ACCU-CHEK ® Voicemate Plus SYSTEM OF VOICE OUTPUT DEVICE User’s Manual Accu-Chek Voicemate Plus voice unit in combination with Accu-Chek Compact Plus meter AC_Voicemate_Manual_EN-CAN.indd 1 Farbe: P 281 – Prüfmittelnummer: 205 1.5.
On the packaging, on the type plate of the meter and on the voice unit you may encounter the symbols shown below. They have the following meanings: Please consult instructions for use Caution (refer to accompanying documents). Please refer to safety-related notes in the User’s Manual accompanying this instrument For single use only Store at Use by/ Expiry dates Sterilized through irradiation Manufacturer Catalogue number Lot number Tested by Underwriter’s Laboratories, Inc.
About this User’s Manual Please study this User’s Manual carefully and fully before using the voice unit and meter for the first time. We also recommend that you try out the main functions of the system (consisting of voice unit and blood glucose meter), while listening to the enclosed Quick Reference Guide (which has been spoken onto CD).
This User’s Manual features three symbols that draw your attention to important information. Please read these points with special care. This symbol indicates a possible risk of injury or of damage to your health or to the health of others. This symbol draws your attention to actions that could result in damage to the meter, to the lancing device or to the voice unit. i This symbol draws your attention to other important information.
Area of application for the meter and lancing device Meter for quantitative determination of blood glucose values from capillary blood using Accu-Chek Compact test strips. Suitable for self-testing. The combination of the Accu-Chek Compact Plus meter plus the Accu-Chek Voicemate Plus voice unit is intended for patient self-testing only. The Accu-Chek Softclix Plus lancing device is intended for patient self-testing.
Area of application for the voice unit The voice unit is designed for persons with diabetes who, through vision loss, are no longer able to read results from their blood glucose meter. The blood glucose tests themselves are performed using the Accu-Chek Compact Plus blood glucose meter. The voice unit communicates with the meter during testing, guides you through the blood glucose test with spoken instructions, and reads the test results aloud.
The voice unit’s diary function (personalized data management) may only be used by one person. If other people’s results are downloaded without being specially identified as such, confusion may occur. i The passages describing the appearance of, and symbols shown by, the meter’s display are intended for sighted persons. i We recommend that you first get to know and practice using the blood glucose meter before moving on to the voice unit and use of the system as a whole.
Contents Part 1: Introduction 1 Overview ........................................................................................................................................................................ 18 1.1 Accu-Chek Voicemate Plus voice unit .................................................................................................................... 18 1.2 Accu-Chek Compact Plus meter........................................................................................................
7 Testing blood glucose with support from the voice unit ............................................................................................. 41 7.1 Preparing the lancing device .................................................................................................................................. 43 7.1.1 Undocking the lancing device from the meter ........................................................................................... 44 7.1.
Part 3: More functions of the voice unit and user guidance 10 Structure of the contents (menu structure) ................................................................................................................. 72 11 User guidance ............................................................................................................................................................... 77 12 Description of the menus.................................................................................
12.3.5 Calculate averages (2-3) ......................................................................................................................... 106 12.3.5.1 7-day average (2-3-1) ............................................................................................................ 106 12.3.5.2 14-day average (2-3-2) .......................................................................................................... 106 12.3.5.3 30-day average (2-3-3) ...................................
.6 Request error messages (5) ................................................................................................................................ 121 12.6.1 Request error messages from the meter (5-1)......................................................................................... 121 12.6.2 Request error messages from the voice unit (5-2) ................................................................................... 122 12.6.3 Download error messages stored in the meter (5-3) ..
Part 5: For sighted persons: Using the meter and cleaning the devices 15 Performing a full display check.................................................................................................................................. 150 16 Meter set-up ................................................................................................................................................................ 152 16.1 Turning the beep tone on/off ........................................................
19 Acoustic Mode............................................................................................................................................................. 187 19.1 Announcement of the results as beeps ................................................................................................................ 188 19.2 Announcement of results and average values from memory ................................................................................ 189 19.
Part 6: Appendix 24 Measurement and storage conditions ....................................................................................................................... 232 24.1 Blood glucose meter and lancing device .............................................................................................................. 232 24.1.1 Temperature range ................................................................................................................................. 232 24.1.
AC_Voicemate_Manual_EN-CAN.indd 16 Farbe: P 281 – Prüfmittelnummer: 205 1.5.
Part 1 Introduction AC_Voicemate_Manual_EN-CAN.indd 17 1.5.
1 1 Overview 1.1 Accu-Chek Voicemate Plus voice unit Front j a i b h g a Speaker b Repeat button Press this button if you would like to hear the last spoken text again. The button has a raised arrow. Also press this button to stop the test reminder alarm. 18 AC_Voicemate_Manual_EN-CAN.indd 18 펂 c d e f c Cursor pad with navigation buttons You use the navigation buttons to navigate through diary entries.
d Numeric keypad You use the keypad to go to menus, make entries in the diary and enter other data such as the time and date. The 5 button has a raised dot. h On/Off button To turn the voice unit on, press and hold the On/Off button for at least 2 seconds. To turn it off, press the button briefly. e Infrared window The infrared window is used to send results from the meter or the diary to a computer. i Help button Press this button if you would like to hear the Help text relating to the last spoken text.
1 Back k l m n o k Battery compartment cover l Battery compartment Batteries: type AAA, LR 03, AM 4, Micro o Earpiece socket m Type plate 20 AC_Voicemate_Manual_EN-CAN.indd 20 n USB port You can send the diary file to a computer via the USB port. Introduction Farbe: P 281 – Prüfmittelnummer: 205 1.5.
1.2 Accu-Chek Compact Plus meter Front 1 k j a i a Display b S button Press this button to change settings. h b Lower edge of the test strip – there it drawns up the blood c c Recess for docking the lancing device d g e d Test button Use this button only if you f want to test your blood glucose. Pull the button downwards towards the drum compartment cover. The button tips downwards and the meter turns on. This pull-tip mechanism stops the meter turning on inadvertently.
1 Back s l r q m n o p l Battery compartment cover* q Lancing device* m Infrared window r Control window (shows the number of strips remaining) n Batteries: type AAA, LR 03, AM 4, Micro s Slide button for undocking the lancing device o Battery compartment p Type plate * available as replacement part 22 AC_Voicemate_Manual_EN-CAN.indd 22 Introduction Farbe: P 281 – Prüfmittelnummer: 205 1.5.
1.3 Accu-Chek Softclix Plus lancing device 1 t C B A z u v w x y t Plunger The plunger is a multifunction button used to prime, trigger and eject the lancet. u Cut-away showing the penetration depth setting v Lancet holder w Lancet y Cap z Pin-hole opening for lancet A Twist cap (for depth selection) B Locating notch C Locating line x Protective cap on lancet Introduction AC_Voicemate_Manual_EN-CAN.indd 23 23 1.5.
1 2 Main features 2.1 Accu-Chek Voicemate Plus voice unit Voice output The Accu-Chek Voicemate Plus voice unit is a speech output device that uses spoken instructions to guide you through blood glucose testing with the Accu-Chek Compact Plus meter, and announces the result aloud together with the date and time. Following appropriate instruction and practice, it helps persons with vision loss with diabetes to test their blood glucose.
Alarm clock function 1 The voice unit can remind you at certain times to test blood glucose. You may enter up to six different alarm times. Hypo indicator function In the voice unit you can activate a warning that you may be heading toward hypoglycemia. If a result is unusually low, the voice unit makes you aware of this. It prompts you to check your result carefully to see if you are becoming hypoglycemic.
1 Docked lancing device The meter comes with an attached Accu-Chek Softclix Plus lancing device. You can leave it docked onto the meter to obtain blood or, if you prefer, you can undock it. Test strip drum instead of individual test strips You never need to touch a test strip. Simply insert a drum with 17 test strips into the meter. Easy to operate Turn the meter on, apply blood, read the result and press the button to eject the test strip. Automatic coding Every test strip drum has its own bar code.
Alarm clock function The meter can remind you to test your blood glucose. You can set an acoustic signal to remind you at up to three different times. If you are using the meter together with the voice unit, the voice unit can take over this function. In the voice unit you can set up to six additional alarm times. Altogether, therefore, you can set up to nine different alarm times. 1 Hypo indicator function You can turn on a visual as well as an acoustic signal to warn you if your result is unusually low.
1 3 Checking the contents Check that all the contents of the pack are present and the packaging is undamaged. The pack contents are listed on the box. If anything is missing or damaged, please contact your local customer support and service centre. Their address is in Chapter 30 at the end of this User’s Manual. 4 Checking the blood glucose unit Blood glucose results can be displayed in two different units of measurement (mmol/L or mg/dL).
Part 2 For persons with vision loss – testing blood glucose This part of the User‘s Manual contains the individual steps and other information you will need to test blood glucose if you have vision loss. This part of the User‘s Manual is also provided as an Audio-CD (“Quick Reference Guide”). You can listen to it at any time to assist you as you test your blood glucose. Part 5 of the User‘s Manual describes use of the meter by a sighted person.
5 Turning the voice unit on for the first time (initial set-up) You must seek help from a sighted person before turning the device on for the first time. 2 When you turn the voice unit on for the first time, you must choose the language in which the voice unit is to speak or confirm the current language setting. The voice unit then turns off. To perform a blood glucose test you must turn the voice unit on again.
If you wish the voice unit to speak another language: Enter the number assigned to that language and press OK to confirm. From that moment on the voice unit speaks the language you have chosen. After you have selected the language, the voice unit asks you whether you wish to hear an explanation of the voice unit and the keypad. If you answer “no” to this prompt, the voice unit turns off. If you answer “yes”, the voice unit describes the keypad to you and then turns off. 2 Initial set-up is now complete.
Case 2: The voice unit does not speak the correct language and does not ask you to set the language. Enter the numerical sequence 0 – 4 – 2 – 3. This takes you to menu 4.2.3 “Choose language”. Wait until you hear the announcement in the language you wish it to speak. Enter the number you are told for that language and press OK to confirm. From then on the voice unit speaks the language you have selected. 2 Turn the voice unit off again. 32 AC_Voicemate_Manual_EN-CAN.
6 Inserting or replacing the test strip drum Read the package insert that came with the test strip drums. If the meter is on, use the Test button to turn it off. Wait for the motor to stop before opening the meter. Only open the meter when it is turned off and the motor is not running. Opening the drum compartment when the meter is on may result in damage to the meter. 2 Open the drum compartment cover by lifting where it projects slightly to the right of the test strip guide.
Whether a test strip drum is inserted or not: Press the red drum release button. The pin holding the test strip drum in position retracts with an audible CLICK. 2 If there is a test strip drum in the meter: Tip the meter forwards. The test strip drum drops out. i You may dispose of used test strip drums with your regular household waste. 34 AC_Voicemate_Manual_EN-CAN.indd 34 For persons with vision loss – testing blood glucose Farbe: P 281 – Prüfmittelnummer: 205 1.5.
Insert a new test strip drum. Always make sure that the bar codes are inserted on top. 2 Close the drum compartment cover and push it shut. There will be an audible CLICK. i Ensure that the drum compartment cover is tightly closed. If it is not properly closed, you cannot turn the meter on by pressing the Test button. The meter turns on and rotates the drum until the first test strip is in the correct position.
