ACCU-CHECK AVIVA COMBO, Reference Manual

Page 1: ...BLOOD GLUCOSE METER Reference Manual...

Page 2: ......

Page 3: ...se take the time to read this booklet carefully before you use your new meter To use it correctly and dependably you need to understand its operation screen displays and all individual features Should...

Page 4: ...iva Meter with battery Accu Chek Aviva Test Strips and code chip Accu Chek Aviva Control Solution Any object coming into contact with human blood is a potential source of infection see Clinical and La...

Page 5: ...all the Accu Chek Customer Careline on 0800 701000 UK or 1 800 709600 Ireland Please remember to complete the warranty card and send it by post to Roche Diagnostics so you receive the best customer se...

Page 6: ...one If you have followed the steps in the booklet but still have symptoms that do not seem to match your test results or if you have questions talk to your healthcare professional The Accu Chek Multic...

Page 7: ...2 Testing Your Blood Glucose 15 Performing a Blood Glucose Test 15 Flagging Test Results 20 Alternative Site Testing AST 21 Chapter 3 Meter Memory Setup and Downloading 29 Memory 29 Meter Setup 31 Set...

Page 8: ...sting Blood Glucose in Multiple Patients 56 Testing Blood Glucose 58 Disinfecting the Meter 62 What to Disinfect 62 How to Disinfect 62 When to Disinfect 63 Suitable Disinfecting Cleaning Solutions 63...

Page 9: ...ons 80 Additional Supplies 81 Information for Healthcare Professionals Alternative Site Testing AST 82 Chapter 8 The Accu Chek Multiclix Finger Pricker 83 Loading a Lancet Drum 85 Taking a Fingertip B...

Page 10: ...nter memory adjust settings and scroll through results Test Strip Slot Insert test strip here Infrared IR Window Transfers data from the meter to a computer or PDA On Off Set Button Turns the meter on...

Page 11: ...th symbol facing up Test Strip Container Control Solution Bottle Golden End Insert this end of the test strip into the meter Yellow Window Touch blood drop or control solution here Test Strip Top View...

Page 12: ...over 3 Remove the old code chip if there is one in the meter and discard it Coding the Meter Inserting the code chip sets the meter to match the test strips This codes the meter Change the code chip e...

Page 13: ...the code chip slot until it stops 5 Leave the code chip in the meter until you open a new box of test strips Notes Do not force the code chip into the meter it is designed to go into the meter only o...

Page 14: ...or if you want to download your results to a computer 1 Press and release to turn the meter on The time and date appear on the display Set up and the hour flash 2 Press and release or to decrease or i...

Page 15: ...ar 6 Once you set the year press and hold until the flashing test strip symbol appears The time and date are now set 7 See Chapter 3 Meter Setup to set other options Note When you install a new batter...

Page 16: ...strip immediately after you take it out of the container Be sure to check the expiry date on the test strip container Do not use the test strips after that date Store the test strip container and met...

Page 17: ...ger Pricker is intended for patient self monitoring by a single person only It must not be used to collect blood from more than one person as this poses an infection risk Any object coming into contac...

Page 18: ...manufacturer s instructions 3 Insert the test strip into the meter in the direction of the arrows The meter turns on automatically 4 Make sure the code number on the display matches the code number on...

Page 19: ...fly to allow blood to flow to your fingertips 7 Obtain a blood sample with the aid of the finger pricker Blood samples taken from the palm are equivalent to blood taken from the fingertip For detailed...

Page 20: ...of blood This helps you get a blood drop 9 Touch the blood drop to the front edge of the yellow window of the test strip Do not put blood on top of the test strip When you see flash you have enough b...

Page 21: ...t after each test Blood glucose results are displayed in mmol L If your meter displays mg dL call the Accu Chek Customer Careline on 0800 701000 UK or 1 800 7096000 Ireland Using the wrong meter can c...

Page 22: ...fter performing exercise When you review the results in the meter memory this flag can help you remember what was different about the result Here is how to flag a result 1 Perform a test 2 With the te...

Page 23: ...me to measure blood glucose If blood from an alternative site forearm upper arm thigh or calf is used there are certain times when testing is not appropriate see next page This is because your glucose...

Page 24: ...when your blood glucose is low During peak action time of short acting insulin or rapid acting insulin analogues Up to two hours after injecting a short acting insulin or a rapid acting insulin analo...

Page 25: ...e converter cap and following the standard procedure 2 Insert the test strip into the meter in the direction of the arrows The meter turns on automatically 3 Make sure the code number on the display m...

Page 26: ...p symbol appear on the display 5 Press the finger pricker firmly against a fleshy area on the alternative site Press the finger pricker up and down in a slow pumping motion to assist the flow of blood...

