Roche ACCU-CHEK Inform II User manual

Category
Measuring, testing & control
Type
User manual
Accu-Chek
®
Inform II
BLOOD GLUCOSE MONITORING SYSTEM
Operator’s Manual
2 0 8896283001 (02) 2021-04 EN • Accu-Chek Inform II Operator’s Manual Version 4.2
Revision History
Manual version Revision date Changes
Version 1.0 2008-01 New document
Version 2.0 2009-08 Update, new SW version 02.00
Version 3.0 2010-09 Update, new SW version 03.00
Version 4.0 2012-11 Update, new SW version 03.04 (OTS, OTE), revision
Cleaning/Disinfection section; misc. editorial revisions
Version 4.1 2020-03 Update of complete manual to cover new features of
SW versions 03.05, 03.06 and 03.07. New material
number.
Version 4.2 2021-04 Updated section “Automatic deletion”; added
information about the maintenance reboot.
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Operators Manual
Version 4.2
A
A
CCU-
CCU-C
HEK
HEK
®
Inform II System
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© 2008-2021, Roche Diagnostics. All rights reserved.
The contents of this document, including all graphics, are the property of Roche Diagnostics. No part of this
document may be reproduced or transmitted in any form or by any means, electronic or mechanical, for any
purpose, without the express written permission of Roche Diagnostics. Roche Diagnostics has made every
reasonable effort to ensure that all the information contained in this manual is correct at the time of printing.
However, Roche Diagnostics reserves the right to make any changes necessary without notice as part of
ongoing product development.
Please send questions or comments about this manual to your local Roche representative.
ACCU-CHEK, ACCU-CHEK INFORM, ACCU-CHEK PERFORMA and COBAS are trademarks of Roche.
All other trademarks are the property of their respective owners.
The Wi-Fi CERTIFIED Logo is a certification mark of the Wi-Fi Alliance.
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On the packaging, on the identification plate of the meter, the battery pack, the base unit, or the code key
reader you may encounter the following symbols, shown here with their meaning:
Caution, consult accompanying documents. Refer to safety-related notes in the instructions
for use accompanying this product.
Temperature limitation (Store at)
Manufacturer
Catalog number
In vitro diagnostic medical device
This product fulfills the requirements of the European Directives 98/79/EC on in vitro
diagnostic medical devices and 1999/5/EC on radio and telecommunications terminal
equipment (R&TTE).
This device complies with Part 15 of the FCC Rules and with RSS-210 of Industry Canada.
The compliance mark indicates that the product complies with the applicable standard and
establishes a traceable link between the equipment and the manufacturer, importer or their
agent responsible for compliance and for placing it on the Australian and New Zealand
market.
The system fulfills the Canadian and U.S. safety requirements (UL LISTED, in accordance
with UL 61010-1 and CAN/CSA-C22.2 No. 61010-1)
Power supply connection (Base Unit, Base Unit Light: legacy version)
Power supply connection (Base Unit, Base Unit Light) or
Power supply connection (Base Unit, Base Unit Light)
IVD
7.5V 1.7A
12V 1.25
A
12V 1.50
A
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What is new in publication version 4.2?
This section provides an overview of all major changes
from Operator’s Manual version 4.1 to version 4.2. Dele-
tions or minor corrections are not listed.
SW 03.07
The section “Automatic deletion” has been
updated, see page 157.
Information on the maintenance reboot has been
added, see page 120.