A dot appears in the small control window on the back of the meter. This indicates that you have just inserted a test strip drum. When you perform a blood glucose test, the meter counts the number of test strips that you have used and displays the number of strips remaining. 2 When all the strips in a drum have been used, the dot re-appears in the small control window. Use only test strips that are within the expiration date. Expired test strips can produce incorrect results.
If you do not insert a new drum, the following message appears the next time you turn on the meter: End and the drum symbol are flashing to indicate that the test strip drum is empty. The voice unit issues a message drawing your attention to the fact. Use only new test strips whose aluminium foil (the “silver ends”) is intact. Otherwise you run the risk of obtaining incorrect results. Incorrect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects.
i Use only Accu-Chek Compact test strip drums. Other test strips cannot be used to perform tests. If you insert a different test strip drum, the following message will be displayed: The voice unit informs you as soon as the two devices are back in infrared contact. 2 Only open the drum compartment when you intend to insert a new test strip drum or the meter instructs you to clean the measuring window (see Chapter 22.1).
The voice unit issues a message, “Expiration date exceeded”, drawing your attention to the fact. The message is announced following a test together with the result by the voice unit. The test strips in this drum cannot be used. You must not use these test strips, as they may produce incorrect results. Incorrect results can cause the wrong therapeutic decision to be taken and produce serious adverse health effects. Insert a new test strip drum.
The voice unit issues a message, “Drum partly used, perform quality control”, drawing your attention to the fact. The message is announced following a test, together with the test result. Perform a quality control check (see Chapter 20). 2 If the test produces a correct result, you may continue to use the test strips. If the result is incorrect, you need to insert a new drum. Following the quality control check, the bottle symbol disappears from the display.
7 Testing blood glucose with support from the voice unit There follows a description of all of the actions needed to perform a blood glucose test. The test described here is performed in combination with the voice unit. For details of testing WITHOUT support from the voice unit, see Chapter 17. i The voice unit and meter can only communicate with one another when Acoustic Mode is turned on in the meter. In a meter packaged together with the voice unit, Acoustic Mode is already pre-set.
The voice unit is set up so that, except for the very first time you turn it on, it is ready to test blood glucose directly after you turn it on. If you do not wish to perform a blood glucose test, press 0 to go to the main menu. From there you can select all other functions via the submenus (see Chapter 12.1). 2 i Basically, you can use two help features the voice unit provides: With the “Repeat” button (see illustration in Chapter 1.
7.1 Preparing the lancing device The Accu-Chek Softclix Plus lancing device allows virtually pain-free collection of blood from a fingertip or earlobe. You can choose one of 11 different penetration depth settings to suit your own skin type. You can use the lancing device either attached to the meter, or separately. The lancing device has a plunger at the top (see diagram on page 23), which has three functions. priming the lancet triggering the lancet to collect blood ejecting the used lancet.
7.1.1 Undocking the lancing device from the meter Push the release button in the direction indicated by the arrow (1) and hold it there. 햲 Withdraw the lancing device in the direction indicated by the arrow (2). 2 햳 7.1.2 Docking the lancing device onto the meter Hold the meter so it is horizontal, with the recess for docking the lancing device pointing upwards. Place the flat surface of the lancing device on the lower end of the recess, with the plunger facing towards the release button.
7.1.3 Inserting the lancet Remove the twist cap from the lancing device. 2 Slide a new lancet into the lancet holder, and push it in until you hear it CLICK into place. For persons with vision loss – testing blood glucose AC_Voicemate_Manual_EN-CAN.indd 45 45 1.5.
Remove the protective cap from the lancet with a twisting motion. 2 1 2 Press the lancing device cap back on the lancing device. The locating notch in the cap (1) must be directly aligned with the locating line on the lancing device (2). The cap snaps into place with an audible CLICK. Dropping the lancing device with a lancet inserted may loosen the lancet in its holder. In that case the lancet is no longer properly seated and cannot be used to obtain blood.
i 7.1.4 For blood collection, the lancing device cap must be on the lancing device. Without the cap, the lancing device can be neither primed nor triggered. Instead, the lancet is ejected when you press the plunger. Setting the penetration depth The best place for obtaining capillary blood is from a fingertip or an earlobe. We recommend using the side of the fingertip, as this causes the least amount of pain. 2 To avoid infection, use a new lancet each time you take blood.
7.2 Turning the voice unit on Turn the voice unit on by pressing the On/Off button and holding it down for at least 2 seconds. Then follow the instructions issued by the voice unit. 2 The voice unit instructs you to line up the two infrared windows and then to turn the meter on. i 7.3 If you cannot hear the voice unit’s announcement, turn the speaker volume up or use an earpiece. Lining up the infrared windows Lay the voice unit and meter down so they form an “L” shape (see illustration).
7.4 Turning the meter on Keeping the devices in this position, turn the meter on using the Test Button. The meter beeps. When the voice unit and meter are in contact with one another, the voice unit announces “Meter detected”. i 2 If no contact has been established, the voice unit waits a while and then announces the fact (for further information, see Chapter 14). Shortly after the “Meter detected” announcement the test strip is automatically advanced and the meter beeps a second time.
7.5 Testing blood glucose 7.5.1 Obtaining blood The best place for obtaining capillary blood is from a fingertip or an earlobe. We recommend using the side of the fingertip, as this causes the least amount of pain. 2 Wash your hands with warm water and soap, and dry well. This helps ensure proper hygiene and stimulates blood flow. To obtain blood you first need to prime the lancing device. Assuming you wish to obtain blood with the lancing device docked onto the meter, pick up the meter.
Gently but firmly press the front end of the lancing device against the chosen puncture site. You will feel the slightly raised ring against your skin. This is the pin-hole through which the tip of the lancet emerges. Press in the plunger until it CLICKS. This triggers the lancet, which penetrates the skin. 2 Using gentle pressure, massage the finger towards the fingertip to encourage a drop of blood to form.
i The black notch is on the top of the test strip. This side must come into contact with the blood so that the test strip can draw up the blood. 2 Always hold the meter so the test strip is pointing downwards when you are applying blood to the test strip. If you hold it so the test strip is pointing upwards or sideways or you put the meter down on a surface with the test strip still in it, blood can enter the meter and contaminate it.
After the beep, move your finger away from the test strip. Lay the meter down again within 60 seconds and line up the two devices again into an “L” shape. After you have applied blood to the test strip, wipe the puncture site with a dry, clean tissue and keep it clean. On completion of the test, the result appears in the display. At the same time, the result is automatically sent to the voice unit and saved together with the date and time in the voice unit‘s diary and in the meter.
i If you cannot hear the voice unit’s announcement of the test result, turn the speaker volume up or use an earpiece. Take care not to bend the test strip either before or during application of blood. Do not bend or move the test strip while the test is in progress. If you do bend or move the strip, it may produce an incorrect result, or you may see the following message: 2 The voice unit issues a message drawing your attention to the fact.
7.5.3 Ejecting the test strip Hold the meter over a waste bin with the test strip pointing downwards. Press the Test button to turn the meter off. The used test strip drops out. 2 Notes i If you do not turn the meter off, it turns off automatically after approximately 60 seconds. The test strip then remains in the meter. When you turn on a meter which still has a test strip inserted, it simply ejects the strip and turns itself off again.
7.5.4 Ejecting the used lancet Remove the lancing device cap from the lancing device. Hold the lancing device upright above a waste bin. Press in the plunger until it CLICKS. The lancet drops out. 2 If the lancet does not drop out: Keep the plunger pressed down. Hook the edge of the white “collar” of the Comfort Dial (cap) behind the platform of the lancet (see illustration right). Use the white “collar” to pull the lancet out.
Notes Make sure the lancet has dropped out. Inadvertently leaving the lancet in the lancing device may result in personal injury. i You must remove the lancing device cap to eject the lancet. If you leave the cap in place, pressing the plunger will prime the lancing device. 2 Carefully dispose of used lancets so they cannot cause injury. 7.6 Evaluating results 7.6.1 Plausible results Your meter measures blood glucose within a defined range (0.6-33.3 mmol/L or 10-600 mg/dL).
Values above this range are displayed as: The result is greater than 33.3 mmol/L or 600 mg/dL. Before announcing the result, the voice unit issues a message drawing your attention to this fact. 2 These results are not included when averages are calculated (see Chapter 12.3.5 and Chapter 18.3). If the displayed test result agrees with the way you feel, follow your doctor’s advice.
Did you apply blood to the test strip without delay after the blood drop formed? Are you sure you did not bend the test strip either before or during application of blood? Are you sure you did not bend or move the test strip while the test was in progress? Did you lay the meter down again and line it up with the voice unit in an “L” shape within 60 seconds of applying the blood? If you did not hear the third beep, did you apply more blood within 25 seconds? Did you properly hear the annou
8 Warnings and messages during testing Both before and after testing, certain symbols may appear in the meter’s display. These warnings and messages are also read aloud as long as the two devices are in infrared contact with one another. To find out what these warnings and messages mean, you can press the Help button on the voice unit to have an explanation or meaning read aloud. 2 Following is a list of possible messages and warnings and what they mean.
Announcement from the voice unit What it means When the announcement is made Drum partly used You inserted a partly used test strip drum. After a test together with the result Symbols in the meter’s display Or you opened the drum compartment. Or you took longer than 2 minutes to replace the batteries and a partly used drum was still in the meter. 2 Or you adopted the bar code from the preceding drum.
Announcement from the voice unit What it means When the announcement is made Special result These are results you flagged with an asterisk in the meter. After you have flagged a test result with an asterisk in the meter, as long as the meter and voice unit are in contact with one another Expiration date exceeded The 90-day use-by period for the test strip drum has expired. The test strips are unusable. You must not use these test strips, as they may produce incorrect results.
Announcement from the voice unit What it means When the announcement is made Result above measuring range The result is above the measuring range of your meter. After a test together with the resultt XI No date and time in meter The date and time have not yet been set in the meter. After a test together with the result 0:00 (12:00 am) is displayed instead of a time and 0-00 instead of a date. Attention: Hypo possible The result is below the indicator level you set.
2 Announcement from the voice unit What it means When the announcement is made Batteries almost empty The batteries in the voice unit are almost empty. Insert new batteries. After a test together with the result No symbol Warning tone with brief tone melody The batteries in the voice unit are empty. The device does not turn on, but emits a tone melody as a warning. Insert new batteries immediately.
The battery compartment accommodates two cylindrical batteries (type AAA, LR 03, AM 4 or micro). Remove any used batteries. Insert two new batteries in the battery compartment, paying attention to the polarity markings. Close battery compartment cover again. Fold the cover down and press it closed. It locks with a loud CLICK. (1) For persons with vision loss – testing blood glucose AC_Voicemate_Manual_EN-CAN.indd 65 2 (2) 65 1.5.
i When you change the batteries, the diary entries remain saved (see also Chapter 12.7.2). The time and date settings only remain saved as long as you do not take more than 30 minutes to change the batteries. Otherwise you need to re-enter the date and time (see Chapter 12.5). 2 i In menu 6.2 you can ask for the current status of the batteries in the voice unit to be announced (see also Chapter 12.7.2): 1.
i With a new pair of batteries you can perform about 500 blood glucose tests using the speaker (or 750 blood glucose tests using the earpiece) without additional entries in the diary. If you make additional entries in the diary, the number of blood glucose tests is reduced accordingly. i You can also use rechargeable NiMH batteries. If you do, please note the following: i We recommend not to use rechargeable NiMH batteries.
