Accu-Chek Aviva Nano, Reference Manual

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Page 3: ...endably you need to understand its operation screen displays and all individual features Should you have any questions please call the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 709 600 ROI Please remember to complete the warranty card and send it by post to Roche Diagnostics Limited or register online at www accu chek co uk so you receive the best customer service possible and news o...

Page 4: ...ld separately Accu Chek Aviva Nano Meter with batteries Accu Chek Aviva Test Strips and code chip Accu Chek Aviva Control Solution Why Regular Blood Glucose Testing Is Important Testing your blood glucose regularly can make a big difference in how you manage your diabetes every day We have made it as simple as possible 2 Any object coming into contact with human blood is a potential source of infe...

Page 5: ... in the manual 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 Multiclix Finger Pricker is intended for patient self monitoring by an individual person only It must not be used to collect blood in a multi patient setting as it does not incorporate any features to guard against cross infection Any object...

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Page 7: ...Test Results and Setting the Post Meal Reminder 19 Alternative Site Testing AST 21 Chapter 3 Meter Memory Setup and Downloading 29 Memory 29 Meter Setup 32 Setting the Time and Date 33 Setting the Beeper On Off 36 Setting the Post Meal Reminder Time 39 Setting the Alarm Clock Function 42 Setting the Hypo Indicator Function 47 Transferring Data Directly to a Computer or PDA Using Specialized Softwa...

Page 8: ...ance and Troubleshooting 61 Changing the Batteries 61 Cleaning the Meter 63 Maintenance and Troubleshooting 64 Screen Messages and Troubleshooting 65 Chapter 6 Technical Information 75 Product Limitations 75 Specifications 75 Product Safety Information 78 Disposing of Your Meter 78 Warranty and Service Instructions 81 Additional Supplies 82 Information for Healthcare Professionals 83 6 ...

Page 9: ...ticlix Finger Pricker 85 Loading a Lancet Drum 87 Taking a Fingertip Blood Sample 90 Taking an Alternative Site Blood Sample 91 Getting a Good Drop of Blood 94 Changing the Lancet Drum 97 Caring for Your Finger Pricker 98 Index 99 ...

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Page 11: ...lay Shows results messages and results stored in memory 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 or off and sets options Battery Drawer Pull out the battery drawer to replace batteries when needed Code Chip Slot Insert code chip into this opening Front View Back View ...

Page 12: ... Window Touch blood drop or control solution here Test Strip Test Strip Container Control Solution Bottle On Off Set Button Top View Infrared IR Window Code Chip for example Batteries Insert into drawer with side facing down Side View Left Arrow Button Right Arrow Button ...

Page 13: ...match the test strips This codes the meter Change the code chip every time you open a new box of test strips Coding the Meter 1 Make sure the meter is off 2 Turn the meter over 3 Remove the old code chip if there is one in the meter and discard it ...

Page 14: ...into 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 one way If you see a code on the display insert a code chip into the meter ...

Page 15: ... 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 meter in a cool dry place such as a bedroom Store the test strips at 2 C to 32 C Do not freeze Use test strips at temperatures within the range indicated in the test strip package insert Do not apply blood or control solution to the test s...

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Page 17: ...lix Finger Pricker is intended for patient self monitoring by an individual person only It must not be used to collect blood in a multi patient setting as it does not incorporate any features to guard against cross infection Any object coming into contact with human blood is a potential source of infection see Clinical and Laboratory Standards Institute Protection of Laboratory Workers from Occupa...

Page 18: ...ricker 3 Insert the test strip into the meter in the direction of the arrows This turns the meter on automatically 4 Make sure the code number on the display matches the code number on the test strip container If you miss seeing the code number remove the test strip and reinsert it into the meter 5 A test strip and flashing blood drop symbol appear on the display ...

Page 19: ...m are equivalent to blood taken from the fingertip For detailed information on how to obtain blood from the palm refer to the Alternative Site Testing AST section steps 5 and 6 7 Gently squeeze your finger to assist the flow of blood This helps you get a blood drop 17 OR Yellow Release Button ...