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What is new in publication version 4.2? 6
SW 03.07................................................................................................................................................ 6
1 Introduction 13
1.1 Before you start......................................................................................................................................... 13
Intended use ...................................................................................................................................... 13
Important information regarding use ....................................................................................... 13
If you need help................................................................................................................................ 14
Note on the use of “base unit” in this manual...................................................................... 14
Note on illustrations in this manual .......................................................................................... 14
What can the system do for you? .............................................................................................. 15
Test principle ..................................................................................................................................... 15
1.2 Important safety instructions and additional information......................................................... 16
Important information regarding safety................................................................................... 17
Disposal of the system ................................................................................................................... 19
Product safety.................................................................................................................................... 19
General care....................................................................................................................................... 19
Accessory box ................................................................................................................................... 19
Meter .................................................................................................................................................... 20
Power off meter ................................................................................................................................ 20
Automatic power-off....................................................................................................................... 20
Battery Pack ....................................................................................................................................... 20
Touchscreen....................................................................................................................................... 22
Laser scanner .................................................................................................................................... 23
Electromagnetic compatibility (EMC)....................................................................................... 23
Electrostatic discharge (ESD)...................................................................................................... 24
Wireless connectivity (RF card) .................................................................................................. 24
Radiofrequency radiation exposure information.................................................................. 25
Local Area Network: protection from unauthorized access ............................................ 27
Wired network connection ........................................................................................................... 27
Note on systems with older hardware ..................................................................................... 29
1.3 System components................................................................................................................................ 31
1.4 Overview of the meter ............................................................................................................................ 33
1.5 Overview of the code key reader ....................................................................................................... 34
1.6 Overview of the Accu-Chek Inform II Base Unit .......................................................................... 35
1.7 Overview of the Accu-Chek Inform II Base Unit Hub................................................................. 37
1.8 Overview of the accessory box ........................................................................................................... 38
1.9 Reagents and consumables................................................................................................................. 38
1.10 Instructions for initial setup.................................................................................................................. 39
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2 Powering Up and Entering an Operator ID 41
2.1 Powering up the meter........................................................................................................................... 41
Adjusting the display ...................................................................................................................... 42
Adjusting the display on meters with older hardware ....................................................... 42
Enabling/disabling wireless connectivity (RF card) ............................................................ 43
Closing startup .................................................................................................................................. 44
2.2 Entering the operator ID........................................................................................................................ 44
Entering an operator ID with barcode scanner .................................................................... 45
Entering the operator ID manually............................................................................................. 46
Entering a password ....................................................................................................................... 46
3 Patient Glucose Testing 47
3.1
Information regarding blood glucose testing ................................................................................ 47
Preparing to test ............................................................................................................................... 47
3.2 Performing a patient glucose test...................................................................................................... 49
Overview of test procedure .......................................................................................................... 49
Entering or selecting the patient ID .......................................................................................... 49
Entering the patient ID manually................................................................................................ 51
Selecting the patient ID from a list............................................................................................ 52
Entering a patient ID with barcode scanner .......................................................................... 53
Confirming or selecting the test strip lot................................................................................. 54
Patient identification information............................................................................................... 56
Inserting test strips .......................................................................................................................... 57
Obtaining a blood sample............................................................................................................. 58
Applying a blood sample............................................................................................................... 59
Results screen ................................................................................................................................... 60
Adding comments............................................................................................................................ 63
Additional Patient Test ................................................................................................................... 65
4 Glucose Control Testing 67
4.1
Information regarding glucose control tests.................................................................................. 67
Glucose control testing intervals................................................................................................ 68
Information stored during glucose control testing.............................................................. 69
Control solutions............................................................................................................................... 69
Preparing to run a glucose control test ................................................................................... 69
4.2 Performing glucose control tests ....................................................................................................... 70
Overview of test procedure .......................................................................................................... 70
Starting a glucose control test .................................................................................................... 71
Confirming or selecting the lot number for control solutions ......................................... 72
Confirming or selecting the test strip lot................................................................................. 73
Inserting test strips .......................................................................................................................... 74
Applying the control solution....................................................................................................... 75
Results screen ................................................................................................................................... 76
Performing a STAT test .................................................................................................................. 78
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5 Review Results 79
5.1 Displaying test results from the memory ........................................................................................ 79
Information stored in data records for test results.............................................................. 79
List of results stored in the memory ......................................................................................... 79
6 Storing Test Strip, Control Solution, and Linearity Solution
Information in the Meter 81
6.1
Storing information about test strips................................................................................................ 81
Transferring code key information to the meter .................................................................. 82
Editing test strip data...................................................................................................................... 85
6.2 Storing control solution information ................................................................................................. 88
Entering the lot number of the control solution ................................................................... 88
Selecting a stored lot number as the current lot number ................................................ 91
6.3 Storing linearity test information........................................................................................................ 93
Entering the lot number of the linearity test.......................................................................... 93
Selecting a stored lot number as the current lot number ................................................ 95
7 Linearity Testing 97
7.1
Information regarding linearity tests................................................................................................. 97
Linearity testing intervals .............................................................................................................. 98
Information stored during linearity testing............................................................................. 98
Linearity test kit ................................................................................................................................ 99
Preparing to run a linearity test .................................................................................................. 99
7.2 Performing a linearity test.................................................................................................................. 100
Overview of test procedure ....................................................................................................... 100
Starting a linearity test ................................................................................................................ 100
Confirming or selecting the lot number for linearity test kits....................................... 101