9.2 Blood glucose meter The battery compartment accommodates two cylindrical batteries (type AAA, LR 03, AM 4 or micro). Press lightly on the battery compartment cover and slide it in the direction shown by the arrow. Lift off the cover. 2 Remove any used batteries. Insert two new batteries in the battery compartment, paying attention to the polarity markings. Re-attach the battery compartment cover.
If any of the above three conditions is not met, you need to re-enter the year, time and date (see Chapter 16). If the year, time and date are not entered, your future results will be displayed and saved without the time and date. In this case the test results saved in memory will be numbered consecutively so you can still recognize the order in which they were saved. Each time the voice unit establishes contact with the meter, it announces that the date and time are not entered in the meter.
i 2 You can also use rechargeable NiMH batteries. If you do, please note the following: The number of tests you can perform with recharged batteries is considerably less than with ordinary batteries. To be ready to test at any time, you need to keep two rechargeable batteries in reserve. You can charge them while the first pair are in the meter. Recharged batteries lose their charge during storage.
Part 3 More functions of the voice unit and user guidance This part of the user‘s manual describes what features the voice unit offers in addition to blood glucose testing. AC_Voicemate_Manual_EN-CAN.indd 71 1.5.
10 Structure of the contents (menu structure) The various tasks which the voice unit can perform are sorted by topic. The contents are structured in a way similar to the table of contents of a book and are referred to here as the menu structure. Where a book has chapters and sections, the menu structure comprises menus and submenus. The top level menu is the main menu. From here you can go to any of the other menus and submenus.
0 Main menu 1 Measure blood glucose menu 2 Diary menu 1.0 To main menu 3 Data transfer menu 2.1 Announce most recent result and edit diary Create new data set 3.1 Transfer date and time to meter 3.2 Transfer data to PC via USB 3.3 Transfer data to PC via IR 2.2 Search for entries 2.2.1 Search with existing search criteria 3.4 Transfer values from meter 3.0 To main menue 2.2.2 Change search criteria and search 2.2.3 Delete existing search criteria 2.2.0 To main menu 3 2.3 Query averages 2.3.
0 Main menu 4 Set up menu 5 Access error messages 4.1 Set date, time and test reminder 4.1.1 Set test reminder 6 Access information via Voicemate Plus 5.1 Access error messages from meter 6.1 Announce time 5.2 Access error messages from voice unit 6.2 Announce battery charge state 4.1.1.1 Time 1 5.3 Load error messages from meter 6.3 Announce Voicemate Plus serial number 4.1.1.2 Time 2 5.0 To main menu 6.4 Announce software version 4.1.1.3 Time 3 6.5 Announce meter serial number 4.1.1.
Menu 1 provides guidance when you wish to perform a blood glucose test and then reads the result aloud to you. The voice unit automatically saves this result in its diary chronologically together with the date and time. In Menu 2 you can open this diary and edit your results. In Menu 2.1 the most recent result is announced. You can also have all other results announced, add additional information to existing diary entries, and enter results manually. In Menu 2.2 you can search for entries.
In Menu 4 you can enter the basic settings for the voice unit. 3 In Menu 4.1 you can set the date, time and alarm times. In Menu 4.2 you can enter the basic settings for the voice unit, such as hypo indicators, language, and units for number of carbohydrates. In Menu 5 you can ask to hear error messages. In Menu 5.1: error messages from the meter. IIn Menu 5.2: error messages from the voice unit. IIn Menu 5.3 you can send error messages from the meter to the voice unit.
11 User guidance The voice unit guides you with spoken texts through the menus and submenus. Pressing the “0” button always takes you back to the main menu, except when you are in the diary and the voice unit has asked you to enter a number. Pressing the Left button takes you from a submenu to the parent menu, e.g. from menu 4.1.2 to menu 4.1. Example: You can directly select submenu 4.1.1 “Set alarm time” from the main menu by entering four, one, one.
12 Description of the menus 12.1 Main menu (0). The main menu is the top level in the menu structure. From here you can navigate within all seven menus and their respective submenus. 12.2 3 Test blood glucose menu (1) You are automatically in this menu when you turn the voice unit on (except when you turn it on for the first time, see Chapter 5). When you are in this menu you can perform a blood glucose test and have the result read aloud.
You enter a submenu by pressing the relevant number. Pressing the “0” button takes you back to the main menu. The diary function of the voice unit is intended for a single user. If another user’s results are saved in the diary, it is important that these are identified as another person’s results, otherwise confusion may occur (e.g. in the form of wrong results and wrong averages). The identification procedure is described in Chapter 12.3.3.6. Test results are saved in the diary and sorted by date and time.
Imagine the entries as being arranged in a table. The labels for the entries (columns in the table) are as follows: Date Time Test Result [mg/dL] 14.03.2006 11:25 127 14.03.2006 18:00 143 15.03.2006 8:17 105 Insulin A Carbohydrates Insulin B Insulin C Event A Event B Event C Event D Memo The result and its associated entries are called a data set. Every row in the table contains a data set. i Warnings and messages such as “Drum partly used” are also sorted into the “Result” column.
Basically, you must confirm each entry by pressing the OK button. The voice unit then repeats the number. If you have made a mistake and wish to change your entry, press the Left button and enter a new number. The date, time and result downloaded from the meter or manually entered and saved can be neither changed nor erased. Where a number ends with “point zero”, you do not have to enter the “point zero”. You do not have to enter zeros in front of a number.
12.3.2 Navigating and searching in the diary You use the direction buttons to navigate in the diary. Using the Right and Left buttons, you can move from one entry to another within a data set (a, b). After each button press the entry is read aloud. Pressing the Up button takes you to the next older datum in the data set c, and pressing the Down button takes you to the next newer datum in the data set d. Next, the date, time, result and all additional entries are read aloud.
Date Time Test Result Insulin [mg/dL] A Data set 1 11.02.2006 8:00 89 10 10 Data set 2 11.02.2006 12:30 132 12 15 5 Menu 2 Carbohydrates Insulin Insulin B C 12 1 3 Data set 3 11.02.2006 18:00 116 3 10 10 1 2 Data set 4 12.02.2006 8:30 5 Menu 2 Data set 5 12.02.2006 4 12 15 1 13:00 More functions of the voice unit and user guidance AC_Voicemate_Manual_EN-CAN.indd 83 93 145 83 1.5.
Searching a day at a time Pressing and holding down the Up button takes you not to the next older data set but to the oldest entry on the previous day a. Pressing and holding down the Down button takes you not to the next newer data set but to the newest entry on the next day b. These jumps are accompanied by a beep tone. Keeping the buttons held down continues to move you from day to day until you arrive at the oldest entry.
Date Time Test Result [mg/dL] Insulin A Carbohydrates 11.02.2006 8:00 89 10 10 Data set 22 11.02.2006 12:30 132 12 15 Data set 23 11.02.2006 18:00 116 10 10 12.02.2006 8:30 93 12.02.2006 13:00 145 13.02.2006 10:30 128 13.02.2006 15:00 145 13.02.2006 18:30 128 14.02.2006 7:45 85 15 Data set 30 14.02.2006 12:30 85 15 Data set 31 14.02.2006 17:55 119 15.02.2006 7:30 128 Data set 33 15.02.2006 13:35 85 Data set 34 15.02.2006 19:00 119 Data set 35 16.
Searching a week at a time If you continue to hold down the Up or Down button, once you have jumped 7 days the jumps continue a week at a time. Jumping a week at a time always takes you to the oldest entry on the same day of the previous a or subsequent b week. The week-at-a-time jumps are accompanied by a different tone than the day-at-a-time jumps. Example: You start on May 20th and press the Up button briefly. This takes you to the next older entry, which is also dated May 20th.
Date Time Test Result [mg/dL] 29.04.2006 10:55 127 29.04.2006 18:00 143 06.05.2006 8:17 105 06.05.2006 17:25 138 07.05.2006 8:00 114 07.05.2006 11:25 127 13.05.2006 8:30 85 13.05.2006 17.20 124 14.05.2006 8:15 92 18.05.2006 8:22 101 18.05.2006 17.35 128 19.05.2006 7:55 104 19.05.2006 18:25 126 20.05.2006 8:15 94 20.05.2006 12:50 134 20.05.2006 18:35 140 26.05.2006 19:05 112 27.05.2006 8:12 98 14.03.
Further search possibilities If you proceed from an event or the personal memo and press the Up or Down button, you will move to the immediately older or newer entry with the same contents. Example: you are in Event B. This has, for instance, the entry “Feel Hypo”. A week earlier you entered “Feel Hypo” under Event D. That is the next older entry of its type. Pressing the Up button takes you to this event. The same principle applies to the personal memo.
Date Time Test Result [mg/dL] 14.05.2006 10:55 127 14.05.2006 18:00 143 15.05.2006 8:17 105 15.05.2006 17:25 138 16.05.2006 8:00 114 16.05.2006 11:25 127 17.05.2006 8:30 85 17.05.2006 12.20 124 17.05.2006 19:15 92 18.05.2006 8:22 101 18.05.2006 17.35 128 19.05.2006 7:55 104 19.05.2006 18:25 126 20.05.2006 8:15 94 20.05.2006 12:50 134 20.05.2006 18:35 140 26.05.2006 19:05 112 27.05.2006 8:12 98 14.03.
Start new data set If you are in the most recent data set, pressing the Down button starts a new data set with the date and time. The same happens when you are within the personal memo in the newest data set and press the Right button. The date and time are announced. You can change both and make further entries, such as the result. If you do not make an entry in this new data set or change only the date and time, the data set is erased when you close the diary.
If you wish to add further entries to a data set or change existing entries, pressing the Right button takes you from one entry to the next. The label, e.g. Insulin A, is read aloud along with the value entered. If no value is entered, you hear “no entry”.
If you are in the most recent data set, pressing the Down button starts a new data set. You hear “Make new entries”. In this way you can enter results that you did not obtain using your own meter or which your doctor measured for you. Each data set must contain at least the date and time. Therefore the voice unit suggests these. You may adopt these or change them. You can make further entries such as the result, insulin doses or number of carbohydrates, though you do not have to.
12.3.3.2 Time – illustration The voice unit suggests a time to you. If you wish to accept the suggestion, press the OK button. If you wish to enter a new time, enter the time as a four-digit number. The first two digits represent the hour, the second two the minutes. Different cultures use different formats for the time. The voice unit is therefore able to work with two different time formats. You can choose the format in Menu 4.1.4 “Set time format“.
