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ACCU-CHECK AVIVA COMBO Getting Started Manual

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See also: Reference Manual , User Manual
Aviva Combo
Aviva Combo
BLOOD GLUCOSE METER
Getting Started Guide
for Self-Testing Only

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Summary of Contents for ACCU-CHECK AVIVA COMBO

  • Page 1 Aviva Combo Aviva Combo BLOOD GLUCOSE METER Getting Started Guide for Self-Testing Only...

  • Page 3: Before You Start Testing

    • Carefully dispose of used test strips and lancets. • Home use of the ACCU-CHEK Aviva Combo system is limited to capillary whole blood testing. NOTE The terms “blood sugar” and “blood glucose” have the same meaning. In this manual we will use the...
  • Page 4 • The meter, test strips, and control solution are only for use outside the body (in vitro). Do not eat the test strips. Do not swallow or inject the control solution, or use the control solution for any purpose other than testing the ACCU-CHEK Aviva Combo system.
  • Page 5 About Testing Yourself or Others • If you are very dehydrated or urinating frequently, you may get an inaccurate test result. If you think you are dehydrated, call your healthcare professional right away. • Some people with diabetes do not experience symptoms of low blood glucose (hypoglycemia). Others, such as children or people who are unconscious or have certain disabilities, may not be able to communicate their symptoms to caregivers.
  • Page 6 • Refer to the test strip and control solution package inserts for additional health-related information. • It is always a good idea to have a back-up testing method available. Failure to test could cause a delay in treatment decisions and lead to a serious medical condition. Examples of back-up testing methods include a back-up meter or testing by a lab.

  • Page 7: Table Of Contents

    Before You Start Testing Introduction 1 Understanding Your New System 1.1 Overview 1.2 The ACCU-CHEK Aviva Combo Meter at a Glance 1.3 The ACCU-CHEK Spirit Combo Insulin Pump at a Glance 1.4 Screen Content and Navigation 2 Getting Started 2.1 Overview 2.2 Setup Wizard...
  • Page 8 3 Testing Your Blood Glucose 3.1 Overview 3.2 Performing a Blood Glucose Test Appendices Appendix A: Explanation of Symbols Appendix B: References Glossary Index...

  • Page 9: Introduction

    Introduction Whether the ACCU-CHEK Aviva Combo meter is your first blood glucose meter or you have used a meter for some time, please take the time to read the Getting Started Guide, the Standard Owner’s Booklet, and the Advanced Owner’s Booklet 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.
  • Page 10 • This Getting Started Guide does not replace the Standard Owner’s Booklet for your ACCU-CHEK Aviva Combo meter. The Standard Owner’s Booklet contains important handling instructions and additional information including a restricted limited license that limits the use of the ACCU-CHEK Aviva Combo system.

  • Page 11: Understanding Your New System

    Understanding Your New System 1.1 Overview 1.2 The ACCU-CHEK Aviva Combo Meter at a Glance 1.3 The ACCU-CHEK Spirit Combo Insulin Pump at a Glance 1.4 Screen Content and Navigation...

  • Page 12: Overview

    1.1 Overview Your new meter has several features to assist you in managing your diabetes. It is important that you understand the features and how to operate the meter correctly. NOTE This booklet shows sample screens. The screens in this booklet may look slightly different from the screens on the meter.

