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User`s Manual

1. Cleaning the outside Cleaning the test strip guide If the case of the meter or the If the test strip guide is dirty or the F error message is displayed display is dirty Remove the cover in the direction of the arrow Wipe it using a cloth lightly m istenen Willi cold water Dab the cover and the test strip guide on the inside and the outside using a lightly moistened cloth or cotton swab 4 4 Cleaning the meter 8 Cleaning the measurement window 1 ACCU CHEK Active Carefully dab the measurement Place the cover straight and Slide the cover closed The cover window and its surrounding area centred onto the meter must audibly CLICK into place using a lightly moistened cloth or cotton swab In doing so the guides on the inside of the cover and on the M meter must be perfectly aligned e Make sure that no water Perform a control test enters the meter see page 38 e Avoid scratching the measurement window Remove any fluff or lint that may remain Dry the areas you have cleaned thoroughly 45 9 Changing the battery Changing the battery When the battery symbol appears on the display for the first time the battery is almost empty You can perform approximately 50 more tests with the battery Change the battery as soon as possible The battery has already lost a lot of power and changeable conditions e g a cold environment can affect its performance even further You need 1 batte
2. Testing blood glucose in more than one patient 1 0 Disinfecting the meter The following parts of the meter may become contaminated e the case e the cover e the measurement window The meter the cover and the measurement window must be carefully cleaned and disinfected after every use see the Cleaning the meter chapter page 44 Remember to also clean recesses grooves and gaps Cotton swabs pads or cloths which are lightly moistened with 70 isopropanol are suitable for disinfecting v e Make sure that no liquid enters the meter e Do not spray anything onto the meter and do not immerse it in liquid Wipe the case of the meter with Carefully dab the measurement a Cloth that is lightly moistened window and its surrounding area with 70 isopropanol as well as the cover from both sides using a lightly moistened cloth or cotton swab 49 1 1 Test and storage conditions Test and storage conditions So that the meter works reliably and you obtain accurate test results make sure that the following conditions are met e For blood glucose tests and control tests the temperature must be between 8 and 42 C lf the temperature is at the limits of the permitted range between 5 and 8 C or between 42 and 45 C the meter still allows you to perform a test The thermometer symbol will however be displayed See also page 53 Tests cannot be performed at temperatures below 5 C and above
3. The test result is lower than 10 mg dL 0 6 mmol L The display L may indicate that your blood glucose value is very low possibly a severe hypoglycaemia The display H may indicate that your blood glucose value is very high possibly a severe hyperglycaemia If the L or H display reflects the way you feel continue as instructed by your healthcare professional If the display does not reflect the way you feel perform a control test Repeat the blood glucose test afterwards If the new test result still does not reflect the way you feel please contact your healthcare professional 55 1 2 Symbols problems and error messages Problems Cause and solution The meter will not turn on The time is shown as 0 00 or 0 00am and the date as 0 0 56 The battery is empty or there is no battery in the meter Insert a new battery You have inserted the battery the wrong way round Remove the battery and place it in the battery compartment as shown there The ambient temperature is low Ensure that the ambient temperature is between 8 and 42 C and wait for the meter to warm up to this temperature The electronics have become damp through condensation Allow the meter to dry slowly The meter is defective Please contact your customer support and service centre The meter was exposed to a temperature below 20 C and the battery is beginning to freeze Turn the meter off Ensure that the ambient temperature
4. memory sel up dO d0am di D oag DILI L lO memory set up dodoem do Bose OE Li IL gil2 Te ba ale Rx d AKG mmol L code M ep code M ep mg dL meter mmol L meter With the meter turned off press Compare the elements displayed on your meter with the display the M and S buttons at the same shown here time for approximately 2 seconds aiie meer ewido If any of the display elements are missing or the unit of measurement shown for the blood glucose results is not the correct one please ask your dealer pharmacy to exchange the meter Press the M and S buttons at the same time to end the display check and turn the meter off Steps before testing 2 Inserting the code chip A code chip is used to give the meter information about the properties of the test strips This is why each test strip box contains a code chip ZA 1 e Each time you open a new test strip box you must replace the old code chip from the meter with the new one from the new test strip box Code chips from other test strip boxes may contain information that is incorrect for your new test strips and can therefore lead to TI 2014 08 ll 22911261 J Active Control myd mmo incorrect test results Incorrect test results can HTT cause the wrong therapy recommendation to be made and so produce Compare the code number on Leave the meter turned off serious adverse health A POCE VA E Gently slide the code chi
5. 45 C In this case the following appears on the display LLL LLL e Keep the meter without battery at a temperature between 25 and 70 C e Keep the meter with battery at a temperature between 20 and 50 C Atmospheric humidity Only perform blood glucose tests and control tests when relative atmospheric humidity is below 85 Keep the meter below 93 relative atmospheric humidity 50 e Do not use test results obtained at the limits of the permitted temperature range as a basis for making therapeutic decisions These test results could be incorrect Incorrect results can cause the wrong therapy recommendation to be made and so produce serious adverse health effects Never try to speed up warming or cooling of the meter e g in a refrigerator or ona radiator e At temperatures above 50 C the battery could leak and damage the meter e At temperatures below 20 C the battery does not have enough power to keep the internal clock functioning A Sudden changes in temperature cause condensation to form in or on the meter If this has occurred do not turn the meter on Let the meter slowly cool down or warm up at ambient temperature Never keep the meter in a moisture prone area e g a bathroom Light conditions Do not perform a test when the meter and the test strips are exposed to direct sunlight Go to a shaded place or shade the meter for example with your body If the mete
6. Press the M button to set the Press the S button Next comes minutes the year The year flashes on the display Press the M button to set the Press the S button Next comes year the month 3 Ghanging settings v set up v set up 2 A P 41 The monih flashes on the Press the M button to set the Press the S button Next comes display monih the day p The day flashes on the display Press the M button to set the Press the S button Next comes day the beep Changing settings 3 Setting the beep Beep is on Turning the beep on or off Beep is off set up sel up Vly T NA TT _ DD K3 _ gt lt p A E N E The beep symbol appears Press the M button briefly to turn The beep symbol appears together with Un on on the the beep on or off together with OFF off on the display display Press the S button Next comes the final display Final display on the display 24 hour format 12 hour format sel up sel up bov th J Ue lem 4 N y At the end of making settings the meter displays the current settings Press the M and S buttons briefly at the same time to turn the meter off 15 4 Testing blood glucose Testing blood glucose Using the Accu Chek Active meter you can test blood glucose in two different ways You can either apply the blood dro
