Pump Therapy MADE FOR YOU Pump User Guide
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 1 Dear ACCU-CHEK® Spirit insulin pump owner, Thank you for choosing the ACCU-CHEK Spirit insulin pump. This guide will help you to get the most from your ACCU-CHEK Spirit insulin pump.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 2 How to use this guide This guide is for version 2.XX of the ACCU-CHEK Spirit insulin pump. Note: This user guide presents you with sample screens. The screens in this user guide may look slightly different from your pump screens. If you have questions about what you see on your pump, contact Pump Support at 1-800-688-4578.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 3 Working safely with your ACCU-CHEK Spirit insulin pump Your ACCU-CHEK Spirit insulin pump meets the safety requirements of national medical device legislation and meets or exceeds the international standards for Electromagnetic Compatibility regarding the pump’s use. This section introduces you to the intended use of the ACCU-CHEK Spirit insulin pump, to its safety features, and to warnings and safety information you need to know while using your pump.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 4 Guarantee Any changes or modifications to the ACCU-CHEK Spirit insulin pump that are not expressly approved by Disetronic Medical Systems, Inc. could void the pump warranty. Do not try to fix the device yourself.
P01_58.
P01_58.
P01_58.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 8 This page left blank intentionally.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 9 Chapter 1: Understanding Your New System The ACCU-CHEK Spirit Insulin Pump Display Menu key Up key Down key Check key Infusion set Adapter Cartridge ! ▲ CAUTION Check your insulin pump and its sterile products, like an infusion set and accessories, at least every three hours. Immediately inspect your insulin pump if it is dropped. Do not use your insulin pump if chips or cracks are visible.
P01_58.qxp:701267_P01_58 ▲ ! CAUTION 5/28/08 8:44 AM Page 10 If you discover incomplete characters, numbers, or symbols on the display, put your insulin pump into STOP mode and perform a system check by simply removing the battery for a few seconds. When you reinsert the battery the system check will occur. If the incomplete characters, numbers, or symbols remain, your insulin pump may need to be returned since you may not receive the correct information for operating your pump.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 11 Keys and Key Combinations The pump will beep each time a key is pressed, unless the beep tone is set to 0. ▲ Never press any of the keys with a sharp or pointed item such as the tip of your fingernail. This could damage the casing of your insulin pump. Use the pad of your fingertip instead to avoid puncturing the keys. ! CAUTION Single Keys Each key has a specific function when it is pressed by itself.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 12 Note: Increase or decrease the values by pressing the a or s keys. If you want to make large changes to a value, in most cases you can do this faster by pressing and holding down the a or s key (scrolling) until the number you want is displayed. If needed, the value can still be corrected by a single press of the s or a. Your pump will beep once when you start scrolling. Key Combinations Keys can be pressed in pairs for additional functions.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 13 Locking Keys Using KeyLock Feature The KeyLock feature lets you lock all four keys on your pump as a safety measure against accidentally activating functions. You may want to use this function while sleeping, or during sports, for example. The KeyLock function is turned on in the STANDARD SETUP MENU. All instructions in this user guide are given on the assumption that the KeyLock is off.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 14 STOP Screen time date KeyLock unlocked pump timer cartridge low battery low The STOP screen shows the current time and date, the STOP symbol, reminder information (such as “battery low”), and special functions (such as KeyLock locked or unlocked). Some functions must be programmed while your pump is in STOP mode, when insulin is not being delivered. Your pump must also be in STOP mode before you can change cartridges.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 15 Follow the steps below to navigate through the screens. 1. Press the d key to move to a screen displaying your first choice. Think of these screens as menu choices. 2. Press the d key again to see your next choice on the menu. After you reach the last menu choice you will “loop” back to the first menu choice. 3. When you reach the screen displaying the choice you want (e.g., SET THE TIME AND DATE), press f.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 16 ▲ Check the display of your insulin pump at least every three hours during the day and before you go to sleep, especially WARNING if for any reason you are unable to hear the beeps or feel the vibrations. This is the only way you will be notified of changes in your insulin pump in a suitable amount of time. ! Alarm Signals Your pump gives alerts and errors using beeps and vibrations.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 17 Accessories and Disposables Sterile products and accessories are a crucial part of the ACCU-CHEK Spirit insulin pump system and therapy. These products are designed for safe and simple insulin pump therapy. Always follow the instructions given by your doctor or healthcare team for the use of all system components. Use your ACCU-CHEK Spirit insulin pump, sterile products, and accessories for the first time in the presence of your doctor or healthcare team.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 18 ▲ Always have extra sterile products and accessories with you. This allows you to exchange components when needed. CAUTION 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. ! See Disetronic Medical Systems’ sterile products and accessories catalogs and brochures for more information.
