BLOOD GLUCOSE MONITORING SYSTEM 0088 ACCU-CHEK, ACCU-CHEK MOBILE and FASTCLIX are trademarks of Roche. Reference Manual Distributed by: Roche Diagnostics Limited Charles Avenue, Burgess Hill West Sussex, RH15 9RY, United Kingdom +44 (0) 1444 256000 1) calls may be recorded for training purposes www.accu-chek.co.uk www.accu-chek.ie Roche Diagnostics GmbH 68298 Mannheim, Germany www.accu-chek.
Explanation of symbols On the packaging, on the type plate of the meter and on the finger pricker, you may encounter the symbols shown below. They have the following meanings: Consult the instructions for use Caution (refer to accompanying documents)! Please refer to safety related notes in the instructions for use accompanying this instrument.
Intended use Intended use Accu-Chek Mobile blood glucose meter Accu-Chek FastClix Mobile finger pricker Meter for quantitative determination of blood glucose values in fresh capillary blood using Accu-Chek Mobile test cassettes. Finger pricker with adjustable penetration depth setting for obtaining capillary blood from a fingertip with Accu-Chek FastClix lancet drums and, when a special AST cap is used, also from alternate sites such as the ball of the thumb. Suitable for self-testing only.
About this Reference Manual About this Reference Manual Please read this Reference Manual carefully and completely before testing blood glucose for the first time. If you have any questions, please call the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland), see Chapter 21. This Reference Manual helps you get to know your meter and finger pricker step by step.
About this Reference Manual Please note: All dates, times or results displayed in this Reference Manual are intended only as examples. They display results in mmol/l (e.g. 5.8 mmol/l), dates in the day month format (e.g. 26 Feb) and times in the 12-hour time format (e.g. 06:30pm). Others can (and will) be displayed on your meter’s display. Your meter can, for example, display the time or date in a different format (depending on the setting you have chosen).
Contents Contents 1 2 6 Getting to know your meter and finger pricker 13 1.1 Overview of the meter ...........................................................................................................................14 1.2 Overview of the finger pricker ...............................................................................................................17 1.3 The blood glucose test in brief ...........................................................................................
Contents 3 2.3 Inserting the first test cassette ..............................................................................................................41 Validity of the test cassette .............................................................................................................46 2.4 Removing the protective film from the display .......................................................................................48 2.5 Removing the protective strip from the batteries ........
Contents 3.3 4 Making settings 4.1 8 Evaluating results..................................................................................................................................84 Measuring range ............................................................................................................................84 Implausible results – possible sources of error ...............................................................................85 86 Settings overview.........................
Contents 5 6 4.7 Setting the volume ..............................................................................................................................126 4.8 Setting the brightness .........................................................................................................................128 4.9 Setting the language ...........................................................................................................................130 Correcting a wrongly set language.
Contents 7 6.3 Announcement of the result after a test...............................................................................................162 6.4 Announcements of warnings and error messages ...............................................................................164 Checking the meter 165 7.1 Preparing for a control test ..................................................................................................................166 7.2 Performing a control test ............
Contents 13 Viewing the number of available tests 201 14 Changing the batteries 202 15 Testing and storage conditions 207 15.1 Temperature .......................................................................................................................................207 15.2 Humidity .............................................................................................................................................208 15.3 Light conditions ..............................................
Contents 20 Patents 231 21 Accu-Chek Customer Careline 232 21.1 Advice and troubleshooting .................................................................................................................232 21.2 Addresses ...........................................................................................................................................
Getting to know your meter and finger pricker 1 Getting to know your meter and finger pricker This chapter introduces you to: It then describes: the meter what the menus look like the finger pricker how the meter is turned on and off the blood glucose test how menus are opened the main features of the meter and finger pricker. how information is entered.
Getting to know your meter and finger pricker 1.
Getting to know your meter and finger pricker 1 Battery compartment cover (right: from above; far right: open) 2 Infrared window (integrated interface for transferring results to a computer, for example) 3 Batteries [1.
Getting to know your meter and finger pricker 10 11 10 Release button for undocking the finger pricker 11 Type plate 12 Release button for opening the cassette compartment cover 13 Cassette compartment cover (bottom: open) 14 Test cassette (in place in the meter) 12 13 16 14
Getting to know your meter and finger pricker 1.
Getting to know your meter and finger pricker 1.
Getting to know your meter and finger pricker 4 Apply blood 5 Read result 6 Close tip cover 19
Getting to know your meter and finger pricker 1.4 The main features at a glance Test cassette instead of test strips The test cassette contains a continuous tape on which there are 50 test areas. When a test is to be performed a test area is automatically advanced to the tip of the cassette. Easy testing For testing, you do not need to press a single button. You open the tip cover, apply blood to the test area, read the result and close the tip cover.
Getting to know your meter and finger pricker Blood volume checking The meter checks whether you have applied sufficient blood (approx. 0.3 μl = 0.3 thousandths of a millilitre) before starting to test. Luminous display All information on the display appears yellow on a black background. You can adjust the brightness to suit the ambient conditions and make it easier to read. Text-supported operation The meter takes you through all the operations step by step in the language you have selected.
Getting to know your meter and finger pricker Flagging results You can flag results with various symbols which indicate particular situations during the test. Memory The meter automatically saves up to 500 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 results, your meter can calculate averages for the last 7, 14 or 30 days. 22 Data transfer The meter has an infrared window.
Getting to know your meter and finger pricker 1.5 Description of menus and buttons This chapter tells you how the menus are arranged, what the different symbols in them mean and how to use the buttons to navigate through the menus. You will find a complete overview of the menus at the end of the Reference Manual. Menu Buttons When the meter is on, the selected menu is displayed in the language you have set. The three buttons below the display allow you to navigate through the menu.
Getting to know your meter and finger pricker Elements of the menus 1 The following illustrations show the main elements that can appear in a menu. 1 Title of the display or menu (not in all displays). 2 3 2 Selected item, highlighted with a yellow bar. If you button, this item will be selected press the (command “Select” above the button). This will take you to a higher- or lower-level menu, for example, or open the display for entering a number. 3 Unselected item.
Getting to know your meter and finger pricker 4 The symbol indicates that the function (here Tones) is activated. indicates that the function (here 5 The symbol Target range ) is deactivated. 4 5 6 7 8 6 The command displayed here will be executed if button. The particular comyou press the mand displayed depends on the current display (see description of the On/Off and Enter button). means that there are further items 7 The symbol above the first item visible on the display.
Getting to know your meter and finger pricker button (On/Off button / Enter button) This button allows you to turn the meter on or off (press and hold the button, see Chapter 1.6 and 1.7); as On/Off button, this button is indicated in the Reference Manual by , the symbol or to execute the command displayed above the button (press and release the button); as Enter button to execute the command displayed, the button is indi.
Getting to know your meter and finger pricker There are various commands, for example (see illustrations on left): Select selects the highlighted item. This will take you to a higher- or lower-level menu, for example, or open the display for entering a number. Continue takes you from hours to minutes. OK confirms the displayed time. Off turns the beep tones off.
Getting to know your meter and finger pricker button (down) This button allows you to navigate down in a menu or list or make numbers smaller. The button (down) is indicated by the symbol the Reference Manual.
Getting to know your meter and finger pricker button (up) This button allows you to navigate up in a menu or list or make numbers bigger. The button (up) is indicated by the symbol the Reference Manual.
Getting to know your meter and finger pricker 1.6 Turning on the meter 1 With the meter off, press and hold the On/Off until the meter turns on (longer than button 2 seconds). In the remainder of the Reference Manual, this instruction will appear in the following abbreviated form: 1 Turn on the meter with . The meter first runs a display check in which a black and yellow checkerboard pattern of small illuminated dots is displayed. 2 Check that there are no irregularities in the checkerboard pattern.
Getting to know your meter and finger pricker The meter automatically exits the display check after about 2 seconds. After the display check, the meter first displays the number of tests still available on the test cassette and then opens the Main menu.
Getting to know your meter and finger pricker 1.7 Turning off the meter There are 2 different ways of turning off the meter: or via the Main menu. using the On/Off button Using the On/Off button until the bar on Press and hold the On/Off button the display is filled (at least 2 seconds). In the remainder of the Reference Manual, this instruction will appear in the following abbreviated form: Turn off the meter with . After this, the number of available tests is displayed and the meter turns off.
Getting to know your meter and finger pricker Via the Main menu 1 Open the Main menu. 2 Use the off. 3 Press the or button to go to the item Turn button (Select). The meter displays the number of available tests and then turns off. In the remainder of the Reference Manual, this way of turning off the meter will appear in the following abbreviated form: 1 Turn off the meter via Turn off.
Getting to know your meter and finger pricker 1.8 Opening menus The procedure for opening a menu is always the same. Example: Opening the Date menu 1 1 Turn on the meter with . 2 Wait until the Main menu is displayed. 2 3 3 Press the button three times until the item Settings is highlighted by the yellow bar. 4 34 button (Select) to open the 4 Press the Settings menu.
Getting to know your meter and finger pricker 5 The Time/Date menu is highlighted. button (Select) to open the 5 Press the Time/Date menu. 6 6 Use the 7 7 Press the or button to select the item Date. button (Select) to set the date. The Date menu is now open.
