362-11463 AdvMan Classic-ENGL...15 About the Test Strip Your Accu-Chek Advantage kit comes with Accu-Chek® Comfort Curve® test strips.Accu-Chek Comfort Curve test strips are easy

..27

12

ACCU-CHEK ®

BLOOD GLUCOSE MONITORING SYSTEM

®

User’s ManualLas instrucciones en español

están al reverso de este manual.

Throughoutmanual:all unmarkedprints blackCover image isblend of PMS287 and PMS 2935.Stripes arelighter blend of samecolors. Text with-in cover imagereverses towhite.Use PhotoshopBlends for theFront Cover.White wire-o-binding.Cover - glossvarnish.Roche logoprints PMS 300

362-11463 AdvMan Classic-ENGL 7/15/02 12:04 PM Page a

Welcome ........................................................................3Where To Find Help........................................................5About This Manual ........................................................6Getting Started ............................................................11About Your Meter ...........................................................13About the Test Strip .......................................................14About the Chek Strip......................................................16Installing or Replacing the Batteries...............................17Setting the Beeper.........................................................20Setting Time and Date ...................................................22Coding Your Meter .........................................................27Glucose Testing ...........................................................31

Gathering Supplies.....................................................31Getting a Good Drop of Blood.....................................32Running a Test with Accu-Chek Comfort Curve Test Strips ..........................................34 Proper Test Strip Appearance .....................................42Understanding Your Test Results ................................44

Quality Control Testing ................................................52What is Quality Control Testing...................................52When Should I Check My Accu-Chek Advantage Meter?......................................................52Gathering Supplies.....................................................52Running a Control Test with Accu-Chek Comfort Curve Test Strips ..........................................54Understanding Your Quality Control Results................64

Table of Contents

1

Throughoutmanual:-all bars andlarge text head-ings at the topsof the page andpage numbers atbottom printsolid PMS 287.This is the first text page.

362-11463 AdvMan Classic-ENGL 7/15/02 12:04 PM Page b

2

Thank you for selecting the Accu-Chek® Advantage®

system. Designed for ease of use, this system wasproduced in close association with diabetes healthcare professionals, hospitals, and, most importantly,people with diabetes.

The lightweight, portable meter provides accurateresults in seconds. When you place a drop of bloodon the test strip, the Accu-Chek® Advantage® metermeasures your blood glucose level and displays your result. There’s no wiping and no timing. It’s that simple.

Before you begin testing, please read this manualthoroughly. It provides all the information you needto use the Accu-Chek Advantage meter. Rememberto return the enclosed warranty card. This ensuresthat you receive any updates on your Accu-ChekAdvantage system.

Welcome

3

Other Information ........................................................66Using Accu-Chek Advantage Test Strips.........................66

About the Test Strip ...................................................67Running a Test ...........................................................68Proper Test Strip Appearance .....................................74Running a Control Test ...............................................76

Memory.........................................................................83Storing Results ..........................................................83Recalling Stored Values..............................................84

Caring for Your Meter.....................................................86Storage and Handling ................................................86Cleaning the Meter ....................................................87

Troubleshooting Guide ...................................................88Product Limitations........................................................98Product Specifications ...................................................98Additional Supplies ......................................................100Warranty......................................................................101Index ...........................................................................105References ..................................................................107

Throughoutmanual: allscreened areas are 10% PMS 287.

362-11463 AdvMan Classic-ENGL 7/15/02 12:04 PM Page 2

Accu-Chek Customer CareSM is available to answeryour questions 24 hours a day. We offer assistancein Spanish and many other languages!Call 1-800-858-8072.

Where to Find Help

4 5

10 Test Strips

ACCU-CHEKComfort Curve

AdvantageComplete

ON / OFFMEM

ACCU-CHEK ®Advantage ®

ACCU-CHEK®

Comfort Curve™

ACCU-CHEK®

Comfort Curve™

10 Test Strips

Easy to use!Touch Dropto Edge

Touch Dropto EDGE

AdvantageCompleteAdvantage

Complete

Glucose Control Solutions

New

TouchDrop to

Edge!


Content Page

Learn the system’s parts and features,install batteries, and code meter 11

Run blood glucose test and understand results31

Run quality control tests and understand results52

Reference using Accu-Chek Advantage test strips, memory results, caring for your meter,and troubleshooting guide 66

This manual is set up into the following sections:

Section Title

1 Getting Started

2 Glucose Testing

3 Quality Control Testing

4 Other Information

About This Manual

6 7

Throughoutmanual:-all rules printPMS 287.


• Any text that appears in the light blue shaded boxwith this symbol is important information thatshould be read carefully:

This column shows what the meter displaysAFTER the action is completed and/or may givedetails about the action.

On the display screen,the symbols of a drop ofblood and test strip willbegin flashing to signalthat you may apply adrop of blood.

• Some pages in this manual have a single columnthat may contain text, a flow chart and/or pictures:

• Other pages in this manual have 3 columns:

This column has pictures This column tells youor introductory information what action to perform.about the section

1. Turn on meter bypressing the ON/OFFbutton.

8 9

48

What is Quality Control Testing?Quality control testing is done using glucose controlsolutions instead of blood. Checking your system withquality control solutions ensures that you are doing atest correctly and that your Accu-Chek Advantagesystem is working properly as well as giving youreliable results.

When should I check my Accu-Chek Advantage monitor?• Before using your monitor for the first time• When you open a new vial of test strips• If you leave the cap off the vial of test strips• If you drop the monitor• If your result does not agree with the way you feel• Whenever you want to check the way you are

performing your blood glucose test• If you have repeated a test and the blood glucose

result is still lower or higher than expected• When you want to check the performance of the

monitor and test strip

Gathering SuppliesNote: The Accu-Chek Advantage Care Kit is packagedwith one level of glucose control solution. Whenpurchased at the store, glucose control solutions arepackaged with 2 levels per box.

Quality Control Testing To do a quality control check, you will need thefollowing items:• Accu-Chek™ Comfort Curve™ Glucose Control

Solutions • Chek Strip• Accu-Chek Comfort Curve test strips

It is important that you use the right glucose controlsolution for your test strips. Use only Accu-ChekComfort Curve control colutions with Accu-ChekComfort Curve test strips.

