a prescription. Bigfoot Unity is also intended to communicate autonomously with digitally connected medical devices where the user manually controls therapy decisions. 3.2 Benefits and Risks Associated with Bigfoot Unity As with any medical device, there are benefits and risks associated with the use of Bigfoot Unity. Pay attention to safety information, especially Warnings and Cautions associated with its use. Always consult with your health care provider if you have questions regarding the best way to maximize the benefits and minimize the risks of using Bigfoot Unity. CAUTION: Review all product and safety information and instructions in this User Guide and other accompanying materials before use. Take standard precautions for transmission of bloodborne pathogens to avoid contamination. Bigfoot Unity is designed to help you manage your diabetes by:
Connecting several devices commonly used to manage insulin-
dependent diabetes into one convenient system. Benefits 16 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 Letting you easily set up and adjust your insulin and insulin dosing information on your phone and having that information displayed on your Caps to use when you need to inject a dose. Scanning your Sensor with your White Cap to view your current glucose level and Trend Arrow at the time you dose. Recording the last time you dosed insulin, and doing some of the calculations for deciding how much insulin to take to cover meals and/or bring down a high glucose. Giving you access for reviewing your insulin and glucose history in the App. Providing two ways to measure your glucose: (1) a Sensor that continuously measures glucose in the fluid below your skin and (2) a Meter that provides you a blood glucose result using a drop of blood from your fingertip. Incorporating continuous glucose monitoring and the capability for a real-time Low Glucose Alert so the App can alert you to situations when your glucose levels require your immediate attention. Glucose alerts are an important safety feature for some people, for example, those that have impaired awareness of hypoglycemia or a history of severe hypoglycemia. Before you turn alerts off or change their settings, please consult your health care provider. Risks There are risks associated with using Bigfoot Unity. Some of these are inherent in using Bigfoot Unity and others are related to making decisions about managing your diabetes. There is always the risk of dosing too much or too little insulin. While Bigfoot Unity is designed to give you as much information as possible at the time you inject insulin from your pens, the final decision on when and how much to dose is up to you. Taking too much or too little insulin can lead to serious injury. You may make an incorrect treatment decision if you enter incorrect insulin settings or if you dont update your settings when your insulin needs change over time. You may make an incorrect treatment decision if you accidentally use the wrong insulin pen. You may make an incorrect treatment decision if you misread or misinterpret insulin recommendations. 17 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 Bigfoot Unity is intended to be used after you have consulted with your health care provider so that the insulin and glucose information entered in the App is right for you. Bigfoot Unity has no way of ensuring that the information you have entered is correct. Always consult with your health care provider before you begin using Bigfoot Unity and for the information you are required to enter in the App. Bigfoot Unity provides the capability of Notifications and Alerts to help you know if your glucose level requires your immediate attention or if there is a problem with the Sensor. It is possible that you may not see, hear, or feel the Notification or Alert, depending on how you set up the App and your phone and what you are doing at the time. Make sure you read all safety information in this User Guide and know what to do if you receive a Notification or Alert. If Bigfoot Unity is not working properly, you may need another way to track insulin dosing and/or make insulin dosing decisions until you can resume using Bigfoot Unity. You will still be able to use your insulin pens without the Caps, App or Meter. Consult with your health care provider about a backup glucose monitoring and insulin dosing plan, supplies and what to do in case of an emergency. If you do not have your phone, or if your phone is not charged, you will not receive any Alerts or Notifications. Because you will not receive any Alerts, you should monitor your glucose frequently until your phone is restored. You will still be able to scan your Sensor with your White Cap, use your Meter, and use your insulin pen. IMPORTANT: Do NOT use Bigfoot Unity with the FreeStyle LibreLink or FreeStyle Libre 14 day Readers. Bigfoot Unity is not compatible with these devices. 3.3 Contraindications Automated Insulin Dosing: Bigfoot Unity must not be used with automated insulin dosing (AID) systems, including closed loop and insulin suspend systems. MRI/CT/Diathermy: The FreeStyle Libre 2 Sensor must be removed prior to Magnetic Resonance Imaging (MRI), Computed Tomography
(CT) scan, or high-frequency electrical heat (diathermy) treatment. The effect of MRI, CT scans, or diathermy on the performance of the Sensor has not been evaluated. The exposure may damage the Sensor and may impact proper function of the device which could cause incorrect readings. 18 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 3.4 Who should not use Bigfoot Unity CAUTIONS and LIMITATIONS Do NOT use in people less than 12 years of age. Bigfoot Unity is not cleared for use in people under 12 years of age. Do NOT use if you are pregnant, on dialysis or critically ill. Bigfoot Unity is not cleared for use in these groups and it is not known how different conditions or medications common to these populations may affect performance. Performance of Bigfoot Unity when used with other implanted medical devices, such as pacemakers, has not been evaluated. Bigfoot Unity does not support insulin doses in half-unit increments. You should not use Bigfoot Unity if you take half-unit doses of insulin. Bigfoot Unity supports once daily dosing of long-acting insulin. You should not use Bigfoot Unity if you take more than one daily dose of long-acting insulin. 3.5 Bigfoot Unity Components WARNINGS Use your blood glucose meter to make diabetes treatment decisions when you see Use Meter on the White Cap during the first 12 hours of wearing a Sensor, if your Sensor glucose reading does not match how you feel, or if the reading does not include a number. Choking Hazard: Bigfoot Unity contains small parts that may be dangerous if swallowed. CAUTIONS and LIMITATIONS Make sure Bigfoot Unity is kept in a safe place under your control. This is important to help prevent anyone from accessing or tampering with your Bigfoot Unity components and supplies. Bigfoot Unity must not be used by more than one person due to the risk of providing incorrect glucose and insulin information. Do NOT use if the Caps appear damaged due to risk of electric shock and/or no results. Make sure to select a location for charging the Caps that allows the power adapter to be easily unplugged. Do NOT block access to the charger due to the potential risk of electrical shock. Use USB charging cable only as directed, and store safely. Misuse of the USB charging cable can be a strangulation risk. 19 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 Do NOT use cell phone adapters or other third party USB cables to charge medical devices including the Bigfoot Unity Caps. Connecting the Caps to any device other than the supplied USB charging cord and power adapter may result in electrical shock. 3.6 Cap and App Usage What to know Before you Begin Use WARNINGS Do NOT ignore symptoms that may be due to low or high blood glucose: If you are experiencing symptoms that are not consistent with your glucose readings, consult your health care provider. Consult with your health care provider to make sure you have a backup diabetes management plan and diabetes supplies if parts of Bigfoot Unity are lost or stop working. Having a backup plan and supplies can help avoid severe high or low glucose if you cannot use Bigfoot Unity. Bigfoot Unity only records doses taken with the insulin pens you use with the Caps. If you take a dose of insulin without using Bigfoot Unity, make sure you keep track of the time you took insulin and check your glucose frequently. Allowing time for the insulin to work prior to taking another dose can help prevent severe low glucose. Bigfoot Unity does NOT adjust insulin doses on your insulin pen and does NOT record how much insulin you take. When Bigfoot Unity displays insulin dose information, you are responsible for deciding how much insulin to take and giving the injection. Always use your Bigfoot Meter for diabetes treatment decisions when: (1) Sensor data is not available, (2) when you see the words Use Meter on the White Cap, or (3) if your Sensor glucose reading does not match how you feel. Using your Meter will provide you with a glucose reading that you may use to decide how much insulin to take and help prevent severe low or high glucose. What to know about Daily Use WARNINGS Always check that the insulin name displayed on the Cap matches the name on the insulin pen you intend to use before making a diabetes treatment decision. If you take a dose with the wrong insulin you could take too much or too little insulin, which may result in severe low or high glucose. 20 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 Place the Bigfoot Unity Cap back onto the insulin pen immediately after taking an insulin dose. If you do not replace the Cap promptly, the time since last dose may not be accurate. This may result in you taking too much or too little insulin, which can lead to severe low or high glucose. Use caution when using Bigfoot Unity to choose an insulin dose if the Cap does not display the time since last dose or if you think the time since last dose is not correct. If you are unsure about how much insulin to take, follow your health care providers recommendations. Do NOT ignore alerts from Bigfoot Unity. Alerts help inform you about Sensor availability, low glucose, or if you may have missed your long-acting insulin dose. Paying attention to alerts can help prevent severe low or high glucose. Do NOT use the glucose ranges displayed in your App to make diabetes treatment decisions. Always use the White Cap to scan the Sensor or read the Meter before deciding appropriate treatment. The App only displays ranges of glucose values and you need more specific information for diabetes treatment decisions. If you base your treatment on the glucose range in the App, you might take too much or too little insulin, which may lead to severe low or high glucose. Always check the Black Cap for the time since last dose if you receive a Long-Acting Dose Alert on your phone. Checking the Black Cap for the time since last dose will help ensure you take the next dose of insulin at the correct time, and help avoid severe low or high glucose. CAUTIONS and LIMITATIONS Use MY SETTINGS in the App to update your insulin settings whenever your health care provider recommends changes. If your App does not have your most recent insulin settings, information displayed on the App and Caps may not be accurate for taking your next insulin dose. This may result in taking too much or too little insulin, which could lead to severe low or high glucose. Make sure your phone is within communication range (within 20 ft) of your Caps after you make any changes to your insulin settings within the App. If your Caps do not have the most current settings, you could take too much or too little insulin, which may result in severe low or high glucose. 21 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 What to know about Setting up Notifications and Alerts WARNINGS You must allow Notifications for the Bigfoot Unity App in order to receive Bigfoot Unity Alerts even when your phone is locked and not showing the Bigfoot Unity App. Remember also to keep your phone sufficiently charged to receive alerts. If you do not allow or receive alert Notifications, or if your phone is not on, you might miss knowing that your glucose is low, that your Sensor has stopped working, or that you may have missed a dose of long-acting insulin. You must allow Critical Alerts on your phone to receive Alerts even when your phone is muted or set to Do Not Disturb. If you do not allow Critical Alerts, you may not be aware of a low glucose or if your sensor glucose information is not available. Alerts and Notifications appear on the phone only and do NOT appear on the Caps or the Sensor itself. Make sure to have your Bigfoot Unity App and phone set up properly to receive alerts. Receiving Alerts and Notifications on your App/phone can help prevent severe low or high glucose. Always keep your Bigfoot Unity App open (do not force close) on your phone and keep your phone nearby (within 20 ft). This will help you receive and hear Notifications and Alerts, which may prevent severe low or high glucose. CAUTIONS and LIMITATIONS Do NOT leave headphones connected to the phone when you are not using them. If you have headphones connected to the phone, Notifications and Critical Alerts will not sound or vibrate on the phone. Always keep your phones Bluetooth setting ON when you are using Bigfoot Unity. Bluetooth is required to view current glucose range information on the App Home screen and receive low glucose and Sensor Unavailable Alerts. If your phone does not receive glucose information from the Sensor, you may not know if you have low or high glucose. 22 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 3.7 Sensor Glucose What should you know about Wearing a Sensor CAUTIONS and LIMITATIONS Wash application site on the back of your upper arm using a plain soap, dry, and then clean with an alcohol wipe. This will help remove any oily residue that may prevent the Sensor from sticking properly. Allow site to air dry before proceeding. Carefully preparing the site according to these instructions will help the Sensor stay on your body for the full 14 day wear period and help prevent it from falling off early. The Sensor can be worn for up to 14 days. Remember to always have your next Sensor available before your current one ends so you can keep getting your glucose readings. You must scan the Sensor to get your real-time current glucose level as the Bigfoot Unity App will not provide this information. When using Bigfoot Unity, in the event that your Sensor stops working and you do not have another Sensor readily available, you must use an alternate method to measure your glucose levels and inform your treatment decisions. Bigfoot Unity is designed to detect certain conditions which may occur where the Sensor is not working as intended and shut it off, telling you to replace your Sensor. This may occur if the Sensor gets knocked off from the skin or the Sensor may not be performing as intended. Contact Bigfoot Customer Care at (551) 244-3668 if you receive a Sensor Error: Apply and start new Sensor message on your White Cap before the end of the 14 day wear period. Some individuals may be sensitive to the adhesive that keeps the Sensor attached to the skin. If you notice significant skin irritation around or under your Sensor, remove the Sensor and stop using the Sensor. Contact your health care provider before continuing to use the Sensor. Intense exercise may cause your Sensor to loosen due to sweat or movement of the Sensor. If the Sensor is becoming loose or if the Sensor tip is coming out of your skin, you may get no readings or unreliable low readings. Remove and replace your Sensor if it starts to loosen and follow the instructions to select an appropriate application site. Do not attempt to reinsert the Sensor. Contact Bigfoot Customer Care at (551) 244-3668 if your Sensor becomes loose or falls off before the end of the wear period. 23 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 Do NOT re-use Sensors. The Sensor and Sensor Applicator are designed for single-use. Re-use may result in no glucose readings and infection. Not suitable for re-sterilization. Further exposure to irradiation may cause unreliable low results. If a Sensor breaks inside your body, call your health care provider. How to Store the Sensor Kit Store the Sensor Kit between 36F and 82F. Storage outside of this range may cause inaccurate Sensor glucose readings. If you suspect that the temperature may exceed 82F (for example, in an un-airconditioned home in summer), you should refrigerate your Sensor Kit. Do NOT freeze your Sensor Kit. Store your Sensor Kit in a cool, dry place. Do NOT store your Sensor Kit in a parked car on a hot day. Store the Sensor Kit between 10-90% non-condensing humidity. When not to use the Sensor Do NOT use if the Sensor Kit package, Sensor Pack, or Sensor Applicator appear to be damaged or already opened due to risk of no results and/or infection. Do NOT use if Sensor Kit contents are past expiration date. What to know before you Apply the Sensor The Sensor Pack and Sensor Applicator are packaged as a set and have the same Sensor code. Check that the Sensor codes match before using your Sensor Pack and Sensor Applicator. Do NOT use Sensor Packs and Sensor Applicators with different Sensor codes together as this will result in incorrect glucose readings. Wash the application site on the back of your upper arm using a plain soap, dry, and then clean with an alcohol wipe. This will help remove any oily residue that may prevent the Sensor from sticking properly. Allow site to air dry before proceeding. Carefully preparing the site according to these instructions will help the Sensor stay on your body for the full 14 day wear period and help prevent it from falling off early. 24 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 Clean hands prior to Sensor handling/insertion to help prevent infection. Change the application site for the next Sensor application to prevent discomfort or skin irritation. Only apply the Sensor to the back of the upper arm. If placed in other areas, the Sensor may not function properly. Select an appropriate Sensor site to help the Sensor stay attached to the body and prevent discomfort or skin irritation. Avoid areas with scars, moles, stretch marks, or lumps. Select an area of skin that generally stays flat during normal daily activities (no bending or folding). Choose a site that is at least 1 inch away from an insulin injection site. When is Sensor Glucose Different from Blood Glucose Physiological differences between the interstitial fluid and capillary blood may result in differences in glucose readings between the Sensor and results from a fingerstick test using a blood glucose meter. Differences in glucose readings between interstitial fluid and capillary blood may be observed during times of rapid change in blood glucose, such as after eating, dosing insulin, or exercising. What to know about X-Rays The Sensor should be removed prior to exposing it to an X-ray machine. The effect of X-rays on the performance of Bigfoot Unity has not been evaluated. The exposure may damage the Sensor and may impact proper function of the device to detect trends and track patterns in glucose values during the wear period. When to Remove the Sensor If the Sensor is becoming loose or if the Sensor tip is coming out of your skin, you may get no readings or unreliable readings, which may not match how you feel. Check to make sure your Sensor has not come loose. If it has come loose, remove it, apply a new one, and contact Bigfoot Customer Care at (551) 244-3668. 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, apply a new one, and contact Bigfoot Customer Care at (551) 244-3668. 25 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 3.8 Interfering Substances Taking ascorbic acid (vitamin C) supplements while wearing the Sensor may falsely raise Sensor glucose readings. Taking more than 500 mg of ascorbic acid per day may affect the Sensor readings which could cause you to miss a severe low glucose event. Ascorbic acid can be found in supplements including multivitamins. Some supplements, including cold remedies such as Airborne and Emergen-C, may contain high doses of 1000 mg of ascorbic acid and should not be taken while using the Sensor. See your health care provider to understand how long ascorbic acid is active in your body. 26 The Bigfoot Unity Diabetes Management System User Guide | Chapter 3 4 Bigfoot Unity Welcome Kit Working With Your Health Care Provider 4.1 To get started using the Bigfoot Unity Diabetes Management System, you and your health care provider will work together to decide the information that makes up your personal insulin settings. This information is entered in the App where it is stored and available as needed for you to make changes. A reference tool is available in Appendix B for you to use with your health care provider. 4.2 Bigfoot Unity Welcome Kit Package Contents B C D A E F G H Bigfoot Unity packaging includes:
A - Bigfoot Unity Black Cap B - Bigfoot Unity White Cap C - Bigfoot Meter Kit, containing
- Bigfoot Meter User Manual
- Bigfoot Test Strips and Control Solution
- Bigfoot Test Strip and Control Solution Inserts D - FreeStyle Libre 2 Sensor Kit (2), each containing
- Sensor Pack
- Sensor Applicator
- Alcohol Wipe
- Product Insert 27 The Bigfoot Unity Diabetes Management System User Guide | Chapter 4 E - USB Power Adapter for charging Caps F - USB C charging cord to charge both Caps G - Alcohol Prep Pads H - Bigfoot Pen Needles I - User Guide Note: Do NOT connect the Caps to any device other than the supplied USB charging cord and power adapter. If you need a replacement USB charging cord or power adapter, or any other parts or accessories, contact Bigfoot Customer Care at (551) 244-3668. Check Shipments of Supplies and Equipment Check that your packaging includes all of the items listed above. Check the supplies and equipment shipped to you for damage or evidence of being opened and do not use any materials that appear so. Contact Bigfoot Customer Care at (551) 244-3668 if any items are missing or appear to be damaged or already opened. Maintain Secure Control of your Bigfoot Unity Components. Maintain secure custody of Bigfoot Unity components and supplies to avoid unauthorized access or tampering. 4.3 Compatible Insulin Pens Your rapid-acting and long-acting insulin pens will be packaged and provided separately and require a separate prescription from your health care provider. The White and Black Caps work with commercially-available insulin pens from various insulin manufacturers. The Caps are reusable and replace the caps that come with the disposable insulin pens. You must use a specific Cap that is configured by Bigfoot to match the kind of insulin in your pen. Visit www.bigfootbiomedical.com/compatible for complete information on compatible insulin pens. Refer to the manufacturers instructions that come with the insulin pens for how to use, store and discard the pens. Note: All insulin names are trademarks of their respective holders. Use of them does not imply affiliation or endorsement. 28 The Bigfoot Unity Diabetes Management System User Guide | Chapter 4 4.4 Compatible Insulin Pen Needles The Bigfoot Needles that come with Bigfoot Unity are designed to fit your insulin pens. Visit www.bigfootbiomedical.com/compatible for compatible insulin pen needles. 4.5 Compatible Mobile Phones The App works on your compatible personal, mobile phone. Visit www.bigfootbiomedical.com/compatible for the current list of compatible phones. You are responsible for keeping your cell phone secure and up-to-date, for example by using a strong password, installing updates, and using only secure WiFi networks. 29 The Bigfoot Unity Diabetes Management System User Guide | Chapter 4 55 First Time Setup of Bigfoot Unity 5.1 Getting Ready to Set Up Bigfoot Unity The App will walk you through the steps for setting up and using the Bigfoot Unity Diabetes Management System. You may also refer to other sections in this User Guide for additional information on using Bigfoot Unity, including your Sensor, Meter and USB Charger. The App includes a series of short tutorials and instructional videos to help you learn how to use Bigfoot Unity. These screens display a play button (
) to proceed. Before you can proceed to the next section during setup, you must complete the current section. This helps ensure you understand the basic ideas in one section before you can build on those in the next. A check mark (
have completed a section and are able to proceed to the next section. If you close the App before you finish a section, your information will not be saved for the section. The next time you launch the App, you will start at the beginning of the section you had not finished.
) will appear to indicate that you Note that many App Setup screens have the option to 1) tap < Back on the top left of the screen to return to the previous screen, 2) tap Edit on the top right of the screen to make changes to the information displayed on that screen, 3) Tap information not visible on the screen, including button options to start or complete an action, or 4) tap Need Help? for more information about that screen. to scroll down to view additional Information you enter in the App is intended to be sent to your White and Black Caps where it is available when it is time to take insulin injections with your pens. Its important you work with your health care provider to have the right information entered so that it is available at the time you dose. Always consult with your health care provider for the diabetes information to enter in the App. A handy reference tool is available in Appendix B for you to use with your health care provider. 30 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 5.2 Download the App and Create an Account 1. Download and install the Bigfoot Unity App from the App Store. After the installation completes, make sure the App icon appears on the phone screen. 2. Launch the App on your phone. 3. Tap Create Account on the Welcome screen. 4. Enter your first and last name, your email address, a password and tap Next to continue. A link will be sent to the email address you entered. Click on the link in the email to complete the email verification. Once your email has been verified, return to the App and tap Continue to Login. 31 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 5. Login to your account with your email address and password Note: If you forget your App password when you log in, tap Forgot Password? on the Login screen. Instructions for re-setting your password will be sent to your email address. 6. Review the Terms and Conditions by tapping Terms of Use. On the initial Terms of Use screen, tap Agree on the lower right of the screen to continue. Your App account is now set up and ready for use. Simply tap the App icon on your phone whenever you want to launch the App. After logging in, the App will prompt you to watch a short instructional video introducing you to Bigfoot Unity. 7. Tap the play button (
) to watch the video. 5.3 Enter Settings The Getting Started with Bigfoot Unity screen displays the three main App Setup sections that need to be completed in the order presented. You will only need to complete these three Setup sections the first time you set up your App. Once you complete first time setup, you can update settings under MY SETTINGS (See section 8.4). 1. Tap Enter Settings to begin the first App Setup section. 32 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Enter Insulin Settings You are now ready to enter your insulin settings in the App, and how you want your phone to notify you of certain events. You will need insulin information from your health care provider to complete this section. Entering Long-Acting Insulin Settings 1. Tap Enter Insulin Settings. 2. Once you have your insulin information from your health care provider (see Appendix B) tap Next on the Enter Insulin Settings screen. 3. Select your long-acting insulin by tapping on the insulin you use. 4. Enter the daily insulin dose (1 to 160 units) for your long-acting insulin using the pop-up numeric keypad. Tap Done when finished and Next to continue. 33 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Entering Rapid-Acting Insulin Settings 1. Select your rapid-acting insulin by tapping on the insulin you use. Mealtime Insulin Bigfoot Unity lets you enter how much rapid-
acting insulin you take for meals (Mealtime Insulin). 1. Use the insulin settings sheet from your health care provider (see Appendix B) to determine Mealtime Insulin selection. If Mealtime Insulin is recommended, tap Yes, Enter Mealtime Insulin. If no Mealtime Insulin is recommended, tap No, I Dont Take Mealtime Insulin to skip this section. Bigfoot Unity offers three options for how to display Mealtime Insulin on your White Cap for rapid-acting insulin when its time to dose. Only one option can be used at any given time, but you can switch between options anytime. 2. Tap Label Meal Doses. The Choose Meal Dose Label screen will be displayed. Read the descriptions that follow, as the meal dose labels may be new to you, and discuss with your health care provider. You will only enter values for the one choice that best describes your Mealtime Insulin. You can easily change the method for displaying Mealtime Insulin later or decide not to use the Mealtime Insulin feature at all. 34 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Small, Medium, Large: Based on how certain meal sizes affect your glucose In this category, enter the units of rapid-acting insulin to account for how large an effect meals have on your glucose. For practical purposes, you may consider this category as covering a small, medium, or large amount of carbs in your meal. Breakfast, Lunch, Dinner: Based on how meals at certain times of the day affect your glucose In this category, enter the units of rapid-acting insulin you take for each type of meal. Three specific carb amounts: Based on how the amount of carbohydrates in meals you commonly eat affect your glucose In this category, pick three different carb amounts (in grams) that you commonly eat and then enter the units of rapid-acting insulin you take for each. 3. Choose the label that best describes how you dose Mealtime Insulin by tapping that selection from the list. Mealtime Insulin Most common Meal sizes (Small, Medium, Large) Tap the first meal size. Then scroll to the insulin units (0 to 80) to select the amount you typically take to cover that meal size and tap Done when you are finished. Repeat for your second and third meal sizes. Tap Next when you are finished. 35 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Mealtime insulin - Most common Meal times (Breakfast, Lunch and Dinner) Tap the first meal time. Then scroll to the insulin units (0 to 80) to select the amount you typically take to cover that meal time and tap Done when you are finished. Repeat for your second and third meal times. Tap Next when you are finished. Mealtime insulin - Most common Carb Amounts Tap a Carb Amount and then scroll to a common amount of grams of carbohydrate (0 to 125) in that meal and tap Done when you are finished. Repeat for your two other most common meals. For the first Carb Amount entered, under the insulin (units) column, tap and scroll to the insulin units (0 to 80) you typically take to cover that number of grams (of carbohydrate) amount and tap Done when you are finished. Repeat for your two other Carb Amounts. Tap Next when you are finished. Example: Carb Amounts and unit selection 36 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Correction Insulin Bigfoot Unity lets you enter how much rapid-acting insulin you take to bring down a high glucose (Correction Insulin). 1. Use the insulin settings sheet from your health care provider (see Appendix B) to determine Correction Insulin selection. If you do take insulin to bring down a high glucose, tap Yes, Enter Correction Insulin. If you dont take insulin to bring down a high glucose, tap No, I Dont Take Correction Insulin to skip this section. Bigfoot Unity offers two options for how to enter your glucose ranges and correction units. Only one option can be used at any given time, but you can switch between options anytime as needed. Correction Dose Table: Where you enter glucose ranges and the associated units of rapid-acting insulin to bring down a high glucose in this range. For example, your table might include six glucose ranges and you will enter the rapid-acting insulin associated with each range. Glucose Target and Correction Factor: Where you enter a target glucose and how much one unit of rapid-acting insulin lowers your glucose in mg/dL. This automatically fills a table with how much rapid-
acting insulin to take at different glucose ranges. 2. Decide if you want to enter your Correction Dose Table (Correction Dose Table) or have it automatically filled in (Glucose Target and Correction Factor). To enter your Correction Dose Table, tap Correction Dose Table and continue with the Enter your Correction Dose Table section that follows. To have your Correction Dose Table automatically filled in based on your Glucose Target and Correction Factor, tap Glucose Target and Correction Factor. Then continue with the Enter your Glucose Target and Correction Factor section that follows. 37 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Enter your Correction Dose Table The Correction Insulin screen displays six pre-set, but adjustable, glucose correction ranges. For each glucose range you will enter the units of rapid-acting insulin you typically take to bring down a high glucose. Pre-set ranges, along with their upper and lower limits, will be displayed the first time you set up the App. The number of insulin units that apply to each range will be empty (blank). The App and White Cap use this table to determine the glucose range that applies to your current Sensor glucose reading, or Meter result, and to display the Correction units you entered for that range. You are able to edit ranges (add or delete ranges or change limits) and units in the Correction Table at any time. Enter/modify your ranges 1. If you want to make changes to your ranges, first tap Edit at the top right. 38 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 2. Then tap the number range to change to the desired values. Scroll through the range values (between 100 and 400 mg/dL) to select your new range limits and then tap Done. Once a new range limit is selected, the lower limit of the next range is automatically adjusted to start at 1 plus the upper limit of the range you just changed. When you adjust a range so that it overlaps another range in its entirety, that range will be deleted. To delete a range, first tap the edit icon
) next to the range. Then tap Delete for the range displayed. To add a range, first tap + Add on the bottom of the screen. Example: Editing glucose range 3. Repeat Step 2 to change the lower or upper limits on any other range. tap Save. 4. When you are finished editing ranges, Example: Custom glucose ranges 39 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Enter/modify your units 1. Tap the insulin units for the first range. 9:41 Back Edit Correction Insulin Enter the units of <Insulin>
for each range below. 150 - 200 201 - 250 251 - 300 301 - 350 351 - 400 Over 400 1 2 3 4 5 6 Need help?
