ACCU-CHEK Aviva Nano BLOOD GLUCOSE METER / GLYCOMÈTRE User’s Manual Manuel de l’utilisateur ®
EN 1 Whether the Accu-Chek ® !VIVA .
2 The Accu-Chek® Aviva Nano System Your new Accu-Chek Aviva Nano Meter is for quantitative blood glucose testing using Accu-Chek Aviva Strips. Suitable for self-testing. The Accu-Chek Aviva Nano Meter may be used by patients who test their own blood glucose as well as by healthcare professionals for monitoring patients’ blood glucose values.
Why Regular Blood Glucose Testing Is Important 3 Testing your blood glucose regularly can make a big difference in how you manage your diabetes every day. We have made it as simple as possible. Need Help? Call Accu-Chek Customer Care at 1-800-363-7949. Important Information About Your New Meter • Your new meter is designed for testing fresh whole blood samples (for example, blood from your fingertip or forearm). The meter is for outside the body (in vitro) use.
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Contents Chapter 1: Understanding Your New System 7 7KH $FFX &KHN $YLYD 1DQR 0HWHU 7 &RGLQJ WKH 0HWHU 9 8VLQJ WKH $FFX &KHN $YLYD 1DQR 6\VWHP 11 Chapter 2: Testing Your Blood Glucose
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Chapter 1: Understanding Your New System 7 The Accu-Chek Aviva Nano Meter Infrared (IR) Window – Used to transfer data from the meter to a computer or PDA. Right and Left Arrow Buttons – Press to enter memory, adjust settings, and scroll through results. On/Off/Set Button – Turns the meter on or off and sets options. Display – Shows blood glucose results, messages, and results stored in memory. Battery Drawer – Pull out the battery drawer to replace batteries, when needed.
Golden End – Insert this end of the strip into the meter. 8 Yellow Window – Touch blood drop or control solution here. Strip Control Solution Bottle Strip Container On/Off/Set Button Side View Infrared (IR) Window Left Arrow Button Top View Right Arrow Button Code Chip (for example) Batteries – Insert into drawer with (+) side facing down.
Coding the Meter 9 1. Make sure the meter is off. 2. Turn the meter over. 3. Remove the old code chip (if there is one in the meter) and discard it.
10 4. Turn the code chip over so the code number faces away from you. Push it into the code chip slot until it stops. 5. Leave the code chip in the meter until you open a new box of strips. Notes: • Do not force the code chip into the meter. It is designed to go into the meter only one way. • If you see a code “- - -” on the display, insert a code chip into the meter.
Using the Accu-Chek Aviva Nano System • Only use Accu-Chek Aviva Strips. • • Change the code chip every time you open a new box of strips. • • Store the unused strips in their original container. • Close the container tightly immediately after you take a strip out. This helps keep the strips dry. • • Use the strip immediately after you take it out of the container. • Be sure to check the expiry date on the strip container. Do not use the strips after that date.
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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 strip, and a lancing device with a lancet loaded. 1. Wash and dry your hands. 2. Prepare your lancing device. 3. Insert the strip into the meter in the direction of the arrows. The meter turns on. 4. Make sure the code number on the display matches the code number on the strip container.
14 OR Yellow Release Button 5. A strip and flashing blood drop symbol appear on the display. 6. Lance your fingertip with the lancing device. Blood samples taken from the palm are equivalent to blood taken from the fingertip. For detailed information on how to obtain blood from the palm, refer to the Alternate Site Testing (AST) section, steps 5 and 6.
15 7. Gently squeeze your finger to assist the flow of blood. This helps you get a blood drop. 8. Touch the blood drop to the front edge of the yellow window of the strip. Do not put blood on top of the strip. When you see flash, you have enough blood in the strip.
16 9. The result appears on the display. If you want to mark the test result as a pre-meal or post-meal test, or with a general marker, leave the strip in the meter (see the next section). Otherwise, remove and discard the used strip. Note:After a successful test, the meter turns off five seconds after the strip is removed.
Marking Test Results and Setting the Post-Meal Reminder If you wish, you can mark your test result with: Pre-Meal Marker Pre-Meal Marker with Post-Meal Reminder 17 Post-Meal Marker General Marker • Marking results with a pre-meal or post-meal marker provides more information about your blood glucose results to help you and your healthcare professional in the management of your diabetes.
