Smart Pix DEVICE READER User’s Manual
Accu-Chek Smart Pix User’s Manual Date of issue: April 2009 © 2009, Roche Diagnostics GmbH All rights reserved ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA COMBO, ACCU-CHEK AVIVA NANO, ACCU-CHEK AVIVA EXPERT, ACCU-CHEK GO, ACCU-CHEK INTEGRA, ACCU-CHEK MOBILE, ACCU-CHEK PERFORMA, ACCU-CHEK SPIRIT, ACCU-CHEK SPIRIT COMBO, ACCU-CHEK SMART PIX, ADVANTAGE, CAMIT, COMBO, DISETRONIC, D-TRONPLUS, PERFORMA COMBO, PERFORMA EXPERT, PERFORMA NANO, VOICEMATE and LIVE LIFE. THE WAY YOU WANT. are trademarks of Roche.
Accu-Chek Smart Pix Contents Version note ................................................................................................................................................................................I-4 1 Accu-Chek Smart Pix System overview .................................................................................................................1-1 1.1 1.2 1.3 1.4 2 Installing the Accu-Chek Smart Pix system .....................................................................
Accu-Chek Smart Pix 4 Accu-Chek Report ...................................................................................................................................................................... 4-1 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 I-2 Contents Printing reports ......................................................................................................................................................................... 4-2 Blood glucose: general information about the reports ...
Accu-Chek Smart Pix 5 Error signals and troubleshooting ................................................................................................................................5-1 5.1 5.2 6 Errors without error signals ..................................................................................................................................................5-1 Error signals on the device .......................................................................................................
Version note Version note This user’s manual applies to software version 3.0 of the Accu-Chek Smart Pix system. You can check the software version of your Accu-Chek Smart Pix system on the user interface (browser window) at any time. The version number is shown in the left corner of the menu bar. For the latest software version of the Accu-Chek Smart Pix system (as an installable update), contact your local Roche Diagnostics office.
Chapter 1, Accu-Chek Smart Pix System overview 1 Accu-Chek Smart Pix System overview The Accu-Chek Smart Pix system is used to easily and automatically analyse blood glucose levels and therapy data from various Accu-Chek meters and insulin pumps. The analyses are displayed on a computer in the form of various, specifiable reports using a standard Internet browser. As a result the reports can also be printed on a connected printer.
Chapter 1, Accu-Chek Smart Pix System overview The procedure is as simple as it could possibly be: • Prepare the meter for data transfer • Place the meter in front of the Accu-Chek Smart Pix device • The report is created automatically and can be viewed and printed on a computer using an Internet browser On the following pages, you will find more detailed information about the various components, their application and the content of the reports compiled with the Accu-Chek Smart Pix system.
Chapter 1, Accu-Chek Smart Pix System overview 1.1 Printed symbols Some passages in this manual are highlighted by symbols. Please read these passages very carefully! There are more symbols on the type plate of the device and/or the packaging. Symbol Name Description Warning On the type plate: Refer to accompanying documents. Please refer to safety-related notes in the manual accompanying this instrument. In the user’s manual: Indicates important health or safety information.
Chapter 1, Accu-Chek Smart Pix System overview 1.2 Overview of the Accu-Chek Smart Pix system The system consists of the following components, which are described in brief below. 2 1 Accu-Chek Smart Pix Device: The central component of the system. This device is the interface to various Accu-Chek meters and insulin pumps, and it contains the electronics as well as the programs to process the data and results which are read in.
Chapter 1, Accu-Chek Smart Pix System overview 1.3 Overview of the Accu-Chek Smart Pix status indicator signals 7 The Accu-Chek Smart Pix system indicates various operating states on the status indicator on top of the device. The following signals can appear on this indicator: 7 Off: The Accu-Chek Smart Pix device is not connected to a computer, or the computer is not switched on.
Chapter 1, Accu-Chek Smart Pix System overview 1.4 Overview of the Accu-Chek Smart Pix user interface 11 12 The Accu-Chek Smart Pix system has a user interface which is displayed in standard Internet browsers. You do not require an Internet connection if you wish to use the Accu-Chek Smart Pix system. The relevant pages are stored in the device itself where they can be called up. The user interface is optimised for a screen resolution of at least 1024 x 768 pixels.
