Smart Pix

D E V I C E C O N N E CT I V I T Y

User’s Manual
ACCU-CHEK Smart Pix User’s Manual

Date of issue: January 2015

© 2015 Roche Diabetes Care
All rights reserved

ACCU-CHEK, ACCU-CHEK ACTIVE, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA COMBO, ACCU-CHEK AVIVA EXPERT,
ACCU-CHEK COMPACT, ACCU-CHEK GO, ACCU-CHEK NANO, ACCU-CHEK SPIRIT, ACCU-CHEK SPIRIT COMBO,
ACCU-CHEK SMART PIX, ADVANTAGE, CAMIT, COMBO, DISETRONIC and D-TRONPLUS are trademarks of Roche.

Other trademarks and product names are the property of their respective owners.

Product safety information

The device may only be operated via the USB port of a computer which was designed according to the
International Standard IEC 60 950 “Safety of Information Technology Equipment”.

The ACCU-CHEK Smart Pix device reader is installed, used and maintained by the user and is the user's sole
responsibility.
ACCU-CHEK Smart Pix Contents

Version note ................................................................................................................................................................................I-4

1 ACCU-CHEK Smart Pix device reader overview ............................................................................................1-1

1.1 Printed symbols .........................................................................................................................................................................1-3
1.2 Overview of the ACCU-CHEK Smart Pix device reader ..............................................................................................1-4
1.3 Overview of the ACCU-CHEK Smart Pix status indicator signals ..........................................................................1-5
1.4 Overview of the ACCU-CHEK Smart Pix user interface .............................................................................................1-6

2 Installing the ACCU-CHEK Smart Pix device reader .................................................................................2-1

2.1 What you require for using the ACCU-CHEK Smart Pix device reader ...............................................................2-1
2.2 Connecting the ACCU-CHEK Smart Pix device reader ..............................................................................................2-2
Note about security settings in the Internet browser .................................................................................................2-3
2.3 Final preparations .....................................................................................................................................................................2-4
2.4 Configuring the ACCU-CHEK Smart Pix device reader .............................................................................................2-5
Selecting a language ...............................................................................................................................................................2-7
Display options ..........................................................................................................................................................................2-8
Personal Setup ...........................................................................................................................................................................2-9
Report Setup ........................................................................................................................................................................... 2-11
Completing configuration ................................................................................................................................................... 2-14

3 Preparing the devices ..............................................................................................................................................................3-1

3.1 ACCU-CHEK Active .................................................................................................................................................................3-4
3.2 ACCU-CHEK Aviva, ACCU-CHEK Nano ...........................................................................................................................3-5
3.3 ACCU-CHEK Aviva Combo, ACCU-CHEK Aviva Expert .............................................................................................3-6
3.4 ACCU-CHEK Compact ............................................................................................................................................................3-7
3.5 ACCU-CHEK Compact Plus ..................................................................................................................................................3-8
3.6 ACCU-CHEK Go ........................................................................................................................................................................3-9
3.7 ACCU-CHEK Advantage ..................................................................................................................................................... 3-10
3.8 ACCU-CHEK Pocket Compass software ....................................................................................................................... 3-11
3.9 Insulin pump ACCU-CHEK D-TRONplus (and Disetronic D-TRONplus) ......................................................... 3-12
3.10 ACCU-CHEK Spirit insulin pump ..................................................................................................................................... 3-13
3.11 ACCU-CHEK Spirit Combo insulin pump ..................................................................................................................... 3-14
3.12 Note on time settings for the ACCU-CHEK insulin pumps ................................................................................... 3-15

ACCU-CHEK Smart Pix user’s manual I-1

ACCU-CHEK Smart Pix Contents

4 ACCU-CHEK Reports ................................................................................................................................................................ 4-1

4.1 Printing reports ......................................................................................................................................................................... 4-2
4.2 Blood glucose: general information about the reports .............................................................................................. 4-3
Types of reports ........................................................................................................................................................................ 4-3
Evaluated data ........................................................................................................................................................................... 4-4
Report Styles .............................................................................................................................................................................. 4-5
Graphic elements of the reports ........................................................................................................................................ 4-6
4.3 Blood glucose: content of the reports ............................................................................................................................ 4-10
Trend Graph ............................................................................................................................................................................. 4-10
Day Graph ................................................................................................................................................................................. 4-12
Week Graph ............................................................................................................................................................................. 4-14
Metabolic Control .................................................................................................................................................................. 4-16
Distribution ............................................................................................................................................................................... 4-18
Logbook ..................................................................................................................................................................................... 4-19
Overview .................................................................................................................................................................................... 4-21
Record List ............................................................................................................................................................................... 4-23
4.4 Insulin pump: general information about the reports .............................................................................................. 4-24
Types of reports ...................................................................................................................................................................... 4-24
Graphic elements of the reports ...................................................................................................................................... 4-25
4.5 Insulin pump: content of the reports .............................................................................................................................. 4-27
Trend Graph ............................................................................................................................................................................. 4-27
Day Graph ................................................................................................................................................................................. 4-28
Week Graph ............................................................................................................................................................................. 4-28
Basal Rates ............................................................................................................................................................................... 4-29
Basal Bolus ............................................................................................................................................................................... 4-30
Long Term Overview ............................................................................................................................................................. 4-31
Lists ............................................................................................................................................................................................. 4-32
4.6 Blood glucose and insulin pump: combined reports ............................................................................................... 4-33
Types of reports ...................................................................................................................................................................... 4-34
Graphic elements of the reports ...................................................................................................................................... 4-34
Trend Graph ............................................................................................................................................................................. 4-35
Day Graph ................................................................................................................................................................................. 4-35
Week Graph ............................................................................................................................................................................. 4-36
Overview .................................................................................................................................................................................... 4-36
Record List ............................................................................................................................................................................... 4-40
4.7 Analyzing data in external applications ......................................................................................................................... 4-41
4.8 Literary references for reports .......................................................................................................................................... 4-43
Low/High BG Index ............................................................................................................................................................... 4-43

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ACCU-CHEK Smart Pix Contents

5 Error signals and troubleshooting ................................................................................................................................5-1

5.1 Errors without error signals ..................................................................................................................................................5-1
5.2 Error signals on the device reader .....................................................................................................................................5-2

6 Maintenance .....................................................................................................................................................................................6-1
6.1 Cleaning the ACCU-CHEK Smart Pix device reader ...................................................................................................6-1
6.2 Disposal ........................................................................................................................................................................................6-1

7 Appendix ...............................................................................................................................................................................................7-1
7.1 Abbreviations .............................................................................................................................................................................7-1
7.2 Technical data ...........................................................................................................................................................................7-1
7.3 Information about electromagnetic compatibility (EMC) ..........................................................................................7-2
7.4 Information about advice and the repair service ..........................................................................................................7-4
7.5 Roche Diabetes Care address .............................................................................................................................................7-4
7.6 Warranty .......................................................................................................................................................................................7-5
ACCU-CHEK Smart Pix Device Reader 30-day Money-back Guarantee ............................................................7-5
ACCU-CHEK Smart Pix Device Reader Limited 3-Year Warranty .........................................................................7-5
Non-Warranty Service Policy ...............................................................................................................................................7-7
Warranty and Service Instructions .....................................................................................................................................7-7

ACCU-CHEK Smart Pix user’s manual I-3

 Version note

This user’s manual applies to software version 3.04 of the

ACCU-CHEK Smart Pix device reader. You can check the
software version of your ACCU-CHEK Smart Pix device
reader on the user interface (browser window) at any time.
The version number is shown in the left corner of the menu
bar.

For the latest software version of the ACCU-CHEK Smart Pix

device reader (as an installable update), contact your local
Roche Diabetes Care office.

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 Chapter 1, ACCU-CHEK Smart Pix device reader overview

1 ACCU-CHEK Smart Pix device reader overview

The ACCU-CHEK Smart Pix device reader is used to easily

and automatically analyze blood glucose levels and therapy
data from various ACCU-CHEK meters and insulin pumps.
The analyses are displayed on a computer in the form of
various, specifiable reports using a standard Internet
browser. As a result the reports can also be printed on a
connected printer.

In many clinics and doctors' practices, such reports are used

to facilitate and assess the metabolic situation. The
ACCU-CHEK Smart Pix device reader features similar
functionality. However, operator control is reduced to a
simple activity which has since become everyday routine: just
a few mouse clicks on a computer are sufficient to see the
finished report on the monitor or get a hardcopy of it.

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Chapter 1, ACCU-CHEK Smart Pix device reader overview

The procedure is simple:

• Prepare the meter for data transfer

• Place the meter in front of the ACCU-CHEK Smart Pix
device reader
• The report is created automatically and can be viewed
and printed on a computer using an Internet browser

On the following pages, you will find more detailed

information about the various components, their application
and the content of the reports compiled with the
ACCU-CHEK Smart Pix system.

Please read all these pages carefully. To be able to use your

new system successfully, you should know everything that is
explained here. If you have any additional questions, you will
find some helpful information in the appendix.

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1.1 Printed symbols

Some passages in this manual are highlighted by symbols.

Please read these passages very carefully! There are more
symbols on the type plate of the device and/or the
packaging.

Symbol Name Description

Warning On the type plate: Refer to accompanying documents.
Please refer to safety-related notes in the manual
accompanying this instrument.
Warning In the user’s manual: Indicates important health or safety
information.
This symbol draws attention to important information.
i
Manufacturer

On the type plate: Catalogue number

On the type plate: Serial number - year of manufacture
The ACCU-CHEK Smart Pix user's manual can be found on
the supplied CD ROM.

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Chapter 1, ACCU-CHEK Smart Pix device reader overview

1.2 Overview of the ACCU-CHEK Smart Pix device reader

The device reader consists of the following components,

which are described in brief below.
2

1 ACCU-CHEK Smart Pix device reader: The central

component of the system. This device is the interface
to various ACCU-CHEK meters and insulin pumps,
3
and it contains the electronics as well as the
programs to process the data and results which are
read in. The analyses created are temporarily stored
in the device and can be viewed with an Internet
browser.
2 USB connector for hooking up to the computer.
3 Status indicator, showing operating status.
1 (see page 1-5).
4 Infrared window for communication with
4 ACCU-CHEK meters and insulin pumps.
5 On the back of the device, there is a holder for an
ACCU-CHEK IR Key. This accessory can be safely
stored here to save space when it is not required. The
ACCU-CHEK IR Key allows infrared data transfer
with ACCU-CHEK meters which do not have a built-
in infrared port (ACCU-CHEK Advantage). In the
5
devices indicated, it is used for data transfer in place
of the code key.

