Accu-Chek Aviva User manual

BLOOD GLUCOSE METER
Owner’s Booklet

Dear ACCU-CHEK ®System Owner,
Thank you for choosing the ACCU-CHEK Aviva system!
Congratulations on your decision to take control of your diabetes. We’ve designed your new ACCU-CHEK Aviva
system with comfort, convenience, and control in mind—to help make living with diabetes a little easier.
This booklet will help you get the most from your ACCU-CHEK Aviva system.
To start testing quickly, you can also refer to the First Time Guide.
If you have questions, we are here to help. Just call the ACCU-CHEK Customer Care Service Center toll-free at
1-800-858-8072. We offer assistance 24 hours a day, 365 days a year in many languages. You can also visit
www.accu-chek.com for diabetes management tools and product demonstrations.
Thanks again for choosing the ACCU-CHEK Aviva system.

The ACCU-CHEK®Aviva System
Your new ACCU-CHEK Aviva meter and accessories work together to measure the amount of sugar (glucose) in your
blood. The system is designed for monitoring blood glucose in the home or healthcare facility by persons with
diabetes or by healthcare professionals. The device is intended for professional use and over-the-counter sale. When
you put a small drop of blood onto the test strip, the meter displays a blood sugar result in five seconds. You can
take a blood drop from your fingertip, palm, forearm, upper arm, calf, or thigh. Testing your blood sugar regularly can
make a big difference in how you manage your diabetes every day. Discussing your results with your doctors and
following their advice about medicine, exercise, and food plans can help you better control your diabetes.
Suitable for self-testing.
The system includes:
2
• ACCU-CHEK Aviva meter with battery
• ACCU-CHEK Aviva test strips and code key*
• ACCU-CHEK Aviva control solution*
• ACCU-CHEK Multiclix lancing device*
(with a blue cap for fingertip testing and a clear
cap for non-fingertip testing)
• ACCU-CHEK Multiclix lancet drum*
*may be sold separately
Need Help?
Just call the ACCU-CHEK Customer Care Service Center toll-free at 1-800-858-8072. We offer assistance 24 hours a
day, 365 days a year in many languages. You can also visit www.accu-chek.com for diabetes management tools and
product demonstrations.
Please complete your Warranty Card and mail it, so you receive the best customer service possible and product
update news.

Before You Start Testing
About the meter and test strips
• Carefully read and follow the instructions in the Owner’s Booklet and Package Inserts for the test strips and control
solutions. It is very important to follow the instructions in order to prevent a wrong result or improper treatment.
• Set the time and date on your meter before you begin testing.
• Inspect the container of test strips before using them 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 the ACCU-CHEK Customer
Care Service Center. Damaged test strips can cause inaccurate results, which could lead to improper treatment.
• Do not use the ACCU-CHEK Aviva system for testing of arterial blood.
About your new meter
• Your new meter is designed and can be used for testing fresh capillary whole blood samples (for example, blood
from your fingertip or forearm). Only use ACCU-CHEK Aviva test strips. Other test strips will give innacurate results.
• Although you always apply whole blood to the test strip, your system has been calibrated to deliver plasma-like
values for easier comparison to lab results.
• The meter, test strips, and control solutions are only for use outside the body (in vitro). Do not eat the test strips.
Do not swallow or inject control solutions, or use control solutions for any purpose other than testing the
ACCU-CHEK Aviva system.
• The ACCU-CHEK Aviva system has been found to be accurate at altitudes up to 10,150 feet.
3

About Testing Yourself or Others
• Certain substances can interfere with the ACCU-CHEK Aviva 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 doctor.
• If you are very dehydrated or urinating frequently, you may get an inaccurate test result. If you
think you are dehydrated, call your doctor 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 first talking to a doctor.
• 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.
• Refer to your 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 doctor 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 this Owner’s Booklet,
follow your doctor’s instructions, or call your doctor.
4

5
Special Information for Healthcare Providers and Caregivers
• Do not use this device to measure blood sugar in people who are experiencing cardiovascular collapse
(severe shock) or decreased peripheral blood flow.
• Consult your physician to determine if it is appropriate for your child to be taught how to use the meter
system or any other medical products.