Here is how to mark a test result and initiate a post-meal reminder: Perform a blood glucose test. Do not remove the strip. to toggle through the test result markers and post-meal reminder. 1. Press and release Pre-Meal Marker Pre-Meal Marker with Post-Meal Reminder 18 Post-Meal Marker General Marker 2. When the test result marker ( , , or ) or pre-meal marker with post-meal reminder ) that you wish to select appears on the display, remove the strip from the ( meter.
Alternate Site Testing (AST) You have the option of testing other places on your body besides the fingertip. Blood obtained from a fingertip or palm can be used at any time to measure blood glucose. The two palm testing sites are the fleshy areas under the thumb (thenar) and under the little finger (hypothenar). If blood from an alternate site such as the forearm, upper arm, thigh, or calf is used, there are certain times when testing is not appropriate (see next page).
IMPORTANT Alternate site testing may be done: • Talk to your healthcare professional about Alternate • Immediately before a meal Site Testing. • Fasting 20 Do not change your treatment because of just one result. NEVER ignore symptoms of high or low blood glucose.
To perform a blood glucose test from an alternate site, you need the meter, a strip, and a lancing device with the clear AST cap. 21 1. Prepare the lancing device. 2. Insert the strip into the meter in the direction of the arrows. The meter turns on. 3. Make sure the code number on the display matches the code number on the strip container. If you miss seeing the code number, remove the strip and reinsert it into the meter.
22 4. A strip and flashing blood drop symbol appear on the display. 5. Press the lancing device 6. Trigger the lancing device while keeping firmly against a fleshy steady pressure on the area on the alternate site. Apply pressure to site. Press the lancing the site with the lancing device up and down in a device to assist the flow slow pumping motion to of blood. assist the flow of blood.
23 7. Touch the blood drop to the front edge of the yellow window of the strip. When you see flash, you have enough blood in the strip. 8. The result appears on the display. Mark the result, or remove and discard the used strip. Note:If the blood drop is too small, reapply pressure to get a sufficient blood drop.
Unusual Blood Glucose Results If your blood glucose result does not match how you feel, follow these steps: 24 Troubleshooting Checks Action 1. Check if the strips are expired. Discard the strips if they are past the expiry date. 2. Check if the cap on the strip container was always closed tightly. Replace the strips if you think they were uncapped for some time. 3. Check if the strip was out of the container for a long time. Repeat the test with a new strip. 4.
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 Accu-Chek Customer Care at 1-800-363-7949. 6. Check if the code number on the meter If they do not match, insert the correct display matches the code number on code chip into the meter and test again. the strip container. 7. If you are still unsure of the problem… Repeat the test with a new strip and perform a control test.
Symptoms of High or Low Blood Glucose Being aware of the symptoms of high or low blood glucose can help you understand your test results and decide what to do if they seem unusual. Here are the most common symptoms: 26 High blood glucose (hyperglycemia): fatigue, increased appetite or thirst, frequent urination, blurred vision, headache, or general aching. Low blood glucose (hypoglycemia): sweating, trembling, blurred vision, rapid heartbeat, tingling, or numbness around mouth or fingertips.
Chapter 3: Meter Memory, Setup, and Downloading Memory Storing Test Results The meter automatically stores up to 500 blood glucose test results with the time and date of the test and any test markers. You can review them at any time. Test results are stored from the newest to the oldest. It is very important to set the correct time and 27 date in the meter. Having the correct time and date setting helps ensure appropriate interpretation of blood glucose results by you and your healthcare professional.
• 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 Accu-Chek Customer Care at 1-800-363-7949. Viewing Test Results 28 With the meter on or off, press and release or to enter memory. The most recent result appears.
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. 29 OR OR Past Results General Average Press to view past results from newest to oldest. Press to view 7, 14, 30, and 90 day averages. Pre-Meal Average Continue to press to view 7, 14, 30, and 90 day pre-meal averages.
