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Farbe: P 249 – Prüfmittelnummer: 126 X

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Blood glucose testing in a multi-patient setting

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Blood glucose testing in a multi-patient setting

8

8.2  Testing blood glucose

  Wear protective gloves.

  Wash or disinfect the patient’s finger and allow it to dry thoroughly. 

The drop of blood cannot spread so easily over dry skin. 

 Residues of water or disinfectant on the skin can dilute the drop 

of blood and so produce false results.

i

  The test strip cannot properly draw up blood that has spread over 

the skin.

  Use a finger pricker that is approved for use by healthcare profes-

sionals.

  Use a finger pricker with adjustable penetration depth settings.

  Select a penetration depth to suit the nature of the patient’s skin. 

Start with a shallow depth setting.

 To test blood glucose you require approximately 1.5 µL of blood. 

Avoid producing large drops of blood on the patient’s finger, as 
these may come into contact with the meter.

 

Wipe off any large drops of blood and test using the drop of blood 
that forms again at the puncture site.

Select a puncture site along the side of a fingertip.

  Turn the finger so the chosen puncture site is facing upwards, and 

keep it facing upwards. The drop of blood cannot then spread so 
easily.

  Lance the side of the fingertip. 

  Using gentle pressure, massage the finger towards the fingertip 

to encourage a drop of blood to form. A proper drop of blood must 
form. 

i

  If you collect blood from an earlobe, be sure that the blood is on 

top and not hanging from the earlobe. Hold the earlobe or posi-
tion the patient so the puncture site is on top.

Summary of Contents for Compact Plus

Page 1: ...8 ACCU CHEK and SOFTCLIX are trademarks of Roche 2005 Roche Diagnostics All rights reserved Distributed by Roche Diagnostics Ltd Bell Lane Lewes East Sussex BN7 1LG www accu chek co uk Freephone 0800...

Page 2: ...antitative determination of blood glucose in fresh capillary blood using Accu Chek Compact test strips Suitable for self testing The Accu Chek Compact Plus meter may be used by people with diabe tes t...

Page 3: ...date 47 3 6 Setting the alarm clock function 49 3 7 Setting the hypo indicator 55 4 Testing blood glucose 58 4 1 Preparing the finger pricker 58 4 1 1 Undocking the finger pricker from the meter 60 4...

Page 4: ...d glucose 116 8 3 Disinfecting the meter 120 8 4 Suitable disinfectants 125 9 Measurement and storage conditions 126 9 1 Temperature range 126 9 2 Atmospheric humidity 129 9 3 Sources of interference...

Page 5: ...ter at a glance Front 1 Display window 2 S button Press this button to change settings 3 Recess for docking the finger pricker 4 Test button Use this button only if you want to test your blood glucose...

Page 6: ...Infrared window 14 Batteries type AAA LR 03 AM 4 Micro 15 Battery compartment 16 Type plate 17 Finger pricker 18 Control window shows the number of strips remaining 19 Slide button for undocking the...

Page 7: ...er is a multifunction button used to prime trigger and eject the lancet 21 Window showing the penetration depth setting 22 Lancet holder 23 Lancet 24 Protective cap on lancet 25 Cap 26 Pin hole openin...

Page 8: ...ich provides the meter with information on the specific characteristics of the test strips Reliability The meter checks each test strip If it finds a defective strip it lets you know before you apply...

Page 9: ...versions are available through the Accu Chek Customer Careline Details are given at the end of this Reference Manual 1 4 About this Reference Manual Please read this manual carefully and completely be...

Page 10: ...only as examples They will not necessarily be the same as those shown by your own meter The meter that is used for illustration in this manual displays blood glucose results in mmol L see Chapter 2 2...

Page 11: ...lls two different versions of the same meter Check that your meter displays the unit you are accustomed to The type plate on the back of your meter indicates which unit your meter uses If you do not k...

Page 12: ...d The year time and date settings however only remain saved as long as you don t take longer than two minutes to change the batteries you don t press any button while no batteries are inserted you don...

Page 13: ...appears you can perform about 50 more tests With old and exhausted rechargeable batteries you may not even be able to perform one more test The performance and useful life of rechargeable batteries de...

Page 14: ...elements are missing or the unit shown for the blood glucose result is not the correct one please ask your dealer to exchange the meter Release the M button The standard display test screen that is sh...

Page 15: ...osition retracts with an audible CLICK 2 5 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 of...

