INSULIN PUMP User Guide
The Accu-Chek Spirit – At a Glance Display Menu key Up key Down key Check key Infusion set Adapter Cartridge This user’s guide is valid for version 2.XX of the Accu-Chek Spirit.
Dear Accu-Chek Spirit insulin pump user, Congratulations on your new Accu-Chek Spirit insulin pump. You and your Accu-Chek Spirit insulin pump are unique.
Your contact for assistance with and/or additional information about your Accu-Chek Spirit insulin pump: United Kingdom: Roche Diagnostics Ltd. Charles Avenue Burgess Hill West Sussex, RH15 9 RY United Kingdom Phone +44 1444 256 000 lewes.insulinpumps@roche.com www.accu-chek.co.uk Australia: Roche Diagnostics Australia Pty. Ltd. 31 Victoria Avenue Castle Hill, NSW 2154 Australia Phone +61 (0) 2 98602100 (Pump Hotline) 1800 802 409 (Orders) Fax 1800 066 598 (Orders) sydney.accu-chekextra@roche.com www.
Content 1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 1.1 Who this user guide is written for. . . . . . . . . . . . . . . . . . . . . . 9 1.2 How to use this user guide. . . . . . . . . . . . . . . . . . . . . . . . . . . 10 1.3 Working safely with your Accu-Chek Spirit insulin pump . . 10 1.4 Intended use of your Accu-Chek Spirit insulin pump. . . . . . 11 2 Before you begin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Content 5 Prepare the pump for use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 5.1 Insert and change the battery. . . . . . . . . . . . . . . . . . . . . . . . 45 5.2 Start-Up procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 5.2.1 Prepare the cartridge. . . . . . . . . . . . . . . . . . . . . . . . . . . 52 5.2.2 Fill the cartridge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 5.3 Insert the cartridge, adapter and infusion set. . . . . . .
Content 7.6 Temporary basal rate (TBR). . . . . . . . . . . . . . . . . . . . . . . . . 102 7.6.1 Program a temporary basal rate. . . . . . . . . . . . . . . . . . 103 7.6.2 Cancel a temporary basal rate . . . . . . . . . . . . . . . . . . . 105 7.7 Setup menu standard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 7.7.1 KeyLock function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107 7.7.2 Adjust the beep volume . . . . . . . . . . . . . . . . . . . . . . . . 109 7.7.
Content 9 Data transfer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 10 Alerts and errors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 10.1 Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 10.1.1 Alert A1: CARTRIDGE LOW. . . . . . . . . . . . . . . . . . . . . 147 10.1.2 Alert A2: BATTERY LOW. . . . . . . . . . . . . . . . . . . . . . . 148 10.1.3 Alert A3: REVIEW TIME AND DATE . . . . . . . .
Content 13 14 15 16 17 18 19 12.3 Your insulin pump and water. . . . . . . . . . . . . . . . . . . . . . . 172 12.3.1 Daily situations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172 12.3.2 Accidental contact with water. . . . . . . . . . . . . . . . . . 173 12.3.3 What to do after water contact. . . . . . . . . . . . . . . . . 173 12.3.4 Other liquids. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 On the go with your Accu-Chek Spirit insulin pump . . . . . . . . .
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Introduction 1 Introduction 1.1 Who this user guide is written for You are a highly motivated diabeties patient who is willing to work with your doctor and/or healthcare team on insulin therapy.
Introduction We also recommend that you have someone around you (e.g. family, friends) who understands diabetes and pump therapy with your Accu-Chek Spirit insulin pump to help you in case of an emergency. Should you have any questions, we urge you to contact your local Customer Care Area, your doctor or healthcare team. In this way you can be assured of a trouble-free experience with the Accu-Chek Spirit insulin pump. 1.
Introduction See the sections 10 “Alerts and errors” and 15 “Technical data” for further information on how to address these issues. Note Your insulin pump is a valuable medical device. We strongly encourage you to add your insulin pump to your homeowner’s insurance policy to protect you in case of accidental damage or loss. Ask your insurance agent for details. 1.
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Before you begin 2 Before you begin 2.1 Warnings and cautions for proper use and your safety To ensure that there is no risk to you or your health, you should be aware of the following warnings regarding set-up, hygiene and secure use prior to using your Accu-Chek Spirit insulin pump. Please read through these warnings and cautions before starting. Warnings, cautions and other important safety information can be found in this section and are clearly visable throughout the user guide. 2.1.
Before you begin determine the timing as well as the amount and type of bolus you need to deliver. Make sure you know your personal carbohydrate insulin ratio and your correction bolus ratio. ➨ When your insulin pump is in STOP, it does not deliver any insulin. Put your insulin pump into RUN to continue the insulin delivery. ➨ After inserting a new battery, always ensure that the time and date of your insulin pump are set correctly.
Before you begin 2.1.2 Warnings and cautions regarding hygiene ➨ Your insulin pump was designed to use an Accu-Chek 3.15 ml plastic cartridge. The cartridge is a sterile product intended for single use only. Sterility is guaranteed for unopened packaging up to the indicated expiration date. Do not use sterile products if the package is damaged. ➨ Do not reuse single use materials.
Before you begin ➨ Always have extra sterile products and accessories with you. This allows you to exchange components when needed. Materials designed for single use (such as cartridges and infusion sets) may not be reused due to the increased risk of infections, malfunctions and/or incorrect insulin delivery. ➨ Always remove the cartridge and adapter and place your insulin pump in STOP while cleaning.
Before you begin ➨ Check the amount of insulin remaining in the cartridge at least once a day. Before going to bed, make sure that the cartridge contains enough insulin to last through the night. ➨ Contact your doctor or healthcare team for an alternate therapy plan when you interrupt the insulin pump therapy for a longer period of time. ➨ The bolus increment that can be programmed into your insulin pump determines the “Quick” Standard bolus amount using the a and s keys of your insulin pump.
Before you begin 2.1.4 Warnings and cautions for secure use ➨ The interruption of insulin delivery (e.g. due to a leak, occlusion or loss of insulin potency) or the malfunction of your insulin pump can result in a rapid rise of your blood glucose level. Although your insulin pump has an internal security check system, it cannot alert you if your infusion set is leaking or if the insulin you are using has lost its potency. ➨ Do not use any adapter from another insulin pump (e.g.
Before you begin ➨ Cold insulin may release air when warmed. Use only insulin at room temperature when filling the cartridge and priming the infusion set. Inspect the cartridge and the infusion set for air bubbles at least every three hours during the day and before you go to sleep. Remove any air bubbles and, if necessary, change system components.
Before you begin ➨ If the piston rod does not return completely to its base after the cartridge has been removed, immediately contact your local Customer Care Area for support. ➨ After the occurrence of an error, your insulin pump will be in STOP and the insulin delivery is interrupted. In order to maintain insulin delivery, you must act immediately according to the instructions given for each error code. Put your insulin pump into RUN to continue the insulin delivery.
Before you begin ➨ Your insulin pump is designed to work in normal barometric conditions from 70 to 106 kPa (700 to 1060 mbar). Do not exceed 3000 meters (10000 feet) above sea level. It has not been tested for use in hazardous areas of any classification. Always stop and remove your insulin pump prior to entering these areas. ➨ Your insulin pump has not been tested with other electronic medical devices.
Before you begin ➨ Change the battery in a dry environment. Tighten or loosen the battery cover with the Accu-Chek Spirit battery key (sharp objects could damage the insulin pump). Do not over-tighten. Over-tightening may cause damage to the battery cover and to the insulin pump casing. The battery cover is correctly inserted and tightened when the battery cover is even with the insulin pump casing. ➨ Do not use the insulin pump if the battery cover is not correctly inserted. See the section 5.
Before you begin ➨ If you cannot feel the vibration alert, your insulin pump needs to be returned since you may not be notified of any changes of your insulin pump in a suitable amount of time. Contact your local Customer Care Area. ➨ If you discover incomplete characters, numbers or symbols on the display, your insulin pump needs to be returned since you may not be notified of any changes of your insulin pump in a suitable amount of time. Contact your local Customer Care Area.
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The Accu-Chek Spirit insulin pump 3 The Accu-Chek Spirit insulin pump Caution Check your insulin pump and its sterile products and accessories for chips and cracks at least once per day, especially if they have been dropped. Do not use them if chipped or cracked. In the presence of chips and cracks, water, dust, insulin, or other foreign substances may enter your insulin pump and lead to malfunction. 3.
The Accu-Chek Spirit insulin pump 3.2 Backlight The backlight helps you use your insulin pump or read the information in poorly lighted areas. You can turn on the backlight from the RUN screen, from the STOP screen or when browsing the menus, by pressing a. The backlight turns on automatically when an alert or error message appears. The backlight turns off automatically after 20 seconds h if no further keys are pressed. Note In areas of poor lighting, turn the backlight on before you start programming.
The Accu-Chek Spirit insulin pump The use of your insulin pump requires the use of four keys and three key combinations.
The Accu-Chek Spirit insulin pump A plus symbol (+) connecting 2 key functions means that both keys must be pressed simultaneously: Key Combination Name Function d+a Menu and Up Exit a menu or function and information screens. Loop backward in the menu structure. d+s Menu and Down Unlock the KeyLock (press and hold simultaneously until you hear three beeps in RUN or one beep when in STOP). a+s Up and Down Copy an hourly basal rate to the next hour(s).
The Accu-Chek Spirit insulin pump Symbol Timeout g For your safety and convenience during programming, your insulin pump automatically returns to the RUN or STOP screen if no key is pressed within 20 seconds h. For your safety, the changes you made before your insulin pump “times out” will not be saved. Within this user guide the symbol g represents the timeout feature. 3.
The Accu-Chek Spirit insulin pump 3.5 Scrolling In order to enter larger or smaller values, the a or s key must normally be pressed many times with small increments per press. However, in most menus, you can hold the a or s key (scrolling) until the desired number is displayed. This value can be corrected by a single press of s or a if needed. If activated, your insulin pump will beep once when you start scrolling.
