User’s Manual Roche USA –53215 Blood . - Accu-Chek
This file may not print or view at 100%.Die lines and color breaks do not print.“Holding Area” text, box and rules do not print.User’s ManualRoche USA –53215V4/1 – 07054637001(03) - BlackBlood Glucose MeterRoche USA –53215V4/2 – 07054637001(03) - CyanInstrucciones de usoMedidor de glucemiaRoche USA –53215V4/3 – 07054637001(03) - MagentaManual de utilizaçãoRoche USA –53215V4/4 – 07054637001(03) - YellowAparelho de medição da glicemiaOδηγίες XρήσηςΜετρητής γλυκόζης αίματος53215 07054637001 03 CVR.indb 13/10/15 1:26 PM
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ContentsIntroduction . 3Chapter 1: Your New System . 5Chapter 2: Blood Glucose Tests. 9Chapter 3: Meter Memory, Setup, and Data Transfer. 17Chapter 4: Control Tests. 27Chapter 5: Maintenance and Troubleshooting . 31Chapter 6: Technical Information . 37Index . 4353215 07054637001 03 EN.indb 13/10/15 1:26 PMThis file may not print or view at 100%.Die lines and color breaks do not print.“Holding Area” text, box and rules do notprint.Roche USA –53215V2/1 – 07054637001(03) - BlackRoche USA – 53215V2/2 – 07054637001(03) PMS 287 CVC 30%
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IntroductionIntroductionThe Accu-Chek Aviva SystemThe Accu-Chek Aviva meter is designed to be used with the Accu-Chek Aviva test strip to quantitativelymeasure glucose in fresh venous, arterial, neonatal, and capillary whole blood as an aid in monitoring theeffectiveness of glucose control. Capillary whole blood for testing of blood glucose can be obtained fromfingertip and approved alternative sites (for example, forearm). Refer to the Alternative Site Testing (AST)section of this manual for approved alternative sites and associated limitations. The Accu-Chek Aviva meterwith the Accu-Chek Aviva test strips provide a complete test system that is meant for in vitro diagnostic useby healthcare professionals in clinical settings and by people with diabetes at home. The system is not foruse in diagnosis or screening of diabetes mellitus. Healthcare professional blood sample collection andpreparation is described in the test strip package insert.For use only with the Accu-Chek Aviva test strips and control solutionsSuitable for self-testingThe system includes: Accu-Chek Aviva meter with battery Accu-Chek Aviva test strips* Accu-Chek Aviva control solutions**Some items may not be included in the kit. They are a separate purchase.353215 07054637001 03 EN.indb 33/10/15 1:26 PM
Introductionw WARNINGAny object coming into contact with human blood is a potential source of infection (see: Clinical andLaboratory Standards Institute: Protection of Laboratory Workers from Occupationally AcquiredInfections; Approved Guideline – Third Edition; CLSI document M29-A3, 2005).Why Regular Blood Glucose Testing Is ImportantTesting your blood glucose regularly can make a big difference in how you manage your diabetes every day.We have made it as simple as possible.Important Information About Your New Meter The meter comes with a preset time and date. You may need to change the time to your time zone. If you follow the steps in this manual but still have symptoms that do not seem to match your test results,or if you have questions, talk to your healthcare professional.453215 07054637001 03 EN.indb 43/10/15 1:26 PM
Chapter 1: Your New SystemYour New System1The Accu-Chek Aviva Meter12136541. Power/Set ButtonTurns meter on or off and sets options.2. DisplayShows results, messages, and test resultsstored in memory.5. Battery Door6. Infrared (IR) WindowTransfers data from meter to computer.3. Right Arrow and Left Arrow ButtonsPress to enter memory, adjust settings, andscroll through test results.4. Test Strip SlotInsert test strip here.553215 07054637001 03 EN.indb 53/10/15 1:26 PM
1Your New System871110(for example)97. Test Strip Container*10. Control Solution Bottle*8. Insert this end into meter.11. Battery9. Yellow WindowTouch blood drop or control solution here.*Some items may not be included in the kit. They are a separate purchase.653215 07054637001 03 EN.indb 63/10/15 1:26 PM
