Roche CoaguChek INRange Mode d'emploi

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CoaguChek
®
INRange
User’s Manual
Manuel d’utilisation
2
© 2016-2018 Roche Diagnostics GmbH
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.
COAGUCHEK and SOFTCLIX 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 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. Other trademarks and product names are the property
of their respective owners.
Revision History
Version Date Content
1.0 2016-03 New document
2.0 2018-03 Update, new Firmware version 01.04.xx; added information on
encryption key, updated target range setting section, updated sec-
tion about recommended cleaning/disinfection agents, minor edito-
rial revisions
CoaguChek INRange User’s Manual
3
What is new in publication version 2.0?
SW01.04.xx ...................................................................................................................................................................... 9
Handling changes ........................................................................................................................................................9
Editorial revisions ......................................................................................................................................................... 9
Introduction
Before you start ...........................................................................................................................................................................11
Intended use ................................................................................................................................................................11
PT time ............................................................................................................................................................................12
Self-testing ....................................................................................................................................................................12
The CoaguChek INRange System ........................................................................................................................................14
Test principle ................................................................................................................................................................16
Operating conditions .................................................................................................................................................18
Quality control .............................................................................................................................................................19
Important safety instructions and additional information ...........................................................................................20
The CoaguChek INRange Meter ..........................................................................................................................................22
Overview of the meter elements ...........................................................................................................................22
Batteries .........................................................................................................................................................................24
Starting Up
Inserting the batteries ...............................................................................................................................................28
Initially setting up the meter ...................................................................................................................................31
Code chip ......................................................................................................................................................................................36
Inserting the code chip ............................................................................................................................................37
4
CoaguChek INRange User’s Manual
4
Testing a Capillary Blood Sample
Important notes ...........................................................................................................................................................40
Getting a good capillary blood sample ..............................................................................................................42
Preparing to test .........................................................................................................................................................43
Performing a test ........................................................................................................................................................44
Notes concerning the results display .................................................................................................................55
Reviewing and Handling Data
Reviewing test results ...............................................................................................................................................................58
Displaying reports on the meter ...........................................................................................................................................60
Displaying a Trend report ........................................................................................................................................61
Displaying a Target report ......................................................................................................................................64
Transferring data ........................................................................................................................................................................66
Data transfer via USB ...............................................................................................................................................67
Data transfer via Bluetooth .....................................................................................................................................69
Displaying reports on a computer ........................................................................................................................................71
Security settings in the Internet browser ..........................................................................................................73
Virus scanner ...............................................................................................................................................................73
Reports overview ........................................................................................................................................................74
Time period ...................................................................................................................................................................75
Trend graph ..................................................................................................................................................................75
Target range display ..................................................................................................................................................76
Target graph .................................................................................................................................................................76
List of results ................................................................................................................................................................77
Printing reports ............................................................................................................................................................78
Using data in external applications .....................................................................................................................79
CoaguChek INRange User’s Manual
5
Reminders and Meter Settings
Setting up reminders .................................................................................................................................................................81
New reminder ..............................................................................................................................................................82
Editing or deleting a reminder ...............................................................................................................................86
Meter settings ..............................................................................................................................................................................87
Settings overview ........................................................................................................................................................88
Language .......................................................................................................................................................................90
Time & Date ..................................................................................................................................................................91
Units ................................................................................................................................................................................93
Result Format ...............................................................................................................................................................94
Set Targets ....................................................................................................................................................................95
