Step-by-step Instructions

«I)
GENERAL
TEST
INFORMATION
Please
read
this leaflet before
using
the test.
You
must follow the Theraflu App
when
performing the test.
fluTEST
HOME DIAGNOSTIC KIT
PRODUCT
INFORMATION
LEAFLET
Refer
to
the
Quick
Start
Guide
for
a
summary
of
the
key
information
of
this
leaflet.
AT
All
TIMES
This
test
is
intended to
be
used
as
an
aid
in
the diagnosis of flu (influenza). If your test
detects flu
please
consult a healthcare
professional. If your test does not detect flu
but
you
are
becoming increasingly unwell,
are
not recovering, or if
you
are concerned
about your health,
please
see
a
healthcare professional.
Home
diagnostic kit:
rnasal swab
L
with
child adapter
-[FLIP-TOP
>----4
LID
I '
-[CHILD
..J
.i...
ADAPTER
~[SWAB
TIP
[analyzer
© -[BUTTON
c!)
-[SAMPLE
PORT
r
processing
Lt1u1d
[dropper
When
to
use
this test:
!
Use
this
test if
you
have
all
3
of
the
below:
You
have
had
a fever or
have
felt feverish
within the last
24
hours,
AND;
You
have
a runny or blocked
nose,
AND;
You
have
had
flu-like symptoms for 3
days
or
less.
x
Do
not
use
this
test:
On
anyone
under 2
years
of
age;
If
you
have
been
unwell for 4
days
or
more;
If
you
are
prone to
nose
bleeds;
If
you
have
had
a flu
nasal
spray mist
vaccine
in
the last 7
days,
OR;
If
you
have
had
a facial or
head
injury or
surgery
in
the last 6 months.
Flu
safety
High
Risk
Groups
Users
who fall into
one
of
the following
groups
are
at high risk
of
complications
from the flu
and
are
recommended to
see
a healthcare professional regardless
of
their test result:
Children under the
age
of
5
and
especially under 2
years
of
age
Adults
65
years
and
older
People
under
19
years
of
age
who
are
on
long-term aspirin or salicylate
containing medications
Pregnant women
American Indians
and
Alaska
Natives
People
who live
in
nursing
homes
and
other long-term
care
facilities
Or
individuals who suffer from:
Asthma
Neurologic
and
neurodevelopment
conditions
Blood disorders
Chronic lung
disease
Endocrine disorders
Heart
disease
Kidney disorders
Liver disorders
Metabolic disorders
Weakened
immune
system
due
to
disease
or medication
Obesity (with a body
mass
index
[BMIJ
of
40
or more)
For most current information
on
high risk
groups refer to:
https://www.cdc.gov/features/fluhighrisk/index.html
8
ATTENTION
ALL
USERS
If
you
are
not
recovering,
feeling
worse,
or
are
concerned
about
your
health,
please
consult
a
healthcare
professional.
Warning
Signs
The
following
are
signs
of
severe
flu
(influenza) infection.
Please
seek
medical
attention if any of these apply to
you
at
anytime:
Adults
Difficulty breathing or shortness
of
breath
Persistent pain or
pressure
in
the chest
or abdomen
Persistent
dizziness,
confusion, inability
to
arouse
Seizures
Not urinating
Severe
muscle pain
Severe
weakness
or unsteadiness
Fever
or cough that improve but then
return or
worsen
Worsening
of
chronic medical condition
Children
Fast
breathing or trouble breathing
Bluish
lips or
face
Ribs
pulling
in
with
each
breath
Chest
pain
Severe
muscle pain (child
refuses
to walk)
Dehydration (no urine for 8
hours,
dry
mouth,
no
tears
when
crying)
Not alert or interacting
when
awake
Seizures
Fever
above
104°
F (40°C)
In
children
less
than
12
weeks,
any fever
Fever
or cough that improve but then
return
or
worsen
Worsening
of
chronic medical conditions
For
most current information
on
warning
signs
refer to:
https://www.cdc.gov/flu/consumer/symptoms.html
BEFORE
THE
TEST
Preparing
to
do
the test
~
Ensure
you
have
an
Internet
connection.
