Accu-Chek Smart Pix User manual

DEVICE READER
Smart Pix
User’s Manual

Accu-Chek Smart Pix User’s Manual
Date of issue: April 2009
© 2009, Roche Diagnostics GmbH
All rights reserved
ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA COMBO, ACCU-CHEK AVIVA NANO,
ACCU-CHEK AVIVA EXPERT, ACCU-CHEK GO, ACCU-CHEK INTEGRA, ACCU-CHEK MOBILE,
ACCU-CHEK PERFORMA, ACCU-CHEK SPIRIT, ACCU-CHEK SPIRIT COMBO, ACCU-CHEK SMART PIX,
ADVANTAGE, CAMIT, COMBO, DISETRONIC, D-TRONPLUS, PERFORMA COMBO, PERFORMA EXPERT,
PERFORMA NANO, VOICEMATE and LIVE LIFE. THE WAY YOU WANT. are trademarks of Roche.
Other brand or product names are trademarks of their respective holders.
Product safety information
This device is designed according to the International Standard IEC 60950 “Safety of Information Technology
Equipment” and it was in perfectly safe condition when it left the factory.
This product meets the requirements of EU Council Directive 2004/108/EC of December 15, 2004 on the
approximation of the laws of the Member States relating to electromagnetic compatibility. Conformity with the
aforementioned directive is certified by the CE mark on the device.
The device may only be operated via the USB port of a suitable computer.
The Accu-Chek Smart Pix system is installed, used and maintained by the user and is the user's sole
responsibility.

Accu-Chek Smart Pix Contents
Accu-Chek Smart Pix user's manual I-1
Version note ................................................................................................................................................................................ I-4
1 Accu-Chek Smart Pix System overview .................................................................................................................1-1
1.1 Printed symbols .........................................................................................................................................................................1-3
1.2 Overview of the Accu-Chek Smart Pix system ..............................................................................................................1-4
1.3 Overview of the Accu-Chek Smart Pix status indicator signals ..............................................................................1-5
1.4 Overview of the Accu-Chek Smart Pix user interface ................................................................................................1-6
2 Installing the Accu-Chek Smart Pix system .......................................................................................................2-1
2.1 What you require for using the Accu-Chek Smart Pix system ................................................................................2-1
2.2 Connecting the Accu-Chek Smart Pix device ................................................................................................................2-2
Note about security settings in the Internet browser .................................................................................................2-3
2.3 Final preparations .....................................................................................................................................................................2-4
2.4 Configuring the Accu-Chek Smart Pix system ..............................................................................................................2-5
Selecting a language ...............................................................................................................................................................2-7
Display options ..........................................................................................................................................................................2-8
Personal Setup ...........................................................................................................................................................................2-9
Report Setup ........................................................................................................................................................................... 2-11
Completing configuration ................................................................................................................................................... 2-14
3 Preparing the devices ..............................................................................................................................................................3-1
3.1 Accu-Chek Active ....................................................................................................................................................................3-4
3.2 Accu-Chek Aviva/Aviva Nano .............................................................................................................................................3-5
3.3 Accu-Chek Aviva Combo/Aviva Expert ............................................................................................................................3-6
3.4 Accu-Chek Compact/Integra ...............................................................................................................................................3-7
3.5 Accu-Chek Compact Plus .....................................................................................................................................................3-8
3.6 Accu-Chek Go ...........................................................................................................................................................................3-9
3.7 Accu-Chek Mobile ................................................................................................................................................................ 3-10
3.8 Accu-Chek Sensor/Advantage ......................................................................................................................................... 3-11
3.9 Accu-Chek Comfort .............................................................................................................................................................. 3-12
3.10 Accu-Chek Performa/Performa Nano ........................................................................................................................... 3-13
3.11 Accu-Chek Performa Combo/Performa Expert .......................................................................................................... 3-14
3.12 Accu-Chek Pocket Compass software .......................................................................................................................... 3-15
3.13 Accu-Chek Voicemate Plus ............................................................................................................................................... 3-16
3.14 Insulin pump Accu-Chek D-TRONplus (and Disetronic D-TRONplus) ............................................................ 3-17
3.15 Accu-Chek Spirit insulin pump ........................................................................................................................................ 3-18
3.16 Accu-Chek Spirit Combo insulin pump ........................................................................................................................ 3-19
3.17 Note on time settings for the Accu-Chek insulin pumps ....................................................................................... 3-20

