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User Manual Accu-Chek - Multiclix

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LANCING DEVICE

Instructions for Use

The ACCU‑CHEK Multiclix lancing device uses a lancet to obtain a drop of blood from a

fingertip or other site. It is designed to make obtaining a drop of blood as comfortable as

possible. The lancing device is loaded with a drum containing 6 sterile lancets. For

virtually pain-free testing, we recommend that you advance to a new, sterile lancet after

each test. You can adjust the lancet depth to your individual skin type by dialing 1 of the

11 settings. There are 2 different caps: 1 is for a fingerstick, and the other is for other

sites on the body. Refer to your meter owner’s booklet to determine what other sites are

approved for your meter.

The colored cap is for fingerstick testing only.

The clear cap is for testing from other sites of the body,

not the fingertip.

Note: The ACCU‑CHEK Multiclix cap was not designed to be replaced after each

use. The ACCU‑CHEK Multiclix lancing device is intended for use by a single person

and is not suitable for testing multiple persons due to the risk of infections.

Inserting a Lancet Drum

You must first insert a lancet drum into the lancing device to get it ready for use.

A new drum has a blue ring that does not move.

A used drum has two visible red stripes and the blue ring can

rotate on the white drum. You cannot insert a used drum into the

lancing device.

1

Remove the cap by pulling it

straight off. It is not a twist cap.

The easiest way to do this is to

place your thumb on the cap

grippers to the side of the notch

as seen in the illustration.

2

Before you insert a drum, be sure

that the release button is not

yellow. Insert a new drum, blue

ring first, until it stops. It clicks

into place.

3

Slide the cap back on until it stops

by aligning the notch on the cap

with the notch on the device.

4

You are now ready to use the first

lancet. The lancet counter window

on the plunger shows the number

6, which means you have 6 new

lancets remaining.

Performing a Fingerstick

Use a new lancet for each fingerstick. When you use a new lancet each time, you avoid

infection and get a virtually pain-free test.

1

Make sure the colored cap is on the lancing device.

Do not use the clear cap for

fingerstick testing.

2

Adjust the depth by turning the

comfort dial. The depth indicator

shows the current depth selection.

Higher numbers make the

penetration deeper. If you have

soft skin, start at a depth of 2. If

your skin is calloused or thick, try

a higher setting.

3

Press the plunger in as far as it

will go, like a pen.

4

The release button turns yellow. Do not press the release button while pressing the

plunger.

5

Wash and dry your hands. Warm water helps to increase blood flow. If you use an

alcohol wipe, be sure your finger is completely dry before continuing.

6

Hold the lancing device firmly

against the side of your fingertip.

Remember that the opening where

the lancet comes out is not in the

center of the cap. Note: The side

of your fingertip is less sensitive

than the middle.

7

Press the yellow release button.

8

Gently squeeze your finger to

assist the flow of blood. This helps

you to get a blood drop.

9

Apply the blood drop to your test strip.

0

If you don’t get enough blood, try putting more pressure on your finger with the cap

or switch to a higher setting. If you get too much blood, switch to a lower setting.

Loading the Next Lancet

1

Twist the plunger one quarter turn

forward (until it stops), then twist

it back all the way. The lancet

drum rotates to the next lancet.

2

The number in the lancet counter

window decreases by 1 and now

shows the number 5.

3

Each time you use a lancet and twist the plunger, the number showing in the lancet

counter window decreases by 1. When the number 1 is visible in the lancet counter

window, you have used 5 lancets. The sixth (and final) lancet is loaded and ready to

be used.

Notes:

Only twist the plunger when the lancing device is not primed. You can see if the

lancing device is primed by the color of the release button. A primed device has a

yellow release button. When the lancing device is primed, the drum cannot rotate

and twisting the plunger would damage the device. In rare cases, the lancet could

protrude from the cap and you could injure yourself on it.
Only twist the plunger when at least “2” is displayed in the lancet counter window.

If the number displayed in the lancet counter window is “1,” the last lancet is ready

to be used.

A built-in safety block stops you from twisting the plunger when the lancet counter

window displays “1,” indicating there are no lancets left to load.

Do not twist the plunger forcibly past the safety block. Damage to the lancing device

may occur. This can override the protection against reusing used lancets.
For safety reasons, once you advance to a new lancet, you cannot go back to a

previously used lancet. Therefore, the plunger (and drum) cannot be twisted

backwards. This built-in safety block prevents an infection risk, as used lancets

cannot be reused.

Changing the Lancet Drum

When you have used the sixth and last lancet, you should change the drum.

1

Take the colored cap off the lancing device by pulling it straight off. It is not a twist

cap. The easiest way to do this is to place your thumb to the side of the notch as

seen in the illustration.

2

Hold the drum between your

thumb and index finger and pull it

straight out of the lancing device.

Two red stripes are visible on the

white drum, indicating that the

drum has been used.

