ACCU-CHEK ® Compact Plus BLOOD GLUCOSE MONITORING SYSTEM User’s Manual
On the packaging, on the type plate of the meter and on the lancing device 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. Store at The explanation of any other symbols can be found in the instructions/ inserts, accompanying components within the packaging.
Intended use Accu-Chek Compact Plus Blood Glucose Meter Accu-Chek Softclix Plus Lancing Device Meter for quantitative determination of blood glucose values in fresh capillary blood using Accu-Chek Compact test strips. Lancing device with adjustable depth setting for obtaining capillary blood from a fingertip or earlobe and, when a special AST cap is used, from alternate sites such as the ball of the thumb. Suitable for self-testing.
About this User’s Manual Other symbols are used, too. They have the following meaning: Please read this User’s Manual carefully and completely before testing blood glucose for the first time. If you have any questions, please call Accu-Chek Customer Care at 1-800-363-7949 (see Chapter 17). This symbol is a prompt for you to do something, such as turn the meter on. This User’s Manual will help you get to know your meter and lancing device step by step.
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 lancing device at a glance ....... 15 1.3 Main features...................................................................... 16 1.4 Display illustrations .............................................................
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.
1 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). / Display window 0 S button Press this button to change settings. 1 Recess for docking the lancing device 1.
1 1.2 Back B ; A The Accu-Chek Softclix Plus lancing device at a glance D C @ u < B = A v w > z x ? ; 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) A Lancing device* B Slide button for undocking the lancing device > Battery compartment y u Plunger The plunger is a multifunction button used to prime, trigger and eject the lancet.
1 1.3 Main features Docked lancing device The meter comes with an attached Accu-Chek Softclix Plus lancing device. 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 Acoustic Mode 1.4 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. Throughout this User’s 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.
2 Initial steps before testing 2.1 Checking the contents 2 2.2.1 Type plate Check that your meter kit is complete. The package contents are listed on the box. The type plate on the back of your meter indicates which unit of measurement your meter uses. If anything is missing, please call Accu-Chek Customer Care at 1-800-363-7949. Details are given at the end of this User’s Manual. 2.2.2 Display check 2.2 You can check the unit of measurement your meter uses by performing a display check.
2 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 Notes i If additional lines appear during the display test or parts of the numeric field or of a symbol are missing, please call Accu-Chek Customer Care at 1-800-363-7949. If the numeric field (mmol/L meter) or (mg/dL meter) is affected, the meter may not show your test results correctly.
2 2.3 Inserting or replacing the 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 lancing device is a recess. The upper part of this recess belongs to the drum compartment cover. Hold the meter in your right hand and place the thumb of your left hand into this recess.
2 The pin holding the test strip drum in position retracts with an audible CLICK. 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.
2 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. If you do not insert a new drum, the following message appears the next time you turn on the meter: I? and the drum symbol are flashing to indicate that the test strip drum is empty.
2 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 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). 2.3.1 Test strip drum use-by period 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 The meter is unable to calculate the 90-day use-by period if " you insert a partly used drum in the meter, even if it is the same one you have just removed, " Flashing test strip and flashing drop, indicating that you may now apply blood or control solution " Drum, indicating that the use-by period cannot be calculated " 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.
2 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. 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.
3 Settings 3 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. When you turn the meter on for the first time, it has the following presettings. These are factory defaults that you can change.
3 time and date the meter is not able to calculate averages, nor the lowest and the highest values (see Chapter 5.3). Results sent to a 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 The descriptions of settings proceed in the order in which they appear in the meter.
3 The procedure for changing the settings is as follows: " The settings have a fixed sequence and are displayed consecutively, see illustration on the previous page. " Press the S button to call up the settings. A test strip is not advanced. " Press the M button to change the setting that is currently flashing. Numbers such as the year are incremented by one. Pressing and holding down the button increments the number quickly.
3 3.2 Turning the meter on 3.3 Setting the beep tone or Acoustic Mode You are here 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 Time-and-date format 24-hour / 12-hour This setting enables you to turn the beep tone on or off and to activate Acoustic Mode.