  • Page 13: The Accu-Chek Aviva Combo Meter At A Glance

    1.2 The ACCU-CHEK Aviva Combo Meter at a Glance Infrared (IR) Window Display Transfers data from the Shows menus, results, messages, and data stored in meter to a computer the diary Code Key Slot Buttons Black code key is pre-...
  • Page 14 Batteries Control Solution Bottle Insert batteries according to the + and - symbols in (for example) the battery compartment. Test Strip Test Strip Container Yellow Window - Golden End - (for example) Touch blood drop or Insert this end of the test control solution here.
  • Page 15 Top View Infrared (IR) Window Code Key Side View Pre-inserted black code key (for example) NOTE The meter is already coded and comes with a pre-inserted black code key that you never need to change. Even if you use test strips from test strip boxes that contain another code key that is a different color or has different code numbers, you never need to change the black code key again.
  • Page 16 The meter has seven buttons and two soft keys. Left Soft Key Right Soft Key Up Arrow Right Arrow Enter Down Arrow Left Arrow Backlight Power On/Off NOTE • You hear a sound every time an active button/soft key is pressed unless you turned off the key sound. •...
  • Page 17 Table of Buttons and Soft Keys Button Name Function < Left Arrow Move or scroll to the left in a screen. > Right Arrow Move or scroll to the right in a screen. Up Arrow Move or scroll up in a screen. Down Arrow Move or scroll down in a screen.
  • Page 18 Table of Button Combinations Button Combination Name Function When the buttons are locked, press and Unlock Keys Unlocks the buttons. hold until the Main Menu appears. With the meter turned off, press and hold Meter/Pump Begins meter and pump pairing. and then press +.

  • Page 19: The Accu-Chek Spirit Combo Insulin Pump At A Glance

    1.3 The ACCU-CHEK Spirit Combo Insulin Pump at a Glance Up Key Menu Key Moves forward in an information Cycles through menus, screen, increases a setting, turns functions, and information on the backlight, programs a Quick screens Bolus, cancels a Quick Bolus, and OK Key turns off the STOP-Warning Selects current settings...

  • Page 20: Screen Content And Navigation

    1.4 Screen Content and Navigation This section provides an explanation of how to understand and navigate the screens on the meter. Each time the meter is turned on, this splash screen (ACCU-CHEK logo screen) is displayed for a short period of time.
  • Page 21 Features on the Main Menu: Sound Icon Vibrate Icon Appears when the beeper Appears when vibrate is turned on is turned on Date Time Low Battery Icon Menu Options Appears when the meter batteries are low Bluetooth Wireless Technology Icon Indicates whether the Bluetooth wireless technology is on, off, or connecting NOTE...
  • Page 22 Bluetooth Wireless Technology Icon Communication States Icon Communication State Bluetooth wireless technology is on. The meter and pump are communicating. Bluetooth wireless technology is o . The meter and pump are not communicating. Bluetooth wireless technology is on. However, the meter and pump are not communicating.
  • Page 23 Connecting to the Pump screen during pairing: This screen appears when Bluetooth wireless technology is on and the meter is connecting to the pump.
  • Page 24 Features on a screen: Title Bar Highlighted Option Primary menu title is displayed here When a menu choice or item is selected, it is highlighted in blue Secondary Title Bar Scroll Bar When necessary, a secondary title bar appears. Secondary menu text If there is more information is displayed here available than fits on the screen,...
  • Page 25 Information can be entered on some screens. Numerical entry fields appear as pop-up entry fields. When an option must be selected, it appears as a pop-up menu. • To open a pop-up menu or entry field, press =. • Press to select the appropriate pop-up menu option or until the correct numerical entry is present, and then press =.
  • Page 26 General Navigation Steps To change the settings or enter information into the meter: Press to select a menu option and press =. Repeat the previous step as necessary.
  • Page 27 Select Save by pressing save changes and return to the previous screen. Press to select the Press < > desired entry and press =. select an option or a desired Repeat Steps 2 and 3, as entry field and press =. necessary.

  • Page 29: Getting Started

    Getting Started 2.1 Overview 2.2 Setup Wizard 2.3 Setup Wizard: Important Information...

  • Page 30: Overview

    2.1 Overview Prior to using your ACCU-CHEK Aviva Combo meter for the first time: • Set up the meter properly. See Section 2.2, Setup Wizard. • Consult with your healthcare professional to ensure the appropriate settings are selected. NOTE Blood glucose and bG are interchangeable and mean the same thing.