3

Used lancet drums should always be disposed in accordance with local regulations.

4

Insert a new drum, blue ring first,

until it stops and clicks into place.

Notes:

Due to safety reasons, a used drum cannot be reinserted into the lancing device.

A built-in safety block prevents this. This rules out a potential infection risk.
In rare instances, if a used drum is dropped on a hard surface, the lancets may

protrude slightly from the drum. If you drop a drum, always pick it up at the red-

striped end.

Getting Blood from a Site Other Than Your Fingertip

Capillary blood for blood sugar testing can be obtained not only from the fingertips but

also from other sites (the palm, the forearm, the upper arm, the calf or the thigh), which

is referred to as alternative site testing (AST). We recommend palm as the nonfingertip

test site.
Use the clear ACCU-CHEK Multiclix AST cap together with the ACCU-CHEK Multiclix

lancing device to collect blood from nonfingertip test sites.
Your ACCU-CHEK blood glucose monitoring system is designed to test blood glucose also

from sites other than your fingertip. Please refer to your test strip insert or your meter

owner’s booklet for specific blood glucose and AST testing instructions.
IMPORTANT – There is a delay (lag time) in the delivery of blood glucose to nonfingertip

sites when compared to fingertip. Therefore, there is a potential for a significant

difference between fingertip and AST results. The length of delay (lag time) is strongly

impacted by lifestyle, foods eaten or any other event having impact on blood glucose

levels. It is important that people considering nonfingertip testing understand the

following:

Talk to your doctor if you are considering testing on sites other than your fingertip.

AST is not recommended during periods of rapid decreases or increases in blood

glucose levels.
AST is not recommended for people with a history of recurrent hypoglycemia, who

suspect their blood glucose is extremely low, or who are unaware of hypoglycemic

events.
Never ignore symptoms of high or low blood sugar.

Do not change your treatment based on one result.

If the AST reading does not match how you feel, perform a fingertip test to confirm

your results. If your blood glucose still does not reflect the way you feel, contact

your doctor. For more information on AST please contact the ACCU-CHEK Customer

Care Service Center at 1-800-858-8072.

Do not test blood from the alternative sites:

U

p to 2 hours following a meal, when blood glucose values can change quickly

A

fter exercise

I

f you have a temperature or if a medical condition is limiting your mobility, e.g. after

breaking a leg or being confined to bed
If you suspect that your blood glucose is extremely low (hypoglycemia)

D

uring peak action time of short-acting insulin (up to approximately 4 hours after

the injection) or rapid-acting insulin analogues (up to approximately 2 hours after

the injection)

1

Remove the colored cap from the lancing device by pulling it straight off.

2

Put the clear cap on by lining up the notched sections on the cap and the lancing

device.

3

Adjust the depth setting dial to the highest setting (5.5).

4

Press the plunger in as far as it will go, like a pen.

5

The release button turns yellow. Do not press the release button while pressing the

plunger.

6

Wash the nonfingertip site with warm water and dry it thoroughly.

7

Press and hold the lancing device

FIRMLY against the fleshy area on the chosen

AST site. Press the lancing device up and down in a slow, pumping motion to assist

the flow of blood.

8

Keep steady pressure on the area and press the yellow release button. Don’t be

afraid to apply pressure to the area with the lancing device or with the clear AST

cap alone to assist the flow of blood. Continue to press the lancing device or the

clear cap against the site for a few seconds to allow blood to come to the surface.

9

Perform a blood sugar test with your meter as instructed in your meter owner’s

booklet.

Don’t be afraid to apply strong pressure to the area with the lancing device or with the

clear AST cap alone to get a good blood drop.

Having Trouble Testing from Sites Other Than Your Fingertip?

If you experience difficulty obtaining a sufficient drop of blood while testing from a site

other your fingertip, please contact our ACCU-CHEK Customer Care Service Center at

1-800-858-8072 for assistance. We will guide you through the testing procedure step by

step. If you continue to have difficulty, we can also offer you, free of charge, our

ACCU-CHEK Softclix lancing device. Due to the ACCU-CHEK Softclix lancing device using

a thicker diameter needle than the ACCU-CHEK Multiclix lancing device, you may have

better success with the ACCU-CHEK Softclix lancing device when trying to test from sites

other than your fingertip.

Caring for Your Lancing Device

Your lancing device requires very little care.

Keep it away from extreme temperatures.

Clean the outside of your lancing device regularly and always if any blood gets on it

with 70% isopropyl (rubbing) alcohol to keep it in good working condition. In

addition, thoroughly wipe the inside of the cap using a cotton ball lightly moistened

with the 70% isopropyl (rubbing) alcohol. After cleaning, allow the lancing device

time to dry thoroughly. Never dip the lancing device or the caps (colored cap and

clear AST cap) in cleaning liquid. Doing so may damage the internal parts of the

lancing device so affecting its operation.
Do not dip the lancing device in liquid.

