ACCU-CHECK AVIVA COMBO User manual

Aviva Combo
00048010154/C-0413
Roche USA – 51637
V6/1 – 00048010154/C – Black
Roche USA – 51637
V6/2 – 00048010154/C – Cyan
Roche USA – 51637
V6/3 – 00048010154/C – Magenta
Roche USA – 51637
V6/4 – 00048010154/C – Yellow
Roche USA – 51637
V6/5 – 00048010154/C – PMS 287
Roche USA – 51637
V6/6 –00048010154/C– PMS 5445
BLOOD GLUCOSE METER
Getting Started Guide
for Self-Testing Only
©2013 Roche Diagnostics
Assembled in USA.
Distributed by:
Roche Health Solutions Inc.
11800 Exit 5 Parkway, Suite 120
Fishers, IN 46034
Phone: [phone]
Fax: [phone]
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK
AVIVA COMBO, ACCU-CHEK SPIRIT COMBO, and
FASTCLIX are trademarks of Roche.
The Bluetooth® word mark and logos are registered
trademarks owned by Bluetooth SIG, Inc. and any
use of such marks by Roche is under license. Other
trademarks and product names are the property of
their respective owners.
Aviva Combo
Aviva Combo

LAST UPDATE: 2012-08

i
Before You Start Testing
About the meter and test strips
• Carefully read and follow the instructions in the Getting Started Guide, the Standard Owner’s Booklet, the
Advanced Owner’s Booklet, and package inserts for the test strips and control solutions. Not following the
instructions may lead to a wrong result or improper treatment, causing you health problems.
• Set the time and date on your meter before you begin testing.
• Inspect the test strip container before using the test strips for the first time. If you see any damage to the
container cap or if anything prevents the cap from closing properly, do not use the test strips. Contact
ACCU-CHEK Customer Care Service Center at 1-800-688-4578. Damaged test strips can cause inaccurate
results, which could lead to improper treatment.
• Carefully dispose of used test strips and lancets.
• Home use of the ACCU-CHEK Aviva Combo system is limited to capillary whole blood testing.
Roche USA – 51637
V4/1 – 00048010154/C – Black
Roche USA – 51637
V4/2 – 00048010154/C – Cyan
Roche USA – 51637
V4/3 – 00048010154/C – Magenta
Roche USA – 51637
V4/4 – 00048010154/C – Yellow
NOTE
The terms “blood sugar” and “blood glucose” have the same meaning. In this manual we will use the
term “blood glucose” when referring to “blood sugar.”

ii
About Your New Meter
• The meter is designed and can be used for testing fresh capillary whole blood samples (for example, blood
from a fingertip).
• Only use ACCU-CHEK Aviva Plus test strips. Other test strips will give inaccurate results.
• Although you always apply whole blood to the test strip, the system has been calibrated to deliver
plasma-like values for easier comparison to lab results.
• The meter, test strips, and control solution are only for use outside the body (in vitro). Do not eat the test
strips. Do not swallow or inject the control solution, or use the control solution for any purpose other than
testing the ACCU-CHEK Aviva Combo system.

iii
About Testing Yourself or Others
• If you are very dehydrated or urinating frequently, you may get an inaccurate test result. If you think you are
dehydrated, call your healthcare professional right away.
• Some people with diabetes do not experience symptoms of low blood glucose (hypoglycemia). Others, such
as children or people who are unconscious or have certain disabilities, may not be able to communicate
their symptoms to caregivers. For these reasons, do not change any treatment without first talking to a
healthcare professional.
• Run a control test when you open a new box of test strips or if you think that your test result is incorrect.
Running a control test lets you know that the meter and test strips are working properly.
• If peripheral circulation is impaired, collection of fresh capillary whole blood from the approved sample sites
is not advised as the results might not be a true reflection of the physiological blood glucose level. This may
apply in the following circumstances: severe dehydration as a result of diabetic ketoacidosis or due to
hyperglycemic hyperosmolar non-ketotic syndrome, hypotension, shock, decompensated heart failure NYHA
Class IV, or peripheral arterial occlusive disease.
• Not to be used for patients who are critically ill.

iv
• Refer to the test strip and control solution package inserts for additional health-related information.
• It is always a good idea to have a back-up testing method available. Failure to test could cause a delay in
treatment decisions and lead to a serious medical condition. Examples of back-up testing methods include
a back-up meter or testing by a lab. Ask your healthcare professional or pharmacist about other possible
back-up methods.
DO NOT CHANGE YOUR TREATMENT BASED ON A SINGLE RESULT THAT DOES NOT MATCH
HOW YOU FEEL OR IF YOU BELIEVE THAT YOUR TEST RESULT COULD BE INCORRECT.
If your blood glucose result doesn’t match how you feel and you have followed the instructions in your
owner’s booklets, follow your healthcare professional’s instructions or call your healthcare professional.
Special Information to Consider When Using This Meter
• Do not use this device to measure blood glucose if you or a person to whom you are providing care is
experiencing cardiovascular collapse (severe shock) or decreased peripheral blood flow.
• Consult your healthcare professional to determine if it is appropriate for your child to be taught how to use
the meter system or any other medical products.