Getting to know your meter and finger pricker In the Reference Manual, the steps for opening the Date menu are summarized as follows: 1 , Turn on the meter with wait for the Main menu, to select Settings, use to open Settings, press to select Time/Date, use to open Time/Date, press to select Date, use to open Date. press The procedure for opening other menus is described in the same way.
Getting to know your meter and finger pricker 1.9 Entering information Changing numbers Numbers highlighted by a yellow background can be changed. Press the button to make a number smaller. If you press the button once, the number decreases by 1. If you hold the button down, the number continues to decrease until you release the button. Press the button to make a number bigger. If you press the button once, the number increases by 1.
Getting to know your meter and finger pricker Activating or deactivating functions Some functions, e.g. the beep tones and flagging results, can only be activated or deactivated. You can recognize these functions by the fact that in front of there is either a tick or a checkbox button is Off them and the command above the or On (if there is a different command this means that the function can also be modified). A tick means that the function is activated.
Initial steps before testing 2 Initial steps before testing 2.1 Checking the contents Check that the contents of the package are complete. The package contents are listed on the box. If anything is missing, please contact the Accu-Chek Customer Careline. You will find the address at the end of this Reference Manual.
Initial steps before testing 2.2 Checking the blood glucose unit ACCU-CHEK ® Mobile ACCU-CHEK and ACCU-CHEK Mobile are trademarks of Roche Ser.No. GG0001384 MIC/KS XX-U8 Art.No. 2248891011 2xAAA mmol/l Made in Germany 3V For help call (800) 440-3638 US Patents Pending FCC ID: VWI U8 IC: 3100A-U8 Mannheim Germany 40 0088 Blood glucose results can be displayed in two different units of measurement (mmol/l and mg/dl). Consequently, two different versions of the same meter are sold.
Initial steps before testing 2.3 Inserting the first test cassette If your meter is brand new and unused, it does not contain a test cassette. Please read the test cassette package insert. It contains important information on storage and possible causes of incorrect results, for example. If the foil-sealed packaging is damaged, you must not use the test cassette. Otherwise, there is a risk that you might obtain incorrect results.
Initial steps before testing 1 Place your finger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go. You must feel the tip cover click into place. 2 Turn the meter over.
Initial steps before testing 3 Push the release button for the cassette compartment cover in the direction of the arrow. The cover springs open. 4 Open the cassette compartment cover all the way. You have to overcome a resistance just before it is fully opened. The cassette compartment cover is fully opened when it is at an angle of slightly more than ninety degrees – as shown in the illustration.
Initial steps before testing 5 Remove the cassette from the packaging. 6 Insert the cassette in the meter with the silver side facing upwards.
Initial steps before testing 7 Close the cassette compartment cover and press it closed. You must hear an audible CLICK. CLICK 8 Push the tip cover in the direction of the arrow as far as it will go. You must feel the tip cover click into place.
Initial steps before testing Validity of the test cassette When a test cassette is in the meter, the meter checks regularly when the cassette was inserted and calculates the use-by period from this. Each test cassette must be used up within 3 months (use-by period). If you insert a partly used test cassette into the meter, the use-by period is calculated from the date when the cassette was placed in the meter for the first time. This date is stored in the cassette.
Initial steps before testing If you start a test and the validity of the cassette is about to expire shortly or has already expired, the meter will inform you of this. The first notification appears 10 days before the validity of the cassette expires, the following appear 5, 2 and 1 day(s) before expiry. Press the button (Continue) to start a test. If the validity of the test cassette has expired, the message on the left appears. Turn off the meter with cassette.
Initial steps before testing 2.4 Removing the protective film from the display The meter’s display is protected by a protective film. Peel this protective film off. 2.5 Removing the protective strip from the batteries The meter is supplied with batteries inserted. The battery contacts are covered with a protective strip to prevent premature loss of battery power. This protective strip must be removed before you can start using the meter. Pull the protective strip backwards out of the meter.
Initial steps before testing 2.6 Setting the language When you have inserted a test cassette and removed the protective film from the display and the protective strip from the batteries (see Chapter 2.3 to 2.5), you must set the language in which text will be displayed on the meter. The meter automatically prompts you to do this the first time you turn it on. There are a total of 15 languages to choose from.
Initial steps before testing 1 With the meter off, press and hold the On/Off until the meter turns on (longer than button 2 seconds). When you turn on the meter for the first time, the language selection menu is automatically displayed. The default language is English UK. You can either select this language or replace it by a different one.
Initial steps before testing 2 Press the or button repeatedly until the desired language is highlighted. button below the display to 3 Then press the select the highlighted language. The meter will then display the language you just selected. 4 Confirm this information by pressing the button (OK). i If you selected the wrong language by mistake you can change this setting later (see Chapter 4.9). However, until you do so, the menu will be displayed in the language you selected.
Initial steps before testing The meter then runs a display check in which a black and yellow checkerboard pattern of small illuminated dots is displayed. 5 Check whether there are any irregularities in the checkerboard pattern. Some examples of irregularities in the checkerboard pattern are shown in Chapter 9. If there are irregularities in the checkerboard pattern, results might not be displayed correctly.
Initial steps before testing It will then display when the cassette expires. button (Continue). 6 Press the The meter displays the number of available tests in the test cassette which can still be used for testing. Then the Main menu is displayed. Now you can choose what you want to do, e.g: perform a blood glucose test Press (Select). turn off the meter Use to select Turn off press . make settings to select Settings press Use open Settings.
Testing blood glucose 3 Testing blood glucose When you have inserted a test cassette, removed the protective film from the display and the protective strip from the batteries and set the language (see Chapter 2), you can perform blood glucose tests with the meter. The time and date are already set in the meter. If these differ from the current time or date you can correct either of these (see Chapter 4). If you want to use certain functions of the meter, e.g.
Testing blood glucose 3.1 Preparing the finger pricker You can use the finger pricker to obtain blood from a fingertip or from other (alternate) sites. You can choose one of 11 different penetration depth settings to suit your own skin type. You can use the finger pricker either docked on to the meter or separately from the meter.
Testing blood glucose The finger pricker is intended for personal use only! It may only be used by one person for obtaining blood. There is a risk of infections being transmitted if the finger pricker is used by other people, or if healthcare professionals use this finger pricker to obtain blood from more than one person. This finger pricker is therefore not suitable for professional use in healthcare facilities or institutions. Wear and tear can lead to material failure.
Testing blood glucose Inserting a lancet drum To use the finger pricker to obtain blood, you must first insert a lancet drum. 1 Take a new lancet drum. red line new lancet drum You can tell that a lancet drum has been used because it has a red line visible on the white portion. You cannot insert a used lancet drum again. used lancet drum 2 Remove the cap from the finger pricker.
Testing blood glucose 3 Insert the new lancet drum – white end first – into the finger pricker. The lancet drum is properly inserted when it slots into position with an audible CLICK. 4 Place the cap back on again. The cut-out section at the edge of the cap must fit over the correspondingly, shaped curvature with the penetration depth indicator (silver line). You must hear and feel the cap click into place. The window showing the number of available lancets shows 6, i.e. there are now 6 lancets available.
Testing blood glucose Setting the penetration depth Penetration depth indicator Half settings You can set the penetration depth of the lancet to 1 of 11 possible settings (0.5–5.5). The silver line (penetration depth indicator) on the finger pricker indicates the current penetration depth setting. The higher the number the deeper the penetration. The half settings for the penetration depth are indicated by a dot. The penetration depth 1.5 is set when the line points to the dot between 1 and 2.
Testing blood glucose Loading a new lancet You do not need to load a new lancet if you just inserted a new lancet drum. 2 2 1 1 If you have already used the finger pricker to obtain blood, you will need a new lancet the next time you obtain blood. For this, the lancet drum must be rotated in the finger pricker. Push the lever at the side of the finger pricker to the right as far as it will go (1) and then back to the left (2).
Testing blood glucose Replacing a used lancet drum When you have used the sixth and last lancet, you need to replace the used lancet drum with a new one. 1 Remove the cap from the finger pricker. 2 Grasp the lancet drum at the cut-outs on the finger pricker. 3 Pull the lancet drum out of the finger pricker. Used lancet drums can be disposed of in household waste. 4 Insert a new lancet drum (see section “Inserting a lancet drum”).
Testing blood glucose Undocking and docking the finger pricker If you wish to use the finger pricker separately from the meter, detach it as follows: 1 Push the release button for the finger pricker (on the back of the meter) in the direction of the arrow as far as it will go. Hold it in this position until you have undocked the finger pricker. 2 Withdraw the finger pricker by sliding it out in the direction of the arrow.
Testing blood glucose To dock the finger pricker on to the meter again, proceed as follows: There are 2 guide tracks on the meter and the finger pricker, respectively. When docking the finger pricker, the tracks on the finger pricker must fit into the tracks in the recess at the side of the meter. 1 Position the finger pricker at the lower end of the recess with the multifunction button at the top and the writing “Accu-Chek FastClix Mobile” facing the meter.
Testing blood glucose 3.2 Performing a blood glucose test When you have inserted a lancet drum into the finger pricker and set the penetration depth, you can now start to perform a blood glucose test. i Before you start the test, wash your hands with warm water and soap and dry them well. This helps remove any residues from the skin, e.g. from food, drinks or skin cream, which can disturb the test. This also stimulates blood flow and reduces contamination of the puncture site.
