Accu-Chek nano 48210 User manual

Owner’s Booklet for Self-Testing Only
Blood Glucose Meter
This file may not print or view at 100%.
Die lines and color breaks do not print.
“Holding Area” text, box and rules do not print.
Roche USA –51742
V4/1 – 06333630003 – Black
Roche USA –51742
V4/2 – 06333630003 – Cyan
Roche USA –51742
V4/3 – 06333630003 – Magenta
Roche USA –51742
V4/4 – 06333630003 – Yellow
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Inside Front
ACCU-CHEK, ACCU-CHEK NANO, ACCU-CHEK SMARTVIEW,
ACCU-CHEK NANO SMARTVIEW, and FASTCLIX are trademarks of Roche.
All other product names and trademarks are the property of their respective owners.
©2013 Roche Diagnostics
06333630003-0113
Roche Diagnostics
9115 Hague Road
Indianapolis, IN 46256
www.accu-chek.com
Contents
Important Safety Information .................................................................................................1
Chapter 1: Your New System ..................................................................................................5
Chapter 2: Control Tests .......................................................................................................10
Chapter 3: The ACCU-CHEK FastClix Lancing Device ............................................................13
Chapter 4: Blood Glucose Tests ............................................................................................17
Chapter 5: Meter Memory, Setup, and Data Transfer ............................................................24
Chapter 6: Meter and Lancing Device Cleaning and Disinfecting ..........................................33
Chapter 7: Maintenance and Troubleshooting.......................................................................38
Chapter 8: Technical Information ..........................................................................................42
Index ...................................................................................................................................47
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1
Important Safety Information
The ACCU-CHEK Nano SmartView System
The ACCU-CHEK Nano SmartView blood glucose monitoring system is intended to be used for the quantitative
measurement of glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips or palm. The
ACCU-CHEK Nano SmartView blood glucose monitoring system is intended to be used by a single person and
should not be shared.
The ACCU-CHEK Nano SmartView blood glucose monitoring system is intended for self-testing outside the body
(in vitro diagnostic use) by people with diabetes at home as an aid to monitor the eectiveness of diabetes
control. The ACCU-CHEK Nano SmartView blood glucose monitoring system should not be used for the diagnosis
of or screening of diabetes or for neonatal use. Alternate site testing should be done only during steady-state
times (when glucose is not changing rapidly).
The ACCU-CHEK SmartView test strips are for use with the ACCU-CHEK Nano blood glucose meter to
quantitatively measure glucose (sugar) in fresh capillary whole blood samples drawn from the fingertips or
palm.
This system is intended to be used by a single person and should not be shared.
The ACCU-CHEK Nano SmartView blood glucose monitoring system includes:
ACCU-CHEK Nano meter with batteries, ACCU-CHEK SmartView test strips*, ACCU-CHEK SmartView control
solution*, ACCU-CHEK FastClix lancing device* (with a black cap for fingertip testing and an AST cap** for
alternate site testing), ACCU-CHEK FastClix lancet drum*.
*may be sold separately
**available upon request from the ACCU-CHEK Customer Care Service Center at 1-800-858-8072
This file may not print or view at 100%.
Die lines and color breaks do not print.
“Holding Area” text, box and rules do not print.
Roche USA –51742
V2/1 – 06333630003 – Black
Roche USA – 51742
V2/2 – 06333630003 – PMS 287 CVC 30%
WARNING
Choking hazard. Small parts. Keep away from children under the age of 3 years.
NOTE
The term “blood glucose” is used when referring to “blood sugar.”
Important Safety Information
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2
Important Safety Information
Need Help?
Contact the ACCU-CHEK Customer Care Service Center toll-free at 1-800-858-8072. We oer assistance
24 hours a day, 365 days a year in many languages. You can also visit accu-chek.com for diabetes
management tools and product demonstrations.
Please complete the warranty card and mail it, so you receive the best customer service possible and product
update news.
WARNING
• DO NOT CHANGE YOUR THERAPY BASED ON A TEST RESULT THAT DOES NOT MATCH HOW YOU FEEL OR IF
YOU BELIEVE THAT YOUR TEST RESULT COULD BE INCORRECT.
• It is always a good idea to have a back-up testing method available. Failure to test could cause a delay in
therapy decisions and lead to a serious medical condition. Examples of back-up testing methods include
a back-up meter or testing by a laboratory. Ask your healthcare professional or pharmacist about other
possible back-up methods.
• If your blood glucose result does not match how you feel and you have followed the instructions in this
Owner’s Booklet, follow your healthcare professional’s instructions, or contact your healthcare professional.
