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Accu-Chek Accu-Chel, User Manual

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Accu-Chek Accu-Chel User Manual Download Page 49

96

Testing blood glucose

Farbe: P 249 – Prüfmittelnummer: 203

97

Testing blood glucose

4

 

Instead of a result: 

 

The result is above 33.3 mmol/L

 

Instead of a result: 

 

The result is below 0.6 mmol/L

4.7  Flagging special results

You can flag special results, e.g. results obtained from alternate site 
testing or after exercise, with an asterisk  .

You can only do this while the result is displayed and as long as you 
have not yet turned the meter off. 

 

No other symbol 

Asterisk

While the result is displayed: 

P

  Press the S button. The asterisk appears in the display. 

If you press the S button again, the asterisk disappears again.

The result is saved together with the asterisk as long as the asterisk is 
displayed and you press the Test button to turn the meter off.

4.8  Evaluating results

 If the displayed test result agrees with the way you feel, follow 

your doctor’s advice. If the displayed test result does not agree 
with the way you feel, please perform a performance check with 
an Accu-Chek Compact Autocontrol control solution and a new 
test strip (see Chapter 7). Then perform another blood glucose 
test. If the new test result still does not agree with the way you 
feel, please contact your doctor.

 Do not change your treatment based on just one result. 

Summary of Contents for Accu-Chel

Page 1: ...BLOOD GLUCOSE MONITORING SYSTEM User s Manual ACCU CHEK Compact Plus ...

Page 2: ...Consult instructions for use Caution refer to accompanying documents Please refer to safety related notes in the instructions for use accompany ing this instrument Store at Use by Expiry date For single use only Sterilized through irradiation Manufacturer Catalogue number Lot number For in vitro diagnostic use Blood glucose meter This product fulfils the requirements of Directive 98 79 EC on in vi...

Page 3: ...ntitative determination of blood glucose values in fresh capillary blood using Accu Chek Compact test strips Suitable for self testing The Accu Chek Compact Plus blood glucose meter may be used by peo ple with diabetes to test their own blood glucose as well as for blood glucose determination by healthcare practitioners in a professional set ting Healthcare professionals must observe additionally ...

Page 4: ...apter 17 This User s Manual will help you get to know your meter and lancing device step by step It will provide you with all the information you need to operate and care for your meter and lancing device and to deal with any errors that might occur Remember that in order to keep your meter and lancing device in good working condition you need to follow the correct operating procedures and also ob...

Page 5: ...ory 102 5 3 Average highest value and lowest value for 7 14 and 30 days 107 5 4 Downloading test results to a PC handheld computer or a special evaluation system 114 1 Introduction 12 1 1 The Accu Chek Compact Plus blood glucose meter at a glance 12 1 2 The Accu Chek Softclix Plus lancing device at a glance 15 1 3 Main features 16 1 4 Display illustrations 19 2 Initial steps before testing 20 2 1 ...

Page 6: ...ing device with a blanking plate 152 10 2 Performing a blood glucose test 154 10 3 Disinfecting the meter 158 10 4 Suitable disinfectants 162 11 Measurement and storage conditions 163 11 1 Temperature range 163 11 2 Light conditions 165 11 3 Humidity 166 11 4 Local sources of interference 166 12 Symbols error messages and troubleshooting 167 12 1 Symbols shown in the display 168 12 1 1 Single symb...

Page 7: ...s downwards and the meter turns on This pull tip mechanism stops the meter from turning on inadvertently e Drum compartment f Drum release button g Test strip guide h Measuring window i Test strip j Test strip drum k Drum compartment cover l M Button Press this button to retrieve results stored in the meter s memory Tip of the test strip where blood is drawn up The meter is supplied with batteries...

Page 8: ...ning Lancing device Slide button for undocking the lancing device available as replacement part 1 2 The Accu Chek Softclix Plus lancing device at a glance u Plunger The plunger is a multifunction button used to prime trigger and eject the lancet v Window showing the penetra tion depth setting w Lancet holder x Lancet y Protective cap on lancet z Pin hole opening for lancet A Cap B Comfort Dial for...

Page 9: ...of test strips remaining in the drum Reliability The meter checks each test strip If it finds a defective strip it lets you know before you apply blood Blood volume checking The meter can tell when you have applied sufficient blood approxi mately 1 5 μL 1 microlitre 1 thousandth of a millilitre It waits until then before starting the test If the test does not start you may apply more blood Alarm c...

Page 10: ...ions Throughout this User s Manual you will see examples of what the dis play looks like Any elements that are shown surrounded by a halo in these examples flash in the display Example You have turned on the meter to perform a blood glucose test In the display you see the time and date plus the test strip symbol and the drop symbol The test strip symbol and drop symbol are flashing The time date a...