Testing blood glucose Starting a blood glucose test by opening the tip cover 1 Place your finger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go. After overcoming a slight resistance, the tip cover clicks into place. Be careful not to touch the tape when doing this as this could damage it. If the meter was turned off, it now turns on.
Testing blood glucose Then the meter will advance a test area to the tip of the cassette. Be careful not to touch the tape when doing this as this could damage it. Shortly after the test area has been advanced to the tip of the cassette, the prompt Apply blood will appear and a beep will sound again (if Beep tones is turned on).
Testing blood glucose You can also open the tip cover if the meter is already turned on. In this case, the meter then switches to Test. It advances a test area to the tip of the cassette and then the prompt Apply blood appears. There are the following exceptions: If you are in the Settings menu: In this case, when you open the tip cover you will be asked whether you really want to perform a test (see Chapter 16.2). If you had turned on the meter using the or button (see Chapter 5.
Testing blood glucose Starting a blood glucose test via the Main menu 1 Turn on the meter with wait for the Main menu. , If the meter is already on: 1 Switch from the currently displayed menu to the Main menu. 2 Use press to select Test, to open Test. The prompt Open tip cover appears on the display. If you do not want to perform a test after all, press the button (Cancel). In this case, no test area will be advanced and the number of available tests remains the same.
Testing blood glucose 3 Place your finger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go. Be careful not to touch the tape when doing this as this could damage it. When you have opened the tip cover, the meter advances a test area to the tip of the cassette. Be careful not to touch the tape when doing this as this could damage it.
Testing blood glucose Obtaining a blood drop Use a new lancet each time you obtain blood. This reduces the risk of infection and helps ensure virtually pain-free blood sampling. In general, all the fingers are suitable for obtaining blood. Certain fingers can be unsuitable if, for example, a skin or fingernail infection is present. We recommend obtaining capillary blood from the side of a fingertip as this registers the least pain (see black areas in the illustration on the left).
Testing blood glucose To obtain blood with the finger pricker, you first need to prime it. Do not prime the finger pricker until you are ready to obtain blood. Storing the finger pricker in this primed state can cause parts to become misshapen through tension, impairing its operation. 1 To prime the finger pricker, press the multifunction button down as far as it will go. When you release the button one third will come out again. The finger pricker is now primed.
Testing blood glucose The cap must be on the finger pricker when you obtain blood. Without the cap, the lancet would penetrate too deeply and you would feel more discomfort than necessary. 2 Press the finger pricker firmly against the chosen puncture site. You will feel a slightly raised ring against your skin; this is the pin-hole through which the tip of the lancet emerges. 3 Press the multifunction button all the way down. This triggers the lancet, which penetrates the skin to the penetration depth set.
Testing blood glucose Applying the blood drop to the test area You can hold the meter in your hand or lay it down while you apply blood to the test area. Do not hold the meter with the test area pointing upwards. If you hold the meter with the test area pointing upwards, blood could enter the meter and soil it. When the prompt Apply blood is displayed: 1 As soon as the blood drop has formed, bring it towards the centre of the test area at the tip of the cassette. Touch the tape lightly with your finger.
Testing blood glucose 2 Take your finger away from the test area as soon as Test in progress and the hourglass symbol appear on the display. The test area has then drawn up enough blood and a beep sounds (if Beep tones is turned on). The hourglass symbol indicates that the test is in progress. Testing is complete after approx. 5 seconds. The result appears on the display and the meter beeps (if Beep tones is turned on). At the same time the meter automatically saves the result.
Testing blood glucose Turning off the meter Turning off via the tip cover 1 Close the tip cover. The meter displays the number of available tests and then turns off. i The result will be displayed for at least 15 seconds. If you close the tip cover before the end of this time, the result will continue to be displayed. The number of available tests does not appear until the 15 seconds have elapsed.
Testing blood glucose Turning off using the On/Off button 1 Press and hold the On/Off button until the bar on the display is filled (at least 2 seconds). Before the meter turns off, it prompts you to close the tip cover and then displays the number of available tests for your information. 2 Close the tip cover.
Testing blood glucose Symbols which are displayed together with the result The following symbols can be displayed together with the result: You have turned on the target range. The result is either below the lower limit or above the upper limit of the target range set. In place of a result: The result is lower than 0.6 mmol/l. The batteries are almost empty. The temperature during the test was outside the permitted range of +10 to +40 °C.
Testing blood glucose Flagging results You can flag results to describe certain events connected to the result or particular characteristics of the result. You can only flag a result if you open the Set flag menu while the result is still displayed after a test. The Set flag menu offers you a choice of 4 flags: Control test (symbol ) is intended for control tests in which you apply control solution to the test area instead of blood. General (symbol ): You can define the meaning of this flag yourself.
Testing blood glucose You can add the following flags to a result together: General and Before food General and After food You cannot flag a result with Before food and After meal together. If either of these flags is already set, it will automatically be removed when you set the other flag. You can change (add or remove) flags again as long as you are still in the Set flag menu.
Testing blood glucose The following descriptions start from the display of a result after a test. General, Before food and After food 1 Press (Set flag). This opens the Set flag menu. All flags are deactivated. indicates that the flag is deactivated, a A checkbox tick that it is activated. 2 Use food. 3 Press the to select General, Before food or After button (On). The symbol for the flag that has been activated is displayed to the right of the result.
Testing blood glucose 3 symbols can be displayed to the right of the result. If a result is flagged with 4 symbols, the symbol will not be displayed. Example: If the temperature during a test was too high or too low and the test is outside the target range, the result will automatically be flagged with the symbols and (see Chapter 16.2 and 4.6).
Testing blood glucose Leaving the Set flag menu: 1a Turn off the meter with or . or to select Main menu and press 1b Use (Select). 2 Close the tip cover.
Testing blood glucose Reminder 1 Press (Set flag). 2 Use to select Reminder. 3 Press (Select). This opens the Reminders menu. You will find all the information about this menu in Chapter 4.5. Control test 1 Press (Set flag). 2 Use to select Control test. 3 Press (Select). The further procedure for performing a control test (test with control solution) is described in Chapter 7.2.
Testing blood glucose 3.3 Evaluating results Measuring range If the displayed result agrees with the way you feel, follow the instructions given by your doctor. If the displayed result does not agree with the way you feel, perform a control test with an Accu-Chek Mobile control solution (see Chapter 7). Then repeat the blood glucose test. If the new result still does not agree with the way you feel, contact your doctor. The meter measures blood glucose results in the range from 0.6 to 33.3 mmol/l.
Testing blood glucose Implausible results – possible sources of error If your meter repeatedly displays implausible results or error messages, please check the points listed below. If any of your responses to the questions listed differ from those given, make the respective corrections when you perform the next test.
Making settings 4 Making settings 4.1 Settings overview The meter has several features which you can only use after making the appropriate settings. Most of these features are intended primarily to enable you to adapt the meter to your personal needs (e.g. beep tones and acoustic reminders). An overview of the settings is given on the following 2 pages. The respective default settings with which the meter is delivered are shown in each case.
Making settings Menu Setting Time/Date Time Available options Default setting Greenwich Mean Time (GMT) Date Time format (format for time and date) Current date hh:mm * hh:mm hh:mm hh:mm am/pm hh:mm am/pm hh:mm am/pm hh:mm am/pm hh:mm DD.MM.YY ** Day DD.MM. DD Month MM/DD/YY MM/DD Month DD DD Month YY/MM/DD hh:mm am/pm DD Month * hh = hours, mm = minutes; e.g. 09:45 (hh:mm) ** DD = day, MM = month, YY = year; e.g. 25.11.09 (DD.MM.
Making settings 88 Menu Setting Available options Default setting Tones Beep tones On or Off On Reminders Beep tones On or Off On Acoustic mode On or Off Off Reminders 10 times – freely selectable daily reminders and/or a one-time reminder after a specified length of time (1, 2 or 3 hrs) None Target range Lower and upper limit value / On or Off None / Off Volume 5 levels Level 3 Brightness 3 levels Level 2 Language 15 different languages English UK
Making settings 4.2 Opening the Settings menu 1 Turn on the meter with , wait for the Main menu, to select Settings, use to open Settings. press The buttons to use for making settings are described in Chapters 1.5 and 1.9. You will find a complete overview of the menus at the end of the Reference Manual.
Making settings The following options are available in the Settings menu: Main menu: takes you to the Main menu Time/Date: set the time and date, select the time format Tones: turn the beep tones, reminders and acoustic mode on or off Reminders: set the reminder times Target range: set the upper and lower limits for the target range Volume: set the volume for the beep tones Brightness: set the brightness for the display Language: select the language used for display texts 90
Making settings 4.3 Setting the time and date, selecting the time format The time and date are already set in the meter. If you want to use reminders or analyse your results with a computer, for example, you should check the time and date and correct them if they deviate from the current time or date. All results are saved together with the time and date. If the time and date are not correctly set, the results cannot be analysed properly as a function of time.
Making settings Setting the time 1 Turn on the meter with , wait for the Main menu, to select Settings, use to open Settings, press to select Time/Date, use to open Time/Date, press to select Time, use to open Time. press The hours are highlighted. If you have chosen one of the 12-hour time formats, am (morning) or pm (afternoon) is also displayed after the time.