You can perform quality control checks without yourChek Strip. To do so, simply apply the glucose controlsolutions to your test strips the same way as for ablood glucose test. To check if the result is within theacceptable range, see the glucose control rangesprinted on the test strip vial label.

49

When you open a new bottle of glucose controlsolution, write the date on the label. Glucose controlsolution are good for 3 months after opening or untilthe expiration date, whichever comes first.

Quality Control Testing

Using the Chek Strip prevents the quality controlresult from taking up space in the monitor’s memory.If you do not use the Chek Strip, the control resultwill be stored in memory.

ON / OFF MEM

ACCU-CHEK ®

Advantage®

1 2 3

The yellow window must be completely filledwith blood.

Throughoutmanual:

All iconsprint PMS 287with whiteknockoutbehind theexclamationpoint.

All icons at topof columns printsolid PMS 287.


Getting Started

Follow these 4 important steps before using the meter for the first time:

1. Learn the system’s parts and features2. Install batteries3. Code the meter4. Run controls

Getting Started

10 11

Throughoutmanual: all tabsections printsolid PMS 287.Type on tabsreverses towhite.


About Your Meter

Front of Meter

Display— Shows blood glucose results, mes-sages and glucose results stored in memory.

On/Off Button— Press to turn meter ON or OFF.

MEM Button— Press to review up to 100 glu-cose values in memory.

Test Strip Slot— Insert test strip here.

Back of Meter

Code Key— For coding your meter. New CodeKey comes with every vial of test strips.

Battery Cover— Slide cover to change battery.

Code Key Slot— Insert Code Key here.

Getting Started

13

About Your Accu-Chek® Advantage® System

12

2

1

3

4

6

5

7

2

1

3

4

7

AC

CU -C

HEK

®Advantage®

6

5

Printer: the logo art must be retouchedonto the photo of meter back.


Accu-Chek Comfort Curve Test Strip

1. Silver Bars - Insert stripwith silver bars up andtoward meter.

2. Comfort Curve - Touchdrop of blood here, on the edge of the strip.

3. Yellow Window - Do notapply blood on the top ofthe test strip.Before Applying Blood–This window should beyellow.After Applying Blood–This window should becompletely filled from theblood drop.Note: Any area of thestrip can be touched andnot affect the glucosereading.

Getting Started

15

About the Test Strip

Your Accu-Chek Advantage kit comes with Accu-Chek® Comfort Curve® test strips. Accu-ChekComfort Curve test strips are easy to use, touchable,and require only a small drop of blood for accurateresults. If you prefer, Accu-Chek® Advantage® teststrips may also be used with the Accu-ChekAdvantage meter. See page 66.

14

1

3

2

Printer: Check contrast of test stripon white page.


Installing or Replacing the Batteries

Your meter is shipped with two 3-volt lithium batteries that need to be installed before testing.Battery life will vary depending on usage, so alwayskeep spares on hand.

Acceptable replacement batteries are:Duracell DL 2450 Sanyo CR 2450

The meter saves battery power by automaticallyturning off after 5 minutes of non-use. If the meterdoes automatically shut off, any tests in memory aresaved.

When replacing batteries, always replace both at the same time and both should be of the same brand. Time and date will need to be reset when batteries are replaced.

Getting Started

17

About the Chek™ Strip

Use the Chek Strip whenperforming quality controlchecks on your meter.

Insert this end into meterwith “Chek” side up.

16


For questions, call 1-800-858-8072

Manufactured for:BOEHRINGER MANNHEIM CORPORATION9115 Hague Road, Indianapolis, IN USA 46256

053998801-0393

For in Vitro Diagnostics Use Two 3 volt lithium cell batteries required

Model No. 870

8707004909

Accu-Chek® Advantage®

For questions, call 1-800-858-8072Manufactured for:BOEHRINGER MANNHEIM CORPORATION9115 Hague Road, Indianapolis, IN USA 46256

053998801-0393


Model No. 870

8707004909

Accu-Chek® Advantage ®


Manufactured for:BOEHRINGER MANNHEIM CORPORATION9115 Hague Road, Indianapolis, IN USA 46256

053998801-0393


Model No. 870

8707004909


Do not let batteriestouch each other. Thiscan reduce the batterylife or cause the batter-ies to lose power.

Temperature symbol willappear when batteriesare first inserted. This isnormal and will disap-pear after 30 seconds. Ifsymbol remains after 30seconds, call Accu-ChekCustomer CareSM at 1-800-858-8072.

Getting Started

19

1. Slide battery coverfrom back of meter.

2. Insert both 3-voltlithium batteries(+ side facing up)one at a time. Do notlet batteries toucheach other. This canreduce the batterylife or cause the bat-teries to lose power.

3. Slide battery coverback in place. Wait 5seconds, then turnmeter ON.

Installing the Batteries

18


Does the beeper have tobe turned on? No, it isan optional feature.Turning the beeper on oroff does not affect thetest results.

The Accu-ChekAdvantage meter is setto beep when:

• A strip is inserted.• Blood or control

solution is applied tostrip.

• A result is displayed.• An error occurs

while testing.• Buttons are pushed.

1. Turn meter ON.

2. Press ON/OFF andMEM buttons at thesame time. Thebeeper is now on.

3. Press ON/OFF button.The Beeper is nowoff.

4. To turn beeper backon, simply pressON/OFF button again.

5. Press ON/OFF andMEM buttons at thesame time to leavethis function.

Setting the Beeper

20

Code--- or the test stripsymbol flashes.

“ON,” “set” and a bellappear on the display.

“OFF,” “set” and a bellappear on the display.

“ON,” “set” and a bellappear on the display.

Getting Started

21


Code or the test stripsymbol flashes.

Bell and “ON” or “OFF”symbols flash.

The hour display flashes.

The minute displayflashes.