Chapter 2, Installing the Accu-Chek Smart Pix system 2 Installing the Accu-Chek Smart Pix system You can connect the Accu-Chek Smart Pix system to any computer which meets the necessary system requirements (see below). No further steps are necessary to prepare the device for operation. Nor is it necessary to install any additional software.
Chapter 2, Installing the Accu-Chek Smart Pix system 2.2 Connecting the Accu-Chek Smart Pix device Plug the USB connector of the Accu-Chek Smart Pix device into a free USB socket on your computer. When you do this, it does not matter whether the computer is switched on or off. The Accu-Chek Smart Pix device is supplied with electricity via this connection, therefore it does not require any batteries or power pack.
Chapter 2, Installing the Accu-Chek Smart Pix system Note about security settings in the Internet browser The Accu-Chek Smart Pix system can use various Internet browsers to display and print out the meter data. Any customised settings or settings made when the browser was installed can have an influence on using the Accu-Chek Smart Pix system. The Accu-Chek Smart Pix system uses pages with so-called “active content” (JavaScript).
Chapter 2, Installing the Accu-Chek Smart Pix system 2.3 Final preparations The status indicator of the Accu-Chek Smart Pix device starts flashing as soon as the device is connected to a computer which is switched on. There are several different status indicator signals which indicate various operating states (see page 1-5).
Chapter 2, Installing the Accu-Chek Smart Pix system 2.4 Configuring the Accu-Chek Smart Pix system The Accu-Chek Smart Pix system enables you to customise the appearance and default parameters (e.g. language, default setting English) of the reports to suit your requirements. To perform this configuration (before using the system for the first time) open the “user interface” of the Accu-Chek Smart Pix system, which is stored in the START.HTM file on the removable disk. • Open the START.
Chapter 2, Installing the Accu-Chek Smart Pix system Note about saving the settings: The response to saving the following setting may vary according to the operating system and browser you are using: 2-6 • Changed settings (e.g. Personal Setup) may not immediately be displayed. In this case, reload the page (using the appropriate browser button). • Additional browser windows may open during the setup process. Simply close them when you have completed all your settings.
Chapter 2, Installing the Accu-Chek Smart Pix system Selecting a language On the navigation bar, click on the Language link. The display pane now shows a drop-down list with all available languages, the default setting being English. Select the language which you want to be used both on the browser screen and for printouts. • Click on the arrow pointing down to open the selection list. • Click on the desired language to select it.
Chapter 2, Installing the Accu-Chek Smart Pix system Display options On the navigation bar, click on the Display options link. The display pane now shows the options for the various formats. Select the following settings here: • Date and time format. • Weekend days, usually non-working days. These are highlighted in some analyses. • Current year (only for the analysis of data from meters which do not allow you to set the year).
Chapter 2, Installing the Accu-Chek Smart Pix system Personal Setup On the navigation bar, click on the Personal Setup link. The display pane now shows the available options. • Input fields for personalising the printouts (here you can enter, for example, the name of a doctor's practice or pharmacy). This is where you can enter whatever text you want. The length of each text is limited. Therefore use abbreviations or another line for your entries. • Setting the time ranges.
Chapter 2, Installing the Accu-Chek Smart Pix system i These settings, unlike any other settings, must be saved immediately in a text file on the removable disk (Accu-Chek Smart Pix), as described below. If you leave this page (e.g. by clicking on another link or closing the browser) without saving your selection, any change you have made will have no effect.
Chapter 2, Installing the Accu-Chek Smart Pix system Report Setup On the navigation bar, click on the Report Setup link. The display pane now shows the options for reports to be created in the future. Select the following settings here: • Time Range for the reports to be created, for blood glucose meters (1, 2, 4, 6, 8, 10 or 12 weeks) and insulin pumps (1, 2 or 4 weeks) separately. • Target Range for blood glucose results, defined by an upper and lower limit and by the hypo(glycemic) limit.
Chapter 2, Installing the Accu-Chek Smart Pix system Target range • Click on the arrow pointing down to open the selection list, for lower limit and upper limit separately. • Click the desired figure to select it. • Click the arrow pointing down to open the selection list and define the hypo limit. • Click the desired figure to select it. Preferred report style Some graphic reports can be displayed in two different styles.
