ACCU-CHEK _CP_LCM_Manual_EN-UK final.indd 1 ® Compact Plus BLOOD GLUCOSE MONITORING SYSTEM Reference Manual 20.6.
On the packaging, on the type plate of the meter and on the finger pricker you may encounter the following symbols shown below. They have the following meanings: Consult instructions for use Caution (refer to accompanying documents). Please refer to safety-related notes in the instructions for use accompanying this instrument.
The explanation of any other symbols can be found in the instructions/ inserts, accompanying components within the packaging. Last update: 2007-03 _CP_LCM_Manual_EN-UK final.indd 3 3 20.6.
Intended use Accu-Chek Compact Plus Blood Glucose Meter Meter for quantitative determination of blood glucose values in fresh capillary blood using Accu-Chek Compact test strips. Suitable for self-testing. The meter may be used by people with diabetes to test their own blood glucose as well as for blood glucose determination by healthcare practitioners in a professional setting.
Accu-Chek Softclix Plus Finger pricker Finger pricker with adjustable depth setting for obtaining capillary blood from a fingertip or earlobe and, when a special AST cap is used, from alternative sites such as the ball of the thumb. The Accu-Chek Softclix Plus finger pricker is intended only for patient self-monitoring by a single person. It must not be used to collect blood in a multi-patient setting as it does not incorporate any features to guard against cross-infections.
About this Reference Manual Please read this Reference Manual carefully and completely before testing blood glucose for the first time. If you have any questions, please contact your local customer support and service centre (see Chapter 17). This Reference Manual will help you get to know your meter and finger pricker step by step. It will provide you with all the information you need to operate and care for your meter and finger pricker and to deal with any errors that might occur.
Other symbols are used, too. They have the following meaning: This symbol is a prompt for you to do something, such as turn the meter on. 앫 This symbol signifies a list. 쐍 This symbol signifies a list within a list. We recommend that you start by getting to know all of the features of your meter and finger pricker (see Chapter 1.1 and 1.2). Try out all of the steps described in this manual, and also practise using the meter and finger pricker. About this Reference Manual _CP_LCM_Manual_EN-UK final.
Contents 1 Introduction ................................................................................ 12 1.1 The Accu-Chek Compact Plus blood glucose meter at a glance .............................................................................. 12 1.2 The Accu-Chek Softclix Plus finger pricker at a glance ........ 15 1.3 Main features...................................................................... 16 1.4 Display illustrations .............................................................
4 Testing blood glucose ................................................................ 70 4.1 Preparing to test blood glucose ........................................... 70 4.2 Preparing the finger pricker ................................................ 70 4.2.1 Undocking the finger pricker from the meter ........... 73 4.2.2 Docking the finger pricker onto the meter ............... 74 4.2.3 Inserting the lancet ................................................. 75 4.3 Testing blood glucose..............
6 Acoustic Mode ......................................................................... 120 6.1 Beep tones at power-on .................................................... 122 6.2 Beep tones during testing ................................................. 123 6.3 Announcement of the result following a test ...................... 123 6.4 Announcement of results and average values from memory ............................................................................ 126 6.
Measurement and storage conditions .................................... 163 11.1 Temperature range ........................................................... 163 11.2 Light conditions ................................................................ 165 11.3 Humidity ........................................................................... 166 11.4 Local sources of interference ............................................ 166 12 Symbols, error messages and troubleshooting ...................... 167 12.
1 Introduction The meter is supplied with batteries already inserted. The time and date are already set. You may need to adjust these settings to your own time zone (see Chapter 3). 1.1 The Accu-Chek Compact Plus blood glucose meter at a glance Front Tip of the test strip – where blood is drawn up 12 _CP_LCM_Manual_EN-UK final.indd 12 Introduction 20.6.
1 Display window S button Press this button to change settings. Recess for docking the finger pricker Test button Use this button only if you want to test your blood glucose or perform a performance check, or wish to turn the meter off. Pull the button downwards towards the drum compartment cover. The button tips downwards and the meter turns on. This pull-tip mechanism stops the meter from turning on inadvertently.
Back Battery compartment cover* Infrared window for sending results to a PC, for instance Batteries: type AAA, LR 03, AM 4, Micro Control window (shows the number of strips remaining) Finger pricker* Slide button for undocking the finger pricker Battery compartment Type plate * available as replacement part 14 _CP_LCM_Manual_EN-UK final.indd 14 Introduction 20.6.
1 1.2 The Accu-Chek Softclix Plus finger pricker at a glance D C u B A v w z x y u Plunger The plunger is a multifunction button used to prime, trigger and eject the lancet. v Window showing the penetration depth setting w Lancet holder x Lancet z Pin-hole opening for lancet A Cap B Comfort Dial for depth selection (you change the depth by rotating the cap) C Locating notch D Locating line y Protective cap on lancet Introduction _CP_LCM_Manual_EN-UK final.indd 15 15 20.6.
1.3 Main features Docked finger pricker The meter comes with an attached Accu-Chek Softclix Plus finger pricker. You can leave it docked onto the meter to collect blood or, if you prefer, you can undock it. Test strip drum instead of individual test strips You never need to touch a test strip. Simply insert a drum with 17 test strips into the meter. Easy to operate Turn the meter on, apply blood, read the result, press the button to eject the test strip.
1 Reliability The meter checks each test strip. If it finds a defective strip, it lets you know before you apply blood. Blood volume checking The meter can tell when you have applied sufficient blood (approximately 1.5 µL (1 microlitre = 1 thousandth of a millilitre)). It waits until then before starting the test. If the test does not start, you may apply more blood. Alarm clock function The meter can remind you to test your blood glucose.
Acoustic Mode Acoustic Mode is intended for persons who are visually impaired. When Acoustic Mode is turned on, the meter guides the user through the blood glucose test using beep tones; it also outputs the result as a series of beeps. For more information see Chapter 6. Visually impaired persons need a sighted person to instruct them in the use of the meter and to assist them with all aspects of its operation.
1 1.4 Display illustrations Throughout this Reference Manual you will see examples of what the display looks like. Any elements that are shown surrounded by a halo in these examples flash in the display. Example: You have turned on the meter to perform a blood glucose test. In the display you see the time and date plus the test strip symbol and the drop symbol. The test strip symbol and drop symbol are flashing.
2 Initial steps before testing 2.1 Checking the contents Check that your monitoring kit is complete. The package contents are listed on the box. If anything is missing, please contact the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). 2.2 Checking the blood glucose unit Blood glucose results can be displayed in two different units of measurement (mmol/L or mg/dL). Consequently, Roche sells two different versions of the same meter.
2 2.2.1 Type plate The type plate on the back of your meter indicates which unit of measurement your meter uses. 2.2.2 Display check You can check the unit of measurement your meter uses by performing a display check. Press and hold down the M button. The meter turns on. While you hold down the M button, you first see the display check. mmol/L meter or mg/dL meter The unit of measurement is shown in the bottom right corner of the display. Initial steps before testing _CP_LCM_Manual_EN-UK final.
If you continue to hold down the M button, you then see the following display after approximately 2 seconds. mmol/L meter mg/dL meter or When you release the M button, your meter is in memory mode. As long as no results have yet been saved, three bars are displayed. Press the Test button to turn the meter off. 22 _CP_LCM_Manual_EN-UK final.indd 22 Initial steps before testing 20.6.
2 Notes i If additional lines appear during the display test or parts of the numeric field or of a symbol are missing, please contact the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). If the numeric field 88.8 (mmol/L meter) or 888 (mg/dL meter) is affected, the meter may not show your test results correctly. i The meter automatically turns off after 60 seconds even if you keep the M button pressed. i You can perform a display check whenever you wish.
2.3 Inserting or replacing the test strip drum If your meter is brand new and unused, it will contain a mock drum (an empty drum without a label), which you must remove and replace with a test strip drum. Read the package insert that came with the test strip drums. If the meter is on, press the Test button to turn it off. Wait for the motor to stop. Set into the bottom of the meter to the left of the finger pricker is a recess. The upper part of this recess belongs to the drum compartment cover.
2 Place your thumb into this recess and lift up the drum compartment cover. Irrespective of whether a test strip drum is inserted or not: Press the red drum release button. Initial steps before testing _CP_LCM_Manual_EN-UK final.indd 25 25 20.6.
The pin holding the test strip drum in position retracts with an audible CLICK. If there is a test strip drum in the meter: Tip the meter forwards. The test strip drum drops out. 26 _CP_LCM_Manual_EN-UK final.indd 26 Initial steps before testing 20.6.
2 Insert a new test strip drum in the meter as illustrated (the two rows of bar code must be nearest the display window). Close the drum compartment cover and push it shut. There will be an audible CLICK. The meter turns on and rotates the test strip drum until the first test strip is in the correct position. At the same time the meter reads the bar code that provides it with information on the specific characteristics of the test strips. After that, the meter turns off.
A dot appears in the small control window on the back of the meter. This indicates that you have just inserted a test strip drum. When you perform a blood glucose test, the meter counts the number of test strips that you have used. The number of strips remaining is displayed in the control window. When all the test strips in a drum have been used up, the dot reappears in the small control window. Insert a new test strip drum. 28 _CP_LCM_Manual_EN-UK final.indd 28 Initial steps before testing 20.6.