Page 20: ...the next section Otherwise remove and discard the used test strip Notes After a successful test the meter turns itself off five seconds after the test strip is removed Refer to Chapter 7 Getting a Good Drop of Blood for helpful tips on getting a drop of blood To reduce the risk of infection change the lancet after each test Blood glucose results are displayed in mmol L If your meter displays mg dL...

Page 21: ...to help you and your healthcare professional in the management of your diabetes When a pre meal result is marked with a post meal reminder the meter beeps one or two hours after you test to remind you to do a post meal test See Chapter 3 Setting the Post Meal Reminder Time You might want to use the general marker to mark an event such as an AST alternative site testing result or exercise When you ...

Page 22: ...ou wish to select appears on the display remove the test strip from the meter If you select the post meal reminder the meter beeps one or two hours after the pre meal test to remind you to do a post meal test See Chapter 3 Setting the Post Meal Reminder Time If you select a test result marker it is automatically stored in memory 20 Note The post meal marker automatically appears with the test resu...

Page 23: ...nder the little finger hypothenar If blood from an alternative site such as the 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 level changes quicker in your fingertip or palm than in the alternative sites These differences may cause you to make the wrong therapeutic decision producing adverse health effects...

Page 24: ... result still does not match how you feel call your 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 If you think your blood glucose is low If you often don t notice when your blood glucose is low During peak action time of short acting insulin or rapid...

Page 25: ...onverter cap and following the standard procedure 2 Insert the test strip into the meter in the direction of the arrows This turns the meter on automatically 3 Make sure the code number on the display matches the code number on the test strip container If you miss seeing the code number remove the test strip and reinsert it into the meter 23 ...

Page 26: ... 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 6 Trigger the finger pricker while keeping steady pressure on the site Apply pressure to the site with the finger pricker to assist the flow of blood 24 ...

Page 27: ...ow of the test strip When you see flash you have enough blood in the test strip 8 The result appears on the display Mark the result or remove and discard the used test strip Note If the blood drop is too small reapply pressure to get a sufficient blood drop 25 ...

Page 28: ...a long time 4 Check if the test strips were stored in a cool dry place Action Discard the test strips if they are past the expiry date Replace the test strips if you think they were uncapped for 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 701 000 UK or 1 800 709 600 ROI If they do not match insert the correct code chip into the meter and test again Repeat the test with a new test strip and perform a control test If you still have problems call the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 7...

Page 30: ... glucose hyperglycemia fatigue increased appetite or thirst frequent urination blurred vision headache or general aching Low blood glucose hypoglycemia sweating trembling blurred vision rapid heartbeat tingling or numbness around mouth or fingertips If you are experiencing any of these symptoms test your blood glucose If your blood glucose result is displayed as LO or HI contact your healthcare pr...

Page 31: ...f blood glucose results by you and your healthcare team Notes Do not change your therapy based on one individual result in memory The memory is not lost when you replace the batteries You do need to check that the time and date are correct after you replace the batteries Refer to the section Setting the Time and Date in Chapter 3 Meter Memory Setup and Downloading Once 500 results are in memory ad...

Page 32: ...ilability please call the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 709 600 ROI 30 Viewing Test Results With the meter on or off press and release or to enter memory The most recent result appears To view previous results in order press To look at the 7 14 30 or 90 day averages press To view pre meal and post meal 7 14 30 and 90 day averages continue to press Number of days in the av...

Page 33: ...al averages Post Meal Average Continue to press to view 7 14 30 and 90 day post meal averages Past Results General Average Pre Meal Average Note Only test results that have been assigned a pre meal or post meal marker are included in pre meal and post meal averages All blood glucose results are included in the general 7 14 30 and 90 day averages 31 ...

Page 34: ...ck select On or OFF Hypo indicator select On or OFF If you select On choose the blood glucose level for the alert Using the set up mode is easy Here is a general overview of the function each button performs in the set up mode To enter the set up mode with the meter on press and hold until set up appears To confirm the feature you have chosen press and release To exit the set up mode press and hol...

