ACCU-CHECK Avia Combo User manual

Aviva Combo
ACCU-CHEK Aviva Combo
05071739002-0809
BLOOD SUGAR METER
Standard Owner’s Booklet
©2009 Roche Diagnostics. All rights reserved.
Assembled in USA.
Distributed by:
Disetronic Medical Systems Inc.
11800 Exit 5 Parkway, Suite 120
Fishers, IN 46037
Phone [phone]
Fax [phone]
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK
AVIVA COMBO, ACCU-CHEK SPIRIT COMBO, and
ACCU-CHEK MULTICLIX 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.

LAST UPDATE: 2009-08
Aspects of the ACCU-CHEK Aviva Combo system, including the meter, code key, and test strips,
and their use, are covered by one or more of the following United States patents: 5,352,351;
4,999,582; 5,997,817; 5,053,199; Re. 36,268; 5,438,271; 5,366,609; 6,645,368; 6,662,439;
5,122,244; 7,073,246; 7,276,146; 7,276,147; 7,338,639; 7,386,937; 7,407,811; 7,452,457;
7,488,601; 7,494,816; 7,556,723; 7,569,126. Additional United States Patents pending.
The ACCU-CHEK Multiclix device and its use are covered by the following U.S. patents:
4,924,879; Re. 35,803; 6,419,661. Additional U.S. patents pending.

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 rst 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 Pump Support 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.

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 ngertip or forearm).
• Only use ACCU‑CHEK Aviva 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
wWARNING:
Certain substances can interfere with the ACCU-CHEK Aviva Combo blood glucose system and cause
falsely high results. For example, peritoneal dialysis solutions containing icodextrin (such as Extraneal) or
certain immunoglobulin therapies that contain maltose (such as Octagam 5 %) cause inaccurate results.
For more information, refer to the Test Strip Package Insert or ask your healthcare professional.
• 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 sugar (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 rst 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.

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 sugar 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 sugar if you or a person to whom you are providing care is
experiencing cardiovascular collapse (severe shock) or decreased peripheral blood ow.
• 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 7
The ACCU-CHEK Aviva Combo System 8
1 Understanding Your New System 11
1.2 The ACCU-CHEK Aviva Combo Meter at a Glance 13
1.3 The ACCU-CHEK Spirit Combo Insulin Pump at a Glance 18
1.4 Summary of Features 19
1.5 Screen Content and Navigation 29
2 Testing Your Blood Sugar 37
2.1 Overview 38
2.2 Coding Your Meter 39
2.3 Using the ACCU-CHEK Aviva Combo System 41
2.4 Performing a Blood Sugar Test 43

2
2.5 Detailed Blood Sugar Results 52
2.6 Understanding Blood Sugar Test Results 56
2.7 Unusual Test Results 60
2.8 Symptoms of High or Low Blood Sugar 62
3 Control Testing 65
3.1 Overview 66
3.2 Why Perform Control Tests 67
3.3 About the Control Solutions 68
3.4 Performing a Control Test 69
3.5 Understanding Control Test Results 75
4 Managing Your Data 81
4.1 Overview 82
4.2 Viewing or Modifying Your Data 85
4.3 Adding New Data 94
4.4 Reporting Your Data 97
4.5 Downloading Your Data to a Computer 135

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5 Changing Meter Settings 139
5.1 Overview 140
5.2 Setting bG Test Reminders: After High bG, After Low bG, After Meal 141
5.3 Setting Alarm Clock Reminders: bG Test, Other 146
5.4 Setting Date Reminders: Dr. Visit, Lab Test, Infusion Set Change 149
5.5 Setting Bolus Advice for the First Time 154
5.6 Setting Time Blocks, Health Events, Advice Options: Bolus Advice Set Up 163
5.7 Setting Warning Limits: Hyper, Hypo 172
5.8 Turning Key Lock On or Off 175
5.9 Setting the Language 178
5.10 Setting Units: Carbs 181
5.11 Turning Bluetooth®Wireless Technology On or Off 184
5.12 Pairing the Meter and Pump 186
5.13 Setting the Beeper, Vibrate, and Key Sound 187
5.14 Setting the Time Format, Time, and Date 190
5.15 Setting Time Blocks: Bolus Advice Not Set Up 193
5.16 Backlight Settings 201

4
6 Icons, Reminders, Warnings, and Errors 203
6.1 Overview 204
6.2 List of Icons 205
6.3 Conrming a Reminder, Warning, or Error 207
6.4 List of Reminders 208
6.5 List of Warnings 218
6.6 List of Errors 224
7 Care and Maintenance 227
7.1 Overview 228
7.2 Changing the Batteries 229
7.3 Power-Saving Tips 232
7.4 Cleaning the Meter 233
7.5 Maintenance and Testing 234
8 Troubleshooting 235
8.1 Overview 236
8.2 Troubleshooting the ACCU-CHEK Aviva Combo Meter 237