Next 2. Enter the desired units (0 to 40) by scrolling through the units for that range and then tap Done. Repeat this step to enter the units for other ranges. Note: If you tap Edit, you will be prompted to confirm that any previously entered insulin amounts will be cleared. Tap OK to continue. 3. Once you are finished entering/editing units, tap Next. 40 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 GLUCOSE RANGE
(mg/dL)
<INSULIN>
(units) Insulin Settings Enter your Glucose Target and Correction Factor With this option, the Correction Table will fill in when you enter these two values. When you enter a Glucose Target or Correction Factor, any previous Correction Dose Table values will be replaced by new values. 1. Enter your Glucose Target (100 to 250 mg/dL), then tap Done. Your Glucose Target is the number you aim for to correct your high glucose. Note that your Glucose Target may be different from the glucose value that you typically like to be at. 2. Enter your Correction Factor (10 to 250 mg/dL), then tap Done. Your Correction Factor is how much one unit of rapid-acting insulin lowers your glucose. Example: Glucose Target of 120 mg/dL 41 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 3. When you tap Next, your Correction Dose Table will be completed automatically using the Glucose Target and Correction Factor just entered. Each row of the new table represents a glucose range. The lower limit of the first range is your Glucose Target plus your Correction Factor. The higher limit of the first range is your Glucose Target plus 2 times your Correction Factor. For each successive row, the lower limit is derived by adding 1 to the upper limit of the previous range, and the upper limit is derived by adding your Correction Factor to upper limit of the previous range. Rows will be added until the upper range of a row exceeds 400 mg/dL. One additional insulin unit is added to each row to represent approximately how much insulin would be needed to bring your current glucose level down to the lower limit of that range. You can edit this table as necessary as described in previous sections. 4. Tap Next to continue. Entering Notes Enter any Notes that will serve as reminders or tips for taking care of your diabetes. Notes only appear within the App and not on your Caps when it is time to dose insulin from your pens. Any Notes you enter about adjusting the number of insulin units will not be taken into consideration when viewing insulin information on your Caps. 1. Decide if you would like to include notes in your insulin settings. If you do not want to enter any Notes, tap Skip to skip this section. 42 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 2. Tap the Notes entry box and use the pop-up keyboard to enter your new Note. More than one Note can be entered in the same box. While entering Notes, the App will display a menu of text formatting options. Tap the camera icon (
) to add photos to your Notes. You have the option to add a stored photo, or take a new photo with your phone. Note: If this is your first time setting up your App, two pop-up messages will appear asking if Bigfoot Unity can access your camera and photos. Tap Allow to allow. Access can be changed in your phone settings. 4. Decide if you want to add a previously taken photo or take a new photo. To add a previously taken photo, tap the gallery icon (
). To take a new photo, tap the camera
) and then use your phone to icon (
take a photo. 5. When you are finished entering Notes, and adding photos, tap Done. Then tap Next. CAUTION: Any information you enter into the Notes screen in the App is for your information only. Any insulin dosing instructions that are listed in Notes are not sent to your Caps or used in the insulin dosing information displayed on the Caps. 3. To add photos after tapping the camera icon (
), first tap Allow to let Bigfoot Unity access the camera settings on your phone. If you tap Dont Allow, and then decide to add photos by tapping the camera icon again, you will be redirected to your phone Settings where you can get access. Tap Go to Settings when prompted. 43 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Review Insulin Settings You must do a review of any insulin settings you made before you can complete this Setup section. Carefully check your entries on each screen to make sure that they are correct. This information will be sent to your Cap and used to display your insulin dosing information. You can make any edits during your review. 1. Tap Lets Review. 2. Check your entries on the Review and Confirm Long-Acting Insulin screen. This screen lets you Confirm or Edit your long-acting Insulin Name and the Daily Dose. Tap Confirm to accept the entries or Edit to update long-acting insulin settings. Note: If you make any changes, tap Next to return to the Review and Confirm Long-Acting Insulin screen. Then tap Confirm to continue with the next step. 3. Check your entries on the Review and Confirm Rapid-Acting Insulin screen. You may need to swipe up (scroll) to see all your entries. This screen lets you Confirm or Edit your Insulin Name, Mealtime Insulin and Correction Insulin. Tap Confirm to accept the entries or Edit to update rapid-acting insulin settings. Note: If you make any changes, tap Next to return to the Review and Confirm Rapid-Acting Insulin screen. Then tap Confirm to continue with the next step. 44 Example: Long-acting insulin and dose Example: Rapid-acting insulin and doses The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 4. Check your entries on the Review and Confirm Notes screen. You may need to swipe up (scroll) to see all your entries. This screen lets you confirm, add or delete Notes. Tap Confirm to accept the entries or Edit to update any entries. Note: If you make any changes, tap Next to return to the Review and Confirm Notes screen. Then tap Confirm to continue with the next step. After tapping Confirm, the Enter Settings screen will be displayed. A check mark (
) will indicate that the Enter Insulin Settings section is complete. You can update settings later under MY SETTINGS on the App Home screen. Set Phone Notifications The App is designed to have the capability of sending Notifications and Alerts about low Sensor glucose readings, Sensor status and if you may have missed a long-acting insulin dose. During first time setup, you have the option to allow Notifications and Alerts on your phone. Once setup is complete, you can change how you manage Notifications and Alerts as needed. 1. Tap Set Phone Notifications. The Set Phone Notifications screen will be displayed. 2. Tap Next. phone. 3. Tap Allow to allow Notifications on your WARNING: You must allow Notifications for the Bigfoot Unity App in order to receive Bigfoot Unity Alerts even when your phone is locked and not showing the Bigfoot Unity App. Remember also to keep your phone sufficiently charged to receive alerts. If you do not allow or receive alert Notifications, or if your phone is not on, you might miss knowing that your glucose is low, that your Sensor has stopped working, or that you may have missed a dose of long-acting insulin. 45 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 4. Tap Allow to allow Critical Alerts on your phone. Critical Alerts will come through to your App/phone on your lock screen even if your phone is muted or Do Not Disturb is on, as long as the App is open or running in the background. After tapping Allow, the Enter Settings screen will be displayed. A check mark (
complete.
) will indicate that the Set Phone Notifications section is 5. Tap Done. WARNING: You must allow Critical Alerts on your phone to receive Alerts even when your phone is muted or set to Do Not Disturb. If you do not allow Critical Alerts, you may not be aware of a low glucose or if Sensor glucose information is not available. CAUTION: Do NOT leave headphones connected to the phone when you are not using them. If you have headphones connected to the phone, Notifications and Critical Alerts will not sound or vibrate on the phone. 46 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 5.4 Set Up Devices In this App Setup section, you will learn about your Bigfoot Unity devices and how they are connected. Certain Bigfoot Unity devices need to be paired with one another to share information. The Caps communicate with the App using Bluetooth Low Energy (BLE) technology. The Sensor communicates with the App also using Bluetooth Low Energy technology, and also separately with the White Cap using a different method called near-field communication (NFC). The BLE communications between your Sensor, Caps, and the App let you see your glucose range and receive real-time alerts in the App and update your settings on your Caps. CAUTION: Always keep your phones Bluetooth setting ON when you are using Bigfoot Unity. Bluetooth is required to view current glucose range information on the App Home screen and receive low glucose and Sensor Unavailable Alerts. If your phone does not receive glucose information from the Sensor, you may not know if you have low or high glucose. Note:
Only one Black and White Cap, Meter, App and Sensor can be connected at one time. For example, if you pair a new White Cap, it will automatically unpair the current one. If you change insulin brands while using Bigfoot Unity, it may require that you obtain a new prescription from your health care provider for a different Cap. In this case, you must contact Bigfoot Customer Care at (551) 244-
3668 to obtain a new, compatible Cap. You will also need to pair the new Caps with the other Bigfoot Unity devices. Your Caps should have enough battery power for setup when you first remove them from the box. Charge each of the Caps when they indicate low power. Weekly charging is recommended. 47 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 1. Tap Set Up Devices 2. Tap Allow when prompted to turn your phones Bluetooth setting on to allow communication with the other Bigfoot Unity devices. Start Black Cap You will need your Black Cap and your long-
acting insulin pen for this section. Your Black Cap is used to replace the cap on your long-acting insulin pen. Long-Acting will be displayed on your Black Cap when you remove it from the box. 1. Tap Start Black Cap. 2. Tap Next. 48 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 3. Review your long-acting insulin information. Tap Confirm to continue. Tap Edit to make changes. Make sure the Bluetooth phone setting is On in your phone. The App will remind you if the Bluetooth setting is not turned on. Bluetooth communication is automatically enabled in your Black Cap whenever you power it on. 4. Press the Black Cap button once to turn it on. The Cap display will prompt you to follow the instructions in the App for pairing. The App will automatically search for and display the Serial Numbers of any Black Caps it finds within range. App Display Black Cap Display 49 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 5. Tap the Serial Number on the App screen that matches the Serial Number on the back of your Black Cap. If more than one number is displayed, make sure the Serial Number on the screen selection matches the Serial Number on the Black Cap you intend to use. The App will begin to pair with the selected Black Cap. Once the pairing is complete, the App and Cap will indicate that pairing was successful and the App will send your long-acting insulin information to the Black Cap. 6. Tap Next to continue. Note: If the Black Cap turns off before pairing is complete, press the Black Cap button again to turn it back on. If pairing is still unsuccessful, see Chapter 10 - Troubleshooting for more information. 7. Confirm that the insulin brand name displayed on the Black Cap matches the name on your long-acting insulin pen. If the names match tap Yes, the insulin names match to continue. If the names dont match, tap No, the insulin names dont match. You will be prompted to edit the long-acting insulin names you previously entered.
- Tap Yes, Edit to go back and enter a new long-acting Insulin Name.
- Tap No, if the name you previously entered is correct. You will need to obtain a new compatible Black Cap. Contact Bigfoot Care at (551) 244-3668 and your health care provider (as it may require a new prescription) to obtain the correct Black Cap. 50 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 8. Replace the original insulin pen cap with the Black Cap and leave Black Cap on pen unless taking insulin. Then tap Next. The Set Up Devices screen will be displayed. A check mark (
) will indicate that the Start Black Cap section is complete. Start White Cap You will need your White Cap and rapid-acting insulin pen for this section. Your White Cap is used to replace the cap on your rapid-acting insulin pen. Rapid-Acting will be displayed on your White Cap when you remove it from the box. 1. Tap Start White Cap. 2. Tap Next. 51 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 3. Review your rapid-acting insulin information. You may need to swipe up (scroll) to view all the entries. Tap Confirm to continue. Tap Edit to make changes. 4. Press the White Cap button once to turn it on. The Cap display will prompt you to follow the instructions in the App for pairing. The App will automatically search for and display the Serial Numbers of any White Caps it finds within range. Go to App App Display White Cap Display 5. Tap the Serial Number on the App screen that matches the Serial Number on the back of your White Cap. If more than one number is displayed, make sure the Serial Number on the screen selection matches the Serial Number on the White Cap you intend to use. The App will begin to pair with the selected White Cap. Once the pairing is complete, the App and Cap will indicate that pairing was successful and the App will send your rapid-acting insulin information to the White Cap. 52 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 6. Tap Next to continue. Note: If the White Cap turns off before pairing is complete, press the White Cap button again to turn it back on. If pairing is still unsuccessful, see Chapter 10 - Troubleshooting for more information. 7. Confirm that the insulin brand name displayed on the White Cap matches the name on your rapid-acting insulin pen. If the names match tap Yes, the insulin names match to continue. If the names dont match, tap No, the insulin names dont match. You will be prompted to edit the rapid-acting insulin names you previously entered.
- Tap Yes, Edit to go back and enter a new rapid-acting Insulin Name.
- Tap No, if the name you previously entered is correct. You will need to obtain a new compatible White Cap. Contact Bigfoot Customer Care at (551) 244-3668 and your health care provider (as it may require a new prescription) to obtain the correct White Cap. 8. Replace the original insulin pen cap with the White Cap and leave White Cap on pen unless taking insulin. Then tap Next. The Set Up Devices screen will be displayed. A check mark (
) will indicate that the Start White Cap section is complete. 53 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Start Meter Note: You will need your White Cap and Meter for this section. You are only able to pair your White Cap to the Meter supplied by Bigfoot Biomedical. 1. Tap Start Meter. 2. Tap Next. IMPORTANT: Use the Meter that is paired with Bigfoot Unity when checking blood glucose. If you use a different meter, blood glucose values will not display on the White Cap. 3. Press and hold the button on your Meter until you see the Bluetooth icon (
appear on the display and then tap Next.
) 54 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 4. With the Cap attached to the insulin pen, press the button on the White Cap to wake it up. The Cap display will indicate it is searching for your Meter. App Display White Cap Display The App will automatically search for and pair with the first Meter it finds within range. 5. Confirm that the code displayed in the App matches the code displayed on the Meter you intend to use. App Display Meter Display 55 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 If the codes match, tap Confirm, and proceed to the next step. If the codes do not match, tap Doesnt Match to display a list of Meters (codes) within range and tap the Meter (code) you intend to use. App Display Meter Display Once the pairing is complete, the White Cap and Meter will indicate that pairing was successful. White Cap Display White Cap Display App Display Meter Display The Set Up Devices screen will be displayed. A check mark (
indicate that the Start Meter section is complete.
) will 6. Tap OK. 56 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Start Sensor Have your White Cap available when you start a new Sensor. Starting your Sensor involves applying a new Sensor, starting it with your App/
phone, and then scanning it with your White Cap. See Chapter 7 -
Using the Sensor for information on how to apply a Sensor. 1. Tap Start Sensor. 2. Tap Next. 3. Apply a Sensor to the back of your upper arm (see Chapter 7). Decide if you want to view a series of informational screens about how to apply a Sensor. Tap Next if you want to skip these screens. Tap Step-by-Step Instructions if you want the informational screens displayed. 57 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 4. With the Cap attached to the insulin pen, press the White Cap button once to turn it on. 5. When the App and Cap are communicating, the Start Sensor with Phone screen will be displayed. 6. Decide if you want to view a series of informational screens about how to start
(scan) a Sensor. Tap Start New Sensor to proceed. Tap How to scan the Sensor if you want the informational screens displayed 7. Touch the top of your phone over the Sensor insertion area as shown until the phone beeps or vibrates. IMPORTANT: Scanning the Sensor with your phone is required to start the Sensor but note that the phone cannot be used to scan the Libre 2 sensor beyond start-up. Scanning the Sensor with the phone will not collect or display current glucose data. 58 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Wait for the App to confirm that the Sensor was started. A check mark
successfully started. Tap OK.
) will indicate that the Sensor was Note: If there is a problem with starting your Sensor, you will be prompted to try starting the same Sensor again or using a new, replacement Sensor. Tap OK. See Chapter 10 - Troubleshooting for more information on problems with starting and scanning your Sensor and recommended next steps. 8. Decide if you want a series of informational screens about how to scan your Sensor with your White Cap. Tap How to scan the Sensor if you want the informational screens displayed. 9. Touch the screen of the White Cap to the Sensor as shown, until you hear the Cap beep and feel it vibrate. Read Important message that taking more than 500 mg of Vitamin C supplements per day can falsely raise Sensor readings, and then tap I Understand to continue. 59 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 10. Wait for the App and White Cap display to confirm that the Sensor was started. Your Sensor requires a 60 minute start-up period and no Sensor glucose values will display during this time. During this time, use your Meter to make treatment decisions. Sensor readings will be available in 60 minutes. App Display White Cap Display Note: After the 60 minute start-up period but during the first 12 hours after Sensor insertion, Sensor readings will be accompanied by a Use Meter message. Whenever Use Meter is displayed on the White Cap, check your blood glucose with your Meter to confirm the Sensor reading prior to treatment. Example: White Cap Use Meter display 11. Tap OK to continue. You will go back to the Set Up Devices screen, with all devices having a check mark. Tap Done to proceed. The Next Up, Learn to Use Bigfoot Unity screen will be displayed. A check mark (
) will indicate that the Set Up Devices section is complete. IMPORTANT: A maximum of 8 hours of glucose data is stored in the Sensor. To avoid gaps (missing data) in your Sensor glucose history graph, it is important to scan your Sensor with your White Cap and bring it within communication range (within 20 ft) of your App at least once every 8 hours. 60 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 5.5 Learn to Use Bigfoot Unity The last App Setup section walks you through a series of short video clips, reviews screens, knowledge checks and final reminders intended to help you become more familiar with Bigfoot Unity. 1. Tap Learn to Use Bigfoot Unity. 2. Read the Important pop-up message and tap OK. 61 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Monitoring Glucose This section will review how to monitor your glucose with Bigfoot Unity. 9:41 Back 1. Tap Monitoring Glucose. Learn to Use Bigfoot Unity In this section, you will learn about:
Monitoring Glucose 2. Tap the play button (
) to start watching a short video clip. 3. When done watching, tap Next to begin displaying a series of Knowledge Review screens. You can rewatch the video by tapping Watch Again. 62 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Using the White Cap for <Insulin>
Using the Black Cap for <Insulin>
Important Reminders 4. Tap Next (or I Understand) at the bottom of each screen to continue to the next one. After tapping Next (or I Understand) on the last Knowledge Review screen, you will be prompted to check your knowledge. 5. Tap Lets Go!
6. Follow the series of screen prompts to answer the Knowledge Check questions. The App will confirm if your answer was correct or explain why it was wrong. Tap Next to continue to the next question. 7. After tapping Next on the last Knowledge Check screen, the Learn to Use Bigfoot Unity screen will be displayed. A check mark (
Glucose section is complete.
) will indicate that the Monitoring 63 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Using the White Cap for Rapid-Acting Insulin This section will review how to use your White Cap. 1. Tap Using the White Cap. 2. Tap the play button (
) to watch a short video clip. 3. When done watching, tap Next to begin displaying a series of Knowledge Review screens. You can rewatch the video by tapping Watch Again. 4. Tap Next at the bottom of each screen to continue to the next one. After tapping Next on the last Knowledge Review screen, you will be prompted to check your knowledge. 64 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 5. Tap Lets Go!
6. Follow the series of screen prompts to answer the Knowledge Check questions. The App will confirm if your answer was correct or explain why it was wrong. Tap Next to continue to the next question. 7. After tapping Next on the last Knowledge Check screen, the Learn to Use Bigfoot Unity screen will be displayed. A check mark (
White Cap section is complete.
) will indicate that the Using the Using the Black Cap for Long-Acting Insulin This section will review how to use your Black Cap. 1. Tap Using the Black Cap. 65 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Check your knowledge to help you use the White Cap for <Insulin>
with confidence. Lets Go!
2. Tap the play button (
) to watch a short video clip. 3. When done watching, tap Next to begin displaying a series of Knowledge Review screens. You can rewatch the video by tapping Watch Again. 4. Tap Next at the bottom of each Knowledge Review screen to continue to the next one. After tapping Next on the last Knowledge Review screen, you will be prompted to check your knowledge. 5. Tap Lets Go!
6. Follow the series of screen prompts to answer the Knowledge Check questions. The App will confirm if your answer was correct or explain why it was wrong. Tap Next to continue to the next question. 7. After tapping Next on the last Knowledge Check screen, the Learn to Use Bigfoot Unity screen will be displayed. A check mark (
Black Cap section is complete.
) will indicate that the Using the 66 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 Check your knowledge to help you use the Black Cap for <Insulin>
with confidence. Lets Go!
Important Reminders 1. Tap Important Reminders. This section provides a final review of important reminders about Bigfoot Unity. Read each of the reminder screens carefully and tap I Understand at the bottom of each screen to continue to the next one. 2. After viewing the Important Reminder screens you will have an opportunity to practice with Bigfoot Unity. Tap Lets Go!
3. With the Cap attached to the insulin pen, follow the screen prompts for practice tips for using the Black Cap and White Cap. Tap Next at the bottom of each screen to continue to the next one. 67 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 4. After tapping Next on the last practice screen, Customer Care information will be displayed. Tap Done. Congratulations on completing the App Setup. 68 The Bigfoot Unity Diabetes Management System User Guide | Chapter 5 66 Using Bigfoot Unity Caps Your Caps are used to help you keep track of how long its been since you injected your last insulin dose using the pen. The White Cap also captures glucose data from your Meter and Sensor and sends the data to the App. The insulin settings from your health care provider, displayed directly on the Caps, is helpful information for you to consider when taking a dose of insulin from the pens. Both Caps should have enough battery power to begin using them when you first remove them from the packaging. If you see a Charge symbol when you turn on or use Cap message or a Low Battery the Cap, you will need to charge the Caps according to the instructions later in this chapter. 6.1 Pairing the Black and White Caps If this is the first time connecting your Caps with the App, the devices will need to be paired. See Chapter 5 - First Time Setup of Bigfoot Unity for more information on first time pairing during App Setup. See Chapter 10 - Troubleshooting if you are having problems pairing your devices. 6.2 Using the Black and White Caps Once your Caps are paired with the App, they will continue to display your long-acting and rapid-acting insulin names when the Caps are turned off. This feature does not require any battery power. IMPORTANT: Your App and Caps are designed to communicate and share data on an ongoing basis. Its important to keep your Caps within a 20 ft range of your phone so communication between the App and Caps can take place regularly and information is up-to-
date. 69 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 CAUTION: Make sure your phone is within communication range (within 20 ft) of your Caps after you make any changes to your insulin settings within the App. If your Caps do not have the most current settings, you could take too much or too little insulin, which may result in severe low or high glucose. Insulin information that appears on your Caps is based on what you and your health care provider have entered in your App. Within the App, you can choose to turn certain features on or off. Turning the Mealtime Insulin and/or Correction Insulin feature off means you will not see that information on your White Cap. You can turn these two features on or off anytime within the App as needed. Whenever a Cap is turned on, it will try to communicate wirelessly with your phone and send the time of your last insulin dose and, for the White Cap, any other stored glucose information that hasnt already been sent. When a Cap is turned off but has data to be sent to the App, it will automatically attempt to communicate with the App and send the stored data every 10 minutes. The Cap will display an Attempting To Communicate icon (
) if there is information waiting to be sent. When changes are made to your long-action and/or rapid-acting insulin dose settings by you and your health care provider in the App, those updates will be communicated to and displayed on the Caps. This way you will have the most current insulin information available when you consider taking your next insulin dose. CAUTIONS:
Use MY SETTINGS in the App to update your insulin settings whenever your health care provider recommends changes. If your App does not have your most recent insulin settings, information displayed on the App and Caps may not be accurate for taking your next insulin dose. This may result in taking too much or too little insulin, which could lead to severe low or high glucose. Any information you enter into the Notes screen in the App is for your information only. Any insulin dosing instructions that are listed in Notes are not sent to your Caps or used in the insulin dosing information displayed on the Caps. Always refer to your Cap displays to see how long its been since your last insulin injection with your pen. Remember that the Black Cap is always used with your long-acting insulin pen, and the White Cap with your rapid-acting insulin pen. 70 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 It is important to always put the Caps back on your pens after an injection so the timer accurately tracks when you took your last dose. Placing the Cap back on the pen will re-set the timer to 0 hr 0 min. The timer re-sets whenever a Cap is removed for more than 4 seconds and placed back on the pen. If you place the Caps back in less than 4 seconds, the timer will not restart and a dose will not be recorded. This gives you the chance to check your current pen or to put the Caps on a new insulin pen when insulin has been used up, without restarting the timer and a dose will not be recorded. IMPORTANT: Remember, remove your Caps only when you take an insulin dose or to replace your insulin pen. Every time you remove the Cap for 4 or more seconds and place the Cap back on the pen, Bigfoot Unity thinks you took a dose of insulin and re-starts counting the time since last dose. WARNING: Always place the Bigfoot Unity Cap back onto the insulin pen immediately after taking an insulin dose. If you do not replace the Cap promptly, the time since last dose may not be accurate. This may result in you taking too much or too little insulin, which can lead to severe low or high glucose. Insert the pen until you hear or feel the Cap click onto the pen. Make sure that Cap is off Pen is no longer displayed on the Cap before continuing use. Always check the timer when you place the Caps back on the pens after dosing to make sure the timer has re-started. Example: Insertion of insulin pens into Caps Each time you use the Caps, always check that the insulin name displayed on the Cap matches the insulin name on the inserted insulin pen. Because it is possible to insert a pen into the wrong Cap, it is important to always check that you are using the correct pen with the matching Cap. 71 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 The insulin name is stored in the Cap, is shared with the App, and will be available on your Cap display the next time you want to dose insulin. Your Cap display will inform you if you have removed the insulin pen from the Cap. Note:
Once you take the Cap off the insulin pen, it will no longer show your time since last dose or insulin dose recommendations. Make sure to determine how much insulin to take before removing the Cap from the insulin pen. Your Cap does not know if you have actually taken an insulin injection. Insulin dose. Your Cap does not track how much insulin you have taken. Your Cap does not know if you have taken a Correction Insulin or Meal Viewing Time Since Last Long-Acting Dose on the Black Cap 1. When the Black Cap is powered off it displays the long-acting insulin name you entered in the App. 2. Press the Black Cap button once to turn the Cap on. The hours and minutes recorded since your last long-acting insulin dose will appear on the display. The time since last dose helps you remember when you took your last dose and when you should take your next dose of long-acting insulin. Note: If this is the first time using the Black Cap to track your last insulin dose, the screen will show dashes (--) in place of the hours and minutes since your last dose. Viewing Long-Acting Dose Amount on the Black Cap 3. Continuing from the previous steps for viewing the time since last dose, press the Black Cap button again to display the Daily Dose of long-acting insulin that you and your health care provider have entered in the App. 72 Example: Daily Dose on Black Cap screen The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 4. Press the Black Cap button again to go back to the Time Since Last Dose screen 5. Consider what steps to take based on the information on the Black Cap and your health care providers recommendations, including how much insulin to dose from your pen. To dose insulin from your long-acting insulin pen, first remove the insulin pen from the Black Cap. Follow the manufacturers instructions for delivering a dose based on the type of pen and insulin you are using. When you remove the insulin pen, the Black Cap will indicate the Cap is off. When the Black Cap is off for more than 4 seconds, the timer is automatically re-set to 0 when the Cap is placed back on the insulin pen. After 30 seconds of inactivity, the Black Cap will time out and turn off, and then display your long-acting insulin name. WARNINGS:
Always check that the insulin name displayed on the Cap matches the name on the insulin pen you intend to use before making a diabetes treatment decision. If you take a dose with the wrong insulin you could take too much or too little insulin, which may result in severe low or high glucose. Use caution when using Bigfoot Unity to choose an insulin dose if the Cap does not display the time since last dose or if you think the time since last dose is not correct. If you are unsure about how much insulin to take, follow your health care providers recommendations. Bigfoot Unity only records doses taken with the insulin pens you use with the Caps. If you take a dose of insulin without using Bigfoot Unity, make sure you keep track of the time you took insulin and check your glucose frequently. Allowing time for the insulin to work prior to taking another dose can help prevent severe low glucose. Note: Your Black Cap is not used to communicate with your Sensor or Meter. 73 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Viewing Time Since Last Rapid-Acting Dose on the White Cap You will need to press the White Button more than once to continue displaying information on the Cap display, and to continue to the next screen. The number of button pushes is a function of whether you have enabled the Correction Insulin and Mealtime Insulin features. 1. When the White Cap is powered off it displays the rapid-acting insulin name you entered in the App. 2. Press the White Cap button once to turn the Cap on. The hours and minutes recorded since your last insulin dose will appear on the display. The time since your last insulin dose serves as a reminder to help prevent you from taking another dose of rapid-acting insulin too soon, and not to forget your next insulin dose. Your White Cap displays helpful insulin information that can help you decide how much insulin to dose based on whether you need to lower (correct) a high blood glucose and/or cover carbs in a meal or snack. Note: If this is the first time using the White Cap to track your last insulin dose, the screen will show dashes (--) in place of the hours and minutes since your last dose. 3. Decide if you want to measure your current glucose level either by scanning the Sensor or using a blood sample from your finger using your Meter. You may also choose to skip getting a Sensor reading or Meter result by pressing the button on the White Cap and continue with displaying your Mealtime Insulin amounts on the Cap. Using your White Cap to View Current Glucose You have the option to scan your Sensor and/or have a result from your Meter sent to your White Cap. Work with your health care provider to put together a plan for managing your diabetes that includes when to use the Sensor glucose readings for making treatment decisions. Note: Bigfoot Unity will only use a glucose result taken from the Meter or Sensor to display a Correction Insulin dose on your Cap if the glucose value was recorded within the last 10 minutes. This will help make sure you are using your most current glucose level to make an insulin dosing decision. 74 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Scanning the Sensor with the White Cap Scanning your Sensor means turning the White Cap on and touching the screen side of the Cap to the Sensor to obtain Sensor glucose readings. The Cap must be within 1.0 cm of the Sensor. Your current Sensor glucose reading will be sent to the Cap, and the past 8 hours of Sensor glucose readings that are available will be sent to the App. Those 8 hours of historical glucose data will be viewable within the MY HISTORY feature in the App. Your current Sensor glucose reading should appear on the Cap display as long as the Sensor was started with the White Cap and the Sensor is providing glucose readings. IMPORTANT: A maximum of 8 hours of glucose data is stored in the Sensor. To avoid gaps (missing data) in your Sensor glucose history graph, it is important to scan your Sensor with your White Cap and bring it within communication range (within 20 ft) of your App at least once every 8 hours. IMPORTANT: Scanning the Sensor with your phone is required to start the Sensor but note that the phone cannot be used to scan the Libre 2 sensor beyond start-up. Scanning the Sensor with the phone will not collect or display current glucose data. 1. Press the button on the White Cap to turn it on. 2. Touch the screen of the White Cap to the Sensor and wait for the Cap to vibrate and beep after scanning the Sensor. Your Sensor glucose level will appear on the White Cap along with a Glucose Trend Arrow indicating the direction your glucose is going. Example:
Example:
Sensor glucose reading Sensor glucose reading 75 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Understanding Glucose Trend Arrows and Glucose Messages Glucose Trend Arrows and What They Mean Arrow What it means Glucose is rising quickly (more than 2 mg/dL per minute) Glucose is rising (between 1 and 2 mg/dL per minute) Glucose is changing slowly (less than 1 mg/dL per minute) Glucose is falling (between 1 and 2 mg/dL per minute) Glucose is falling quickly (more than 2 mg/dL per minute) Glucose Messages and What They Mean There are times when a Low Glucose or Going Low message will appear along with Sensor glucose reading and Glucose Trend Arrow.