7. Chek Active Model GU See type plate on the back of the meter Determination of glucose in fresh capillary blood by reflectance photometry If using other sample material please refer to the package insert that comes with the Accu Chek Active test strips Blood glucose values glucose concentrations can be tested in whole blood or plasma Although you always apply whole blood to the test strip the blood glucose values displayed by your meter correspond to those in plasma You will find information on how the system works on the test principle and on reference methods in the Accu Chek Active test strip package insert 10 600 mg dL 0 6 33 3 mmol L 1 2 uL 1 uL microlitre 1 thousandth of a millilitre approx 5 seconds if you apply blood while the test strip is in the meter depends on the concentration approx 8 seconds if you remove the test strip from the meter and then apply blood depends on the concentration 1 battery type CR2032 approx 1000 tests or approx 1 year after 30 or 90 seconds depending on operating status 500 test results with time and date as well as 7 14 30 and 90 day averages during testing 8 to 42 C during storage without battery 25 to 70 C during storage with battery 20 to 50 C during testing up to 85 relative humidity during storage up to 93 relative humidity Altitude Dimensions Weight Display Interface Safety class Electromagnetic compatibility Perfor
8. NIST standard using a traceability chain the test results obtained with these test strips for control solutions can also be traced back to the NIST standard This ensures that the metrological traceability of the control solutions refers to higher order reference materials reference methods The Accu Chek Active system meets the EN ISO 15197 requirements 61 1 4 Technical data and system components System components The Accu Chek Active blood glucose monitoring system comprises the following components in addition to the meter Accu Chek Active test strips Use only these test strips when you test blood glucose using the Accu Chek Active meter Accu Chek Active control solutions Use only these control solutions when you carry out control tests using the Accu Chek Active meter and the respective test strips Please ask your customer support and service centre where you can obtain test strips and control solutions Customer Support and Service Centre Customer Support and Service Centre Information service and troubleshooting For questions on how to operate your Accu Chek Active meter or regarding implausible test results or if you suspect the meter or test strips to be defective contact your Roche Diagnostics customer support and service centre Do not attempt to repair or modify the meter yourself Our staff will help you solve any problems you might be experiencing with the meter or test strips from Roche Diagnostics F
9. a default display check approx 2 seconds Following the display check the code number is displayed 689 is just an example Check that all the segments of the numeric display 888 mg dL meter or 888 mmol L meter as well as the unit of measurement are displayed If segments are missing please contact your customer support and service centre see page 63 ile 4 Testing blood glucose Check that this code number is the same as the code number on the label of the test strip container If the numbers do not match even though the code chip in the meter belongs to the test strip container please contact your customer support and service centre 18 Following the code number the test strip symbol and the flashing blood drop symbol appear on the display You now hear a beep The meter is now ready to perform a blood glucose test You have approx 90 seconds to apply blood to the test strip After this time the meter turns itself off O If you missed the code number on the display after sliding in the test strip remove the test Strip from the meter and slide it in again Testing blood glucose 4 Applying blood With test strip in the meter mg dL meter mmol L mmol L meter Lance the side of a fingertip with Apply the blood drop to the The test is over in approximately your lancing device centre of the green field and then 5 seconds The test re
10. is between 8 and 42 C and wait for the meter to adapt to that temperature The meter was without a power supply for too long Insert a new battery and set the time and date Error messages Symbols problems and error messages 1 2 When an error occurs an error message appears on the display and two beeps sound Turn the meter off Depending on the situation either briefly press the M button and S button or remove the test strip from the meter to turn the meter off If your meter has been dropped this can also lead to error messages If error messages occur frequently contact your customer support and service centre Error message Cause and solution rm rm You did not slide the test strip in correctly or completely Hold the test strip so that the arrows printed on it and the green square face upwards Without bending it gently slide the test strip into the test strip guide in the direction of the arrows You must feel the test strip lock into place You slid a used test strip into the meter You applied blood or control solution to the test strip too soon i e before the drop symbol flashed on the display Start the blood glucose test from the beginning with a new test strip The measurement window is dirty Clean the measurement window see page 44 Your blood glucose value may be very low If you have typical symptoms of a very low blood glucose immediately follow your healthcare p
11. of the test strip there is a round coloured control window Only the test results displayed by the meter should be used for therapeutic recommendations The colour comparison serves only as a plausibility check of the test results Compare the colour of this window with the coloured dots on the label of the test strip container The colour of the contro window must match the colour of the top coloured dot 0 mg dL 0 mmol L If the control window is a different colour you must no longer use the test strip 26 Testing blood glucose 4 Symbols before during or after a blood glucose test The following symbols can appear on the display before during or after a test For further information please refer to the Symbols problems and error messages chapter See page 52 The battery is almost empty The temperature during the test was outside the permitted range of 8 to 42 C r Instead of a test result The test result is lower than 10 mg dL 0 6 mmol L Li Instead of a test result The test result is higher than 600 mg dL l T 33 3 mmol L C mMm The test strips are past their use by date The display L may indicate that your blood glucose is very low possibly a severe hypoglycaemia The display H may indicate that your blood glucose is very high possibly a severe hyperglycaemia lf the display lo or H reflects the way you feel follow the instructions given by your healthcare professional immediat
12. test and then re set the date or time the chronological order of the test results is interrupted As the meter can only calculate averages based on test results in an uninterrupted chronological order it therefore does not take into account test results prior to the interruption You can switch from displaying any average to testing by sliding a test strip into the meter 34 Analysing test results on the PC 6 Analysing test results on the PG The meter has a built in USB Universal Serial Bus port for transferring saved test results to a computer PC that is equipped accordingly Roche Diagnostics offers a variety of special diabetes management hardware and software products which enhance the integrated diary functions of your meter With these hardware and software products you and your healthcare professional can manage your test results more effectively and use graphs and tables to understand them better For further information on diabetes management products please contact your customer support and service centre USB port USB cable 1 A The USB port is located on To connect the meter to the Plug the Micro B connector into the left side of the meter computer you need a maximum the USB port of your meter 1 5 m long USB cable with a Micro B connector and a USB A connector Plug the Micro B connector into the USB port of your meter Plug the USB A connector into a USB port of your computer Plug the USB A conne
13. 3 AXK Immo 8 12 code lIJ exp 9 W a 0 haran You are in the test result memory Either a saved test result or an average is being displayed The battery is almost empty 2 c When the symbol first appears you can perform approx 50 more tests e set up You are in the settings for the time format time date and beep 52 Symbols problems and error messages 1 2 code E OT 2 am pm 00000 GB 6 When an average is displayed memory the symbol is preceded by the number of days taken into account Together with error message E 5 The meter is exposed to too much light Flashing A test is in progress or an average is being calculated The beep is turned on The unit your meter uses to display test results either mg dL or mmol L depending on the meter The test strips are past their use by date Change the test strips and code chip Flashing blood drop symbol Now you can apply blood or control solution to the test strip Flashing blood drop and test strip symbol The test strip was removed from the meter before blood or control solution was applied for example to apply blood outside the meter The code number is being displayed There is a problem with the code chip see error message E 3 or E 6 Test reminder together with the symbol for a blood glucose test after a meal Before meal or After meal marker Other marker Marker fo