3 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 ( I ). Press the M button to move to the next option. Press the S button to save the chosen setting.
3 3.4 Medium brightness (level ) Setting the brightness of the display You are here 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 Time-and-date format 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 3.5 Setting the year The time-and-date format setting comes next. You are here Notes 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 Time-and-date format 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.
3 3.6 Setting the time/date format You are here 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 Time-and-date format 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 3.7 Setting the time 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 Time-and-date format 12-hour format 24-hour / 12-hour 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.
3 Press the M button repeatedly, or press and hold it down, until the required minutes are displayed. The month flashes at top right of the display. Press the S button to save the chosen setting. 24-hour format (DD-MM) The date setting comes next. 3.
3 3.9 The day flashes at top right of the display. 24-hour format (DD-MM) Setting the alarm clock function 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 Time-and-date format 24-hour / 12-hour 12-hour format (MM-DD) You are here You can use the meter’s alarm clock function to remind you to test your blood glucose.
3 Two steps are involved in entering the setting. First you define whether the alarm clock function is basically to be turned on ( I) or off ( !!). When it is on, you can enter or change the alarm times. The alarm clock function ( in the display. If you have turned the alarm clock function on, the setting for the first alarm time comes next. The following is displayed: symbol) is factory-set to off.
3 Press the M button repeatedly, or press and hold it down, until the required hour is displayed. 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 and subsequently and in the display stand for Alarms 1, 2 and 3. The factory setting is 0:00 (24-hour format) or 12:00 am (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.
3 Notes The setting for Alarm 2 comes next, and then for Alarm 3. i Alarm 2 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: " press the S button repeatedly until you reach the hypo indicator setting (see Chapter 3.10), 24-hour format or 12-hour format " If you do not wish to set a hypo indicator, press the Test button to turn the meter off.
3 i 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. 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 You can choose between the following hypo indicator levels: Press the M button to move to the next option. " 3.3 mmol/L When your chosen level is displayed, press the Test button to turn the meter off. The hypo indicator is then set to this level. " 3.9 mmol/L " 4.4 mmol/L The hypo indicator ( the display. Notes symbol) is factory set to off. !! flashes in The hypo indicator is only reliable if your hypo indicator level has been properly selected.
4 Testing blood glucose 4.1 Preparing to test blood glucose You can choose one of 11 different penetration depth settings to suit your own skin type. You can use the lancing device either docked with the meter, or undocked. You will need the following items to carry out the test: " the meter with a test strip drum inserted " the lancing device to obtain blood The lancing device has a plunger at the top (see illustration in Chapter 1.2).
Notes 4.2.1 Undocking the lancing device from the meter 4 The Accu-Chek Softclix Plus lancing device is intended only for patient self-monitoring by a single person. The lancing device must not be used on more than one patient due to the risk of infection.
4.2.2 Docking the lancing device onto the meter 4.2.3 Inserting the lancet 4 Hold the meter so it is horizontal, with the recess for docking the lancing device pointing upwards. Remove the cap from the lancing device. Place the flat face of the lancing device on the lower end of the recess, with the plunger facing towards the slide button. Slide the lancing device forward along the meter in the direction indicated by the arrow, until it locks with an audible CLICK.
Notes 4 Dropping the lancing device 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 lancing device, please pick it up with care. Remove the cap from the lancing device.
4.3 Performing a blood glucose test Notes 4 4.3.1 Turning the meter on 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 call Accu-Chek Customer Care at 1-800-363-7949. If the numeric field (mmol/L meter) or (mg/dL meter) is affected, the meter may not show your test results correctly.
4.3.2 Obtaining blood 4 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.: Rotate the Comfort Dial (cap) until you reach your chosen setting. The cap snaps into place at each penetration depth setting.
Notes 4 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. Do not prime the lancing device until you are ready to collect blood. Keeping the lancing device in this primed state can cause parts to become misshapen through tension, impairing its operation. i Firmly press the lancing device against the chosen puncture site.
