Roche Diagnostics Diabetes Care U8 Blood Glucose Meter with RFID User Manual man 0xxxxxxx001 01 EnCan indd

Roche Diagnostics GmbH Diabetes Care Blood Glucose Meter with RFID man 0xxxxxxx001 01 EnCan indd

User Manual

2 On the packaging, on the type plate of the meter and on the lancing device, you may encounter the symbols shown below. They have the following meanings: Explanation of symbolsConsult the instructions for useCaution (refer to accompanying docu-ments)! Please refer to safety related notes in the instructions for use accom-panying this instrument.Store atUse by / Expiry dateFor single use onlySterilized using irradiationManufacturerCatalogue numberLot numberIVD For in vitro diagnostic use0088Blood glucose meter: This product fulfils the requirements of Directives 98/79/EC on in vitro diagnostic medical devices and 1999/5/EC on radio and telecommunica-tions terminal equipment (R&TTE).Lancing device and lancet drum: These products fulfil the requirements of Direc-tive 93/42/EEC on medical devices.This device complies with Part 15 of the FCC Rules and with RSS-210 of Industry Canada.This device complies with the Japanese Radio Law 100.The explanation of any other symbols can be found in the instructions for use/inserts accompanying compon-ents within the packaging.Last update: 2008-08
3Intended useIntended useAccu-Chek Mobile blood glucose meterMeter for quantitative determination of blood glucose values in fresh capillary blood using Accu-Chek Mobile test cassettes. Suitable for self-testing only. The meter may only be used for blood glu-cose testing by one person. There is a risk of infections being transmitted if the meter is used by other people, or if health-care professionals use the same meter for test-ing blood glucose in more than one person. This meter is therefore not suitable for professional use in healthcare facilities or institutions. Parenteral administration of Galactose, Maltose (e.g. present in some human immunoglobulin preparations) and Icodextrin (a maltose poly-sachharide) may cause overestimation of blood glucose results. Blood concentrations of Galactose >7 mg/dl (>0.39 mmol/l) or Maltose >20 mg/dl (>0.58 mmol/l) will cause overesti-mation of blood glucose results.Accu-Chek FastClix Mobile lancing deviceLancing device with adjustable penetration depth setting for obtaining capillary blood from a fingertip with Accu-Chek FastClix lancet drums and, when a special AST cap is used, also from alternate sites such as the ball of the thumb. The lancing device is intended for personal use only! It may only be used by one person for obtaining blood. There is a risk of infections being trans-mitted if the lancing device is used by other people, or if healthcare professionals use this lancing device to obtain blood from more than one person. This lancing device is therefore not suitable for professional use in healthcare facili-ties or institutions.
4About this User’s ManualAbout this User’s ManualThis User’s Manual features three symbols to draw your attention to important information. Please read these notes with special care. This symbol indicates a possible risk of injury or of damage to your own health or to the health of others. This symbol draws attention to actions that could result in damage to the meter, the test cassette or the lancing device.i This symbol draws your attention to important information.All instructions describing specific operations are printed on a colored background as shown in the following example:1 Place your finger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go.Please read this User’s Manual carefully and com-pletely before testing blood glucose for the first time. If you have any questions, please contact your customer support and service centre (see Chapter 21).This User’s Manual helps you get to know your meter and lancing device step by step. It provides you with all the information you need to operate and care for your meter and lancing device and to deal with any errors that might occur. Remember that, in order to keep your meter and lancing device in good working condition, you need to follow the correct operating procedures and also observe certain other instructions. The meter and lancing device are precision instruments and improper handling can impair their operation.
5About this User’s ManualPlease note: All dates, times or results displayed in this User’s Manual are intended only as examples. They display results in mmol/l (e.g. 5.8 mmol/l), dates in the month day format (e.g. Feb 26) and times in the 12-hour clock (e.g. 06:30pm). Others can (and will) be displayed on your meter’s display. Your meter can, for example, display the time or date in a different format (de-pending on the setting you have chosen).We recommend that you start by getting to know all of the features of your meter and lancing device (see Chapter 1.1 and 1.2). Try out all the steps described in this User’s Manual, and also practise using the meter and lancing device.
Contents1 Getting to know your meter and lancing device 131.1 Components of the meter ............................................................................................................... 141.2 Components of the lancing device .................................................................................................. 171.3 The blood glucose test in brief ....................................................................................................... 181.4 The main features at a glance ........................................................................................................ 201.5 Description of menu and buttons .................................................................................................... 23Elements of the menus ............................................................................................................ 24 button (On/Off button / Enter button) .............................................................................. 26 button (down) ..................................................................................................................... 28Taste (Auf) .......................................................................................................................... 291.6 Turning on the meter ...................................................................................................................... 301.7 Turning off the meter ..................................................................................................................... 32Using the On/Off button .......................................................................................................... 32Via the Main menu .................................................................................................................. 331.8 Opening menus .............................................................................................................................. 341.9 Entering information....................................................................................................................... 37Changing numbers .................................................................................................................. 37Activating or deactivating functions ......................................................................................... 382 Initial steps before testing 392.1 Checking the contents ................................................................................................................... 392.2 Checking the blood glucose unit ..................................................................................................... 406Contents
2.3 Inserting the first test cassette ....................................................................................................... 41Validity of the test cassette ...................................................................................................... 462.4 Removing the protective film from the display ................................................................................ 482.5 Removing the protective strip from the batteries ............................................................................ 482.6 Setting the language ...................................................................................................................... 493 Testing blood glucose 543.1 Preparing the lancing device .......................................................................................................... 55Inserting a lancet drum ............................................................................................................ 57Setting the penetration depth ..................................................................................................59Loading a new lancet .............................................................................................................. 60Replacing a used lancet drum ................................................................................................. 61Undocking and docking the lancing device .............................................................................. 623.2 Performing a blood glucose test ..................................................................................................... 64Starting a blood glucose test by opening the tip cover ............................................................ 65Starting a blood glucose test via the Main menu ...................................................................... 68Obtaining a blood drop ............................................................................................................ 70Applying the blood drop to the test area................................................................................... 73Turning off the meter ............................................................................................................... 75Symbols which are displayed together with the result .............................................................. 77Flagging results ....................................................................................................................... 787Contents
3.3 Evaluating results........................................................................................................................... 84Measuring range ..................................................................................................................... 84Implausible results – possible sources of error ........................................................................ 854 Making settings 864.1 Settings overview........................................................................................................................... 864.2 Opening the Settings menu ............................................................................................................ 894.3 Setting the time and date, selecting the time format ...................................................................... 91Setting the time ....................................................................................................................... 92Setting the date ....................................................................................................................... 95Selecting the time format ........................................................................................................ 984.4 Setting tones ................................................................................................................................ 100Turning the beeper, reminders and acoustic mode on and off ................................................. 1024.5 Setting reminders ........................................................................................................................ 104Setting a new reminder ......................................................................................................... 106Editing an existing reminder (turn on/off, change, delete) ....................................................... 109Setting a single reminder in 1 hour, 2 hours or 3 hours .......................................................... 115Deleting a single reminder ..................................................................................................... 1174.6 Zielbereich einstellen ................................................................................................................... 119Setting a target range ............................................................................................................ 120Editing an existing target range (turn on/off, change) ............................................................. 1228Contents
4.7 Setting the volume ....................................................................................................................... 1264.8 Setting the brightness .................................................................................................................. 1284.9 Setting the language .................................................................................................................... 130Correcting a wrongly set language......................................................................................... 1325 Using the meter as an electronic notebook 1335.1 Viewing saved results .................................................................................................................. 134Via the Memory menu ........................................................................................................... 135Via the button (down) ...................................................................................................... 1375.2 Viewing averages ......................................................................................................................... 1395.3 Transferring results ...................................................................................................................... 144Starting the transfer using the and buttons ............................................................... 147Starting the transfer via the Memory menu ............................................................................ 148Transferring data for further analysis ..................................................................................... 149Transferring results as table .................................................................................................. 151If the transfer is unsuccessful ................................................................................................ 1555.4 Setting the display format for viewing saved results ..................................................................... 1566 Acoustic mode 1596.1 Beep tone when turning on .......................................................................................................... 1616.2 Beep tones during a test .............................................................................................................. 1619Contents
6.3 Announcement of the result after a test ........................................................................................ 162mmol/l meters ....................................................................................................................... 1636.4 Announcements of warnings and error messages ........................................................................ 1647 Checking the meter 1657.1 Preparing for a control test ........................................................................................................... 1667.2 Performing a control test .............................................................................................................. 167Control test not OK – possible sources of error ...................................................................... 1768 Tools menu 1789 Performing a display check 17910 Viewing the validity of the test cassette 18111 Cleaning the meter and lancing device 18211.1 Cleaning the meter ....................................................................................................................... 182The outside ........................................................................................................................... 182The inside ............................................................................................................................. 18311.2 Cleaning the lancing device.......................................................................................................... 19212 Replacing the test cassette 19312.1 Preparing cassette replacement ................................................................................................... 19412.2 Replacing the cassette ................................................................................................................. 19510Contents
13 Viewing the number of available tests 20114 Changing the batteries 20215 Testing and storage conditions 20715.1 Temperature ................................................................................................................................ 20715.2 Humidity ...................................................................................................................................... 20815.3 Light conditions ........................................................................................................................... 20915.4 Local sources of interference ....................................................................................................... 20916 Symbols, messages, problems and error messages 21116.1 Symbols ....................................................................................................................................... 21116.2 Messages .................................................................................................................................... 21216.3 Problems ..................................................................................................................................... 21816.4 Error messages ............................................................................................................................ 22017 Disposing of the meter 22618 Technical data 22819 System components 23111Contents
20 Patents 23221 Customer support and service centre 23321.1 Advice and troubleshooting .......................................................................................................... 23321.2 Addresses .................................................................................................................................... 23322 Alphabetical index 23423 Menu overview 24012Contents
Getting to know your meter and lancing device13Getting to know your meter and lancing device1 This chapter introduces you tothe meterthe lancing devicethe blood glucose testthe main features of the meter and lancing deviceIt then describes what the menus look likehow the meter is turned on and offhow menus are openedhow information is entered.You can only perform a blood glucose test or make settings in the meter if you have performed the initial steps before testing (see Chapter 2).
2 35678941Getting to know your meter and lancing device141.1 Components of the meter
Getting to know your meter and lancing device151 Battery compartment cover (right: from above; far right: open)2 Infrared window (integrated interface for transfer-ring data to a computer, for example)3 Batteries [1.5 V, type AAA, alkaline-manganese or high energy batteries (2 batteries required)]4 Lancing device (docked)5 Tip cover (bottom right: open)6 Test area (at the tip of the cassette ready for a test) – this is where you apply the blood7 Down/Up buttons8 On/Off and Enter button9 Display
10 111213 14Getting to know your meter and lancing device1610 Release button for undocking the lancing device11 Type plate12 Release button for opening the cassette compart-ment cover13 Cassette compartment cover (bottom: open)14 Test cassette (in place in the meter)
1819202122151617Getting to know your meter and lancing device171.2 Components of the lancing device15 Multifunction button (priming and lancing)16 Lever for rotating the lancet drum and loading a new lancet17 Lancet drum containing 6 lancets 18 Numbers indicating penetration depth settings19 Rotatable cap (rotating the cap on the device sets the penetration depth)20 Pin-hole opening for lancet21 Penetration depth indicator 22 Window showing number of available lancets
Getting to know your meter and lancing device181.3 The blood glucose test in brief1 Open tip cover2 Prime lancing device3 Obtain blood
Getting to know your meter and lancing device194 Apply blood5 Read result6 Close tip cover
Getting to know your meter and lancing device201.4 The main features at a glanceTest cassette instead of test stripsThe test cassette contains a continuous tape on which there are 50 test areas. When a test is to be performed a test area is automatically advanced to the tip of the cassette.Easy testingFor testing, you do not need to press a single button. You open the tip cover, apply blood to the test area, read the result and close the tip cover. Docked lancing deviceYou can obtain blood with the lancing device still docked onto the meter. Or you can undock the lancing device and then use it to obtain blood.Lancing device with lancet supplyA drum containing 6 sterile lancets is placed in the lancing device. Pushing the lever on the lancing device rotates the drum to the next lancet. This means that you can obtain blood with a new and sterile lancet 6 times before you have to replace the drum.No codingEach test cassette contains an RFID (radiofrequency identification) chip. This automatically codes the meter when you insert a test cassette and informs the meter about the specific properties of the test areas in this test cassette.
Getting to know your meter and lancing device21Blood volume checkingThe meter checks whether you have applied suf-ficient blood (approx. 0.3 μL = 0.3 thousandths of a millilitre) before starting to test. Luminous displayAll information on the display appears yellow on a black background. You can adjust the brightness to suit the ambient conditions and make it easier to read.Text-supported operationThe meter takes you through all the operations step by step in the language you have selected. There are 15 languages to choose from. Some of the text is supported by symbols and graphics.Menu-driven operationThe settings and functions of the meter are sorted by topic into different menus. You will find an over-view of the menus at the end of the User’s Manual.RemindersYou can set reminder times, e.g. to remind you to perform a test. At the set time a beep will sound and the reminder time will be displayed.Target range for resultsYou can enter your personal target range for blood glucose values. The target range gives the blood glucose values which should be achieved if the treatment is optimal. If a result is above or below this range, a symbol on the display will draw your attention to this.
Getting to know your meter and lancing device22Flagging resultsYou can flag results with various symbols which indicate particular situations during the test.MemoryThe meter automatically saves up to 500 results with the time and date of the test and all other information that is important for the test.Integrated data analysisFrom the stored results, your meter can calculate your averages for the last 7, 14 or 30 days.Data transferThe meter has an infrared window. This enables you to transfer stored results to a computer.
Getting to know your meter and lancing device231.5 Description of menu and buttonsMenuButtonsThis chapter tells you how the menus are arranged, what the different symbols in them mean and how to use the buttons to navigate through the menus. You will fi nd a complete overview of the menus at the end of the User’s Manual.When the meter is on, the selected menu is displayed in the language you have set. The three buttons below the display allow you to navi-gate through the menu.
123Getting to know your meter and lancing device24Elements of the menusThe following illustrations show the main elements that can appear in a menu.1 Title of the display or menu (not in all displays)2 Selected item, highlighted with a yellow bar. If you press the button, this item will be selected (command “Select” above the button). This will take you to a higher- or lower-level menu, for example, or open the display for entering a number.3 Unselected item.