Page 35: ...t strip symbol appears 2 Press and hold until set up appears on the display The hour flashes 3 Press and release or to decrease or increase the hour You are here TIME DATE hrs min day month year BEEPER on off POST MEAL REMINDER TIME 1hr or 2hr ALARM CLOCK A 1 A 2 A 3 A 4 HYPO INDICATOR off on level 33 ...

Page 36: ...4 Press and release to confirm the hour The minutes flash 5 Press and release or to adjust the minutes Press and release to confirm the minutes decrease increase 34 ...

Page 37: ...6 Repeat step 5 to set 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 35 ...

Page 38: ... to the test strip When enough blood or control solution is drawn into the test strip When the test is complete When a button is pressed When it is time to test if you set the alarm clock or post meal reminder If an error occurred while testing even if the beeper is set to off it still beeps for an error TIME DATE hrs min day month year BEEPER on off POST MEAL REMINDER TIME 1hr or 2hr ALARM CLOCK ...

Page 39: ... to turn the meter on The flashing test strip symbol appears 2 Press and hold until set up appears on the display 3 Press and release repeatedly until you reach the display with the flashing beeper symbol and On or OFF 37 ...

Page 40: ...4 Press and release or to switch between On and 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 38 ...

Page 41: ... two minutes up to three times Turns off by inserting a test strip or pressing any button The post meal reminder time is preset on your meter to two hours however you can choose one or two hours in the set up mode Notes The beeper must be set to On for the reminder to occur If you tested within 15 minutes of a reminder the reminder does not occur If the meter is on at the reminder time the reminde...

Page 42: ...ase to turn the meter on The flashing test strip symbol appears 2 Press and hold until set up appears on the display 3 Press and release repeatedly until you reach the display with set up and the flashing 1Hr or 2Hr 40 ...

Page 43: ...4 Press and release or to select 1Hr or 2Hr Press and release to confirm your choice When a post meal reminder is activated this screen appears 41 ...

Page 44: ... remind you to perform a test Beeps every two minutes up to three times Turns off by inserting a test strip or pressing any button Is preset to OFF You must turn it on to use this feature You can set up to 4 alarms per day If you turn A 1 A 2 A 3 and A 4 on your meter is preset with the following times for your convenience You can adjust the times to suit your needs A 1 8 00 A 2 12 00 A 3 18 00 A ...

Page 45: ...f you tested within 15 minutes of an alarm the alarm does not occur If the meter is on at the alarm time the alarm does not occur Exposure to cold conditions may disable alarms until the meter is turned on 43 ...

Page 46: ...d set up remain on the display 1 Press and release to turn the meter on The flashing test strip symbol appears 2 Press and hold until set up appears on the display 3 Press and release repeatedly until you reach the display with the bell symbol OFF set up and the flashing A 1 44 ...

Page 47: ...itch between On and OFF Press and release to confirm 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 the hour Press and release to confirm the hour 45 ...

Page 48: ...re the only choices 8 Press and release to confirm the minutes 9 Set up OFF and the bell symbol appear on the display with the next alarm A 2 flashing You can either set a second alarm or press and hold until you see the flashing test strip symbol to exit the set up mode 46 ...

Page 49: ... A 4 HYPO INDICATOR off on level Setting the Hypo Indicator Function The hypo indicator Can be set to a level between 2 8 to 5 0 mmol L to let you know when your blood glucose is possibly too low Notes Before you set the hypo indicator talk to your healthcare professional to help you decide what blood glucose level is your hypoglycemic level The hypo indicator is preset to OFF in your new meter 47...

Page 50: ...l set up appears on the display 3 Press and release repeatedly until you reach the display with set up and OFF and the flashing 4 Press and release or to switch between On and OFF Press and release to confirm your choice 48 ...

Page 51: ...play shows 3 9 mmol L 6 Press and release or to select the level you want Press and release to confirm it 7 Press and hold until you see the flashing test strip symbol to exit the set up mode This function is no substitute for hypoglycemia training by your healthcare professional 49 ...

