ACCU-CHEK® Aviva Nano
Contents
1. is inside the range on the test strip container the test strips and meter are working properly Err and the control result alternate on the display if the result is not in range Remove and discard the used test strip Understanding Out of Range Control Test Results If the control result is not inside the acceptable range here are some things you can do to solve the problem Troubleshooting Checks Action 1 Check if the test strips or control Discard the test strips or control solutions solutions are expired if either is past the expiry date If the control solution was opened more than three months ago discard it 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 Replace the test strips or control solutions if you think either may have been uncapped for some time Repeat the control test with a new test strip 2 Check if you wiped the tip of the control solution bottle before and after use 3 Check if the caps on the test strip container and the control solution bottle were always closed tightly 4 Check if the test strip was out of the container for a long time Troubleshooting Checks 5 Check if the test strips and control solutions were stored in a cool dry place 6 Check if you followed the testing steps 7 Check if you chose the correct control solution level either 1 or 2 when you performed the test 8 Chec2. appears and flashes The display shows 3 9 mmol L 6 Press and release or D to select the level you want Press and release to AT confirm it AL ve 7 Press and hold until you see the 038m 12 11 flashing test strip symbol to exit the set up mode This function is no substitute for hypoglycemia training by your healthcare professional Transferring Data Directly to a Computer or PDA Using Specialized Software and an Infrared Cable You can transfer your stored results to a computer to track identify patterns and print l Run the software program and follow the With the meter off press and hold both and D Locate the infrared IR window on the top of the Locate the IR window on either the infrared cable Infrared IR Install the software according to the instructions Window To transfer the results to a computer connect the infrared cable according to the instructions instructions about how to download information Make sure the software is ready to accept data from the meter until two arrows on the display alternately flash meter computer or PDA 6 Put the meter on a flat surface Point the two IR windows toward each other They should be 3 to 10 cm apart 7 Do not move the infrared cable computer PDA or meter during the transfer 8 Follow the prompts on the software 9 The software program may shut off the meter automatically when the data trans
3. ACCU CHEK ACCU CHER iva Nano BLOOD GLUCOSE METER GLYCOMETRE User s Manual Manuel de l utilisateur Gy Whether the Accu Chek Aviva Nano Meter is your first blood glucose meter or you have used a meter for some time please take the time to read this manual carefully before you use your new meter To use it correctly and dependably you need to understand its operation screen displays and all individual features Should you have any questions please contact Accu Chek Customer Care at 1 800 363 7949 or visit us at www accu chek ca The Accu Chek Aviva Nano System Your new Accu Chek Aviva Nano Meter is for quantitative blood glucose testing using Accu Chek Aviva Test Strips Suitable for self testing The Accu Chek Aviva Nano Meter may be used by patients who test their own blood glucose as well as by healthcare professionals for monitoring patients blood glucose values The system includes some items may be sold separately e Accu Chek Aviva Nano Meter with batteries e Accu Chek Aviva Test Strips and code chip e Accu Chek Aviva Control Solution source of infection see Clinical and Laboratory Standards Institute Protection of Laboratory Workers from Occupationally Acquired Infections Approved Guideline Third Edition CLS document M29 A3 2005 l Any object coming into contact with human blood is a potential Why Regular Blood Glucose Testing Is Important Testing your blood glucose regular
4. Performing a Control Test You need the meter a test strip and control solution Level 1 and or Level 2 The control level is printed on the bottle label 1 Insert the test strip into the meter in 2 Make sure the code number on the the direction of the arrows The meter display matches the code number on turns on the test strip container If you miss seeing the code number remove the test strip and reinsert it into the meter 7 Se e Select the control 4 Put the meter on a flat solution you want to surface like a table test You will enter the level later in the test 5 Remove the control bottle cap Wipe the tip of the bottle with a tissue o Squeeze the bottle until a tiny drop forms at the tip Touch the drop to the front edge of the yellow window of the test strip When you see amp flash you have enough control solution in the test strip Wipe the tip of the bottle with a tissue then cap the bottle tightly 7 The result appears on the display along with the control bottle symbol and flashing L Do not remove the test strip yet Press gt once to mark the result as a Level 1 If you tested the Level 2 control press D a second time 8 Press and release to confirm the control level in the meter 9 OK and the control result alternate on the display if the result is in range The range is printed on the test strip container label When the control result