- Low Glucose means your Sensor glucose reading is below 70 mg/dL and possible hypoglycemia.
- Going Low means your Sensor glucose reading is expected to go below 70 mg/dL within the next 15 minutes.
- Treat either condition according to your health care providers recommendations. Example: Low Glucose Sensor glucose reading Example: Going Low Sensor glucose reading IMPORTANT: During the first 12 hours of Sensor wear Use Meter will display on the White Cap, and you cannot use Sensor values to make treatment decisions during this time. Confirm Sensor glucose readings with a blood glucose test before making treatment decisions during the first 12 hours of Sensor wear when you see Use Meter. There are other situations where your Sensor is not able to provide glucose readings or there is a problem with the Sensor. See Chapter 10 - Troubleshooting for more information about these situations and what to do. 76 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Checking Blood Glucose with the Meter Checking your blood glucose means using your Meter to measure your glucose from a drop of blood from your fingertip. Results from your Meter will be sent to the White Cap when the Meter is paired to it and within communication range (within 20 ft). See the instructions that came with your Meter for more details on how to use the lancing device, the Meter and all safety information. 1. Place a test strip into the Meter to turn it on and wait to be prompted to apply the sample. 2. Obtain a drop of blood from your fingertip using appropriate lancing device and apply to the end of the strip. 3. Turn the White Cap on by pressing the button one time to display the Time Since Last Dose screen and be prompted to Scan or check BG. 4. Wait for the blood glucose value to be sent to the White Cap. There are other situations when your Meter is not ready to provide a glucose result or there is a problem with the Meter. See Chapter 10 - Troubleshooting for more information about these situations and what to do. IMPORTANT: Use the Meter that is paired with Bigfoot Unity when checking blood glucose. If you use a different meter, blood glucose values will not display on the White Cap. Note: If either the Meter or White Cap shuts off, press the button one time to turn them on. Both must be on for the most recent blood glucose value to be sent to the White Cap. 77 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Viewing Correction Dose Amount on the White Cap 1. Continue from the previous steps for viewing the time since last dose and viewing your current Sensor or Meter glucose reading. 2. View your Correction Insulin units. If you set up Correction Insulin as part of your insulin settings in the App, the White Cap display will show a Correction Insulin unit amount as part of your result screen. A Meter value will be sent to the White Cap only if the blood glucose result was recorded within the past 10 minutes. or Example:
Result screen using Sensor scan reading Example:
Result screen using Meter measurement Bigfoot Unity will first determine which Correction range your most recent Sensor scan or Meter measurement falls within. The Correction units are the units associated with that range. Correction ranges and units are those that you entered in the App. IMPORTANT: Only the current Sensor reading displayed on the White Cap is used to calculate the Correction Insulin dose recommendation. The Trend Arrow is not used in the dose calculation. Speak with your health care provider for recommendations on how best to utilize the arrows for your correction bolus dosing. Note: Correction Insulin units will not appear on the display if you turned this feature off in the App, or if the Sensor or Meter were not able to provide a valid glucose reading. If you remove the White Cap from your insulin pen, Correction Insulin units will no longer be displayed. IMPORTANT: If your last rapid-acting insulin dose was taken within the past 3 hours, the White Cap will display Active Insulin and will not display a correction dose. This is because the last dose may be still working to bring down your glucose. Taking another insulin dose on top of the previous dose that is still working may lead to hypoglycemia. 78 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Viewing Meal Dose Amounts on the White Cap 3. Continuing from the previous steps for viewing Correction Insulin units, press the White Cap button to continue. 4. View your Mealtime Insulin Units. Example: Meal doses on White Cap screen If Mealtime Insulin was entered in the App and the feature is turned on, the White Cap will display the information to help you decide how much to take to cover your meal according to how you take Mealtime Insulin. Note: Mealtime Insulin units will not appear on the display if you turned this feature off in App. Viewing Meal + Correction Dose Amounts on the White Cap 5. Continuing from the previous steps for viewing mealtime insulin units, press the White Cap button once to continue. 6. View your Total (Mealtime + Correction) Insulin Units. If Mealtime and Correction Insulin were entered in the App and the features are turned on, the White Cap will display the information to help you decide how much total insulin to take to cover your meal and correct for a high glucose. Meal
+ Correction Insulin units are the total of Correction units and Mealtime units explained in the previous sections. White Cap screen Example: Meal +
Correction doses on Note:
The Meal + Correction screen will not be shown if a dose has been recorded within the last 3 hours, or if the Sensor glucose is not valid for use in a treatment decision. Neither Mealtime nor Correction Insulin units will appear on the display if you turned these features off in the App. 79 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 7. Consider what steps to take based on the information on the White Cap display and your health care providers recommendations, including how much insulin to dose from your pen. To dose insulin from your rapid-acting insulin pen, first remove the insulin pen from the White Cap. Follow the manufacturers instructions for delivering a dose based on the type of pen and insulin you are using. When you remove the insulin pen, the White Cap will indicate the White Cap is off. When the White Cap is off for more than 4 seconds, the timer is automatically re-set to 0 when the Cap is placed back on the insulin pen. After 30 seconds of inactivity, the White Cap will time out and turn off, and then display your rapid-acting insulin name. WARNINGS:
Always check that the insulin name displayed on the Cap matches the name on the insulin pen you intend to use before making a diabetes treatment decision. If you take a dose with the wrong insulin you could take too much or too little insulin, which may result in severe low or high glucose. Use caution when using Bigfoot Unity to choose an insulin dose if the Cap does not display the time since last dose or if you think the time since last dose is not correct. If you are unsure about how much insulin to take, follow your health care providers recommendations. Bigfoot Unity only records doses taken with the insulin pens you use with the Caps. If you take a dose of insulin without using Bigfoot Unity, make sure you keep track of the time you took insulin and check your glucose frequently. Allowing time for the insulin to work prior to taking another dose can help prevent severe low glucose. 80 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 6.3 Using your Caps when Replacing Insulin Pens When you have depleted your insulin pen and need to replace it with a new one, make sure you have your new insulin pen and empty pen with the Black or White Cap still on it. When you are ready to replace your empty insulin pen, remove the cap that came with your new pen, and quickly (within 4 seconds) insert your new pen into the correct Black or White Cap to avoid recording a false dose. Confirm that the insulin brand name displayed on the Cap matches the insulin name on the pen. IMPORTANT: Remember, remove your Caps only when you take an insulin dose or to replace your insulin pen. Every time you remove the Cap for 4 or more seconds and place the Cap back on the pen, Bigfoot Unity thinks you took a dose of insulin and re-starts counting the time since last dose. WARNING: Always check that the insulin name displayed on the Cap matches the name on the insulin pen you intend to use before making a diabetes treatment decision. If you take a dose with the wrong insulin you could take too much or too little insulin, which may result in severe low or high glucose. 81 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 6.4 Making Diabetes Treatment Decisions Work with your health care provider to put together a plan for managing your diabetes that includes when to scan your Sensor and how to use Bigfoot Unity information for making treatment decisions. Treatment decisions for your diabetes management include dosing insulin, treating a low or high glucose result, or choosing not to act. Consider scanning your Sensor before a period when you will not be monitoring your glucose, such as before driving, exercise or sleeping. The insulin amounts displayed on your White Cap are for your review and consideration when it is time to take your next dose. The units for Correction or Meal Insulin shown may not take into account all the factors that may affect how much insulin you should take, such as whether you are exercising or are sick. Consult with your health care provider on insulin dosing in various situations. WARNING: Always use your Bigfoot Meter for diabetes treatment decisions when: (1) Sensor data is not available, (2) when you see the words Use Meter on the White Cap, or (3) if your Sensor glucose reading does not match how you feel. Using your Meter will provide you with a glucose reading that you may use to decide how much insulin to take and help prevent severe low or high glucose. Before you start using glucose readings from the Sensor for diabetes treatment decisions, make sure you have a good understanding of how the Sensor works for your body. Continue to use your Meter for treatment decisions until you are comfortable with the information you receive from your Sensor. This includes understanding that:
Sensor performance can vary between Sensors, within a Sensor wear period (up to 14 days), and in different situations. WARNING: Bigfoot Unity does NOT adjust insulin doses on your insulin pen and does NOT record how much insulin you take. When Bigfoot Unity displays insulin dose information, you are responsible for deciding how much insulin to take and giving the injection. Getting familiar with the Sensor could take days, weeks, or even months. The more you check readings from the Sensor with your Meter, the better you will understand how the Sensor works for you. 82 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Helpful Tips Confirm your Sensor glucose readings with your Meter until you understand:
Sensor accuracy may vary between Sensors. Sensor accuracy may vary during a Sensor wear session. Sensor accuracy may vary in different situations (meals, exercise, first day of use, etc.). Scan your Sensor often to see how carbs, medication, exercise, illness, or stress levels impact your Sensor glucose readings. The information you get can help you figure out why your glucose sometimes goes too high or too low, and how to prevent it from doing so in the future. Talk to your health care provider about how your insulin works. The more you understand about your insulin, including how long it takes to start working and how long it lasts in your body, the more likely you will be to make better treatment decisions. Making a treatment decision doesnt just mean taking insulin. Treatment decisions can also include things like taking fast-acting carbs, eating, or even waiting and scanning again later. Your health care provider can also help you to understand when waiting and scanning again later is the right treatment decision. For example, if your glucose is high and going up, your first instinct may be to take more insulin to lower your glucose, however depending on when you last took insulin or your recent activity, the right treatment decision may be to wait for your recent dose of rapid-acting insulin to bring down your glucose level. Avoid insulin stacking. Sensor glucose values, which are based on interstitial fluid glucose levels, can be different from blood glucose levels (fingersticks), particularly during times when your blood glucose is changing quickly. If your glucose readings and alerts from Bigfoot Unity do not match your symptoms or expectations, use a fingerstick blood glucose value from a blood glucose meter to make diabetes treatment decisions. Images below show how Sensor values may be different from blood glucose values. 83 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 When Not to Use Sensor Glucose for Treatment Decisions While certain Sensor readings and Glucose Trend Arrows (and accompanying messages) can be used to indicate when to use a blood glucose measurement from your Meter to make a treatment decision, there are times when you should act based on how you feel rather than relying on Bigfoot Unity. Review the following scenarios carefully as to when to use a blood glucose measurement from your Meter rather than a Sensor reading to decide what to do next. WARNING: Always use your Bigfoot Meter for diabetes treatment decisions when: (1) Sensor data is not available, (2) when you see the words Use Meter on the White Cap, or (3) if your Sensor glucose reading does not match how you feel. Using your Meter will provide you with a glucose reading that you may use to decide how much insulin to take and help prevent severe low or high glucose. No Current Glucose Number When there is no current glucose number, such as when you receive an error message, you dont have enough information to make a treatment decision. Do a blood glucose test and treat based on that result. If after scanning, your White Cap displays < 40 mg/dL or > 400 mg/dL, you may want to get additional information by using your Meter. When you see Use Meter during the first 12 hours of wearing a Sensor During the first 12 hours of Sensor wear Use Meter will display on the White Cap, and you cannot use Sensor values to make treatment decisions during this time. Confirm Sensor glucose readings with a blood glucose test before making treatment decisions during the first 12 hours of Sensor wear when you see Use Meter. Think Your Readings are Incorrect?
Dont trust Sensor glucose readings that you think may be incorrect or that dont match what you would expect based on your recent activity. For example, if you ate dinner but forgot to take insulin before eating, you would expect your glucose to be high. If your glucose reading is low, then it doesnt match your recent activity, so dont use it to make treatment decisions. Dont make treatment decisions if you think your Sensor glucose readings are incorrect. Do a blood glucose test and treat based on that result. 84 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Symptoms Dont Match Readings There may be times when your symptoms dont match your Sensor glucose readings. For example, you are feeling shaky, sweaty, and dizzy symptoms you generally get when you have low glucose, but your glucose reading is within your target range. When symptoms dont match readings, do a blood glucose test and treat based on that result. Dont ignore symptoms that may be due to low or high blood glucose. If youre the caregiver, pay attention to times when the symptoms of the one youre caring for dont match their Sensor glucose readings. When symptoms dont match readings, do a blood glucose test and treat based on that result. A message/symbol will NOT display in these situations. When to Wait and Scan Again Later Your health care provider can help you understand when waiting and scanning again later is the right treatment decision. For example, if your glucose is high and going up, your first instinct may be to take more insulin to lower your glucose, however depending on when you last took insulin or your recent activity, the right treatment decision may be to wait and scan again later. IMPORTANT: If your last rapid-acting insulin dose logged using the White Cap was taken within the past 3 hours, the Cap will display Active Insulin and will not display a correction dose. This is because the last dose may be still working to bring down your glucose. Taking another insulin dose on top of the previous dose that is still working may lead to hypoglycemia. Considerations Before Injecting Rapid-Acting Insulin Deciding how much rapid-acting insulin to take for different meals and situations can be difficult. Work with your health care provider to discuss different situations and what might work best for you. Here are some questions to consider:
Meal dosing What do you do if your before meal glucose is high?
What do you do if your before meal glucose is low?
How much time do you wait to eat after taking your Mealtime Insulin?
85 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Do you adjust the amount of Mealtime Insulin based on the number of carbs or how much you are planning to eat?
Do you adjust your Mealtime Insulin dose for high fat foods such as pizza?
alcoholic beverages?
Do you know how to adjust your insulin doses when drinking High glucose corrections Do you take extra insulin if your glucose is high?
How do you decide how much insulin to take for a high glucose?
How long do you wait between insulin doses to avoid insulin stacking?
Bedtime How often do you check your glucose before bed?
What do you consider a safe bedtime glucose?
What do you do if your bedtime glucose is high?
What do you do if your bedtime glucose is low?
When should you eat a bedtime snack?
What do you do if your before bedtime glucose is high?
What do you do if your before bedtime glucose is low?
Other factors For Bigfoot Unity, given that the Trend Arrow is not used in the correction dose calculation, how do you adjust your insulin dose based on the Glucose Trend Arrow?
How do you adjust your insulin dose for different types of exercise or activities?
How do you adjust your insulin doses for stress?
How do you adjust your insulin doses for illness?
86 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Considerations if You Record a Dose You Did Not Take Bigfoot Unity records that you took a dose of insulin every time the Cap is replaced after being removed for more than 4 seconds. This re-sets the dose timer and displays the time since last dose as 0 min 0 sec. There are times that you may re-set the dose timer accidentally when you did not actually take a dose. Some examples of this might be:
Removing your Cap to check the insulin in your insulin pen takes longer than 4 seconds. The Cap falls off the insulin pen in your backpack or pocketbook. You do not snap the Cap into place after you take a dose. For any of these, or other reasons, Bigfoot Unity will record a dose at the time the Cap is placed back on the insulin pen. If the dose is recorded at the wrong time, you will need to take extra precautions for a period of time. The White Cap will re-set the time since last dose after it records a dose (even if you didnt actually take the dose). For the next 3 hours, the Cap screen will display Active Insulin instead of giving you a suggested correction dose. If your glucose is high, you will need to use a backup method to determine if a correction dose is needed. Three hours after your White Cap has been placed back on the pen, it will go back to showing correction doses for high glucose. The Black Cap will re-set the time since last dose after it records a dose (even if you didnt actually take the dose). If you have set the Long-Acting Dose Alert to remind you to check that you took your long-acting insulin dose after a certain period of time, it may not alert you at the time you are expecting. This means that you may need to remember when to take your next dose of long-acting insulin and not rely on Bigfoot Unity to remind you. Follow your health care providers instructions if you do not know whether or not you took a long-acting dose of insulin. IMPORTANT: If your last rapid-acting insulin dose logged using the White Cap was taken within the past 3 hours, the Cap will display Active Insulin and will not display a correction dose. This is because the last dose may be still working to bring down your glucose. Taking another insulin dose on top of the previous dose that is still working may lead to hypoglycemia. 87 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 If Bigfoot Unity records a dose when you did not actually take one, you can flag the dose as not taken in the MY HISTORY List View section of the App. This will keep your dosing history more accurate in the App, but it will not change the time since last dose that is displayed on your Caps. See the MY HISTORY section (8.3) for more information. CAUTION: When you flag an insulin dose as not taken, it is for your information only. It does not change the time since last dose displayed on the Caps. The White Cap will not display a correction dose for 3 hours after it records a dose (even if you flag the dose as not taken). Use a backup method for calculating a correction dose if your glucose is high. The Black Cap will re-set the timer after it records a dose (even if you flag the dose as not taken). If the time since last dose on your Black Cap is not correct, you may not know when to take your next dose of long-acting insulin. Follow your health care providers instructions if you do not know whether or not you took a long-acting dose of insulin. 6.5 Charging your Caps Each Cap has an internal rechargeable lithium ion battery. Caps should have enough power to last 2 weeks on a full charge with typical usage. Cap screens will display a battery icon showing the approximate percentage of battery power left. Cap screens indicate when battery power is less than 25% so youll know when to recharge. The charger that comes with Bigfoot Unity will work with both Caps for charging. When the Caps are turned off they will continue to display the insulin name. This feature does not require battery power. You should leave your insulin pens inside the Caps when charging them, but you will not be able to use the Caps until you are done charging. When you turn the Caps on, the display will alert you if it is time to charge the Caps (less than 25% battery power remaining). You are able to charge the Cap battery when the Caps are on the insulin pens. Note:
88 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 The Time Since Last Dose screen will include a battery icon that indicates about how much battery power is left in the Cap. Always charge the Caps if you see the Charge Cap message or the symbol. CAUTION: Make sure to select a location for charging the Caps that allows the power adapter to be easily unplugged. Do NOT block access to the charger due to the potential risk of electrical shock. Note: If the Cap battery has no power remaining, you will be prompted to charge the Cap before you can continue using it. While the Cap is charging, you will not be able to use it to track insulin dosing, communicate with the App or display insulin information. 1. Connect the small end of the USB cable to either Cap and the other end to the power adapter. Then plug the power adapter into a wall outlet. The display will show that the Cap is charging. 2. Wait about six hours for the Cap to fully charge. The display will show when the Cap is fully charged. 3. Repeat these steps for the second cap. 4. Unplug the USB cable from the Cap and wall outlet. Note: Only use the USB 2.0 compatible cable with USB-C connector and the power adapter that is included with Bigfoot Unity for charging. 89 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 Battery States Battery symbols What it means No power remaining. (Charge Cap immediately.) 25% or lower (Charge Cap) 50%
75%
100%
Cap is charging/charging cable plugged in 90 The Bigfoot Unity Diabetes Management System User Guide | Chapter 6 77 Using the Sensor About your Sensor 7.1 The Bigfoot Unity Diabetes Management System only works with Abbott FreeStyle Libre 2 Sensors and cannot be used with other sensors. When in range of each other, your Sensor continuously sends glucose readings to your App/phone. Information about your glucose range or Sensor status is displayed on the Home screen. You may also receive alerts about low glucose or if your sensor is unavailable. However, in order to obtain your most current glucose reading and Trend Arrow, you will need to scan your Sensor with your White Cap on a regular basis. Your most current glucose reading and Trend Arrow will appear on your Cap display, and the past 8 hours of your glucose data will be stored in your App where you are able to track and look for trends in your data. IMPORTANT:
During the first 12 hours of Sensor wear Use Meter will display on the White Cap, and you cannot use Sensor values to make treatment decisions during this time. Confirm Sensor glucose readings with a blood glucose test before making treatment decisions during the first 12 hours of Sensor wear when you see Use Meter. Talk to your health care provider about how you should use your Sensor glucose information to help manage your diabetes. Sensor Kit The Sensor Kit includes:
Sensor Pack Alcohol wipe Sensor Applicator Product insert Sensor Pack Used with the Sensor Applicator to prepare the Sensor for use. 91 The Bigfoot Unity Diabetes Management System User Guide | Chapter 7 Sensor Applicator Applies the Sensor to your body. The Sensor measures and stores glucose readings when worn on your body. It initially comes in two parts: one part is in the Sensor Pack and the other part is in the Sensor Applicator. By following the instructions, you prepare and apply the Sensor on the back of your upper arm. The Sensor has a small, flexible tip that is inserted just under the skin. The Sensor can be worn for up to 14 days. Sensor Measures your glucose while on your body (only visible after applied). Using Your Sensor CAUTIONS:
The Sensor Pack and Sensor Applicator are packaged as a set and have the same Sensor code. Check that the Sensor codes match before using your Sensor Pack and Sensor Applicator. Do NOT use Sensor Packs and Sensor Applicators with different Sensor codes together as this will result in incorrect glucose readings. Intense exercise may cause your Sensor to loosen due to sweat or movement of the Sensor. If the Sensor is becoming loose or if the Sensor tip is coming out of your skin, you may get no readings or unreliable low readings. Remove and replace your Sensor if it starts to loosen and follow the instructions to select an appropriate application site. Do not attempt to reinsert the Sensor. Contact Bigfoot Customer Care at (551) 244-3668 if your Sensor becomes loose or falls off before the end of the wear period. 92 The Bigfoot Unity Diabetes Management System User Guide | Chapter 7 Applying Your Sensor 1. Apply Sensors only on the back of your upper arm. If placed in other areas, the Sensor may not function properly and could give inaccurate readings. The application of the Sensor is not approved for other sites. 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). Choose a site that is at least 1 inch (2.5 cm) away from an insulin injection site. To prevent discomfort or skin irritation, you should select a different site other than the one most recently used. 2. Wash application site using a plain soap, dry, and then clean with an alcohol wipe. This will help remove any oily residue that may prevent the Sensor from sticking properly. Allow site to air dry before proceeding. Note: The area MUST be clean and dry following these instructions, or the Sensor may not stay on for the full 14 day wear period. 3. 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. Do NOT use if past expiration date. 93 The Bigfoot Unity Diabetes Management System User Guide | Chapter 7 4. Line up the dark mark on the Sensor Applicator with the dark mark on the Sensor Pack. On a hard surface, press firmly down on the Sensor Applicator until it comes to a stop. 5. Lift the Sensor Applicator out of the Sensor Pack. 6. 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. 7. Place the Sensor Applicator over the prepared site and push down firmly to apply the Sensor to your body. CAUTION: Do NOT push down on the Sensor Applicator until placed over prepared site to prevent unintended results or injury. 8. Gently pull the Sensor Applicator away from your body. The Sensor should now be attached to your skin. Note: Applying the Sensor may cause bruising or bleeding. If there is bleeding that does not stop, remove the Sensor and contact your health care provider. 94 The Bigfoot Unity Diabetes Management System User Guide | Chapter 7 9. Make sure the Sensor is secure after Application. Put the cap back on the Sensor Applicator. Discard the used Sensor Pack and Sensor Applicator according to local regulations. 7.2 Starting (and Scanning) a New Sensor Whenever you insert a new Sensor, you will need to start the Sensor from within your App. You will also need your White Cap as part of the process. 1. In the App and referring to Sensor (Status and Start a New Sensor) in section 8.3, go to MY DEVICES and tap Sensor to initiate the process. If you want to start a new Sensor, tap Start New Sensor on the Sensor Device screen. Note:
Once a new Sensor is started, the Cap and App will inform you that the Sensor is started and that you can begin scanning the Sensor to obtain glucose readings in 60 minutes. While you can begin scanning your Sensor after the 60 minute start-up period ends, you should not use Sensor readings to make treatment decisions for the first 12 hours of Sensor wear. Instead, check your blood glucose with your Meter when the White Cap displays Use Meter. If you are having troubles scanning the Sensor, review instructions for proper scanning technique within the Scanning the Sensor with the White Cap section in Chapter 6. 7.3 Removing your Sensor 1. 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. 95 The Bigfoot Unity Diabetes Management System User Guide | Chapter 7 2. Discard the used Sensor following directions from your health care provider. See Chapter 9 - Care, Maintenance and Disposal of Bigfoot Unity. When you are ready to apply a new Sensor, follow the instructions in the Applying Your Sensor section in this chapter. If you removed your last Sensor before it ended, you will be prompted to confirm that you would like to start a new Sensor when you initiate the start new Sensor process in the App. 7.4 Replacing your Sensor Your Sensor automatically stops working after 14 days and must be replaced. You should also replace your Sensor if you notice any irritation or discomfort at the application site, or if the White Cap or App reports a problem with the Sensor currently in use. Acting early can keep small problems from turning into larger ones. CAUTION: If the Sensor is becoming loose or if the Sensor tip is coming out of your skin, you may get no readings or unreliable readings, which may not match how you feel. Check to make sure your Sensor has not come loose. If it has come loose, remove it, and apply a new one, and contact Bigfoot Customer Care at
(551) 244-3668. 1. 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. 2. Discard the used Sensor following directions from your health care provider. See Chapter 9 - Care, Maintenance and Disposal of Bigfoot Unity. When you are ready to apply a new Sensor, follow the instructions in the Applying Your Sensor section in this chapter. If you removed your last Sensor before the 14-day period, you will be prompted to confirm that you would like to start a new Sensor using the App. 96 The Bigfoot Unity Diabetes Management System User Guide | Chapter 7 88 Daily Use and Additional Features 8.1 Home Screen The Home screen will display every time you open the App. The Bigfoot Unity Diabetes Management System is designed so that your Sensor is always communicating with the App regarding your glucose and Sensor status. The Home screen is where you have access to that information. The top of the Home screen is where you will receive information about your Sensor glucose reading and range, and the status of your Sensor. Its also where you will receive Notifications and Alerts. The bottom of the Home screen displays the three main menu options where you have access to all Bigfoot Unity features. Notifications/Alerts Off icon
Information about your Sensor glucose reading and range, and Sensor status Active Alert icon Main menu options Note: If Notifications or Alerts are turned off in your phone, a Notifications/Alerts Off icon (
screen.
! ) will appear at the top of the Home This may appear when:
Notifications are turned off in your phone settings. Critical Alerts are turned off in your phone settings. Notifications sounds are turned off in your phone settings. Bluetooth settings are off on your phone. 97 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Tap the Notifications/Alerts Off icon (
to display the current receiving status of Notifications and Critical Alerts on your App/
phone.