Beeper Volume ............................................................................................................................................................98
Display Brightness .....................................................................................................................................................99
Button Click ............................................................................................................................................................... 100
Data Transfer ............................................................................................................................................................ 101
Cleaning and Disinfecting the Meter and the Lancing Device
Overview ..................................................................................................................................................................... 103
What is the difference between cleaning and disinfecting? ................................................................... 104
When to clean and disinfect the meter and the lancing device ............................................................ 104
Recommended cleaning/disinfection agents ............................................................................................... 105
Cleaning the meter housing ................................................................................................................................ 106
Cleaning the test strip guide ............................................................................................................................... 107
Cleaning and Disinfecting the Lancing Device .......................................................................................................... 110
When to clean and disinfect the lancing device ......................................................................................... 110
What to clean and to disinfect ........................................................................................................................... 111
How to clean and disinfect the lancing device ............................................................................................ 111
6
CoaguChek INRange User’s Manual
6
Other Functions and Troubleshooting
Other functions ......................................................................................................................................................................... 113
About (manufacturing information and data encryption key) ............................................................... 114
Clear Memory ........................................................................................................................................................... 115
Meter Log ................................................................................................................................................................... 117
Display Test ............................................................................................................................................................... 118
Firmware Update ..................................................................................................................................................... 119
Troubleshooting ....................................................................................................................................................................... 121
Errors and unusual behavior without error messages .............................................................................. 122
Symbols, Icons, Messages
Symbols on packaging and meter .................................................................................................................................... 123
Icons on the display ................................................................................................................................................................ 125
Messages .................................................................................................................................................................................... 127
Reminders .................................................................................................................................................................. 128
Information ................................................................................................................................................................. 130
Maintenance ............................................................................................................................................................. 131
Warnings ..................................................................................................................................................................... 132
Error messages ......................................................................................................................................................... 133
CoaguChek INRange User’s Manual
7
General Product Information
Ordering ...................................................................................................................................................................... 135
Product limitations .................................................................................................................................................. 135
Operating conditions and technical data ....................................................................................................... 136
Sample material ....................................................................................................................................................... 137
Storage and transport conditions ...................................................................................................................... 137
Disposal of the CoaguChek INRange meter ................................................................................................. 138
For healthcare professionals ............................................................................................................................... 139
Disposal of used batteries .................................................................................................................................... 139
Repairs ......................................................................................................................................................................... 139
Information service ................................................................................................................................................. 140
Product Safety Information .................................................................................................................................................. 141
Bluetooth Wireless Technology .......................................................................................................................... 141
Radio Frequency Communication ..................................................................................................................... 142
Electromagnetic Compatibility ............................................................................................................................ 143
Index
8
CoaguChek INRange User’s Manual
8
This page intentionally left blank.
What is new in publication version 2.0?
CoaguChek INRange User’s Manual
9
What is new in publication version 2.0?
This section provides an overview of all major
changes from User’s Manual version 1 to version
2. Deletions or minor corrections are not listed.
SW01.04.xx Updated information on target range setup.
See page 95.
Updated information on encoded 2D encryp-
tion key
. See page 114.
Added 365 days scaling in the embedded
repor
ts screen.
10
CoaguChek INRange User’s Manual
What is new in publication version 2.0?
10
Handling changes Updated information about allowed time
without batteries. See page 25 and 28.
Changed description of blood application to
the test strip. See page
49.
Updated information about recommended
cleaning and disinfection agents
. See
page 105.
Editorial revisions Updated image of test strip container.
Minor editorial revisions.
Introduction
CoaguChek INRange User’s Manual
11
Introduction
Before you start
Intended use The CoaguChek
®
INRange system, consisting of
the CoaguChek INRange meter and the
CoaguChek XS
®
PT Test PST test strip, is
intended for the determination of prothrombin
time (PT) in fresh capillary blood. It is intended
for use by properly selected and appropriately
trained patients and their respective caregivers.
The prothrombin time (PT) test is a general
coagulation test to monitor Vitamin K Antagonist
therapy.
The CoaguChek INRange system is intended for
single patient self-testing only. It is not intended
for use in a professional setting.
12
CoaguChek INRange User’s Manual
Introduction
12
PT time A PT test is often called an INR test. The Inter-
national Normalized Ratio (INR) is a way of
standardizing the results of prothrombin time
tests because there are different test methods.
INR enables you and your doctor to understand
your coagulation results even when they come
from different labs using different test methods.
Prothrombin time can also be expressed as
%Quick or in seconds.
Self-testing If you self-test, you can adjust your medication
dose yourself. However, you need to discuss your
therapy model with your healthcare professional
first. Self-testing is not a substitute for regular
visits to your doctor.
Depending on the training you have received
and the instructions from your healthcare pro-
fessional, you might communicate your results to
a healthcare professional or clinic to receive the
appropriate dose adjustment. Or you may be
able to adjust your medication independently
according to a pre-determined dose-INR
schedule developed for you by your doctor.