Getting Started

23

Do I have to set the time anddate? No, it is an optionalfeature. However, there is aslight possibility that oneresult every seven dayscould be incorrectly recordedin the memory. If time anddate are set on your meter,this situation will only occurwhen your meter clock reads12:00 (midnight) -12:10 a.m.If time and date are not seton your meter, this situationcan occur once every sevendays at any time of the day.Do not change your thera-py based on one individualresult recorded in memory.Time and date should be setprior to testing if you plan todown-load the results intosoftware or if you plan toreview you memory to checkwhen a test was done.

The meter is unable toaccount for February 29each leap year. Therefore,on March 1 of a leap year(2000, 2004, and 2008) youwill need to adjust the dateby one day.

1. Turn meter ON.

2. Press ON/OFF andMEM buttons at thesame time.

3. Press MEM button.

4. Press and releaseON/OFF button untilthe correct hour isdisplayed.


6. Press and releaseON/OFF button untilthe correct minutesare displayed.

Setting the Time and Date

22


The month display flashes.

The day display flashes.

Bell and “ON” or “OFF”symbols reappear.

You may leave this setting mode at any time by pressing ON/OFF and MEM at the same time. The settings you have entered will be saved.

Getting Started

25


8. Press and releaseON/OFF button untilthe correct month isdisplayed.


10. Press and releaseON/OFF button untilthe correct day isdisplayed.


12. To leave this func-tion, press ON/OFFand MEM buttons atthe same time.

Setting the Time and Date

24


Coding Your Meter

To ensure accuracy of your Accu-Chek Advantage sys-tem, Roche Diagnostics recommends changing yourCode Key with each new box of Accu-Chek ComfortCurve test strips. Each Code Key provides your Accu-Chek Advantage meter with the specific information thatyour meter needs to accurately measure your bloodsugar. Do not use code keys with your Accu-ChekAdvantage meter from any test strip manufacturer orsystem other than the Accu-Chek Comfort Curve orAccu-Chek Advantage systems from Roche Diagnostics.Use of other manufacturer’s code keys may result inerroneous results with your system. Before you use yourmeter for the first time and every time you open a newbox of test strips, you need to set the meter to“match” the strips. This is called coding or calibration.

The Accu-Chek Advantage system is coded automati-cally using the Code Key found with each new vial oftest strips. The Code Key is properly inserted when itsnaps into place.You will need to insert a new Code Key:

• Whenever you open a new box of strips.• Whenever these displays appear:

Getting Started

2726


1. Make sure the meteris turned off. Turnmeter over so youare looking at theback.

2. Insert new Code Keyuntil it snaps intoplace.

3. Turn meter ON.

Coding Your Meter

28

Remove old Code Key ifone is installed.

A 3-digit code numberappears. This numbermust match the codenumber on your vial oftest strips. If it does not,repeat steps 1-3.

Getting Started

29


Manufactured for:BOEHRINGER MANNHEIM CORPORATION

9115 Hague Road, Indianapolis, IN USA 46256

053998801-0393


Model No. 870

8707

0049

09

635


ON / OFF MEM

Code: 635


Gathering Supplies

To begin testing, you will need the following items:• Accu-Chek Advantage meter

• Accu-Chek Comfort Curve test strips (Cat. Nos.2030365, 2030373, 2030381, 2030420,3000133, 3000141, 3000150) or Accu-Chek Advantage test strips (Cat. Nos. 551,553, 966, 336, 338, 787). See page 66 for testinginstructions when using these strips.

• Lancet

• Lancet device (optional)

• Cotton balls

• Alcohol wipes (optional)

Glucose Testing

Glucose Testing

3130

ON / OFFMEM

ACCU-CHEK ®Advantage ®

10 Test Strips

AACCCCUU--CCHHEEKKComfort Curve

AdvantageComplete

ACCU-CHEK®

Comfort Curve™

10 Test Strips

Easy to use!Touch Dropto Edge

Touch Dropto EDGE

AdvantageComplete

New


Follow manufacturer’sinstructions.

Do not reuse dis-posable lancets.

If you use an alcoholwipe, let your finger dry completely beforetesting.

Be careful not tosqueeze the finger toohard.

Health Care Professionals: Follow the infectioncontrol procedures appropriate for your facility.

Glucose Testing

33

Getting a Good Drop of Blood

1. Prepare lancet device.

2. Wash hands in warm,soapy water. Rinse anddry completely. Warmfingers to increaseblood flow.

3. Let arm hang down atside briefly to allowblood flow to fingertip.

4. Grasp finger near area tobe pricked and squeezefor three seconds.

5. Keeping hand down,prick side of fingertipand squeeze gentlyuntil you get a drop ofblood.

Glucose Testing

32


Check that code numberdisplayed matches codenumber on vial of teststrips.

When the test strip sym-bol flashes, meter isready to accept a teststrip.

Be sure to tightlyreplace vial cap afterremoving test strip.

Once strip is correctlyinserted, a blood dropsymbol flashes.

Glucose Testing

35

Running a Test withAccu-Chek ComfortCurve Test Strips

1.Turn meter ON.

2. Remove a new teststrip from vial.

3. Gently insert teststrip (yellow windowfacing up) into teststrip guide.

4. Use the lancet toobtain a small drop ofblood resting on theside of your finger.

Running a Test

34

ON / OFF MEM

Code: 635


The blood will be drawninto the strip automati-cally.

Glucose Testing

37

5. Touch and hold thedrop of blood to theedge of the strip.Bring the finger andthe strip together in away that is most com-fortable for you.

You may pick up themeter, turn the meter,or move the meter tothe edge of the tablein order to touch theedge of the strip to theblood drop resting onyour finger.

Running a Test

36


If you see any yellow color in the window afteryou have applied the initial drop of blood, a seconddrop of blood may be applied to the Comfort Curvewithin 15 seconds of the first drop. If more than 15seconds have passed, the test result may be erro-neous and you should discard the test strip andrepeat the test.Although only a small amount of blood is needed, itis very important that you put enough blood on yourtest strip so that, at the end of the test, the entireyellow window is completely and evenly coloredred. This ensures that your meter can produceaccurate and reliable results.