! ) Tap Go To Phone Settings to adjust how you manage Notifications and Critical Alerts with Bigfoot Unity. To properly receive alerts, ensure the following are on:
ON Phone Notifications OFF iOS Critical Alerts ON Sound for Notifications ON Bluetooth ON App is in use or in background Go to Phone Settings Close Home Screen Glucose Ranges The Home screen is where your glucose range or information about your Sensor status is displayed. This information can be used to determine if you need to scan your Sensor using your White Cap or read the Meter before deciding appropriate treatment. The Home screen will let you know when:
Your glucose is very low (below 54 mg/dL). Your glucose is low (between 55 mg/dL and 69 mg/dL). Your glucose is at the low end of your target range (between 70 mg/dL and 99 mg/dL). Your glucose is within your target range
(between 100 mg/dL and 180 mg/dL). Your glucose is above your target range
(between 181 mg/dL and 250 mg/dL). Your glucose is high (above 250 mg/dL). Example:
Displays Your Sensor is not able to obtain or send glucose readings to the App. Your target range and pre-set thresholds are based on input from health care providers who specialize in diabetes care. Ranges and thresholds come pre-set and cannot be changed. Bigfoot Unity provides some flexibility for how and when you receive Alerts in the App and on your phone. Settings on your phone allow you to adjust how Alerts might appear, sound and/or vibrate on your phone. WARNING: Do NOT ignore symptoms that may be due to low or high blood glucose: If you are experiencing symptoms that are not consistent with your glucose readings, consult your health care provider. 98 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 WARNING: Do NOT use the glucose ranges displayed in your App to make diabetes treatment decisions. Always use the White Cap to scan the Sensor or read the Meter before deciding appropriate treatment. The App only displays ranges of glucose values and you need more specific information for diabetes treatment decisions. If you base your treatment on the glucose range in the App, you might take too much or too little insulin, which may lead to severe low or high glucose. See the Alerts section that follows for more information. Also see Chapter 10 - Troubleshooting for a complete list of Notifications and Alerts that might occur and suggestions for what to do. Alerts Certain situations regarding your glucose and Sensor status are important for your diabetes management and can result in an Alert on your App/phone regardless of whether you have scanned the Sensor with the White Cap. Alerts require your immediate attention. These include a Low Glucose Alert, Sensor Unavailable Alerts, and a Long-Acting Dose Alert. IMPORTANT: Glucose alerts are an important safety feature for some people. For example, those that have impaired awareness of hypoglycemia or a history of severe hypoglycemia. Before you turn alerts off or change their notification settings, please consult your health care provider. Example:
Alerts When you set up the App for the first time, you were given the option to allow Alerts to come through to your App/phone even if it is muted, your screen is locked or is set to Do Not Disturb. It is possible to have multiple Alerts active at any time. Always keep your Bigfoot Unity App open (do not force close) on your phone and keep your phone near you when you are wearing your Sensor (within 20 ft). This will help you receive and hear Notifications and Alerts, which may prevent severe low or high glucose. In addition, having your App within communication range of your Black Cap (within 20 feet) after you take a dose of long-
99 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Sensor Unavailable No glucose alerts available. Keep phone near Sensor for communication to resume. Make sure phone is within 20 feet (6 meters) of the Sensor or try scanning Sensor with your White Cap for <Insulin>. 12 minutes ago OK acting insulin helps ensure that you will receive the Long-Acting Dose Alert at the appropriate time. However, you should always check the Black Cap for the time since last dose to be sure. Alerts will display on your App. When multiple Alerts are active, you can swipe left to display the other Alerts. Active Alert screens appear in priority order, beginning with the most important. After tapping OK to acknowledge an Alert, the pop-up Alert screen will no longer appear on the Home screen. Alerts may also display on a compatible watch depending on the settings. An Active Alert icon for Low Glucose (
) will appear on the Home screen if it is still active (initial problem not yet resolved). Tap the Active Alert icon on the Home screen to display that Alert. Note: if you ignore an alert, you will receive it again if the condition still exists. You can always go back into MY SETTINGS in your App to turn Alerts on or off as needed. You can use your phone Settings to adjust how you want Alerts to display/sound/vibrate. See Appendix A for a complete list of Alerts you may receive on your phone/App, and recommended next steps. WARNINGS:
You must allow Notifications for the Bigfoot Unity App in order to receive Bigfoot Unity Alerts even when your phone is locked and not showing the Bigfoot Unity App. Remember also to keep your phone sufficiently charged to receive alerts. If you do not allow or receive alert Notifications, or if your phone is not on, you might miss knowing that your glucose is low, that your Sensor has stopped working, or that you may have missed a dose of long-acting insulin. You must allow Critical Alerts on your phone to receive Alerts even when your phone is muted or set to Do Not Disturb. If you do not allow Critical Alerts, you may not be aware of a low glucose or if your sensor glucose information is not available. Do NOT ignore Alerts from Bigfoot Unity. Alerts help inform you about Sensor availability, low glucose, or if you may have missed your long-acting insulin dose. Paying attention to alerts can help prevent severe low or high glucose. 100 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 WARNINGS:
Alerts and Notifications appear on the phone only and do NOT appear on the Caps or the Sensor itself. Make sure to have your Bigfoot Unity App and phone set up properly to receive alerts. Receiving Alerts and Notifications on your App/phone can help prevent severe low or high glucose. Always check the Black Cap for the time since last dose if you receive a Long-Acting Dose Alert on your phone. Checking the Black Cap for the time since last dose will help ensure you take the next dose of insulin at the correct time, and help avoid severe low or high glucose. Always keep your Bigfoot Unity app open (do not force close) on your phone and keep your phone nearby (within 20 ft). This will help you receive and hear Notifications and Alerts, which may prevent severe low or high glucose. CAUTION: Do NOT leave headphones connected to the phone when you are not using them. If you have headphones connected to the phone, Notifications and Critical Alerts will not sound or vibrate on the phone. Home Screen Main Menu Options MY HISTORY MY DEVICES MY SETTINGS Additional information may appear under the MY DEVICES and MY SETTINGS menu options, indicating an actionable item for you. 101 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 8.2 MY HISTORY In MY HISTORY, you can review available glucose data from your Sensor and Meter, and the time of insulin doses captured with the Caps. You can also review if any updates were made to your insulin settings. The App conveniently combines the data into a single view where you can see how insulin doses affect your glucose levels and helps you spot trends and patterns. Tap either selection on the screen. Graph View List View Example:
History screen Graph View The Graph View screen displays your Sensor readings in 15-minute intervals over the past 48 hours. The Graph View screen includes:
Glucose data from your Sensor over the past 12 to 48 hours graphed as a trend line, ending with the most current glucose reading on the far right.
- Tap the graph at any glucose data point to highlight the associated value.
- You can switch between a 48-hour, a 24-hour and a 12-hour view of your glucose data by tapping on the desired view duration above the graph. Blood glucose results from your Meter and long-acting and rapid-acting insulin injections from your Caps, appear as coded symbols at the time recorded for each event. Tap any symbol to display detailed information about the event. IMPORTANT: A maximum of 8 hours of glucose data is stored in the Sensor. To avoid gaps (missing data) in your Sensor glucose history graph, it is important to scan your Sensor with your White Cap and bring it within communication range (within 20 ft) of your App at least once every 8 hours. 102 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 List View The List View screen serves as a digital Logbook that displays key events captured over the past 48 hours, sorted by date and time for each event. The List View screen includes:
The time and result of your last scanned Sensor glucose reading, along with any Trend Arrow. The time and result of your last blood glucose measurement taken with your Meter. The time of your last rapid-acting and long-
acting insulin dose recorded with your Caps. The time and type of any Alert. The last time insulin updates were sent to your Caps. Swipe up (scroll) to view previously recorded events. IMPORTANT:
Remember, remove your Caps only when you take an insulin dose or to replace your insulin pen. Every time you remove the Cap for 4 or more seconds and place the Cap back on the pen, Bigfoot Unity thinks you took a dose of insulin and re-starts counting the time since last dose. If your last rapid-acting insulin dose was taken within the past 3 hours, the White Cap will display Active Insulin and will not display a correction dose. This is because the last dose may be still working to bring down your glucose. Taking another insulin dose on top of the previous dose that is still working may lead to hypoglycemia. 103 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Dose Not Taken If Bigfoot Unity records a dose when you did not actually take one, you can flag the dose as not taken in the MY HISTORY List View section of the App. This will indicate that the dose was never actually taken and will help keep your insulin dosing more accurate when viewing your history. Tap the insulin dose you want to flag to display the Dose Not Taken flag. Tap the Dose Not Taken flag.
<Insulin> Dose Then tap Flag Dose when prompted. The record of that dose will appear grayed out when you display the List View or Graph View screens again. If you mistakenly flag a dose as not taken and want to add the dose back into MY HISTORY records as a dose you took, tap the grayed out dose and then tap Dose was taken.
<Insulin> Dose Dose was taken CAUTION: When you flag an insulin dose as not taken, it is for your information only. It does not change the time since last dose displayed on the Caps. The White Cap will not display a correction dose for 3 hours after it records a dose (even if you flag the dose as not taken). Use a backup method for calculating a correction dose if your glucose is high. The Black Cap will re-set the timer after it records a dose (even if you flag the dose as not taken). If the time since last dose on your Black Cap is not correct, you may not know when to take your next dose of long-acting insulin. Follow your health care providers instructions if you do not know whether or not you took a long-acting dose of insulin. 104 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 8.3 MY DEVICES (Status and Starting New Devices) MY DEVICES lets you review the status of current connected Bigfoot Unity devices, start a new Sensor, connect a new Black or White Cap, and connect a new Meter. When starting a new White Cap, you will need your Meter to connect to it and you will need to start a new Sensor. Tap any device icon on the My Devices screen to display the device status and/or start the process for starting/connecting a new device. Note:
Only one Black and White Cap, Meter, App and Sensor can be connected at one time. For example, if you pair a new White Cap, it will automatically unpair the current one. If you change insulins while using Bigfoot Unity, it may require that you obtain a new prescription from your health care provider for a different Cap. In this case, you must contact Bigfoot Customer Care at (551) 244-3668 to obtain a new, compatible Cap. You will also need to pair the new Caps with the other Bigfoot Unity devices. Remember to leave your Caps attached to your insulin pens as instructed by the App screens when setting up new devices. Sensor (Status and Start a New Sensor) Shows the number of days, hours or minutes before you need to replace the Sensor. If you started the Sensor within the last 60 minutes, the screen shows the number of minutes before the new Sensor may be scanned for glucose readings. 1. Tap Start New Sensor. If your current Sensor has > 12 hours of use remaining, you will be prompted to confirm you still want to start a new Sensor. Tap OK to continue. 2. Repeat the steps for starting a new Sensor
(see Start Sensor section in Chapter 5). You can tap < My Devices to return to the Sensor device screen if you do not want to proceed. 105 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 White Cap (Status and Start a New White Cap) Shows the last time the App communicated with your White Cap. 1. Tap Start New White Cap to start a new White Cap. When you start a new White Cap, you will also need to start a new Sensor and start/pair your Meter. CAUTION: When you get a new Cap, always pair it using the Bigfoot Unity App on your phone. The pairing process sends your most recent insulin settings to the new Cap. If you do not pair your new Cap, you will not be able to use it. 2. You will be prompted to have your new White Cap ready. Tap Yes, I have my new Cap to continue. If you dont have your new White Cap, tap Cancel and then contact Bigfoot Customer Care at (551) 244-3668. 3. You will be prompted to have your Meter ready. Tap Confirm to continue. If you dont have your new Meter and White Cap ready, tap Cancel. Repeat the steps for starting/pairing your new White Cap when it is ready. Confirm You Have the Meter Youll need to pair the new Cap to your Meter before you can begin use. 4. Repeat steps for starting/pairing a White Cap, Meter and Sensor in Chapter 5. You can tap < Back to return to the White Cap device screen if you do not want to proceed. 106 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Cancel Confirm Do You Have Your New Cap?
If you don't have one, contact Bigfoot Customer Care at
(551) 244-3668. Cancel Yes, I have my new Cap Black Cap (Status and Start a New Black Cap) Shows the last time the App communicated with your Black Cap. 1. Tap Start New Black Cap to start a new Black Cap. CAUTION: When you get a new Cap, always pair it using the Bigfoot Unity App on your phone. The pairing process sends your most recent insulin settings to the new Cap. If you do not pair your new Cap, you will not be able to use it. 2. You will be prompted to have your new Black Cap ready. Tap Yes, I have my new Cap to continue. If you dont have your new Black Cap, tap Cancel and then contact Bigfoot Customer Care at (551) 244-3668. 3. Repeat the steps for starting a new Black Cap (see Start Black Cap section in Chapter 5). You can tap < Back to return to the Black Cap device screen if you do not want to proceed. 107 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Do You Have Your New Cap?
If you don't have one, contact Bigfoot Customer Care at
(551) 244-3668. Cancel Yes, I have my new Cap Meter (Status and Start a New Meter) Shows the last time your blood glucose reading was sent from your Meter to the White Cap. 1. Tap Start New Meter to start a new Meter. 2. Repeat the steps for starting a new Meter
(see Start Meter section in Chapter 5). You can tap < Back to return to the Meter device screen if you do not want to proceed. Phone Replacement If you replace your phone, you will need to download and re-install the Bigfoot Unity App on your new phone. Cloud data services will restore your previous diabetes settings in the App. You will also need to pair your Caps with the App on the new phone. Note:
Your last insulin information in the cloud may not match the current information in your Caps if your Caps and App have not yet communicated since your last set of updates. Pairing devices may take up to a few minutes. 1. Download and install the Bigfoot Unity App from the App Store. Launch the App. 2. Login with your email and Password as before, and agree to the Terms and Conditions. 108 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 3. You have the option to restore your previous insulin settings or create new insulin settings. Remember, when you are setting up a new phone, follow the App instructions for when to leave the White and Black Caps attached to your pens so you do not record an incorrect insulin dose. Bigfoot Unity will first check if your previous insulin information is available in the cloud. If it is, the date of your last insulin settings is displayed. To restore your last insulin settings tap Review Insulin Settings. Then continue to Review and Confirm (or Edit) your last insulin settings. To create new insulin settings, tap Set Up as New. Repeat the steps in the Enter Insulin Settings section in Chapter 5. 4. Review and Confirm (or Edit) your last insulin settings on each Insulin Settings screen. 5. Tap Confirm to accept your previous entries, or tap Edit to make changes to your previous entries. If you tap Edit, you will need to repeat the Enter Insulin Settings section in Chapter 5 for each type of insulin you edit, and confirm for each type. 109 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 9 41 Back Review and Confirm Notes March 20 , 2018 5 35 PM Example Notes Edit Review Insulin SettingsConfirm Insulin Settings 6. When you are finished reviewing your Notes, tap Confirm to restore your previous insulin settings. A confirmation screen with a check mark (
) will indicate that your previous insulin settings have been restored. Tap Done. 7. Tap OK and repeat the steps for starting your Caps with your new phone. 8.4 MY SETTINGS Your name (account name) will appear at the top of the My Settings screen. Tap your name to access and update your account information by selecting your name. Tap any one of the selections that appear underneath your account name on the My Settings screen in order to:
Make updates to your insulin settings Set Alerts Order supplies Set a Passcode to protect personal diabetes information stored in the App from being edited by someone other than you Share your personal diabetes information with your health care provider software Get help and support when using Bigfoot Unity View technical information about your Bigfoot Unity hardware and Logout of your App account. Insulin Settings In Insulin Settings, you can make updates to the information you and/or your health care provider entered during App Setup. As long as the Caps are within communication range (20 ft), changes will then be sent to your Caps so they contain and display the latest insulin information. You will need to accept any changes you may have made to your insulin information in the App before they will be saved in the Caps. If you change your insulin brand, Bigfoot Unity will check to see if you need a new White or Black Cap that is compatible with your new insulin and instruct you accordingly. 110 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Making changes to your insulin settings Notes View and edit your Notes as needed. 1. Tap Insulin Settings on the My Settings screen. 2. Tap Notes to display your current Notes. To edit, add or delete your Notes, tap Edit on the top right of the screen. 3. Tap anywhere on your current Notes and then use the pop-up keyboard to edit, add or delete Notes and/or pictures. 4. After making your changes, tap Done on the pop-up keyboard or Save on the top right of the screen. Long-Acting Insulin View and edit your long-acting insulin information as needed. 1. Tap Insulin Settings on the My Settings screen. 2. Tap Long-Acting to display your current long-acting Insulin Name and Daily Dose. 3. To change your current Insulin Name and Daily Dose, tap Edit on the top right of the screen. Example: Long-acting insulin and dose 4. If you want to change your Daily Dose, tap on the units. Scroll to the desired units and then tap Done. If you need to make edits to your Insulin Name go to Step 5 that follows. If you are done making edits to your Long-Acting Insulin Settings tap Save. Then follow the App prompts for turning the Black Cap on and sending insulin settings to your Black Cap (see Sending Insulin Updates to your Caps section that follows). 111 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Example Notes 5. If you need to change your Insulin Name (the long-acting insulin you are using), tap your current Insulin Name to change it. Scroll to your new long-acting insulin Cancel Done Basaglar Lantus Levemir Toujeo from the list and then tap Done. Tap Save when you are finished.
- If your new long-acting insulin requires a new Black Cap, you will be prompted to confirm you already have the Cap. Tap Yes, I Have My New Cap or Cancel to contact Customer Care for assistance. Once you have your new Black Cap, you will need to follow the App prompts for Reviewing and Confirming your long-acting insulin settings. Then proceed to pair your new Black Cap with your App and send updated long-acting insulin settings to the Black Cap.
- If your new long-acting insulin does not require a new Black Cap, you will be prompted to review your new Insulin Name and current dose. Tap Review to display your updated insulin settings where you can change your units as needed. When you are finished, tap Save. Then follow the App prompts for turning the Black Cap on and sending insulin settings to your Black Cap (see Sending Insulin Updates to your Caps section that follows). Example: Long-acting insulin and dose Tap Cancel to cancel the change you made to your Insulin Name and return to the Insulin Settings screen where you can start over. 112 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Rapid-Acting Insulin View and edit your rapid-acting insulin information as needed. 1. Tap Insulin Settings on the My Settings screen. 2. Tap Rapid-Acting to display your current rapid-acting Insulin Name along with your Meal and Correction Insulin information. 3. To change your current Insulin Name, and remove, add or change your Meal or Correction Insulin, tap Edit on the top right of the screen. Example: Rapid-acting insulin and doses An edit icon (
) will appear next to Meal and/or Correction Insulin if you have previously entered and saved this information. You must tap that icon to completely remove that category and start over to change any saved Meal or Correction Insulin information.
+ Add Meal Insulin will appear if Meal Insulin is not currently included in your insulin settings.
+ Add Correction Insulin will appear if Correction Insulin is not currently included in your insulin settings. At any point, you can tap Erase all settings and start over to start with a clean slate. 4. If you choose to start over, tap Erase all settings and start over. You will be prompted to confirm your selection by tapping Erase. Example: Editing Rapid-
acting insulin and doses 113 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Follow the App prompts for entering new rapid-acting insulin information (see Entering Rapid-Acting Insulin Settings section in Chapter 5). Tap Save on the Insulin Settings screen when finished. Then follow the App prompts for turning the White Cap on and sending insulin settings to your White Cap (see Sending Insulin Updates to your Caps section that follows). CAUTION: Use MY SETTINGS in the App to update your insulin settings whenever your health care provider recommends changes. If your App does not have your most recent insulin settings, information displayed on the App and Caps may not be accurate for taking your next insulin dose. This may result in taking too much or too little insulin, which could lead to severe low or high glucose. 5. To edit your Meal Insulin information you will need to do one of the following:
Remove Meal Insulin information previously entered and saved by
) next to the Meal Insulin section. This will tapping the edit icon (
completely remove current Meal Insulin information from your insulin settings. Add Meal Insulin information by tapping + Add Meal Insulin. Follow the App prompts for entering Meal Insulin Information (see Entering Rapid-Acting Insulin Settings section in Chapter 5). Change Meal Insulin information previously entered and saved by first tapping the edit icon (
) next to the Meal Insulin section to completely remove the information, and then tap + Add Meal Insulin and follow the App prompts for entering Meal Insulin information (see Entering Rapid-Acting Insulin Settings section in Chapter 5). If you need to make edits to your Correction Insulin and/or Insulin Name go to Steps 6 and 7 that follow. If you are done making edits to your Rapid-Acting Insulin Settings tap Save. Then follow the App prompts for turning the White Cap on and sending insulin settings to your White Cap (see Sending Insulin Updates to your Caps section that follows). 114 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 6. To edit your Correction Insulin information you will need to do one of the following:
Remove Correction Insulin information previously entered and saved by tapping the edit icon (
This will completely remove current Correction Insulin information from your insulin settings.
) next to the Correction Insulin section. Add Correction Insulin information by tapping + Add Correction Insulin. Follow the App prompts for entering Correction Insulin Information (see Entering Rapid-Acting Insulin Settings section in Chapter 5). Change Correction Insulin information previously entered and
) next to the Correction saved by first tapping the edit icon (
Insulin section to completely remove the information, and then tap
+ Add Correction Insulin and follow the App prompts for entering Correction Insulin information (see Entering Rapid-Acting Insulin Settings section in Chapter 5). If you need to make edits to your Insulin Name go to Step 7 that follows. If you are done making edits to your Rapid-Acting Insulin Settings tap Save. Then follow the App prompts for turning the White Cap on and sending insulin settings to your White Cap (see Sending Insulin Updates to your Caps section that follows). 7. If you need to change your Insulin Name (the rapid-acting insulin you are using), tap your current Insulin Name to change it. Cancel Done Apidra Admelog Fiasp Humalog Scroll to your new rapid-acting insulin from the list and then tap Done. When you are finished tap Save.
- If your new rapid-acting insulin requires a new White Cap, you will be prompted to confirm you already have the Cap. Tap Yes, I Have My New Cap or Cancel to contact Customer Care for assistance. Once you have your new White Cap, you will need to follow the App prompts for Reviewing and Confirming your rapid-
acting insulin settings. This also includes pairing your new White Cap with your App and Meter, starting a new Sensor, and sending your updated rapid-acting insulin settings to the White Cap. 115 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8
- If your new rapid-acting insulin does not require a new White Cap, you will be prompted to review your new Insulin Name and Meal and Correction Insulin amounts. Tap Review to display your updated insulin settings where you can change your Meal and Correction Insulin settings as needed. When you are finished, tap Save. Then follow the App prompts for turning the White Cap on and sending updated rapid-acting insulin settings to your White Cap (see Sending Insulin Updates to your Caps section that follows). Example: Rapid-acting insulin and doses Tap Cancel to cancel the change you made to your Insulin Name and return to the Insulin Settings screen where you can start over. Sending insulin updates to your Caps Once insulin updates are saved in your App, you will need to send them to your Caps. Make sure you have your Caps available, turned on and within communication range of your phone. Bigfoot Unity will always check to see if you might already have updates pending before sending any new updates. 116 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 CAUTION: Make sure your phone is within communication range (within 20 ft) of your Caps after you make any changes to your insulin settings within the App. If your Caps do not have the most current settings, you could take too much or too little insulin, which may result in severe low or high glucose. 1. Follow the instructions on the App screens for sending rapid-acting insulin updates to your White Cap and wait for the confirmation screen and check mark (
sending long-acting insulin updates to your Black Cap.
) to appear. Follow the same steps for If your Cap is unable to communicate with the App, if you tap
< Back to go back to the Home screen, or if you tap I dont have my Cap right now (tap OK on next screen) insulin updates will be saved and sent at a later time. Under MY SETTINGS (and under Insulin Settings) there will be an Update Pending note. If you try to edit and save insulin settings but have previously pending updates to your long-acting or rapid-
acting insulin, Mealtime Insulin or Correction Insulin, you will first be prompted if you want to replace those pending updates with the changes just made. Tap Replace to replace pending updates with your new updates and continue, or tap Cancel to review and accept the pending update. See the Accepting pending insulin updates section that follows for more information on pending updates. 117 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Accepting pending insulin updates Whenever you have made changes to insulin information in the App but have not yet sent them to your Caps, a Pending update outstanding banner will appear on the My Settings/Insulin Settings screens to remind you. This happens when you have made changes to insulin information but did not have your Cap available or it was not within communication range of your App. Note: If you have a Pending update, and wake up your Cap by pressing the button within communication range of the App, the update will automatically be sent to the Cap. If you would like to review the Pending update, follow these steps. 1. Tap Long-Acting and/or Rapid-Acting to see what updates are pending. 2. Tap the Pending update outstanding banner on any Insulin Settings screen where it appears. 3. For updates to your long-acting insulin, confirm the changes to the Insulin Name and units on the Pending Long-Acting Updates screen. You can toggle between current and pending settings by tapping Current or Pending. Example: Long-acting insulin and dose Tap Delete Update if you do not want to accept the update. You will be prompted to confirm that you want to delete the update. Your previously saved long-acting insulin information will be displayed where you have the option to use or edit the information. 118 Example: Long-acting insulin and dose Delete Update?
You will not be able to recover update information once deleted. Are you sure you want to delete this update?
Cancel OK The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 4. If you accept the Pending update, pressing the button on the Black Cap to turn it on (within communication range of the App) will allow the update to be sent to the Cap. 5. Tap < Insulin Settings on the Pending Long-Acting Updates screen to return to the Insulin Settings screen. You may tap Edit to make new changes to your long-acting insulin information. 6. For updates to your rapid-acting insulin, confirm the changes to the Insulin Name, Meal Insulin and Correction Insulin on the Pending Rapid-Acting Updates screen. You can toggle between current and pending settings by tapping Current or Pending. You may need to swipe up (scroll) to see all your entries. Tap Delete Update if you do not want to accept the updates. You will be prompted to confirm that you want to delete the update. Your previously saved rapid-acting insulin, Meal Insulin and Correction Insulin information will be displayed where you have the option to use or edit the information. Example: Rapid-acting insulin and dose 7. If you accept the Pending update, pressing the button on the White Cap to turn it on (within communication range of the App) will allow the update to be sent to the Cap. 8. Tap < Insulin Settings on the Pending Rapid-Acting Updates screen to return to the Insulin Settings screen. You may tap Edit to make new changes to your rapid-acting insulin information. 119 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Alerts The Alerts screen lets you set your App to prompt you when certain conditions occur that require your attention. These include:
When your glucose is low. or Alert to your App. insulin dose. When your Sensor is unable to obtain and send a glucose reading When Bigfoot Unity thinks you may have missed a long-acting All Alerts are pre-set to On when you first begin using your App. Alerts will display, sound and vibrate on your App/phone. You will be prompted to acknowledge the Alert and resolve the condition that triggered the Alert. Your phone provides a Critical Alerts feature that lets you receive Alerts on your lock screen even when your phone is muted or set to Do Not Disturb, as long as your App is open or running in the background. The Critical Alerts feature covers any Low Glucose Alert or any Alert regarding Sensor status. If you did not Allow this feature when first setting up the App, you can do so at any time under the settings feature on your phone. Tap Alerts on the My Settings screen. The current status (On or Off) of your Alerts will be displayed. Tap On (Off) for any of the Alerts you want turned on (off). 120 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Low Glucose Alert The Low Glucose Alert is triggered when your Sensor glucose falls below 70 mg/dL.
- Slide the On/Off button to On or to Off to turn this Alert on or off.
- Tap < Alerts to return to the Alerts screen. Sensor Unavailable Alert The Sensor Unavailable Alert is triggered if there is a condition preventing the Sensor from sending an accurate glucose reading or glucose Alert to the App.
- Slide the On/Off button to On or to Off to turn this Alert on or off.
- Tap < Alerts to return to the Alerts screen. 121 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 Long-Acting Dose Alert The Long-Acting Dose Alert is triggered 9:41 9:41 9:41 when Bigfoot Unity thinks you have missed a long-acting insulin dose from your Black Cap. The pre-set duration time for this Alert is 25 hours.
- Slide the On/Off button to On or to Off to turn this Alert on or off. Alerts Long-Acting Dose Long-Acting Dose When on, this alert notifies you when the last <Insulin> dose recorded in the App was over <25> hours ago. Keep your Black Cap in sync with the App so the alert gives you accurate information. Duration 25 Hours
- If you want to change the pre-set or currently set duration time for this Alert, tap the duration hours. Scroll through the duration options (24 to 48 hours) to select your duration time. Then tap Done.
- Tap < Alerts to return to the Alerts screen. Supplies From the Supplies menu option you can manage your Bigfoot Unity supplies. Tap Supplies on the My Settings screen and follow the instructions to order new supplies. 122 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 App Passcode Your Passcode keeps others from entering your App or making any changes to your App information without your permission. Tap App Passcode on the My Settings screen. Slide the On/Off button to On (pre-set is Off). Enter your personal 4-digit Passcode on the Set Passcode pop-up screen. Re-enter your Passcode on the Confirm Passcode pop-up screen.