5. change the batteries the meter prompts you to confirm the meter s time and date settings All test results are saved in memory e Always replace both batteries at the same time and with the same brand Cleaning the Meter Caring for the Accu Chek Aviva Nano Meter is easy Just keep it free of dust If you need to clean it follow these guidelines carefully to help you get the best performance possible Do Do Not e Make sure the meter is off e Get any moisture in the code chip slot e Gently wipe the meter s surface with or test strip slot a soft cloth slightly dampened wring e Spray any cleaning solution directly out any excess liquid with one of these onto the meter cleaning solutions e Put the meter under water or liquid CI e 70 isopropyl alcohol e Pour liquid into the meter e Mild dishwashing liquid mixed with water e 10 household bleach solution 1 part bleach plus 9 parts water made the same day Maintenance and Troubleshooting The meter needs little or no maintenance with normal use It automatically tests its own systems every time you turn it on and lets you know if something is wrong If you drop the meter or think it is not giving accurate results call Accu Chek Customer Care at 1 800 363 7949 To make sure the display is working properly turn the meter off then press and hold to see the complete display All the segments should be clear and look exactly like the picture below If not call Accu Chek C
6. compatible software application For product availability please contact Accu Chek Customer Care at 1 800 363 7949 Viewing Test Results E With the meter on or off press and release or D to enter memory The most recent result appears e To view previous results in order press e To look at the 7 14 30 or 90 day averages press D e To view pre meal and post meal 7 14 30 and 90 day averages continue to press D Number of results in the average Number of days in the average Note Only test results that have been assigned a pre meal or post meal marker are included in pre meal and post meal averages All blood glucose results are included in the general 7 14 30 and 90 day averages Past Results General Average Press to view past results Press D to view 7 14 30 and 90 day from newest to oldest averages Pre Meal Average Continue to press D to view 7 14 30 and 90 day pre meal averages Post Meal Average Continue to press D to view 7 14 30 and 90 day post meal averages Meter Setup Using the Set Up Mode By using the set up mode you can personalize the meter to suit your lifestyle Here are the features you can customize in the order in which they appear in the set up mode Time and date set the time and date N Beeper select On or OFF EJ 4 Post meal reminder time select 1 hour or 2 hours A Alarm clock select On or OF
7. inde Setting the Time and Date Setting the Beeper On Off Setting the Post Meal Reminder Time Setting the Alarm Clock Function fee Setting the Hypo Indicator Function 45 Transferring Data Directly to a Computer or PDA Using Specialized Software and an Infrared Cable nn aie antennes 48 Chapter 4 Control Testing Why Perform Control Tests About the Control Solutions Performing a Control Test Understanding Out of Range Control Test Results Chapter 5 Maintenance and Troubleshooting Changing the Batteries Cleaning the Meter Maintenance and Troubleshooting Screen Messages and Troubleshooting Chapter 6 Technical Information Product Limitations c cscessseeeees Specifications ceeeeeeeeeee Product Safety Information Disposing of Your Used Meter Guana CG reste ieee AdditlOMalSUPPICS 2 scczscccsccascatatacseatceceestacstebicsssaqesaesateiaes Information for Healthcare Professionals 1010101011 NAEK niiina irain rE NA Right and Left Arrow Buttons yyy Press to enter memory adjust settings and scroll through results Display Shows blood glucose results messages and results stored in memory Test Strip Slot Insert test strip here Front View Infrared IR Window Used to transfer data from the meter to a computer or PDA On Off Set Button Turns the me
8. package insert for information on how the system works on the test principle and on reference methods Product Safety Information Strong electromagnetic fields may interfere with the proper operation A of the meter Do not use this meter close to sources of strong electromagnetic radiation To avoid electrostatic discharge do not use the meter in a very dry environment especially one in which synthetic materials are present Disposing of Your Used Meter During blood glucose measurement the meter itself may come into A contact with blood Used meters therefore carry a risk of infection Please dispose of your used meter after removing the batteries according to the regulations applicable in your country For information about correct disposal please contact your local council and authority The meter falls outside the scope of the European Directive 2002 96 EC Directive on waste electrical and electronic equipment WEEE Explanation of Symbols You may encounter the following symbols on packaging on the type plate and in the User s Manual for your Accu Chek Aviva Nano Meter shown here with their meaning CE A 4 el REF Consult the instructions for use Caution refer to accompanying documents Please refer to safety related notes in the manual accompanying this instrument Store at Manufacturer Catalogue number For in vitro diagnostic use 0088 This product fulfills the requirements of Direct