45678Getting to know your meter and lancing device254 The symbol indicates that the function (here Tones) is activated. 5The symbol indicates that the function (here Target range) is deactivated.6 The command displayed here will be executed if you press the button. The particular com-mand displayed depends on the current display (see description of the On/Off and Enter button).7 The symbol means that there are further items above the fi rst item visible on the display.8 The symbol means that there are further items below the last item visible on the display.
Getting to know your meter and lancing device26 button (On/Off button / Enter button) This button allows youto turn the meter on or off  (press and hold the button, see Chapter 1.6 and 1.7); as On/Off button, this button is indicated in the User’s Manual by the symbol ,orto execute the command displayed above the button (press and release the button); as Enter button to execute the command displayed, the button is indi-cated by the symbol .
Getting to know your meter and lancing device27There are various commands, for example (see illustra-tions on left): Select  selects the highlighted item. This will take you to a higher- or lower-level menu, for example, or open the display for entering a number.Continue  takes you from hours to minutes. OK confirms the displayed time.Off  turns the beeper off.
Getting to know your meter and lancing device28 button (down) This button allows you tonavigate down in a menu or listormake numbers smaller.The button (down) is indicated by the symbol in the User’s Manual.
Getting to know your meter and lancing device29Taste (Auf) This button allows you tonavigate up in a menu or listormake numbers bigger. The button (up) is indicated by the symbol in the User’s Manual.
Getting to know your meter and lancing device301.6 Turning on the meter1 With the meter off, press and hold the On/Off the meter turns on (longer than 2 seconds).In the remainder of the User’s Manual, this instruction will appear in the following abbreviated form:1 Turn on the meter using .The meter fi rst runs a display check in which a black and yellow checkerboard pattern of small illuminated dots is displayed. 2 Check that there are no irregularities in the checkerboard pattern. Some examples of irregularities in the checkerboard pattern are shown in Chapter 9.
Getting to know your meter and lancing device31The meter automatically exits the display check after about 2 seconds. After the display check, the meter first displays the number of tests still available on the test cassette and then opens the main menu.
Getting to know your meter and lancing device321.7 Turning off the meterThere are 2 different ways of turning off the meter: using the On/Off button or via the Main menu. Using the On/Off button Press and hold the On/Off button until the bar on the display is fi lled (at least 2 seconds).In the remainder of the User’s Manual, this instruction will appear in the following abbreviated form:Turn off the meter with aus.After this, the number of available tests is displayed and the meter turns off.You can turn the meter off at any time using the On/Off button. If you release the On/Off button before the bar is full, the meter returns to the previous display.
Getting to know your meter and lancing device33Via the Main menu1 Open the Main menu.2 Use the or button to go to the item Turn off.3 Press the button (Select). The meter dispays the number of available tests and then turns off.In the remainder of the User’s Manual, this way of turning off the meter will appear in the following abbreviated form:1 Turn off the meter via Turn off.
1234Getting to know your meter and lancing device341.8 Opening menusThe procedure for opening a menu is always the same. Example: Opening the Date menu1 Turn on the meter with .2 Wait until the Main menu is displayed. 3 Press the button three times until the item Settings is highlighted by the yellow bar.4 Press the button (Select) to open the Settings menu.
567Getting to know your meter and lancing device35The Time/Date menu is highlighted. 5 Press the button (Select) to open the Time/Date menu. 6 Use the or button to select the item Date.7 Press the button (Select) to set the date.The Date menu is now open.
Getting to know your meter and lancing device36In the User’s Manual, the steps for opening the Date menu are summarized as follows:1 Turn on the meter with ,  wait for the Main menu, use to select Settings,  press to open Settings,  use to select Time/Date,  press to open Time/Date,  use to select Date,  press to open Date.The procedure for opening other menus is described in the same way.
Getting to know your meter and lancing device371.9 Entering information Changing numbersPress the button to make a number bigger. If you press the button once, the number increases by 1. If you hold the button down, the number continues to increase until you release the button. Numbers highlighted by a yellow background can be changed.Press the button to make a number smaller. If you press the button once, the number decreases by 1. If you hold the button down, the number continues to decrease until you release the button.
Getting to know your meter and lancing device38Activating or deactivating functionsSome functions, e.g. the beeper and flagging results can only be activated or deactivated.You can recognize these functions by the fact that there is either a tick or a checkbox in front of them and the command above the button is Off or On (if there is a different command this means that the function can also be modified). A tick means that the function is activated. The command for the button is Off to allow you to deactivate the function.Press the button (Off) to deactivate the activated function.A checkbox means that the function is deactivated. The command for the button is On to allow you to activate the function.Press the button (On) to activate a deactivated function.
Initial steps before testing39Initial steps before testing2 2.1 Checking the contentsCheck that the contents of the package are complete. The package contents are listed on the box. If anything is missing, please contact your customer support and service centre. You will find the address at the end of this User’s Manual.
ACCU-CHEK and ACCU-CHEK Mobile are trademarks of RocheFCC ID: VWI U8IC: 3100A-U8US PatentsPending0088MannheimGermanyMIC/KS2xAAA3VXX-U8ACCU-CHEK ® MobileSer.No. GG0001384Art.No. 2248891011mmol/l Made in GermanyFor help call (800) 440-3638Initial steps before testing402.2 Checking the blood glucose unitBlood glucose results can be displayed in two different units of measurement (mmol/l and mg/dl). Con-sequently, two different versions of the same meter are sold. Check that your meter displays the unit of meas-urement you are accustomed to. You can find the unit of measurement that your meter displays on the type plate on the back of your meter. If you do not know which is the right unit of measurement for you, ask your doctor. The unit of measurement that your meter dis-plays cannot be changed. If the wrong unit is printed on the type plate, ask your dealer to change the meter or contact your customer support and service centre. Using the wrong unit of measurement can cause you to misinterpret the results.
Initial steps before testing412.3 Inserting the first test cassetteIf your meter is brand new and unused, it does not contain a test cassette. Please read the test cassette package insert. It contains important information on storage and possible causes of incorrect results, for ex-ample. If the packaging is damaged, you must not use the test cassette. Otherwise, there is a risk that you might obtain incorrect results. Incorrect results can cause the wrong therapeutic deci-sion to be taken and so produce serious adverse health effects. Only remove the test cassette from its pack-aging when you want to insert it into the meter. The packaging protects the test cassette against damage and moisture.i Insert the very first test cassette in the meter before you remove the protective strip from the batteries and start using the meter.i A table is printed on the test cassette box which shows the permitted results for control tests (checking the meter with glucose control solu-tion). The meter automatically checks whether the result of a control test is correct. If you wish to check the result yourself as well, you can do this with this table. Keep the test cassette box in case you need it for this purpose. Please note that the table is only valid for the test cassette that comes in the same box. Test cassettes from other boxes have other tables.
Initial steps before testing421 Place your fi nger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go. You must feel the tip cover click into place.2 Turn the meter over.
Initial steps before testing433 Push the release button for the cassette compart-ment cover in the direction of the arrow. The cover springs open.4 Open the cassette compartment cover all the way. You have to overcome a resistance, accompanied by an audible CLICK, just before it is fully opened.The cassette compartment cover is fully opened when it is at an angle of slightly more than ninety degrees – as shown in the illustration.CLICK
Initial steps before testing445 Remove the cassette from the packaging.6 Insert the cassette in the meter with the silver side facing upwards.
Initial steps before testing457 Close the cassette compartment cover and press it closed. You must hear an audible CLICK. 8 Push the tip cover in the direction of the arrow as far as it will go. You must feel the tip cover click into place.CLICK
Initial steps before testing46Validity of the test cassetteWhen a test cassette is in the meter, the meter checks regularly when the cassette was inserted and calcu-lates the use-by period from this. Each test cassette must be used up within 3 months (use-by period). If you insert a started test cassette into the meter, the use-by period is calculated from the date when the cassette was placed in the meter for the first time. This date is stored in the cassette.The meter also checks whether the expiry date of the cassette has been reached. The expiry date is shown on the test cassette box next to the symbol .If either of the two dates – use-by period or expiry date – is exceeded, the validity of the cassette has expired. You cannot perform any more tests with this test cas-sette.
Initial steps before testing47If you start a test and the validity of the cassette is about to expire shortly or has already expired, the meter will inform you of this.The first notification appears 10 days before the validity of the cassette expires, the following appear 5, 2 and 1 day(s) before expiry.Press the button (Continue) to start a test.If the validity of the test cassette has expired, the message on the left appears.Turn off the meter with and insert a new test cassette.
Initial steps before testing482.4 Removing the protective fi lm from the displayThe meter’s display is protected by a protective fi lm.Peel this protective fi lm off.2.5 Removing the protective strip from the batteriesThe meter is supplied with batteries inserted. The battery contacts are covered with a protective strip to prevent premature loss of battery power. This protect-ive strip must be removed before you can start using the meter.Pull the protective strip backwards out of the meter.i Instructions for changing the batteries are given in Chapter 14.
Initial steps before testing492.6 Setting the languageWhen you have inserted a test cassette and removed the protective film from the display and the protective strip from the batteries (see Chapter 2.3 to 2.5), you must set the language in which text will be displayed on the meter. The meter automatically prompts you to do this the first time you turn it on. There are a total of 15 languages to choose from. English USEnglish UKDeutschEspañolItalianoFrançaisDanskSvenskaTürkçePortuguêsΕλληνικάNorskSuomiNederlands
Initial steps before testing501 With the meter off, press and hold the On/Off button until the meter turns on (longer than 2 seconds).When you turn on the meter for the fi rst time, the language selection menu is automatically displayed.The default language is English US. You can either select this language or replace it by a different one.
Initial steps before testing512 Press the or button repeatedly until the desired language is highlighted. 3 Then press the button below the display to select the highlighted language.The meter will then display the language you just selected.4 Confirm this information by pressing the button (OK ).i If you selected the wrong language by mistake you can change this setting later (see Chapter 4.9). However, until you do so, the menu will be displayed in the language you selected.
Initial steps before testing52The meter then runs a display check in which a black and yellow checkerboard pattern of small illuminated dots is displayed. 5 Check whether there are any irregularities in the checkerboard pattern. Some examples of irregularities in the checkerboard pattern are shown in Chapter 9. If there are irregularities in the checkerboard pattern, results might not be displayed correctly. In this case, ask your dealer to change the me-ter or contact your customer support and ser-vice centre. The meter automatically exits the display check after about 2 seconds.
Initial steps before testing53It will then display when the cassette expires. 6 Press the button (Continue).The meter displays the number of available tests in the test cassette which can still be used for testing.Then the Main menu is displayed. Now you can choose what you want to do, e.g:perform a blood glucose testPress (Select).turn off the meterUse to select Turn off  press .make settingsUse to select Settings  press to open Settings.
Testing blood glucose54Testing blood glucose3 When you have inserted a test cassette, removed the protective film from the display and the protective strip from the batteries and set the language (see Chapter 2), you can perform blood glucose tests with the meter.The time and date are already set in the meter. If these differ from the current time or date you can correct either of these (see Chapter 4).If you want to use certain functions of the meter, e.g. set reminders to remind you to test, you can change the meter’s settings before you start to test or at any other time (see Chapter 4). To perform a blood glucose test, you only need:the meter with inserted test cassettethe lancing device with inserted lancet drum
Testing blood glucose553.1 Preparing the lancing deviceAST capYou can use the lancing device to obtain blood from a fi ngertip or from other (alternate) sites. You can choose one of 11 different penetration depth settings to suit your own skin type. You can use the lancing device either docked on to the meter or separately from the meter.If you wish to obtain blood from alternate sites (such as the ball of the thumb, forearm, upper arm, calf or thigh), you must replace the normal black cap on the lancing device with a special transparent AST cap (AST stands for alternate site testing). If there is no AST cap in the pack, you can order one from your customer support and service centre. Make sure you also read the instructions for use that come with the AST cap before using blood from alter-nate sites for a blood glucose test.
Testing blood glucose56 The lancing device is intended for personal use only! It may only be used by one person for obtaining blood. There is a risk of infections being trans-mitted if the lancing device is used by other people, or if healthcare professionals use this lancing device to obtain blood from more than one person. This lancing device is therefore not suitable for professional use in healthcare facili-ties or institutions. Wear can lead to material failure. In extreme cases a lancet can protrude from the cap so that injury cannot be completely ruled out. You should therefore handle the lancing device with particular care once a lancet drum has been inserted. Only use the Accu-Chek FastClix Mobile lancing device with Accu-Chek FastClix lancet drums. Using any other lancets or lancet drums may damage the lancing device or impair its func-tion. A lancet drum that has been taken out of the lancing device has a built-in safety feature that stops you from using it again. This rules out a potential infection risk. A locking mechanism prevents the lancet drum being rotated further if there is a 1 in the win-dow showing the number of available lancets. Do not force the lever beyond this locking mechanism as this will damage the lancing device.
Testing blood glucose57Inserting a lancet drumnew lancet druml used lancet drumred lineTo use the lancing device to obtain blood, you must fi rst insert a lancet drum.1 Take a new lancet drum.You can tell that a lancet drum has been used because it has a red line visible on the white portion. You cannot insert a used lancet drum again.2 Remove the cap from the lancing device.
Testing blood glucose583 Insert the new lancet drum – white end fi rst – into the lancing device.The lancet drum is properly inserted when it slots into position with an audible CLICK. 4 Place the cap back on again. The cut-out section at the edge of the cap must fi t over the correspondingly shaped curvature with the pene-tration depth indicator (silver line). You must hear and feel the cap click into place. The window showing the number of available lancets shows 6, i.e. there are now 6 lancets available.
Testing blood glucose59Setting the penetration depthPenetration depth indicatorHalf settingsYou can set the penetration depth of the lancet to 1 of 11 possible settings (0.5–5.5). The silver line (penetra-tion depth indicator) on the lancing device indicates the current penetration depth setting. The higher the num-ber the deeper the penetration. The half settings for the penetration depth are indicated by a dot. The penetra-tion depth 1.5 is set when the line points to the dot between 1 and 2. If you have no experience of using this lancing device, we recommend that you start with a low penetration depth setting such as 1.1 Rotate the cap of the lancing device until the de-sired penetration depth is level with the indicator.i Do not lance your fi nger until you are told to do so in the further course of the User’s Manual.
