Accu-Chek Avwa Expert User manual

07006314001-1013
BLOOD GLUCOSE METER
Getting Started Guide
for Single Patient Use Only
© 2013 Roche Diagnostics
Assembled in USA.
Roche Diagnostics Corporation
9115 Hague Road
Indianapolis, IN 46256
www.accu-chek.com
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK
AVIVA EXPERT, and FASTCLIX are trademarks of
Roche.
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LAST UPDATE: 2013-07
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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 Expert system is limited to capillary whole blood testing.
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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.”
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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 Expert system.
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WARNING
• Bolus advice should be used only if you are using U100, rapid-acting insulin for bolus dosing.
• Do not use bolus advice with Neutral Protamine Hagedorn (NPH) or any other intermediate-acting
insulin.
• Do not use bolus advice if basal insulin dose is unstable.
• Long-acting insulin should not be used as a meal bolus or as a correction bolus.
About Bolus Advice
• Bolus advice is only available if you set up bolus advice on the ACCU-CHEK Aviva Expert meter. For
information on how to set up bolus advice, see the Standard Owner’s Booklet.
• If you deliver a bolus without using bolus advice, you should enter the bolus advice into your diary. It is
important that you enter all bolus insulin doses and the time they were administered, so the Bolus Advisor
is assessing the total amount of insulin in your body. This step can help to reduce insulin stacking (the
over-delivery of insulin) which causes hypoglycemia. It is also important that you enter the associated
carbohydrate information into the diary in order to obtain accurate bolus advice recommendations. For
information on how to enter information into the diary, see the Standard Owner’s Booklet.
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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.
• Refer to the Test Strip and Control Solution Package Inserts for additional health-related information.
• Failure to test could cause a delay in treatment decisions and lead to a serious medical condition. Contact
your healthcare professional if you are unable to test.
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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.
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vi
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1
Contents
Before You Start Testing i
Introduction 3
1 Understanding Your New System 7
1.1 Overview 8
1.2 The ACCU-CHEK Aviva Expert Meter at a Glance 9
1.3 Screen Content and Navigation 15
2 Getting Started 21
2.1 Overview 22
2.2 Setup Wizard 23
2.3 Setup Wizard: Important Information 37
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3 Testing Your Blood Glucose 47
3.1 Overview 48
3.2 Performing a Blood Glucose Test 49
Appendices 55
Appendix A: Explanation of Symbols 55
Appendix B: References 56
Glossary 57
Index 63
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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 Expert
system
• Getting started
• Completing the Setup Wizard
• Testing your blood glucose
Introduction
Whether the ACCU-CHEK Aviva Expert 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.
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WARNING
• This Getting Started Guide does not replace the Standard Owner’s Booklet for your ACCU-CHEK
Aviva Expert meter. The Standard Owner’s Booklet contains important handling instructions and
additional information.
• Choking hazard. Small parts. Keep away from children under the age of 3 years.
Suitable for single patient use only
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.
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5
Intended Use
The ACCU-CHEK Aviva Expert System is indicated as an aid in the treatment of insulin-requiring diabetes.
The ACCU-CHEK Aviva Expert System consists of the ACCU-CHEK Aviva Expert Meter, ACCU-CHEK Aviva Plus
test strips, ACCU-CHEK Aviva control solutions, and ACCU-CHEK Bolus Advisor. The ACCU-CHEK Aviva Expert
system is intended to facilitate the optimization of glycemic control in patients who are trained in multiple
daily insulin injection therapy and are under the supervision of healthcare professionals experienced in
managing insulin treated patients.
The ACCU-CHEK Aviva Expert blood glucose monitoring system is intended to be used for the quantitative
measurement of glucose in fresh capillary whole blood samples drawn from the fingertips. The ACCU-CHEK
Aviva Expert blood glucose monitoring system is intended for self-testing outside the body (in vitro diagnostic
use) by people with diabetes. The ACCU-CHEK Aviva Expert blood glucose monitoring system is intended to
be used by a single person and should not be shared. The ACCU-CHEK Aviva Expert blood glucose monitoring
system should not be used for the diagnosis or screening of diabetes or for neonatal use. Alternative
site testing should NOT be used with the ACCU-CHEK Aviva Expert blood glucose monitoring system. The
ACCU-CHEK Aviva Expert System is intended for prescription home use only.
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The ACCU-CHEK Aviva Expert meter is also indicated for the calculation of an insulin dose or carbohydrate
intake based on user-entered data. The ACCU-CHEK Bolus Advisor, as a component of the ACCU-CHEK Aviva
Expert meter, is intended for use in providing insulin dose recommendations in response to blood glucose,
health events, and carbohydrate input. The ACCU-CHEK Bolus Advisor is intended to provide direction for
insulin adjustment within the scope of a pre-planned treatment program from a healthcare professional.
Before its use, a physician or healthcare professional must prescribe the ACCU-CHEK Aviva Expert System
and provide the patient-specific target blood glucose, insulin-to-carbohydrate ratio, and insulin sensitivity
parameters to be programmed into the ACCU-CHEK Bolus Advisor. Once programmed, a patient must consult
with his/her physician or healthcare professional before making any changes to these ACCU-CHEK Bolus
Advisor settings.
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1
7
1 Understanding Your New System
1.1 Overview 8
1.2 The ACCU-CHEK Aviva Expert Meter at a Glance 9
1.3 Screen Content and Navigation 15
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8
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.
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9
1.2 The ACCU-CHEK Aviva Expert 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.
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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)
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1
11
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
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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
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