Your New System1Using the Accu-Chek Aviva System Use only Accu-Chek Aviva test strips. Use the test strip immediately after removing it from the test strip container. Do not apply blood or control solution to the test strip before inserting it into the meter. Close the test strip container tightly immediately after removing a test strip to protect the test strips fromhumidity. Store the unused test strips in their original test strip container with the cap closed. Check the use by date on the test strip container. Do not use the test strips after that date. Store the test strip container and meter in a cool, dry place such as a bedroom. Refer to the test strip package insert for test strip storage and system operating conditions.w WARNINGDo not store test strips in high heat and moisture areas (bathroom or kitchen)! Heat and moisture candamage test strips.753215 07054637001 03 EN.indb 73/10/15 1:26 PM
1Your New SystemButton FunctionsHere are the functions of the power/set and arrow buttons on the meter. These functions are usedthroughout this manual. For more information on using these buttons during meter setup, see Chapter 3,Meter Memory, Setup, and Data Transfer.Button(power/setbutton)FunctionActionTurn the meter on or off.Press and release .Enter the set-up mode.Turn the meter on. Press and holdappears on the display.Set the chosen feature.Press and release .Exit the set-up mode at any time.Press and hold until the flashing test stripsymbol appears on the display.Check the display segments.Turn the meter off. Press and holdcomplete display.until set-upto see theIf one of the segments is missing or looks differentfrom the picture, do not use the meter. ContactRoche.Adjust settings for time and date,(right arrow beeper, test reminders, andhypoglycemic alert.and leftarrowbuttons)Enter memory.Mark a blood glucose result.orPress and releasePress and holdor.to scroll faster.Press and releaseor.Press and releaseor.853215 07054637001 03 EN.indb 83/10/15 1:26 PM
Chapter 2: Blood Glucose TestsBlood Glucose Tests2Performing a Blood Glucose Test with Blood from Your FingertipNOTEBlood samples taken from the palm are equivalent to blood samples taken from the fingertip. Toreceive Alternative Site Testing (AST) instructions and an AST cap for obtaining blood from the palm,contact Roche.w WARNINGBlood glucose results can be displayed in eithermg/dL or mmol/L. The back label of the metershows the unit of measurement. If the metershows the wrong unit, contact Roche. If you donot know which unit of measurement is correctfor you, contact your healthcare professional.Using the wrong unit of measurement maycause misinterpretation of your actual bloodglucose level and may lead to improper therapy.mg/dL ormmol/L isprinted here953215 07054637001 03 EN.indb 93/10/15 1:26 PM
2Blood Glucose TestsBefore you perform your first blood glucose test, set up the meter correctly. You need the meter, a test strip,a lancing device, and a lancet.2134Check the use by date onthe test strip container.Do not use test stripspast the use by date.Insert the test strip intothe meter in the directionof the arrows.The meter turns on andbeeps.Prepare the lancingdevice.Wash and dry your hands.5When the blood dropsymbol flashes, performa fingerstick with thelancing device.67Gently squeeze yourfinger to assist the bloodflow.This helps you get ablood drop.Touch the blood drop to the front edge of the yellowwindow of the test strip.Do not put blood on top of the test strip.The meter beeps and flashes when there is enoughblood in the test strip.1053215 07054637001 03 EN.indb 103/10/15 1:26 PM
Blood Glucose Tests28The test result appears on the display.To assign a marker to the test result, leave the teststrip in the meter. See Chapter 2, Marking BloodGlucose Results and Setting the Post-Meal TestReminder.Otherwise, remove and discard the used test strip.After a successful test, the meter turns itself off5 seconds after the test strip is removed.1153215 07054637001 03 EN.indb 113/10/15 1:26 PM
2Blood Glucose TestsPerforming a Blood Glucose Test with Blood from Your Palm, Forearm, or UpperArm (Alternative Site Testing)You have the option of obtaining a blood sample from other sites on your body besides the fingertip.Alternative sites include the palm, forearm, and upper arm.Blood obtained from the fingertip and palm can be used at any time to perform a blood glucose test.If blood from the forearm or upper arm is used, there are certain times when testing is not appropriate. Thisis because your blood glucose level changes faster in your fingertip and palm than in the forearm and upperarm. These differences may cause you to misinterpret your actual blood glucose level, leading to impropertherapy and potential adverse health effects.Read the next section before you try testing from the forearm or upper arm.1253215 07054637001 03 EN.indb 123/10/15 1:26 PM