Page 16: ...d it should be inserted Close the drum compartment cover and push it shut There will be an audible CLICK i Ensure that the drum compartment cover is tightly closed If it is not properly closed you can...

Page 17: ...are within the expiry date Expired test strips can produce incorrect results Incorrect results can cause the wrong therapeutic decision to be taken and so produce ad verse health effects The expiry da...

Page 18: ...ons The stated concentrations are valid only for the test strips contained in this particular drum You need the tables to check your meter You may for instance wish to stick the peel off label in your...

Page 19: ...cause the wrong therapeutic decision to be taken and so produce adverse health effects Insert a new test strip drum The meter is unable to calculate the 90 day use by period if you remove a partly use...

Page 20: ...If you insert a partly used drum in the meter a dot appears in the small control window at the back When you next turn the meter on it rotates the drum until it finds the first chamber containing a te...

Page 21: ...ting and move on to the next setting You can change the settings at any time Press the S button repeat edly until the setting you wish to change is displayed flashing You can close the settings menu a...

Page 22: ...results to a PC handheld computer or printer are only possible with results saved together with the year time and date If you lose the year date and time settings the meter returns to the following se...

Page 23: ...d the M button down the meter fast scrolls forward to the pro duction year 32 and then starts again with the year of manufacture Press the S button to save the chosen setting The time date format sett...

Page 24: ...e time format is 24 hour format Press the M button to select 12 hour format 12h is displayed If you press the M button again 24h appears again Press the S button to save the chosen setting The time se...

Page 25: ...utton to save the chosen setting The date setting comes next M 24 hour format M 12 hour format 3 5 Setting the date The numeral representing the month flashes at top right of the display Press the M b...

Page 26: ...off or If you do not wish to set the alarm clock function but do wish to set a hypo indicator Press the S button repeatedly until you reach the hypo indicator setting see Chapter 3 7 Setting the hypo...

Page 27: ...ndicator setting see Chapter 3 7 Setting the hypo indicator Press the S button The display shows a 1 and at top left the first time at which you wish to receive the alarm call The presetting is 0 00 2...

Page 28: ...again at 0 M 24 hour format M 12 hour format Press the S button to save the chosen setting The setting for Time 2 comes next To set Time 2 proceed as described for Time 1 or if you do not wish to ent...

Page 29: ...ck function is turned on for this time To set the alarm clock function for midnight you must therefore set the time to one minute to midnight 23 59 or 11 59 p m or to one minute after midnight 0 01 or...

Page 30: ...n repeatedly until hypo and the level you have chosen appear in the display Press the M button to select OFF Press the Test button to turn the meter off The hypo indicator is only reliable if your hyp...

Page 31: ...ration depth settings to suit your own skin type You can use the finger pricker either docked with the meter or undocked The finger pricker has a plunger at the top see illustration on page 11 This pl...

Page 32: ...inger pricker onto the meter Hold the meter so it is horizontal with the recess for docking the finger pricker pointing upwards Place the flat face of the finger pricker on the lower end of the re ces...

Page 33: ...t into the lancet holder and push it in until you hear it CLICK into place Remove the protective cap from the lancet with a twisting motion Press the cap back on the finger pricker The locating notch...

Page 34: ...d the lancet so as not to injure yourself Always eject and dispose of the lancet if the finger pricker has been dropped see Chapter 4 2 4 Ejecting the used lancet i For blood collection the cap must b...

Page 35: ...happens press the Test button to eject the test strip The strip can no longer be used Start the blood glucose test again with a new test strip Do not touch the test strip unless you are applying bloo...

Page 36: ...The finger pricker is now primed Do not prime the finger pricker until you are ready to collect a blood sample Keeping the finger pricker in this primed state can cause parts to become misshapen throu...

Page 37: ...e used to hold the finger pricker 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 proce dur...

Page 38: ...your finger away from the test strip Measurement takes approximately 5 seconds As the meter conducts the test the three 000 disappear in turn from the display If the test does not start you applied t...

Page 39: ...drops out Take care not to bend the test strip either before or during appli cation of blood Do not bend or move the test strip while the test is in progress If you do bend or move the strip it may pr...

Page 40: ...test strip 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 strip that you have ejected by accident These test...

Page 41: ...d glucose 79 Testing blood glucose 4 4 2 4 Ejecting the used lancet Remove the cap from the finger pricker Hold the finger pricker upright above a waste bin Press in the plunger until it CLICKS The la...