- Your Passcode is now set and required when you access the following sections in the App. Alerts (for editing any settings) My Devices (for all menu selections) Insulin Settings (when editing any settings) Passcode (when turning the Passcode feature off) If you forget your Passcode, the App will let you try re-entering it five times before logging you out. Logging back in with your username and password will allow you to re-set the App Passcode. Tap < My Settings to return to the My Settings screen Share Data From the Share Data menu option you can access a report of your past data. Tap Share Data on the My Settings screen and follow the instructions to download and share your glucose and insulin information. Help and Support Help and Support provides an easy way to access helpful information when using Bigfoot Unity. Tap Help and Support on the My Settings screen and follow the instructions. About The About screen displays details about the Bigfoot Unity devices (App software and firmware versions, serial numbers, etc.), and terms of use. Tap About on the My Settings screen to display this information. Tap < My Settings to return to the My Settings screen. 123 The Bigfoot Unity Diabetes Management System User Guide | Chapter 8 99 Care, Maintenance and Disposal of Bigfoot Unity 9.1 Living with your Bigfoot Unity Diabetes Management System Activity What to do Bathing, Showering, and Swimming Your Caps should not be used or carried when bathing, showering or swimming. Your Sensor is water-resistant and can be worn while bathing, showering, or swimming. Note: Do NOT take your Sensor deeper than three feet (one meter) or immerse it longer than 30 minutes in water. Your Sensor should not interfere with your sleep. It is recommended that you scan your Sensor before going to sleep and when you wake up because your Sensor holds only 8 hours of data at a time. For example, if you sleep for 9 hours without scanning your Sensor, 1 hour of data will not be collected and a gap will Appear on your App glucose graph. Keep your phone within communication range (20 ft) to receive alerts and close enough to hear any audible alerts. When you are traveling, always carry extra diabetes supplies with you. Do NOT put your diabetes supplies with your checked baggage, as they may be lost or not maintained at the required temperature, especially your insulin. Consult your health care provider before traveling. When traveling by air, always check with TSA and other international airport security organizations for current rules and regulations regarding travel through security. You may find it helpful to carry a letter from your health care provider that states you have diabetes and are wearing/carrying a medical device, and any medications you take. Sleeping Traveling by Air 124 The Bigfoot Unity Diabetes Management System User Guide | Chapter 9 Activity What to do Traveling by Air
(continued) When traveling across time zones or between Standard and Daylight Saving Time, allow your phone to update the date and time automatically. If you update the date and time manually, you will not be able to use Bigfoot Unity. You can safely use Bigfoot Unity at all times while on an aircraft. The Caps are classed as Medical-Portable Electronic Devices (M-PED) that meet all required M-PED emission standards for safe use onboard an aircraft: RTCA/DO-160, Section 21, Category M for radiated emission. Some airport full-body scanners include x-ray or millimeter radio-wave, to which you cannot expose your Bigfoot Unity. The effect of these scanners has not been evaluated and the exposure may damage Bigfoot Unity or cause inaccurate results. To avoid removing Bigfoot Unity (i.e., the Sensor), you may request a pat-down screening. If you do choose to go through a full-body scanner, you must remove your Sensor. Bigfoot Unity can be exposed to common electrostatic (ESD) and electromagnetic interference (EMI), including airport metal detectors. You can keep Bigfoot Unity on while going through these. 125 The Bigfoot Unity Diabetes Management System User Guide | Chapter 9 9.2 Cleaning Clean your Bigfoot Unity Cap as needed or if it is visibly dirty. Cleaning helps remove dirt or other residue from the surfaces of your Cap. Cleaning does not kill bacteria or viruses. If you get insulin on the Cap clean it off right away. Do not submerge, soak or wash the Cap. Make sure the USB port is dry before charging. Only use water, or isopropyl alcohol wipes for cleaning. The Caps have a mean use life of 2 years and have been validated for 156 cleaning cycles. Cleaning the Outside of the Cap 1. Using only alcohol or water, wipe down the outside of the Cap with a Bigfoot alcohol prep pad or a clean, damp paper towel. 2. Wipe the Cap dry before using the Cap. Cleaning the Inside of the Cap 1. Remove the Cap from the insulin pen. 2. Wipe down the inside of the Cap that comes into contact with the insulin pen. Use a Bigfoot alcohol prep pad or a clean, damp paper towel, along with a six inch long cotton swab to clean the inner cavity of the Cap. 3. Wipe the Cap dry and make sure there is no residue remaining before using the Cap. WARNING: Do NOT place sharp objects inside the inner tubes of the Caps. Sharp objects can damage the inner lining of the Caps. Consider cleaning the Cap each time you change to a new insulin pen, or every two weeks. IMPORTANT: If you require assistance or if you notice any signs of deterioration on the Caps (such as clouding or fading on the display of the Cap, corroding or eroding of the plastic housing, or cracking of plastic housing or display) or if the Caps do not turn on, discontinue use of the Caps and contact Bigfoot Customer Care at
(551) 244-3668. 126 The Bigfoot Unity Diabetes Management System User Guide | Chapter 9 Cleaning and Disinfecting your Meter See the instructions that came with your Meter for cleaning and disinfecting. Additional information about the risks for transmitting bloodborne pathogens to persons undergoing fingerstick procedures for blood sampling can be found in the instructions that came with your Meter. 9.3 Pen Needles Refer to the instructions on your Bigfoot Unity Needles package for steps on inserting, storing and removing your pen needles. 9.4 Insulin Pens Refer to the manufacturers instructions that came with your insulin pens for steps on using, storing and discarding your pens. 9.5 Disposal If you receive new Caps, Bigfoot Biomedical will request that you return your old Caps. Instructions, packaging, and postage will be provided when you receive your new Caps. Other parts of the Bigfoot Unity System 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. Contact Bigfoot Customer Care at (551) 244-3668 for further information on the appropriate disposal of Bigfoot Unity components. 127 The Bigfoot Unity Diabetes Management System User Guide | Chapter 9 10 10 Troubleshooting This chapter lists problems you may have with the Bigfoot Unity Diabetes Management System, the possible cause(s), and recommended actions. IMPORTANT: Contact Bigfoot Biomedical through the Customer Care page in the App or the company website
(support.bigfootbiomedical.com). You can also reach Bigfoot Customer Care at (551) 244-3668. 10.1 Caps Usage Notifications Problem What it may mean Your Cap shows Active Insulin instead of Correction units when you just scanned your Sensor. This message indicates that you have dosed rapid-acting insulin within the past 3 hours and it is still active in your body. Active Insulin is displayed on my White Cap. What to do Follow your health care providers recommendations for managing a high glucose. Taking another insulin dose on top of the previous dose that is still working may lead to hypoglycemia. Problem What it may mean Use Meter appears when it is recommended to check your blood glucose with your Meter and use that measurement to make treatment decisions. This message appears when its still within the first 12 hours of wearing a Sensor. Take a fingerstick test with your Meter and use that result to make treatment decisions. Use Meter is displayed on my White Cap. What to do 128 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Problem What it may mean Your Cap is off your rapid-acting or long-acting insulin pen. What to do Unless you are taking an insulin injection or replacing your insulin pen, you should keep your Caps on the pens at all times. When the Cap is left off the pen for more than 4 seconds, the timer will not re-set to 0 and start tracking your latest time since last dose until you re-insert your pen into the Cap. Problem What it may mean Your Cap has less than 25% battery power remaining. What to do Charge your Cap as soon as possible. Caps should be charged while still attached to your insulin pens. Problem What it may mean Your Cap has no battery power remaining. You cannot continue to use your Cap until you charge it. What to do Charge your Cap immediately. Problem What it may mean There is a problem with your Cap. You will not be able to use your Cap until the problem is resolved. What to do Contact Bigfoot Customer Care at (551) 244-3668 as soon as possible for assistance. 129 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Cap Display Issues Problem What it may mean Cap/Cap screen is unresponsive There is a problem with your Cap. You will not be able to use your Cap until the problem is resolved. What to do Press and hold the Cap button for about 20 seconds. If this does not resolve the problem, contact Bigfoot Customer Care at
(551) 244-3668. Problem What it may mean Battery wont charge Caps can no longer be used. What to do Check if there is debris in the charging dock on the Cap that may be blocking normal charging functions and remove it. Problem What it may mean The Meal + Correction screen did not appear after pressing the button on my White Cap when I was deciding how much rapid-acting insulin to dose. What to do The Meal + Correction screen will not appear when 1) you want to make a treatment decision using a Sensor glucose value within the first 12 hours of wearing a Sensor; 2) the White Cap displays Active Insulin indicating that you are still within 3 hours of your last rapid-acting insulin dose logged using the White Cap; 3) a valid glucose reading from the Sensor or Meter was not received by the White Cap. The Meal + Correction screen will display if you are beyond the initial 12 hour Sensor wear period and its been at least 3 hours since your last rapid-acting insulin dose was recorded by the White Cap. If you want to use your current glucose level as part of the displayed Meal +
Correction unit amounts, you must have a valid Sensor glucose reading or a Meter glucose value from the White Cap within the last 10 minutes. 130 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Pairing and Communication Problems Problem What it may mean Your White or Black Cap is unable to pair with the App. What to do Your App will also display a Pairing Error message. Check to see that the Bluetooth setting is enabled on your phone and WiFi is turned on and follow the instructions in your App for pairing your App with your White or Black Caps. Make sure the devices are within communication range (within 20 ft), and the Caps wake up with a button press. Problem What it may mean Your White Cap is unable to pair with your Meter. What to do Your App will also display a Pairing Error message. Follow the instructions in your App for pairing your Meter with your White Cap. Make sure the devices are both turned on, are within communication range, and the Bluetooth icon appears on the Meter display. Also, see the instructions that came with your Meter for troubleshooting pairing problems. Problem What it may mean The Cap has information to send to the App, but is not able to communicate with the Cap. Symbol appears and remains fixed on Cap What to do Make sure the App and Caps are within communication range
(within 20 ft) of each other. Make sure that Bluetooth settings are enabled on your phone. 131 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 10.2 Sensor Scanning and Communication Problems Problem What it may mean Your White Cap is unable to scan your Sensor. What to do Try scanning again. Review instructions for proper scanning technique within this User Guide. Note: You may need to move away from potential sources of electromagnetic interference and try scanning again. Problem What it may mean The Sensor is still in its start-up period
(within 60 minutes from first application). What to do Wait the number of minutes indicated to scan again, or check your blood glucose with your Meter using a drop of blood from your fingertip. Problem What it may mean Your Sensor is unable to provide a glucose reading. What to do Wait the number of minutes indicated to scan again or check your blood glucose with your Meter. Note: If you receive this error during your first 12 hours of wearing a Sensor, it may mean that your body is still adjusting to the Sensor. Use your Meter to check your glucose while you wait. You do not need to remove your Sensor. 132 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Problem What it may mean There is a problem with your Sensor. What to do Replace your Sensor. Follow the instructions in your App for starting a new Sensor. Problem What it may mean Your Sensor was already started by another App. What to do Your Sensor can only be used with the App that started it. Scan the Sensor with the White Cap that was originally used with the App to start this Sensor. Or, apply and start a new Sensor. Problem What it may mean Your Sensor wear period (up to 14 days) has ended. What to do Replace your Sensor. Follow the instructions in your App for starting a new Sensor. Problem What it may mean There is a problem with your Sensor. What to do Check your blood glucose with your Meter using a drop of blood from your fingertip. 133 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Problem What it may mean Your Sensor is too hot (above its normal operating range) to provide a glucose reading. What to do Try moving to an area with an ambient temperature of 50F to 113F
(10C to 45C). Wait 10 minutes for your Sensor to reach the new temperature and begin sending glucose readings again. Problem What it may mean Your Sensor is too cold (below its normal operating range) to provide a glucose reading. What to do Try moving to an area with an ambient temperature of 50F to 113F
(10C to 45C). Wait 10 minutes for your Sensor to reach the new temperature and begin sending glucose readings again. Problem What it may mean Glucose data from my Sensor did not appear on my App screen after I scanned my Sensor with my phone. What to do Your phone should only be used to scan your Sensor when starting a new Sensor and not beyond start-up. Do NOT scan your Sensor with your phone to collect or display current glucose data. Always use your White Cap to scan your Sensor to collect and display glucose data on your History screen. 134 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Low and High Sensor Glucose Messages On your White Cap for rapid-acting insulin, special messages will appear along with your Sensor reading/Trend Arrow when your Sensor glucose is low or high. A Use Meter message will also appear if its still within the first 12 hours after wearing the Sensor. Problem What it may mean Your scanned glucose result is low
(< 70 mg/dL). or or Use Meter appears when it is important for you to use your meter for a treatment decision. This message appears during the first 12 hours of wearing a Sensor. Example: Low Glucose Sensor glucose reading What to do Treat low glucose according to your health care providers recommendations. Use your Meter to check your glucose if its still within 12 hours of wearing your Sensor. Problem What it may mean Your scanned glucose result is trending low
(expected to go below < 70 mg/dL within the next 15 minutes). Use Meter appears when it is important for you to use your meter for a treatment decision. This message appears during the first 12 hours of wearing a Sensor. Example: Going Low Sensor glucose reading What to do Monitor your glucose closely, and scan again in 15 minutes. Treat low glucose according to your health care providers recommendations. Use your Meter to check your glucose if its still within 12 hours of wearing your Sensor. 135 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Problem What it may mean Your scanned glucose result is very low
(< 40 mg/dL). What to do Treat very low glucose according to your health care providers recommendations. Use your Meter to check and obtain a glucose value if its still within 12 hours of wearing your Sensor. Problem What it may mean Your scanned glucose result is very high
(> 400 mg/dL). What to do Treat very high glucose according to your health care providers recommendations. Use your Meter to check and obtain a glucose value if its still within 12 hours of wearing your Sensor. or or 136 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Sensor Wear Problems Problem What it may mean Your Sensor is not sticking to your skin. What to do The site is not free of dirt, oil, hair, or sweat. Remove Sensor and shave and/or clean site with soap and water. Apply new Sensor following instructions in your App. Seams or other constrictive clothing or accessories causing friction at the site. Problem What it may mean Skin irritation at your Sensor application site. What to do Ensure that nothing rubs on the site. Problem What it may mean You may be sensitive to the adhesive material. Redness, swelling or itchiness at your Sensor application site. What to do If the irritation is where the adhesive touches skin, contact your health care provider to identify the best solution. 137 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 10.3 Meter These Meter notifications apply to how your Meter works with Bigfoot Unity, and that might appear on your White Cap display. See the instructions that came with your Meter for a complete list of error messages that might appear on your Meter display. Problem What it may mean There is a problem with your Meter and you will not be able to have a blood glucose result sent to your White Cap. What to do Contact Bigfoot Customer Care at (551) 244-3668 to request a replacement Bigfoot Meter. Only a Meter supplied by Bigfoot should be used with Bigfoot Unity. Refer to your backup plan for obtaining a blood glucose result while you await a new Meter. Problem What it may mean Your Meter is unable to provide an accurate result. What to do Re-test with a new test strip. If the problem continues, you may need to replace your Meter. 138 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Problem What it may mean Your Meter glucose result is below 20 mg/dL. This low result may indicate hypoglycemia (low blood glucose). It also indicates that your result is below the Meter measuring range. What to do If you feel symptoms such as weakness, sweating, nervousness, headache or confusion, follow your health care providers recommendations to treat a low glucose. If you get a low blood glucose result but have no symptoms of low blood glucose, then re-check with a new test strip. If you still get a low blood glucose result, follow the treatment plan recommended by your health care provider team or contact your health care provider immediately. Problem What it may mean Your Meter glucose result is above 600 mg/dL This high result may indicate hyperglycemia (high blood glucose). It also indicates that your result is above the Meter measuring range. What to do If you feel symptoms such as fatigue, thirst, excessive urination, or blurry vision, follow your health care providers recommendations. If you get a high blood glucose result but have no symptoms of high blood glucose, then re-check with a new test strip. If you still get a high blood glucose result, follow your health care providers recommendations. Checking ketones may be advisable. 139 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Problem What it may mean Your Meter is below its operating temperature range of 50F to 104F (10C to 40C). What to do See the instructions that came with your Meter. Try moving to an area with an ambient temperature of 50F to 104F (10C to 40C). Wait for your Meter and test strips to reach the new temperature
(usually 10-20 minutes) before using your Meter or checking your blood glucose. Problem What it may mean Your Meter is above its operating temperature range of 50F to 104F (10C to 40C). What to do See the instructions that came with your Meter. Try moving to an area with an ambient temperature of 50F to 104F (10C to 40C). Wait for your Meter and test strips to reach the new temperature
(usually 10-20 minutes) before using your Meter or checking your blood glucose. Problem What it may mean My Meter glucose result did not appear on my White Cap. You checked your blood glucose with your Meter but the result is not being displayed on your White Cap. What to do Only blood glucose tests taken within the last 10 minutes will be displayed on the Cap. If it has been longer than 10 minutes, take another blood glucose reading. Make sure the Meter and Cap are turned on and within range of each other. If Meter results still do not appear on the White Cap, use the App to re-pair the Meter to the Cap. Within the App go to MY DEVICES, select Meter and tap Start New Meter as described in this User Guide. 140 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 10.4 App Problem What it may mean Internet connection is not currently available. The App will not be able to respond to some of your actions. What to do Wait a few seconds and tap Try Again to see if an internet connection is re-established. Make sure your phone is connected to a wireless network, your phone is not in Airplane mode, and wireless communication is turned on. If you continue to have connection problems, call Bigfoot Customer Care at (551) 244-3668. Problem What it may mean Scan was unsuccessful. What to do Tap OK. Try starting the Sensor again with your Phone. If the problem persists, remove the Sensor and apply a new one. Problem What it may mean There is a problem with your Sensor. What to do Tap OK. Apply and start a new Sensor. 141 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Problem What it may mean Your Sensor may not be applied properly. What to do Tap OK. Check if your Sensor may be loose. If it is, remove the Sensor and apply a new one. If it is applied properly, try starting the Sensor again with your Phone. If the problem persists, remove the Sensor and apply a new one. Problem What it may mean You may have already started the Sensor. What to do Try scanning the Senor again. If the problem persists, remove the Sensor and start a new one. Problem What it may mean There is a problem activating your Sensor. What to do Tap OK. Try starting the Sensor again with your Phone. If the problem persists, remove the Sensor and apply a new one. 142 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Problem What it may mean Your insulin pen may have accidentally separated from your Cap and you may (or may not) have been aware of it at the time. In either case, your App and Cap would record that you injected an insulin dose
(even if you did not), and that record would appear in MY HISTORY. MY HISTORY records in your App indicate you injected an insulin dose but you did not What to do Bigfoot Unity lets you flag (mark) a rapid-acting or a long-acting insulin dose as not taken in the MY HISTORY List View section to remind you that the recorded dose was not actually injected. Flagging (marking) the dose as not taken in MY HISTORY is for your information only. It will not affect the time since last dose displayed on your Cap. After you flag
(mark) an insulin dose as not taken, the dosing record will be grayed out when reviewing MY HISTORY.
<Insulin> Dose Make sure you note this information when its time to decide how much insulin to dose the next time you inject insulin from your pens. Not knowing how much or when you injected insulin may result in taking too much or too little insulin, which can lead to severe low or high glucose. Problem What it may mean Your insulin pen may have dislodged from the Cap and recorded a dose. The Cap may be damaged. My Cap may have been damaged when I dropped it with my insulin pen inserted. MY HISTORY records indicate I injected an insulin dose when I did not. What to do Check that your Cap is not damaged, and that the insulin pen can still be inserted into the Cap. When you insert the pen you should hear or feel the Cap click onto the pen. Make sure that Cap is off Pen is not displayed on the Cap after inserting. If your Cap incorrectly recorded a dose that you did not take, follow the same steps in the previous troubleshooting Problem for how to remove that dose from MY HISTORY records. 143 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Problem What it may mean Your Bigfoot Unity is not set up correctly to receive Notifications and Alerts, or there is a communication problem between some of the devices. You are not receiving Low Glucose, Sensor Unavailable or Missed Long-
Acting Dose Alerts. What to do Check that 1) your phones Bluetooth setting is On; 2) you have allowed Notifications and Critical Alerts to come through to your Phone; 3) Phone and/or watch sounds/vibrations for Notifications and Alerts are On; 4) you didnt already dismiss the Notification/
Alert; 5) Sensor wear period has ended or there is a problem with the Sensor; 6) your phone is sufficiently charged and the Sensor and App/phone are in communication range. Problem What it may mean You are not receiving high glucose Alerts on your App/phone. Bigfoot Unity is designed to alert you only when your glucose is too low. It will not alert you to high glucose events. What to do Follow your health care providers recommendations for managing high glucose. Bigfoot Unity will not alert you when your glucose is high. 144 The Bigfoot Unity Diabetes Management System User Guide | Chapter 10 Appendix A: Receiving and Responding to Notifications/Alerts on your App/Phone Bigfoot Unity is designed to make you aware of situations regarding your glucose readings and Sensor, including those that require your immediate attention. You can change how you receive certain Notifications and Alerts by going to MY SETTINGS on the Home screen and Settings on your phone. The tables that follow let you know when to expect certain Notifications and Alerts and what to do. Some Notifications are considered critical to your glucose management and will be followed by an Alert. A.1 Home Screen Display Information Your Home screen provides updated information regarding what range your current Sensor reading falls within. It also lets you know when your Sensor is not available to obtain or send glucose readings or Alerts to your App/phone. The target range used to trigger this information is pre-set by Bigfoot Unity and cannot be changed. Glucose and Sensor Status Notification What it may mean Your Sensor glucose is very low
(below < 54 mg/dL). What to do An Alert will follow this Notification. Follow the steps for what to do in the Alerts section that follows. 145 The Bigfoot Unity Diabetes Management System User Guide | Appendix A Notification What it may mean Your Sensor glucose is low (between 55 mg/dL and 69 mg/dL). What to do An Alert will follow this Notification. Follow the steps for what to do in the Alerts section that follows. Notification What it may mean Your Sensor glucose is at the low end of the pre-set target range (between 70 mg/dL and 99 mg/dL). What to do Monitor your glucose with your Sensor or Meter to make sure it is not going low. Follow your health care providers recommendations for managing your glucose in this range. Notification What it may mean Your Sensor glucose is within the Bigfoot Unity pre-set target range (between 100 mg/dL and 180 mg/dL). What to do Monitor your glucose with your Sensor or Meter. Follow your health care providers recommendations for managing your glucose in this range. 146 The Bigfoot Unity Diabetes Management System User Guide | Appendix A Notification What it may mean Your Sensor glucose is at the high end of the Bigfoot Unity pre-set target range
(between 181 mg/dL and 250 mg/dL). What to do Monitor your glucose with your Sensor or Meter. Follow your health care providers recommendations for managing your glucose in this range. Notification What it may mean Your Sensor glucose is high (above 250 mg/dL). What to do Monitor your glucose with your Sensor or Meter. Follow your health care providers recommendations for managing high glucose. Notification What it may mean Your Sensor is temporarily unavailable to send glucose readings or generate alerts to your App/phone. What to do The Sensor problem should resolve itself and begin sending glucose readings and alerts within a few minutes. If the problem continues, you may need to replace your Sensor. 147 The Bigfoot Unity Diabetes Management System User Guide | Appendix A Notification What it may mean Your Sensor is not yet ready to send glucose readings and generate alerts to your App/phone, but should be ready in the indicated period of time. What to do Wait the indicated period of time for the Sensor to start sending glucose readings and alerts to your App/phone. Notification What it may mean Your Sensor is not able to send glucose readings or generate alerts to your App/
phone. What to do There is a problem with your Sensor that will not resolve itself. You will need to replace your Sensor. Notification What it may mean Your phone/App is not communicating with your Sensor. What to do Make sure your phone/App is within communication range (20 feet) of your Sensor and Bluetooth connection is On. Replace the Sensor if necessary. 148 The Bigfoot Unity Diabetes Management System User Guide | Appendix A All Alerts may be turned on or off as needed. When turned on, alerts will initially vibrate and will sound later if you do not respond. Alert What it may mean Your Sensor glucose is low
(< 70 mg/dL). A.2 Alerts Glucose Alerts Low Glucose Treat low glucose and monitor. Glucose less than 70 mg/dL. 12 minutes ago OK What to do Tap OK to acknowledge Alert. Scan your Sensor or measure your blood glucose, and treat low glucose according to your health care providers recommendations. Alert will repeat in 45 minutes if your Sensor glucose is still low. If you do not tap OK, Alert will repeat every five minutes. Sensor Unavailable Alerts Alert What it may mean The Sensor has not communicated with your App/phone in the last 20 minutes. No glucose alerts can be sent without communication. What to do Tap OK to acknowledge Alert. Make sure your phone is within communication range (20 ft) of your Sensor. Initial Alert will not repeat but new Alert will be triggered up until Sensor is able to communicate with App/phone. At that time, glucose alerts will resume. If you do not tap OK, Alert will repeat every five minutes. 149 The Bigfoot Unity Diabetes Management System User Guide | Appendix A Sensor Unavailable No glucose alerts available. Keep phone near Sensor for communication to resume. Make sure phone is within 20 feet (6 meters) of the Sensor or try scanning Sensor with your White Cap for <Insulin>. 12 minutes ago OK Alert What it may mean The Sensor is too hot to communicate with your App/phone. No glucose alerts can be sent without communication. Sensor Unavailable No glucose alerts available. Sensor too hot to provide a glucose reading. Move to a location where the temperature is appropriate, and Sensor glucose should return in a few minutes. 12 minutes ago OK What to do Tap OK to acknowledge Alert. Try moving to an area where the temperature is within the allowable range for your Sensor. Initial Alert will not repeat but new Alert will be triggered up until Sensor is able to communicate with App/phone. At that time, glucose alerts will resume. If you do not tap OK, Alert will repeat every five minutes. Alert What it may mean The Sensor is too cold to communicate with your App/phone. No glucose alerts can be sent without communication. What to do Tap OK to acknowledge Alert. Try moving to an area where the temperature is within the allowable range for your Sensor. Initial Alert will not repeat but new Alert will be triggered up until Sensor is able to communicate with App/phone. At that time, glucose alerts will resume. If you do not tap OK, Alert will repeat every five minutes. 150 The Bigfoot Unity Diabetes Management System User Guide | Appendix A Alert What it may mean The Sensor is temporarily unable to communicate with your App/phone. No glucose alerts can be sent without communication. What to do Tap OK to acknowledge Alert. The communication problem should resolve itself in a few minutes. Initial Alert will not repeat but new Alert will be triggered up until Sensor is able to communicate with App/phone. At that time, glucose alerts will resume. If you do not tap OK, Alert will repeat every five minutes. Alert What it may mean The Sensor is temporarily unable to communicate with your App/phone. No glucose alerts can be sent without communication. What to do Tap OK to acknowledge Alert. Try closing and re-opening the App, or restarting your phone. Initial Alert will not repeat but new Alert will be triggered up until Sensor is able to communicate with App. At the time, Glucose Alerts will resume. If you do not tap OK, Alert will repeat every five minutes. 151 The Bigfoot Unity Diabetes Management System User Guide | Appendix A Alert What it may mean The Sensor needs more time to adjust to your body before it can begin sending glucose readings to your App/phone. No glucose alerts can be sent until the Sensor begins sending glucose readings to your App/phone. What to do Tap OK to acknowledge Alert. Wait a few minutes to see if the Sensor starts communicating with the App/phone. Initial Alert will not repeat but new Alert will be triggered up until Sensor is able to communicate with and send glucose readings to your App/phone. At that time, glucose alerts will resume. If you do not tap OK, Alert will repeat every five minutes. Permanent Sensor Loss Alerts Alert What it may mean There is a problem with your Sensor and it needs to be replaced. No glucose alerts can be sent until the new Sensor begins sending glucose readings to your App/phone. What to do Tap OK to acknowledge Alert. Initial Alert will not repeat but new Alert will be triggered up until you replace the Sensor. You will need to apply and start a new Sensor and wait for Sensor to begin sending glucose readings to your App/phone. At that time, glucose alerts will resume. If you do not tap OK, Alert will repeat every five minutes. 152 The Bigfoot Unity Diabetes Management System User Guide | Appendix A Alert What it may mean The Sensors (up to) 14-day wear period has ended. No glucose alerts can be sent until the new Sensor begins sending glucose readings to your App/phone. What to do Tap OK to acknowledge Alert. Initial Alert will not repeat but new Alert will be triggered up until you replace the Sensor. You will need to apply and start a new Sensor and wait for Sensor to begin sending glucose readings to your App/phone. At that time, glucose alerts will resume. If you do not tap OK, Alert will repeat every five minutes. Long-Acting Dose Alert Alert What it may mean Bigfoot Unity thinks you may have missed your long-acting insulin dose since it did not record a dose with the Cap in the time period you set for keeping track of long-acting insulin dosing. What to do Check the Time Since Last Dose on your Black Cap to verify if a long-acting dose is needed. You may have received this Alert in error if your App and Caps have not communicated recently. Tap OK to acknowledge Alert. Treat a missed dose according to your health care providers recommendations. If you do not tap OK, Alert will repeat every 15 minutes. 153 The Bigfoot Unity Diabetes Management System User Guide | Appendix A Appendix B: Settings for Bigfoot Unity App Appendix B: Settings for Bigfoot Unity App Information to Enter in the App CAUTION: Bigfoot Unity does not support insulin doses in half-unit increments. Long-Acting Insulin B.1 Name of long-acting insulin Information to Enter in the App Long-acting once a day dose units Long-Acting Insulin Note Certain insulin pens deliver doses in 2-unit increments.