You
will
need
to download
the
Theraflu
App.
The
app will
require
an
Internet connection
to email
you
your test result
record.
~
Ensure
YoU
are
using
a
compatible
smartphone.
For
a full list visit:
www.theraflu.com
~
Ensure
your
phone
Is
charged
(at least
20%
battery) or
is
charging.
~
Ensure
your
test
Is
at
room
temperature.
59-77°F
C15-25°C).
~
Ensure
all
packaging
Is
Intact.
Do
not
use
the test
if
there
is
visible damage
to
the
foil packaging.
~
Only
open
the
loll
packaging
when
you
are
ready
to
do
the
test.
Use
test within
1 hour after opening.
~
Wash
your
hands
before
using
the
test.
~
Keep
the
swab
clean.
Avoid touching the
swab
tip
and
ensure
it
does
not touch
any
surfaces before
use
.
9
STEP-BY-STEP
INSTRUCTIONS
This
leaflet
only
describes
the
key
steps
of
the
test.
Step-by-step
instructions
on
how
to
perform
this
test
are
in the
Theraflu
App.
6
key
steps
of the test
2
4
UNBOX
COMPONENTS
Only
open
foil packaging
when
you
are
ready
to
do the test.
Use
within 1
hour.
DOWNLOAD
AND
OPEN
THE
APP
Find
the free Theraflu App
on
the
Google
Play
Store,
the App store,
or
use
your smartphone's
web
browser
to visit:
www.theraflu
.
com
ANSWER
QUESTIONS
This
will select the right video
and
instructions for
you.
WATCH
INFO
VIDEO
The
video will
provide
an
overview
of
what
to expect.
There
will
be
separate
step-by-step
instructions later
in
the
app.
5
6
FOLLOW
INSTRUCTIONS
Separate
step-by-step
instructions will
be
available within the
app after the video.
YOUR
TEST
RESULT
After finishing the
testing
process
wait
12
minutes for your
result to appear
on
your phone
screen
.
Once
you
have
your
result,
you
can
use
the
Menu
icon
to
start
a
new
test,
access
past
test
results
or
use
the
talamedicina
consultation
(refer to
Post
Result
Service section).
Frequently
asked
questions
(FAQs)
0
How
does
the
Theraflu
Home
Flu
Test
work?
When
you
have
flu, the virus
causing your symptoms
is
present
in
your
nasal
secretions.
The
Theraflu
Home
Flu
Test
can
detect
small
amounts
of
flu
(influenza) virus
in
your
nasal
secretions.
0
How
accurate
Is
the
Theraflu
Home
Flu
Test?
No
rapid flu test
is
100%
accurate.
The
Theraflu
Home
Flu
Test
has
an
overall
accuracy
of
95%
for
Flu
A
and
89%
for
Flu
8.
0
What
should
I
do
if
my
phone
cannot
connect
with
the
analyzer?
Contact
Theraflu's toll free customer helpline
for
assistance.
r O
Why
Is
the
app
asking
me
for
my
name
and
email
address?
The
app will
automatically email
you
a record
of
your test result.
You
can
share
this
record
as
a proof
of
influenza testing
with your doctor, pharmacist or employer.
For the app to
be
able
to generate this
record
and
email
it
to
you
it requires the
patient's
name
and
an
email
address.
0
Whats
should
I
do
if
my
phone
runs
out
of
charge
during
the
test?
It
is
ok to
charge your phone while performing the
test.
Make
sure
to
keep
the analyzer
within 3 inches (7 centimeters)
of
your
phone.
0
The
analyzer
light
is
flashing
red.
What
does
this
mean?
A flashing
red
analyzer light indicates that the battery
of
the analyzer
is
too low to perform
the test.
0
The
analyzer
light
Is
solid
red.
What
does
this
mean?
A solid
red
analyzer light indicates that the analyzer
is
faulty.
0 I
have
a
nose
bleed
after
swabbing
my
nose.
What
should
I
do?
In
the unlikely
event your
nose
starts bleeding, apply
pressure
to your
nose
and
consult a
healthcare professional.
Do
not insert
the
swab
again.