1212Testing blood glucose60You do not need to load a new lancet if you just in-serted a new lancet drum.Loading a new lancetIf you have already used the lancing device to obtain blood, you will need a new lancet the next time you obtain blood. For this, the lancet drum must be rotated in the lancing device.Push the lever at the side of the lancing device to the right as far as it will go (1) and then back to the left (2).The lancet drum rotates a little further and the next lancet will be advanced to the correct position and is now ready for use. The window on the side of the lancing device now shows one less available lancet, e.g. 5 instead of previously 6. When you have loaded the sixth and last lancet, the window shows 1.
Testing blood glucose61Replacing a used lancet drumWhen you have used the sixth and last lancet, you need to replace the used lancet drum with a new one. 1 Remove the cap from the lancing device.2 Grasp the lancet drum at the cut-outs on the lancing device.3 Pull the lancet drum out of the lancing device.Used lancet drums can be disposed of in household waste.4 Insert a new lancet drum (see section “Inserting a lancet drum”)
Testing blood glucose62Undocking and docking the lancing deviceIf you wish to use the lancing device separately from the meter, detach it as follows.1 Push the release button for the lancing device (on the back of the meter) in the direction of the arrow as far as it will go. Hold it in this position until you have undocked the lancing device.2 Withdraw the lancing device by sliding it out in the direction of the arrow.
Testing blood glucose63To dock the lancing device on to the meter again, proceed as follows:There are 2 guide tracks on the meter and the lancing device, respectively. When docking the lancing device, the tracks on the lancing device must fi t into the tracks in the recess at the side of the meter.1 Position the lancing device at the lower end of the recess with the multifunction button at the top and the writing “Accu-Chek FastClix Mobile” facing the meter. 2 Slide the lancing device along the side of the meter in the direction of the arrow until it slots into place with an audible CLICK.
Testing blood glucose643.2 Performing a blood glucose testWhen you have inserted a lancet drum into the lancing device and set the penetration depth, you can now start to perform a blood glucose test.There are two ways of starting a blood glucose test.You can open the tip cover (with the meter on or off).You can turn on the meter using the  button and select Test in the Main menu.After performing the test, you can flag the result if the test was performed under special conditions and you want to record this.i Before you start the test, wash your hands with warm water and soap and dry them well. This helps remove any residues from the skin, e.g. from food, drinks or skin cream, which can disturb the test. This also stimulates blood flow and reduces contamination of the puncture site. i At a particular time, the meter prompts you to apply blood. You then have about 2 minutes to obtain a blood drop and apply it to the test area. If you do not apply blood to the test area within this period, the meter turns off. The test area that had been made available will be lost as the meter will advance a new test area next time.
Testing blood glucose65Starting a blood glucose test by opening the tip cover 1 Place your fi nger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go. After overcoming a slight resistance, the tip cover clicks into place. Be careful not to touch the tape when doing this as this could damage it.If the meter was turned off, it now turns on. A beep will sound (if Beeper is turned on) and the display check will be displayed, followed by the num-ber of available tests.2 Check that there are no irregularities in the checkerboard pattern.
Testing blood glucose66Then the meter will advance a test area to the tip of the cassette. Be careful not to touch the tape when doing this as this could damage it.Shortly after the test area has been advanced to the tip of the cassette, the prompt Apply blood will appear and a beep will sound again (if Beeper is turned on).
Testing blood glucose67You can also open the tip cover if the meter is already turned on. In this case, the meter then switches to Test. It advances a test area to the tip of the cassette and then the prompt Apply blood appears. There are the following exceptions:If you are in the  Settings menu. In this case, when you open the tip cover you will be asked whether you really want to perform a test (see Chapter 16.2). If you had turned on the meter using the  or button (see Chapter 5.1 and 13). In this case, the meter does not switch to Test. You must first turn off the meter. Then you can start the blood glucose test either by opening the tip cover or via the Main menu (see next page).
Testing blood glucose68Starting a blood glucose test via the Main menu1 Turn on the meter with ,  wait for the Main menu.If the meter is already on:1 Switch from the currently displayed menu to the Main menu.2 Use to select Test,  press to open Test.The prompt Open tip cover appears on the display.If you do not want to perform a test after all, press the button (Cancel). In this case, no test area will be advanced and the number of available tests remains the same. The meter returns to the Main menu.
Testing blood glucose693 Place your fi nger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go. Be careful not to touch the tape when doing this as this could damage it.When you have opened the tip cover, the meter advan-ces a test area to the tip of the cassette. Be careful not to touch the tape when doing this as this could damage it.Shortly after the test area has been advanced to the tip of the cassette, the prompt Apply blood will appear and a beep will sound again (if Beeper is turned on).
Testing blood glucose70Obtaining a blood drop Use a new lancet each time you obtain blood. This reduces the risk of infection and helps ensure virtually pain-free blood sampling.In general, all the fi ngers are suitable for obtaining blood. Certain fi ngers can be unsuitable if, for example, a skin or fi ngernail infection is present. We recommend obtaining capillary blood from the side of a fi ngertip as this registers the least pain (see black areas in the illustration on the left). The amount of blood that emerges at the puncture site depends on the penetration depth setting and the pressure used to hold the lancing device against the skin. If you fi nd when you perform the test that the amount of blood is insuffi cient, press the lancing device more fi rmly against the skin next time. If you still obtain insuffi cient blood, also increase the penetration depth one setting at a time when you perform your next tests. If, on the other hand, you obtain too much blood, reduce the penetration depth next time. = Recommended sites for obtaining blood
Testing blood glucose71To obtain blood with the lancing device, you fi rst need to prime it. Do not prime the lancing device until you are ready to obtain blood. Storing the lancing device in this primed state can cause parts to become misshapen through tension, impairing its oper-ation. 1 To prime the lancing device, press the multifunc-tion button down as far as it will go.When you release the button one third will come out again. The lancing device is now primed. Do not press the multifunction button again until you actually want to obtain blood. As the lancing device is now primed, this would trigger the lancet and could lead to accidental injury
Testing blood glucose72 The cap must be on the lancing device when you obtain blood. Without the cap, the lancet would penetrate too deeply and you would feel more pain than necessary.2 Press the lancing device fi rmly against the chosen puncture site.You will feel a slightly raised ring against your skin; this is the pin-hole through which the tip of the lancet emerges.3 Press the multifunction button all the way down.This triggers the lancet, which penetrates the skin to the penetration depth set.4 If necessary, gently massage the fi nger in the direction of the fi ngertip to encourage a blood drop to form.
Testing blood glucose73Applying the blood drop to the test areaDo not apply blood at the edge of the test areaDo not hold the meter with the test area pointing upwardsYou can hold the meter in your hand or lay it down while you apply blood to the test area. Do not hold the meter with the test area pointing upwards. If you hold the meter with the test area pointing upwards, blood could enter the meter and soil it.When the prompt Apply blood is displayed:1 As soon as the blood drop has formed, bring it towards the centre of the test area at the tip of the cassette.Touch the tape lightly with your fi nger. The blood drop is drawn up by the test area.
Testing blood glucose742 Take your finger away from the test area as soon as Test in progress and the hourglass symbol appear on the display.The test area has then drawn up enough blood and a beep sounds (if Beeper is turned on). The hourglass symbol indicates that the test is in progress.Testing is complete after approx. 5 seconds. The result appears on the display and the meter beeps (if Beeper is turned on). At the same time the meter automatically saves the result. The used test area is transported away from the tip of the cassette.If you want to flag the result do not turn the meter off. The procedure for flagging results is described under “Flagging results”. If you do not wish to flag the result you can now turn off the meter (see next page).
Testing blood glucose75Turning off the meterTurning off via the tip cover1 Close the tip cover. The meter dispays the number of available tests and then turns off.i The result will be displayed for at least 15 seconds. If you close the tip cover before the end of this time, the result will continue to be displayed. The number of available tests does not appear until the 15 seconds have elapsed.
Testing blood glucose76Turning off using the On/Off button1 Press and hold the On/Off button until the bar on the display is fi lled (at least 2 seconds).Before the meter turns off, it prompts you to close the tip cover and then display the number of available tests for your information.2 Close the tip cover.
Testing blood glucose77Symbols which are displayed together with the resultThe following symbols can be displayed together with the result: You have turned on the target range. The result is either below the lower limit or above the upper limit of the target range set. in place of a result: The result is lower than 0.6 mmol/l. may indicate that your blood glucose is very low (possibly a severe hypoglycemia). Follow the relevant instructions given by your doctor immediately and repeat the test. in place of a result: The result is higher than 33.3 mmol/l. Repeat the test. The batteries are almost empty. The temperature during the test was outside the permitted range of +10 to +40 °C. Despite a warning to this effect you decided to go ahead with the test.
Testing blood glucose78Flagging resultsYou can flag results to describe certain events con-nected to the result or particular characteristics of the result. You can only flag a result if you open the Set flag menu while the result is still displayed after a test.The Set flag menu offers you a choice of 4 flags:Control test  (symbol ) is intended for control tests in which you apply control solution to the test area instead of blood.General  (symbol ): You can define the meaning of this flag yourself. For example, you can use it for results that you have obtained from alternate sites or after physical activities.Before meal  (apple symbol ) is intended for re-sults you have obtained before your meals.After meal  (bitten into apple symbol ) is intended for results you have obtained after your meals.In addition to the 4 flags, the last item in the Set flag menu is Reminder. You can use this to go directly to the Reminders menu after a test.
Testing blood glucose79You can add the following flags to a result together: General  and Before mealGeneral  and After mealYou cannot flag a result with Before meal and After meal together. If either of these flags is already set, it will automatically be removed when you set the other flag.You can change (add or remove) flags again as long as you are still in the Set flag menu. As soon as you leave the menu, either by going to the Main menu, selecting Reminder or Control test or turning off the meter, the flags chosen will be saved and can no longer be sub-sequently changed. Reminder allows you to go directly from the Set flag menu after a test to set a reminder if you would like to check your blood glucose again later. You do not need to go to the Main menu or turn the meter off and on again but just select Reminder. If you want to flag a result and set a reminder, you have to set the flag(s) first. Selecting Reminder takes you out of the Set flag menu and opens the Reminders menu. Selecting Control test also takes you out of the Set flag menu and opens the Control solution menu.
Testing blood glucose80The following descriptions start from the display of a result after a test.General, Before meal and After meal1 Press (Set flag).This opens the Set flag menu. All flags are deactivated. A checkbox indicates that the flag is deactivated, a tick that it is activated.2 Use to select General, Before meal or After meal.3 Press the button (On).The symbol for the flag that has been activated is displayed to the right of the result. If you want to add a further flag to the result, repeat steps 2 and 3.
Testing blood glucose813 symbols can be displayed to the right of the result. If a result is flagged with 4 symbols, the symbol will not be displayed. Example: If the temperature during a test was too high or too low and the test is outside the target range, the result will automatically be flagged with the symbols and (see Chapter 16.2 and 4.6). If you flag this result with General and Before meal, the symbols will be displayed next to the symbol and , and the symbol will no longer be displayed (however, the flag will not be removed).Removing a flag again:1 Use to select General, for example.2 Press the button (Off).
Testing blood glucose82orLeaving the Set fl ag menu1a Turn off the meter with .or1b Use to select Main menu and press (Select).2 Close the tip cover.
Testing blood glucose83Reminder1 Press (Set flag).2 Use to select Reminder.3 Press (Select).This opens the Reminders menu. You will find all the information about this menu in Chapter 4.5. Control test1 Press (Set flag).2 Use to select Control test.3 Press (Select).The further procedure for performing a control test (test with control solution) is described in Chapter 7.2.
Testing blood glucose843.3 Evaluating results If the displayed result agrees with the way you feel, follow the instructions given by your doctor. If the displayed result does not agree with the way you feel, performa a control test with an Accu-Chek Mobile control solution (see Chap-ter 7). Then repeat the blood glucose test. If the new result still does not agree with the way you feel, contact your doctor. Do not change your treatment based on just one result.Measuring rangeThe meter measures blood glucose results in the range from 0.6–33.3 mmol/l.If the result is lower than 0.6 mmol/l, is displayed in-stead of a result. may indicate that your blood glucose is very low (possibly a severe hypoglycemia). Follow the relevant instructions given by your doctor immediately and repeat the test.If the result is higher than 33.3 mmol/l, is displayed in-stead of a result. Repeat the test.
Testing blood glucose85Implausible results – possible sources of errorIf your meter repeatedly displays implausible results or error messages, please check the points listed below. If any of your responses to the questions listed differ from those given, make the respective corrections when you perform the next test. If you have taken all of these points into account and still obtain implausible results or error messages, contact your customer support and service centre.Did you perform the blood glucose test according to the User’s Manual? yesDid you wash your hands with warm water and soap? Did you dry your hands well? yesDid you massage your finger only gently in the direction of the finger tip? yesDid you wait for the application prompt to be displayed before applying blood? yesDid you apply the blod drop to the test area immediately after it had formed? yesDid you perform the test within the correct temperature range (10–40 °C)? yesDid you observe the proper storage conditions for the meter and the test cassette (see Chapter 15 and the test cassette package insert)?yesHave you paid attention to the sources of error stated in the test cassette package insert? yesIf your meter has been dropped, that can also lead to implausible results or error messages. In this case, you should also call your customer support and service centre.
Making settings86Making settings4 4.1 Settings overviewThe meter has several features which you can only use after making the appropriate settings. Most of these features are intended primarily to enable you to adapt the meter to your personal needs (e.g. beeper and acoustic reminders). An overview of the settings is given on the following 2 pages. The respective default settings with which the meter is delivered are shown in each case.You can perform blood glucose tests without adjusting any of the settings on the meter. In this case, all the settings are the default settings.