1
Contents
Before You Start Testing i
Introduction 3
1 Understanding Your New System 5
1.1 Overview 6
1.2 The ACCU-CHEK Aviva Combo Meter at a Glance 7
1.3 The ACCU-CHEK Spirit Combo Insulin Pump at a Glance 13
1.4 Screen Content and Navigation 14
2 Getting Started 23
2.1 Overview 24
2.2 Setup Wizard 25
2.3 Setup Wizard: Important Information 44

2
3 Testing Your Blood Glucose 53
3.1 Overview 54
3.2 Performing a Blood Glucose Test 55
Appendices 61
Appendix A: Explanation of Symbols 61
Appendix B: References 62
Glossary 63
Index 69

3
Your new meter includes three booklets:
• Getting Started Guide:
Use this booklet to set up the meter.
• Standard Owner’s Booklet:
Use this booklet for instructions on how to operate
the standard features of the meter.
• Advanced Owner’s Booklet:
Use this booklet for instructions on how to operate
the advanced features of the meter.
This booklet includes information about:
• Understanding your new ACCU-CHEK Aviva Combo
system
• Getting started
• Completing the Setup Wizard
• Testing your blood glucose
Introduction
Whether the ACCU-CHEK Aviva Combo meter is your first blood glucose meter or you have used a meter for
some time, please take the time to read the Getting Started Guide, the Standard Owner’s Booklet, and the
Advanced Owner’s Booklet carefully before you use your new meter. To use it correctly and dependably, you
need to understand its operation, screen displays, and all individual features.

4
WARNING
• This Getting Started Guide does not replace the Standard Owner’s Booklet for your ACCU-CHEK
Aviva Combo meter. The Standard Owner’s Booklet contains important handling instructions and
additional information including a restricted limited license that limits the use of the ACCU-CHEK Aviva
Combo system.
• Choking hazard. Small parts. Keep away from children under the age of 3 years.
Should you have any questions, please contact ACCU-CHEK Customer Care Service Center at
1-800-688-4578.
Please complete your warranty card and mail it, so you receive the best customer service possible and
product update news.

1
5
1 Understanding Your New System
1.1 Overview 6
1.2 The ACCU-CHEK Aviva Combo Meter at a Glance 7
1.3 The ACCU-CHEK Spirit Combo Insulin Pump at a Glance 13
1.4 Screen Content and Navigation 14

6
1.1 Overview
Your new meter has several features to assist you in managing your diabetes. It is important that you
understand the features and how to operate the meter correctly.
NOTE
This booklet shows sample screens. The screens in this booklet may look slightly different from
the screens on the meter. If you have any questions about the meter screens, contact ACCU-CHEK
Customer Care Service Center at 1-800-688-4578.

1
7
1.2 The ACCU-CHEK Aviva Combo Meter at a Glance
Display
Shows menus, results,
messages, and data stored in
the diary
Buttons
Press to enter menus or the
diary, adjust settings, and
scroll through results
Left/Right Soft Keys
Press to select the menu or
option above the key
Power On/Off Button
Turns the meter on or off
Test Strip Slot
Insert golden end of test strip
here
Infrared (IR) Window
Transfers data from the
meter to a computer
Code Key Slot
Black code key is pre-
inserted here
Battery Door
Remove the battery door
by pushing the tab and
pulling up the door
Backlight Button
Press to adjust the backlight level

8
Test Strip
Batteries
Insert batteries according to the + and - symbols in
the battery compartment.
Control Solution Bottle
(for example)
Yellow Window -
Touch blood drop or
control solution here.
Golden End -
Insert this end of the test
strip into the meter.
Test Strip Container
(for example)

1
9
NOTE
The meter is already coded and comes with a pre-inserted black code key that you never need to
change. Even if you use test strips from test strip boxes that contain another code key that is a different
color or has different code numbers, you never need to change the black code key again.
Side View
Pre-inserted black code key
Code Key
(for example)
Top View
Infrared (IR) Window

10
The meter has seven buttons and two soft keys.
NOTE
• You hear a sound every time an active button/soft key is pressed unless you turned off the key sound.
• Press + or insert a test strip to turn on the meter.
Left Soft Key
Up Arrow
Enter
Left Arrow
Power On/Off
Right Soft Key
Right Arrow
Down Arrow
Backlight

1
11
Table of Buttons and Soft Keys
Button Name Function
<Left Arrow j Move or scroll to the left in a screen.
>Right Arrow j Move or scroll to the right in a screen.
xUp Arrow j Move or scroll up in a screen.
zDown Arrow j Move or scroll down in a screen.
,Left Soft Key j Select the option above the key on the display.
.Right Soft Key j Select the option above the key on the display.
=Enter j Select a menu or option.
j Save changes and exit the entry field.
*Backlight
j Adjust the backlight level (low, medium, high).
j Turn Bluetooth® wireless technology on and o (press and hold * in the
BLUETOOTH screen).
+Power On/O j Turn the meter on and o.

12
Table of Button Combinations
Button Combination Name Function
When the buttons are locked, press and
hold , and . until the Main Menu
appears.
Unlock Keys j Unlocks the buttons.
With the meter turned off, press and hold
* and then press +.
Meter/Pump
Pairing
j Begins meter and pump pairing.

1
13
For information about the pump, see the ACCU-CHEK Spirit Combo Insulin Pump User Guide.
Menu Key
Cycles through menus,
functions, and information
screens
OK Key
Selects current settings
displayed on screen, saves
changes, exits a screen,
and allows the user to view
the QUICK INFO screen
Display
Shows menus, messages,
and data stored in the pump
memory
Cartridge
Holds insulin
Adapter
Connects the cartridge to the
infusion set
Up Key
Moves forward in an information
screen, increases a setting, turns
on the backlight, programs a Quick
Bolus, cancels a Quick Bolus, and
turns off the STOP-Warning
Down Key
Moves backward in an information
screen, decreases a setting,
programs a Quick Bolus, cancels
a Quick Bolus, and turns off the
STOP-Warning
Infusion Set
Connects the pump to your body
to deliver insulin
1.3 The ACCU-CHEK Spirit Combo Insulin Pump at a Glance

14
1.4 Screen Content and Navigation
This section provides an explanation of how to understand and navigate the screens on the meter.
Each time the meter is turned on, this splash screen (ACCU-CHEK logo screen) is displayed for a short
period of time.