0 I
am
trying
to
squeeze
the
fluid
into
the
sample
port
but
no
fluid
is
coming
out.
What
should
I do?
Ensure
the
swab
is
screwed into the dropper
as
tightly
as
possible.
Some
force will
be
required
to
do this.
Then
try
again
holding the
dropper completely vertical. If this
does
not solve the problem,
call
Theraflu's toll
free customer helpline for
assistance.
For
further
FAQs
visit
www.tharallu.com
Clinical
performance
The
performance
of
the
Theraflu
Home
Flu
Test
was
determined
in
a clinical study
conducted from
December
2018
to
April
2019
at geographically diverse
sites
throughout
the
USA.
According to the
CDC,
influenza A
viruses predominated during the
2018/2019
influenza
season
with influenza A(HlNl)
pdm09
viruses
and
influenza A(H3N2)
viruses mainly represented.
Influenza
B
activity
was
very
low.
The
overall
accuracy of
the test for the detection of influenza A
when
compared to the
reference
result,
as
determined by the concordance between
viral culture
and
two
FDA
cleared
molecular
test
kits,
was
95%,
with positive percent
agreement
(PPA)
of
88%
and
negative
percent agreement
(NPA)
of
98%.
The
overall
accuracy
of the test for detection of
influenza
B
was
98%
with a
PPA
of
83%
and
NPA
of
98%.
Due
to the very
small
number
of
influenza B
cases
seen
during the
season,
additional
bench
testing
was
conducted
using
stored
clinical
samples.
The
overall
accuracy of the
test for detection of influenza B
when
using
these
samples
was
91%
with
86%
PPA
and
97%
NPA.
The
results
for the
annual
reactivity
panel
provided by the
CDC
can
be
found
on
our website www.theraflu.com
If
you
or your healthcare professional would
like
to know more about how the test works
you
will find more details
in
the
Test
Result
Record
that
was
emailed to
you.
Alternatively
you
or a healthc
are
professional
can
contact
Theraflu's toll free customer helpline at
anytime.
a
DURING
THE
TES
_T
..1
Do's
and
don'ts
~
Follow
the
app's
Instructions
carefully.
Incorrect
use
or
use
in
the wrong order
may
result
in
a test failure or
an
incorrect
result.
~
For
children
under
the
age
ol
16
years,
the
test
must
be
performed
by
an
adult.
~
Children
aged
2-12
years
must
be
swabbed
with
the
child
adapter
In
place.
~
Keep
out
of
reach
of
children.
Small
kit
parts may
be
a choking
hazard.
~
Only
use
the
test
components
provided.
Do
not replace the processing fluid with
any
other fluid.
~
Keep
the
swab
clean.
Avoid touching the
swab
tip
and
ensure
it
does
not touch any
surfaces before
use.
A contaminated
swab
is
a health
hazard.
~
Screw
the
swab
Into
the
dropper
immediately
after
taking
the
sample.
~
Keep
your
phone
within 3
Inches
or
the
analyzer until the
test
result
is
available.
Answer calls
on
speaker.
~
Keep
the analyzer
on
a flat
surface
until
the
result
is
available. Tilting the
analyzer could result
in
a test error.
~
Keep
foreign
substances
away
from
the
test
during
the
testing
process.
Contact
with foreign
substances
may
result
in
an
incorrect test result.
X
Do
not
drop
the
analyzer.
Handle
with
care.
X
Do
not
perform
the
test
In
direct
sunlight.
X
Avoid
contact
with
processing
fluld
.
Do
not insert
swab
into your
nose
once
it
has
been
in
contact with processing fluid
and
do not ingest processing fluid.
X
Do
not
perform
your
test
within
30
feet
ol another
Theraflu
test.
X
Do
not
close
the
Theraflu
App
during
processing
as
It
wlll
cause
an
error
and
you
wlll
need
a
new
test
kit.
THIS
TEST
INVOLVES
TAKING
A
SAMPLE
FROM
DEEP
INSIDE
YOUR
NOSE.
When
doing the
test,
pay
particular attention to the instructions
on
how
to
swab
your
nose.
Incorrect
swabbing
may
lead
to
an
inaccurate
test
result.
