Roche Accu-Chek Instant User manual

User’s Manual
Blood Glucose Meter
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Roche USA – 82688
V1/1 – 09291423001(01) – Black
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andrewc2 - Aug 20, 2020
andrewc2 - Aug 20, 2020
andrewc2 - Aug 20, 2020
cannons3 - Aug 20, 2020

1
Contents
Introduction .................................................................................................................... 2
Chapter 1: Your New System.......................................................................................... 4
Chapter 2: Blood Glucose Tests...................................................................................... 9
Chapter 3: Control Tests............................................................................................... 15
Chapter 4: Review Your Data........................................................................................ 18
Chapter 5: Wireless Communication and Meter Pairing ................................................ 20
Chapter 6: Connecting to a PC ..................................................................................... 22
Chapter 7: Meter Maintenance and Troubleshooting..................................................... 23
Chapter 8: Technical Information.................................................................................. 30
Chapter 9: The Accu‑Chek FastClix Finger Pricker........................................................ 35
Chapter 10: Guarantee................................................................................................. 41
Index ............................................................................................................................ 42
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2
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.
wWARNING
• Choking hazard. Small
parts. Keep away from
children under the age
of 3 years.
• Keep new and used batteries away
from children. Ingestion or insertion
into the body may cause chemical
burns, perforation of soft tissues, and
death. Severe burns may occur
within 2 hours of swallowing. If you
think a battery might have been
swallowed or placed inside any part
of the body, seek medical attention
immediately.
• If the battery compartment does not
close securely, stop using the product
and keep it away from children.
Contact the Accu‑Chek Customer
Careline on 0800 701 000 (UK) or
1 800 709 600 (ROI).
• 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).
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3
Introduction
Why Regular Blood Glucose
Testing Is Important
Testing your blood glucose regularly can
make a big dierence in how you manage
your diabetes every day. We have made it
as simple as possible.
Important Information About
Your New Meter
• It is strongly recommended 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 and test strips. Ask your
healthcare professional or pharmacist
about other possible back‑up methods.
• The meter prompts you to set the time
and date the first time you turn it on.
• Check the time and date on the meter
before you begin testing. Adjust the time
and date if necessary.
• Sample data screens are shown
throughout the manual. Your data will
dier.
• If you follow the steps in this manual but
still have symptoms that do not seem to
match your test results, or if you have
questions, talk to your healthcare
professional.
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4
1
The Accu-Chek Instant Meter
Right Side View Front View Left Side View
4
23
1
Your New System
1. Up Button and Down Button
Press to turn the meter on and o,
adjust settings, and scroll through
results.
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).
5. Test Strip Ejector
Press to remove test strip.
5
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5
Your New System
1
7
6
Back View Underside View
6. Battery Door
Open to replace batteries.
7. Test Strip Slot
Insert test strip here.
8
9
A
B
C
8. Test Strip Container*
(for example)
9. Test Strip - Metallic End
Insert this end into the meter.
10. Test Strip - Yellow Edge
Touch blood drop or control solution
here.
11. Control Solution Bottle*
12. Batteries
*Some items may not be included in the
kit. They are a separate purchase.
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6
Your New System
1
Using the Meter Buttons
When instructed to press a meter button, press it briefly and release it.
When instructed to press and hold a meter button, press and hold it for 3 or more
seconds.
Button Functions
Here are the functions of the Up button and Down button on the meter. These functions
are used throughout this manual.
Button
Function
Action
[Up button]
Turn the meter on.
Increase an option.
Move forward through results in memory.
Press and release.
Set time and date selections.
Turn meter o.
Press and hold.
[Down button]
Decrease an option.
Move back through results in memory.
Press and release.
Enter set‑up mode.
Enter Bluetooth pairing mode.
Press and hold.
Target Range
wWARNING
This function is no substitute for
hypoglycaemia training by your
healthcare professional.
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
3.9–8.9 mmol/L. The target range can be
set from a lower limit of 3.3–7.8 mmol/L
to an upper limit of 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.
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7
Your New System
1
Symbols
Symbol Description
7‑day average symbol. This indicates that you are viewing the 7‑day
average of your blood glucose results.
14‑day average symbol. This indicates that you are viewing the 14‑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.
Bluetooth symbol
Control bottle symbol
Drop symbol
Hourglass symbol
Low battery symbol
No data to display
Pairing symbol. A flashing symbol indicates the meter is attempting to pair
with a device. A solid symbol indicates the meter pairing was successful.