2 If you do not insert a new drum, the following message appears the next time you turn on the meter: End and the drum symbol are flashing to indicate that the test strip drum is empty. Notes Use only test strips that are not beyond their expiry date.Test strips that have expired can produce incorrect results. Incorrect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects.
New test strip drums where the aluminium foil (the silver ends) is damaged cannot be used. Your blood glucose results may be incorrect if you use a damaged drum. Incorrect results can cause the wrong therapeutic decision to be taken and so produce adverse health effects. Only open the drum compartment cover when the meter is turned off and the motor is not running. Opening the drum compartment cover when the meter is turned on may result in damage to the meter.
2 i If you insert a partly used drum in the meter, the meter rotates the drum so the dot appears in the control window on the back. When you subsequently turn on the meter to perform a test and ... 앫 ... you have re-inserted a same drum you previously removed: The meter immediately rotates the drum to the first chamber that contains a test strip, and ejects the strip. 앫 ...
i If you insert a partly used test strip drum into the meter, the meter cannot calculate the use-by period for that drum. Consequently, the next time you perform a test, the drum symbol and flashing bottle symbol are displayed to highlight the fact (see Chapter 2.3.1). i Use only Accu-Chek Compact test strip drums. Other test strips cannot be used to perform tests. If you insert a different test strip drum, error message E22 is displayed (see Chapter 12.2).
2 2.3.1 Test strip drum use-by period When you insert a new drum into the meter, the meter starts to count the number of days the drum is in the meter. Each drum must be used within a 90-day use-by period. Once a drum has been in the meter for 90 days, its use-by period has expired. The next time you turn the meter on to perform a test, the drum symbol, bottle symbol and clock symbol are displayed to highlight the fact. Insert a new test strip drum. Note The test strips in this drum cannot be used.
The meter is unable to calculate the 90-day use-by period if 앫 you insert a partly used drum in the meter, even if it is the same one you have just removed, 앫 the year, date and time settings are lost when you replace the batteries (see Chapter 9), and a partly used drum remains in the meter. The meter has no way of telling you in these cases when the drum was first inserted or how long the partly used drum has already been in the meter.
2 앫 Flashing test strip and flashing drop, indicating that you may now apply blood or control solution 앫 Drum, indicating that the use-by period cannot be calculated 앫 Flashing bottle, prompting you to perform a performance check in order to check the test strips Perform a performance check (see Chapter 7). If the result from the performance check is within the stated concentration range, you can still use the test strips remaining in the drum.
2.3.2 Indication of the number of test strips remaining Each time you turn the meter off with the Test button, it shows you the number of test strips remaining in the drum. The number of remaining strips continues to be displayed as long as you hold down the Test button. In this example there are still 12 test strips in the drum. When you release the Test button, the meter turns off.
2 i If you have not performed a test since last replacing the drum, the meter cannot tell how many test strips there are left in the drum. This is e.g. the case when, after you have changed the drum, you start by changing settings or retrieve results from memory. If you then press the Test button to turn the meter off, only three horizontal bars are displayed instead of the number of test strips remaining.
3 Settings You can change the settings of your meter to turn the beep tone or Acoustic Mode on or off, to set the brightness of the display, to select the time-and-date format, to set the year, the time and the date, and to activate the alarm clock function and the hypo indicator. Beep tone: When the beep tone is set to on, it provides user support during testing by marking the start of each step acoustically.
3 When you turn the meter on for the first time, it has the following presettings. These are factory defaults that you can change. 앫 Beep tone on, Acoustic Mode off 앫 Brightness of the display: medium 앫 Year: current year, e.g.
PC, for instance, without the time and date (see Chapter 5.4) cannot be statistically analyzed or, if they can, then only to a limited extent. i If the year, date and time settings are lost as a result of a battery replacement, the meter displays the following settings: 앫 Year: year of manufacture 20XX, e.g. 2007 앫 Time: 0:00 or 12:00 a.m.
The descriptions of settings proceed in the order in which they appear in the meter. Beep tone or Acoustic Mode Brightness of the display Year Time-and-date format Time Date Alarm clock function Hypo indicator 3.1 3 Changing settings – General rules The appearance of in the display window indicates that the meter is in settings mode and that you can change these. Settings _CP_LCM_Manual_EN-UK final.indd 41 41 20.6.
The procedure for changing the settings is as follows: 앫 The settings have a fixed sequence and are displayed consecutively, see illustration on the previous page. 앫 Press the S button to call up the settings. A test strip is not advanced. 앫 Press the M button to change the setting that is currently flashing. 쐍 Numbers such as the year are incremented by one. Pressing and holding down the button increments the number quickly.
3 앫 From the last setting “Hypo indicator” pressing the S button takes you back to the first setting “Beep tone/Acoustic Mode”. 앫 You can close the settings at any time by pressing the Test button. All settings you have entered up to that point are saved. Notes i Always turn the meter on with the S button when you intend to change the settings. Instead, if you turn the meter on with the Test button and there is a drum in the meter, a test strip will be advanced.
3.2 Turning the meter on With the meter turned off, press the S button. The meter turns on without advancing a test strip. Following the display check (see Chapter 2.2.2) the current beep tone setting (symbol ) is flashing. 44 _CP_LCM_Manual_EN-UK final.indd 44 Settings 20.6.
3.3 3 Setting the beep tone or Acoustic Mode You are here Time-and-date format Beep tone or Acoustic Mode Brightness of the display On / Off / Acoustic Mode Low / Medium / High Time Date Alarm clock function Hypo indicator Hours, Minutes Month, Day Off / 1, 2 and 3 (hour, min) Off / Level Year 24-hour / 12-hour This setting enables you to turn the beep tone on or off and to activate Acoustic Mode.
There are two types of beep tone, differing in pitch. The pitch for a hypo indicator or an error message is higher than that heard in the other cases listed above. When Acoustic Mode is turned on, the meter guides you through the blood glucose test using the beep tones mentioned above; it also announces the result as a series of beeps (see Chapter 6). The beep tone is factory-set to on (0n1). Beep tone turned on Beep tone turned off 46 _CP_LCM_Manual_EN-UK final.
3 Press the M button to move to the next option. Press the S button to save the chosen setting. The brightness setting comes next. Notes i When you select Acoustic Mode 0n2, you hear a beep. i The beep tone setting has no influence on the alarm clock function. If you have turned the alarm clock function on (see Chapter 3.9), the meter will always beep to remind you to test your blood glucose even if the beep tone itself is turned off. Settings _CP_LCM_Manual_EN-UK final.indd 47 47 20.6.
3.4 Setting the brightness of the display You are here Time-and-date format Beep tone or Acoustic Mode Brightness of the display On / Off / Acoustic Mode Low / Medium / High Time Date Alarm clock function Hypo indicator Hours, Minutes Month, Day Off / 1, 2 and 3 (hour, min) Off / Level Year 24-hour / 12-hour You can use this setting to adjust how bright you wish the displayed symbols and numbers to be. There are three brightness levels: low, medium and high.
3 Medium brightness (level 2) Low brightness (level 1) High brightness (level 3) Press the M button to move to the next option. The brightness of the display window changes to the setting you have selected. Press the S button to save the chosen setting. The year setting comes next. Settings _CP_LCM_Manual_EN-UK final.indd 49 49 20.6.
3.5 Setting the year You are here Time-and-date format Beep tone or Acoustic Mode Brightness of the display On / Off / Acoustic Mode Low / Medium / High Time Date Alarm clock function Hypo indicator Hours, Minutes Month, Day Off / 1, 2 and 3 (hour, min) Off / Level Year 24-hour / 12-hour The year that is currently set flashes at top right of the display. Press the M button repeatedly, or press and hold it down, until the required year is displayed.
3 The time-and-date format setting comes next. Notes i The year you have set is not displayed during testing, nor together with the result, nor when you look at saved results in memory. It is only displayed when you are in the settings. However, having the correct year setting is still important because without it the meter will not be able to recognize February 29th in a leap year.
3.6 Setting the time/date format You are here Time-and-date format Beep tone or Acoustic Mode Brightness of the display On / Off / Acoustic Mode Low / Medium / High Time Date Alarm clock function Hypo indicator Hours, Minutes Month, Day Off / 1, 2 and 3 (hour, min) Off / Level Year 24-hour / 12-hour You can choose between two formats. In 24-hour format the time is displayed from 0:00 to 23:59. If you select this format, the date is displayed in the format DD-MM (day-month, no year).
3 The time-and-date format that is currently set flashes in the display. The factory setting is 24-hour format (24h). Press the M button to select 12-hour format.12h is displayed. If you press the M button again, 24h reappears and 24-hour format is set. Press the S button to save the chosen setting. The time setting comes next. Settings _CP_LCM_Manual_EN-UK final.indd 53 53 20.6.
3.7 Setting the time Time-and-date format Beep tone or Acoustic Mode Brightness of the display On / Off / Acoustic Mode Low / Medium / High Time Date Alarm clock function Hypo indicator Hours, Minutes Month, Day Off / 1, 2 and 3 (hour, min) Off / Level Year 24-hour / 12-hour You are here The time and the date that are currently set are displayed. The hour flashes at top left of the display. 24-hour format 54 _CP_LCM_Manual_EN-UK final.indd 54 Settings 20.6.
3 12-hour format Press the M button repeatedly, or press and hold it down, until the required hour is displayed. Press the S button to save the chosen setting. The minute setting comes next. The minutes flash at top left of the display. 24-hour format 12-hour format Settings _CP_LCM_Manual_EN-UK final.indd 55 55 20.6.