9. year TIME 1hr or 2hr Setting the Alarm Clock Function A The alarm clock e Beeps to remind you to perform a test e Beeps every two minutes up to three times e Turns off by inserting a test strip or pressing any button e Is preset to OFF You must turn it on to use this feature You can set up to 4 alarms per day If you turn A 1 A 2 A 3 and A 4 on your meter is preset with the following times for your convenience You can adjust the times to suit your needs A 1 8 00am A 2 12 00 pm noon A 3 6 00pm A 4 10 00 pm When you are setting the time for the alarm clock function the bell symbol and set up remain on the display 1 Press and release 2 Press and hold until 3 Press and release to turn the meter on set up appears on the repeatedly until you The flashing test strip display reach the display with symbol appears the bell symbol OFF set up and the flashing A 1 set up 4 Press and release 5 If you select On the 6 Press and release J or D to switch hour flashes A 1 and lt j or D to select the between On and the bell symbol remain hour Press and release OFF Press and on the display to confirm the hour release to confirm your choice 7 The minutes flash Press and release or D to select 00 15 30 or 45 These are the only choices 8 Press and release to confirm the minutes Am or p
10. CK off on level month day year TIME A 1 A 2 A 3 A 4 1hr or 2hr Setting the Post Meal Reminder Time 4 The post meal reminder e Beeps one or two hours after the test to remind you to do a post meal test e Beeps every two minutes up to three times e Turns off by inserting a test strip or pressing any button The post meal reminder time is preset on your meter to two hours however you can choose one or two hours in the set up mode Notes e The beeper must be set to On for the reminder to occur e f you tested within 15 minutes of a reminder the reminder does not occur e f the meter is on at the reminder time the reminder does not occur e Exposure to cold conditions may disable reminders until the meter is turned on 1 Press and release to turn the meter on The flashing test strip symbol appears if IL ty g M3Oam 1311 wo tc A 2 Press and hold until set up appears on the display Press and release repeatedly until you reach the display with set up and the flashing 1Hr or 2Hr E AOCU CHEK Avive Nano 4 Press and release or D to select When a post meal reminder is 1Hr or 2Hr Press and release activated this screen appears to confirm your choice You are here gt HYPO INDICATOR off on level TIME DATE gt BEEPER gt POST MEAL gt hrs min am pm on off REMINDER month day
11. F Hypo indicator select On or OFF If you select On choose the blood glucose level for the alert Using the set up mode is easy Here is a general overview of the function each button performs in the set up mode e To enter the set up mode with the meter on press and hold until set up appears e To confirm the feature you have chosen press and release e To exit the set up mode press and hold until you see the flashing test strip symbol e To adjust settings press and release or D To scroll faster press and hold or D gt You are here TIME DATE gt BEEPER gt POST MEAL gt ALARM gt HYPO INDICATOR hrs min am pm on off REMINDER CLOCK off on level month day year TIME A 1 A 2 A 3 A 4 1hr or 2hr Setting the Time and Date decrease increase 1 Press and release to 2 Press and hold until 3 Press and release turn the meter on The set up appears on or D to decrease or flashing test strip symbol the display The hour increase the hour appears flashes decrease increase 4 Press and release to confirm the 5 Press and release or D to adjust hour The minutes flash the minutes Press and release to confirm the minutes N 6 Repeat step 5 to set am pm month day and year If you want to set up more options press and release If you want to exit press and hold until you see the flash
12. alonnage et les bandelettes test est prot g par les brevets suivants No de brevets canadiens 2 068 214 2 153 877 2 153 883 2 153 884 2 175 501 ACCU CHEK Aviva Nano Roche Diagnostics GmbH 68298 Mannheim Germany IVD C 0088 www accu chek com ACCU CHEK ACCU CHEK AVIVA and ACCU CHEK AVIVA NANO are trademarks of Roche All other product names and trademarks are the property of their respective owners ACCU CHEK ACCU CHEK AVIVA et ACCU CHEK AVIVA NANO sont des marques de Roche Tous les autres noms de produits et de marques sont la propri t de leurs d tenteurs respectifs 05205565002 1108
13. ar and under the little finger hypothenar If blood from an alternate site such as the forearm upper arm thigh or calf is used there are certain times when testing is not EX appropriate see next page This is because your glucose level changes quicker in your fingertip or palm than in the alternate sites These differences may cause you to make the wrong therapeutic decision producing adverse health effects Please read the following section before you try testing from other places Hypothenar IMPORTANT e Talk to your healthcare professional about Alternate Site Testing py Do not change your treatment because of just one result NEVER ignore symptoms of high or low blood glucose If your blood glucose result does not match how you feel perform a fingertip palm test to confirm your result If the fingertip palm result still does not match how you feel talk to your healthcare professional Alternate site testing may be done e Immediately before a meal e Fasting DO NOT test from an alternate site e Two hours or less after eating e After exercising e If you are sick e If you think your blood glucose is low e If you often don t notice when your blood glucose is low e During peak action time of short acting insulin or rapid acting insulin analogues e Up to two hours after injecting a short acting insulin or rapid acting insulin analogue To perform a blood glucose test from an alternate