Page 11: ...e listed on the box If anything is missing please call Accu Chek Customer Care at 1 800 363 7949 Details are given at the end of this User s Manual 2 2 Checking the blood glucose unit Blood glucose results can be displayed in two different units of mea surement mmol L or mg dL Consequently Roche sells two different versions of the same meter If you do not know which is the right unit for you ask y...

Page 12: ...tton to turn the meter off Notes i If additional lines appear during the display test or parts of the numeric field or of a symbol are missing please call Accu Chek Customer Care at 1 800 363 7949 If the numeric field 88 8 mmol L meter or 888 mg dL meter is affected the meter may not show your test results correctly i The meter automatically turns off after 60 seconds even if you keep the M button...

Page 13: ... inserted or not Press the red drum release button 2 3 Inserting or replacing the test strip drum Read the package insert that came with the test strip drums If the meter is on press the Test button to turn it off Wait for the motor to stop Set into the bottom of the meter to the left of the lancing device is a recess The upper part of this recess belongs to the drum compartment cover Drum compart...

Page 14: ...s out Insert a new test strip drum in the meter as illustrated the two rows of bar code must be nearest the display window Close the drum compartment cover and push it shut There will be an audible CLICK The meter turns on and rotates the test strip drum until the first test strip is in the correct position At the same time the meter reads the bar code that provides it with information on the spec...

Page 15: ...w test strip drum If you do not insert a new drum the following message appears the next time you turn on the meter End and the drum symbol are flashing to indicate that the test strip drum is empty Product Limitations i Please read the literature packaged with your test strip drum to find the latest information on product specifications and limita tions Notes Use only test strips that are not bey...

Page 16: ...for the performance check of your meter see Chap ter 7 You may for instance wish to stick the peel off label in your notebook or diary When conducting a performance check always check that the peel off label with the concentration table belongs to the test strip drum that is currently in the meter i If you insert a partly used drum in the meter the meter rotates the drum so the dot appears in the ...

Page 17: ...r will not turn on when you press the Test button All you see is the display check briefly i You can dispose of used test strip drums with your regular household waste 2 3 1 Test strip drum use by period When you insert a new drum into the meter the meter starts to count the number of days the drum is in the meter Each drum must be used within a 90 day use by period Once a drum has been in the met...

Page 18: ...ating that you may now apply blood or control solution O Drum indicating that the use by period cannot be calculated O Flashing bottle prompting you to perform a performance check in order to check the test strips Perform a performance check see Chapter 7 If the result from the performance check is within the stated concentra tion range you can still use the test strips remaining in the drum If th...

Page 19: ...t strip symbol and drum symbol flash in the display window i If you press the Test button only briefly when turning the meter off the number of test strips remaining is displayed only briefly or not at all i If you have not performed a test since last replacing the drum the meter cannot tell how many test strips there are left in the drum This is e g the case when after you have changed the drum y...

Page 20: ... with their memory location number see Chapter 5 2 Without the You can change the settings of your meter to turn the beep tone or Acoustic Mode on or off to set the brightness of the display to select the time and date format to set the year the time and the date and to activate the alarm clock function and the hypo indicator Beep tone When the beep tone is set to on it provides user support durin...

Page 21: ...r 12 00 am depending on the time and date format you selected previously O Date 1 01 as day month D MM or month day M DD depending on the time and date format you selected previ ously In the sections set out below you will find O a description of the general rules for changing settings O descriptions of individual settings and how to change them The descriptions of settings proceed in the order in...

Page 22: ...setting O You can change any setting at any time Press the S button repeat edly until the setting you wish to change is displayed flashing O From the last setting Hypo indicator pressing the S button takes you back to the first setting Beep tone Acoustic Mode O You can close the settings at any time by pressing the Test button All settings you have entered up to that point are saved Notes i Always...

Page 23: ...w Medium High 24 hour 12 hour Time Date Alarm clock function Hypo indicator Hours Minutes Month Day Off 1 2 and 3 hour min Off Level This setting enables you to turn the beep tone on or off and to activate Acoustic Mode When the beep tone is turned on you hear a beep during testing O when the meter is ready to test so you can draw up blood or control solution with the test strip O when the test st...

Page 24: ... as a series of beeps see Chapter 6 The beep tone is factory set to on 0n1 P Press the M button to move to the next option P Press the S button to save the chosen setting The brightness setting comes next Notes i When you select Acoustic Mode 0n2 you hear a beep i The beep tone setting has no influence on the alarm clock func tion If you have turned the alarm clock function on see Chapter 3 9 the ...

Page 25: ...hour min Off Level You can use this setting to adjust how bright you wish the displayed symbols and numbers to be There are three brightness levels low medium and high The brightness is factory set to medium shown by the 2at top right of the display window P Press the M button to move to the next option The brightness of the display window changes to the setting you have selected P Press the S but...