Press the M button repeatedly, or press and hold it down, until the required minutes are displayed. Press the S button to save the chosen setting. The date setting comes next. 3.
3 The month flashes at top right of the display. 24-hour format (DD-MM) 12-hour format (MM-DD) Press the M button repeatedly, or press and hold it down, until the required month is displayed. Press the S button to save the chosen setting. The day setting comes next. Settings _CP_LCM_Manual_EN-UK final.indd 57 57 20.6.
The day flashes at top right of the display. 24-hour format (DD-MM) 12-hour format (MM-DD) Press the M button repeatedly, or press and hold it down, until the required day is displayed. Press the S button to save the chosen setting. The alarm clock settings come next. 58 _CP_LCM_Manual_EN-UK final.indd 58 Settings 20.6.
3.9 3 Setting the alarm clock function Time-and-date format Beep tone or Acoustic Mode Brightness of the display On / Off / Acoustic Mode Low / Medium / High Time Date Alarm clock function Hypo indicator Hours, Minutes Month, Day Off / 1, 2 and 3 (hour, min) Off / Level Year 24-hour / 12-hour You are here You can use the meter’s alarm clock function to remind you to test your blood glucose. You can set three alarms. The meter beeps for 20 seconds at the appointed time every day.
Two steps are involved in entering the setting. First you define whether the alarm clock function is basically to be turned on (0n) or off (0FF). When it is on, you can enter or change the alarm times. The alarm clock function ( the display. symbol) is factory-set to off. 0FF flashes in Press the M button to turn the alarm clock function on. 0n is displayed. If you press the M button again, 0FF reappears and the alarm clock function is turned off. Press the S button to save the chosen setting.
If you have turned the alarm clock function on, the setting for the first alarm time comes next. The following is displayed: 24-hour format 3 12-hour format If you have turned the alarm clock function off, the setting for the hypo indicator comes next. The following is displayed (see Chapter 3.10): Settings _CP_LCM_Manual_EN-UK final.indd 61 61 20.6.
Setting alarm times The procedure for setting the alarm time is the same for each alarm. Alarm 1 is used below for illustrative purposes. The number 1 and subsequently 2 and 3 in the display stand for Alarms 1, 2 and 3. The factory setting is 0:00 (24-hour format) or 12:00 a.m. (12-hour format). This time means that alarm 1 is turned off. Only when you set a different alarm time is Alarm 1 turned on. First the hour is set, and then the minutes. The hour flashes at top left of the display.
Press the M button repeatedly, or press and hold it down, until the required hour is displayed. 3 Press the S button to save the chosen setting. The minute setting comes next. The minutes flash at top left of the display. 24-hour format 12-hour format Press the M button repeatedly, or press and hold it down, until the required minutes are displayed. Press the S button to save the chosen setting. Settings _CP_LCM_Manual_EN-UK final.indd 63 63 20.6.
The setting for Alarm 2 comes next, and then for Alarm 3. Alarm 2 24-hour format 12-hour format 24-hour format 12-hour format Alarm 3 To set the alarm times for Alarm 2 and Alarm 3, proceed as described for Alarm 1. The hypo indicator setting comes next. 64 _CP_LCM_Manual_EN-UK final.indd 64 Settings 20.6.
3 Notes i You do not have to set all three alarm times; you can set just one or two times. When you have set your alarm times and the hour for the next alarm flashes: 앫 press the S button repeatedly until you reach the hypo indicator setting (see Chapter 3.10), or 앫 If you do not wish to set a hypo indicator, press the Test button to turn the meter off. i You can turn off individual alarms by setting their time to 0:00 (24-hour format) or 12:00 a.m. (12-hour format).
i The meter can only remind you to perform a blood glucose test when the year, time and date have been set in the meter. If you lose the year, time and date settings while replacing the batteries (see Chapter 9), you must re-enter these in order for the alarms to be active. The settings for the alarms themselves will not have been lost. i If you have turned the alarm clock function on, the meter will always beep to remind you to test your blood glucose even if the beep tone itself is turned off.
3 3.10 Setting the hypo indicator Time-and-date format Beep tone or Acoustic Mode Brightness of the display On / Off / Acoustic Mode Low / Medium / High Time Date Alarm clock function Hypo indicator Hours, Minutes Month, Day Off / 1, 2 and 3 (hour, min) Off / Level Year 24-hour / 12-hour You are here To help you to recognize a possible hypo, you can set the meter to let you know when your test result indicates a low blood glucose.
You can choose between the following hypo indicator levels: 앫 3.3 mmol/L (60 mg/dL) 앫 3.9 mmol/L (70 mg/dL) 앫 4.4 mmol/L (80 mg/dL) The hypo indicator ( the display. 68 _CP_LCM_Manual_EN-UK final.indd 68 symbol) is factory set to off. 0FF flashes in Settings 20.6.
3 Press the M button to move to the next option. When your chosen level is displayed, press the Test button to turn the meter off. The hypo indicator is then set to this level. Notes The hypo indicator is only reliable if your hypo indicator level has been properly selected. Therefore we strongly recommend that you talk to your healthcare professional about what blood glucose level is your hypo level before you set the indicator.
4 Testing blood glucose 4.1 Preparing to test blood glucose You will need the following items to carry out the test: 앫 the meter with a test strip drum inserted 앫 the finger pricker to obtain blood 앫 a lancet for the finger pricker Wash your hands with warm water and soap, and dry well. This stimulates blood flow and ensures that the puncture site is clean. 4.2 Preparing the finger pricker You use the finger pricker to obtain blood from a fingertip or earlobe, or from other (alternative) sites.
You can choose one of 11 different penetration depth settings to suit your own skin type. You can use the finger pricker either docked with the meter, or undocked. 4 The finger pricker has a plunger at the top (see illustration in Chapter 1.2). This plunger has three functions: 앫 priming the finger pricker 앫 triggering the lancet to obtain blood 앫 ejecting the used lancet You can perform all of these functions using just one hand, as to activate a function you only have to press the plunger down.
Notes The Accu-Chek Softclix Plus finger pricker is intended only for patient self-monitoring by a single person. The finger pricker must not be used on more than one patient due to the risk of infection. Healthcare professionals testing blood glucose in a multi-patient setting must not use the Accu-Chek Softclix Plus finger pricker to collect blood and should therefore remove the finger pricker from the meter. The finger pricker may be replaced with a blanking plate (see Chapter 10.1).
4.2.1 Undocking the finger pricker from the meter If you wish to use the finger pricker undocked from the meter, detach it as follows: 4 Push the slide button in the direction indicated by the arrow (1) and hold it there. Withdraw the finger pricker in the direction indicated by the arrow (2). Testing blood glucose _CP_LCM_Manual_EN-UK final.indd 73 73 20.6.
4.2.2 Docking the finger pricker onto the meter Hold the meter so it is horizontal, with the recess for docking the finger pricker pointing upwards. Place the flat face of the finger pricker on the lower end of the recess, with the plunger facing towards the slide button. Slide the finger pricker forward along the meter in the direction indicated by the arrow, until it locks with an audible CLICK. The guides along the inside of the recess must engage with the grooves along the finger pricker.
4.2.3 Inserting the lancet 4 Remove the cap from the finger pricker. Slide a new lancet into the lancet holder, and push it in until you hear it CLICK into place. Testing blood glucose _CP_LCM_Manual_EN-UK final.indd 75 75 20.6.
Remove the protective cap from the lancet with a twisting motion. Press the cap back on the finger pricker. The locating notch in the cap (1) must be directly aligned with the locating line on the finger pricker (2). The cap snaps into place with an audible CLICK. 76 _CP_LCM_Manual_EN-UK final.indd 76 Testing blood glucose 20.6.
Notes 4 Dropping the finger pricker with a lancet inserted may loosen the lancet in its holder. In that case the lancet is no longer properly lodged and cannot be used to obtain blood. In rare cases the lancet may even protrude from the cap. In a case such as this you might injure yourself on the lancet. Therefore take great care not to touch the front of the cap. Should you drop the finger pricker, please pick it up with care. Remove the cap from the finger pricker.
4.3 Testing blood glucose 4.3.1 Turning the meter on Press the Test button to turn the meter on. Following the display check (see Chapter 2.2.2) a test strip is automatically advanced and the test strip symbol and drop symbol flash in the display. You now have about 5 minutes in which to draw up blood with the test strip. 78 _CP_LCM_Manual_EN-UK final.indd 78 Testing blood glucose 20.6.
Notes i While the display test is running, you may press the Test button to turn the meter off again. If you do, a test strip is not advanced. i If additional lines appear during the display test or parts of symbols are missing, please contact the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). If the numeric field 88.8 (mmol/L meter) or 888 (mg/dL meter) is affected, the meter may not show your test results correctly. Testing blood glucose _CP_LCM_Manual_EN-UK final.
4.3.2 Obtaining blood All the fingertips and both the earlobes are suitable for obtaining blood. We recommend obtaining capillary blood from the side of the fingertip, as this causes the least amount of pain. You can choose the penetration depth from a possible 11 settings ranging from 0.5 to 5.5. Your chosen penetration depth is visible in the window, e.g.: The larger the number, the greater the penetration depth. The half-settings – e.g. 2.5 – are identified by a dot. The setting 2.
