FCC ID: 2AARUTY015 Transmitter

S6 EasySense Disposable CGM System User Guide 2015, Medtrum Technologies Inc. All rights reserved. Medtrum Technologies Inc. 7F, Building 8, No. 200, Niudun Road Shanghai 201203, China Tel+86-21-50274781 Fax+86-21-50274779 www.medtrum.com 0197 This product complies with Directive 93/42/EEC (MDD) and Directive 1995/5/EC (R&TTE). REF MD-MY-013 Version: 1.0 Publication date: Jan 01, 2016 UG883013 348010 REP EC Shanghai International Holding Corp. GmbH (Europe) Eiffestrasse 80, 20537 Hamburg, Germany

+49-40-2513175 Contents Contents .................................................................... 0 Introduction ............................................................... 0 Before You Begin ................................................... 0 Indications ............................................................ 0 Contraindications .................................................. 1 User Safety ............................................................ 1 Warnings and Precautions ................................... 1 General ........................................................... 1 Operating Temperature Range ....................... 3 Cleaning .......................................................... 4 X-rays, MRIs and CT Scans .............................. 4 Consumables ........................................................ 5 Radio Frequency (RF) Communication ................ 5 Water ................................................................... 7 Storage ................................................................. 8 Warranty Information ........................................... 9 Basics of the S6 EasySense System ............................ 12 How the S6 EasySense System Works ................... 12 Key Features of the S6 EasySense System ............. 14 7-day Sensor ...................................................... 14 Mobile App Monitoring ..................................... 15 Recorder for Healthcare Providers .................... 15 How to Change the Sensor ........................................ 17 Remove the Current Sensor and Disconnect the Transmitter .......................................................... 17 Insert a New Sensor ............................................. 19 Select an Insertion Site ...................................... 19 Prepare the Insertion Site .................................. 20 Remove the Glucose Sensor from the Package . 21 Remove the Protective Liner from the Sensor Support Mount .................................................. 22 Locate the Sensor Support Mount ..................... 22 Remove the Safety Lock ..................................... 23 Insert Sensor ...................................................... 24 Remove Inserter ................................................ 25 Check the Sensor Support Mount ...................... 26 Discard the Sensor Inserter Safely ..................... 26 Attach Your Transmitter ....................................... 27 Tape the Sensor Support Mount (Optional) ...... 28 How to Use Medtrum EasyTouch Mobile App ........... 30 Install the App ...................................................... 30 Login/Register ...................................................... 32 Connect Transmitter With App ............................. 33 Monitor Sensor Status .......................................... 36 Calibrate Your Sensor ........................................... 41 Sensor Trend Graph ............................................. 42 Understand the Statistics ..................................... 45 Sensor Overlay ................................................... 46 Trend Analysis .................................................... 47 SG Distribution ................................................... 48 1 Event Distribution .............................................. 49 Log Summary ..................................................... 50 Enter the Logs ...................................................... 52 Set Your Reminders .............................................. 59 Customize Your Settings ....................................... 61 CGM System Settings ......................................... 62 Alert Settings ................................................ 62 Statistics Settings .......................................... 64 General Settings ................................................. 66 Remote Viewing ................................................... 67 Remote View Other Accounts ............................ 67 Allow Others to Remote View Your Account ..... 69 Safety System and Alerts ...................................... 72 List of Alerts ....................................................... 72 Manufacturers Declaration ...................................... 78 Electromagnetic Emissions ................................... 78 Electromagnetic Immunity ................................... 79 Appendix I: Symbols and Icons .................................. 80 Product Label Symbols ......................................... 80 Appendix II: Specifications ........................................ 84 Transmitter Specifications .................................... 84 Glucose Sensor Specifications .............................. 85 CGM System Accuracy .......................................... 85 Glossary .................................................................... 87 2 3 Introduction Before You Begin The S6 EasySense Disposable CGM System is composed of three parts: a Transmitter, a Sensor and Medtrum EasyTouch Mobile App on your smart device. Not all devices or accessories are available in all countries where the CGM system is approved. To order supplies, contact your local representatives. Indications for continuously The S6 EasySense Disposable CGM System is indicated for use in persons (ages 2 and older) with diabetes recording interstitial fluid glucose levels. You can upload the sensor data to your smart device after a period of use, or you can keep the Sensor connected to your smart device and enjoy real-time readings, graphs, and alerts. Interpretation of the CGM System results should be based on the glucose trends and several sequential readings. The system is intended for single patient use. Contraindications The S6 EasySense Disposable CGM System is not recommended for people who are unwilling or unable to:

Maintain provider. their healthcare contact with Test their blood glucose levels at least twice per day. Recognize and respond to alerts and alarms.

(Sufficient vision and/or hearing are required.) User Safety Warnings and Precautions General Make sure that you have read and are familiar with the User Guide before using the CGM System. Failure to follow the instructions may result in pain or injury and may also affect the systems 1 performance. If you do not understand something or have questions, ask your healthcare provider, call customer support, or contact your local Medtrum distributor. No modification of this system is allowed. Do NOT use the S6 EasySense Disposable CGM System if you have delicate skin or if you are allergic to acrylic adhesives. Do NOT use anything other than the accessories this User Guide, which could specified permanently damage your system and voids its warranty. in Do not allow young children to hold the Transmitter or Sensor without adult supervision. The Transmitter and Sensor contain small parts and could pose a choking hazard. Do NOT operate your S6 EasySense Disposable CGM System in the presence of flammable anesthetics or explosive gases. The S6 EasySense Disposable CGM System includes active medical devices. When you dispose of any device in the system, follow the 2 local waste disposal regulations. Do NOT ignore symptoms of high or low glucose. If you believe your sensor glucose readings are inconsistent with how you feel, manually measure your blood glucose with a blood glucose meter. If the problem continues, discard the old Sensor and insert a new one. The Sensor may create special needs regarding your medical conditions or medications. Please discuss these conditions and medications with your healthcare professional before using the Sensor. If you suspect your Sensor is broken during usage, do NOT attempt to remove it yourself. Contact your healthcare provider in removing the Sensor. Operating Temperature Range for assistance Your S6 EasySense Disposable CGM System is designed to operate between 5C (41F) and 40C