14. 9 17 53 code symbol 53 58 concentration table 41 control solution 5 38 control test 23 38 control window 26 customer support and service centre 63 D data transfer 36 day symbol 32 53 diabetes management 35 discarding test strips 21 41 disinfection 49 display 4 display check 8 17 drop symbol 18 53 E electromagnetic field 51 58 61 error messages 57 exp symbol 29 53 H Hi display 27 55 hourglass Symbol 19 53 intended use 2 L light conditions 51 Lo display 27 55 M marking test result 23 measuring interval 60 memory 30 60 memory symbol 30 52 meter checking 38 disinfecting 49 disposing 59 P PC display 36 performing a test 17 problems 56 professionals 48 R risk of infection 2 48 59 Index 1 6 S sources of error control test 42 testing blood glucose 28 storage conditions 50 sun symbol 53 58 symbols display 52 system components 62 T technical data 60 temperature 27 50 test conditions 50 testing 16 testing blood glucose 16 test strip symbol 18 20 53 thermometer symbol 27 53 turning off 5 11 34 turning on 5 10 17 type plate 7 U unit of measurement mg dL mmol L 7 53 USB cable 35 USB port 4 35 use by date 27 43 53 65 Explanation of symbols Various symbols are featured on the packaging and type plate of the meter Their meanings are as follows REDS PER j C bos Consult instruct
15. ACCU CHEK Active User s Manual Blood Glucose Meter ACCU CHEK Active ACCU CHEK This User s Manual features three types of warning A This symbol indicates a possible risk of injury or of damage to your own health or the health of others This symbol draws attention to actions that could result in damage to the meter O This symbol draws your attention to important information Last update 2013 03 Contents Intended use About this User s Manual Getting to know the blood glucose monitoring system Steps before testing Changing settin O COnN OO FP WH N a k ek mek mek d oF OO N 16 Testing blood glucose Using the meter as a diary Analysing test results on the PC Checking your meter Cleaning the meer Changing the batten Testing blood glucose in more than one patient Test and storage conditions Symbols problems and error messages Disposing of your meter Technical data and system components Customer Support and Service Centre Alphabetical inee Explanation of symbols Contents Intended use Intended use The Accu Chek Active blood glucose meter The Accu Chek Active blood glucose meter is intended to be used for quantitative blood glucose tests in fresh capillary blood The meter may only be used together with Accu Chek Active test st
16. S I_J AI a mmol L Gei i8 5 CD du Jt d mg dL mg dL meter While the result of the control test is being displayed Press the M button briefly once The gj symbol for control is displayed see also page 23 Marking test results section Checking your meter 7 8 a These figures ES are only examples Accu Chek Active Control Level mg dL mmol L 1 40 70 2 2 3 9 135 182 7 5 10 1 Control solution Unit of used measurement After marking the result as a control test Compare the result of the control test with the concentration table on the label of the test strip container The test result must be within the specified concentration range Make sure that you compare the test result with the concentration data that corresponds to the relevant control solution used 1 or 2 and to the unit of measurement displayed by the meter mg dL or mmol L S21 1B 5 IC mmol L Then remove the test strip from the meter The meter turns itself off Discard used test strips according to local regulations 41 7 Checking your meter Sources of inaccurate control tests lf the result of the control test is outside the specified concentration range repeat the control test If the result of the second test is also outside the concentration range check the following points If your responses to the questions below are different from tho
17. The averages calculated by the meter are calculated for 3 groups of test results and for 4 time periods per group The meter calculates the averages in the following order Group Test results Period days 1 All test results 7 14 30 90 9 e results which have been marked with Before 7 14 30 90 3 Only test results which have been marked with 1 After meal 7 14 30 90 Results from control tests marked with test results without a valid date or time as well as test results that were displayed as g or H are not included in the calculation With the meter turned off press Press the S button briefly the M button briefly approximately 2 seconds The first average the 7 day average of all test results is displayed The upper left corner of the display shows the number of test results taken into account for calculating the average The upper right corner of the display shows the number of days taken into account for calculating the average The last saved newest test result is displayed 32 Using the meter as a diary 5 Order of the averages Before meal 7 14 30 90 number of days taken into account mg dL memory meter in Ye BEH memory gt Id 2 Lda Mda an Mda lave Hay Jn a Op sey Results marked de Before i gt acy mee 2 Uae a GU dey Before meal averages are marked with Results uck with After meal After meal day gt Lda en Fri
18. as occurred Start again from the beginning If the error message appears again the meter is defective Please contact your customer support and service centre The ambient temperature or the temperature of the meter is too low or too high for a test Ensure that the ambient temperature is between 8 and 42 C and wait for the meter to adapt to that temperature Disposing of your meter 1 3 Disposing of your meter During blood glucose testing the meter may come into contact with blood Used meters therefore carry a risk of infection After having removed the battery please dispose of your used meter according to the regulations applicable in your country For information about correct disposal please contact your local council or authority Healthcare professionals must dispose of used meters according to the health and safety policy of their laboratory or institution The meter falls outside the scope of the European Directive 2002 96 EC Directive on waste electrical and electronic equipment EX Dispose of the battery in an environmentally friendly way at a collection depot or through your dealer 59 14 Technical data and system components Technical data and system components Technical data Meter type Catalogue no Serial no Test principle Measuring interval Blood volume Measuring time Power supply Battery life Automatic power off Memory Temperature Atmospheric humidity 60 Accu
19. aved change from the averages to the test result to the averages saved test results call up the previous average call up the next average Press the M and S buttons at the same time to erform a display check 11 Test strip container p P y 12 Test strip save settings after the final display is shown on the display and turn the meter off 13 Control solutions 14 Code chip 15 Battery Press the M or S button to turn the meter off turn the test reminder beep off 1 The main features Short testing time The meter needs only approximately 5 seconds for each test Testing without pressing buttons For testing you do not need to press a single button Additional dosing option To perform a test the meter requires 1 2 uL blood 1 uL microlitre 1 thousandth of a millilitre The meter detects if the amount of blood is insufficient and more blood can be applied Marking test results You can mark test results with different symbols which indicate particular situations during the test Getting to know the blood glucose monitoring system Memory The meter automatically saves up to 500 test results with the time and date of the test and all other information that is important for the test Integrated data analysis From the stored test results your meter can calculate your average values for the last 7 14 30 and 90 days Data transfer The meter has a USB port You can transfer saved test results to a compute
20. contact your customer support meter belongs to the test strip test strip guide in the direction of the arrows until you feel it lock and service centre see page container please contact your into place 63 customer Support and service centre The test strip must lie flat on the measurement window cover 39 7 Checking your meter 4 WIZ zd 1 When the flashing blood drop is displayed on the display and the beep sounds you have approx 90 seconds to apply control solution to the test strip Open a bottle of control solution Wipe the tip of the dropper with a Clean dry paper towel 40 Hold the bottle downwards at an angle Squeeze it gently until a small drop which is free of any air bubbles is suspended from the tip of the dropper Apply 1 drop to the centre of the green field without touching it with the tip of the dropper The field must be completely covered with solution As soon as the meter detects the control solution you hear a beep mmol L mg dL meter The test starts The flashing J hourglass symbol indicates that the test is in progress The test is complete after approx 5 seconds and you hear a beep The result of the control test appears on the display The meter automatically saves the result To distinguish this control test from blood glucose results at a later date you need to mark it as a control test meter S21 18