4 Rotate the Comfort Dial (cap) until you reach your chosen setting. The cap snaps into place at each penetration depth setting. We recommend a low setting (e.g. 2) if you are using the finger pricker for the first time. To obtain blood you first need to prime the finger pricker. Press the plunger all the way down. The plunger returns about a third of the way. The finger pricker is now primed. Testing blood glucose _CP_LCM_Manual_EN-UK final.indd 81 81 20.6.
Firmly press the finger pricker against the chosen puncture site. You will feel the slightly raised ring against your skin. This is the pinhole through which the tip of the lancet emerges. Press the plunger all the way down. This triggers the lancet, which penetrates the skin. Using gentle pressure, massage the finger towards the fingertip to encourage a drop of blood to form. 82 _CP_LCM_Manual_EN-UK final.indd 82 Testing blood glucose 20.6.
Notes Use a new lancet each time you obtain blood. This not only reduces the risk of infection but also helps ensure virtually painfree blood sampling. 4 Do not prime the finger pricker until you are ready to collect blood. Keeping the finger pricker in this primed state can cause parts to become misshapen through tension, impairing its operation. i The amount of blood that emerges at the puncture site depends on the penetration setting and the pressure used to hold the finger pricker against the skin.
4.3.3 Drawing up blood with the test strip Wait until the test strip symbol and drop symbol flash in the display and the meter beeps (only when the beep tone is turned on). Hold the meter so the test strip is pointing downwards (see illustration). 84 _CP_LCM_Manual_EN-UK final.indd 84 Testing blood glucose 20.6.
4 Immediately after the drop of blood has formed: Hold the tip of the test strip against the drop of blood so the black notch is touching the drop of blood. The test strip draws up blood. Move the finger away from the test strip as soon as the hourglass symbol is displayed and the meter beeps (only when the beep tone is turned on). Testing blood glucose _CP_LCM_Manual_EN-UK final.indd 85 85 20.6.
The test strip has then drawn up enough blood, and test starts. The hourglass symbol indicates that the meter is busy performing a test. Testing is complete after approx. 5 seconds. The result is displayed and the meter beeps (only when the beep tone is turned on). At the same time the meter automatically saves the result to memory. Wipe the puncture site with a clean, dry tissue. We recommend covering the puncture site to keep dirt out. 86 _CP_LCM_Manual_EN-UK final.indd 86 Testing blood glucose 20.
Notes 4 Do not touch the test strip unless you are drawing up blood with it. Residues (e.g. of food, drinks or skin cream) on the skin can find their way onto the strip and may produce incorrect results. Incorrect results can cause the wrong therapeutic decision to be taken and so produce adverse health effects. Take care not to bend the test strip either before or while you draw up blood. Do not bend or move the test strip while the test is in progress.
Always hold the meter so the test strip is pointing downwards when you are drawing up blood with the test strip. If you hold it so the test strip is pointing upwards or sideways or you put the meter down on a surface with the test strip still in it, blood can enter the meter and contaminate it. i As soon as the test strip symbol and drop symbol flash in the display, you have approx. 5 minutes to draw up blood with the test strip. If you have not drawn up blood within this time, i.e.
i If the test does not start despite the fact that you have held the drop of blood against the test strip, the test strip drew up too little blood. In this case you can, within a certain period, draw up more blood with the test strip (see the package insert that came with the test strip drums). i If the meter beeps not once but several times when displaying the result, either the hypo indicator is turned on and the result is below the limit (see Chapter 3.
4.4 Ejecting the test strip Hold the meter over a waste bin with the test strip pointing downwards. Press the Test button to turn the meter off. The used test strip drops out. Before the meter turns off, it shows you the number of test strips remaining in the drum (see Chapter 2.3.2). 90 _CP_LCM_Manual_EN-UK final.indd 90 Testing blood glucose 20.6.
Notes Always turn the meter off by pressing the Test button, so as to eject the test strip. Do not pull the test strip out. If you do pull the used test strip out, blood can enter the meter and contaminate it. 4 Do not push an ejected test strip back into the test strip drum. This includes any unused test strips that you have ejected by accident. These test strips can produce incorrect results.
4.5 Ejecting the used lancet Remove the cap from the finger pricker. Hold the finger pricker upright above a waste bin. Press in the plunger until it CLICKS. The lancet drops out. Press the cap back on the finger pricker. 92 _CP_LCM_Manual_EN-UK final.indd 92 Testing blood glucose 20.6.
If the lancet does not drop out: 4 Keep the plunger pressed down. Hook the edge of the white “collar” of the cap behind the platform of the lancet. A cut-out area on the inside of the lancet holder makes it easy to hook the lancet platform (see illustration). Use the white collar to pull the lancet out. Testing blood glucose _CP_LCM_Manual_EN-UK final.indd 93 93 20.6.
Notes Make sure the lancet has dropped out. Inadvertently leaving the lancet in the finger pricker may result in personal injury. Carefully dispose of used lancets so that the needles cannot cause injury. i You must remove the cap to eject the lancet. If you leave the cap in place, pressing the plunger will prime the finger pricker. 94 _CP_LCM_Manual_EN-UK final.indd 94 Testing blood glucose 20.6.
4.6 Symbols you see before, during or after testing and what they mean 4 You may see the following symbols displayed before, during or after a test. For further information please see Chapter 12.1. The beep tone (0n1) or Acoustic Mode (0n2) is set to on. You have turned on at least one alarm. While the result is displayed: You have turned the hypo indicator on. The result is below the indicator level you set.
Instead of a result: The result is above 33.3 mmol/L (600 mg/dL). Instead of a result: The result is below 0.6 mmol/L (10 mg/dL). 4.7 Flagging special results You can flag special results, e.g. results obtained from alternative site testing or after exercise, with an asterisk . You can only do this while the result is displayed and as long as you have not yet turned the meter off. No other symbol Asterisk While the result is displayed: Press the S button. The asterisk appears in the display.
If you press the S button again, the asterisk disappears again. The result is saved together with the asterisk as long as the asterisk is displayed and you press the Test button to turn the meter off. 4.8 4 Evaluating results If the displayed test result agrees with the way you feel, follow your doctor’s advice. If the displayed test result does not agree with the way you feel, please perform a performance check with an Accu-Chek Compact Autocontrol control solution and a new test strip (see Chapter 7).
4.8.1 Measuring range Your meter measures blood glucose within a defined range (0.6−33.3 mmol/L or 10−600 mg/dL). Values below this range are displayed as: The result is less than 0.6 mmol/L (10 mg/dL). Values above this range are displayed as: The result is greater than 33.3 mmol/L (600 mg/dL). These results are not used to calculate averages (see Chapter 5.3). 98 _CP_LCM_Manual_EN-UK final.indd 98 Testing blood glucose 20.6.
4.8.2 Implausible results – possible causes of error If your meter repeatedly displays implausible results or error messages, please check the following points: Did you perform the blood glucose test according to the reference manual (see Chapter 4.3)? yes Did you wash your hands with warm water and soap to improve blood flow and to remove any residues (e.g.
Did you perform the test within the correct temperature range (+10 °C to +40 °C)? yes Has the test strips’ use-by date expired (see label on the container of the test strip drum next to the symbol)? no Has the 90-day use by period for the test strip drum expired (see Chapter 2.3.
5 Using the meter as an electronic notebook 5.1 Memory Your meter has a 500-value memory for saving results together with the time and date (only when you have set the time and date). You do not need to save the results manually. The meter automatically saves and numbers the results. The most recent result always occupies memory location 1, the preceding one location 2, etc. up to location 500.
5.2 Retrieving results from memory With the meter turned off, press the M button. The meter turns on without advancing a test strip. Following the display check (see Chapter 2.2.2), the most recently saved result is displayed together with the time, date and . Time and date at the time of performing a test 102 _CP_LCM_Manual_EN-UK final.indd 102 Using the meter as an electronic notebook 20.6.
Retrieving older results from memory: 5 Press the M button once to move towards the next older result saved. With the M button you can move back until you reach the oldest result (max. 500 results). If you press and hold down the M button, the results are fast-scrolled, starting slowly and then speeding up. To move back again towards the most recently saved results: Press the S button. To fast-scroll, press and hold down the S button.
By pressing the S button you can scroll back to the most recent result. Memory location 1 Most recent result saved Memory location 2 Memory location 3 Memory location 499 Memory location 500 Oldest result If the beep tone (0n1) or Acoustic Mode (0n2) is turned on, a beep sounds each time 앫 when you reach the oldest result (i.e. the memory location with the highest memory location number, see Chapter 5.
You can exit memory at any time: To do this, press the Test button. 5 The meter turns off. Notes i Always turn the meter on with the M button if you intend to review results held in memory. If you turn the meter on with the Test button and there is a drum in the meter, a test strip will be advanced. i If no result has been saved in the meter, just three horizontal bars are displayed. Using the meter as an electronic notebook _CP_LCM_Manual_EN-UK final.indd 105 105 20.6.
i If the time and date were not set at the time of testing, then the memory location number is displayed instead of the time and date. Memory location number If the memory contains both results that were saved together with the time and date and results that were not saved with this information, then you will see results shown together with their time and date as well as results shown only with their memory location number.
5.3 Average, highest value and lowest value for 7, 14 and 30 days The meter can display the average values of results from the last 7, 14 or 30 days. Also, you can request that the lowest and highest values be displayed for these 3 periods. All results falling within the relevant period are included in the calculation. The current day is always included in the calculation. If more than 500 test results were saved during this period, the calculation will be based on the last 500 test results.
