Accu-Chek Instant S User Manual
Accu-Chek Instant S User Manual
Accu-Chek Instant S User Manual
User's Manual
Blood Glucose Meter
Accu-CHEK"'
Instant S
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Accu-CHEK ®
Introduction
w WARNING
• Choking hazard. Small parts. Keep away from children under the age of 3 years.
• Any object coming into contact with human blood is a potential source of infection (see: Clinical
and Laboratory Standards Institute: Protection of Laboratory Workers from Occupationally
Acquired Infections; Approved Guideline – Fourth Edition; CLSI document M29-A4, May 2014).
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Target Range
Consult your healthcare professional for the blood glucose range appropriate for you. It is very important
to stay within your target range.
The target range is set by default at 70–160 mg/dL (3.9–8.9 mmol/L). The target range can be set from a
lower limit of 60–140 mg/dL (3.3–7.8 mmol/L) to an upper limit of 90–300 mg/dL (5.0–16.6 mmol/L).
To change the target range, connect the meter to a PC with diabetes management software installed.
Then follow the diabetes management software instructions.
w WARNING
This function is no substitute for hypoglycaemia training by your healthcare professional.
7-day average symbol. This indicates that you are viewing the 7-day average of your blood
glucose results.
30-day average symbol. This indicates that you are viewing the 30-day average of your
blood glucose results.
90-day average symbol. This indicates that you are viewing the 90-day average of your
blood glucose results.
Drop symbol
Hourglass symbol
No data to display
Target range indicator arrow. When flashing, your blood glucose result is outside the target
range.
Temperature warning symbol
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w WARNING
Do not store test strips in high heat and moisture areas (bathroom or kitchen)! Heat and moisture can
damage test strips.
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Wash your hands with warm Check the use by date on the Remove a test strip from the
soapy water and dry test strip container. test strip container.
thoroughly.
Do not use test strips past Close the cap tightly.
Prepare the lancing device. the use by date.
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Gently squeeze your finger to Touch the yellow edge of the test strip to the blood drop.
assist the blood flow. This Remove your finger from the test strip when the flashing
helps you get a blood drop. hourglass symbol appears. Do not put blood on top of the test
strip.
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Green
or Test result is within
the target range.
Red
Test result is below
the target range.
Your test result appears with an arrow. This arrow shows if your test result falls above, within, or below
the target range.* The target range is represented by the green region of the target range indicator. The
arrow will flash if your test result falls above or below this range.
Remove and discard the used test strip.
*The target range is set by default at 70–160 mg/dL (3.9–8.9 mmol/L). To change the target range,
connect the meter to a PC with diabetes management software installed. Consult your healthcare
professional before changing the target range.
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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.
This is because your blood glucose level changes faster in your fingertip and palm than in the forearm
and upper arm. These differences may cause you to misinterpret your actual blood glucose level, leading
to improper therapy and potential adverse health effects.
Read the next section before you try testing from the forearm or upper arm.
You may perform a forearm or • immediately before a meal.
upper arm test • while fasting.
You may NOT perform a • up to 2 hours following a meal, when blood glucose values can rise
forearm or upper arm test 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 (hypoglycaemia).
• 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.
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Control Tests
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When to Perform a Control Test
Performing a control test lets you know the meter and test strips are working properly. You should
perform a control 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.
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Check the use by date on the Remove a test strip from the
test strip container. Do not use test strip container.
test strips past the use by date.
Close the cap tightly.
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or
or
If you tested with Level 1 control If you tested with Level 2 control
solution, the L-1 screen appears. solution, the L-2 screen appears.
Press and hold the meter button to Press and hold the meter button
confirm that you tested with Level 1 to confirm that you tested with
control solution. Level 2 control solution.
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or
OK appears if the control Err appears if the control Wipe the tip of the bottle
result is within range. result is out of range. with a tissue. Cap the bottle
tightly.
Remove and discard the
used test strip.
NOTE
The meter turns off 90 seconds after a successful test or 15 seconds after the test strip is removed,
provided no other action is taken.
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w WARNING
Do not change your therapy based on an individual test result in memory. Talk to your healthcare
professional before changing therapy based on test results in memory.
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With the meter off, press the meter button to turn the meter on. The last test
result symbol indicates that you are viewing your last blood glucose result.
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or
or
or
With the meter off, press the meter button to turn the meter on. Press the meter button to view your
7-, 30-, and 90-day averages.
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Connecting to a PC
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Connecting the Meter to a PC Using a USB Cable
Follow the steps below to access diabetes management software on a PC. You can use this software to
view stored results, set the meter time and date, and change the target range.
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Plug the small end of the Plug the large end of the
USB cable into the meter. USB cable into a USB port on
the PC.
If the meter is off, it turns on.
NOTE
The USB cable does not charge the meter’s battery. Remove the
USB cable after you have finished.
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SN 00012345678
NOTE
• The meter uses one 3‑volt lithium battery, coin cell type CR2032. This type of battery can be found in
many stores. It is a good idea to have spare batteries available.
• Meter data is not lost when you replace the battery.
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or
With the meter off, press the meter button to turn the meter on. Press the meter
button twice to display the 30-day average screen.
or
Press and hold the meter button until all display segments appear. Check the
meter display for missing segments. All segments should look like the picture
above. If any segments are missing from the display, contact Roche, as there may
be a problem with the meter.
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w WARNING
• Do not allow liquid to enter any openings in the meter.
• Do not spray a cleaning solution directly onto the meter.
• Do not immerse the meter in liquid.