When blood is appliedcorrectly to the strip, abox rotates on the dis-play until measurementis completed.

The blood glucose resultis displayed. Your resultis automatically recordedin the meter’s memory.

Glucose Testing

39

6. Hold your finger tothe edge of theComfort Curve untilthe yellow window iscompletely filled withblood. Do not placethe blood drop on topof the yellow window.

Running a Test

38


When the test strip isremoved, the test stripsymbol flashes indicat-ing the meter is ready toaccept another strip.

Glucose Testing

41

7. Remove the test stripfrom meter and dis-card.

8. If you are done test-ing, turn meter OFF.

9. Dispose of strip andlancet in a puncture-proof container witha lid such as a coffeecan.

Running a Test

40


Glucose Testing

43

Running a Test

Proper Test Strip Appearance

Correct Blood Application Incorrect Blood ApplicationThis strip has the correct Notice that the yellow amount of blood on it. window is not completely

filled with blood. This striphas too little blood on itand may produce an errormessage or an inaccurateresult.

42


THEN...run a quality control check with your glucose controlsolutions and a new test strip. (See page 52, QualityControl Testing). If the control result is within theacceptable range, review proper testing procedure andrepeat your blood glucose test with a new test strip. If your blood glucose result is still inconsistentwith your previous results, glucose trends or how youfeel, please contact your doctor. Follow the advice ofyour doctor before you change your therapy.

Glucose Testing

45

Glucose Testing

Understanding Your Test ResultsWhat’s Normal?The normal fasting adult blood glucose range for anon-diabetic is 70 - 105 mg/dL1 . One or two hoursafter meals, normal blood glucose levels should beless than 140 mg/dL2. Your doctor will determine therange that is appropriate for you.Unusual Test Results

44

IF...your bloodglucoseresultseemsunusuallyhigh, orlow, orinconsis-tent withyour pre-viousresults orglucosetrends

AND...does not reflect the way you feel, check thefollowing:• Does the test strip code number match

the code number on the meter?• Was the blood sample applied to the test

strip within 3 minutes of removing it fromthe vial?

• Was the size of the blood sample suffi-cient?

• Was the test strip vial cap tightly sealed?• Was the test strip used before the expira-

tion date?• Were the test strips stored away from

extreme temperatures such as in the carin very cold or hot weather?

• Were the test strips stored away fromareas of high humidity such as thekitchen or bathroom?


THEN...seek proper treatment immediately.

run a quality control check with your glucose controlsolutions and a new test strip. (See page 52, QualityControl Testing.) If the control result is within theacceptable range, review the proper testing proce-dure and repeat your blood glucose test with a newtest strip and a larger drop of blood. If LO stillappears for your blood glucose test, follow your doc-tor’s instructions. If the control result is not withinthe acceptable range, turn to page 64.

check urine ketone levels with Chemstrip® K orChemstrip® uGK Test Strips. Contact your doctor.

Glucose Testing

47

IF...you get a low blood glucose result or LO isdisplayed (blood glucoseresult is lower than thelow end of the system’sreading range–refer to your test strip pack-age insert for moreinformation.),

AND...you also experiencesymptoms of low bloodglucose: sweating, trem-bling, blurred vision,rapid heart beat, tinglingor numbness around themouth or fingertips,

Understanding Your Test Results

46

you get a low blood glucose result or LO isdisplayed

symptoms are absent,

your blood glucose resultis above 240 mg/dL

this has occurred forseveral days,


THEN...contact your doctor immediately.

check that test strip has not expired or been dam-aged, then retest. If HI still appears, run a qualitycontrol check with your glucose control solutionsand a new test strip. (See page 52, Quality ControlTesting.) If the control result is within the accept-able range, review the proper testing procedure andrepeat your blood glucose test with a new test strip.If HI still appears for your blood glucose test, followyour doctor’s instructions. If the control result isnot within the acceptable range, turn to page 64.

your blood glucose result may be extremely highand above the system’s reading range. Contact yourdoctor immediately.

Glucose Testing

49

Understanding Your Test Result

48

IF...HI is displayed (bloodglucose result is higherthan the high end of thesystem’s reading range -refer to your test strippackage insert for moreinformation.),

AND...you also experiencesymptoms of high bloodglucose: fatigue,increased appetite orthirst, frequent urination,blurred vision, headacheor achiness,

HI is displayed (bloodglucose result is higherthan the high end of thesystem’s reading range -refer to your test strippackage insert for moreinformation.),

this does not confirmthe way you feel,

mg/dL and error aredisplayed,

you also experience symp-toms of high blood glu-cose: fatigue, increasedappetite or thirst, frequenturination, blurred vision,headache or achiness,


THEN...run a quality control check with your glucose controlsolutions and a new test strip. (See page 52, QualityControl Testing). If the control result is within theacceptable range, review the proper testing procedureand repeat your blood glucose test with a new teststrip. If mg/dL error still appears for your blood glucosetest, your blood glucose result may be extremelyhigh and above the system’s reading range. Contactyour doctor immediately. If the control result is notwithin the acceptable range, turn to page 64.

Glucose Testing

51

Understanding Your Test Results

50

IF...mg/dL and error aredisplayed,

AND...symptoms are absent,


To do a quality control check, you will need the fol-lowing items:• Accu-Chek® Comfort Curve™ Glucose Control

Solutions • Chek Strip• Accu-Chek Comfort Curve test strips

When you open a new bottle of glucose controlsolution, write the date on the label. Glucose controlsolution are good for 3 months after opening oruntil the expiration date, whichever comes first.

It is important that you use the correct glucosecontrol solution for your test strips. Use only Accu-Chek Comfort Curve control solutions withAccu-Chek Comfort Curve test strips.

Using the Chek Strip prevents the quality controlresult from taking up space in the meter’s memory. Ifyou do not use the Chek Strip, the control result willbe stored in memory.

You can perform quality control checks withoutyour Chek Strip. To do so, simply apply the glucosecontrol solutions to your test strips the same wayas for a blood glucose test. To check if the result iswithin the acceptable range, see the glucose con-trol ranges printed on the test strip vial label.


