Accu-Chek Performa Nano Owner's Booklet
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Accu-Chek Performa Nano Owner's Booklet

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Roche USA – 43149
V6/1 – 05212685002 – Schwarz
Roche USA – 43149
V6/2 – 05212685002 – Cyan
Roche USA – 43149
V6/3 – 05212685002 – Magenta
Roche USA – 43149
V6/4 – 05212685002 – Yellow
Roche USA – 43149
V6/5 – 05212685002 – PMS 181
Roche USA – 43149
V6/6 – 05212685002 – PMS Cool Gray 4
11/25/08 2:48:13 PM
11/25/08 2:48:13 PM

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  • Page 1 This fi le may not print or view at 100%. Die lines and color breaks do not print. Roche USA – 43149 V6/1 – 05212685002 – Schwarz Roche USA – 43149 V6/2 – 05212685002 – Cyan Roche USA – 43149 V6/3 –...
  • Page 2 43149_NanoPerf_24MSTR_Cov.indd 2 43149_NanoPerf_24MSTR_Cov.indd 2 11/25/08 2:48:14 PM 11/25/08 2:48:14 PM...
  • Page 3 V4/1 – 05212685002 – Schwarz ® Whether the Accu-Chek Performa Nano Meter is your fi rst blood glucose meter or Roche USA – 43149 you have used a meter for some time; please take time to read this booklet carefully V4/2 –...
  • Page 4 Your new Accu-Chek Performa Nano Meter is for quantitative blood glucose testing using Accu-Chek Performa Test Strips. Suitable for self-testing. The Accu-Chek Performa Nano Meter may be used by patients who test their own blood glucose as well as by healthcare professionals for monitoring patient’s blood glucose values.
  • Page 5 The meter is for outside the body (in vitro) use. It should not be used to diagnose diabetes. • Only use Accu-Chek Performa Test Strips. Other test strips will give inaccurate results. • The meter comes with a preset time and date. You may need to change the time to your time zone.
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  • Page 7: Table Of Contents

    Chapter 1: Understanding Your New System The Accu-Chek Performa Nano Meter ................7 Coding the Meter ......................9 Using the Accu-Chek Performa Nano System ............... 11 ............13 Chapter 2: Testing Your Blood Glucose Performing a Blood Glucose Test ................. 13 Marking Test Results and Setting the Post-Meal Reminder ..........
  • Page 8 ................. 51 Chapter 4: Control Testing Why Perform Control Tests ..................51 About the Control Solutions ..................52 Performing a Control Test .................... 53 Understanding Out-of-Range Control Test Results ............57 ..........59 Chapter 5: Maintenance and Troubleshooting Changing the Batteries ....................59 Cleaning the Meter.......................

  • Page 9: Chapter 1: Understanding Your New System

    Chapter 1: Understanding Your New System The Accu-Chek Performa Nano Meter Infrared (IR) Window – Transfers data from the Right and Left meter to a computer or Arrow Buttons – PDA. Press to enter memory, adjust On/Off/Set Button – settings, and scroll Turns the meter on or through results.
  • Page 10 Golden End – Insert this end of the test strip into the meter. Yellow Window – Touch blood drop or control solution here. Test Strip Control Solution Bottle Test Strip Container On/Off/Set Button Side View Infrared (IR) Window Code Chip Batteries –...

  • Page 11: 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! 43149_NanoPerf_24MSTR_Ins.indd 9 43149_NanoPerf_24MSTR_Ins.indd 9 11/25/08 2:48:59 PM...
  • Page 12 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 slot strips. until it stops. Notes: •...

  • Page 13: Using The Accu-Chek Performa Nano System

    Using the Accu-Chek Performa Nano System • Only use Accu-Chek Performa Test Strips. • Store the test strip container and meter in a cool dry place, such as a bedroom. • Change the code chip every time you open a new box of test strips.
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  • 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, and a lancing device with a lancet loaded. 1. Wash and dry your hands. 4.
  • Page 16 Yellow Release Button 5. A test strip and 6. Perform a fingerstick with the lancing device. Blood samples flashing blood drop taken from the palm are equivalent to blood taken from the symbol appear on fingertip. For detailed information on how to obtain blood the display.
  • Page 17 7. Gently squeeze your finger to assist the 8. Touch the blood drop to the front edge flow of blood. This helps you get a of the yellow window of the test strip. blood drop. Do not put blood on top of the test strip.
  • Page 18 9. The result appears on the display. If you the meter (see the next section). want to mark the test result as a Otherwise, remove and discard the used pre-meal or post-meal test, or with a test strip. general marker, leave the test strip in Note: After a successful test, the meter turns off five seconds after the test strip is removed.