14. eter and recode it The test strips will expire at the end of the current month Before the end of the month insert a new code chip from a new box of code exp test strips and ensure the code chip number matches the code number on the test strip container Make sure the time and date in the meter are correct Your blood glucose may be extremely low or the test strip may be damaged or not properly inserted If you see this error message after you applied blood to the test strip see Chapter 2 Unusual Blood Glucose Results If you see this error message before you applied blood to the test strip remove the test strip and reinsert it or replace it if damaged Verify that the code number printed on the test strip container matches the code number printed on the code chip currently inserted in the meter If the message reappears call Accu Chek Customer Care at 1 800 363 7949 The code chip is incorrect Turn off the meter and insert anew code chip If this does not fix the problem call Accu Chek Customer Care at 1 800 363 7949 Your blood glucose may be extremely high or a meter or a test strip error has occurred If this confirms how you feel contact your healthcare professional immediately If it does not confirm how you feel repeat the test and refer to Chapter 2 Unusual Blood Glucose Results If this does not confirm the way you feel run a control test with your control solutio
15. fer is complete Notes e f the data did not transfer successfully try again If you still have problems contact Accu Chek Customer Care at 1 800 363 7949 e To make the most of the download feature you must set the time and date in the meter correctly Deo Chapter 4 Control Testing Why Perform Control Tests Performing a control test lets you know that the meter and test strips are working properly to give reliable results You should perform a control test when e You open a new box of test strips e You left the test strip container open e You want to check the meter and test strips ER e Your test strips were stored in extreme temperature and or humidity e You dropped the meter e Your test result does not agree with how you feel e You want to check if you are testing correctly About the Control Solutions e Only use Accu Chek Aviva Control Solutions e The meter automatically recognizes the Accu Chek Aviva Control Solution e The control results are not displayed in memory e Write the date you opened the control solution bottle on the bottle label The solution is good for three months from that date or until the expiry date on the bottle label whichever comes first 52 e Do not use control solution that is past the expiry date e The solution can stain clothing If you spill it wash your clothes with soap and water e Close the bottle tightly after use e Store the bottle at 2 C to 32 C Do not freeze
16. gnificant difference between fingertip palm and alternate site blood glucose test results The difference in capillary bed concentration and blood perfusion throughout the body can lead to sample site to site differences in blood glucose results These physiological effects vary between individuals and can vary within a single individual based upon his or her behavior and relative physical condition Our studies involving alternate site testing of adults with diabetes show that most persons will find their glucose level changes more quickly in the fingers palms blood than the alternate sites blood This is especially important when glucose levels are falling or rising rapidly If your patient is used to making treatment decisions based upon fingertip palm readings he or she should consider the delay or lag time affecting the results obtained from an alternate site Data on file Index alarm clock function setting 40 alternate site testing 19 79 appetite increased 26 batteries changing 59 batteries installing 59 batteries type 60 73 77 beeper setting 34 blood glucose results unusual 24 blood glucose testing 13 blurred vision 26 button on off set 7 8 code chip 8 9 computer connecting your meter to 48 control solution 52 control test results understanding 57 control test acceptable range 56 control test performing 53 control test results 57 control test unacce
17. ing test strip symbol You are here TIME DATE aS BEEPER POST MEAL ALARM HYPO INDICATOR hrs min am pm on off REMINDER CLOCK off on level month day year TIME A 1 A 2 A 3 A 4 1hr or 2hr Setting the Beeper N On Off Your new meter has the beeper preset to On You can set the beeper to OFF if you prefer This will not affect your test results The beeper is helpful because it prompts you e To apply blood or control solution to the test strip e When enough blood or control solution is drawn into the test strip e When the test is complete e When a button is pressed e When itis time to test if you set the alarm clock or post meal reminder e f an error occurred while testing even if the beeper is set to off it still beeps for an error 1 Press and release 2 Press and hold until 3 Press and release to turn the meter on set up appears on the repeatedly until you The flashing test strip display reach the display with symbol appears the flashing beeper symbol and On or OFF A ke ACCU CHEK Aviva Narro 4 Press and release or D to 5 If you want to set up more options switch between On and OFF press and release If you want to exit press and hold until you see the flashing test strip symbol You are here TIME DATE gt BEEPER gt POST MEAL gt ALARM HYPO INDICATOR hrs min am pm on off REMINDER CLO
