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BLOOD GLUCOSE METER / GLYCOMÈTRE
User's Manual
Manuel de l'utilisateur

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Table of Contents
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Summary of Contents for Accu-Chek Aviva

  • Page 1 BLOOD GLUCOSE METER / GLYCOMÈTRE User’s Manual Manuel de l'utilisateur...
  • Page 3 Whether the Accu-Chek Aviva 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 individual features.
  • Page 4 The Accu-Chek Aviva Meter is for quantitative blood glucose testing using Accu-Chek Aviva Test Strips. The Accu-Chek Aviva Meter may be used by patients who test their own blood glucose as well as by healthcare professionals for monitoring patients' blood glucose values.
  • Page 5 • Only use Accu-Chek Aviva Test Strips. Other test strips will give inaccurate results. • The meter comes with a pre-set time and date. You may need to change the time to your time zone.
  • Page 6: Table Of Contents

    ............6 The Accu-Chek Aviva Meter ................6 Coding the Meter ....................8 Adjusting the Time and Date—First Time Use ..........10 Using the Accu-Chek Aviva System ..............12 Chapter 2: Testing Your Blood Glucose ..............13 Performing a Blood Glucose Test ..............13 Flagging Test Results ..................18 Alternate Site Testing (AST) ................19...
  • Page 7 Chapter 4: Control Testing ..................47 Why Perform Control Tests ................47 About the Control Solutions ................48 Performing a Control Test ................49 Understanding Control Test Results ..............53 Chapter 5: Maintenance and Troubleshooting ...........56 Changing the Battery ..................56 Cleaning the Meter ..................58 Maintenance and Troubleshooting ..............59 Screen Messages and Troubleshooting ............60 Chapter 6: Technical Information ...............67...
  • Page 8: Chapter 1: Understanding Your New System

    Chapter 1: Understanding Your New System The Accu-Chek Aviva Meter Infrared (IR) Window – On/Off/Set Button – Transfers data from the Turns the meter on or meter to a computer or off and sets options. PDA. Display – Code Chip Slot –...
  • Page 9 Golden End – Insert this end of the test strip into the meter. Yellow Window – Touch blood drop or control solution here. Test Strip Test Strip Container Control Solution Bottle Code Chip Battery – Insert with On/Off/Set Infrared (IR) (for example) (+) symbol facing up.
  • Page 10: Coding The Meter

    Coding the Meter 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. ▲ Change the code chip every time you open a new box of test strips!
  • Page 11 4. Turn the code chip over so the code 5. Leave the code chip in the meter number faces away from you. Push it until you open a new box of test into the code chip slot until it stops. strips.
  • Page 12: Adjusting The Time And Date-First Time Use

    Adjusting the Time and Date—First Time Use Setting the correct time and date in the meter is important if you use the meter memory or if you want to download your results to a computer. decrease increase 3. Press and release 1.
  • Page 13 Note: When you install a new battery, the meter automatically prompts you to check the time and date when you turn it on. decrease increase 4. Press and release 5. Repeat to set the am/pm, symbol appears. The time to adjust the month, day, and year.
  • Page 14: Using The Accu-Chek Aviva System

    Using the Accu-Chek Aviva System • Only use Accu-Chek Aviva Test Strips. • Be sure to check the expiry date on the test strip container. Do not use the test • Change the code chip every time you strips after that date.
  • Page 15: Chapter 2: Testing Your Blood Glucose

    Chapter 2: Testing Your Blood Glucose Performing a Blood Glucose Test Before you perform your first blood glucose test, set up the meter correctly. You need the meter, a test strip, a lancing device, and a lancet. 1. Wash and dry your hands. 2.
  • Page 16 Performing a Blood Glucose Test (continued) 4. Make sure the code number on the display 5. A test strip and flashing blood drop symbol matches the code number on the test strip appear on the display. container. If you miss seeing the code number, remove the test strip and reinsert it into the meter.
  • Page 17 6. Poke your fingertip with the lancing 7. Gently squeeze your finger to assist the device. flow of blood. This helps you get a blood drop.
  • Page 18 Performing a Blood Glucose Test (continued) 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 flash, you have enough blood in the test strip.
  • Page 19 Note: After a successful test, the meter turns itself off five seconds after the test strip is removed. 9. The result appears on the display. If you want to flag the test result for a special event, leave the test strip in the meter.
  • Page 20: Flagging Test Results

    Flagging Test Results If you wish, you can “flag” your test result with an asterisk ( ) to mark a special result. For example, you might want to flag an event such as an AST result or exercise. When you review the results in memory, this “flag”...
  • Page 21: Alternate Site Testing (Ast)