21. ctor into a USB port of your computer oo 6 Analysing test results on the PG If the meter is off it is turned on when it gets connected to the Computer Read the User s Manual of the software in use There you will find all the information needed for data transfer If necessary start the diabetes management software for test result analysis on your computer If no suitable software for test result analysis is installed on your computer an error message may be displayed While the connection is being established PL flashes on the display of the meter O Once the connection to the computer has been successfully established the meter transfers all saved test results During the data transfer PC does not flash The test results remain in the meter s memory after being transferred e f you already have a diabetes management product from Roche Diagnostics for transferring and evaluating test results it may not recognise more recent meters and the results will therefore not be transferred You may need a more recent version of your diabetes management software In this case contact your customer support and service centre e You cannot perform a test while test results are being transferred You have to unplug the USB connector from the meter in order to perform a test 36 Analysing test results on the PC 6 O The meter is supplied with electricity via the USB cable while it is connected t
22. day gt F da lav a La 2 2 Jb av Ouse Press the S button to retrieve the averages in the order shown above Press the M button to retrieve the averages in the reverse order If you press the S button repeatedly the 14 30 and 90 day averages for all test results are displayed after the 7 day average for all test results minel nel lf you continue to press the S button the averages for Before meal meter and After meal are displayed in the same order When the last average is displayed 90 day average marked with j and you press the S button again you hear a beep If you keep the S button or M button pressed the averages are displayed in quick succession After meal averages are marked with 33 5 Using the meter as a diary Back Turn off No average memory Iday lave To go back to the saved test To turn the meter off lf there are no test results saved results Press the M butonand S button a N na Wela three Press the M button until a saved at the same time UA AA L test result appears on the display The meter calculates the average for a period even when the saved test results cover a shorter period For example You only performed tests in the last 5 days In this case the test results of the last 5 days are used to calculate the averages for all four periods 7 14 30 and 90 days If you changed the date or time performed a
23. ely If the display does not reflect the way you feel perform a control test Repeat the blood glucose test afterwards If the new test result still does not reflect the way you feel please contact your healthcare professional 21 4 Testing blood glucose Evaluating test results Blood glucose results are influenced amongst others by nutritional choices medicine taken state of health stress and physical activity A Do not change your therapy without talking about it with your healthcare professional first If the blood glucose result is above or below the target range that you have set together with your healthcare professional please contact your healthcare professional lf the test result reflects the way you feel continue as instructed by your healthcare professional lf the test result does not reflect the way you feel e g it is unexpectedly high or low perform a control test Repeat the blood glucose test afterwards If the new test result still does not reflect the way you feel please contact your healthcare professional Please contact your healthcare professional immediately if your blood glucose values are too low or too high lf test results repeatedly do not reflect the way you feel check the points in the following section Sources of implausible test results Sources of implausible test results If your meter repeatedly displays implausible test results or error messages please check the followin
24. est strips deliver incorrect results Keep the blood glucose monitoring system with all its components away from children under the age of 3 There is a risk of suffocation if small parts e g covers caps or similar objects are swallowed About this User s Manual About this User s Manual Read this User s Manual carefully and completely before testing blood glucose for the first time If you have any questions please contact your customer support and service centre See page 63 This User s Manual will provide you with all the information you need to operate troubleshoot and care for your blood glucose meter Follow the correct operating procedures for the meter and comply with all instructions for use You can turn the beep tone of the meter on or off This User s Manual assumes that the beep is on Actions to be taken appear as shown in the example below Flashing elements Title bar of the figure with a number or figure caption Se 1B 5 J 7 IN Figure displaying actions to be taken In this User s Manual you will see examples of display screens Elements that are surrounded by a halo in these examples actually flash on the meter s display the test strip guide in the Action to be taken blue Please note All dates times or direction of the arrow until you texi results shown on the display feel it lock into place screens in this User s Manual are l intended only as examples T
25. fter this yes period Have you read the section Treating the control solutions properly in the package insert for yes the control solution Did you observe the storage conditions for the meter the test strips and the control solutions e see chapter Test and storage conditions and the package inserts y Are the test strips or the control solution past their use by date The use by date is printed next to the Ges symbol on the label of the test strip container or on e the label of the bottle next to the sa symbol If the use by date of the test strips has elapsed the meter also displays the exp symbol A If a control test produces results that are outside the specified concentration range it is no longer certain that the meter and test strips are functioning properly Blood glucose tests may then produce incorrect results Incorrect blood glucose results can cause the wrong therapy recommendation to be made and so produce serious adverse health effects 43 8 Gleaning the meter Cleaning the meter If the meter is dirty it may be necessary to clean it A Healthcare professionals using the meter to test several patients blood glucose must also read the instructions on disinfection see page 49 e Use only cold water as a cleaning agent e Clean the meter using a lightly moistened cloth or a lightly moistened cotton swab e Do not spray anything onto the meter and do not immerse it in water
26. g points If your responses to the questions in the table are different from those given make the respective corrections when you perform the next test If you have taken all of these points into account and still obtain implausible results or error messages contact your customer support and service centre Did you take the test strip from the test strip container which the code chip in the meter belongs to Did you perform the test according to the User s Manual yes Did you wash your hands with warm water and soap and dry them well yes Did you use a used test strip no Did you apply blood after the beep sounded and the blood drop symbol began flashing on yes the display 28 Testing blood glucose Did you bend the test strip while sliding it into the meter Did you apply the blood drop immediately after it formed Did you bend or move the test strip before or during the test Are the test strips past their use by date check next to the x symbol on the test strip container label and also the exp symbol on your meter s display Are the test strip guide and measurement window clean Did you perform the test within the correct temperature range 8 to 42 C Did you observe the storage conditions for the meter and the test strips Did you take the sources of error into account that are referred to in the package insert that comes with the test strips If your meter has been dropped it can no longer be certain that the