Chapter 2, Installing the Accu-Chek Smart Pix system Combined analysis of meters If you use more than one meter (e.g. one during the day/one during the night), it is a good idea to display the data of all meters together in the reports. You can analyse up to three meters at a time. Choose whether you want to analyse only one or several meters. i • When you have completed all your settings on this page, click the Save button to send the new selection made to the Accu-Chek Smart Pix system.
Chapter 2, Installing the Accu-Chek Smart Pix system Completing configuration When you have made all the settings according to your requirements and wish to read data from a meter or insulin pump immediately, please prepare the device accordingly (see Chapter 3). Then click on the Read Device button (starts search mode).
Chapter 3, Preparing the devices 3 Preparing the devices The Accu-Chek Smart Pix system can read and analyse data from the following devices: • • • • • • • • • • Accu-Chek Active Accu-Chek Aviva/Aviva Nano Accu-Chek Aviva Combo/Aviva Expert Accu-Chek Compact/Integra Accu-Chek Compact Plus Accu-Chek Go Accu-Chek Mobile Accu-Chek Performa/Performa Nano Accu-Chek Performa Combo/Performa Expert Accu-Chek Voicemate Plus as well as from the • Accu-Chek Pocket Compass software for handhelds Using an Accu-Che
Chapter 3, Preparing the devices In some cases, these devices require different preparations in order to be able to transfer data to the Accu-Chek Smart Pix system. On the following pages, you will find the procedure for each device to analyse stored data successfully. You or the user can also find this information in the manuals for the meters, insulin pumps and Accu-Chek Pocket Compass software. 3-2 i Always prepare only one device at a time for data transfer.
Chapter 3, Preparing the devices All the descriptions below are based on the following assumptions: Accu-Chek Smart Pix user's manual • The Accu-Chek Smart Pix device is already plugged into the computer. • The computer is switched on and the operating system is running. • The Accu-Chek Smart Pix device is ready for data transfer when the top/bottom dots flash slowly (about once a second). • If you have already opened the START.
Chapter 3, Preparing the devices 3.1 Accu-Chek Active The Accu-Chek Active meter has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: 3-4 • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another. • Switch the meter on by keeping the M button pressed for more than 3 seconds. • The display shows “PC”, and data transfer starts automatically.
Chapter 3, Preparing the devices 3.2 Accu-Chek Aviva/Aviva Nano The Accu-Chek Aviva/Aviva Nano meter has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: Accu-Chek Smart Pix user's manual • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another.
Chapter 3, Preparing the devices 3.3 Accu-Chek Aviva Combo/Aviva Expert The Accu-Chek Aviva Combo/Aviva Expert meter has a builtin infrared port for data transfer. In order to read data from these devices, proceed as follows: 10:02 2 Feb 09 bG Test Bolus Advice Pump My Data Settings 10:00 • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another.
Chapter 3, Preparing the devices 3.4 Accu-Chek Compact/Integra The Accu-Chek Compact/Integra meter has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: Accu-Chek Smart Pix user's manual • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another. • Switch the meter on by pressing the SET and MEMO buttons simultaneously.
Chapter 3, Preparing the devices 3.5 Accu-Chek Compact Plus The Accu-Chek Compact Plus meter has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: 3-8 • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another. • Switch the meter on by pressing the S and M buttons simultaneously.
Chapter 3, Preparing the devices 3.6 Accu-Chek Go The Accu-Chek Go meter has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another. • Switch the meter on by keeping the M button pressed for more than 3 seconds. • The display shows “PC”, and data transfer starts automatically.
Chapter 3, Preparing the devices 3.7 Accu-Chek Mobile The Accu-Chek Mobile meter has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another. • Keep the turns on • Wait for the display check to be completed and the Transfer data menu to be displayed.
Chapter 3, Preparing the devices 3.8 Accu-Chek Sensor/Advantage 5 The Accu-Chek Sensor/Advantage meters use the contacts for the code chip as an interface for data transfer. In order to read data from these devices, proceed as follows: • Leave the device switched off during the entire process. • Remove the code chip from the meter. • Remove the Accu-Chek IR Key 5 from the slot on the back of the Accu-Chek Smart Pix device (if that is where you store it).
Chapter 3, Preparing the devices 3.9 Accu-Chek Comfort 5 The Accu-Chek Comfort meters use the contacts for the code chip as an interface for data transfer. In order to read data from these devices, proceed as follows: • Leave the device switched off during the entire process. • Remove the code chip from the meter. • Remove the Accu-Chek IR Key 5 from the slot on the back of the Accu-Chek Smart Pix device (if that is where you store it).