(104F). Do NOT expose to temperatures outside that range. Do NOT expose the system to direct sunlight for a long period of time. system the 3 Cleaning scouring pads or Do NOT use household cleaners, chemicals, solvents, bleach, sharp instruments to clean your Transmitter. Small amounts of rubbing alcohol can be used to clean the surface of your Transmitter. Never put your Transmitter in the dishwasher or use very hot water to clean it. Do NOT use a hair dryer, microwave oven or conventional oven to dry your Transmitter. Use a soft towel. Do NOT clean any part of the system while it is in use. X-rays, MRIs and CT Scans The S6 EasySense Disposable CGM System may be affected by strong radiation or magnetic fields. If you are going to have X-ray, MRI, CT scan or other type of exposure to radiation, remove your Sensor and Transmitter, and put them outside the treatment area. Change the Sensor after the test or procedure is completed. The S6 EasySense Disposable CGM System is 4 designed to tolerate common electromagnetic and electrostatic fields, including airport security systems and cellular phones. Consumables Glucose Sensor The Transmitter (MD-TY-015) is only used with the Medtrum Glucose Sensor

(MD-JY-006). Change your Glucose Sensor every seven days. to testing extensive Warning: For your protection the Transmitter has undergone confirm appropriate operation when used with Glucose Sensors manufactured or distributed by Medtrum. We recommend using Medtrum Glucose Sensors as we cannot guarantee appropriate operation if the CGM system is used with sensors offered by third-parties are not responsible for any injury or malfunctioning of the CGM system that may occur in association with such use. Please take attention that changes or modification not expressly therefore we and approved by the party responsible for compliance could void users authority to operate the equipment 5 Radio Frequency (RF) Communication The S6 EasySense Disposable CGM System complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions:

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This device may not interference, and This device must accept any received, cause undesired operation. including interference interference that may cause harmful Note: The S6 EasySense Disposable CGM System has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. The S6 EasySense Disposable CGM System can generate, use, and radiate radio frequency energy, and may cause radio communications. There are no guarantees that interference will not occur in a particular installation. If the S6 EasySense Disposable CGM System does cause harmful interference to radio or television reception, you are encouraged to try to correct the interference by one of the following measures:

interference harmful to Move or relocate the S6 EasySense Disposable CGM System. 6 Increase the distance between the S6 EasySense Disposable CGM System and the other device is emitting/receiving interference. that between communication Common consumer electronic devices that transmit in the same frequency band used by the S6 EasySense Disposable CGM System may prevent your Transmitter and smart device. This interference, however, does not cause any incorrect data to be sent and does not cause any harm to your device. RF communication between your Transmitter and smart device works up to a distance of 10 meters

(33 feet). Water The Sensor is water resistant when showering, bathing or swimming if the Transmitter is fully snapped in. They form a water-tight seal to a depth of 2.5 m for up to 1 hour. However, hot water may decrease Sensor life. Warning: The Transmitter may not be able to send sensor information normally in water. Do NOT expose your Sensor and Transmitter to 7 water at depths greater than 2.5 meters (8 feet) or for more than 1 hour. Check often to make sure the Transmitter and Sensor are securely attached and in place. Storage Store the Sensor at temperatures between 2C

(36F) and 30C (86F), and at humidity levels between 20% and 90% relative humidity for the length of the Sensors shelf life. For temperatures greater than 30C (86F), the Sensor will require cooled storage at temperatures no lower than 2C

(36F). You may store the Sensor in the refrigerator if it is within this temperature range. The Sensor should not be stored in the freezer. Allow the Sensor to warm to room temperature before usage to prevent condensation. Storing the Sensor improperly may cause the Sensor glucose readings to be inaccurate, and you might miss a low or high blood glucose value. Store the Transmitter at temperatures between

-10C (14F) and 55C (131F), and at humidity levels between 20% and 90% relative humidity. 8 Warranty Information Inc. Technologies its Transmitter against defects

(Medtrum) Medtrum warrants in materials and workmanship for the period of 1 year from the original date of shipment of the Transmitter to the original end use purchaser (the Warranty Period). During the Warranty Period, Medtrum will, at its discretion, either repair or replace (with a new or recertified Transmitter at Medtrums discretion) any defective Transmitter, subject to the conditions and exclusions stated herein. This Warranty applies only to new devices and, in the event the Transmitter is repaired or replaced, the warranty period shall not be extended. The warranty is valid only if the Transmitter is used in accordance with Medtrums instructions and will not apply:

If damage results from changes or modifications made to the Transmitter by the user or third 9 persons after the date of manufacture;

If damage results from service or repairs performed to any part of the Transmitter by any person or entity other than Medtrum;

If a non-Medtrum Glucose Sensor is used with the Transmitter;