53


What is Quality Control Testing?Quality control testing is done using glucose controlsolutions instead of blood. Checking your systemwith quality control solutions ensures that you aredoing a test correctly and that your Accu-ChekAdvantage system is working properly as well asgiving you reliable results.

When should I check my Accu-Chek Advantagemeter?• Before using your meter for the first time• When you open a new vial of test strips• If you leave the cap off the vial of test strips• If you drop the meter• If your result does not agree with the way you feel• Whenever you want to check the way you are per-

forming your blood glucose test• If you have repeated a test and the blood glucose

result is still lower or higher than expected• When you want to check the performance of the

meter and test strip

Gathering SuppliesNote: The Accu-Chek Advantage Care Kit is pack-aged with one level of glucose control solution.When purchased at the store, glucose control solu-tions are packaged with 2 levels per box.

52


Test strip symbol flashes.

The meter quickly goesthrough a series of inter-nal checks.

This brief test allowsyou to make sure yourmeter is functioningproperly. “OK” and “✔”should appear on thedisplay.


55

Running a Control Testwith Accu-Chek ComfortCurve Test Strips

Important: Use onlyAccu-Chek ComfortCurve control solutionswith Accu-Chek ComfortCurve test strips.

1. Turn meter ON.

2. Insert Chek Strip(“Chek” side up) intothe meter.

You may stop here byremoving the ChekStrip and turning themeter OFF or you maycontinue your qualitycontrol checks withsteps 3-8 using yourAccu-Chek ComfortCurve glucose controlsolution.


54

ON / OFF MEM

ACCU-CHEK ®

Advantage®


The test strip symbolflashes. “L1” and “✔”appear.


The test strip symbolstops flashing and ablood drop symbolappears.


57

3. Remove Chek Stripfrom meter.

4. Open test strip vialand remove teststrip.



56

ON / OFF MEM

ACCU-CHEK ®

Advantage®

ON / OFF MEM

ACCU-CHEK ®

Advantage®


A box rotates in the dis-play until the measure-ment is complete.

If the solutioncomes in contact withclothing, immediatelyrinse out with soap andwater. Quality Control Testing

59

6. Hold the control bot-tle horizontally withthe tip pointed direct-ly at the right-handedge of the strip inline with the edge ofthe Comfort Curve.

7. Gently squeeze thebottle to form onesmall drop.

8. Bring the drop to theedge of the stripwithin the ComfortCurve. Allow the stripto automatically drawthe solution into theyellow window untilit is completely cov-ered.

9. Replace cap of glu-cose control solution.


58


If result is within theacceptable range, theresult and “OK” flash.Continue with step 11.

If result is not within theacceptable range,“error,” “✔” and theresult flash. SeeUnderstanding ControlResults on page 64 formore information.

The test strip symbol,“L2” and “✔” appear onthe display.


61

10. Control resultappears.

11. Remove test stripfrom meter and dis-card.

Running a Test

60



63

12. To perform anothercontrol check usingLevel 2 glucose con-trol solution, returnto step 4 and followthe same stepsagain. Turn meterOFF when you aredone with your qual-ity control check.

Running a Test

62


If the result is within the acceptable range:• You can feel confident that your test strips and

meter are working correctly.

If the result is outside the acceptable range:• Check the expiration date of the test strips and

control solutions. If the strips or control solutionare expired, dispose of them promptly.

• Make sure the cap was on the vial of test strips.• Check if the code in the meter matched the code

on the test strip vial label.• Make sure you followed the testing steps exactly.• Repeat the glucose control test with a new test

strip.

If the result is still not within the acceptable range,your blood glucose results may not be reliable.Contact Accu-Chek Customer CareSM for help at 1-800-858-8072, 24 hours a day.

65

Understanding Your Quality Control Results

The test strip vial label indicates the acceptablerange for Low Level and High Level glucose controlsolutions. The result displayed on your meter shouldfall within the acceptable range for the level of solu-tion you used.

64



About the Test Strip

Accu-Chek Advantage Test Strip

1. Silver Bars - Insert stripwith silver bars up andtoward meter.

2. Yellow Target Area - Apply blood here.

Other Information

67

Using Accu-Chek Advantage Test Strips

Your Accu-Chek Advantage kit comes with Accu-Chek Comfort Curve test strips. If you prefer,Accu-Chek Advantage test strips may also be usedwith the Accu-Chek Advantage meter.

Supplies

• Accu-Chek Advantage Test Strips(Cat. Nos. 551, 553, 966, 336)

• Accu-Chek Advantage Glucose Control Solutions(Cat. Nos. 552, 906, 986, 989)

Other Information

66

2

1


Check that code numberdisplayed matches codenumber on vial of teststrips.

When the test strip sym-bol flashes, meter isready to accept a teststrip.


Once strip is correctlyinserted, a blood dropsymbol flashes.

Other Information

69

Running a Test with Accu-Chek Advantage Test Strips

1. Turn meter ON.

2. Remove a new teststrip from vial.


Running a Test

68

ON / OFF MEM

ACCU-CHEK ®

Advantage®

ON / OFF MEM

Code: 635


If any yellow mesh is still visible after youhave applied the initial drop of blood, a seconddrop of blood may be applied to the target areawithin 15 seconds. If more than 15 seconds havepassed, the test result may be erroneous and youshould discard the test strip and repeat the test.Although only a small amount of blood is needed, itis very important that you put enough blood on yourtest strip so that, at the end of the test, the entireyellow target area is covered. This ensures that yourmeter can produce accurate and reliable results.

When blood is appliedcorrectly to the strip, abox rotates on the dis-play until measurementis completed.

Other Information

71

4. Obtain a blood sam-ple. Make sure youhave an adequatedrop of blood beforeyou apply it to thetest strip.

5. Touch drop of bloodto the center of theyellow window. Donot smear blood withyour finger on thetarget area.

Running a Test

70


Your result is automati-cally recorded in themeter’s memory.