Not illustrated:

6 User’s manual (this document)

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1.3 Overview of the ACCU-CHEK Smart Pix status indicator signals

The ACCU-CHEK Smart Pix device reader indicates various

operating states on the status indicator on top of the device.
7 The following signals can appear on this indicator:

7 Off:
The ACCU-CHEK Smart Pix device reader is not
connected to a computer, or the computer is not
switched on.

8 8 Center of status indicator

• Lit continuously: report is ready on the computer,
idle state.
• Flashing slowly: error
9 Top/bottom dots
• Flashing simultaneously about once a second: device
9 is ready for operation and is actively searching for
meters or insulin pumps.
• Flashing fast simultaneously: data transfer
10 Left/right dots
• Flashing slowly simultaneously: processing report
data
10
Software updates for the ACCU-CHEK Smart Pix
device reader can be installed via the computer.
While such an update is being installed, the center of
the status indicator 8 and (simultaneaously) the dots
9 and 10 flash alternately.

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1.4 Overview of the ACCU-CHEK Smart Pix user interface

The ACCU-CHEK Smart Pix device reader has a user

11 12 interface which is displayed in standard Internet browsers.
You do not require an Internet connection if you wish to use
the ACCU-CHEK Smart Pix device reader. The relevant pages
are stored in the device itself where they can be called up.
The user interface is optimized for a screen resolution of at
least 1024 x 768 pixels.

11 Internet browser (Microsoft Internet Explorer, Firefox)

12 Buttons for calling up various functions (context-
dependent):
• Settings
• Create Report (Print)
• Erase Report
• Read device
13 Navigation bar for calling up the individual pages
13 14 (reports and settings), which are then shown in the
display pane 14
14 Display pane for reports and settings

Even if various functions are available to you in the

i Internet browser itself (e.g. Navigate forward/back,
Refresh, Print, etc.), we advise you to only use the
relevant functions on the ACCU-CHEK Smart Pix user
interface instead. The ACCU-CHEK Smart Pix device
reader provides several options for customizing
printouts, for example. These options will not be
available to you if you use the standard functions of
the browser.

For a detailed description of the various elements, see

Chapter 2.4, “Configuring the ACCU-CHEK Smart Pix device
reader” and Chapter 4, “ACCU-CHEK Reports”.

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2 Installing the ACCU-CHEK Smart Pix device reader

You can connect the ACCU-CHEK Smart Pix device reader to

any computer which meets the necessary system
requirements (see below). No further steps are necessary to
prepare the device for operation, nor is it necessary to install
any additional software. However, before the device is used
for the first time you should configure it with your personal
diabetes-related data according to your requirements in
order to obtain customized, accurate reports.

2.1 What you require for using the ACCU-CHEK Smart Pix device reader

The following components are supplied:

• ACCU-CHEK Smart Pix device reader with USB

connector
• Manual on CD-ROM
• Getting Started Guide
• Carrying bag for storing the ACCU-CHEK Smart Pix
device reader

In addition, you require:

• A PC with a free USB port

• Operating system Microsoft Windows 2000 (Service
Pack 4), XP, Windows 7 or Vista (older systems do not
provide integrated USB support)
• An installed Internet browser (e.g. Microsoft Internet
Explorer 5.x and later or Firefox 1.x and later)
• Since the user interface of the ACCU-CHEK Smart Pix
device reader is optimized for a screen resolution of
1024 x 768 pixels, you should use a monitor which
is set to that resolution (or higher).
• If you wish to print out the reports, you also require
a printer which is connected to the PC.

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2.2 Connecting the ACCU-CHEK Smart Pix device reader

Plug the USB connector of the ACCU-CHEK Smart Pix device

reader into a free USB port on your computer. When you do
this, it does not matter whether the computer is switched on
or off. The ACCU-CHEK Smart Pix device reader is supplied
with electricity via this connection, therefore it does not
require any batteries or power pack.

When you have plugged in the ACCU-CHEK Smart Pix device

reader and, if necessary, switched on the computer, the
center of the status indicator and the dots on the left and
right are lit. At the same time, the ACCU-CHEK Smart Pix
device reader is recognized by the computer as a removable
disk (similar to a USB memory stick). Then the dots at the top
and bottom of the status indicator start flashing slowly. The
ACCU-CHEK Smart Pix device reader is now ready to read
data from a device.

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Note about security settings in the Internet browser

The ACCU-CHEK Smart Pix device reader can use various

Internet browsers to display and print out the meter data.
Any customized settings or settings made when the browser
was installed can have an influence on using the
ACCU-CHEK Smart Pix device reader.

The ACCU-CHEK Smart Pix device reader uses pages with

so-called “active content” (JavaScript). This active content
can be suppressed by making appropriate security settings
in the browser, causing warnings to be issued or
functionality to be restricted. If this happens, check the
relevant browser settings in order to ensure smooth
operation. In many cases, you can create different security
settings for using the Internet and the ACCU-CHEK Smart Pix
device reader (e.g. at user log-in to the PC or by defining
user profiles in the browser).

If you choose the browser security settings appropriately

(e.g. “Allow active content to run in files on My Computer” or
similar), you can work with the ACCU-CHEK Smart Pix device
reader without any restrictions.

Note about illustrations in this user’s manual

Please keep in mind that all the illustrations of screen

content (screenshots) used in this user’s manual only serve
as examples in terms of visual appearance and content.
Actual appearance depends on the operating system being
used, the Internet browser being used and any personal
system settings. The content displayed depends not only on
your settings of the ACCU-CHEK Smart Pix device reader but
also on the meter data or insulin pump data read.

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2.3 Final preparations

The status indicator of the ACCU-CHEK Smart Pix device

reader starts flashing as soon as the device is connected to a
computer which is switched on. There are several different
status indicator signals which indicate various operating
states (see page 1-5). After plugging in the ACCU-CHEK
Smart Pix device reader or after switching on the computer
the following occurrences indicate that the device is
operating properly:

• The dots at the top and bottom of the status indicator

flash slowly (about once a second). This indicates that
the device is ready for operation and that it is actively
searching for meters and insulin pumps.
• Windows (XP) automatically opens a window showing
the contents of the removable disk (SmartPix) as a
folder.
• If this does not happen (e.g. in the case of Windows
2000), open the window My Computer with a double
click. You will now see SmartPix as a removable disk.
• Double-click on SmartPix (removable disk) in order to
display the contents. You will now see a folder named
REPORT, the START.HTM file and, if applicable, other
files and folders.

If you can follow the above procedure on your computer, the

ACCU-CHEK Smart Pix device reader is ready to read data
from a meter or an insulin pump. However, you should first
perform the configuration described on the next page in
order to customize the reports properly.

If you have not been able to complete this brief check

successfully (e.g. if the removable disk is not shown), see
Chapter 5 for information about possible sources of error.

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2.4 Configuring the ACCU-CHEK Smart Pix device reader

The ACCU-CHEK Smart Pix device reader enables you to

customize the appearance and default parameters (e.g.
language, default setting English) of the reports to suit your
requirements. To perform this configuration (before using
the system for the first time) open the “user interface” of the
ACCU-CHEK Smart Pix device reader, which is stored in the
START.HTM file on the removable disk.

• Open the START.HTM file with a double click. The

default Internet browser on your computer is launched
and, at the same time, the ACCU-CHEK Smart Pix user
interface is loaded.
• Click on the Settings button. The ACCU-CHEK Smart
Pix device reader now exits search mode (the center
of the status indicator is lit continuously).

You will now see the page showing a Summary of the current
settings (on the right) and the navigation bar with the links to
the various setup areas (on the left). The following setup
options are available

• Language
• Display Options for setting up display formats and year
• Personal Setup for name and time blocks
• Report Setup

The following pages provide detailed descriptions of the

various setup areas. First, set the language you prefer so that
the user interface for all other settings is displayed in that
language.

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Note about saving the settings: The response to saving

the following setting may vary according to the operating
system and browser you are using:

• Changed settings (e.g. Personal Setup) may not

immediately be displayed. In this case, reload the page
(using the appropriate browser button).
• Additional browser windows may open during the
setup process. Simply close them when you have
completed all your settings.

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Selecting a language

On the navigation bar, click on the Language link. The display

pane now shows a drop-down list with all available
languages, the default setting being English. Select the
language which you want to be used both on the browser
screen and for printouts.

• Click on the arrow pointing down to open the

selection list.
• Click on the desired language to select it.
• If you have changed the selection, click the Save
button to send the new selection to the ACCU-CHEK
Smart Pix device reader.
• In the next dialog box, confirm the change to the new
language.

If you leave this page (e.g. by clicking on another link

i or closing the browser) without saving your selection,
any changes you have made will have no effect.

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Display options

On the navigation bar, click on the Display options link. The

display pane now shows the options for the various formats.
Select the following settings here:

• Date and time format.

• Weekend days, usually non-working days. These are
highlighted in some analyses.
• Current year (only for the analysis of data from meters
which do not allow you to set the year).

The selection procedure is identical for all options:

• Click on the arrow pointing down to open the

selection list.
• Click the desired setting to select it.
• When you have completed all your settings on this
page, click the Save button to send the new selection
made to the ACCU-CHEK Smart Pix device reader.

If you leave this page (e.g. by clicking on another link

i or closing the browser) without saving your selection,
any changes you have made will have no effect.

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Personal Setup

On the navigation bar, click on the Personal Setup link. The

display pane now shows the available options.

• Input fields for personalizing the printouts (here you

can enter, for example, the name of a doctor's practice
or pharmacy). This is where you can enter whatever
text you want. The length of each text is limited.
Therefore use abbreviations or another line for your
entries.
• Setting the time ranges. By setting time ranges, you
divide a 24-hour day into eight periods which are
determined by important regular events (e.g. main
meals). For each period, you can specify the start time
while the end time is automatically given with the start
time set for the next period.

The time ranges set here are used in reports to structure

them visually and chronologically in case there is no relevant
information from the meter or insulin pump. The time ranges
can be set in 30-minute increments.

