Accu-Chek Instant Set and Starter Pack Caution For Usage

Meter Maintenance and Troubleshooting: Meter Maintenance: The meter automatically tests its own systems every time the patient turns it on and letting them know if something is wrong. See the Error Messages as follows.
If the patient drops the meter or thinks the results are not accurate, contact Roche.
Changing the Batteries: 1. Open the battery door on the back of the meter by pushing the tab in the direction of the arrow and pulling the door up.
2. Remove the old batteries. Press and hold the meter button for at least 2 seconds.
3. Slide the new batteries under the tabs with the (+) side facing up. Put the battery door back in place and snap it closed.
Note: The meter uses two 3‑volt lithium batteries, coin cell type CR2032. This type of battery can be found in many stores. It is a good idea to have spare batteries available.
Always replace both batteries at the same time and with the same brand.
Meter data is not lost when replacing the batteries.
Checking the Meter Display: 1. With the meter off, press the meter button to turn the meter on. Press the meter button twice to display the 30-day average screen.
2. Press and hold the meter button until all display segments appear. Check the meter display for missing segments. If any segments are missing from the display, contact Roche, as there may be a problem with the meter.
Cleaning the Meter: Keep the meter free of dust. If needed to clean or disinfect it, follow these guidelines carefully to help in getting the best performance possible.

Click on icon to see table/diagram/image
Warning: Do not allow liquid to enter any openings in the meter.
Do not spray a cleaning solution directly onto the meter.
Do not immerse the meter in liquid.
1. Make sure the meter is turned off.
2. Gently wipe the meter's surface with a soft cloth slightly dampened (wring out any excess liquid) with one of these cleaning solutions: 70% isopropyl alcohol; Mild dishwashing liquid mixed with water; 10% household bleach solution (1 part bleach plus 9 parts water) made the same day.
Error Messages:
Click on icon to see table/diagram/image
Warning: Never make therapy decisions based on an error message.
If having any concerns or see any other error message, contact Roche.
Note: The error code and Err will alternate on the display for all coded error messages (E-1 through E 14).
The meter will not turn on or the display is blank.
Batteries are dead: Insert new batteries.
Display is damaged/Meter is defective: Contact Roche.
Extreme temperatures: Move the meter to a more temperate area.
USb: The meter is connected to a PC and a blood glucose or control test cannot be performed.
Either remove the USB cable and perform a blood glucose or control test or remove the test strip and start a data transfer.
Err: The meter was unable to pair with a mobile device.
Retry the pairing.
E-1: (The error code and Err will alternate on the display.)
The test strip may be damaged, not properly inserted, or was previously used.
Remove and reinsert the test strip, or replace it if damaged or previously used.
E-3: (The error code and Err will alternate on the display.)
A meter or test strip error has occurred.
Repeat the blood glucose test. If a second E-3 code appears, perform a control test with the control solution and a new test strip.
If the control result is within the acceptable range, review the proper testing procedure and repeat the blood glucose test with a new test strip.
If the control result is not within the acceptable range, see Control Tests: Understanding Out-of-Range Control Results under Patient Counselling Information.
In rare cases, an E-3 error code may indicate that blood glucose is extremely high and above the system's measuring range. If the patient does not feel that the blood glucose is extremely high, repeat the blood glucose test. See Blood Glucose Tests: Unusual Blood Glucose Results under Patient Counselling Information. If the E-3 code still appears for blood glucose test, contact the healthcare professional immediately.
E-4: (The error code and Err will alternate on the display.)
Not enough blood or control solution was drawn into the test strip for measurement or was applied after the test had started.
Discard the test strip and repeat the blood glucose or control test.
E-6: (The error code and Err will alternate on the display.)
Blood or control solution was applied to the test strip before the flashing drop symbol appeared on the display.
Discard the test strip and repeat the blood glucose or control test.
E-7: (The error code and Err will alternate on the display.)
An electronic error occurred.
Remove the batteries, press and hold the meter button for at least 2 seconds, and reinsert the batteries. Perform a blood glucose or control test.
E-8: (The error code and Err will alternate on the display.)
The temperature is above or below the proper range for the system.
Refer to the test strip package insert for system operating conditions. Move to an area with the appropriate conditions and repeat the blood glucose or control test. Do not artificially heat or cool the meter.
E-9: (The error code and Err will alternate on the display.)
The batteries are almost out of power.
Change the batteries now. If the message reappears after the batteries have been replaced, remove the batteries again, press and hold the meter button for at least 2 seconds, then reinsert the batteries.
E 10: (The error code and Err will alternate on the display.)
The meter's internal clock may need to be reset.
Press the meter button. If the time and date were set, there will be a need to reset them. See Time and Date under Description.
E 11: (The error code and Err will alternate on the display.)
The test strip may be damaged.
Repeat the blood glucose or control test with a new test strip.
E 12: (The error code and Err will alternate on the display.)
The blood sample may contain a high level of ascorbate.
Contact the healthcare professional.
E 13: (The error code and Err will alternate on the display.)
Fluid or foreign material may be present in the test strip slot.
Remove and reinsert the test strip or repeat the blood glucose or control test with a new test strip. If the error persists, contact Roche.
E 14: (The error code and Err will alternate on the display.)
An electronic error has occurred.
Contact Roche.
HI: Blood glucose may be higher than the measuring range of the system. See Blood Glucose Tests: Unusual Blood Glucose Results under Patient Counselling Information.
LO: Blood glucose may be higher than the measuring range of the system. See Blood Glucose Tests: Unusual Blood Glucose Results under Patient Counselling Information.
Technical Information: Product Safety Information:
Click on icon to see table/diagram/image
Warning: Strong electromagnetic fields may interfere with the proper operation of the meter. Do not use the 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.
Discarding the Meter:
Click on icon to see table/diagram/image
Warning: During blood glucose testing, the meter itself may come into contact with blood. Used meters therefore carry a risk of infection. Before discarding the meter, remove the battery or batteries. Discard used meters according to the regulations applicable in the country. Contact the local council and authority for information about correct disposal.
The meter falls outside the scope of the European Directive 2012/19/EU - Directive on waste electrical and electronic equipment (WEEE).
Discard used batteries according to local environmental regulations.
Information for Healthcare Professionals:
Click on icon to see table/diagram/image
Warning: Healthcare Professionals: Follow the infection control procedures appropriate for the facility. Refer to the test strip package insert for additional healthcare professional information.
Sample Handling: Always wear gloves when handling blood-contaminated items. Always adhere to the recognised procedures for handling objects that are potentially contaminated with human material. Follow the hygiene and safety policy of the laboratory or institution. Prepare the selected blood collection site per facility policy.
Refer to the test strip package insert for additional information regarding acceptable sample types, anticoagulants, and handling instructions.
Recommending Alternative Site Testing to Patients: Decisions about whether to recommend Alternative Site Testing (AST) should take into account the motivation and knowledge level of the patient and the ability to understand the considerations relative to diabetes and AST. If considering to recommend AST for the patients, the need to understand that there is a potential for a significant difference between fingertip or palm test results and test results obtained from the forearm or upper arm. 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 the behaviour and relative physical condition.
The studies involving alternative site testing of adults with diabetes show that most persons will find their glucose level changes more quickly in blood from the fingertip or palm than in blood from the forearm or upper arm. This is especially important when blood glucose levels are falling or rising rapidly. If the patient is used to making therapy decisions based upon fingertip or palm test results, they should consider the delay, or lag time, affecting the test results obtained with blood from the forearm or upper arm.