If damage results from a Force Majeure or other event beyond the control of Medtrum; or If damage results from negligence or improper use, including but not limited to improper storage or physical abuse such as dropping or otherwise. This warranty shall be personal to the original end use purchaser. Any sale, rental or other transfer or use of the Transmitter covered by this warranty to or by a user other than the original end use purchaser shall cause this warranty to immediately terminate. This warranty only applies to the Transmitter and does not apply to other products or accessories. THE REMEDIES PROVIDED THIS WARRANTY ARE THE EXCLUSIVE REMEDIES AVAILABLE FOR ANY WARRANT CLAIMS. NEITHER FOR IN 10 LIABLE FOR ANY MEDTRUM NOR ITS SUPPLIERS OR DISTRIBUTORS SHALL BE INCIDENTAL, CONSEQUENTIAL, OR SPECIAL DAMAGE OF ANY NATURE OR KIND CAUSED BY OR ARISING OUT OF IN THE PRODUCT. ALL OTHER A DEFECT WARRANTIES, EXPRESS OR IMPLIED, ARE INCLUDING THE WARRANTIES OF EXCLUDED, MERCHANTABILITY AND FOR A PARTICULAR PURPOSE. FITNESS 11 Basics of the S6 EasySense System How the S6 EasySense System Works The S6 EasySense Disposable CGM System consists of three parts: a wireless Transmitter, a Glucose Sensor and Medtrum EasyTouch Mobile App on your smart device. The Sensor detects the glucose level in interstitial fluid and the glucose reading is updated every 2 minutes. You can upload the Sensor data to your smart device after a period of use, or you can keep the Sensor connected to your smart device and enjoy real-time readings, graphs, and alerts. The Glucose Sensor (MD-JY-006) contains a flexible Sensor that can be inserted just under your skin. Each inserted Sensor is intended to remain in place and provide continuous glucose readings for up to 7 days. The Sensor is the applied part in the CGM system. 12 Glucose Sensor

(MD-JY-006) The wireless Transmitter (MD-TY-015) is a small reusable electronic device that connects to the Sensor glucose information to your smart device every 2 minutes. The Transmitter contains a built-in 3.0 V button cell which can last for 30 days. sensor sends your and Transmitter

(MD-TY-015) Medtrum EasyTouch Mobile App downloaded to your smart device works as a receiver. It displays all your sensor information, statistics and alerts. It also allows you to calibrate the Sensor, edit all the settings, and enter the logs. 13 Monitor CGM System 90 mg/dL 19:00 Today CAL 90%

2D 22H 40M left NORMAL

24h Medtrum EasyTouch Mobile App Key Features of the S6 EasySense System 7-day Sensor The 7-day Sensor combines excellent 14 performance with features designed to provide exceptional comfort and ease of use. The ultra-sensitive and flexible Sensor goes just under your skin to read glucose levels. The Transmitter snaps into the Sensor to form a small and discreet patch. Mobile App Monitoring From Medtrum EasyTouch Mobile App, not only will you always know where your glucose level is, you'll know which way it is heading, how fast it's moving there and, as you approach your glucose limits, you'll be warned to take action. Everything you want to see about your glucose is at a glance. Recorder for Healthcare Providers The Transmitter has a built-in recorder to record sensor data of up to 7 days. This feature is designed for healthcare providers to evaluate their patients glucose control. 15 16 How to Change the Sensor Remove the Current Sensor and Disconnect the Transmitter Your Sensor gives glucose readings for up to seven days. After your Sensor expires, your Sensor session will be shut off automatically, and glucose readings wont be displayed on your smart device. You must remove your Sensor after it expires. 1. Gently peel the adhesive patch off your skin in one continuous motion to remove the Sensor and Transmitter. 17 2. Pinch the center of the ribbed release tabs on the sides of the sensor support mount, and gently pull the Transmitter away from the sensor support mount. 3. Discard the sensor support mount and reuse the Transmitter. Note: Do NOT discard your Transmitter after one 18 use. A Transmitter can be used for up to four sensor sessions. Insert a New Sensor Select an Insertion Site When inserting the senor, choose an area with adequate subcutaneous fat. This area should stay flat during normal daily activities without bending or creasing. The sensor site should be at least 7.5 cm (3 inches) away from an insulin Pump infusion site or manual injection site. The insulin might affect Sensor performance, and you might miss a low or high blood glucose value. Avoid inserting the Sensor into areas of skin with scarring, tattoos, or irritation. Do not place the Sensor in areas that are constrained by clothing, such as the belt line or waist. Also do not place the Sensor involve rigorous movement during exercise. Avoid sites 5 cm (2 inches) around navel. Avoid areas with excess hair, or consider shaving the area. Shown here are the best body areas (shaded) for Sensor insertion. in areas that 19 Have a rotation schedule for choosing a new site. Using the same site too often might not allow the skin to heal, and can possibly cause scarring or skin irritation. Select a new insertion site at least 5 cm (2 inches) from the previous site. Prepare the Insertion Site 1. Wash your hands thoroughly with soap and water, and let them dry. 2. Wipe the selected insertion area with rubbing alcohol, and allow the area to dry. This may help prevent insert the Sensor until the cleaned area is dry. This will allow the sensor adhesive to stick better. infection. Do NOT 20 Warning: If the Sensor dislodges due to the sensor support adhesive failing to adhere to the skin, you may get unreliable or no results. Improper site selection and improper site preparation may cause poor adherence to the skin. Remove the Glucose Sensor from the Package Remove the Glucose Sensor from its sterile package by peeling off the paper on the back of the package. Warning: Do NOT use a Sensor if its sterile package has been damaged or opened, or the Sensor has expired, or the Sensor is damaged in any way. Note: Wash your hands with soap and water, and let them dry before opening the Sensor package and handling Sensor. After opening the package, avoid touching any Sensor surface that will come in contact with the body, i.e., adhesive surface. You may contaminate the insertion site and suffer an if you have dirty hands while inserting the Sensor. infection 21 Remove the Protective Liner from the Sensor Support Mount Bend the two-piece protective liner slightly so you can see the seam between the two pieces. Remove the liner from the sensor support mount one half at a time, using the white tabs on the backing. Hold the Sensor by the inserter, and try not to touch the adhesive surface. Locate the Sensor Support Mount If you are inserting the Sensor on your abdomen or lower back, place the Sensor horizontally on your skin. Move your fingers around the adhesive patch to secure it to your skin. 22 Remove the Safety Lock Hold the Glucose Sensor with one hand. Firmly squeeze the two release tabs of the safety lock with your thumb and index finger of the other hand, as you lift the safety lock away from the inserter. Save the safety lock, you will need it later. 23 Insert Sensor Hold the inserter as shown and press the two buttons at the same time. You might feel a slight pinch as the Sensor is placed just under your skin. 24 Remove Inserter inserter about a 40 turn Twist the in the direction shown, and lift the inserter away from the mount. Only the sensor support mount will be left on your body. 25 Check the Sensor Support Mount Confirm the sensor support mount remains tightly adhered to your skin by sliding your finger along the edges of the adhesive pad and examine for any gaps in adhesion. Warning: If bleeding occurs at the insertion site, do not attach the Transmitter to the Sensor. Apply steady pressure using a sterile gauze or clean cloth for up to 3 minutes. If bleeding stops, attach the Transmitter to the Sensor. If bleeding does not stop, remove the Sensor, treat the site as necessary, and insert a new Sensor at a different site. Warning: Check the insertion site frequently for infection or inflammationredness, swelling or pain. Remove the Sensor and seek professional medical help if one of these conditions occurs. Discard the Sensor Inserter Safely Attach the safety lock on the inserter to cover its opening and hide the needle inside. Follow local 26 waste disposal regulations when discarding the inserter. We recommend discarding the sensor inserter a puncture-proof container with a tight lid. container or sharps into a Attach Your Transmitter After the Sensor is inserted, follow these steps to attach your Transmitter:

1. Wipe the bottom of the Transmitter with an alcohol wipe and let it dry before every use. 2. Snap the Transmitter into the sensor support mount until the two flexible arms fit into the notches on the Transmitter. The indicator light will flash green after successful connection. Note: Make sure you hear a click when you snap the Transmitter in place. If it is not fully snapped in, poor electrical connection and compromised waterproof performance may result, which can lead to inaccurate sensor glucose readings. 27 Tape the Sensor Support Mount (Optional) The sensor support mount should stay on your skin using its own adhesive. But, if you find that the sensor support mount is not adhering well during daily activities, you can use medical tape for extra support. Only tape over the white 28 adhesive patch on all sides for even support. Do NOT tape over the Transmitter or any of the plastic parts of the sensor support mount. 29 How to Use Medtrum EasyTouch Mobile App Install the App Compatible smart devices: iPhone 4S, iPhone 5, iPhone 5C, iPhone 5S, iPhone 6, iPhone 6 Plus, iPhone 6S, iPhone 6S Plus, iPod touch 5th Gen, iPad 3, iPad 4, iPad Air, iPad Air 2, iPad Mini, iPad Mini 2, iPad Mini 3 Supported operating systems: IOS 7.0 and above The smart device you install the App on and the charger for that smart device must comply with IEC60950-1. To install the EasyTouch Mobile App provided by Medtrum Technologies Inc., just download it from your smart devices App store. For information on how to install an App see your 30 smart devices user guide. Medtrum EasyTouch Mobile App cannot override your smart device settings. To receive sensor status and alerts you must:

1. Make sure your smart devices Bluetooth is available and turned on. 2. Make sure Silent and Do Not Disturb are off. 3. Make sure your smart devices volume is loud enough for you to hear alerts and reminders. 4. Make sure the notifications for the Medtrum EasyTouch Mobile App are turned on in the settings menu of your smart device. 5. Make sure the Medtrum EasyTouch Mobile App is open and running in the background. 6. Restart the Medtrum EasyTouch Mobile App after your smart device is restarted. For information on how to set your smart device, see your smart devices user guide. Note: Do not change your smart devices time because it can make the time on the monitor screen wrong and the App may stop displaying sensor status. 31 Login/Register Make sure your smart device is connected to the Internet. Open the Medtrum EasyTouch Mobile App and enter the Login screen. If you have a Medtrum account, login with your account and password. If you dont have a Medtrum account, tap Register to set your username and password. The username must be 4-20 characters. The password must be 6-20 characters. 32 Connect Transmitter With App Every time you change to a new Transmitter, you need to add the Transmitter SN to your App. After that your App and Transmitter will connect automatically for each sensor session. Tap at the top-left corner of the screen to view the Main Menu. Tap Settings on the Main Menu to enter the Settings screen. 33 Settings CGM System Insulin Pump General Account Security About Us

Tap CGM System to enter the CGM System settings screen. Turn the CGM feature On. 34

CGM System CGM System Add Transmitter ALERT SETTINGS GLUCOSE ALERTS High Glucose Low Glucose Glucose Alert Limits High Predicted Low Predicted 00:15 00:15 Rapid Rise 4.0 mg/dL/min Rapid Fall 4.0 mg/dL/min STATISTICS SETTINGS Glucose Limits for Statistics Time Segments

Connect your Transmitter to a Sensor. Make sure your Transmitter and smart device are within ten meters of each other, and your smart device is connected to the Internet. Tap Add Transmitter 35 to add this Transmitter to your Medtrum account and to start communication between your Transmitter and smart device. You can use your smart device to search for your Transmitter, or you can enter the SN printed on your Transmitter manually.