Making settings 24-hour time format 12-hour time format 2 Use to set the hour. 3 Press (Continue). The minutes are now highlighted. 4 Use to set the minutes. 5 Press (OK or Continue).
Making settings 24-hour time format 12-hour time format Only for times in 12-hour time format: The suffix am or pm is highlighted. 5a Use to select am or pm. 5b Press (OK ). The meter will then display the time you just set. 6 Press (OK ). The meter returns to the Time/Date menu.
Making settings Setting the date 1 2 3 The sequence in which you set the day, month and year while setting the date depends on the time format you have set. Apart from the sequence, the procedure is the same in all cases.
Making settings The following example describes the procedure for setting the date in the case of sequence 1 . The day is highlighted. 2 Use to set the day. 3 Press (Continue). The month is now highlighted. 4 Use to set the month. 5 Press (Continue). The year is now highlighted. 96 6 Use to set the year. 7 Press (OK).
Making settings or or The meter will then display the date you just set. The date will be displayed according to the time format you have set (see examples on left). 8 Press (OK ). The meter returns to the Time/Date menu. i If the date you have set does not exist (e.g. 31 April), the meter returns to the first setting position when you confirm the last entry with OK (step 7). You must correct the date before the meter will accept it.
Making settings Selecting the time format 1 Turn on the meter with , wait for Main menu, to select Settings, use to open Settings, press to select Time/Date, use to open Time/Date, press to select Time format, use to open Time format. press The currently set time format is highlighted.
Making settings 2 Use to select the desired time format. 3 Press (Select). The meter will then display the time format you just set. 4 Press (OK ). The meter returns to the Time/Date menu.
Making settings 4.
Making settings Reminders: Here you can set whether or not you want reminders to be accompanied by beeps (see Chapter 4.5). If Reminders is turned on (default setting), the beeps will sound. Acoustic mode: If the acoustic mode is turned on (default setting: off), the meter guides you through the blood glucose test with the beeps described above. At the end of the test, the meter also announces the result in the form of a sequence of beeps. The acoustic mode is described in Chapter 6.
Making settings Turning the beep tones, reminders and acoustic mode on and off Beep tones, Reminders and Acoustic mode can only be turned on and off. The procedure is always the same and is therefore only described here for Beep tones. 1 102 , Turn on the meter with wait for Main menu, to select Settings, use to open Settings, press to select Tones, use to open Tones, press to select Beep tones (or another use function).
Making settings A tick means that the function is activated A checkbox 2 Press off. means that it is deactivated (On or Off) to turn the beep tones on or The meter remains in the Tones menu. i If you wish to use the acoustic mode, you must turn both Acoustic mode and Beep tones on.
Making settings 4.5 Setting reminders You can set up to 10 reminder times. If the meter is turned off, “Reminder” and the time of the reminder will be displayed daily at the time you have set. If you have turned on Reminders in the Tones menu, beeps will also sound. You can turn off the reminder and the beeps by pressing any button. If you do not press a button, the meter turns off automatically after 20 seconds. The reminder will not be repeated.
Making settings The following options are available in the Reminders menu: Main menu: takes you to the Main menu Back: takes you to the Settings menu New: set a new time for a daily reminder Edit: edit an existing reminder time (is only displayed if at least one time has been set) In 1 hour: set a one-time reminder in 1 hour In 2 hours: set a one-time reminder in 2 hours In 3 hours: set a one-time reminder in 3 hours Reminders menu when 10 reminders have already been set.
Making settings Setting a new reminder 1 Turn on the meter with , wait for Main menu, to select Settings, use to open Settings, press to select Reminders. use to the left of Reminders means that The checkbox no reminders have been set or that all reminders set have been turned off. A tick means that at least one reminder has been set and is turned on. 2 Press use press to open Reminders, to select New, to open New.
Making settings 24-hour time format 12-hour time format The hours are highlighted. 3 Use to set the hour. The first time you press the button, the time will go to 00:00 (24-hour time format) or 01:00 am (12-hour time format). 4 Press (Continue ). The minutes are now highlighted. 5 Use to set the minutes. 6 Press (OK or Continue ).
Making settings 24-hour time format 12-hour time format Only for times in 12-hour time format: The suffix am or pm is highlighted. 6a Use to select am or pm. 6b Press (OK). The meter will then display the reminder time you just set. The reminder is also turned on. 7 Press (OK). The meter returns to the Edit reminders menu.
Making settings Editing an existing reminder (turn on/off, change, delete) 1 Turn on the meter with , wait for the Main menu, to select Settings, use to open Settings, press to select Reminders, use to open Reminders, press to select Edit, use to open Edit. press A list with the reminders that have already been set appears on the display. indicates that the reminder is turned A checkbox off, a tick that it is turned on. 2 Use to edit.
Making settings You will then see the following options below the time: Turn off, to turn off a reminder that is turned on (the time remains unchanged), or Turn on to turn on a reminder that has been turned off. Change, to change the reminder time. Delete, to delete this reminder. Cancel, if you do not wish to edit this reminder. In the following examples, only times in the 12-hour time format are shown and described.
Making settings Turning a reminder on or off 1 Use to select Turn on (Turn off). 2 Press (Select). The meter will then display the reminder time you just turned on or off. 3 Press (OK). The reminder is now turned on or off. The meter returns to the Edit reminders menu.
Making settings Changing a reminder 1 Use to select Change. 2 Press (Select). 3 Set the new reminder time (see “Setting a new reminder” for how to do this). The meter will then display the reminder time you just changed. 4 Press (OK). The reminder time has now been changed and the reminder is also turned on. The meter returns to the Edit reminders menu.
Making settings Deleting a reminder 1 Use to select Delete. 2 Press (Select). The meter will then display the reminder time you just deleted. 3 Press (OK). The reminder time has now been deleted. The meter returns to the Edit reminders menu or to the Reminders menu if you have deleted the last reminder.
Making settings Cancel – Not editing a reminder If you do not want to edit a selected reminder after all, you can cancel the editing procedure as follows. 1 Use to select Cancel. 2 Press (Select). The meter returns to the Edit reminders menu without changing the reminder.
Making settings Setting a one-time reminder in 1 hour, 2 hours or 3 hours The meter can give you a one-time reminder to perform a test in 1 hour, 2 hours or 3 hours. You do not need to set a time for this. These reminders can be useful if you wish to check a result you just obtained, for example. When the reminder has been given, it is automatically deleted.
Making settings The meter displays that it will give you a reminder in 1 hour (or in 2 or 3 hours). 3 Press (OK). The meter returns to the Edit reminders menu. The one-time reminder will be displayed in the list of reminders in the same way as any other reminder, i.e. the time will be displayed there and not “In 1 hour”, for example.
Making settings Deleting a one-time reminder 1 Turn on the meter with , wait for the Main menu, to select Settings, use to open Settings, press to select Reminders, use to open Reminders, press to select Edit, use to open Edit. press A list with the reminders that have already been set appears on the display. indicates that the reminder is turned A checkbox off, a tick that it is turned on. 2 Use to delete. to select the reminder time you wish 3 Press (Select).
Making settings In the case of a one-time reminder, only the following options are displayed below the time: Delete, to delete this reminder Cancel, if you do not wish to delete this reminder Unlike the daily reminders, you cannot turn one-time reminders on or off or change their time. 4 Use to select Delete. 5 Press (Select). The meter will then display the reminder time you just deleted. 6 Press (OK). The reminder time has now been deleted.
Making settings 4.6 Setting a target range You can enter your personal target range for blood glucose values (default setting: Off). Results above or below this target range will be flagged with the symbol . The target range gives the blood glucose values which should be achieved if the treatment is optimal. Discuss with your doctor what target range you should set. You set the target range by entering the lower and upper limits. The lower limit can be set to between 2.8 and 5.5 mmol/l.
Making settings Setting a target range 1 Turn on the meter with , wait for the Main menu, to select Settings, use to open Settings, press to select Target range, use to open Target range. press indicates that the target range is turned A checkbox on, a tick that it is turned off. If you have not yet set a target range, the meter will take you directly to the display for entering the upper and lower limits. The two limits are indicated by dashes only.
Making settings 2 Use to set the lower limit. The first time you press a button, the default setting of 3.9 mmol/l will be entered. 3 Press (Continue). The default setting of 7.8 mmol/l will be entered for the upper limit. 4 Use to set the upper limit. 5 Press (OK). The meter will then display the target range you just set. It is also turned on. 6 Press (OK). The meter returns to the Settings menu.
Making settings Editing an existing target range (turn on/off, change) 1 Turn on the meter with , wait for the Main menu, to select Settings, use to open Settings, press to select Target range, use to open Target range. press Once you have set a target range, the Target range menu will offer you the following options: Turn off, to turn off the target range (the upper and lower limits you have entered remain unchanged), or Turn on to turn on the target range.
Making settings Turning the target range on or off 1 Use to select Turn off (Turn on). 2 Press (Select). The meter displays that the target range is now turned off (turned on). 3 Press (OK). The meter returns to the Settings menu.
Making settings Changing a target range 1 Use to select Change. 2 Press (Select). 3 Set the new target range (see “Setting a target range” for how to do this). The meter will then display the target range you just changed. 4 Press (OK). The target range has now been changed and is also turned on. The meter returns to the Settings menu.