18. ive 98 79 EC on in vitro eo diagnostic medical devices 3V type 2032 Guarantee The statutory provisions on rights in consumer goods sales in the country of purchase shall apply Additional Supplies The following supplies and accessories are available from your authorized Roche Diabetes Healthcare Center pharmacies or your medical surgical supply dealer Test Strips Accu Chek Aviva Test Strips Control Solutions Accu Chek Aviva Control Solutions Information for Healthcare Professionals WARNING Patients receiving peritoneal dialysis using solutions containing icodextrin e g Extraneal Icodial should not use the Accu Chek Aviva Test Strip It could cause an overestimation of blood glucose results Healthcare Professionals Follow the infection control procedures appropriate for your facility A drop of fresh whole blood is required to perform a blood glucose test Fresh venous Capillary or arterial blood may be used Caution should be taken to clear arterial lines before blood is drawn Refer to your test strip package insert for additional healthcare professional information Decisions about whether to recommend alternate site testing AST should take into ZA account the motivation and knowledge level of the patient and his or her ability to understand the considerations relative to diabetes and AST If you are considering recommending AST for your patients you need to understand that there is a potential for a si
19. k if the code number on the meter display matches the code number on the test strip container 9 If you are still unsure of the problem Action Repeat the control test with a properly stored test strip or control solution Read Chapter 4 Control Testing and test again If you still have problems call Accu Chek Customer Care at 1 800 363 7949 If you chose the wrong control solution level you can still compare the control result to the range printed on the test strip container If they do not match insert the correct code chip into the meter and test again Repeat the control test with a new test strip If you still have problems call Accu Chek Customer Care at 1 800 363 7949 Chapter 5 Maintenance and Troubleshooting Changing the Batteries amp side n facing dow 1 Use your thumb to slide 2 Remove the old batteries 3 Slide the battery rower Kall the battery drawer out of and place the new ones back into position until it the meter in the drawer with the locks into place side facing down Note when you install new batteries the meter automatically prompts you to check the time and date when you turn it on Notes e The meter uses two 3 volt lithium batteries type 2032 This type of battery can be found in many stores It is a good idea to have spare batteries available e Be sure the batteries are inserted side facing down or facing away from you e After you
20. l test e You might want to use the general marker to mark an event such as an AST alternate site testing result or exercise When you review the results in memory these markers can help you remember what was different about the result Here is how to mark a test result and initiate a post meal reminder Perform a blood glucose test Do not remove the test strip 1 gt and release E gt to toggle through the test result markers and post meal reminder Pre Meal Marker 18 7 Pre Meal Marker with Post Meal Reminder Post Meal Marker General Marker 2 When the test result marker or or pre meal marker with post meal reminder 4 that you wish to select appears on the display remove the test strip from the meter e f you select the post meal reminder the meter beeps one or two hours after the pre meal test to remind you to do a post meal test e f you select a test result marker it is automatically stored in memory Note The post meal marker automatically appears with the test result if a test is performed 15 minutes before or after the post meal reminder is programmed to beep Set the post meal reminder time to one or two hours in the set up mode Alternate Site Testing AST You have the option of testing other places on your body besides the fingertip Blood obtained from a fingertip or palm can be used at any time to measure blood glucose The two palm testing sites are the fleshy areas under the thumb then
21. lace such as a Lo open a new box of test strips bedroom e Store the unused test strips in their e Store the test strips at 2 C to original container 32 C Do not freeze Use test strips at temperatures within the range indicated in the test strip package insert e Do not apply blood or control solution to the test strip before you insert it into the meter e Close the container tightly immediately after you take a test strip out This helps keep the test strips dry e Use the test strip immediately after you take it out of the container e Be sure to check the expiry date on the test strip container Do not use the test strips after that date Do not store test strips in high heat and moisture areas bathroom or kitchen Heat and moisture can damage test strips Chapter 2 Testing Your Blood Glucose Performing a Blood Glucose Test Before you perform your first blood glucose test set up the meter correctly fo You need the meter a test strip and a lancing device with a lancet loaded 1 Wash and dry your hands 4 Make sure the code number on the 2 Prepare your lancing device display matches the code number on the test strip container If you miss seeing the code number remove the test strip and reinsert it into the meter 3 Insert the test strip into the meter in the direction of the arrows The meter turns on 5 A test strip and flashing blood drop symbol appear on the display Yellow Re