Page 26: ...layed P Press the S button to save the chosen setting The time and date format setting comes next Notes i The year you have set is not displayed during testing nor together with the result nor when you look at saved results in memory It is only displayed when you are in the settings How ever having the correct year setting is still important because without it the meter will not be able to recogni...

Page 27: ...r format the time is displayed from 12 00 to 11 59 with am or pm If you choose this format the date format changes to MM DD month day no year The time and date format is shown together with the current time and the current date setting If the format is changed the way the time and date are displayed also changes The time and date format that is currently set flashes in the display If 12 hour forma...

Page 28: ...ator Hours Minutes Month Day Off 1 2 and 3 hour min Off Level You are here The time and the date that are currently set are displayed The hour flashes at top left of the display P Press the M button repeatedly or press and hold it down until the required hour is displayed P Press the S button to save the chosen setting The minute setting comes next The minutes flash at top left of the display 24 h...

Page 29: ...e Brightness of the display Year Time and date format On Off Acoustic Mode Low Medium High 24 hour 12 hour Time Date Alarm clock function Hypo indicator Hours Minutes Month Day Off 1 2 and 3 hour min Off Level You are here The month flashes at top right of the display P Press the M button repeatedly or press and hold it down until the required month is displayed P Press the S button to save the ch...

Page 30: ...the meter s alarm clock function to remind you to test your blood glucose You can set three alarms The meter beeps for 20 seconds at the appointed time every day The meter then turns off again You can turn the beep tone off earlier Do this by pressing any of the three buttons The meter then turns off A test strip is not advanced While it is beeping the meter displays the following P Press the M bu...

Page 31: ...es in the display P Press the M button to turn the alarm clock function on 0n is dis played If you press the M button again 0FFreappears and the alarm clock function is turned off P Press the S button to save the chosen setting If you have turned the alarm clock function on the setting for the first alarm time comes next The following is displayed 24 hour format 12 hour format If you have turned t...

Page 32: ...rned off Only when you set a different alarm time is Alarm 1 turned on First the hour is set and then the minutes The hour flashes at top left of the display P Press the M button repeatedly or press and hold it down until the required hour is displayed P Press the S button to save the chosen setting The minute setting comes next The minutes flash at top left of the display P Press the M button rep...

Page 33: ...ave set your alarm times and the hour for the next alarm flashes O press the S button repeatedly until you reach the hypo indica tor setting see Chapter 3 10 or O If you do not wish to set a hypo indicator press the Test but ton to turn the meter off i You can turn off individual alarms by setting their time to 0 00 24 hour format or 12 00 am 12 hour format Any other time means that the alarm cloc...

Page 34: ...glucose test or some other reason the alarm is sup pressed The alarm sounds as soon as you turn the meter off or it turns off automatically The alarm does not sound until then 3 10 Setting the hypo indicator Beep tone or Acoustic Mode Brightness of the display Year Time and date format On Off Acoustic Mode Low Medium High 24 hour 12 hour Time Date Alarm clock function Hypo indicator Hours Minutes ...

Page 35: ...he hypo indicator is then set to this level Notes The hypo indicator is only reliable if your hypo indicator level has been properly selected Therefore we strongly recommend that you talk to your healthcare professional about what blood glucose level is your hypo level before you set the indicator This function is no substitute for hypoglycemia training by your doctor or dia betes team i The hypo ...

Page 36: ... you must replace the normal black cap on the lancing device with a special transparent AST cap which is included in the pack or is avail able through the Accu Chek Customer Care Line Please read the instructions for use that come with the AST cap before you use blood from alternate sites to test blood glucose You can choose one of 11 different penetration depth settings to suit your own skin type...

Page 37: ... collect blood and should therefore remove the lancing device from the meter The lancing device may be replaced with a blank ing plate see Chapter 10 1 Only use Accu Chek Softclix lancets in your Accu Chek Softclix Plus lancing device Using any other lancets may damage the lancing device or impair its function This may result in injury 4 2 1 Undocking the lancing device from the meter If you wish ...

Page 38: ...device on the lower end of the recess with the plunger facing towards the slide button P Slide the lancing device forward along the meter in the direction indicated by the arrow until it locks with an audible CLICK The guides along the inside of the recess must engage with the grooves along the lancing device 4 2 3 Inserting the lancet P Remove the cap from the lancing device P Slide a new lancet ...

Page 39: ...cet may even protrude from the cap In a case such as this you might injure yourself on the lancet There fore take great care not to touch the front of the cap Should you drop the lancing device please pick it up with care Remove the cap from the lancing device Take care to avoid the lancet so as not to injure yourself Always eject and dispose of the lancet if the lancing device has been dropped se...