Making settings Cancel – Not editing the target range If you do not want to change the target range after all, you can cancel the editing procedure as follows: 1 Use to select Cancel. 2 Press (Select). The meter returns to the Settings menu without changing the target range.
Making settings 4.7 Setting the volume You can set the volume for the beep tones to one of 5 different levels. 1 , Turn on the meter with wait for the Main menu, to select Settings, use to open Settings, press to select Volume, use to open Volume. press The more bars are filled in on the display, the louder the volume. The default setting is 3. 2 Use to set the volume. Each time you press the button, a beep sounds in the new volume selected. 3 Press 126 (Select).
Making settings The meter will then display the volume level you just set. 4 Press (OK). The meter returns to the Settings menu.
Making settings 4.8 Setting the brightness You can set the brightness of the texts and symbols appearing on the display to one of 3 different levels. 1 , Turn on the meter with wait for the Main menu, to select Settings, use to open Settings, press to select Brightness, use to open Brightness. press The more bars are filled in on the display, the brighter the display. The default setting is 2. 2 Use to set the desired brightness.
Making settings The meter will then display the brightness level you just set. 4 Press (OK). The meter returns to the Settings menu.
Making settings 4.9 Setting the language You can choose from a total of 15 languages for the texts appearing on the display. You will already have set the language when you turned on the meter for the first time.
Making settings 1 Turn on the meter with , wait for the Main menu, to select Settings, use to open Settings, press to select Language, use to open Language. press The currently set language is highlighted. to select the desired language. 2 Use 3 Press . The meter will then display the language you just selected. 4 Press (OK). The meter returns to the Settings menu.
Making settings Correcting a wrongly set language If you have set the wrong language by mistake, you may not be able to read the menus any more. You can still change the language with the help of the following instructions. 1 Turn on the meter with . 3 Press 3 times. The “Settings” menu is now highlighted. 4 Press 5 Press . 6 times. The “Language” menu (the last item) is now highlighted. 6 Press . The “Language” menu is now open. to select the desired language.
Using the meter a diary 5 Using the meter a diary The meter has a 500-value memory for saving results together with the time and date. You do not need to save the results manually. The meter automatically saves all the results. In addition to the result, the time and the date, your meter also saves all other information that is relevant to the test. This includes all symbols displayed with the result after a test (except the battery symbol) and the flags you added to the results.
Using the meter a diary 5.1 Viewing saved results There are two different ways of viewing all saved results: via the Memory menu using the button button takes you directly to the saved results. The In this case, the options offered in the Memory menu are not available. If you want to use all the options in the Memory menu, you must open it from the Main menu. There are two display formats available for the saved results. Single value and List. The default setting is Single value.
Using the meter a diary The last (most recent) result in the memory is displayed as XX.X or X.X with dashes instead of the time and date: Display format Single value Display format List This display means that the last test did not deliver any result. In this case, an error message was displayed during the last test or you did not apply blood (or control solution) after the prompt Apply blood was displayed.
Using the meter a diary Via the Memory menu Viewing saved results via the Memory menu: , Turn on the meter with wait for the Main menu, to select Memory, use to open Memory, press to select All results, use to open All results. press The last saved result will be displayed, as either Single value or List, depending which display format has been set. The command for the button is OK. The procedure for viewing all saved results is described under “Viewing all saved results”.
Using the meter a diary Via the button (down) Viewing saved results using the button: With the meter off: Press and hold than 2 seconds). until the meter turns on (longer The last saved result will be displayed, as either Single value or List, depending which display format has been set. The command for the button is Off. The procedure for viewing all saved results is described under “Viewing all saved results”. Display format Single value Display format List Leaving the saved results: Press (Off).
Using the meter a diary Viewing all saved results Irrespective of the procedure you use to view the saved button), results (via the Memory menu or using the you go to all saved results in the same way. Single value Viewing older results: 1 Press to go to the next older result. If you then want to return to the more recent results: 2 Press List 138 to go to the next more recent result. If you hold the buttons down, the results will be displayed in rapid succession, first slowly, then more quickly.
Using the meter a diary 5.2 Viewing averages The meter can calculate averages from the saved results. You can choose which results are used for calculation of the averages: The average will be calculated from all results corresponding to your choice.
Using the meter a diary 1 Turn on the meter with , wait for the Main menu, to select Memory, use to open Memory, press to select Averages, use to open Averages.
Using the meter a diary 2 Use to select All results, Before food or After food. 3 Press (Select). to choose the period in which the 4 Use results were obtained: 7, 14 or 30 days. Selecting the time period only determines which average will be displayed first. You can later switch directly from one time period to the others. 5 Press (Select). The selected average is displayed, together with the number of results (called Tests) from which the average was calculated.
Using the meter a diary 6 Press to switch from the 7-day average to the 14-day average and then to the 30-day average. to switch from the 30-day average back 7 Press to the 14-day average and then to the 7-day average. 8 Press (OK). The meter returns to the Averages menu. Averages Before food are marked with the symbol Averages After food are marked with the symbol 142 . .
Using the meter a diary i The meter calculates the average for a time period even if the saved results cover a shorter period. Example: tests were only performed in the last 5 days. In this case, the averages for all three periods (7, 14 and 30 days) are calculated from the results of the last 5 days. i If no average can be calculated, XX is displayed instead of a value and the number of results (Tests) is given as zero.
Using the meter a diary 5.3 Transferring results The meter has an inbuilt IrDA (Infrared Data Association) standard infrared window permitting wireless transfer of the results to a suitably equipped computer, PDA (handheld computer) or to special analysis systems. The infrared window is located in the battery compartment cover of the meter.
Using the meter a diary Depending on the type of analysis you intend to perform, you will require a special software product and/or special hardware products. For further information, please call the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). If you already have a hardware or software product from Roche Diagnostics to enable you to transfer and analyse results, it may not recognize more recent meters, so the results will not be transferred.
Using the meter a diary The following options are available in the Transfer data menu: Main menu: takes you to the Main menu (only if you opened the menu from the Memory menu) Back: takes you to the Memory menu (only if you opened the menu from the Memory menu) For analysis: transfer the results with hardware or software products from Roche Diagnostics Table to PC: transfer the results to a PC in the form of a table 146
Using the meter a diary Starting the transfer using the and buttons With the meter off: and buttons simultaneously Press and hold the until the meter turns on (longer than 2 seconds). After the display check and the number of available tests, the Transfer data menu is displayed.
Using the meter a diary Starting the transfer via the Memory menu Turn on the meter with , wait for Main menu, to select Memory, use to open Memory, press to select Transfer data, use to open Transfer data.
Using the meter a diary Transferring results for further analysis 1 Please read the instructions for use supplied with the software or hardware you are using. These will include instructions on how to transfer data. 2 Make the receiving end (software product or hardware) ready to transfer the results. 3 Position the meter 5–20 cm away from the infrared window of the receiving end. Point the two infrared windows towards one another. 5–20 cm 4 In the Transfer data menu: use For analysis. 5 Press sults.
Using the meter a diary 6 If necessary, start the transfer of the results at the receiving end (software product or hardware). During the transfer, you will be informed of the progress on the display. If you do not want to transfer the results after all, you button (Cancel). can abort the transfer using the The meter returns to the Memory menu (if you came from the Memory menu) or turns off (if you turned on buttons).
Using the meter a diary Transferring results as a table The meter can transfer the results to a computer without any special hardware or software. The only prerequisite is that the computer has an infrared window according to the IrDA standard (Infrared Data Association). The results are transferred as a CSV file. CSV in this case stands for Comma Separated Values as the individual results are separated by semicolons. CSV files can be opened with a text editor or spreadsheet program, for example.
Using the meter a diary CSV file opened in a text editor Serial number;Download Date;Download Time 123456789;10.05.2009;09:18 Date;Time;Result;Unit;Temperature warning;Beyond target range;General;Before food;After food;Control test 10.05.2009;08:21;6.5;mmol/l; ; ; ; ; ; 09.05.2009;18:05;7.1;mmol/l; ; ; ; ; ; 09.05.2009;12:37;7.5;mmol/l; ;X; ; ; ; 09.05.2009;08:16;6.2;mmol/l; ; ; ;X; ; 08.05.2009;18:39;3.
Using the meter a diary 1 Turn on the computer. 2 Position the meter 5–20 cm away from the infrared window of the computer. Point the two infrared windows towards one another. 5–20 cm 3 In the Transfer data menu: Use Table to PC. 4 Press the results. to select (Select) to start transferring the During the transfer, you will be informed of the progress on the display.
Using the meter a diary If you do not want to transfer the results after all, you button (Cancel). can abort the transfer using the The meter returns to the Memory menu (if you came from the Memory menu) or turns off (if you turned on buttons). the meter using the When the transfer of the results is finished, the meter turns off automatically about 2 seconds later.
Using the meter a diary If the transfer is unsuccessful If the results are not transferred, the meter turns off automatically after about 60 seconds. Possible reasons for an unsuccessful transfer are: A transfer error occurred. Start the transfer of the results again. The infrared windows are too far apart or not properly facing each other. Reduce the distance between the two infrared windows to 5–20 cm and position them so they are pointing towards one another. Start the transfer of the results again.
