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Blood Glucose Meter

Roche USA – 83019

V1/1 – 09767959001 – Black

9_09767959001.indd 1 11/11/2020 11:26:18 AM

 Contents
Introduction..................................................................................................................... 2
Chapter 1: Your New System........................................................................................... 4
Chapter 2: Blood Glucose Tests....................................................................................... 9
Chapter 3: Control Tests................................................................................................ 15
Chapter 4: Review Your Data......................................................................................... 18
Chapter 5: Wireless Communication and Meter Pairing................................................. 20
Chapter 6: Connecting to a PC...................................................................................... 22
Chapter 7: Meter Maintenance and Troubleshooting...................................................... 23
Chapter 8: Technical Information.................................................................................. 30
Chapter 9: Guarantee.................................................................................................... 34
Index............................................................................................................................. 35

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 Introduction

The Accu-Chek Instant System

w WARNING
The Accu-Chek Instant test strips with the
Accu-Chek Instant meter are intended to • Choking hazard. Small
quantitatively measure glucose in fresh parts. Keep away from
capillary whole blood from the finger, children under the age
palm, forearm, and upper arm as an aid in of 3 years.
monitoring the effectiveness of glucose • Keep new and used batteries away
control. from children. Ingestion or insertion
The Accu-Chek Instant test strips with the into the body may cause chemical
Accu-Chek Instant meter are intended for burns, perforation of soft tissues, and
in vitro diagnostic self-testing by people death. Severe burns may occur
with diabetes. within 2 hours of swallowing. If you
think a battery might have been
The Accu-Chek Instant test strips with the swallowed or placed inside any part
Accu-Chek Instant meter are intended for of the body, seek medical attention
in vitro diagnostic use by healthcare immediately.
professionals in clinical settings. Venous,
arterial, and neonatal blood testing is • If the battery compartment does not
limited to healthcare professional use. close securely, stop using the
product and keep it away from
This system is not for use in the diagnosis children. Contact Roche.
of diabetes mellitus, nor for testing
neonate cord blood samples. • Any object coming into contact with
human blood is a potential source of
Suitable for self-testing infection (see: Clinical and Laboratory
The system includes: Standards Institute: Protection of
Laboratory Workers from
Accu-Chek Instant meter with batteries, Occupationally Acquired Infections;
Accu-Chek Instant test strips*, and Approved Guideline – Fourth Edition;
Accu-Chek Instant control solutions*. CLSI document M29-A4, May 2014).
*Some items may not be included in the
kit. They are a separate purchase.

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 Introduction

Why Regular Blood Glucose

Testing Is Important
Testing your blood glucose regularly can
make a big difference in how you manage
your diabetes every day. We have made it
as simple as possible.

Important Information About

Your New Meter
• It is strongly recommended to have a
back-up testing method available.
Failure to test could cause a delay in
therapy decisions and lead to a serious
medical condition. Examples of back-up
testing methods include a back-up
meter and test strips. Ask your
healthcare professional or pharmacist
about other possible back-up methods.
• The meter prompts you to set the time
and date the first time you turn it on.
• Check the time and date on the meter
before you begin testing. Adjust the time
and date if necessary.
• Sample data screens are shown
throughout the manual. Your data will
differ.
• If you follow the steps in this manual but
still have symptoms that do not seem to
match your test results, or if you have
questions, talk to your healthcare
professional.

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 1 Your New System

The Accu‑Chek Instant Meter

1 2 3
4

Right Side View Front View Left Side View

1. Up Button and Down Button 4. Micro USB Port

Press to turn the meter on and off, Transfers data from the meter to a
adjust settings, and scroll through computer (PC).
results. 5. Test Strip Ejector
2. Display Press to remove test strip.
Shows results, messages, and test
results stored in memory.
3. Target Range Indicator
Indicates whether your blood glucose
result falls above, within, or below a
pre-set range of values.

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 1 Your New System

Back View Underside View

6. Battery Door 7. Test Strip Slot

Open to replace batteries. Insert test strip here.

9
C

B
8

8. Test Strip Container* 11. Control Solution Bottle*

(for example) 12. Batteries
9. Test Strip - Metallic End *Some items may not be included in the
Insert this end into the meter. kit. They are a separate purchase.
10. Test Strip - Yellow Edge
Touch blood drop or control solution
here.
5

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 1 Your New System

Using the Meter Buttons

When instructed to press a meter button, press it briefly and release it.
When instructed to press and hold a meter button, press and hold it for 3 or more
seconds.

Button Functions
Here are the functions of the Up button and Down button on the meter. These functions
are used throughout this manual.

Button Function Action

Turn the meter on. Press and release.
Increase an option.
[Up button]
Move forward through results in memory.
Set time and date selections. Press and hold.
Turn meter off.
Decrease an option. Press and release.
[Down button] Move back through results in memory.