    Please read the following section before you try testing from other sites. IMPORTANT • Talk to your healthcare professional about Alternate Site Testing. • See the package insert included with the Accu-Chek Multiclix Lancing Device for important information regarding the lancing device.
  • Page 22 ▲ 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 test to confirm your result. If the fingertip result still does not match how you feel, see Chapter 2 “Unusual Test Results.”...
  • Page 23 You need the meter, a test strip, a lancing device designed for AST, and a lancet. 1. Prepare the lancing device. 3. Make sure the code number on the 2. Insert the test strip into the meter in display matches the code number on the the direction of the arrow.
  • Page 24 Alternate Site Testing (AST) (continued) 4. A test strip and flashing blood drop 5. Press the lancing device firmly against symbol appear on the display. a fleshy area on the alternate site. Press the lancing device up and down in a slow pumping motion to assist the flow of blood.
  • Page 25 Note: If the blood drop is too small, reapply pressure to get a sufficient blood drop. 6. Trigger the lancing device while keeping 7. Touch the blood drop to the front edge of steady pressure on the site. Apply the yellow window of the test strip. When pressure to the site with the lancing you see flash, you have enough blood in...
  • Page 26: Normal Blood Glucose Values

    Normal Blood Glucose Values These test strips are calibrated to deliver plasma-like results. The normal fasting blood glucose range for an adult without diabetes as related to plasma is 4.1–5.9 mmol/L. For people with diabetes: Please consult your diabetes team for the blood glucose range appropriate for you.
  • Page 27: Unusual Test Results

    Unusual Test Results If your blood glucose result does not match how you feel, follow these steps: Troubleshooting Checks Action 1. Check if the test strips were expired. Discard the test strips if they are past the expiry date. 2. Check if the cap on the test strip Replace the test strips if you think they container was always closed tightly.
  • Page 28: Troubleshooting Checks

    7. If you are still unsure of the problem… Repeat the test with a new test strip and run a control test (see Chapter 4). If you still have problems, call Accu-Chek Customer Care at 1-800-363-7949.
  • Page 29: Symptoms Of High Or Low Blood Glucose

    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: High blood glucose (hyperglycemia): fatigue, increased appetite or thirst, frequent urination, blurred vision, headache, or general aching.
  • Page 30: Chapter 3: Meter Memory, Set-Up, And Downloading

    Chapter 3: Meter Memory, Set-up, 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. You can review them at any time. Test results are stored from the newest to the oldest, so it is very important to set the correct time and date in the meter.
  • Page 31 • Up to 20 control results are stored in memory, but cannot be reviewed on the meter. The stored control results must first be downloaded to a compatible software application. For product availability, please contact Accu-Chek Customer Care. • Control results are not included in the 7, 14, and 30 day averages.
  • Page 32: Viewing Test Results

    Viewing Test Results Press either to view the memory. The most recent result appears. Press to view previous results in order. Press to look at the 7, 14, or 30 day averages, in that order.
  • Page 33: Meter Set-Up

    Meter Set-up 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— Time and Date—set the time and date. Beeper—select on or off. Alarm clock—select on or off. If you choose on, select 1 to 4 times a day for a reminder to test. Hypo alarm—select on or off.
  • Page 34: Setting The Time And Date

    You are here TIME / DATE BEEPER ALARM CLOCK HYPO ALARM (hrs, min, am/pm, (on/off) (A-1, A-2, A-3, A-4) (off, on, level) month, day, year) Setting the Time and Date decrease increase 1. Press to turn the 2. Enter the set-up mode 3.
  • Page 35 Note: Press and hold down to scroll faster. decrease increase 4. Press and release to set the hour. 5. Press and release The minutes flash. adjust the minutes. Press to set the minutes.
  • Page 36 Setting the Time and Date (continued) 6. Repeat to set the am/pm, month, day, 7. If you want to set up more options, and year. press and release . If you want to exit, press and hold until you see the flashing test strip symbol.
  • Page 37: Setting The Beeper On/Off

    You are here TIME / DATE BEEPER ALARM CLOCK HYPO ALARM (hrs, min, am/pm, (on/off) (A-1, A-2, A-3, A-4) (off, on, level) month, day, year) Setting the Beeper On/Off Your new meter has the beeper pre-set to “On.” You can set the beeper to “OFF,” if you prefer—this will not affect your test results.
  • Page 38 Setting the Beeper On/Off (continued) 1. Press to turn the meter 3. Press and release 2. Enter the set-up mode on. The flashing test strip repeatedly until you (press and hold symbol appears. reach the display with the about four seconds). “Set-up”...
  • Page 39 4. Press to switch between 5. If you want to set up more options, “On” or “OFF.” press and release . If you want to exit, press and hold until you see the flashing test strip symbol.
  • Page 40: Setting The Alarm Clock Function