About Testing Yourself or Others
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3
Important Safety Information
WARNING
• During normal testing, any blood glucose meter or lancing device may come in contact with blood. All parts
of the kit are considered biohazardous and can potentially transmit infectious diseases from bloodborne
pathogens, even after you have performed cleaning and disinfecting.
1,2
• The meter and lancing device should never be used by more than one person. Do not share the meter
and lancing device with anyone, including family members, due to the risk of infection from bloodborne
pathogens.
1,2
• Cleaning and disinfecting the meter and lancing device destroys most, but not necessarily all, bloodborne
pathogens.
3
• If the meter is being operated by a second person who is providing testing assistance to the user, the meter
and lancing device should be cleaned and disinfected prior to use by the second person.
• Disinfect the meter and lancing device before allowing anyone else to handle them. Do not allow anyone else
to test with the meter or lancing device.
• It is important to keep the meter and lancing device clean and disinfected. For instructions on how to
clean and disinfect the meter and lancing device, see Chapter6, Meter and Lancing Device Cleaning and
Disinfecting.
• Wash hands thoroughly before and after handling the meter, lancing device, or test strips.
NOTE
• Perform a control test when you open a new test strip box or if you think that a test result is incorrect.
Performing a control test lets you know that the meter and test strips are working properly.
• Refer to the test strip and control solution package inserts for additional health-related information.
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4
Important Safety Information
Special Information for Caregivers
• Do not use the meter system to measure blood glucose in people who are 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.
• 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 therapy without first talking to a healthcare
professional.
Before You Start Testing
WARNING
• Carefully read and follow the instructions in the Owner’s Booklet and package inserts for the test strips and
control solution. It is very important to follow the instructions in order to avoid an incorrect test result that
leads to improper therapy.
• 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 the
ACCU-CHEK Customer Care Service Center. Damaged test strips can cause inaccurate results, which could
lead to improper therapy.
• 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 Nano SmartView system.
NOTE
Set the time and date on the meter before you begin testing.
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5
Your New System
1. Display
Shows results, messages, and test results stored
in memory.
2. Test Strip Slot
Insert test strip here.
3. Battery Drawer
Pull out to replace batteries.
1
2
4
5
6
4. Power/Set Button
Turns meter on or o and sets options.
5. Right Arrow and Left Arrow Buttons
Press to enter memory, adjust settings, and
scroll through test results.
6. Infrared (IR) Window
Transfers data from the meter to a computer.
3
Chapter 1: Your New System
The ACCU-CHEK Nano Meter
Front View Back View Top View
Side View
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6
Your New System
78
9
11
10
7. Test Strip Container
8. Golden End
Insert this end into meter.
9. Yellow Window
Touch blood drop or control solution here.
10. Control Solution Bottle
11. Batteries
(For Example)
Test Strip
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7
Your New System
1. Cap
For fingertip testing.
2. Comfort Dial with Depth
Selection
Select penetration depth.
3. Penetration Depth Indicator
Points to depth setting.
4. Lever
Advance to a new lancet.
5. Lancet Counter Window
Shows number of available
lancets.
6. Release button
Press to prime and prick.
7. Lancet Drum
Contains 6 lancets.
8. AST Cap
For Alternate Site Testing
(available upon request from the
ACCU-CHEK Customer
Care Service Center at
1-800-858-8072).
The ACCU-CHEK FastClix Lancing Device
NOTE
Some items may be sold separately.
1
2
7
5
8
6
4
3
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8
Your New System
Using the ACCU-CHEK Nano SmartView System
• Use only ACCU-CHEK SmartView test strips.
• Use the test strip immediately after removing it from the test strip container.
• Do not apply blood or control solution to the test strip before inserting it into the meter. Retest with a new test
strip. If a result appears before applying blood or control solution, do not act on that result.
• Close the test strip container tightly immediately after removing a test strip. Moisture can damage the test
strips and produce incorrect results.
• Store the unused test strips in their original container with the cap tightly closed.
• Discard the test strips if they are past the Use By date printed on the test strip container. If the Use By date is
missing or cannot be read, do not use the test strips. Contact the ACCU-CHEK Customer Care Service Center at
1-800-858-8072.
• Refer to the test strip package insert for test strip storage and system operating conditions.
• 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.
• Do not reuse test strips. Once control solution or blood has been applied to a test strip, discard it. If a retest is
necessary, use a new test strip.
• Perform a control test every time you open a new test strip box.
WARNING
To prevent inaccurate results:
• DO NOT expose test strips to heat, moisture, or humidity. Temperatures outside the required range, as well
as moisture and humidity, can damage the 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.