Entering results in mg/dL: You may enter results from 0 to 999 mg/dL. Example: for 85 mg/dL enter «8 – 5». i The voice unit automatically announces results lower than 0.6 mmol/L (10 mg/dL) with the message “Result below measuring range”. The voice unit automatically announces results higher than 33.3 mmol/L (600 mg/dL) with the message “Result above measuring range”. Unlike with other entries, a result entry must be confirmed twice with the OK button.
i If you do not wish to use a data set, you can render it invalid. To do this, press the Right button repeatedly until you hear the announcement “Event A no entry”. Enter 33 for invalid result and press OK to confirm. When you enter a result and press OK twice to confirm, you move on to the entry for Insulin A. 12.3.3.4 Insulin A, Insulin B and Insulin C – illustration For each result you can enter three different insulin types. You may enter values from 0.1 to 50, to one place of decimals.
3 Unit = Carb Units: you may enter values from 0.1 to 25.5, to one place of decimals. Examples: For 4.5 Carb Units enter «4 – decimal point button – 5». For 12 Carb Units enter «1 – 2». Unit = Carb Choice: you may enter values from 0.1 to 17, to one place of decimals. Examples: For 4.5 Carb Choice enter «4 – decimal point button – 5». For 12 Carb Choice enter «1 – 2». Unit = BE: you may enter values from 0.1 to 21.2, to one place of decimals. Examples: For 4.
When you are in an Events field and press the Help button, the events marked with a cross in the list below are read aloud together with the number associated with them The table below contains the complete list of events and the numbers associated with them. Meaning Nr.
Nr. Output via Help Meaning Nr. 30 X Infection 38 Hot outdoors 31 X Illness 39 Cold outdoors 32 X Menstruation 40 High humidity 33 X Invalid result 41 Quality control check Another’s result 42 Quality control check 34 3 Output via Help Meaning 35 X Oral medication 43 Quality control check 36 X User-defined 44 New pump tubing 37 i New time zone Some numbers have been deliberately omitted. Number 36 is free and can be associated individually. 12.3.3.
After you have entered the number and pressed OK to confirm, the voice unit asks if you would also like to assign a label. If you respond with “yes”, you may choose a label. Each event is assigned a unique number. Label Number Body weight 1 Blood pressure 2 HbA1c 3 urine albumin 4 Ketone bodies 5 Total cholesterol 6 Triglycerides 7 No label 0 3 If you wish to change a label at a later date, you must first enter the number you entered. You are then presented with a list of labels.
3 Weight: You can enter the weight in kilograms. Blood pressure: You can enter a blood pressure of 130 over 85, for instance, as «1 – 3 – 0 – decimal point, 0 – 8 – 5». HbA1c: The HbA1c value is normally stated in per cent. Urine albumin: In the case of urine albumin there are not only concentration data such as 20 mg/L, but also concentration data that are quoted, for example, as negative, low, moderate, and so on.
To do this you must enter search criteria. You may enter search criteria for any entry except the personal memo. Searches for personal memos are not possible. All data sets meeting all of the specified search criteria are read aloud. 12.3.4.1 Search using existing search criteria (2-2-1) If you previously entered search criteria in menu 2.2.2 “Change search criteria and search”, you can perform a new search using the same search criteria.
If you wish to have the data sets next to a hit read aloud, press the Up button briefly for the older data sets and the Down button briefly for the newer data sets. If a neighbouring data set is also a hit, the announcement is again introduced by the beep tone. Next, the date, time and result saved in the data set are read aloud. Using the Right and Left buttons, you can summon the other entries in hits and adjacent data sets.
You can stop entering search criteria at any time and not start a search. Press the Up button to move to the entry for the first search criterion and then press the Left button. All entries you have made up to this point will be saved. Search for date, results, insulin doses and carbohydrates Rules for entering search criteria If you wish to enter or change search criteria, entry starts with the lower value for the date. Then follows the upper value for the date.
Example: Under result you enter 4.4 mmol/L (80 mg/dL) as the lower value. The hits then contains results of 4.4 mmol/L (80 mg/dL), 4.5 mmol/L (81 mg/dL) and higher. Further example: Under date you enter 1st July 2005 as the lower value. The hits then originate from 1st July 2005, from 2nd July 2005 and from subsequent days. Search up to a specific value If you only enter an upper value as the search criterion, all data sets containing this and lower values are returned as hits.
Example: Under result you enter 4.4 mmol/L (80 mg/dL) as the lower limit, and 6.7 mmol/L (120 mg/dL) as the upper limit. The hits then contain results ranging from 4.4 to 6.7 mmol/L (80 to 120 mg/dL). Search for a specific value If you wish to search for a specific value, you must enter that value as both the lower and upper limit for the search. Example: You wish to search only for data sets containing the result 5.5 mmol/L (100 mg/dL). In this case enter the value 5.
12.3.5 Calculate averages (2-3) The voice unit can calculate three different average values from the results in the diary. You can produce these statistics for the last 7, 14 and 30 days. The current day is always included. All results falling within the period selected are included in the calculation. Along with the average values, the number of results on which the averages are based is also announced.
12.3.5.3 30-day average (2-3-3) In this menu the average value of results from the last 30 days is announced. 12.3.6 Erase all diary entries (2-4) You can use this menu to erase all data sets from the voice unit‘s diary. You then have an empty diary. The voice unit will ask you twice whether you really wish to erase all entries. If you answer yes both times to this question, all entries in the diary are erased. i 12.4 There is no way of restoring erased data sets.
The infrared window is located on the right side of the voice unit (see also Chapter 1.1). 3 The USB port is located at the foot end of the voice unit; in the illustration next to this text is the rectangular socket on the right (see also Chapter 1.1). 12.4.1 Send date and time to meter (3-1) If you use the voice unit while testing blood glucose, the time and date settings in the meter and voice unit should be identical.
A simple way of ensuring both devices have the same date and time is to send the date and time from the voice unit to the meter. To send the date and time to the meter, proceed as follows: If the meter is on, turn it off. Turn the voice unit on and select Menu 3.1. Point the infrared windows towards one another (see Chapter 7.3). Now (not earlier) turn the meter on in the same way as for sending data to a PC.
As soon as you have pressed OK to confirm the USB connection, the voice unit can no longer speak, nor does it respond to button presses. Only when you have logged off the USB connection with the voice unit on the PC can the voice unit speak and respond to button presses again. All diary entries are located in the file diary.csv. Copy this file from the voice unit to your PC. The CSV data format is supported as standard by many programs (e.g.
12.4.4 Download results from meter (3-4) If you carried out blood glucose tests during which you did not use the voice unit or during which the voice unit could not receive the result, your meter contains results that are not stored in the voice unit‘s diary. The voice unit prompts you to download these following the next test that was performed not with the meter alone but with both devices together (on-line testing). You can use this menu to send the results to the voice unit‘s diary.
Line up the infrared windows in an L shape (See Chapter 7.3). Now turn the meter on in the same way as for sending data to a PC. Press the M button and the S button, that is to say the two buttons to the right and left of the Test button that you normally use to start a blood glucose test, at the same time (you hear a beep). Once the voice unit and the meter have established contact with one another, the results are downloaded into the voice unit‘s diary.
i With the “Repeat” button, and only with this, you can stop the test reminder alarm. 12.5.1.1 Set alarm time (4-1-1) You can set six alarm times at which you want the voice unit to remind you to test blood glucose. Alarm time 1 differs from the other five alarm times. Test alarm 1 reminds you only once. After that it turns off again. The alarm times 2 to 6 remind you to test each day at the appointed time until you turn them off again in this menu.
If you wish to accept the suggestion, press the OK button. If you wish to enter a new time, enter the time as a four-digit number. The first two digits represent the hour, the second two the minutes. 24-hour format: Example: For 09:35 enter «0 – 9 – 3 – 5» and OK. 12-hour format: Example: For 09:35 p.m. enter «0 – 9 – 3 – 5» and OK. You are then asked to enter 1 for a.m. or 2 for p.m. In this example enter 2 and OK. If you wish to turn off the alarm time, enter 0. 3 12.5.1.
24-hour format: Example: For 09:35 enter «0 – 9 – 3 – 5» and OK. 12-hour format: Example: For 09:35 p.m. enter «0 – 9 – 3 – 5» and OK. You are then asked to enter 1 for a.m. or 2 for p.m. In this example enter 2 and OK. 12.5.1.3 Set date (4-1-3) Here you can set the date in the voice unit. The date that is currently set is read aloud. If you wish to keep this, press the OK button. If you wish to set a new date, enter the six digits for the desired date.
12.5.1.4 Set time format (4-1-4) Different cultures use different formats for the time. The voice unit is therefore able to work with two different time formats. Here you can enter either the 24-hour format or the 12-hour format. In 24-hour format the time is displayed from 0:00 to 23:59. In 12-hour format the time is displayed from 12:00 to 11:59 with an additional a.m. for before noon or p.m. for after noon. The way the time is announced and entered depends on the time format that is set.
The voice unit tells you which date format has been set. If you wish to keep this, press the OK button. If you wish the voice unit to use the other date format, enter the number the voice unit tells you and press OK to confirm. 12.5.2 Set voice unit (4-2) In this menu you can enter further device settings. 12.5.2.
12.5.2.2 Set hypo indicator (4-2-2) You can set a level that provides a reliable indication if you are heading for a hypo. If the result is below the level you have set, the voice unit says “Hypo possible” before announcing the result. The factory setting is: hypo indicator off. The voice unit tells you the level that is currently set. If you wish to keep this, press the OK button. Or enter a new level and press OK to confirm. Unit of measurement mmol/L You may enter levels from 2.8 to 6.6 mmol/L.
12.5.2.3 Choose language (4-2-3) The voice unit can speak texts aloud in various languages. Here you can select the language in which you want it to speak. The voice unit tells you the language that is currently set. If you wish to keep this unit, press the OK button. The voice unit also names all other available languages, each one as spoken in the respective mother tongue.
The units are converted as follows: 1 BE is equivalent to 12 grams of carbohydrate 1 Brotwert is equivalent to 10 grams of carbohydrate 1 carb unit is equivalent to 10 grams of carbohydrate 1 carb choice is equivalent to 15 grams of carbohydrate The factory setting is: The voice unit tells you the unit that is currently set. If you wish to keep this unit, press the OK button. If you wish to set a new unit, enter the number that the voice unit reads aloud for it, and press OK to confirm.
After you have restored the factory settings, the voice unit proceeds automatically to the setup for first-time use (see Chapter 5). If you now turn the voice unit off and on again at a later time, it assumes it has never been turned on and enters this setup routine again. As when you turned the voice unit on for the very first time it asks you to choose the language. 12.6 Request error messages (5) The voice unit saves error messages from the meter as well as its own error messages.
i The meter displays error messages in the form of an E plus a number. With these errors there is no test result. When you call up this menu, the most recent error message is read aloud first, together with its date. The Up button takes you to the next older error message, and the Down button back to the next newer one.
12.6.3 Download error messages stored in the meter (5-3) If the meter and voice unit were not in contact with one another at a time when an error message was issued by the meter, this error message is only saved in the meter. You can download these error messages to the voice unit in order to save and retrieve them there. They are sorted by date in the voice unit. Any error messages already saved are retained as long as the total does not exceed 20.
12.7 Request information about the voice unit (6) In this menu you can ask for certain items of information about the voice unit to be read aloud. Customer service and support may need this information if you call them with a problem or questions about your voice unit. 12.7.1 Announcement of date and time (6-1) In this menu the current date and current time set in the voice unit are read aloud. 12.7.
