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Accu-Chek Performa Combo Getting Started Manual

Blood glucose meter
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Download this manual See also: Owner's Booklet, User Manual
Enlarged version
10:02
bG Test
Bolus Advice
Pump
My Data
Settings
©2009 Roche Diagnostics. All rights reserved.
Roche Diagnostics GmbH
Sandhofer Strasse 116
68305 Mannheim, Germany
www.accu-chek.com
ACCU-CHEK, ACCU-CHEK PERFORMA, PERFORMA COMBO, ACCU-CHEK SPIRIT COMBO and
ACCU-CHEK MULTICLIX are trademarks of Roche.
The Bluetooth
®
word mark and logos are registered trademarks owned by Bluetooth SIG, Inc.
and any use of such marks by Roche is under license.
Other trademarks and product names are the property of their respective owners.
2 Feb 08
10:02
2 Feb 08
bG Test
Bolus Advice
Pump
My Data
Settings
Getting Started Guide
BLOOD GLUCOSE METER

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Summary of Contents for Accu-Chek Performa Combo

  • Page 1 Roche Diagnostics GmbH Sandhofer Strasse 116 68305 Mannheim, Germany www.accu-chek.com ACCU-CHEK, ACCU-CHEK PERFORMA, PERFORMA COMBO, ACCU-CHEK SPIRIT COMBO and ACCU-CHEK MULTICLIX are trademarks of Roche. The Bluetooth ® word mark and logos are registered trademarks owned by Bluetooth SIG, Inc.
  • Page 2 15 Rakino Way, Castle Hill Box 62089, NSW 2154, Australia Mt Wellington, Auckland 1641 ABN 29 003 001 205 New Zealand Phone +61 (0)2 9860 2100 Accu-Chek Enquiry Line 0800 80 22 99 (Accu-Chek Pump Hotline) www.accu-chek.co.nz www.accu-chek.com.au www.rochediagnostics.com.au LAST UPDATE: 2009-07...

  • Page 3: Table Of Contents

    Contents Introduction 1 Understanding Your New System 1.1 Overview 1.2 The Accu-Chek Performa Combo Meter at a Glance 1.3 The Accu-Chek Spirit Combo Insulin Pump at a Glance 1.4 Screen Content and Navigation 2 Getting Started 2.1 Overview 2.2 Coding Your Meter 2.3 Setup Wizard...
  • Page 4 3 Testing Your Blood Glucose 3.1 Overview 3.2 Performing a Blood Glucose Test Appendix: Explanation of Symbols Glossary Index...

  • Page 5: Introduction

    Introduction Whether the Accu-Chek Performa Combo Meter is your first blood glucose meter or you have used a meter for some time, please take the time to read the Getting Started Guide, the Standard Owner’s Booklet and the Advanced Owner’s Booklet carefully before you use your new meter. To use it correctly and dependably, you need to understand its operation, screen displays, and all individual features.
  • Page 6 Combo Meter. The Standard Owner’s Booklet contains important handling instructions and additional information. Suitable for self-testing Should you have any questions, please call the Accu-Chek Pump Hotline at 02 9860 2100 for Australia or the Accu-Chek Enquiry Line at 0800 80 22 99 for New Zealand.

  • Page 7: Understanding Your New System

    Understanding Your New System 1.1 Overview 1.2 The Accu-Chek Performa Combo Meter at a Glance 1.3 The Accu-Chek Spirit Combo Insulin Pump at a Glance 1.4 Screen Content and Navigation...

  • Page 8: Overview

    • This booklet shows sample screens. The screens in this booklet may look slightly different from the screens on the meter. If you have any questions about the meter screens, please call the Accu-Chek Pump Hotline at 02 9860 2100 for Australia or the Accu-Chek Enquiry Line at 0800 80 22 99 for New Zealand.