Blood Glucose TestsYou may performa forearm orupper arm testYou may NOTperform aforearm or upperarm test2 immediately before a meal. while fasting. up to 2 hours following a meal, when blood glucose values can rise quickly. after injecting bolus insulin, when blood glucose values can decrease rapidly. after exercise. if you are sick. if you think your blood glucose is low (hypoglycemia). if you sometimes do not notice when your blood glucose is low.If you are interested in AST, talk to your healthcare professional first.To obtain an AST cap and detailed AST instructions, contact Roche.1353215 07054637001 03 EN.indb 133/10/15 1:26 PM
2Blood Glucose TestsMarking Blood Glucose Results and Setting the Post-Meal Test ReminderYou can mark a blood glucose result to indicate a special event. If you select a test result marker, it isautomatically stored in memory. When you review the test results in memory, these markers can help youremember what was different about the test result.SymbolFunctionPre-Meal MarkerMarking blood glucose results with a pre-meal marker provides more information aboutyour test results to help you and your healthcare professional in the management of yourdiabetes.Pre-Meal Marker with Post-Meal Test ReminderWhen a pre-meal result is marked with a post-meal test reminder, the meter beeps 1 or2 hours after you test to remind you to do a post-meal test.Post-Meal MarkerMarking blood glucose results with a post-meal marker provides more information aboutyour test results to help you and your healthcare professional in the management of yourdiabetes. The post-meal marker automatically appears with the test result if a test isperformed 15 minutes before or after the post-meal test reminder is programmed to beep.Set the post-meal test reminder time to 1 or 2 hours in the set-up mode. The meter willbeep 1 or 2 hours after the pre-meal test to remind you to do a post-meal test.General MarkerYou might want to use the general marker to mark an event such as an AST result orexercise.1453215 07054637001 03 EN.indb 143/10/15 1:26 PM
Blood Glucose Tests2Here is how to mark a test result and initiate a post-meal test reminder:1. Perform a blood glucose test. The blood glucose result appears on the display.2. Leave the test strip in the meter. Press and release or to toggle through the test result markers andpost-meal test reminder.3. When the marker or test reminder that you wish to select appears on the display, remove the test stripfrom the meter.Unusual Blood Glucose ResultsIf your blood glucose result does not match how you feel, check this list to help solve the problem.Troubleshooting ChecksAction1. Were the test strips expired?Discard the test strips if they are past the use by date.Repeat the blood glucose test with an unexpired teststrip.2. Was the cap on the test strip containerclosed tightly?Replace the test strips if you think the test stripcontainer was uncapped for some time. Repeat theblood glucose test.3. Was the test strip used immediately afterit was removed from the test stripcontainer?Repeat the blood glucose test with a new test strip.4. Were the test strips stored in a cool, dryplace?Repeat the blood glucose test with a properly storedtest strip.5. Did you follow the directions?See Chapter 2, Blood Glucose Tests, and repeat theblood glucose test. Contact Roche if you still haveproblems.6. Are the meter and test strips workingproperly?Perform a control test. See Chapter 4, Performing aControl Test, for instructions.7. Are you still unsure of the problem?Contact Roche.1553215 07054637001 03 EN.indb 153/10/15 1:26 PM
2Blood Glucose TestsSymptoms of Low or High Blood GlucoseBeing aware of the symptoms of low or high blood glucose can help you understand your test results anddecide what to do if they seem unusual.Low blood glucose (hypoglycemia): Symptoms of hypoglycemia may include, but are not limited to, anxiety,shakiness, sweating, headache, increased hunger, dizziness, pale skin color, sudden change in mood orirritability, fatigue, difficulty concentrating, clumsiness, palpitations, and/or confusion.High blood glucose (hyperglycemia): Symptoms of hyperglycemia may include, but are not limited to,increased thirst, frequent urination, blurred vision, drowsiness, and/or unexplained weight loss.w WARNINGIf you are experiencing any of these symptoms, or other unusual symptoms, test your blood glucosefrom the fingertip or palm. If your blood glucose result is displayed as LO or HI, contact yourhealthcare professional immediately.1653215 07054637001 03 EN.indb 163/10/15 1:26 PM