Page 40: ...d drop symbol flash in the display You now have about 5 minutes in which to draw up blood with the test strip Notes i While the display test is running you may press the Test button to turn the meter off again If you do a test strip is not advanced i If additional lines appear during the display test or parts of sym bols are missing please call Accu Chek Customer Care at 1 800 363 7949 If the nume...

Page 41: ... penetration depth The half settings e g 2 5 are identified by a dot The setting 2 5 is set when the dot is between 2 and 3 in the window For technical rea sons the setting 5 5 is not identified by a dot Setting 5 5 is set when you rotate the cap beyond setting 5 and the cap snaps into place P Rotate the Comfort Dial cap until you reach your chosen setting The cap snaps into place at each penetrat...

Page 42: ...enetration setting and the pressure used to hold the lancing device against the skin If the amount of blood you obtain is too small try again applying more pressure this time If you still obtain insufficient blood repeat the procedure with progres sively deeper settings If too much blood emerges reduce the penetration depth P Firmly press the lancing device against the chosen puncture site You wil...

Page 43: ...the beep tone is turned on P Hold the meter so the test strip is pointing downwards see illustra tion P Immediately after the drop of blood has formed Hold the tip of the test strip against the drop of blood so the black notch is touching the drop of blood The test strip draws up blood P Move the finger away from the test strip as soon as the hourglass symbol is displayed and the meter beeps only ...

Page 44: ...cream on the skin can find their way onto the strip and may produce incorrect results Incorrect results can cause the wrong therapeutic decision to be taken and so produce adverse health effects Take care not to bend the test strip either before or while you draw up blood Do not bend or move the test strip while the test is in progress Bending or moving the test strip can produce an incorrect resu...

Page 45: ...hin this time i e testing has not started the meter turns off automatically In this case press the Test button so as to eject the test strip see Chapter 4 4 and dispose of the test strip Start the blood glucose test again with a new test strip i If the test does not start despite the fact that you have held the drop of blood against the test strip the test strip drew up too little blood In this ca...

Page 46: ...ut If you do pull the used test strip out blood can enter the meter and contaminate it Do not push an ejected test strip back into the test strip drum This includes any unused test strips that you have ejected by accident These test strips can produce incorrect results Incor rect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects i If you do ...

Page 47: ...in P Press in the plunger until it CLICKS The lancet drops out P Press the cap back on the lancing device If the lancet does not drop out P Keep the plunger pressed down P Hook the edge of the white collar of the cap behind the platform of the lancet A cut out area on the inside of the lancet holder makes it easy to hook the lancet platform see illustration P Use the white collar to pull the lance...

Page 48: ... beeps after the beep you hear when the result is displayed The batteries are running low The use by period for the test strip drum has expired You inserted a partly used test strip drum The temperature is outside the permitted range of 10 C to 40 C The meter is prompting you to perform a performance check The test strip has drawn up control solution and the meter has flagged the result as a perfo...

Page 49: ...asterisk appears in the display If you press the S button again the asterisk disappears again The result is saved together with the asterisk as long as the asterisk is displayed and you press the Test button to turn the meter off 4 8 Evaluating results If the displayed test result agrees with the way you feel follow your doctor s advice If the displayed test result does not agree with the way you ...

Page 50: ... check the following points Did you perform the blood glucose test according to the User s Manual see Chapter 4 3 yes Did you wash your hands with warm water and soap to improve blood flow and to remove any residues e g of food drinks or skin cream Did you dry your hands well yes Did you massage your finger only gently in the direction of the fingertip yes Did you bend the test strip either before...

Page 51: ...n dropped that can also lead to implausible results or error messages If it has again please call Accu Chek Customer Care at 1 800 363 7949 5 Using the meter as an electronic notebook 5 1 Memory Your meter has a 500 value memory for saving results together with the time and date only when you have set the time and date You do not need to save the results manually The meter automatically saves and ...

Page 52: ...d result is displayed together with the time date and Time and date at the time of performing a test Retrieving older results from memory P Press the M button once to move towards the next older result saved With the M button you can move back until you reach the oldest result max 500 results If you press and hold down the M button the results are fast scrolled starting slowly and then speeding up...

Page 53: ... time O when you reach the oldest result i e the memory location with the highest memory location number see Chapter 5 1 and you press the M button O when you reach the most recently saved result again and you press the S button You can exit memory at any time P To do this press the Test button The meter turns off Notes i Always turn the meter on with the M button if you intend to review results h...

Page 54: ...ning in the drum see Chapter 2 3 2 i The meter turns off automatically if you have not pressed a but ton for 60 seconds 5 3 Average highest value and lowest value for 7 14 and 30 days The meter can display the average values of results from the last 7 14 or 30 days Also you can request that the lowest and highest values be displayed for these 3 periods All results falling within the relevant perio...