  • Page 31: Setup Wizard

    2.2 Setup Wizard The first time you turn on the meter, the Setup Wizard is activated. The Setup Wizard assists you in selecting settings for: • Meter language • Time and date • Units (carbs) • Warning limits for hypo (low) and hyper (high) blood glucose levels •...
  • Page 32 NOTE • The Setup Wizard activates every time you turn on the meter until you complete the process. • If you turn off the meter during the Setup Wizard, you must reconfirm all of the settings in order to complete the Setup Wizard. •...
  • Page 33 Completing the Setup Wizard Press +. The meter beeps and To Change the Language: To Change the Time Format: displays this splash screen Press to display the Select the Time Format entry (ACCU-CHEK logo screen) for Language options. fi eld and press =. a short period of time (this Select the desired Language Select 12 hr or 24 hr Time...
  • Page 34 To Change the Time: Select the Time entry field and press =. Set the Hour and press =. Set the Minutes and press =. If the Time Format is 12 hr, select am or pm and press =. To Change the Date: To Change the Carb Units: To Change the Hyper (Upper) Select the Date entry field and...
  • Page 35 To Change the Hypo (Lower) Blood Glucose Level: Select the Hypo entry field and press =. Set the Hypo (lower) blood glucose level and press =. To Continue: Select Next. To receive Bolus Advice, select If you Choose NOT to set up Yes and proceed to Step 8.
  • Page 36 To Change the Target Range: Select the entry field for the lower value of the Target Range and press =. Set the lower value and press =. Select the entry field for the upper value of the Target To Change the Time Blocks: To Change the End Time: Range and press =.
  • Page 37 The Target Range is copied to all If you Choose to set up Bolus Repeat the previous steps to Time Blocks. You may edit the Advice: change another Time Block. Target Range for any other Time You must edit at least one time To continue, select Next and Block, if necessary.
  • Page 38 To Change the Target Range: Select the entry field for the lower value of the Target Range and press =. Set the lower value and press =. Select the entry field for the upper value of the Target scroll down To Change the Time Blocks: Range and press =.
  • Page 39 To Change the Carb Ratio: To Change the Insulin Select the entry field for the Sensitivity: number of Insulin Units and Select the entry field for the press =. number of Insulin Units and Set the number of Insulin Units press =.
  • Page 40 To Change the Health Events: You must edit the Snack Size to Repeat the previous steps to change another Time Block. Select the entry field of the complete the Setup Wizard. Health Event to be changed To Change the Meal Rise: To Continue: and press =.
  • Page 41 To Change the Snack Size: Select the Snack Size entry field and press =. Set the Snack Size amount and press =. To Change the Acting Time: Select the Acting Time entry field and press =. When the Snack Size is changed, To set up bG Test Reminders, Set the Acting Time duration this screen appears.
  • Page 42 To Change the bG Threshold: Select the bG Threshold entry field and press =. Set the bG Threshold level and press =. To Change the Remind After Time: Select the Remind After entry To Turn On the After Low To Turn On the After High field and press =.
  • Page 43 To Change the bG Threshold: To Change the Remind After Select the bG Threshold entry Time: field and press =. Select the Remind After entry Set the bG Threshold level and field and press =. press =. Set the amount of time after a meal you want to be reminded To Change the Remind After to test your blood glucose and...
  • Page 44 If the meter and pump are If the meter and pump are NOT You are ready to begin using paired, the Setup Completed paired, the Pair with Pump your new meter. Successfully screen appears. screen appears. To continue, select Next and Turn off the meter.
  • Page 45 Pairing the Meter and Pump Cancelling Pairing On the pump, repeatedly press and release d until the BLUETOOTH SETTINGS screen appears. On the pump, press f. Select Yes to cancel the pairing Turn on the meter. process and then proceed to Select Cancel.
  • Page 46 On the pump, the BLUETOOTH On the pump, repeatedly press ON/OFF screen appears. and release d until the Ensure Bluetooth wireless ADD DEVICE INITIATE PAIRING technology is turned on. If screen appears. turned o , on the pump, press On the pump, press f to Ensure the meter is turned o .
  • Page 47 On the Meter, Enter the PIN If the NO DEVICE FOUND On the pump, the ADD DEVICE Shown on the Pump Display: screen appears, see the pump PAIRING screen appears Press =. User Guide for information on followed by the ADD DEVICE Set the first number and press troubleshooting.
  • Page 48 Turn on the meter. Ensure the PIN entered matches the numbers on the pump screen. Select Confirm. If the correct PIN was entered, this Pair with Pump screen appears on the meter and the DEVICE PAIRED screen appears on the pump. On the pump, press f to confirm the pairing.
  • Page 49 NOTE • For instructions on how to cancel the pairing process, see the Advanced Owner’s Booklet. • For more detailed instructions on pairing and unpairing devices, see the The Setup Completed You are ready to begin using Advanced Owner’s Booklet. Successfully screen appears.