Press the M and S buttons at the same time. The average of the results from the last 7 days is displayed. The number of results n used in the calculation is displayed at top left (in this example: 30). The number of days for which the average was calculated is displayed at top right (in this example: 7). Again press the M and S buttons together to move to the other averages. The 7-day average is followed by the 14-day and 30-day averages, and then again by the 7-day average.
For each of these three periods you can ask the meter to display the lowest and the highest values. 5 Lowest value Average Highest value When one of the three averages is displayed: Press and hold down the M button to view the lowest value. Press and hold down the S button to view the highest value.
When you release the button, the display reverts to the average. Memory location 1 Most recent result saved + 7-day period Lowest value Average Highest value + 14-day period Lowest value Average Highest value + 30-day period Lowest value Average Highest value + 7-day period 110 _CP_LCM_Manual_EN-UK final.indd 110 Using the meter as an electronic notebook 20.6.
You can exit from the average value display at any time: To do this, press the Test button. 5 The meter turns off. Notes i Results flagged as performance checks with the bottle symbol are not included in the calculations. i Results shown as being or are not included in the average calculations, but are displayed as the lowest and highest values, respectively.
i If a large number of results were saved within one period, calculation of the average may take a while. flashes in the display while the calculation is in progress. i If no results were saved in memory for the period in question, three horizontal bars are displayed instead of a numerical value. If, for example, the results are more than 7 days old, the average, lowest value and highest value cannot be calculated for 7 days.
i If the memory contains both results that were saved together with the time and date and results that were saved without this information, the averages and respective lowest and highest values will only be calculated from results saved with the time and date that come chronologically before the first result without the time and date. Example: The meter saved 150 results over a period of 50 days. The result in memory location 51 was saved without the time and date.
5.4 Downloading test results to a PC, handheld computer or a special evaluation system The meter has an inbuilt infrared window permitting wireless data downloading to a suitably equipped PC, handheld computer (PDA), or special evaluation systems. Roche Diagnostics offers a variety of special hardware and software that extend the integrated notebook functions of your meter.
The infrared window is located at the front end of the meter. 5 Be sure to read the operating instructions supplied with the software and hardware you are using. These will include instructions on how to download your data. Make the receiving end (software product or hardware) ready to download the results. Using the meter as an electronic notebook _CP_LCM_Manual_EN-UK final.indd 115 115 20.6.
With the meter turned off, press the M and S buttons at the same time. The meter turns on. Following the display check (see chapter 2.2.2), the following appears: 116 _CP_LCM_Manual_EN-UK final.indd 116 Using the meter as an electronic notebook 20.6.
Position the meter 5-20 cm away from the infrared window of the receiving end. Point the two infrared windows towards one another. If necessary, start the results download at the receiving end (software product or hardware). 5 During the download both arrows flashed alternately. During the download only those results that are new to the receiving end, i.e. those have not yet been downloaded, are sent.
Notes i Your results can only be fully analysed if all of the results have been saved together with the date and time, i.e. as long as you have set the date and time. i i The results remain in the meter’s memory following downloading. i If the results download does not occur (the arrows do not start to flash) or was incomplete, the meter turns itself off automatically after approximately 5 minutes. This is what might have happened: You cannot perform a test while results are being downloaded.
앫 Another device with an infrared source turned on or a strong light source is too close to the two infrared windows. Remove the device or light source and start the download again. 5 앫 An object, for instance, is blocking communication between the two infrared windows. Remove the object and start the download again. 앫 An error occurred at the receiving end. Read the relevant manual(s).
6 Acoustic Mode Acoustic Mode is intended for persons who are visually impaired. When Acoustic Mode is turned on, the meter guides you through the blood glucose test using beep tones; it also outputs the result as a series of beeps. The meter beeps additionally when the batteries are almost exhausted, the test strip drum is empty, or an error message is displayed. Chapter 3.3 describes how to turn Acoustic Mode on.
There are two types of beep tone, differing in pitch. Warnings have a higher tone (Tone 2, represented below as — ) than the other beep tones (Tone 1, represented below as — ). The following table shows which tone sounds for which event. Turning on Chapter 6.1 Meter ready to test Chapter 6.2 Start of test Chapter 6.2 Announcement of the result Chapters 6.3 and 6.4 Signal that results are due to be announced Chapters 6.3 and 6.4 Announcement of an error message Chapters 6.2 and 6.
6.1 Beep tones at power-on When Acoustic Mode is set to on, you hear a long beep ( — ) when you turn on the meter. This is irrespective of which button you use to turn the meter on: 앫 the Test button in order to perform a test (see Chapter 4.3.1) 앫 the S button in order to change settings (see Chapter 3) 앫 the M button in order to retrieve results from memory (see Chapter 5) 앫 the M and S button in order to send results (see Chapter 5.
6.2 Beep tones during testing Following the power-on beep and the 1 – 2 – 3 sequence of beeps, you will hear the following while you test: 앫 a single beep when the meter is ready to test so you can let the test strip draw up blood or control solution, 6 앫 a single beep when the test strip has drawn up sufficient blood or control solution and the test is starting, 앫 several beeps each time the meter displays an error message (see Chapter 6.5). 6.
Each digit is represented by the corresponding number of beeps; e.g. 4 beeps for the number 4 ( – – – – ). Zero is represented by a long beep ( — ). The result is announced three times in succession. Each result is preceded by two short beeps ( - - ) . Altogether, therefore, you hear: - result - - result - - result. mmol/L meters First the tens are announced, then the units, then the decimal point and finally the tenths. There is a short pause between each group of beeps.
mg/dL meters First the hundreds are announced, then the tens, and finally the units. There is a short pause between each group of beeps. The hundreds are always announced, even when the result is below 100. The hundreds in this case are represented by 1 long beep, signifying zero.
Note i 6.4 Information or warnings in the form of symbols (e.g. drum symbol or symbol, see Chapter 12.1) that are displayed together with the result are not announced acoustically. Announcement of results and average values from memory Only the last (most recent) result that was saved can be announced acoustically. If you press the M button to turn the meter on, you first hear the long power-on beep followed by the beep sequence 1 – 2 – 3 and then the most recent result.
Notes i If the 7-day average cannot be calculated, three horizontal bars are displayed. This is signalled acoustically with 3 long beeps representing 3 zeroes ( — — — ). i If the result that was most recently saved is flagged by the bottle symbol as being a performance check result (see Chapter 7), it is announced in the same way as any blood glucose test result. There is no acoustic signal to identify it as a performance check result.
6.5 Announcement of warnings and error messages When the batteries will soon be exhausted or the last test strip in a drum has been used, The meter issues an acoustic warning. This consists of two short beeps sounded three times in succession ( - - - - - - ). The warning is given at different times. 앫 Batteries are almost exhausted (the battery symbol is displayed, see Chapter 9): This acoustic warning is sounded when you turn the meter on.
7 Checking your meter To ensure your results are always dependable, you should periodically check the performance of your meter. Do this by performing a performance check using the Accu-Chek Compact Autocontrol control solutions, each time 앫 after you have opened a new pack of test strip drums, 앫 after you have replaced the batteries.
7.1 What you need To perform a performance check you need the following items: 앫 meter with a test strip drum inserted 앫 Accu-Chek Compact control solution Autocontrol G1 (low glucose concentration) or Autocontrol G2 (high glucose concentration) 앫 Concentration table for the control solutions (see label on the container the test strip drum came in). Note i The concentration table for the control solutions can be found on the peel-off label attached to the drum container.
7.2 Performing a performance check Read the package insert that came with the control solutions. 7 Press the Test button to turn the meter on. Following the display check (see Chapter 2.2.2) a test strip is automatically advanced, and the test strip symbol and the drop symbol flash in the display. Checking your meter _CP_LCM_Manual_EN-UK final.indd 131 131 20.6.
You now have about 5 minutes in which to draw up control solution with the test strip. Take a bottle of control solution. Open it and wipe the tip of the dropper with a clean, dry paper towel in order to remove any dried-on residues. Invert the vial and hold it downwards at an angle. Squeeze it gently until a small drop is suspended from the tip. Apply the drop to the surface of a clean, easily washable object made of glass, porcelain or stainless steel (e.g. a plate or spoon).
7 Hold the meter so the test strip is pointing downwards (see illustration). Hold the tip of the test strip to the drop of control solution. Checking your meter _CP_LCM_Manual_EN-UK final.indd 133 133 20.6.
The test strip draws up the control solution through the black notch. Move the test strip away from the control solution as soon as the hourglass symbol is displayed and the meter beeps (provided the beep tone is turned on). The test strip has then drawn up enough control solution, and testing starts. The hourglass symbol indicates that the meter is busy performing a test. The meter automatically detects that the test strip has drawn up control solution.
Immediately after the result is displayed: Compare the result with the concentration table printed on the peeloff label attached to the drum container. The result must be within the concentration range stated. The concentration table has two rows and two columns. Rows 1 and 2 contain concentration data for the two different control solutions, G1 and G2; the columns are for the two different units of measurement, mmol/L and mg/dL.