Name of long-acting insulin Rapid-Acting Insulin Long-acting once a day dose Name of rapid-acting insulin units Rapid-acting insulin for meals optional Note: Certain insulin pens deliver doses in 2-unit increments. Rapid-Acting Insulin Label my Meal Insulin Choose one approach from below Name of rapid-acting insulin Option A Rapid-acting insulin for meals optional Small | Medium | Large units of rapid-acting Label my Meal Insulin Choose one of the following options Medium Small Large Option A Enter the typical rapid-acting insulin dose for small, medium, and large amount of carbs in a meal. Small | Medium | Large units of rapid-acting Option B Breakfast | Lunch | Dinner units of rapid-acting Small Medium Large Breakfast Lunch Enter the typical rapid-acting insulin dose for small, medium, and large amount of carbs in a meal. Dinner Enter the typical rapid-acting insulin dose for each meal. Option B Option C Breakfast | Lunch | Dinner Carb Amounts grams units of rapid-acting units of rapid-acting Breakfast Lunch Dinner Enter 3 specific carb amounts (in grams) and then enter the amount of rapid-acting insulin to take for each specific carb amount. Enter the typical rapid-acting insulin dose for each meal. 154 The Bigfoot Unity Diabetes Management System User Guide | Appendix B Rapid-acting insulin for meals optional Option C Correction Insulin (to bring down a high glucose) optional Carb Amounts Choose one approach from below grams units of rapid-acting Important: Bigfoot Unity will not display a correction dose if you have taken rapid-acting insulin in the past 3 hours. Speak to your health care provider about how to avoid stacking doses of rapid-acting insulin to prevent low glucose in the hours after the injection. Option A Enter 3 specific carb amounts (in grams) and then enter the Correction Dose Table amount of rapid-acting insulin to take for each specific carb amount. Glucose Range
(for high glucose in this range) Rapid-Acting Insulin
(take this amount of insulin) units units Rapid-acting insulin for meals optional mg/dL Correction Insulin (to bring down a high glucose) optional mg/dL units Choose one of the following options mg/dL Take rapid-acting insuling to lower glucose to a target of Option B - Glucose Target & Correction Factor WARNING: Bigfoot Unity will not display a correction dose if you have taken rapid-acting insulin in the past 3 hours. Speak to your health care provider about how to avoid stacking doses of units rapid-acting insulin to prevent low glucose in the hours after the injection. 1 unit of rapid-acting insulin lowers glucose by mg/dL. mg/dL mg/dL units mg/dL units mg/dL. Option A - Correction Dose Table Glucose Range The numbers in this table may be adjusted, and more rows may be added in app. Number ranges should continue with the next number and not overlap (i.e. 100-200, 201-300). The values will automatically populate a table based on the
(take this amount of insulin) information you entered. The table may then be adjusted if needed.
(for high glucose in this range) Rapid-Acting Insulin Option B mg/dL units Glucose Target & Correction Factor mg/dL Notes Take rapid-acting insulin to lower glucose to a target of mg/dL. Write any diabetes care notes to enter into the app. mg/dL mg/dL 1 unit of rapid-acting insulin lowers glucose by mg/dL. mg/dL units units units units These values will automatically populate a table based on the information you entered. The table may be adjusted using the app if needed. mg/dL units Notes The numbers in this table may be adjusted, and more rows may be added in app. Number ranges should continue with the next number and not overlap (i.e., 100-200, 201-300).
(Write any diabetes care notes to enter into the app) 155 The Bigfoot Unity Diabetes Management System User Guide | Appendix B Appendix C: Technical Information C.1 Labeling Symbols Symbols What it means Consult instructions for use Temperature Manufacturer Batch code Type BF applied part Use-by date Catalog number Serial number Keep dry Non-ionizing radiation CODE Sensor code 156 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Do NOT re-use MRI unsafe FCC Declaration of Conformity mark Not made with natural rubber latex Warnings and Cautions Sterilized using radiation Humidity limitation Do NOT use if package is damaged CAUTION: Federal law restricts this device to sale by or on the order of a physician. This product contains electronic equipment, batteries, sharps and materials that may contact bodily fluids during use. Dispose of product in accordance with all applicable local regulations. 157 The Bigfoot Unity Diabetes Management System User Guide | Appendix C C.2 Sensor Specifications Sensor glucose assay method Sensor glucose reading range Sensor size Amperometric electrochemical sensor 40 to 400 mg/dL 0.19 in height and 1.38 in diameter (5 mm in height and 35 mm diameter) Sensor weight 0.18 oz (5 grams) Sensor power source One silver oxide battery Sensor data Up to 14 days Sensor memory Sensor transmission range Operating temperature Sensor Applicator and Sensor Pack storage temperature Operating and storage relative humidity Sensor water resistance 8 hours (glucose readings stored every 15 minutes) 20 feet (six meters) unobstructed 50 F to 113 F (10.0 C to 45.0 C) 36 F to 82 F (2.2 C to 27.8 C) 10-90%, non-condensing IP27: Can withstand immersion into three ft
(one meter) of water for up to 30 minutes. Protected against insertion of objects
> 12 mm diameter Operating and storage altitude
-1,250 ft (-381 meters) to 10,000 ft (3,048 meters) Radio Frequency 2.402 to 2.480 GHz BLE; GFSK; 0dBm EIRP 158 The Bigfoot Unity Diabetes Management System User Guide | Appendix C C.3 Cap Specifications Dimensions 108 mm X 24 mm X 28 mm Weight Less than 1.4 oz (40 g) without insulin pen Power supply Rechargeable lithium ion battery - not replaceable Operating voltage 3.7 V DC Charging voltage 5 V DC Lifetime Mean use life of 2 years Moisture protection Protection against electrical shock IP22 protection against large objects and dripping water Type BF applied part Biocompatibility The primary skin-contacting material used is Makroblend M525, a polycarbonate blend developed specifically for wearable devices. Makroblend has a wide history of use in wearable medical devices and meets the biocompatibility testing requirements of ISO 10993-5 (Cytotoxicity) and ISO 10993-10
(Irritation and Sensitization). Operating Environment Temperature range 41 F to 104 F (5 C to 40 C) Relative humidity range Atmospheric pressure range 15% to 90%, non-condensing 700 hPa to 1,060 hPa Altitude range
-1,250 ft to +10,000 ft (-381 m to + 3,048 m) USB Charging Cable and Adapter Specifications Cable Type Adapter Type USB 2.0 cable with USB-C connector;
Part Number BFMHP-BF-0002 (Bigfoot Biomedical PN-300008) USB 2.0; Model: A18A-050100U-US2
(Bigfoot Biomedical PN-300007) Supply Input 100-240 V AC, 50/60 Hz, Max 0.2A Supply Output 5 V DC, 1A 159 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Transport and Storage Between Use Temperature range
-13 F to 158 F (-25 C to 70 C) Relative humidity range Atmospheric pressure range up to 90%, non-condensing 700 hPa to 1,060 hPa Altitude range
-1,250 ft to +10,000 ft (-381 m to +3,048 m) C.4 Communications Specifications Cap and Phone Communication Compatible Phones iPhone 7 and later; for full list visit www.bigfootbiomedical.com/compatible NFC scan distance 1.0 cm Radio Frequency Near Field Communication (13.56 MHz RFID); 2.402 to 2.480 GHz BLE, GFSK C.5 Bigfoot Unity Diabetes Management System Specifications Bigfoot Unity System Specifications Operating Temperature 50 F to 95 F (10 C to 35 C) C.6 Kit Specifications Bigfoot Unity Welcome Kit Specifications Storage and transport temperature range 46 F to 82 F (8 C to 28 C) Individual components of the kit have different storage and transport temperature ranges. IMPORTANT: Follow the insulin manufacturers instructions for using and storing insulin pens, particularly when insulin pen is placed into the Cap. The temperature ranges for using and storing your insulin pens may be more restrictive than those for the Caps. 160 The Bigfoot Unity Diabetes Management System User Guide | Appendix C C.7 Security Measures The communication between the White Cap and Sensor during a scan is a short range Near Field Communication (NFC) method which makes it difficult to interfere with or intercept during transmission. The transmitted data is protected by a proprietary data format, encryption, and memory map. The integrity of transmitted data is ensured by a cyclic redundancy check (CRC) generated by the Sensor and verified by the White Cap. The communication between the App and Sensor for Alert data is a standard Bluetooth Low Energy (BLE) connection. The pairing of the Sensor to the App is accomplished during activation with an authenticated login procedure that uses an Out-of-band key exchange (NFC). This prevents unauthorized devices from connecting to the Sensor. The transmitted data is protected by a proprietary data format and encryption. This prevents unauthorized devices from accessing the data if they are within range and intercept the transmission. Under normal operation, the industry standard BLE protocols allow for many users to be in the same vicinity. In the case where the connection is lost due to out-of-range or interference, reconnection is only possible with the authenticated App that activated the Sensor. C.8 Quality of Service (QoS) QoS for the White Cap and Sensor wireless communications using NFC is assured within the effective range of 1.0 cm between the Sensor and Cap that is specified to occur within 15 seconds. QoS for the wireless communication using BLE is assured between the App and Sensor at regular 1-minute intervals. If connection is lost between the App and Sensor for five minutes, Sensor Unavailable - Glucose alerts temporarily unavailable displays on the App Home screen. If connection is lost for 20 minutes, the App also alerts the user if the alert is turned on. If connection is lost between the Sensor and the App, up to 8 hours of glucose results can be retrieved by performing a scan with the White Cap. The App and Cap are designed to only accept radio frequency (RF) communications from recognized and paired Sensors. C.9 Meter Specifications See the instructions that came with your Meter and the inserts that came with your test strips and control solution for specifications for those devices. 161 The Bigfoot Unity Diabetes Management System User Guide | Appendix C C.10 Performance Characteristics of the FreeStyle Libre 2 Flash Glucose Monitoring System*
Overview of Clinical Studies Two studies were conducted in the United States (US) to evaluate the performance, safety, effectiveness, and precision of the FreeStyle Libre 2 Flash Glucose Monitoring System (System). One study included adults
(Adult study) and the other study included children (Pediatric study). All subjects in both studies required insulin to manage their diabetes. To measure the precision of the System, each subject wore two Sensors, one on the back of each upper arm, for a period of up to 14 days. While in the clinic, subjects had their venous blood glucose analyzed using a laboratory reference method, the Yellow Springs Instrument Life Sciences 2300 STAT Plus Glucose & Lactate Analyzer (YSI). Sensor glucose readings were then compared to the YSI glucose results to evaluate the Systems performance. Adult study: The Adult study was conducted at 5 centers with 146 subjects in total (91.1% Type 1, 8.9% Type 2), all aged eighteen and older. Subjects had their venous blood glucose analyzed over three separate visits to the clinical center. Each visit lasted up to ten hours. 144 subjects were analyzed during the beginning of the Sensor wear period (day 1, 2, or 3), 91 subjects were analyzed during the early middle period (day 7 or 8), 55 subjects were analyzed during the late middle period (day 9 or 12), and 76 subjects were analyzed during the end period (day 13 or 14). During each visit, adult subjects had their glucose levels deliberately manipulated per the study protocol to raise or lower glucose. This was done to assess performance over the range that the System measures glucose (40 400 mg/dL). Pediatric study: The Pediatric study was conducted at 4 centers with 139 subjects in total (98.6% Type 1, 1.4% Type 2), all aged four to seventeen. Subjects age six and older had their venous blood glucose analyzed for up to 16 hours over one or two separate visits to the clinical center. Each visit lasted up to eight hours. During each visit, subjects age 11 and older had their glucose levels deliberately manipulated per the study protocol to raise or lower glucose. This was done to assess performance over the range that the System measures glucose (40 400 mg/dL). Results are presented for 87 children aged 12 17 years old; 35 subjects were analyzed during the beginning of the Sensor wear period (day 1 or 2), 35 subjects were analyzed during the early middle period (day 7 or 8), 34 subjects were analyzed during the late middle period (day 9 or 12), and 42 subjects were analyzed during the end period (day 13 or 14). All subjects tested their blood glucose using fingerstick capillary samples at least four times during each day of the study.
* The contents of this section are based on clinical studies conducted by Abbott Diabetes Care in support of K193371. This summary includes elements of the studies that support features present in Bigfoot Unity. Data from these studies that do not support features in Bigfoot Unity are not included. 162 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Accuracy Accuracy of the System was measured by comparing paired continuous glucose monitoring (CGM) and YSI blood glucose values. The percentage of total System readings that were within 20 mg/dL for YSI blood glucose values < 70 mg/dL or 20% of YSI for blood glucose values 70 mg/dL is displayed in Table 1a. The Mean Absolute Relative Difference (MARD) gives an indication of the average percent disagreement between the CGM and the reference. For example, in the Adult study, 92.4% of the readings fell within 20 mg/dL of YSI blood glucose values < 70 mg/dL and within 20% of YSI blood glucose values 70 mg/dL. The total number of data pairs considered in the analysis was 18,735. In the Adult study, the Mean Absolute Relative Difference was 9.2% for the comparison with YSI reference. In the Pediatric study, the Mean Absolute Relative Difference was 9.8% for the comparison with YSI reference. Table 1a: Overall Accuracy to YSI Subject Group Number Percent Within Percent Within Percent Within MARD Number of CGM-
Reference Pairs of Subjects 20% /
20 mg/dL 20% /
20 mg/dL on Day 1 20% /
(%) 20 mg/dL in first 12 hours Adults 18735 144 Children
(age 12 17) 5086 86 92.4 91.5 87.5 83.3 81.7 80.1 9.2 9.8 The accuracy of different CGM glucose ranges versus YSI reference was assessed by calculating the percentage of System readings that were within 15%, 20%, and 40% for reference values 70 mg/dL, and within 15 mg/dL, 20 mg/dL, and 40 mg/dL for values < 70 mg/dL. For blood glucose values < 70 mg/dL, the difference in mg/dL between the CGM and YSI blood glucose values was calculated. For values 70 mg/dL, the relative difference (%) to the YSI blood glucose values was calculated. The results categorized within CGM glucose ranges are presented in Tables 1b and 1c. The results categorized within YSI glucose ranges are presented in Tables 1d and 1e. 163 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Table 1b: Accuracy to YSI within CGM Glucose Ranges (Adult; n=144) Number of CGM-
Reference Percent Within 15 mg/dL Percent Within 20 mg/dL Percent Within 40 mg/dL CGM Glucose Level
(mg/dL)
<54 Pairs 518 85.9 93.8 99.4 54-69 3012 89.5 94.2 99.1 70-180 7785 181-250 3037
>250 4383 System range is 40-400 mg/dL. Percent Within 15%
Percent Within 20%
Percent Within 40%
Mean bias
(mg/dL) MARD
-6.4 13.8
-3.3 10.8 76.5 86.6 99.2
-4.8 10.6 89.1 95.0 99.9
-10.1 7.8 94.0 97.9 100.0
-6.3 6.1 Table 1c: Accuracy to YSI within CGM Glucose Ranges (Pediatric; n=86) CGM Glucose Level
(mg/dL) Number of CGM-
Reference Pairs Percent Within 15 mg/dL Percent Within 20 mg/dL Percent Within 40 mg/dL Percent Within 15%
Percent Within 20%
Percent Within 40%
Mean bias
(mg/dL) MARD
(%) 70.4 77.6 96.8 86.5 90.4 96.9
-10.9 17.8
-4.9 12.0
<54 54-69 125 772 70-180 1963 181-250 957
>250 1269 System range is 40-400 mg/dL. Table 1d: Accuracy to YSI within YSI Glucose Ranges (Adult; n=86) Number of CGM-
Reference Percent Within 15 mg/dL Percent Within 20 mg/dL Percent Within 40 mg/dL CGM Glucose Level
(mg/dL)
<54 Pairs 440 91.1 97.5 100.0 54-69 3028 94.7 98.6 100.0 76.9 86.6 98.5
-4.1 10.9 87.0 96.0 99.9
-11.7 8.1 93.5 98.1 99.7
-5.7 7.1 Percent Within 15%
Percent Within 20%
Percent Within 40%
Mean bias
(mg/dL) MARD
(%) 7.4 1.5 15.5 10.2 77.5 86.9 99.4
-4.8 10.4 87.9 93.7 99.7
-8.0 8.0 90.9 95.9 99.7
-11.8 6.9 70-180 7504 181-250 2937
>250 4826 164 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Table 1e: Accuracy to YSI within YSI Glucose Ranges (Pediatric; n=86) CGM Glucose Level
(mg/dL) Number of CGM-
Reference Pairs Percent Within 15 mg/dL Percent Within 20 mg/dL Percent Within 40 mg/dL Percent Within 15%
Percent Within 20%
Percent Within 40%
Mean bias
(mg/dL) MARD
(%) 94.0 98.3 100.0 96.1 98.7 100.0 6.7 0.9 14.6 9.5 73.3 83.3 97.7
-4.5 11.7 87.5 92.9 98.6
-6.0 8.3 91.1 98.1 99.9
-12.8 7.7
<54 54-69 117 670 70-180 2001 181-250 806
>250 1492 Agreement with < 40 mg/dL and > 400 mg/dL CGM Reading against YSI Reference*
The System reports glucose concentrations between 40 and 400 mg/dL. When the System determines that glucose level is below 40 mg/dL, it will report as < 40 mg/dL on the White Cap. When the System determines that glucose level is above 400 mg/dL, it will report as > 400 mg/dL on the White Cap. Tables 2a and 2b display the concurrence between the CGM and YSI reference glucose when CGM reads < 40 mg/dL. For example, in the Adult study, when CGM reading was < 40 mg/dL, YSI glucose values were less than 50 mg/dL 20.0% of the time, less than 60 mg/dL 40.0% of the time, less than 70 mg/dL 40.0% of the time, less than 80 mg/dL 80.0% of the time, and equal to or above 80 mg/dL 20.0 % of the time. Table 2a: Concurrence Analysis with < 40 mg/dL CGM Reading
(Adult; n=144) CGM-Reference Pairs YSI (mg/dL)
<50
<60
<70
<80 80 n 1 2 2 4 1 Cumulative %
20.0 40.0 40.0 80.0 20.0 N 5
* The Users Manual for the FreeStyle Libre 2 Flash Glucose Monitoring System refers to these as LO and HI 165 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Table 2b: Concurrence Analysis with < 40 mg/dL CGM Reading
(Pediatric; n=86) CGM-Reference Pairs YSI (mg/dL)
<50
<60
<70
<80 80 Cumulative %
50.0 100.0 100.0 1 2 2 0 0.0 0 0.0 Tables 2c and 2d display the concurrence between the CGM and YSI reference glucose when CGM reads > 400 mg/dL. In the Adult study, when CGM reading was > 400 mg/dL, YSI glucose values were above 350 mg/dL 97.5% of the time, above 300 mg/dL 100.0% of the time, above 250 mg/dL 100.0 % of the time, and less than or equal to 250 mg/dL 0.0% of the time. Table 2c: Concurrence Analysis with > 400 mg/dL CGM Reading
(Adult; n=144) CGM-Reference Pairs
>350
>300
>250 250 YSI (mg/dL) 121 121 Cumulative %
100.0 100.0 118 97.5 Table 2d: Concurrence Analysis with > 400 mg/dL CGM Reading
(Pediatric; n=86) CGM-Reference Pairs YSI (mg/dL)
>350
>300
>250 250 Cumulative %
26 86.7 28 93.3 30 100.0 0 0.0 0 0.0 N 2 N 121 N 30 n n n 166 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Concurrence of System and Reference (CGM vs. YSI) The percentage of concurring glucose values (CGM vs. YSI) in each glucose reference range is presented for each CGM range in Tables 3a and 3b and for each YSI range in Tables 3c and 3d. For example, in the Adult study, when the System glucose readings were within the 81 to 120 mg/dL range, actual blood glucose values were between 40 and 60 mg/dL 0.2% of the time, between 61 and 80 mg/dL 11.0% of the time, between 81 and 120 mg/dL 70.1% of the time, between 121 and 160 mg/dL 17.8% of the time, between 161 and 200 mg/dL 0.8% of the time, and between 201 and 250 mg/dL 0.1% of the time. Table 3a: Concurrence Analysis by CGM Glucose Level (Adult; n=144) YSI Glucose Level (mg/dL)
<40 40-60 61-80 81-
120 121-
160 161-
200 201-
250 251-
300 301-
350 351-
400
>400
<40 20.0 20.0 40.0 20.0 40-60 0.4 52.9 43.3 3.3
. 0.1
. 18.9 62.7 18.1 0.4 0.0 0.2 11.0 70.1 17.8 0.8 0.1 N 5 1889 3090 3040 2407 1745 2181
. CGM Glucose Level
(mg/dL) 61-80 81-120 121-
160 161-
200 201-
250 251-
300 301-
350 351-
400
>400
. Levels out of System dynamic range. 0.1 9.1 69.9 18.9 1.6 0.3 0.2 10.6 60.6 26.9 1.6 0.3 7.0 65.5 25.6 1.9 0.1 0.1 8.4 66.9 22.7 1.8 0.1 2327
. 0.4 13.6 68.8 16.0 1.2 1522 0.6 27.5 63.3 8.6 534
. 2.5 62.8 34.7 121 167 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Table 3b: Concurrence Analysis by CGM Glucose Level (Pediatric; n=86) YSI Glucose Level (mg/dL)
<40 40-60 61-80 81-
120 121-
160 161-
200 201-
250 251-
300 301-
350 351-
400
>400 50.0 50.0
. 40-60 0.6 47.7 42.9 8.1 0.6 CGM Glucose Level
(mg/dL)
<40 61-80 81-120 121-
160 161-
200 201-
250 251-
300 301-
350 351-
400
>400
. Levels out of System dynamic range. 13.1 61.2 23.8 1.8 0.3 12.0 68.7 17.5 1.4 0.1 10.6 70.0 17.3 2.1 0.2 16.2 59.5 23.9 0.2
. N 2 480 776 798 577 444 742 665
. 7.8 52.8 38.3 1.1 10.1 62.1 26.8 1.1 0.2 20.0 60.0 19.6 0.2 455 1.3 0.7 34.2 58.4 5.4 149 6.7 6.7 16.7 70.0 30
. 168 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Table 3c: Concurrence Analysis by YSI Glucose Level (Adult; n=144) YSI Glucose Level
(mg/dL) CGM Glucose Level (mg/dL)
<40 40-60 61-80 81-
120 121-
160 161-
200 201-
250 251-
300 301-
350 351-
400
>400
. N 8 1591 3093 2971 2418 1694 2139 2359
. 0.5 22.3 69.6 7.7 0.1 0.1 1.5 26.9 62.5 9.0 0.1
<40 12.5 87.5
. 40-60 0.1 62.9 36.6 0.4 61-80 0.1 26.4 62.6 10.8 0.1 81-120 0.0 2.1 18.8 71.7 7.3 121-
160 161-
200 201-
250 251-
300 301-
350 351-
400
>400
* Levels out of System dynamic range. 0.1 1.8 21.9 66.8 9.1 0.3 0.3 1.2 23.7 66.0 8.8 0.1 0.3 0.3 2.3 29.8 58.9 8.3 0.2 1777 0.3 6.1 34.7 48.1 10.8 703
. 1.9 16.7 42.6 38.9 108 169 The Bigfoot Unity Diabetes Management System User Guide | Appendix C YSI Glucose Level
(mg/dL)
. 121-
160 161-
200 201-
250 251-
300 301-
350 351-
400
>400 Table 3d: Concurrence Analysis by YSI Glucose Level (Pediatric; n=86) CGM Glucose Level (mg/dL)
<40 40-60 61-80 81-
120 121-
160 161-
200 201-
250 251-
300 301-
350 351-
400
>400
<40
. 100.0
. 40-60 0.3 68.6 30.5 0.6 61-80 0.1 26.5 61.1 12.3 81-120 4.7 22.2 65.7 7.3 0.1 0.5 2.2 22.1 63.8 11.4 N 3 334 778 834 633 435 579
. 2.5 23.0 60.7 13.3 0.5 0.2 2.1 18.3 67.7 11.6 0.2 0.1 35.9 52.1 11.5 0.1 0.3 792 1.6 34.8 53.3 10.0 0.4 512 3.7 47.3 46.3 2.7 188
. 3.3 26.7 70.0 30 Levels out of System dynamic range. 170 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Glucose Rate of Change Accuracy The Systems glucose rate of change (ROC) accuracy, as assessed by concurrence analysis, is presented in Tables 4a and 4b. For example, in the Adult study, when the Sensor glucose ROC indicated that
)), actual glucose was changing slowly downward (-1 to 0 mg/dL/min (
glucose levels in the body were falling quickly (<-2 mg/dL/min) 1.2% of the time, falling (-2 to -1 mg/dL/min) 8.3% of the time, changing slowly downward (-1 to 0 mg/dL/min ) 67.1% of the time, changing slowly upward (0 to 1 mg/dL/min ) 19.7% of the time, rising (1 to 2 mg/dL/
min) 2.6% of the time, and were rising quickly (>2 mg/dL/min) 1.2% of the time. Digitally connected systems which do not utilize the Systems Trend Arrow calculations may see different glucose rate of change accuracy. Table 4a: Concurrence Analysis by Glucose Rate of Change (Adult; n=144) YSI (mg/dL/min)
< -2
[-2, -1)
[-1, 0)
[0, 1]
(1, 2]
<-2 (
) 34.4 CGM
(mg/dL/min)
-2 to -1 (
-1 to 0 (
) 0 to 1 (
) 1 to 2 (
>2 (
) CGM
(mg/dL/min)
<-2 (
) 46.3
-2 to -1 (
) 12.7
-1 to 0 (
) 0 to 1 (
) 1 to 2 (
>2 (
) 6.8 1.2 0.9 0.1 0.1 1.9 0.9 0.3
. 44.9 46.5 8.3 3.4 1.7 0.2 43.8 51.2 10.7 5.0 2.6 0.6 18.3 41.2 67.1 26.0 7.7 3.1 8.3 30.8 60.5 25.8 8.9 3.7 2.2 4.0 19.7 46.9 31.6 14.6 1.7 4.4 20.9 43.0 28.2 16.1 0.3 0.9 2.6 15.5 38.4 32.9
. 0.3 4.0 15.3 36.3 30.0
>2
. 0.6 1.2 7.3 20.5 49.0
>2
. 0.6 2.1 9.9 23.8 49.6 Table 4b: Concurrence Analysis by Glucose Rate of Change (Pediatric; n=86) YSI (mg/dL/min)
< -2
[-2, -1)
[-1, 0)
[0, 1]
(1, 2]
N 323 1090 9389 5420 1151 881 N 121 338 2084 1606 383 347 171 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Alert Performance The tables in this section show the accuracy of the Systems Low Glucose Alert. The Alert Rate tells you how often the alert is right or wrong. The Detection Rate tells you how often the System is able to recognize and notify you about a low glucose event. Low Glucose Alert Performance Tables 5a and 5b display the percentages for these parameters:
True Alert Rate Tells you: When you got a Low Glucose Alert, were you actually low?
Definition: Percentage of time the alert issued and blood glucose was below the alert level within 15 minutes before or after the alert. False Alert Rate Tells you: Did you get a Low Glucose Alert that you shouldnt have?
Definition: Percentage of time the alert issued and blood glucose was not below the alert level within 15 minutes before or after the alert. Detection Rate Tells you: When you were low, did you get a Low Glucose Alert?