Confirming or selecting the test strip lot.............................................................................. 101
Inserting test strips....................................................................................................................... 102
Applying a linearity test sample .............................................................................................. 103
Results screen ................................................................................................................................ 104
8 Proficiency Testing 105
8.1
Information regarding proficiency tests ....................................................................................... 105
Information stored during proficiency testing.................................................................... 106
Preparing a proficiency test ...................................................................................................... 106
8.2 Performing a proficiency test............................................................................................................ 107
Overview of test procedure ....................................................................................................... 107
Starting a proficiency test.......................................................................................................... 107
Entering the proficiency sample ID........................................................................................ 108
Confirming or selecting the test strip lot.............................................................................. 108
Inserting test strips....................................................................................................................... 109
Applying a proficiency sample................................................................................................. 110
Results screen ................................................................................................................................ 111
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9 Initial Startup 113
9.1 Connecting the base unit .................................................................................................................. 113
9.2 Installing or replacing the battery pack ....................................................................................... 115
Removing the battery pack........................................................................................................ 116
Installing the battery pack ......................................................................................................... 117
9.3 Docking the meter ................................................................................................................................ 120
9.4 Initial setup on the meter ................................................................................................................... 122
Menu overview............................................................................................................................... 123
9.5 Opening the Setup Menu................................................................................................................... 126
9.6 Date and time format........................................................................................................................... 127
9.7 Display options and optional tests.................................................................................................. 128
9.8 Options for test strips .......................................................................................................................... 129
9.9 Options for glucose control tests .................................................................................................... 131
9.10 Value ranges (normal, critical, reportable) .................................................................................. 133
9.11 Options for Operator ID Entry........................................................................................................... 134
9.12 Patient ID options.................................................................................................................................. 135
9.13 Creating a setup password................................................................................................................ 136
9.14 Setting the date and time................................................................................................................... 137
9.15 Beeper options ....................................................................................................................................... 138
10 Maintenance and Care 139
10.1
Conditions for storage and shipping ............................................................................................. 139
General operating conditions ................................................................................................... 139
Shipping............................................................................................................................................ 140
Storage .............................................................................................................................................. 141
10.2 Cleaning/disinfecting the Accu-Chek Inform II system.......................................................... 141
Acceptable cleaning/disinfecting agents............................................................................. 142
Cleaning/disinfecting the meter .............................................................................................. 143
How to clean/disinfect ................................................................................................................ 145
Cleaning the barcode scanner window................................................................................ 146
Cleaning/disinfecting the base unit ....................................................................................... 147
Cleaning/disinfecting the accessory box ............................................................................. 148
Cleaning the code key reader .................................................................................................. 149
Cleaning the Accu-Chek Inform II Base Unit Hub............................................................ 149
10.3 Logging maintenance activities....................................................................................................... 150
10.4 Diagnostics view.................................................................................................................................... 152
10.5 Unlocking a Download Lockout ...................................................................................................... 154
10.6 Deleting patient data ........................................................................................................................... 156
Manual deletion............................................................................................................................. 156
Automatic deletion........................................................................................................................ 157
11 Troubleshooting 159
Errors and unusual behavior without error messages
.................................................... 159
Pop-up messages.......................................................................................................................... 163
Meter reset ...................................................................................................................................... 165
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12 General Product Information 167
12.1 Technical data ....................................................................................................................................... 167
12.2 Further Information .............................................................................................................................. 171
Ordering .......................................................................................................................................... 171
Accu-Chek Inform II Operator’s Manual and Quick Reference Guide..................... 173
Reagents and Solutions.............................................................................................................. 173
Product limitations........................................................................................................................ 173
Warranty ........................................................................................................................................... 173
Information about software licenses...................................................................................... 174
Contact Roche................................................................................................................................ 175
A Appendix 177
A.1
Table of configuration options ......................................................................................................... 177
A.2 Example of barcode symbologies ................................................................................................... 188
B Appendix 191
B.1
Option: Wireless network (WLAN) ................................................................................................. 191
Preliminary note............................................................................................................................. 191
Background..................................................................................................................................... 191
Technical implementation.......................................................................................................... 192
Location and type of RF card ................................................................................................... 193
RF specific functionalities and effective performance claims...................................... 194
C Supplement for Other Test Entry 197
C.1
Before you start...................................................................................................................................... 197
Description ...................................................................................................................................... 197
C.2 Overview of Other Test Entry (OTE) ............................................................................................... 198
Introduction..................................................................................................................................... 198
C.3 Recording Other Patient Tests ......................................................................................................... 201
C.4 Recording Other Control Tests ........................................................................................................ 208
Introduction..................................................................................................................................... 208
Other Control Testing Intervals................................................................................................ 208
Stored Control Information........................................................................................................ 208
Warning messages ....................................................................................................................... 214
C.5 Reviewing Other Test Results........................................................................................................... 215
C.6 Other Test Entry Configuration Options ....................................................................................... 218
D Supplement for Observed Test Sequence 219
Observed Test Sequence (OTS)
............................................................................................... 219
Using the OTS function............................................................................................................... 220
E Appendix for Accu-Chek Inform II Base Unit and Base Unit Light
(legacy versions) 223
E.1
Overview of the base unit with older hardware......................................................................... 223
E.2 Connecting the base unit (legacy version) ................................................................................ 225
E.3 Cleaning/disinfecting the base unit (legacy version).............................................................. 225
E.4 Technical data ....................................................................................................................................... 226
Index 227
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Introduction • 1
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1 Introduction
1.1 Before you start
Intended use The Accu-Chek
®
Inform II system is intended for in vitro
diagnostic use in the quantitative determination of blood
glucose levels in venous, capillary, arterial, and neonatal
whole blood samples for monitoring blood glucose. The
system is indicated for use by healthcare professionals.