Making settings87Menu Setting Available options Default settingTime/Date Time Central Standard Time (CST)Date Current dateTime format hh:mm * DD.MM.YY ** am/pm Month DD(format for time hh:mm Day DD.MM.and date) hh:mm DD. Monthhh:mm am/pm MM/DD/YYhh:mm am/pm MM/DDhh:mm am/pm Month DDhh:mm am/pm DD. Monthhh:mm YY/MM/DD* hh = hours, mm = minutes; e.g. 09:45 (hh:mm)** DD = day, MM = month, YY = year; e.g. 25.11.09 (DD.MM.YY) or 11/25/09 (MM/DD/YY)
Making settings88Menu Setting Available options Default settingTones Beeper On or Off OnReminders Beeper On or Off OnAcoustic mode On or Off OffReminders 10 times – freely selectable daily reminders and/or a single reminder after a specified length of time (1, 2 or 3 hrs)NoneTarget range Lower and upper limit value / On or Off None / OffVolume 5 levels Level 3Brightness 3 levels Level 2Language 15 different languages English US
Making settings894.2 Opening the Settings menu1 Turn on the meter with ,  wait for the Main menu, use to select Settings,  press to open Settings.The buttons to use for making settings are described in Chapters 1.5 and 1.9.You will fi nd a complete overview of the menus at the end of the User’s Manual.
Making settings90Im Menü Einstellungen finden Sie folgende Auswahl-möglichkeiten:Hauptmenü  : zum Hauptmenü gehenZeit/Datum  : Uhrzeit und Datum einstellen, Zeitformat auswählenTöne  : Signaltöne, Erinnerungen und Akustikmodus ein- oder ausschaltenErinnerungen  : Erinnerungszeiten einstellenZielbereich  : Ober- und Untergrenze für den Ziel-bereich einstellenLautstärke  : Lautstärke der Signaltöne einstellenHelligkeit  : Helligkeit der Anzeige einstellenSprache  : Sprache der angezeigten Texte auswählen
Making settings914.3 Setting the time and date, selecting the time formatThe time and date are already set in the meter. If you want to use reminders or analyse your results with a computer, for example, you should check the time and date and correct them if they deviate from the current time or date.All results are saved together with the time and date. If the time and date are not correctly set, the results cannot be analysed properly as a function of time.If the time is not correctly set and you use remind-ers, you will be reminded to perform a test at the wrong time.The following options are available in the Time/Date menu:Main menu: takes you to the Main menuBack: takes you to the Settings menuTime:  set the timeDate:  set the dateTime format:  select the time format
Making settings92Setting the time1 Turn on the meter with ,  wait for the Main menu,  use to select Settings,  press to open Settings,  use to select Time/Date,  press to open Time/Date,  use to select Time,  press to open Time.The hours are highlighted.If you have chosen one of the 12-hour time formats, am (morning) or pm (afternoon) is also displayed after the time.
Making settings9324-hour format 12-hour format2 Use to set the hour. 3 Press (Continue).The minutes are now highlighted.4 Use to set the minutes.5 Press (OK or Continue).
Making settings9424-hour format 12-hour format Only for times in 12-hour format:The suffix am or pm is highlighted.5a Use to select am or pm.5b Press (OK ).The meter will then display the time you just set. 6 Press (OK ).The meter returns to the Time/Date menu.
1 2 3Making settings95Setting the dateThe sequence in which you set the day, month and year while setting the date depends on the time format you have set. Apart from the sequence, the procedure is the same in all cases. The following sequences are possible:1 Month – Day – Year 2 Day – Month – Year 3 Year – Month – Day1 Turn on the meter with ,  wait for Main menu, use to select Settings,  press to open Settings,  use to select Time/Date,  press to open Time/Date,  use to select Date,  press to open Date.
Making settings96The following example describes the procedure for setting the date in the case of sequence 1.The month is highlighted. 2 Use to set the month.3 Press (Continue).The day is now highlighted.4 Use to set the day.5 Press (Continue).The year is now highlighted.6 Use to set the year.7 Press (OK ).
Making settings97ororThe meter will then display the date you just set. The date will be displayed according to the time format you have set (see examples on left). 8 Press (OK ).The meter returns to the Time/Date menu.i If the date you have set does not exist (e.g. 31 April), the meter returns to the first setting position when you confirm the last entry with OK (step 7). You must correct the date before the meter will accept it.
Making settings98Selecting the time format1 Turn on the meter with ,  wait for Main menu, use to select Settings,  press to open Settings,  use to select Time/Date,  press to open Time/Date,  use to select Time format, press to open Time format.The currently set time format is highlighted.
Making settings992 Use to select the desired time format.3 Press (Select).The meter will then display the time format you just set.4 Press (OK ).The meter returns to the Time/Date menu.
Making settings1004.4 Setting tonesThe following options are available in the Tones menu:Main menu:  takes you to the Main menuBack:  takes you to the Settings menuBeeper:  turn the beeper on or offReminders:  turn the beep tone for reminders on or offAcoustic mode:  turn the acoustic mode on or offBeeper:  If Beeper is turned on (default setting), a beep will sound at the following times during a test:when the display check starts,when the prompt  Apply blood is displayed and you can apply blood or control solution to the test area,when  Test in progress is displayed and the test begins,when the result is displayed,when an error message is displayed (a double beep 4 times in succession).
Making settings101Reminders: Here you can set whether or not you want reminders to be accompanied by beeps (see Chap-ter 4.5). If Reminders is turned on (default setting), the beeps will sound. Acoustic mode: If the acoustic mode is turned on (default setting: off), the meter guides you through the blood glucose test with the beeps described above. At the end of the test, the meter also announces the result in the form of a sequence of beep tones. The acoustic mode is described in Chapter 6. Visually impaired people should only use the acoustic mode if they have familiarized them-selves fully with the acoustic mode with the assistance of a sighted person and have dem-onstrated that they are able to understand re-sults correctly without exception using the acoustic mode. The acoustic mode should al-ways be used with great care. Otherwise there is a risk that the results will be misinterpreted by the person performing the test. An incorrect insulin dose resulting from a misinterpreted result can cause considerable health damage and can even be fatal. Especially if unexpected and abnormal blood glucose values are obtained using the acoustic mode, the result must be checked by repeating the test together with a sighted person. Visually impaired people should not test their blood glucose without assistance from a sighted person.
Making settings102Turning the beeper, reminders and acoustic mode on and offBeeper, Reminders and Acoustic mode can only be turned on and off The procedure is always the same and is therefore only described here for Beeper.1 Turn on the meter with ,  wait for Main menu, use to select Settings,  press to open Settings,  use to select Tones,  press to open Tones,  use to select Beeper (or another func-tion).
Making settings103A tick  means that the function is activatedA checkbox  means that it is deactivated2 Press (On or Off) to turn the beeper on or off.The meter remains in the Tones menu.i If you wish to use the acoustic mode, you must turn both Acoustic mode and Beeper on.
Making settings1044.5 Setting remindersYou can set up to 10 reminder times. If the meter is turned off, “Reminder” and the time of the reminder will be displayed daily at the time you have set. If you have turned on Reminders in the Tones menu, beeps will also sound. You can turn off the reminder and the beeps by press-ing any button. If you do not press a button, the meter turns off automatically after 20 seconds. The reminder will not be repeated.If you perform a blood glucose test 10 minutes or less before a reminder, the reminder will not be given.
Making settings105Reminders menu when 10 reminders have already been set.The following options are available in the Reminders menu:Main menu:  takes you to the Main menuBack:  takes you to the Settings menuNew: set a new time for a daily reminderEdit: edit an existing reminder time (is only displayed if at least one time has been set)In 1 hour:  set a single reminder in 1 hourIn 2 hours:  set a single reminder in 2 hoursIn 3 hours:  set a single reminder in 3 hoursNew, In 1 hour, In 2 hours and In 3 hours are not dis-played if 10 reminder times have already been set.
Making settings106Setting a new reminder1 Turn on the meter with ,  wait for Main menu,  use to select Settings.  press to open Settings,  use to select Reminders. The checkbox to the left of Reminders means that no reminders have been set or that all reminders set have been turned off. A tick means that at least one reminder has been set and is turned on.2 Press to open Reminders,  use to select New,  press to open New.As you are about to set a new reminder time, only dashes are displayed for the hours and minutes.If you decide you do not want to set a reminder time after all, press the button (Cancel) to return to the Reminders menu.
Making settings10724-hour format 12-hour format The hours are highlighted.3 Use to set the hour.The first time you press the button, the time will go to 00:00 (24-hour format) or 01:00 am (12-hour format).4 Press (Continue ).The minutes are now highlighted.5 Use to set the minutes.6 Press (OK or Continue ).
Making settings10824-hour format 12-hour format Only for times in 12-hour format:The suffix am or pm is highlighted.6a Use to select am or pm.6b Press (OK ).The meter will then display the reminder time you just set. The reminder is also turned on.7 Press (OK ).The meter returns to the Edit reminders menu.
Making settings109Editing an existing reminder (turn on/off, change, delete)1 Turn on the meter with ,  wait for the Main menu,  use to select Settings,  press to open Settings,  use to select Reminders,  press to open Reminders,  use to select Edit,  press to open Edit.A list with the reminders that have already been set appears on the display.A checkbox indicates that the reminder is turned off, a tick that it is turned on.2 Use to select the reminder time you wish to edit.3 Press (Select ).
Making settings110You will then see the following options below the time:Turn off , to turn off a reminder that is turned on (the time remains unchanged), or Turn on to turn on a reminder that has been turned off.Change , to change the reminder timeDelete , to delete this reminderCancel , if you do not wish to edit this reminderIn den folgenden Beispielen werden nur Uhrzeiten im 24-Stunden-Format gezeigt und beschrieben.
Making settings111Turning a reminder on or off1 Use to select Turn on (Turn off).2 Press (Select ).The meter will then display the reminder time you just turned on or off.3 Press (OK ).The reminder is now turned on or off.The meter returns to the Edit reminders menu
Making settings112Changing a reminder1 Use to select Change.2 Press (Select ).3 Set the new reminder time (see “Setting a new reminder” for how to do this).The meter will then display the reminder time you just changed.4 Press (OK ).The reminder time has now been changed and the reminder is also turned on.The meter returns to the Edit reminders menu.
Making settings113Deleting a reminder1 Use to select Delete.2 Press (Select ).The meter will then display the reminder time you just deleted.3 Press (OK ).The reminder time has now been deleted.The meter returns to the Edit reminders menu or to the Reminders menu if you have deleted the last reminder.
Making settings114Cancel – Not editing a reminderIf you do not want to edit a selected reminder after all, you can cancel the editing procedure as follows.1 Use to select Cancel.2 Press (Select ).The meter returns to the Edit reminders menu without changing the reminder.
Making settings115Setting a single reminder in 1 hour, 2 hours or 3 hoursThe meter can give you a single reminder to perform a test in 1 hour, 2 hours or 3 hours. You do not need to set a time for this. These reminders can be useful if you wish to check a result you just obtained, for ex-ample. When the reminder has been given, it is auto-matically deleted.1 Turn on the meter with ,  wait for the Main menu,  use to select Settings,  press to open Settings,  use to select Reminders,  press to open Reminders,  use to select In 1 hour (or In 2 hours or In 3 hours).2 Press (Select ).
Making settings116The meter displays that it will give you a reminder in 1 hour (or in 2 or 3 hours).3 Press (OK ).The meter returns to the Edit reminders menu.The single reminder will be displayed in the list of reminders in the same way as any other reminder, i.e. the time will be displayed there and not “In 1 hour”, for example.
Making settings117Deleting a single reminder1 Turn on the meter with ,  wait for the Main menu,  use to select Settings,  press to open Settings,  use to select Reminders,  press to open Reminders,  use to select Edit, press to open Edit.A list with the reminders that have already been set appears on the display.A checkbox indicates that the reminder is turned off, a tick that it is turned on.2 Use to select the reminder time you wish to delete.3 Press (Select ).
Making settings118In the case of a single reminder, only the following options are displayed below the time:Delete , to delete this reminderCancel , if you do not wish to delete this reminderUnlike the daily reminders, you cannot turn reminders on or off or change their time.4 Use to select Delete.5 Press (Select ).The meter will then display the reminder time you just deleted.6 Press (OK ).The reminder time has now been deleted.The meter returns to the Edit reminders menu or to the Reminders menu if you have deleted the last reminder.
Making settings1194.6 Zielbereich einstellenYou can enter your personal target range for blood glucose values (default setting: Off). Results above or below this target range will be flagged with the symbol . The target range gives the blood glucose values which should be achieved if the treatment is optimal. Discuss with your doctor what target range you should set.You set the target range by entering the lower and upper limits. The lower limit can be set to between 2.8 and 5.5 mmol/l. The upper limit can be set to between 5.5 and 11.1 mmol/l. Both limits can be set in steps of 0.1 mmol/l. If you wish to use the lower limit of the target range as an indicator of a possible hypo, it is important to remember this: The indicator will only be reliable if the limit has been properly selected. We therefore strongly recommend that you talk to your healthcare professional before you set the limit. This function is no substitute for hypoglycaemia training by your doctor or diabetes team.
Making settings120Setting a target range1 Turn on the meter with ,  wait for the Main menu,  use to select Settings,  press to open Settings,  use to select Target range,  press to open Target range.A checkbox indicates that the target range is turned on, a tick that it is turned off.If you have not yet set a target range, the meter will take you directly to the display for entering the upper and lower limits. The two limits are indicated by dash-es only.If you decide you do not want to set a target range after all, press the button (Cancel) to return to the Settings menu.
Making settings1212 Use to set the lower limit.The first time you press a button, the default setting of 3.9 mmol/l will be entered. 3 Continue (Continue ).The default setting of 7.8 mmol/l will be entered for the upper limit. 4 Use to set the upper limit.5 Press (OK ).The meter will then display the target range you just set. It is also turned on.6 Press (OK ).The meter returns to the Settings menu.
Making settings122Editing an existing target range (turn on/off, change)1 Turn on the meter with ,  wait for the Main menu,  use to select Settings,  press to open Settings,  use to select Target range,  press to open Target range.Once you have set a target range, the Target range menu will offer you the following options:Turn off , to turn off the target range (the upper and lower limits you have entered remain unchanged), or Turn on to turn on the target range.Change , to change the upper and lower limits of the target rangeCancel , if you do not wish to edit the target range
Making settings123Turning the target range on or off1 Use to select Turn off (Turn on). 2 Press (Select ).The meter displays that the target range is now turned off (turned on).3 Press (OK ).The meter returns to the Settings menu.
Making settings124Changing a target range1 Use to select Change.2 Press (Select ).3 Set the new target range (see “Setting a target range” for how to do this). The meter will then display the target range you just changed.4 Press (OK ).The target range has now been changed and is also turned on.The meter returns to the Settings menu.
Making settings125Cancel – Not editing the target rangeIf you do not want to change the target range after all, you can cancel the editing procedure as follows.1 Use to select Cancel.2 Press (Select ).The meter returns to the Settings menu without changing the target range.