• Click on the arrow pointing up (next to the display on

the right of a start time) in order to set it to a later
time.
• Click on the arrow pointing down (next to the display
on the right of a start time) in order to set it to an
earlier time.
• When you have completed all your settings on this
page, click on the Save button.

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These settings, unlike any other settings, must be

i saved immediately in a text file on the removable disk
(ACCU-CHEK Smart Pix), as described below. If you
leave this page (e.g. by clicking on another link or
closing the browser) without saving your selection,
any changes you have made will have no effect.

As soon as you click on the Save button in the Personal Setup

window, another window opens in the browser showing text
which contains your settings for this area. Now proceed as
follows:

• Click the Save link beneath the text or

• select the Save as… command from the File menu

In the next dialog box, select the storage location, the name
and other file attributes:

• Select removable disk (ACCU-CHEK Smart Pix) as

storage location.
• The following settings are defaults and must not be
changed (if displayed):
– Name “Settings”
– File type “Text file (*.txt)”
– Code “Unicode (UTF-8)”
• If all entries are correct, click on the Save button and
close the text window via the close box (top right
of the window).

The text file created in this manner is read by the

ACCU-CHEK Smart Pix device reader, and all entries are
adopted as settings for the ACCU-CHEK Smart Pix device
reader (until they are changed again). The file is then
deleted.

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Report Setup

On the navigation bar, click on the Report Setup link. The

display pane now shows the options for reports to be created
in the future. Select the following settings here:

• Time Range for the reports to be created, for blood

glucose meters (1, 2, 4, 6, 8, 10 or 12 weeks) and
insulin pumps (1, 2 or 4 weeks) separately.
• Target Range for blood glucose results, defined by an
upper and lower limit and by the hypo(glycemic) limit.
These values may have also been configured
externally in smaller intervals. In this case, the values
are displayed in grey. If you want to change these
kinds of values, you can only choose from the normal
(and limited) selection of predefined values.
• Report Style of the analyses. This selection influences
the level of detail for the chart.
• Sort order of displayed Lists (sorted in ascending or
descending order).
• Use of one or more meters to perform a combined
analysis of data.

Selecting a time range

• Click on the arrow pointing down to open the
selection list, for blood glucose meters and insulin
pumps separately.
• Click the desired time range to select it.

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Target range
• Click on the arrow pointing down to open the
selection list, for lower limit and upper limit separately.
• Click the desired figure to select it.
• Click the arrow pointing down to open the selection
list and define the hypo limit.
• Click the desired figure to select it.

Preferred report style

Some graphic reports can be displayed in two different

styles. The main difference between these styles is their level
of detail. Reports in the Detailed style display precise
trends including individual values. The report style
Trends allows for an easy interpretation of trends and
developments (without showing individual values). You can
set up the Trend Graph, Day Graph and Week Graph report
styles separately.

For detailed information on differences between these report

styles, see section “Report Styles” on page 4-5.

Sorting lists

For both blood glucose and insulin pump information there

are reports which are displayed as lists. Use this setting to
determine whether the list starts with the most recent
or the oldest value .

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Combined analysis of meters

If you use more than one meter (e.g. one during the day/one
during the night), it is a good idea to display the data of all
meters together in the reports. You can analyze up to three
meters at a time. Choose whether you want to analyze only
one or several meters.

To be able to analyze the combined data properly, all

i meters used should have the same date and time
settings. Only then can data from the analyses be
used to make valid decisions concerning your
treatment.

• When you have completed all your settings on this

page, click the Save button to send the new selection
made to the ACCU-CHEK Smart Pix device reader.

If you leave this page (e.g. by clicking on another link

i or closing the browser) without saving your selection,
any change you have made will have no effect.

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Chapter 2, Installing the ACCU-CHEK Smart Pix device reader

Completing configuration

When you have made all the settings according to your

requirements and wish to read data from a meter or insulin
pump immediately, please prepare the device accordingly
(see Chapter 3). Then click on the Read Device button (starts
search mode).

Please observe the following points concerning search

mode:

• If you start search mode by clicking on the Read

Device button, the search mode is automatically
stopped after a certain time, unless a device is found.
In this case, an appropriate error message appears.
• If you unplug the ACCU-CHEK Smart Pix device
reader, then plug it back in (or, in the meantime,
switch off the computer and switch it back on), the
device launches search mode automatically. In this
case, however, search mode is not stopped after a
certain time but continues until a device is found.

If you prefer to familiarize yourself with the preparation

process for devices or other issues first, after having made all
the settings, unplug the ACCU-CHEK Smart Pix device reader
from the USB port and plug it back in. This puts the device in
continuous search mode, and you do not have to perform the
following steps within a limited time frame.

When you unplug the USB cable, the browser window may
close. If it does, simply plug in the ACCU-CHEK Smart Pix
device reader again and open the START.HTM file again with
a double click.

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3 Preparing the devices

The ACCU-CHEK Smart Pix device reader can read and

analyze data from the following devices:

• ACCU-CHEK Active
• ACCU-CHEK Aviva
• ACCU-CHEK Aviva Combo
• ACCU-CHEK Aviva Expert
• ACCU-CHEK Compact
• ACCU-CHEK Compact Plus
• ACCU-CHEK Go
• ACCU-CHEK Nano

as well as from the

• ACCU-CHEK Pocket Compass software for handhelds

Using an ACCU-CHEK IR Key (accessory), the following

meter can also be used to transfer data:

• ACCU-CHEK Advantage

The following insulin pumps are able to transfer data to the

ACCU-CHEK Smart Pix device reader:

• ACCU-CHEK D-TRONplus
• Disetronic D-TRONplus
• ACCU-CHEK Spirit
• ACCU-CHEK Spirit Combo

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In some cases, these devices require different preparations

in order to be able to transfer data to the ACCU-CHEK Smart
Pix device reader. On the following pages, you will find the
procedure for each device to analyze stored data
successfully. You or the user can also find this information in
the manuals for the meters, insulin pumps and ACCU-CHEK
Pocket Compass software.

Always prepare only one device at a time for data

i transfer. Otherwise, data transfer might be interfered
with by simultaneous communication attempts. Also
avoid possible interference by infrared ports of other
devices such as laptops or mobile phones.

Avoid direct extraneous light (e.g. sunlight) because it

i may interfere with data transfer.

If you want to analyze combined data from more than

i one device (e.g. meter and insulin pump or several
meters), do not click on the Erase Report button
between the data transfers. Start data transfer from
further devices by clicking the Read Device button
after each transfer is completed.

If you want to analyze insulin pump data together with

i meter data, the devices must be synchronized, i.e. all
devices involved should have the same date and time
settings. Deviations of ± 5 minutes maximum are
tolerated; if the deviation is greater, no combined
reports are created.

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All the descriptions below are based on the following

assumptions:

• The ACCU-CHEK Smart Pix device reader is already

plugged into the computer.
• The computer is switched on and the operating
system is running.
• The ACCU-CHEK Smart Pix device reader is ready for
data transfer when the top/bottom dots flash slowly
(about once a second).
• If you have already opened the START.HTM file in the
browser, you will see the picture shown on the left
(search mode).

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3.1 ACCU-CHEK Active

The ACCU-CHEK Active meter has a built-in infrared port for

data transfer. In order to read data from these devices,
proceed as follows:

• Place the device no more than 4 inches away from the

infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.
• Switch the meter on by keeping the M button pressed
for more than 3 seconds.
• The display shows “PC”, and data transfer starts
automatically.

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3.2 ACCU-CHEK Aviva, ACCU-CHEK Nano

The ACCU-CHEK Aviva and ACCU-CHEK Nano meters have

a built-in infrared port for data transfer. In order to read data
from these devices, proceed as follows:

• Place the device no more than 4 inches away from the

infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.
• Switch the meter on by keeping the and
buttons pressed simultaneously until two alternately
flashing arrows appear on the display. Data transfer
starts automatically.

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3.3 ACCU-CHEK Aviva Combo, ACCU-CHEK Aviva Expert

The ACCU-CHEK Aviva Combo and ACCU-CHEK

Aviva Expert meters have a built-in infrared port for data
transfer. In order to read data from these devices, proceed
as follows:

• Place the device no more than 10 cm away from the

infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.

10:02 2 Feb 09 • In the main menu, select My Data and press .

bG Test
Bolus Advice
• Select Data Transfer and press .
Pump
My Data The data is now transferred. When data transfer has been
Settings completed, the Complete display is shown for three seconds.
10:00 2 Feb 09
Then, the meter turns off.
View Data
Add Data
Reports If you use the ACCU-CHEK Aviva Combo meter
Data Transfer i together with an ACCU-CHEK Spirit Combo insulin
Data Transfer pump, you should always read the data from both
Menu devices at the same time in order to get information
that is as complete as possible (especially concerning
bolus quantities and basal rates).

Transferring Data
Data Transfer

Complete

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3.4 ACCU-CHEK Compact

The ACCU-CHEK Compact meter has a built-in infrared port

for data transfer. In order to read data from these devices,
proceed as follows:

• Place the device no more than 4 inches away from the

infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.
• Switch the meter on by pressing the SET and MEM
buttons simultaneously. The device is now switched
on and in data transfer mode, without advancing
a new test strip.
• The display shows two arrows, and data transfer starts
automatically.

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3.5 ACCU-CHEK Compact Plus

The ACCU-CHEK Compact Plus meter has a built-in infrared

port for data transfer. In order to read data from these
devices, proceed as follows:

• Place the device no more than 4 inches away from the

infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.
• Switch the meter on by pressing the S and M buttons
simultaneously. The device is now switched on and in
data transfer mode, without advancing a new test
strip.
• The display shows two arrows, and data transfer starts
automatically.

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3.6 ACCU-CHEK Go

The ACCU-CHEK Go meter has a built-in infrared port for

data transfer. In order to read data from these devices,
proceed as follows:

• Place the device no more than 4 inches away from the

infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.
• Switch the meter on by keeping the M button pressed
for more than 3 seconds.
• The display shows “PC”, and data transfer starts
automatically.

If you have the ACCU-CHEK Go meter version shown in the

illustration to the left, proceed as follows:

• Place the device no more than 4 inches away from the

infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.
• Switch the meter on by pressing the and
buttons simultaneously.
• The display shows “PC”, and data transfer starts
automatically.