27. glucose test As soon as you slide the test strip in the test reminder is turned off The test result is saved together with the symbol After meal If you decide not to perform a test press the M button or S button to turn the test reminder off O If the meter is switched on at the time of the test reminder the meter cancels the test reminder If you perform a blood glucose test up to 1 hour before a test reminder the meter cancels the test reminder If you do not perform a blood glucose test at the time of the test reminder you can still perform the blood glucose test within half an hour of the test reminder In both cases the test result is saved together with the 1 symbol After meal 25 4 Testing blood glucose Checking your test results The test strip itself allows you to estimate the test result through colour comparison and thus also to check the displayed result After the blood glucose test The label on the test strip container shows blood glucose values in mg dL and mmol L next to each coloured dot Within 30 to 60 seconds after applying blood to the test strip compare the colour of the control window on the back of the test strip with the dot that comes closest to your test result lf the colour deviates significantly repeat the test If the colour deviates during further tests contact your customer support and service centre Before the blood glucose test On the back
28. he meter turns on and first performs a default display check approx 2 seconds Information on action to be taken black text 1 Getting to know the blood glucose monitoring system Getting to know the blood glucose monitoring system The Accu Chek Active blood glucose meter and its components 6 7 8 9 10 1 Display 6 Locking catch displays the current and saved test results or opens the battery compartment cover device messages 7 USB port 2 Buttons the USB cable is inserted here in order to see Buttons of the blood glucose meter transfer data to a computer eee 8 Code chip 3 Cover code chip inserted in the code chip slot covers the measurement window 9 Battery compartment 4 Measurement window right open battery compartment battery type underneath the cover CR2032 5 Test strip guide 10 Type plate slide the test strip in here Getting to know the blood glucose monitoring system 1 Buttons of the blood glucose meter Overview of the M and S button functions MM M oe cas Press the M button to Press the S button to 2 ae turn the meter on and call up turn the meter on and call up 22911261 tt i l saved values settings e g for the time Em ace cee mark the test result after atest mark the test result after a test 135 182 7 Im nt Ee HHI co change settings go to the next setting call up the previous saved test call up the next saved test result 14 15 result change from the earliest s
29. her A meter Q In the example above the Before meal marker symbol was selected After meal After choosing the desired j marker you can turn the meter off As long as the test result is being displayed on the display you can The test result is saved together mark the test result with the marker Press the S button or M button repeatedly until the desired marker is displayed When you press the S button the markers appear in the following order 1 Before meal 2 Test reminder 3 After meal 4 Other 5 Control The respective marker appears below on the display When you press the M button the markers appear in the reverse order If you decide to not mark the test result press the S button or M button repeatedly until no further symbol is displayed 24 Setting a test reminder mg dL meter As long as the test result is being displayed on the display you can set a test reminder Press the S button or M button repeatedly until the Test reminder marker 8 symbol is displayed mmol L mmol L meter The test result is saved together with the symbol Before meal Testing blood glucose 4 In two hours you will be reminded to perform a blood glucose test The flashing symbol appears on the display At the same time a beep sounds once per second You can now perform a blood glucose test Slide the test strip into the test strip guide and perform a blood
30. inal display appears on the display the modified settings are also saved O If you do not press any buttons the meter turns off automatically after approx Beep on off Final display Press the S button briefly to go to the next setting 30 seconds If you have not l l l reached the final display all Press the S button repeatedly until the final display appears on the changes are lost and the display original settings remain Only then will the modified settings be saved when you turn the unchanged meter off 11 3 Changing settings Setting the time format You can choose between two formats 24 hour format Time from 0 00 to 23 59 date in the day month format DD MM 12 hour format When you change the time format the time and date are changed accordingly 24 hour format The time format flashes on the display 12 Setting the time format Press the M button briefly to switch from one format to the other Time from 12 00 to 11 59 followed by am or pm date in the month day format MM DD 12 hour format N AL set up 48pm e3 Ji E3 N Press the S button Next comes the time Changing settings 3 Setting the time and date The hours flash on the display Press the M button to set the Press the S button Next come the minutes g O op The minutes flash on the display
31. ions for use Caution refer to safety related notes in the instructions for use accompanying this product Biological Risks used meters carry a risk of infection Temperature limitation store at Use by Manufacturer Catalogue number Batch code In vitro diagnostic medical device This product fulfils the requirements of the European Directive 98 79 EC on in vitro diagnostic medical devices The explanation of any other symbols can be found in the instructions for use and inserts accompanying components within the packaging For more information contact ACCU CHEK ExtraCare CUSTOMER SUPPORT AND SERVICE CENTER 1800 22 6020 Toll free 30 300 400 Monday to Saturday 08 00 AM to 08 00 PM SMS HELP to 5757535 email india accu chek roche com 8 www accu chek in for BSNL MTNL subscribers Local call charges apply Prefix local STD code when calling from mobile phone Max Rs 3 00 per SMS 0088 2013 Roche Diagnostics ACCU CHEK is a trademark of Roche Roche Diagnostics GmbH Sandhofer Strasse 116 68305 Mannheim Germany www accu chek com 07215703001 00 ACCU CHEK
32. mance analysis Calibration and traceability Technical data and system components 1 4 sea level to 4000 m 97 8 x 46 8 x 19 1 mm without battery approx 46 g with battery approx 50 g 96 segment liquid crystal display LCD USB Micro B IIl This blood glucose meter meets the electromagnetic immunity requirements as per EN 61326 2 6 and EN 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 2 6 and EN ISO 15197 Annex A Its electromagnetic emission is thus low Interference on other electrically driven equipment is not anticipated The performance data for the Accu Chek Active system Accu Chek Active meter with Accu Chek Active test strips was obtained using capillary blood from diabetic patients method comparison accuracy venous blood repeatability and control solution reproducibility The system meter and test strips is calibrated with venous blood containing various glucose concentrations The glucose values used as reference values and thereby also as accuracy values of this calibration are obtained using the hexokinase method The hexokinase method is calibrated using the ID GCMS method which is the method of highest metrological quality order and is traceable to a primary NIST standard As the test results obtained using these test strips can be traced back to the
33. meter Do not remove the test strip until the drop symbol flashes on the display If you remove the test strip before this time the meter turns itself off 22 Testing blood glucose 4 Marking test results You can mark test results to describe certain events connected to the test result or particular characteristics of the test result You can only mark a test result while the test strip is still in the meter and the test result is being displayed You can choose from 5 markers NG OD De w Before meal apple symbol For test results from tests that you performed before your meals After meal apple core symbol For test results from tests that you performed after your meals Test reminder apple bell symbol For test results from tests that you performed before your meals and which you would like to check 2 hours later The meter reminds you to perform this test The test result that you have marked with a test reminder is saved together with the Sq symbol Other asterisk symbol You can define the meaning of this marker yourself e g for test results from alternative sites or after physical activity Control bottle symbol For control tests in which you apply control solution to the test area instead of blood 23 4 Testing blood glucose mg dL D ac 2 meter i j r Control B fw ina di N efore meal IC 27 g Q q J o I l 0 A AK Test reminder eee Ot