Making settings1264.7 Setting the volumeYou can set the volume for the beeper to one of 5 different levels.1 Turn on the meter with ,  wait for the Main menu, use to select Settings,  press to open Settings, use to select Volume,  press to open Volume.The more bars are fi lled in on the display, the louder the volume. The default setting is 3.2 Use to set the volume.Each time you press the button, a beep sounds in the new volume selected.3 Press (Select ).
Making settings127The meter will then display the volume level you just set.4 Press (OK ).The meter returns to the Settings menu.
Making settings1284.8 Setting the brightnessYou can set the brightness of the texts and symbols appearing on the display to one of 3 different levels.1 Turn on the meter with ,  wait for the Main menu,  use to select Settings, press to open Settings, use to select Brightness, press to open Brightness.The more bars are fi lled in on the display, the brighter the display. The default setting is 2.2 Use to set the desired brightness.The brightness of the display will be adjusted to the level you have selected. 3 Press (Select ).
Making settings129The meter will then display brightness level you just set.4 Press (OK ).The meter returns to the Settings menu.
Making settings1304.9 Setting the languageYou can choose from a total of 15 languages for the texts appearing on the display. You will already have set the language when you turned on the meter for the first time. If you want to change this selection at a later date, you can set any of the following languages:English USEnglish UKDeutschEspañolItalianoFrançaisDanskSvenskaTürkçePortuguêsΕλληνικάNorskSuomiNederlands
Making settings1311 Turn on the meter with ,  wait for the Main menu,  use to select Settings, press to open Settings, use to select Language, press to open Language.The currently set language is highlighted.2 Use to select the desired language.3 Press .The meter will then display the language you just selected.4 Press (OK ).The meter returns to the Settings menu.
Making settings132Correcting a wrongly set languageIf you have set the wrong language by mistake, you may not be able to read the menus any more. You can still change the language with the help of the following instructions.1 Turn on the meter with .3 Press 3 times.“Settings” is now highlighted.4 Press .5 Press 6 times.“Language” (the last item) is now highlighted.6 Press .The “Language” menu is now open.7 Use to select the desired language.8 Press .The meter will then display the language you just selected.9 Press (OK ).The meter returns to the “Settings” menu.2 Wait until the display sequence shown above has been displayed and the display does not change any more.The last (right-hand) display is the main menu, but with the text displayed in the wrongly set language.
Using the meter as an electronic notebook133Using the meter as an electronic notebook5 The meter has a 500-value memory for saving results together with the time and date. You do not need to save the results manually. The meter automatically saves all the results. In addition to the result, the time and the date, your meter also saves all other information that is relevant to the test. This includes all symbols displayed with the result after a test (except the battery symbol) and the flags you added to the results.The following options are available in the Memory menu:Main menu: takes you to the Main menuAll results: display all the saved resultsAverages: view the averages for the last 7, 14 or 30 daysTransfer data: transfer the saved results (to a com-puter, PDA (handheld computer) or special analysis systems)Display format: select how the saved results are to be displayed
Using the meter as an electronic notebook1345.1 Viewing saved resultsThere are two different ways of viewing all saved results:via the  Memory menuusing the  buttonThe button takes you directly to the saved results. In this case, the options offered in the Memory menu are not available. If you want to use all the options in the Memory menu, you must open it from the Main menu.Display format Single valueDisplay format ListThere are two display formats available for the saved results. Single value and List. The default setting is Single value. The procedure for changing the display format is described in Chapter 6.4. Symbols saved together with the result appear to the right of the result. In the display format Single value, 4 symbols can be displayed, in the display format List only 3. If the result is flagged with 4 symbols, the symbol (result outside the target range) is not dis-played in the display format List.
Using the meter as an electronic notebook135Via the Memory menuDisplay format Single value Display format List1 Turn on the meter with ,  wait for the Main menu,  use to select Memory, press to open Memory, use to select All results,  press to open All results.The last saved result will be displayed, as either Single value or List, depending which display format has been set. i If no results have been saved, X will be dis-played instead of the result and dashes instead of the time and date.
Using the meter as an electronic notebook136Single valueListViewing older results1 Press to go to the next older result.If you then want to return to the more recent results:2 Press to go to the next more recent result.If you hold the buttons down, the results will be dis-played in rapid succession, first slowly, then more quickly. The display stops when the oldest and the most recent (last) results are reached.3 Press (OK).The meter returns to the Memory menu.
Using the meter as an electronic notebook137Via the button (down)Display format Single valueDisplay format ListWith the meter off:1 Press and hold until the meter turns on (longer than 2 seconds).The last saved result will be displayed, as either Single value or List, depending which display format has been set.
Using the meter as an electronic notebook138Single valueListViewing older results1 Press to go to the next older result.If you then want to return to the more recent results:2 Press to go to the next more recent result.If you hold the buttons down, the results will be dis-played in rapid succession, first slowly, then more quickly. The display stops when the oldest and the most recent (last) results are reached.3 Press (Off) to turn off the meter.
Using the meter as an electronic notebook1395.2 Viewing averagesThe meter can calculate averages from the saved results.You can choose which results are used for calculation of the averages.all resultsonly results flagged  Before mealonly results flagged  After mealWhen you have made this selection, you can choose the period of time in which the results were obtained.the last 7 daysthe last 14 daysthe last 30 daysThe average will be calculated from all results corres-ponding to your choice. However, the following results will not be included in the calculation:control tests (flagged with  ), results you have flagged with  (General ),results displayed as  or ,results of tests performed outside the permitted temperature range of +10 to +40 °C (flagged with ).
Using the meter as an electronic notebook1401 Turn on the meter with ,  wait for the Main menu,  use to select Memory,  press to open Memory, use to select Averages, press to open Averages.The following options are available in the Averages menu:Main menu : takes you to the Main menuBack : takes you to the Memory menuAll results : calculate the average from all resultsBefore meal : calculate the averages from the results fl agged Before mealAfter meal : calculate the averages from the results fl agged After meal
Using the meter as an electronic notebook1412 Use to select All results, Before meal or After meal.3 Press (Select ).4 Use to choose the period in which the results were obtained: 7, 14 or 30 days.Selecting the time period only determines which aver-age will be displayed first. You can later switch directly from one time period to the others.5 Press (Select ).The selected average is displayed, together with the number of results (called tests) from which the average was calculated.
Using the meter as an electronic notebook1426 Press to switch from the 7-day average to the 14-day average and then to the 30-day average.7 Press to switch from the 30-day average back to the 14-day average and then to the 7-day aver-age.8 Press (OK ).The meter returns to the Averages menu.Averages Before meal are marked with the symbol .Averages After meal are marked with the symbol .
Using the meter as an electronic notebook143i The meter calculates the average for a time period even if the saved results cover a shorter period. Example: tests were only performed in the last 5 days. In this case, the averages for all three periods (7, 14 and 30 days) are calculated from the results of the last 5 days.i If no average can be calculated, XX is displayed instead of a value and the number of results (tests) is given as zero. This is the case if either no results or only results which are not used for calculation of averages were saved in the speci-fied period. i In the event that you changed the date or time, then performed a test and afterwards re-set the date or time, the meter only calculates the aver-age from the results which the meter saved in uninterrupted chronological order. If the chrono-logical order was interrupted, the earlier results are ignored. If you have not performed any tests since you made the change, XX is displayed instead of a value and the number of results (tests) is given as zero.
Using the meter as an electronic notebook1445.3 Transferring resultsThe meter has an inbuilt IrDA (Infrared Data Associa-tion) standard infrared window permitting wireless transfer of the results to a suitably equipped computer, PDA (handheld computer) or to special analysis sys-tems. The infrared window is located in the battery compart-ment cover of the meter.There are two ways of transferring the results:with special products from Roche Diagnostics which can also analyse resultsin the form of a table which you can then process with a spreadsheet program, for example.Roche Diagnostics offers a variety of special hardware and software products for analysis which extend the integrated notebook functions of your meter. These products enable you and your doctor to manage your data more effectively and, through their graph and table views, make it easier for your to understand your results.Infrared window
Using the meter as an electronic notebook145Depending on the type of analysis you intend to per-form, you will require a special software product and/or special hardware products. For further information, please contact your customer support and service centre.If you already have a hardware or software product from Roche Diagnostics to enable you to transfer and analyse results, it may not recognize more recent meters, so the results will not be transferred. You may need a more recent software version for your hardware or software product. In this case, contact your cus-tomer support and service centre.The results remain in the meter’s memory after trans-fer.You cannot perform a test while results are being transferred.There are two ways of opening the Transfer data menu:using the  and buttonsvia the  Memory menuIn the Transfer data menu, you can choose how you wish to transfer the results.
Using the meter as an electronic notebook146The following options are available in the Transfer data menu:Main menu: takes you to the Main menu (only if you opened the menu from the Memory menu)Back: takes you to the Memory menu (only if you opened the menu from the Memory menu)For analysis: transfer the results with hardware or software products from Roche DiagnosticsTable to PC: transfer the results to a PC in the form of a table
Using the meter as an electronic notebook147Starting the transfer using the and buttonsWith the meter off:Press and hold the and buttons simultaneously until the meter turns on (longer than 2 seconds).After the display check and the number of available tests, the Transfer data menu is displayed.
Using the meter as an electronic notebook148Starting the transfer via the Memory menu Turn on the meter with ,  wait for Main menu, use to select Memory, press to open Memory, use to select Transfer data, press to open Transfer data.
Using the meter as an electronic notebook149Transferring data for further analysis5–20 cm1 Please read the instructions for use supplied with the software or hardware you are using. These will include instructions on how to transfer data.2 Make the receiving end (software product or hard-ware) ready to transfer the results.3 Position the meter 5–20 cm away from the infra-red window of the receiving end. Point the two infrared windows towards one another.4 In the Transfer data menu: use to select For analysis.5 Press (Select ) to start transferring the re-sults.
Using the meter as an electronic notebook1506 If necessary, start the transfer of the results at the receiving end (software product or hardware).During the transfer, you will be informed of the progress on the display.If you do not want to transfer the results after all, you can abort the transfer using the button (Cancel). The meter returns to the Memory menu (if you came from the Memory menu) or turns off (if you turned on the meter using the buttons.When the transfer of the results is finished, the meter turns off automatically about 2 seconds later.
Using the meter as an electronic notebook151Transferring results as tableThe CSV file always contains all the results saved in your meter. Results already transferred at an earlier date are transferred again.The CSV file contains the following information:Serial number : the serial number of the meterDatum Download (DD.MM.YYYY), Download Time (hh:mm): the date and time when the meter trans-ferred the results to the computer.Date (DD.MM.YYYY), time (hh:mm), result and unit of the results saved in the meter.Flags added to the results, indicated by an “X”.In the CSV file, the date is always displayed in the format DD.MM.YYYY and the time always in the 24-hour format (hh:mm). The time format set in the meter has no influence on the format of the date and time in the CSV file. The meter can transfer the results to a computer without any special hardware or software. The only prerequisite is that the computer has an infrared win-dow according to the IrDA standard (Infrared Data Association). The results are transferred as CSV file. CSV in this case stands for Comma Separated Values as the individual results are separated by semicolons.CSV files can be opened with a text editor or spread-sheet program, for example. Where you find the CSV file on your computer depends on the settings in your operating system for wireless transmission of files via the infrared window.
Using the meter as an electronic notebook152CSV file opened in a text editorHeader data: Serial number;Download Date;Download Time123456789;10.05.2009;09:18Date;Time;Result;Unit;Temperature warning;Beyond target range;General;Before meal;After meal;Control test10.05.2009;08:21;6.5;mmol/l; ; ; ; ; ; 09.05.2009;18:05;7.1;mmol/l; ; ; ; ; ; 09.05.2009;12:37;7.5;mmol/l; ;X; ; ; ; 09.05.2009;08:16;6.2;mmol/l; ; ; ;X; ; 08.05.2009;18:39;3.2;mmol/l; ; ; ; ; ;XCSV file opened in a spreadsheet program (example)Header data: Serial number Download Date Download Time123456789 10.05.2009 09:18Date Time Result Unit Temperature warningBeyond target range General Before mealAfter meal Control test10.05.2009 08:21 6.5 mmol/l 09.05.2009 18:05 7.2 mmol/) 09.05.2009 12:37 7.5 mmol/l X09.05.2009 08:16 6.2 mmol/l X08.05.2009 18:39 3.2 mmol/l X
Using the meter as an electronic notebook1535–20 cm1 Turn on the computer.2 Position the meter 5–20 cm away from the infrared window of the computer. Point the two infrared windows towards one another.3 In the Transfer data menu: Use to select Table to PC.4 Press the (Select) to start transferring the results.During the transfer, you will be informed of the progress on the display.
Using the meter as an electronic notebook154If you do not want to transfer the results after all, you can abort the transfer using the button (Cancel). The meter returns to the Memory menu (if you came from the Memory menu) or turns off (if you turned on the meter using the buttons.When the transfer of the results is finished, the meter turns off automatically about 2 seconds later.
Using the meter as an electronic notebook155If the transfer is unsuccessfulIf the results are not transferred, the meter turns off automatically after about 60 seconds.Possible reasons for unsuccessful transfer are: A transfer error occurred. Start the transfer of the results again.The infrared windows are too far apart or not prop-erly facing each other. Reduce the distance between the two infrared windows to 5–20 cm and position them so they are pointing towards one another. Start the transfer of the results again.Another device with an infrared source turned on or a strong light source is too close to one of the two infrared windows. Remove the device or light source and start the transfer of the results again. There is some object, for example, blocking com-munication between the two infrared windows. Remove the object and start the transfer of the results again.An error occurred at the receiving end. Please read the relevant instructions for use.
Using the meter as an electronic notebook1565.4 Setting the display format for viewing saved resultsDisplay format Single valueDisplay format ListThere are two different formats available for displaying the saved results (Memory menu– All results): Single value and List. Display format Single value (default setting): In this format, just one result is displayed on the dis-play. The time and date on which the result was ob-tained are displayed above the result (in this case 7.2 mmol/l).Display format List: In this format, three results are displayed on the dis-play. The selected value is between the two horizontal lines. This is the only actual result displayed. The time and date are displayed below the result. For the other two results, only the time and date are displayed. The more recent results are above the selected result, the older results below.