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3.7 ACCU-CHEK Advantage

The ACCU-CHEK Advantage meter uses the contacts for the

code key as an interface for data transfer. In order to read
5 data from these devices, proceed as follows:

• Leave the device switched off during the entire

process.
• Remove the code key from the meter.
• Remove the ACCU-CHEK IR Key 5 from the slot on the
back of the ACCU-CHEK Smart Pix device reader (if
that is where you store it).
• Insert the ACCU-CHEK IR Key into the meter in place
of the code key.
• Place the device no more than 4 inches away from the
infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.
• Data transfer starts automatically.

When data transfer has been completed and the report is

displayed on the screen:

• Remove the ACCU-CHEK IR Key from the meter and

return it to the place where you normally store it (e.g.
the slot on the back of the ACCU-CHEK Smart Pix
device reader).
• Re-insert the code key into the meter.

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3.8 ACCU-CHEK Pocket Compass software

The ACCU-CHEK Pocket Compass software uses the infrared

Accu-Chek 10:05 am 3/20/05
port of a handheld computer for data transfer. In order to
Data Transfer read data from the handheld computer, proceed as follows:
Diary
• Place the handheld computer no more than 4 inches
Reports
away from the infrared window on the ACCU-CHEK
Health Management Smart Pix device reader. Both infrared windows must
3/20/05
Options
Data Transfer be facing one another.
Import Data • Turn the handheld on and start the ACCU-CHEK
Export Data Pocket Compass software.
Sync. Devices • On the main menu screen, touch Data Transfer.
Information • Then touch Export Data.
• Data transfer starts automatically.
Menu
Export Data

Transferring data...

Cancel

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3.9 Insulin pump ACCU-CHEK D-TRONplus (and Disetronic D-TRONplus)

The ACCU-CHEK D-TRONplus (Disetronic D-TRONplus)

insulin pump has a built-in infrared port for data transfer. In
order to read data from these devices, proceed as follows:

• Place the device no more than 4 inches away from the

infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.

• Make sure that your ACCU-CHEK (Disetronic)

D-TRONplus insulin pump is in STOP mode and that
the key lock (KeyLock) is deactivated or unlocked.

• Press the button 4 times to select the “Data

Transfer” function.

• Confirm the selection with the button. The built-in

infrared port is now activated, and data transfer starts
automatically.

When data transfer has been completed and the report is

displayed on the screen:

• Press the button to quit data transfer mode.

• Resume operation of the insulin pump (RUN mode) so
as not to interrupt the supply of insulin according to
your basal rate for longer than necessary.

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3.10 ACCU-CHEK Spirit insulin pump

The ACCU-CHEK Spirit insulin pump has a built-in infrared

port for data transfer. In order to read data from these
devices, proceed as follows:

• Place the device no more than 4 inches away from the

infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.

15:29 26.05 • Make sure that your ACCU-CHEK Spirit insulin pump
is in STOP mode.

COMMUNICATION • Press the button repeatedly until the

COMMUNICATION function is displayed.

DATA TRANSFER • Confirm the selection with the button. The built-
in infrared port is now activated, and data transfer
starts automatically.

When data transfer has been completed and the report is

displayed on the screen:

• Press the button to quit data transfer mode.

• Resume operation of the insulin pump (RUN mode) so
as not to interrupt the supply of insulin according to
your basal rate for longer than necessary.

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3.11 ACCU-CHEK Spirit Combo insulin pump

The ACCU-CHEK Spirit Combo insulin pump has a built-in

infrared port for data transfer. In order to read data from
these devices, proceed as follows:

• Place the device no more than 10 cm away from the

infrared window on the ACCU-CHEK Smart Pix device
reader. Both infrared windows must be facing one
another.

10:59AM 05/26 • Make sure that your ACCU-CHEK Spirit Combo insulin
pump is in STOP mode.
• Press the button repeatedly until the DATA
TRANSFER screen is displayed.
DATA • Confirm the selection with the button.
TRANSFER
• Press the button again to start data transfer. The
built-in infrared port is now activated, and data trans-
fer starts automatically.
DATATRANSFER
When data transfer has been completed and the report is
START
displayed on the screen:
DATATRANSFER
• Press the button to quit data transfer mode.
STOP • Resume operation of the insulin pump (RUN mode) so
as not to interrupt the supply of insulin according to
your basal rate for longer than necessary.

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3.12 Note on time settings for the ACCU-CHEK insulin pumps

If you have to correct the time set in your ACCU-CHEK

insulin pump, please observe the following:

Do not change the time on your ACCU-CHEK insulin

i pump if you have programmed time-based changes
of insulin delivery (e.g. temporary basal rate, extended
bolus or multiwave bolus) and this change is still in
effect (i.e. the programmed period of time has not yet
elapsed).

In this case, the ACCU-CHEK Smart Pix device reader may

not be able to analyze the stored insulin pump data.
Therefore, only change the time set in your insulin pump if it
is in STOP mode.

If you want to reset the time programmed in your

ACCU-CHEK insulin pump (e.g. at the end of the summer or
due to time zone changes when travelling to Western
directions) and to analyze the existing data using the
ACCU-CHEK Smart Pix device reader:

Before changing the time, read the existing data from

i your ACCU-CHEK insulin pump. The next time data is
read, the ACCU-CHEK Smart Pix device reader only
analyzes the insulin pump data which was stored
after the time was reset.

If you use your insulin pump together with a blood glucose

meter and want to analyze the data of both devices using the
ACCU-CHEK Smart Pix device reader, always change the
time for all devices at once. This ensures that the
information represented in the reports is assigned correctly.
Combined reports are only created for devices having the
same date and time settings.

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4 ACCU-CHEK Reports

If you have initiated the transfer of data from a meter, an

insulin pump or the ACCU-CHEK Pocket Compass software,
as described in the previous chapter, the following now
occurs:

• The top/bottom dots on the status indicator flash

quickly during the data transfer. Make sure not to
move the devices during this process, so as not to
interfere with the data transfer.
• When the data has been transferred, the ACCU-CHEK
Smart Pix device reader prepares the reports. The two
left/right dots on the status indicator flash (more
slowly) during this process.
• When the reports have been completed, the center of
the status indicator is lit continuously. This means the
reports are now available on the computer and the
device search has been switched off (standby mode).

The data stored in the meter or insulin pump is not deleted

after data transfer.

The ACCU-CHEK Smart Pix device reader creates reports

with various graphical and statistical analyses. All the
elements of a report are always available on the screen. Your
decision on which report elements to print out can be made
on a case-by-case basis.

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4.1 Printing reports

All the reports displayed on the screen can also be printed

out.

Do not use the integrated print function of the browser to

print one or more reports after data transfer, instead use the
special print functions offered by the ACCU-CHEK Smart Pix
device reader.

• In any view of the report, click on the Create Report

button on the menu bar.
• Select the reports you want to prepare for printing.
• Now click on the Create Report button at the bottom
of the screen.
• In the preview that is now displayed, click on the Print
button.
• In the next dialog box, you can select the printer and
configure it if necessary. Click on the Print button
when you want to start printing the report on the
printer you have selected.
• Close the window showing the print preview.

If you only wish to print the currently displayed analysis, use

the Print Page button below the relevant report.

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4.2 Blood glucose: general information about the reports

Types of reports

The ACCU-CHEK Smart Pix device reader creates single-

page or multi-page reports for defined periods (e.g. the last 2
or 4 weeks). The period of time and the style of the report
have been set during configuration. A (blood glucose) report
can generally contain any of the following elements:

[1] Trend Graph

[2] Day Graph
[3] Week Graph
[4] Metabolic Control
[5] Distribution
[6] Logbook
[7] Overview
[8] Record List

The illustration on the left shows examples of the printed

version of the report.

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Evaluated data

During creation of the individual analyses, the data read is

checked by the ACCU-CHEK Smart Pix device reader. The
following data is not included in the statistical analysis:

• Test results outside the period selected

• Test results saved without date and time
• Tests with control solution
• Invalid/deleted tests
• Tests outside the measuring range
(marked Hi/Lo)

You will find some of this information summarized in the

overview (e.g. number of Hi/Lo results) or in the logbook and
the record list (e.g. results without a date or time, tests with
control solution).

Existing target range definitions are only adopted from the

ACCU-CHEK Pocket Compass software. Apart from that, the
settings made during configuration of the ACCU-CHEK Smart
Pix device reader apply.

Please note the following when using the ACCU-CHEK

Smart Pix device reader with several meters:

To ensure that the report belonging to a

particular meter is displayed, compare the serial
number on the meter with the serial number
displayed in the report.

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Report Styles

For some analyses a style is defined, either Detailed

or Trends , during configuration of the ACCU-CHEK
Smart Pix device reader. These two styles offer different types
of presentation for identical information. You can choose
from these styles for each of the following analyses
individually:

• Trend Graph
• Day Graph
• Week Graph

Detailed These analyses are represented in linear

form. Each test result is plotted along the time axis according
to the time when the test was performed. Test results
performed within a 10 hour period are connected by a line.
This creates (angular) “curves” which, together with the
actual test result entry, make it possible to obtain a detailed
analysis of individual results and trends.

Insulin and carbohydrate amounts (displayed in the upper

and lower edge of the report, if transferred by the device) can
only be displayed in this report style.

Trends These analyses are time block-related, i.e.

all the test results within a certain period are assigned to a
single time block. The figures displayed are the mean value,
the variance, the minimum and the maximum of those test
results. A selective analysis of individual results is not
possible, but it is easier to make statements about general
trends within certain periods of time (time blocks/days/
weekdays).

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Graphic elements of the reports

On all reports, you will find legends explaining the meaning

of individual elements. Here are detailed explanations of the
various elements.

Colors When flagging blood glucose values, the same

colors have the same meaning in all blood glucose analyses,
irrespective of the particular graphic element being used. On
the reports, you will find the following color codes:

• Dark blue means “above target range”. This color is

used:
– within the Distribution bar charts
– in the Logbook and the Record List
• Yellow means “within target range”. This color is
used:
– as background color for the Trend Graph, Day
Graph and Week Graph reports
– within the Distribution bar charts
• Red means “below target range” or “Hypo”. This color
is used:
– within the Distribution bar charts
– in the Logbook and the Record List
Individual test results below the hypo limit and results
marked “Hypo Symptoms” are also displayed in red.
• Green indicates those days that are usually non-
working days.