  • Page 50: Setup Wizard: Important Information

    2.3 Setup Wizard: Important Information Carbohydrate Units You have a choice among di erent carb units in the meter that best fit your needs. The following carbohydrate units are available on the meter: Abbreviation Unit of Measurement Gram Equivalent Grams* 1 gram Kohlenhydrateinheit 10 grams...
  • Page 51 Time Blocks • Setting time blocks to fit your own schedule helps you and your healthcare professional see how patterns in your blood glucose may be a ected by your daily activities and lifestyle. • Time blocks cover a 24-hour time period (from midnight to midnight). •...
  • Page 52 Your meter comes with the following default time blocks: Time Block 12-Hour Format 12:00 am–5:30 am 5:30 am–11:00 am 11:00 am–5:00 pm 5:00 pm–9:30 pm 9:30 pm–12:00 am...
  • Page 53 Talk to your healthcare professional about setting up time blocks to help you manage your diabetes. Here is a suggested pattern: Time Block Start Time End Time 1. Night time Midnight The time you normally wake up 2. Breakfast The time you normally wake up 1½...
  • Page 54 Bolus Advice • Bolus advice calculates a bolus for you that is adapted to the time of day and your changing situations. • This function is activated only if you set up bolus advice on your meter. • Bolus advice provided by the meter is solely advice. Do not change your therapy based on one reading. Contact your healthcare professional prior to changing your diabetes therapy.
  • Page 55 Health Events Health events can be selected to indicate how you are feeling or what you are doing that might a ect your diabetes. Your meter allows you the option of setting a percentage for each health event, except for Fasting, if you set up bolus advice.
  • Page 56 Bolus Advice Options Meal rise, snack size, acting time, and o set time are bolus advice options. See below for detailed descriptions of each of these settings. Meal Rise • During or after meals, an increase in blood glucose levels is considered normal within a certain range, even though a meal bolus has been delivered.
  • Page 57 Acting Time • The period of time from the start of the meal rise or the delivery of a correction bolus until your blood glucose level is expected to return to the target level. • You can adjust the length of the acting time to fit your individual needs, within a specified time interval (1½...
  • Page 58 bG Test Reminders • Your meter can be set up to remind you to retest your blood glucose after a high bG test result, after a low bG test result, or after a meal. • The after meal bG test reminder is set up with a carb value for the snack size and occurs only after the snack size is exceeded.

  • Page 59: Testing Your Blood Glucose

    Testing Your Blood Glucose 3.1 Overview 3.2 Performing a Blood Glucose Test...

  • Page 60: Overview

    Before You Start Testing Before you perform your first blood test, ensure the ACCU-CHEK Aviva Combo meter is set up correctly and that you perform a control test. You need the meter with a pre-inserted black code key, a test strip, lancing device, and a lancet.

  • Page 61: Performing A Blood Glucose Test

    3.2 Performing a Blood Glucose Test WARNING • During normal testing any blood glucose meter or lancing device may come in contact with blood. All parts of the kit are considered biohazardous and can potentially transmit infectious diseases from bloodborne pathogens, even after you have performed cleaning and disinfection. •...
  • Page 62 Prepare > Check the Use By Date > Insert Test Strip > Test Blood Sample > bG Test Result Insert the golden end of a Wash and dry your hands. Dirty Check the Use By date on the test strip into the meter in the hands could a ect results.
  • Page 63 Fingerstick: Fingerstick: The Apply Sample screen appears. The test strip is ready Perform a fingerstick with the Gently squeeze your finger to for testing. lancing device. assist the flow of blood. This helps you get a blood drop.
  • Page 64 When the test strip has enough The result appears on the blood, the Analyzing screen display. appears. 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.
  • Page 65 Approximately 3 seconds later, the detailed bG Result screen appears. Remove and discard the used test strip.
  • Page 66 NOTE • If the blood drop is too small, reapply pressure to get a sufficient blood drop. • For more information regarding blood glucose test results, see the Standard Owner’s Booklet. • To add detailed information to the blood glucose test result (meal time, carbs, and health events), see the Standard Owner’s Booklet.