Do not use bleach to clean the lancing device or caps.

Assistance Available

If you need assistance, please contact the ACCU-CHEK Customer Care Service Center

toll-free, 24 hours a day, 7 days a week. We offer assistance in Spanish and many other

languages.
1-800-858-8072 phone
1-800-858-8074 TDD/TYY (for hearing impaired)

One (1) Year Warranty

Roche warrants the ACCU-CHEK Multiclix lancing device against defects in materials and

workmanship for a period of one (1) year from the date of purchase. The liability of

Roche under this warranty is limited to the repair or replacement, at Roche’s option, of

all parts or materials proven to be defective. This warranty does not cover repair or

replacement of ACCU-CHEK Multiclix lancing devices which have been subjected to

alteration, misuse, tampering, or abuse.
THE FOREGOING WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, WHETHER EXPRESS,

IMPLIED, OR STATUTORY. ROCHE DISCLAIMS ANY AND ALL IMPLIED WARRANTIES,

INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A

PARTICULAR PURPOSE.
Roche’s entire liability with respect to the ACCU-CHEK Multiclix lancing device shall be

the repair or replacement of nonconforming devices, at Roche’s option. In no case shall

Roche be liable for incidental, indirect, special, or consequential damages. This warranty

gives you specific legal rights, and you may have other rights which vary from state to

state so the above limitation and exclusion may not apply to you. All inquiries about the

ACCU-CHEK Multiclix lancing device under the above warranty or service policy must be

directed to ACCU‑CHEK Customer Care Service Center by calling 1-800-858-8072. You

will be informed of the procedure necessary for replacement. Please DO NOT return any

device to Roche without authorization.
IMPORTANT – Read carefully before use. Caution: A restricted license limits use of the

ACCU-CHEK Multiclix lancing device in the United States. The ACCU-CHEK Multiclix

lancing device and its use are protected by U.S. Patent Nos. Re.35,803; 6,419,661;

7,077,828; 7,223,276; 7,322,998. A license to use the ACCU-CHEK Multiclix lancing

device is only granted when ACCU-CHEK Multiclix lancets are used with the ACCU-CHEK

Multiclix lancing device.
ACCU‑CHEK Multiclix lancets are high precision components that are produced to the

close tolerances required for satisfactory operation with the ACCU-CHEK Multiclix lancing

device. Use of other lancets with the ACCU-CHEK Multiclix lancing device may prevent or

impair proper function of the ACCU-CHEK Multiclix lancing device.
Using the ACCU‑CHEK Multiclix lancing device indicates your acceptance of the restricted

license to use the ACCU-CHEK Multiclix lancing device only with ACCU-CHEK Multiclix

lancets. Further, if you have purchased an ACCU-CHEK Multiclix lancing device that

includes this restricted license, then this restricted license applies regardless of any

additional offers found in ACCU-CHEK Multiclix lancing device packages. If you do not

agree to the terms and conditions of the restricted license, you may return, at the place

of purchase, the unused ACCU-CHEK Multiclix lancing device for a full refund. If you have

any questions, please call the ACCU‑CHEK Customer Care Service Center at

1-800-858-8072.
Except where prohibited by statute, all warranties covering the ACCU-CHEK

Multiclix lancing device are voided by use of the ACCU-CHEK Multiclix lancing device with

any lancets other than ACCU-CHEK Multiclix lancets.
Visit our Web site at www.accu-chek.com.
This product is protected by the following US Patents: 6,419,661; 7,077,828;

7,223,276; 7,322,998; Re. 35,803.

This product fulfils the requirements of Directive 93/42/EEC on medical devices.

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

M

Roche Diagnostics GmbH

Sandhofer Strasse 116

68305 Mannheim

www.accu-chek.com

Manufactured in Germany for:

Roche

9115 Hague Road, Indianapolis, IN 46256, USA

©2010 Roche.

Cap

Pin‑hole
opening

Used lancet drum

with red stripe

Comfort dial for

depth selection

Release button

New lancet

drum

Depth

indicator

Lancet counter window

showing number of

available lancets

Plunger for

priming and loading

next lancet

00000919 – 4 All-inhouse – 525x297 mm; 5-spaltig (breite) x 8-spaltig (höhe)

DE 05509068001(02) US 05509068002

V1/R1 (black) – 2010-06

0919 – 4all 3773 – (2010) Frau Heiland

pi_05509068001_02_En-US_525x297.indd 1

18.08.2010 10:23:13

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Summary of Contents

  • p. 1/2
    LANCING DEVICE Instructions for Use The ACCU‑CHEK Multiclix lancing device uses a lancet to obtain a drop of blood from a fingertip or other site. It is designed to make obtaining a drop of blood as comfortable as possible. The lancing device is loaded with
  • p. 2/2
    DE 05509068001(02) US 05509068002 R1 (black) pi_05509068001_02_En-US_525x297.indd 2 18.08.2010 10:23:13