Add Transmitter Searching Transmitter Enter SN manually Monitor Sensor Status Once your Transmitter is connected with the App, you can use the App to monitor your real-time sensor status. Tap at the top-left corner of the screen to view the Main Menu. Tap Monitor on the Main Menu to enter the Monitor screen. 36 Calibration Button Transmitter Signal Transmitter Battery Life Monitor CGM System 90 mg/dL 19:00 Today CAL 90%

2D 22H 40M left Remaining Sensor Life NORMAL Real-time Sensor Status

24h Sensor Trend Graph 1. The Calibration Button is explained in the next section Calibrate Your Sensor. 2. The Transmitter Signal Bluetooth Transmitter and your smart device. signal icon shows strength between the the 3. The Transmitter Battery Life icon shows the 37 remaining Transmitter battery life. 4. The Remaining Sensor Life shows the operating sensor life left in a total of 7 days. 5. The Real-time Sensor Status area shows your current sensor status. l Sensor Warmup After you connect the Transmitter to a new Sensor, it takes 2 hours for the Sensor to warm up. l After Calibration 38 Trend Arrow Sensor Condition Most Recent Sensor Reading 90 mg/dL 19:00 Today NORMAL Time of the Reading After Sensor warmup is completed, you can calibrate your Sensor and monitor the real-time sensor status. The trend arrow shows the speed and direction of your sensor glucose readings. 39

6. The Sensor Trend Graph shows your glucose level and trend. See Sensor Trend Graph in this chapter for more information. 40 Calibrate Your Sensor After Sensor warm-up, tap screen to enter the Calibration screen. on the Monitor CAL Select Fingerstick and enter the current fingertip blood glucose level, or select Lab Calibration and enter a venous blood glucose level. The blood sampling time must be 8 minutes to 2 hours before the current time. After the initial calibration, your sensor data will be displayed in real time. You must calibrate the Sensor at least once every 12 hours to ensure data accuracy. The App will prompt you when a calibration is needed. 41 CAL button will disappear under the Note: The following circumstances:

Within 1 hour after the alert Sensor Smart device Bluetooth off Sensor warmup Sensor error Calibration Error 1 Sensor glucose rises/falls too quickly No Sensor signal Sensor Trend Graph The Sensor Trend Graph on the Monitor screen shows the glucose information of the most recent 3 hours, 12 hours or 24 hours. Tap the duration to change the graph range. 42 Tap the Sensor Trend Graph from the Monitor screen to enter the Sensor screen and view detailed CGM information. You can view the sensor data of 1 day, 7 days, 14 days, 30 days, or 90 days before the end date. The default end date is today. Tap the date to change. Touch and hold in the graph area to generate a cursor. Move the cursor along x-axis to view the sensor glucose (SG) and event at different time points. The cursor will disappear after 5 seconds of no operation. The Basic Statistics includes the minimum of BG and SG, the maximum of BG and SG, the mean of BG and SG, and the number of occurrence of hypo. The Distribution Statistics includes the 43 percentage of target SG (target range set by user), the percentage of high SG (above the high limit of SG target range), the percentage of low SG

(below the low limit of SG target range) and the percentage the hypoglycemic threshold). hypoglycemia

(below of The Deviation includes the area under the curve

(AUC) above the high limit of SG target range, the AUC below the low limit of SG target range, and the times of high and low SG. 44 Understand the Statistics Tap at the top-left corner of the screen to view the Main Menu. Tap Statistics on the Main Menu to enter Sensor Overlay screen. Swipe left to go to Trend Analysis, SG Distribution, Event Distribution screens Summary and Log 45 successively. Swipe right to return to the previous screen. Double tap a graph or hold your smart device horizontally in full-screen mode. the graph to view Sensor Overlay This screen displays the sensor data overlay within a given number of days before a selected date, along with the daily mean SG, maximum SG, minimum SG, and times of hypo. All daily SG curves are displayed in an overlap graph so that you can easily see the SG level change in a given period. The default end date is today. Tap the date to change if needed. Tap 7 D on the top-left to edit the number of days. Tap Total on the top-right to select the displayed time segment from Total, Breakfast, Lunch, Dinner and Night. You can set the start and end time of each time segment under Settings menu. See CGM Settings in this chapter. 46 Trend Analysis Here shows the sensor reading histogram within a given number of days before a selected date. The default end date is today. Tap the date to change if needed. You can view the data of 7 days, 14 days, 30 days, or 90 days before the end date. 47 SG Distribution Here shows the SG distribution within different time segments, each pie chart demonstrating the proportions of low, target and high glucose. Red represents low, green represents target, and yellow represents high. You can set the time range of each segment. Select any pie chart and a corresponding histogram will be displayed below. The default end date is today. Tap the date to change if needed. You can view the data of 7 days, 14 days, 30 days, or 90 days before the end date, or you can change the number of days by selecting More and entering a number. 48 Event Distribution Note: This screen appears only when your smart device is connected to a sensor and a Medtrum insulin pump at the same time. Here shows the distribution of events that can 49 cause high/low glucose. The default end date is today. Tap the date to change if needed. You can view the data of 7 days, 14 days, 30 days, or 90 days before the end date, or you can change the number of days by selecting More and entering a number. Event Distribution 7 D 14 D 30 D 90 D More Mon, 24/08/15 HIGH GLUCOSE Basal Decrease Dawn Phenomenon Delivery Suspend Bolus with Rising Glucose LOW GLUCOSE Basal Increase Multiple Boluses High Preceding Low Bolus with Falling Glucose Nocturnal Hypo