Chapter 3: Meter Memory, Setup, and Data TransferMeter Memory, Setup, and Data Transfer3MemoryStoring Blood Glucose and Control ResultsThe meter automatically stores up to 500 blood glucose results and up to 20 control results with the timeand date of the result and any test result marker which you can review at any time. Test results are storedfrom the newest to the oldest, so set the time and date correctly in the meter. Having the correct time anddate setting helps ensure appropriate interpretation of stored blood glucose results by you and yourhealthcare team.NOTE The memory is not lost when the battery is replaced; however, confirm that the time and date are stillcorrect. See Chapter 3, Setting the Time and Date. Once 500 blood glucose results are in memory, adding a new test result causes the oldest one to bedeleted. If more than 500 blood glucose tests are performed within a 90-day period, only the most recent500 test results are included in the 90-day average. Control results are stored in memory, but cannot be reviewed on the meter. To view stored controlresults, first transfer them to a compatible software application. Contact Roche for productavailability. Control results are not included in the 7-, 14-, 30-, and 90-day averages. Only test results that have been assigned a pre-meal or post-meal marker are included in pre-mealand post-meal averages. All blood glucose results are included in the general 7-, 14-, 30-, and90-day averages.1753215 07054637001 03 EN.indb 173/10/15 1:26 PM
3Meter Memory, Setup, and Data TransferMemoryViewing Test Results in MemoryWith the meter on or off, press and releaseon the display.Buttonorto enter memory. The most recent test result appearsFunctionActionPrevious test resultsPressGeneral averagesPress to view 7-, 14-, 30-, and 90-day averages.n number of test results in the averagePre-meal averagesPost-meal averagesContinue to press to view 7-, 14-, 30-, and 90-day pre-mealand post-meal averages.to view previous test results from newest to oldest.(left arrowbutton)(right arrowbutton)(right arrowbutton)w WARNINGDo not change your therapy based on an individual test result in memory. Talk to your healthcareprofessional before changing therapy based on test results in memory.1853215 07054637001 03 EN.indb 183/10/15 1:26 PM
Meter Memory, Setup, and Data Transfer3SetupUsing the Set-Up ModeThe following features can be customized as required.SymbolFunctionActionTime and dateSet the time and date.BeeperSelect On or OFF. Setting the beeper to OFFdoes not affect test results.The beeper must be On to use the testreminders feature.Post-meal testreminderSelect 1 hour or 2 hours. The meter willbeep 1 or 2 hours after the pre-meal test toremind you to do a post-meal test.Test remindersSelect On or OFF. You can set up to 4 testreminders per day.HypoglycemicalertSelect On or OFF. The hypoglycemic alertcan be set to a level between 50 and90 mg/dL to let you know when yourblood glucose is possibly too low.Factory Pre-setA-1 8:00A-2 12:00A-3 18:00A-4 22:001953215 07054637001 03 EN.indb 193/10/15 1:26 PM
3Meter Memory, Setup, and Data TransferSetupSetting the Time and Date1Press and release(power/set button) to turnthe meter on.The flashing test stripsymbol appears on thedisplay.2Press and hold untilset-up appears on thedisplay.The hour flashes.3Press and release orto decrease orincrease the hour.Press and release toset the hour.The minutes flash.4Repeat step 3 to setminutes, day, month, andyear.To set up more options,press and release .To exit, press and holduntil the flashing test stripsymbol appears on thedisplay.2053215 07054637001 03 EN.indb 203/10/15 1:26 PM
Meter Memory, Setup, and Data Transfer3SetupSetting the Beeper On or OFFNOTEThe beeper prompts you: to apply blood or control solution to the test strip. when enough blood or control solution is drawn into the test strip. when the blood glucose or control test is complete. when a button is pressed. when it is time to perform a test (if you set the test reminders or post-meal test reminder). if an error occurred while performing a blood glucose or control test (even if the beeper is off, it stillbeeps for an error).12orPress and release toturn the meter on.The flashing test stripsymbol appears on thedisplay.Press and hold untilset-up appears on thedisplay.Press and releaserepeatedly until theflashing beeper symboland On or OFF appear onthe display.3Press and release orto switch between Onand OFF.To set up more options,press and release .To exit, press and holduntil the flashing test stripsymbol appears on thedisplay.2153215 07054637001 03 EN.indb 213/10/15 1:26 PM