The Accu-Chek Spirit insulin pump 3.6 STATUS screen Beeps, vibrations and messages on the display inform you of the status of your insulin pump. Your insulin pump beeps when a key is pressed, regardless of how the alarm signals are set. You can turn off either the beeps or the vibrations as alarm signals, but not both at the same time. The beep volume can be adjusted to different levels. See the sections 7.7.2 “Adjust the beep volume”, 7.7.3 “Alarm signals” and 16.
The Accu-Chek Spirit insulin pump 3.8 RUN and STOP modes During normal use, your insulin pump is in RUN and insulin is delivered (basal rate) at the rate you have programmed. The RUN screen is considered the “home” screen and will be displayed whenever the pump is in RUN. After any programming or review of information, the insulin pump will return to the RUN screen. On this screen, you will see the current time, the current basal rate profile and the current hourly basal rate in units per hour.
The Accu-Chek Spirit insulin pump time date KeyLock unlocked pump timer cartridge low battery low 3.9 STOP-Warning The STOP-Warning is turned on each time your pump is changed from RUN into STOP or when a battery is inserted. This reminder is to inform you that insulin delivery is currently interrupted. If the STOP-Warning is turned on, it occurs every minute with a long beep and a vibration. Turning off the STOP-Warning stops this warning function.
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Accessories, disposables and software 4 Accessories, disposables and software Accu-Chek sterile products, accessories and software complete your Accu-Chek Spirit insulin pump system. They are specially designed for safe and convenient insulin pump therapy. Caution Only use sterile products and accessories that are designed for use with your insulin pump. The proper functionality of your insulin pump can only be guaranteed in conjunction with Accu-Chek sterile products and Accu-Chek Spirit accessories.
Accessories, disposables and software Caution Always have extra sterile products and accessories with you. This allows you to exchange components when needed. Materials designed for single use (such as cartridges and infusion sets) should not be reused due to the increased risk of infections, malfunctions and/or incorrect insulin delivery. Consult our sterile products brochures and accessories catalogue or your local Customer Care Area for more information.
Accessories, disposables and software 4.1.1 Cartridge Your insulin pump was designed to use an Accu-Chek 3.15 ml plastic cartridge. The cartridge is a sterile product intended for single use only. Sterility is guaranteed for unopened packaging up to the indicated expiration date. Do not use sterile products if the package is damaged. Warning Do not reuse single use materials.
Accessories, disposables and software 4.1.2 Infusion sets The Accu-Chek infusion sets connect your insulin pump to your body and are a crucial part of your insulin pump therapy. The insulin is delivered from the cartridge in your insulin pump through the infusion set into your subcutaneous tissue. The cannula or needle of the infusion set is usually placed in the abdomen. Infusion sets can be: E disconnectable E non-disconnectable Use only infusion sets with a luer-lock connector.
Accessories, disposables and software Roche Diagnostics offers a wide range of infusion sets: Common lengths of the tubing Filling volume with U100 insulin 30 cm / 12" 60 cm / 24" 80 cm / 31" 110 cm / 43" 7 units 10 units 13 units 18 units See the sections 5.3.1 “Connect the cartridge, adapter and infusion set”, 5.4 “Prime the infusion set”, 5.5 “Prepare the infusion site”, 5.6 “Change the infusion set” and 4 “Accessories, disposables and software” for further information. 4.
Accessories, disposables and software 4.3 Battery Your insulin pump has been designed for use with AA ALKALINE batteries with a minimum capacity of 2500 mAh. Do not use lithium, carbon zinc or nickel cadmium (NiCd) batteries. If you prefer rechargeable batteries, Roche Diagnostics recommends NiMH batteries with a minimum capacity of 1500 mAh. If you use rechargeable batteries, always use a battery charger recommended by the battery manufacturer.
Accessories, disposables and software Note Many types of batteries on the market are not designed to provide adequate power for your insulin pump. To ensure that the battery lasts as long as possible, be sure to use alkaline batteries with a minimum capacity of 2500 mAh or NiMH (rechargeable) batteries with a minimum capacity of 1500 mAh. A lkaline batteries supplied by Roche Diagnostics are the correct batteries for providing a maximum battery life.
Accessories, disposables and software See the section 5.1 “Insert and change the battery” for further information. Caution Always make sure that you remove the battery if your insulin pump is not in use for a longer time period in order to preserve the battery lifetime. To prevent water from entering the casing, change the battery only in a dry environment and make sure that the seal of the battery cover is not worn out or missing and that the battery is properly inserted. 4.
Accessories, disposables and software 4.6 Emergency kit It is recommended that you take a small amount of supplies with you in case of an emergency. This allows you to exchange components when needed. Such an emergency kit may contain: • A new Accu-Chek infusion set • A new AA Alkaline battery • A new 3.
Accessories, disposables and software 4.7 Software The Accu-Chek Insulin Pump Configuration Software is an optional insulin pump programming tool for the Accu-Chek Spirit insulin pump*. This software allows for fast and easy change of parameters and settings directly from your Microsoft Windows compatible PC.
Prepare the pump for use 5 Prepare the pump for use This section will show you how to get your pump up and running. 5.1 Insert and change the battery Your insulin pump turns on as soon as you insert the battery. When you remove the battery, your insulin pump keeps track of the time and date for approximately 1 hour.
Prepare the pump for use Caution To prevent water from entering the casing, change the battery only in a dry environment and make sure that the seal is not worn out or missing and that the battery is properly inserted. Tighten or loosen the battery cover with the Accu-Chek Spirit battery key (use of knives, screwdrivers or other sharp objects may harm your insulin pump). Do not over-tighten as this may cause damage to the battery cover and to the casing.
Prepare the pump for use Remove the battery cover from your insulin pump. Use the battery key to turn the battery cover counter-clockwise as indicated by the arrow on the battery cover. Make sure the opening of the battery compartment and the seal are clean and undamaged. Put the battery cover on the positive end of the battery. Insert the battery with cover, with the flat (negative) end first, into the battery compartment.
Prepare the pump for use Note If your insulin pump was in RUN before you removed the battery, an error E8: POWER INTERRUPT occurs. Press twice f to confirm and to turn off the error. Check the time and date in the STOP screen and correct, if necessary. Put your insulin pump into RUN, if necessary. Caution When you remove the battery your insulin pump remembers the settings you made and saved.
Prepare the pump for use Warning Do not interrupt the start-up procedure by pressing keys or by any handling on the insulin pump. Interruption of the start-up procedure may lead to malfunctions of your insulin pump. If your insulin pump does not beep and vibrate as described, or if individual numbers, letters, symbols or lines are shown incompletely or not at all, contact your local Customer Care Area for support.
Prepare the pump for use Caution If you cannot hear the beeps your insulin pump needs to be returned since you may not be notified of any changes of your insulin pump in a suitable amount of time. Contact your local Customer Care Area. Your insulin pump vibrates and VIBRATION TEST appears. Check the vibrations. Caution If you cannot feel the vibrations your insulin pump needs to be returned since you may not be notified of any changes of your insulin pump in a suitable amount of time.
Prepare the pump for use Caution If you discover incomplete characters, numbers or symbols on the display, your insulin pump needs to be returned since you may not be notified of any changes of your insulin pump in a suitable amount of time. Contact your local Customer Care Area. Additionally, you will see an information screen. This data can be modified by you or your physician with the Accu-Chek Insulin Pump Configuration Software.
Prepare the pump for use 5.2.1 Prepare the cartridge Warning Your insulin pump was designed to use an Accu-Chek 3.15 ml plastic cartridge. The cartridge is a sterile product intended for single use only. Sterility is guaranteed for unopened packaging up to the indicated expiration date. E Do not use sterile products if the package is damaged. E Do not reuse single use materials.
Prepare the pump for use A cartridge set consists of the following items: 1. 3.15 ml plastic cartridge with protective cap, plunger rod and filling needle. cartridge plunger rod plunger cartridge protective cap filling needle with protective cap 2.
Prepare the pump for use 5.2.2 Fill the cartridge A filling aid by Roche Diagnostics can be used to help you fill an empty 3.15 ml plastic cartridge from your vial of insulin. For detailed instructions for using a filling aid consult the instructions included with that item. To fill a cartridge, have the following materials ready: EN ew 3.15 ml plastic cartridge with protective cap, plunger rod and filling needle E i nsulin at room temperature to minimize formation of air bubbles. Wash your hands.
Prepare the pump for use Place the filling needle with protective cap onto the cartridge tip and make sure the connection is tight. Move the plunger rod twice back and forth in the cartridge to distribute the lubricant. Pull the plunger back to fill the cartridge with air. Remove the protective cap from the needle. Ensure that you do not touch anything with the needle. Push the tip of the filling needle into the centre of the insulin vial’s rubber membrane.
Prepare the pump for use hile holding steady pressure against the plunger rod W with your thumb, invert the insulin vial so that the filling needle and cartridge are pointing upwards into the insulin vial. Make sure that the tip of the filling needle stays in the insulin. Slowly release the pressure against the plunger rod and allow the insulin to flow into the cartridge. Do not pull or push the plunger rod while it is moving on its own (this would cause the formation of air bubbles).
Prepare the pump for use Place the protective cap onto the filling needle. Remove the plunger rod by turning it clockwise out of the plunger. Remove the filling needle with its protective cap from the cartridge by turning counter-clockwise. Push the cartridge protective cap tightly onto the cartridge tip until it clicks. The cartridge is now ready for use. Note Do not pull or push the plunger rod during removal.
Prepare the pump for use 5.3 Insert the cartridge, adapter and infusion set Note Prior to changing the cartridge, adapter and infusion set, care should be taken to ensure that your insulin pump is in good, working order. See the section 14.1 “System check” for the inspection checklist. Free flow of insulin from the cartridge or infusion set can occur when the cartridge plunger and the piston rod are not properly connected and you position your insulin pump at a higher level than the infusion site.
Prepare the pump for use Warning The cartridge and infusion set are sterile products intended for single use only. Sterility is guaranteed for unopened packaging up to the indicated expiration date. Do not use sterile products if the packaging is damaged. Do not reuse single use materials. Reuse of single use materials might lead to a malfunction of your insulin pump and to incorrect insulin delivery and/or an infection. Always handle the items with clean hands.