Using the meter as an electronic notebook1571 Turn on the meter with ,  wait for the Main menu, use to select Memory,  press to open Memory, use to select Display format,  press to open Display format.2 Use to select the desired display format. 3 Press (Select ).An example of the display format you selected is dis-played.4 Press the (Continue ).
Using the meter as an electronic notebook158ororThe meter will then display the display format you just set.5 Press (OK).The meter returns to the Memory menu.If no results have been saved, X will be displayed instead of the result and dashes instead of the time and date.
Acoustic mode159Acoustic mode6 The procedure for turning on the acoustic mode is described in Chapter 4.4.When the acoustic mode is turned on, the meter guides you through the blood glucose test using beep tones and announces the result as a series of beeps. The meter beeps additionally when the batteries are almost empty, the test cassette is empty or an error message is displayed. Saved results are not announced acous-tically.An intimate knowledge of how results are announced as beeps and how to distinguish results from other beeps is crucial to reliably recognizing the result.The sections below explain the beep tones in detail. In addition, training software (the BeepLearn program) to help you interpret results announced in the form of beeps is available on CD from your customer support and service centre. Visually impaired people should only use the acoustic mode if they have familiarized themselves fully with the acoustic mode with the assistance of a sighted person and have demonstrated that they are able to understand results correctly without excep-tion using the acoustic mode. The acoustic mode should always be used with great care. Otherwise there is a risk that the results will be misinterpreted by the person performing the test. An incorrect insulin dose resulting from a misinterpreted result can cause con-siderable health damage and can even be fatal. Especially if unexpected and abnormal blood glucose values are obtained using the acoustic mode, the result must be checked by repeating the test together with a sighted person. Visually impaired people should not test their blood glucose without assistance from a sighted person. The meter must be regularly checked by a sighted person for outwardly visible contam-ination.
Acoustic mode160There are two types of beep tones, differing in pitch. Warnings have a higher pitch (Tone 2, represented below as than the other beep tones (Tone 1, repre-sented below as . The following table shows which tone sounds for which event.Tone 1: Turning on Chapter 6.1Prompt to apply blood Chapter 6.2Start of test Chapter 6.2Announcement of the result Chapter 6.3Tone 2: (warning)Signal that results are about to be announcedChapter 6.3Announcement of an error messageChapter 6.2, 6.4Notification that the batteries are almost emptyChapter 6.4Notification that the cassette is emptyChapter 6.4
Acoustic mode1616.1 Beep tone when turning onWhen the acoustic mode is turned on, you hear a beep () when you turn the meter on.This is irrespective of how you turn on the meter:by opening the tip cover to perform a test (see Chapter 3.2)by opening the tip cover to perform a test (see Chapter 3.2) button (see Chapter 2.2).using the  button to view saved results (see Chapter 5.1)using the  and buttons to transfer data (see Chapter 5.3)6.2 Beep tones during a testAfter the power-on beep, you will hear the following while you testa beep tone when you can apply blood or control solution,a beep tone when the test starts,the result which is composed of different beep tones (see Chapter 6.3),several beep tones if the meter displays an error message (see Chapter 6.4).
Acoustic mode1626.3 Announcement of the result after a testIn the acoustic mode, whenever the meter displays a result following a blood glucose test, it also announces the result as a series of beeps. The result is not treated as an entity, but is broken down into individual digits. Examples:The result 7.6 mmol/l is announced as 0 – 7 – decimal point – 6.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 ( ). Results which are lower than 0.6 mmol/l and are displayed as are announced acoustically as or 0 – 0 – decimal point – 0.Results which are higher than 33.3 mmol/l and are displayed as are announced acoustically as 9 – 9 – decimal point – 9.The result is announced three times in succession. Each announcement is preceded by 2 short beeps ( ). Altogether, therefore, you hear: result result result.Symbols, such as or , which are displayed togeth-er with the result are not announced acoustically.If you turn off the meter using the On/Off button while the result is being announced acoustically, the announcement will be interrupted and 2 short beeps will sound four times in succession ( ).
Acoustic mode163mmol/l metersFirst the tens are announced, then the units, then the decimal point and finally the tenths. There is a short pause between each group of beeps. The tens are always announced, even when the result is below 10. The tens in this case are represented by 1 long beep, signifying zero. The decimal point is represented by 1 very short beep ( ).13,8 mmol/l: 13.8 mmol/l: 1 beep – pause – 3 beeps – pause – 1 very short beep – pause – 8 beeps = = 4.0 mmol/l: 1 long beep (for 0 tens) – pause – 4 beeps – pause – 1 very short beep – pause – 1 long beep =
Acoustic mode1646.4 Announcements of warnings and error messagesWhen the batteries will soon be empty or the last test area on the cassette has been used, the meter issues an acoustic warning. This consists of two short beeps sounded three times in succession ( ). The warning is given at different times.Batteries almost empty: The acoustic warning sounds after you have turned the meter on, together with the corresponding mes-sage on the display (see Chapter 14). You have used the last test area on the test cassette: The acoustic warning sounds when the number of available tests is displayed as zero on turning off the meter.If error messages appear on the display (see Chapter 16.4), these are announced by two short beeps sound-ed four times in succession ( ). This sequence is sounded only once and is not repeated. The same sequence of beeps is sounded for all error messages, i.e. they are not differentiated acoustically.
Checking the meter165Checking the meter7 You can check whether the meter delivers correct results. To perform this control test, a glucose control solution is applied to the test area instead of blood. At the end of the test, the meter automatically checks whether the result obtained with glucose control solu-tion is correct and informs you of the result. Always perform a control test using Accu-Chek Mobile control solutionsafter you have inserted a new test cassette,after you have changed the batteries,after you have cleaned the cassette and the inside of the meter,if you are in doubt about a result.Please ask your customer support and service centre where you can obtain the control solutions.Different control solutions are sold in different coun-tries. The control solutions have different colored labels (red, blue or white). At the end of the control test, the meter asks you to enter the color of the label on the control solution you have used (see Chapter 7.2). The meter offers you a choice of all three colors, even if you only have one or two control solution(s) to choose from. Store the control solution out of the reach of children. There is a danger of choking if the vial or the cap are swallowed. The control solution must not be drunk. It con-tains substances which could be harmful to health. Visually impaired people should not carry out a control test without assistance from a sighted person.
Checking the meter1667.1 Preparing for a control testFor a control test you need:the meter with inserted test cassette, an unopened applicator vial of Accu-Chek Mobile control solution; the solution in each applicator vial is for one application only.A control test in its main steps is the same as a normal test except that you apply control solution to the test area instead of blood.Please read the package insert provided with the control solutions.
Checking the meter1677.2 Performing a control testStart as for a blood glucose test: Either open the tip cover or select Test in the Main menu. The following description assumes that you start the test by opening the tip cover.1 Place your fi nger on the corrugated area on the tip cover and push in the direction of the arrow as far as it will go. After overcoming a slight resistance, the tip cover clicks into place. Be careful not to touch the tape when doing this as this could damage it.If the meter was turned off, it now turns on.
Checking the meter168A beep will sound (if Beeper is turned on) and the display check will be displayed, followed by the num-ber of available tests.2 Check that there are no irregularities in the checkerboard pattern.Then the meter advances a test area to the tip of the cassette.Shortly after the test area has been advanced to the tip of the cassette, the prompt Apply blood will appear and a beep will sound (if Beeper is turned on). The prompt also applies to control solution.
Checking the meter1693 Twist the cap off the applicator vial. Be careful not to squeeze the vial too hard while doing this so as to not lose any control solution. 4 Hold the vial at a slight angle with the brush point-ing downwards.5 Squeeze the vial gently until you see a small drop appear at the end of the brush.6 Then stop squeezing.The drop will then be drawn back into the brush. The brush is now ready to use.
Checking the meter170You can hold the meter in your hand or lay it down while you apply control solution to the test area. Do not hold the meter with the test area pointing upwards. If you hold the meter with the test area pointing upwards, control solution could enter the meter and soil it.7 Apply the control solution to the centre of the test area at the tip of the cassette using the tip of the brush.As soon as control solution touches the test area it is drawn up. 8 Take the brush away from the test area as soon as Test in progress and the hourglass symbol appear on the display.
Checking the meter171The test area has then drawn up enough control solu-tion and a beep sounds (if Beeper is turned on). The hourglass symbol indicates that the test is in progress. Testing is complete after approx. 5 seconds and the result appears on the display.i The meter cannot distinguish between blood and control solution. If you have set a target range and the result obtained with control solu-tion is outside this range, the symbol will be displayed together with the result. The symbol will be deleted automatically when you flag the result as a control test.To distinguish the control test later from blood glucose results, you need to flag it as a control test.9 Press (Set flag ).
Checking the meter17210 Use to select Control test.11 Press (Select ). The meter then prompts you to enter the color of the vial label. Entering the correct color is important so that the meter can check whether the result is correct.12 Use to select the color.13 Press (Select ).The result is then displayed again, this time with the flag Control test (symbol ).14 Press (Continue ).
Checking the meter173Values are only examplesorThe meter displays the upper and lower limits of the concentration range. The concentration range dis-played depends on the color of control solution se-lected.15 Press (Continue ).The meter automatically checks whether the result is within the concentration range displayed.If the result is within the concentration range displayed, Control test OK is displayed.If the result is not within the concentration range displayed, Control test not OK Repeat control test will be displayed (see Chapter “Control test not OK – pos-sible sources of error”). 16 Press (OK ).
Checking the meter174The meter returns to the Main menu.17 Turn off the meter with or via Turn off.18 Close the tip cover.19 Dispose of the vial in your household waste.
Accu-Chek® Mobile Controlmg/dl mmol/l1 35 - 75 1,9 - 4,22 115 - 155 6,4 - 8,6Checking the meter175Unit of measurementValues are only examplesControl solution usedYou can also check yourself whether the result is within the right concentration range.To do this, compare the result with the concentration table on the test cassette box. The result must be within the printed concentration range. Make sure you compare the result with the concentra-tion range that corresponds to the control solution you used (1 or 2) and to the unit of measurement your meter displays (mmol/l or mg/dl).
Checking the meter176Control test not OK – possible sources of errorIf Control test not OK Repeat control test is displayed, the result obtained is not within the concentration range displayed. Check the points listed on the next page. If your answer is different from the answer given, make the respective corrections and repeat the test. If you have taken all of these points into account and Control test not OK is still displayed, contact your customer support and service centre. If Control test not OK Repeat control test is displayed, it is no longer certain that the meter and test cassette are functioning properly. Blood glucose tests may then deliver incorrect results. Incorrect results can cause the wrong thera-peutic decision to be taken and so produce serious adverse health effects.
Checking the meter177Did you perform the control test according to the User’s Manual? yesDid you wait for the application prompt to be displayed before applying control solution? yesDid you apply the control solution immedi-ately after opening the vial? yesDid you enter the correct color? yesDid you perform the test within the correct temperature range (10–40 °C)? yesHas the expiry date for the control solution been reached (see label on the bottom of the vial next to the symbol )?noDid you observe the proper storage condi-tions for the meter, test cassette and control solutions (see Chapter 15 and the test cas-sette and control solution package inserts)?yesIf your meter has been dropped, that can also lead to control test results which are not within the concentra-tion range displayed and for which Control test not OK is displayed. In this case, you should also call your customer support and service centre.
178Menü ExtrasTools 8 menuThe Tools menu on the one hand offers you some extra means of checking the meter. On the other hand, you must also use this menu to prepare for cleaning the meter and changing a test cassette that has not been used up.The following options are available in the Tools menu:Main menu : takes you to the Main menuDisplay check : perform a separate display check (see Chapter 9)Validity : perform a separate display check (see Chapter 9)Clean : prepare the meter for cleaning (see Chap-ter 11)Change cass. : prepare the meter for removing a test cassette which still has unused test areas (see Chapter 12)
Performing a display check179Performing a display check9 If you wish to check whether the display is working properly, you can also do this, in addition to after turn-ing on the meter, via the display check in the Tools menu. In this case, the display check is displayed not only for about 2 seconds, but until you cancel it (but not longer than 1 minute). 1 Turn on the meter with ,  wait for the Main menu,  use to select Tools, press to open Tools, use to select Display check, press to open Display check.2 Press (OK).
Performing a display check180Display check without irregularitiesDisplay check with irregularities (examples)3 Check whether there are any irregularities in the checkerboard pattern. If there are irregularities in the checkerboard pattern, results might not be displayed correctly. In this case, ask your dealer to change the me-ter or contact your customer support and ser-vice centre.4 Press the button (Continue).The meter returns to the Tools menu.If you do not press the button, the meter displays the display check for about 1 minute. Then it displays the number of available tests and turns off automatic-ally.
Viewing the validity of the test cassette181Viewing the validity of the test cassette10 You can check how long the test cassette in the meter is valid as follows:1 Turn on the meter with ,  wait for the Main menu, use to select Tools,  press to open Tools,  use to select Validity,  press to open Validity.The validity is displayed.2 Press (Continue ).The meter returns to the Tools menu.
Cleaning the meter and lancing device182Cleaning the meter and lancing device11 11.1 Cleaning the meterThe mode of operation of the meter with the test cas-sette means that the meter will not normally come into contact with blood or control solution. Regular cleaning is therefore not necessary. In the event of the meter becoming soiled through improper use, cleaning it may become necessary. Use only cold water or 70 % ethanol for clean-ing. Any other cleaning agents may damage the meter or impair its measuring function. Use a lightly moistened cloth or a lightly mois-tened cotton swab. Do not spray anything onto the meter and do not immerse it in the cleaning fluid. Doing so may damage its internal com-ponents and stop it from working properly.The outsideIf the casing of the meter or the display is visibly soiled:wipe these with a cloth lightly moistened with cold water or 70 % ethanol.
Cleaning the meter and lancing device183The insideYou only need to clean the inside of the meter ifthe area around the tip of the cassette is visibly soiled, the error message E-1 with the text “ Cassette prob-lem Insert new cassette” is displayed; the error message might be caused by a fault in advancing the test area to the tip of the cassette,the error message E-4 with the text “See User’s Manual” is displayed; the error message might be caused by fluff, crumbs or the like inside the tip of the cassette. To enable you to clean the inside of the meter, you have to open Clean in the Tools menu and then remove the test cassettei If the error message E-4 was displayed, a test area is lost when you later reinsert the test cassette.