Accu-Chek Smart Pix Contents
I-2 Accu-Chek Smart Pix user's manual
4 Accu-Chek Report ...................................................................................................................................................................... 4-1
4.1 Printing reports ......................................................................................................................................................................... 4-2
4.2 Blood glucose: general information about the reports .............................................................................................. 4-3
Types of report .......................................................................................................................................................................... 4-3
Evaluated data ........................................................................................................................................................................... 4-4
Report Styles............................................................................................................................................................................... 4-5
Graphic elements of the reports ........................................................................................................................................ 4-6
4.3 Blood glucose: content of the report ..............................................................................................................................4-10
Trend Graph .............................................................................................................................................................................4-10
Day Graph .................................................................................................................................................................................4-12
Week Graph .............................................................................................................................................................................4-14
Metabolic Control ..................................................................................................................................................................4-16
Distribution ...............................................................................................................................................................................4-18
Logbook .....................................................................................................................................................................................4-19
Overview .................................................................................................................................................................................... 4-21
Record List ...............................................................................................................................................................................4-23
4.4 Insulin pump: general information about the reports ..............................................................................................4-24
Types of report ........................................................................................................................................................................4-24
Graphic elements of the reports ......................................................................................................................................4-25
4.5 Insulin pump: content of the report ................................................................................................................................4-27
Trend Graph .............................................................................................................................................................................4-27
Day Graph .................................................................................................................................................................................4-28
Week Graph .............................................................................................................................................................................4-28
Basal Rates ...............................................................................................................................................................................4-29
Basal Bolus ...............................................................................................................................................................................4-30
Long Term Overview ............................................................................................................................................................. 4-31
Lists .............................................................................................................................................................................................4-32
4.6 Blood glucose and insulin pump: combined report ..................................................................................................4-33
Types of report ........................................................................................................................................................................4-34
Graphic elements of the reports ......................................................................................................................................4-34
Trend Graph .............................................................................................................................................................................4-35
Day Graph .................................................................................................................................................................................4-35
Week Graph .............................................................................................................................................................................4-36
Overview .................................................................................................................................................................................... 4-36
Record List ...............................................................................................................................................................................4-40
4.7 Analysing data in external applications ........................................................................................................................4-41
4.8 Literary references for reports ..........................................................................................................................................4-43
Low/High BG Index ...............................................................................................................................................................4-43

Accu-Chek Smart Pix Contents
Accu-Chek Smart Pix user's manual I-3
5 Error signals and troubleshooting ................................................................................................................................5-1
5.1 Errors without error signals ..................................................................................................................................................5-1
5.2 Error signals on the device ...................................................................................................................................................5-2
6 Maintenance .....................................................................................................................................................................................6-1
6.1 Cleaning the Accu-Chek Smart Pix system ....................................................................................................................6-1
6.2 Disposal ........................................................................................................................................................................................6-1
7 Appendix ...............................................................................................................................................................................................7-1
7.1 Abbreviations .............................................................................................................................................................................7-1
7.2 Technical data ...........................................................................................................................................................................7-1
7.3 Information about advice and the repair service ..........................................................................................................7-2
7.4 Roche Diagnostics addresses ..............................................................................................................................................7-3

Version note
I-4 Accu-Chek Smart Pix user's manual
Version note
This user’s manual applies to software version 3.0 of the
Accu-Chek Smart Pix system. You can check the software
version of your Accu-Chek Smart Pix system on the user
interface (browser window) at any time. The version number
is shown in the left corner of the menu bar.
For the latest software version of the Accu-Chek Smart Pix
system (as an installable update), contact your local Roche
Diagnostics office.

Chapter 1, Accu-Chek Smart Pix System overview
Accu-Chek Smart Pix user's manual 1-1
1 Accu-Chek Smart Pix System overview
The Accu-Chek Smart Pix system is used to easily and
automatically analyse blood glucose levels and therapy data
from various Accu-Chek meters and insulin pumps. The
analyses are displayed on a computer in the form of various,
specifiable reports using a standard Internet browser. As a
result the reports can also be printed on a connected printer.
In many clinics and doctors' practices, such reports are used
successfully (often together with the software products
Accu-Chek Camit Pro or Accu-Chek Compass) to facilitate
and speed up assessment of the metabolic situation. The
Accu-Chek Smart Pix system features similar functionality.
However, operator control is reduced to a simple activity
which has since become everyday routine: just a few mouse
clicks on a computer are sufficient to see the finished report
on the monitor or get a hardcopy of it.