Prepare the pump for use Caution To avoid leakage, properly tighten the infusion set to the adapter. Turn the luer-lock connector only as far as to the stop. Do not turn it any further and do not use any auxiliary tools as this may crack the infusion set luer-lock connector and result in leakage. Note Your insulin pump cannot detect infusion set leakage. You must inspect all parts of the infusion set at least every three hours during the day and before you go to sleep.
Prepare the pump for use STOP screen change the cartridge remove the cartridge 3 sec. returning piston rod cartridge volume 315 units start-up procedure prime the infusion set Have the following materials ready: E Your Accu-Chek Spirit insulin pump E A filled 3.15 ml plastic cartridge with a connected FC_change_cartridge_EN.eps Accu-Chek Spirit adapter and a new Accu-Chek infusion set. Make sure your insulin pump is in STOP. Press d to move to the CHANGE THE CARTRIDGE menu. Select with f.
Prepare the pump for use When the piston rod has returned completely, the CARTRIDGE VOLUME screen displays the maximum cartridge volume (315 U). Base plate of piston rod Cartridge plunger Hold your insulin pump upright. Hold the new filled cartridge with connected adapter and infusion set pointing upwards and hold them parallel and close to the cartridge compartment. Make sure that the bottom edge of the coloured part of the adapter is level with the top of the cartridge compartment.
Prepare the pump for use Press or scroll a or s to move the piston rod forward until the base plate of the piston rod and the cartridge plunger are level. The displayed cartridge volume decreases accordingly. Re-insert the cartridge into the cartridge compartment.
Prepare the pump for use 5.4 Prime the infusion set Warning Never prime an infusion set that is connected to your body. You risk uncontrolled insulin delivery into your body. With disconnectable infusion sets, make sure you have disconnected the tubing from your site prior to priming. Always follow the instructions for use of the infusion set you are using. Your insulin pump automatically stops priming after 25 units h of insulin.
Prepare the pump for use start-up procedure STOP screen prime the infusion set FC_prime_EN.eps start priming 3 sec. stop priming Make sure your insulin pump is in STOP. Press d to move to the PRIME THE INFUSION SET menu. Select with f. START PRIMING and the priming amount of 25 units h of insulin is shown on the display. Press and hold f until you hear a melody and the piston rod moves forward. The priming process starts and a count-up is shown on the display.
Prepare the pump for use Stop priming The priming process can be stopped at any time by pressing any key. Your insulin pump returns to the STOP screen. 5.5 Prepare the infusion site Always follow the instructions given by your doctor or healthcare team and the instructions for use of the infusion set you are using. Infusion site selection Your doctor or healthcare team will help you select your infusion site areas according to a planned infusion site rotation pattern.
Prepare the pump for use Have the following materials ready: E Your Accu-Chek Spirit insulin pump with filled cartridge, connected Accu-Chek Spirit adapter and a new primed infusion set E A disinfectant for skin Wash your hands thoroughly. Desinfect the infusion site and let it dry completely. Make sure your insulin pump is in STOP. Insert your Accu-Chek infusion set according to the corresponding instructions for use.
Prepare the pump for use Note If you use a soft cannula-type infusion set, you must bolus to fill the air space in the cannula after removing the introducer needle and connecting the tubing according to the instructions for the infusion set you are using. Failure to do so could result in missed insulin dosing. See the section 7.5 “Program a bolus” for further information. Inspect your infusion site at least once or twice each day for irritation or infection.
Prepare the pump for use 5.6 Change the infusion set When changing the infusion set, please keep the following points clearly in mind: E Infusion sets are sterile products intended for single use only. Sterility is guaranteed for unopened packaging up to the indicated expiration date. Do not use sterile products if the package is damaged. Do not reuse single use materials. Reuse of single use materials might lead to a malfunction of your insulin pump and to incorrect insulin delivery and/or an infection.
Prepare the pump for use Have the following materials ready: E Your Accu-Chek Spirit insulin pump E A new Accu-Chek infusion set E A disinfectant for skin Make sure your insulin pump is in STOP. Remove your infusion set from your infusion site. Remove the infusion set from the adapter and dispose of it properly. Note The battery key has a notch that fits the luer-lock connectors of the Accu-Chek FlexLink and the Accu-Chek TenderLink infusion sets.
Prepare the pump for use 5.7 Change the cartridge and infusion set Have the following materials ready: E Your Accu-Chek Spirit insulin pump E A filled Accu-Chek 3.15 ml plastic cartridge E A new Accu-Chek infusion set E A new adapter (must be changed at least with every 10th cartridge) E A disinfectant for skin Make sure your insulin pump is in STOP. Remove your infusion set from your infusion site. Remove the infusion set from the adapter and dispose of it properly.
Prepare the pump for use a. H old your Accu-Chek Spirit with the adapter pointing downwards, to prevent the remaining insulin from flowing into the cartridge compartment. b. Remove the adapter and cartridge from your insulin pump by unscrewing the adapter from the insulin pump casing. Note Ensure that the cartridge plunger has been completely unscrewed from the piston rod before you pull the cartridge out of the cartridge compartment.
Prepare the pump for use 5.8 Change the adapter It is recommended to replace the adapter at least after every 10th insulin cartridge. Replace an used adapter with a new one while changing a cartridge. See the section 5.3.1 “Connect the cartridge, adapter and infusion set” for further information. 5.9 How to wear your pump Caution When wearing your insulin pump make sure to prevent any contact with objects that may damage or accidentally press the keys of your insulin pump (e.g.
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Select a user menu (STANDARD, ADVANCED or CUSTOM) 6 Select a user menu (STANDARD, ADVANCED or CUSTOM) 6.1 The three levels of the Accu-Chek Spirit The operation of your insulin pump is divided into three levels. 1st level 2nd level 3rd level RUN screen and Menus STOP screen Function screens and information screens This level is the home screen for your insulin pump’s operation. You can get to all other functions from this level. This level consists of all functions.
Select a user menu (STANDARD, ADVANCED or CUSTOM) 6.2 Navigate through the menus 1st level 3rd level 2nd level (2.) RUN screen menu (3.) (4.) function screen (1.) backward loop looping function screen (5.) exit timeout menu looping 1. Press d to move to the menus (2nd level). 2. When you reach the desired menu, press f to enter (3rd level). FC_navigation_EN.eps 3. Press a or s to increase or decrease the selected value. 4. Press d again to move to the next function screen you want to change.
Select a user menu (STANDARD, ADVANCED or CUSTOM) 6.2.1 Scrolling You can hold a or s pressed to enter larger or smaller values until the desired number is displayed. This value can be corrected by single key presses up or down if necessary. 6.2.2 Looping The menus and screens are set up in a “loop” so that you automatically return to the first function or information screen within a menu once you have reached the last choice within a menu. 6.2.
Select a user menu (STANDARD, ADVANCED or CUSTOM) 6.2.5 Select a user menu A user menu comprises a fixed or an individually composed selection of the Accu-Chek Spirit menus. Your insulin pump offers a choice of 3 different user menus: Note In the flap at the end of this user guide you will find diagrams for the STANDARD and ADVANCED user menus. •S TANDARD user menu offers all the functions you need for a successful insulin pump therapy and the ability to change between the user menus.
Select a user menu (STANDARD, ADVANCED or CUSTOM) For your personalized CUSTOM user menu you can turn the following menus on or off by using Accu-Chek Insulin Pump Configuration Software: – EXTENDED BOLUS – MULTIWAVE BOLUS – TEMPORARY BASAL RATE (TBR) – CHANGE BASAL RATE PROFILE – PROGRAM BASAL RATE PROFILE 2, 3, 4 and/or 5 – ALARM CLOCK – SETUP MENU STANDARD – SETUP MENU ADVANCED Using Accu-Chek Insulin Pump Configuration Software Pro for healthcare professionals, your healthcare professionals can also tu
Select a user menu (STANDARD, ADVANCED or CUSTOM) RUN screen select the user menu user menu select basal rate profile Press d to move to the SELECT USER MENU. FC_select_user_profiles_EN.eps Select with f. The current user menu is displayed. Note If the SELECT USER MENU is not available, contact your doctor or healthcare team. Press a or s to select the desired user menu. Confirm with f. The newly selected basal rate profile and its daily insulin total appear.
Select a user menu (STANDARD, ADVANCED or CUSTOM) Check the (new) basal rate profile and its daily insulin total. Save and exit with f. The new user menu and basal rate profile are active immediately. Caution A running temporary basal rate increase or decrease will remain active, even if you changed the basal rate profile.
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STANDARD user menu 7 STANDARD user menu This chapter will familiarize you with the basic functions of your Accu-Chek Spirit insulin pump that are necessary for a successful therapy. 7.1 Set time and date You must take care to set the time and date correctly, because the basal rates and all history information are stored on the basis of time and date. When travelling across time zones make sure that the time and date are set correctly.
STANDARD user menu Warning Incorrect setting of time and date can lead to incorrect insulin delivery. Make sure that the time and date of your insulin pump is programmed correctly to ensure the correct insulin delivery and data memory. Do not make therapy decisions based upon a single result in the insulin pump’s memory.
STANDARD user menu Set time and date RUN screen set the time and date set the hour set the minute set the year set the month set the day FC_set_time_EN.eps Press d to move to the SET TIME AND DATE menu. Select with f. Press a or s to set the hour. Press d to move to the minutes. Press a or s to set the minutes. Press d to move to the year. Press a or s to set the year.
STANDARD user menu Press d to move to the month. Press a or s to set the month. Press d to move to the day. Press a or s to set the day. Save and exit with f. Note At any screen you have three options to exit: if you want to confirm and save the changes – press f. Your insulin pump returns to the RUN screen. if you want to undo the changes – wait for your insulin pump to return to the RUN screen (timeout), or – press d+a simultaneously (exit feature) to exit the current function screen.
STANDARD user menu 7.2 Basal rate Your insulin pump delivers insulin every three minutes, 20 equal doses each hour, 24-hours a day. This flow of insulin, measured in international units per hour (U/h), is called the basal rate and is calculated to meet your basic insulin needs. An Accu-Chek Spirit basal rate profile consists of up to 24 different hourly basal rates. Each hourly rate may be changed independently.