  • Page 19: Marking Test Results And Setting The Post-Meal Reminder

    Marking Test Results and Setting the Post-Meal Reminder If you wish, you can mark your test result with: Pre-Meal Marker Pre-Meal Marker with Post-Meal Reminder Post-Meal Marker General Marker • arking 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.
  • Page 20 Here is how to mark a test result and initiate a post-meal reminder: Perform a test. Do not remove the test strip. 1. Press and release to toggle through the test result markers and post-meal reminder. Pre-Meal Marker Pre-Meal Marker with Post-Meal Reminder Post-Meal Marker General Marker 2.

  • Page 21: Alternative Site Testing (Ast)

    Alternative 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 (thenar) and under the little finger (hypothenar).
  • Page 22 IMPORTANT Alternative site testing may be done: • Talk to your healthcare professional about Alternative • Immediately before a meal Site Testing. • Fasting DO NOT test from an alternative site: Do not change your treatment because of • Two hours or less after eating just one result.
  • 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 display matches the code number on 2. Insert the test strip into the meter in the test strip container.
  • Page 24 4. A test strip and flashing 5. Press the lancing device 6. Trigger the lancing blood drop symbol firmly against a fleshy device while keeping appear on the display. area on the alternative steady pressure on the site. Press the lancing site.
  • Page 25 7. Touch the blood drop to the front edge 8. The result appears on the display. Mark of the yellow window of the test strip. the result, or remove and discard the When you see flash, you have used test strip. enough blood in the test strip.
  • Page 26 Unusual Test Results If your blood glucose result does not match how you feel, follow these steps: Troubleshooting Checks Action Discard the test strips if they are past the 1. Check if the test strips were expired. expiry date. 2. Check if the cap on the test strip Replace the test strips if you think they were uncapped for some time.
  • Page 27 Troubleshooting Checks Action 5. Check if you followed the testing steps. Read Chapter 2, “Testing Your Blood Glucose” and test again. If you still have problems, call Roche. If they do not match, insert the correct 6. Check if the code number on the meter code chip into the meter and test again.
  • Page 28 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 29: Chapter 3: Meter Memory, Setup, And Downloading

    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.
  • Page 30 • 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 compatible software application. For product availability, please contact Roche.
  • Page 31 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...

  • Page 32: Meter Setup

    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. Beeper –...

  • Page 33: Setting The Time And Date

    You are here TIME / DATE BEEPER POST-MEAL ALARM HYPO INDICATOR (hrs, min, REMINDER CLOCK (off, on, level) (on/off) day, month, year) TIME (A-1, A-2, A-3, A-4) (1 hr or 2 hr) Setting the Time and Date decrease increase 1. Press and release 2.
  • Page 34 decrease increase 4. Press and release to confirm the 5. Press and release to adjust hour. The minutes flash. the minutes. Press and release confirm the minutes. 43149_NanoPerf_24MSTR_Ins.indd 32 43149_NanoPerf_24MSTR_Ins.indd 32 11/25/08 2:49:03 PM 11/25/08 2:49:03 PM...
  • Page 35 6. Repeat step 5 to set day, month, and 7. If you want to set up more options, year. press and release . If you want to exit, press and hold until you see the flashing test strip symbol. 43149_NanoPerf_24MSTR_Ins.indd 33 43149_NanoPerf_24MSTR_Ins.indd 33 11/25/08 2:49:04 PM 11/25/08 2:49:04 PM...