Insulin values are also shown in different colors, however,

the meanings mentioned above (for blood glucose results)
do not apply for insulin values. The colors are only used as a
means to distinguish different insulin types.

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Symbols (Detailed) Test results are plotted on

the analysis using various symbols that give additional
information:

Mean value for the respective time interval.

Blood glucose result without any additional information.

Results below the hypo limit are shown in red.

Blood glucose result before or after meal. Results

below the hypo limit are shown in red.

Result outside the measuring range (indicated on the meter

as HI or LO)

Blood glucose result above 400 mg/dL.

Blood glucose result (any symbol inside the red circle)

accompanied by hypo(glycemic) symptoms.

Blood glucose result (any symbol inside the black circle) with
a user-defined event (marked with an asterisk * on the blood
glucose meter).

Insulin amount for insulin 1 , 2 or 3 respectively. Insulin

amounts are plotted on the chart from the top downwards.

Carbohydrate amounts; represented at the lower edge in

some analyses. The carbohydrate amount is indicated by the
height of the single block (or the bar, which consists of
several blocks). The bars shown in this illustration (from left
to right) represent the following amounts:

– Block 1: 2.5 g
– Block 2: 5.0 g
– Block 3: 7.5 g
– Bar 4 (3 blocks of 10 g each): 30 g

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Symbols (Trends) Here the analysis does not

cover individual test results but mean values in relation to
certain time intervals. Here you will find the following
symbols:

Mean value for the respective time interval.

Standard deviation within a time interval.

Maximum value or minimum value within a time interval.

Maximum value/minimum value outside the measuring

range (Hi/Lo).

Symbols (record lists and logbook) The following

additional symbols are used in the analysis lists:

User-defined event, e.g. Alternative Site Testing (AST)

Hypo

Carbohydrate amount

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Test results which have been imported from the ACCU-CHEK

Pocket Compass software may include several items of
additional information (events) which are not represented by
symbols. Such events are indicated by a number or letter in
the comments column of the record list style. The meanings
of these codes are shown in the following table:

Code Event
3 Snack
20 Fasting
23 Before exercise
24 After exercise
29 Stress
31 Illness
35 Oral medication
36 User-defined
M Manually entered test result

The symbols previously described are used for all other

events.

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4.3 Blood glucose: content of the reports

Trend Graph

Detailed: This analysis shows the trend for several test

results over the time range selected. The results which can
be shown in this analysis are the following:

• Blood glucose results

• Insulin amounts
• Carbohydrate amounts

You will find the days and months along the horizontal (x)
axis and the blood glucose results along the vertical (y) axis.
For your guidance, the blood glucose results (represented by
various symbols) are connected through a line, provided the
various tests are no more than 10 hours apart. You will find
the meanings of the various symbols in brief in the legend
and in detail on page 4-7.

For further guidance, you can see the set target range in the
background of the chart (in the form of a yellow bar) and the
hypo threshold (in the form of a red line). Days that are
usually non-working days (weekends) are marked with an
additional green bar on the horizontal axis.

In addition to the thin connecting line between the various

blood glucose results, you will also see a (thicker) blue curve;
the day-to-day development of the mean blood glucose level.

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This is also where you will find a display of insulin doses (if
transferred by the PDA). Each insulin dose is plotted on the
chart from the top downwards and you can read the relevant
levels off the upper area of the right-hand y-axis.

At the lower edge of the analysis, carbohydrate amounts are

shown (if stored in the PDA). To facilitate evaluation of the
amounts, the bars are divided into small separate blocks.
Each block represents a carbohydrate amount of 10 g;
smaller blocks stand for a corresponding fraction of that
amount (2.5 g, 5 g or 7.5 g). In the lower area of the right-
hand y-axis, you will find the scale for the carbohydrate
amounts.

Trends: Here you will find the mean level for each
individual day from the selected time range, in the form of
a single block (black box containing a horizontal line) for the
respective date. The standard deviation, minimum levels and
maximum levels, etc. are plotted according to the symbols on
page 4-8.

When you position the mouse cursor over a value bar, a

tooltip (help text) will appear at this place after a short period
of time which displays the related figures. These figures are:

• n: Number of analyzed test results.

• MBG: Mean value of all analyzed results.
• SD: Standard deviation or variance of the analyzed
results.

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Day Graph

This analysis is used to make it easier to recognize patterns

repeated daily. For this purpose, all the data is placed on
a 24-hour grid. As a result all the tests performed at
(approximately) the same time of day are shown at the same
position on the time axis. The analysis can be displayed in
two different styles of presentation. The one which appears
on your report is defined during configuration.

Detailed: All the blood glucose levels are plotted at the

relevant time of day according to the time when the test was
performed. Levels that have been determined within a period
of 10 hours are connected by a black line in chronological
order. A (thicker) blue curve represents the development of
the mean level (in intervals of one hour if a test result falls in
each interval). Time block boundaries are represented by
vertical grey lines.

This is also where you will find a display of insulin doses (if
stored in the PDA). Each insulin dose is plotted on the chart
from the top downwards and you can read the relevant levels
off the upper area of the right-hand y-axis.

At the lower edge of the analysis, carbohydrate amounts are

shown (if stored in the PDA). In the lower area of the right-
hand y-axis, you will find the scale for the carbohydrate
amounts.

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Trends: All the blood glucose levels are assigned to one of

eight time blocks according to the time when the test was
performed. In this way eight areas are created within which
you are shown the average (black box containing a
horizontal line), the standard deviation (blue bar), the
minimum level and the maximum level. The start and end of
the time blocks are plotted on the x-axis.

When you position the mouse cursor over a value bar, a

tooltip (help text) will appear at this place after a short period
of time which displays the related figures. These figures are:

• n: Number of analyzed test results.

• MBG: Mean value of all analyzed results.
• SD: Standard deviation or variance of the analyzed
results.

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Week Graph

This analysis is also used to make it easier to recognize

repeated patterns, but in this case it depends on the day of
the week. For example, it is possible to recognize changes in
the metabolic situation brought about by your occupation. As
in the case of the Day Graph, there are two different styles
available for this analysis.

Detailed: All the blood glucose levels are plotted on the

chart according to the time when the test was performed and
the respective day of the week. Here too, levels which are no
more than 10 hours apart are connected by lines in
chronological order to make things clearer. The connecting
lines are also drawn beyond week limits (if applicable). A
(thicker) blue curve represents the development of the mean
level on the different days of the week.

This is also where you will find a display of insulin doses (if
stored in the PDA). Each insulin dose is plotted on the chart
from the top downwards and you can read the relevant levels
off the upper area of the right-hand y-axis.

At the lower edge of the analysis, carbohydrate amounts are

shown (if transferred by the PDA). In the lower area of the
right-hand y-axis, you will find the scale for the carbohydrate
amounts.

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Trends: All the blood glucose levels are assigned to one

of the seven days of the week according to the date.
Accordingly, you will see seven blocks indicating the average
(black box containing a horizontal line), the standard
deviation (blue bar), the minimum level and the maximum
level of the relevant day of the week.

When you position the mouse cursor over a value bar, a

tooltip (help text) will appear at this place after a short period
of time which displays the related figures. These figures are:

• n: Number of analyzed test results.

• MBG: Mean value from all analyzed results.
• SD: Standard deviation or variance of the analyzed
results.

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Metabolic Control

For each day of the period analyzed the mean blood glucose
level (MBG) and the standard deviation (SD/variance of the
levels) are calculated. These two results together provide the
coordinates at which one entry (per day) is made on the chart.
The mean blood glucose level is plotted along the y-axis
while the standard deviation is plotted along the x-axis.

This type of presentation produces a “point cloud”. To allow

faster assessment of the metabolic situation based on this
general picture, the chart is split up into four “quadrants”.
Each of these quadrants represents a certain constitution of
the metabolic situation and is described by the attributes
“stable/unstable” (depending on the standard deviation) and
“low/high” (depending on the mean blood glucose levels).
Each quadrant thus has two attributes.

Example:
Mean blood glucose levels below 150 mg/dL with a standard
deviation of less than 50 mg/dL are plotted in the left lower
quadrant (“stable-low”). If both levels are above those limits,
the entry is made in the right upper quadrant (“unstable-
high”).

Two ellipses are plotted, centred around the mean level of all
represented levels (marked by a blue cross). They illustrate
the variance of the daily mean levels and the daily blood
glucose variations over the selected period as a simple
(1 SD) and two-fold (2 SD) standard deviation of the levels
displayed.

Good metabolic control can be recognized by as many dots

as possible in the “stable-low” quadrant (bottom left); there
should, however, have been no cases of hypoglycemia, or as
few as possible in the relevant period.

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In addition to the graphical display, you will also find

statistical information on the values which were included in
the analysis. These are:

• Evaluated results: Number of evaluated blood

glucose results in the period selected.
• BG test frequency: Average number of blood
glucose tests per day for each day of the selected
period. In addition, the statistical information also
contains the value (in brackets) for those days only
on which a test was performed at least once.
• Mean BG (MBG): Mean value from all analyzed
results.
• Standard deviation (SD): Standard deviation or
variance of the analyzed results.
• SD/MBG: This value indicates the variation of the
blood glucose levels with reference to the mean value.
If the mean value is in the desired range, a ratio of less
than 50 % (or better: 30 %) indicates a desirable low
variation and thus a good metabolic control.
• MBG (before/after meal): Mean value from all
results which have been obtained before or after
meals and have been flagged in the meter
accordingly. Values are displayed only when
appropriate information is stored in the meter.
• High/low BG index: These figures represent the
frequency and the resulting risk of blood glucose
levels being too low or too high (see literary references
on page 4-43). Figures should be as low as possible.

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Distribution

For each time block, you will find a bar chart here which
represents the percentages of levels above, within and below
the target range. The eight consecutive time blocks are
arranged next to each other. The right part of the bar chart
(blue background) shows a summary of the corresponding
information for the whole day.

Below the bar chart, you can see the number of

hypoglycemic situations (Hypos) that occurred for each time
block along with the number (n) of test results obtained and
evaluated for the respective time block.