STANDARD user menu 7.2.1 Program a basal rate profile RUN screen program profile 1 daily basal rate total 1st hour 2nd hour … 24th hour Press d to move to the PROGRAM BASAL FC_program_BRP1_EN.eps RATE PROFILE 1 menu. Select with f. The daily BASAL RATE TOTAL is displayed. Press d to move to the first hour. The first hour, which always begins at midnight (00:00 – 01:00 or 12:00 AM – 01:00 AM if the American time format is used) is shown.
STANDARD user menu Press d to move to the next hour. Continue using d and the a and s keys to set the hourly basal rates for the remaining hours. In this way you can program your individ ual basal rate profile hour-by-hour. Continue until all 24 hours are programmed. Confirm with f. The new daily BASAL RATE TOTAL is displayed. Check the new daily BASAL RATE TOTAL. Save and exit with f. If the currently active basal rate profile is the same as the newly programmed basal rate, it is active immediately.
STANDARD user menu 7.2.2 Copy an hourly basal rate An hourly basal rate can be copied for 1 or more hours. Press d to move to the PROGRAM BASAL RATE PROFILE 1 menu. Select with f. The daily BASAL RATE TOTAL is displayed. Press d to move to the hourly basal rate which you want to copy. Press a+s simultaneously. A special beep confirms that you are pressing the keys correctly. The same hourly basal rate is copied to the next hour or hours, if you press a+s repeatedly.
STANDARD user menu 7.2.3 Basal rate and bolus – During normal use, your insulin pump is in RUN and insulin is continuously delivered (basal rate). – A bolus can be programmed when needed. Unless you are currently changing settings, giving a bolus or reviewing information, the RUN screen is displayed. Note Since only short-acting insulin or fast-acting insulin analogues are used for insulin pump therapy, there is only a small insulin reserve in the body.
STANDARD user menu 7.3 Start insulin delivery STOP screen start your ACCU-CHEK RUN screen Insulin delivery starts at the moment you put your insulin pump into RUN. FC_start_EN.eps Start from the STOP screen. Press d to move to the START YOUR Accu-Chek menu. Confirm with f. Your insulin pump shows the RUN screen. Insulin delivery begins within the next 3 minutes at the hourly basal rate shown on the display. Note Check the amount of insulin remaining in the cartridge at least once a day.
STANDARD user menu 7.4 Stop insulin delivery For your safety there are functions and actions that require that your insulin pump is in STOP. These functions and actions include: • changing the cartridge • connecting and disconnecting the adapter and/or infusion set • priming the infusion set and • data transfer from the insulin pump to the PC and vice versa using Accu-Chek Insulin Pump Configuration Software. Caution When your insulin pump is in STOP, it does not deliver any insulin.
STANDARD user menu Note When an Extended bolus, a MultiWave bolus and/or a temporary basal rate (TBR) is/are active and you put your insulin pump into STOP, an alert A6: TBR CANCELLED and/or an alert A8: BOLUS CANCELLED occur(s). Press f twice for each appearing alert to confirm and turn off. See the sections 10.1.6 “Alert A6: TBR CANCELLED” and 10.1.8 “Alert A8: BOLUS CANCELLED” for further information.
STANDARD user menu 7.5 Program a bolus The bolus type and amount is determined by your doctor or healthcare team’s guidelines, your blood glucose level, your food intake, your health condition and your activity level. Discuss the timing, amount and type of bolus you need to deliver with your doctor or healthcare team. The time, date and amount of the last 30 boluses can be reviewed in the bolus history. See the section 7.8.1 “Review the bolus history” for further information.
STANDARD user menu 7.5.1 Standard bolus Your insulin pump offers you two possibilities to program a Standard bolus: “Quick” Standard bolus “Scroll” Standard bolus Using the a and s keys of your insulin pump, with bolus increments determined by the user. Menu-guided using the d and f keys with the a and s keys for programming of the amount. The bolus amount per delivery is limited to 25 units h of insulin.
STANDARD user menu 7.5.2 Program a “Quick” Standard bolus The following programming sequence involves only the a and s keys of your insulin pump. The sequence is “reversible”, meaning you can start with either key. The recommended sequence is always described with the first key appearing (without parenthesis), e.g. a. For the alternative sequence press the key in the parenthesis, e.g. (s).
STANDARD user menu Note We recommend starting with the s key in areas of good lighting and, starting with the a key in areas of poor lighting as this will also turn on the backlight. Press a (s) repeatedly until the desired bolus amount is reached. Each press of the a (s) key adds one bolus increment to the bolus amount. Your insulin pump simultaneously beeps and vibrates once for each programmed bolus increment.
STANDARD user menu 7.5.3 Cancel a “Quick” Standard bolus – During programming (the bolus amount blinks): • Press the key you started programming with (s [a]) to reset the bolus amount to 0.0 units. You hear a melody. If no new bolus is programmed, your insulin pump returns to the RUN screen and beeps three times after 5 seconds h. No bolus is delivered. – During confirmation (when the beeps and vibrations occur), or during the start delay ( blinks): • Press s or a. You hear a melody.
STANDARD user menu 7.5.4 Program a menu-guided “Scroll” Standard bolus The bolus increments for the “Scroll” Standard bolus are fixed to 0.1 unit. You can program this bolus in the STANDARD BOLUS menu by holding the a or s key (scrolling) until the desired bolus amount is displayed. Press d to move to the STANDARD BOLUS menu. Select with f. The BOLUS AMOUNT screen appears. Press or scroll a to increase or s to decrease the bolus amount. Press f to confirm the bolus amount.
STANDARD user menu 7.5.5 Cancel a menu-guided “Scroll” Standard bolus – During programming (the bolus amount blinks): You have three options for cancelling a “Scroll” Standard bolus during programming: • If you do not press any key for 20 seconds h, your insulin pump returns to the RUN screen (timeout). • Exit to the STANDARD BOLUS menu by pressing d+a simultaneously. • Set the bolus amount to 0.0 units. Exit with f. No bolus is delivered. – During the start delay ( blinks): • Press s or a.
STANDARD user menu 7.6 Temporary basal rate (TBR) Your insulin pump allows you to temporarily increase or decrease your basal rate. This function is helpful in matching changing insulin needs due to increased or decreased activity level, illness or stress. Warning Incorrect programming of your insulin pump may cause inappropriate insulin delivery. Your insulin pump must be programmed with your personal settings prior to starting insulin pump therapy.
STANDARD user menu 7.6.1 Program a temporary basal rate RUN screen temporary basal rate precentage duration Make sure your insulin pump is in RUN. FC_temporary_BR_EN.eps Press d to move to the TEMPORARY BASAL RATE (TBR) menu. Select with f. The tbr percentage screen appears. Note If no temporary basal rate is currently active, the percentage is set to 100%. If a temporary basal rate is active, its duration and percentage appear on the RUN screen.
STANDARD user menu Press d to move to the tbr duration. Press a or s to correct and set the duration. Note Press d to loop between programming the basal rate percentage and duration, if necessary. Save and exit with f. The programmed temporary basal rate is immediately activated. Note At any screen you have three options to exit: if you want to confirm and save the changes – press f. Your insulin pump returns to the RUN screen.
STANDARD user menu At the end of a temporary basal rate, an alert A7: TBR OVER occurs h. Press f twice to confirm and turn off the alert. See the section 10.1.7 “Alert A7: TBR OVER” for further information. 7.6.2 Cancel a temporary basal rate – During programming: You have three options for cancelling a temporary basal rate during programming: • If you do not press any key for 20 seconds h, your insulin pump returns to the RUN screen (timeout).
STANDARD user menu • Put your insulin pump into STOP. The temporary basal rate delivery is interrupted. An alert A6: TBR CANCELLED occurs. Press f twice to confirm and turn off the alert. See the section 10.1.6 “Alert A6: TBR CANCELLED” for further information. Caution When your insulin pump is in STOP, it does not deliver any insulin. Put your insulin pump into RUN to continue the insulin delivery.
STANDARD user menu 7.7 Setup menu standard Warning Incorrect programming of your insulin pump may cause inappropriate insulin delivery. Your insulin pump must be programmed with your personal settings prior to starting insulin pump therapy. Do not operate your insulin pump without knowing your personal settings. If you are not sure about your personal settings or you are less experienced, have your doctor or healthcare team check your personal settings.
STANDARD user menu RUN / STOP screen setup standard KeyLock beep volume alarm signals automatic off battery typeorientation Turn the KeyLock on or off FC_KeyLock_EN.eps Make sure the KeyLock is unlocked (press and hold d+s simultaneously for 3 seconds until it is unlocked) or turned off. Press d to move to the SETUP MENU STANDARD. Select with f. The current KeyLock status (ON or OFF) appears. Press a or s to turn the KeyLock ON or OFF. Save and exit with f.
STANDARD user menu Unlock the KeyLock RUN screen locked 3 sec. 10 sec. RUN screen unlocked From the RUN screen or STOP screen, press d+s simultaneously (you hear three beeps FC_unlock_KeyLock_EN.eps in RUN, respectively one beep in STOP) and hold for 3 seconds until you hear again three beeps (in RUN), respectively one beep (in STOP) to confirm that the KeyLock has been unlocked.
STANDARD user menu Press a or s to adjust the beep volume. You can choose between 5 volume levels: no beeps (beeps are turned off) very low low normal maximum Save and exit with f. Note The volume of the STOP-Warning is independent of the programmed beep volume. It always occurs at the maximum level. When the beeps are turned off and an alert or error occurs, the beeps will become activated after a short period of time to ensure that you are aware of the alarm or error.
STANDARD user menu Press d to move to the ALARM SIGNALS screen. The active alarm signals are displayed. Press a or s to set the alarm signals as desired. Save and exit with f. 7.7.4 Automatic off Caution Discuss the use of the automatic off function with your doctor or healthcare team. Automatic off is a safety feature which stops all insulin delivery by triggering an error E3: AUTOMATIC OFF if no keys are pressed within a programmed time period in RUN.
STANDARD user menu 7.7.5 Battery type Warning If you do not set the correct battery type on your insulin pump, the alert A2: BATTERY LOW may not occur in time to provide you sufficient warning to replace your battery. Your insulin pump has the option of using 1.5 volt AA Alkaline batteries or rechargeable AA NiMH batteries. If you change from one battery type to the other, you must change the battery type accordingly in the SETUP MENU STANDARD. See the section 4.