Page 55: ...verage is followed by the 14 day and 30 day averages and then again by the 7 day average a b For each of these three periods you can ask the meter to display the lowest and the highest values Average Lowest value Highest value When one of the three averages is displayed P Press and hold down the M button to view the lowest value P Press and hold down the S button to view the highest value As long ...

Page 56: ... Notes i Results flagged as performance checks with the bottle symbol are not included in the calculations i Results shown as being or are not included in the average calculations but are displayed as the lowest and highest values respectively i The meter calculates the average value the lowest value and the highest value for a period even when the saved results cover a shorter period Example test...

Page 57: ...sts since you made the change three horizontal bars are displayed instead of a numeri cal value i If the memory contains both results that were saved together with the time and date and results that were saved without this information the averages and respective lowest and highest val ues will only be calculated from results saved with the time and date that come chronologically before the first r...

Page 58: ... meter These products enable you and your doctor to manage your data more effec tively and through their graph and table views make it easier for you to understand your results Depending on the type of analysis you intend to perform you will require a special software product and or special hardware products For further information please call Accu Chek Customer Care at 1 800 363 7949 The infrared...

Page 59: ...red window of the receiving end Point the two infrared windows towards one another P If necessary start the results download at the receiving end soft ware product or hardware During the download both arrows flashed alternately During the down load only those results that are new to the receiving end i e those have not yet been downloaded are sent Once downloading has finished the arrows stop flas...

Page 60: ...distance between the two infrared windows to 5 20 cm and position them so they are pointing towards one another Start the results download again O Another device with an infrared source turned on or a strong light source is too close to the two infrared windows Remove the device or light source and start the download again O An object for instance is blocking communication between the two infrared...

Page 61: ... now follow explain the beep tones in detail In addi tion training software the BeepLearn Programm to help you interpret results announced in the form of beeps is available on CD from Accu Chek Customer Care Practice listening to beeps from actual tests or from the training software together with a sighted person until you can clearly recognize and interpret the results and other beeps you will he...

Page 62: ...paced as 1 2 3 6 2 Beep tones during testing Following the power on beep and the 1 2 3 sequence of beeps you will hear the following while you test O a single beep when the meter is ready to test so you can let the test strip draw up blood or control solution O a single beep when the test strip has drawn up sufficient blood or control solution and the test is starting O several beeps each time the...

Page 63: ... beep pause 3 beeps pause 1 very short beep pause 8 beeps O The result 4 0 mmol L is announced as follows 1 long beep for 0 tens pause 4 beeps pause 1 very short beep pause 1 long beep mg dL meters First the hundreds are announced then the tens and finally the units There is a short pause between each group of beeps The hundreds are always announced even when the result is below 100 The hundreds i...

Page 64: ...lows the same pattern as any result that is announced directly following a test Notes i If the 7 day average cannot be calculated three horizontal bars are displayed This is signalled acoustically with 3 long beeps representing 3 zeroes i If the result that was most recently saved is flagged by the bottle symbol as being a performance check result see Chapter 7 it is announced in the same way as a...

Page 65: ...ith a number or the EEE see Chapter 12 2 are displayed these are announced by two short beeps sounded four times in succession This sequence is sounded only once and is not repeated The same sequence of beeps is sounded for all error messages i e they are not differentiated acoustically 7 Checking your meter To ensure your results are always dependable you should periodically check the performance...

Page 66: ... the test strip drum came in Note i The concentration table for the control solutions can be found on the peel off label attached to the drum container When conduct ing the performance check always make sure that the peel off label with the concentration table belongs to the test strip drum that is currently in the meter 7 2 Performing a performance check P Read the package insert that came with t...

Page 67: ...h a clean dry paper towel in order to remove any dried on residues P Invert the vial and hold it downwards at an angle Squeeze it gently until a small drop is suspended from the tip P Apply the drop to the surface of a clean easily washable object made of glass porcelain or stainless steel e g a plate or spoon P Hold the meter so the test strip is pointing downwards see illustra tion P Hold the ti...

Page 68: ...eep tone is turned on The meter at the same time saves the result together with the bottle symbol The saved result is thus recognizable as being a performance check result Immediately after the result is displayed P Compare the result with the concentration table printed on the peel off label attached to the drum container The result must be within the concentration range stated The concentration ...

Page 69: ...s performance checks with the bottle symbol are not included in the calculation of averages and lowest and highest results i You can dispose of empty or only partly used bottles of control solution together with your regular household waste Please refer also to the notes in Chapters 4 3 and 4 4 7 3 Possible causes of error during the performance of perfor mance checks If the result is outside the ...

Page 70: ...nditions for the meter test strips and control solutions see Chapter 11 and the package inserts that came with the test strips and control solutions yes Has the control solution been open for less than three months Once opened control solutions are only stable for three months and must not be used after this period yes If you give the responses as specified to all these questions and the results a...