Subsequently hold the meter directly above a waste bin with the test strip pointing downwards. Press the Test button to turn the meter off. The used test strip drops out. Before the meter turns off, it shows you the number of test strips remaining in the drum (see Chapter 2.3.2). Wipe the tip of the dropper with a clean, dry paper towel and close the bottle tightly. Notes i The control solution you apply to washable object must come from a suspended drop.
i You can dispose of empty or only partly used bottles of control solution together with your regular household waste. Please refer also to the notes in Chapters 4.3 and 4.4. 7.3 Possible causes of error during the performance of performance checks 7 If the result is outside the stated concentration range, perform a second performance check.
Did you bend or move the test strip while the test was in progress? no Did you compare the result with the concentration data specifically relating to the control solution you used? yes Does the concentration table belong to the test strips that are currently in the meter? yes Did you perform the test within the correct temperature range (+10 °C to +40 °C)? yes Has the use-by-date for the control solution or the test strips expired (see label on the bottle and the test strip drum next to the symbol)
If you give the responses as specified to all these questions and the results are still outside the stated concentration range, please call the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). If your meter has been dropped, that can also lead to implausible results or error messages. If it has, again please call the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland).
8 Cleaning the meter and finger pricker 8.1 Cleaning the meter Your meter uses an optical measuring method that relies heavily on all of its components being clean. Owing to the way the test strip works, the meter does not normally come into direct contact with blood or control solution. Regular cleaning is therefore largely unnecessary. In the event of the meter becoming soiled through improper use, cleaning it may become necessary.
Do this as follows: If the meter is on, press the Test button to turn it off. Wait for the motor to stop. 8 Wipe the test strip guide with a cotton swab lightly moistened with cold water or 70 % ethanol. Place your thumb into the recess below the drum compartment cover and fold the drum compartment cover upwards. Cleaning the meter and finger pricker _CP_LCM_Manual_EN-UK final.indd 141 141 20.6.
Wipe the measuring window and the area surrounding it with a cotton swab lightly moistened with cold water or 70 % ethanol. Remove any fluff or lint that may remain. Allow areas you have wiped time to dry thoroughly. Fold the drum compartment cover down and press it shut. There will be an audible CLICK. Perform a performance check (see Chapter 7). 142 _CP_LCM_Manual_EN-UK final.indd 142 Cleaning the meter and finger pricker 20.6.
Notes Use only cold water or 70 % ethanol to clean the meter. Any other cleaning agents may damage the meter or impair its measuring function. Use a lightly moistened cloth or a lightly moistened cotton swab. Do not spray anything onto the meter and do not immerse it in the cleaning liquid. Doing so may damage the meter’s internal components and stop it from working properly. 8 Make sure that no liquid enters the meter.
8.2 Cleaning the finger pricker Clean your finger pricker regularly to keep it in good working condition. If any blood gets on it, always wipe this away immediately. Clean the outside of the finger pricker only. Wipe it once a week with a cloth lightly moistened with 70 % ethanol or 70 % isopropanol (available from your pharmacist). In addition, thoroughly wipe the inside of the cap using a cotton bud lightly moistened with one of the two cleaning fluids.
9 Changing the batteries When the battery symbol first appears in the display, the batteries are running low. With these batteries you can perform about 50 more tests. However, we recommend that you replace the batteries as soon as possible. By then the batteries will have been heavily drained, and changeable conditions (e.g. cold surroundings) can affect their performance even further. If the meter is on, press the Test button to turn it off.
Insert two new batteries (type AAA, LR 03, AM 4 or micro). The minus (-) ends of the batteries must match up with the minus marks in the battery compartment. Re-attach the battery compartment cover. The three hooks on the underside of the cover must engage with the slots along the edge of the battery compartment. The cover is then just loosely held in position. Slide the battery compartment cover back into place. It locks with an audible CLICK. 146 _CP_LCM_Manual_EN-UK final.
Notes i A fresh pair of batteries has enough power either for about 1000 tests or for one year’s worth of tests. If you have changed the brightness of the display to level 3 (high) or set Acoustic Mode to on, the battery life will be shorter. i When you replace the batteries, your results always remain saved.
the test results saved in memory will be numbered consecutively so you can still recognize the order in which they were saved (see Chapter 5.2). If the year, time and date have been lost, the meter rotates the drum in order to re-read the bar code. i You can also use rechargeable NiMH batteries. If you do, please note the following: 앫 The number of tests you can perform with recharged batteries is considerably less than with ordinary batteries.
Never throw batteries into a fire. This is dangerous because they may explode. i Remove the batteries if you will not be using your meter for any length of time. When you insert the batteries again, remember to set the year, time and date. i Think of the environment. Dispose of used batteries sensibly. 9 Changing the batteries _CP_LCM_Manual_EN-UK final.indd 149 149 20.6.
10 Blood glucose testing in a multi-patient setting – Information for healthcare professionals Only healthcare professionals are allowed to perform blood glucose tests on more than one patient using the same Accu-Chek Compact Plus meter. When using the meter always follow the recognized procedures for handling objects that are potentially contaminated with human material. Practise the hygiene and safety policy of your laboratory or institution.
Any patient with an infection or suffering from an infectious disease and any patient who is a carrier of a multiresistant organism must be assigned his/her own meter. This applies also if a patient is suspected of being one of the above. For as long as the suspicion exists, the meter must not be used to test any other patient. The Accu-Chek Softclix Plus finger pricker is intended only for patient self-monitoring by a single person.
10.1 Replacing the finger pricker with a blanking plate Undock the finger pricker from the meter as follows. Push the slide button in the direction indicated by the arrow (1) and hold it there. Slide the finger pricker out in the direction indicated by the arrow (2). 152 _CP_LCM_Manual_EN-UK final.indd 152 Blood glucose testing in a multi-patient setting 20.6.
Instead of the finger pricker you can use a blanking plate which is available from the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). 10 Hold the meter so it is horizontal, with the recess for docking the finger pricker pointing upwards. Slide the blanking plate over the recess from the left along the meter in the direction indicated by the arrow. The guides along the inside of the recess must engage with the grooves along the blanking plate.
10.2 Testing blood glucose Wear protective gloves. Wash or disinfect the patient’s finger and allow it to dry thoroughly. The drop of blood does not spread so easily over dry skin. Use only a finger pricker that is approved for use by healthcare professionals. Use a finger pricker with adjustable penetration depth settings. Select a penetration depth to suit the patient’s skin type. Start with a shallow depth setting. Select a puncture site along the side of a fingertip.
Correct Drop of blood approx. 1.5 µL Hold the meter with the test strip pointing downwards (see illustration). 10 Immediately after the drop of blood has formed: Hold the tip of the test strip against the drop of blood so the black notch is touching the drop of blood. The test strip draws up blood. Move the test strip away from the drop of blood as soon as the hourglass symbol is displayed and the meter beeps (only when the beep tone is turned on).
Notes Always hold the meter so the test strip is pointing downwards when you are drawing up blood with the test strip. If you hold it so the test strip is pointing upwards or sideways or you lay the meter down with the test strip still in, blood can enter the meter and contaminate it. Hold the meter with the test strip pointing downwards until the result is displayed (measuring time approx. 5 seconds) and you have ejected the test strip.
Residues of water or disinfectant on the skin can dilute the drop of blood and so produce false results. Always turn the meter off by pressing the Test button, so as to eject the test strip. Do not pull the test strip out. If you do pull the used test strip out, blood can enter the meter and contaminate it. Dispose of used lancets or disposable finger prickers and used test strips according to local hygiene and safety regulations.
10.3 Disinfecting the meter The Accu-Chek Compact Plus meter may be disinfected. Disinfection is performed according to the degree of soiling (see “When to disinfect”). What to disinfect The following parts of the meter may become contaminated: 앫 the area around the test strip guide 앫 the lower edge of the drum compartment cover 앫 the measuring window 앫 the housing In order to disinfect the lower edge of the drum compartment cover and measuring window, you need to open the drum compartment cover.
Place your thumb into his recess below the drum compartment cover and fold the drum compartment cover upwards. Once you have opened the drum compartment cover, you will see beneath it the small measuring window and have access to the lower edge of the drum compartment cover . 10 Blood glucose testing in a multi-patient setting _CP_LCM_Manual_EN-UK final.indd 159 159 20.6.
Cotton buds, wipes and cloths lightly moistened with disinfectant are all suitable for disinfecting the meter. Allow areas you have wiped time to dry thoroughly. Remove any fluff or lint that may remain. Fold the drum compartment cover down and press until it closes. It locks with an audible CLICK. Ensure that the drum compartment cover is properly closed. Notes The test strip guide and measuring window must always be kept clean.
When to disinfect 앫 Each time after you have tested a patient’s blood glucose: wipe the area around the test strip guide. If you find blood on the cloth, wipe also the test strip guide itself and the measuring window. 앫 If there is blood on the meter: wipe the meter. 앫 If blood has entered the meter: wipe the area around the test strip guide, the lower edge of the drum compartment cover and the measuring window. 10 Allow areas you have wiped time to dry thoroughly.
10.4 Suitable disinfectants Use only disinfectants of proven effectiveness quoted in official guidelines (e.g. Clinical and Laboratory Standards Institute: Protection of Laboratory Workers from Occupationally Acquired Infections; Approved Guideline – Third Edition; CLSI document M29-A3, 2005). Use alcohol-based surface disinfectants with virucidal activity. Suitable agents are those, for instance, based on alcohols, aldehyde cleavers and quaternary compounds*.