22. lease Button 6 Lance your fingertip with the lancing device Blood samples taken from the palm are equivalent to blood taken from the fingertip For detailed information on how to obtain blood from the palm refer to the Alternate Site Testing AST section steps 5 and 6 7 Gently squeeze your finger to assist the flow of blood This helps you get a blood drop 8 Touch the blood drop to the front edge of the yellow window of the test strip Do not put blood on top of the test strip When you see amp flash you have enough blood in the test strip 9 The result appears on the display If you want to mark the test result as a pre meal or post meal test or with a general marker leave the test strip in the meter see the next section Otherwise remove and discard the used test strip Note After a successful test the meter turns off five seconds after the test strip is removed Marking Test Results and Setting the Post Meal Reminder If you wish you can mark your test result with Pre Meal Marker 17 A Pre Meal Marker with Post Meal Reminder Y Post Meal Marker General Marker e Marking results with a pre meal or post meal marker provides more information about your blood glucose results to help you and your healthcare professional in the management of your diabetes e When a pre meal result is marked with a post meal reminder the meter beeps one or two hours after you test to remind you to do a post mea
23. ly can make a big difference in how you manage your diabetes every day We have made it as simple as possible Need Help Call Accu Chek Customer Care at 1 800 363 7949 Important Information About Your New Meter e Your new meter is designed for testing fresh whole blood samples for example blood from your fingertip or forearm The meter is for outside the body in vitro use It should not be used to diagnose diabetes e Only use Accu Chek Aviva Test Strips Other test strips will give inaccurate results e The meter comes with a preset time and date You may need to change the time to your time zone e f you follow the steps in the manual but still have symptoms that do not seem to match your test results or if you have questions talk to your healthcare professional Contents Chapter 1 Understanding Your New System i The Accu Chek Aviva Nano Meter Coding the Meter Using the Accu Chek Aviva Nano System Chapter 2 Testing Your Blood Glucose Performing a Blood Glucose Test Marking Test Results and Setting the Post Meal Reminder Alternate Site Testing AST te Unusual Blood Glucose RESURS inisieer Symptoms of High or Low Blood Glucose Chapter 3 Meter Memory Setup and Downloading 27 MEMON V2 sisestensi enniesen nier rites Viewing Test Results es IMG Te is StU sect dt in
24. m flashes on the display Press and release or D to switch between am and pm Press and release to confirm am or pm Set up OFF and the bell symbol appear on the display with the next alarm A 2 flashing You can either set a second alarm or press and hold until you see the flashing test strip symbol to exit the set up mode You are here TIME DATE oe BEEPER gt POST MEAL e ALARM HYPO INDICATOR hrs min am pm on off REMINDER CLOCK off on level month day year TIME A 1 A 2 A 3 A 4 1hr or 2hr Setting the Hypo Indicator Function The hypo indicator e Can be set to a level between 2 8 to 5 0 mmol L to let you know when your blood glucose is possibly too low Notes e Before you set the hypo indicator talk to your healthcare professional to help you decide what blood glucose level is your hypoglycemic level e The hypo indicator is preset to OFF in your 1 Press and release new meter to turn the meter on The flashing test strip symbol appears 2 Press and hold until set up appears on the display 3 Press and release repeatedly until you reach the display with set up and OFF and the flashing 4 Press and release Clor D to switch between On and OFF Press and release to confirm your choice 5 If you choose to set the hypo indicator to On set up
25. n and a new test strip If the control result is within the acceptable range review the proper testing procedure and repeat your blood glucose test with a new test strip If the E3 code still appears for your blood glucose test your blood glucose result may be extremely high and above the system s reading range Contact your healthcare professional immediately If the control result is not within the acceptable range see Chapter 4 Understanding Out of Range Control Test Results NYANYA code exp Not enough blood or control solution was drawn into the test strip for measurement or was applied after the test had started Discard the test strip and repeat the test The code chip is from an expired lot of test strips Ensure the code chip number matches the code number on the test strip container Remove the code chip and enter the set up mode to ensure the time and date in the meter are correct Blood or control solution was applied to the test strip before the flashing drop symbol appeared on the display Discard the test strip and repeat the test An electronic error occurred or in rare Cases a used test strip was removed and reinserted Turn the meter off and on or take the batteries out for 20 seconds and reinsert them Perform a blood glucose or control test If the problem persists call Accu Chek Customer Care at 1 800 363 7949 The batteries are almost out of power Change the batteries n