Chapter 1, Accu-Chek Smart Pix System overview
1-2 Accu-Chek Smart Pix user's manual
The procedure is as simple as it could possibly be:
• Prepare the meter for data transfer
• Place the meter in front of the Accu-Chek Smart Pix
device
• The report is created automatically and can be viewed
and printed on a computer using an Internet browser
On the following pages, you will find more detailed
information about the various components, their application
and the content of the reports compiled with the Accu-Chek
Smart Pix system.
Please read all these pages carefully. To be able to use your
new system successfully, you should know everything that is
explained here. If you have any additional questions, you will
find some helpful information in the appendix, along with
addresses of offices to contact in order to get the answers
you require.

Chapter 1, Accu-Chek Smart Pix System overview
Accu-Chek Smart Pix user's manual 1-3
1.1 Printed symbols
Some passages in this manual are highlighted by symbols.
Please read these passages very carefully! There are more
symbols on the type plate of the device and/or the
packaging.
Symbol Name Description
Warning On the type plate: Refer to accompanying documents.
Please refer to safety-related notes in the manual
accompanying this instrument.
Warning In the user’s manual: Indicates important health or safety
information.
This symbol draws attention to important information.
Manufacturer
Catalogue number
Serial number
This product fulfils the requirements of EC Directive
2004/108/EC.
This product fulfils the legal requirements of the People’s
Republic of China on the use of certain substances in
electronic products.
US patent pending (US 2007/0055799)
i
REF
SN

Chapter 1, Accu-Chek Smart Pix System overview
1-4 Accu-Chek Smart Pix user's manual
1.2 Overview of the Accu-Chek Smart Pix system
The system consists of the following components, which are
described in brief below.
1 Accu-Chek Smart Pix Device: The central component
of the system. This device is the interface to various
Accu-Chek meters and insulin pumps, and it
contains the electronics as well as the programs to
process the data and results which are read in. The
analyses created are temporarily stored in the device
and can be viewed with an Internet browser.
2 USB connector for hooking up to the computer.
3 Status indicator, showing operating status.
(see page 1-5).
4 Infrared window for communication with
Accu-Chek meters and insulin pumps.
5 On the back of the device, there is a holder for an
Accu-Chek IR Key. This accessory can be safely
stored here to save space when it is not required. The
Accu-Chek IR Key allows infrared data transfer with
Accu-Chek meters which do not have a built-in
infrared port (Accu-Chek Sensor and Accu-Chek
Comfort). In the devices indicated, it is used for data
transfer in place of the code chip.
The Accu-Chek IR Key is available as an accessory
(REF 0 3307778190) if you have not already received
it from your dealer or Roche Diagnostics.
Not illustrated:
6
User’s manual (this document)
1
2
5
3
4

Chapter 1, Accu-Chek Smart Pix System overview
Accu-Chek Smart Pix user's manual 1-5
1.3 Overview of the Accu-Chek Smart Pix status indicator signals
The Accu-Chek Smart Pix system indicates various operating
states on the status indicator on top of the device. The
following signals can appear on this indicator:
7 Off:
The Accu-Chek Smart Pix device is not connected to
a computer, or the computer is not switched on.
8 Centre of status indicator
• Lit continuously: report is ready on the computer,
idle state.
• Flashing slowly: error
9 Top/bottom dots
• Flashing simultaneously about once a second: device
is ready for operation and is actively searching for
meters or insulin pumps.
• Flashing fast simultaneously: data transfer
10 Left/right dots
• Flashing slowly simultaneously: processing report
data
Software updates for the Accu-Chek Smart Pix
system can be installed via the computer. While such
an update is being installed, the centre of the status
indicator
8 and (simultaneaously) the dots 9 and 10
flash alternately.
7
8
9
10