4.3.3 Drawing up blood with the test strip 4 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). 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.
The test strip has then drawn up enough blood, and test starts. The hourglass symbol indicates that the meter is busy performing a test. 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. Testing is complete after approx. 5 seconds.
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 88 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.
4.4 Notes Ejecting the test strip 4 Hold the meter over a waste bin with the test strip pointing downwards. 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. 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 If the lancet does not drop out: 4 Keep the plunger pressed down. Remove the cap from the lancing device. Hold the lancing device upright above a waste bin. 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. Press in the plunger until it CLICKS. The lancet drops out.
Notes 4.6 Make sure the lancet has dropped out. Inadvertently leaving the lancet in the lancing device 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 lancing device. 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.
If you press the S button again, the asterisk disappears again. Instead of a result: The result is above 33.3 mmol/L 4 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. Instead of a result: The result is below 0.6 mmol/L 4.8 4.7 Evaluating results Flagging special results You can flag special results, e.g. results obtained from alternate site testing or after exercise, with an asterisk .
4.8.1 Measuring range 4.8.2 Implausible results – possible causes of error Your meter measures blood glucose within a defined range (0.6–33.3 mmol/L). If your meter repeatedly displays implausible results or error messages, please check the following points: 4 Values below this range are displayed as: The result is less than 0.6 mmol/L. Values above this range are displayed as: Did you perform the blood glucose test according to the User’s Manual (see Chapter 4.
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.
5.2 Retrieving results from memory Retrieving older results from memory: 5 Press the M button once to move towards the next older result saved. 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 .
By pressing the S button you can scroll back to the most recent result. Memory location 1 Most recent result saved You can exit memory at any time: To do this, press the Test button. 5 The meter turns off. Memory location 2 Memory location 3 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 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 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.
Press the M and S buttons at the same time. For each of these three periods you can ask the meter to display the lowest and the highest values. The average of the results from the last 7 days is displayed. 5 / Lowest value 0 Average Highest value / The number of results n used in the calculation is displayed at top left (in this example: 30). 0 The number of days for which the average was calculated is displayed at top right (in this example: 7).
When you release the button, the display reverts to the average. You can exit from the average value display at any time: To do this, press the Test button. 5 Memory location 1 Most recent result saved The meter turns off. + Notes 7-day period Lowest value Average Highest value + i Results flagged as performance checks with the bottle symbol are not included in the calculations.
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.
5.4 Downloading test results to a PC, handheld computer or a special evaluation system The infrared window is located at the front end of the meter. 5 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.
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). 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. With the meter turned off, press the M and S buttons at the same time. The meter turns on.
" 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. 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.
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.
6.1 Beep tones at power-on 6.2 Beep tones during testing When Acoustic Mode is set to on, you hear a long beep ( — ) when you turn on the meter. Following the power-on beep and the 1 – 2 – 3 sequence of beeps, you will hear the following while you test: This is irrespective of which button you use to turn the meter on: " a single beep when the meter is ready to test so you can let the test strip draw up blood or control solution, " the Test button in order to perform a test (see Chapter 4.3.
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. 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.
Notes Note 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 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.
7 6.5 Announcement of warnings and error messages Checking your meter To ensure your results are always dependable, you should periodically check the performance of your meter. 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 ( - - - - - - ).
7.1 7.2 What you need To perform a performance check you need the following items: Performing a performance check Read the package insert that came with the control solutions. " meter with a test strip drum inserted " Accu-Chek Compact Autocontrol G1 control solution (low glucose concentration) or Autocontrol G2 control solution (high glucose concentration) 7 " Concentration table for the control solutions (see label on the container the test strip drum came in).
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. 7 Invert the vial and hold it downwards at an angle. Squeeze it gently until a small drop is suspended from the tip. Hold the meter so the test strip is pointing downwards (see illustration).
The test strip draws up the control solution through the black notch. Immediately after the result is displayed: 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). 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.