Enter set-up mode. Press and hold.

Enter Bluetooth pairing mode.

Target Range The target range is set by default at

70–160 mg/dL (3.9–8.9 mmol/L). The
w WARNING target range can be set from a lower limit
of 60–140 mg/dL (3.3–7.8 mmol/L) to an
This function is no substitute for upper limit of 90–300 mg/dL
hypoglycemia training by your (5.0–16.6 mmol/L).
healthcare professional.
To change the target range, pair the meter
to a mobile device, or connect it to a PC
Consult your healthcare professional for with diabetes management software
the blood glucose range appropriate for installed. Then follow the diabetes
you. It is very important to stay within your management software instructions.
target range.

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 1 Your New System

Symbols

Symbol Description

7-day average symbol. This indicates that you are viewing the 7-day
average of your blood glucose results.
14-day average symbol. This indicates that you are viewing the 14-day
average of your blood glucose results.
30-day average symbol. This indicates that you are viewing the 30-day
average of your blood glucose results.
90-day average symbol. This indicates that you are viewing the 90-day
average of your blood glucose results.
Bluetooth symbol

Control bottle symbol

Drop symbol

Hourglass symbol

Low battery symbol

No data to display
Pairing symbol. A flashing symbol indicates the meter is attempting to pair
with a device. A solid symbol indicates the meter pairing was successful.
Target range indicator arrow. When flashing, your blood glucose result is
outside the target range.
Temperature warning symbol

Test strip symbol. A flashing symbol indicates the meter is ready for you to
insert a test strip.
Wireless symbol. A flashing symbol indicates the meter is attempting to
connect to the paired device. A solid symbol indicates the meter is
connected to a paired device.

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 1 Your New System

Setting the Time and Date

1
NOTE
Press to turn the • The meter prompts you to set the
meter on. time and date the first time you turn
The flashing test strip the meter on or if an error occurs.
symbol appears on the • Press and hold at any time until
display. the flashing test strip symbol
appears to perform a test.
2
• The time and date on the meter
Press and hold until synchronizes to the time and date on
set‑up appears on the the paired device each time the
display. The hour meter sends data to the paired
flashes. device. See the chapter Wireless
Communication and Meter Pairing.
Press to increase
the hour or press to decrease the
hour.

Press and hold to

set the hour and move
to the next field. The
minutes flash.
Press to increase
the minutes or press to decrease the
minutes.

Repeat step 3 to adjust

each field. After setting
the year, press and
hold until the
flashing test strip
symbol appears to save your settings.

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 2 Blood Glucose Tests

perform a control test with control

w WARNING solution and a new, unused test strip
to ensure the meter and test strips
Blood glucose results can be displayed
are working properly. Then repeat
in either mg/dL or mmol/L. The back
the blood glucose test with a new
label of the meter shows the unit of
test strip.
measurement. If the meter shows the
wrong unit, contact Roche. If you do • Do not store test strips in high heat
not know which unit of measurement is and moisture areas (bathroom or
correct for you, contact your healthcare kitchen)! Heat and moisture can
professional. Using the wrong unit of damage test strips.
measurement may cause
misinterpretation of your actual blood • Use only Accu‑Chek Instant test strips.
glucose level and may lead to improper • Use the test strip immediately after
therapy. removing it from the test strip container.
• Do not apply blood or control solution to
the test strip before inserting it into the
meter.
• Close the test strip container tightly
immediately after removing a test strip
to protect the test strips from humidity.
• Store the unused test strips in their
original test strip container with the cap
closed.
• Check the use by date on the test strip
container. Do not use the test strips after
that date.
• Store the test strip container and meter
in a cool, dry place such as a bedroom.
mg/dL or mmol/L is printed here • Refer to the test strip package insert for
test strip storage and system operating
conditions.
Using the Accu-Chek Instant
System

w WARNING
• If you drop the meter or drop the
meter with a test strip inserted, the
meter and/or test strip could be
damaged. Discard the test strip and

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 2 Blood Glucose Tests

Performing a Blood Glucose Test 2

with Blood from Your Fingertip
Check the use by date
on the test strip
w WARNING container.
When performing a blood glucose test: Do not use test strips
If the control bottle symbol and the past the use by date.
flashing L1 or L2 appear on the display
with your blood glucose result, an error
3
has occurred and the test result may be
inaccurate. Remove a test strip
from the test strip
• Do not act on the blood glucose container.
result.
Close the cap tightly.
• Discard the test strip and repeat the
blood glucose test with a new test
strip.
4

NOTE Insert the metallic end

of the test strip into
• You need the meter, a test strip, and
the meter. The meter
a lancing device with a lancet
turns on.
inserted to perform a blood glucose
test.
• A blood glucose test cannot be
5
performed while the meter is
connected to a PC with a USB cable. When a flashing drop
symbol appears,
1 perform a fingerstick
with the lancing
Wash your hands with device.
warm soapy water and
dry thoroughly.
6
Prepare the lancing
device. Gently squeeze your
finger to assist the
blood flow. This helps
you get a blood drop.