Using the meter a diary 5.4 Setting the display format for viewing saved results There are two different formats available for displaying the saved results (Memory menu – All results) : Single value and List. 156 Display format Single value Display format Single value (default setting): In this format, just one result is displayed on the display. The time and date on which the result was obtained are displayed above the result (in this case 7.2 mmol/l).
Using the meter a diary 1 Turn on the meter with , wait for the Main menu, to select Memory, use to open Memory, press to select Display format, use to open Display format. press 2 Use to select the desired display format. 3 Press (Select). An example of the display format you selected is displayed. 4 Press the (Continue).
Using the meter a diary The meter will then display the display format you just set. or 5 Press (OK). The meter returns to the Memory menu. or 158 If no results have been saved, X will be displayed instead of the result and dashes instead of the time and date.
Acoustic mode 6 Acoustic mode The procedure for turning on the acoustic mode is described in Chapter 4.4. When the acoustic mode is turned on, the meter guides you through the blood glucose test using beeps and announces the result as a series of beeps. The meter beeps additionally when the batteries are almost empty, the test cassette is empty or an error message is displayed. Saved results are not announced acoustically.
Acoustic mode There are two types of beep tones, differing in pitch. Warnings have a higher pitch (Tone 2, represented below as ) than the other beep tones (Tone 1, represented below as ). The following table shows which tone sounds for which event. Tone 1: Turning on Chapter 6.1 Prompt to apply blood Chapter 6.2 Start of test Chapter 6.2 Announcement of the result Chapter 6.3 Tone 2: 160 (warning) Signal that results are about to be announced Chapter 6.
Acoustic mode 6.1 Beep tone when turning on 6.2 Beep tones during a test When the acoustic mode is turned on, you hear a beep ( ) when you turn the meter on. After the power-on beep, you will hear the following while you test This is irrespective of how you turn on the meter: a beep when you can apply blood or control solution, by opening the tip cover to perform a test (see Chapter 3.2) a beep when the test starts, using the On/Off button (see Chapter 2.
Acoustic mode 6.3 Announcement of the result after a test In the acoustic mode, whenever the meter displays a result following a blood glucose test, it also announces the result as a series of beeps. The result is not treated as an entity, but is broken down into individual digits. Example: The result 7.6 mmol/l is announced as 0 – 7 – decimal point – 6. Each digit is represented by the corresponding number ). of beeps, e.g. 4 beeps for the number 4 ( ).
Acoustic mode First the tens are announced, then the units, then the decimal point and finally the tenths. There is a short pause between each group of beeps. The tens are always announced, even when the result is below 10. The tens in this case are represented by 1 long beep, signifying zero. The decimal point is represented by 1 very short beep ( ). 13.8 mmol/l: 1 beep – pause – 3 beeps – pause – 1 very short beep – pause – 8 beeps = 4.
Acoustic mode 6.4 Announcements of warnings and error messages When the batteries will soon be empty or the last test area on the cassette has been used, the meter issues an acoustic warning. This consists of two short beeps ). sounded three times in succession ( The warning is given at different times. Batteries almost empty: The acoustic warning sounds after you have turned the meter on, together with the corresponding message on the display (see Chapter 14).
Checking the meter 7 Checking the meter You can check whether the meter delivers correct results. To perform this control test, a glucose control solution is applied to the test area instead of blood. At the end of the test, the meter automatically checks whether the result obtained with glucose control solution is correct and informs you of the result.
Checking the meter 7.1 Preparing for a control test For a control test you need: the meter with inserted test cassette, an unopened applicator of Accu-Chek Mobile control solution; the solution in each applicator is for one application only. A control test in its main steps is the same as a normal test except that you apply control solution to the test area instead of blood. Please read the package insert provided with the control solutions.
Checking the meter 7.2 Performing a control test Start as for a blood glucose test: Either open the tip cover or select Test in the Main menu. The following description assumes that you start the test by opening the tip cover. 1 Place your finger on the corrugated area on the tip cover and push in the direction of the arrow as far as it will go. After overcoming a slight resistance, the tip cover clicks into place. Be careful not to touch the tape when doing this as this could damage it.
Checking the meter A beep will sound (if Beep tones is turned on) and the display check will be displayed, followed by the number of available tests. 2 Check that there are no irregularities in the checkerboard pattern. Then the meter advances a test area to the tip of the cassette. Shortly after the test area has been advanced to the tip of the cassette, the prompt Apply blood will appear and a beep will sound (if Beep tones is turned on). The prompt also applies to control solution.
Checking the meter 3 Twist the cap off the applicator. Be careful not to squeeze the applicator too hard while doing this so as to not lose any control solution. 4 Hold the applicator at a slight angle with the brush pointing downwards. 5 Squeeze the applicator gently until you see a small drop appear at the end of the brush. 6 Then stop squeezing. The drop will then be drawn back into the brush. The brush is now ready to use.
Checking the meter You can hold the meter in your hand or lay it down while you apply control solution to the test area. Do not hold the meter with the test area pointing upwards. If you hold the meter with the test area pointing upwards, control solution could enter the meter and soil it. 7 Apply the control solution to the centre of the test area at the tip of the cassette using the tip of the brush. As soon as control solution touches the test area it is drawn up.
Checking the meter The test area has then drawn up enough control solution and a beep sounds (if Beep tones is turned on). The hourglass symbol indicates that the test is in progress. Testing is complete after approx. 5 seconds and the result appears on the display. i The meter cannot distinguish between blood and control solution. If you have set a target range and the result obtained with control solution is outside this range, the symbol will be displayed together with the result.
Checking the meter 10 Use to select Control test. 11 Press (Select). The meter then prompts you to enter the color of the applicator label. Entering the correct color is important so that the meter can check whether the result is correct. 12 Use to select the color. 13 Press (Select). The result is then displayed again, this time with the flag Control test (symbol ). 14 Press 172 (Continue).
Checking the meter The meter displays the upper and lower limits of the concentration range. The concentration range displayed depends on the color of control solution selected. 15 Press Values are only examples (Continue). The meter automatically checks whether the result is within the concentration range displayed. If the result is within the concentration range displayed, Control test OK is displayed.
Checking the meter The meter returns to the Main menu. 17 Turn off the meter with or via Turn off. 18 Close the tip cover. 19 Dispose of the applicator in your household waste.
Checking the meter You can also check yourself whether the result is within the right concentration range. To do this, compare the result with the concentration table on the test cassette box. The result must be within the printed concentration range. Make sure you compare the result with the concentration range that corresponds to the control solution you used (1 or 2).
Checking the meter Control test not OK – possible sources of error If Control test not OK Repeat control test is displayed, the result obtained is not within the concentration range displayed. Check the points listed on the next page. If your answer is different from the answer given, make the respective corrections and repeat the test.
Checking the meter Did you perform the control test according to the Reference Manual? yes Did you wait for the application prompt to be displayed before applying control solution? yes Did you apply the control solution immediately after opening the applicator? yes Did you enter the correct color? yes Did you perform the test within the correct temperature range (10–40 °C)? yes Has the expiry date for the control solution been reached (see label on the bottom of the applicator next to the symbol
Tools menu 8 Tools menu The Tools menu on the one hand offers you some extra means of checking the meter. On the other hand, you must also use this menu to prepare for cleaning the meter and changing a test cassette that has not been used up.
Performing a display check 9 Performing a display check If you wish to check whether the display is working properly, you can also do this, in addition to after turning on the meter, via the display check in the Tools menu. In this case, the display check is displayed not only for about 2 seconds, but until you cancel it (but not longer than 1 minute). 1 , Turn on the meter with wait for the Main menu, to select Tools, use to open Tools, press to select Display check, use to open Display check.
Performing a display check 3 Check whether there are any irregularities in the checkerboard pattern. If there are irregularities in the checkerboard pattern, results might not be displayed correctly. In this case, call the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). 4 Press the Display check without irregularities button (Continue). The meter returns to the Tools menu. If you do not press the button, the meter displays the display check for about 1 minute.
Viewing the validity of the test cassette 10 Viewing the validity of the test cassette You can check how long the test cassette in the meter is valid as follows: 1 , Turn on the meter with wait for the Main menu, to select Tools, use to open Tools, press to select Validity, use to open Validity. press The validity is displayed. 2 Press (Continue). The meter returns to the Tools menu.
Cleaning the meter and finger pricker 11 Cleaning the meter and finger pricker 11.1 Cleaning the meter The outside The mode of operation of the meter with the test cassette means that the meter will not normally come into contact with blood or control solution. Regular cleaning is therefore not necessary. In the event of the meter becoming soiled through improper use, cleaning it may become necessary.
Cleaning the meter and finger pricker The inside You only need to clean the inside of the meter if the area around the tip of the cassette is visibly soiled, the error message E-1 with the text “Cassette defective Insert new cassette” is displayed; the error message might be caused by a fault in advancing the test area to the tip of the cassette, To enable you to clean the inside of the meter, you have to open Clean in the Tools menu and then remove the test cassette.
Cleaning the meter and finger pricker 1 Turn on the meter with , wait for the Main menu, to select Tools, use to open Tools, press to select Clean, use to open Clean. press The meter now prompts you to open the tip cover. If you do not want to clean the meter after all, you can abort the preparation using the button (Cancel).
