Accu-Chek ADVANTAGE User manual

BLOOD GLUCOSE METER
User’s Manual
A
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CCU-
CCU-C
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Advantage

Welcome
Thank you for selecting the Accu-Chek Advantage
System. Designed for ease of use, this system
was produced in close association with diabetes
healthcare professionals, hospitals and, most
importantly, people with diabetes.
The Accu-Chek Advantage System is intended for
self-testing of glucose in capillary whole blood by
people with diabetes.
Suitable for self-testing.
Your new meter is designed for testing fresh
capillary whole blood samples (for example, blood
from your fingertip). The meter is for outside
the body (in vitro) use. It should not be used to
diagnose diabetes.
This meter requires Accu-Chek Advantage Plus Test
Strips. Other test strips may give inaccurate results.
The lightweight, portable meter provides accurate
results in seconds. When you dose the test strip,
the meter measures your blood glucose level and
displays your result. It’s that simple.
i

The Accu-Chek Softclix finger pricker is
intended for patient self-monitoring by a
single person only. It must not be used to
collect blood from more than one person as
this poses an infection risk.
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).
Before using the Accu-Chek Advantage Meter or
Accu-Chek Softclix Finger Pricker for the first time,
please refer to the Getting Started Guide included
in this pack. Should you require further information,
please study this User’s Manual. Please forward the
completed Warranty Card immediately to
Roche Diagnostics.
If you have any questions or enquiries, please
call the Accu-Chek Customer Careline* on
0800 701 000 (UK) or 1 800 709 600 (Ireland).
* Calls may be recorded for training purposes.

Contents
About the Accu-Chek Advantage Meter . . . vi
Special Features . . . . . . . . . . . . . . . . . . . . viii
About the Accu-Chek Advantage Plus
Test Strip . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Inserting the Battery . . . . . . . . . . . . . . . . . . 1
Battery Symbol on the Display . . . . . . . . . . 2
Setting the Beeper, Time, Date,
and Hypo Flag . . . . . . . . . . . . . . . . . . . . . . . 4
Turning the Beeper On or Off . . . . . . . . . . . 4
Setting the Time and Date . . . . . . . . . . . . . 6
Setting the Hypo Flag . . . . . . . . . . . . . . . . . 8
Coding Your Meter. . . . . . . . . . . . . . . . . . . . 9
Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Gathering Supplies . . . . . . . . . . . . . . . . . . 11
Performing a Test. . . . . . . . . . . . . . . . . . . 11
Marking a Result with a Flag, Asterisk ( ) . 16
Normal Blood Glucose Values . . . . . . . . . 17
Understanding Your Test Results . . . . . . 17
Do’s and Don’ts . . . . . . . . . . . . . . . . . . . . . 18
Correct Test Strip Appearance . . . . . . . . . 19
Using the Memory . . . . . . . . . . . . . . . . . . . 20
Quality Control Checks . . . . . . . . . . . . . . . 22
Performing a Quality Control Check . . . . . 24
Understanding Control Results . . . . . . . . . 27
iii

Patient Testing for Healthcare
Professionals . . . . . . . . . . . . . . . . . . . . . . . 28
Sample Handling . . . . . . . . . . . . . . . . . . . 28
Testing Blood Glucose in Multiple Patients . 29
Performing a Blood Glucose Test . . . . . . . . 30
Flagging Test Results . . . . . . . . . . . . . . . . 32
Normal Blood Glucose Values . . . . . . . . . . 33
Unusual Test Results. . . . . . . . . . . . . . . . . 33
Troubleshooting Checks . . . . . . . . . . . . . . 34
Action. . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Disinfecting the Meter . . . . . . . . . . . . . . . . 35
What to Disinfect. . . . . . . . . . . . . . . . . . . . 35
How to Disinfect . . . . . . . . . . . . . . . . . . . . 36
When to Disinfect . . . . . . . . . . . . . . . . . . . 36
Suitable Disinfecting Cleaning Solutions. . . 37
Control Testing for Healthcare
Professionals . . . . . . . . . . . . . . . . . . . . . . . 38
Introduction . . . . . . . . . . . . . . . . . . . . . . . 38
Testing Intervals . . . . . . . . . . . . . . . . . . . . 38
About the Control Solutions . . . . . . . . . . . . 39
Performing a Control Test . . . . . . . . . . . . . 39
Caring for Your Meter . . . . . . . . . . . . . . . . 42
Display Check . . . . . . . . . . . . . . . . . . . . . 42
Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . 42
Storage and Handling . . . . . . . . . . . . . . . . 43
Transferring Data. . . . . . . . . . . . . . . . . . . . 43
Quick Reference Display Guide. . . . . . . . . 44
Memory Displays . . . . . . . . . . . . . . . . . . . 46
Display Messages . . . . . . . . . . . . . . . . . . . 48
Battery Displays . . . . . . . . . . . . . . . . . . . . 48
Quality Control Check Displays . . . . . . . . . 49
iv