# of high (percentage) 1 5 2 3 4 4 (40%) 3 (30%) 2 (20%) 1 (10%)

# of low (percentage) 1 5 2 3 4 4 (40%) 3 (30%) 1 (10%) 1 (10%) 1 (10%) Log Summary Here shows the log summary in a given period. 50 The table includes the times of BG tests and the mean BG, the times of food intake and the grams of carb, the total amount of insulin injected, and the times and duration of exercise. You can view the data of 7 days, 14 days, 30 days, or 90 days before the end date, or you can change the number of days by selecting More and entering a number. The default end date is today. Tap the date to change if needed. 51 Enter the Logs Tap at the top-left corner of the screen to view the Main Menu. Tap Logs on the Main Menu to enter the Logs screen. Tap to add new logs. Add Log Screen Select a category in Add Log screen to record to return to the Log data or events. Tap screen. 1. Add BG The default date and time are the current date and time. Tap the date and time to change if needed. Tap Before Meal or After Meal to select the period. Tap Fingerstick or Lab Calibration to select the test method. Enter the BG level. Tap Note to add a note if needed. Tap Done to save the note and return to the Add Log screen. 52 2. Add Injection The default date and time are the current date and time. Tap the date and time to change if needed. Tap Before Meal or After Meal to select the period. Enter a name for this insulin injection record. Select from Rapid-acting, Short-acting, Intermediate-acting, Long-acting, and Pre-mixed. Enter the insulin dose. Tap Note to add a note if needed. Tap Done to save the note and return to the Add Log screen. 53 3. Add Carbs The default date and time are the current date and time. Tap the date and time to change if needed. Enter a name for this carbs record. Enter the grams of carbs. Tap Note to add a note if needed. 54 4. Add Exercise The default date and time are the current date and time. Tap the date and time to change if needed. Enter the type of exercise. Select the intensity and duration of exercise. Enter the calories burned. Tap Note to add a note if needed. 55 5. Others The default date and time are the current date and time. Tap the date and time to change if needed. Tap Note to add a note about other health and menstruation. like medication information 56 Logs Screen Here show all the logs before the end date. Tap the end date to change if needed. Tap a log to view its details or to edit. 57 Edit Log Screen You can tap a log to edit it on the Edit Log screen. After editing, tap Done to save the changes. You can also tap Delete to delete the log. 58 Set Your Reminders Tap at the top-left corner of the screen to view the Main Menu. Tap Reminder on the Main Menu to enter the Reminder screen. Tap at the top-right corner to add new reminders. Tap Done to save changes. Reminder Settings Screen You can enter the title of reminder, select the reminder type, repeat days, time of notification, and sound, turn on/off vibration and add a note if 59 needed. Tap Done to save the changes. Reminder Screen 1. Here shows a list of saved reminders, each reminder with an ON/OFF switch. Tap a switch to turn on/off the reminder. 2. To edit a reminder, tap it to enter the Reminder Settings screen. To delete a reminder, swipe left and tap Delete. 60 Customize Your Settings Tap at the top-left corner of the screen to view the Main Menu. Tap Settings on the Main Menu to enter the Settings screen. Settings CGM System Insulin Pump General Account Security About Us 61

CGM System Settings Make sure the CGM feature is turned on. Alert Settings Glucose Alerts: The default setting is off. After you turn it on, you can view the following list of alert settings.

CGM System CGM System Add Transmitter ALERT SETTINGS GLUCOSE ALERTS High Glucose Low Glucose Glucose Alert Limits High Predicted Low Predicted 00:15 00:15 Rapid Rise 4.0 mg/dL/min Rapid Fall 4.0 mg/dL/min STATISTICS SETTINGS Glucose Limits for Statistics Time Segments 62

1. High/Low: The default setting of High Glucose and Low Glucose are both off. After you turn High Glucose on, you can set up to eight High Limits throughout a day and receive alerts when your glucose is above the set High Limit. After you turn Low Glucose on, you can set up to eight Low Limits throughout a day and receive alerts when your glucose is below the set Low Limit. The High and Low Limits are also used in statistics.

Glucose Alert Limits High Glucose Low Glucose Start - End High Limit Low Limit

(mmol/L) 0:00-24:00 13.3 4.4 Add Time Segment 2. High Predicted: The default setting is off. After you turn it on and set a time period, you can receive alerts when your glucose is predicted to reach the set high limit in the set period of time. 63 3. Low Predicted: The default setting is off. After you turn it on and set a time period, you can receive alerts when your glucose is predicted to reach the set low limit in the set period of time. 4. Rapid Rise: The default setting is off. After you turn it on and set a rise rate limit, you can receive alerts when your glucose is rising faster than the set rate limit. 5. Rapid Fall: The default setting is off. After you turn it on and set a fall rate limit, you can receive alerts when your glucose is falling faster than the set rate limit. Statistics Settings Glucose Limits (for Statistics): These values are used in Sensor Overlay, SG Distribution, and Event Distribution. You can set different glucose limits for different time segments. The period before each meal is fixed to 0~1h before each meal. The period after each meal can be set on the Time Segments screen. 64

Glucose Limits for Statistics High Limit Low Limit

(mmol/L) Before Breakfast After Breakfast Before Lunch After Lunch Before Dinner After Dinner 7.8 13.3 7.8 13.3 7.8 13.3 4.4 4.4 4.4 4.4 4.4 4.4 Time Segments:

1. Meal Start Time Settings: Set the periods within which Breakfast, Lunch, and Dinner starts. Each period cannot exceed 1 hour. 2. After Meal Settings: Set the after-meal segments. 3. Night Settings: Set the start and end time of night. 65

Time Segments MEAL START SETTINGS Breakfast 07:00 Lunch Dinner 11:30 18:00 to to to 08:00 12:00 19:00 The period before meal is xed to 1h. AFTER MEAL SETTINGS After 44min Breakfast After Lunch After Dinner 3h 3h 1h 1h to to to 1h55min NIGHT SETTINGS Night Start 23:00 End 06:00 General Settings You can select a display language, turn on/off Audio, Vibrate and Snooze, set the snooze time between 5 min and 1 hour, and customize unit settings here. Note: We recommend that you turn Audio and Vibrate on. If you turn them both off, you might 66 miss an alert/alarm.

General Language English AUDIO OPTIONS Audio Vibrate Snooze UNIT SETTINGS Glucose Weight Height 00:20 mg/dL mmol/L lb kg st cm feet Remote Viewing Remote View Other Accounts Tap at the top-left corner of the screen to view the Main Menu. Tap Remote View on the Main Menu to enter the Account Management screen. 67 Tap the switch to turn on Remote View. Tap Add account you want to view to enter the Add Account screen. Enter an account name and apply to connect. If permitted by the user, you will have access to their Monitor screen and view their real-time sensor status.

Account Management Remote View Patient 1 Patient 2 Disconnect Connect Add account you want to view

Add Account Enter the account you want to remote view. Account Apply to remote view 68 Allow Others to Remote View Your Account If your App receives an application from another user for remote viewing your account, you can choose to allow or deny their access. If you want to stop a users access to your account, go to Account Security under Settings and tap Remote View Permission. Swipe left on the selected user to cancel permission.

Account Security Username User288 Password Passcode Lock Remote View Permission Logout

69

Remote View Permission Edit Family1 Family 3 Delete 70 71 Safety System and Alerts To make you aware of a condition that is outside normal CGM system activity or potentially serious condition, your smart device with the Medtrum EasyTouch Mobile App vibrates or emits a tone on an alert and displays a on-screen message. If the App is running in the foreground, an alert message appears with a prompt; if the App is running in the background, an alert message appears as a notification. In the former case, when there are multiple messages, you need to acknowledge the first one by tapping it before you see the next. In the latter case, all messages are displayed simultaneously in the notification list. Discuss with your healthcare professional about what actions to take when an alert happens. List of Alerts Condition App Message Actions to Take 72 Move your smart device close to the Transmitter. Change Transmitter soon. Call customer support. Check or change sensor. Enter meter BG after 15 minutes. Enter meter BG after 1 hour. Lost sensor. Check communicatio n distance. Transmitter battery low. Transmitter error. Call customer support. Sensor error. Check or change sensor. Sensor calibration error. Enter BG after 15 minutes. Sensor calibration error. Enter BG after 1 hour. 73 LOST SENSOR TRANSMITTER BATTERY LOW TRANSMITTER ERROR SENSOR ERROR SENSOR CALIBRATION ERROR 0 SENSOR CALIBRATION ERROR 1 Change Sensor. Enter a new meter BG soon. Enter a new meter BG for calibration. Change sensor in 6 hours. Change sensor in 2 hours. Change sensor in 30 minutes. Change Sensor. Sensor failure. Replace sensor now. Calibrate sensor soon. Calibrate sensor now. Sensor will expire in 6 hours. Change sensor soon. Sensor will expire in 2 hours. Change sensor soon. Sensor will expire in 30 minutes. Change sensor soon. Sensor expired. Change sensor now. 74 SENSOR FAILURE SENSOR CALIBRATION REMINDER CALIBRATE NOW SENSOR END IN 6 HOURS SENSOR END IN 2 HOURS SENSOR END IN 30 MINUTES SENSOR EXPIRED RAPID RISE Sensor glucose is rising rapidly. RAPID FALL Sensor glucose is falling rapidly. LOW PREDICTED Sensor glucose approaching Low Limit. Monitor trend and glucose level. Follow instructions from your healthcare professional. Monitor trend and glucose level. Follow instructions from your healthcare professional. Check blood glucose and treat as necessary. Continue to monitor blood glucose. 75 HIGH PREDICTED Sensor glucose approaching High Limit. HIGH GLUCOSE Sensor glucose above High Limit. LOW GLUCOSE Sensor glucose below Low Limit. Check blood glucose and treat as necessary. Continue to monitor blood glucose. Check blood glucose and treat as necessary. Continue to monitor blood glucose. Check blood glucose and treat as necessary. Continue to monitor blood glucose. 76 BELOW mmol/L

(BELOW mg/dL) 3.1 56 Sensor glucose below 3.1 mmol/L. Please treat as necessary.