  • Page 67: Appendices

    You may encounter the following symbols on the packaging, on the type plate (back of meter), and in the instructions for the ACCU-CHEK Aviva Combo meter, shown here with their meaning. Caution, refer to safety-related notes in the instructions for use accompanying this product.

  • Page 68: Appendix B: References

    Appendix B: References 1. FDA Public Health Notification: “Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens: Initial Communication, (2010). Update 11/29/2010” http://www.fda. gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.htm. Accessed March 20, 2012. 2. CDC Clinical Reminder: “Use of Fingerstick Devices on More than One Person Poses Risk for Transmitting Bloodborne Pathogens, (2010).”...

  • Page 69: Glossary

    Glossary Term Definition Acting Time The period of time from the start of the meal rise or the delivery of a correction bolus until your blood glucose level is expected to return to the target level. Advice Options Factors that influence bolus advice calculations including meal rise, snack size, acting time, and o set time.
  • Page 70 Term Definition bG Threshold A bG test reminder setting. The upper limit for your blood glucose for a high bG test reminder and the lower limit for your blood glucose for a low bG test reminder. Blood Glucose (bG) The level of glucose in the blood. Bluetooth Wireless Technology Wireless short-range communications technology which connects devices (such as meter and pump) in order to exchange information.
  • Page 71 Term Definition Control Test A meter test using control solution which lets you know that the meter and test strips are working properly. Period of time starting at 12:00 am and ending at 11:59 pm. End Time The end time of a time block. Grams.
  • Page 72 Term Definition Insulin Sensitivity The amount of insulin necessary to lower your blood glucose by a certain amount. Kohlenhydrateinheit (1 KE = 10 g carbohydrates). Meal Rise During or after meals, an increase in blood glucose levels is considered normal within a certain range, even though a meal bolus has been delivered.
  • Page 73 Term Definition Pump See Insulin Pump. Remind After A bG test reminder setting. The amount of time after a high blood glucose test result, after a low blood glucose test result, or after a meal you want the reminder to occur. Reminder When enabled, reminders occur to remind you to test your blood glucose, to retest your blood glucose or of an event or activity.
  • Page 74 Term Definition Warning Describes items and conditions that present hazards and may cause personal injury. Warning Limits See Hyper Warning Limit or Hypo Warning Limit.

  • Page 75: Index

    Index acting time, 35, 50–51 carbohydrates, units of measure, 28, advice options, 50–51 carb ratio, 32–33, 45, after high bG reminder, 36, after low bG reminder, 36–37, code key, after meal bG reminder, 37, control solution, 8, control test, backlight, 7, 10–11 batteries, 8, 15, date, 15, 25,...
  • Page 76 health events, 34, 49, meal rise, 34, hyper blood glucose level, 25, 28, meal time, hyper warning limit, 25, 28, 44–45 meter, 3, 7–11 hypo blood glucose level, 25, 29, hypo warning limit, 25, 29, 44–45 navigation, 14–21 infrared (IR) window, 7–8 insulin pump, o set time, 35,...
  • Page 77 45, symbols, warning, warning limits, 25, 28, warranty, See Standard Owner’s Booklet for target range, 30–31, 32, 44–45 test strip, 7–8, 54–60 ACCU-CHEK Aviva Combo Blood Glucose Meter time, 15, 25, time blocks, 25, 29–34, 45–47 time format,...
  • Page 79 LAST UPDATE: 2012-08...
  • Page 80 Aviva Combo ©2013 Roche Diagnostics ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA COMBO, ACCU-CHEK SPIRIT COMBO, and Assembled in USA. FASTCLIX are trademarks of Roche. Distributed by: The Bluetooth Roche Health Solutions Inc. word mark and logos are registered ® 11800 Exit 5 Parkway, Suite 120 trademarks owned by Bluetooth SIG, Inc.

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