10

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 2 Blood Glucose Tests

7 8

Touch the yellow

edge of the test strip
to the blood drop.
Do not put blood on
top of the test strip.
Remove your finger from the test strip
when the flashing hourglass symbol
appears. Failure to move your finger
away from the test strip could give
inaccurate test results.

Blue
Test result is above the
target range.
Green
or Test result is within the
target range.

Red
Test result is below the
target range.

Press here to eject test strip.

Your test result appears with an arrow. This arrow shows if your test result falls above,
within, or below the target range.* The target range is represented by the green region
of the target range indicator. The arrow will flash if your test result falls above or below
this range.
Remove and discard the used test strip by pulling the test strip out of the meter or by
pushing the test strip ejector on the side of the meter.

*The target range is set by default at 70–160 mg/dL (3.9–8.9 mmol/L). To change the
target range, pair the meter to a mobile device, or connect it to a PC with diabetes
management software installed. Consult your healthcare professional before changing the
target range.

11

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 2 Blood Glucose Tests

Performing a Blood Glucose Test with Blood from Your Palm, Forearm, or
Upper Arm (Alternative Site Testing)

w WARNING
• Do not use alternative site testing to calibrate a continuous glucose monitoring
system.
• Do not use alternative site testing to make insulin dosing calculations.
You have the option of obtaining a blood sample from other sites on your body besides the
fingertip. Alternative sites include the palm, forearm, and upper arm.
Blood obtained from the fingertip and palm can be used at any time to perform a blood
glucose test.
If blood from the forearm or upper arm is used, there are certain times when testing is not
appropriate. This is because your blood glucose level changes faster in your fingertip and
palm than in the forearm and upper arm. These differences may cause you to misinterpret
your actual blood glucose level, leading to improper therapy and potential adverse health
effects. Read the following section before you try testing from the forearm or upper arm.

You may perform a • immediately before a meal.

forearm or upper • while fasting.
arm test
You may NOT • up to 2 hours following a meal, when blood glucose values can
perform a forearm rise quickly.
or upper arm test • after injecting bolus insulin, when blood glucose values can
decrease rapidly.
• after exercise.
• if you are sick.
• if you think your blood glucose is low (hypoglycemia).
• if you sometimes do not notice when your blood glucose is
low.
If you are interested in AST, talk to your healthcare professional first.
To obtain an AST cap and detailed AST instructions, contact Roche.

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 2 Blood Glucose Tests

Unusual Blood Glucose Results

If your blood glucose result does not match how you feel, check this list to help solve the
problem.

Troubleshooting Checks Action

Did you wash your hands? Wash your hands with warm soapy water and
dry thoroughly. Repeat the blood glucose test
with a new test strip.
Were the test strips expired? Discard the test strips if they are past the use
by date. Repeat the blood glucose test with
an unexpired test strip.
Was the cap on the test strip Replace the test strips if you think the test
container always closed tightly? strip container was uncapped for some time.
Repeat the blood glucose test.
Was the test strip used immediately Repeat the blood glucose test with a new test
after it was removed from the test strip.
strip container?
Were the test strips stored in a cool, Repeat the blood glucose test with a properly
dry place? stored test strip.
Did you follow the directions? Read the chapter Blood Glucose Tests and
repeat the blood glucose test. Contact Roche
if you still have problems.
Are the meter and test strips working Perform a control test. See the chapter
properly? Control Tests for instructions.
Are you still unsure of the problem? Contact Roche.

13

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 2 Blood Glucose Tests

Symptoms of Low or High Blood

Glucose

w WARNING
If you are experiencing any of these
symptoms, or other unusual symptoms,
test your blood glucose from the
fingertip or palm. If your blood glucose
result is displayed as LO or HI, contact
your healthcare professional
immediately.

Being aware of the symptoms of low or

high blood glucose can help you
understand your test results and decide
what to do if they seem unusual.
Low blood glucose (hypoglycemia):
Symptoms of hypoglycemia may include,
but are not limited to, anxiety, shakiness,
sweating, headache, increased hunger,
dizziness, pale skin color, sudden change
in mood or irritability, fatigue, difficulty
concentrating, clumsiness, palpitations,
and/or confusion.
High blood glucose (hyperglycemia):
Symptoms of hyperglycemia may include,
but are not limited to, increased thirst,
frequent urination, blurred vision,
drowsiness, and/or unexplained weight
loss.