Page 42: ...hite collar to pull the lancet out A cut out area on the inside of the lancet holder makes it easy to hook the lancet platform Make sure the lancet has dropped out Inadvertently leaving the lancet in...

Page 43: ...can flag special results e g results obtained from alternative site testing or after exercise with an asterisk Wait until the flashing test strip symbol and blood drop symbol are displayed and the me...

Page 44: ...o appear before applying blood 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 Did you ma...

Page 45: ...ample results flagged as quality controls see Chapter 6 Checking your meter are displayed together with the bottle symbol Results obtained at a tem perature outside the permitted range are displayed w...

Page 46: ...14 and 30 days Your meter can display the average value as well as the highest value and the lowest value You can produce these statistics for the last 7 14 or 30 days The current day is always includ...

Page 47: ...ght in this example 7 Press and hold down the M button As long as you hold the button down the lowest blood glucose value you obtained in the last 7 days is displayed along with its time and date Pres...

Page 48: ...tics offers a variety of special software products e g Accu Chek Compass Accu Chek Pocket Compass and the Accu Chek Smart Printer System that are designed to extend the memory func tions of your meter...

Page 49: ...d off press the S and M buttons at the same time The meter turns on without advancing a test strip Two arrows appear in the display Start downloading at the PC handheld computer or the Accu Chek Smart...

Page 50: ...conducting the quality control test always check that the peel off label with the concentration tables belongs to the test strip drum that is currently in the meter Read the package insert that came w...

Page 51: ...ject The control solution must not be left exposed on the surface for any length of time If it is the control solution may give results that are too high Hold the meter so the test strip is pointing d...

Page 52: ...turn from the display On completion of the test the result appears in the display The meter automatically saves the result to memory i If you hear beep tones when the test result is displayed Ac cous...

Page 53: ...with the test strip still in and do not pull the test strip out of the meter If you do control solution taken up by the test strip may contaminate the meter Wipe the tip of the dropper with a clean dr...

Page 54: ...test strip If the result is outside the stated range perform a second quality control check If the result of this second test is outside the concentration range as well please check the following poin...

Page 55: ...spill some you can wipe or rinse the dye away im mediately with warm water i You can dispose of empty or only partly used bottles of control solution with your regular household waste 7 Cleaning your...

Page 56: ...on press the Test button to turn it off Wait for the motor to stop before you open the meter Open the drum compartment cover by lifting where it projects slightly to the right of the test strip guide...

Page 57: ...to keep it in good working condition If any blood gets on it always wipe this away immediately Clean the outside of the finger pricker only Wipe it once a week with a cloth lightly moistened with 70 e...

Page 58: ...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 also if a patient is suspected of being...

Page 59: ...e side is facing upwards Push the slide button in the direction indicated by the arrow 1 and hold it there Slide the finger pricker out in the direction indicated by the arrow 2 Instead of the finger...

Page 60: ...the patient s skin Start with a shallow depth setting To test blood glucose you require approximately 1 5 L of blood Avoid producing large drops of blood on the patient s finger as these may come into...

Page 61: ...onds and you have ejected the test strip Stop touching the blood drop with the test strip as soon as 000 appears in the display and the meter beeps provided the beep tone is turned on This indicates t...

Page 62: ...measuring window the casing The test strip guide and measuring window must always be kept clean When you turn the meter on to perform a test the test strip is advanced over the measuring window and ou...

Page 63: ...e for disinfecting the meter 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 d...

Page 64: ...ants with virucidal activity Suitable agents are those for instance based on alcohols aldehyde cleavers and quaternary compounds Use them according to manufacturer s instruc tions List of disinfection...

Page 65: ...er to keep the internal clock functioning With batteries and test strip drum the meter may be stored between 2 C and 30 C For performing blood glucose tests the permitted range is from 10 C to 40 C A...

Page 66: ...midity should be between 20 and 85 Keep the meter and finger pricker at between 20 and 85 relative humidity Sudden changes in temperature can cause condensation to form in or on the meter If this happ...

Page 67: ...symbol means or do not understand a message please refer to this chapter to find the expla nation Otherwise you run the risk of wrongly interpreting your results Several symbols may appear at the same...

Page 68: ...ate to a time in the past The average blood glucose result for the last 7 14 or 30 days is displayed It was calculated using for example 24 43 and 70 blood glucose results respectively Symbol Meaning...

Page 69: ...If the rechargeable batteries are old and exhausted it may not be possible to per form even one more test When the batteries are so low that no more tests can be performed the battery symbol appears...