STANDARD user menu 7.7.6 Display orientation Your insulin pump allows you to flip the display orientation by 180° so that you can view it more conveniently depending on how you are wearing the insulin pump. Press d to move to the SETUP MENU STANDARD. Select with f. Press d to move to the ORIENTATION screen. Press a or s to select the desired display orientation. Save and exit with f.
STANDARD user menu 7.8 Review data memory (INFORMATION) The memory of your insulin pump stores all events (i.e. alerts and errors, programming operations and insulin delivery records) for up to 4500 events. This data memory corresponds typically to about the last 90 days of usage and is accessible via Accu-Chek information management products.
STANDARD user menu RUN screen information menu bolus history alarm history daily totalTBR history pump timer Press d to move to the INFORMATION menu. Select with f. The BOLUS HISTORY screen appears. The most recent bolus information is displayed. Press a or s to review the entries. Exit with f.
STANDARD user menu 7.8.2 Review the alarm history The alarm history enables you to review the last 30 alerts or errors starting with the most recent entry in chronological order. Each alarm history screen displays the • number and type of the alert or error (e.g. A6), • alert or error (e.g. TBR CANCELLED), • time ( ), • date ( ) and • entry number (01 is the most recent) of total entries (e.g. 01/30) of an alert or error. Press d to move to the INFORMATION menu. Select with f.
STANDARD user menu Press d to move to the INFORMATION menu. Select with f. Press d to move to the DAILY TOTALS screen. Press or scroll a or s to review the entries. Exit with f. 7.8.4 Review the temporary basal rate history The temporary basal rate history enables you to review the last 30 TBR increases or decreases starting with the most recent entry in chronological order.
STANDARD user menu 7.8.5 Review the time remaining Your insulin pump has been designed to be a highly reliable system that will provide worry-free performance for a long period of time. To ensure optimal performance, a pump timer will limit the operating time of the pump. This timer counts the number of days of operation remaining in the Accu-Chek Spirit insulin pump.
STANDARD user menu 7.8.6 Quick info screen With the press of the f key, your insulin pump will display the remaining cartridge content in units and the insulin concentration. Symbols for activated functions and features (like the beep and vibration alarm signals) are displayed. To get to the quick info screen E Press f from the RUN screen or STOP screen. E After 8 seconds h, your insulin pump automatically returns to the RUN screen or STOP screen.
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ADVANCED user menu 8 ADVANCED user menu This chapter introduces you to the advanced functions of your insulin pump. The ADVANCED user menu activates all of the therapy options you have with your pump. The Accu-Chek Spirit insulin pump allows you to choose the menus that you wish to view. This allows you to adjust your pump’s features to better fit your level of diabetes management. To turn on all functions: E choose the SELECT USER MENU function, E select the ADVANCED user menu.
ADVANCED user menu Warning Incorrect programming of your insulin pump may cause inappropriate insulin delivery. Your insulin pump must be programmed with your personal settings prior to starting insulin pump therapy. Do not operate your insulin pump without knowing your personal settings. If you are not sure about your personal settings or you are less experienced, have your doctor or healthcare team check your personal settings. 8.
ADVANCED user menu 8.1.1 Program an Extended bolus stop your ACCU-CHEK RUN screen Extended bolus bolus amount bolus duration A8: bolus cancelled Press d to move to the EXTENDED BOLUS menu. FC_extended_bolus_EN.eps Select with f. The bolus amount screen appears. Press a to increase or s to decrease the bolus amount. The bolus duration of the last Extended bolus delivered appears, or when using your insulin pump for the first time, a default value appears.
ADVANCED user menu Press f to confirm the bolus amount and duration. You hear a melody and the bolus delivery begins within the next 3 minutes. Note During the entire bolus delivery, the remaining time and amount of the Extended bolus and the current hourly basal rate are displayed in the RUN screen. Note If a temporary basal rate is active at the same time, the remaining time and amount of the bolus and the amount of the increased or decreased hourly basal rate are displayed in the RUN screen. 8.
ADVANCED user menu – During bolus delivery: • If the Extended bolus delivery has begun, it can be cancelled by putting your insulin pump into STOP. This cancels the bolus delivery and an alert A8: BOLUS CANCELLED occurs. Press f twice to confirm and turn off the alert. See the section 10.1.8 “Alert A8: BOLUS CANCELLED” for further information. Bolus delivery is interrupted. The bolus amount delivered up to the cancellation can be reviewed in the BOLUS HISTORY screen. See the section 7.8.
ADVANCED user menu 8.2 MultiWave bolus The MultiWave bolus is only available in the ADVANCED user menu and depending on your personal settings in the CUSTOM user menu. It is designed to better simulate a body’s insulin delivery. It combines an immediate bolus delivery followed by an Extended bolus delivery. This function can be helpful when having meals with both rapid and slowly absorbed carbohydrates (e.g. pizza).
ADVANCED user menu 8.2.1 Program a MultiWave bolus RUN screen 3 sec. or stop your Accu-Chek MultiWave bolus bolus delivery bolus amount immediate bolus bolus duration 5 sec. delay A8: bolus cancelled Press d to move to the MULTIWAVE BOLUS menu. FC_multi_wave_bolus_EN.eps Select with f. The bolus amount screen appears. Press a to increase or s to decrease the total bolus amount.
ADVANCED user menu Press d to move to the immediate bolus amount. Press a or s to correct and set the immediate bolus amount. Press d to move to the bolus duration. Press a or s to correct and set the Extended bolus duration in increments of 15 minutes h up to 12 hours h. Note Press d to loop between programming the total bolus amount, immediate bolus amount and Extended bolus duration, if necessary.
ADVANCED user menu Note Once the immediate bolus is delivered, the remaining time, bolus amount and the current hourly basal rate are displayed in the RUN screen. If a temporary basal rate is active at the same time, the remaining time and amount of the bolus and the amount of the increased or decreased hourly basal rate are displayed in the RUN screen. 8.2.
ADVANCED user menu Note If the alert A8: BOLUS CANCELLED does not occur, the bolus delivery was not cancelled. Cancel the extended delivery (see below). • The extended delivery can be cancelled by putting your insulin pump into STOP. This cancels the Extended bolus. An alert A8: BOLUS CANCELLED occurs. Press f twice to confirm and turn off the alert. See the section 10.1.8 “Alert A8: BOLUS CANCELLED” for further information. Bolus delivery is interrupted.
ADVANCED user menu Ensure that the cancellation was intended and program a new MultiWave bolus (and/or temporary basal rate), if necessary. 8.3 Basal rate profiles Your insulin pump offers the option of delivering up to five h different basal rate profiles in order to easily meet changing insulin needs (for example Monday-Friday versus Exercise Day versus Sleeping Late Day). Discuss programming additional basal rate profiles with your doctor or healthcare team.
ADVANCED user menu 8.3.2 Select a basal rate profile RUN screen change the BR profile BR profile no. … Make sure the CHANGE BASAL RATE PROFILE menu is turned on. FC_BRP_change_EN.eps Press d to move to the CHANGE BASAL RATE PROFILE menu. Select with f. The current basal rate profile is displayed. Note Only basal rate profiles that are accessible in your current user menu are available. Press a or s to select the desired basal rate profile.
ADVANCED user menu Note When you change the user menu your current basal rate profile might not appear. Make sure that your desired basal rate profile numbers are activated with Accu-Chek Insulin Pump Configuration Software.
ADVANCED user menu Press a or s to set the alarm clock to OFF ( ), to a single alarm ( ) or to every day ( ). Press d to move to the SET ALARM HOUR screen. Press a or s to set the hour. Press d to move to the SET ALARM MINUTE screen. Press a or s to set the minute. Save and exit with f. To turn off the alarm clock When the alarm clock goes off, an alert A4: ALARM CLOCK occurs. Press f twice to confirm and turn off the alert. See the section 10.1.4 “Alert A4: ALARM CLOCK” for further information. 8.
ADVANCED user menu Make sure the SETUP MENU ADVANCED is turned on. Press d to move to the SETUP MENU ADVANCED. Select with f. The TIME FORMAT screen appears. Press a or s to select the desired time format. Save and exit with f. 8.5.2 Date format The date can be set in the following formats: European: dd.mm.yy, e.g. 26.04.06 American: mm/dd/yy, e.g. 04/26/06 Make sure the SETUP MENU ADVANCED is turned on. Press d to move to the SETUP MENU ADVANCED. Select with f.
ADVANCED user menu 8.5.3 Bolus increment Warning The bolus increment that can be programmed into your insulin pump determines the “Quick” Standard bolus amount using the a and s keys of your insulin pump. To ensure correct insulin delivery be sure the bolus increment is set appropriate for your therapy. To address patients that may need large or small amounts of insulin, the bolus increment for the Accu-Chek Spirit is adjustable. The “Quick” Standard bolus is initially set to 0.
ADVANCED user menu 8.5.4 Prime quantity The prime quantity necessary to completely fill an infusion set depends on the length of the infusion set tubing. The shorter your infusion set tubing, the less insulin will be required to prime the infusion set. The default setting for the prime quantity is 25 h units of insulin. Note The amount of insulin used for the priming is not added to the history of daily insulin totals. You can press any of your insulin pump’s keys to stop priming.
ADVANCED user menu 8.5.5 Lock basal rate profiles Your insulin pump allows you to change your hourly basal rates as needed. This feature provides additional protection against accidentally changing a basal rate during normal operation. When this function is activated, your hourly basal rates cannot be changed. Make sure the SETUP MENU ADVANCED is turned on. Press d to move to the SETUP MENU ADVANCED. Select with f. Press d to move to the BASAL RATE LOCK screen.
ADVANCED user menu 8.5.6 Language Your insulin pump is programmed in several languages. To use the language of your choice, do the following: Make sure the SETUP MENU ADVANCED is turned on. Press d to move to SETUP MENU ADVANCED. Select with f. Press d to move to the LANGUAGE screen. Press a or s to select the desired language. Save and exit with f.