34. meter is functioning properly Perform a control test Repeat the blood glucose test afterwards no yes no no yes yes yes yes 29 5 Using the meter as a diary Using the meter as a diary The meter can save up to 500 test results with the time and the date and calculate averages from the saved test results The meter automatically saves all test results If all the memory locations are occupied the oldest test result is deleted to create space for the new one when you perform a new blood glucose test In addition to the test result the time and date your meter also saves all other information that is important for the test This includes all symbols which are displayed after a blood glucose test with the test result except the battery symbol and the markers with which you marked the result Retrieving test results from the memory 2 No test results saved mg dL meter Memory G2 1 S m ne i j memory di nA nn uuu uu memory III 52 IB 5 mg mmol L mmol L With the meter turned off press The last saved newest test If no test results are saved in the the M button briefly result is displayed together with meter the display above appears approximately 2 seconds until the time date and memory on the display the meter turns itself on If you marked the test result with a marker the marker is also displayed 30 Using the meter as a diary 5 Order
35. ng objects that are potentially contaminated with human material for all steps involved in using the meter Practise the health and safety policy of your laboratory or institution A e Any patient with an infection or suffering from an infectious disease and any patient who is a carrier of a multi resistant microorganism must be assigned his her own meter This also applies if it is suspected that a patient has one of the above During this time the meter must not be used to test any other patient Patients and medical staff are potentially at risk of becoming infected if the same Accu Chek Active meter is used to test blood glucose in more than one patient All objects that come into contact with human blood are potential sources of infection Residues of water or disinfectant on the skin can dilute the blood drop and so produce incorrect test results Dispose of used lancets or single use lancing devices and used test strips according to the health and safety policy of your laboratory or institution e Wear protective gloves e The patient s hands should be washed with warm water and soap or cleaned with an alcohol wipe and then dried well e Use only a lancing device approved for use by healthcare professionals Observe the operating procedures in the respective User s Manual e Apply blood to the test strip while it is outside the meter see page 20 Applying blood With test strip outside the meter section 48
36. o the computer Nonetheless there must be a battery in the meter To turn the meter off unplug the For approximately 3 seconds USB connector from the meter Endis displayed once the data transfer is The meter turns itself off complete If the transfer is unsuccessful lf the test results are not transferred P is still flashing on the display the meter turns itself off automatically after approx 90 seconds There can be different reasons for a failed transfer Eliminate the cause and start the transfer again Check e jf both USB connectors are properly inserted e jf the USB cable is damaged e g kinks in the cable e jf all device drivers necessary for communication between the diabetes management software and the meter are installed e if your diabetes management software is compatible with the Continua standard You can tell by this logo Continua 37 7 Checking your meter Checking your meter You can check whether the meter provides correct test results To perform this control test a glucose control solution is applied to the test strip instead of blood Perform a control test using Accu Chek Active control solutions e whenever you open a new test strip box e after you clean the test strip guide and the measurement window e if you are in doubt about a blood glucose result Please ask your customer support and service centre where you can obtain the control solutions Preparing for a con
37. of the saved test results In increasing order up to the memory memory to the averages oldest test result memory 1 1S Ge eS B Gp Gee location 500 E Li IC I memor mg dL memor J mmol L J EB mw m t L O88 tS ew 4S IIC TI lt a lt a l E DE memory m g dL memory mmol L d M memory memory f Jo M4B ir S H58 i5 EL CD 4p ILI lI 1LI mg dL In decreasing order down mmol L to the newest test result memory location 1 mg dL meter mmol L meter Press the M button to retrieve the older test results Press the S button to retrieve the saved test results in the reverse order As long as you press the M button or S button the memory location number is displayed When you release the button the corresponding test result is displayed If you keep the M button or S button pressed the occupied memory locations are displayed in quick succession Once you release the button the corresponding test result is displayed When the oldest saved test result is displayed and you press the M button again you hear a beep When the newest saved test result is displayed and you press the S button again you reach the averages see next page You can switch directly from displaying any saved test result to testing by sliding a test strip into the meter 31 5 Using the meter as a diary Retrieving averages
38. or the customer support and service addresses see the next section Addresses Australia Roche Diagnostics Australia Pty Ltd 31 Victoria Avenue Castle Hill NSW 2154 Australia ABN 29 003 001 205 Accu Chek Enquiry Line 1800 251 816 www accu chek com au For training videos visit www youtube com accuchek Egypt Diabetes Care Egypt 6 Ibn Arhab St Giza Egypt www accu chekarabia com India Roche Diagnostics India Pvt Ltd Plot No 114 Road No 15 MIDC Andheri E Mumbai 400093 www accu chek in india accu chek roche com Customer Helpline 1800 22 60 20 or 30 300 400 Toll free lines for MTNL amp BSNL User Prefix with STD code of your area amp local call charges apply Working Hours Monday to Saturday from 9 30 AM to 5 30 PM SMS HELP to 5757535 Indonesia PT Roche Indonesia Divisi Diagnostik Gedung Artha Graha Lantai 21 Sudirman Central Business District Lot 25 Jl Jend Sudirman Kav 52 53 Jakarta 12190 Hotline 0 800 1 222 999 www roche co id Islamic Republic of Pakistan Roche Pakistan Ltd 37 C Block 6 PE C H S P O BOX 20021 Karachi 75400 15 Jordan Promotional Office Levante Nabih Nabulsi Drugstores Prince Shaker Ben Zeid Street Shmeisani P O Box 1066 11118 AMMAN http www accu chekarabia com Malaysia Roche Diagnostics M Sdn Bhd 2A Jalan 13 1 46200 Petaling Jaya Selangor Darul Ehsan Toll Free Line 1 800 88 1313 Philip
39. p effects corresponding code number on straight into the code chip slot on the label of the test strip lf the code number on the Cr aii the side of the blood glucose display does not match the meter code number on the test The three digit number on the vu must feel the code chip lock strip container do not code chip e g 689 must match into place perform blood glucose tests N j EN number on the abel 3 Changing settings Changing settings Overview You can make changes to the meter settings for the time format time date and beep The meter is delivered with the date and time pre set You may need to adjust the settings to your time zone In order to analyse your saved test results properly it is necessary to set the correct time and date Turning the meter on Changing settings 1 2 3 Ea ie Ti Press the S button for longer The display above appears on Press the M button than 2 seconds the display The changed time format When set up appears on the appears on the display display it is possible to make changes to the settings The setting which can be now changed begins to flash You can now adjust the time format 24h or 12h 10 Changing settings 3 Go to the next setting Turning the meter off Order of the settings Turning off Time format Time hour Time minute Year Date month Press the M and S buttons briefly at the same time Date day When the f