Chapter 3, Preparing the devices 3.10 Accu-Chek Performa/Performa Nano The Accu-Chek Performa/Performa Nano meter has a builtin infrared port for data transfer. In order to read data from these devices, proceed as follows: Accu-Chek Smart Pix user's manual • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another.
Chapter 3, Preparing the devices 3.11 Accu-Chek Performa Combo/Performa Expert The Accu-Chek Performa Combo/Performa Expert meter has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: 10:02 2 Feb 09 bG Test Bolus Advice Pump My Data Settings 10:00 • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another.
Chapter 3, Preparing the devices 3.12 Accu-Chek Pocket Compass software Accu-Chek The Accu-Chek Pocket Compass software uses the infrared port of a handheld computer for data transfer. In order to read data from the handheld computer, proceed as follows: 10:05 am 3/20/05 Data Transfer Diary • Place the handheld computer no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another.
Chapter 3, Preparing the devices 3.13 Accu-Chek Voicemate Plus The Accu-Chek Voicemate Plus voice unit has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: 3-16 • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another. On the Accu-Chek Voicemate Plus voice unit, the infrared port is located on the right side of the device near the numeric keypad.
Chapter 3, Preparing the devices 3.14 Insulin pump Accu-Chek D-TRONplus (and Disetronic D-TRONplus) The Accu-Chek D-TRONplus (Disetronic D-TRONplus) insulin pump has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another.
Chapter 3, Preparing the devices 3.15 Accu-Chek Spirit insulin pump The Accu-Chek Spirit insulin pump has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: 15:29 26.05 DATA COMMUNICATION DATA TRANSFER • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another. • Make sure that your Accu-Chek Spirit insulin pump is in STOP mode.
Chapter 3, Preparing the devices 3.16 Accu-Chek Spirit Combo insulin pump The Accu-Chek Spirit Combo insulin pump has a built-in infrared port for data transfer. In order to read data from these devices, proceed as follows: 10:59 26.05 DATA TRANSFER • Place the device no more than 10 cm away from the infrared window on the Accu-Chek Smart Pix device. Both infrared windows must be facing one another. • Make sure that your Accu-Chek Spirit Combo insulin pump is in STOP mode.
Chapter 3, Preparing the devices 3.17 Note on time settings for the Accu-Chek insulin pumps If you have to correct the time set in your Accu-Chek insulin pump, please observe the following: i Do not change the time on your Accu-Chek insulin pump if you have programmed time-based changes of insulin delivery (e.g. temporary basal rate, extended bolus or multiwave bolus) and this change is still in effect (i.e. the programmed period of time has not yet elapsed).
Chapter 4, Accu-Chek Report 4 Accu-Chek Report If you have initiated the transfer of data from a meter, an insulin pump or the Accu-Chek Pocket Compass software, as described in the previous chapter, the following now occurs: • The top/bottom dots on the status indicator flash quickly during the data transfer. Make sure not to move the devices during this process, so as not to interfere with the data transfer. • When the data has been transferred, the Accu-Chek Smart Pix system prepares the reports.
Chapter 4, Accu-Chek Report 4.1 Printing reports All the reports displayed on the screen can also be printed out. Do not use the integrated print function of the browser to print one or more reports after data transfer, instead use the special print functions offered by the Accu-Chek Smart Pix system. • In any view of the report, click on the Create Report button on the menu bar. • Select the reports you want to prepare for printing.
Chapter 4, Accu-Chek Report 4.2 Blood glucose: general information about the reports Types of report The Accu-Chek Smart Pix system creates single-page or multi-page reports for defined periods (e.g. the last 2 or 4 weeks). The period of time and the style of the report have been set during configuration.
Chapter 4, Accu-Chek Report Evaluated data During creation of the individual analyses, the data read is checked by the Accu-Chek Smart Pix system. The following data is not included in the statistical analysis: • Test results outside the period selected • Test results saved without date and time • Tests with control solution • Invalid/deleted tests • Tests outside the measuring range (marked Hi/Lo) You will find some of this information summarized in the overview (e.g.
Chapter 4, Accu-Chek Report Report Styles For some analyses a style is defined, either Detailed , during configuration of the Accu-Chek or Trends Smart Pix system. These two styles offer different types of presentation for identical information. You can choose from these styles for each of the following analyses individually: • Trend Graph • Day Graph • Week Graph Detailed These analyses are represented in linear form.