Introduction
CoaguChek INRange User’s Manual
13
Your pharmacist/specialist supplier can provide
you the training and/or put you in touch with
associations or institutions offering training in
coagulation self-monitoring. Please read the
special notes on INR self-monitoring in the
package insert accompanying the test strips.
Self-monitoring and self-adjustment of oral
anticoagulation therapy using coagulation
values determined with the CoaguChek
INRange system may only be undertaken after
consultation with your doctor and comprehen-
sive instruction by a qualified healthcare
professional.
This manual contains all the information you
need to operate and care for the CoaguChek
INRange System. Please read this entire
manual carefully before you use the meter.
14
CoaguChek INRange User’s Manual
Introduction
14
The CoaguChek INRange System
The CoaguChek INRange System makes
coagulation testing easy. The graphical user
interface of the CoaguChek INRange meter
guides you through the test step by step. The
code chip accompanying the test strips contains
strip lot-specific information and the expiry date
for the test strips. You only need to insert the
code chip, turn the meter on, insert the test strip,
and apply a blood sample. The CoaguChek
INRange meter measures your coagulation time
and displays the result. After the test is com-
pleted, the meter automatically saves the result
to memory.
Introduction
CoaguChek INRange User’s Manual
15
If you have any questions about the CoaguChek
INRange meter, please contact your local cus-
tomer support and service center. You will find
contact details on page 140.
Please note: Before you use the meter for the
first time (i.e. after you have first inserted the
batteries), you must set the date and time cor-
rectly to allow you to carry out measurements
properly. Each time you replace the batteries,
you need to check (and, if necessary, adjust)
the date and time.
Note on screenshots:
The test results and software and hardware
information shown in the screenshots in this
manual are for illustration purposes only. The
information displayed on your meter may differ.
16
CoaguChek INRange User’s Manual
Introduction
16
Test principle The CoaguChek XS PT Test PST test strip con-
tains a lyophilized reagent (reagent in dried
form). The reactive components of this reagent
consist of thromboplastin and a peptide sub-
strate. When a sample is applied, thromboplastin
activates coagulation, which leads to the forma-
tion of thrombin. At the same time, the meter
starts to measure the time. The enzyme thrombin
cleaves the peptide substrate, generating an
electrochemical signal. Depending on the time
elapsed when it first appears, this signal is then
converted by means of an algorithm into cus-
tomary coagulation units (INR, %Quick, seconds)
and the result is displayed.
Introduction
CoaguChek INRange User’s Manual
17
Contents of the pack
CoaguChek INRange meter
4 alkaline batteries, 1.5 V, type AAA (LR03)
1
USB cable
CoaguChek XS Softclix lancing device with
instructions for use
CoaguChek Softclix Lancet
System carry case (not shown here)
User’s Manual (this document)
Quick Reference Guide (not shown here)
1 Also available as “alkaline-manganese dioxide batteries”
18
CoaguChek INRange User’s Manual
Introduction
18
Operating conditions To ensure that your CoaguChek INRange System
functions properly, please observe the following
guidelines:
Only use the meter at a temperature between
15 °C and 32 °C
.
Only use the meter at a relative humidity
betw
een 10% and 85%.
When testing, place the meter on a level,
vibra
tion-free surface or hold it so that it is
roughly horizontal.
If the meter is to remain unused for a longer
period of time, keep it in the carr
y-case
supplied.
Use the meter only up to a maximum altitude
of 4000 meters
.
Electromagnetic interference
Strong electromagnetic fields may interfere with
the proper operation of the meter. Do not use the
meter near strong electromagnetic fields.
Introduction
CoaguChek INRange User’s Manual
19
Quality control The CoaguChek INRange System has a number
of inbuilt quality control functions such as:
A check of the electronic components and func-
tions every time the meter is turned on.
A check of the test strip temperature while a test
is in progress.
A check of the expiry date and lot information on
the test strip.
A quality control function is incorporated into the
test strip. Quality control tests and system
checks using control test solutions (that you may
be familiar with from other systems) are no
longer required.
20
CoaguChek INRange User’s Manual
Introduction
20
Important safety instructions and additional information
This section explains how safety-related mes-
sages and information related to the proper
handling of the system are presented in the
CoaguChek INRange User’s Manual. Read these
passages carefully.
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.
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Roche CoaguChek INRange Mode d'emploi

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