11 Measurement and storage conditions The reliability of your meter and finger pricker as well as the accuracy of your results is influenced by a number of factors. Pay close attention to the following points. A meter that has been dropped can produce false results. 11.1 Temperature range 앫 Without the batteries and without the test strip drum the meter may be stored at between -25 °C and +70 °C. 앫 With the batteries and without the test strip drum the meter may be stored at between -10 °C and +50 °C.
앫 Blood glucose tests may be performed at the limit of the permitted range (between +6 °C and +10 °C or between +40 °C and +44 °C). When the temperature is at the limit of the permitted range, the thermometer symbol flashes in the display. Do not use results obtained at the limits of the permitted temperature range as a basis for making therapeutic decisions. The results may be incorrect. Incorrect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects.
Never try to speed up warming or cooling of your meter, e.g. by placing it on a radiator or in a refrigerator. Doing so can damage the meter and cause it to give incorrect results. Incorrect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects. Keep the finger pricker without a lancet inserted. Never expose the finger pricker to high temperatures (e.g. in a hot car).
11.3 Humidity Only test blood glucose at a relative humidity of between 20 % and 85 %. Keep the meter and finger pricker at a relative humidity of between 20 % and 85 %. Sudden changes in temperature cause condensation to form in or on the meter. If this happens, do not turn the meter on. Make sure that it returns to ambient temperature slowly. Never keep it in a room that is likely to harbour condensation (e.g. a bathroom). 11.
12 Symbols, error messages and troubleshooting In addition to test results, the time and the date, your meter also displays other symbols and error messages. Some of these routine display messages have already been explained in earlier chapters. Following is a complete summary of all symbols and messages, what they mean and what actions you should take when they appear. When you use your meter, please watch out for any symbols and error messages that are displayed.
12.1 Symbols shown in the display 1 13 2 12 11 10 9 3 4 5 8 17 16 7 6 14 18 15 5 168 _CP_LCM_Manual_EN-UK final.indd 168 Symbols, error messages and troubleshooting 20.6.
Symbols may be displayed singly or several at once. When several symbols are displayed, each symbol can have its own meaning. Alternatively, the combination of symbols may mean something. In the following example you see a display with several symbols. This display appears when you have turned on the meter to perform a blood glucose test. Here each symbol has its own meaning. The symbols shown along with the time and date mean: You can draw up blood or control solution with the test strip now.
In the tables presented below you will first see the meanings of symbols that appear singly or have the same meaning when they appear together with other symbols. These are followed by the meanings of combinations of symbols and of symbols that appear in the numeric field. 12.1.1 Single symbols Symbol Meaning 1 Draw up blood or control solution with the test strip now. 2 During a test and when the result is being displayed: the temperature is outside the permitted range of +10 °C to +40 °C.
Symbol 쑺쑺 3 Meaning In memory: at the time of testing the temperature was outside the permitted range. The batteries are running low. When the symbol first appears in the display, you can perform about 50 more tests. If you use NiMH rechargeable batteries instead of normal batteries, fewer than 50 more tests can be performed. If the rechargeable batteries are old and exhausted, it may not be possible to perform even one more test.
Symbol Meaning 4 See under Combinations of symbols 5 The unit your meter uses to display the blood glucose result, either mmol/L or mg/dL (depending on the meter). 6 The meter cannot calculate the use-by period for this test strip drum 앫 because you inserted a partly used test strip drum, 앫 because you opened the drum compartment cover, 앫 because the year, time and date settings were lost when you changed the batteries and at this time the drum was partly used (see Chapter 9).
Symbol Meaning 쑺쑺 Only in a new meter that has not yet been used to perform tests: There is no test strip drum in the meter or the mock drum has been left inserted. Insert a new test strip drum (see Chapter 2.3). 7 This result is a performance check result. See under Combinations of symbols 8 After testing: You have turned on the hypo indicator and the displayed result is below the level you set. 12 You are in the hypo indicator setting.
Symbol 9 Meaning You are in the settings. 10 Flag for a special result, e.g. obtained from alternative site testing 11 You have turned on at least one alarm or you are in the alarm clock setting. Optical warning while the alarm sounds for 20 seconds. 12 The beep tone (0n1) or Acoustic Mode (0n2) is set to on. 13 The test strip has drawn up enough blood or control solution, and test is running. 14 When an average is displayed (from memory): the symbol is preceded by the number of days covered.
Symbol 15 Meaning You are in memory. Either the saved result or one of the averages, highest or lowest results is being displayed. During averaging, when the calculation is taking a while. 16 Displayed additionally when 12-hour time format is selected. 17 When an average is displayed (from memory): the symbol is followed by the number of tests n included in the calculation. 12 Symbols, error messages and troubleshooting _CP_LCM_Manual_EN-UK final.indd 175 175 20.6.
12.1.2 Combinations of symbols The following combinations of symbols have meanings of their own. Symbols Meaning 4+6+7 The 90-day use-by period for the test strip drum has expired (see Chapter 2.3.1). The test strips cannot be used. Insert a new test strip drum. You must not use these test strips, as they may produce incorrect results. Incorrect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects.
Symbols Meaning 쑺쑺 In memory: The test strip you used for this test was unusable (the 90-day use-by period had expired, see Chapter 2.3.1). The result in memory may be incorrect. Incorrect results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects.
Symbols Meaning 쑺쑺 앫 because you have just inserted a partly used test strip drum, 앫 because you have just opened the drum compartment cover. Perform a performance check (see Chapter 7). If the test produces a correct result, you may continue to use the test strips. If the result is incorrect, you need to insert a new drum. Following the performance check, the bottle symbol disappears from the display.
12.1.3 Symbols appearing in the numeric field In the numeric field: 88.8 (mmol/L meter) or 888 (mg/dL meter) the following symbols may appear: Symbol 18 Meaning In memory: 앫 No results present in memory. 앫 Averaging is not possible because 쐍 you have not set the time and date, 쐍 memory only contains results without a time and date, 쐍 memory only contains results that are not included in the calculation, e.g. performance results, 쐍 no results were saved in the period in question, e.g.
Symbol 쑺쑺 Meaning 쐍 the date that it is set is in the past, 쐍 you changed the time and date, then performed a test and afterwards re-set the time and date, but have not performed any more tests since then. The result is lower than 0.6 mmol/L (10 mg/dL). The result is greater than 33.3 mmol/L (600 mg/dL). You have turned the meter on in order to download the results. The meter is downloading results. Decimal point displayed by mmol/L meters and is part of the result (e.g. 8.2 mmol/L is displayed as 8.
12.2 Interferences and error messages – causes and troubleshooting recommendations If you receive frequent error messages, please contact the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). If this happens … it means: The meter will not turn on. 앫 The batteries (normal or rechargeable) are empty or none are inserted. Insert batteries (new or recharged). 앫 You inserted the batteries the wrong way round.
If this happens … it means: 쑺쑺 앫 The drum compartment cover is not properly closed. Close the drum compartment cover. It must close with an audible CLICK. 앫 The ambient temperature is low and the batteries are almost empty. Move to a place where the temperature is between +10 °C and +40 °C and wait for the temperature of the meter to adjust to this temperature. Insert batteries (new or recharged). 앫 Condensation has affected the electronics. Allow the meter to dry slowly. 앫 The meter is defective.
If this happens … it means: The meter is turned on, but the display is blank. The display is defective. Please contact the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). The clock has stopped or The meter was exposed to a temperature the clock is slow. below –10 °C and the batteries are beginning to freeze. Turn the meter off. Move to a place where the temperature is between +10 °C and +40 °C and wait for the temperature of the meter to adjust to this temperature.
Error message Meaning 쑺쑺 앫 The year, time and date have not been set. Set these as described in Chapter 3. The test strip drum in the meter is empty. Insert a new test strip drum. 앫 The bar code information from the test strip drum has been lost. Press the Test button to turn the meter off. Open and close the drum compartment cover. The meter rotates the drum and reads the bar code. When you next turn on the meter to perform a test, the drum symbol and flashing bottle symbol are displayed.
Error message 쑺쑺 Meaning Perform a performance check. You may use up all the test strips remaining in the drum. The 90-day use-by period will no longer be calculated for this drum. The drum symbol will therefore be displayed each time you perform a test until you insert a new test strip drum. 앫 The bar code on the test strip drum is damaged. You can no longer perform tests with test strips from this drum. Insert a new drum. 앫 The test strip drum does not rotate. Press the Test button to turn the meter off.
Error message 쑺쑺 Meaning The meter rotates the drum and reads the bar code. When you next turn on the meter to perform a test, the drum symbol and flashing bottle symbol are displayed. Perform a performance check. You may use all the test strips remaining in the drum. The 90-day use-by period will no longer be calculated for this drum. The drum symbol will therefore be displayed each time you perform a test until you insert a new test strip drum. 앫 The bar code on the test strip drum is damaged.
Error message Meaning 앫 The measuring window is dirty. Press the Test button to turn the meter off. Clean the measuring window (see Chapter 8.1) and repeat the test with a new test strip. 앫 A test strip is stuck in the meter. Hold the meter upright so the test strip is pointing downwards. Press the Test button to turn the meter off and allow the test strip to drop out. If the test strip does not drop out, remove it manually, even if you feel some resistance.