Error Messages . . . . . . . . . . . . . . . . . . . . . 51
Technical Data. . . . . . . . . . . . . . . . . . . . . . 54
Product Specifications . . . . . . . . . . . . . . . 55
Electromagnetic Compatibility . . . . . . . . . 56
Performance Analysis . . . . . . . . . . . . . . . . 56
Note on Patient Situation . . . . . . . . . . . . . 57
Safety Remarks . . . . . . . . . . . . . . . . . . . . . 57
About the Accu-Chek Softclix
Finger Pricker . . . . . . . . . . . . . . . . . . . . . . 59
Accu-Chek Softclix Finger Pricker . . . . . . 60
Introduction . . . . . . . . . . . . . . . . . . . . . . . 60
Selecting Depth of Penetration . . . . . . . . . 60
How to Take a Blood Sample . . . . . . . . . . 63
Selecting the Puncture Site . . . . . . . . . . . 64
Preparing Fingertip or Earlobe . . . . . . . . . 64
Subsequent Treatment of the Puncture Site 65
Cleaning and Disinfecting the Accu-Chek
Softclix Finger Pricker. . . . . . . . . . . . . . . . 65
Accu-Chek Softclix Lancet . . . . . . . . . . . . 65
Product Safety Information . . . . . . . . . . . . 66
Disposing of the Meter . . . . . . . . . . . . . . . 66
Explanation of Symbols. . . . . . . . . . . . . . . 66
Warranty and Service Instructions . . . . . . 69
Supplies and Accessories . . . . . . . . . . . . . 69
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Any Questions . . . . . . . . . . . . . . . . . . . . . . 74
v

vi
About the Accu-Chek Advantage Meter
Display
Shows blood
glucose result,
messages, and
glucose results
stored in
memory.
ON/OFF Button
Press to turn
meter ON or OFF.
Right and Left
Buttons
Used for meter
setup and review
of memory.
Serial Port
Used to transfer
data.
Test Strip Slot
Insert test
strip here.

vii
About the Accu-Chek Advantage Meter
Code Chip
For coding the
meter. A new code
chip comes with
every container of
test strips.
Battery Cover
Remove cover to
change battery.
Code Chip Slot
Insert code chip
here.

Special Features
The meter is designed to store information
important to you and your healthcare
professional. The memory stores 480 results.
Along with these results, the meter can store
additional important information. The hypo flag
allows you to define your hypoglycemic level
and receive a reminder whenever you obtain
a blood glucose result below this level.
See “Setting the Hypo Flag” for additional
information.
The meter also has a flag, or asterisk (*), that
you can save in the memory with your blood
glucose result. See “Marking a Result with a
Flag, Asterisk (*)” for additional information on
this feature.
The meter also calculates 7-, 14-, and 30-day
averages. You do not have to set the time
and date for the meter to give you average
calculations. See “Using the Memory” for specific
information on averages.
viii

ix
About the Accu-Chek Advantage Plus
Test Strip
Electrodes
Insert test strip with silver-coloured bars
up and toward the meter.
Yellow Window
Do not apply blood on the top of
the test strip.
Before Applying Blood –
The window should be completely yellow.
After Applying Blood –
The window should be completely filled
with the blood drop.
Note: Any area of the test strip can be
touched without affecting the glucose
result.
Comfort Curve
Touch the blood drop to the edge
of the test strip.

Inserting the Battery
The meter is shipped with one 3-volt battery type 2032
that needs to be inserted before testing. The battery that
comes with the meter can be found in the mesh pocket
of the carrying case. Battery life varies depending on
usage, so always keep a spare packaged battery on
hand.
The meter saves battery power by automatically turning
off after 90 seconds of non-use or five seconds after
taking a test strip out of the meter following a test. If the
meter does automatically shut off, all tests in memory
are saved.
Note: After changing the battery, the meter prompts
you to verify the time and date immediately after the
battery is inserted. This occurs only if the time and
date had been set previously on the meter.
1. Push the recessed
plastic tab of the battery
compartment forward
(toward the arrow) to flip
open the battery door.
1

2. Insert the 3-volt battery
(type 2032) into the
compartment with “+”
side facing you.
3. Snap the battery cover
back in place. If the time
and date feature was set
previously, the meter turns
on automatically. Confirm
that the time and date are
set correctly. If the time and date had not been set
previously, wait five seconds then turn the meter
ON. The meter beeps if the beeper is turned on.
Battery Symbol on the Display
When the battery symbol
appears on the display, the
battery is weak and has only
enough power to run a few
more tests. Although the meter
still provides accurate results,
replace the battery as soon as
possible.
2
Battery is low.