14

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 3 Control Tests

When to Perform a Control Test • The control solution can stain fabric.
Remove stains by washing with soap
Performing a control test lets you know
and water.
the meter and test strips are working
properly. You should perform a control test Performing a Control Test
when:
• you open a new test strip box. w WARNING
• you left the test strip container open.
When performing a control test: If the
• you think the test strips are damaged.
control bottle symbol and the flashing
• you want to check the meter and test L1 or L2 DO NOT appear on the display
strips. with your control result, an error has
• the test strips were stored in extreme occurred and the control result may be
temperatures, humidity, or both. inaccurate.
• you dropped the meter.
• Do not act on the control result.
• your test result does not match how you
feel. • Discard the test strip and repeat the
• you want to check if you are performing control test with a new test strip.
the test correctly. You need the meter, a test strip, and
control solution Level 1 or Level 2.
About the Control Solutions
• Use only Accu‑Chek Instant control 1
solutions.
Check the use by date
• Close the control solution bottle tightly on the test strip
after use. container. Do not use
• Write the date you open the control test strips past the
solution bottle on the bottle label. The use by date.
control solution must be discarded 3
months from the date the control 2
solution bottle was opened (discard
date) or on the use by date on the bottle Remove a test strip
label, whichever comes first. from the test strip
• Do not use control solution that is past container.
the use by or discard date. Close the cap tightly.
• Refer to the control solution package
insert for control solution storage
conditions.
• The meter automatically recognizes the
difference between the control solution
and blood.

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 3 Control Tests

3 7

or

Insert the metallic end of the test strip The control result, the bottle symbol,
into the meter. The meter turns on. and the flashing L1 or L2 appear on the
display. Press and hold to confirm
A flashing drop symbol appears.
the control level you tested.
4 Press or to alternate between L1
and L2.
Select the control
solution to test. You 8
will enter the level
later in the test.
or
5

Remove the bottle

cap. Wipe the tip of OK appears if the control result is within
the bottle with a range.
tissue. Squeeze the Err appears if the control result is out of
bottle until a tiny drop range.
forms at the tip.
9
6
Wipe the tip of the
bottle with a tissue.
Cap the bottle tightly.
Remove and discard
the used test strip.

Touch the drop to the yellow edge of

the test strip. Do not put control solution NOTE
on top of the test strip. The meter turns off 90 seconds after a
A flashing hourglass symbol appears successful test or 15 seconds after the
when there is enough control solution in test strip is removed, provided no other
the test strip. action is taken.

16

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 3 Control Tests

Understanding Out‑of‑Range Control Results

w WARNING
The control ranges are printed on the test strip container label. If the control result is
out of range, check this list to help solve the problem.

Troubleshooting Checks Action

Were the test strips or control Discard the test strips or control solution if
solutions expired? either is past the use by date. If the control
solution was opened more than 3 months ago,
discard it. Repeat the control test with an
unexpired test strip and an unexpired control
solution.
Did you wipe the tip of the control Wipe the tip of the bottle with a tissue. Repeat
solution bottle before use? the control test with a new test strip and a fresh
drop of control solution.
Were the caps on the test strip Replace the test strips or control solution if you
container and the control solution think either was uncapped for some time.
bottle always closed tightly? Repeat the control test.
Was the test strip used immediately Repeat the control test with a new test strip and
after it was removed from the test a fresh drop of control solution.
strip container?
Were the test strips and control Repeat the control test with a properly stored
solutions stored in a cool, dry test strip or control solution.
place?
Did you follow the directions? Read the chapter Control Tests and repeat the
control test.
Did you choose the correct control If you chose the wrong control solution level,
solution level, either 1 or 2, when you can still compare the control result to the
you performed the control test? range printed on the test strip container.
Are you still unsure of the problem? Contact Roche.

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 4 Review Your Data

Overview
NOTE
• The meter automatically stores at least
720 blood glucose results in memory The meter has time and date auto-sync
with the time and date of the test. capability when paired with a mobile
• Once 720 blood glucose results are in device that will update the meter time
memory, adding a new blood glucose and date automatically. Even if you use
result deletes the oldest blood glucose your meter in multiple time zones,
result. results are stored from newest to
• If more than 720 blood glucose tests are oldest and not by time and date.
performed within a 90-day period, only
the 720 most recent test results are Reviewing Blood Glucose Results
included in the 90-day average.
in Memory
• The meter automatically stores at least
30 control results in memory, but only 1
the current control result can be viewed
on the meter. To view stored control
results, transfer them to a compatible
software application. or
• Once 30 control results are in memory,
adding a new control result deletes the
oldest control result. With the meter off, press to view the
• Control results are not viewable in most recent blood glucose result.
memory and are not included in the 7,
14, 30, or 90-day averages.
2

w WARNING
Do not change your therapy based on or
an individual test result in memory.
Talk to your healthcare professional
before changing therapy based on test
results in memory. Continue to press to view previous
test results from newest to oldest.