P01_58.qxp:701267_P01_58 ▲ ! 5/28/08 8:44 AM Page 19 The cartridges are sterile products intended for single use only. WARNING Infusion Set An ACCU-CHEK infusion set connects your pump to your body to deliver insulin. The insulin travels from the cartridge in your insulin pump through the infusion set into your body. The cannula or needle of the infusion set is placed under the skin, usually in the abdominal area.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 20 Use only infusion sets that have a luer-lock connector. All current ACCU-CHEK infusion sets have luer-lock connectors and are the preferred choice for use with your ACCU-CHEK Spirit insulin pump. All ACCU-CHEK infusion sets are PVC free, are skin-friendly, and do not affect insulin. The diameter of the ACCU-CHEK infusion set tubing is small for fast priming and minimal waste of insulin.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 21 Battery Your pump runs on one AA battery. Use AA alkaline batteries that have a minimum capacity of 2500 mAh. Do not use lithium, carbon zinc, or nickel cadmium (NiCd) batteries. If you prefer to use rechargeable batteries, use NiMH batteries that have a minimum capacity of 1500 mAh. If you use rechargeable batteries, always use a battery charger recommended by the battery manufacturer. Keep extra batteries on hand.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 22 Note: You must set the battery type to match the kind of battery you are using. If you do not set the correct battery type on your pump, the alert A2: BATTERY LOW may not give you enough time to replace your battery. If you change from using regular batteries to rechargeable batteries, or from rechargeable batteries to regular batteries, you must change the battery type setting in the Standard setup menu (SETUP MENU STANDARD).
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 23 Battery Key The battery key tightens and loosens the battery cover. It can also loosen the luer-lock connection between the infusion set and adapter if it cannot be loosened by hand. However, never use the battery key to attach or to tighten an infusion set. The battery key has a notch that fits all ACCU-CHEK infusion set luer-lock connectors. The battery key should be replaced if it cracks, becomes worn, or if it is lost.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 24 This page left blank intentionally.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 25 Chapter 2: Getting Started Inserting (or Changing) the Battery Your pump turns on when you insert the battery. When you remove the battery, your pump still tracks the time and date for about 1 hour.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 26 Follow the steps below: 1. Press d to move to the STOP YOUR ACCU-CHEK screen. Press f to select and put the pump in STOP mode. Your pump returns to the STOP screen and insulin delivery stops. 2. Remove or disconnect your infusion tube set from the headset so that insulin cannot accidentally be delivered. 3. Remove the battery cover. Use the battery key to turn the battery cover as indicated by the arrow on the battery cover.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 27 5. Use the cover to gently push the battery all the way in. Turn the battery cover clockwise to tighten it. The battery cover is correctly tightened when the outside of it is even with the casing. Do not over-tighten the battery cover. The pump begins its start-up process. Note: If your pump was in RUN mode before you removed the battery, an error E8: POWER INTERRUPT will occur when a new battery is inserted.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 28 System Check Start-Up Process Your pump performs internal tests at start-up when you insert a battery and when you change the cartridge. When you insert a battery the whole start-up process is performed. When only the cartridge is changed, the start-up process begins at the SELF-TEST screen. ▲ Do not interrupt the start-up process by pressing keys or by handling the insulin pump.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 29 3. SELF-TEST appears. 4. Your pump beeps and BEEP TEST appears. Listen for the beeps. ! ▲ CAUTION If you cannot hear the beeps from your insulin pump, you may not be notified of changes with your insulin pump in a suitable amount of time. If you cannot hear the beeps, contact Pump Support at 1-800-688-4578. 5. Your pump vibrates and VIBRATION TEST appears. Check for vibrations.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 30 7. The display shows a pattern. Check that the pattern is even. 8. The display turns black. Check that the display is completely black. 9. You will also see an INFORMATION screen. 10. If your pump detects an alert or error during the start-up process, it signals the error or alert at this point. See the section “Alerts and Errors” (page 147) for more information. 11. A melody signals the end of the start-up process, and the pump shows the STOP screen.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 31 Note: If the voltage of the battery is too low, the start-up procedure cannot finish. Your pump beeps five tones and keeps restarting the start-up procedure until you remove the battery or until the battery is dead. ▲ ! CAUTION If you discover incomplete characters, numbers, or symbols on the display, put your insulin pump into STOP mode and perform a system check again by simply removing the battery for a few seconds.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 32 Setting Time and Date Be careful to set the time and date correctly, because the basal rates and all history information are stored on the basis of time and date set in the pump. When you travel across time zones, make sure that the time and date are set correctly. The time format can be either American or European/Military Time.