  • Page 9: The Accu-Chek Performa Combo Meter At A Glance

    1.2 The Accu-Chek Performa Combo Meter at a Glance Infrared (Ir) window Display Transfers data from the Shows menus, results, meter to a computer. messages and data stored in the diary. Code Key Slot Buttons 10:02 2 Feb 08 Insert code key here with...
  • Page 10 Top View Code Key Batteries Insert batteries according to the Infrared (IR) Window (for example) + and - symbols in the battery compartment. Test Strip Test Strip Container Control Solution Bottle Yellow Window - Touch blood drop (for example) (for example) or control solution here.
  • Page 11 The meter has seven buttons and two soft keys. 10:02 2 Feb 08 bG Test Bolus Advice Pump My Data Settings Left Soft Key right Soft Key Up Arrow right Arrow Enter Down Arrow Left Arrow Backlight Power On/Off NOTES: •...
  • Page 12 Table of Buttons and Soft Keys Button Name Function < Left Arrow Move or scroll to the left in a screen. > Right Arrow Move or scroll to the right in a screen. Up Arrow Move or scroll up in a screen. Down Arrow Move or scroll down in a screen.
  • Page 13 Table of Button Combinations Button Combination Name Function When the buttons are locked, press and Unlock Keys Unlocks the buttons. hold until the Main Menu appears. With the meter turned off, press and hold Meter/Pump Begins meter and pump pairing. and then press +.

  • Page 14: The Accu-Chek Spirit Combo Insulin Pump At A Glance

    Infusion Set and data stored in the Connects the pump to your body Adapter pump memory. to deliver insulin. Connects the cartridge to the infusion set. For information about the pump, see the Accu-Chek Spirit Combo Insulin Pump User Guide.

  • Page 15: Screen Content And Navigation

    1.4 Screen Content and Navigation This section provides an explanation of how to understand and navigate the screens on the meter. Each time the meter is turned on, this splash screen is displayed for a short period of time.
  • Page 16 Features on the Main Menu: Sound Icon Vibrate Icon Appears when the beeper Appears when vibrate is turned on. 10:02 am 2 Feb 08 is turned on. bG Test Date Bolus Advice Time Pump Low Battery Icon My Data Menu Options Appears when the meter batteries are low.
  • Page 17 Bluetooth wireless Technology Icon Communication States Icon Communication State Bluetooth wireless technology is on. The meter and pump are communicating. Bluetooth wireless technology is off. The meter and pump are not communicating. Bluetooth wireless technology is on. However, the meter and pump are not communicating.
  • Page 18 Connecting to the Pump screen: Connecting to the Pump This screen appears when Bluetooth wireless technology is on and the meter is connecting to the pump.
  • Page 19 Features on a screen: Title Bar Highlighted Option View Data 2 Feb 08 Primary menu title is displayed When a menu choice or item 8:06 pm here. is selected, it is highlighted in 5:33 pm blue. Secondary Title Bar 4:06 pm Scroll Bar When necessary, a secondary title 1:52 pm...
  • Page 20 Information can be entered on some screens. Numerical entry fields appear as pop-up entry fields. When an option must be selected, it appears as a pop-up menu. • To open a pop-up menu or entry field, press =. • Press to select the appropriate pop-up menu option or until the correct numerical entry is present and then press =.
  • Page 21 General Navigation Steps To change the settings or enter information into the meter: 10:02 am 2 Feb 08 Time Blocks 10:02 am 2 Feb 08 Start Reminders bG Test 5:30 am 12:00 am Bolus Advice Bolus Advice 5:30 am 11:00 am Meter Pump 11:00 am...
  • Page 22 Select Save by pressing Time Blocks Time Blocks 5:30 am 12:00 am 5:30 am 12:00 am 5:30 save changes and return to the previous screen. Target Range Target Range 4 mmol/L 8 mmol/L 4 mmol/L 8 mmol/L Cancel Save Cancel Time Blocks Time Blocks 5:30...

  • Page 23: Getting Started

    Getting Started 2.1 Overview 2.2 Coding Your Meter 2.3 Setup Wizard 2.4 Setup Wizard: Important Information...

  • Page 24: Overview

    2.1 Overview Prior to using your Accu-Chek Performa Combo Meter for the first time: • Code the meter. If a code key is not inserted into the meter prior to turning on the meter, an error message appears. See Section 2.2, “Coding Your Meter” for instructions.

  • Page 25: Coding Your Meter

    2.2 Coding Your Meter Ensure the meter is off. Turn over the meter. Position the code key so that the code number faces away from you. Push it into the code key slot until it stops.
  • Page 26 wArNING: Change the code key every time you open a new box of test strips. CAUTION: Do not force the code key into the meter. It is designed to go in the meter only one way. Leave the code key in the NOTES: meter until you open a new box •...