Subsequently hold the meter directly above a waste bin with the test strip pointing downwards. Press the Test button to turn the meter off. 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. 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).
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)
8 Cleaning the meter and lancing device 8.1 Cleaning the meter Do this as follows: 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.
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. Make sure that no liquid enters the meter. Avoid scratching the measuring window, as doing so could impair its measuring function.
9 8.2 Cleaning the lancing device Clean your lancing device regularly to keep it in good working condition. If any blood gets on it, always wipe this away immediately. Clean the outside of the lancing device 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.
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. i The year, time and date settings only remain saved as long as Insert two new batteries (type AAA, LR 03, AM 4 or micro).
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). i Never throw batteries into a fire. This is dangerous because they may explode. If the year, time and date have been lost, the meter rotates the drum in order to re-read the bar code. 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.
10 Blood glucose testing in a multi-patient setting – Information for healthcare professionals Only professionals working in doctors’ practices, hospitals and diabetes training centres as well as in-patient and ambulent nursing staff are allowed to perform blood glucose tests on more than one patient using the same Accu-Chek Compact Plus meter.
10.1 Replacing the lancing device with a blanking plate Instead of the lancing device you can use a blanking plate which is available from Accu-Chek Customer Care at 1-800-363-7949. Undock the lancing device from the meter as follows. / 0 10 Push the slide button in the direction indicated by the arrow (1) and hold it there. Slide the lancing device out in the direction indicated by the arrow (2).
10.2 Performing a blood glucose test Correct 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 lancing device that is approved for use by healthcare professionals. Use a lancing device with adjustable penetration depth settings. Select a penetration depth to suit the patient’s skin type. Start with a shallow depth setting. Drop of blood approx. 1.
Notes Residues of water or disinfectant on the skin can dilute the drop of blood and so produce false results. 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.
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: Hold the meter in your right hand and place the thumb of your left hand into the recess below the drum compartment cover. Then pull the drum compartment cover with your fingers slightly to the front and lift it up.
Cotton buds, wipes and cloths lightly moistened with disinfectant are all suitable for disinfecting the meter. When to disinfect " Each time after you have tested a patient’s blood glucose: Allow areas you have wiped time to dry thoroughly. wipe the area around the test strip guide. Remove any fluff or lint that may remain. If you find blood on the cloth, wipe also the test strip guide itself and the measuring window. Fold the drum compartment cover down and press until it closes.
11 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*.
" 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.
12 11.3 Humidity Only test blood glucose at a relative humidity of between 20 % and 85 %. Keep the meter and lancing device 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).
12.1 Symbols shown in the display 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. 13 1 12 11 10 9 2 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. 3 4 5 8 7 6 Here each symbol has its own meaning.
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 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 Symbol Meaning 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.
Symbol 9 Meaning You are in the settings. 10 Flag for a special result, e.g. obtained from alternate 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 ( I ) or Acoustic Mode ( I ) 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.
12.1.2 Combinations of symbols Symbols Meaning The following combinations of symbols have meanings of their own. 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). 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. The result in memory may be incorrect.
Symbols Meaning 12.1.3 Symbols appearing in the numeric field " because you have just inserted a partly used test strip drum, In the numeric field: (mmol/L meter) or (mg/dL meter) the following symbols may appear: " 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.
Symbol Meaning the date that it is set is in the past, 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. The result is greater than 33.3 mmol/L. You have turned the meter on in order to download the results. The meter is downloading results. 12.
If this happens … it means: If this happens … it means: " The drum compartment cover is not properly closed. The meter is turned on, but the display is blank. The display is defective. Close the drum compartment cover. It must close with an audible CLICK. Please call Accu-Chek Customer Care at 1-800-363-7949. " The ambient temperature is low and the batteries are almost empty. The clock has stopped or The meter was exposed to a temperature the clock is slow.
Error message Meaning Error message " 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. 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.
Error message 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. " The bar code on the test strip drum is damaged.