40. p to the test field while the test strip is in the meter see page 19 or you can remove the test strip from the meter and then apply the blood drop to the test field See page 20 Please also consult Notes on blood glucose testing see page 22 Preparing to test blood glucose You need the following items to carry out the blood glucose test e your meter with the code chip inserted e the Accu Chek Active test strips that belong to the code chip e a lancing device to obtain blood e a lancet for the lancing device 1 3 Prepare your lancing device to ACCU CHEK obtain blood Active CEN TEST STRIPS Read the package insert which Wash your hands with warm comes with the test strips water and soap Dry them well before you obtain blood This reduces contamination of the puncture site and stimulates blood flow 16 Testing blood glucose Turning the meter on Take a test strip from the test strip container Close the test strip container again immediately Hold the test strip so that the arrows printed on it and the green square face upwards Gently slide the test strip into the test strip guide in the direction of the arrows until you feel it lock into place Do not bend the test strip The test strip must lie flat on the measurement window cover Testing blood glucose 4 mg dL meter mmol L mmol L meter The meter turns on and first performs
41. pines Roche Philippines Inc Diagnostics Division 2252 Don Chino Roces Ave 1231 Makati City Customer contact number Assist 63 2 89308000 63 15 Hong Kong Roche Diagnostics Hong Kong Limited Level 17 Tower 1 Metroplaza 223 Hing Fong Road Kwai Chung New Territories Enquiry hotline 852 2485 7512 office hours www accu chek com hk Singapore Roche Diagnostics Asia Pacific Pte Ltd 298 Tiong Bahru Road 11 01 Central Plaza Singapore 168730 Accu Chek ExtraCare line 6272 9200 www accu chek com sg South Africa Roche Products Pty Ltd Diagnostics Division 9 Will Scarlet Road Ferndale P O Box 1927 Randburg 2125 Accu Chek Customer Care Centre 080 DIABETES Dial 080 34 22 38 37 www diabetes co za 64 Customer Support and Service Centre Thailand Roche Diagnostics Thailand Ltd 18th Floor Rasa Tower 555 Phaholyothin Road Chatuchak Chatuchak Bangkok 10900 Customer Service Line 66 0 2791 2222 United Arab Emirates Roche Diagnostics Regional Office GCC P O Box 71437 Abu Dhabi www accu chekarabia com Index A alternative sites 23 apple core symbol 23 apple symbol 23 53 applying blood 19 20 22 asterisk symbol 23 53 atmospheric humidity 50 60 averages 32 ave symbol 32 53 B battery symbol 27 46 52 beep 53 bell symbol 23 53 bottle symbol 23 53 C changing settings 10 changing the battery 46 clean 44 code chip 4 5 9 58 code number
42. r Flexible blood application You can apply blood to the test strip while the test strip is in the meter or after you have removed it from the meter Steps before testing 2 Steps before testing Unpacking the contents Check that the contents of the package are complete You will find a list with the contents on the box If anything is missing please contact your customer support and service centre see page 63 Checking the unit of measurement Test results can be displayed in two different units of measurement mg dL or mmol L Two different versions of the same meter are therefore available Check if your meter displays the unit of measurement you are accustomed to You can find the unit of measurement that your meter displays on the type plate on the back of your meter Gp If you do not know which is the right unit for you ask your healthcare professional A The unit of measurement that your meter displays cannot be changed If the wrong unit of measurement is printed on the type plate ask your dealer pharmacy to exchange the meter or contact your customer support and service centre An incorrect unit of measurement could lead to test results being interpreted falsely and to the wrong therapy recommendations and so produce serious adverse health effects 2 Steps before testing Ghecking the display You can check if all of the display elements are properly displayed by carrying out a full display check
43. r control tests At the time of testing the temperature is or was between 5 and 8 C or between 42 and 45 C see page 50 Additional time information if 12 hour time format is set 03 1 2 Symbols problems and error messages Symbols appearing in the numeric field mmol L mg dL meter mmol L meter e The code chip has not been correctly inserted into the meter Remove the code chip and re insert it e There is no code chip in the meter Insert the code chip that belongs to the e Accu Chek Active test strips you are currently using Averages cannot be calculated because e you have not set the time and date e only test results without a time and date are saved e only test results that are not included in the calculation are saved e g results from control tests e no test results were saved in the period in question e g all test results in memory are more than 7 days old e the chronological order of the test results in the memory has been interrupted memory memory E E E No test results have been saved 54 Symbols problems and error messages 1 2 memory LI E The test result has been lost from memory Decimal point displayed by mmol L meters and is part of the test result e g 8 2 mmol L is displayed as Bo The meter is connected to a computer PC The meter has been disconnected from the computer PC The test result is higher than 600 mg dL 33 3 mmol L
44. r is exposed to too much light the meter does not allow any tests to be performed In this case the following error message appears on the display ay Lz Dp GD GD Sources of environmental interference Do not use the meter in close proximity to a strong electromagnetic field Test and storage conditions 1 1 A Avoid sudden changes in light conditions while testing The flash of a camera for example can lead to incorrect test results v Keep the meter away from very strong light sources e g direct sunlight These may stop the meter from functioning correctly and lead to error messages A e Strong electromagnetic fields may interfere with the proper operation of the meter e To avoid electrostatic discharge do not use the meter in a very dry environment especially one in which synthetic materials are present o1 1 2 Symbols problems and error messages Symbols problems and error messages In addition to test results time and date other symbols and error messages also appear in your meter s display The following provides an overview of all symbols and error messages Please pay attention to all symbols and error messages when you use the meter If you do not recognise a symbol or do not understand an error message please refer to this chapter for an explanation Symbols Symbols on the display memory ae 18 pm t O 17 ___ _ 16 K o 15 14 T A N mga 1
45. rips Consult the package insert of the test strips if you intend to use different sample material The blood glucose monitoring system comprises the meter and test strips and is suitable for self testing and for professional use People with diabetes can use this system to self test their blood glucose Healthcare professionals can use this system to check patients blood glucose values and they can use it in suspected cases of diabetes and in emergency diagnostics The system is suitable for testing blood glucose with blood obtained from alternative sites The system must not be used to diagnose or rule out diabetes The system is only suitable for use outside the body Visually impaired persons must not use the meter The meter must only be used for its intended purpose if used otherwise preventive measures could be ineffective A e Healthcare professionals must also read the instructions and notes in Chapter 10 Testing blood glucose in more than one patient All objects that could come into contact with human blood are potential sources of infection There is a risk of infections e g hepatitis B hepatitis C HIV being transmitted if the meter is used by other people even family members or if healthcare professionals use the same meter to test blood glucose in more than one person Only use the Accu Chek Active meter with Accu Chek Active test strips that are approved by Roche Diagnostics Other t
46. rofessional s instructions for such cases Repeat the test afterwards You removed the test strip from the meter in order to apply blood and did not Slide it back in it within 20 seconds The test strip was bent or moved while testing was in progress You applied too little blood or control solution to the test strip You waited too long before applying a second drop of blood or control solution Start the blood glucose test from the beginning with a new test strip 57 12 Symbols problems and error messages Error message Cause and solution 08 a E 4 E 5 r LT r l d rm mv a a rT The code chip cannot be read Remove the code chip and re insert it into the meter The incorrect code chip is currently in the meter Remove the code chip and insert the code chip that belongs to the Accu Chek Active test strips you are currently using While the test was in progress you connected the meter to a computer that was on Remove the USB cable and repeat the test The meter was exposed to a strong electromagnetic field Change your position or turn the source of electromagnetic radiation off The meter is exposed to too much light Go to a shaded place or shade the meter for example with your body You removed the code chip while testing was in progress Re insert the code chip into the meter Repeat the test with a new test strip A meter error h