ADVANCED user menu 8.5.7 Display contrast Your insulin pump allows you to adjust the display contrast. Make sure the SETUP MENU ADVANCED is turned on. Press d to move to the SETUP MENU ADVANCED. Select with f. Press d to move to the DISPLAY CONTRAST screen. Press a or s to select the desired contrast. Save and exit with f.
Data transfer 9 Data transfer Caution If data transfer between your PC and your insulin pump is disrupted in any way, the configuration may be incomplete and an error E12: DATA INTERRUPTED occurs. The data transfer must be completed successfully before you can put your insulin pump into RUN. See section 10.2.11 “Error E12: DATA INTERRUPTED” for further information. The built-in infrared interface in the bottom cover of your insulin pump allows for wireless data transfer from your insulin pump to a PC.
Data transfer Setup for data transfer STOP screen communication start data transfer stop data transfer Prepare your PC and Accu-Chek Insulin Pump FC_Data_transfer_neu_EN.eps Configuration Software for data transfer (see Accu-Chek Insulin Pump Configuration Software user manual). Make sure your insulin pump is in STOP. Press d to move to the COMMUNICATION menu. Select with f.
Data transfer Check the configuration on your insulin pump to make sure that all parameters are written correctly. Set up your insulin pump with a cartridge, adapter and a new infusion set and put it into RUN, if necessary. Note Your insulin pump automatically returns to STOP 15 minutes h after the last data transfer respectively when the DATA TRANSFER screen has been selected. You may press d+a simultaneously to exit while data is being transferred.
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Alerts and errors 10 Alerts and errors When your insulin pump is in use, a two microprocessor safety system continuously monitors and controls the insulin pump. Over 9 million safety checks are performed daily to secure all relevant functions. If your insulin pump detects a deviation of its normal state, an alert (warning instruction) or an error (error message) will occur. Beeps, vibrations and messages on the display inform you of the status or malfunction of your insulin pump.
Alerts and errors To confirm an alert or error Press f to turn off the beeps and vibrations. The alert or error code remains on the display. Confirm that you have seen and understood the alert or error code and messages by pressing f again. Take the appropriate action, if necessary. If more than one alert and/or error occur at the same time, press f twice for each alert or error to turn off and confirm.
Alerts and errors 10.1 Alerts Warning After the occurrence of an alert, your insulin pump may be in STOP and the insulin delivery may be interrupted. In order to maintain insulin delivery, you must act immediately according to the instructions given for each error code or put your insulin pump into RUN to continue the insulin delivery. 10.1.1 Alert A1: CARTRIDGE LOW If the remaining content in the insulin cartridge reaches 20 units h of insulin, an alert A1: CARTRIDGE LOW occurs.
Alerts and errors 10.1.2 Alert A2: BATTERY LOW Your insulin pump checks the battery voltage before each insulin delivery (at least every 3 minutes). If it falls below a certain voltage value, the alert A2: BATTERY LOW occurs. Be prepared for a battery change as quickly as possible. The battery low symbol ( ) appears in the RUN screen or STOP screen as a reminder until you insert a new battery. Press f twice to turn off and confirm the alert. Replace the battery within the next hours.
Alerts and errors 10.1.4 Alert A4: ALARM CLOCK An alert A4: Alarm clock will occur at the time that you have programmed into the pump. Press f twice to turn off and confirm the alert. Put your insulin pump into RUN, if necessary. Note If you have set the alarm occurrence to EVERY DAY, the same alert occurs again every 24 hours. Turn the alarm clock function to OFF, if you do not want additional alarms at that same time. 10.1.
Alerts and errors Press f twice to turn off and confirm the alert. Put your insulin pump into RUN. Check the INFORMATION screen on your pump for the PUMP TIMER display. The amount shown is the remaining number of programmed days in your insulin pump. After the alert A5: PUMP TIMER occurs, the Accu-Chek Spirit insulin pump will display the symbol to remind you to check the timer. Contact your local HelpDesk to discuss your options for further use of the Accu-Chek Spirit insulin pump.
Alerts and errors 10.1.7 Alert A7: TBR OVER (Temporary Basal Rate over) An alert A7: TBR OVER occurs when a temporary basal rate has ended. Once the alert has been confirmed, the original basal rate (100%) will resume automatically. Press f twice to turn off and confirm the alert. Decide whether a further temporary basal rate change is appropriate and program, if necessary. Note If desired, the alert A7: TBR OVER can be turned off using Accu-Chek Insulin Pump Configuration Software.
Alerts and errors 10.2 Errors Warning After the occurrence of an error, your insulin pump will be in STOP and the insulin delivery is interrupted. In order to maintain insulin delivery, you must act immediately according to the instructions given for each error code. 10.2.1 Error E1: CARTRIDGE EMPTY If the cartridge is empty, an error E1: CARTRIDGE EMPTY occurs. Change the cartridge immediately. Press f twice to turn off and confirm the error.
Alerts and errors 10.2.2 Error E2: BATTERY DEPLETED Warning After inserting a new battery, always ensure that the time and date of your insulin pump are set correctly. Incorrect programming of the time and date may cause incorrect insulin delivery. If you or your healthcare team store and analyse your therapy data electronically and the time and date of the devices used are not set identically, the gathered data might not be meaningful. If the battery is depleted, an error E2: BATTERY DEPLETED occurs.
Alerts and errors 10.2.4 Error E4: OCCLUSION Warning If an error E4: OCCLUSION occurs, immediately check your blood glucose level, because insulin delivery has been interrupted. If your blood glucose level is high, take appropriate actions according to your doctor’s or healthcare team’s instructions. An error E4: OCCLUSION occurs if insulin (a maximum of 3.
Alerts and errors With a disconnectable infusion set do the following: Press f twice to turn off and confirm the error. Disconnect the infusion set tubing from the infu-sion site. Activate the PRIMING function. If no error E4: OCCLUSION occurs, the occlusion is within the infusion set cannula. Change the infusion set cannula and reconnect the infusion set tubing. Put you insulin pump into RUN. If however still an error E4: OCCLUSION occurs, remove the infusion set tubing from the insulin pump.
Alerts and errors With a non-disconnectable infusion set do the following: Press f twice to turn off and confirm the error. Remove your infusion set from the infusion site and afterwards from your insulin pump. Activate the PRIMING function without an attached infusion set. Hold your insulin pump with the adapter pointing downwards to avoid that insulin flows through the adapter into the cartridge compartment. If no error E4: OCCLUSION occurs, the occlusion was within the infusion set.
Alerts and errors 10.2.5 Error E5: END OF OPERATION The error E5: End of operation indicates that your pump timer has reached zero. The pump will no longer operate. Before this error occurs an alert A5: pump timer will occur to ensure that you are able to replace your pump within sufficient time. When the PUMP TIMER has reached zero, it will change into STOP and will no longer operate. An E5: END OF OPERATION will appear on the display. Press f twice to turn off and confirm the error.
Alerts and errors 10.2.6 Error E6: MECHANICAL ERROR With every insulin delivery (at least every 3 minutes) and each time you put your insulin pump into RUN, the safety system of your insulin pump reviews all mechanical parameters. If a mechanical error is discovered during this process, the insulin delivery is stopped and an error E6: MECHANICAL ERROR occurs. Press f twice to turn off and confirm the error. Press f to get to the Quick Info Screen. Note down the remaining cartridge content.
Alerts and errors 10.2.7 Error E7: ELECTRONIC ERROR The safety system of your insulin pump continuously monitors the functioning of your insulin pump. If an electronic error is discovered, the insulin delivery is stopped and an error E7: ELECTRONIC ERROR occurs. You cannot turn off and confirm an error E7: ELECTRONIC ERROR by pressing f, remove the battery instead. Remove or disconnect the infusion set from your infusion site. Insert a new battery into the pump. Prime the infusion set.
Alerts and errors 10.2.8 Error E8: POWER INTERRUPT A power interrupt may occur when you change the battery without putting your insulin pump into STOP first, or when your insulin pump was dropped. Press f twice to turn off and confirm the error. Your insulin pump goes into STOP. Check the time and date and correct, if necessary. If a bolus and/or a temporary basal rate was interrupted by the error, review the bolus and/or the temporary basal rate history for the delivered amount and duration.
Alerts and errors 10.2.9 Error E10: CARTRIDGE ERROR If the CHANGE THE CARTRIDGE function was not correctly carried out, an error E10: CARTRIDGE ERROR will occur. Press f twice to turn off and confirm the error. Remove or disconnect the infusion set from your infusion site. Remove the cartridge. Start the CHANGE THE CARTRIDGE menu. Reinsert the cartridge. Prime the infusion set. Reconnect the infusion set (tubing) at your infusion site or insert the new infusion set.
Alerts and errors 10.2.10 Error E11: SET NOT PRIMED Warning Never prime an infusion set that is connected to your body. You risk uncontrolled insulin delivery into your body. With disconnectable infusion sets, make sure you have disconnected the tubing from your site prior to priming. Always follow the instructions provided with your infusion set.
Alerts and errors 10.2.11 Error E12: DATA INTERRUPTED Caution If data transfer between your PC and your insulin pump is disrupted in any way, the configuration may be incomplete and an error E12: DATA INTERRUPTED occurs. The data transfer must be completed successfully before you can put your insulin pump into RUN. When data transfer between your insulin pump and a PC is interrupted an error E12: DATA INTERRUPTED occurs.
Alerts and errors 10.2.12 Error E13: LANGUAGE ERROR When an error E13: LANGUAGE ERROR occurs check the language and reset if necessary. Press f twice to turn off and confirm the error. Refer to the ADVANCED SETUP MENU for instructions on how to change the language. When finished, put your insulin pump into RUN, if necessary.
Troubleshooting 11 Troubleshooting This section describes some potential problems that may occur while using your Accu-Chek Spirit insulin pump. See sections 10 “Alerts and errors”, 12 “Life with your Accu-Chek Spirit insulin pump” and 14 “Care of your Accu-Chek Spirit insulin pump” for further information. Note The possible solutions given are only suggestions. Do not use these procedures without approval of your doctor or healthcare team.