Meter Setup Using the Set-Up Mode By using the set-up mode, you can personalize the meter to suit your lifestyle. Here are the features you can customize in the order in which they appear in the set-up mode: Time and date – set the time and date 30 Beeper – select “On” or “OFF” Post-meal reminder time – select 1 hour or 2 hours Alarm clock – select “On” or “OFF” Hypo indicator – select “On” or “OFF.” If you select “On,” choose the blood glucose level for the alert. Using the set-up mode is easy.
You are here TIME / DATE BEEPER (hrs, min, am/pm, month, day, year) (on/off) POST-MEAL REMINDER TIME ALARM CLOCK HYPO INDICATOR (off, on, level) (A-1, A-2, A-3, A-4) (1hr or 2hr) Setting the Time and Date decrease increase 31 1. Press and release to 2. Press and hold until turn the meter on. The “set-up” appears on flashing strip symbol the display. The hour appears. flashes. 3. Press and release or to decrease or increase the hour.
decrease increase 32 4. Press and release to confirm the hour. The minutes flash. 5. Press and release or to adjust the minutes. Press and release to confirm the minutes.
33 6. Repeat step 5 to set am/pm, month, day and year. 7. If you want to set up more options, press and release . If you want to exit, press and hold until you see the flashing strip symbol.
You are here TIME / DATE BEEPER (hrs, min, am/pm, month, day, year) (on/off) POST-MEAL REMINDER TIME ALARM CLOCK HYPO INDICATOR (off, on, level) (A-1, A-2, A-3, A-4) (1hr or 2hr) Setting the Beeper( ) On/Off 34 Your new meter has the beeper preset to “On.” You can set the beeper to “OFF,” if you prefer. This will not affect your test results.
35 1. Press and release to turn the meter on. The flashing strip symbol appears. 2. Press and hold until “set-up” appears on the display. 3. Press and release repeatedly until you reach the display with the flashing beeper symbol and “On” or “OFF.
36 4. Press and release or to switch between “On” and “OFF.” 5. If you want to set up more options, press and release . If you want to exit, press and hold until you see the flashing strip symbol.
You are here TIME / DATE BEEPER (hrs, min, am/pm, month, day, year) (on/off) POST-MEAL REMINDER TIME ALARM CLOCK HYPO INDICATOR (off, on, level) (A-1, A-2, A-3, A-4) (1hr or 2hr) Setting the Post-Meal Reminder Time ( ) The post-meal reminder: • Beeps one or two hours after the test to remind you to do a post-meal test. • Beeps every two minutes up to three times. • Turns off by inserting a strip or pressing any button.
38 1. Press and release to turn the meter on. The flashing strip symbol appears. 2. Press and hold until “set-up” appears on the display. 3. Press and release repeatedly until you reach the display with “set-up,” and the flashing “1Hr” or “2Hr.
39 4. Press and release or to select “1Hr” or “2Hr.” Press and release to confirm your choice. When a post-meal reminder is activated this screen appears.
You are here TIME / DATE BEEPER (hrs, min, am/pm, month, day, year) (on/off) POST-MEAL REMINDER TIME (1hr or 2hr) ALARM CLOCK HYPO INDICATOR (off, on, level) (A-1, A-2, A-3, A-4) Setting the Alarm Clock Function( ) 40 The alarm clock: • Beeps to remind you to perform a test. • Beeps every two minutes up to three times. • Turns off by inserting a strip or pressing any button. • Is preset to “OFF.” You must turn it on to use this feature. You can set up to 4 alarms per day.
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.
When you are setting the time for the alarm clock function, the bell symbol and “set-up” remain on the display. 42 1. Press and release to turn the meter on. The flashing strip symbol appears. 2. Press and hold until “set-up” appears on the display. 3. Press and release repeatedly until you reach the display with the bell symbol, “OFF,” “set-up,” and the flashing “A-1.
43 4. Press and release or to switch between “On” and “OFF.” Press and release to confirm your choice. 5. If you select “On,” the hour flashes. “A-1” and the bell symbol remain on the display. 6. Press and release or to select the hour. Press and release to confirm the hour.