  • Page 36: Setting The Beeper On/Off

    You are here TIME / DATE BEEPER POST-MEAL ALARM HYPO INDICATOR (hrs, min, REMINDER CLOCK (off, on, level) (on/off) day, month, year) (A-1, A-2, A-3, A-4) TIME (1 hr or 2 hr) Setting the Beeper ( ) On/Off Your new meter has the beeper preset to “On.” You can set the beeper to “OFF,” if you prefer.
  • Page 37 1. Press and release 2. Press and hold until 3. Press and release turn the meter on. The “set-up” appears on the repeatedly until you flashing test strip symbol display. reach the display with appears. the flashing beeper symbol and “On” or “OFF.”...
  • Page 38 4. Press and release 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. 43149_NanoPerf_24MSTR_Ins.indd 36 43149_NanoPerf_24MSTR_Ins.indd 36 11/25/08 2:49:04 PM 11/25/08 2:49:04 PM...

  • Page 39: Setting The Post-Meal Reminder Time

    You are here TIME / DATE BEEPER POST-MEAL ALARM HYPO INDICATOR (hrs, min, REMINDER CLOCK (off, on, level) (on/off) day, month, year) TIME (A-1, A-2, A-3, A-4) (1 hr or 2 hr) Setting the Post-Meal Reminder Time ( The post-meal reminder: •...
  • Page 40 1. Press and release 2. Press and hold until 3. Press and release turn the meter on. The “set-up” appears on the repeatedly until you flashing test strip symbol display. reach the display with appears. “set-up,” and the flashing “1Hr” or “2Hr.” 43149_NanoPerf_24MSTR_Ins.indd 38 43149_NanoPerf_24MSTR_Ins.indd 38 11/25/08 2:49:05 PM...
  • Page 41 4. Press and release to select When a post-meal reminder occurs “1Hr” or “2Hr.” Press and release this screen appears. to confirm your choice. 43149_NanoPerf_24MSTR_Ins.indd 39 43149_NanoPerf_24MSTR_Ins.indd 39 11/25/08 2:49:05 PM 11/25/08 2:49:05 PM...

  • Page 42: Setting The Alarm Clock Function

    You are here TIME / DATE BEEPER POST-MEAL ALARM HYPO INDICATOR (hrs, min, REMINDER CLOCK (off, on, level) (on/off) day, month, year) TIME (A-1, A-2, A-3, A-4) (1 hr or 2 hr) Setting the Alarm Clock Function ( ) The alarm clock: •...
  • Page 43 Notes: • If you tested within 15 minutes of an alarm, the alarm does not occur. • If the meter is on at the alarm time, the alarm does not occur. • Exposure to cold conditions may disable alarms until the meter is turned on. 43149_NanoPerf_24MSTR_Ins.indd 41 43149_NanoPerf_24MSTR_Ins.indd 41 11/25/08 2:49:05 PM...
  • Page 44 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 turn the meter on. The “set-up” appears on the repeatedly until you flashing test strip symbol display.
  • Page 45 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” and the bell symbol remain hour. Press and release “OFF.” Press and on the display. to confirm the hour.
  • Page 46 7. The minutes flash. Press 8. Press and release 9. “Set-up,” “OFF,” and the and release confirm minutes. bell symbol appear on select 00, 15, 30, or 45. the display with the next These are the only alarm (“A-2”) flashing. choices.

  • Page 47: Setting The Hypo Indicator Function

    You are here TIME / DATE BEEPER POST-MEAL ALARM HYPO INDICATOR (hrs, min, REMINDER CLOCK (off, on, level) (on/off) day, month, year) TIME (A-1, A-2, A-3, A-4) (1 hr or 2 hr) Setting the Hypo Indicator ( ) Function The hypo indicator: •...
  • Page 48 2. Press and hold until 3. Press and release 4. Press and release “set-up” appears on the repeatedly until you to switch display. reach the display with between “On” and “set-up” and “OFF,” and “OFF.” Press and the flashing release to confirm your choice.
  • Page 49 5. If you choose to set the hypo indicator to “On,” “set-up” appears and flashes. The display shows 70 mg/dL (3.9 mmol/L). 6. Press and release to select the level you want. Press and release confirm it. 7. Press and hold until you see the flashing test strip symbol to exit the set-up mode.

  • Page 50: Transferring Data Directly To A Computer Or Pda Using Specialized Software And An Infrared Cable

    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. Infrared (IR) Window 1. Install the software according to the instructions. To transfer the results to a computer, connect the infrared cable according to the instructions.
  • Page 51 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.
  • Page 52 50 50 43149_NanoPerf_24MSTR_Ins.indd 50 43149_NanoPerf_24MSTR_Ins.indd 50 11/25/08 2:49:07 PM 11/25/08 2:49:07 PM...