Chapter 4, Accu-Chek Report Graphic elements of the reports On all reports, you will find legends explaining the meaning of individual elements. Here are detailed explanations of the various elements. Colours When flagging blood glucose values, the same colours have the same meaning in all blood glucose analyses, irrespective of the particular graphic element being used. On the reports, you will find the following colour codes: • Dark blue means “above target range”.
Chapter 4, Accu-Chek Report Symbols (Detailed) Test results are plotted on the analysis using various symbols that give additional information: Mean value for the respective time interval. Blood glucose result without any additional information. Results below the hypo limit are shown in red. Blood glucose result before or after below the hypo limit are shown in red. meal. Results Result outside the measuring range (indicated on the meter as HI or LO) Blood glucose result above 400 mg/dL or 25 mmol/L.
Chapter 4, Accu-Chek Report Symbols (Trends) Here the analysis does not cover individual test results but mean values in relation to certain time intervals. Here you will find the following symbols: Mean value for the respective time interval. Standard deviation within a time interval. Maximum value or minimum value within a time interval. Maximum value/minimum value outside the measuring range (Hi/Lo).
Chapter 4, Accu-Chek Report Test results which have been imported from the Accu-Chek Pocket Compass software may include additional information (events) which is not represented by symbols. Such events are indicated by a number or letter in the comments column of the record list style.
Chapter 4, Accu-Chek Report 4.3 Blood glucose: content of the report Trend Graph Detailed: This analysis shows the trend for several test results over the time range selected. The results which can be shown in this analysis are the following: • Blood glucose results • Insulin amounts • Carbohydrate amounts You will find the days and months along the horizontal (x) axis and the blood glucose results along the vertical (y) axis.
Chapter 4, Accu-Chek Report This is also where you will find a display of insulin doses (if transferred by the meter). Each insulin dose is plotted on the chart from the top downwards and you can read the relevant levels off the upper area of the right-hand y-axis. At the lower edge of the analysis, carbohydrate amounts are shown (if stored in the meter). To facilitate evaluation of the amounts, the bars are divided into small separate blocks.
Chapter 4, Accu-Chek Report Day Graph This analysis is used to make it easier to recognise patterns repeated daily. For this purpose, all the data is placed on a 24-hour grid. As a result all the tests performed at (approximately) the same time of day are shown at the same position on the time axis. If these time blocks are defined in the meter, the information will be evaluated when the time axis is set out. If they are not, the time block settings in the Accu-Chek Smart Pix configuration will be used.
Chapter 4, Accu-Chek Report Trends: All the blood glucose levels are assigned to one of eight time blocks according to the time when the test was performed. In this way eight areas are created within which you are shown the average (black box containing a horizontal line), the standard deviation (blue bar), the minimum level and the maximum level. The start and end of the time blocks are plotted on the x-axis.
Chapter 4, Accu-Chek Report Week Graph This analysis is also used to make it easier to recognise repeated patterns, but in this case it depends on the day of the week. For example, it is possible to recognise changes in the metabolic situation brought about by your occupation. As in the case of the Day Graph, there are two different styles available for this analysis.
Chapter 4, Accu-Chek Report Trends: All the blood glucose levels are assigned to one of the seven days of the week according to the date. Accordingly, you will see seven blocks indicating the average (black box containing a horizontal line), the standard deviation (blue bar), the minimum level and the maximum level of the relevant day of the week.
Chapter 4, Accu-Chek Report Metabolic Control For each day of the period analysed the mean blood glucose level (MBG) and the standard deviation (SD/variance of the levels) are calculated. These two results together provide the coordinates at which one entry (per day) is made on the chart. The mean blood glucose level is plotted along the y-axis while the standard deviation is plotted along the x-axis. This type of presentation produces a “point cloud”.
Chapter 4, Accu-Chek Report In addition to the graphical display, you will also find statistical information on the values which were included in the analysis. These are: Accu-Chek Smart Pix user's manual • Evaluated results: Number of evaluated blood glucose results in the period selected. • BG test frequency: Average number of blood glucose tests per day for each day of the selected period.