    You are here TIME / DATE BEEPER ALARM CLOCK HYPO ALARM (hrs, min, am/pm, (on/off) (A-1, A-2, A-3, A-4) (off, on, level) month, day, year) Setting the Alarm Clock Function The alarm clock function is a handy way to remind you to test. You can set up to four alarms per day.
  • Page 41 When you are setting the time for the alarm clock function, the bell symbol remains on the display and “set-up” flashes continuously. 1. Press to turn the 2. Enter the set-up mode 3. Press and release meter on. The flashing test (press and hold repeatedly until you reach strip symbol appears.
  • Page 42 Setting the Alarm Clock Function (continued) 4. Press and release 5. If you select “On,” the 6. Press and release to switch hour flashes. “A-1” and to select the between “On” or “OFF.” the bell symbol remain on hour. Press and release Press and release the display.
  • Page 43 7. The minutes flash. Press 8. Press and release 9. The next alarm “A-2” and and release set the minutes. “Am” “set-up” flash on the display to select 00, 15, 30, or or “pm” flashes on the with “OFF” and the bell 45.
  • Page 44: Setting The Hypoglycemic (Hypo) Alarm Function

    You are here TIME / DATE BEEPER ALARM CLOCK HYPO ALARM (hrs, min, am/pm, (on/off) (A-1, A-2, A-3, A-4) (off, on, level) month, day, year) Setting the Hypoglycemic (Hypo) Alarm Function You can set the meter to let you know when your blood glucose is possibly too low.
  • Page 45 2. Enter the set-up mode 4. Press and release 3. Press and release (press and hold to switch repeatedly until you reach about four seconds). between “On” and “OFF.” the display with “OFF” “Set-up” and the hour Press and release and the flashing “set-up”...
  • Page 46 Setting the Hypoglycemic (Hypo) Alarm Function (continued) 5. If you select “On,” 6. Press and release 7. Press and hold until “set-up” and flash. to select the you see the flashing test The display shows level you want. Press and strip symbol to exit the 3.9 mmol/L.
  • Page 47: Downloading Your Results To A Computer Or Pda

    Downloading Your Results to a Computer or PDA You can transfer your stored results to a computer to track, Infrared (IR) identify patterns, and print. Window Transferring Data Directly to a Computer or PDA Using Specialized Software and Infrared Cable 1.
  • Page 48 Notes: • If the data did not transfer successfully, try again. If you still have problems, call Accu-Chek Customer Care at 1-800-363-7949. • To make the most of the download feature, you must set the time and date in the...
  • Page 49: Chapter 4: Control Testing

    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: • You open a new box of test strips •...
  • Page 50: About The Control Solutions

    About the Control Solutions • Only use Accu-Chek Aviva Control Solutions. • The meter automatically recognizes the Accu-Chek Aviva Control Solution. • The control solution results are not displayed in memory. • Write the date you opened the 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.
  • Page 51: Performing A Control Test

    Performing a Control Test You need the meter, a test strip, and control solution Level 1 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 display the direction of the arrow.
  • Page 52 Performing a Control Test (continued) 3. Select the control solution 4. Put the meter on a flat 5. Remove the control bottle you want to test. You will surface, like a table. cap. Wipe the tip of the enter the level later in the bottle with a tissue.
  • Page 53 6. Squeeze the bottle until a tiny drop forms 7. The result appears on the display, along at the tip. Touch the drop to the front with the control bottle symbol and flashing edge of the yellow window of the test “L.”...
  • Page 54 Performing a Control Test (continued) 8. Press to set the control level in the 9. “OK” and the control result alternate on meter. the display if the result is in range. The range is printed on the test strip container label.
  • Page 55: Understanding Control Test Results

    Understanding Control Test Results Range (mmol/L) Level 1 1.4–3.1 Level 2 14.2–19.1 Example The label on the test strip container shows When the control result is inside the range the acceptable ranges for both the Level 1 on the test strip container, the test strips and Level 2 control solutions.
  • Page 56 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 were expired. if either is past the expiry date.
  • Page 57 6. Check if you followed the testing steps. Read Chapter 4 “Control Testing” and test again. If you still have problems, call Accu-Chek Customer Care. 7. Check if you chose the correct control If you chose the wrong control solution...
  • Page 58: Chapter 5: Maintenance And Troubleshooting

    Chapter 5: Maintenance and Troubleshooting Changing the Battery 1. Open the battery door on the back of the 2. Insert the new battery with the + side up. meter by pushing the tab in the direction 3. Put the battery door back in place and of the arrow and pulling the door up.
  • Page 59 Notes: • The meter uses one 3-volt lithium battery, type 2032. This type of battery can be found in many stores. It is a good idea to have a spare battery on hand. • Be sure the battery goes in + side up or facing you. •...
  • Page 60: Cleaning The Meter