Cleaning the meter and lancing device1841 Turn on the meter with ,  wait for the Main menu,  use to select Tools,  press to open Tools,  use to select Clean,  press to open Clean.The meter now prompts you to open the tip cover. If you do not want to clean the meter after all, you can abort the preparation using the button (Cancel).
Cleaning the meter and lancing device1852 Place your fi nger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go. The meter then prompts you to remove the test cas-sette. About 2 seconds later, it turns off automatically.3 Turn the meter over.
Cleaning the meter and lancing device1864 Push the release button for the cassette compart-ment cover in the direction of the arrow. The cover springs open.5 Open the cassette compartment cover all the way. You have to overcome a resistance just before it is fully opened.The cassette compartment cover is fully opened when it is at an angle of slightly more than ninety degrees – as shown in the illustration.CLICK
Cleaning the meter and lancing device1876 Remove the cassette from the cassette compart-ment.7 Check whether you can see any fl uff, crumbs or the like inside the tip of the cassette.8 If so, remove these carefully.
Cleaning the meter and lancing device188If the measuring optics are visibly soiled, clean the inside of the meter as follows:9 Carefully wipe the measuring optics and the front opening of the meter with a lightly moistened cloth or cotton swab. 10 Carefully wipe the sensors on the inside wall of the meter with a lightly moistened cloth or cotton swab. Make sure that no liquid enters the meter. Avoid scratching the measuring optics and the sensors. Scratches could interfere with tests or the advancing of test areas to the tip of the cassette.
Cleaning the meter and lancing device18911 Leave the cassette compartment cover open and close the tip cover.12 Carefully wipe the inside of the tip cover with a lightly moistened cloth or cotton swab.13 Remove any fl uff or lint that may remain.14 Allow the meter time to dry thoroughly.
Cleaning the meter and lancing device19015 Open the tip cover again.The meter now turns on and displays error message E-2. The error message at this point is not relevant since you had to remove the cassette to clean the meter. You can ignore the message. The meter turns off again automatically. Simply continue with step 16. 16 Insert the cassette in the meter again with the silver side facing upwards.
Cleaning the meter and lancing device19117 Close the cassette compartment cover and press it closed. You must hear an audible CLICK.18 Close the tip cover.CLICK
Cleaning the meter and lancing device19211.2 Cleaning the lancing deviceTo ensure proper functioning of your lancing device, you should clean it regularly and if there is any blood on it. If you want to clean the lancing device, first detach it from the meter (see Chapter “Undocking and docking the lancing device”). Clean the outside of the lancing device only. Wipe it once a week with a cloth moistened with 70 % ethanol or 70 % isopropanol (available from your pharmacy).Also clean the inside of the cap with a cotton swab moistened with one of the two cleaning fluids.Allow the lancing device and cap time to dry thorough-ly. Never dip the lancing device in cleaning fluid. Doing so may damage its internal components and stop it from working properly. Use only 70 % ethanol or 70 % isopropanol to clean the lancing device. Other cleaning agents may attack the plastic and stop the lancing device from operating properly.
Replacing the test cassette193Replacing the test cassette12 If you want to replace an empty test cassette or an expired test cassette, please continue reading in Chap-ter 12.2.If you want to remove a started test cassette which still has unused test areas, you must first perform the preliminary steps described in Chapter 12.1. You can reinsert a started cassette into the meter at a later date. In the mean time, store this cassette in a dry place protected from light. i If you reinsert the started cassette into the me-ter and there was another cassette in the meter before this, the started cassette loses a test area. If you reinsert the started test cassette into the meter immediately, it does not lose a test area.
Replacing the test cassette19412.1 Preparing cassette replacement Turn on the meter with ,  wait for Main menu,  use to select Tools,  press to open Tools,  use to select Change cass., press to open Change cass.The meter now prompts you to open the tip cover. If you do not want to change the cassette after all, you can abort the preparation using the button (Can-cel).
Replacing the test cassette19512.2 Replacing the cassetteoror1 Place your fi nger on the corrugated area on the tip cover and push it in the direction of the arrow as far as it will go.If you have prepared for the cassette replacement via Change cass. the meter prompts you to replace the test cassette. Shortly after this, it turns off automatic-ally.If the cassette in the meter is empty or defective or has expired, the appropriate message or error mes-sage E-1 appears after the display check and the number of available tests (see also Chapter 16.2 and 16.4). Shortly after this, the meter turns off automatic-ally.
Replacing the test cassette1962 Turn the meter over.3 Push the release button for the cassette compart-ment cover in the direction of the arrow. The cover springs open.
Replacing the test cassette1974 Open the cassette compartment cover all the way. You have to overcome a resistance just before it is fully opened.The cassette compartment cover is fully opened when it is at an angle of slightly more than ninety degrees – as shown in the illustration.5 Remove a new cassette from the packaging.Insert the cassette in the meter with the silver side facing upwards.KLICK
Replacing the test cassette1986 Remove a new cassette from the packaging.7 Insert the cassette in the meter with the silver side facing upwards.
Replacing the test cassette1998 Close the cassette compartment cover and press it closed. You must hear an audible CLICK.When you have closed the cassette compartment cover, the meter turns on again and runs the display check.9 Press the button (Continue).CLICK
Replacing the test cassette200The validity of the cassette is displayed.10 Press the button (Continue).The meter displays the number of available tests and then opens the Main menu. 11 Close the tip cover.If the test cassette you removed still has unused tests and has not yet expired, you can reinsert the cassette into the meter at a later date. The meter recognizes the cassette, the number of available tests and the validity.
Viewing the number of available tests201Viewing the number of available tests13 You can view the number of tests still available on the inserted cassette by one press of a button.With the meter off:Press and hold the button until the meter turns on (longer than 2 seconds). The number of tests available on the cassette will be displayed. The meter turns off again automatically a short time later.
Changing the batteries202Changing the batteries14 This message appears when the batteries are almost empty. It appears every time you turn the meter off if you have not yet changed the batteries. The first time the message appears, you can still perform about 50 tests.However, we recommend that you replace the batteries as soon as possible. By then the batteries will have been heavily drained and changeable conditions (e.g. cold outside temperatures) can affect their perform-ance even further.You need 2 alkaline-manganese or high-energy batter-ies type AAA, LR 03, AM4 or micro (1.5 V). Always replace both batteries at the same time.Do not use rechargeable batteries as these have a considerably shorter life than normal batteries.With a new set of batteries, you can perform at least 500 tests or test for about 1 year.
Changing the batteries203Results and settings remain saved in the meter while you change the batteries or if you store the meter without batteries. The meter has an inbuilt back-up battery. This provides the power when there are no batteries in inserted. The back-up battery lasts about 5 years. It cannot be re-placed if it is empty. An empty back-up battery has no influence on the functioning of the meter.If the back-up battery is empty, you still have 10 min-utes to change the batteries. Only if more time than this elapses does the meter forget the time and date and dashes appear on the display instead of the time and date. In this case, set the time and date again. Never throw batteries into a fire. This is danger-ous, because they may explode.i Please dispose of used batteries in an environ-mentally friendly way at a collection depot or through your dealer.i Remove the batteries if you will not be using your meter for any length of time. The time and date still remain saved in the meter.
Changing the batteries2041 Push the battery compartment cover in the direc-tion of the arrow as far as it will go to unlock it.You will have to overcome a slight resistance. The cover is properly unlocked when it slides over this resistance with a CLICK.2 Raise the battery compartment cover as illustrated.
Changing the batteries2053 Turn the meter so that the battery compartment faces downwards. The batteries fall out.4 Insert two new batteries in the battery compart-ment. Pay attention to the symbols and in the battery compartment. The corresponding end of the battery must be facing upwards.
Changing the batteries2065 Close the battery compartment cover again.6 Push the battery compartment cover in the direc-tion of the arrow as far as it will go to lock it. It locks into place with a CLICK.
Testing and storage conditions207Testing and storage conditions15 So that the meter and lancing device work reliably and you obtain accurate results, make sure that the condi-tions listed on the following pages are met.15.1 TemperatureWithout batteries and without a test cassette, the meter should be stored at between -25 and +70 °C.With batteries and without a test cassette, the meter should be stored at between -10 and +50 °C. At temperatures above +50 °C, the batteries could leak and damage the meter. At temperatures below -10 °C, the batteries do not have enough power to keep the internal clock functioning.With batteries and with a test cassette, the meter should be stored at between -+6 and +40 °C.For blood glucose tests and control tests, the permit-ted temperature range is between +10 and +40 °C. If the temperature is between +6 and +10 °C or between +40 and +44 °C, the meter will still allow you to perform a test. However, the following warn-ing will appear (see also Chapter 16.2). Do not use blood glucose results obtained de-spite this warning as a basis for making thera-peutic decisions. These results may be incorrect. Incorrect results can cause the wrong thera-peutic decision to be taken and so produce serious adverse health effects.
Testing and storage conditions208Tests cannot be performed at temperatures below +6 and above +44 °C. In this event, the following error message appears:Do not store the lancing device in a primed state and do not store it for any length of time in a place where the temperature is very low or high, e.g. in a hot car. This can cause parts of the lancing device to become warped, so impairing its operation.15.2 HumidityOnly perform blood glucose tests at a relative humidity between 15 and 85 %.Store the meter in a place with a relative humidity between 15 and 93 %. Sudden changes in temperature can 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 store the meter in a room that is likely to harbour condensation (e.g. bathroom). Never try to speed up the cooling or warming of your meter, e.g. by placing it in the refrigerator or on a radiator. Doing so can damage the meter and cause it to deliver incorrect results. In-correct results can cause the wrong therapeutic decision to be taken and so produce serious adverse health effects.
Testing and storage conditions20915.3 Light conditionsDisplayed text, numbers and symbols appear yellow. Bright light shining on the display may make them difficult to read. Shield the meter if necessary, with your body, for example. Keep the meter away from very strong light sources (e.g. direct sunlight, spot lights). These may interfere with the proper functioning of the meter and lead to error messages.15.4 Local sources of interference Strong electromagnetic fields may interfere with the proper operation of the meter. Do not use the meter close to sources of strong electro-magnetic radiation. To avoid electrostatic discharge, do not use the meter in a very dry environment, particularly one in which synthetic materials are present.NOTICE:This device complies with Part 15 of the FCC Rules and with RSS-210 of Industry Canada.Operation is subject to the following two conditions:(1) this device may not cause harmful interference, and(2) this device must accept any interference received, including interference that may cause undesired operation.
Testing and storage conditions210NOTICE:Changes or modifications made to this equipment not expressly approved by Roche Diagnostics GmbH, Germany may void the FCC authorization to operatethis equipment.Classification with respect to U.S. telecommunicationrequirements (47CFR §15.105)NOTE:This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interfer-ence in a residential installation. This equipment gen-erates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is en-couraged to try to correct the interference by one or more of the following measures:Reorient or relocate the receiving antenna.Increase the separation between the equipment and receiver.Connect the equipment into an outlet on a circuit different from that to which the receiver is con-nected.Consult the dealer or an experienced radio/TV tech-nician for help.Classification with respect to the Canadian telecom-munication requirementsNOTICE:This Class B digital apparatus complies with Canadian ICES-003.
Symbols, messages, problems and error messages211Symbols, messages, problems and error messages16 16.1 SymbolsThe meter presents most of the information as text. In addition, results are displayed – both after a test and in the memory – together with further information in the form of symbols. The batteries are almost empty. This is the result of a control test. The temperature during the test was outside the permitted range of +10 to +40 °C. Despite a warning to this effect you decided to go ahead with the test. You have turned on a target range. The result is either below the lower limit or above the upper limit of the target range set. in place of a result: The result is lower than 0.6 mmol/l. may indicate that your blood glu-cose is very low (possibly a severe hypoglycemia). Follow the relevant instructions given by your doctor im-mediately and repeat the test. in place of a result: The result is higher than 33.3 mmol/l. Repeat the test. You have flagged the result with the flag General. You have flagged the result with the flag Before meal. You have flagged the result with the flag After meal.
Symbols, messages, problems and error messages21216.2 MessagesCassette empty: This message appears if you start a test and all test areas in the cassette have been used. Insert a new test cassette in the meter.Validity of the cassette: This message appears at the start of a test if the test cassette is only valid for 10 more days. The message is repeated when the cas-sette is only valid for 5, 2 and 1 more day(s).Press the button (Continue) to start a test.Cassette expired: This message appears if the cas-sette has been in the meter for longer than 3 months or is expired.Insert a new test cassette in the meter.
Symbols, messages, problems and error messages213Batteries low: This message appears when the batter-ies are almost empty. It appears every time you turn the meter off if you have not yet changed the batteries. The first time the message appears, you can still per-form about 50 tests. Change the batteries as soon as possible.Close tip cover: This prompt appears if the tip cover is open and needs to be closed:when you turn off the meter after a testwhen you close the cassette compartment cover (after changing the cassette or cleaning)if you start a test via the Test menu and the tip cover is already openClose the tip cover.
Symbols, messages, problems and error messages214Tip cover open: This message appears if you are in the process of changing a setting (e.g. the date) or entering a new setting (e.g. a reminder) and open the tip cover.Close the tip cover again if you wish to continue with the setting. Close the tip cover again if you wish to continue with the setting. Use to select whether you wish to Continue with settings or Test.Continue with settings:  in this case, the meter prompts you to close the tip cover.Test : in this case, the setting procedure will be interrupted (any changes you have already made will be lost) and a test area will be advanced.
Symbols, messages, problems and error messages215Tip cover closed: This message appears if you close the tip cover after the meter has advanced a test area. Open the tip cover again if you wish to continue with the test. orUse to select Do not test or Test.Do not test : in this case, the meter returns to the Main menu. You can no longer use the test area, because the meter will advance the tape again. This reduces the number of available tests.Test : in this case, the meter prompts you to open the tip cover.
Symbols, messages, problems and error messages216Temperature too low / too high: This message ap-pears at the start of a test if the ambient temperature or the temperature of the meter is between +6 and +10 °C or between +40 and +44 °C. Use , to select whether you wish to Test or Quit.fortsetzen : in this case, the meter advances a test area.Quit : in this case, the meter returns to the Main menu. Close the tip cover.If you decide to perform the test in spite of the warn-ing, the result will be flagged and saved with the sym-bol . Do not use blood glucose results obtained de-spite this warning as a basis for making thera-peutic decisions. These results may be incorrect. Incorrect results can cause the wrong thera-peutic decision to be taken and so produce ser-
Symbols, messages, problems and error messages217ious adverse health effects. Move to a place where the temperature is between +10 and +40 °C and wait for the temperature of the me-ter to adjust to this temperature.Reminder: If you have set reminders, this message ap-pears at the set time. If you have also turned on Re-minders in the Settings/Tones menu, beeps will also sound. To turn off the reminder:Press any button.