Chapter 4, Accu-Chek Report Distribution For each time block, you will find a bar chart here which represents the percentages of levels above, within and below the target range. The eight consecutive time blocks are arranged next to each other. The right part of the bar chart (blue background) shows a summary of the corresponding information for the whole day.
Chapter 4, Accu-Chek Report Logbook The logbook creates an overview of blood glucose results in table form. The table of values (sorted by date and time blocks) is created according to the date and time information of the blood glucose results. You can specify whether the table is sorted in ascending or descending order under settings (see page 2-12). The date range displayed is shown in the title of the table. At the bottom you will find statistical analyses of all the test results plotted.
Chapter 4, Accu-Chek Report If there are levels without any indication of date or time, they are also displayed on a separate list (sorted according to their order in the device memory). The level measured last is in the top left position. In such a case, the statistical analyses can only be displayed for all the levels because it is not possible to assign them to time blocks.
Chapter 4, Accu-Chek Report Overview The report element “Overview” contains general and statistical information about the levels processed for the time range selected. Here you will find the following information (in the order shown here): Report title • Report period: Period (according to configuration) with the most recent date. • Meter(s) (symbol): Displays the meter used and its serial number. If you are using several meters (see page 2-13), the symbol is displayed with all read serial numbers.
Chapter 4, Accu-Chek Report • Hypo limit: Blood glucose levels below this threshold are marked as hypoglycemia. • High/low BG index: These figures represent the frequency and the resulting risk of blood glucose levels being too low or too high (see literary references on page 4-43). Figures should be as low as possible. • Hi/Lo: Number of test results above (Hi) and below (Lo) the measuring range. • Controls: Number of tests with control solution.
Chapter 4, Accu-Chek Report Record List The record list shows the test results sorted by date and time of the test. You can specify whether this list is sorted in ascending or descending order under settings, (see page 2-12). All the blood glucose results are shown in chronological order together with additional information (events, insulin, etc.) The example opposite has been shortened. At the bottom you will find statistical analyses of all the test results plotted.
Chapter 4, Accu-Chek Report 4.4 Insulin pump: general information about the reports Types of report The Accu-Chek Smart Pix system creates single-page or multi-page reports for defined periods (e.g. the last 1 or 2 weeks). The period has been defined in configuration.
Chapter 4, Accu-Chek Report Graphic elements of the reports On all reports, you will find legends explaining the meaning of individual elements. Here are detailed explanations of the various elements.
Chapter 4, Accu-Chek Report Total of basal insulin + bolus insulin per day Standard bolus, represented in charts from the top downwards Scroll bolus, represented in charts from the top downwards Extended bolus, represented in charts from the top downwards ; the width of the bar shows the duration of the delivery Multiwave bolus, represented in charts from the top downwards ; the width of the bar shows the duration of the extended portion Bolus Advice; always appears in combination with one of the four bolu
Chapter 4, Accu-Chek Report 4.5 Insulin pump: content of the report Trend Graph This analysis shows the trend in insulin dosage over the time range selected. You will find the days and months along the horizontal (x) axis and the respective amounts of insulin delivered along the vertical (y) axis. The basal rate chart is at the bottom, and the individual boluses are shown at the top.
Chapter 4, Accu-Chek Report Day Graph This analysis is used (as with blood glucose) to make it easier to recognise and display patterns repeated daily. For this purpose, all data is placed on a 24-hour grid. This allows you to easily recognise frequent manual basal rate changes at certain times, for example, thus it would be easier to generally adjust the basal rate.
Chapter 4, Accu-Chek Report Basal Rates This analysis displays the basal rates set in the insulin pump at the time of data transfer in order to facilitate comparison. The currently active basal profile can be identified by the thicker dark blue line. The total daily amounts of the respective profiles are indicated below the chart, and the active basal profile is highlighted. You can change this view to obtain a table view of the basal rates.
Chapter 4, Accu-Chek Report Basal Bolus The Basal Bolus analysis in table form shows the (absolute and relative) frequency with which, for example, a certain basal profile or a certain bolus type was used. Basal Here you can see, for example, how often the basal rate of a certain basal profile was temporarily increased or decreased and for how long that changed state was valid (as a percentage).
Chapter 4, Accu-Chek Report Long Term Overview The Long Term Overview report element contains general and statistical information about the figures imported. The time range of this analysis may be different from that of other analyses because longer periods (up to 12 weeks) are analysed. Here you will find the following information (in the order shown here): Report title • Report period: Period (according to configuration) with the most recent date.