3Meter Memory, Setup, and Data TransferSetupSetting the Post-Meal Test ReminderNOTEThe post-meal test reminder: beeps 1 or 2 hours after the blood glucosetest to remind you to do a post-meal test. beeps every 2 minutes up to 3 times. turns off by inserting a test strip or pressingany button.12orPress and release toturn the meter on.The flashing test stripsymbol appears on thedisplay.Press and hold untilset-up appears on thedisplay.Press and releaserepeatedly until set-upand the flashing 1Hr or2Hr appear on thedisplay. If a test was performed within 15 minutes of a testreminder, the test reminder does not beep. If the meter is on at the test reminder time, thetest reminder does not beep. Exposure to cold conditions may disable testreminders until the meter is turned on.3Press and release orto select 1Hr or 2Hr.Press and release toset the option.To set up more options,press and release .To exit, press and holduntil the flashing test stripsymbol appears on thedisplay.This display appearswhen a post-meal testreminder occurs.2253215 07054637001 03 EN.indb 223/10/15 1:26 PM
Meter Memory, Setup, and Data Transfer3SetupSetting the Test RemindersNOTETest reminders: beep at the same time each day. beep every 2 minutes up to 3 times. turn off by inserting a test strip or pressingany button.21 If a test was performed within 15 minutesof a test reminder, the test reminder doesnot beep. If the meter is on at the test reminder time,the test reminder does not beep. Exposure to cold conditions may disable testreminders until the meter is turned on. If a test reminder is off in set-up mode, anysubsequent test reminders are also off. Forexample, if you set A-1 but turn off A-2, thenA-3 and A-4 will automatically be off.34orPress and release toturn the meter on.The flashing test stripsymbol appears on thedisplay.Press and hold untilset-up appears on thedisplay.Press and releaserepeatedly until the bellsymbol, OFF, set-up, andthe flashing A-1 appearon the display.Press and release orto switch between Onand OFF.Press and release toset your choice.If On is selected, the hourflashes.Press and release orto adjust the hour.Press and release toset the hour.The minutes flash.2353215 07054637001 03 EN.indb 233/10/15 1:26 PM
3Meter Memory, Setup, and Data Transfer5Press and release orto select 00, 15, 30, or45. These are the onlychoices.Press and release toset the minutes.The bell symbol, OFF, andthe flashing A-2 appearon the display.6Either set the A-2 testreminder or press andrelease to set up moreoptions.To exit, press and holduntil the flashing teststrip symbol appears onthe display.2453215 07054637001 03 EN.indb 243/10/15 1:26 PM
Meter Memory, Setup, and Data Transfer3SetupSetting the Hypoglycemic Alertw WARNING This function is no substitute for hypoglycemia training by your healthcare professional. Consumer: Before you set the hypoglycemic alert, talk to your healthcare professional to help youdecide what blood glucose level is your hypoglycemic level. Healthcare professionals: The hypoglycemic level may vary from person to person. It isrecommended to turn the hypoglycemic alert OFF when using the meter in a professional setting.12orPress and release toturn the meter on.The flashing test stripsymbol appears on thedisplay.Press and hold untilset-up appears on thedisplay.Press and releaserepeatedly until set-up,OFF, and the flashingappear on the display.34Press and release orto switch between Onand OFF.Press and release toset your choice.If you select On, set-upappears and flashes. Press and release orto adjust the level.Press and release toset the level.To exit, press and holduntil the flashing test stripsymbol appears on thedisplay.The set-up mode iscomplete.2553215 07054637001 03 EN.indb 253/10/15 1:26 PM