26. ons Electromagnetic Compatibility 69 x 43 x 20 mm LWH Approx 40 g with batteries Hand held lll The Accu Chek Aviva Nano Meter is suitable for continuous operation 2 C to 32 C This meter meets the electromagnetic immunity requirements as per ISO 15197 Annex A The chosen basis for electrostatic discharge immunity testing was basic standard IEC 61000 4 2 In addition it meets the electromagnetic emissions requirements as per EN 61326 Its electromagnetic emission is thus low Interference 74 74 from other electrically driven equipment is not to be anticipated Performance Analysis The performance data for the Accu Chek Aviva Nano System Accu Chek Aviva Nano Meter with Accu Chek Aviva Test Strips were obtained using capillary blood from diabetic patients method comparison accuracy venous blood repeatability and control solution reproducibility The system is calibrated with venous blood containing various levels of glucose The reference values are obtained using the hexokinase method For method comparison the results were compared with results obtained using the hexokinase method with deproteinization automatic analyzer The hexokinase method is traceable to an NIST standard Measuring Principle Blood glucose concentrations may be measured in whole blood or plasma Although whole blood is always applied to the test strip the meter displays blood glucose results that relate to plasma Please refer to the
27. ow The temperature is above or below the proper range for the system Move to an area within the temperature range indicated for test strip use in the test strip package insert wait five minutes and repeat the test Do not artificially heat or cool the meter The time and date settings may be incorrect Make sure the time and date are correct and adjust if necessary Note If you see any other error screen please call Accu Chek Customer Care at 1 800 363 7949 Chapter 6 Technical Information Product Limitations Please read the literature packaged with your test strips to find the latest information on product specifications and limitations Specifications Blood volume Sample type Measuring time Measuring range Test strip storage conditions Meter storage conditions System operating conditions Relative humidity operating range Memory capacity Automatic power off Power supply Display 0 6 pL Fresh whole blood Refer to your test strip package insert for more information 0 6 to 33 3 mmol L Refer to your test strip package insert for more information Temperature 25 C to 70 C Refer to your test strip package insert for more information Refer to your test strip package insert for more information 500 results with time and date 2 minutes Two 3 volt lithium batteries type 2032 LCD 73 Dimensions Weight Construction Protection class Meter type Control solution storage conditi
28. ptable range 57 display check 62 error messages 63 71 expiry date 11 52 fatigue 26 frequent urination 26 general marker 17 18 guarantee 78 healthcare professionals 79 high blood glucose 26 hyperglycemia 26 hypo indicator setting 45 47 hypoglycemia 26 low blood glucose 26 maintenance meter 62 marking test results 17 18 memory meter 27 29 numbness 26 test strips Accu Chek Aviva post meal marker 17 18 8 11 28 30 thirst increased 26 post meal reminder 17 18 time and date setting 31 28 30 37 39 pre meal marker 17 18 28 30 product limitations 73 product specifications 73 rapid heartbeat 26 settings meter 30 tingling 26 trembling 26 troubleshooting 62 71 supplies 78 sweating 26 symbols 77 technical information 73 Roche Diagnostics Roche Diagnostics 201 Boulevard Armand Frappier 201 Boulevard Armand Frappier Laval Quebec CANADA H7V 4A2 Laval Qu bec CANADA H7V 4A2 www accu chek ca www accu chek ca Accu Chek Customer Care 1 800 363 7949 Accu Chek Soins aux Patients 1 800 363 7949 2008 Roche Diagnostics All rights reserved 2008 Roche Diagnostics Tous droits r serv s The ACCU CHEK Aviva Nano system including the meter code chip and test strips is covered by the following patents Canadian Patent Nos 2 068 214 2 153 877 2 153 883 2 153 884 2 175 501 Le syst me ACCU CHEK Aviva Nano comprenant le glycom tre la puce d t
29. rip container was always closed tightly 3 Check if the test strip was out of the container for a long time Replace the test strips if you think they were uncapped for some time Repeat the test with a new test strip 4 Check if the test strips were stored in a cool dry place Repeat the test with a properly stored test strip Troubleshooting Checks Action Read Chapter 2 Testing Your Blood Glucose and test again If you still have problems call Accu Chek Customer Care at 1 800 363 7949 If they do not match insert the correct code chip into the meter and test again 5 Check if you followed the testing steps Check if the code number on the meter display matches the code number on the test strip container 7 lf you are still unsure of the problem Repeat the test with a new test strip and perform a control test If you still have problems call Accu Chek Customer Care at 1 800 363 7949 Symptoms of High or Low Blood Glucose Being aware of the symptoms of high or low blood glucose can help you understand your test results and decide what to do if they seem unusual Here are the most common symptoms 26 High blood glucose hyperglycemia fatigue increased appetite or thirst frequent urination blurred vision headache or general aching Low blood glucose hypoglycemia sweating trembling blurred vision rapid heartbeat tingling or numbness around mo