3. Announcement “Batteries almost exhausted” In this case battery performance has declined significantly. Insert new batteries. 4. No announcement, just a warning beep In this case the batteries are exhausted. The device does not turn on, but emits a short series of warning beeps. The date and time are retained, as are the data in memory. Insert new batteries immediately. 12.7.3 Announcement of the serial number of the voice unit (6-3) In this menu the serial number of the voice unit is read aloud.
12.8 Explanation of the voice unit (7) In this menu you can call up an explanation of what the voice unit looks like, and where the buttons and other control features are located. 3 126 AC_Voicemate_Manual_EN-CAN.indd 126 More functions of the voice unit and user guidance Farbe: P 281 – Prüfmittelnummer: 205 1.5.
Part 4 Error messages and troubleshooting AC_Voicemate_Manual_EN-CAN.indd 127 1.5.
The voice unit announces its own error messages as well as those from the meter. There are two times at which the voice unit announces error messages: 1. While it is in contact with the meter, e.g. when an error occurs during a blood glucose test. It saves these messages additionally. 2 Go to Menu 5.1 and Menu 5.2 to have the saved messages announced to you. The error messages are listed in the table below.
13 Error messages from the meter Message text Meter error E 2: Drum bar code information is lost or bar code is damaged. Cause The bar code information saved from the test strip drum being used has been lost or the bar code is/was damaged. Remedy While the voice unit and meter are in contact with one another Saved error message (Menu 5.1) Press the Test button to turn the meter off. Open and close the drum compartment.
Message text Cause Meter error E 3: Drum does not rotate. Meter error E 3: Bar code is damaged. Drum does not rotate/has not rotated. The bar code on the test strip drum is damaged. Remedy While the voice unit and meter are in contact with one another Saved error message (Menu 5.1) Press the Test button to turn the meter off. Open the drum compartment and press the drum release button. Close the drum compartment again.
Message text Cause Remedy While the voice unit and meter are in contact with one another Saved error message (Menu 5.1) none retrospectively Meter error E 5: Test strip was bent. You bent the test strip while applying blood or during testing. Turn the meter off and then on again by pressing the test button. Repeat the test with a new test strip. Meter error E 5: Test strip was bent or too little blood was applied. You bent the test strip while applying blood or during testing.
Message text Cause Meter error E 5: Measuring window of meter is dirty, or you turned the meter off and on again and there is still an old test strip in the meter, or there is condensation in the meter. The measuring window may be (have been) dirty. If there is/was an old test strip in the meter: If there is/was condensation in the meter: 4 132 AC_Voicemate_Manual_EN-CAN.indd 132 Remedy While the voice unit and meter are in contact with one another Saved error message (Menu 5.
Message text Cause Remedy While the voice unit and meter are in contact with one another Meter error E 5: Blood was applied too soon, or test strip was bent or is defective, or measuring window of meter is dirty. Saved error message (Menu 5.1) You applied blood too soon to the test strip, or bent the test strip while applying blood or during testing, or the test strip is defective. Turn the meter off and then on again none retrospectively by pressing the test button.
Message text Cause Remedy While the voice unit and meter are in contact with one another Meter error E 5: Blood was applied too soon, or test strip is defective, or measuring window of meter is dirty. Turn the meter off and then on again none retrospectively Either you applied blood too soon to the test strip, or by pressing the test button. Repeat the test with a new test strip. Wait unthe test strip is defective. til you hear the “Apply blood” prompt.
Message text Cause Remedy While the voice unit and meter are in contact with one another Meter error E 12: Test strip was removed. You pulled the test strip out Turn the meter off and then on again of the meter during testing. by pressing the test button. Repeat the test with a new test strip. Saved error message (Menu 5.1) none retrospectively Only remove the test strip by pressing the Test button to turn the meter off. 4 Error messages and troubleshooting AC_Voicemate_Manual_EN-CAN.
Message text Cause Meter error E 13: Test strip is stuck, or drum does not rotate. The test strip is/was stuck or the drum does/did not rotate. Remedy While the voice unit and meter are in contact with one another Saved error message (Menu 5.1) Press the Test button to turn the meter off. Open the drum compartment and (if applicable) pull out the test strip. Press the drum release button and remove the test strip drum. Insert the drum again and close the drum compartment.
Message text Cause Remedy While the voice unit and meter are in contact with one another Meter error E 20: Temperature too high. The temperature is/was too high to perform a test. Saved error message (Menu 5.1) Press the Test button to turn the me- none retrospectively ter off. Allow it to cool down slowly. During testing the permitted temperature range is from 40°C to +40°C. Meter error E 20: Severe The meter has been differences in temperature. exposed to severe differences in temperature.
Message text Cause Remedy While the voice unit and meter are in contact with one another Meter error E 22: No drum in the meter, or drum from different blood glucose monitoring system is inserted, or bar code is damaged. At the time of the error message there was no drum in the meter, or a drum from a different blood glucose monitoring system was inserted, or the bar code on the drum was damaged.
Message text Cause Remedy While the voice unit and meter are in contact with one another Saved error message (Menu 5.1) If you inserted the second or third drum from a pack: Press the S button. The meter uses the bar code from the preceding drum. If you inserted a test strip drum from a single-drum pack, you cannot use this drum. Insert a new drum. Further information on this error message is contained in the User’s Manual in Chapter 21. Meter error End: Drum is empty.
14 Error messages from the voice unit Message text Cause Remedy While the voice unit and meter are in contact with one another Contact with meter lost. No result received. During a blood glucose test contact between the voice unit and meter was interrupted by an intense light source or another device with an infrared window. 4 140 AC_Voicemate_Manual_EN-CAN.indd 140 Saved error message (Menu 5.1) none retrospectively There are several reasons why contact may have been lost.
Message text Cause Remedy While the voice unit and meter are in contact with one another Saved error message (Menu 5.1) Contact with meter or PC lost. Cannot transfer data. Contact with the meter or PC was lost. No data was transferred. none retrospectively There are several reasons why contact may have been lost. Is there an intense light source nearby, e.g. direct sunlight or a lamp? Intense light interrupts contact. Move out of the sun or move the lamp further away.
Message text Cause Remedy While the voice unit and meter are in contact with one another Unknown blood glucose meter. Saved error message (Menu 5.1) During a blood glucose test or when downloading results, the voice unit was in contact with a meter with which it could not exchange data. Voice unit defective. Please Error in the voice unit. call customer support. Please contact customer support. Help text defective.
Message text Diary defective. Results are no longer being saved in the diary. The diary can no longer be edited. Cause The diary is defective. Results can no longer be saved in the diary. Entries in the diary can no longer be changed, re-entered or searched for. You can still use the voice unit for testing blood glucose, however. Remedy While the voice unit and meter are in contact with one another Saved error message (Menu 5.
Message text Cause Remedy While the voice unit and meter are in contact with one another entries defective. These entries can no longer be read aloud or edited. Please contact customer support to In the diary the stated number of entries is defec- have the error eliminated. tive. These entries can no longer be read aloud, changed or searched for. All other entries remain unaffected and the diary can be edited as usual. You can continue to use the voice unit for blood glucose tests.
Message text Settings defective. Cause The voice unit can no longer retrieve the settings, such as date and time. All entries you made when you turned on the voice unit for the first time and later in the settings menu are lost. Remedy While the voice unit and meter are in contact with one another Saved error message (Menu 5.1) You then have to re-enter these settings. none retrospectively When you press the OK button, the voice unit automatically goes to the point where you choose the language.
Message text Cause No result received. 4 Downloading of results interrupted. While the voice unit and meter are in contact with one another Saved error message (Menu 5.1) During a blood glucose test the voice unit was waiting for the meter to send a result. It was unable to receive the result for a prolonged period. The voice unit expects a result following the test and therefore asks whether you wish to download the result from the meter now.
Message text Cause Remedy While the voice unit and meter are in contact with one another Saved error message (Menu 5.1) If you have not yet sent the date and time, you may do so now by going to menu 3.1 “Send date and time to the meter”. Sending of date and time interrupted. The date and time could not be sent to the meter. Turn the meter off and restart the download. Voice unit turned off unexpectedly. The voice unit turned off unexpectedly because the battery power failed.
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Part 5 For sighted persons: Using the meter and cleaning the devices This part of the User’s Manual contains a description of steps in the operation of the voice unit and meter that may only be performed by sighted persons. Persons with vision loss must ask a sighted person to instruct them on how to perform these steps or to help with their implementation. AC_Voicemate_Manual_EN-CAN.indd 149 1.5.
The Accu-Chek Compact Plus meter may be used by people with diabetes to test their own blood glucose.
In Canada your meter should display mmol/L. If any of the display elements are missing or the unit of measurement shown for the blood glucose result is not the correct one, please ask your healthcare professional or pharmacist. You can also contact the Accu-Chek customer care line. Details are given at the end of this User’s Manual. Release the M button. The standard display test screen that is shown each time the meter is turned on appears briefly. When it disappears, the meter is then in memory mode.
16 Meter set-up You can change settings to turn the beep tone on or off, to select the year, the time/date format, the time and the date, and to activate the alarm clock function and the hypo indicator. The meter is supplied with batteries already inserted. The time and date are already set. You may need to adjust these settings to your own time zone. When you turn the meter on for the first time, it has the following presettings. You can change these.
The procedure for changing the settings is as follows: Press the S button to call up the settings menu. A test strip is not advanced. When a setting flashes in the display, this indicates that you can change it. Press the M button to change the current setting. Numerals such as the year, time and date can be incremented to a certain value, then the count-up starts again from the beginning. In the case of settings that give you a choice of options, e.g.
i The meter turns off automatically after approximately 60 seconds if you do not press a button. All settings you have confirmed up to that point with the S button are retained. Settings that you have not confirmed with the S button are lost and the original setting remains.
If you lose the year, date and time settings, the meter returns to the following settings: 16.1 Year: year of manufacture 20XX, e.g. 2005 Time: 0:00 or 12:00 a.m., depending on the time/date format you selected previously Date: 1-01 as day-month (D-MM) or month-day (M-DD), depending on the time/date format you selected previously.
With the meter turned off, press the S button. The meter turns on without advancing a test strip. The symbol for the beep tone and On 1 flash in the display. Press the M button to move to the next option. M M M 5 On 1: The beep tone is on. On 2: Acoustic Mode is on. OFF: The beep tone and Acoustic Mode are off. Press the S button to save the chosen setting. The year setting comes next. 156 AC_Voicemate_Manual_EN-CAN.
16.2 Setting the year The year that is currently set flashes at the top right of the display. Press the M button repeatedly until the required year is displayed. Each push will advance one year. M If you hold the M button down, the meter fast-scrolls forward to the year of manufacture +32, and then starts again with the year of manufacture. Press the S button to save the chosen setting. The time/date format setting comes next.
16.3 Setting the time/date format You can choose between two formats. In 24-hour format the time is displayed from 0:00 to 23:59. If you select this format, the date is displayed in the format DD-MM (day-month). In 12-hour format the time is displayed from 1:00 to 12:00 with a.m. or p.m. If you choose this format, the date format changes to MM-DD (month-day). The date/time format that is currently set flashes in the display. The presetting for the date/time format is 24-hour format.