P01_58.qxp:701267_P01_58 5/28/08 RUN screen 8:44 AM set the time and date Page 33 set the hour set the minute set the year set the month set the day Follow the steps below to set the Time and Date: 1. Press d to move to the SET TIME AND DATE screen. Press f to select. 2. The SET HOUR screen displays. Press a or s to set the hour. 3. Press d to move to the SET MINUTE screen. Press a or s to set the minutes.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 34 4. Press d to move to the SET YEAR screen. Press a or s to set the year. 5. Press d to move to the SET MONTH screen. Press a or s to set the month. 6. Press d to move to the SET DAY screen. Press a or s to set the day. 7. Press f to save and exit.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 35 Your Personal Settings ! ▲ Your new ACCU-CHEK Spirit insulin pump must be programmed with your personal settings prior to starting WARNING insulin pump therapy. Work with your doctor or healthcare team to understand how to use the pump. Always check your personal settings before using your new pump in order to avoid incorrect insulin delivery.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 36 Your Basal Rate Profile Your pump delivers insulin every 3 minutes, in 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 insulin pump basal rate profile consists of up to 24 different hourly basal rates. Each hourly rate may be changed independently.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 37 Programming Your Basal Rate Profile Note: Insulin delivery does not stop or pause during basal rate programming. The insulin amounts and other values used in this user guide are examples only. Your personal values may differ.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 38 Follow the steps below: 1. Press d to move to the PROGRAM BASAL RATE PROFILE 1 screen. 2. Press f to select. The daily BASAL RATE TOTAL is displayed. 3. Press d to move to the first hour. The first hour, which always begins at midnight, 00:00 – 01:00 (12:00 AM – 01:00 AM if the American time format is used), is shown. 4. Press a or s or scroll to set the hourly basal rate given by your doctor or healthcare team. 5. Press d to move to the next hour. 6.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 39 7. Press f to confirm. The new daily BASAL RATE TOTAL is displayed. Check the new daily BASAL RATE TOTAL. 8. Press f to save and exit. If the current active basal rate profile is the same as the new programmed basal rate, it is active immediately. Note: At any screen you have three options to exit: If you want to save the changes • Press f. Check the new daily basal rate total. • Press f. Your pump returns to the RUN screen.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 40 Copying an Hourly Basal Rate If your basal rate is the same for multiple hours in a row, you can save time programming by copying an hourly basal rate to one or more hours. Follow the steps below: 1. Press d to move to the PROGRAM BASAL RATE PROFILE 1 screen. 2. Press f to select. The daily BASAL RATE TOTAL is displayed. 3. Press d to move to the hourly basal rate you want to copy. 4. Press a+ s simultaneously.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 41 6. Press f to confirm. Check the new daily BASAL RATE TOTAL. 7. Press f to save and exit. If the current active basal rate profile is the same as the new programmed basal rate, it is active immediately. Basal Rate and Bolus During normal use, your pump is in RUN mode and insulin is continuously delivered (basal rate). A bolus can be programmed when it is needed.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 42 Preparing the Cartridge ! ▲ Your insulin pump is designed to use an ACCU-CHEK 3.15 ml plastic cartridge. The cartridge is a sterile product WARNING 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.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 43 Filling the Cartridge Note: A filling aid, an optional accessory by Disetronic Medical Systems, helps you fill an empty ACCU-CHEK 3.15 ml plastic cartridge from your vial of insulin. Read the instructions that are included with the filling aid to learn how to use it. To fill a cartridge, have the following materials ready: • A new 3.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 44 3. Remove the cartridge, the cartridge protective cap, and the filling needle with its protective cap from their packaging. 4. Place the filling needle with protective cap onto the cartridge tip and make sure the connection is tight. Move the plunger rod back and forth twice in the cartridge to distribute the lubricant. Pull the plunger back to fill the cartridge with air. Plunger Plunger rod 5. Remove the protective cap from the needle.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 45 6. Hold steady pressure against the plunger rod with your thumb, and at the same time turn the insulin vial over 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 let the insulin flow into the cartridge.