Definition: Percentage of time blood glucose was below the alert level and the alert issued within 15 minutes before or after the glucose event. Missed Detection Rate Tells you: When you were low, did you miss a Low Glucose Alert?
Definition: Percentage of time blood glucose was below the alert level and the alert didnt issue within 15 minutes before or after the glucose event. For example, the Adult study found that for a Low Glucose Alert level set to 70 mg/dL:
86.0% of the time a Low Glucose Alert was received when blood glucose was indeed below the alert level but 14.0% of the time a Low Glucose Alert was received when blood glucose wasnt actually below the alert level. 89.3% of the time blood glucose was below the alert level and a Low Glucose Alert was appropriately issued but 10.7% of the time the glucose event was missed and no alert was issued. 172 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Table 5a: Low Glucose Alert Performance (Adult; n=144) Low Glucose Alert level
(mg/dL) Alert Rate Detection Rate Number of Events (n) True Alert Rate (%) False Alert Rate (%) Number of Events (n) Correct Detection Rate (%) Missed Detection Rate (%) 70 21504 86.0 14.0 3652 89.3 10.7 Table 5b: Low Glucose Alert Performance (Pediatric; n=186) Low Glucose Alert level
(mg/dL) Alert Rate Detection Rate Number of Events (n) True Alert Rate (%) False Alert Rate (%) Number of Events (n) Correct Detection Rate (%) Missed Detection Rate (%) 70 1133 80.1 19.7 800 93.5 6.5 Sensor Accuracy Over Time The Sensor can be worn for up to 14 days. The percentage of System readings within YSI values and the Mean Absolute Relative Difference
(MARD) is presented for the following different wear periods in Tables 6a and 6b: Beginning (Adult: 144 Subjects, Day 1, 2 or 3;
Pediatric: 35 Subjects, Day 1 or 2) Early Middle (Adult: 91 Subjects, Day 7 or 8; Pediatric: 35 Subjects, Day 7 or 8), Late Middle (Adult: 55 Subjects, Day 9 or 12; Pediatric: 34 Subjects, Day 9 or 12), and End
(Adult: 76 Subjects, Day 13 or 14; Pediatric: 42 Subjects, Day 13 or 14). For values 70 mg/dL and above, the percentage of readings within 15%, 20%, and 40% of the YSI value was calculated. For values below 70 mg/dL, the percentage of readings within 15 mg/dL, 20 mg/dL, and 40 mg/dL of the YSI value was calculated. Table 6a: Sensor Accuracy Relative to YSI over the wear duration
(Adult; n=144) Number of Wear Period CGM-reference MARD (%) Within 15% /
15 mg/dL Within 20% /
20 mg/dL Within 40% /
40 mg/dL Beginning Early Middle Late Middle End pairs 6955 4522 3503 3755 9.9 8.5 8.8 9.1 83.4 87.7 86.8 86.4 90.4 94.5 93.4 92.9 99.3 99.8 99.7 100.0 173 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Table 6b: Sensor Accuracy Relative to YSI over the wear duration
(Pediatric; n=86) Number of Wear Period CGM-reference MARD (%) Within 15% /
15 mg/dL Within 20% /
20 mg/dL Within 40% /
40 mg/dL Beginning Early Middle Late Middle End pairs 1403 1307 1068 1308 10.9 8.0 9.8 10.2 79.3 90.0 84.1 83.9 88.0 94.3 92.6 91.8 98.2 98.2 99.8 99.4 Sensor Wear Duration The Sensor can be worn for up to 14 days. To estimate how long a Sensor will work over the wear duration, 146 Sensors were evaluated in the Adult study and 87 Sensors were evaluated in the Pediatric study to determine how many days of readings each Sensor provided. Subjects did not wash the insertion site with soap and water before applying the Sensors and wore two Sensors simultaneously. Of the 146 Sensors in the Adult study, 71.1% lasted until the final day of use. 6 Sensors
(4.1%) had early sensor shut-off where the Sensor algorithm detected that the Sensors did not function as intended and presented the user with a Replace Sensor message. In the Pediatric study, 80.3% of the Sensors lasted until the final day of use. 2 Sensors (2.3%) had early sensor shut-off where the Sensor algorithm detected that the Sensors did not function as intended and presented the user with a Replace Sensor message. Tables 7a and 7b display the data for each day in the wear duration for the Adult & Pediatric studies. A third clinical study was also conducted to further evaluate wear duration in subjects who first washed the insertion site with a plain soap and water, according to the full instructions in the labeling and wore only a single Sensor. Of the 39 Sensors evaluated in this study, 97% lasted until the final day of use. 174 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Table 7a: Sensor Survival Rate Over Wear Duration (Adult; n=146) Day of Wear Number of Sensors Survival Rate (%) Table 7b: Sensor Survival Rate Over Wear Duration (Pediatric; n=87) Day of Wear Number of Sensors Survival Rate (%) 10 11 12 13 14 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 145 142 140 137 134 133 132 127 123 119 112 111 104 100 85 84 83 82 82 82 82 82 79 77 77 76 74 67 99.3 97.3 95.9 93.8 91.8 91.1 90.4 87.0 84.9 82.2 77.3 76.6 71.8 71.1 97.7 96.6 95.4 94.3 94.3 94.3 94.3 94.3 90.8 88.5 88.5 87.4 85.1 80.3 175 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Glucose Reading Availability The System is designed to show a Sensor glucose reading after each scan that is performed throughout the wear period after the start-up time. Tables 8a and 8b show the glucose reading capture rate for each day of the wear duration. Table 8a: Glucose Reading Capture Rate Over Wear Duration (Adult; n=146) Day of Wear Number of Sensors Capture Rate (%) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 146 145 143 140 138 135 134 131 128 123 120 113 112 104 98.3 98.1 98.3 98.3 98.4 98.3 98.4 98.4 98.4 98.4 98.4 98.5 98.5 98.6 176 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Table 8b: Glucose Reading Capture Rate Over Wear Duration
(Pediatric; n=87) Day of Wear Number of Sensors Capture Rate (%) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 87 85 84 82 83 82 83 82 81 78 78 76 75 74 95.4 95.2 95.6 95.7 95.9 96.1 96.5 96.8 96.9 96.9 96.9 97.1 97.1 97.2 177 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Precision Precision of the System was evaluated by comparing the results from two separate Sensors worn on the same subject at the same time. Table 9a provides data from 146 subjects in the Adult study; Table 9b provides data from 86 subjects in the Pediatric study. For adults, the paired absolute relative difference (PARD) between the two Sensors was 8.1% with coefficient of variation (CV) of 5.7%. For children ages 12-17, PARD was 8.4% with CV of 6.0%. Paired absolute difference (PAD) is a measurement of absolute difference (in mg/dL) between paired CGM readings, while PARD is the absolute relative difference (in %) between paired CGM readings. Table 9a: Overall between Sensor Precision (Adult; n=146) Coefficient of Variation (%) Paired Absolute Paired Absolute Difference
(mg/dL) Relative Difference (%) Number of Paired Readings Adults ages 18+
5.7 12.4 8.1 26791 Table 9b: Overall between Sensor Precision (Pediatric; n=86) Coefficient of Variation (%) Paired Absolute Paired Absolute Difference
(mg/dL) Relative Difference (%) Number of Paired Readings 6.0 13.2 8.4 7659 Children ages 12-17 178 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Adverse Events No device related serious adverse events occurred during the studies. In the Adult study, mild skin irritations, such as erythema, bruising, bleeding, and scabbing were reported around the insertion site and adhesive area by a small number of subjects (10 out of 146 or 6.8%). Pain was mostly reported as none with only one instance of mild pain. In the Pediatric study, for children ages 12-17 there were 7 instances of erythema (4 well-defined redness, and 3 slight pink), 5 instances of edema (3 slight edema, 2 slight edema with defined edges), 2 instances of mild bleeding, and one instance of mild induration. Ascorbic Acid Interference Taking ascorbic acid (vitamin C) supplements while wearing the Sensor may falsely raise Sensor glucose readings. Taking more than 500 mg of ascorbic acid per day may affect the Sensor readings which could cause you to miss a severe low glucose event. Ascorbic acid can be found in supplements including multivitamins. Some supplements, including cold remedies such as Airborne and Emergen-C, may contain high doses of 1000 mg of ascorbic acid and should not be taken while using the Sensor. See your health care provider to understand how long ascorbic acid is active in your body. Additional notes for Health Care Providers A clinical study was conducted to evaluate the effect of ascorbic acid on Sensor performance. Data from 57 adult subjects with diabetes was collected over a 13-hour period. Each subject had a one-hour baseline phase where venous blood was collected every 10 minutes. After this first hour, a dose of 1000 mg ascorbic acid was given with a meal and venous samples were collected every 20 minutes for the next four hours. A maximum average sensor bias of 9.3 mg/dL was observed around 3 hours after the 1000 mg ascorbic acid dose. Subjects then received a second dose of 1000 mg ascorbic acid with a meal and the same process was continued for another 4 hours. A third dose of 1000 mg ascorbic acid was then given and study subjects were followed for 4 more hours. After the second dose of ascorbic acid the maximum average sensor bias increased, with minimal change in sensor bias after the third dose, suggesting that saturation had occurred by the second 1000 mg dose of ascorbic acid. The maximum average sensor bias after the three 1000 mg doses of ascorbic acid was less than 20 mg/dL. 179 The Bigfoot Unity Diabetes Management System User Guide | Appendix C C.11 Electromagnetic Compatibility (EMC) Bigfoot Unity has been tested and found to be appropriate for use at home. In most cases, Bigfoot Unity should not interfere with other home electronic devices if used as instructed. However, the Caps, Sensor, Meter, and your phone give off radio frequency (RF) energy. The low level of RF energy emitted by the system is not likely to cause interference in nearby electronic equipment. However, if not used correctly, these Bigfoot Unity devices may interfere with your TV, radio, or other electronic devices that receive RF signals. In addition, except for your Bigfoot Unity-related devices, other electronic wireless devices that are in use nearby, such as another cell phone or a wireless network, may prevent or delay the transmission of data between the different devices that make up the Bigfoot Unity System. If you find that glucose values are not sent to your White Cap from the Meter, or if Sensor or Cap data is not being sent to the App, it may be due to electromagnetic interference. To avoid interference, you may be able to move to a different location to Use Bigfoot Unity. Alternatively, you could turn off other nearby electronic devices or antennas to avoid interference. Similarly, if you find that the White Cap will not scan the Sensor, try moving to another location. If you experience problems receiving data on your Cap or App after moving Bigfoot Unity away from any potential source of interference, contact Bigfoot Customer Care at (551) 244-3668. Special precautions must be taken to avoid increased emissions of RF or decreased immunity to RF, including:
Installing and using Bigfoot Unity in accordance with the instructions provided in this User Guide. Using only accessories, transducers, and cables specified by Bigfoot Biomedical. Avoiding using Bigfoot Unity adjacent to other electrical equipment, or if adjacent use is necessary, Bigfoot Unity should be observed to verify normal system operation. Not making any modifications to Bigfoot Unity components that are not approved by Bigfoot Biomedical. 180 The Bigfoot Unity Diabetes Management System User Guide | Appendix C FCC Compliance The Bigfoot Unity System complies with Part 15 of the Federal Communications Commission (FCC) rules that state the following two conditions:
(1) this device may not cause harmful interference, and
(2) this device must accept any interference received, including interference that may cause undesired operation. Bigfoot Unity Transmitter Module FCC IDs:
Bigfoot Unity Device FCC ID White Cap Black Cap Meter 2AVAYUR001 2AVAYUL001 QOQBLE113 Guidance and manufacturers declaration electromagnetic emissions Bigfoot Unity is intended for use in the electromagnetic environment specified below. The customer or the user should assure that Bigfoot Unity is used in such an environment. Emissions test Compliance RF emissions CISPR 11 RF emissions CISPR 11 Harmonic emissions IEC 61000-3-2 Voltage fluctuations / flicker emissions IEC 61000-3-3 Electromagnetic environment - guidance Bigfoot Unity uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. Bigfoot Unity is suitable for use in all establishments, including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes. Group 1 Class B Class A Complies 181 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Guidance and manufacturers declaration electromagnetic immunity Bigfoot Unity is intended for use in the electromagnetic environment specified below. The customer or the user should assure that Bigfoot Unity is used in such an environment. Immunity test Electrostatic discharge
(ESD) IEC 60601 test level 8 kV contact Compliance Level 8 kV contact 15 kV air 15 kV air IEC 61000-4-2 Electrical fast transient/burst IEC 61000-4-4 Surge IEC 61000-4-5 Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11 Power frequency
(50/60 Hz) magnetic field IEC 61000-4-8 Conducted RF IEC 61000-4-6 2 kV for power supply lines 2 kV for power supply lines 1 kV input/
output lines 1 kV differential mode 1 kV input/
output lines 1 kV differential mode 2 kV common mode
<5% UT
(>95% dip in UT ) for 0.5 cycles 2 kV common mode
<5% UT
(>95% dip in UT ) for 0.5 cycles 40% UT
(60% dip in UT ) for 5 cycles 40% UT
(60% dip in UT ) for 5 cycles 70% UT
(30% dip in UT ) for 25 cycles 70% UT
(30% dip in UT ) for 25 cycles
<5% UT
(>95% dip in UT ) for 5 seconds 30 A/m
<5% UT
(>95% dip in UT ) for 5 seconds 30 A/m 6 Vrms 6 Vrms 150 kHz to 80 MHz Electromagnetic environment - guidance Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%. Mains power quality should be that of a typical domestic, commercial, or hospital environment. Mains power quality should be that of a typical domestic, commercial, or hospital environment. Mains power quality should be that of a typical domestic, commercial, or hospital environment. If the user of Bigfoot Unity requires continued operation during power mains interruptions, it is recommended that Bigfoot Unity be powered from an uninterruptible power supply or battery. Power frequency magnetic fields should be at levels characteristic of a typical domestic, commercial, or hospital environment. Portable and mobile RF communications equipment should be used no closer to any part of Bigfoot Unity, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance d=1.2 P d=1.2 P 80 MHz to 800 MHz d=2.3 P 800 MHz to 2.5 GHz Radiated RF 10 V/m 10 V/m Recommended separation distance IEC 61000-4-3 80 MHz to 2.7 GHz 182 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Immunity test RFID Magnetic Immunity AIM 7351731:
2017 test level 65 A/m 134.2kHz 7.5A/m 13.56MHz Performance Equipment operating in the 13.56 MHz frequency range in the vicinity of the RCAP was found to have a temporary effect on the scanning functionality of the Sensor. After removing the source of interference, the scanning function resumed with no degradation of performance. Equipment operating in the 134.2 kHz frequency range had no effect on the scanning function. BLE communication was not impacted at either frequency. Note: UT is the a.c. mains voltage prior to application of the test level. 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 meters (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site surveya, should be less than the compliance level in each frequency rangeb. Interference may occur in the vicinity of the 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. a 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 Bigfoot Unity is used exceeds the applicable RF compliance level above, Bigfoot Unity should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating Bigfoot Unity. b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 10 V/m. 183 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Recommended separation distances between portable and mobile RF communications equipment and Bigfoot Unity Bigfoot Unity is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of Bigfoot Unity can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and Bigfoot Unity. The Bigfoot Unity System was tested with several common electronic products that could potentially cause interference, including a WiFi router, a Bluetooth speaker, a Fitbit, a cordless phone, a baby monitor, a laptop computer, and a microwave oven. At a separation of 1 meter (about 3 feet), none of these products affected the operation of Bigfoot Unity. Recommended separation distances between transmitters and Bigfoot Unity can be calculated using the table below, according to the maximum output power of the communications equipment. Separation distance according to frequency of transmitter Rated maximum output power of transmitter W 0.01 0.1 1 10 100 150 kHz to 80 MHz d=1.2 P 0.12 0.38 1.2 3.8 12 m 80 MHz to 800 MHz d=1.2 P 0.12 0.38 1.2 3.8 12 800 MHz to 2.5 GHz d=2.3 P 0.23 0.73 2.3 7.3 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (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. C.12 Warranty For warranty information, please reference the Terms of Use for Bigfoot Unity within the App, or online at: www.bigfootbiomedical.com/terms-
of-use 184 The Bigfoot Unity Diabetes Management System User Guide | Appendix C Index A Accepting updates Active alerts icon Active Insulin Add Notes Add Photos Alerts App create an account download Home screen settings setup Applying Sensor Arrows glucose trend B Black Cap Blood glucose checking Meter C Caps changing charging cleaning messages Active Insulin Correction 78, 85, 87, 128 110, 118 97 42, 111 43 45, 46, 99, 120 31 31 97, 145 32, 110 33 24, 57, 93 76 48, 65, 107 25, 77 77 20, 54 47, 106, 107 88 126 78, 85, 87, 128 78 185 Backup diabetes management plan 18, 20, 88, 104, 138 The Bigfoot Unity Diabetes Management System User Guide Use Meter 20, 60, 76, 84, 91, 128, 135 Considerations if You Record a Dose You Did Not Take 47, 106, 107 47, 106, 107 76 76, 135 76, 135 79 79, 130 72, 74 74 42, 69 77 127 18 87 37, 41 37, 41 37, 78 31 46 11 20, 97 18 127 124, 127 13, 34, 78, 86, 115 13, 33, 69, 72, 99, 122 13, 34, 79, 85, 114 84, 87, 104 31 Glucose Trend Arrow Going Low Low Glucose Meal Meal + Correction Time Since Last Dose replacing updating viewing glucose information viewing insulin information Check blood glucose Cleaning Meter Computed tomography (CT) Correction dose table Correction factor Correction insulin Create an account (on App) Critical Alerts Customer Care D Daily use Diathermy Disposal Dose Disinfecting Meter correction long-acting meal not taken Download App 186 The Bigfoot Unity Diabetes Management System User Guide Flag dose as not taken 88, 104 F G Glucose check blood Going Low Low managing ranges scan Sensor target trend arrow Graph view H Help and support History Home screen Hyperglycemia Hypoglycemia Icons/ symbols I Insulin changing Active Alerts icon main menu options Notifications/Alerts Off icon correction/correction dose correction dose table correction factor dose not taken flag dose as not taken long-acting meal dose label 59, 75, 83, 95 77 76, 135 76, 135 14 98 37, 41 76 102 123 102 97 101 97, 98 139 11, 139 11, 156 41, 78, 79 47 37 37, 41 87, 104 88, 104 33, 111 34 187 The Bigfoot Unity Diabetes Management System User Guide meal/mealtime dose pens rapid-acting settings L List view Long-acting insulin Low Glucose M Magnetic resonance imaging (MRI) Making treatment decisions Making updates to settings Meal dose label Meal/Mealtime Insulin Meter (Status and Start a New Meter) Notifications/Alerts off icon Messages Meter MY DEVICES MY HISTORY MY SETTINGS N Notes Notifications P Pairing App with Caps devices Meter with App Passcode Pending updates Phone settings 188 34, 35, 79 28, 127 34, 74, 85, 113 33, 44, 110 103 33, 111 76, 135 34, 35, 79 101, 145 20, 54, 108 18 82 111 34 108 105 102 110 42, 111 45 97, 98 48 69 54, 108 110, 123 117, 118 45, 98 The Bigfoot Unity Diabetes Management System User Guide first 12 hours of use 60, 76, 84, 91, 95, 105 Rapid-acting insulin Removing Sensor Restore App settings Reviewing history R S Scan Sensor Send settings from App to Caps Send settings later Sensor application removal start-up period unavailable Settings App insulin phone updates Start Black Cap Start Caps Start Meter Start Sensor Start White Cap Supplies Symbols/ icons System kit T Technical Service Trend arrows glucose Troubleshooting 33, 85, 113 25, 92, 95, 125 109 102 59, 75, 83, 95 50, 52, 116 117 25, 57, 93 25, 92, 95, 125 60, 95 121 32, 110 44 45, 98 111 48, 107 48, 51, 105 54, 108 57, 95, 105 51, 106 122 11, 156 27 11 76 128 189 The Bigfoot Unity Diabetes Management System User Guide U V W Use Meter 20, 60, 76, 128, 135 Viewing glucose information on Caps Viewing insulin information on Caps 74 42 White Cap 51, 64, 74, 106 190 The Bigfoot Unity Diabetes Management System User Guide Bigfoot Biomedical, Inc. Milpitas, CA 95035 Phone: (551) BIGFOOT or 244-3668
(888) 523-3662 Web: www.bigfootbiomedical.com Bigfoot, Bigfoot Unity, and Unity are trademarks of Bigfoot Biomedical, Inc. Apple and iPhone are trademarks of Apple, Inc. FreeStyle and Libre are trademarks of Abbott Diabetes Care, Inc. All insulin brand names are trademarks of their respective holders. Emergen-C is a trademark of Pfizer, Inc. Airborne is a trademark of Reckitt Benckiser. The Bluetooth word mark and logos are registered trademarks owned by SIG, Inc. and any use of such marks by Bigfoot Biomedical, Inc. is under license. All other trademarks cited herein are property of their respective owners. The use of any trademark herein does not imply any affiliation with or endorsement by the respective trademark owner. Patent www.bigfootbiomedical.com/patents 2020-2021 Bigfoot Biomedical, Inc. LBL-200432 Rev 07 November 2020
1 2 | Internal Photo | Internal Photos | native | 3.24 MiB | December 28 2020 / February 02 2021 | delayed release |
1 2 | Block Diagram | Block Diagram | 49.14 KiB | December 28 2020 / February 02 2021 | delayed release |
1 2 | Confidentiality Request | Cover Letter(s) | 4.11 MiB | December 28 2020 |
@ vy, November 18, 2020 b ; g foot BIOMEDICAL Attention: Application Examiner Re: Request for Confidentiality Applicant: Bigfoot Biomedical, Inc. FCC ID: 0029025996 To Whom It May Concern:
Permanent Confidentiality Request is hereby submitted by Bigfoot Biomedical, Inc. to withhold permanently from public review certain portions of the application for equipment certification for the referenced FCC identifiers. This request for confidentiality is made pursuant to 47 CER 0.457(d) and 0.459 of the FCC Rules. In particular, the following sections of the application are to be kept permanently confidential:
e Schematics e Parts list Short-term Confidentiality Request is hereby submitted by Bigfoot Biomedical, Inc. to withhold from public review for a period of 45 days from the date of the Grant of Equipment Authorization and prior to marketing, certain portions of the application for equipment certification for the referenced FCC identifiers. This request for confidentiality is made pursuant to 47 CFR 0.457(d) and 0.459 of the FCC Rules. In particular, the following sections of the application are to be kept confidential for a period of 45 days from the date of Authorization:
Bigfoot Unity System Operational Descritiopn and Block Diagram e Internal Photos e User Manual Rationale for request for confidentiality: Bigfoot Biomedical, Inc. has invested considerable time and materials in research and development to produce the referenced product. Disclosure of the permanently confidential portions of this application to competitors would not only give them significant competitive advantages in developing similar products, but would also disclose successful implementation of unpublished, leading edge technology developed by us. 1820 McCarthy Blvd, Milpitas, CA 95035 | +1.408.514.5600 | Fax +14087302541 | bigfootbiomedical.com bigfeot Disclosure of the short-term confidential portions of this application during the period of importation and/or distribution would reveal key aspects of proprietary technology to competitors and diminish the value of our investment in research and development. Not protecting the details of the design will result in financial hardship. The fee for confidentiality has been submitted along with the fee for certification. If you have questions or need further information, please contact the undersigned. Sincerely, rey Shipsides |
General Counsel Bigfoot Biomedical, Inc. 612-360-0300 1820 McCarthy Bivd, Milpitas, CA95035 | 1.408.514.5600 | Fax +1408730.2541 | bigfootbiomedical.com Intertek C&E Management System Document No.:
Regional Management System (RMS Operations (OP CERTIFICATION AGREEMENT FCC TELECOMMUNICATION CERTIFICATION BODY (TCB) PROGRAM Revision Date: N/A
: Approved by: Nicholas Abbondante Effective Date: 12/24/2014 CERTIFICATION AGREEMENT FOR U.S. FEDERAL COMMUNICATION COMMISSION (FCC) TELECOMMUNICATIONS CERTIFICATION BODY (TCB) PROGRAM
~ eh THIS AGREEMENT made the _| day of November 2020 py and between INTERTEK Issue Date: 06-19-2014 TESTING SERVICES NA, INC. CINTERTEK) having offices at _70 Codman Hill Rd, Boxborough, MA_01719 and Bigfoot Biomedical, Inc. having offices at Client Company Name)