If the time blocks are defined in the PDA, this information

is used. If they are not, the time block settings in the
ACCU-CHEK Smart Pix configuration are used.

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Logbook

The logbook creates an overview of blood glucose results in

table form. The table of values (sorted by date and time
blocks) is created according to the date and time information
of the blood glucose results. You can specify whether the
table is sorted in ascending or descending order under
settings (see page 2-12). The date range displayed is shown
in the title of the table.

At the bottom you will find statistical analyses of all the test
results plotted. The number of tests, the blood glucose
average and the standard deviation are determined for each
time block. The minimum and maximum results, the high/low
BG index and the number of test results above (Hi) and
below (Lo) the measuring range are also displayed.

If the meter transfers the blood glucose result information

before meal or after meal , an advanced statistical
analysis will appear. The eight time blocks defined are
divided into four groups, each containing one meal and the
period preceding and following the meal. Mean values and
standard deviations are calculated separately (before/after
meal) for each of these groups. The average change of the
blood glucose test result for paired values is also calculated.
Such a paired value is the result of a test being performed
before the meal and a second test being performed after
the meal and following the first test within a period of one
to two hours.

If the evaluated period contains blood glucose levels which

are marked with the event User-defined, a separate statistic
is calculated and displayed for these.

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If there are levels without any indication of date or time, they

are also displayed on a separate list (sorted according to
their order in the device memory). The level measured last is
in the top left position. In such a case, the statistical analyses
can only be displayed for all the levels because it is not
possible to assign them to time blocks.

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Overview

The report element “Overview” contains general and

statistical information about the levels processed for the time
range selected. Here you will find the following information
(in the order shown here):

Report title
• Report period: Period (according to configuration)
with the most recent date.
• Meter(s) (symbol): Displays the meter used and its
serial number. If you are using several meters (see
page 2-13), the symbol is displayed with all read
serial numbers.

Report
• Report period: Period (according to configuration)
with the most recent date.
• Evaluated results Number of evaluated blood
glucose results in the period selected.
• Maximum/Mean BG/Minimum: Highest and
lowest blood glucose level which was measured in the
period selected, and the average of all the levels
measured.
• SD: Standard deviation or variance of the analyzed
results.
• BG Test Frequency: Average number of blood
glucose tests per day for each day of the period
selected. In addition, the statistical information also
contains the value (in brackets) for those days only
on which a test was performed at least once.
• Target Range: The target range used for evaluation.

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• Hypo limit: Blood glucose levels below this threshold

are marked as hypoglycemia.
• High/low BG index: These figures represent the
frequency and the resulting risk of blood glucose
levels being too low or too high (see literary
references on page 4-43). Figures should be as low
as possible.
• Hi/Lo: Number of test results above (Hi) and below
(Lo) the measuring range.
• Controls: Number of tests with control solution.

Device:

• Serial number: Serial number of the meter.

• Date/Time: Time setting of the meter when the report
is created.

If you are using several meters, this information is repeated

for each meter.

• Stored Results: Total number of test results in the

device(s), with timeframe details (from ... to).

Additional information

This information is only displayed if required:

• Values without Date/Time: Number of test results

which were stored without date and time information.
• Values with warnings: Number of test results which
were stored with temperature warning, expiry note,
etc.

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Record List

The record list shows the test results sorted by date and time
of the test. You can specify whether this list is sorted in
ascending or descending order under settings, (see
page 2-12). All the blood glucose results are shown in
chronological order together with additional information
(events, insulin, etc.). The example opposite has been
shortened.

At the bottom you will find statistical analyses of all the test
results plotted. The number of tests, the blood glucose
average and the standard deviation are determined. In
addition the minimum and maximum results, the high/low
BG index and the number of test results above (Hi) and
below (Lo) the measuring range are displayed.

If the meter transfers the blood glucose result information

before meal or after meal , an advanced statistical
analysis will appear. Mean values and standard deviations
are calculated separately for test results before and after
meals. The average change of the blood glucose test result
for paired values is also calculated. Such a paired value is the
result of a test being performed before the meal and a
second test being performed after the meal and following
the first test within a period of one to two hours.

If the evaluated period contains blood glucose levels which

are marked with the event User-defined, a separate statistic
is calculated and displayed for these.

In addition, levels without date and time information as well

as levels which were determined using control solution are
each listed in separate statistics.

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4.4 Insulin pump: general information about the reports

Types of reports

The ACCU-CHEK Smart Pix device reader creates single-

page or multi-page reports for defined periods (e.g. the last 2
or 4 weeks). The period has been defined in configuration.
An (insulin pump) report can contain any of the following
elements:

[1] Trend Graph

[2] Day Graph
[3] Week Graph
[4] Basal Rates
[5] Basal Bolus
[6] Long Term Overview
[7] Lists (Bolus, Basal, Events)

The illustration on the left shows examples of the printed

version of the report.

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Graphic elements of the reports

On all reports, you will find legends explaining the meaning

of individual elements. Here are detailed explanations of the
various elements.

Symbols On the insulin pump reports, you will find the

following symbols:

Basal rates (represented in the Trend Graph)

Mean total basal amount per day (Basal Bolus)

Basal profile

Changes to the basal rate (Basal Bolus)

Changes to the basal rate (with designation, Trend Graph)

Temporary increase in basal rate

Temporary decrease in basal rate

Active basal rate (Long Term Overview)

Switch to a named basal profile (e.g. “A”)

Switch from a named basal profile (e.g. “A”) to another

named basal profile (e.g. “B”)

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Total of basal insulin + bolus insulin per day

Standard bolus, represented in charts from the top

downwards

Scroll bolus, represented in charts from the top

downwards

Extended bolus, represented in charts from the top

downwards ; the width of the bar shows the duration of
the delivery

Multiwave bolus, represented in charts from the top

downwards ; the width of the bar shows the duration of
the extended portion

Priming infusion set

Return of piston rod (cartridge change)

Insulin pump run

Insulin pump stop

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4.5 Insulin pump: content of the reports

Trend Graph

This analysis shows the trend in insulin dosage over the time
range selected. You will find the days and months along the
horizontal (x) axis and the respective amounts of insulin
delivered along the vertical (y) axis.

The basal rate chart is at the bottom, and the individual

boluses are shown at the top. Therefore, you will find the
basal rate scale along the left-hand y-axis (from the bottom
upwards) and the scale for the boluses along the right-hand
y-axis (from the top downwards).

In addition to the actual insulin dose, various events are also

shown. These are:

• Pump events (in this case: black symbols on the chart)

• Switch of basal profile (in this case: blue “flag”

symbolizes a switch to basal profile 1)
• Changes in basal rate (in this case: basal profile 3)

You will find the meanings of the various symbols in brief in

the legend and in detail on page 4-25.

As in the blood glucose analysis, the days that are usually

non-working days (weekends) are marked with an additional
green bar on the horizontal axis.

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Day Graph

This analysis is used (as with blood glucose) to make it easier

to recognize and display patterns repeated daily. For this
purpose, all data is placed on a 24-hour grid. This allows you
to easily recognize frequent manual changes at certain times,
for example, thus making it easier to generally adjust the
basal rate.

The mean basal rate is displayed as a blue filled-in area,

while the maximum and minimum basal rate at the
respective time of day is shown as a thin blue line.

On this chart, you will find not only basal rates and boluses
but also information about the start and stop of the insulin
pump and about temporary decreases and increases in the
basal rate.

Week Graph

This analysis is also used (as with the Day Graph) to make it
easier to recognize repeated patterns (e.g. repeated basal
rate changes), but in this case it depends on the day of the
week.

On this chart, you will find not only basal rates and boluses
but also information about basal rate changes and the
selection of basal profiles.

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Basal Rates

This analysis displays the basal rates set in the insulin pump
at the time of data transfer in order to facilitate comparison.
The currently active basal profile can be identified by the
thicker dark blue line. The total daily amounts of the
respective profiles are indicated below the chart, and the
active basal profile is highlighted.

You can change this view to obtain a table view of the basal
rates.

• Click directly on the graphic view of the basal rates to

switch to the table view.
• Click directly on the table view of the basal rate to
switch back to the graphic view.

The table view contains the specified amount of insulin per

hour as a numeric value in a 24-hour grid. If the insulin pump
allows several basal profiles to be defined, these are
displayed below each other. The active basal profile is
highlighted.

If you want to print the table view, click on the Print Page
button. Unlike the graphic view, the table view cannot be
selected and printed via the Create Report function (see
page 4-2).

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Basal Bolus

The Basal Bolus analysis in table form shows the (absolute

and relative) frequency with which, for example, a certain
basal profile or a certain bolus type was used.

Basal
Here you can see, for example, how often the basal rate of a
certain basal profile was temporarily increased or decreased
and for how long that changed state was valid (as a
percentage). Frequent changes and/or long use times with
manually changed basal rates might make it advisable to
perform a general adjustment.

The number of times the basal rate has been reprogrammed

is displayed in the last column. For the sake of completeness,
the Basal table also includes the times when the insulin
pump was in STOP.

Bolus
This table shows both the (relative) frequency of use with
regard to certain types of bolus and their average number
per day.

Means per day

Here you will find the basal and bolus means and their
percentage of the total amount.

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Long Term Overview

The Long Term Overview report element contains general

and statistical information about the figures imported. The
time range of this analysis may be different from that of other
analyses because longer periods (up to 12 weeks) are
analyzed. Here you will find the following information (in the
order shown here):

Report title

• Report period: Period (according to configuration)

with the most recent date.
• Insulin pump (symbol): Displays the insulin pump
used and its serial number.

Device:

• Serial number: Serial number of the insulin pump.

• Date/Time: Date and time on the insulin pump at the
time of data transfer.
• Remaining Use Time: Remaining time of use for this
insulin pump.
• BR Profile Selections: The frequency (per week)
with which the insulin pump was switched over to
a different basal profile.
• Time and Date Settings: The time and date
information was re-entered this number of times (e.g.
on account of summer time, transcontinental flights,
etc.)

The table shows the percentage of certain basal profiles (and

times when the insulin pump was in STOP). The currently
active basal profile is marked with a check .

Additional information

This information contains error messages and warnings (and

their number) which were stored in the insulin pump.

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Lists

The three groups of information, Bolus, Basal and Events are

also output in the form of lists. You can specify whether this
list is sorted in ascending or descending order under
settings, (see page 2-12). On these lists, you will find detailed
documentation of each individual event stored in the insulin
pump, including date and time.