NOTE
Press to move back through oldest
to newest test result.

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 4 Review Your Data

Reviewing Your Test Result Averages 1

The meter uses all of your blood glucose
results from the past 7, 14, 30, or 90 days
to calculate a single number. This number or
is called the average, and helps you to
understand your blood glucose results
over a given period of time.
With the meter off, press to turn the
meter on. The most recent blood
glucose result appears on the display.

or 90-day average

or 7-day average

Press to see the 7-day average. Continue to press to move through your 7, 14,
30, and 90-day averages.
The number of test results in the average = n.

NOTE
• Press to move back through averages to the most recent blood glucose result.
• If the memory contains a result that is HI or LO, or is corrupt, then the time period
and day/ave will flash to alert you that those results are not included in the average.

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 5 Wireless Communication and Meter Pairing

Overview 3

The process of creating a connection On Your Mobile Device

between the meter and the mobile device
Within the app, select your meter from
is called pairing. You will need an
the list of found meters. When
application on your mobile device that can
prompted, enter the 6-digit PIN number
accept the meter data. You can use this
located on the back of your meter.
application to wirelessly and automatically
synchronize your diabetes information The meter times out after 30 seconds
between the meter and the mobile device. once you are prompted to enter the PIN.

Pairing 4
The meter can only pair with 1 device at a On Your Meter
time. Pairing with a second device
overwrites the first pairing.
The meter and the device to be paired or
should be within 1 meter of each other.
1

On Your Mobile Device OK appears if pairing is successful. Err

Open the app and select Pair Meter. If appears if pairing is unsuccessful.
prompted, turn on Bluetooth.
NOTE
2
The meter has time and date auto-sync
On Your Meter
capability when paired with a mobile
With the meter off, device that will update the meter time
press and hold and date automatically. Even if you use
until the Bluetooth your meter in multiple time zones,
symbol appears. The results are stored from newest to
pairing symbol and oldest and not by time and date.
wireless symbol both
appear and flash. Transferring Data Wirelessly
If the meter is paired with a mobile device
and Bluetooth is on, your test results will
be sent to the paired device automatically.

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 5 Wireless Communication and Meter Pairing

Turning Bluetooth Off Turning Bluetooth On

Turn Bluetooth off to disable wireless If you have turned Bluetooth off, follow
communication (flight mode). Turning these steps below to turn it back on. This
Bluetooth off will not unpair your meter. will enable wireless communication with
your mobile device.
1
1

or
or

With the meter off, press to turn the

meter on. The last test result appears. With the meter off, press to turn the
meter on. The last test result appears.
2
2

or
or

Press and hold until the Bluetooth

symbol disappears. Press and hold until the Bluetooth
symbol appears.

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 6 Connecting to a PC

Connecting the Meter to a PC

NOTE
Using a USB Cable
Follow the steps below to access diabetes The USB cable does not charge the
management software on a PC. You can meter batteries. Remove the USB cable
use this software to view stored results, after you have finished.
set the meter time and date, and change
the target range.
1

Plug the small end of

a USB cable into the
meter.

Plug the large end of

a USB cable into a
USB port on the PC.
If the meter is off, it
turns on.

Start the diabetes management

software and initiate a data transfer.

The meter transfers

the data to the
software.

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 7 Meter Maintenance and Troubleshooting

Meter Maintenance 3

The meter automatically tests its own Slide the new

systems every time you turn it on and lets batteries under the
you know if something is wrong. See the tabs with the (+)
Error Messages section of this chapter. side facing up. Put
If you drop the meter or think the results the battery door back
are not accurate, contact Roche. in place and snap it closed. Immediately
discard the old batteries.
w WARNING
Keep new and used batteries away NOTE
from children. See the warning in the • Always have a spare set of batteries.
Introduction of this User’s Manual for
additional information. • Battery life may vary due to factors
such as temperature and battery
manufacturer.
Changing the Batteries
• The meter uses two 3‑volt lithium
1 batteries, coin cell type CR2032. This
type of battery can be found in many
stores.
• Always replace both batteries at the
same time and with the same brand.
• Meter data is not lost when you
replace the batteries.

Open the child-resistant battery door by

inserting a narrow object, such as a
pen, into the slot (see image above).
Push the tab in the direction of the
arrow and lift the battery door up.

Remove the old

batteries. Press and
hold for at least 2
seconds.