Contents
Chapter 1: Understanding Your New System ................................................................................8
The ACCU-CHEK Aviva Meter .............................................................................................................8
Coding the Meter.............................................................................................................................10
Adjusting the Time and Date—First Time Use..................................................................................12
Using ACCU-CHEK Aviva Test Strips .................................................................................................14
Chapter 2: Control Testing ...........................................................................................................16
Why Run Control Tests.............................................................................................................16
About the Control Solutions......................................................................................................16
Running a Control Test.............................................................................................................17
Understanding Control Test Results..........................................................................................21
Chapter 3: Testing Your Blood Sugar ..........................................................................................24
Using the ACCU-CHEK Multiclix Lancing Device .......................................................................24
Inserting a Lancet Drum ..........................................................................................................25
Preparing the Lancing Device for Fingertip Testing...................................................................27
Running a Blood Sugar Test with Blood from Your Fingertip .....................................................29
Changing the Lancet Drum ......................................................................................................33
Running a Blood Sugar Test with Blood from Your Palm, Forearm, Upper Arm, Thigh, or Calf..........35
Flagging Test Results...............................................................................................................44
Understanding Test Results......................................................................................................45
Comparing Your Meter Result to a Lab Result ..........................................................................47
Chapter 4: Meter Memory, Setup, and Downloading ...........................................................48
Memory ...................................................................................................................................48
Contents 6

Contents 7
Meter Setup.............................................................................................................................50
Setting the Time and Date .......................................................................................................51
Setting the Beeper On/Off........................................................................................................54
Setting Test Reminders ............................................................................................................57
Setting the Hypoglycemic (Hypo) Indicator ...............................................................................61
Downloading Your Results to a Computer or PDA.....................................................................64
Chapter 5: Maintenance and Troubleshooting ............................................................................66
Changing the Battery ...............................................................................................................66
Cleaning the Meter ..................................................................................................................67
Maintenance and Testing .........................................................................................................68
Cleaning the Lancing Device....................................................................................................68
Screen Messages and Troubleshooting ....................................................................................69
Chapter 6: Technical Information ................................................................................................74
Product Limitations..................................................................................................................74
Specifications ..........................................................................................................................74
Product Safety Information ......................................................................................................76
Travel Documentation ..............................................................................................................77
Disposing of the Meter.............................................................................................................77
Warranty..................................................................................................................................78
Limited License .......................................................................................................................80
Additional Supplies ..................................................................................................................82
Information for Healthcare Professionals..................................................................................83
References ..............................................................................................................................84
Index .......................................................................................................................................85

Chapter 1: Understanding Your New System*
The ACCU-CHEK Aviva Meter
Display –
Shows results,
messages, and
results stored in
memory.
Right and Left
Arrow Buttons –
Press to view
memory, adjust
settings, and scroll
through results.
Test Strip Slot –
Insert test strip
here.
Infrared (IR) Window –
Transfers data from
the meter to a
computer or PDA.
On/Off/Set Button –
Turns the meter on or
off and sets options.
Battery Door –
Flip open the battery
door by pushing the
tab in the direction of
the arrow.
Code Key Slot –
Insert code key
into this opening.
8
Code Key
(for example)
Battery – Insert
with (+) symbol
facing up.

Chapter 1: Your New Meter 9
Test Strip Container Top View
On/Off/Set
Button
Infrared (IR) Window
Yellow
Window –
Touch blood
drop or control
solution here.
Comfort Dial with Depth Selection
Cap
Lancing Device
Release Button
Plunger
Lancet
Drum
Clear Cap
(for obtaining blood from sites
other than your fingertip)
Test Strip
Golden End –
Insert this end
of the test strip
into the meter.
Control Solution
Bottle
*Some items may be sold separately.
Lancet Counter
Depth Indicator

Chapter 1: Understanding Your New System 10
Coding the Meter
A new code key is inside each new box of test strips.
1. Make sure the meter is off. 2. Turn the meter over. 3. Remove the old code key
(if there is one in the meter)
and discard it.
Change the code key every time you open a new box of test strips! For accurate results, it is
important to be sure the code key matches the code number on the test strip container.

Chapter 1: Understanding Your New System 11
Notes:
• Don’t force the code key into the meter — it is made to go into the meter only one way.
• If you see “code” and “- - -” on the display, turn the meter off and reinsert a code key into the meter.
4. Turn the code key over so the code number
faces away from you. Push it into the code
key slot until it stops.
5. Leave the code key in the meter until you
open a new box of test strips. Remember to
change the code key each time you open a
new box of test strips.