44 9. “Set-up,” "OFF,” and the 7. The minutes flash. Press 8. Press and release bell symbol appear on and release or to confirm the minutes. the display with the next “Am” or “pm” flashes to select 00, 15, 30, or alarm (“A-2”) flashing. on the display. Press 45. These are the only You can either set a and release or choices. second alarm or press to switch between “am” and hold until you and “pm.” Press and release to confirm see the flashing strip symbol to exit the set-up “am” or “pm.” mode.
You are here TIME / DATE BEEPER (hrs, min, am/pm, month, day, year) (on/off) POST-MEAL REMINDER TIME ALARM CLOCK HYPO INDICATOR (off, on, level) (A-1, A-2, A-3, A-4) (1hr or 2hr) Setting the Hypo Indicator( ) Function The hypo indicator: • Can be set to a level between 2.8 to 5.0 mmol/L to let you know when your blood glucose is possibly too low.
46 2. Press and hold until “set-up” appears on the display. 3. Press and release 4. Press and release repeatedly until you or to switch reach the display with between “On” and “set-up” and “OFF,” and “OFF.” Press and the flashing . release to confirm your choice.
5. If you choose to set the hypo indicator to “On,” “set-up” appears and flashes. The display shows 3.9 mmol/L. 6. Press and release or to select the level you want. Press and release to confirm it. 7. Press and hold until you see the flashing strip symbol to exit the set-up mode. This function is no substitute for hypoglycemia training by your healthcare professional.
Transferring Data Directly to a Computer or PDA Using Specialized Software and an Infrared Cable You can transfer your stored results to a computer to track, identify patterns, and print. 1. Install the software according to the instructions. To transfer the results to a computer, connect the 48 infrared cable according to the instructions. 2. Run the software program and follow the instructions about how to download information. Make sure the software is ready to accept data from the meter. and 3.
6. Put the meter on a flat surface. Point the two IR windows toward each other. They should be 3 to 10 cm apart. 7. Do not move the infrared cable (computer), PDA, or meter during the transfer. 8. Follow the prompts on the software. 9. The software program may shut off 49 the meter automatically when the data transfer is complete. Notes: • If the data did not transfer successfully, try again. If you still have problems, contact Accu-Chek Customer Care at 1-800-363-7949.
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Chapter 4: Control Testing Why Perform Control Tests Performing a control test lets you know that the meter and strips are working properly to give reliable results.
About the Control Solutions • • • • • 52 • • • Only use Accu-Chek Aviva Control Solutions. The meter automatically recognizes the Accu-Chek Aviva 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. Do not use control solution that is past the expiry date. The solution can stain clothing.
Performing a Control Test You need the meter, a strip, and control solution Level 1 and/or Level 2. The control level is printed on the bottle label. 53 1. Insert the strip into the meter in the direction of the arrows. The meter turns on. 2. Make sure the code number on the display matches the code number on the strip container. If you miss seeing the code number, remove the strip and reinsert it into the meter.
OR 54 3. Select the control solution you want to test. You will enter the level later in the test. 4. Put the meter on a flat surface, like a table. 5. Remove the control bottle cap. Wipe the tip of the bottle with a tissue.
55 7. The result appears on the display, 6. Squeeze the bottle until a tiny drop along with the control bottle symbol forms at the tip. Touch the drop to the and flashing “L.” Do not remove the front edge of the yellow window of the strip yet. Press strip. When you see flash, you once to mark have enough control solution in the the result as a Level 1. If you tested strip. Wipe the tip of the bottle with a the Level 2 control, press a second tissue then cap the bottle tightly. time.
56 8. Press and release to confirm the control level in the meter. 9. “OK” and the control result alternate on the display if the result is in range. The range is printed on the strip container label. When the control result is inside the range on the strip container, the strips and meter are working properly. “Err” and the control result alternate on the display if the result is not in range. Remove and discard the used strip.
Understanding Out-of-Range Control Test Results If the control result is not inside the acceptable range, here are some things you can do to solve the problem: Troubleshooting Checks 1. Check if the strips or control solutions are expired. Action Discard the strips or control solutions if either is past the expiry date. If the control solution was opened more than three months ago, discard it. 57 2. Check if you wiped the tip of the control Wipe the tip of the bottle with a tissue.