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 7 Meter Maintenance and Troubleshooting

Checking the Meter Display

or

With the meter off, press and hold until all display segments appear. Check the
meter display for missing segments. All segments should look like the picture above. If
any segments are missing from the display, contact Roche, as there may be a problem
with the meter.

Cleaning and Disinfecting the • Do not spray anything directly onto

Meter the meter.
Keep the meter free of dust. If you need to • Do not immerse the meter in liquid.
clean or disinfect it, follow these • Do not keep disinfecting wipes on
guidelines carefully to help you get the the meter display longer than 10
best performance possible. minutes.

w WARNING When to clean or disinfect the

• If the meter is being operated by a meter:
second person who is providing • Clean the meter to remove visible dirt or
testing assistance to the user, the other material.
meter should be disinfected prior to • Disinfect the meter between each
use by the second person. patient use.
• Do not clean or disinfect the meter
while performing a blood glucose or What to clean or disinfect:
control test. • The area around slots and openings
• Do not allow liquid to enter any • The meter display
openings in the meter. • The entire meter surface

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 7 Meter Maintenance and Troubleshooting

Make sure the meter is turned off.

Gently wipe the meter surface with a
soft cloth slightly dampened (wring out
any excess liquid) with one of these
solutions: The meter will not turn on or the display
To clean the meter is blank.
• Batteries are dead.
Mild dishwashing liquid mixed with
water Insert new batteries.
To disinfect the meter • Display is damaged. / Meter is
defective.
70 % isopropyl alcohol
Contact Roche.
Note: During disinfection, make sure
• Extreme temperatures.
that the meter surface stays wet with
isopropyl alcohol for 2 minutes. Move the meter to a location with a
Additional wiping of the surface with more moderate temperature.
cloths dampened with isopropyl alcohol
may be necessary.

Dry the meter thoroughly with a soft

cloth.

Error Messages The meter is connected to a PC and a

blood glucose or control test cannot be
w WARNING performed.

• Never make therapy decisions based EITHER remove the USB cable and
on an error message. perform a blood glucose or control test
OR remove the test strip and start a
• If you have any concerns or see any data transfer.
other error message, contact Roche.

NOTE
The error code and Err will alternate on
the display for all coded error
messages (E-1 through E 14).

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 7 Meter Maintenance and Troubleshooting

(The error code and Err will

alternate on the display.)

The meter was unable to pair with a A meter or test strip error has
mobile device. occurred.
Retry the pairing. This error message could appear if the
cap on the test strip container was not
closed tightly. The test strips may have
been damaged due to improper
storage or handling.
Never make therapy decisions
based on an error message.
Repeat the blood glucose test. If a
The batteries are almost out of power. second E-3 error message appears,
perform a control test with the control
Change the batteries now. If the
solution and a new test strip. See the
symbol reappears after the batteries
Performing a Control Test section in the
have been replaced, remove the
chapter Control Tests. If you continue
batteries again, press and hold either
to receive an E-3 error message, use
meter button for at least 2 seconds,
an alternate method for testing your
then reinsert the batteries.
blood glucose, such as a back-up
meter and test strip. If the alternate
(The error code and Err will method gives an extremely high blood
alternate on the display.) glucose result, or if an alternate
method is not available, contact your
healthcare professional
immediately.
In rare cases, an E-3 error message
The test strip may be damaged, not
may indicate that your blood glucose is
properly inserted, or was previously
extremely high and above the system’s
used.
measuring range. See the Unusual
Remove and reinsert the test strip, or Blood Glucose Results section in the
replace it if damaged or previously chapter Blood Glucose Tests for
used. other possible causes of the error
message.

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 7 Meter Maintenance and Troubleshooting

(The error code and Err will (The error code and Err will
alternate on the display.) alternate on the display.)

Not enough blood or control solution The temperature is above or below the
was drawn into the test strip for proper range for the system.
measurement or was applied after the
Refer to the test strip package insert
test had started.
for system operating conditions. Move
Discard the test strip and repeat the to an area with the appropriate
blood glucose or control test. conditions and repeat the blood
glucose or control test. Do not
artificially heat or cool the meter.
(The error code and Err will
alternate on the display.)
(The error code and Err will
alternate on the display.)

Blood or control solution was applied

to the test strip before the flashing
drop symbol appeared on the display. The batteries may be out of power.
Discard the test strip and repeat the Turn the meter back on. If you are in a
blood glucose or control test. cold environment, move to a
location with a more moderate
temperature and retest. If the
(The error code and Err will
alternate on the display.) message continues to appear after
several attempts, replace the batteries.
If the message reappears after the
batteries have been replaced, remove
the batteries, press and hold either
meter button for at least 2 seconds,
An electronic error occurred.
then reinsert the batteries.
Remove the batteries, press and hold
either meter button for at least 2
seconds, and reinsert the batteries.
Perform a blood glucose or control test.