3Meter Memory, Setup, and Data TransferData TransferTransferring Results to a ComputerWe offer a variety of software to help you transfer your results. For information on Accu-Chek software,contact Roche.You can transfer your stored results to a computer to track, identify patterns, and print.w WARNINGTransferring data to a computer from meters used for multiple-patient testing is NOT recommendedsince individual patient results cannot be identified.Transferring Data Directly to a Computer Using Specialized Software and an Infrared Cable1. Install the software according to the instructions.2. To transfer the results to a computer, connect the infrared cable according to the instructions.3. Run the software program and follow the instructions for data transfer. Make sure the software is readyto accept data from the meter.4. With the meter off, press and hold both and until 2 arrows on the display alternately flash.5. Locate the infrared (IR) window on the top of the meter.6. Locate the IR window on the infrared cable.7. Place the meter on a flat surface. Point the 2 IR windows toward each other. They should be 3–10 cmapart.8. Do not move the infrared cable or meter during the data transfer.9. Follow the prompts on the software.10. The software program may shut off the meter automatically when the data transfer is complete. Shouldthis occur, follow the prompts on the computer screen. NOTE If the data did not transfer successfully, try again.Contact Roche if you still have problems. To make the most of the transfer feature, make sure themeter is set to the correct time and date.2653215 07054637001 03 EN.indb 263/10/15 1:26 PM
Control Tests4When to Perform a Control TestPerforming a control test lets you know the meter and test strips are working properly. You should perform acontrol test when: you open a new test strip box. you left the test strip container open. you think the test strips are damaged. you want to check the meter and test strips. the test strips were stored in extreme temperatures, humidity, or both. you dropped the meter. your test result does not match how you feel. you want to check if you are performing the test correctly.About the Control Solution Use only Accu-Chek Aviva control solution. Close the control solution bottle tightly after use. Write the date you open the control solution bottle on the bottle label. The control solution must bediscarded 3 months from the date the control solution bottle was opened (discard date) or on the use bydate on the bottle label, whichever comes first. Do not use control solution that is past the use by or discard date. Refer to the control solution package insert for control solution storage conditions. The meter automatically recognizes the difference between the control solution and blood. The control results are not displayed in memory. The control solution can stain fabric. Remove stains by washing with soap and water.2753215 07054637001 03 EN.indb 273/10/15 1:26 PM
4Control TestsPerforming a Control TestYou need the meter, a test strip, and control solution Level 1 or Level 2.1234orCheck the use by date onthe test strip container.Do not use test stripspast the use by date.Select the control solutionInsert the test strip intothe meter in the direction to test. You will enter thelevel later in the test.of the arrows.Place the meter on a flatsurface.5When you see flash,there is enough controlsolution in the test strip.Remove the cap from thecontrol solution bottle.Wipe the tip of the bottlewith a tissue.Squeeze the bottle until atiny drop forms at the tip.6Wipe the tip of the bottlewith a tissue. Cap thebottle tightly.Touch the drop to thefront edge of the yellowwindow of the test stripuntil you see flash.Do not put controlsolution on top of thetest strip.2853215 07054637001 03 EN.indb 283/10/15 1:26 PM
Control Tests478(for example)(for example)The control result, the bottle symbol, and a flashing Lappear on the display. Do not remove the test stripyet.Press to mark the control result as a Level 1.Press a second time to mark the control result asa Level 2.Press and release to set the control level in themeter.OK and the control result alternate on the display ifthe control result is in range.Err and the control result alternate on the display ifthe control result is not in range.Remove and discard the used test strip.After a successful test, the meter turns off 5 secondsafter the test strip is removed.2953215 07054637001 03 EN.indb 293/10/15 1:26 PM