For healthcare professionals, the system is a bedside unit
that can help you provide quality patient care by measur-
ing blood glucose and by automating the record keeping
associated with blood glucose and glucose control tests.
Important information regarding
use
Read this operator's manual, as well as the package
inserts for all relevant consumables, before using the
system for the first test.
You must configure the Accu-Chek Inform II system
according to your needs before initial use. You can con-
figure the system either directly on the meter or by using
a suitable data management system. Refer to Chapter 9
“Initial setup on the meter” for on-meter configuration.
Refer to Appendix A for configuration via a data manage-
ment system.
Be sure to read the “Important safety instructions and
additional information” section in this chapter before
operating the system.
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If you need help Information about using the system, the screen menus and
performing a test can be found in this operator's manual.
Error messages that appear on-screen include informa-
tion or instructions on how to correct the error.
For all questions about the Accu-Chek Inform II system
that are not answered in this manual, contact your Roche
representative (see Chapter 12). In order to expedite
troubleshooting, please have ready your Accu-Chek
Inform II meter, its serial number, this manual, and all
related consumables when you call. If you suspect a com-
munication error beyond the meter, also have your
Accu-Chek Inform II Base Unit serial number ready to
help assist our customer care group in troubleshooting.
Note on the use of “base unit” in
this manual
Note on illustrations in this
manual
Unless otherwise specified, the term “base unit” refers
to both the Accu-Chek Inform II Base Unit and the
Accu-Chek Inform II Base Unit Light.
Illustrations in this manual show two different kinds of
hands:
Hand without glove Hand with glove
A dashed arrow between screen illustrations indicates
that some screens have been skipped in these
illustrations.
Introduction • 1
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What can the system do for you? The Accu-Chek Inform II system has the following
features and properties:
Perform patient blood glucose tests and glucose
control tests with control solution.
Automatically record all relevant data for the appli-
cation, which includes:
Time and date of test
IDs for operator, patient, and samples
Information about control solutions, test strips, and
linearity
Test results and comments
Record patient test results, quality control test
results and reagent information for certain off-
meter manual tests.
For purposes of quality assurance, information on
the following areas can be collected, stored, and
transferred:
Meters
Test strips
Glucose control solutions
Linearity solutions
Test results
Test principle An enzyme on the test strip converts the glucose in the
blood sample to gluconolactone. This reaction creates a
harmless DC electrical current that the meter interprets
and converts into a blood glucose result. The sample and
environmental conditions are also evaluated using AC
and DC signals.
For more details, refer to the test strip package insert.
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1.2 Important safety instructions and additional information
This section explains how safety-related messages and
information related to the proper handling of the system
are presented in the Accu-Chek Inform II manual. Please
read these passages carefully.
These symbols and signal words are used for specific
hazards:
The safety alert symbol alone (without a signal word)
promotes awareness to hazards which are generic or
directs the reader to related safety information.
WARNING
Indicates a hazardous situation which, if not avoided,
could result in death or serious injury.
CAUTION
Indicates a hazardous situation which, if not avoided,
could result in minor or moderate injury.
NOTICE
Indicates a hazardous situation which, if not avoided, may
result in damage to the system.
Important information that is not safety relevant is
presented against a colored background (without a
symbol). Here you will find additional information on
correct use of the meter or useful tips.