Troubleshooting Problems with your Accu-Chek Spirit Problem Recommended Actions Individual characters, numbers or symbols on the display are shown incompletely or not at all. Contact your local Customer Care Area. Your insulin pump does not beep or vibrate. Check that the beep volume and the alarm signals are turned on. Check and change the battery. If your insulin pump still does not beep or vibrate, contact your local Customer Care Area. Self-test incomplete (after an error E7: ELECTRONIC ERROR).
Troubleshooting Problem Recommended Actions Air bubbles in the cartridge and/or infusion set In the cartridge: Disconnect and re-prime your infusion set. Should the air bubbles remain, replace the cartridge. In your infusion set: Disconnect and prime your infusion set. Make sure all connections are tight and secure. Blood in infusion set tubing Change your infusion set and infusion site. Empty cartridge Replace the cartridge. Cartridges are for single use only.
Troubleshooting Problem Recommended Actions Infusion site becomes sore, red or swollen Change your infusion set and infusion site immediately. Use proper insertion technique and always follow the planned infusion site rotation pattern and advice given by your doctor or healthcare team.
Life with your Accu-Chek Spirit insulin pump 12 Life with your Accu-Chek Spirit insulin pump 12.1 Recommendations for daily use Caution Training and use of your insulin pump require the support of an experienced doctor or healthcare team. Regular visits with your doctor or healthcare team are absolutely essential during insulin pump therapy. Only change your personal settings after consulting your doctor or healthcare team. Always follow the instructions given by your doctor or healthcare team.
Life with your Accu-Chek Spirit insulin pump 12.1.2 Continuation of insulin pump therapy 1. Attach a new Accu-Chek infusion set and prime it prior to insertion. When using a disconnectable infusion set, reconnect the tubing. 2. Follow the instructions for the infusion set you are using, and put your insulin pump into RUN. Measure your blood glucose level within 2 hours in order to check the functionality of the system and to ensure insulin delivery. 12.1.
Life with your Accu-Chek Spirit insulin pump 12.2 Weather conditions Wear your insulin pump under your clothes or directly on your body in cold and rainy weather. In case of doubt regarding these conditions, check the operating conditions of your insulin pump and contact your local Customer Care Area. Caution Do not place your insulin pump in direct sunlight. Overheating of the insulin and your insulin pump must be avoided. Protect your insulin pump from direct exposure to cold wind.
Life with your Accu-Chek Spirit insulin pump 12.3 Your insulin pump and water Caution Avoid deliberate contact with water. Check daily that your insulin pump is not chipped, cracked or damaged in any way and that the battery cover and the adapter are correctly closed. In the presence of chips and cracks, water, dust, insulin, or other foreign substances may enter your insulin pump and lead to malfunction. In case of deliberate contact with water disconnect and take off your insulin pump. 12.3.
Life with your Accu-Chek Spirit insulin pump 12.3.2 Accidental contact with water You and your insulin pump do not have to worry about accidental temporary water contact. Examples of accidental temporary water contact include: • rain, snow; • water splashes while biking, jogging, hiking and similar activities; • accidental immersions into the sink or bath tub. Caution You must inspect your insulin pump immediately after an accidental immersion in water. 12.3.
Life with your Accu-Chek Spirit insulin pump 12.3.4 Other liquids You and your insulin pump do not have to worry about: • sweat • saliva You must check your insulin pump immediately after an accidental contact with other liquids such as: • cleaning solutions • alcohol • beverages See the section 14.2.1 “Cleaning your Accu-Chek Spirit insulin pump” for further information.
On the go with your Accu-Chek Spirit insulin pump 13 On the go with your Accu-Chek Spirit insulin pump 13.1 Electromagnetic fields and hazardous areas Avoid electromagnetic fields of radar or antenna installations, high-voltage sources, X-Ray sources, MRI, CAT scan or other sources of electrical current. Do not use your insulin pump in such areas. Electromagnetic fields may cause malfunction to your insulin pump. Always stop and remove your insulin pump prior to entering these areas.
On the go with your Accu-Chek Spirit insulin pump Do not use your insulin pump in hyperbaric chambers and in hazardous areas of any classification (such as areas where explosive or flammable gases or vapours could exists) as this might interfere with insulin delivery and/or lead to harmful situations. Your insulin pump is designed to work in normal barometric conditions from 70 to 106 kPa (700 to 1060 mbar). Do not exeed 3000 meters (10000 feet) above sea level.
Care of your Accu-Chek Spirit insulin pump 14 Care of your Accu-Chek Spirit insulin pump Caution Do not perform any servicing or repair on your insulin pump by yourself. For any questions contact your local Customer Care Area. Roche Diagnostics as the manufacturer guarantees the functions of your insulin pump according to its specifications, on the condition that all servicing of your insulin pump is done and/or authorized by Roche Diagnostics. 14.
Care of your Accu-Chek Spirit insulin pump Check your insulin pump daily. Make sure that: • The pump casing, the display and the cartridge are free of chips or cracks and the display is free of incomplete or abnormal letters or symbols. • You visually inspect the cartridge. Make sure that the actual amount of insulin in the cartridge equals the displayed cartridge amount. This may be checked on the quick info screen.
Care of your Accu-Chek Spirit insulin pump 14.2 Maintenance and cleaning 14.2.1 Cleaning your Accu-Chek Spirit insulin pump The ideal time to clean your insulin pump is during the change of a cartridge. Only use a soft, dry cloth for cleaning. If the insulin pump compartments are excessively dirty, consult your local Customer Care Area for further instructions. Caution Always remove the cartridge and adapter and place your insulin pump in STOP while cleaning.
Care of your Accu-Chek Spirit insulin pump • There are many types of aa batteries that are not designed to provide adequate power for your insulin pump. To ensure that the battery lasts as long as possible, be sure to use alkaline or NiMH (rechargeable) batteries in your Accu-Chek Spirit insulin pump. Alkaline batteries supplied by Roche Diagnostics are the correct batteries for providing a maximum battery life.
Care of your Accu-Chek Spirit insulin pump Storage conditions Temperature +5 to +45°C (+41 to +113°F) Air humidity 5 to 85% relative air humidity Barometric pressure 70 to 106 kPa (700 to 1060 mbar) 14.4 When your insulin pump is dropped Dropping may harm your insulin pump and damage the seal against water. Make sure that your insulin pump is not dropped. Use the proper Accu-Chek Spirit carrying systems for the various daily situations to prevent dropping.
Care of your Accu-Chek Spirit insulin pump 14.5 Repair Caution Do not perform any servicing or repair on your insulin pump by yourself. Do not use any lubricant on the pump mechanism. For additional questions contact your local Customer Care Area. When experiencing problems with your insulin pump, contact your local Customer Care Area. The local Customer Care Area can address your concerns via the telephone or internet.
Care of your Accu-Chek Spirit insulin pump 14.6 Disposal Accu-Chek Spirit insulin pump If necessary, return your insulin pump to your local Customer Care Area for professional disposal. Battery Dispose of depleted batteries at your nearest battery disposal center. Cartridge, infusion set, adapter and additional accessories Dispose of these items in your normal garbage.
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Technical data 15 Technical data 15.1 General technical data Maximum dimensions (without adapter) Approx. 81 × 55 × 20 mm (3.2 × 2.2 × 0.8 inches) Weight • an empty insulin pump: approx. 80 g (2.8 ounces) • insulin pump inclusive battery, full plastic cartridge and infusion set: approx. 110 g (4.
Technical data Power supply One 1.5 volt AA Alkaline battery or one rechargeable NiMH AA battery. Alkaline batteries should have a minimum capacity of 2500 mAh and NiMH AA rechargeable batteries a minimum capacity of 1500 mAh. Use only a battery charger officially recommended by the battery manufacturer.
Technical data Bolus The max. bolus amount per delivery is 25 insulin units. The bolus amount for the “Quick” Standard bolus is adjustable in increments of 0.1, 0.2, 0.5, 1.0 and 2.0 units. For the “Scroll” Standard bolus, the Extended bolus and the MultiWave bolus, the amount is adjustable in fixed increments of 0.1 units. The duration of the Extended bolus and the MultiWave bolus is adjustable in intervals of 15 minutes (15 minutes up to 12 hours).
Technical data Maximum volume before error E4: OCCLUSION** Plastic cartridges: ≤ 3.5 U The typical volume for an error was 2.3 U. Aventis Insuman Infusat glass cartridges*: ≤ 6.0 U Maximum pressure 400 kPa (4.0 bar), for plastic and Aventis Insuman Infusat glass cartridges*. Flow (delivery rate) During infusion set priming and bolus 0.2 U/sec. Maximum quantity delivered at a single fault condition ≤ 1.0 U Cartridge Accu-Chek 3.
Technical data Safety system Alert system, beeps, information on the display, vibrations, dual microprocessors. Your insulin pump is controlled by two microprocessors. The safety concept is based on one processor (supervisor processor) supervising the other (main processor). Whenever a defect or fault occurs in the main processor, it is identified by the supervisor processor. The motor is immediately switched off and an error E7: ELECTRONIC ERROR occurs.
Technical data 15.2 Technical standards on electromagnetic emissions The standard concerning electromagnetic compatibility of medical equipment (IEC 60601-1-2) requires the concrete specification of the corresponding levels which refer to specified electromagnetic interferences.
Technical data 15.3 Technical standards on electromagnetic immunity Guidance and manufacturer’s declaration – electromagnetic immunity The Accu-Chek Spirit is intended for use in the electromagnetic environment specified below. The customer or the user of the Accu-Chek Spirit should assure that it is used in such an environment.
Technical data Radiated RF 3 V/m 10 V/m Portable and mobile RF communications equipment IEC 61000-4-3 80 MHz to 80 MHz to should be used no closer to any 2.5 GHz 2.5 GHz part of the Accu-Chek Spirit, including cables, than the (IEC 60601-2-24) recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance: d = 0.4 P 80 MHz to 800 MHz d = 0.7 P 800 MHz to 2.
Technical data Note 1 At 80 MHz and 800 MHz, the higher frequency range applies. Note 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM an FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy.
Technical data Accuracy of flow rate for both Accu-Chek 3.15 ml plastic cartridges and Aventis glass cartridges*** Trumpet curve plotted from data after the end of the stabilization period The trumpet curve shows the accuracy of the delivery rate in relation to the observation period. The maximum deviation of the delivered amount (overall mean percentage flow error) for U100 insulin is ≤ ±5%*.