Chapter 1: Understanding Your New System 12
1. Press and release to turn the
meter on. The time and date
appear on the display. “Set-up”
and the hour flash. If this is the
correct time and date, press and
hold to exit the set-up mode.
2. Press and release or to
decrease or increase the hour.
Press and hold or to
scroll faster.
3. Press and release to
set the hour. The minutes
flash.
Adjusting the Time and Date—First Time Use
Your new meter comes with a preset time and date. You may need to change the time to your time zone.
Having the right time and date in your meter is important if you use the meter memory or if you want to
download your results to a computer. It also helps your healthcare team interpret your results.
decrease increase

Chapter 1: Understanding Your New System 13
4. Repeat steps 2 and 3 to set the
minutes, am/pm, month, day,
and year. The flashing field is
the one you are changing.
5. Once you set the year, press
and hold until the flashing
test strip symbol appears.
6. See Chapter 4, “Meter Setup” to
set other options.
Note: When you install a new battery, the meter automatically prompts you to check the time and date
when you turn it on. If it is correct, press and hold to exit the set-up mode.
decrease increase
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|

Chapter 1: Understanding Your New System 14
Using ACCU-CHEK Aviva Test Strips
• Only use ACCU-CHEK Aviva test strips. Using other
test strips with this meter can produce inaccurate
results.
• Replace the code key and run a control test every
time you open a new box of test strips. See
Chapter 2, “Control Testing.”
• Store the unused test strips in their original
container. Do not remove test strips from the test
strip container and put them into another container,
such as a plastic bag, pocket, purse, wallet, etc.
• Close the container tightly right after you take a
test strip out. This helps keep the test strips dry.
• Be sure to check the “Use by” date on the test strip
container. Do not use the test strips after that date.
See Chapter 5, “Screen Messages and
Troubleshooting” for the error code for expired
strip. If the “Use by” date is missing or cannot be
read, do not use the test strips and call the
ACCU-CHEK Customer Care Service Center at
1-800-858-8072.
• Use the test strip within three minutes after you
take it out of the container.
• Store the test strips at 36 °F to 90 °F. Do not,
freeze. Allow the test strips to warm to the
operation temperature (43 °F – 111 °F) prior
to use.
• Do not apply blood or control solution to the test
strip before you insert it into the meter. If the meter
gives you a result before applying blood or control
solution, do not act on that result.
• Do not reuse test strips. Once you have put control
solution or blood on a test strip, discard it. If you
need to retest, use a new test strip.

Chapter 1: Understanding Your New System 15
• DO NOT expose strips to heat, moisture or humidity. Temperatures outside the required
range, as well as moisture and humidity (bathroom, kitchen, laundry room, car, or garage)
can damage your test strips and lead to inaccurate results.
• DO NOT bend, cut, or alter the test strips.
• DO NOT get dirt, food, or other material on the test strip.
Not following these precautions can lead to inaccurate results.

Chapter 1: Your New Meter 16
Chapter 2: Control Testing
Why Run Control Tests
Running a control test lets you know that the meter and test strips are working properly. You should run a
control test when:
• You open a new box of test strips
• You left the test strip container open or you think
your test strips have been damaged
• Your test strips were stored in extreme
temperatures and/or humidity
• You want to check the meter and test strips
• You dropped the meter
• Your test result does not agree with how you feel
• You want to check if you are testing correctly
About the Control Solutions
• Only use ACCU-CHEK Aviva control solutions.
• The meter is designed to recognize the difference
between the ACCU-CHEK Aviva control solution and
blood.
• Write the date you open the bottle on the bottle
label. The control solution must be discarded three
months from the date the bottle was opened
(discard date) or on the “Use by” date on the bottle
label, whichever comes first.
• Do not use control solution that is past the “Use by”
or discard date.
• The control solution results are not displayed in
memory.
• The control solution can stain clothing. If you spill it,
wash your clothes with soap and water.
• Close the bottle tightly after use.
• Store the bottle at 36 °F to 90 °F. Do not freeze.

Chapter 2: Control Testing 17
Running a Control Test
You need the meter, a test strip, and control solution Level 1 or Level 2. The control level is printed on the bottle label.
1. To make sure the display is working properly, turn off
the meter, then press and hold to see the
complete display. All segments should be clear and
look exactly like the picture. If any segments are
missing from the display, there may be a problem with
the meter. Call the ACCU-CHEK Customer Care Service
Center at 1-800-858-8072.
2. Insert the test strip into the meter in the direction of
the arrows. The meter turns on.
Note: Most people just test the Level 1 control. If you wish, you can also test a Level 2 control. A set of Level 1
and Level 2 control solutions is available for purchase. To order control solutions, talk to your pharmacist or
visit www.accu-chek.com to order online. Your meter is designed to recognize the difference between the
ACCU-CHEK Aviva control solution and blood. The control solution results are not displayed in memory.

Chapter 2: Control Testing 18
3. Make sure the code number on the
display matches the code number
on the test strip container. If you
miss seeing the code number,
remove the test strip and reinsert it
into the meter.
4. Select the control solution you
want to test. You will enter the
level later in the test.
5. Place the meter on a flat
surface, like a table.
6. Remove the control bottle cap
and wipe the tip of the bottle
with a tissue.
OR