    Cleaning the Meter Caring for the Accu-Chek Aviva 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 Not • Make sure the meter is off •...
  • Page 61: Maintenance And Troubleshooting

    (See Chapter 5 on “Screen Messages and Troubleshooting.”) If you drop the meter or think it is not giving accurate results, call Accu-Chek Customer Care at 1-800-363-7949.
  • Page 62: Screen Messages And Troubleshooting

    The meter will not turn on or the display is blank. • Battery is dead — Insert new battery • Display is damaged — Call Accu-Chek Customer Care • Meter is defective — Call Accu-Chek Customer Care • Extreme temperatures — Move the meter to a more temperate area...
  • Page 63 Battery power is low. The meter is ready for Change the battery soon. you to insert a test strip. See Chapter 5 “Changing the Battery.” The meter is in set-up The meter is ready for a mode, waiting for you drop of blood or control to change or confirm solution.
  • Page 64 Blood glucose may The test result was be higher than the flagged. See Chapter 2 measuring range of the “Flagging Test Results.” system. Blood glucose is below Blood glucose may the defined hypo (low be lower than the blood glucose) level. measuring range of the system.
  • Page 65 The test strips expire at The meter is not coded the end of the current or the code chip is not month. Before the end inserted. Turn off the of the month, insert a meter and recode it. new code chip from a See Chapter 1 “Coding new box of test strips the Meter.”...
  • Page 66 If this does not fix the inserted. If you see this problem, call Accu-Chek error message after Customer Care. you applied blood to the test strip, see Chapter 2 An error occurred during the “Unusual Test Results.”...
  • Page 67 10 seconds and the test strip container. Make reinsert it. Perform a sure the time and date in the blood glucose or control meter are correct. test. If the problem persists, call Accu-Chek Customer Care.
  • Page 68 Time and Date.” artificially heat or cool the meter. The battery is almost Note: If you see any other error screen, out of power. Change please call Accu-Chek Customer the battery now. See Care at 1-800-363-7949. Chapter 5 “Changing the Battery.”...
  • Page 69: Chapter 6: Technical Information

    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 0.6 µL Sample type Fresh capillary whole blood Measuring time 5 seconds Measuring range 0.6–33.3 mmol/L Test strip storage conditions...
  • Page 70 Approx. 60 g (with battery) Construction Hand-held Protection class Meter type The Accu-Chek Aviva Meter is suitable for continuous operation Control solution storage conditions 2°C to 32°C Electromagnetic Compatibility This meter meets the electromagnetic immunity requirements as per EN ISO 15197 Annex A.
  • Page 71 Performance Analysis The performance data for the Accu-Chek Aviva System (Accu-Chek Aviva 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.
  • Page 72: Product Safety Information

    Product Safety Information ▲ Strong electromagnetic fields may interfere with the proper operation 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.
  • Page 73: Explanation Of Symbols

    Explanation of Symbols On packaging, on the back of meter, and in the instructions for your Accu-Chek Aviva Meter, you may encounter the following symbols, shown here with their meaning. Consult the instructions for use Listed by Underwriter's Laboratories, Inc.
  • Page 74: Warranty And Service

    Warranty and Service Roche Diagnostics warrants the meter against any material and manufacturing defects that may arise during proper use of the instrument. For precise terms and conditions please see the warranty card in the box. This warranty does not affect any statutory or other rights. The warranty ceases to apply if the instrument has been misused or tampered with.
  • Page 75: Additional Supplies

    Accu-Chek Aviva Care Kit 04422058164 Accu-Chek Aviva Test Strips (10ct) 04454316164 Accu-Chek Aviva Test Strips (50ct) 04454308164 Accu-Chek Aviva Test Strips (100ct) 04538412164 Accu-Chek Aviva Control Solution (2 Level) 04455215001 References 1. Stedman, TL, Stedman’s Medical Dictionary, 27th Edition, 1999, p. 2082.
  • Page 76: 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 glucose results. Decisions about whether to recommend alternate site testing (AST) should take into account the motivation and knowledge level of the patient and his or her ability to understand the considerations relative to diabetes and AST.
  • Page 77: Index

    Index alarm clock function, control test results, hyperglycemia, 27 setting, 38 understanding, 53 hypoglycemia, 27 alternate site testing, control test, acceptable hypoglycemic alarm function, 19, 74 range, 53 setting, 42 appetite, increased, 27 control test, performing, 49 low blood glucose, 27 battery, changing, 56 control test, results, 53 maintenance, meter, 56...
  • Page 78 25 test strips, Accu-Chek Aviva, 7, 12 thirst, increased, 27 time and date, setting, 32 tingling, 27 trembling, 27 troubleshooting, 60–66 warranty, 72...

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