Technical data Start-up graph over the stabilization period The start-up graph shows changes in the flow rate over the stabilization time. Influence of height on delivery accuracy The maximum deviation of the delivered amount (overall mean percentage flow error) for U100 insulin is ≤ ±10%* in case your Accu-Chek Spirit insulin pump is located ≤ 1 m (3.3 feet) above/below the infusion site.
Technical data 15.4 Configuration parameters Your insulin pump is provided by Roche Diagnostics with a standard configuration (factory settings). A list containing the important factory settings is added to the original insulin pump package when your insulin pump is first shipped. You may need to adapt the factory settings to meet your individual needs. Set the configuration parameters directly on your insulin pump and/or by using the Accu-Chek Insulin Pump Configuration Software.
Technical data Basal rate – hourly basal rate + max. TBR (hourly basal rate combined with temporary basal rate, max. increase) Typical range available on the pump and standard parameter settings* Maximum parameter range adjustable with the Accu-Chek Insulin Pump Configuration Software 20.0 IU/h max. amount 0 – 62.50 IU/h – hourly basal rates increment 0.1 IU – hourly basal rates 10.0 IU/h max. amount 0 – 25.
Technical data Typical range available on the pump and standard parameter settings* Display orientation standard or inverted presetting: standard Display contrast 7 steps presetting: medium User menus 3 (STANDARD, ADVANCED or CUSTOM) presetting: ADVANCED Volume (for beeps) off, 1 – 4 steps presetting: medium Alarm signals turned on beeps, vibrations or both presetting: beeps and vibration Battery type AA alkaline or AA NiMH rechargeable battery presetting: AA ALKALINE battery KeyLock turned on
Annexes 16 Annexes 16.1 Abbreviations approx. Approximately BR Basal rate BRP Basal rate profile DDM Diabetes Data Management h Hour(s) IEC International Electrotechnical Commission incl. Inclusive IR Infrared I.U., IU International Units in context with biological effectiveness of a certain insulin amount kPa Kilo pascals LCD Liquid Crystal Display LED Light Emitting Diode for infrared communication with e.g. a PC NiMH Nickel metal hydride (used with rechargeable batteries) rel.
Annexes U100 This is the insulin concentration. Each millilitre of liquid contains 100 International Units of insulin. dd.mm.yy European date format: day.month.
Annexes 16.2 Beeps and melodies You can turn off the beeps or the vibrations, but not both at the same time. Please refer to sections 7.7.2 “Adjust the beep volume” and 7.7.3 “Alarm signals” for further information.
Annexes 16.3 Vibrations Your insulin pump communicates alerts and errors using beeps and vibrations. You can turn off either the beeps or the vibrations, but not both at the same time. When you program a “Quick” Standard bolus, your Accu-Chek Spirit confirms all programming with vibrations. You cannot turn off these vibrations.
Annexes 16.4 Symbols 16.4.
Annexes For single use only Does not contain pyrogen Does not contain PVC Recycling Do not throw away Do not use if the package is damaged Flammable See Electronic device of type BF according the standard IEC 60601-1. Protection against electrical shock. IPX8 Symbol for protection against the effect of temporary immersion of water (up to 60 minutes and 2.5 meters [8 feet]), according to IEC 60529.
Annexes 16.4.
Annexes Standard bolus and Bolus increment programming Extended bolus and extended delivery of the MultiWave bolus MultiWave bolus Immediate bolus delivery of MultiWave bolus Decreased temporary basal rate (0 – 90%) Increased temporary basal rate (110 – 200% h) Remaining duration of an ongoing Extended bolus, MultiWave bolus, TBR or automatic off Daily total of insulin delivered (basal rate plus boluses) Prime the infusion set (menu) Alert or error occurring Alert Error Information menu Pump Timer
Annexes Beeps and vibrations turned on Set beep volume Screen orientation European date format American date format Alarm clock turned on Alarm clock turned off Single alarm when set an alarm clock Every day repeat alarm when set an alarm clock PC communication Menu key Check key Up key Down key Timeout of a menu This setting may have been changed (by using your pump programming software).
Annexes 16.5 Sterile products and accessories 16.5.1 Sterile products Cartridges Name Accu-Chek 3.15 ml Plastic Cartridge Aventis Insuman Infusat Pre-filled 3.15 ml Glass Cartridges* (U100) Comments Plastic cartridges are single-use items only. Do not reuse cartridges. Refer to the instructions for use of the insulin you are using for information on the acceptable temperature range for storage and handling.
Annexes 16.5.2 Accessories Name Adapter Batteries One 1.5 volt AA Alkaline battery with a minimum capacity of 2500 mAh. Rechargeable Batteries AA NiMH rechargeable batteries with a minimum capacity of 1500 mAh. Battery Cover Carrying Systems Accu-Chek Insulin Pump Configuration Software Travel Size Guide Comments Replace your adapter with every 10th cartridge.
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Glossary 17 Glossary Accu-Chek Insulin Pump Configuration Software Roche Diagnostic’s insulin pump programming tool. This software allows the fast and easy change of parameters and settings directly from your Microsoft Windows compatible PC. Adapter The adapter physically connects the cartridge and infusion set. It has two seals and forms an efficient seal for the cartridge compartment of your insulin pump.The two small vents on the adapter allow air pressure to equalize.
Glossary Bolus The amount of insulin delivered (in addition to the basal rate) to cover the intake of food and correct high blood glucose levels. The bolus amount is determined by your doctor or healthcare team’s guidelines, your blood glucose level, your food intake and your activity level. Carrying system A wide variety of carrying systems made of different materials are specially designed to suit your individual needs while wearing your insulin pump. Cartridge The insulin reservoir of your insulin pump.
Glossary Filling aid The filling aid can be used to help you fill an empty Accu-Chek 3.15 ml plastic cartridge from your vial of insulin. Free flow Free flow of insulin from the infusion may occur when two conditions are met. First, the cartridge with a connected infusion set and the piston rod of your insulin pump are not correctly connected and second, you position your insulin pump at a higher level than the infusion site.
Glossary IPX8 according to IEC 60529 Protection against the effects of temporary immersion in water. Ingress of water in quantities causing harmful effects is not possible when the device is temporarily immersed in water under standardized conditions (maximal 60 minutes a day and 2.5 meters [8 feet]). Luer-lock connector A standardized fitting at the end of the infusion set, the cartridge and the adapter which allows them to be locked together without leaking.
Glossary STOP When your insulin pump is in STOP, it does not deliver any insulin. The insulin delivery is only stopped if an error occurs or if your insulin pump is put into a necessary STOP, (e.g. when changing the cartridge, adapter or infusion set or for data transfer). Functions such as Extended bolus or temporary basal rate are interrupted by putting your insulin pump into STOP.
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Index Index Accessories . . . . . . . . . . . . . . . 35 Accu-Chek Insulin Pump Configuration Software. . . . . 44, 78 Adapter. . . . . . . . . . . . . . . . . . . 39 Advanced setup menu. . . . . . . 134 Advanced user menu . . . . . 78, 121 Alarm. . . . . . . . . . . . . . . . . 31, 110 Alarm clock. . . . . . . . . . . . 133, 149 turning off. . . . . . . . . . 134, 149 Alarm history . . . . . . . . . . . . . 116 Alarm signals. . . . . . . . . . . . . 110 Alcohol consumption. . . . . . . .
Index Daily insulin totals history. . . . 116 Daily totals history . . . . . . . . . 116 Data interrupted. . . . . . . . . . . 163 Data memory . . . . . . . . . . . . . 114 Data transfer. . . . . . . . . . . . . . 141 interruption of . . . . . . . . . . 141 setting up . . . . . . . . . . . . . 142 Date. . . . . . . . . . . . . 114, 116, 117 Date and time setting; see “Time and date”. . . . . . . . . . . . . . . . . 83 Date and time settings . . . . . . . 45 Date format . . . . . . . . . . . . . .
Index Maintenance. . . . . . . . . . . . . . 179 Malfunction. . . . . . . . . . . . . . . . 37 reusing single use materials Mechanical error. . . . . . . . . . . 158 Memory . . . . . . . . . . . . . . . . . 114 Menu . . . . . . . . . . . . . . . . . . . . 76 3 different. . . . . . . . . . . . . . 78 navigating through. . . . . . . . 76 navigation levels . . . . . . . . . 76 personalized . . . . . . . . . . . . 79 Menu key. . . . . . . . . . . . . . . . .
Index TBR; see “Temporary basal rate”. . . . . . . . . . . . . . . 102 Temporary basal rate . . . . . . . 102 cancelled. . . . . . . . . . . . . . 150 decrease. . . . . . . . . . . . . . 102 duration. . . . . . . . . . . . 104, 117 history. . . . . . . . . . . . . . . . 117 increase. . . . . . . . . . . . . . . 102 interruption of . . . . . . . . . . 106 over. . . . . . . . . . . . . . . . . . 151 Time. . . . . . . . . 114, 116, 117, 118 Time and date american. . . . . . . . . . . . . . .
Your Insulin pump STANDARD MENU KeyLock Standard bolus quick info KeyLock quick info “Scroll” Standard bolus bolus amount temporary basal rate stop your Accu-Chek percentage start your Accu-Chek duration change the cartridge prime the infusion set communication information menu program profile no.
19 Alert overview In all cases, turn off and confirm the alert prior to addressing the issue. No Alert What you have to do Page No Error What you have to do Page A1 CARTRIDGE LOW Change cartridge before it is completely empty. 147 E1 CARTRIDGE EMPTY Change the cartridge. 152 A2 E2 BATTERY DEPLETED Change the battery. 153 BATTERY LOW Replace the battery as soon as possible. 148 E3 AUTOMATIC OFF Put your Accu-Chek Spirit in RUN if necessary.
Disetronic Medical Systems AG 3401 Burgdorf, Switzerland www.accu-chek.com Swiss made 04540344001/V06/10.08 ACCU-CHEK, ACCU-CHEK SPIRIT, accu-chek tenderlink, accu-chek flexlink, accu-chek rapidlink and disetronic are trademarks of Roche.