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9
Your New System
Button Functions
Here are the functions of the power/set and arrow buttons on the meter. These functions are used throughout
this booklet.
Button Function Action
Turn the meter on or o Press and release .
Enter the set-up mode Turn the meter on. Press and hold until set-up
appears on the display.
Exit the set-up mode at any
time
Press and hold until the flashing test strip symbol
appears on the display.
Set the chosen feature Press and release .
Check the display segments Check the display before each test to make sure all
segments are clear and look like the picture to the
left.
Turn the meter o. Press and hold to see the
complete display.
If one of the segments is missing or looks dierent
from the picture, do not use the meter. Contact the
ACCU-CHEK Customer Care Service Center at
1-800-858-8072.
Adjust settings for time and
date, beeper, test reminders,
and hypoglycemic alert
Press and release or .
Press and hold or to scroll faster.
Enter memory Press and release or .
Mark a blood glucose result Press and release .
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10
Control Tests
When to Perform a Control Test
Performing a control test lets you know the meter and test strips are working properly. You should perform a
control test when:
• you open a new test strip box.
• you left the test strip container open.
• you think the test strips are damaged.
• you want to check the meter and test strips.
• the test strips were stored in extreme temperatures, humidity, or both.
• you dropped the meter.
• your test result does not match how you feel.
• you want to check if you are performing the test correctly.
About the Control Solution
• Use only ACCU-CHEK SmartView control solution.
• Close the control solution bottle tightly after use.
• Write the date you open the control solution bottle on the bottle label. The control solution must be discarded
3 months from the date the control solution 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.
• Refer to the control solution package insert for control solution storage conditions.
• The meter automatically recognizes the dierence between the control solution and blood.
• The control results are not displayed in memory.
• The control solution can stain fabric. Remove stains by washing with soap and water.
• Control solution is available for purchase. To order the control solution, talk to your pharmacist or visit
accu-chek.com to order online.
Chapter 2: Control Tests
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11
Control Tests
Touch the drop to the
front edge of the yellow
window of the test strip
until you see flash.
Do not put control
solution on top of the
test strip.
When you see flash,
there is enough control
solution in the test strip.
5
The control result and the
bottle symbol appear on
the display.
Wipe the tip of the bottle
with a tissue. Cap the
bottle tightly.
OK and the control result
alternate on the display if
the control result is in
range OR Err and the
control result alternate on
the display if the control
result is not in range.
6
Remove the bottle cap.
Wipe the tip of the bottle
with a tissue.
Squeeze the bottle until a
tiny drop forms at the tip.
4
Check the Use By date on
the test strip container. Do
not use test strips past the
Use By date.
Check the meter display
for missing segments.
All segments should look
like the picture.
1 2
Performing a Control Test
You need the meter, a test strip, and control solution.
Insert the test strip into
the meter in the direction
of the arrows.
Place the meter on a flat
surface.
3
Remove and discard the
used test strip.
After a successful test, the
meter turns o 5 seconds
after the test strip is
removed.
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12
Control Tests
Understanding Out-of-Range Control Results
WARNING
The control range applies only to a control result. It only indicates that the test strips and meter are working
properly. Do not use a control result to interpret blood glucose results.
If the control result is out of range, do not use the meter until you solve the problem. Check this list to help
solve the problem.
Troubleshooting Checks Action
1. Were the test strips or control solutions
expired?
Discard the test strips or control solution if either is
past the Use By date. If the control solution was
opened more than 3 months ago, discard it. Repeat
the control test with an unexpired test strip and an
unexpired control solution.
2. Did you wipe the tip of the control solution
bottle before use?
Wipe the tip of the bottle with a tissue. Repeat the
control test with a new test strip and a fresh drop of
control solution.
3. Were the caps on the test strip container and
the control solution bottle always closed
tightly?
Replace the test strips or control solution if you think
either was uncapped for some time. Repeat the
control test.
4. Was the test strip used immediately after it
was removed from the test strip container?
Repeat the control test with a new test strip and a
fresh drop of control solution.
5. Were the test strips and control solutions
stored in a cool, dry place?
Repeat the control test with a properly stored test
strip or control solution.
6. Did you follow the directions? Read Chapter 2, Control Tests, and repeat the control
test.
7. Are you still unsure of the problem? Contact the ACCU-CHEK Customer Care Service
Center at 1-800-858-8072.
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3
13
The ACCU-CHEK FastClix Lancing Device
Using the ACCU-CHEK FastClix Lancing Device
• The black cap is for fingertip testing only.
• Remember that the opening where the lancet comes out is not in the center of the cap.
• Remove the cap by pulling it straight o. Do not twist the cap.