1820 McCarthy Boulevard, Milpitas CA 95035 .
(Client's Company Address) RECITALS Whereas, INTERTEK provides a service for evaluating whether products provided by the Client comply with designated standards or specified requirements. Subject to the terms of this Certification Agreement, products found to be in compliance by INTERTEK may be eligible for inclusion on a list maintained by INTERTEK. Whereas, the Client desires to submit or has submitted certain devices, equipment, materials or systems manufactured by or for the Client to INTERTEK for evaluation in order that the product may be considered for Certification by INTERTEK. Whereas, if the submitted product is found to be eligible for Certification this Certification Agreement shall be executed by INTERTEK and the Client setting forth the terms and conditions to which the parties hereto must Whereas, for the purpose of this Agreement, the Client may be either, or any combination of, the Applicant, the Grantee, or the Responsible Party. NOW THEREFORE, for and in consideration of the mutual covenants herein expressed and other lawful and valuable consideration, the parties hereto agree as follows:
1. DEFINITIONS 1.1 Agent. The term Agent shall mean the party authorized by the Applicant to sign the certification application. n 1.2 Applicant. The term Applicant shall mean the party making certification application. 1.3 Certification Report. The term Certification Report shall mean the document prepared by INTERTEK designated as such, which identifies the Applicant, the Agent, the Grantee, the Responsible Party and the Product, and specifies INTERTEK Requirements for the Product, including the type and form of any marking which must be used on or in connection with the Product and related information. 1.4 Post-Market Surveillance. Post-market surveillance activities conducted by Telecommunication Certification Body (TCB) in accordance with ISO/IEC 17065 and 47 CFR Section 2.962(g)(2). 1.5 Grantee. The term Grantee shall mean the party to whom the grant of authorization is issued. 1.6 INTERTEK Requirements. The term INTERTEK Requirements shall mean (a) the requirements contained in the Certification Report, (b) the Standard(s), if any, applicable to the Product, (c) the terms of this Certification Agreement, and, (d) any requirements separately applied as a condition of the Certification. Certifications performed by the Intertek TCB under the terms of this Agreement shall comply fully with existing FCC rules and regulations, including but not limited to 47 CFR 2.962 and 47 CFR 68.162. Intertek C&E Management System Page 2 of 4 Document No.:
RFT-AMER-TCB-OP-19c CERTIFICATION AGREEMENT FCC TELECOMMUNICATION CERTIFICATION BODY (TCB) PROGRAM Revision Date: N/A Issue Date: 06-19-2014 Approved by: Nicholas Abbondante Effective Date: 12/24/2014 1.7 Certification. The term Certification shall mean the process which is authorized INTERTEK TCB to review and grant an application for certification to the FCC rules. 1.8 Product. The term Product shall mean a Client's device, equipment, material or system that has been submitted for testing or evaluation found to be in compliance with FCCs rules, certification procedures and approved to issue FCC grant of equipment authorization. 1.9 Responsible Party. The term Responsible Party is the Grantee or, if the Product is modified by other than Grantee or a party under Grantees authority, the modifier becomes the Responsible Party. Regional Management System (RMS) | Operations (OP) 2. CERTIFICATION 2.1 Testing and Evaluation. INTERTEK is an independent laboratory providing testing and evaluation services to determine whether representative samples of a Product comply with designated national and international standards, specifications and/or codes. The Client understands and agrees that INTERTEK has only tested or evaluated the submitted Product samples and does not guarantee or warrant the quality or compliance of all units of the Product manufactured or produced by the Client. The Client further acknowledges that as an independent laboratory, INTERTEK assumes no responsibility for the design of the Product. 2.2 Client Obligations. Client shall inform INTERTEK in writing of any modifications made to the Product. The Product will not be eligible for Certification if it has been modified or changed by the Client after testing or evaluation. The Client agrees to keep a record of all complaints made known to the Client, relating to a Product's compliance with INTERTEK's Requirements and to make these records available to INTERTEK, if requested. The Client warrants that a quality control program is established and maintained to ensure Product compliance with the INTERTEK Requirements. 2.3 Reservation of Rights. Intertek reserves the right, upon reasonable notice to the Client, to re-
evaluate the Product. This re-evaluation may be the result of Follow-up Service, or other information that raises a question concerning the conformance of the Product to Intertek Requirements. 2.4 Revision or Withdrawal of the INTERTEK Requirements. INTERTEK reserves the right, upon reasonable notice to the Client, to revise or withdraw the INTERTEK Requirements, as required to maintain conformance with FCC rules and regulations governing the product. If the INTERTEK Requirements are revised, the Client shall be entitled to continue Certification of the Product upon a demonstration to the satisfaction of INTERTEK that the Product complies with the revised INTERTEK Requirements. If the INTERTEK Requirements are withdrawn, the Client's right to the Certification of the Product shall terminate pursuant to the terms of Article 6 of this Certification Agreement. In the case of a revision or withdrawal of INTERTEK Requirements, INTERTEK shall provide a notice specifying a date by which the Product must meet the revised INTERTEK Requirements or for such termination. 2.5 Third Parties. The Client agrees that INTERTEK has entered into a contractual relationship with the Client to perform testing or evaluation services on the Product. INTERTEK agrees to perform such services with due care. INTERTEK does not guarantee or warrant that third parties will accept or recognize the results obtained by INTERTEK or the INTERTEK certification of the Product. 3. CERTIFICATION 3.1 Advertising. INTERTEK shall allow the Client to refer to INTERTEK and the certification in advertising and promotional material for the Product, contingent upon the Client obtaining the prior, express, written approval of INTERTEK. 3.2 Post-Market Surveillance. As a part of the certification of the Product, the Client's Product may be selected for market surveillance purpose according to FCC post-market surveillance guidelines. If selected, Client shall cooperate with the INTERTEK TCB representative which requires the TCB to perform post-market surveillance activities based on type testing of products that the TCB has certified. If selected, Client agrees to reimburse INTERTEK for its services in accordance with the current fee schedule and any shipping expenses. 3.3 INTERTEK TCB may not grant a waiver of the FCC rules, or certify equipment for which the Commission rules or requirements do not exist, or for which the application of the rules or requirements is unclear, Intertek C&E Management System
: . Document No.:
Regional Management System (RMS) | Operations (OP) RFT-AMER-TCB-OP-19c CERTIFICATION AGREEMENT FCC TELECOMMUNICATION CERTIFICATION BODY (TCB) PROGRAM Revision Date: N/A Issue Date: 06-19-2014 Approved by: Nicholas Abbondante Effective Date: 12/24/2014 4. INDEMNIFICATION AND LIABILITY 4.1 Indemnification. The Client agrees to hold INTERTEK harmless and to defend and indemnify INTERTEK against any liability, loss, or damage from claims, demands, costs (including legal fees), or judgments arising out of any grossly negligent or intentional acts of the Client or Client authorized third parties relating to the Product. 4.2 Liability. INTERTEK will not, under any circumstances, be liable to the Client for any indirect, special, punitive, or consequential damages, or any third party claims which may arise as a result of the services provided in this Certification Agreement. The maximum aggregate liability of INTERTEK for damages in connection with this Certification Agreement shall not exceed $100,000. 5. FAILURE TO COMPLY WITH INTERTEK REQUIREMENTS aa OW i IN TERTEK REQUIREMENTS 5.1 Remedial Action. In the event that INTERTEK detects any deviation or variance in the Product from INTERTEK requirements, or improper or unauthorized use of INTERTEK name, upon written notice to the Client INTERTEK reserves the right, in its sole discretion, to take such action as it deems necessary, including but not limited to:
(a) Requiring the Client, at its own expense, undertake corrective action to ensure that the Product complies with INTERTEK requirements;
(b) Notification of FCC;
(c) Termination of this Certification Agreement pursuant to Article 6;
(d) Compliance with any applicable statutes, rules or regulations. 5.2 Suspension. Upon a Client's failure to comply with any of the requirements of this Certification Agreement or Certification Report, INTERTEK may issue a letter to notify the Client of the nature of the failure. In the event that the Client fails to take corrective action to resolve the cause of suspension, this Certification Agreement shall be terminated pursuant to Article 6. 6. TERMINATION OF THE AGREEMENT 6.2 INTERTEK Right To Terminate. If INTERTEK determines that the Product fails to comply with the INTERTEK requirements, the Client will be given a thirty (30) day cure period to remedy the breach. Such cure period may be extended as mutually agreed upon by the Parties. In the event the breach is not remedied within thirty (30) days or other mutually agreed upon cure period, INTERTEK may terminate this Certification Agreement, as to any product. INTERTEK may terminate this Certification Agreement, as to any Product, without prejudice to any other rights or remedies that INTERTEK may have, upon either of the following:
(a) The Client is in breach pursuant to Article 7.3;
(b) Sixty (60) days after the Client receives written notice in the event of: (i) the filing of a voluntary or involuntary petition in bankruptcy; (ii) the making of any arrangement or composition with creditors by the Client; (iii) the appointment of a receiver for the Client; or (iv) the voluntary or involuntary liquidation of the business of the Client:
(c) Upon sixty (60) days notice prior to the anniversary date of this Agreement, for any reason. 6.3 Client Obligations Upon Termination. Upon termination of this Certification Agreement, the Client shall:
(a) Continue to honor the terms of Article 4 of this Certification Agreement concerning indemnification and liability, which terms shall survive the termination of this Certification Agreement:
(b) Pay any remaining outstanding charges owing to INTERTEK. Intertek C&E Management System Page 4 of 4 Document No.:
Regional Management System (RMS O tions (OP CERTIFICATION AGREEMENT FCC TELECOMMUNICATION CERTIFICATION BODY (TCB) PROGRAM Revision Date: N/A Issue Date: 06-19-2014 4 Approved by: Nicholas Abbondante Effective Date: 12/24/2014 7. ADMINISTRATIVE PROVISIONS 7.1 Confidentiality. Without written authorization from the Client, INTERTEK will not voluntarily disclose to third parties, other than the FCC, confidential and proprietary information which the Client provides to INTERTEK. This obligation shall not apply to information which is already available to the public or acquired from other sources without confidentiality restrictions. INTERTEK agrees that this obligation to maintain confidentiality shall survive the termination of this Certification Agreement. 7.2 Subpoena. If INTERTEK is served with a Subpoena, Court Order, or similar document requesting the disclosure of confidential or proprietary information supplied to INTERTEK by the Client, INTERTEK shall promptly notify the Client. In the event that the Client chooses to contest the request, INTERTEK shall cooperate with the Client. The responsibility for contesting the request shall rest solely with the Client. If the Client declines to contest the request or is not successful in contesting the request, INTERTEK will provide the requested information. Any costs incurred by INTERTEK in responding to the request, including reasonable attorney's fees, shall be reimbursed by the Client immediately upon invoicing by INTERTEK. 7.3 Fees. Charges will be billed to the Client or a designated payor. Payment shall be due within forty-five (45) days from receipt of invoices and the Client shall be considered in breach, if the charges are not paid within sixty (60) days. 7.4 No Assignment. The rights running to the Client under this Certification Agreement may not be assigned to or acquired by any other person or corporation without INTERTEK's written authorization, except for assignments or delegations arising from internal administrative reorganization (including, but not limited to, mergers and acquisitions of Client, its parent company, or their affiliates). Client shall not delegate or assign this Certification Agreement without the prior consent of INTERTEK. INTERTEK shall consider the Client to be the sole point of contact for all matters related to this Agreement. 7.5 Term. This Certification Agreement shall continue in effect for a period of one year from the date rights provided for in this Certification Agreement are exercised. 7.6 Jurisdiction. This Certification Agreement shall be interpreted in accordance with and governed by the laws of the jurisdiction within which the INTERTEK office stated in the opening paragraph is located. Intertek Testing Services NA, Inc. Accepted By: B 1 , Co Gt B xe) med ical J Tre By By:
(Authorized INTERTEK Individual) . orized Officer-Signature) PF Shi By: By: Se d es
(Name of Authofized Individual-Printe ) Title: Title: (Ge ne re, | Coin ne [
Date Signed:
Date Signed: t/ / %) 2O 20
1 2 | Letter of Agency | Cover Letter(s) | 1.21 MiB | December 28 2020 |
December 3, 2020 b | g fae t BIOMEDICAL Federal Communications Commission 445 12th Street SW Washington, DC 20554 Subject: Limited Agency Agreement Applicant: Bigfoot Biomedical, Inc. FRN: 0029025996 FCC ID: 2AVAYURO01 To Whom It May Concern:
We, Bigfoot Biomedical, Inc., hereby authorized Intertek Testing Services to act as our Agent for the purpose of preparing application for FCC ID number 2AVAYURO01 under all applicable parts of the FCC rules and regulations. The effective date of this limited agency agreement is December 3, 2020. The Limited Agency Agreement expires on November 30, 2021, unless sooner terminated or extended by written notice to Intertek Testing Services and the Federal Communications Commission. This is to advise that we are in full compliance with the Anti-Drug Abuse Act. The applicant is not subject to a denial of federal benefits pursuant to Section 5301 of the Anti-Drug Act of 1988, 21 U.S.C. 862, and no party to the application is subject to a denial of federal benefits pursuant to that section. If you have any questions or comments, please do not hesitate to contact me. Sincerely, eoffrey Shipsides General Counsel Bigfoot Biomedical, Inc. 612-360-0300 1820 McCarthy Blvd, Milpitas, CASS035 | +1.408.514.5600 | Fax +1.408730.2541 | bigfootbiomedical.com December 3, 2020 b g f 66 a BIOMEDICAL Attention: Application Examiner Re: Request for Confidentiality Applicant: Bigfoot Biomedical, Inc. FRN: 0029025996 FCC ID: 2AVAYUROO01 To Whom It May Concern:
Permanent Confidentiality Request is hereby submitted by Bigfoot Biomedical, Inc. to withhold permanently from public review certain portions of the application for equipment certification for the referenced FCC identifiers. This request for confidentiality is made pursuant to 47 CFR 0.457(d) and 0.459 of the FCC Rules. In particular, the following sections of the application are to be kept permanently confidential:
e Schematics e Parts list Short-term Confidentiality Request is hereby submitted by Bigfoot Biomedical, Inc. to withhold from public review for a period of 45 days from the date of the Grant of Equipment Authorization and prior to marketing, certain portions of the application for equipment certification for the referenced FCC identifiers. This request for confidentiality is made pursuant to 47 CFR 0.457(d) and 0.459 of the FCC Rules. In particular, the following sections of the application are to be kept confidential for a period of 45 days from the date of Authorization:
e Bigfoot Unity System Operational Descritiopn and Block Diagram e Internal Photos e User Manual Rationale for request for confidentiality: Bigfoot Biomedical, Inc. has invested considerable time and materials in research and development to produce the referenced product. Disclosure of the permanently confidential portions of this application to competitors would not only give them significant competitive advantages in developing similar products, but would also disclose successful implementation of unpublished, leading edge technology developed by us. 1820 McCarthy Blvd, Milpitas, CA95035 | +1.408.514.5600 | Fax +1.408730.2541 | bigfootbiomedical.com bigfoot BIOMEDICAL Disclosure of the short-term confidential portions of this application during the period of importation and/or distribution would reveal key aspects of proprietary technology to competitors and diminish the value of our investment in research and development. Not protecting the details of the design will result in financial hardship. The fee for confidentiality has been submitted along with the fee for certification. If you have questions or need further information, please contact the undersigned. Sincerely, Geoffrey Shipsides General Counsel Bigfoot Biomedical, Inc. 612-360-0300 1820 McCarthy Blvd, Milpitas, CA 95035 | +1.408.514.5600 | Fax +1.408730.2541 | bigfootbiomedical.com
1 2 | Operational Description | Operational Description | 481.23 KiB | December 28 2020 |
Operational Description Bigfoot Unity System Table of Contents 1. General Description . 1 2. Principles of Operation ... 1 3. System Architecture .... 2 4. Long-Acting Pen Cap (LCAP) ... 3 5. Rapid-Acting Pen Cap (RCAP) .. 5 6. Appendix A 6 1. General Description
- Bigfoot Unity is an interconnected system of hardware and software for use by people with diabetes who use disposable mechanical insulin pens for self-injection.
It comprises a pair of pen caps as shown in Fig. 1, designed to diminish the burden experienced by people with diabetes and their health care teams when implementing therapy regimens consisting of multiple daily injections of insulin (MDI). 2. Principles of Operation
- To generate and display glucose data;
- To capture the timing of inferred insulin doses;
- To generate glucose and system messaging, including a real-time low glucose alert;
- To display insulin dosing recommendations from health care providers. Fig.1: Bigfoot Unity Pen Caps; Long-Acting Pen Cap/LCAP (Black) and Rapid-Acting Pen Cap/RCAP (White) and 1 3. System Architecture
- The Bigfoot Unity System architecture consists of networked components and connected devices and services that implement event-driven state machines.
- Events arise from user from CGM and/or BGM, and communications which occur over standard wireless interfaces using NFC, BLE, WiFi and cellular data as shown in Fig. 2. interactions, data
- The ecosystem includes additional applications-level features for secure, context-
specific message handling between the Inject System and Web Services.
- The datasheets for the BLE and NFC chips are provided. Fig.2: Bigfoot Unity System Interaction 2 4. Long-Acting Pen Cap (LCAP)
- The LCAP is used for tracking a patients long-acting insulin doses which are, in most circumstances, taken once every 24 hours.
- The LCAP contains a Nordic nRF52840-QIAA-R Bluetooth Microcontroller, as shown in Fig. 3, that is used to communicate with the mobile application via BLE. Fig. 3: LCAP Block Diagram
- The Nordic nRF52840 IC supports version 5.0 BLE central role operation and 4.2
BLE peripheral role operation (BLE 5.0 is backward compatible with BLE 4.2). It includes an ARM processor, 1 MB non-volatile flash memory, 256 kB RAM memory, BLE radio, functional interfaces, ADC, DC/DC converter, crystal oscillators, and general purpose I/O pins.
- A TVS diode and low pass filter at the processors reset input mitigates against unintentional resets during ESD events.
- The functional include programming/debug, asynchronous serial communication, two SPI, two I2C, and one QSPI. The firmware stored in the flash memory determines the functionality of the LCAP. interfaces
- The internal crystal oscillators work with 32 MHZ and 32.768 kHz external crystals.
- The DC/DC converter reduces Vbt to the 1.3 V used by the BLE Processor core. 3
- The BLE Processor has sleep modes that minimize power consumption by internally powering down all functionality except when it is needed to wake up from an event such as RTC interrupt, button press, or power adapter connection.
- The BLE trace antenna is designed utilizing the manufacturers recommendations and reference circuits. The design provides for tuning of the BLE antenna for best performance by adjusting antenna matching component values to be able to make the antenna impedance 50 Ohms.
- The antenna has a gain of 5.3dBi and maximum power output of 0.56mW.
- Appendix A provides a listing of the BLE Processor I/O Signals. 4 5. Rapid-Acting Pen Cap (RCAP)
- The RCAP is used for tracking a patients rapid-acting insulin doses which are taken by the patient after every meal or in any situation that triggers an increase in blood sugar levels.
- The architecture of the LCAP and RCAP is the same apart from the fact that along with a Nordic nRF52840-QIAA-R Bluetooth Microcontroller for communicating with the mobile application via BLE, the RCAP also has an ST25R3911B NFC Chip that allows it to scan a CGM Sensor to read glucose values. See Fig. 4. Fig. 4: RCAP Block Diagram
- The NFC antenna is designed and tuned such that the NFC radio's operating frequency is not affected by the presence of typical clothing materials and able to detect the CGM at a distance of 1cm.
- The NFC Reader is controlled by the BLE Processor using a dedicated SPI bus, is powered by peripheral power, and is configured to operate per ISO/IEC 15693.
- The NFC trace antenna is designed utilizing manufacturers recommendations and reference circuits. 5 Appendix A MAIN PROCESSOR NRF52840 I/O SIGNALS Pin Name P0.10 NFC2 P0.09 NFC1 P0.30 AIN6 Group Annunciatio n n Battery Shutdown Battery Voltage Measure Battery Voltage Measure Button 2 Annunciatio BUZZ_CTRL O Pin #
Function Net Name Dir Type VIB_CTRL O J24 L24 Digital I/O NFC input Digital I/O NFC input Description
(application) PWM Signal to Vibration Driver Sleep State Input or low PWM Signal to Buzzer Driver Input or low BLE ANT ANT H23 RF ANT BLE RF Out P1.07 P23 Digital I/O BAT_SD B9 Digital I/O VBAT/2 Analog input P1.04 U24 Digital I/O VMEAS O P1.03 V23 Digital I/O BUTTON_N Dig AL Charge P1.02 W24 Digital I/O CHARGE Dig AL High Signal causes Battery Shutdown Analog is signal that is half of battery voltage Input or low High Signal connects battery voltage to voltage divider circuit Low Signal indicates button is pressed Input or low Input Low Signal indicates battery is charging Input Display P0.27 H2 Digital I/O SPI1_MOSI SPI Interface with NFC Display P0.06 L1 Digital I/O SPI1_SCK SPI Interface to Display Low Display P1.06 R24 Digital I/O SPI1_SEL_N O Dig AL SPI Interface to Display Display P1.05 T23 Digital I/O DSPL_BUSY I Display P1.01 Y23 Digital I/O DSPL_RST_ N Dig AH Dig AL High Signal indicates display is busy Low Signal resets display Display P0.16 AC11 Digital I/O SPI1_MISO Dig In SPI Interface to Display Flash Memory Flash Memory Flash Memory Flash Memory Flash Memory Flash Memory NFC NFC NFC NFC NFC P0.19 AC15 Digital I/O QSPI_SCK P0.21 AC17 Digital I/O QSPI_DIO1 I/O P0.23 AC19 Digital I/O QSPI_DIO3 I/O P0.17 AD12 Digital I/O QSPI_CSN O Dig AL Quad SPI Interface with P0.20 AD16 Digital I/O QSPI_DIO0 I/O P0.22 AD18 Digital I/O QSPI_DIO2 I/O P1.13 A16 Digital I/O NFC_IRQ I Dig AL Quad SPI Interface with flash memory Quad SPI Interface with flash memory Quad SPI Interface with flash memory flash memory Quad SPI Interface with flash memory Quad SPI Interface with flash memory Interrupt Signal from NFC Chip P0.14 AC9 Digital I/O SPI2_SCK P0.25 AC21 Digital I/O SPI2_MISO SPI Interface to NFC chip SPI Interface with NFC P0.13 AD8 Digital I/O SPI2_NFC_ Dig AL SPI Interface to NFC P0.24 AD20 Digital I/O SPI2_MOSI SEL chip SPI Interface with NFC Input or low Input Input Input or low Input or low Input or low Input or low Input or low Input or low Input Input or low Input Input or low Input or low Dig AH Dig AH Dig AH Anl Dig AH Dig AH Dig Dig AH Dig AH Dig AH Dig AH Dig AH Dig AH Dig AH Dig AH I I I I O O O I O O I O O Pull Capacito r to Pull-
Down External Pull-
Down External Pull-
Down External Pull-Up to V_BT Internal Pull-up when reading External Pull-Up to PER_2V 8
1 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 6
26 Group Not Used Pin #
Function Net Name Dir Type Pull A8 Digital I/O NA ANL or Description
(application) Not Used Pin Name P0.31 AIN7 P0.02 AIN0 P0.03 AIN1 P0.04 AIN2 P0.05 AIN3 P0.28 AIN4 K P0.29 AIN5 P0.18 nRESET P1.15 Analog input Analog input Analog input Analog input Analog input Analog input Analog input N S 27 Not Used A12 Digital I/O NA ANL or Not used 28 Not Used B13 Digital I/O NA ANL or Not used 29 Not Used J1 Digital I/O NA ANL or Not used 30 Not Used K2 Digital I/O NA ANL or Not used Power bug bug Clock Clock Clock Security Chip Security Chip Serial Comm Serial Comm Trace 31 Pen Detect B11 Digital I/O PENDET I Dig AL Low Signal Indicates when pen is installed 32 Peripheral P1.10 A20 Digital I/O PER_2V8_E O Dig Out High signal turns ON PER_2V8 LDO Input or low 33 Program/De SWDCL AA24 Debug SWDCK I Dig In Serial Wire Debug Float 34 Program/De SWDIO AC24 Debug SWDIO I/O Dig I/O Serial Wire Debug Float 35 Power Off A10 Digital I/O PWR_OFF O
(SWD) interface Clock Dig AH
(SWD) interface Data High Signal turn device power OFF 36 37 Reset Battery Charging AC13 Digital I/O BRSTN Dig AL Processor Reset A14 Digital I/O WAKE_VBU Dig AL 38 Real Time P1.14 B15 Digital I/O I2C1_SDA I/O Dig I/O 39 Real Time P1.12 B17 Digital I/O WDI_INT I Dig AL Signal from Real Time Input Low Indicates VBUS is connected to device for charging I2C Interface to RTC Data Clock I2C interface with RTC Clock Input or low I2C Interface to Security chip Clock Input or low 40 Real Time P0.26 G1 Digital I/O I2C1_SCL O Dig AL P0.08 N1 Digital I/O I2C0_SCL O Dig AL P1.08 P2 Digital I/O I2C0_SDA I/O Dig I/O I2C Interface to security chip Data Input or low P1.11 B19 Digital I/O RXD Serial Input to Processor Input P0.15 AD10 Digital I/O TXD M2 Digital I/O TRACECLK Serial output from Processor ETM Trace Clk Input or low Float 46 Trace 47 Trace P0.07 TRACE CLK P1.09 TRACE DATA3 P0.11 TRACE DATA2 Trace clock Digital I/O Trace data Digital I/O Trace data R1 T2 TRACE3 ETM Trace Output MSB Input TRACE2 ETM Trace Output 2nd MSB Input Sleep State Dig In Dig In Dig In Dig In Dig In Input Input or low Input Input Input or low External Pull-
Down External Pull-
Down External Pull-
Down Internal Pull-up External Pull-Up to V_BT External Pull-Up to V_BT External Pull-Up to V_BT External Pull-Up to V_BT External Pull-Up to PER_2V 8 External Pull-Up to PER_2V 8 Dig Dig Dig Dig Dig Dig AH Dig AH Dig Dig AH Dig AH I I I O O O O 41 42 43 44 45 7
48 Group Trace 49 Trace Pin #
Function Net Name Dir Type U1 Digital I/O Trace data TRACE1 AD22 Digital I/O Trace data TRACE0 Dig AH Dig AH Description
(application) ETM Trace Output 3rd MSB Sleep State Input Pull ETM Trace Output LSB Input 50 HF Crystal A23 51 HF Crystal XC1 B24 XC2 XC1 Crystal 32 MHz crystal Crystal 32 MHz crystal 52 LF Crystal D2 Digital I/O XL1 Crystal 32.768 kHz crystal 53 LF Crystal F2 Digital I/O XL2 Crystal 32.768 kHz crystal Analog input Analog input Analog input Analog input Pin Name P0.12 TRACE DATA1 P1.00 TRACE DATA0 XC2 P0.00 XL1 P0.01 XL2 O O 8
frequency | equipment class | purpose | ||
---|---|---|---|---|
1 | 2020-12-28 | 2402 ~ 2480 | DTS - Digital Transmission System | Original Equipment |
2 | 13.56 ~ 13.56 | DXX - Part 15 Low Power Communication Device Transmitter |
app s | Applicant Information | |||||
---|---|---|---|---|---|---|
1 2 | Effective |
2020-12-28
|
||||
1 2 | Applicant's complete, legal business name |
Bigfoot Biomedical, Inc.
|
||||
1 2 | FCC Registration Number (FRN) |
0029025996
|
||||
1 2 | Physical Address |
1820 McCarthy Blvd.
|
||||
1 2 |
95035
|
|||||
1 2 |
Milpitas, CA
|
|||||
1 2 |
United States
|
|||||
app s | TCB Information | |||||
1 2 | TCB Application Email Address |
t******@intertek.com
|
||||
1 2 | TCB Scope |
A4: UNII devices & low power transmitters using spread spectrum techniques
|
||||
1 2 |
A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices
|
|||||
app s | FCC ID | |||||
1 2 | Grantee Code |
2AVAY
|
||||
1 2 | Equipment Product Code |
UR001
|
||||
app s | Person at the applicant's address to receive grant or for contact | |||||
1 2 | Name |
G****** P****** S******
|
||||
1 2 | Title |
General Counsel
|
||||
1 2 | Telephone Number |
40851********
|
||||
1 2 | Fax Number |
40851********
|
||||
1 2 |
g******@bigfootbiomedical.com
|
|||||
app s | Technical Contact | |||||
1 2 | Firm Name |
Bigfoot Biomedical, Inc.
|
||||
1 2 | Name |
M**** W****
|
||||
1 2 | Physical Address |
1820 McCarthy Blvd
|
||||
1 2 |
Milpitas, 95035
|
|||||
1 2 |
Milpitas, California 95035
|
|||||
1 2 |
United States
|
|||||
1 2 | Telephone Number |
40870********
|
||||
1 2 |
m******@bigfootbiomedical.com
|
|||||
app s | Non Technical Contact | |||||
1 2 | Firm Name |
Bigfoot Biomedical, Inc
|
||||
1 2 |
Bigfoot Biomedical, Inc.
|
|||||
1 2 | Name |
R****** R**** R******
|
||||
1 2 |
R**** R**** R********
|
|||||
1 2 | Physical Address |
1820 McCarthy Blvd
|
||||
1 2 |
Milpitas, 95035
|
|||||
1 2 |
Milpitas, California 95035
|
|||||
1 2 |
United States
|
|||||
1 2 | Telephone Number |
40851********
|
||||
1 2 |
r******@bigfootbiomedical.com
|
|||||
1 2 |
r******@bigfootbiomedial.com
|
|||||
app s | Confidentiality (long or short term) | |||||
1 2 | Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?: | Yes | ||||
1 2 | Long-Term Confidentiality Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?: | Yes | ||||
1 2 | If so, specify the short-term confidentiality release date (MM/DD/YYYY format) | 02/02/2021 | ||||
if no date is supplied, the release date will be set to 45 calendar days past the date of grant. | ||||||
app s | Cognitive Radio & Software Defined Radio, Class, etc | |||||
1 2 | Is this application for software defined/cognitive radio authorization? | No | ||||
1 2 | Equipment Class | DTS - Digital Transmission System | ||||
1 2 | DXX - Part 15 Low Power Communication Device Transmitter | |||||
1 2 | Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant) | REUSABLE INSULIN PEN CAP | ||||
1 2 | Related OET KnowledgeDataBase Inquiry: Is there a KDB inquiry associated with this application? | No | ||||
1 2 | Modular Equipment Type | Does not apply | ||||
1 2 | Purpose / Application is for | Original Equipment | ||||
1 2 | Composite Equipment: Is the equipment in this application a composite device subject to an additional equipment authorization? | Yes | ||||
1 2 | Related Equipment: Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization? | No | ||||
1 2 | Grant Comments | Power listed is conducted. This device must not be co-located or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter evaluation procedures as documented in this filing. | ||||
1 2 | Is there an equipment authorization waiver associated with this application? | No | ||||
1 2 | If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded? | No | ||||
app s | Test Firm Name and Contact Information | |||||
1 2 | Firm Name |
IntertekTesting Services NA Inc.
|
||||
1 2 | Name |
C******** P****
|
||||
1 2 | Telephone Number |
650-4********
|
||||
1 2 | Fax Number |
650 4********
|
||||
1 2 |
c******@intertek.com
|
|||||
Equipment Specifications | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Line | Rule Parts | Grant Notes | Lower Frequency | Upper Frequency | Power Output | Tolerance | Emission Designator | Microprocessor Number | |||||||||||||||||||||||||||||||||
1 | 1 | 15C | CC | 2402.00000000 | 2480.00000000 | 0.0005600 | |||||||||||||||||||||||||||||||||||
Line | Rule Parts | Grant Notes | Lower Frequency | Upper Frequency | Power Output | Tolerance | Emission Designator | Microprocessor Number | |||||||||||||||||||||||||||||||||
2 | 1 | 15C | CC | 13.56000000 | 13.56000000 |
some individual PII (Personally Identifiable Information) available on the public forms may be redacted, original source may include additional details
This product uses the FCC Data API but is not endorsed or certified by the FCC