Page 52: ...terns and print 1 Install the software according to the instructions To transfer the results to a computer connect the infrared cable according to the instructions 2 Run the software program and follow the instructions about how to download information Make sure the software is ready to accept data from the meter 3 With the meter off press and hold both and until two arrows on the display alternat...

Page 53: ...y shut off the meter automatically when the data transfer 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 701 000 UK or 1 800 709 600 ROI To make the most of the download feature you must set the time and date in the meter correctly To find out more about downloading your results and what tools are availa...

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Page 55: ...able results 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 meter and test strips Your test strips were stored in extreme temperature and or humidity You dropped the meter Your test result does not agree with how you feel You want to check if you are testing correctly 53 ...

Page 56: ... you opened the control solution bottle on the bottle label The solution is good for three months from that date or until the expiry date on the bottle label whichever comes first Do not use control solution that is past the expiry date The solution can stain clothing If you spill it wash your clothes with soap and water Close the bottle tightly after use Store the bottle at 2 C to 32 C Do not fre...

Page 57: ...ntrol level is printed on the bottle label 1 Insert the test strip into the meter in the direction of the arrows This turns the meter on automatically 2 Make sure the code number on the display matches the code number on the test strip container If you miss seeing the code number remove the test strip and reinsert it into the meter 55 ...

Page 58: ...t the control solution 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 56 OR ...

Page 59: ...ash 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 flashing L Do not remove the test strip yet Press once to mark the result as a Level 1 If you tested the Level 2 control press a second time 57 ...

Page 60: ...the result is in range The range is printed on the test strip container label When the control result is inside the range on the test strip container the test strips and meter are working properly Err and the control result alternate on the display if the result is not in range Remove and discard the used test strip 58 ...

Page 61: ...iner and the control solution bottle were always closed tightly 4 Check if the test strip was out of the container for a long time Action Discard the test strips or control solutions if either is past the expiry date If the control solution was opened more than three months ago discard it Wipe the tip of the bottle with a tissue Repeat the control test with a new test strip and a fresh drop of con...

Page 62: ...epeat the control test with a properly stored test strip or control solution Read Chapter 4 Control Testing and test again If you still have problems call the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 709 600 ROI If you chose the wrong control solution level you can still compare the control result to the range printed on the test strip container If they do not match insert the corre...

Page 63: ... of the meter 2 Remove the old batteries and place the new ones in the drawer with the side facing down 3 Slide the battery drawer back into position until it locks into place 61 Note When you install new batteries the meter automatically prompts you to check the time and date when you turn it on side facing down ...

Page 64: ... or 1 800 709 600 ROI Be sure the batteries are inserted side facing down or facing away from you After you change the batteries the meter prompts you to confirm the meter s time and date settings All test results remain saved in memory Refer to the section Setting the Time and Date in Chapter 3 Meter Memory Setup and Downloading for instructions on how to set the time and date Always replace both...

Page 65: ...he meter s surface with a soft cloth slightly dampened wring out any excess liquid with one of these cleaning solutions 70 isopropyl alcohol Mild dishwashing liquid mixed with water 10 household bleach solution 1 part bleach plus 9 parts water made the same day Do Not Get any moisture in the code chip slot or test strip slot Spray any cleaning solution directly onto the meter Put the meter under w...

Page 66: ...d Troubleshooting If you drop the meter or think it is not giving accurate results call the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 709 600 ROI To make sure the display is working properly turn the meter off then press and hold to see the complete display All the segments should be clear and look exactly like the picture below If not call the Accu Chek Customer Careline on 0800 701...

Page 67: ... UK or 1 800 709 600 ROI The meter will not turn on or the display is blank Batteries are dead Insert new batteries Display is damaged Call the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 709 600 ROI Meter is defective Call the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 709 600 ROI Extreme temperatures Move the meter to a more temperate area 65 ...

Page 68: ...s low Change the batteries soon The meter is in set up mode waiting for you to change or confirm settings The meter is ready for you to insert a test strip The meter is ready for a drop of blood or control solution 66 ...