SWABBING
A
SMALL
CHILD.
We
recommend
swabbing
small
children
with
the
help
of a
second
adult.
One
adult
should
hold
&
reassure
the
child
while
the
other
takes
the
swab.
Warnings
and
precautions
~
Store
in
a
dry
location
between
36-86°F
(2-30°C)
~
Keep
out
of
direct
sunlight
~
Use
at
room
temperature
59-77°F
(15-25°()
~
Keep
out
of
reach
of
children
X
Do
not
use
after
expiry
date
X
Do
not
use
if
any
of
the
packaging
is
opened
or
damaged
X
Do
not
re-use;
this
is
a
single
use
test
X
Do
not
use
this
test
as
the
only
guide
to
manage
your
illness,
particularly if
your
test
has
not
detected
flu.
Please
consult
a
h
ealthcare
professional
if
symptoms
persist
or
become
more
severe
!
Avoid
performing
the
test
in
a
very
dry
environment
(very
low
humidity) to
prevent
a
build
up
of static electricity that
could
damage
the
electronics
of
the
test
! A test
result
will
be
less
reliable
when
there
is
very
little
flu
in
the
community
(outside
flu
season
,
and
in
the
very
early
and
very
late
stages
of
the
flu
season).
Please
consult
a
healthcare
professional
if
you
are
concerned
about
your
health,
if
your
symptoms
persist,
or
if
symptoms
become
more
severe
!
No
test
components
to
be
used
inside
the
body
except
the
nasal
swab
!
High
levels
of
blood
in
your
nasal
swab
sample
may
interfere
with
the
test
!
Individuals
who
received
nasally
administered
flu
vaccine
may
test
positively
for
the
virus
for
up
to
seven
days
after
vaccination
Test
disposal
Before
disposal
of
the
analyzer,
we
recommend removing the battery
using
the
following
steps:
Locate
the
gap
at the
end
(short side)
close
to
power button
of
the analyzer
Place
a
coin
in
the
gap
Twist the coin to break off the bottom
end
of the analyzer along the perforation
in
the plastic
Lift
up
the little
metal
battery holder
and
turn the
analyzer
so
the battery
can
slide
out
Dispose
of
the battery according to
local
regulations
Keep
the battery out
of
reach
of
children
Dispose
the remainder
of
the test
in
general
waste
Do
not incinerate
AFTER
THE
TEST
Your
result
and
what
it
means
for
you
I
The
Therallu App wlll show one
ol
the IQllowlng results on your phone's screen:
_i:\
YOUR
TEST
,::!:)
DETECTED
FLU
Your
test
Is
positive
for
flu
(Influenza)
AorB.
Flu
is
a viral infection
of
the
nose,
mouth,
throat
and
sometimes
lungs.
It
is
treatable with antiviral medicines
if
treated within the treatment window
of
48 hours after onset
of
symptoms.
The
antiviral treatment
is
more effective the
earlier
it
is
initiated.
You
are
contagious
and
can
give the flu
to other people -
please
read
about
stopping the spread
of
influenza
in
the
Flu
and
You
section.
We
recommend
consultlng
a
healthcare
professional
as
soon
as
possible.
This
is
particularly
important
if:
•You
are
In
a
high-risk
group
(refer
to
the
User
Safety
section),
OR;
•You
are
in
the
treatment
window,
OR;
•You
are
concerned
about
your
health.
Please
tell
the
healthcare
professional
that
you
have
had
a
positive
flu
test.
Press
the
YOUR
RESULT
&
WHAT
IT
MEANS
button
in
the app
to
find out
more about your result.
8
IMPORTANT
This
test
is
intended
to
be
used
to
aid a
dinical diagnosis.
Do
not
use
this test
as
the only guide
to
manage your illness.
Please
consult a healthcare professional
if your symptoms persist or become
more
severe,
or
if
you are concerned at
anytime.
~
YOUR
TEST
DID
NOT
0
DETECT
FLU
Your
test
Is
negative
for
flu
(Influenza).
So
what could
be
making
you
sick?
Other
viruses
cause
flu-like symptoms.