Page 27: ...d drop to the front edge of the yellow window of the test strip When you see flash you have enough blood in the test strip If you applied a blood sample but do not see the flashing you may reapply mor...

Page 28: ...or some time Repeat the test with a new test strip Repeat the test with a properly stored test strip Unusual Test Results If your blood glucose result does not match how you feel follow these steps 26...

Page 29: ...Read Chapter 2 Testing Your Blood Glucose and test again If you still have problems call the Accu Chek Customer Careline on 0800 701000 UK or 1 800 709600 Ireland If they do not match insert the corre...

Page 30: ...d glucose hyperglycemia fatigue increased appetite or thirst frequent urination blurred vision headache or general aching Low blood glucose hypoglycemia sweating trembling blurred vision rapid heartbe...

Page 31: ...based on one individual result in memory The memory is not lost when you replace the battery You do need to check that the time and date are correct after you replace the battery See Chapter 1 Adjusti...

Page 32: ...Viewing Test Results Press either or to enter memory The most recent result appears Press to view previous results in order OR Press to look at the 7 14 or 30 day averages in that order 30...

Page 33: ...r a reminder to test Hypo alarm select on or off If you choose on choose the blood glucose level for the alarm Using the set up mode is easy The has three functions for the set up mode With the meter...

Page 34: ...level You are here decrease increase 1 Press to turn the meter on The flashing test strip symbol appears 2 Enter the set up mode press and hold for about four seconds Set up and the hour flash on the...

Page 35: ...4 Press and release to set the hour The minutes flash 5 Press and release or to adjust the minutes Press to set the minutes Note Press and hold or down to scroll faster decrease increase 33...

Page 36: ...at to set the day month and year 7 If you want to set up more options press and release If you want to exit press and hold until you see the flashing test strip symbol Setting the Time and Date contin...

Page 37: ...ou prefer this will not affect your test results The beeper is helpful because it prompts you To apply blood or control solution to the test strip When enough blood or control solution is drawn into t...

Page 38: ...eter on The flashing test strip symbol appears 2 Enter the set up mode press and hold for about four seconds Set up and the hour flash on the display 3 Press and release repeatedly until you reach the...

Page 39: ...4 Press or to switch between On or OFF 5 If you want to set up more options press and release If you want to exit press and hold until you see the flashing test strip symbol 37...

Page 40: ...tton You must have the beeper set to On for the alarm to sound Your new meter is preset with the alarm clock function set to OFF You must turn it On to use this feature If you turn A 1 A 2 A 3 and A 4...

Page 41: ...lashes continuously 1 Press to turn the meter on The flashing test strip symbol appears 2 Enter the set up mode press and hold for about four seconds Set up and the hour flash on the display 3 Press a...

Page 42: ...ress and release or to switch between On or OFF Press and release to set your choice 5 If you select On the hour flashes A 1 and the bell symbol remain on the display 6 Press and release or to select...

Page 43: ...se are the only choices 8 Press and release to set the minutes 9 The next alarm A 2 and set up flash on the display with OFF and the bell symbol You can either set a second alarm or press and hold unt...

Page 44: ...bol appears You can set the meter to let you know when your blood glucose is possibly too low You can also select what blood glucose level you want this alarm to have 3 3 to 4 4 mmol L Before you set...

Page 45: ...out four seconds Set up and the hour flash on the display 3 Press and release repeatedly until you reach the display with OFF and the flashing set up and 4 Press and release or to switch between On an...

Page 46: ...h The display shows 3 9 mmol L 6 Press and release or to select the level you want Press and release to set it 7 Press and hold until you see the flashing test strip symbol to exit the set up mode Thi...

Page 47: ...nsfer the results to a computer connect the infrared meter cable according to the instructions 2 Run the software program and follow the instructions about how to download information Make sure the so...

Page 48: ...is complete Notes If the data did not transfer successfully try again If you still have problems call the Accu Chek Customer Careline on 0800 701000 UK or 1 800 709600 Ireland To make the most of the...

Page 49: ...s You should perform a control test when You open a new box of test strips You left the test strip container open You want to check the performance of the meter and test strips Your test strips were s...

Page 50: ...e the date you opened the bottle on the bottle label The solution can be used for three months from that date or until the expiry date on the bottle label whichever comes first Do not use control solu...

Page 51: ...is printed on the bottle label 1 Insert the test strip into the meter in the direction of the arrows The meter turns on automatically 2 Make sure the code number on the display matches the code numbe...

Page 52: ...ion you want to test You will enter the level later in the test 4 Put the meter on a flat surface like a table 5 Remove the control bottle cap Wipe the tip of the bottle with a tissue OR Performing a...

Page 53: ...sh you have enough control solution in the test strip Wipe the tip of the bottle with a tissue then cap the bottle tightly 7 The result appears on the display along with the control bottle symbol and...