  • Page 27: Setup Wizard

    2.3 Setup wizard The first time you turn on the meter, the Setup Wizard is activated. The Setup Wizard assists you in selecting settings for: • Meter language • Time and date • Units (carbs) • Warning limits for hypo (low) and hyper (high) blood glucose levels •...
  • Page 28 NOTES: • Prior to turning on your meter for the first time, code your meter. See Section 2.2, “Coding Your Meter” for instructions. • The Setup Wizard activates every time you turn on the meter until you complete the process. •...
  • Page 29 Completing the Setup wizard Language Time/Date Time Format Language English 12 hr Time 00 am Press enter to display Date 2 Feb available options DD MMM Next Back Next Press +. The meter beeps and To Change the Language: Time/Date displays this splash screen Press to display the...
  • Page 30 To Change the Time: Units Warning Limits Select the Time entry field and Carbs Grams 12 mmol/L Hyper 3 mmol/L Hypo press =. Set the Hour and press =. Select the upper (Hyper) Set the Minutes and press =. and lower (Hypo) limits of your bG If 12 hr Time Format, select am or pm and press =.
  • Page 31 To Change the Hypo (Lower) Setup Setup Blood Glucose Level: Select the Hypo entry field and Would you like to Edit at least one time receive bolus advice press =. block by selecting a time from your Meter? Set the Hypo (lower) blood block and pressing enter glucose level and press =.
  • Page 32 To Change the Target range: Time Blocks Time Blocks Start 12:00 am 5:30 am Select the entry field for the 12:00 am 5:30 am lower value of the Target Target Range 5:30 am 11:00 am Range and press =. 4 mmol/L 8 mmol/L 11:00 am 5:00 pm...
  • Page 33 Time Blocks Setup Time Blocks Start 12:00 am 5:30 am Edit at least one time Settings copied to all 5:30 am 11:00 am block by selecting a time Time Blocks. Adjust as 11:00 am 5:00 pm block and pressing enter necessary.
  • Page 34 Time Blocks Time Blocks Time Blocks Start 12:00 am 5:30 am 0:00 5:30 5:30 am 12:00 am Target Range Target Range 5:30 am 11:00 am 4 mmol/L 8 mmol/L 4 mmol/L 8 mmol/L 11:00 am 5:00 pm Carb Ratio Carb Ratio 5:00 pm 9:30 pm 10 g...
  • Page 35 To Change the Target range: Set the amount of Carbs Time Blocks Select the entry field for the covered by the selected units lower value of the Target of insulin and press =. Settings copied to all Range and press =. Time Blocks.
  • Page 36 Time Blocks Health Events Advice Options Start Exercise 1 -10% Meal Rise 6 mmol/L 12:00 am 5:30 am Exercise 2 -20% Snack Size 24 g 5:30 am 11:00 am Acting Time Stress 4:00 5:00 pm Offset Time 11:00 am Illness 1:00 5:00 pm 9:30 pm...
  • Page 37 To Change the Snack Size: Advice Options Setup Select the Snack Size entry field and press =. Would you like to set New Snack Size has Set the Snack Size amount up bG Test also been applied to and press =. Reminders? After Meal Reminder To Change the Acting Time:...
  • Page 38 To Change the remind After After High bG After Low bG Reminder Time: Reminder bG Threshold 8 mmol/L bG Threshold 5 mmol/L Select the Remind After entry Remind After 2:00 Remind After 0:15 field and press =. HH MM HH MM Set the amount of time after a high bG test you want to be reminded to retest your blood...
  • Page 39 To Change the bG Threshold: To Change the remind After After Meal Reminder Select the bG Threshold entry Time: Snack Size 24 g field and press =. Select the Remind After entry Remind After 2:00 Set the bG Threshold level and field and press =.
  • Page 40 Setup Setup 10:02 am 2 Feb 08 bG Test Bolus Advice Setup Completed Pairing setup has not Pump Successfully been completed My Data Settings Next Cancel Next If the meter and pump are If the meter and pump are NOT 10:02 2 Feb 08 paired, the Setup Completed...
  • Page 41 Pairing the Meter and Pump Setup Pair with Pump Pair with Pump Ensure Pump is in pairing mode through Bluetooth Pairing setup has not menu on Pump To start Pairing, turn off Meter, been completed hold backlight button down and Waiting .
  • Page 42 On the pump, press d until On the pump, the BLUETOOTH On the pump, press d until the BLUETOOTH SETTINGS ON/OFF screen appears. the ADD DEVICE INITIATE screen appears. Ensure Bluetooth wireless PAIRING screen appears. On the pump, press f. technology is turned on.
  • Page 43 Pair with Pump Enter PIN shown on Pump display Cancel On the Meter, Enter the PIN If the NO DEVICE FOUND Continue to the next step. Shown on the Pump Display: screen appears, see the pump Press =. User Guide for information on Set the first PIN number and troubleshooting.
  • Page 44 Pair with Pump Pair with Pump Pairing completed for Enter PIN shown on PUMP12345678 Pump display 7 1 2 4 2 9 8 3 2 METER12345678 Turn Meter off Confirm Ensure the PIN entered matches the numbers on the pump screen. Select Confirm. If the correct PIN was entered, the Pair with Pump screen appears on the meter and the...
  • Page 45 Setup 10:02 am 2 Feb 08 bG Test Bolus Advice Setup Completed Pump Successfully My Data Settings Next Turn on the meter. The Setup 10:02 2 Feb 08 Completed Successfully screen bG Test appears. Bolus Advice Select Next. Pump My Data Settings You are ready to begin using your new meter.
  • Page 46 NOTES: • For instructions on how to cancel the pairing process, see the Advanced Owner’s Booklet. • For more detailed instructions on pairing and unpairing devices, see the Advanced Owner’s Booklet.