Page 71: ... soiled through improper use cleaning it may become necessary Wipe away any soiling from the housing or display with a cloth lightly moistened with cold water or 70 ethanol Clean the test strip guide and measuring window thoroughly if O the test strip guide has become visibly soiled O error message E 5 is displayed see Chapter 12 2 and the soiled measuring window is the cause Do this as follows P ...

Page 72: ...ther cleaning agents may damage the meter or impair its measuring function Use a lightly moistened cloth or a lightly moistened cotton swab Do not spray anything onto the meter and do not immerse it in the cleaning liquid Doing so may damage the meter s internal components and stop it from working properly Make sure that no liquid enters the meter Avoid scratching the measuring window as doing so ...

Page 73: ...in cleaning liquid Doing so may damage the internal parts of the lancing device so affecting its operation Use only 70 ethanol or 70 isopropanol to clean the lancing device Other cleaning agents may attack the plastic and stop the lancing device from operating properly 9 Changing the batteries When the battery symbol first appears in the display the batteries are running low With these batteries y...

Page 74: ... about 1000 tests or for one year s worth of tests If you have changed the brightness of the display to level 3 high or set Acoustic Mode to on the battery life will be shorter i When you replace the batteries your results always remain saved i The year time and date settings only remain saved as long as O you do not take longer than two minutes to change the bat teries O you do not press any butt...

Page 75: ...he meter O Recharged batteries lose their charge during storage O When the battery symbol first appears you can perform sig nificantly fewer than 50 further tests With old and exhausted rechargeable batteries you may not be able to perform even one more test O The performance and useful life of rechargeable batteries depends to a large extent on the quality of the battery char ger you are using O ...

Page 76: ...d 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 Any patient with an infection or suffering from an infectious disease and any patient who is a carrier of a multiresistant organism must be assigned his her own meter This applies als...

Page 77: ...in the direction indicated by the arrow 2 Instead of the lancing device you can use a blanking plate which is available from Accu Chek Customer Care at 1 800 363 7949 P Hold the meter so it is horizontal with the recess for docking the lancing device pointing upwards P Slide the blanking plate over the recess from the left along the meter in the direction indicated by the arrow The guides along th...

Page 78: ...ng upwards The drop of blood cannot then spread so easily P Lance the side of the fingertip P Using gentle pressure massage the finger towards the fingertip to encourage a drop of blood to form A proper but nevertheless small drop of blood approx 1 5 µL must form Correct Drop of blood approx 1 5 µL P Hold the meter with the test strip pointing downwards see illustra tion P Immediately after the dr...

Page 79: ...t Hold the meter with the test strip pointing downwards until the result is displayed measuring time approx 5 seconds and you have ejected the test strip Wrong Test strip point ing upwards Wrong Drop of blood too large Residues of water or disinfectant on the skin can dilute the drop of blood and so produce false results Always turn the meter off by pressing the Test button so as to eject the test...

Page 80: ...nated O the area around the test strip guide O the lower edge of the drum compartment cover O the measuring window O the housing In order to disinfect the lower edge of the drum compartment cover and measuring window you need to open the drum compartment cover First make sure the meter is turned off P Place your thumb into his recess below the drum compartment cover and fold the drum compartment c...

Page 81: ...e may get onto the test strip and contaminate it Make sure that no liquid enters the meter Avoid scratching the measuring window as scratches could impair its measuring function Do not spray anything onto the meter and do not immerse it in liquid Doing so may damage the meter s internal components and stop it from working properly When to disinfect O Each time after you have tested a patient s blo...

Page 82: ...n of the DGHM in collaboration with representatives of the following professional associations DGKH Deutsche Gesellschaft für Krankenhaushygiene e V German Soci ety for Hospital Hygiene GHU Gesellschaft für Hygiene und Umweltmedizin e V Ger man Society for Hygiene and Environmental Medicine DVV Deutsche Vereinigung zur Bekämpfung der Viruskrankheiten e V German Association for the Control of Viral...

Page 83: ...at temperatures between 25 C and 70 C Never try to speed up warming or cooling of your meter e g by placing it on a radiator or in a refrigerator Doing so can damage the meter and cause it to give incorrect results Incorrect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects Keep the lancing device without a lancet inserted Never expose the l...

Page 84: ...nthetic materials are present 12 Symbols error messages and troubleshooting In addition to test results the time and the date your meter also dis plays other symbols and error messages Some of these routine display messages have already been explained in earlier chapters Following is a complete summary of all symbols and messages what they mean and what actions you should take when they appear Whe...