Error message Meaning 쑺쑺 앫 You drew up blood or control solution too soon with the test strip, i.e. before the test strip symbol and drop symbol were flashing in the display. Turn the meter off and then on again by pressing the Test button. Repeat the test with a new test strip. Only draw up blood or control solution with the test strip when the test strip symbol and drop symbol are flashing in the display.
Error message Meaning 쑺쑺 앫 The test strip that was advanced is defective. Hold the meter upright so the test strip is pointing downwards. Press the Test button to turn the meter off and allow the test strip to drop out. Press the Test button to turn the meter on again and repeat the test. 앫 You pulled the test strip out of the meter. Press the Test button to turn the meter off. Only remove the test strip from the meter by pressing the Test button to turn the meter off.
Error message Meaning 앫 The batteries (regular or rechargeable) are empty or a meter error has occurred. Turn the meter off and then on again by pressing the Test button. If the error message appears again, the batteries may be empty. Insert new batteries (new or recharged). If the error message is again repeated when the meter turns on, please contact the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). 앫 The meter was exposed to a strong electromagnetic field.
Error message 쑺쑺 Meaning Turn the meter off and then on again by pressing the Test button. Repeat the test with a new test strip. 앫 You drew up blood or control solution too soon with the test strip, i.e. before the test strip symbol and drop symbol were flashing in the display. Turn the meter off and then on again by pressing the Test button. Repeat the test with a new test strip.
Error message Meaning The test strip is stuck or the test strip drum does not rotate. Press the Test button to turn the meter off. Open the drum compartment cover and (if applicable) pull out the test strip. Press the red drum release button and remove the test strip drum. Insert the test strip drum again and close the drum compartment cover. The meter rotates the drum and reads the bar code. When you next turn on the meter to perform a test, the drum symbol and flashing bottle symbol are displayed.
Error message Meaning 앫 The meter has been exposed to severe differences in temperature. 앫 The ambient temperature or the temperature within the meter is too low (below +6 °C) or too high (above +44 °C) for a test. Press the Test button to turn the meter off. Move to a place where the temperature is between +10 °C and +40 °C and wait for the temperature of the meter to adjust to this temperature. The test strip drew up too little blood or control solution.
Error message Meaning 앫 There is no test strip drum in the meter. Press the Test button to turn the meter off. Insert a new test strip drum (see Chapter 2.3). 앫 The bar code on the test strip drum is damaged. You can no longer perform tests with test strips from this drum. Insert a new drum. 앫 You inserted a test strip drum from a different blood glucose measuring system. Press the Test button to turn the meter off. Insert an Accu-Chek Compact test strip drum (see Chapter 2.3).
Error message Meaning In memory: the result in memory cannot be displayed. All other results in memory can continue to be retrieved with the M or S button. A meter error has occurred. Turn the meter off and then on again by pressing the Test button. If the error message persists, please contact the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). 12 Symbols, error messages and troubleshooting _CP_LCM_Manual_EN-UK final.indd 195 195 20.6.
13 Technical data Meter type Accu-Chek Compact Plus (Model GT) Catalogue No./ Serial No. See type plate on the back of the meter Test principle Determination of glucose in fresh capillary blood by reflectance photometry. When using different specimen material please refer to the package insert that came with the Accu-Chek Compact test strips. Blood glucose concentrations may be measured in whole blood or in plasma.
Measuring time System operating temperature Storage temperature Meter approx.
Weight approx. 147 g with finger pricker, batteries and test strip drum Display window OLED (Organic Light Emitting Diode) display Automatic power-off after 60 seconds or 5 minutes depending on operating status Power supply 2 batteries (type AAA, LR 03, AM 4 or Micro) or 2 NiMH rechargeable batteries (type AAA) Battery life approx. 1000 results or approx.
In addition it meets the electromagnetic emissions requirements according to EN 61326. Its electromagnetic emission is thus low. Interference from other electrically powered equipment is not to be anticipated.
14 Disposing of the meter During blood glucose testing the meter itself may come into 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 or authority. The meter falls outside the scope of the European Directive 2002/96/EC (Directive on waste electrical and electronic equipment).
15 System components Use only Accu-Chek Compact test strips for testing with the Accu-Chek Compact Plus meter. These are available from your pharmacist. Use only Accu-Chek Compact Autocontrol control solutions to perform performance checks on your Accu-Chek Compact Plus meter. Only use Accu-Chek Softclix lancets in your Accu-Chek Softclix Plus finger pricker. The lancets are available in various pack sizes.
16 Patents Accu-Chek Compact Plus Meter EP 732 590; EP 738 666; EP 742 436; EP 1 189 064; US 5,463,467; US 5,720,924; US 5,863,800; US 6,707,554; US 6,475,436; WO 2004/003549 Accu-Chek Softclix Plus Finger pricker US 4,924,879; US-2004-0092996; US 2005-00908580; US Re.
17 Local customer support and service 17.1 Advice and troubleshooting If you need advice on how to operate the Accu-Chek Compact Plus meter or the Accu-Chek Softclix Plus finger pricker, if you seem to be obtaining implausible results, or if you suspect that the meter, test strips, finger pricker or lancets might be defective, please contact the Accu-Chek Customer Careline free on 0800 701000 (UK) or 1800 709600 (Ireland). Do not attempt to repair or modify the meter or finger pricker yourself.
17.2 Addresses Accu-Chek Customer Careline: Freephone UK: 0800 701000 Freephone Rep. of Ireland: 1 800 709600 Roche Diagnostics Limited Charles Avenue, Burgess Hill West Sussex, RH15 9RY United Kingdom Web: www.accu-chek.co.uk 204 _CP_LCM_Manual_EN-UK final.indd 204 Local customer support and service 20.6.
18 Alphabetical index A Acoustic Mode 120 setting 45 Alarm clock function beep tone 59 setting alarms 59 symbol 60, 174 turning off individual alarms 65 Alternative sites 70, 201 AST cap 70, 201 Asterisk symbol 96, 174 At a glance finger pricker 15 meter 12 symbols 167 average (symbol) 108, 174 Averages 107 B Bar code 16 Batteries changing 145 disposal of ~ 149 life 147, 198 symbol 145, 171 types 14, 146, 198 Alphabetical index _CP_LCM_Manual_EN-UK final.
Checking, meter 129 Cleaning finger pricker 144 meter 140 Clock symbol 33, 176 Control solution 129 concentration table 130, 135 disposal of ~ 137 drawing up with test strip 133 use-by date 138 Control window, test strip drum 14, 28 Customer support and service 203 D Data downloading 114 day (symbol) 108, 174 Disinfectants 162 Disinfecting, meter 158 Display 12 illustrations 19, 169 number of strips remaining 36 setting the brightness 48 symbols in the ~ 168 206 _CP_LCM_Manual_EN-UK final.
F Flagging, result 96 Finger pricker at a glance 15 cleaning 144 docking 74 obtaining blood using the ~ 80 priming 81 replacing with a blanking plate 152 undocking 73 H HI (symbol) 98, 180 Highest value 107 Hourglass symbol 86, 174 Humidity 166, 197 Hypo indicator setting 67 symbol 67, 173 hypo? (symbol) 67, 173 I Intended use finger pricker 5 meter 4 L Lancet 15 disposal of ~ 94 ejecting 92 inserting 75 Light conditions 165 Light source, interfering 165 Liquids for cleaning finger pricker 144 meter 140
Memory 101, 197 Memory location number 101, 106 Memory, results 101 Meter at a glance 12 checking 129 cleaning 140 disinfecting 158 disposal of ~ 200 storage 163 turning off 43, 90, 105 turning on 44, 78, 102 mg/dL (symbol) 20, 172 mmol/L (symbol) 20, 172 Penetration depth setting 15 window 15, 80 Plunger, finger pricker 15, 71 Problems 181 R N Release button finger pricker 14, 73 test strip drum 12, 25 Result average 107 downloading to e.g.
date 56 factory defaults 39 following battery replacement 39, 40, 147 hypo indicator 67 order 41 time 54 time-and-date format 52 turning the meter on 44 year 50 Setting the date 56 Setting the time 54 Setting the time-and-date format 52 Setting the year 50 Sources of electromagnetic interference 166 Sources of interference electromagnetic ~ 166 light 165 Storage conditions 163 Symbols 167 during testing 95 System components 201 Alphabetical index _CP_LCM_Manual_EN-UK final.
Troubleshooting 181 Turning off, meter after testing 90 automatic ~ 23, 43, 88, 91, 106, 117, 198 closing settings 43 exiting memory 105 Turning on, meter retrieving results 102 settings 42, 44 testing 78 Type plate 14 U Unit of measurement (mmol/L and mg/dL) 20 Use-by date control solution 138 test strips 29 Use-by period, test strip drum 33 cannot be calculated 34 expired 33 210 _CP_LCM_Manual_EN-UK final.indd 210 Alphabetical index 20.6.
_CP_LCM_Manual_EN-UK final.indd 211 20.6.
0088 ACCU-CHEK and SOFTCLIX are trademarks of Roche. Distributed by: Roche Diagnostics Limited Charles Avenue, Burgess Hill West Sussex, RH15 9RY www.accu-chek.co.uk UK Freephone number: 0800 701 000 ROI Freephone number: 1 800 709 600 Roche Diagnostics GmbH D-68298 Mannheim, Germany www.accu-chek.com _CP_LCM_Manual_EN-UK final.indd IV 0 5049547001(01) 2007-03 ©2007 Roche Diagnostics. All rights reserved. 20.6.