Cleaning the meter and finger pricker 2 Place your finger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go. The meter then prompts you to remove the test cassette. About 2 seconds later, it turns off automatically. 3 Turn the meter over.
Cleaning the meter and finger pricker 4 Push the release button for the cassette compartment cover in the direction of the arrow. The cover springs open. 5 Open the cassette compartment cover all the way. You have to overcome a resistance just before it is fully opened. The cassette compartment cover is fully opened when it is at an angle of slightly more than ninety degrees – as shown in the illustration.
Cleaning the meter and finger pricker 6 Remove the cassette from the cassette compartment. 7 Check whether you can see any fluff, crumbs or the like inside the tip of the cassette. 8 If so, remove these carefully.
Cleaning the meter and finger pricker If the measuring optics are visibly soiled, clean the inside of the meter as follows: 9 Carefully wipe the measuring optics and the front opening of the meter with a lightly moistened cloth or cotton swab. 10 Carefully wipe the sensors on the inside wall of the meter with a lightly moistened cloth or cotton swab. Make sure that no liquid enters the meter. Avoid scratching the measuring optics and the sensors.
Cleaning the meter and finger pricker 11 Leave the cassette compartment cover open and close the tip cover. 12 Carefully wipe the inside of the tip cover with a lightly moistened cloth or cotton swab. 13 Remove any fluff or lint that may remain. 14 Allow the meter time to dry thoroughly.
Cleaning the meter and finger pricker 15 Open the tip cover again. The meter now turns on and displays error message E-2. The error message at this point is not relevant since you had to remove the cassette to clean the meter. You can ignore the message. The meter turns off again automatically. Simply continue with step 16. 16 Insert the cassette in the meter again with the silver side facing upwards.
Cleaning the meter and finger pricker 17 Close the cassette compartment cover and press it closed. You must hear an audible CLICK. CLICK 18 Close the tip cover.
Cleaning the meter and finger pricker 11.2 Cleaning the finger pricker To ensure proper functioning of your finger pricker, you should clean it regularly and if there is any blood on it. If you want to clean the finger pricker, first detach it from the meter (see Chapter “Undocking and docking the finger pricker”). Clean the outside of the finger pricker only. Wipe it once a week with a cloth moistened with 70 % ethanol or 70 % isopropanol (available from your pharmacy).
Replacing the test cassette 12 Replacing the test cassette If you want to replace an empty test cassette or an expired test cassette, please continue reading in Chapter 12.2. If you want to remove a partly used test cassette which still has unused test areas, you must first perform the preliminary steps described in Chapter 12.1. You can reinsert a partly used cassette into the meter at a later date. In the mean time, store this cassette in a dry place protected from light.
Replacing the test cassette 12.1 Preparing cassette replacement Turn on the meter with , wait for the Main menu, to select Tools, use to open Tools, press to select Change cass., use to open Change cass. press The meter now prompts you to open the tip cover. If you do not want to change the cassette after all, you can abort the preparation using the button (Cancel).
Replacing the test cassette 12.2 Replacing the cassette 1 Place your finger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go. If you have prepared for the cassette replacement via Change cass. the meter prompts you to replace the test cassette. Shortly after this, it turns off automatically.
Replacing the test cassette 2 Turn the meter over. 3 Push the release button for the cassette compartment cover in the direction of the arrow. The cover springs open.
Replacing the test cassette 4 Open the cassette compartment cover all the way. You have to overcome a resistance just before it is fully opened. The cassette compartment cover is fully opened when it is at an angle of slightly more than ninety degrees – as shown in the illustration. 5 Remove the cassette from the cassette compartment. Used test cassettes can be disposed of in household waste.
Replacing the test cassette 6 Remove a new cassette from the packaging. 7 Insert the cassette in the meter with the silver side facing upwards.
Replacing the test cassette 8 Close the cassette compartment cover and press it closed. You must hear an audible CLICK. CLICK When you have closed the cassette compartment cover, the meter turns on again and runs the display check. 9 Press the button (Continue).
Replacing the test cassette The validity of the cassette is displayed. 10 Press the button (Continue). The meter displays the number of available tests and then opens the Main menu. 11 Close the tip cover. If the test cassette you removed still has unused tests and has not yet expired, you can reinsert the cassette into the meter at a later date. The meter recognizes the cassette, the number of available tests and the validity.
Viewing the number of available tests 13 Viewing the number of available tests You can view the number of tests still available on the inserted cassette by one press of a button. With the meter off: button until the meter turns on Press and hold the (longer than 2 seconds). The number of tests available on the cassette will be displayed. The meter turns off again automatically a short time later.
Changing the batteries 14 Changing the batteries This message appears when the batteries are almost empty. It appears every time you turn the meter off if you have not yet changed the batteries. The first time the message appears, you can still perform about 50 tests. However, we recommend that you replace the batteries as soon as possible. By then the batteries will have been heavily drained and changeable conditions (e.g. cold outside temperatures) can affect their performance even further.
Changing the batteries Results and settings remain saved in the meter while you change the batteries or if you store the meter without batteries. The meter has an inbuilt back-up battery. This provides the power when there are no batteries in inserted. The back-up battery lasts about 5 years. It cannot be replaced if it is empty. An empty back-up battery has no influence on the functioning of the meter. If the back-up battery is empty, you still have 10 minutes to change the batteries.
Changing the batteries 1 Push the battery compartment cover in the direction of the arrow as far as it will go to unlock it. You will have to overcome a slight resistance. The cover is properly unlocked when it slides over this resistance with a CLICK. 2 Raise the battery compartment cover as illustrated.
Changing the batteries 3 Turn the meter so that the battery compartment faces downwards. The batteries fall out. 4 Insert two new batteries in the battery compartment. Pay attention to the symbols and in the battery compartment. The corresponding end of the battery must be facing upwards.
Changing the batteries 5 Close the battery compartment cover again. 6 Push the battery compartment cover in the direction of the arrow as far as it will go to lock it. It locks into place with a CLICK.
Testing and storage conditions 15 Testing and storage conditions So that the meter and finger pricker work reliably and you obtain accurate results, make sure that the conditions listed on the following pages are met. 15.1 Temperature Without batteries and without a test cassette, the meter should be stored at between -25 and +70 °C. For blood glucose tests and control tests, the permitted temperature range is between +10 and +40 °C.
Testing and storage conditions Tests cannot be performed at temperatures below +8 and above +42 °C. In this event, the following error message appears: Do not store the finger pricker in a primed state and do not store it for any length of time in a place where the temperature is very low or high, e.g. in a hot car. This can cause parts of the finger pricker to become warped, so impairing its operation. 15.2 Humidity Only perform blood glucose tests at a relative humidity between 15 and 85 %.
Testing and storage conditions 15.3 Light conditions Displayed text, numbers and symbols appear yellow. Bright light shining on the display may make them difficult to read. Shield the meter if necessary, with your body, for example. Keep the meter away from very strong light sources (e.g. direct sunlight, spot lights). These may interfere with the proper functioning of the meter and lead to error messages. 15.
Symbols, messages, problems and error messages 16 Symbols, messages, problems and error messages 16.1 Symbols The meter presents most of the information as text. In addition, results are displayed – both after a test and in the memory – together with further information in the form of symbols. The batteries are almost empty. This is the result of a control test. The temperature during the test was outside the permitted range of +10 to +40 °C.
Symbols, messages, problems and error messages 16.2 Messages Cassette empty: This message appears if you start a test and all test areas in the cassette have been used. Insert a new test cassette in the meter. Validity of the cassette: This message appears at the start of a test if the test cassette is only valid for 10 more days. The message is repeated when the cassette is only valid for 5, 2 and 1 more day(s). Press the button (Continue) to start a test.
Symbols, messages, problems and error messages Batteries almost empty: This message appears when the batteries are almost empty. It appears every time you turn the meter off if you have not yet changed the batteries. The first time the message appears, you can still perform about 50 tests. Change the batteries as soon as possible.
Symbols, messages, problems and error messages Tip cover open: This message appears if you are in the process of changing a setting (e.g. the date) or entering a new setting (e.g. a reminder) and open the tip cover. Close the tip cover again if you wish to continue with the setting. or to select whether you wish to Continue Use with settings or Test. Continue with settings: in this case, the meter prompts you to close the tip cover.
Symbols, messages, problems and error messages Tip cover closed: This message appears if you close the tip cover after the meter has advanced a test area. Open the tip cover again if you wish to continue with the test. or Use to select Do not test or Test. Do not test: in this case, the meter returns to the Main menu. You can no longer use the test area, because the meter will advance the tape again. This reduces the number of available tests.
Symbols, messages, problems and error messages Temperature too low / too high: This message appears at the start of a test if the ambient temperature or the temperature of the meter is between +8 and +10 °C or between +40 and +42 °C. Use , to select whether you wish to Test or Quit. Test: in this case, the meter advances a test area. Quit: in this case, the meter returns to the Main menu. Close the tip cover.
Symbols, messages, problems and error messages Reminder: If you have set reminders, this message appears at the set time. If you have also turned on Reminders in the Settings/Tones menu, beeps will also sound. To turn off the reminder: Press any button.