Target range indicator arrow. When flashing, your blood glucose result is
outside the target range.
Temperature warning symbol
Test strip symbol. A flashing symbol indicates the meter is ready for you to
insert a test strip.
Wireless symbol. A flashing symbol indicates the meter is attempting to
connect to the paired device. A solid symbol indicates the meter is
connected to a paired device.
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8
Your New System
1
Setting the Time and Date
1
Press to turn the
meter on.
The flashing test strip
symbol appears on the
display.
2
Press and hold until
set-up appears on the
display. The hour
flashes.
Press to increase
the hour or press to decrease the
hour.
3
Press and hold to
set the hour and move
to the next field. The
minutes flash.
Press to increase
the minutes or press to decrease the
minutes.
4
Repeat step 3 to adjust
each field. After setting
the year, press and
hold until the
flashing test strip
symbol appears to save your settings.
NOTE
• The meter prompts you to set the
time and date the first time you turn
the meter on or if an error occurs.
• Press and hold at any time until
the flashing test strip symbol
appears to perform a test.
• The time and date on the meter
synchronises to the time and date on
the paired device each time the
meter sends data to the paired
device. See the chapter Wireless
Communication and Meter Pairing.
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9
2
Blood Glucose Tests
wWARNING
Blood glucose results can be displayed
in either mmol/L or mg/dL. The back
label of the meter shows the unit of
measurement. If the meter shows the
wrong unit, contact the Accu‑Chek
Customer Careline on 0800 701 000
(UK) or 1 800 709 600 (ROI). 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.
mmol/L or mg/dL is printed here
Using the Accu-Chek Instant
System
wWARNING
• If you drop the meter or drop the
meter with a test strip inserted, the
meter and/or test strip could be
damaged. Discard the test strip and
perform a control test with control
solution and a new, unused test strip
to ensure the meter and test strips
are working properly. Then repeat
the blood glucose test with a new
test strip.
• Do not store test strips in high heat
and moisture areas (bathroom or
kitchen)! Heat and moisture can
damage test strips.
• 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.
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10
Blood Glucose Tests
2
Performing a Blood Glucose Test
with Blood from Your Fingertip
wWARNING
When performing a blood glucose test:
If the control bottle symbol and the
flashing L1 or L2 appear on the display
with your blood glucose result, an error
has occurred and the test result may be
inaccurate.
• Do not act on the blood glucose
result.
• Discard the test strip and repeat the
blood glucose test with a new test
strip.
NOTE
• You need the meter, a test strip, and
a finger pricker 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.
1
Wash your hands with
warm soapy water and
dry thoroughly.
Prepare the finger
pricker. See Chapter 9,
The Accu‑Chek FastClix Finger Pricker.
2
Check the use by date
on the test strip
container.
Do not use test strips
past the use by date.
3
Remove a test strip
from the test strip
container.
Close the cap tightly.
4
Insert the metallic end
of the test strip into
the meter. The meter
turns on.
5
When a flashing drop
symbol appears, prick
your finger with the
finger pricker.
6
Gently squeeze your
finger to assist the
blood flow. This helps
you get a blood drop.
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11
Blood Glucose Tests
2
7
Touch the yellow
edge of the test strip
to the blood drop.
Do not put blood on
top of the test strip.
8
Remove your finger from the test strip
when the flashing hourglass symbol
appears. Failure to move your finger
away from the test strip could give
inaccurate test results.
9
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 by pulling the test strip out of the meter or by
pushing the test strip ejector on the side of the meter.
*The target range is set by default at 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.
Press here to eject test strip.
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12
Blood Glucose Tests
2
Performing a Blood Glucose Test with Blood from Your Palm, Forearm, or
Upper Arm (Alternative Site Testing)
wWARNING
• Do not use alternative site testing to calibrate a continuous glucose monitoring
system.
• Do not use alternative site testing 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 following 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 converter cap and detailed AST instructions, contact the Accu‑Chek
Customer Careline on 0800 701 000 (UK) or 1 800 709 600 (ROI).
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13
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
Did you wash your hands? Wash your hands with warm soapy water and
dry thoroughly. Repeat the blood glucose test
with a new test strip.
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 the
Accu‑Chek Customer Careline on 0800 701
000 (UK) or 1 800 709 600 (ROI) 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 the Accu‑Chek Customer Careline on
0800 701 000 (UK) or 1 800 709 600 (ROI).
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14
Blood Glucose Tests
2
Symptoms of Low or High Blood
Glucose
wWARNING
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.