16.4 Setting the time The hour flashes at the top left of the display. Press the M button repeatedly until the correct hour is displayed. Each push will advance one hour. 24-hour format M 12-hour format M 24-hour format: If you hold the M button down, the meter fast-scrolls forward to 23, and then starts again at 0. 12-hour format: If you hold the M button down, the meter fast-scrolls forward to 12 p.m. and then to 12 a.m. and then starts again from the beginning.
Press the M button repeatedly until the correct minute is displayed. Each push will advance one minute. 24-hour format M 12-hour format M If you hold the M button down, the meter fast-scrolls forward to 59, and then starts again at 0. Press the S button to save the chosen setting. The date setting comes next. 5 160 AC_Voicemate_Manual_EN-CAN.indd 160 For sighted persons: Using the meter and cleaning the devices Farbe: P 281 – Prüfmittelnummer: 205 1.5.
16.5 Setting the date The numeral representing the month flashes at the top right of the display. Press the M button repeatedly until the correct month is displayed. Each push will advance one month 24-hour format M 12-hour format M If you hold the M button down, the meter fast-scrolls forward to 12, and then starts again at 1. Press the S button to save the chosen setting. The day setting comes next. The numeral representing the day flashes at top right of the display.
Press the M button repeatedly until the correct day is displayed. Each push will advance one day. 24-hour format M 12-hour format M If you hold the M button down, the meter fast-scrolls forward to 31, and then starts again at 1. Press the S button to save the chosen setting. The alarm clock setting comes next. If you wish to set neither the alarm clock function nor a hypo indicator: Press the Test button to turn the meter off.
16.6 Setting the alarm clock function You can enter up to three separate times at which you would like your meter to remind you to test your blood glucose. OFF and the bell symbol flash in the display. The presetting is: alarm clock function off. Press the M button to turn the alarm clock function on. Pressing the M button again turns the alarm clock function off. M M After you have turned on the alarm clock function, you need to set the times. You may set up to three different times.
If you choose to enter only one or two times, press the Test button to turn the meter off once you have entered the time(s) and the hour for the next time is flashing, or press the S button repeatedly until you reach the hypo indicator setting (see Section 16.7). Press the S button. The display shows a 1 and, at top left, the first time at which you wish to receive the alarm call. The presetting is 0:00 (24-hour format) or 12:00 a.m. (12-hour format). The hour flashes in the display.
24-hour format: If you hold the M button down, the meter fast-scrolls forward to 23, and then starts again at 0. 12-hour format: If you hold the M button down, the meter fast-scrolls forward to 12 p.m. and then to 12 a.m. and then starts again from the beginning. Press the S button to save the chosen setting. The minute setting comes next. The minutes flash in the display. Press the M button repeatedly until the correct minute is displayed. Each push will advance one minute.
If you hold the M button down, the meter fast-scrolls forward to 59, and then starts again at 0. Press the S button to save the chosen setting. The setting for Time 2 comes next.
The Time 2 setting is followed by the Time 3 setting. 24-hour format 12-hour format If you wish to set Time 3, proceed as described for Time 1. The setting for Time 3 is followed by the hypo indicator setting. If you do not wish to enter a hypo indicator, press the Test button to turn the meter off. The beep tone for the alarm clock function sounds for 20 seconds. To stop the beep tone press any button (Test, M or S).
16.7 Setting the hypo indicator To help you to recognize a possible hypo, you can set the meter to let you know when your test result indicates a low blood glucose. You can select what blood glucose level you want this indicator to have. There are three options. If your blood glucose result is below the level you have chosen, the warning hypo? appears in the display together with the result. If the beep tone is turned on (On 1), the meter also beeps.
M M M M When your chosen level is displayed, press the Test button to turn the meter off. The hypo indicator is then set to this level. If you wish to turn the hypo indicator off again: Press the S button to turn the meter on. Press the S button repeatedly until “hypo?” and the level you have chosen appear in the display. Press the M button to select OFF. 5 Press the Test button to turn the meter off. For sighted persons: Using the meter and cleaning the devices AC_Voicemate_Manual_EN-CAN.
The hypo indicator is only reliable if your hypo indicator level has been properly selected. Therefore we strongly recommend that you talk to your healthcare professional about what blood glucose level is your hypo level before you set the indicator. This function is no substitute for hypoglycaemia training by your doctor or diabetes team.
i The standard display test takes about two seconds. Check that all the elements shown in the illustration are properly displayed on your meter. If any of the display elements are missing, please contact the Accu-Chek customer care line. For instance, if you can see elements other than the numerals 888 on your display (see a possible example in the illustration below), the meter will not be able to display your test results.
17.2 Obtaining blood The best place for obtaining capillary blood is from a fingertip or an earlobe. We recommend using the side of the fingertip, as this causes the least amount of pain. To avoid infection, use a new lancet each time you take blood. Using each lancet once only helps ensure virtually pain-free blood sampling. You can choose the penetration depth from a possible 11 settings. The larger the number, the greater the penetration depth. Your chosen penetration depth is visible in the window.
Wash your hands with warm water and soap, and dry well. This helps ensure proper hygiene and stimulates blood flow. Gently but firmly press the front end of the lancing device against the chosen puncture site. You will feel the slightly raised ring against your skin. This is the pin-hole through which the tip of the lancet emerges. Press in the plunger until it CLICKS. This triggers the lancet, which penetrates the skin.
17.3 Applying blood to the test strip Hold the meter so that the test strip is pointing downwards (see illustration). Touch the drop of blood, as soon as it has formed, against the tip of the test strip where the black notch is located. The strip draws up blood. Always hold the meter so the test strip is pointing downwards when you are applying blood to the test strip.
When the test strip has drawn up sufficient blood, the meter beeps (provided the beep tone is turned on), the test strip symbol disappears and the blood drop symbol stops flashing. Measurement starts automatically and 000 appears in the display. Move your finger away from the test strip. Measurement takes approximately 5 seconds. As the meter conducts the test, the three 000 disappear in turn from the display. If the test does not start, you applied too little blood.
Take care not to bend the test strip either before or during application of blood. Do not bend or move the test strip while the test is in progress. If you do bend or move the strip, it may produce an incorrect result, or you may see the following message: If this happens, press the Test button to turn the meter off and allow the test strip to drop out. Repeat the blood glucose test with a new test strip. 17.
i You can dispose of used test strips with your regular household waste. Always let the meter eject the test strip. If you pull out the used test strip, blood can enter the meter and contaminate it. Do not push an ejected test strip back into the test strip drum. This includes any unused test strip that you have ejected by accident. These test strips can produce incorrect results. Incorrect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects.
17.5 Ejecting the used lancet Remove the cap from the lancing device. Hold the lancing device upright above a waste bin. Press in the plunger until it CLICKS. The lancet drops out. If the lancet does not drop out: Keep the plunger pressed down. Hook the edge of the white “collar” of the Comfort Dial (cap) behind the platform of the lancet (see illustration below). Use the white collar to pull the lancet out.
Notes Make sure the lancet has dropped out. Inadvertently leaving the lancet in the lancing device may result in personal injury. i You must remove the cap to eject the lancet. If you leave the cap in place, pressing the plunger will prime the lancing device. Carefully dispose of used lancets so they cannot cause injury. 17.6 Flagging special results You can flag special results, e.g. results obtained from alternative site testing or after exercise, with an asterisk .
You may also flag the result with the asterisk after the result is displayed and before you turn the meter off. Press the S button. The asterisk appears below the result. To remove the asterisk: Press the S button twice (the first time you will see the bottle symbol for a quality control check, see Chapter 20). Pressing the Test button to turn the meter off saves the result together with the asterisk. 18 Using the meter as an electronic notebook 18.
18.2 Viewing test results With the meter turned off, press the M button. The meter turns on without advancing a test strip. The most recent result and mem are displayed. i Always turn the meter on with the M button if you intend to view results held in memory. If you turn the meter on with the Test button and there is a drum in the meter, a test strip will be advanced. Press the M button to move towards the next older result saved.
If you hold down the S button, you scroll through your results more quickly towards the more recent results. When you reach the most recent result in memory, pressing the S button again takes you to the oldest result. Memory location 1 most recent test result M Memory location 2 S M Memory location 3 M S Memory location 298 S M Memory location 299 S Memory location 300 oldest test result 5 Press the Test button to turn the meter off. A test strip is not advanced. 182 AC_Voicemate_Manual_EN-CAN.
18.3 Averages, highest value and lowest value for 7, 14 and 30 days Your meter can display the average value as well as the highest value and the lowest value. You can produce these statistics for the last 7, 14 and 30 days. The current day is always included. If more than 300 test results were saved during this period, the statistics will be based on the last 300.
Press the S and M buttons at the same time. The average of the results from the last 7 days is displayed. The number of results used in the calculation is displayed at top left (in this example: 30). The number of days for which the average was calculated is displayed at top right (in this example: 7). Press and hold down the M button. As long as you hold the button down, the lowest blood glucose value you obtained in the last 7 days is displayed along with its time and date.
Press the S and M buttons again at the same time. The average of the results from the last 14 days is displayed. For this period, too, you can request the meter to display the lowest and the highest values. To do this, press and hold down the M and S buttons, respectively. Press the S and M buttons again at the same time. The average of the results from the last 30 days is displayed. For this period, too, you can request the meter to display the lowest and the highest values.
If you wish to analyze your results on a PC or handheld computer, you will need suitable software. To download your results from the meter to the PC you will also need the Accu-Chek Infrared Cable. For further information please contact the Accu-Chek customer care line (see Chapter 30). The infrared window is located at the front end (the head end) of the meter. Be sure to read the operating instructions supplied with the software and hardware you are using.
Start downloading at the PC, handheld computer or the Accu-Chek Smart Printer System. The meter automatically sends all your blood glucose test results. The two arrows flash in the display. Once downloading has finished, the arrows stop flashing and the meter turns itself off. i If data transfer did not occur or was incomplete, the two arrows do not start flashing and, after 5 minutes, the meter turns itself off. If this happens, please refer to Chapter 21.2.
When the meter is being used in Acoustic Mode without the support of the voice unit, the guiding principle must be: Persons with vision loss need a sighted person to instruct them in the use of the meter and to assist them with all aspects of its operation. The meter must be set up by a sighted person. 19.1 Announcement of the results as beeps Numbers are announced through a corresponding number of short beeps, e.g. four short beeps signify the numeral 4. Zero is represented by a long beep.
mg/dL meters Following two short beeps signifying the end of measurement, the meter announces the result – hundreds first, then tens, and finally units. There is a short pause between each group of beeps. The result 180 mg/dL is announced as follows: one short beep – pause – eight short beeps – pause – one long beep. The result 72 mg/dL is announced as follows: one long beep (for 0 hundreds) – pause – seven short beeps – pause – two short beeps. 19.