Troubleshooting Checks 58 Action 5. Check if the strips and control Repeat the control test with a properly solutions were stored in a cool, dry stored strip or control solution. place. 6. Check if you followed the testing steps. Read Chapter 4, “Control Testing” and test again. If you still have problems, call Accu-Chek Customer Care at 1-800-363-7949. 7.
Chapter 5: Maintenance and Troubleshooting Changing the Batteries (+) side facing down 1. Use your thumb to slide the battery drawer out of the meter. 2. Remove the old batteries 3. Slide the battery drawer back into position until it and place the new ones locks into place. in the drawer with the (+) side facing down. Note:When you install new batteries, the meter automatically prompts the time and date when you turn it on.
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. • After you change the batteries, the meter prompts you to confirm the meter’s time and date settings. All test results are saved in memory. • Always replace both batteries at the same time and with the same brand.
Cleaning the Meter Caring for the Accu-Chek Aviva Nano Meter is easy. Just keep it free of dust.
Maintenance and Troubleshooting The meter needs little or no maintenance with normal use. It automatically tests its own systems every time you turn it on and lets you know if something is wrong. If you drop the meter or think it is not giving accurate results, call Accu-Chek Customer Care at 1-800-363-7949. To make sure the display is working properly, turn the meter off, then press and hold to see the complete display. All the segments should be clear and look exactly like the picture below.
Screen Messages and Troubleshooting Never make treatment decisions based on an error message. If you have any concerns, call Accu-Chek Customer Care at 1-800-363-7949. The meter will not turn on or the display is blank.
64 Battery power is low. Change the batteries soon. The meter is ready for you to insert a strip. The meter is in set-up mode, waiting for you TO CHANGE OR CONlRM settings. The meter is ready for a drop of blood or control solution.
Blood glucose may be higher than the measuring range of the system. A pre-meal marker was assigned to this test result. Blood glucose may be lower than the measuring range of the system. A post-meal marker was assigned to this test result.
A pre-meal marker was assigned to this test result and the post-meal reminder has been activated. 66 A general marker was assigned to this test result. Blood glucose is BELOW THE DElNED hypoglycemia (low blood glucose) level. The meter is not coded or the code chip is not inserted. Turn off the meter and recode it.
The strips will Your blood glucose may expire at the end of the be extremely low, or current month. Before the strip may be the end of the month, damaged or not properly insert a new code chip inserted. If you see this from a new box of error message after you strips and ensure applied blood to the the code chip number strip, see Chapter 2, matches the code number on the "Unusual Blood Glucose Results." If strip container.
The code chip is incorrect. Turn off the meter and insert a new code chip. If this does NOT lX THE PROBLEM CALL !CCU #HEK #USTOMER #ARE AT 68 YOUR BLOOD GLUCOSE MAY BE EXTREMELY HIGH OR A METER OR A strip error has occurred. )F THIS CONlRMS HOW YOU FEEL contact your healthcare professional immediately.
Not enough blood or control solution was drawn into the strip for measurement or was applied after the test had started. Discard the strip and repeat the test. Blood or control solution was applied to the strip BEFORE THE mASHING DROP symbol appeared on the display. Discard the strip and repeat the test. The code chip is from an expired lot of strips. Ensure the code chip number matches the code number on the strip container.
The temperature is above or below the proper range for the system. Move to an area within the temperature range indicated for strip use in the strip package insert, WAIT lVE MINUTES AND REPEAT THE TEST $O NOT ARTIlCIALLY heat or cool the meter. 70 The batteries are almost out of power. Change the batteries now.
The time and date settings may be incorrect. Make sure the time and date are correct and adjust, if necessary. 71 Note: If you see any other error screen, please call Accu-Chek Customer Care at 1-800-363-7949.
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Chapter 6: Technical Information Product Limitations 0LEASE READ THE LITERATURE PACKAGED WITH YOUR STRIPS TO lND THE LATEST INFORMATION ON PRODUCT SPECIlCATIONS AND LIMITATIONS 3PECIlCATIONS Blood volume Sample type Measuring time Measuring range Strip storage conditions Meter storage conditions System operating conditions Relative humidity operating range Memory capacity Automatic power off Power supply Display , Fresh whole blood 2EFER TO YOUR STRIP PACKAGE INSERT FOR MORE INFORMATION TO
Dimensions Weight Construction Protection class Meter type Control solution storage conditions 69 x 43 x 20 mm (LWH) Approx. 40 g (with batteries) Hand-held III The Accu-Chek Aviva Nano Meter is suitable for continuous operation 2 °C to 32 °C Electromagnetic Compatibility 74 This meter meets the electromagnetic immunity requirements as per ISO 15197 Annex A. The chosen basis for electrostatic discharge immunity testing was basic standard IEC 61000-4-2.