Page 70: ...uality control check with Accu Chek Compact Control or Accu Chek Compact Autocontrol solu tion and a new test strip Then perform another blood glucose test If the new test result still does not agree...

Page 71: ...und Remove the batter ies and place them in the battery compartment as instructed If the batteries were left the wrong way round in the meter for more than two minutes the meter forgets the year date...

Page 72: ...the bat teries are beginning to freeze Turn the meter off Let it warm up slowly Always keep the meter and batter ies at temperatures between 10 C and 50 C with test strip drum between 2 C and 30 C Th...

Page 73: ...flash in order to draw attention to the fact that the meter cannot calculate the use by period The symbol only disappears when you insert a new drum All results are saved along with a flashing drum sy...

Page 74: ...see explanation for the pre ceding display In the case of saved results The test strips you used for this test were unusable in the meter for more than 90 days This message symbol appears and means T...

Page 75: ...ection You cannot change results you have retrieved from memory with the M button This message symbol appears and means The bar code information from the test strip drum has been lost Press the Test b...

Page 76: ...reced ing drum The drum and bottle sym bols flash in the display The meter requests you to perform a quality control check You may use all 17 test strips for testing The drum sym bol continues to flas...

Page 77: ...Press the Test button to turn the meter off Open the drum compart ment and press the red drum release button Close the drum compartment again This message symbol appears and means The meter then rota...

Page 78: ...strip You applied too little blood or control solution Turn the meter off and on again Repeat the test with a new test strip and a larger amount of blood or con trol solution This message symbol appea...

Page 79: ...strip is pointing downwards Press the Test button to turn the meter off and allow the test strip to drop out Press the Test button to turn the meter on again and repeat the test This message symbol ap...

Page 80: ...The test strip drum does not rotate Press the Test button to turn the meter off Open the drum compart ment and if necessary pull out the test strip Press the red drum release button and remove the te...

Page 81: ...n the meter off and on again Repeat the test with a new test strip and a larger amount of blood or con trol solution There is no test strip drum in the meter Press the Test button to turn the meter of...

Page 82: ...eld computer or the Accu Chek Smart Printer System also displays an error message A download error occurred Start the download again A strong light source is too close to the two infrared windows Move...

Page 83: ...tains information on how the system works on the test prin ciple and on reference methods Measuring range 0 6 33 3 mmol L 10 600 mg dL Sample size approx 1 5 L 1 microlitre 1 thousandths of a millilit...

Page 84: ...emissions requirements according to EN 61326 Its electromagnetic emis sion is thus low Interference from other electrically driven equipment is not to be anticipated Performance evaluation The perform...

Page 85: ...t is possible to insert a blanking plate where the finger pricker would normally be You can order this blanking plate from your local customer support and service centre If you wish to test blood from...

Page 86: ...sts in other countries especially through European Patents 0565970 0782838 and Japanese Patent 2702374 Your purchase entitles you to use your Accu Chek Softclix Plus finger pricker in combination with...

Page 87: ...r finger pricker may have a fault please contact the Accu Chek Customer Careline Refer to Chapter 16 2 Contact us for details Repair service Please note that any repair adjustment or other change to t...

Page 88: ...k co uk 17 Alphabetical index A Acoustic Mode 14 21 22 55 Alarm clock function 13 setting 49 Alternative site testing 82 167 Asterisk symbol 82 Atmospheric humidity 129 163 Automatic power off 25 29 3...

Page 89: ...1 Clock symbol 34 144 Concentration table 32 96 103 105 Control solution 32 96 expiry date 106 Control window test strip drum 8 30 31 36 Customer support and service 170 D Data downloading to PC handh...

Page 90: ...14 Infrared cable 93 Infrared window 8 93 Intended use 1 L Lancet 10 59 ejecting 79 inserting 62 Light source interfering 129 Lot number 150 M M button 7 38 87 Measurement conditions 126 162 Measuring...

Page 91: ...owest 89 plausible 83 retrieving from memory 87 Results memory 86 163 S S button 6 38 39 Settings 37 alarm clock function 49 beep tone 41 changing 38 date 21 47 hypo indicator 55 time 21 45 time date...

Page 92: ...T Technical data 162 Temperature range 126 Test principle 107 162 Test strip 7 12 ejecting 75 expiry date 30 symbol 65 131 156 Test strip drum 7 12 inserting or replacing 26 lot number 133 partly use...

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