Page 54: ...ult alternate on the display if the result is in range The range is printed on the test strip container label Err and the control result alternate on the display if the result is not in range Remove a...

Page 55: ...s the acceptable ranges for both the Level 1 and Level 2 control solutions The result you get should be inside this range Make sure you compare the result to the correct level of control When the cont...

Page 56: ...of the container for a long time 5 Check if the test strips and control solutions were stored in a cool dry place Action Discard the test strips or control solutions if either is past the expiry date...

Page 57: ...hapter 4 Control Testing and test again If you still have problems call the Accu Chek Customer Careline on 0800 701000 UK or 1 800 709600 Ireland If you chose the wrong control solution level you can...

Page 58: ...w the recognised procedures for handling objects that are potentially contaminated with human material Practice the health and safety policy of your laboratory or institution Also to prevent contamina...

Page 59: ...be used to test any other patient The Accu Chek Multiclix Finger Pricker is intended for patient self monitoring by a single person only It must not be used to collect blood from more than one person...

Page 60: ...ger pricker that is approved for use by healthcare professionals 4 Use a finger pricker with adjustable penetration depth settings If using the Accu Chek Safe T Pro Plus sterile single use lancing dev...

Page 61: ...ssure massage the finger towards the fingertip to encourage a drop of blood to form A proper but nevertheless small drop of blood approx 0 6 L must form 10 Immediately after the drop of blood has form...

Page 62: ...blood in the test strip If you applied blood but do not see the flashing you may reapply more blood if applied IMMEDIATELY 13 The result appears on the display 14 Remove and discard the used test str...

Page 63: ...est using the drop of blood that forms again at the puncture site Residues of water or disinfectant on the skin can dilute the drop of blood producing false results After a successful test the meter t...

Page 64: ...of the meter may be disinfected The area around the test strip slot The display screen The outer casing How to Disinfect Make sure the meter is off Gently wipe the meter s surface Cotton buds wipes an...

Page 65: ...lay If there is blood on the meter wipe the meter If blood has entered the meter wipe the area around the test strip slot and the display screen Allow areas you have wiped time to dry thoroughly The m...

Page 66: ...Battery 1 Open the battery door on the back of the meter by pushing the tab in the direction of the arrow and pulling the door up Remove the old battery 2 Insert the new battery with the side up 3 Pu...

Page 67: ...many stores It is a good idea to have a spare battery available Be sure the battery goes in side up or facing you After you change the battery the meter prompts you to confirm the meter s time and da...

Page 68: ...urface with a soft cloth slightly dampened wring out any excess liquid with one of these cleaning solutions Super Sani Cloth 70 isopropyl alcohol Mild washing up liquid mixed with water 10 household b...

Page 69: ...roubleshooting If you drop the meter or think it is not giving accurate results call the Accu Chek Customer Careline on 0800 701000 UK or 1 800 709600 Ireland To make sure the display is working prope...

Page 70: ...K or 1 800 709600 Ireland The meter will not turn on or the display is blank Battery is dead Insert new battery Display is damaged Call the Accu Chek Customer Careline on 0800 701000 UK or 1 800 70960...

Page 71: ...See Chapter 6 Changing the Battery The meter is in set up mode waiting for you to change or confirm settings See Chapter 3 Meter Setup The meter is ready for you to insert a test strip The meter is re...

Page 72: ...the measuring range of the system Blood glucose may be lower than the measuring range of the system The test result was flagged See Chapter 2 Flagging Test Results Blood glucose is below the defined...

Page 73: ...current month Before the end of the month insert a new code chip from a new box of test strips and ensure the code chip number matches the code number on the test strip container Make sure the time a...

Page 74: ...remove the test strip and reinsert it or replace it if damaged If the message reappears call the Accu Chek Customer Careline on 0800 701000 UK or 1 800 709600 Ireland The code chip is incorrect Turn...

Page 75: ...me and date in the meter are correct Blood or control solution was applied to the test strip before the flashing blood drop symbol appeared on the display Discard the test strip and repeat the test An...

Page 76: ...five minutes and repeat the test Do not artificially heat or cool the meter The battery is almost out of power Change the battery now See Chapter 6 Changing the Battery The time and date settings may...

Page 77: ...llary whole blood Measuring time 5 seconds Measuring range 0 6 to 33 3 mmol L Test strip storage conditions 2 C to 32 C Meter storage conditions Temperature 25 C to 70 C System operating conditions 6...

Page 78: ...tic patients method comparison accuracy venous blood repeatability and control solution reproducibility The system is calibrated with venous blood containing various levels of glucose The reference va...

Page 79: ...ls are present Disposing of the Meter During blood glucose measurement the meter itself may come into contact with blood Used meters therefore carry a risk of infection Please dispose of your used met...