  • Page 53: 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 54: About The Control Solutions

    About the Control Solutions • Only use Accu-Chek Performa Control Solutions. • The meter automatically recognizes the Accu-Chek Performa Control Solution. • The control results are not displayed in memory. • 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.

  • Page 55: Performing A Control Test

    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.
  • Page 56 3. Select the control 4. Put the meter on a flat 5. Remove the control solution you want to surface, like a table. bottle cap. Wipe the tip test. You will enter the of the bottle with a level later in the test. tissue.
  • Page 57 6. Squeeze the bottle until a tiny drop 7. The result appears on the display, along forms at the tip. Touch the drop to the with the control bottle symbol and front edge of the yellow window of the flashing “L.” Do not remove the test test strip.
  • Page 58 8. Press and release to confirm the is inside the range on the test strip control level in the meter. container, the test strips and meter are working properly. “Err” and the control 9. “OK” and the control result alternate on result alternate on the display if the the display if the result is in range.

  • Page 59: Understanding Out-Of-Range Control Test Results

    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 test strips or control solutions Discard the test strips or control solutions were expired.
  • Page 60 Troubleshooting Checks Action 5. Check if the test strips and control Repeat the control test with a properly solutions were stored in a cool, dry stored test strip or control solution. place. Read Chapter 4, “Control Testing” and 6. Check if you followed the testing steps. test again.

  • Page 61: Chapter 5: Maintenance And Troubleshooting

    Chapter 5: Maintenance and Troubleshooting Changing the Batteries (+) side facing down 1. Use your thumb to slide 2. Remove the old batteries 3. Slide the battery drawer the battery drawer out of and place the new ones back into position until it the meter.
  • Page 62 Notes: • 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. • Be sure the batteries are inserted (+) side facing down or facing away from you. •...

  • Page 63: Cleaning The Meter

    Cleaning the Meter Caring for the Accu-Chek Performa 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 Not • Make sure the meter is off •...

  • Page 64: Maintenance And Troubleshooting

    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 Roche. To make sure the display is working properly, turn the meter off, then press and hold to see the complete display.

  • Page 65: Screen Messages And Troubleshooting

    Screen Messages and Troubleshooting Never make treatment decisions based on an error message. If you have any concerns, call Roche. The meter will not turn on or the display is blank. • Batteries are dead – Insert new batteries • Display is damaged –...
  • Page 66 Battery power is low. The meter is ready for Change the batteries you to insert a test strip. soon. The meter is in The meter is ready for a set-up mode, waiting drop of blood or control for you to change or solution.
  • Page 67 Blood glucose may be higher than the measuring range of the system. A pre-meal marker was assigned to this test Blood glucose may be result. lower than the measuring range of the system. 43149_NanoPerf_24MSTR_Ins.indd 65 43149_NanoPerf_24MSTR_Ins.indd 65 11/25/08 2:49:09 PM 11/25/08 2:49:09 PM...
  • Page 68 A pre-meal marker was A post-meal marker assigned to this test was assigned to this result and the post-meal test result. reminder has been activated. 43149_NanoPerf_24MSTR_Ins.indd 66 43149_NanoPerf_24MSTR_Ins.indd 66 11/25/08 2:49:09 PM 11/25/08 2:49:09 PM...
  • Page 69 Blood glucose is A general marker below the defi ned was assigned to hypoglycemia this test result. (low blood glucose) level. 43149_NanoPerf_24MSTR_Ins.indd 67 43149_NanoPerf_24MSTR_Ins.indd 67 11/25/08 2:49:09 PM 11/25/08 2:49:09 PM...
  • Page 70 The meter is not The test strips will expire coded or the code at the end of the current chip is not inserted. month. Before the end of Turn off the meter the month, insert a new and recode it. code chip from a new box of test strips and ensure the code chip...
  • Page 71 The test strip is Your blood glucose damaged. Remove the may be extremely high test strip and reinsert it, or a meter or a test or replace it if strip error has damaged. Or the code occurred. If this chip is incorrect. Turn confi...
  • Page 72 glucose result may be extremely high The code chip is from and above the system’s reading range. an expired lot of test Contact your healthcare professional strips. Ensure the code immediately. If the control result is not chip number matches within the acceptable range, see the code number on the Chapter 4, “Understanding Out-of-Range...
  • Page 73 Blood or control solution The temperature is was applied to the test above or below the strip before the fl ashing proper range for the drop symbol appeared system. Move to an on the display. Discard area within the the test strip and repeat temperature range the test.
  • Page 74 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 Roche. 43149_NanoPerf_24MSTR_Ins.indd 72 43149_NanoPerf_24MSTR_Ins.indd 72 11/25/08 2:49:10 PM 11/25/08 2:49:10 PM...