These
illnesses
typically resolve by themselves
within 2-4
days,
but sometimes they
can
cause
more
severe
illness,
especially
in
children or people at high risk (refer to
User
Safety section).
Sometimes more serious conditions
can
cause
flu-like symptoms.
These
include
bacterial infections of the throat,
sinuses
and
lungs.
If
you
feel
worse,
you
don't get
better,
or
you
are
concerned
about
your
health,
please
consult
a
healthcare
professlonal.
i\
A
TEST
ERROR
HAS
0_)
OCCURRED
Your
test
has
experienced
an
error.
Please
call
the Theraflu's toll free
customer helpline
and
have
your test
result
and
the test packaging
handy.
We
will
need
the Error
Code
under the circle
on
the result
screen
as
well
as
the Lot
Number
and
Analyzer
ID
of
your test.
You
will
need
to test
again
with a
new
test or consult a healthcare professional
for further
care
.
Testing
outside
the flu
season
As
with
all
flu
tests,
test results
are
slightly
less
reliable
when
there
are
very few flu
cases
in
the community (outside the flu
season).
Please
consult a healthcare
professional
if
you
are
concerned about
your health,
if
your symptoms persist,
or if symptoms become more
severe
.
Post
result
services
Telemedlclne
Service
The
Theraflu
Home
Flu
Test
enables
you
to
connect to a telemedicine consultation
directly through the
app.
This
allows
you
to
discuss
your
illness
with a healthcare
professional. If the healthcare professional
believes a prescription medication
is
needed,
this will
be
sent electronically to
you
or your
pharmacy.
The
healthcare professional
may
also
write a flu certificate for your employer
if
appropriate.
To
arrange a telemedicine
consultation simply
press
the
VIDEO
CALL
A
DOCTOR
button
on
the result
screen
and
follow the prompts.
The
telemedicine
consultation
has
an
extra
fee,
some or
all
of
which
may
be
covered
by your health
insurance.
Test
Results
Record
A
record
of your test result
and
detailed
information regarding your result will
be
emailed to
you
automatically.
This
record
can
be
used
as
a proof of test result for your
doctor, pharmacist or employer. If required,
your employer
can
log
on
to verify the
record's authenticity. Acceptance
is
at your
employer's discretion.
Buy
over
the
counter
medicine
in
app
When
you
are
sick,
the
last
thing
you
want
to
do
is
drag yourself out of the
house
to buy
more medicine.
The
Theraflu App works with
retailers
to
deliver
to
you
the
over-the-counter medication
you
need,
when
you
need
it,
all
from the comfort
of
your
home.
Simply
press
the
BUY
OVER
THE
COUNTER
MEDICINE
button
on
the result
screen,
and
follow the prompts
to
get
medication delivered to your door
in
as
little
as
a few
hours.
Additional
charges
for
delivery may apply. Theraflu over the
counter medicine
are
not antiviral.
8
ATTENTION
ALL
USERS
If
you
are
not
recovering,
feeling
worse,
or
are
concerned
about
your
health,
please
consult
a
healthcare
professional.
More
about
the
test
Flu
and
you
Some
technologies inside the test
are
licensed
from Thermo
Fisher.
This
product contains
small
amounts
of
animal sourced materials.
This
device complies with the emission
and
immunity requirements described
in
EN61326-2
-6. Interference from other
electronically driven equipment
is
not
expected.
This
equipment
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.
This
equipment generates,
uses
and
can
radiate radio frequency energy
and,
if
not
installed
and
used
in
accordance with the
instructions, may
cause
harmful interference
to radio communications.
However,
there
is
no
guarantee that interference will not occur
in
a particular installation. If this equipment
does
cause
harmful interference to radio or
television reception, which
can
be
determined by turning the equipment
off
and
on,
the user
is
encouraged
to
try
to
correct the interference by
one
or more
of
the following
measures
:
Reorient or relocate the receiving antenna
Increase
the separation between the
equipment
and
receiver
Connect the equipment into
an
outlet
on
a
circuit different from that
to
which the
receiver
is
connected
Consult the dealer or
an
experienced
radio/TV technician for help
Warning: Any
changes
or modifications not
expressively approved by GSK could void the
user's
authority
to
operate this equipment
For
a
Glossary
of Symbols
please
refer
to
www.theraflu.com
0
What
Is
flu?