  • Page 47: Setup Wizard: Important Information

    2.4 Setup wizard: Important Information Carbohydrate Units You have a choice among different carb units in the meter that best fit your needs. The following carbohydrate units are available on the meter: Abbreviation Unit of Measurement Gram Equivalent Grams 1 gram Kohlenhydrateinheit 10 grams Bread Equivalent...
  • Page 48 Time Blocks • Setting time blocks to fit your own schedule helps you and your healthcare professional see how patterns in your blood glucose may be affected by your daily activities and lifestyle. • Time blocks cover a 24-hour time period (from midnight to midnight). •...
  • Page 49 Your meter comes with the following default time blocks: Time Block 12-Hour Format 24-Hour Format 12:00 am–5:30 am 0:00–5:30 5:30 am–11:00 am 5:30–11:00 11:00 am–5:00 pm 11:00–17:00 5:00 pm–9:30 pm 17:00–21:30 9:30 pm–12:00 am 21:30–0:00...
  • Page 50 Talk to your healthcare professional about setting up time blocks to help you manage your diabetes. Here is a suggested pattern: Time Block Start Time End Time 1. Night time Midnight The time you normally wake up 2. Breakfast The time you normally wake up 1 ½...

  • Page 51: Bolus Advice

    Bolus Advice • Bolus advice calculates a bolus for you that is adapted to the time of day and your changing situations. • This function is activated only if you set up bolus advice on your meter. • Bolus advice provided by the meter is solely advice. Do not change your therapy based on one reading. Contact your healthcare professional prior to changing your diabetes therapy.
  • Page 52 Health Events Health events can be selected to indicate how you are feeling or what you are doing that might affect your diabetes. Your meter allows you the option of setting a percentage for each health event if you set up bolus advice.
  • Page 53 Bolus Advice Options Meal rise, snack size, acting time and offset time are bolus advice options. Below are detailed descriptions of each of these settings. Meal Rise • During or after meals, an increase in blood glucose levels is considered normal within a certain range, even though a meal bolus has been delivered.
  • Page 54 Acting Time • The period of time from the start of the meal rise or the delivery of a correction bolus until your blood glucose level returns to the target level. • You can adjust the length of the acting time to fit your individual needs, within a specified time interval (1 ½...
  • Page 55 bG Test reminders • Your meter can be set up to remind you to retest your blood glucose after a high bG test result, after a low bG test result or after a meal. • The after meal bG test reminder is set up with a carb value for the snack size and occurs only after the snack size is exceeded.

  • Page 57: Testing Your Blood Glucose

    Testing Your Blood Glucose 3.1 Overview 3.2 Performing a Blood Glucose Test...

  • Page 58: Overview

    3.1 Overview Before you perform your first blood test, ensure the Accu-Chek Performa Combo Meter is set up correctly and that you perform a control test. You need a coded meter, a test strip and a lancing device. wArNINGS: • Do not change your treatment because of one blood glucose test result.