If the most recently saved result is a quality control result, this is announced in the same way as any blood glucose result. There is no acoustic indication to signify quality control results. i 19.3 Warnings and error messages In the case of warnings, flashing symbols appear in the display. Additionally, in Acoustic Mode, the meter emits three double beeps. Please refer to the chapters “Symbols shown in the display” and “Display messages and troubleshooting” for the complete list.
i As warnings that sound after a test are saved together with the result, these also sound when the most recently saved result is recalled from memory. The meter displays error messages in the form of an E plus a number. In Acoustic Mode the meter additionally emits four double beeps when it displays an error message. There is no further acoustic differentiation. Please refer to Chapter 13 for the complete list.
To perform a quality control check you need the concentration tables for the control solution you are using. These can be found on the peel-off label attached to the drum container. When conducting the quality control test, always check that the peel-off label with the concentration tables belongs to the test strip drum that is currently in the meter. 20.2 Performing a quality control check Read the package insert that came with the control solution. Press the Test button to turn the meter on.
Take a bottle of control solution. Open it and wipe the tip of the dropper with a clean, dry paper towel in order to remove any dried-on residues. Apply a drop of control solution to the surface of a clean, easily washable object made of glass, porcelain or stainless steel (e.g. a plate or spoon). i Use only control solution that has been freshly applied to the surface of the object. The control solution must not be left exposed on the surface for any length of time.
Hold the tip of the test strip to the drop of control solution. The test strip draws up the control solution via the black notch. When the test strip has drawn up sufficient control solution, the meter beeps (provided the beep tone is turned on), the test strip symbol disappears and the blood drop symbol stops flashing. Measurement starts automatically and 000 appears in the display. Withdraw the test strip from the control solution. Measurement takes approximately 5 seconds.
If the bottle symbol is not displayed: Press the S button twice when the result is displayed. The bottle symbol appears in the display. i You can only flag the result as a quality control result as long as you have not yet turned the meter off. Once the meter has been switched off, you can no longer flag the result. You cannot change results you have retrieved from memory with the M button.
The hypo indicator cannot distinguish between blood and control solution. If you have set a hypo indicator and use control solution G1 you may see hypo? flashing on the display. This means that the reading for the control solution is below the blood glucose level you have set for the hypo indicator. Example: The concentration range for control solution G1 is 2.1-3.7 mmol/L (37-67 mg/dL) and the level set for the hypo indicator is 3.9 mmol/L (70 mg/dL).
Did you perform the test within the correct temperature range (+10°C to +40°C)? Did you use a test strip drum whose 90-day use-by period has not expired (see Chapter 6)? Did you observe the proper storage conditions for the meter, the test strip drum and the control solution (see Chapter 24)? Is the control solution beyond its expiration date (see label on the bottle)? Has the control solution been open for more than three months? Once opened, control solutions are stable for three months
21 Symbols, display messages and troubleshooting In addition to test results, the time and the date, your meter displays other symbols and error messages. Some of these routine display messages have already been explained in earlier chapters. Following is a complete summary of all symbols and messages, what they mean and what actions you should take when they appear. When you use the meter, pay close attention to all symbols and messages.
21.1 Symbols shown in the display When elements in the display are surrounded by a halo, it indicates that they are flashing in the meter’s display. Symbol ... Meaning: This is the unit in which your blood glucose results are displayed. The beep tone (On 1) or Acoustic Mode (On 2) is turned on. You may apply blood or control solution to the test strip now. The test is in progress. 5 For sighted persons: Using the meter and cleaning the devices AC_Voicemate_Manual_EN-CAN.indd 199 199 1.5.
Symbol ... Meaning: mem signifies that the result being displayed is a result from memory. No results have been saved. The meter cannot calculate the average of the last 7, 14 or 30 days, as memory only contains results that are not used in the calculation, e.g. quality control results, as you have not entered the date and time, as you have set the date to a time in the past. The average blood glucose result for the last 7, 14 or 30 days is displayed.
Symbol ... Meaning: This result is a quality control result. The temperature during testing was at the limit of the permitted range (between +6°C and +10°C or between +40°C and +44°C). Do not use the result as a basis for therapeutic decisions. Turn the meter off. Let the meter warm up or cool down slowly. Turn the meter on again and repeat the test. During testing the permitted temperature range is from +10°C to +40°C. When this result was saved, the temperature was at the limit of the permitted range.
Symbol ... Meaning: The blood glucose result is below the measuring range, i.e. it is less than 0.6 mmol/L (or 10 mg/dL). If the displayed test result agrees with the way you feel, follow your doctor’s advice. If the test result does not agree with the way you feel, please perform a quality control check with Accu-Chek Compact Autocontrol solution and a new test strip. Then perform another blood glucose test. If the new test result still does not agree with the way you feel, please contact your doctor.
Symbol ... Meaning: You have turned on the alarm clock function. The bell symbol flashes in the display at the same time as the meter beeps. The meter is sending results to a computer. The result has been flagged as a special result. 5 For sighted persons: Using the meter and cleaning the devices AC_Voicemate_Manual_EN-CAN.indd 203 203 1.5.
21.2 Display messages and troubleshooting When elements in the display are surrounded by a halo, it indicates that they are flashing in the meter’s display. If you receive frequent error messages, please contact the Accu-Chek customer care line (see Chapter 30). If this happens ... it means: The meter will not turn on. The batteries (normal or rechargeable) are empty. Insert batteries (new or recharged). You inserted the batteries the wrong way round.
If this happens ... it means: The clock has stopped or the clock is slow. The meter was exposed to a temperature below -10°C and the batteries are beginning to freeze. Turn the meter off. Let it warm up slowly. Always keep the meter and batteries at temperatures between -10°C and +50°C (with test strip drum: between +2°C and +30°C). When the meter is turned on, The meter was exposed to a temperature below -10°C and the batteries are beginning to freeze. Turn the meter off. Let it warm up slowly.
This message/symbol appears ... and means: The test strip drum in the meter is empty. Insert a new test strip drum. You inserted a partly used test strip drum. You opened the drum compartment. You took longer than two minutes to replace the batteries (the year, date and time settings are lost) and a partly used drum remained in the meter. You adopted the bar code from the preceding drum, as the bar code on the drum that is inserted is damaged (see error message E-2).
This message/symbol appears ... and means: You inserted a partly used test strip drum. You opened the drum compartment. You took longer than two minutes to replace the batteries (the year, date and time settings are lost) and a partly used drum remained in the meter. You adopted the bar code from the preceding drum, as the bar code on the drum that is inserted is damaged (see error message E-2). The meter cannot calculate the use-by period for this test strip drum.
This message/symbol appears ... and means: The results in memory may be incorrect. Incorrect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects. Although you performed An assignment error has occurred. The result is correct, but has been saved as a quality cona blood glucose test, the bot- trol test. tle symbol is displayed. Press the S button once so that the bottle symbol is no longer displayed.
This message/symbol appears ... and means: The bar code information from the test strip drum has been lost. Press the Test button to turn the meter off. Open and close the drum compartment. The meter then rotates the drum and reads the bar code. The drum symbol and the bottle symbol flash in the display when the next test is performed. Perform a quality control check. You may use all the test strips remaining in the drum. The 90-day use-by period will no longer be properly calculated for this drum.
This message/symbol appears ... and means: If you inserted the second or third drum from a pack, press the S button. The meter uses the bar code from the preceding drum. The drum and bottle symbols flash in the display. The meter requests you to perform a quality control check. You may use all 17 test strips for testing. The drum symbol continues to flash in the display until you have inserted a new drum. If you inserted a test strip drum from an individual pack, you can no longer use this drum.
This message/symbol appears ... and means: The bar code on the test strip drum is damaged. To troubleshoot, see error message E-2. The small window covering the optical system is dirty. Clean the window (see Chapter 22) and repeat the test with a new test strip. You applied blood or control solution too soon. Press the Test button to turn the meter off and then on again. Repeat the test with a new test strip.
This message/symbol appears ... and means: You turned the meter off and on again. The old test strip is still in the meter. Hold the meter upright so the test strip is pointing downwards. Press the Test button to turn the meter off and allow the test strip to drop out. If the test strip does not drop out, remove it manually, even if you feel some resistance. You pulled the test strip out of the meter before applying blood or control solution to the strip.
This message/symbol appears ... and means: The batteries are empty or a meter error has occurred. Press the Test button to turn the meter off and then on again. If the error message appears again, the batteries may be empty. Insert new batteries. If you see the error message again when you next turn the meter on, please contact the Accu-Chek customer care line (see Chapter 30). You pulled the test strip out of the meter during testing. Press the Test button to turn the meter off and then on again.
This message/symbol appears ... and means: The meter has been exposed to severe differences in temperature. The temperature is too low (between 0°C and +6°C) or too high (above +44°C) to perform a test. Press the Test button to turn the meter off. Allow it to cool down or warm up slowly. During testing the permitted temperature range is from +10°C to +40°C. You applied too little blood or control solution. Turn the meter off and on again.
This message/symbol appears ... and means: The bar code on the test strip drum is damaged. To troubleshoot, see error message E-3. A meter error has occurred. Press the Test button to turn the meter off and then on again. If the error message persists, please contact your local customer support and service centre (see Chapter 31). During a data download both arrows fail to start flashing. The meter turns itself off automatically after 5 minutes.
This message/symbol appears ... and means: A software error occurred in the PC, handheld computer or the Accu-Chek Smart Printer System. Read the manual for the software or the Accu-Chek Smart Printer System. 5 216 AC_Voicemate_Manual_EN-CAN.indd 216 For sighted persons: Using the meter and cleaning the devices Farbe: P 281 – Prüfmittelnummer: 205 1.5.
22 Cleaning the devices 22.1 Cleaning the meter Only a sighted person may clean the meter. The meter uses an optical measuring method that relies heavily on all of its components being clean. Because of the way the test strip works, the meter does not normally come into direct contact with blood. Regular cleaning is therefore largely unnecessary. In the rare event of the meter becoming soiled through improper use, cleaning it may become necessary (see error message E-5 in Chapter 21.2).
Use a lightly moistened cloth or a lightly moistened cotton swab. Do not spray anything onto the meter and do not immerse it in water or alcohol. Doing so may damage the meter’s internal components and stop it from working properly. If the outside of the meter or the display are dirty, wipe with a lightly moistened cloth. 5 218 AC_Voicemate_Manual_EN-CAN.indd 218 For sighted persons: Using the meter and cleaning the devices Farbe: P 281 – Prüfmittelnummer: 205 1.5.
Clean the meter carefully if the test strip guide has become visibly soiled, message E-5 is displayed (see Chapter 21.2). If the meter is on, press the Test button to turn it off. Wait for the motor to stop before you open the meter. Open the drum compartment cover by lifting where it projects slightly to the right of the test strip guide. 5 For sighted persons: Using the meter and cleaning the devices AC_Voicemate_Manual_EN-CAN.indd 219 219 1.5.
Use a lightly moistened cotton swab to wipe the small window covering the optical system and the area around it. Make sure that no liquid enters the meter. Avoid scratching the measuring window, as doing so could impair its measuring function. Remove any fluff or lint that may remain. Close the drum compartment cover and push it shut. You will hear an audible CLICK. Perform a quality control check (see Chapter 20). i 22.2 Ensure that the drum compartment cover is tightly closed.