To see all the lists, please use the scroll bar on the right-hand
side. The examples opposite have been shortened.

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4.6 Blood glucose and insulin pump: combined reports

If you analyze data from a blood glucose meter together with

data from an insulin pump, combined analyses of the
simultaneously obtained information can provide useful
indications for therapy. In addition to the individual blood
glucose and insulin pump analyses a combined report is
therefore available.

If you want to analyze the data of several devices

i together, the devices must be synchronized, i.e. all
devices involved should have the same date and time
settings. Deviations of ± 5 minutes maximum are
tolerated; if the deviation is greater, no combined
reports are created.

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Types of reports

The ACCU-CHEK Smart Pix device reader creates single-

page or multi-page reports for defined periods (e.g. the last 2
or 4 weeks). The period of the combined report is the
shortest relevant period set for the blood glucose or insulin
pump reports. The blood glucose levels are always displayed
in the Detailed style, irrespective of the selected setting for
the individual blood glucose report. A combined report can
contain any of the following elements:

[1] Trend Graph

[2] Day Graph
[3] Week Graph
[4] Overview
[5] Record List

The illustration on the left shows examples of the printed

version of the report.

Graphic elements of the reports

On all reports, you will find legends explaining the meaning

of individual elements. For detailed explanations of the
various elements, see the preceding descriptions of the
blood glucose and insulin pump reports on page 4-8 and
page 4-25.

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Trend Graph

This analysis shows you the trend in test results and insulin
pump data over the time range selected. You will find the
days and months along the horizontal (x) axis and the
respective blood glucose levels determined along the vertical
(y) axis. This is also where you will find a display of insulin
doses (bolus insulin and basal rate). Delivered bolus insulin
amounts are plotted in the chart from the top downwards;
the basal rate (blue curve) is displayed in the lower section of
the chart. The related values can be seen on the right-hand
y-axis (blue, from the bottom upwards = basal rate; and red,
from the top downwards = bolus insulin dose).

This representation does not display the mean blood glucose

level and the pump events. If required, you can find this
information in the individual reports as described on
page 4-10 and page 4-27.

Day Graph

As with the individual reports, this view makes it easier to

identify patterns that repeat on a daily basis. Here, too, all
data is placed in a 24-hour-grid, making it easier to see the
connection between insulin doses (bolus and basal) and
measured blood glucose levels in relation to the time of day.
All the information is plotted at the relevant time of day
according to the time when the test was performed.

The elements used in the display correspond to those in the

Trend Graph report.

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Week Graph

This analysis is also used to make it easier to recognize

repeated patterns, but in this case depends on the day of the
week. All the information is plotted on the chart according to
the time the test was performed and the respective day of the
week.

The elements used in the display correspond to those in the

Trend Graph report.

Overview

The report “Overview” contains general and statistical

information about the levels processed for the time range
selected. Here you will find the following information (in the
order shown here):

Report title

• Report period: Period (according to configuration)

with the most recent date.
• Meter/Insulin pump (symbols): Displays the meter
and the insulin pump used. If you are using several
meters (see page 2-13), the symbol is displayed
next to the insulin pump.

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Device:

• Serial number: Serial number of the meter or insulin

pump.
• Date/Time: Time setting of the meter and the insulin
pump when the report is created.

Possible deviations of the meter time from the insulin pump

time are displayed after the meter time. The information
“(-00:04)”, for example, means that the meter time is slow by
4 minutes compared to the insulin pump time.

If you are using several meters, this information is repeated

for each meter.

• Stored Results: Total number of test results in the

device(s), with timeframe details (from ... to).

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Report (meters)

• Evaluated results Number of evaluated blood

glucose results in the period selected.
• Maximum/Mean BG/Minimum: Highest and
lowest blood glucose level which was measured in the
period selected, and the average of all the levels
measured.
• SD: Standard deviation or variance of the analyzed
results.
• BG Test Frequency: Average number of blood
glucose tests per day for each day of the period
selected. In addition, the statistical information also
contains the value (in brackets) for those days only
on which a test was performed at least once.
• Target Range: The target range used for evaluation.
• Hypo limit: Blood glucose levels below this threshold
are marked as hypoglycemia.
• High/low BG index: These figures represent the
frequency and the resulting risk of blood glucose
levels being too low or too high. Figures should be as
low as possible.

Additional information

This information is only displayed if required.

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Report (insulin pump)

• Boluses: Number of respective deliveries, according

to bolus type.
• Maximum/Mean BG/Minimum: Highest and
lowest single insulin dose delivered in the selected
period and the average of all insulin amounts
delivered.
• Number of boluses/Day: Average frequency of
insulin doses per day (combined without considering
the bolus type).
• Changes to basal rates: Number of manual
increases and decreases of the basal rate as well as
the number of changes to and switches of the basal
profile.

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Record List

The combined record list shows the test results and insulin
pump information, sorted by date and time. You can specify
whether this list is sorted in ascending or descending order
under settings, (see page 2-12). All the blood glucose results
are shown in chronological order together with any recorded
carbohydrate and insulin pump information. The example
opposite has been shortened.

Blood glucose and insulin pump information that is

chronologically close is highlighted with a yellow
background. This makes it easier to identify insulin doses
that were delivered in direct relation to blood glucose tests.

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4.7 Analyzing data in external applications

You can also open and evaluate data read from meters and
insulin pumps in other applications. Whenever data is
transferred, XML files are also created in addition to the
graphical and tabular analyses (for blood glucose meters and
insulin pumps separately, including related XSL style sheets
for formatting purposes). These files can be read by other
suitable applications.

The following example shows how to import an XML file into

Microsoft Excel (as from version 2002).

• Start Microsoft Excel and choose the command File >

Open.
• In the file selection dialogue, navigate to the SmartPix
drive and from there go to the REPORT / XML folder to
display the contents saved there. If no file is displayed
there, you must first select the file type “XML” in the
file selection dialogue, if not already done.

If you have downloaded data from a meter as well as an

insulin pump, you will find two XML files. The first letter of
the file name indicates what data is contained:

– Gxxxxxxx.XML: glucose results from meter

– Ixxxxxxx.XML: data from insulin pump

• Select the desired file and click Open.

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• In the following dialogue box, select to import the XML

data using the related style sheet. This additional file
prepares and formats the data records in a legible
way.

Be careful to select the correct style sheet for the chosen

XML file:

• ACSPIXMT.XSL
is the style sheet for meter data (MT = meter).
• ACSPIXIP.XSL
is the style sheet for insulin pump data (IP = insulin
pump).

The meter data read from the XML file is now represented in
table form. Besides the tabular listing, you will also find
statistical analyses at the end of the table.

You can now save this file for archiving or other purposes on
your hard drive. You cannot save this file on the SmartPix
removable disk.

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4.8 Literary references for reports

Low/High BG Index

Kovatchev BP, Cox DJ, Gonder-Frederick LA, Clarke WL

(1997)
Symmetrization of the blood glucose measurement scale and
its applications. Diabetes Care, 20, pp 1655-1658

Kovatchev BP, Cox DJ, Gonder-Frederick LA, Young-Hyman

D, Schlundt D and Clarke WL (1998)
Assessment of Risk for Severe Hypoglycemia Among Adults
with IDDM: Validation of the Low Blood Glucose Index.
Diabetes Care, 21, pp 1870-1875

Kovatchev BP, Straume M, Cox DJ, Farhi LS (2001)

Risk Analysis of Blood Glucose Data: A Quantitative
Approach to Optimizing the Control of Insulin Dependent
Diabetes. J of Theoretical Medicine, 3: pp 1-10.

Kovatchev BP, Cox DJ, Gonder-Frederick LA and WL Clarke

(2002)
Methods for quantifying self-monitoring blood glucose
profiles exemplified by an examination of blood glucose
patterns in patients with Type 1 and Type 2 Diabetes.
Diabetes Technology and Therapeutics, 4 (3): pp 295-303.

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 Chapter 5, Error signals and troubleshooting

5 Error signals and troubleshooting

Sometimes situations can occur in which a report is not

created or printed, or other problems arise. If you do not find
the required solution here, please contact your local Roche
representative.

5.1 Errors without error signals

The ACCU-CHEK Smart Pix device reader fails to appear on

the PC as a drive:

• Check whether your PC and your operating system

meet the system requirements for the ACCU-CHEK
Smart Pix device reader (see page 2-1).
• Check to make sure the USB connector is firmly
plugged into the correct port on the PC.
• If the ACCU-CHEK Smart Pix device reader is still not
recognized as a drive, plug the device into a different
USB port on your PC (you may be able to use a USB
hub or choose between USB ports on the front and
rear of your PC).

If the ACCU-CHEK Smart Pix device reader fails to emit any

status indicator signals whatsoever and if all the above tests
have been performed unsuccessfully, you could possibly test
the device on a different PC. If there is still no sign of
operation, the device is probably faulty. This also applies if
there are error signals (center of the status indicator
flashing) which are not associated with data transfer. Please
contact your local Roche representative.

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5.2 Error signals on the device reader

The ACCU-CHEK Smart Pix device reader reports potential

8 errors (e.g. during data transfer) by causing the center of the
status indicator 8 to flash.

If such an error occurs, the following options are available to

solve the problem:

• In the browser user interface, click on the Read Device

button. By flashing slowly again, the center of the
status indicator should now indicate that it is actively
searching for devices and that it is ready for data
transfer.
• If the error signal continues, you can unplug the
ACCU-CHEK Smart Pix device reader and plug it back
in again. Any Microsoft Windows error message about
removing the disk is of no further consequence.

Then repeat data transfer.

If this error signal occurs again, check the following points:

• Has the meter been properly prepared for data

transfer? For relevant information, see Chapter 3.
• Is the optical contact (infrared port) unimpaired? Is
the distance correct (too far away)?
• Is there any interference from extraneous light
(sunlight, another infrared port, fluorescent tubes or
energy-saving lamps)?

In the event of error messages associated with data transfer,

it is not the ACCU-CHEK Smart Pix device reader which is
faulty – there is interference with data transfer between the
devices. In individual cases, this may be due to the meter or
insulin pump.