Chapter 4, Accu-Chek Report Lists The three groups of information, Bolus, Basal and Events are also output in the form of lists. You can specify whether this list is sorted in ascending or descending order under settings, (see page 2-12). On these lists, you will find detailed documentation of each individual event stored in the insulin pump, including date and time. Boluses which have been delivered using bolus advice are flagged with the corresponding symbol .
Chapter 4, Accu-Chek Report 4.6 Blood glucose and insulin pump: combined report If you analyse data from a blood glucose meter together with data from an insulin pump, combined analyses of the simultaneously obtained information can provide useful indications for therapy. In addition to the individual blood glucose and insulin pump analyses a combined report is therefore available.
Chapter 4, Accu-Chek Report Types of report The Accu-Chek Smart Pix system creates single-page or multi-page reports for defined periods (e.g. the last 2 or 4 weeks). The period of the combined report is the shortest relevant period set for the blood glucose or insulin pump reports. The blood glucose levels are always displayed in the Detailed style, irrespective of the selected setting for the individual blood glucose report.
Chapter 4, Accu-Chek Report Trend Graph This analysis shows you the trend in test results and insulin pump data over the time range selected. You will find the days and months along the horizontal (x) axis and the respective blood glucose levels determined along the vertical (y) axis. This is also where you will find a display of insulin doses (bolus insulin and basal rate).
Chapter 4, Accu-Chek Report Week Graph This analysis is also used to make it easier to recognise repeated patterns, but in this case depends on the day of the week. All the information is plotted on the chart according to the time the test was performed and the respective day of the week. The elements used in the display correspond to those in the Trend Graph report. Overview The report element “Overview” contains general and statistical information about the levels processed for the time range selected.
Chapter 4, Accu-Chek Report Device: • Serial number: Serial number of the meter or insulin pump. • Date/Time: Time setting of the meter and the insulin pump when the report is created. Possible deviations of the meter time from the insulin pump time are displayed after the meter time. The information “(-00:04)”, for example, means that the meter time is slow by 4 minutes compared to the insulin pump time. If you are using several meters, this information is repeated for each meter.
Chapter 4, Accu-Chek Report Report (meters) • Evaluated results Number of evaluated blood glucose results in the period selected. • Maximum/Mean BG/Minimum: Highest and lowest blood glucose level which was measured in the period selected, and the average of all the levels measured. • SD: Standard deviation or variance of the analysed results. • BG Test Frequency: Average number of blood glucose tests per day for each day of the period selected.
Chapter 4, Accu-Chek Report Report (insulin pump) Accu-Chek Smart Pix user's manual • Boluses: Number of respective deliveries, according to bolus type. • Maximum/Mean BG/Minimum: Highest and lowest single insulin dose delivered in the selected period and the average of all insulin amounts delivered. • Number of boluses/Day: Average frequency of insulin doses per day (combined without considering the bolus type).
Chapter 4, Accu-Chek Report Record List The combined record list shows the test results and insulin pump information, sorted by date and time. You can specify whether this list is sorted in ascending or descending order under settings, (see page 2-12). All the blood glucose results are shown in chronological order together with any recorded carbohydrate and insulin pump information. The example opposite has been shortened.
Chapter 4, Accu-Chek Report 4.7 Analysing data in external applications You can also open and evaluate data read from meters and insulin pumps in other applications. Whenever data is transferred, XML files are also created in addition to the graphical and tabular analyses (for blood glucose meters and insulin pumps separately, including related XSL style sheets for formatting purposes). These files can be read by other suitable applications.
Chapter 4, Accu-Chek Report • In the following dialogue box, select to import the XML data using the related style sheet. This additional file prepares and formats the data records in a legible way. Be careful to select the correct style sheet for the chosen XML file: • ACSPIXMT.XSL is the style sheet for meter data (MT = meter). • ACSPIXIP.XSL is the style sheet for insulin pump data (IP = insulin pump). The meter data read from the XML file is now represented in table form.
Chapter 4, Accu-Chek Report 4.8 Literary references for reports Low/High BG Index Kovatchev BP, Cox DJ, Gonder-Frederick LA, Clarke WL (1997) Symmetrization of the blood glucose measurement scale and its applications. Diabetes Care, 20, pp 1655-1658 Kovatchev BP, Cox DJ, Gonder-Frederick LA, Young-Hyman D, Schlundt D and Clarke WL (1998) Assessment of Risk for Severe Hypoglycemia Among Adults with IDDM: Validation of the Low Blood Glucose Index.