Page 80: ...refer to accompanying documents Please refer to safety related notes in the manual accompanying this instrument Store at Manufacturer Catalogue number Listed by Underwriter s Laboratories Inc in accor...

Page 81: ...u Chek Multiclix Finger Pricker you will encounter the following symbols shown here with their meaning For single use only Use by Expiry Date Lot number Sterilized using irradiation with at least 25 k...

Page 82: ...ry and other rights This manufacturer s warranty is in addition to any statutory or other rights which may be acquired by the customer through his dealings with the meter supplier The statutory provis...

Page 83: ...x RH15 9RY Guarantee The statutory provisions on rights in consumer goods sales in the country of purchase shall apply Additional Supplies Test strips are available from your local Pharmacist only and...

Page 84: ...tration and blood perfusion throughout the body can lead to sample site to site differences in glucose results These physiological effects vary between individuals and can vary within a single individ...

Page 85: ...Accu Chek Multiclix Finger Pricker Comfort Dial with Depth Selection Cap Finger Pricker Release Button Priming Button New Lancet Drum AST Converter Cap for alternative site testing Lancet Counter Dept...

Page 86: ...n the body not the fingertip The blue cap is for fingertip testing only The Accu Chek Multiclix Finger Pricker continued 84 Any object coming into contact with human blood is a potential source of inf...

Page 87: ...used drum has two visible red stripes and the blue ring can rotate on the white drum You cannot insert a used drum into the finger pricker A new drum has a blue ring that does not move 1 Place your t...

Page 88: ...il it clicks into place 3 Align the notch on the cap with the notch on the device and slide the cap on until it stops 4 You are now ready to use the first lancet The lancet counter shows five white ba...

Page 89: ...netration Twist the comfort dial to adjust the setting Start at 2 or 3 for soft skin Try a higher setting if your skin is calloused or thick 6 Press the priming button like a pen until it clicks The r...

Page 90: ...ess the yellow release button 3 Load the next lancet by twisting the plunger one quarter turn forward until it stops then back again The lancet counter decreases by one white bar For safety reasons on...

Page 91: ...the cap by pulling it straight off It is not a twist cap 2 Align the notch on the converter cap with the notch on the finger pricker and slide the cap on until it stops 3 Dial the depth setting to 5 1...

Page 92: ...the release button while pressing the priming button 5 Press the finger pricker firmly against a fleshy site and press the yellow release button Immediately lift the finger pricker off the site Remove...

Page 93: ...7 Load the next lancet by twisting the plunger one quarter turn forward until it stops then back again The lancet counter decreases by one white bar For safety reasons once you advance to a new lance...

Page 94: ...ngertip Blood obtained from a fingertip or palm fleshy part of the hand under the thumb thenar and the little finger hypothenar can be used at any time to measure blood glucose If blood from an altern...

Page 95: ...e professional about Alternative Site Testing Treatment of the Puncture Site Wipe the puncture site with a clean dry tissue If it continues to bleed apply gentle pressure to the site with a plaster to...

Page 96: ...ur healthcare professional Alternative site testing may be done Immediately before a meal Fasting DO NOT test from an alternative site Two hours or less after eating After exercising If you are sick I...

Page 97: ...rd surface the lancets may protrude slightly from the drum If you drop a drum always pick it up at the red striped end 1 Place your thumb to the side of the notch and remove the cap by pulling it stra...

Page 98: ...east once a week clean the finger pricker and inside of the cap with a cloth or cotton bud moistened with 70 ethanol or 70 isopropanol available in pharmacies Air dry thoroughly DO NOT Dip the cap in...

Page 99: ...ing 49 control test results 53 control test unacceptable range 53 display check 67 disposing of the meter 77 error messages 68 74 expiry date 14 48 fatigue 28 flagging test results 20 frequent urinati...

Page 100: ...98 thirst increased 28 time and date setting 32 tingling 28 trembling 28 troubleshooting 68 74 warranty 80...

Page 101: ...Ireland Please have your Accu Chek Aviva Meter Accu Chek Aviva Test Strips and Accu Chek Aviva Control Solutions available when you call IMPORTANT READ CAREFULLY BEFORE USE GUARANTEE The statutory pr...

Page 102: ...llowing patents British Patent Nos 0 505 504 and 2187191 and European Patent No 0 505 504 British Patent No 2187191 is licensed from Quadrant Holdings Cambridge Limited The Accu Chek Multiclix Finger...

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Page 104: ...reserved 04886046001 02 0907 Roche Diagnostics GmbH 68298 Mannheim Germany www accu chek com ACCU CHEK ACCU CHEK MULTICLIX and ACCU CHEK AVIVA are trademarks of Roche All other product names and trade...