  • Page 59: Performing A Blood Glucose Test

    3.2 Performing a Blood Glucose Test Prepare > Insert Test Strip > Match Code Number > Test Blood Sample > bG Test result Wash and dry your hands. bG Test Match Code to Vial Prepare the lancing device for a fi ngertip test. Code Wash and dry your hands.
  • Page 60 bG Test Apply Sample Yellow Release Button The Apply Sample screen Fingerprick: AST: appears. The test strip is ready Perform a fi ngerprick with the Press the lancing device fi rmly for testing. lancing device. Blood samples against a fl eshy area on the taken from the palm are alternative site.
  • Page 61 bG Test Apply Sample AST: Fingerstick: Trigger the lancing device Gently squeeze your fi nger to while keeping steady pressure assist the fl ow of blood. This on the site. Apply pressure to helps you get a blood drop. the site with the lancing device to assist the fl ow of blood.
  • Page 62 bG Result bG Result bG Test Analyzing 10:02 am 2 Feb 08 10:02 am mmol/L Meal Time Carbs mmol/L Health Active Insulin --- U Menu Bolus When the test strip has enough bG Result bG Result blood, the Analyzing screen 10:02 2 Feb 08 10:02...
  • Page 63 NOTES: • If the blood drop is too small, reapply pressure to get a sufficient blood drop. • For important information on alternative site testing, see the Standard Owner’s Booklet. • For more information regarding blood glucose test results, see the Standard Owner’s Booklet. •...

  • Page 65: Appendix: Explanation Of Symbols

    You may encounter the following symbols on the packaging, on the type plate and in the instructions for the Accu-Chek Performa Combo Meter, shown here with their meaning. The compliance mark indicates that the product complies with the applicable standard...
  • Page 66 For in vitro diagnostic use Blood glucose meter and test strips: These products fulfill the requirements of Directive 98/79/EC on in vitro diagnostic medical devices. 1.5V AAA...

  • Page 67: Glossary

    Glossary Term Definition Acting Time The period of time from the start of the meal rise or the delivery of a correction bolus until your blood glucose level returns to the target level. Advice Options Factors that influence bolus advice calculations including meal rise, snack size, acting time and offset time.
  • Page 68 Term Definition Bread Equivalent (1 BE = 12 g carbohydrates). bG Test Reminders Reminders to retest your blood glucose after a high blood glucose test result, after a low blood glucose test result or after a meal. bG Threshold A bG test reminder setting. The upper limit for your blood glucose for a high bG test reminder and the lower limit for your blood glucose for a low bG test reminder.
  • Page 69 Term Definition Carb Ratio The amount of insulin necessary to account for a certain number of carbohydrates. Carbohydrates (or Carbs) Carbohydrate foods include sugars and starches. Carbohydrates can raise blood glucose levels slowly or rapidly. Carbohydrates are generally counted to calculate a bolus insulin dose. Caution Provides information that, if not followed, could result in material hazards (damage to or destruction of equipment or materials).
  • Page 70 Term Definition Health Events A pop-up menu selection (fasting, exercise 1, stress, illness, exercise 2 or premenstrual) that allows information to be stored with a blood glucose test result or in a diary record and percentages that could adjust bolus advice recommendations for your current health status or activities.
  • Page 71 Term Definition Meal Rise During or after meals, an increase in blood glucose levels is considered normal within a certain range, even though a meal bolus has been delivered. A meal rise is in effect for a specified time period. Meal Time A pop-up menu selection (pre-meal, post-meal, bedtime or other) that allows information to be stored with a blood glucose test result or in a...
  • Page 72 Term Definition Remind After A bG test reminder setting. The amount of time after a high blood glucose test result, after a low blood glucose test result or after a meal you want the reminder to occur. Reminder When enabled, reminders occur to remind you to test your blood glucose, to retest your blood glucose or of an event or activity.
  • Page 73 Term Definition Time Blocks Up to eight time periods within one day to facilitate your changing insulin needs throughout the day. User A person using the meter or pump. Warning Describes items and conditions that present hazards and may cause personal injury.

  • Page 75: Index

    Index acting time, 35, 51–52 carbohydrates, units of measure, 28, advice options, 51–52 carb ratio, 32–33, 46, after high bG reminder, 36, caution, after low bG reminder, 36–37, after meal bG reminder, 37, code chip. See code key alternative site testing (AST), 57–61 code key, 6–8, 22–24...
  • Page 76 g (grams), meal rise, 34, meal time, meter, 3, 7–11 health events, 34, 50, hyper blood glucose level, 25, 28, hyper warning limit, 25, 28, 45–46 navigation, 13–20 hypo blood glucose level, 25, 29, note, hypo warning limit, 25, 29, 45–46 offset time, 35, infrared (IR) window,...
  • Page 77 set up, 25–26 units of measure. See carbohydrates, units of snack size, 34–35, 37, measure soft keys, 7, 9–10, start time, 46, symbols, warning, warning limits, 25, 28, target range, 30–31, 33, 45–46 test strip, 7–8, 24, 56–61 time, 14, 25, time blocks, 25, 29–34, 45–48 time format,...

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