• The AST cap* is for testing other approved sites on the body, not the fingertip.
• Remove the cap by pulling it straight o. Do not twist the cap.
• For palm testing, we suggest a depth setting of 3. Once you perform a successful
blood glucose test, you may want to find the lowest depth setting that provides enough
blood with the least amount of pain.
• A new lancet drum is dark gray with a white end.
• A used lancet drum has a visible red stripe on the white end.
• You cannot reuse a used lancet drum.
• Do not remove the lancet drum until you have used all 6 lancets.
• The penetration depth indicator on the comfort dial shows the current depth setting.
The higher the number, the deeper the penetration. The best depth setting is the
lowest number that lets you get enough blood for a test. Try dierent depth settings to
find the one that is right for you.
• For soft skin, we suggest a depth setting of 2. For thick skin, try a higher depth setting.
*Available upon request from the ACCU-CHEK Customer Care Service Center at 1-800-858-8072.
Chapter 3: The ACCU-CHEK FastClix Lancing Device
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3
14
The ACCU-CHEK FastClix Lancing Device
Inserting a Lancet Drum
You must first load the lancet drum into the lancing device to get it ready for use.
1
Remove the cap.
Insert a new lancet drum,
white end first, until it
clicks firmly into place.
2
Slide the cap on until it
stops by aligning the
notch on the cap with the
notch on the lancing
device.
3
You are now ready to use
the first lancet.
The lancet counter shows
a number 6, meaning you
have six new lancets
remaining.
WARNING
You must not insert the lancet drum into the lancing device and simultaneously press the release button or
hold the lancing device with the release button resting on a surface such as a table top. This could release a
lancet and inadvertently cause injury.
NOTE
Once the lancet drum is inserted into the lancing device, do not remove the lancet drum until completely
used. The lancet drum cannot be reused once it has been removed from the lancing device.
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3
15
The ACCU-CHEK FastClix Lancing Device
1
Make sure you select the
correct cap.
2
Adjust the lancet depth by
turning the comfort dial.
3
Obtain a blood drop. See
Chapter 4, Blood Glucose
Tests.
Using the ACCU-CHEK FastClix Lancing Device
Advance to the next lancet
by sliding the lever
forward and back all the
way.
The number in the lancet
counter decreases by 1.
The lancet counter
window shows the
number of remaining
lancets.
NOTE
• ALWAYS use a new, sterile lancet each time you test to avoid infection.
• For safety reasons, once you advance to a new lancet, you cannot go back to a used lancet.
• NEVER reuse a lancet.
• NEVER share your lancing device with anyone.
4
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3
16
The ACCU-CHEK FastClix Lancing Device
1
Remove the cap.
2
Hold the lancet drum
between your thumb and
index finger and pull it
straight out.
A red stripe is visible on
the white part, indicating
that the lancet drum has
been used.
3
Throw the old lancet
drum away.
Always discard
according to local
regulations.
4
Insert a new lancet drum,
white end first, until it
clicks firmly into place.
Slide the cap back on until
it stops by aligning the
notch on the cap with the
notch on the lancing
device.
Changing the Lancet Drum
When you have used the sixth and last lancet, change the lancet drum.
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4
17
Blood Glucose Tests
WARNING
Blood glucose results can be displayed in either mg/dL or mmol/L. The back label
of the meter shows the unit of measurement. If the meter shows the wrong unit,
contact the ACCU-CHEK Customer Care Service Center at 1-800-858-8072. If you
do not know which unit of measurement is correct for you, contact your
healthcare professional. Using the wrong unit of measurement may cause
misinterpretation of your actual blood glucose level and may lead to improper
therapy.
Chapter 4: Blood Glucose Tests
mg/dL or mmol/L
is printed here
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4
18
Blood Glucose Tests
1
Performing a Blood Glucose Test with Blood from Your Fingertip
Refer to the Important Safety Information at the beginning of this booklet.
Before you perform your first blood glucose test, set up the meter correctly and perform a control test. You need
the meter, a test strip, and a lancing device with a lancet drum loaded to perform a blood test.
2
Wash your hands with
warm soapy water and dry
thoroughly. Dirty or wet
hands could affect test
results.
3
Adjust the comfort dial.
4
Check the Use By date on
the test strip container.
Do not use test strips past
the Use By date.
5
Insert the test strip into
the meter in the direction
of the arrows.
The meter turns on and
beeps.
6
When the blood drop
symbol flashes, obtain a
blood drop.
7
Place the lancing device
firmly against the side of
your fingertip.
Press the release button
all the way down to prick
your finger.
Check the meter display
for missing segments.
All segments should look
like the picture.
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