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 7 Meter Maintenance and Troubleshooting

(The error code and Err will (The error code and Err will
alternate on the display.) alternate on the display.)

The time and date setting may be Your blood sample may contain a high
incorrect. level of ascorbate.
A flashing wireless symbol appears Contact your healthcare professional.
while the meter attempts to
synchronize the time and date with the
(The error code and Err will
paired device. When the wireless alternate on the display.)
symbol no longer appears, press the
Up button to turn the meter off. Press
the Up button a second time until the
flashing test strip symbol appears. If
time and date sync was not successful
Fluid or foreign material may be
the meter prompts you to set them the
present in the test strip slot.
next time you turn it on. See the
Setting the Time and Date section in Remove and reinsert the test strip or
the chapter Your New System. repeat the blood glucose or control test
with a new test strip. If the error
persists, contact Roche.
(The error code and Err will
alternate on the display.)
(The error code and Err will
alternate on the display.)

The test strip may be damaged.

Repeat the blood glucose or control
An electronic error has occurred.
test with a new test strip.
Contact Roche.

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 7 Meter Maintenance and Troubleshooting

Blood glucose may be higher than the

measuring range of the system.
See the Unusual Blood Glucose Results
section in the chapter Blood Glucose
Tests.

Blood glucose may be lower than the

measuring range of the system.
See the Unusual Blood Glucose Results
section in the chapter Blood Glucose
Tests.

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 8 Technical Information

Product Limitations
See the literature packaged with the test strips and control solutions for the latest
information on product specifications and limitations.
Specifications
Blood volume Refer to the test strip package insert.
Sample type
Measuring time
Measuring range
Test strip storage conditions
System operating conditions
Meter storage conditions Temperature: -25–70 °C
Memory capacity At least 720 blood glucose results and at least 30
control results with time and date; and 7, 14, 30, and
90-day averages.
Automatic off 90 seconds; or 15 seconds after a test strip is
removed.
Power supply Two 3‑volt lithium batteries (coin cell type CR2032)
Display LCD
Dimensions 77.1 × 48.6 × 15.3 mm (LWH)
Weight Approx. 43 g (with batteries)
Construction Hand-held
Protection class III
Meter type The Accu‑Chek Instant meter is suitable for continuous
operation.
Control solution storage Refer to the control solution package insert.
conditions
USB: micro-B connector; Bluetooth low energy
Interfaces technology; Continua Certified® to a Continua Certified
manager.
Radio frequency connectivity Bluetooth low energy technology operating in the
frequency band of 2402 MHz to 2480 MHz with a
maximum transmitted power of 0 dBm (1 mW).

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 8 Technical Information

Electromagnetic Compatibility – The • To avoid electrostatic discharge, do

meter meets the electromagnetic emission not use the meter in a very dry
requirements as per EN 61326-2-6. Its environment, especially one in which
electromagnetic emission is thus low. synthetic materials are present.
Interference on other electrically-driven
equipment is not anticipated. Discarding the Meter
Performance Analysis – Refer to the test
strip package insert. w WARNING
Test Principle – Refer to the test strip • During blood glucose testing, the
package insert. meter itself may come into contact
with blood. Used meters therefore
Declaration of Conformity – Hereby, carry a risk of infection. Before
Roche declares that the radio equipment discarding the meter, remove the
type Accu-Chek Instant blood glucose battery or batteries. Discard used
meter is in compliance with Directive meters according to the regulations
2014/53/EU. The full text of the EU applicable in your country. Contact
declaration of conformity is available at the local council and authority for
the following internet address: information about correct disposal.
http://declarations.accu-chek.com
• The meter falls outside the scope of
Communication Protocol – The the European Directive 2012/19/EU
Accu-Chek Instant blood glucose meter is (Directive on waste electrical and
Continua Certified. Continua Certified electronic equipment (WEEE)).
signifies that this product complies with
applicable IEEE 11073-10417 standards • Discard used batteries according to
and that it has been tested and certified local environmental regulations.
against the 2017 Continua Design
Guidelines which include the Blood
Glucose specification for Bluetooth,
Bluetooth SIG, Glucose Profile, Version 1.0
and Bluetooth SIG, Glucose Service,
Version 1.0.

Product Safety Information

w WARNING
• Strong electromagnetic fields may
interfere with the proper operation of
the meter. Do not use the meter
close to sources of strong
electromagnetic radiation.

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 8 Technical Information

Explanation of Symbols
These symbols may appear on the packaging, on the type plate, and in the instructions
for the Accu-Chek Instant meter.