5
9 Technical Information 255
9.1 Overview 256
9.2 Product Limitations 257
9.3 Specications 258
9.4 Product Safety Information 260
9.5 Disposing of the Meter, Strips, Lancets, and Batteries 263
9.6 Warranty 265
9.7 Additional Supplies 272
9.8 Information for Healthcare Professionals 273
Appendices 275
Appendix A: Abbreviations 275
Appendix B: Carb Units 278
Appendix C: Explanation of Symbols 279
Appendix D: Meter Settings and Range Limits 280
Glossary 285
Index 295

6

7
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.
Should you have any questions, please contact one
of our customer support and service centers. A
listing is at the back of this booklet.
This booklet includes information about:
• Understanding your new ACCU‑CHEK Aviva Combo
system
• Coding the meter
• Testing your blood sugar
• Control testing
• Managing your data
• Changing the meter settings
• Understanding the icons, reminders, warnings, and
errors
• Care and maintenance
• Troubleshooting
• Technical information
Introduction
Whether the ACCU-CHEK Aviva Combo meter is your first blood sugar 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.
If you have questions, we are here to help. Just call ACCU‑CHEK Pump Support at 1‑800‑688‑4578. You can
also visit www.ACCU-CHEK.com for diabetes management tools.

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The ACCU‑CHEK Aviva Combo System
The ACCU-CHEK Aviva Combo meter is for quantitative blood sugar testing using ACCU‑CHEK Aviva test
strips. The meter has many features including:
• Controlling your ACCU‑CHEK Spirit Combo pump
• Administering a bolus
• Bolus advice
• Daily time blocks that can be adjusted to fit your lifestyle
• Data management
• Data transfer
• Date reminders
• bG test reminders: Alarm clock, Target bG levels, and Health events
• An electronic diary that allows you to enter meal time, carbs, health, and bolus information with your
blood sugar test results
For detailed information about the features of the meter, see Chapter 1, “Understanding Your New System.”

9
iNOTE:
Blood sugar and bG are interchangeable and mean the same thing.
Intended Use
The ACCU‑CHEK Aviva Combo blood glucose monitoring system is intended for the quantitative measurement
of blood glucose. The ACCU‑CHEK Aviva Combo system is intended for self‑testing outside the body (in vitro
diagnostic use) by people with diabetes and/or by professionals in a clinical setting as an aid to effective
diabetes management. Testing sites include traditional ngertip site along with palm, forearm, upper arm,
thigh, and calf.
The ACCU-CHEK Aviva Combo meter can also be used to interface with and remotely control compatible
ACCU-CHEK insulin infusion pumps via Bluetooth wireless technology (radio frequency communication).
The ACCU-CHEK Aviva Combo meter is also indicated for the management of diabetes by calculating an
insulin dose or carbohydrate intake based on user-entered data.

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The system includes:
• ACCU‑CHEK Aviva Combo meter with three AAA batteries (already inserted)
• ACCU‑CHEK Aviva test strips and code key
• ACCU‑CHEK Aviva control solution
wWARNING:
Any object coming into contact with human blood is a potential source of infection (see: Clinical and
Laboratory Standards Institute: Protection of Laboratory Workers from Occupationally Acquired Infections;
Approved Guideline – Third Edition; CLSI document M29‑A3, 2005).
Why Regular Blood Sugar Testing Is Important
Testing your blood sugar regularly can make a big difference in how you manage your diabetes every day.
Discussing your results with your healthcare professionals and following their advice about medicine,
exercise, and food plans can help you better control your diabetes.
Important Information About Your New Meter
• The meter is designed for testing fresh whole blood samples (for example, blood from your ngertip or
forearm). The meter is for outside the body (in vitro) use. It should not be used to diagnose diabetes.
• This meter requires ACCU‑CHEK Aviva test strips. Other test strips will give inaccurate results.
• The meter comes with the time and date preset. You may need to change the time to your time zone.
• If you have followed the steps in this booklet but still have symptoms that do not seem to match your test
results, or if you have questions, talk to your healthcare professional.

1
11
1Understanding Your New System
1.1 Overview 12
1.2 The ACCU-CHEK Aviva Combo Meter at a Glance 13
1.3 The ACCU-CHEK Spirit Combo Insulin Pump at a Glance 18
1.4 Summary of Features 19
1.5 Screen Content and Navigation 29

12
1.1 Overview
Your new meter has several features to assist you in managing your diabetes. It is important you understand
the features and how to operate the meter correctly.
iNOTES:
• 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 Pump
Support at 1-800-688-4578.
• On the meter display, the code chip is referred to as a code key. Code key and code chip are
interchangeable and mean the same thing.
• Blood sugar and bG are interchangeable and mean the same thing.

1
13
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
Insert code key here with
code number facing away
from you.
Battery Door
Remove the battery door
by pushing the tab and
pulling the door up.
Backlight Button
Press to adjust the backlight level.

14
Top View
Infrared (IR) Window
Code Key
(for example)
Batteries
Insert batteries according to the
+ and - symbols in the battery
compartment.
Test Strip
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)
Control Solution Bottle
(for example)