Chapter 1, Accu-Chek Smart Pix System overview
1-6 Accu-Chek Smart Pix user's manual
1.4 Overview of the Accu-Chek Smart Pix user interface
The Accu-Chek Smart Pix system has a user interface which
is displayed in standard Internet browsers. You do
not
require an Internet connection if you wish to use the
Accu-Chek Smart Pix system. The relevant pages are stored
in the device itself where they can be called up. The user
interface is optimised for a screen resolution of at least
1024 x 768 pixels.
Even if various functions are available to you in the
Internet browser itself (e.g. Navigate forward/back,
Refresh, Print, etc.), we advise you to only use the
relevant functions on the Accu-Chek Smart Pix user
interface instead. The Accu-Chek Smart Pix system
provides several options for customising printouts, for
example. These options will not be available to you if
you use the standard functions of the browser.
For a detailed description of the various elements, see
Chapter 2.4, “Configuring the Accu-Chek Smart Pix system”
and Chapter 4, “Accu-Chek Report”.
11 Internet browser (Microsoft Internet Explorer, Firefox)
12 Buttons for calling up various functions (context-
dependent):
• Settings
• Create Report (Print)
•
Erase Report
• Read device
13 Navigation bar for calling up the individual pages
(reports and settings), which are then shown in the
display pane
14
14
Display pane for reports and settings
11
13 14
12
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Chapter 2, Installing the Accu-Chek Smart Pix system
Accu-Chek Smart Pix user's manual 2-1
2 Installing the Accu-Chek Smart Pix system
You can connect the Accu-Chek Smart Pix system to any
computer which meets the necessary system requirements
(see below). No further steps are necessary to prepare the
device for operation. Nor is it necessary to install any
additional software. However, before the device is used for
the first time you should configure it with your personal
diabetes-related data according to your requirements in
order to obtain customised, accurate reports.
2.1 What you require for using the Accu-Chek Smart Pix system
The following components are supplied:
• Accu-Chek Smart Pix Device with USB connector
•ManualonCD-ROM
• Getting Started Guide
• Carrying bag for storing the Accu-Chek Smart Pix
device
In addition, you require:
• A PC with a free USB port
• Operating system Microsoft Windows 2000 (Service
Pack 4), XP or Vista (older systems do not provide
integrated USB support)
• An installed Internet browser (e.g. Microsoft Internet
Explorer 5.x and later or Firefox 1.x and later)
• Since the user interface of the Accu-Chek Smart Pix
system is optimised for a screen resolution of
1024 x 768 pixels, you should use a monitor which
is set to that resolution (or higher).
• If you wish to print out the reports, you also require
a printer which is connected to the PC.

Chapter 2, Installing the Accu-Chek Smart Pix system
2-2 Accu-Chek Smart Pix user's manual
2.2 Connecting the Accu-Chek Smart Pix device
Plug the USB connector of the Accu-Chek Smart Pix device
into a free USB socket on your computer. When you do this,
it does not matter whether the computer is switched on or
off. The Accu-Chek Smart Pix device is supplied with
electricity via this connection, therefore it does not require
any batteries or power pack.
When you have plugged in the Accu-Chek Smart Pix device
and, if necessary, switched on the computer, the centre of
the status indicator and the dots on the left and right are lit.
At the same time, the Accu-Chek Smart Pix system is
recognised by the computer as a removable disk (similar to
a USB memory stick). Then the dots at the top and bottom of
the status indicator start flashing slowly. The Accu-Chek
Smart Pix system is now ready to read data from a device.

Chapter 2, Installing the Accu-Chek Smart Pix system
Accu-Chek Smart Pix user's manual 2-3
Note about security settings in the Internet browser
The Accu-Chek Smart Pix system can use various Internet
browsers to display and print out the meter data. Any
customised settings or settings made when the browser was
installed can have an influence on using the Accu-Chek
Smart Pix system.
The Accu-Chek Smart Pix system uses pages with so-called
“active content” (JavaScript). This active content can be
suppressed by making appropriate security settings in the
browser, causing warnings to be issued or functionality to be
restricted. If this happens, check the relevant browser
settings in order to ensure smooth operation. In many cases,
you can create different security settings for using the
Internet and the Accu-Chek Smart Pix system (e.g. at user
log-in to the PC or by defining user profiles in the browser).
If you choose the browser security settings appropriately
(e.g. “Allow active content to run in files on My Computer” or
similar), you can work with the Accu-Chek Smart Pix system
without any restrictions.
Note about illustrations in this user’s manual
Please bear in mind that all the illustrations of screen content
(screenshots) used in this user’s manual only serve as
examples in terms of visual appearance and content. Actual
appearance depends on the operating system being used,
the Internet browser being used and any personal system
settings. The content displayed depends not only on your
settings of the Accu-Chek Smart Pix system but also on the
meter data or insulin pump data read.