Other Information

73

6. Blood glucose resultis displayed.


8. If you are done test-ing, turn meter OFF.

9. Dispose of lancet in apuncture-proof con-tainer with a lid, suchas an empty coffeecan.

Running a Test

72


Other Information

75

Running a Test

Proper Test Strip Appearance

74

Correct Blood ApplicationThis strip has the correctamount of blood on it.

Incorrect BloodApplicationNotice that the upper leftcorner is not covered withblood. This strip has too lit-tle blood on it and mayproduce an error messageor an inaccurate result.



The meter quickly goesthrough a series of inter-nal checks.

This brief test allowsyou to make sure yourmeter is functioningproperly. “OK” and “✔”should appear on thedisplay.

The test strip symbolflashes. “L1” and “✔”appear.

Other Information

77

Running a Control Test with Accu-ChekAdvantage Test Strips

Important: Use only Accu-Chek Advantage control solutions with Accu-Chek Advantage teststrips.

1. Turn meter ON.

2 Insert Chek Strip(“Chek” side up) intothe meter.

You may stop here byremoving the ChekStrip and turning themeter OFF or you maycontinue your qualitycontrol checks withsteps 3-8 using yourAccu-Chek Advantageglucose control solu-tion.

3. Remove Chek Stripfrom meter.


76

ON / OFF MEM

ACCU-CHEK ®

Advantage®

ON / OFF MEM

ACCU-CHEK ®

Advantage®



The test strip symbolstops flashing and ablood drop symbolappears.

A box rotates in the dis-play until the measure-ment is complete.

If the solutioncomes in contact withclothing, immediatelyrinse out with soap andwater.

Other Information

79

4. Open test strip vialand remove teststrip.


6. Apply one drop ofLevel 1 glucose con-trol solution to thecenter of the yellowtarget area of thetest strip.

7. Replace cap of glu-cose control solution.


78

ON / OFF MEM

ACCU-CHEK ®

Advantage®

ON / OFF MEM

ACCU-CHEK ®

Advantage®


If result is within theacceptable range, theresult and “OK” flash.Continue with step 9.

If result is not within theacceptable range,“error,” “✔” and theresult flash. SeeUnderstanding ControlResults on page 64 formore information.

The test strip symbol,“L2” and “✔” appear onthe display.

Other Information

81

8. Control resultappears.



80


Memory

Storing ResultsThe Accu-Chek Advantage meter automatically stores 100glucose results, letting you review them in order from themost recent to the oldest. If you have set the time/date fea-ture, the time and date of the results are also displayed.There is a situation that can occur no more than onceevery seven days during a ten minute period, which cancause an individual result to be stored incorrectly in thememory of the Accu-Chek Advantage meter. If time anddate are set on your meter, this sitation will only occurwhen your meter clock reads 12:00 (midnight) - 12:10 a.m.If time and date are not set on your meter, this situationcan occur once every seven days at any time of day. Donot change your therapy based on one individual resultrecorded in memory.

Other Information

83

10. To perform anothercontrol check usingLevel 2 glucose con-trol solution, returnto step 4 and followthe same stepsagain. Turn meterOFF when you aredone with your qual-ity control check.


82

IF...the memory is full with100 glucose results,

the memory is full and anew result is added,

THEN...“mem” flashes in the dis-play when the meter isturned on.

meter deletes the oldest result.

Results stored in memory will not be lost when you replace the batteries.



The order number (1-100) of the result isdisplayed. The mostrecent result is “mem 1.”

The result, date andtime are displayed.

Stored results are displayed from the mostrecent to the oldest(mem 1, mem 2,mem 3...).

Other Information

85

Recalling Stored Values 1. Turn meter ON.

2. Press and hold theMEM button down.

3. Release the MEMbutton.

4. Press and releaseMEM button to seethe remaining storedresults.

5. Turn meter OFF.

Memory

84

ON / OFF MEM

ACCU-CHEK ®

Advantage®


Cleaning Clean your meter as needed using one of the following:• 70% alcohol

• a solution of mild dishwashing liquid and water • 10% household bleach solution (1 part bleach in

9 parts water) made fresh daily

With meter turnedoff, clean outsidewith a soft clothslightly dampenedwith cleaning solution.

• DO NOT get moisture into the Code Key slot orthe test strip guide.

• DO NOT spray any cleaning solution directly ontothe meter.

Health Care Professionals: Follow the infectioncontrol procedures appropriate for your facility.

Other Information

87

Caring For Your Meter

Storage and Handling

Keep your meter free of dust. Protect it fromextremes in temperature and humidity, and handle itwith care. Avoid storing in areas such as the bath-room, kitchen, or laundry room. It is recommendedto store the meter together with the test strips attemperatures between 30˚ and 86˚ F (2˚ and 30˚ C).

If meter is dropped, perform a quality control checkwith the Chek Strip and the glucose control solu-tions before doing a blood glucose test.

The Advantage travel case is designed to let youstore a variety of supplies you may need and helpsto protect your meter.

86


CAUSE

Do not use one individual result stored in memo-ry to make therapy adjustments.

Other Informtion

89

DISPLAY

Result that appears inmemory does not matchthe result seen on thescreen at the time thetest was performed or is outside the 10-600mg/dL reading range.

CAUSE

If a test is performed atprecisely the samemoment the Accu-ChekAdvantage meter ischecking its internal cal-endar and clock settings,which happens automati-cally once every sevendays, an incorrect testresult can be stored inthe meter memory.If time and date are seton your meter, this situa-tion will only occur onceevery seven days whenyour meter clock readsfrom 12:00 (midnight) -12:10 am. If time anddate are not set on yourmeter, this situation canoccur once every sevendays at any time of day.

88

Troubleshooting Guide

The following are display messages and error messagesthat may appear on the meter. If you are unable to resolvea concern, please call Accu-Chek Customer CareSM at 1-800-858-8072, 24 hours a day, 365 days a year.


CAUSE

See Page 48.

See Page 46.

All functions and display elements are tested auto-matically for about 2 seconds. If a segment ismissing from an 8, false readings could result. CallAccu-Chek Customer CareSM at 1-800-858-8072.

Turn meter OFF and insert Code Key. See page 27,Coding the Meter.

