Accu-Chek WX3-122 User manual

User’s Manual
Blood Glucose Meter
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Roche USA – 54461
V1/1 – 07947836001
07947836001(01) – Black
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This file may not print or view at 100%.
Die lines and color breaks do not print.
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print.
Roche USA – 54461
V2/1 – 07947836001
07947836001(01) – Black
Roche USA – 54461
V2/2 – 07947836001
07947836001(01) – PMS 320
Contents
Introduction ............................................................................................................................3
Chapter 1: Your New System ..................................................................................................5
Chapter 2: Blood Glucose Tests.............................................................................................11
Chapter 3: Control Tests........................................................................................................19
Chapter 4: Review Your Data.................................................................................................25
Chapter 5: Wireless Communication and Meter Pairing.........................................................27
Chapter 6: Connecting to a PC..............................................................................................31
Chapter 7: Meter Maintenance and Troubleshooting .............................................................33
Chapter 8: Technical Information ..........................................................................................41
Chapter 9: Guarantee............................................................................................................47
Index ....................................................................................................................................48
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3
Introduction
The Accu-Chek Instant System
The Accu-Chek Instant test strips with the Accu-Chek Instant meter are intended to quantitatively
measure glucose in fresh capillary whole blood from the finger, palm, forearm, and upper arm as an aid
in monitoring the eectiveness of glucose control.
The Accu-Chek Instant test strips with the Accu-Chek Instant meter are intended for in vitro diagnostic
self-testing by people with diabetes.
The Accu-Chek Instant test strips with the Accu-Chek Instant meter are intended for in vitro diagnostic
use by healthcare professionals in clinical settings. Venous, arterial, and neonatal blood testing is limited
to healthcare professional use.
This system is not for use in the diagnosis of diabetes mellitus, nor for testing neonate cord blood
samples.
Suitable for self-testing
The system includes:
Accu-Chek Instant meter with batteries, Accu-Chek Instant test strips*, and Accu-Chek Instant control
solutions*.
*Some items may not be included in the kit. They are a separate purchase.
wWARNING
• Choking hazard. Small parts. Keep away from children under the age of 3years.
• 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 – Fourth Edition; CLSI document M29-A4, May 2014).
Introduction
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4
Introduction
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5
Your New System 1
1. Meter Button
Press to turn the meter on and o,
move to the next screen, or make a
selection.
2. Display
Shows results, messages, and test
results stored in memory.
3. Target Range Indicator
Indicates whether your blood glucose result
falls above, within, or below a pre-set range of
values.
4. Micro USB Port
Transfers data from the meter to a computer
(PC).
The Accu-Chek Instant Meter
Chapter 1: Your New System
Right Side View Front View Left Side View
1
3
2
4
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6
Your New System
1
5. Battery Door
Open to replace batteries.
6. Test Strip Slot
Insert test strip here.
5
Back View Underside View
6
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7
Your New System 1
7. Test Strip Container*
8. Metallic End
Insert this end into the meter.
9. Yellow Edge
Touch blood drop or control solution here.
10. Control Solution Bottle*
11. Batteries
12. USB Cable*
Connects the meter to a PC.
*Some items may not be included in the kit.
They are a separate purchase.
(for example)
Test Strip
7
8
12
11
9
10
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8
Your New System
1
Using the Meter Button
Your new meter has only one button, but it performs many actions. Press the meter button once to turn
the meter on and see your most recent blood glucose result. Continue pressing to view your 7-, 30-, and
90-day blood glucose averages.
When instructed to press the meter button, press it briefly and release it.
When instructed to press and hold the meter button, press and hold it for 3 or more seconds.
Time and Date
To display or change the time and date on the meter, pair the meter to a mobile device, or connect it to a
PC with diabetes management software installed. Follow the diabetes management software instructions
to set the time and date. The meter display will then show the time and date along with your test results.
Target Range
Consult your healthcare professional for the blood glucose range appropriate for you. It is very important
to stay within your target range.
The target range is set by default at 70–160 mg/dL (3.9–8.9 mmol/L). The target range can be set from a
lower limit of 60–140 mg/dL (3.3–7.8 mmol/L) to an upper limit of 90–300 mg/dL (5.0–16.6 mmol/L).
To change the target range, pair the meter to a mobile device, or connect it to a PC with diabetes
management software installed. Then follow the diabetes management software instructions.
wWARNING
This function is no substitute for hypoglycaemia training by your healthcare professional.
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9
Your New System 1
Symbols
Symbol Description
Last test result symbol. This indicates that you are viewing your last blood glucose result.
7-day average symbol. This indicates that you are viewing the 7-day average of your blood
glucose results.
30-day average symbol. This indicates that you are viewing the 30-day average of your
blood glucose results.
90-day average symbol. This indicates that you are viewing the 90-day average of your
blood glucose results.
Drop symbol
Bluetooth
®
symbol
Control bottle symbol
Hourglass symbol
Low battery symbol
No data to display
Pairing symbol
Target range indicator arrow. When flashing, your blood glucose result is outside the target
range.
Temperature warning symbol
Wireless symbol
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10
Your New System
1
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11
Blood Glucose Tests 2
Chapter 2: Blood Glucose Tests
w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 Roche. 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.
mg/dL or mmol/L is printed here
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12
Blood Glucose Tests
2
Using the Accu-Chek Instant System
• Use only Accu-Chek Instant 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.