Consult instructions for use

B
Biological Risks – used meters carry a risk of infection.
d
Caution, refer to safety‑related notes in the instructions for use
W accompanying this product.
Temperature limit (store at)
2
Use by
E
Manufacturer
M
Catalogue number
R
Batch code
L
In vitro diagnostic medical device
I
Global Trade Item Number
Q
Serial number
q
This product fulfils the requirements of the European Directive
A 98/79/EC on in vitro diagnostic medical devices.
3‑volt coin cell type CR2032
l
Keep new and used batteries away from children.
g
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 8 Technical Information

Additional Supplies AST. If you are considering recommending

AST for your patients, you need to
Test Strips: Accu-Chek Instant test strips
understand that there is a potential for a
Control Solutions: Accu-Chek Instant significant difference between fingertip or
control solutions palm test results and test results obtained
from the forearm or upper arm. The
Information for Healthcare difference in capillary bed concentration
Professionals and blood perfusion throughout the body
can lead to sample site‑to‑site differences
w WARNING in blood glucose results. These
physiological effects vary between
Healthcare Professionals: Follow the individuals and can vary within a single
infection control procedures individual based upon his or her behavior
appropriate for your facility. Refer to and relative physical condition.
the test strip package insert for
additional healthcare professional Our studies involving alternative site
information. testing of adults with diabetes show that
most persons will find their glucose level
changes more quickly in blood from the
Sample Handling fingertip or palm than in blood from the
Always wear gloves when handling forearm or upper arm. This is especially
blood-contaminated items. Always adhere important when blood glucose levels are
to the recognized procedures for handling falling or rising rapidly. If your patient is
objects that are potentially contaminated used to making therapy decisions based
with human material. Follow the hygiene upon fingertip or palm test results, he or
and safety policy of your laboratory or she should consider the delay, or lag time,
institution. Prepare the selected blood affecting the test results obtained with
collection site per facility policy. blood from the forearm or upper arm.

Refer to the test strip package insert for

additional information regarding
acceptable sample types, anticoagulants,
and handling instructions.

Recommending Alternative Site

Testing to Patients
Decisions about whether to recommend
Alternative Site Testing (AST) should take
into account the motivation and
knowledge level of the patient and his or
her ability to understand the
considerations relative to diabetes and

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 9 Guarantee

Guarantee
The statutory provisions on rights in
consumer goods sales in the country of
purchase shall apply.

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 Index

A M
alternative site testing 12, 33 maintenance, meter 23
averages 7, 19 meter, cleaning and disinfecting 24
meter memory 18
B
batteries, changing 23 P
battery type 23, 30 product limitations 30
blood glucose results, unusual 13 product safety information 31
blood glucose test, performing 9 product specifications 30
button, functions 4, 6
S
C supplies 5, 33
control results, out-of-range 17 symbols
control solution 15 IVD 32
control test, performing 15 meter display 7

D T
data transfer target range 11
USB 22 target range indicator 4, 11
wireless 20 technical information 30
test strips 9
E time and date, setting 8
error messages 25
U
G use by date 9, 15
guarantee 34
W
H wireless communication
healthcare professionals 33 auto-sync, time and date 18, 20
high blood glucose 14 flight mode 21
hyperglycemia 14 pairing 20
hypoglycemia 14 transferring data 20
L turning off 21
low blood glucose 14 turning on 21

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 LAST UPDATE: 2020-08

Singapore Philippines
Accu-Chek ExtraCare line: 6272 9200 Accu-Chek Customer Hotline:
www.accu-chek.com.sg Phone: (02) 7718 7575 / (02) 7718 7588 /
+63 917 8978000
Thailand www.accu-chek.com.ph
Customer Service Line: +66 (0) 2791 2222
www.accu-chek.co.th Roche Pakistan Limited
37-B, 1st Floor, Block 6,
India PECHS Karachi - 75400 Pakistan
Accu-Chek Customer Helpline: Contact: 0800-76243
1800 120 6020 (Toll-free) www.accu-chek.com.pk
www.accu-chek.in

Hong Kong
Enquiry hotline: +852-2485 7512 (office hours)
www.accu-chek.com.hk

Roche Diabetes Care GmbH

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

HIDF16000080

ACCU-CHEK and ACCU-CHEK INSTANT are trademarks of Roche.

CONTINUA, the CONTINUA logos and CONTINUA CERTIFIED are trademarks,
service marks, or certification marks of the Continua Health Alliance.
CONTINUA
 is a registered trademark in some, but not all countries in which
this product is distributed.
The Bluetooth® word mark and logos are registered trademarks owned by Bluetooth SIG,
Inc. and any use of such marks by Roche is under license.

All other product names and trademarks are the property of their respective owners.
© 2020 Roche Diabetes Care
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