Symbols, messages, problems and error messages21816.3 ProblemsThe meter will not turn on.The batteries are empty or none are inserted.  Insert new batteries.You have inserted the batteries the wrong way round. Remove the batteries and reinsert them as shown in the battery compartment. The ambient temperature is low and the batteries are almost empty. Move to a place where the temperature is between +10 and +40 °C and wait for the temperature of the meter to adjust to this temperature. Insert new batteries.Condensation has affected the electronics.  Allow the meter time to dry slowly.The meter is defective.  Contact your customer support and service centre.
Symbols, messages, problems and error messages219The meter only displays dashes instead of the time and date.The meter has forgotten the time and date.You have changed the batteries or stored the meter without batteries and the built-in backup battery is empty. The back-up battery normally ensures that the meter remembers the time and date even if no batter-ies are inserted.Reset the time and date.Results which are saved without the time and date cannot be analysed after transfer to a computer or only in a limited way. If the back-up battery is empty you still have 10 min-utes to change the batteries before the meter forgets the time and date. If more than 10 minutes elapse, only dashes are displayed instead of the time and date.The meter is turned on, but the display remains blank.The display is defective.Contact your customer support and service centre.
Symbols, messages, problems and error messages22016.4 Error messagesThe following pages describe all error messages together with the cause and how they can be rem-edied. If an error message is displayed, turn the meter off: Press and hold the On/Off button until the bar in the display is filled (at least 2 seconds).If error messages occur frequently, contact your cus-tomer support and service centre.If your meter has been dropped, that can also lead to error messages. In this case, you should also call your customer support and service centre.E-1The test cassette or the meter may be defective. Remove the cassette from the meter and reinsert it.If the error message reappears: Clean the meter and the test cassette.If the error message reappears: Insert a new test cassette in the meter.If the error message still appears, the meter is defective. Contact your customer support and service centre.
Symbols, messages, problems and error messages221E-2There is no test cassette in the meter. Insert a new test cassette.The RFID sensor in the meter is defective. Contact your customer support and service centre.The RFID chip on the cassette is damaged or mis-sing. The cassette cannot be used. Insert a new test cassette.E-3A meter error occurred. If the error message reappears after turning on the meter:Contact your customer support and service centre.
Symbols, messages, problems and error messages222E-4Fluff, crumbs or the like are inside the tip of the cassette. Remove these. To do this, follow the instructions in Chapter 11.1.i You can go directly from here to the Clean menu without having to turn the meter off first. To do this, press the button (Continue). The cassette is not properly inserted into the meter. Remove the cassette and reinsert it.The test area has drawn up too little blood or control solution. Repeat the test with a larger amount of blood or control solution.You did not apply the blood drop or the control solution to the centre of the test area. Repeat the test. Apply the blood drop or the control solution exactly to the centre of the test area at the tip of the cassette.
Symbols, messages, problems and error messages223E-6During the test, bright light, e.g. sunlight, fell on the meter and has interfered with the test.Move into the shade or shield the meter with your body, for example. Repeat the test.You applied blood or control solution to the test area too soon, i.e. before the prompt Apply blood was dis-played.Repeat the test. Do not apply blood or control solution to the test area until the prompt Apply blood is dis-played.
Symbols, messages, problems and error messages224E-7A meter error occurred. If the error message reappears after turning on the meter:Contact your customer support and service centre.E-8The ambient temperature or the temperature of the meter is too low (under +6 °C) or too high (above +44 °C) for a test. Move to a place where the temperature is between +10 and +40 °C and wait for the temperature of the meter to adjust to this temperature.
Symbols, messages, problems and error messages225E-9If the batteries are so low that no more tests can be performed, this message will appear for 3 seconds. Then the meter turns off. Insert two new batteries.
Disposing of the meter226Disposing of the meter17 During blood glucose testing, the meter 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. Also remove the back-up battery (see next page). For information about correct disposal, please contact your local council or authority.The meter falls outside the scope of the European Directive 2002/96/EC (Directive on waste electrical and electronic equipment).i Please dispose of the batteries in an environ-mentally friendly way at a collection depot or through your dealer.
Disposing of the meter227Removing the back-up batteryApart from the two batteries in the battery compart-ment, there is also a third battery in the side of the battery compartment, the back-up battery. You must also remove this battery before disposing of the meter.Remove the back-up battery as follows:1 Use a small screwdriver or similar implement to break out the partition wall in front of the battery.The battery then drops into the battery compartment.2 Turn the meter over so that the back-up battery falls out.
Technical data228Technical data18 Meter type Accu-Chek MobileCatalogue No./ Serial No.See type plate on the back of the meterTest 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 Mobile test cassette. Although you always apply whole blood to the test area, the blood glucose results displayed by your meter correspond to those in plasma. You will find information on how the system works, on the test principle and on refer-ence methods in the Accu-Chek Mobile test cassette package insert.Measuring range 0,6–33,3 mmol/lSample size approx. 0.3 μl (1 μL (microlitre) = 1 thousandth of a millilitre)Measuring time approx. 5 seconds (depending on the concentration)Power supply 2 alkaline-manganese or high energy batteries (1.5 V, type AAA, LR 03, AM 4 or micro), back-up battery: 3V lithium button cell type CR1025Battery life at least 500 tests or approx. 1 year (less if the brightness of the display is set to level 3 or the volume is set to level 4 or 5 or in acoustic mode due to the higher power con-sumption)Automatic power-off after 1 or 2 minute(s), depending on the operating status
Technical data229Temperatureduring testing +10 to +40 °Cduring storage Meter without batteries and without test cassette: -25 to +70 °C ” with batteries and without test cassette: -10 to +50 °C ” with batteries and with test cassette: +6 to +40 °CHumidityduring testingduring storage15 to 85 % relative humidity15 to 93 % relative humidityAltitude Sea level to 4000 mMemory 500 results with time and date, averages for 7, 14 and 30 daysDimensions 123 × 66 × 28 mm with lancing deviceWeight approx. 150 g with lancing device, batteries, test cassette and lancet drumDisplay OLED (Organic Light Emitting Diode) displayInterface Infrared windowSafety class IIILED/IRED Class 1
Technical data230Electromagnetic compatibility This instrument meets the electromagnetic immunity requirements according to EN ISO 15197 Annex A. The chosen basis for the immunity tests (on electrostatic discharge) was basic standard IEC 61000-4-2. In addition, the instrument meets the electromagnetic emissions requirements according to EN 61326. Its electromagnetic emission is thus low. Interference with other electrically powered equipment is not to be anticipated.Performance evaluationThe performance data for the Accu-Chek Mobile system (Accu-Chek Mobile meter with Accu-Chek Mobile test cassette) were determined using capillary blood from patients with diabetes (method comparison, accuracy), venous blood (repeatability) and control solutions (reproducibility). The system is calibrated with venous blood containing various levels of glucose. The reference values are obtained using the hexokinase method. The method comparison was conducted by comparing the results from the system with those of the hexokinase method with deproteination using an automatic analyzer. The hexokinase method is traceable to an NIST standard (traceability).The Accu-Chek Mobile blood glucose monitoring system complies with the requirements of EN ISO 15197.Roche Diagnostics hereby declares that the Accu-Chek Mobile blood glucose meter conforms with the basic re-quirements and other relevant regulations of Directive 1999/5/EC. The conformity declaration may be found at the following Internet address: http://mobile.accu-chek.com.
System components231System components19 The following components belong to the Accu-Chek Mobile meter:Accu-Chek Mobile test cassettes Use only these test cassettes when you test with the Accu-Chek Mobile meter.Accu-Chek Mobile control solutions Use only these control solutions when you perform control tests with the Accu-Chek Mobile meter and the Accu-Chek Mobil test cassettes.The following components belong to the Accu-Chek FastClix Mobile lancing device:Accu-Chek FastClix lancet drums Use only these lancet drums when you obtain blood with the Accu-Chek FastClix Mobile lancing device.Accu-Chek FastClix Mobile AST cap If you wish to use blood from alternate sites (such as the ball of the thumb, forearm, upper arm, calf or thigh) for blood glucose testing, you will need a special AST cap (gray cap with transparent base) to obtain blood with the Accu-Chek FastClix Mobile lancing device.
Patents232Patents20 Accu-Chek Mobile meterUS 5,889,585; US 6,055,060; US 6,379,317Accu-Chek FastClix Mobile lancing device
Customer support and service centre233Customer support and service centre21 21.1 Advice and troubleshootingIf you need advice on how to operate the Accu-Chek Mobile meter or the Accu-Chek FastClix Mobile lancing device, if you seem to be obtaining implausible results, or if you suspect that the meter, test cassette, lancing device or lancet drum might be defective, please contact your Roche Diagnostics customer support and service centre. Do not attempt to repair or modify the meter or lancing device yourself. Our staff will help solve any problems you might be experiencing with the meter, test cassette, lancing device or lancet drum from Roche Diagnostics. The addresses of the cus-tomer support and service centres are listed in the next section.21.2 Addresses
Alphabetical index234Alphabetical index22 Aacoustic mode 100, 101, 159turning on, turning off 102After meal (flag) 78, 80alternate sites 55apple (symbol) 78, 142, 211apple, bitten into (symbol) 78, 142, 211AST cap 55asterisk (symbol) 78, 211available tests 31, 32viewing 201averages 139Bbatterychanging 202disposing 203, 226life 202, 228removing the protective strip 48symbol 77, 211type 202, 228battery compartment 14, 205beeper 101announcement of results via ~ 162during testing 101turning off 102turning on 102with reminders 100Before meal (flag) 78, 80bloodapplying to the test area 73too little applied 222volume 21, 228blood glucose test 54bottle (symbol) 78, 172, 211brightness, display 178buttonon/off 15, 26enter ~ 15, 26down 15, 28, 137up 15, 29, 201
Alphabetical index235Cchecking, meter 165cleaninglancing device 192meter 182concentration table 41, 175control solution 165disposing 174validity 177control test 83, 165flag 78 flagging 83, 171performing 167sources of error 176CSV file 151customer support and service centre 233Ddata transfer 144date, setting 95display 15, 228brightness, setting 128symbols on the ~ 211display check 30performing 179 display format, saved results 134setting 156disposalbatteries 203, 226meter 225test cassette 197Eelectromagnetic compatibility 230electromagnetic interference, sources of 209enter button 15, 26error messages 220in acoustic mode 164 expiry datecontrol solution 177test cassette 46Fflagging, result 78flagsAfter meal 78, 80Before meal 78, 80control test 78, 83, 171general 78, 80
Alphabetical index236Ggeneral (flag) 78, 80HHI (display) 77, 84, 211hourglass (symbol) 74humidity 208, 229Iinfrared window 15, 144intended uselancing device 3meter 3Llancet drum 17, 57changing 61disposing 61inserting 57lancet, loading a new 60lancing device:cleaning 192components 17docking 63obtaining blood with the ~ 70priming 71undockingn 62light conditions 209LO (display) 77, 84, 211Mmeasuring conditions 207measuring range 84, 228measuring time 74, 228memory 133display format 134, 156memory, results 133menudescription 23opening 34overview 240
Alphabetical index237meterchecking 165cleaning 182components 14disposing 226storing 207turning off 32 after a test 75, 76turning on 30 opening the memory 134 performing a test 65, 68 transferring results 144multifunction button, lancing device 17, 71, 72Nnumber of available lancets 17, 60number of available tests 31, 201Oon/off button 15, 26overviewlancing device components 17menus 241meter components 14symbols 211Ppatents 232penetration depthindicator 17, 59setting 9performance evaluation 230problems 218Rrelease buttonopening cassette compartment cover 16, 43, 196undocking lancing device 16, 62reminder 104beep tones for ~ 100changing 109, 112deleting 109, 113editing 109setting after a test 83setting new ~ 106turning off 109, 111turning on 109, 111
Alphabetical index238resultaverages 139flagging 78transferring 144viewing in memory 134Ssettingsacoustic mode 100beeper 100brightness 128date 95default settings 87language 130menu 90overview 87reminders 104 beep tones for ~ 100target range 119time 92time format 24tones 100volume 126single reminder 115sources of errorblood glucose test 85control test 176transferring results 155sources of interferenceelectromagnetic 209light 209storage conditions 207symbols 211during testing 77system components 231Ttarget range 119changing 122, 124editing 122setting 120symbol 77, 119, 211turning off 122, 123turning on 122, 123technical data 228temperature 207, 229
Alphabetical index239testperforming 64sources of error 85test area 15test cassette 16changing 193disposing 197expiry date 46inserting first ~ 41use-by period 46validity 46, 181, 212test principle 228tests (test areas) 20display of available ~ 31, 32, 201thermometer (symbol) 77, 211, 216time format, selecting 98time, setting 92tip cover 15, 65, 69tones, setting 100Tools menu 178transferring results 144as table (CSV file) 151for analysis 149sources of error 155turning off, meter 32after a test 75, 76 turning on, meter 30opening the memory 134performing a test 65, 68transferring results 144type plate 16, 40Uunit of measurement, result (mmol/l, mg/dl) 5, 40use-by period, test cassette 46Vvalidity, test cassette 46, 212displaying 181
Menu overview240Menu overview23 Main menuTest Turn off Memory SettingsResultSet flag All results Time/DateControl test Color Averages TimeGeneral On Off All results 7 days DateBefore meal On Off Before meal 14 days Time formatAfter meal On Off After meal 30 daysReminder Reminders Transfer dataFor analysisTable to PCDisplay formatSingle valueListSelect with Open or set with
Menu overview241Tones Reminders Target range VolumeBeeper New Turn on offReminders Edit Change BrightnessAcoustic mode In 1 hour Turn on off CancelIn 2 hours Change LanguageIn 3 hours DeleteCancelMain menuToolsDisplay check Validity Clean Change cass.
0088 ACCU-CHEK, ACCU-CHEK MOBILE and FASTCLIX are trademarks of Roche. Roche Diagnostics GmbH 68298 Mannheim Germany www.accu-chek.com0 xxxxxxx001(01) – 2008-08

Navigation menu