Symbols, messages, problems and error messages 16.3 Problems The meter will not turn on. The batteries are empty or none are inserted. Insert new batteries. You have inserted the batteries the wrong way round. Remove the batteries and reinsert them as shown in the battery compartment. Condensation has affected the electronics. Allow the meter time to dry slowly. The meter is defective. Please call the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland).
Symbols, messages, problems and error messages The meter only displays dashes instead of the time and date. The meter is turned on, but the display remains blank. The meter has forgotten the time and date. The display is defective. You have changed the batteries or stored the meter without batteries and the built-in back-up battery is empty. The back-up battery normally ensures that the meter remembers the time and date even if no batteries are inserted.
Symbols, messages, problems and error messages 16.4 Error messages E-1 The following pages describe all error messages together with the cause and how they can be remedied. If an error message is displayed, turn the meter off: until the bar in Press and hold the On/Off button the display is filled (at least 2 seconds). If error messages occur frequently, please call the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland).
Symbols, messages, problems and error messages E-2 E-3 There is no test cassette in the meter. A meter error occurred. If the error message reappears after turning on the meter: Insert a new test cassette. The RFID sensor in the meter is defective. Please call the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). The RFID chip on the cassette is damaged or missing. The cassette cannot be used. Insert a new test cassette.
Symbols, messages, problems and error messages E-4 Fluff, crumbs or the like are inside the tip of the cassette. Remove these. To do this, follow the instructions in Chapter 11.1. i You can go directly from here to the Clean menu without having to turn the meter off button first. To do this, press the (Continue). The cassette is not properly inserted into the meter. The test area has drawn up too little blood or control solution. Repeat the test with a larger amount of blood or control solution.
Symbols, messages, problems and error messages E-6 During the test, bright light, e.g. sunlight, fell on the meter and has interfered with the test. Move into the shade or shield the meter with your body, for example. Repeat the test. 222 You applied blood or control solution to the test area too soon, i.e. before the prompt Apply blood was displayed. Repeat the test. Do not apply blood or control solution to the test area until the prompt Apply blood is displayed.
Symbols, messages, problems and error messages E-7 E-8 A meter error occurred. If the error message reappears after turning on the meter: The ambient temperature or the temperature of the meter is too low (under +8 °C) or too high (above +42 °C) for a test. Please call the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). Move to a place where the temperature is between +10 and +40 °C and wait for the temperature of the meter to adjust to this temperature.
Symbols, messages, problems and error messages E-9 If the batteries are so low that no more tests can be performed, this message will appear for 3 seconds. Then the meter turns off. Insert two new batteries.
Disposing of the meter 17 Disposing of the meter During blood glucose testing, the meter may come into contact with blood. Used meters therefore carry a risk of infection. Please dispose of your used meter, after removing the batteries, according to the regulations applicable in your country. Also remove the back-up battery (see next page). i Please dispose of the batteries in an environmentally friendly way at an appropriate collection depot.
Disposing of the meter Removing the back-up battery Apart from the two batteries in the battery compartment, there is also a third battery in the side of the battery compartment, the back-up battery. You must also remove this battery before disposing of the meter. Remove the back-up battery as follows: 1 Use a small screwdriver or similar implement to break out the partition wall in front of the battery. The battery then drops into the battery compartment.
Technical data 18 Technical data Meter type Accu-Chek Mobile Catalogue No./ Serial No. See type plate on the back of the meter Test principle Determination of glucose in fresh capillary blood by reflectance photometry. When using different specimen material, please refer to the package insert that came with the Accu-Chek Mobile test cassette. Although you always apply whole blood to the test area, the blood glucose results displayed by your meter correspond to those in plasma.
Technical data Temperature during testing +10 to +40 °C during storage Meter without batteries and without test cassette: -25 to +70 °C ” with batteries and without test cassette: -10 to +50 °C ” with batteries and with test cassette: +2 to +30 °C 228 Humidity during testing during storage 15 to 85 % relative humidity 15 to 93 % relative humidity Altitude Sea level to 4000 m Memory 500 results with time and date, averages for 7, 14 and 30 days Dimensions 123 × 66 × 28 mm with finger pricker Weigh
Technical data Electromagnetic compatibility This instrument meets the electromagnetic immunity requirements according to EN ISO 15197 Annex A. The chosen basis for the immunity tests (on electrostatic discharge) was basic standard IEC 61000-4-2. In addition, the instrument meets the electromagnetic emissions requirements according to EN 61326. Its electromagnetic emission is thus low. Interference with other electrically powered equipment is not to be anticipated.
System components 19 System components The following components belong to the Accu-Chek Mobile meter: The following components belong to the Accu-Chek FastClix Mobile finger pricker: Accu-Chek Mobile test cassettes Use only these test cassettes when you test with the Accu-Chek Mobile meter. Accu-Chek FastClix lancet drums Use only these lancet drums when you obtain blood with the Accu-Chek FastClix Mobile finger pricker.
Patents 20 Patents Accu-Chek Mobile meter Accu-Chek FastClix Mobile finger pricker US 5,889,585; US 6,055,060; US 6,379,317 EP 1 263 320; US 6,379,317; US 6,419,661; US 7,077,828; US 7,223,276; US 7,273,484; US 7,322,998; US Re.
Accu-Chek Customer Careline 21 Accu-Chek Customer Careline 21.1 Advice and troubleshooting 21.2 Address If you need advice on how to operate the Accu-Chek Mobile meter or the Accu-Chek FastClix Mobile finger pricker, if you seem to be obtaining implausible results, or if you suspect that the meter, test cassette, finger pricker or lancet drum might be defective, please contact your Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland).
Alphabetical index 22 Alphabetical index A acoustic mode 100, 101, 159 turning on, turning off 102 Accu-Chek Customer Careline 232 After food (flag) 78, 80 alternate sites 55 apple (symbol) 78, 142, 211 apple, bitten into (symbol) 78, 142, 211 AST cap 55 asterisk (symbol) 78, 211 available tests 31, 32 viewing 201 averages 139 B battery changing 202 disposing 203, 226 life 202, 228 removing the protective strip 48 symbol 77, 211 type 202, 228 battery compartment 14, 205 beep tones 100 announcement of resu
Alphabetical index C checking, meter 165 cleaning finger pricker 192 meter 182 concentration table 41, 175 control solution 165 disposing 174 validity 177 control test 83, 165 flag 78 flagging 83, 171 performing 167 sources of error 176 CSV file 151 D data transfer 144 date, setting 95 display 15, 228 brightness, setting 128 symbols on the ~ 211 234 display check 30 performing 179 display format, saved results 134 setting 156 disposal batteries 203, 226 meter 225 test cassette 197 E electromagnetic compa
Alphabetical index finger pricker cleaning 192 components 17 docking 63 obtaining blood with the ~ 70 priming 71 undocking 62 G general (flag) 78, 80 H HI (display) 77, 84, 211 hourglass (symbol) 74 humidity 208, 229 I infrared window 15, 144 intended use finger pricker 3 meter 3 L lancet drum 17, 57 changing 61 disposing 61 inserting 57 lancet, loading a new 60 light conditions 209 LO (display) 77, 84, 211 M measuring conditions 207 measuring range 84, 228 measuring time 74, 228 memory 133 display format
Alphabetical index meter checking 165 cleaning 182 disposing 226 overview 14 storing 207 turning off 32 after a test 75, 76 turning on 30 opening the memory 134 performing a test 65, 68 transferring results 144 multifunction button, finger pricker 17, 71, 72 N number of available lancets 17, 60 number of available tests 31, 201 O on/off button 15, 26 one-time reminder 115 overview finger pricker components 17 menus 241 236 meter components 14 symbols 211 P patents 232 penetration depth indicator 17, 59 s
Alphabetical index result averages 139 flagging 78 transferring 144 viewing in memory 134 S settings acoustic mode 100 beep tones 100 brightness 128 date 95 default settings 87 language 130 menu 90 overview 87 reminders 104 beep tones for ~ 100 target range 119 time 92 time format 98 tones 100 volume 126 sources of error blood glucose test 85 control test 176 transferring results 155 sources of interference electromagnetic 209 light 209 storage conditions 207 symbols 211 during testing 77 system component
Alphabetical index test performing 64 sources of error 85 test area 15 test cassette 16 changing 193 disposing 197 expiry date 46 inserting first ~ 41 use-by period 46 validity 46, 181, 212 test principle 228 tests (test areas) 20 display of available ~ 31, 32, 201 thermometer (symbol) 77, 211, 216 time format, selecting 98 time, setting 92 tip cover 15, 65, 69 tones, setting 100 Tools menu 178 238 transferring results 144 as table (CSV file) 151 for analysis 149 sources of error 155 turning off, meter 3
Alphabetical index 239
Menu overview 23 Menu overview Main menu Test Turn off Memory Settings Result Set flag All results Control test Color General On Before food On After food On Reminder Reminders Time/Date Averages Time Off All results Off Before food 14 days Off After food 30 days Transfer data For analysis Table to PC Display format Single value List Select with Open or set with 240 7 days Date Time format
Menu overview Tones Reminders Target range Beep tones New Turn on Reminders Edit Change Acoustic mode In 1 hour Turn on Turn off In 2 hours Change In 3 hours Delete Volume Turn off Brightness Cancel Language Cancel Main menu Tools Display check Validity Clean Change cass.