In addition, thoroughly wipe the inside of the cap using a cotton swab lightly moistened with one of the two cleaning fluids. Allow the lancing device time to dry thoroughly. Never dip the lancing device in cleaning fluid. Doing so may damage internal parts, so affecting its operation. Use only 70% ethanol or 70% isopropanol to clean the lancing device. You can obtain these from your pharmacist. Other cleaning agents may attack the plastic and stop the lancing device from operating properly. 22.
23 Alternate sites testing Traditionally, capillary blood for blood glucose testing is taken from the fingertip. You now have the added option of obtaining capillary blood from other sites such as the palm, forearm, upper arm, or calf. Testing with blood from these alternate sites is referred to as Alternate Site Testing (AST).
In rare cases bruising may occur as a result of alternate site testing. If the result obtained from alternate site testing does not agree with the way you feel, test again with blood collected from a fingertip. If this test result still does not agree with the way you feel, please contact your doctor. Do not change your treatment based on just one result. Only use the Accu-Chek Softclix Plus AST Accessory with your Accu-Chek Softclix Plus lancing device.
Do not test blood taken from alternate sites: Alternate Sites for Testing up to two hours following a meal when blood glucose levels are rising quickly, after exercise, if you have a temperature or if a medical condition is limiting your mobility, e.g.
23.2 Preparing the lancing device 1. Pull the blue cap from the lancing device. 2. Slide a new lancet into the lancet holder, and push it in until you hear it CLICK into place. 3. Twist off the protective cap from the lancet. 4. Attach the clear AST cap. The locating notch in the cap must be directly aligned with the locating line on the lancing device. The cap snaps into place with an audible CLICK. 5. Rotate the cap until you reach your chosen setting.
i To obtain a sufficiently large drop of blood from an alternate site, lancing must be deeper than on the finger. However, these sites are usually less sensitive to pain. 6. Press the plunger all the way down. The plunger returns about a third of the way. The lancing device is primed. 23.3 Obtaining blood 1. Choose a fleshy area of the alternate site and wash it with warm, soapy water or use an alcohol wipe. This ensures that the puncture site is clean. Allow the skin to dry thoroughly.
2. Press the lancing device firmly against the chosen puncture site. 3. Press in the plunger as far is it will go. This triggers the lancet, which penetrates the skin. 4. Keep the lancing device pressed against the skin for a few seconds. i For blood collection, the cap must be on the lancing device. Without the cap the lancing device can be neither primed nor triggered. Instead, the lancet is ejected when you press the plunger. You can watch the drop of blood form through the clear AST cap.
You now have about 5 minutes in which to apply blood. After this time, the meter automatically turns off. 3. Hold the meter so the test strip is pointing down-wards. 4. Hold the tip of the test strip to the drop of blood. The test strip draws up the blood via the black notch. When the test strip has drawn up sufficient blood, the meter beeps (provided the beep tone is turned on), the test strip symbol disappears and the blood drop symbol stops flashing.
i You can flag results obtained from alternate site testing with an asterisk asterisk symbol. Flagging can take place before or after testing. . The results are saved together with the Before testing While the test strip symbol and blood drop symbol are flashing in the display: Press the S button. An asterisk appears below the flashing test strip symbol. To remove the asterisk: Press the S button again. After testing When the result is displayed: Press the S button.
23.5 Cleaning the Accu-Chek Softclix Plus AST Accessory Clean the AST cap regularly and whenever there is blood on it. Wipe the outside of the AST cap once a week with a cloth lightly moistened with 70% ethanol or 70% isopropanol (available from your pharmacist). In addition, thoroughly wipe the inside of the AST cap using a cotton swab lightly moistened with one of the two cleaning fluids. Allow the AST cap time to dry thoroughly. Never dip the AST cap in cleaning fluid.
Part 6 Appendix AC_Voicemate_Manual_EN-CAN.indd 231 1.5.
24 Measurement and storage conditions The reliability of your voice unit, meter and lancing device as well as the accuracy of your results is influenced by various factors. Pay close attention to the following points. 24.1 Blood glucose meter and lancing device 24.1.1 Temperature range Without batteries and without test strip drum the meter may be stored at between -25°C and +70°C. With batteries and without test strip drum the meter may be stored at between -10°C and +50°C.
A test can be performed at the limit of the permitted range (between +6°C and +10°C or between +40°C and +44°C). In this case the thermometer symbol is displayed. Do not use results obtained at the limits of the permitted temperature range as a basis for making therapeutic decisions, as they could be incorrect. Incorrect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects. Tests cannot be performed at temperatures below +6°C and above +44°C.
24.1.2 Atmospheric humidity Only test blood glucose at a relative humidity of between 20% and 85%. Keep the meter and lancing device at a relative humidity of between 20% and 85%. Sudden changes in temperature cause condensation to form in or on the meter. If this happens, do not turn the meter on. Make sure that it returns to room temperature slowly. Never keep it in a room that is likely to harbour condensation (e.g. a bathroom). 24.1.
25 Technical data 25.1 Accu-Chek Compact Plus meter Device type Accu-Chek Compact Plus 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 Compact test strips. Blood glucose concentrations may be measured in whole blood or in plasma.
Storage temperature Meter without batteries and without a test strip drum: -25°C to +70°C with batteries and without a test strip drum: -10°C to +50°C with batteries and with a test strip drum: +2°C to +30°C 6 Lancing device -25°C to +70°C Atmospheric humidity 20% − 85% relative humidity Memory 300 results together with time and date, averages, highest and lowest value for periods of 7, 14 and 30 days Dimensions 113 x 49 x 30 mm without lancing device 115 x 56 x 30 mm with lancing device Weight
Safety class III LED/IRED Class 1 Electromagnetic compatibility This device meets the electromagnetic immunity requirements as per ISO 15197 Annex A. The chosen basis for the immunity tests (for electrostatic discharge) was basic standard IEC 610004-2. In addition, it meets the electromagnetic emissions requirements as per EN 61326. Its electromagnetic emission is thus low. Interference from other electrically powered equipment is not expected.
25.2 Accu-Chek Voicemate Plus voice unit Device type Accu-Chek Voicemate Plus Catalogue No./Serial No. See type plate on the back of the device Storage temperature without batteries: with batteries: -25°C to +70°C -10°C to +50°C Atmospheric humidity 20% − 85% relative humidity Memory 5000 results with additional information Dimensions 113 x 49 x 30 mm Weight approx.
Safety class III LED/IRED Class 1 Accessories Earpiece Electromagnetic compatibility This device meets the electromagnetic immunity requirements as per ISO 61326 Annex A. 26 Disposal of the devices During blood glucose testing the meter and voice unit may come into contact with blood. Used devices therefore carry a risk of infection. Please dispose of your used devices - after removing the batteries - according to the regulations applicable in your country.
27 System components In order to ensure that your Accu-Chek products operate safely and reliably, use only Accu-Chek system components. Use the Accu-Chek Voicemate Plus voice unit only in combination with the Accu-Chek Compact Plus meter. If you use other devices or swap one of the two devices, this user‘s manual is no longer valid. Use only Accu-Chek Compact test strips for testing with the Accu-Chek Compact Plus meter. These are available from your pharmacist or specialist outlet.
28 Guarantee The statutory provisions on rights in consumer goods sales in the country of purchase shall prevail. 29 Patents Accu-Chek Voicemate Plus voice unit None Accu-Chek Compact Plus meter EP 732 590; EP 738 666; EP 742 436; EP 1 189 064; US 5,463,467; US 5,720,924; US 5,863,800; US 6,707,554; US 6,475,436; WO 2004/003549 Accu-Chek Softclix Plus lancing device US 4,924,879; US-2004-0092996; US 2005-00908580; US Re.
Patent information Roche has been granted patent protection in the USA for Accu-Chek Softclix Plus and its use in combination with Accu-Chek Softclix and Accu-Chek Softclix XL lancets (US Patents 4,924,879 and Re. 35,803). Similar patent protection also exists in other countries, especially through European Patents 0565970, 0782838 and Japanese Patent 2702374.
30.2 Contact us Canada If you have any questions or concerns, call the Accu-Chek customer care line: Montreal area: (450) 686-7100 Outside Montreal (toll free): 1-800-363-7949 www.accu-chek.ca Accu-Chek Compact Plus is made in Ireland and Accu-Chek Voicemate Plus is made in Germany for export to: Roche Diagnostics 201 Blvd.
31 Alphabetical index A Accu-Chek Customer care .................................................................................................................................................. 243 Acoustic Mode ........................................................................................................................................................41, 156, 187 Alarm clock function, see test reminder Alternative sites ..........................................................................
Voice unit Battery status ..................................................................................................................................................66, 124 Inserting or changing .............................................................................................................................................. 64 Types ..............................................................................................................................................................
Cleaning Lancing device ........................................................................................................................................................... 220 Meter .......................................................................................................................................................................... 217 Voice unit ........................................................................................................................................
Date Diary ............................................................................................................................................................................. 92 Meter .......................................................................................................................................................................... 161 Sending .......................................................................................................................................
E Earpiece ....................................................................................................................................................................20, 48, 49 Entries (voice, diary, unit) Carbohydrates ......................................................................................................................................................... 95 Date .........................................................................................................................
Voice unit .................................................................................................................................................................... 121 Requesting error messages from the meter ........................................................................................................... 121 Requesting error messages from the voice unit ..................................................................................................... 122 Event (voice unit) ........
I Infection risk ..................................................................................................................................................................43, 239 Infrared window Lining up ....................................................................................................................................................................... 48 Meter ..........................................................................................................................
M M button .............................................................................................................................................................................. 21 Measuring range.............................................................................................................................................................57, 235 Measuring time ................................................................................................................................
Meter Checking ..................................................................................................................................................................... 191 Cleaning ...................................................................................................................................................................... 217 Data downloads ....................................................................................................................................
Penetration depth .................................................................................................................................................................. 47 Plausible results .................................................................................................................................................................... 57 Plunger (lancing device) .....................................................................................................................
S S-button ............................................................................................................................................................................... 21 Searching (voice, diary, unit) Entries ....................................................................................................................................................................82, 100 Hits ..........................................................................................................
Time ...................................................................................................................................................................... 159 Time-and-date format ........................................................................................................................................... 158 Year ......................................................................................................................................................................
T Technical data Meter .......................................................................................................................................................................... 235 Voice unit .................................................................................................................................................................... 238 Temperature range ....................................................................................................................
Sending From meter to a PC, handheld or printer ............................................................................................................... 185 From meter to voice unit ........................................................................................................................................ 111 From voice unit to a PC, handheld or printer .......................................................................................................... 109 Test strip ...............
Type plate Meter ............................................................................................................................................................................ 22 Voice unit ...................................................................................................................................................................... 20 U Unit, see also Units of measurement Blood glucose result ..............................................................................
W Warnings Meter ............................................................................................................................................................................ 60 Voice unit ...........................................................................................................................................................60, 64, 66 Warning tone (voice unit) ..............................................................................................................
0088 © 2006 Roche Diagnostics. All rights reserved. Roche Diagnostics GmbH D-68298 Mannheim, Germany www.accu-chek.com AC_Voicemate_Manual_EN-CAN.indd 260 0 4961501001(01) 04/07 ACCU-CHEK, SOFTCLIX and VOICEMATE are trademarks of Roche. 1.5.