47. ry of the type CR2032 With a new battery you can perform approx 1000 tests or test for approx 1 year When you change the battery your saved test results always remain saved Remove the used battery right before inserting the new battery into the meter so that the time and date settings are not lost 1 3 symbol facing upwards The battery compartment is Remove the used battery Place the new battery in the located on the back of the meter compartment with the symbol Push the locking catch facing upwards downwards and remove the battery compartment cover 46 Changing the battery 9 A Never throw batteries into a fire They may explode pA Dispose of used batteries in an environmentally friendly way at a collection depot or through your dealer Place the battery compartment Press the battery compartment cover back on again The two cover closed It will CLICK into prongs on the lower edge must place audibly engage with the slots in the battery compartment 47 1 0 Testing blood glucose in more than one patient Testing blood glucose in more than one patient Information for healthcare professionals Only staff working in doctors practices hospitals and diabetes training centres and nursing staff for inpatients and outpatients are allowed to perform blood glucose tests on more than one patient using the same Accu Chek Active meter Always follow the recognised procedures for handli
48. se given make the respective corrections when you perform the next test If you have taken all of these points into account and the test results are still outside the specified concentration range contact your customer support and service centre Did you take the test strip from the test strip container which the code chip in the meter belongs to yE Did you perform the control test according to the User s Manual yes Did you use a used test strip no Did you wipe the tip of the dropper before you applied control solution to the test strip yes Did you apply a suspended drop of control solution yes Did you apply only one drop of control solution yes Were there air bubbles in the drop no Did you apply control solution after the beep sounded and the blood drop symbol began flashing on the display ve Was the green field completely covered with control solution yes Did you bend or move the test strip before or during the test no Did you perform the test within the correct temperature range 8 42 C yes Did you compare the test result with the concentration range that corresponds to the control solution you used yee Is the concentration table on the test strip container from which you removed the test strip yes 42 Checking your meter 7 Are the test strip guide and measurement window clean yes Has the control solution been open for less than 3 months Once opened control solutions keep for only 3 months They must not be used a
49. sult Figure shows the remove your finger from the test appears on the display and you strip hear a beep The meter automatically saves the test result recommended sites for obtaining blood As soon as the meter detects the Encourage a blood drop to form P909 you hear a beep by gently massaging the finger The test starts The flashing towards the fingertip see hourglass symbol JX indicates that the test is in progress You can now mark the test result set a test reminder or turn the meter off If the amount of blood you applied is insufficient after a few seconds an acoustic warning in the form of 3 beeps sounds You can then apply an additional blood drop j 4 Testing blood glucose Applying blood With test strip outside the meter 1 Lance the side of a fingertip with When the test strip and the The test strip and blood drop your lancing device flashing blood drop symbols are symbols flash afterwards on the Figure shows the displayed display Now you have approx recommended sites for obtaining Remove the test strip from the 20 seconds to apply blood to the slat meter test strip and to slide it into the meter again During the last 5 Encourage a blood drop to form seconds a beep sounds once per by gently massaging the finger second It is to remind you to towards the fingertip see slide the test strip moistened with blood back into the meter If you do not slide the test strip back in
50. tions e Use only test strips which are within the use by date e The test strips are sensitive to humidity and moisture Only remove test strips from the test strip container when your hands are completely dry Close the test strip container again tightly with its Original cap immediately after removing a test strip e f you have not applied blood to the test strip in the available time and the meter has turned itself off Remove the test strip and discard it Start the blood glucose test from the beginning with a new test strip e f an error message appears and you have not yet applied any blood you must not use this test strip any more Start the blood glucose test from the beginning with a new test strip e Do not rub the blood drop onto the test field when applying blood e Do not store used test strips in a test strip container which still contains unused test strips e Do not bend the test strip while sliding it into the meter The test strip must lie flat on the measurement window cover e Do not to bend or move the test strip before or while applying blood or while the test is in progress e Only apply blood to the test strip when the drop symbol is flashing on the display e If HBE or BB are not shown completely during the default display check e g 94 test results cannot be displayed correctly In this case contact your customer support and service centre If you want to apply blood to a test strip which is not in the
51. to the meter within this time the meter displays the error message E e Apply the blood drop to the centre of the green field 20 Gently slide the test strip into the test strip guide in the direction of the arrows until you feel it lock into place The test strip must lie flat on the measurement window cover The test starts The flashing JX hourglass symbol indicates that the test is in progress Testing blood glucose 4 mg dL meter yet id j IILI Lo S21 S mT 1 mmol L mmol L meter The test is over in approximately 8 seconds The test result appears on the display and you hear a beep The meter automatically saves the result You can now mark the test result set a test reminder or turn the meter off Turning the meter off Turn off Remove the test strip from the meter The meter turns itself off Discard used test strips according to local regulations Healthcare professionals must discard used test strips according to the health and safety policy of their laboratory or institution If you do not remove the test strip and do not press any buttons the meter turns off automatically after approx 30 seconds 21 4 Testing blood glucose Notes on blood glucose testing A Incorrect results can cause the wrong therapy recommendation to be made and so produce serious adverse health effects Therefore follow the following instruc
52. trol test For a control test you need e the meter with the code chip inserted e the Accu Chek Active test strips that belong to the code chip e Accu Chek Active control solution Control 1 low glucose concentration or Control 2 high glucose concentration e a clean dry paper towel e the concentration table for the control solutions see label on the test strip container A control test is in its main steps the same as a blood glucose test except that you apply control solution to the test strip instead of blood Items required for a control test Checking your meter 7 Carrying out a control test mg dL meter mmol L mmol L meter Read the package insert which The meter turns on and first Following the display check the comes with the control solutions performs a default display check code number is displayed 689 is Take a test strip from the test approx 2 seconds just an example strip container Close the Check that all the segments of Check that this code number is container again immediately the numeric display HUH mg dL the same as the code number on Hold the test strip so that the meter or HAH mmol L meter as the label of the test strip well as the unit of measurement container arrows printed on it and the are displayed green square face upwards If the numbers do not match lf segments are missing please even though the code chip in the Gandy elde Ihe Wat sw ino n

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