Performance Analysis The performance data for the Accu-Chek Aviva Nano System (Accu-Chek Aviva Nano Meter with Accu-Chek Aviva Strips) were obtained using capillary blood from diabetic patients (method comparison, accuracy), venous blood (repeatability), and control solution (reproducibility). The system is calibrated with venous blood containing various levels of glucose. The reference values are obtained using the hexokinase method.
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. Disposing of Your Used Meter 76 During blood glucose measurement the meter itself may come into contact with blood. Used meters therefore carry a risk of infection.
Explanation of Symbols You may encounter the following symbols on packaging, on the type plate, and in the User’s Manual for your Accu-Chek Aviva Nano Meter, shown here with their meaning. Consult the instructions for use Caution (refer to accompanying documents). Please refer to safetyrelated notes in the manual accompanying this instrument. Store at Manufacturer Catalogue number For in vitro diagnostic use.
Guarantee The statutory provisions on rights in consumer goods sales in the country of purchase shall apply.
Information for Healthcare Professionals WARNING:Patients receiving peritoneal dialysis using solutions containing icodextrin (e.g. Extraneal, Icodial) should not use the Accu-Chek Aviva Strip. It could cause an overestimation of blood glucose results. Healthcare Professionals: Follow the infection control procedures appropriate for your facility. A drop of fresh whole blood is required to perform a blood glucose test. Fresh venous, capillary or arterial blood may be used.
test results. The difference in capillary bed concentration and blood perfusion throughout the body can lead to sample site-to-site differences in blood glucose results. These physiological effects vary between individuals and can vary within a single individual based upon his or her behavior and relative physical condition.
Index alarm clock function, setting, computer, connecting your meter to, 48 40 fatigue, 26 frequent urination, 26 alternate site testing, 19, 79 control solution, 52 general marker, 17–18 appetite, increased, 26 control test results, understanding, 57 guarantee, 78 batteries, changing, 59 batteries, installing, 59 batteries, type, 60, 73, 77 beeper, setting, 34 blood glucose results, unusual, 24 blood glucose, testing, 13 blurred vision, 26 button, on/off/set, 7, 8 code chip, 8, 9 healthcare profes
numbness, 26 post-meal marker, 17–18, 28–30 strips, Accu-Chek Aviva, 8, 11 thirst, increased, 26 post-meal reminder, 17–18, 28–30, 37–39 time and date, setting, 31 pre-meal marker, 17–18, 28–30 trembling, 26 product limitations, 73 product specifications, 73 rapid heartbeat, 26 settings, meter, 30 82 supplies, 78 sweating, 26 symbols, 77 technical information, 73 tingling, 26 troubleshooting, 62–71
Roche Diagnostics 201, Boulevard Armand-Frappier Laval, Quebec (CANADA) H7V 4A2 Roche Diagnostics 201, Boulevard Armand-Frappier Laval, Québec (CANADA) H7V 4A2 www.accu-chek.ca www.accu-chek.ca Accu-Chek Customer Care: 1-800-363-7949 Accu-Chek Soins aux Patients : 1 800 363-7949 ©2008 Roche Diagnostics. All rights reserved. ©2008 Roche Diagnostics. Tous droits réservés.
® ACCU-CHEK Aviva Nano Roche Diagnostics GmbH, 68298 Mannheim, Germany www.accu-chek.com Accu-Chek, Accu-Chek AVIVA, and Accu-Chek AVIVA NANO are trademarks of Roche. All other product names and trademarks are the property of their respective owners. Accu-Chek, Accu-Chek AVIVA et Accu-Chek AVIVA NANO sont des marques de Roche. Tous les autres noms de produits et de marques sont la propriété de leurs détenteurs respectifs.