(Sensor glucose below 56 mg/dL. Please treat as necessary.) Check blood glucose and treat as necessary. Continue to monitor blood glucose. Note: When Transmitter Error occurs, the indicator light on the Transmitter flashes red. 77 Manufacturers Declaration The S6 EasySense Disposable CGM system

(consisting of MD-TY-015 Transmitter and MD-JY-006 Glucose Sensor) is intended for use in the electromagnetic environment specified below. The customer or the user of the CGM System should make sure that it is used in such an environment. Electromagnetic Emissions Emissions Test and RF emissions EN 60601-1-2:2007+AC:2010, IEC 60601-1-2:2007 CISPR 11:2009+A1:2010 RF emissions EN 60601-1-2:2007+AC:2010, IEC 60601-1-2:2007 CISPR 11:2009+A1:2010 and Compliance Group 1 Class B 78 Electromagnetic Immunity Immunity Test Electrostatic discharge (ESD) IEC 61000-4-2 RF electromagnetic field immunity test IEC 61000-4-3 Power frequency magnetic fields IEC 61000-4-8 IEC 60601 Test Level 2.0 kV, 4.0 kV, 6.0 kV, 8.0 kV contact discharge 2.0 kV, 4.0 kV, 8.0 kV, 15.0 kV air discharge 10 V/m Compliance Level 2.0 kV, 4.0 kV, 6.0 kV, 8.0 kV, 56%

RH 2.0 kV, 4.0 kV, 8.0 kV, 15.0 kV air

(56% RH) 10 V/m 3 A/m 3 A/m 79 Appendix I: Symbols and Icons Product Label Symbols Symbol Meaning LOT REF Lot number Reference number Manufacturer Use by: (yyyy-mm-dd) 80 Caution: See Instructions for use Storage temperature Do NOT reuse Authorized representative in the European Community Do NOT use if package is damaged CE mark by notified body 2 EC REP 0197 81 STERILE R Sterilized using radiation IPX8 SN Follow instructions for use Radio communication Waterproof to 2.5 m for 1 hour Device serial number Waste Electrical and Electronic Equipment 82 Type BF equipment

(Protection from electrical shock) 83 Appendix II: Specifications Transmitter Specifications Model: MD-TY-015 Size: 36.1 mm x 19.4 mm x 12 mm Weight: 4.8 g Operating Temperature Range: +5C ~+40C Operating Relative Humidity Range: 20%~90%RH Operating Atmospheric Pressure: 700~1060 hPa Storage Temperature Range: -10C~+55C Storage Relative Humidity Range: 20%~90%RH Storage Atmospheric Pressure: 700~1060 hPa Battery: Built-in 3.0 V button cell battery Waterproof Rating: IPX8 (2.5 m, 1 hour) Category: Type BF equipment, Continuous operation Data Storage: Automatically stores the previous 15 days data Wireless Communication Distance: 10 m Duration of Use: 4 sensor sessions Limited Warranty: 1 year 84 Glucose Sensor Specifications Model: MD-JY-006 Storage Temperature Range: +2C ~+30C Storage Relative Humidity Range: 20%~90%RH Storage Atmospheric Pressure: 700~1060 hPa Glucose Range: 2.2~22.2 mmol/L (40~400 mg/dL) Sterilization Method: By radiation Sensor Life: Up to 7 days CGM System Accuracy randomized clinic study A multi-center, is designed to determine the sensor accuracy in persons with Type 1 or Type 2 diabetes. In-clinic testing consisted of frequent venous blood sample testing (by Yellow Springs Instrument 2300 STAT Plus Glucose Analyzer, YSI) on a random day The accuracy is based on the percentage of CGM glucose readings that are within () 20%, 30% or 40% of YSI values at glucose values at or above in the 7-day sensor life. 85

(>=) 75 mg/dL (4.2 mmol/L), or within 20 mg/dL

(1.1 mmol/l), 30 mg/dL (1.7 mmol/L) or 40 mg/dL

(2.2 mmol/L) of YSI values at glucose values below (<) 75mg/dL (4.2 mmol/L). Table. Percentage of CGM Glucose Readings within 20%/20, 30%/30, or 40%/40 of the YSI;

Calibrating every 12 hours, Abdomen insertion site. Number of 20%/20 30%/30 40%/40 90%

96%

99%

Matched Pairs CGM-YSI 1734 86 and such devices A mobile app is a computer program designed to run on as mobile smartphones tablet The Medtrum computers. EasyTouch Mobile App is used with the S6 EasySense system for continuous glucose monitoring. The area under

(mathematically definite glucose level against time. Abbreviation for blood glucose. See Blood Glucose. The amount of glucose present in the blood. curve known as in a plot of integral) the The process of using a meter blood to calculate sensor glucose values. The complex carbohydrate starch reading glucose 87 Glossary App AUC BG Blood Glucose

(BG) Calibration Carb sensor high/low or simple carbohydrates, such as sugar. A Sensor is inserted under the skin to check glucose levels in interstitial fluid. A Transmitter sends sensor glucose readings to a display device. The values you set to determine when the system will alert you of a glucose condition. The values you set to distinguish High, Low, and Target glucose range in the statistics graphs. The value you set to determine when the system will alert you of a high sensor glucose condition. Your glucose level is under 3.1 mmol/L (56 mg/dL). The value you set to determine when the system will alert you of a low sensor glucose condition. A information. The amount of glucose that is present in the interstitial fluid provides helpful note 88 Continuous Glucose Monitoring

(CGM) Glucose Limits for Alerts Glucose Limits for Statistics High Limit Hypo Low Limit Note Sensor Glucose and is measured by a glucose sensor. The 7-day monitoring period after inserting a new sensor. During this time frame, your glucose is being monitored and reported every two minutes, with data being sent to your display device(s). Abbreviation for sensor glucose. See Sensor Glucose (SG). A smart device is an electronic device that is cordless (unless

(easily charging), transportable), connected

(via Wi-Fi, 3G, 4G, etc.) that can extent operate to autonomously. of smart devices are smartphones, tablets, or phablets. A warning notifies you of a potential hazard. some Examples mobile 89

(SG) Sensor Session SG Smart Device Warning 90 UG883013 348010