If a flashing battery symbol
appears on the display, the
battery is nearly dead.
After changing the battery, the meter prompts you to
verify the time and date immediately after the battery is
inserted, if time and date had previously been set. See
“Setting the Time and Date.”
Note: To retain the correct time and date settings,
replace the battery before it is completely dead.
Please dispose of the meter battery according to your
local ordinances.
3
Battery must be replaced
to continue testing.

Setting the Beeper, Time, Date, and
Hypo Flag
Turning the Beeper On or Off
Does the beeper have to be turned on?
No, it is an optional feature. Turning the beeper on
or off does not affect the test results. If the beeper is
turned off, beeps that occur due to errors still sound.
The meter is set to beep when:
• A test strip is inserted
• Blood or control solution is applied to the test strip
• A result is displayed
• An error occurs while testing
• A button is pushed
• Battery is installed
If you do not want the beeper on, turn it off by following
these steps:
1. Press and release the ON/OFF button to turn the
meter ON.
2. Wait until the test strip
symbol flashes or code
and “---” appear before
proceeding to step 3.
4

3. Press and hold down the ON/OFF button until “set”
appears at the bottom of the screen. Release the
ON/OFF button.
“On,” “set,” and the
flashing beeper symbol
appear on the display. The
beeper is now on.
Note: You may leave the set mode at any time
by pressing and holding the ON/OFF button. The
settings you have entered are saved.
4. Press and release the right
or left arrow button.
“OFF,” “set,” and the beeper
symbol appear on the display.
The beeper is now off. To turn
beeper back on, simply press
and release the right or left
arrow button again.
5

5. Press and hold down the
ON/OFF button until the
test strip symbol flashes or
code and “---” appear to
leave this function.
Setting the Time and Date
Do I have to set the time and date?
Time and date should be set prior to testing if you plan
to download the results into software or if you plan to
review the memory to check when a test was done.
To set the time and date:
1. Press and release the
ON/OFF button to turn the
meter ON.
2. Wait until the test strip
symbol flashes or code
and “---” appear before
proceeding to step 3.
3. Press and hold down the
ON/OFF button until “set”
appears at the bottom of
the screen. Release the
ON/OFF button.
4. Press and release the
ON/OFF button to confirm beeper setting and move
to set the time.
6

5. Press and release the ON/OFF button. The hour
display flashes.
6. Press and release the right or left arrow button until
the correct hour is displayed.
7. Press and release the ON/OFF button. The minute
display flashes.
8. Press and release the right or left arrow button until
the correct minute is displayed.
9. Press and release the ON/OFF button. The month
display flashes.
10. Press and release the right or left arrow button until
the correct month is displayed.
11. Press and release the ON/OFF button. The day
display flashes.
12. Press and release the right or left arrow button until
the correct day is displayed.
13. Press and release the ON/OFF button. The year
display flashes.
14. Press and release the right or left arrow button until
the correct year is displayed.
15. To leave this function, press and hold down the
ON/OFF button until the flashing test strip symbol or
code and “---” are displayed.
Note: You may leave the set mode at any time
by pressing and holding the ON/OFF button. The
settings you have entered are saved.
7

Setting the Hypo Flag
The hypo flag allows you to define your hypoglycemic
level and receive a reminder whenever you obtain a
blood glucose result below this level. You can set the
hypo indicator level to any number between 3,3 and
4,4 mmol/L.
Important Note: Consult with your healthcare professional
to set the hypo marker to compliment your therapy. Do not
use the hypo marker as the only indicator of hypoglycemia.
Rely upon your symptoms and directions from your
healthcare professional.
This function is no substitute for
hypoglycemia training by your
healthcare professional.
To set the hypo flag:
1. Press the ON/OFF button to turn the meter on.
2. Wait until the test strip symbol or code and “---”
flash before proceeding to step 3.
3. Press and hold down the ON/OFF button until “set”
appears at the bottom of the screen. Release the
ON/OFF button.
4. Repeatedly press and release the ON/OFF button
until “hypo” flashes and “OFF” and “set” appear on
the display.
Note: the meter is factory set with the hypo flag in
the off position.
8