4Control TestsUnderstanding Out-of-Range Control Resultsw WARNINGThe control ranges are printed on the test strip container label. If the control result is out of range,check this list to help solve the problem.Troubleshooting ChecksAction1. Were the test strips or control solutionsexpired?Discard the test strips or control solution if either is pastthe use by date. If the control solution was opened morethan 3 months ago, discard it. Repeat the control testwith an unexpired test strip and an unexpired controlsolution.2. Did you wipe the tip of the controlsolution bottle before use?Wipe the tip of the bottle with a tissue. Repeat thecontrol test with a new test strip and a fresh drop ofcontrol solution.3. Were the caps on the test strip containerand the control solution bottle alwaysclosed tightly?Replace the test strips or control solution if you thinkeither was uncapped for some time. Repeat the controltest.4. Was the test strip used immediately afterit was removed from the test stripcontainer?Repeat the control test with a new test strip and a freshdrop of control solution.5. Were the test strips and control solutionsstored in a cool, dry place?Repeat the control test with a properly stored test stripor control solution.6. Did you follow the directions?Read Chapter 4, Control Tests, and repeat the controltest.7. Did you choose the correct controlsolution level, either 1 or 2, when youperformed the control test?If you chose the wrong control solution level, you canstill compare the control result to the range printed onthe test strip container.8. Are you still unsure of the problem?Contact Roche.3053215 07054637001 03 EN.indb 303/10/15 1:26 PM
Chapter 5: Maintenance and TroubleshootingMaintenance and Troubleshooting5Meter MaintenanceThe meter automatically tests its own systems every time you turn it on and lets you know if something iswrong. See Chapter 5, Display and Error Messages.If you drop the meter or think the results are not accurate, contact Roche.Changing the Battery1Open the battery door onthe back of the meter bypushing the tab in thedirection of the arrow andpulling the door up.2Remove the old battery.Insert the new batterywith the ( ) side facingup.3Put the battery door backin place and snap itclosed.NOTE The meter uses one 3-volt lithium battery, coin cell type CR2032. This type of battery can be found inmany stores. It is a good idea to have a spare battery available. All results remain saved in the memory.3153215 07054637001 03 EN.indb 313/10/15 1:26 PM
5Maintenance and TroubleshootingCleaning the MeterKeep the meter free of dust
The Accu-Chek Aviva System The Accu-Chek Aviva meter is designed to be used with the Accu-Chek Aviva test strip to quantitatively measure glucose in fresh venous, arterial, neonatal, and capillary whole blood as an aid in monitoring the eœectiveness of glucose control. Capillary whol
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Michael Crowley, Head of Business Development Roche Research & Early Development, Pharma Partnering Roche Company Presentation. 2 The Roche Group: an innovation-driven company Why we make a good partner What we are looking for from you. 3 What we are looking The Roche Group: an for from you
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Investor Update F. Hoffmann-La Roche Ltd 4070 Basel Switzerland Investor Relations email: investor.relations@roche.com Tel. 41 61 68-88880 Fax 41 61 69-10014 www.roche.com 1/11 Basel, 30 January 2020 Roche reports very strong results in 2019 1Group sales increase 9% at constant exchange rates and 8% in Swiss francs, driven by new products,
User's Manual Blood Glucose Meter This file may not print or view at 100%. Die lines and color breaks do not print. "Holding Area" text, box and rules do not print. Roche USA - 52759 V2/1 - 07398883001 - Black Roche USA - 52759 . The Accu-Chek Guide System
the cobas t 411 coagulation analyzer is the first member in Roche’s new series of coagulation analyzers. Quality and reliability Proven premium Roche quality means the cobas t 411 coagulation analyzer is reliable and robust with minimum downtime. Combined with an established, experienced global support network Roche ensures maximum up-time.
Source of Saturn’s Rings The moon’s own gravity tends to hold it together. Tidal forces from planet tend to pull it apart The “Roche Limit” is the critical distance where the two balance Saturn’s moons are (mostly) outside of Roche Limit Saturn’s rings are (mostly) inside the Roche limit. Roche Limit (2.4 Saturn .
The court also received evidence from Ms Maria Roche. Ms Roche is the Tumut Cluster Manager for Murrumbidgee Local Health District. As at 1 January 2016, Ms Roche was the Acting Rural Group Manager for the Riverina Group, which included Tumut Health Service. She had been in that role since 2013. Ms Roche gave oral evidence but also provided four