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 Chapter 6, Maintenance

6 Maintenance

6.1 Cleaning the ACCU-CHEK Smart Pix device reader

Unplug the ACCU-CHEK Smart Pix device reader before

cleaning it. Use cloths slightly moistened with commonly
available cleaning & disinfection detergents like water,
Ethanol/Isopropanol, 10% Bleach or other detergents and
make sure no liquid gets inside the device.

Clinical staff: Please observe the regulations applicable at

your institution concerning protection against infection.

6.2 Disposal

The product itself may come into contact with blood during
testing. Used products therefore carry a risk of infection.
Please dispose of used products according to the regulations
applicable in your country. This is not a requirement for the
US however Roche is committed to recycling and
sustainability. For information about correct disposal, please
contact your local council or authority. The product falls
outside the scope of the European Directive 2002/96/EC
(Directive on waste electrical and electronic equipment).

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Chapter 6, Maintenance

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 Chapter 7, Appendix

7 Appendix

7.1 Abbreviations

BG Blood glucose
MBG Mean blood glucose level
SD Standard deviation
AST Alternative site testing
BR Basal rate
TBR Temporary basal rate
IR Infrared
Hi Result above the measuring range (indicated on the meter as HI)
Lo Result below the measuring range (indicated on the meter as LO)
Hypo Hypoglycemia
U Insulin dose in International Units
U/h Insulin dose delivered per hour (basal rate)

7.2 Technical data

Model ACCU-CHEK Smart Pix

Catalog number 0 4684125160
Serial number See type plate on the back of the device
Year of manufacture See type plate on the back of the device
Dimensions 104 x 74 x 38 mm
Weight 90 g
Status indicator 6 blue LEDs, in groups of 2 each
Power supply Via USB port, 5 V/100 mA
Protection class Equipment in protection class III
Ports 1 infrared port
1 USB port
Ambient conditions Operation temperature range: 41 °F – 104 °F
Storage temperature range: -13 °F – 158 °F
Absolute humidity: 5 g/m3 – 25 g/m3

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Chapter 7, Appendix

7.3 Information about electromagnetic compatibility (EMC)

Guidance and manufacturer’s declaration – electromagnetic emission

The ACCU-CHEK Smart Pix device reader is intended for use in the electromagnetic environment specified below. The customer or the
user of the ACCU-CHEK Smart Pix device reader should ensure that it is used in such an environment
Emission test Compliance Electromagnetic environment – guidance
RF emission Group 1 The ACCU-CHEK Smart Pix device reader uses RF energy
according to CISPR 11 exclusively for its inner function. Therefore its RF emissions are very
low and it is unlikely that nearby electronic equipment may be
affected.
RF emission Class B The ACCU-CHEK Smart Pix device reader is suitable for use in all
according to CISPR 11 establishments, including domestic establishments and those
directly connected to the public low-voltage power supply network
that supplies buildings used for domestic purposes.
Harmonic emissions according to IEC Not applicable -
61000-3-2
Voltage fluctuations / flicker emissions Not applicable -
according to IEC 61000-3-3

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 Chapter 7, Appendix

Guidance and manufacturer’s declaration – electromagnetic immunity

The ACCU-CHEK Smart Pix device reader is intended for use in the electromagnetic environment specified below. The customer or the
user of the ACCU-CHEK Smart Pix device reader should ensure that it is used in such an environment
Immunity test standard IEC 60601 test level Compliance level Electromagnetic
environment – guidance
Electrostatic discharge (ESD) ± 6 kV contact ± 6 kV contact Floors should be wood, concrete
according to IEC 61000-4-2 ± 8 kV air ± 8 kV air or ceramic tile. If floors are
covered with synthetic material,
the relative humidity should be
at least 30 %.
Electrical fast transient / burst ± 2 kV for power supply lines Not applicable
according to IEC 61000-4-4 ± 1 kV for input and output lines
Surge according to ± 1 kV Not applicable
IEC 61000-4-5 line to line
± 1 kV
line to earth
Voltage dips, short interruptions < 5 % UT Not applicable
and voltage variations on power (> 95 % dip of UT)
supply lines according to for 0.5 cycle
IEC 61000-4-11 40 % U T
(60 % dip of UT)
for 5 cycles
70 % UT
(30% dip of UT)
for 25 cycles
< 5 % UT
(> 95 % dip of UT)
for 5 s
Power frequency (50 / 60 Hz) 3 A/m 3 A/m Power frequency magnetic fields
magnetic field according to IEC 30 A/m should be at levels characteristic
61000-4-8 of a typical location in a typical
commercial or hospital
environment.
NOTE: UT is the A.C. mains voltage prior to application of the test level.

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Chapter 7, Appendix

7.4 Information about advice and the repair service

Assistance: If you have any questions on handling the

device or if you suspect that the device is faulty, please
contact your local Roche representative.

Repair service: Please bear in mind that any repairs,

configurations or other changes to the ACCU-CHEK Smart
Pix device reader may only be performed by persons who
have been authorized to do so by Roche Diabetes Care. If you
suspect that the device is faulty, please contact your local
Roche representative.

7.5 Roche Diabetes Care address

Roche Diabetes Care Inc.

9115 Hague Road
Indianapolis, IN 46256
USA

ACCU-CHEK Customer Care Service Center: 1-800-628-3346

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 Chapter 7, Appendix

7.6 Warranty

ACCU-CHEK Smart Pix Device Reader 30-day

Money-back Guarantee

ACCU-CHEK Smart Pix Device Reader 30-day Money-back

Guarantee for Qualifying Consumers

Roche Diabetes Care offers qualifying consumers that

purchase an ACCU-CHEK Smart Pix device reader, a 30-day
money back guarantee. If you are not fully satisfied with your
ACCU-CHEK Smart Pix device reader, call the ACCU-CHEK
Customer Care Service Center toll-free at 1-800-858-8072 to
determine whether you qualify to receive a full refund within
30 days of purchase. If you are covered under Medicare,
Medicaid, other federal/state programs, or private insurance
you are NOT eligible for this money-back offer. Consumers
affected by this exclusion may instead request a different
ACCU-CHEK software system. The refund will be limited to
the amount paid by you net of any rebates. You must have a
copy of the dated itemized purchase receipt and the original
packaging to obtain this refund.

ACCU-CHEK Smart Pix Device Reader Limited 3-Year

Warranty

Roche Diabetes Care warrants to the original purchaser of

the device reader that your ACCU-CHEK Smart Pix device
reader will be free from defects in materials and
workmanship for three years from the date of purchase. If,
during this three-year period, the device reader does not
work properly because of a defect in materials or
workmanship, Roche Diabetes Care will replace it with a new
ACCU-CHEK Smart Pix device reader or equivalent product
free of charge. The warranty on the replacement device
reader will expire on the date of the original warranty
expiration or 90 days after the shipment of a replacement
system, whichever period is longer. The purchaser’s
exclusive remedy with respect to the ACCU-CHEK Smart Pix
device reader shall be replacement.

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Chapter 7, Appendix

This warranty does not apply to the performance of an

ACCU-CHEK Smart Pix device reader that has been
damaged by accident or has been altered, misused,
tampered with, or abused in any way. Roche Diabetes Care
will handle device readers that show damage or abuse
according to its Non-Warranty Service Policy described on
the following page.

THE ABOVE WARRANTY IS EXCLUSIVE OF ALL OTHER

WARRANTIES, AND ROCHE DIABETES CARE MAKES NO
OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING
WITHOUT LIMITATION, THE IMPLIED WARRANTY OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE. IN NO EVENT SHALL ROCHE DIABETES CARE BE
LIABLE TO THE PURCHASER OR ANY OTHER PERSON FOR
ANY INCIDENTAL, CONSEQUENTIAL, INDIRECT, SPECIAL,
OR PUNITIVE DAMAGES ARISING FROM OR IN ANY WAY
CONNECTED WITH THE PURCHASE OR OPERATION OF THE
DEVICE READER OR ITS PARTS. NO WARRANTY OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE, IF ANY IS IMPLIED FROM THE SALE OF THE
DEVICE READER, SHALL EXTEND FOR A LONGER
DURATION THAN THREE YEARS FROM THE DATE OF
PURCHASE.

Some states do not allow limitations on how long an implied

warranty will last or the exclusion of incidental or
consequential damages, so the above limitation and
exclusion may not apply to you. This warranty gives you
specific legal rights, which vary from state to state.

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 Chapter 7, Appendix

Non-Warranty Service Policy

Roche Diabetes Care Non-Warranty Service Policy applies to

device readers where the above warranty has not become
effective, has become inapplicable, or has expired. Roche
Diabetes Care will replace, at its option, device readers
returned to it for a service charge (not to exceed $99).
Replacement will be with the same or similar product.
Replacement device readers will be warranted for a period of
90 days from shipment under a limited warranty providing for
replacement of parts and labor at no charge.

Warranty and Service Instructions

All requests for return of ACCU-CHEK Smart Pix device

readers under the above warranty or service policy must be
made to the ACCU-CHEK Customer Care Service Center.
You will be mailed a return authorization label, which must
be affixed to your carton for shipping the system to Roche
Diabetes Care. Cartons received without this label will be
returned to you at your expense. Customers experiencing
difficulties should review the troubleshooting information in
Chapter 5 of this booklet. Further inquiries should be
directed to the ACCU-CHEK Customer Care Service Center.

ACCU-CHEK Smart Pix user’s manual 7-7

ACCU-CHEK, ACCU-CHEK ACTIVE, ACCU-CHEK AVIVA, ACCU-CHEK AVIVA COMBO,
ACCU-CHEK AVIVA EXPERT, ACCU-CHEK COMPACT, ACCU-CHEK GO, ACCU-CHEK NANO,
ACCU-CHEK SPIRIT, ACCU-CHEK SPIRIT COMBO, ACCU-CHEK SMART PIX, ADVANTAGE,
CAMIT, COMBO, DISETRONIC and D-TRONPLUS are trademarks of Roche.
© 2015 Roche Diabetes Care

In US, distributed by:

Roche Diabetes Care, Inc.
Indianapolis, IN 46256, USA

0 6473857001 (06) 2015-07 US

ACCU-CHEK Customer Care Software Support: 1-800-628-3346
www.accu-chek.com

Roche Diabetes Care GmbH

Sandhofer Strasse 116
68305 Mannheim, Germany
www.accu-chek.com