Introduction • 1
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Important information regarding
safety
Operator qualification
Only trained healthcare professionals may operate the
Accu-Chek Inform II system. Operators must also have
received comprehensive instruction in the operation,
quality control, and care of the Accu-Chek Inform II
system.
WARNING
Protection against infection and blood-borne
pathogens
Healthcare professionals using the Accu-Chek Inform II
system to perform tests must be aware that any object
coming into contact with human blood is a potential
source of infection. Operators need to adhere to Standard
Precautions when handling or using the Accu-Chek
Inform II system. All parts of this system should be
considered potentially infectious and are capable of
transmitting blood-borne pathogens between patients
and between patients and healthcare professionals.
Use gloves. Wear a new pair of clean gloves for test-
ing each patient.
Wash hands thoroughly with soap and water before
putting on a new pair of gloves and performing the
next patient test.
Use an auto-disabling single-use lancing device for
each patient.
Dispose of used lancets in a sturdy sharps container
with lid.
Dispose of used test strips from patient and
proficiency tests according to your institution’s infec-
tion control policy.
Follow all health and safety regulations in force
locally.
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CAUTION
Allergy or injury caused by reagents and other
working solutions
Direct contact with reagents, detergents, cleaning/disin-
fection solutions, or other working solutions may cause
skin irritation or inflammation.
Always use protective gloves.
Observe the cautions given in the package inserts of
the reagents and cleaning/disinfection solutions.
If a reagent, control, linearity, or cleaning/disinfection
solution comes into contact with your skin, wash it off
immediately with water.
Follow all health and safety regulations in force
locally.
WARNING
Avoidance of electrical shock, fire, and explosions
Only use Roche original accessories (cables, power
supply units, battery packs, and spare parts). Third-
party cables, power supply units, and battery packs
can cause the battery pack to explode or the meter to
become damaged.
Do not use loose power sockets or damaged power
supply units, cables, plugs, or battery packs.
Do not short circuit the power supply unit, the base
unit charging contacts, or the battery pack.
Do not drop the Accu-Chek Inform II meter, the power
supply unit, or the battery pack and protect these
against shaking and vibrations.
Introduction • 1
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Disposal of the system
Product safety Observe the following information to ensure product
safety:
The system is suitable for continuous operation.
General care
Accessory box
WARNING
Infection by a potentially biohazardous instrument
The Accu-Chek Inform II system or its components must
be treated as potentially biohazardous waste. Decontam-
ination (i.e., a combination of processes including clean-
ing, disinfection and/or sterilization) is required before
reuse, recycling, or disposal.
Dispose of the system or its components according to the
appropriate local regulations or you may return it to
Roche. For more information, contact your Roche
representative.
NOTICE
The system is not protected against the harmful ingress
of fluids (IP X0 ra
ting according to IEC 60529).
NOTICE
Clean the system only with the solutions recommended.
Using other solutions ma
y result in incorrect operation
and possible failure of the system. Make sure that the
meter and base unit are thoroughly dried after cleaning
and disinfecting.
NOTICE
Carry the accessory box carefully by the handle for easy
transpor
t. Dropping or hitting the box may damage it.
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Meter Dispose of the meter in accordance with applicable laws
and regulations. See “Disposal of the system” on page 19.
Power off meter When you power off the meter by pressing the On/Off
button briefly (less than a second) or the meter
powers off automatically (see below), the screen goes
blank. However, the meter is in standby mode and contin-
ues to draw power from the battery pack to maintain
date/time and run various functions in the background
such as wireless communication.
Automatic power-off
Unless otherwise configured, the system automati-
cally powers off and goes into standby mode to
save power after 5 minutes of inactivity (e.g., no
screen touches, strip insertions).
In measurement mode only: If you are performing a
test (patient, control, proficiency, or linearity), the
meter will power off after 10 minutes of inactivity
(no screen touches), independently of configured
automatic power-off time. If a result is already pres-
ent, the meter will emit three warning beeps every
minute after 5 minutes of inactivity and will save the
result before powering off after 10 minutes of inac-
tivity. The result will be flagged with a standard
comment (“Result not confirmed”) when it is trans-
mitted to the DMS.
Battery Pack The meter contains a rechargeable battery pack that
begins charging as soon as it is placed in an active base
unit (i.e., one connected to a power supply).
NOTICE
Use only the specially designed battery pack provided by
Roche Diagnostics
. Using any other type of battery may
damage the system.
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Roche ACCU-CHEK Inform II User manual

Category
Measuring, testing & control
Type
User manual

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