Page 85: ...ombination of symbols may mean something In the following example you see a display with several symbols This display appears when you have turned on the meter to perform a blood glucose test Here each symbol has its own meaning The symbols shown along with the time and date mean You can draw up blood or control solution with the test strip now The batteries are running low You inserted a partly u...

Page 86: ...lt as a basis for thera peutic decisions Move to a place where the temperature is between 10 C and 40 C and wait for the temperature of the meter to adjust to this temperature Repeat the test with a new test strip Symbol Meaning In memory at the time of testing the tem perature was outside the permitted range 3 The batteries are running low When the symbol first appears in the dis play you can per...

Page 87: ...tment cover O because the year time and date set tings were lost when you changed the batteries and at this time the drum was partly used see Chapter 9 Symbol Meaning Only in a new meter that has not yet been used to perform tests There is no test strip drum in the meter or the mock drum has been left inserted Insert a new test strip drum see Chapter 2 3 7 This result is a performance check result...

Page 88: ...e 0n1 or Acoustic Mode 0n2 is set to on 13 The test strip has drawn up enough blood or control solution and test is running 14 When an average is displayed from mem ory the symbol is preceded by the num ber of days covered Symbol Meaning 15 You are in memory Either the saved result or one of the averages highest or lowest results is being displayed During averaging when the calculation is taking a...

Page 89: ...rse health effects 4 6 See symbol combination 4 6 7 After the symbol combination 4 6 7 appeared you performed a performance check so the bottle symbol is no longer displayed Symbols Meaning In memory The test strip you used for this test was unusable the 90 day use by period had expired see Chapter 2 3 1 The result in memory may be incorrect Incorrect results can cause the wrong therapeutic deci s...

Page 90: ... fact that the meter cannot cal culate the use by period The symbol only disappears when you insert a new test strip drum All results are saved along with the drum symbol If you do not perform a performance check the flashing bottle symbol appears with every test until you insert a new drum 12 1 3 Symbols appearing in the numeric field In the numeric field 88 8 mmol L meter or 888 mg dL meter the ...

Page 91: ...mal point displayed by mmol L meters and is part of the result e g 8 2 mmol L is displayed as 8 2 12 2 Interferences and error messages causes and trouble shooting recommendations If you receive frequent error messages please call Accu Chek Customer Care at 1 800 363 7949 If this happens it means The meter will not turn on O The batteries normal or rechargeable are empty or none are inserted Inser...

Page 92: ...e Accu Chek Customer Care Line If this happens it means The meter is turned on but the display is blank The display is defective Please call Accu Chek Customer Care at 1 800 363 7949 The clock has stopped or the clock is slow The meter was exposed to a temperature below 10 C and the batteries are begin ning to freeze Turn the meter off Move to a place where the temperature is between 10 C and 40 C...

Page 93: ...you next turn on the meter to perform a test the drum symbol and flashing bottle symbol are displayed Error message Meaning Perform a performance check You may use up all the test strips remain ing in the drum The 90 day use by period will no longer be calculated for this drum The drum symbol will therefore be displayed each time you perform a test until you insert a new test strip drum O The bar ...

Page 94: ...de on the test strip drum is damaged You can no longer perform tests with test strips from this drum Insert a new drum Error message Meaning O The measuring window is dirty Press the Test button to turn the meter off Clean the measuring window see Chapter 8 1 and repeat the test with a new test strip O A test strip is stuck in the meter Hold the meter upright so the test strip is pointing downward...

Page 95: ...he test either while you were drawing up blood or control solution with it or during the test Turn the meter off and then on again by pressing the Test button Repeat the test with a new test strip Error message Meaning O The test strip that was advanced is defective Hold the meter upright so the test strip is pointing downwards Press the Test button to turn the meter off and allow the test strip t...

Page 96: ...oved the test strip during the test either while you were drawing up blood or control solution with it or during the test Error message Meaning Turn the meter off and then on again by pressing the Test button Repeat the test with a new test strip O You drew up blood or control solution too soon with the test strip i e before the test strip symbol and drop symbol were flashing in the display Turn t...

Page 97: ...rmance check You may use all the test strips remaining in the drum The 90 day use by period will no longer be calculated for this drum The drum symbol will therefore be displayed each time you perform a test until you insert a new test strip drum Error message Meaning O The meter has been exposed to severe differences in temperature O The ambient temperature or the tem perature within the meter is...

Page 98: ...tests with test strips from this drum Insert a new drum O You inserted a test strip drum from a different blood glucose measuring system Press the Test button to turn the meter off Insert an Accu Chek Compact test strip drum see Chapter 2 3 Error message Meaning In memory the result in memory cannot be displayed All other results in memory can continue to be retrieved with the M or S button A mete...