30. site you need the meter a test strip and a lancing device with the clear AST cap 1 Prepare the lancing device 3 Make sure the code number on the o f display matches the code number on 2 Insert the test strip into the meter in the test strip container If you miss the direction of the arrows The meter seeing the code number remove the turns on test strip and reinsert it into the meter 4 A test strip and flashing blood drop symbol appear on the display 5 Press the lancing device firmly against a fleshy area on the alternate site Press the lancing device up and down ina slow pumping motion to assist the flow of blood 6 Trigger the lancing device while keeping steady pressure on the site Apply pressure to the site with the lancing device to assist the flow of blood N Touch the blood drop to the front 8 The result appears on the display edge of the yellow window of the test Mark the result or remove and discard strip When you see amp flash you have the used test strip enough blood in the test strip Note if the blood drop is too small reapply pressure to get a sufficient blood drop Unusual Blood Glucose Results If your blood glucose result does not match how you feel follow these steps a Troubleshooting Checks 1 Check if the test strips are expired Action Discard the test strips if they are past the expiry date Check if the cap on the test st
31. ter on or off and sets options Battery Drawer Pull out the battery drawer to replace batteries when needed Code Chip Slot Insert code chip into this opening Back View Golden End Insert this end of the test strip into the meter Yellow Window Touch blood drop or control solution here Side View 3 Arii urey S AUCUUUTIER 7 ACCU CHEK gt Test Strip Test Strip Container On Off Set Button Infrared IR Window Code Chip a Left Arrow Button Top View Right Arrow for example cat oe Control Solution Bottle Batteries Insert into drawer with side facing down Coding the Meter eon 1 Make sure the meter 2 Turn the meter over 3 Remove the old code is off chip if there is one in the meter and discard it A Change the code chip every time you open a new box of test strips 4 Turn the code chip over so the 5 Leave the code chip in the meter code number faces away from until you open a new box of test you Push it into the code chip strips slot until it stops Notes e Do not force the code chip into the meter It is designed to go into the meter only one way e f you see a code on the display insert a code chip into the meter Using the Accu Chek Aviva Nano System e Only use Accu Chek Aviva Test Strips Store the test strip container and e Change the code chip every time you meter in a cool dry p
32. ustomer Care at 1 800 363 7949 peron eae 1 00am 20 00day GED Pr DU Hav pe mmol L oe oo Bd Screen Messages and Troubleshooting Never make treatment decisions based on an error message If you have any concerns call Accu Chek Customer Care at 1 800 363 7949 The meter will not turn on or the display is blank e Batteries are dead Insert new batteries e Display is damaged Call Accu Chek Customer Care at 1 800 363 7949 e Meter is defective Call Accu Chek Customer Care at 1 800 363 7949 e Extreme temperatures Move the meter to a more temperate area Battery power is low Change the batteries soon The meter is ready for you to insert a test strip set up The meter is in set up mode waiting for you to change or confirm settings The meter is ready for a drop of blood or control solution Blood glucose may be higher than the measuring range of the system Blood glucose may be lower than the measuring range of the system A pre meal marker was assigned to this test result A post meal marker was assigned to this test result A pre meal marker Blood glucose is was assigned to below the defined this test result hypoglycemia and the post meal low blood reminder has been erm activated glucose level A general marker The meter is not was assigned to coded or the this test result NYANYANYA code Chip is not Pacem inserted Turn off the m
33. uth or fingertips If you are experiencing any of these symptoms test your blood glucose If your blood glucose result is displayed as LO or HI contact your healthcare professional immediately _ _ Chapter 3 Meter Memory Setup and Downloading Memory Storing Test Results The meter automatically stores up to 500 blood glucose test results with the time and date of the test and any test markers You can review them at any time Test results are stored from the newest to the oldest It is very important to set the correct time and 27 date in the meter Having the correct time and date setting helps ensure appropriate interpretation of blood glucose results by you and your healthcare professional Notes e Do not change your therapy based on one individual result in memory e The memory is not lost when you replace the batteries You do need to check that the time and date are correct after you replace the batteries e Once 500 results are in memory adding a new result causes the oldest one to be deleted e f more than 500 tests are performed within a 90 day period only the most recent 500 results are included in the 90 day average e Hold or D down to scroll through the results faster e The control results are stored in memory but cannot be reviewed on the meter They are not included in the 7 14 30 and 90 day averages To view stored control results first download them to a
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