Chapter 4, Accu-Chek Report 4-44 Accu-Chek Smart Pix user's manual
Chapter 5, Error signals and troubleshooting 5 Error signals and troubleshooting Sometimes situations can occur in which a report is not created or printed, or other problems arise. If you do not find the required solution here, please contact your local Roche representative. 5.
Chapter 5, Error signals and troubleshooting 5.2 Error signals on the device 8 The Accu-Chek Smart Pix system reports potential errors (e.g. during data transfer) by causing the centre of the status indicator 8 to flash. If such an error occurs, the following options are available to solve the problem: • In the browser user interface, click on the Read Device button.
Chapter 6, Maintenance 6 Maintenance 6.1 Cleaning the Accu-Chek Smart Pix system Unplug the Accu-Chek Smart Pix device before cleaning it. Use cloths slightly moistened with cleaning fluid and make sure no liquid gets inside the device. Clinical staff: Please observe the regulations applicable at your institution concerning protection against infection. 6.2 Disposal The product itself may come into contact with blood during testing. Used products therefore carry a risk of infection.
Chapter 6, Maintenance 6-2 Accu-Chek Smart Pix user's manual
Chapter 7, Appendix 7 Appendix 7.1 Abbreviations BG MBG SD AST BR TBR IR Hi Lo Hypo U U/h 7.
Chapter 7, Appendix 7.3 Information about advice and the repair service Advice: If you have any questions on handling the device or if you suspect that the device is faulty, please contact your local Roche representative. Repair service: Please bear in mind that any repairs, configurations or other changes to the Accu-Chek Smart Pix device may only be performed by persons who have been authorised to do so by Roche Diagnostics.
Chapter 7, Appendix 7.4 Roche Diagnostics addresses Country Company Address Australia Roche Diagnostics Australia Pty Ltd. Roche Diagnostics Australia Pty Ltd.
Chapter 7, Appendix Country Company Address Croatia Roche Diagnostics Promotional Office Adriatic Region Roche Diagnostics, Promotional Office Adriatic Banjavčićeva 22/II, 10000 Zagreb, Hrvatska Besplatna telefonska linija: 0800 60 00 60 Czech Republic Roche s.r.o., Diagnostics Division Roche s.r.o.
Chapter 7, Appendix Country Company Address Hungary Roche Magyarország Kft. Roche Magyarország Kft., 2040 Budaörs, Edison u. 1, Magyarország Ingyenesen hívható szám: 06-80-200-694 Israel Dyn Diagnostics Ltd. Dyn Diagnostics Ltd. 7 Ha’Eshel St. Caesarea Industrial Park Tel. 972-4-6277090 Italy Roche Diagnostics S.p.A Roche Diagnostics S.p.A Viale G. B. Stucchi 110, 20052 Monza (MI), Italia Numero Verde: 800-822189 Japan Roche Diagnostics K.K. Roche Diagnostics K.K.
Chapter 7, Appendix Country Company Address Romania Roche Romania SRL B-dul Dimitie Pompeiu, nr.9-9A Cladirea 2 A, parter Sector 2, Bucuresti cod 020335 Helpline 0800 080 228 (apel gratuit) Russia Roche Moscow Ltd. Россия ЗАО «Рош-Москва» отделение «Диабет», 107031 Москва, Бизнес-Центр «Неглинная Плаза», Трубная площадь, 2, Россия Информационный центр: 8-800-200-88-99 (звонок бесплатный для всех регионов России), (495) 258 27 89 Singapore Roche Diagnostics Asia Pacific Pte. Ltd.
Chapter 7, Appendix Country Company Address Spain Roche Diagnostics S.L. Roche Diagnostics S.L. Av. de la Generalitat, 171-173 08174 Sant Cugat del Vallès (Barcelona), España Línea de atención al cliente: 900 210 341 Sweden Roche Diagnostics Scandinavia AB Roche Diagnostics Scandinavia AB Box 147 161 26 Bromma, Sverige Accu-Chek Kundsupport 020-41 00 42 Switzerland Roche Diagnostics (Schweiz) AG Roche Diagnostics (Schweiz) AG Industriestr.
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