Page 99: ...asma please read the package insert that came with your test strips There you will also find information on how the system works on the test principle and on reference methods Measuring range 0 6 33 3 mmol L 10 600 mg dL Sample size approx 1 5 µL 1 µL microlitre 1 thousandth of a millilitre Measuring time approx 5 seconds depending on concentra tion System operating temperature 10 C to 40 C Storag...

Page 100: ...ostatic discharge was basic standard IEC 61000 4 2 In addition it meets the electromagnetic emissions requirements according to EN 61326 Its electromagnetic emission is thus low Interference from other electrically pow ered equipment is not to be anticipated Performance evaluation The performance data for the Accu Chek Compact Plus system Accu Chek Compact Plus meter together with Accu Chek Compac...

Page 101: ...st blood glucose Only in this way can you choose the right blood collection method Before you decide to practice alternate site blood glucose testing please consult your healthcare professional Before using the AST cap please carefully read the instructions for use of the Accu Chek Compact Plus meter and the package insert of the Accu Chek Compact test strip drums Use the AST cap to obtain blood f...

Page 102: ...n more blood vessels than other sites Do not test blood from the forearm the upper arm the calf and the thigh O up to two hours following a meal when blood glucose values can change quickly O after exercise O if you have a temperature or if a medical condition is limiting your mobility e g after breaking a leg or being confined to bed O if you suspect that your blood glucose is extremely low hypog...

Page 103: ...be deeper than on the fingertips However these sites are usually less painful 5 Choose a fleshy area of the alternate site for blood collection and wash it with warm soapy water This ensures that the puncture site is clean Allow the skin to dry thoroughly 6 Prime the lancing device 7 Press the AST cap firmly against the selected puncture site 8 Press the plunger all the way down This triggers the ...

Page 104: ...cap from functioning properly 11 Wait until the test strip symbol and drop symbol flash in the display 12 Hold the meter so the test strip is pointing downwards 13 Hold the tip of the test strip against the drop of blood so the black notch is touching the drop of blood The test strip draws up blood The test starts when the test strip has drawn up sufficient blood The result is displayed as soon as...

Page 105: ... testing with the Accu Chek Compact Plus meter These are available from your pharmacist Use only Accu Chek Compact Autocontrol control solutions to perform performance checks on your Accu Chek Compact Plus meter Only use Accu Chek Softclix lancets in your Accu Chek Softclix Plus lancing device The lancets are available in various pack sizes If you wish to use blood from alternate sites such as the...

Page 106: ...purposes Acquisition of the Accu Chek Softclix Plus lancing device is not associated other than through the aforementioned statutory limitation on the effect of the pat ent with any entitlement and in particular with any tacit permission for the acquirer to use third party lancets Roche reserves the right to assert its patent rights against any manufacturer offering lancets for the Accu Chek Softc...

Page 107: ...ap 70 200 Asterisk symbol 96 174 At a glance lancing device 15 meter 12 symbols 167 average symbol 108 174 Averages 107 B Bar code 16 Batteries changing 145 disposal of 149 life 147 198 symbol 145 171 types 14 146 198 Batteries rechargeable 148 Battery compartment 14 Battery compartment cover 14 Beep tone alarm clock function 59 announcement of results using 123 126 during testing 45 123 in Acoust...

Page 108: ...mbol 84 170 Drum compartment 12 Drum compartment cover 12 Drum release button 12 25 Drum symbol 172 176 E E and number symbol 184 EEE symbol 195 Electromagnetic compatibility 198 End symbol 29 184 Error messages 181 in Acoustic Mode 128 F Flagging result 96 H HI symbol 98 180 Highest value 107 Hourglass symbol 86 174 Humidity 166 197 Hypo indicator setting 67 symbol 67 173 hypo symbol 67 173 I Inf...

Page 109: ... set symbol 41 174 Settings 38 Acoustic Mode 45 alarm clock function 59 beep tone 45 brightness of the display 48 changing rules 41 closing 43 date 56 factory defaults 39 following battery replacement 39 40 147 hypo indicator 67 order 41 time 54 time and date format 52 turning the meter on 44 year 50 Setting the date 56 Setting the time 54 Setting the time and date format 52 Setting the year 50 So...

Page 110: ... automatic 23 43 88 91 106 117 198 closing settings 43 exiting memory 105 Turning on meter retrieving results 102 settings 42 44 testing 78 Type plate 14 U Unit of measurement mmol L and mg dL 20 Use by date control solution 138 test strips 29 Use by period test strip drum 33 cannot be calculated 34 expired 33 ...

Page 111: ...demarks of Roche Made in Ireland for export to Roche Diagnostics 201 Boul Armand Frappier Laval Québec CANADA H7V 4A2 Accu Chek Customer Care Montreal area 450 686 7100 Outside Montreal toll free 1 800 363 7949 www accu chek ca Roche Diagnostics GmbH 68298 Mannheim Germany www accu chek com ...

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