  • Page 75: Chapter 6: Technical Information

    Chapter 6: Technical Information Product Limitations Please read the literature packaged with your test strips to fi nd the latest information on product specifi cations and limitations. Specifi cations Blood volume 0.6 μL Sample type Fresh whole blood Measuring time Refer to your test strip package insert for more information Measuring range 10 to 600 mg/dL (0.6 to 33.3 mmol/L)
  • Page 76 Approx. 40 g (with batteries) Construction Hand-held Protection class Meter type The Accu-Chek Performa Nano Meter is suitable for continuous operation Control solution storage conditions 2 ºC to 32 ºC Electromagnetic Compatibility This meter meets the electromagnetic immunity requirements as per ISO 15197 Annex A.
  • Page 77 Performance Analysis The performance data for the Accu-Chek Performa Nano System (Accu-Chek Performa Nano Meter with Accu-Chek Performa 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.

  • Page 78: 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 79 Explanation of Symbols You may encounter the following symbols on packaging, on the type plate, and in the instructions for your Accu-Chek Performa Nano Meter, shown here with their meaning. Consult the instructions for use Caution (refer to accompanying documents). Please refer to safety-related notes in the manual accompanying this instrument.

  • Page 80: Guarantee

    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 Performa Test Strips Control Solutions Accu-Chek Performa Control Solutions 43149_NanoPerf_24MSTR_Ins.indd 78 43149_NanoPerf_24MSTR_Ins.indd 78...

  • Page 81: Information For Healthcare Professionals

    Information for Healthcare Professionals 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, arterial, or neonatal blood may be used. Caution should be taken to clear arterial lines before blood is drawn.
  • Page 82 single individual based upon his or her behavior and relative physical condition. Our studies involving alternative site testing of adults with diabetes show that most persons will fi nd their glucose level changes more quickly in the fi ngers’/palms’ blood than the alternative sites’ blood.* This is especially important when glucose levels are falling or rising rapidly.

  • Page 83: Index

    Index alarm clock function, control test, acceptable high blood glucose, 26 setting, 40 range, 56 hyperglycemia, 26 alternative site testing, control test, performing, 53 hypo indicator, setting, 19, 79 control test, results, 57 45–47 appetite, increased, 26 control test results, hypoglycemia, 26 batteries, changing, 59 understanding, 57...
  • Page 84 63–72 settings, meter, 30 supplies, 78 sweating, 26 symbols, 77 technical information, 73 test results, unusual, 24 test strips, Accu-Chek Performa, 8, 11 thirst, increased, 26 time and date, setting, 31 tingling, 26 trembling, 26 troubleshooting, 62–72 43149_NanoPerf_24MSTR_Ins.indd 82 43149_NanoPerf_24MSTR_Ins.indd 82...
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  • Page 86 43149_NanoPerf_24MSTR_Ins.indd 84 43149_NanoPerf_24MSTR_Ins.indd 84 11/25/08 2:49:10 PM 11/25/08 2:49:10 PM...
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  • Page 88 Roche Diagnostics GmbH, 68298 Mannheim, Germany www.accu-chek.com ACCU-CHEK, ACCU-CHEK PERFORMA, and ACCU-CHEK PERFORMA NANO are trademarks of Roche. All other product names and trademarks are the property of their respective owners. ©2008 Roche Diagnostics. All rights reserved. 05212685002-1008 43149_NanoPerf_24MSTR_Cov.indd 4 43149_NanoPerf_24MSTR_Cov.indd 4...

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