• Close the test strip container tightly immediately after removing a test strip to protect the test strips from
humidity.
• Store the unused test strips in their original test strip container with the cap closed.
• Check the use by date on the test strip container. Do not use the test strips after that date.
• Store the test strip container and meter in a cool, dry place such as a bedroom.
• Refer to the test strip package insert for test strip storage and system operating conditions.
wWARNING
Do not store test strips in high heat and moisture areas (bathroom or kitchen)! Heat and moisture can
damage test strips.
Performing a Blood Glucose Test with Blood from Your Fingertip
NOTE
• You need the meter, a test strip, and a lancing device with a lancet inserted to perform a blood
glucose test.
• A blood glucose test cannot be performed while the meter is connected to a PC with a USB cable.
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13
Blood Glucose Tests 2
Wash your hands with warm
soapy water and dry thoroughly.
Prepare the lancing device.
1
Check the use by date on the
test strip container.
Do not use test strips past the
use by date.
Remove a test strip from the
test strip container.
Close the cap tightly.
2 3
Insert the metallic end of the
test strip into the meter. The
meter turns on.
4
When a flashing drop symbol
appears, perform a fingerstick
with the lancing device.
5
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14
Blood Glucose Tests
2
Gently squeeze your finger to
assist the blood flow. This helps
you get a blood drop.
6
Touch the yellow edge of the test strip to the blood drop. Remove
your finger from the test strip when the flashing hourglass symbol
appears. Do not put blood on top of the test strip.
7
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15
Blood Glucose Tests 2
Your test result appears with an arrow. This arrow shows if your test result falls above, within, or below
the target range.* The target range is represented by the green region of the target range indicator. The
arrow will flash if your test result falls above or below this range.
Remove and discard the used test strip.
8
*The target range is set by default at 70–160 mg/dL (3.9–8.9 mmol/L). To change the target range, pair
the meter to a mobile device, or connect it to a PC with diabetes management software installed. Consult
your healthcare professional before changing the target range.
Blue
Test result is above
the target range.
Green
Test result is within
the target range.
Red
Test result is below
the target range.
or
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16
Blood Glucose Tests
2
Performing a Blood Glucose Test with Blood from Your Palm, Forearm, or Upper
Arm (Alternative Site Testing)
wWARNING
Do not use alternative site testing to calibrate a continuous glucose monitoring system or to make
insulin dosing calculations.
You have the option of obtaining a blood sample from other sites on your body besides the fingertip.
Alternative sites include the palm, forearm, and upper arm.
Blood obtained from the fingertip and palm can be used at any time to perform a blood glucose test.
If blood from the forearm or upper arm is used, there are certain times when testing is not appropriate.
This is because your blood glucose level changes faster in your fingertip and palm than in the forearm
and upper arm. These dierences may cause you to misinterpret your actual blood glucose level, leading
to improper therapy and potential adverse health eects.
Read the next section before you try testing from the forearm or upper arm.
You may perform a forearm or
upper arm test
• immediately before a meal.
• while fasting.
You may NOT perform a
forearm or upper arm test
• up to 2hours following a meal, when blood glucose values can rise
quickly.
• after injecting bolus insulin, when blood glucose values can
decrease rapidly.
• after exercise.
• if you are sick.
• if you think your blood glucose is low (hypoglycaemia).
• if you sometimes do not notice when your blood glucose is low.
If you are interested in AST, talk to your healthcare professional first.
To obtain an AST cap and detailed AST instructions, contact Roche.
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17
Blood Glucose Tests 2
Unusual Blood Glucose Results
If your blood glucose result does not match how you feel, check this list to help solve the problem.
Troubleshooting Checks Action
Were the test strips expired? Discard the test strips if they are past the use by
date. Repeat the blood glucose test with an
unexpired test strip.
Was the cap on the test strip container always
closed tightly?
Replace the test strips if you think the test strip
container was uncapped for some time. Repeat
the blood glucose test.
Was the test strip used immediately after it was
removed from the test strip container?
Repeat the blood glucose test with a new test
strip.
Were the test strips stored in a cool, dry place? Repeat the blood glucose test with a properly
stored test strip.
Did you follow the directions? Read the chapter Blood Glucose Tests and
repeat the blood glucose test. Contact Roche if
you still have problems.
Are the meter and test strips working properly? Perform a control test. See the chapter Control
Tests for instructions.
Are you still unsure of the problem? Contact Roche.
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18
Blood Glucose Tests
2
Symptoms of Low or High Blood Glucose
Being aware of the symptoms of low or high blood glucose can help you understand your test results and
decide what to do if they seem unusual.
Low blood glucose (hypoglycaemia): Symptoms of hypoglycaemia may include, but are not limited to,
anxiety, shakiness, sweating, headache, increased hunger, dizziness, pale skin colour, sudden change in
mood or irritability, fatigue, diculty concentrating, clumsiness, palpitations, and/or confusion.
High blood glucose (hyperglycaemia): Symptoms of hyperglycaemia may include, but are not limited to,
increased thirst, frequent urination, blurred vision, drowsiness, and/or unexplained weight loss.
wWARNING
If you are experiencing any of these symptoms, or other unusual symptoms, test your blood glucose
from the fingertip or palm. If your blood glucose result is displayed as LO or HI, contact your healthcare
professional immediately.
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