Error message Meaning Error message Meaning " 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. " The test strip that was advanced is defective. 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 Error message " 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 Accu-Chek Customer Care Line. " The meter was exposed to a strong electromagnetic field. Press the Test button to turn the meter off.
Error message 192 Meaning Error message Meaning The test strip is stuck or the test strip drum does not rotate. " The meter has been exposed to severe differences in temperature. 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.
Error message Meaning " 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). " 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. " You inserted a test strip drum from a different blood glucose measuring system. Error message Meaning In memory: the result in memory cannot be displayed.
13 Technical data Meter type Accu-Chek Compact Plus (Model GT) Measuring time 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.
Weight approx. 147 g with lancing device, 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.
14 Alternate sites testing Capillary blood for blood glucose testing can be obtained, not only from the fingertips, but also from other sites (the palm, the forearm, the upper arm, the calf or the thigh), which is referred to as Alternate Site Testing (AST). Before using the AST cap, please carefully read the instructions for use of the Accu-Chek Compact Plus meter and the package insert of the Accu-Chek Compact test strip drums. Use the AST cap to obtain blood from alternate sites only.
Alternate Sites for Testing 14.1 Choosing the right moment Before you test with blood collected from the forearm, the upper arm, the calf or the thigh, be aware of the following limitations: Capillary blood in the fingertip and the palm responds more quickly to changes in blood glucose levels than blood in the forearm, the upper arm, the calf and the thigh. Blood glucose values tested in blood taken from these sites may therefore differ from values tested in blood taken from the fingertip and palm.
14. 2 Obtaining blood and testing blood glucose 1. Remove the coloured cap from the lancing device. 5. Choose a fleshy area of the alternate site for blood collection and wash it with warm, soapy water. This ensures that the puncture site is clean. Allow the skin to dry thoroughly. 6. Prime the lancing device. 2. Insert a new lancet into the lancing device as described in the instructions for use of the Accu-Chek Compact Plus meter. b i c 3. Attach the clear plastic AST cap.
11. Wait until the test strip symbol and drop symbol flash in the display. 17. Place the coloured cap back on the lancing device. 12. Hold the meter so the test strip is pointing downwards. 14. 3 Cleaning the AST cap 13. 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. The test starts when the test strip has drawn up sufficient blood. The result is displayed as soon as the test is complete.
15 Disposing of the meter 16 System components 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. Use only Accu-Chek Compact test strips for testing with the Accu-Chek Compact Plus meter.
17 18 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 Lancing Device US 4,924,879; US-2004-0092996; US 2005-00908580; US Re.
18.2 Addresses 19 Montreal area: (450) 686-7100 Outside Montreal (toll free): 1-800-363-7949 www.accu-chek.ca A Alphabetical index Accu-Chek Customer Care 211 Acoustic Mode 120 setting 45 Alarm clock function beep tone 59 setting alarms 59 symbol 60, 174 turning off individual alarms 65 Alternate sites 70, 200 AST cap 70, 200 Asterisk symbol 96, 174 At a glance lancing device 15 meter 12 symbols 167 average (symbol) 108, 174 Averages 107 Made in Ireland for export to: Roche Diagnostics 201 Boul.
Checking, meter 129 Cleaning AST cap 207 lancing device 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 Care line see Accu-Chek Customer Care 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 48 214 symbols in the ~ 168 Display check
Memory 101, 197 Memory location number 101, 106 Memory, results 101 Meter at a glance 12 checking 129 cleaning 140 disinfecting 158 disposal of ~ 208 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, lancing device 15, 71 Problems 181 R N Release button lancing device 14, 73 test strip drum 12, 25 Result average 107 downloading to e.g.
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 33 218 Alphabetical index
ACCU-CHEK, SOFTCLIX and SAFE-T-PRO are trademarks of Roche. Roche Diagnostics 201, boul. Armand-Frappier Laval, Québec (CANADA) H7V 4A2 www.accu-chek.ca Accu-Chek Customer Care: 1-800-363-7949 Roche Diagnostics GmbH 68298 Mannheim, Germany www.accu-chek.