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Make sure the meter is Gently wipe the meter’s surface with a soft cloth slightly
turned off. dampened (wring out any excess liquid) with one of these
cleaning solutions:
• 70 % isopropyl alcohol
• Mild dishwashing liquid mixed with water
• 10 % household bleach solution (1 part bleach plus 9 parts
water) made the same day
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NOTE
• The error code and Err will alternate on the display for all coded error messages (E-1 through E 14).
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The test strip may be damaged, A meter or test strip error has occurred.
not properly inserted, or was Repeat the blood glucose test. If a second E-3 code appears,
previously used. perform a control test with the control solution and a new
Remove and reinsert the test test strip.
strip, or replace it if damaged • If the control result is within the acceptable range, review
or previously used. the proper testing procedure and repeat the blood glucose
test with a new test strip.
• If the control result is not within the acceptable range, see
the Understanding Out-of-Range Control Results section
in the chapter Control Tests.
In rare cases, an E-3 error code may indicate that your blood
glucose is extremely high and above the system’s measuring
range. If you do not feel like your blood glucose is extremely
high, repeat the blood glucose test. See the Unusual Blood
Glucose Results section in the chapter Blood Glucose
Tests. If the E-3 code still appears for your blood glucose
test, contact your healthcare professional immediately.
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(The error code and Err will alternate on the display.) (The error code and Err will alternate on the display.)
Not enough blood or control solution was drawn Blood or control solution was applied to the test
into the test strip for measurement or was strip before the flashing drop symbol appeared
applied after the test had started. on the display.
Discard the test strip and repeat the blood Discard the test strip and repeat the blood
glucose or control test. glucose or control test.
(The error code and Err will alternate on the display.) (The error code and Err will alternate on the display.)
An electronic error occurred. The temperature is above or below the proper range
for the system.
Remove the battery, press and hold the meter
button for at least 2 seconds, and reinsert the Refer to the test strip package insert for system
battery. Perform a blood glucose or control operating conditions. Move to an area with the
test. appropriate conditions and repeat the blood glucose
or control test. Do not artificially heat or cool the
meter.
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(The error code and Err will alternate on the display.) (The error code and Err will alternate on the display.)
The battery is almost out of power. The meter’s internal clock may need to be reset.
Change the battery now. If the message Press the meter button. If the time and date were
reappears after the battery has been replaced, set, you will need to reset them. See the Time
remove the battery again, press and hold the and Date section in the chapter Your New
meter button for at least 2 seconds, then reinsert System.
the battery.
(The error code and Err will alternate on the display.) (The error code and Err will alternate on the display.)
The test strip may be damaged. Your blood sample may contain a high level of
ascorbate.
Repeat the blood glucose or control test with a
new test strip. Contact your healthcare professional.
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(The error code and Err will alternate on the display.) (The error code and Err will alternate on the display.)
Fluid or foreign material may be present in the An electronic error has occurred.
test strip slot.
Contact Roche.
Remove and reinsert the test strip or repeat the
blood glucose or control test with a new test
strip. If the error persists, contact Roche.
Blood glucose may be higher than the measuring Blood glucose may be lower than the measuring
range of the system. range of the system.
See the Unusual Blood Glucose Results section See the Unusual Blood Glucose Results section
in the chapter Blood Glucose Tests. in the chapter Blood Glucose Tests.
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Technical Information
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Product Limitations
See the literature packaged with the test strips and control solutions for the latest information on product
specifications and limitations.
Specifications
Blood volume Refer to the test strip package insert.
Sample type
Measuring time
Measuring range
Test strip storage conditions
System operating conditions
Meter storage conditions Temperature: -25–70 °C
Memory capacity 1 blood glucose result and 7-, 30-, and 90-day test result
averages (at least 720 blood glucose results and at least 30
control results are also stored and can be viewed with external
software).
Automatic off 90 seconds after performing a test, 15 seconds after a test
strip is removed, or 5 seconds from the last test result screen.
Power supply One 3‑volt lithium battery (coin cell type CR2032)
Display LCD
Dimensions 77.1 × 48.6 × 15.3 mm (LWH)
Weight Approx. 40 g (with battery)
Construction Hand-held
Protection class III
Meter type The Accu‑Chek Instant S meter is suitable for continuous
operation.
Control solution storage conditions Refer to the control solution package insert.
USB: micro-B connector; Continua Certified® to a Continua
Interfaces Certified manager.
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Caution, refer to safety‑related notes in the instructions for use accompanying this
product.
Manufacturer
Catalogue number
Serial number
This product fulfils the requirements of the European Directive 98/79/EC on in vitro
diagnostic medical devices.
3‑volt coin cell type CR2032
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Sample Handling
Always wear gloves when handling blood-contaminated items. Always adhere to the recognised
procedures for handling objects that are potentially contaminated with human material. Follow the
hygiene and safety policy of your laboratory or institution. Prepare the selected blood collection site per
facility policy.
Refer to the test strip package insert for additional information regarding acceptable sample types,
anticoagulants, and handling instructions.
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Guarantee
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Guarantee
The statutory provisions on rights in consumer goods sales in the country of purchase shall apply.
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Index
A S
alternative site testing 16, 41 supplies 41
averages 9, 26 symbols
B IVD 40
battery, changing 29 meter display 9
battery type 29, 37 T
blood glucose results, unusual 17 target range 8
blood glucose test, performing 12 target range indicator 5, 15
button, functions 5, 8 technical information 37
C test strips 12
control results, out-of-range 24 time and date 8
control solution 19 U
control test, performing 20 use by date 12, 19
D
data transfer
USB 27
E
error messages 32
G
guarantee 43
H
healthcare professionals 41
high blood glucose 18
hyperglycaemia 18
hypoglycaemia 18
L
last test result 25
low blood glucose 18
M
maintenance, meter 29
meter, cleaning 31
P
product limitations 37
product safety information 39
product specifications 37
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