Other Information

9190

DISPLAY CAUSE

Blood glucose result ishigher than the measur-ing range of your teststrips.

Blood glucose result islower than the measur-ing range of your teststrips.

This is a normal displaycheck that appears eachtime the meter is turnedon.

Meter needs to be codedor Code Key is notinserted completely.


ACTION

Turn meter OFF and reinsert Code Key. If this errordisplay still appears, contact Accu-Chek CustomerCareSM at 1-800-858-8072.

The result you have obtained may not be accurate. A temperature symbol will appear next toyour result in memory. Move to an area between57° and 104° F, wait 5 minutes and repeat the test.Do not artificially heat or cool the meter.

If new result is added, the oldest result is deleted.

Change batteries.

Other Information

93

Do not make treatment decisions based on anerror message.

92

DISPLAY CAUSE

Code key is faulty orCode Key was removedwhile the meter was on.

Temperature is above orbelow the operatingrange of test strips (57˚-104˚ F or 14˚-40˚ C).

Appears when meter isturned on and memoryis full with 100 test val-ues.

Battery power is low.


ACTION

Change batteries.

See Page 48 immediately.

If this display appears before blood is placed onstrip, remove test strip and reinsert. If this displayappears after blood is applied to the strip, there isan incorrect amount of blood on the strip. Repeatthe test with a new test strip.

Remove Chek Strip, turn meter OFF and repeat qual-ity control check. See page 52, Quality ControlTesting. If this error display still appears, testingcannot take place. Call Accu-Chek Customer CareSM

at 1-800-858-8072.

Other Information

9594

DISPLAY CAUSE

Battery is dead. Onlymemory results can berecalled.

Blood glucose resultmay be extremely highand above the system’sreading range.

Test strip may be dam-aged or test was notperformed correctly.

Meter has failed its sys-tem check.


ACTION

If this symbol disappears after approximately 30seconds, you may continue with a test. If this sym-bol remains after 30 seconds, call Accu-ChekCustomer CareSM at 1-800-858-8072.

Turn meter OFF, then ON again. You will not be ableto recall the results previously stored in memoryalthough your meter will store any future testresults.

Turn meter OFF, then ON again. If this error displaystill appears, testing cannot take place. Call Accu-Chek Customer CareSM at 1-800-858-8072.

Other Information

9796

DISPLAY CAUSE

Normally appears whenbatteries are removed orreplaced.

Loss of all results inmemory.

Meter has failed itsseries of electronicchecks.


Weight 3 oz with batteries (80 gm)

Power Supply Two 3-volt lithium coincell batteries

These alkaline batteriesmay be purchased incamera or electronicssections of departmentstores, drug stores, andelectronics stores. Or, askyour pharmacist.

Test Strip Storage Refer to your testConditions strip package insert

Data Port Multiplexed TTL UART

Other Information

99

Product Limitations

Please read the information packaged with your teststrips regarding up-to-date product specificationsand limitations.

Product Specifications

System Operating Refer to your test strip Conditions package insert

Humidity Range Less than 85%

Meter Storage -13˚ – 149˚ F Conditions (-24˚ – 65˚ C)

Less than 95% humidity

Measuring Range Refer to your test strippackage insert

Memory Capacity 100 blood glucose resultswith time and date

Display LCD display

Minimum Sample Refer to your test strip Volume package insert

Size 3.6” x 6” x 2.3”(90.4 mm x 16.7 mm x59.5 mm)

98


Accu-Chek® Advantage® Limited 3-year Warranty

Roche Diagnostics warrants that your Accu-Chek®

Advantage® meter will be free from defects in mate-rials and workmanship for 3 years from the date ofpurchase. If, during this 3-year period, the meterdoes not work properly because of a defect in mate-rials or workmanship, Roche Diagnostics will repair the meter or replace it with a new Accu-Chek Advantage meter or equivalent productfree of charge. The warranty of the repaired orreplacement meter will expire on the date of theoriginal warranty expiration or ninety (90) days aftershipment of a replacement system, whichever peri-od is longer. This warranty applies only to the origi-nal purchaser of the meter.This warranty does not apply to the performance ofan Accu-Chek Advantage meter that has been dam-aged by accident or has been altered, misused,tampered with or abused in any way. RocheDiagnostics will handle meters that show damage orabuse according to its Non-Warranty Service Policydescribed on page 102.The purchaser’s exclusive remedy with respect tothe Accu-Chek Advantage meter shall be repair orreplacement, at Roche Diagnostics’ option. In noevent shall Roche Diagnostics be liable to the pur-

Other Information

Warranty

101

Additional Supplies

The following supplies and accessories are availablefrom your authorized Roche Diagnostics DiabetesHealth Care Center, pharmacies or your medical/sur-gical supply dealer:

Test StripsAccu-Chek® Comfort Curve® Test StripsCat. Nos. 2030365, 2030373, 2030381, 2030420,3000133, 3000141, 3000150Accu-Chek® Advantage® Test StripsCat. Nos. 553,966,787

Glucose ControlsAccu-Chek® Comfort Curve™ Glucose ControlSolutionsCat. Nos. 2030390, 2030403, 2030411Accu-Chek® Advantage® Glucose Control SolutionsCat. Nos. 552, 906, 986, 989

LancetsAccu-Chek® Softclix® Lancet DeviceCat. No. 957Accu-Chek® Softclix® Lancets (100/box)Cat. No. 971Accu-Chek® Softclix® Lancets (200/box)Cat. No. 988

100


Warranty and Service Instructions

All requests for return of Accu-Chek Advantagemeters under the above warranty or service policymust be made to Accu-Chek Customer CareSM bycalling 1-800-858-8072. You will be mailed a returnauthorization label which must be affixed to yourcarton for shipping the system to Roche Diagnostics.Cartons received without this label will be returnedto you at your expense.Customers experiencing difficulties should reviewthe Troubleshooting Guide on page 88 of this man-ual. Further inquiries should be directed to Accu-Chek Customer CareSM at 1-800-858-8072.

Be sure to fill out and mail the warranty card thatcomes with the Accu-Chek Advantage System.