Flu
is
a serious
and
common
contagious
illness
caused
by a viral
infection
of
the
nose,
throat
and
lungs.
0
How
does
flu
spread?
Flu
viruses
are
mainly
spread
by tiny droplets
made
when
people with flu
cough,
sneeze,
blow their
nose
and
talk. A
person
might
also
get flu by touching a surface or
object that
has
flu virus
on
it
and
then
touching their own
eyes,
mouth or
nose
.
0
How
long
can
a
sick
person
spread
flu
to
others
for?
People
infected with
flu
may
infect others from about 1 day
before feeling sick
to
5-7
days
after
symptoms
appear.
Some
people
are
infectious for longer, including children
and
people with
weakened
immune
systems.
0
How
severe
is
illness
caused
by
flu?
Different flu viruses affect people
differently.
Even
healthy children
and
adults
can
get very sick or
even
die
from flu.
0
Does
flu
have
compllcatlons?
Sometimes
people who
have
flu get a delayed
bacterial infection, usually
of
the lungs.
This
usually occurs within 5
days
of
symptoms
and
is
caused
by the flu virus
making the
person
more susceptible to
infection. Antibiotics
are
likely to help
these people
and
it
is
recommended that
you
consult a healthcare professional
if
you
think your flu infection
has
led
to a
subsequent bacterial lung infection.
0
How
can
I
avoid
catching
flu?
Try
to
avoid
close
contact with sick people.
Wash
your
hands
often
and
avoid
touching your mouth,
nose
and
eyes.
Face
masks
help reduce the spread
of
flu.
Clean
and
disinfect surfaces
and
objects
that
may
be
contaminated with germs
like the flu.
Customer
helpline
If
you
have
any
questions about this flu test,
please
contact Theraflu toll free customer
helpline
on
1-855-328-5259
0 I
had
flu
last
year,
why
have
I
got
It
again?
Each
year,
the flu virus
changes
slightly.
This
means
that
you
are
not
protected from getting influenza this
year just
because
you
had
it
last
year.
0 I
got
the
flu
vaccine
this
year,
why
do
I
have
a
positive
flu
test?
You
may
have
been
exposed
to
a flu virus shortly
before or after getting vaccinated.
Or
you
may
have
been
exposed
to
a flu
virus that
is
not included
in
the
seasonal
flu
vaccine.
There
is
also
a small
chance
of
becoming infected with a flu virus the
flu
vaccine
is
designed
to
protect
against, despite getting vaccinated.
0
How
can
I
protect
myself
from
flu?
Vaccination
is
widely regarded
as
the
best method of preventing flu
(influenza) infection.
Each
year,
flu
viruses
change
a little,
so
flu experts
change the flu vaccine to match the
new
viruses.
It
is
important to get vaccinated
every
year,
especially if
you
are
in
a high
risk group, or
you
live
and
work with
people
in
high risk groups.
al)
Will
antiviral
drugs
make
me
better?
If started within 2
days
(48 hours)
antiviral drugs
may
help
you
get better
sooner
and
make
your
illness
less
severe.
Antiviral medicines
also
decrease
the
chance
you
will
have
complications
of
flu
(influenza).
For
people
in
high
risk
groups, there might
be
benefits
in
treatment
even
if
you
have
been
sick for
longer than 2
days.
Antiviral medicines
are
not a replacement for vaccination -
prevention
is
better than treatment.
m
Will
antibiotics
make
me
better?
If
you
have
flu, antibiotics will not
make
you
better
because
flu (influenza)
is
a virus.
Manufacturer
Distributed by:
CiSK
Consumer
Healthcare
Warren,
NJ
07059
<02019
GSK
or
licensor.
Trademarks
are
owned by or
licensed
to the
GSK
group
of
companies.
l"ii"iftl
No
test components to
be
used
inside
the body
l.!!.!!J
except
the
nasal
swab
as
directed.
10035E-OB-1119
2019-11-04
1059865PIL

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