Page 69: ...be higher than the measuring range of the system Blood glucose may be lower than the measuring range of the system A pre meal marker was assigned to this test result A post meal marker was assigned to this test result 67 ...

Page 70: ... the post meal reminder has been activated A general marker was assigned to this test result Blood glucose is below the defined hypoglycemia low blood glucose level The meter is not coded or the code chip is not inserted Turn off the meter and recode it 68 ...

Page 71: ...of the 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 and date in the meter are correct 69 ...

Page 72: ...e the test strip and reinsert it or replace it if damaged Verify that the code number printed on the test strip container matches the code number printed on the code chip currently inserted in the meter If the message reappears call the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 709 600 ROI The code chip is incorrect Turn off the meter and insert a new code chip If this does not fix t...

Page 73: ...rol test with your control solution and a new test strip If the control result is within the acceptable range review the proper testing procedure and repeat your blood glucose test with a new test strip If the E 3 code still appears for your blood glucose test your blood glucose result may be extremely high and above the system s reading range Contact your healthcare professional immediately If th...

Page 74: ...d lot of test strips Check the expiry date of your test strips Ensure the code chip number matches the code number on the test strip container Remove the code chip and enter the set up mode to ensure the time and date in the meter are correct Blood or control solution was applied to the test strip before the flashing drop symbol appeared on the display Discard the test strip and repeat the test 72...

Page 75: ...blood glucose or control test If the problem persists call the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 709 600 ROI The temperature is above or below the proper range for the system Move to an area within the temperature range indicated for test strip use in the test strip package insert wait five minutes and repeat the test Do not artificially heat or cool the meter 73 ...

Page 76: ...all the Accu Chek Customer Careline on 0800 701 000 UK or 1 800 709 600 ROI The batteries are almost out of power Change the batteries now The time and date settings may be incorrect Make sure the time and date are correct and adjust if necessary 74 ...

Page 77: ...formation Measuring range 0 6 to 33 3 mmol L Test strip storage conditions Refer to your test strip package insert for more information Meter storage conditions Temperature 25 ºC to 70 ºC System operating conditions Refer to your test strip package insert for more information Relative humidity operating range Refer to your test strip package insert for more information Memory capacity 500 results ...

Page 78: ...2 ºC to 32 ºC Electromagnetic Compatibility This meter meets the electromagnetic immunity requirements as per ISO 15197 Annex A The chosen basis for electrostatic discharge immunity testing was basic standard IEC 61000 4 2 In addition it meets the electromagnetic emissions requirements as per EN 61326 Its electromagnetic emission is thus low Interference from other electrically driven equipment is...

Page 79: ...d control solution reproducibility The system is calibrated with venous blood containing various levels of glucose The reference values are obtained using the hexokinase method For method comparison the results were compared with results obtained using the hexokinase method with deproteinization automatic analyzer The hexokinase method is traceable to an NIST standard Measuring Principle Refer to ...

Page 80: ...s are present Disposing of Your 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 meter after removing the batteries according to the regulations applicable in your country For information about correct disposal please contact your local council and authority The meter falls outside t...

Page 81: ... here with their meaning Consult the instructions for use Caution refer to accompanying documents Please refer to safety related notes in the manual accompanying this instrument Store at Manufacturer Catalogue number For in vitro diagnostic use This product fulfills the requirements of Directive 98 79 EC on in vitro diagnostic medical devices 3V type 2032 79 ...

Page 82: ...the Accu 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 kGy This product fulfills the requirements of Directive 93 42 EEC on medical devices 80 ...

Page 83: ...ory 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 provisions on rights in consumer goods sales in the country of purchase shall apply Accu Chek Multiclix Finger Pricker Guarantee The Accu Chek Multiclix Finger Pricker is guaranteed for life from the date ...

Page 84: ...ex 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 the control solutions can be obtained via the Accu Chek Customer Careline only Test Strips Accu Chek Aviva Test Strips Control Solutions Accu Chek Aviva Control Solutions Lancet Drums Accu Chek Mult...