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.
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15
3
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 Solutions
• Use only Accu‑Chek Instant control
solutions.
• 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 recognises the
dierence between the control solution
and blood.
• The control solution can stain fabric.
Remove stains by washing with soap
and water.
Performing a Control Test
wWARNING
When performing a control test: If the
control bottle symbol and the flashing
L1 or L2 DO NOT appear on the display
with your control result, an error has
occurred and the control result may be
inaccurate.
• Do not act on the control result.
• Discard the test strip and repeat the
control test with a new test strip.
You need the meter, a test strip, and
control solution Level 1 or Level 2.
1
Check the use by date
on the test strip
container. Do not use
test strips past the
use by date.
2
Remove a test strip
from the test strip
container.
Close the cap tightly.
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16
Control Tests
3
3
Insert the metallic end of the test strip
into the meter. The meter turns on.
A flashing drop symbol appears.
4
Select the control
solution to test. You
will enter the level
later in the test.
5
Remove the bottle
cap. Wipe the tip of
the bottle with a
tissue. Squeeze the
bottle until a tiny drop
forms at the tip.
6
Touch the drop to the yellow edge of
the test strip. Do not put control solution
on top of the test strip.
A flashing hourglass symbol appears
when there is enough control solution in
the test strip.
7
The control result, the
bottle symbol, and the
flashing L1 or L2
appear on the display.
Press and hold to
confirm the control
level you tested.
Press or to alternate between L1
and L2.
8
or
OK appears if the control result is within
range.
Err appears if the control result is out of
range.
9
Wipe the tip of the
bottle with a tissue.
Cap the bottle tightly.
Remove and discard
the used test strip.
NOTE
The meter turns o 90 seconds after a
successful test or 15 seconds after the
test strip is removed, provided no other
action is taken.
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17
Control Tests
3
Understanding Out-of-Range Control Results
wWARNING
The control ranges are printed on the test strip container label. If the control result is
out of range, check this list to help solve the problem.
Troubleshooting Checks Action
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.
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.
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.
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.
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.
Did you follow the directions? Read the chapter Control Tests and repeat the
control test.
Did you choose the correct control
solution level, either 1 or 2, when
you performed the control test?
If you chose the wrong control solution level,
you can still compare the control result to the
range printed on the test strip container.
Are you still unsure of the problem? Contact the Accu‑Chek Customer Careline on
0800 701 000 (UK) or 1 800 709 600 (ROI).
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18
4
Review Your Data
Overview
• The meter automatically stores at least
720 blood glucose results in memory
with the time and date of the test.
• Once 720 blood glucose results are in
memory, adding a new blood glucose
result deletes the oldest blood glucose
result.
• If more than 720 blood glucose tests are
performed within a 90‑day period, only
the 720 most recent test results are
included in the 90‑day average.
• The meter automatically stores at least
30 control results in memory, but only
the current control result can be viewed
on the meter. To view stored control
results, transfer them to a compatible
software application.
• Once 30 control results are in memory,
adding a new control result deletes the
oldest control result.
• Control results are not viewable in
memory and are not included in the 7,
14, 30, or 90‑day averages.
wWARNING
Do not change your therapy based on
an individual test result in memory.
Talk to your healthcare professional
before changing therapy based on test
results in memory.
NOTE
The meter has time and date auto‑sync
capability when paired with a mobile
device that will update the meter time
and date automatically. Even if you use
your meter in multiple time zones,
results are stored from newest to
oldest and not by time and date.
Reviewing Blood Glucose Results
in Memory
1
With the meter o,
press to view
the most recent
blood glucose
result.
2
Continue to press
to view previous
test results from
newest to oldest.
NOTE
Press to move back through oldest
to newest test result.
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19
Review Your Data
4
Reviewing Your Test Result Averages
The meter uses all of your blood glucose
results from the past 7, 14, 30, or 90 days
to calculate a single number. This number
is called the average, and helps you to
understand your blood glucose results
over a given period of time.
1
With the meter o,
press to turn the
meter on. The most
recent blood
glucose result
appears on the
display.
2
Press to see the 7‑day average.
Continue to press to move through
your 7, 14, 30, and 90‑day averages.
The number of test results in the
average = n.
NOTE
• Press to move back through
averages to the most recent blood
glucose result.
• If the memory contains a result that
is HI or LO, or is corrupt, then the
time period and day/ave will blink to
alert you that those results are not
included in the average.
90‑day average
7‑day average
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