CAUTION — A RESTRICTED LICENSE LIMITS USEOF THE ACCU-CHEK® ADVANTAGE® SYSTEM —READ CAREFULLY THE LIMITATIONS RECITEDBELOW.The Accu-Chek® Advantage® system (meter, including thecode key, and test strips) and its use is protected by USPatent Nos. 5,508,171; 5,053,199; 5,288,636; 5,405,511;5,366,609; 5,762,770 (applies only to Accu-Chek®

Advantage® test strips); Re. 36,268 (applies to the Accu-Chek® Advantage® and Complete™ systems when usedwith Accu-Chek® Comfort Curve® test strips); and 5,352,351.A license to use the Accu-Chek Advantage system is only

Other Information

103

chaser or any other person for any incidental, con-sequential, indirect, special, or punitive damages aris-ing from or in any way connected with the purchaseor operation of the meter or its parts. No warranty ofmerchantability or fitness for a particular purpose, ifany is implied from the sale of the meter, shall extendfor a longer duration than 3 years from the date ofpurchase.Some states do not allow limitations on how long animplied warranty will last or the exclusion of inci-dental or consequential damages, so the aboveelimination and exclusion may not apply to you. Thiswarranty gives you specific legal rights, which varyfrom state to state.

Non-Warranty Service Policy

Roche Diagnostics’ Non-Warranty Service Policyapplies to meters if the above warranty has notbecome effective, has become inapplicable, or hasexpired. Roche Diagnostics will repair or replace atits option meters returned to it for a service charge(not to exceed $35). Replacement will be with like orsimilar product.Replacement (or repaired) meters will be warrantedfor a period of 90 days from shipment under a limit-ed warranty providing for replacement of parts andlabor at no charge.

102


Index

About your Accu-Chek Advantage System .....................12Accu-Chek Advantage Test Strips ............................66, 67Accu-Chek Comfort Curve Test Strips ......................14, 15

Batteries..................................................................17, 97Battery Cover...........................................................12, 13Battery Installation.........................................................18Battery Symbol ........................................................92, 94Beeper...........................................................................20Buttons....................................................................12, 13

Chek Strip ....................................................................16Cleaning ........................................................................87Code Key .................................................................12, 13Code Key Slot ..........................................................12, 13Coding Procedure ..........................................................27

Display Messages..........................................................88

Error Messages .............................................................88

Help.................................................................................5HI Display ......................................................................48

Limitations.....................................................................98LO Display .....................................................................46

Other Information

105

granted when the Accu-Chek® Advantage® meter is usedwith the Accu-Chek® Advantage® or Comfort Curve® teststrips and Accu-Chek™ Advantage™ or Comfort Curve™ codekeys.

Accu-Chek Advantage and Comfort Curve test strips areprovided with a specifically matched Accu-Chek Advantageor Comfort Curve code key. These test strips and code keysare specifically manufactured for operation with the Accu-Chek Advantage meter. Use of other test strips with anunmatched code key or even with the matched code keysupplied by another manufacturer may prevent or impairthe proper function of the Accu-Chek Advantage system.

Using the Accu-Chek Advantage system indicates youracceptance of the restricted license to use the Accu-ChekAdvantage system only with Accu-Chek Advantage orComfort Curve test strips and the Accu-Chek Advantage orComfort Curve code key. Further, if you have purchased anAccu-Chek® Advantage® monitoring kit or an Accu-Chek®

Advantage® meter that includes this restricted license, thenthis restricted license applies regardless of any additionaloffers found in Accu-Chek® Advantage® or Comfort Curve®

test strip packages. If you do not agree to the terms andconditions of the restricted license, you may return, at theplace of purchase, the unused Accu-Chek Advantage sys-tem for a full refund. If you have any questions, please callAccu-Chek Customer CareSM at 1-800-858–8072.

Except where prohibited by statute, all warranties coveringthe Accu-Chek Advantage system are voided by use of theAccu-Chek Advantage system with any test strips or codekeys other than Accu-Chek Advantage or Accu-Chek ComfortCurve test strips or code keys.

104


References

1. Tietz, N.W., Textbook of Clinical Chemistry,p. 2190 (1994).

2. American Diabetes Association Position Statement,Diabetes Care, Vol. 19 (Suppl. 1), p. S4 (1996).

107

MEM Button.............................................................12, 13Memory.........................................................................83

ON/OFF Button.........................................................12, 13

Quality Control Checks...................................................52

References ..................................................................107

Specifications ................................................................98Storage and Handling ....................................................86Supplies ......................................................................100

Testing, Blood Glucose...................................................31Testing, Quality Control ..................................................52Test Strip Slot ..........................................................12, 13Time and Date ...............................................................22Troubleshooting Guide ...................................................88

Warranty......................................................................101

106


This product is covered by U.S. Patent Nos. 4,999,632; 4,999,582;4,963,814; 5,508,171; 5,352,351; 5,405,511; 5,438,271; 5,997,817;5,288,636; 5,627,075; 4,891,319; 5,762,770 (when used with Accu-Chek™ Advantage® test strips); 5,053,199; Re. 36,268 (when used with Accu-Chek™ Comfort Curve® test strips); and 5,366,609. U.S. Patent No. 4,891,319 is licensed from Quadrant Holdings Cambridge Limited.

108

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ACCU-CHEK, ACCU-CHEK CUSTOMER CARE, ADVANTAGE, CHEMSTRIP,CHEK, COMFORT CURVE, and SOFTCLIX are trademarks of a member of the Roche Group.

ACCU-CHEK, ACCU-CHEK CUSTOMER CARE, ADVANTAGE, CHEMSTRIP,CHEK, COMFORT CURVE, y SOFTCLIX son marcas de un miembro delGrupo Roche.

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©2001 Roche Diagnostics. All rights reserved.

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www.accu-chek.com

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Documents

362-11463 AdvMan Classic-ENGL...15 About the Test Strip Your Accu-Chek Advantage kit comes with Accu-Chek® Comfort Curve® test strips.Accu-Chek Comfort Curve test strips are easy