Page 85: ...ions about whether to recommend alternative site testing AST should take into account the motivation and knowledge level of the patient and his or her ability to understand the considerations relative to diabetes and AST If you are considering recommending AST for your patients you need to understand that there is a potential for a significant difference between fingertip palm and alternative site...

Page 86: ...ly in the fingers palms blood than the alternative sites blood This is especially important when glucose levels are falling or rising rapidly If your patient is used to making treatment decisions based upon fingertip palm results he or she should consider the delay or lag time affecting the results obtained from an alternative site Data on file ...

Page 87: ... 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 Depth Indicator 85 ...

Page 88: ...on the body not the fingertip The black cap is for fingertip testing only Any object coming into contact with human blood is a potential source of infection see Clinical and Laboratory Standards Institute Protection of Laboratory Workers from Occupationally Acquired Infections Approved Guideline Third Edition CLSI document M29 A3 2005 The Accu Chek Multiclix Finger Pricker is intended for patient ...

Page 89: ...A 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 thumb to the side of the notch and remove the cap by pulling it straight off It is not a twist cap 87 ...

Page 90: ...ue ring first until 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 bars meaning you have five new lancets remaining 88 ...

Page 91: ...enetration 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 release button turns yellow Do not press the release button while pressing the priming button 89 ...

Page 92: ...ress 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 once you advance to a new lancet you cannot go back to a used lancet Taking a Fingertip Blood Sample 90 ...

Page 93: ...ve 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 for forearm upper arm thigh or calf testing Dial the depth setting to 3 for palm testing 91 ...

Page 94: ...turns yellow Do not press 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 the converter cap by pulling it straight off 92 ...

Page 95: ...p 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 lancet you cannot go back to a used lancet Note Once you run a successful test you may want to find the lowest depth setting that provided enough blood with the least amount of pain 93 ...

Page 96: ...ned from a fingertip or palm can be used at any time to measure blood glucose The two palm testing sites are the fleshy areas under the thumb thenar and under the little finger hypothenar If blood from an alternative site such as the forearm upper arm thigh or calf is used there are certain times when testing is not appropriate see next pages This is because your glucose level changes quicker in y...

Page 97: ...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 protect it from dirt or infection 95 ...

Page 98: ...our 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 If you think your blood glucose is low If you often don t notice when your blood glucose is low During peak action time of short acting insulin or rapid acting insulin analogues Up to two hours after ...

Page 99: ... 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 straight off It is not a twist cap 2 Hold the drum between your thumb and index finger and pull it straight out of the finger pricker Two red stripes are visible on the white part indicating that the drum h...

Page 100: ... once a week clean the finger pricker and the 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 water or cleaning fluids This can damage the cap Use any cleaning products other than 70 ethanol or 70 isopropanol 98 ...

Page 101: ...standing 59 control test unacceptable range 59 display check 64 error messages 70 74 expiry date 13 54 fatigue 28 frequent urination 28 general marker 19 20 healthcare professionals 83 high blood glucose 28 hyperglycemia 28 hypo indicator setting 47 49 hypoglycemia 28 low blood glucose 28 maintenance meter 61 64 marking test results 19 20 memory meter 29 31 numbness 28 post meal marker 19 20 30 31...

Page 102: ...test results unusual 26 test strips Accu Chek Aviva 10 13 thirst increased 28 time and date setting 33 tingling 28 trembling 28 troubleshooting 64 74 warranty 81 82 100 ...

Page 103: ...e statutory provisions on rights in consumer goods sales in the country of purchase shall apply Roche Diagnostics Limited Charles Avenue Burgess Hill West Sussex RH15 9RY United Kingdom 44 0 1444 256000 www accu chek co uk The Accu Chek Aviva Nano system including the meter code chip and test strips is covered by the following patents British Patent Nos 0 505 504 and 0 441 222 and European Patent ...

Page 104: ...many www accu chek com ACCU CHEK ACCU CHEK AVIVA ACCU CHEK AVIVA NANO and ACCU CHEK MULTICLIX are trademarks of Roche All other product names and trademarks are the property of their respective owners 2008 Roche Diagnostics All rights reserved 05099455001 04 1008 ...