Chapter 2, Installing the Accu-Chek Smart Pix system
2-4 Accu-Chek Smart Pix user's manual
2.3 Final preparations
The status indicator of the Accu-Chek Smart Pix device
starts flashing as soon as the device is connected to a
computer which is switched on. There are several different
status indicator signals which indicate various operating
states (see page 1-5). After plugging in the Accu-Chek
Smart Pix device or after switching on the computer the
following occurrences indicate that the device is operating
properly:
• The dots at the top and bottom of the status indicator
flash slowly (about once a second). This indicates that
the device is ready for operation and that it is actively
searching for meters and insulin pumps.
• Windows (XP) automatically opens a window showing
the contents of the removable disk (
SmartPix ) as a
folder.
• If this does not happen (e.g. in the case of Windows
2000), open the window
My Computer with a double
click. You will now see
SmartPix as a removable disk.
• Double-click on
SmartPix (removable disk) in order to
display the contents. You will now see a folder named
REPORT , the START.HTM file and, if applicable, other
files and folders.
If you can follow the above procedure on your computer, the
Accu-Chek Smart Pix system is ready to read data from a
meter or an insulin pump. However, you should first perform
the configuration described below in order to customise the
reports properly.
If you have not been able to complete this brief check
successfully (e.g. if the
removable disk is not shown), see
Chapter 5 for information about possible sources of error.

Chapter 2, Installing the Accu-Chek Smart Pix system
Accu-Chek Smart Pix user's manual 2-5
2.4 Configuring the Accu-Chek Smart Pix system
The Accu-Chek Smart Pix system enables you to customise
the appearance and default parameters (e.g. language,
default setting English) of the reports to suit your
requirements. To perform this configuration (before using the
system for the first time) open the “user interface” of the
Accu-Chek Smart Pix system, which is stored in the
START.HTM file on the removable disk.
• Open the
START.HTM file with a double click. The
default Internet browser on your computer is launched
and, at the same time, the Accu-Chek Smart Pix user
interface is loaded.
• Click (once, as is usual in browsers) on the
Settings
button. The Accu-Chek Smart Pix device now quits
search mode (the centre of the status indicator is lit
continuously).
You will now see the page showing a
Summary of the current
settings (on the right) and the navigation bar with the links to
the various setup areas (on the left). The following setup
options are available
• Language
• Display Options for setting up display formats and year
•
Personal Setup for name and time blocks
• Report Setup
The following pages provide detailed descriptions of the
various setup areas. First of all you should set the language
you prefer so that the user interface for all other settings is
displayed in that language.

Chapter 2, Installing the Accu-Chek Smart Pix system
2-6 Accu-Chek Smart Pix user's manual
Note about saving the settings : The response to saving
the following setting may vary according to the operating
system and browser you are using:
• Changed settings (e.g.
Personal Setup ) may not
immediately be displayed. In this case, reload the page
(using the appropriate browser button).
• Additional browser windows may open during the
setup process. Simply close them when you have
completed all your settings.

Chapter 2, Installing the Accu-Chek Smart Pix system
Accu-Chek Smart Pix user's manual 2-7
Selecting a language
On the navigation bar, click on the Language link. The display
pane now shows a drop-down list with all available
languages, the default setting being
English . Select the
language which you want to be used both on the browser
screen and for printouts.
• Click on the arrow pointing down to open the
selection list.
• Click on the desired language to select it.
• If you have changed the selection, click the
Save
button to send the new selection to the Accu-Chek
Smart Pix system.
• In the next dialog box, confirm the change to the new
language.
If you leave this page (e.g. by clicking on another link
or closing the browser) without saving your selection,
any change you have made will have no effect.
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Chapter 2, Installing the Accu-Chek Smart Pix system
2-8 Accu-Chek Smart Pix user's manual
Display options
On the navigation bar, click on the Display options link. The
display pane now shows the options for the various formats.
Select the following settings here:
• Date and time format.
• Weekend days, usually non-working days. These are
highlighted in some analyses.
• Current year (only for the analysis of data from meters
which do not allow you to set the year).
The selection procedure is identical for all options:
• Click on the arrow pointing down to open the
selection list.
• Click the desired setting to select it.
• When you have completed all your settings on this
page, click the
Save button to send the new selection
made to the Accu-Chek Smart Pix system.
If you leave this page (e.g. by clicking on another link
or closing the browser) without saving your selection,
any change you have made will have no effect.
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