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 46 Remove the plunger rod by turning it counter-clockwise out of the plunger. Remove the filling needle with its protective cap from the cartridge by turning counter-clockwise. Dispose of properly. Push the cartridge protective cap tightly onto the cartridge tip until it clicks. The cartridge is now ready to use. Note: Do not pull or push the plunger rod during removal.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 47 Connecting the Cartridge, Adapter, and Infusion Set Note: Before you change the cartridge, adapter, and infusion set, check that your pump is in good, working order. See the section “System Inspection Checklist” (page 137). Insulin can flow freely from the cartridge or infusion set if the cartridge plunger and the piston rod are not properly connected and the pump is positioned at a higher level than the infusion site.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 48 Follow the instructions below: Remove the protective cap from the cartridge. Do not touch the cartridge tip. b Luer-lock connector Push the adapter all the way onto the cartridge tip to the stop (a). a Hold the adapter and twist the infusion set luer-lock connection by hand, clockwise into the adapter (b). Carefully prepare a new ACCU-CHEK infusion set for use, priming and insertion, following its instructions for use. Do not over-tighten.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 49 Inserting the Cartridge ! ▲ CAUTION Do not perform the CHANGE THE CARTRIDGE function if the cartridge compartment is not completely dry. During the rewinding of the piston rod, insulin or water might enter your insulin pump and could lead to malfunction. If necessary, use a soft cloth to dry the compartment. STOP screen change the cartridge remove the cartridge 3 sec.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 50 Follow the steps below: 1. Press d to move to the STOP YOUR ACCU-CHEK screen. 2. Press f to select and put the pump in STOP mode. Your pump displays the STOP screen, and insulin delivery stops. 3. Press d to move to the CHANGE THE CARTRIDGE screen. 4. Press f to select. Remove the current cartridge, if there is one. 5. Press and hold f (for 3 seconds) until you hear a melody. The piston rod begins its return.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 51 6. Hold your pump upright. Hold the new filled cartridge so that the connected adapter and infusion tube set point upwards, parallel, and close to the cartridge compartment. Make sure that the bottom edge of the colored part of the adapter is level with the top of the cartridge compartment. Base plate of piston rod Cartridge plunger 7.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 52 If the end plate of the piston rod does not sit flush against the cartridge plunger, remove the cartridge from the cartridge compartment. Hold the cartridge and adapter next to the cartridge compartment. Press a or s to move the piston rod forward until its base plate and the cartridge plunger are level. The displayed cartridge volume decreases accordingly. Re-insert the cartridge into the cartridge compartment.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 53 Priming the Infusion Set ▲ Never prime an infusion set that is connected to your body. You risk uncontrolled insulin delivery into your body. Always WARNING follow the instructions for the infusion set you are using. ! The ACCU-CHEK Spirit insulin pump stops priming after 25 units of insulin. If no insulin has emerged from the tube set needle after priming, repeat the priming function.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 54 start-up procedure STOP screen prime the infusion set start priming 3 sec. stop priming Follow the steps below: 1. Press d to move to the STOP YOUR ACCU-CHEK screen. 2. Press f to select and put the pump in STOP mode. Your pump displays the STOP screen, and insulin delivery stops. 3. Prepare the tubing or cannula/needle for priming per infusion set instructions for use. 4. Press d to move to the PRIME THE INFUSION SET screen.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 55 5. Press f to select. The priming amount of 25 units of insulin is shown on the display. 6. When START PRIMING is displayed, press and hold f until you hear a melody and the piston rod moves forward. The priming process begins and a count-up is shown on the display. Your pump stops priming after 25 units. When the priming process is finished, your pump returns to STOP.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 56 Preparing the Infusion Site and Inserting the Infusion Set Always follow the instructions given to you by your doctor or healthcare team and the instructions for the infusion set you are using. Change your infusion set as frequently as recommended by the manufacturer. Infusion Site Selection Your doctor or healthcare team will help you select your infusion site areas according to a planned rotation pattern.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 57 2. Wash your hands thoroughly. 3. Disinfect the infusion site and let it dry completely. 4. Make sure your pump is in STOP mode. 5. Insert your ACCU-CHEK infusion set according to the instructions for its use.
P01_58.qxp:701267_P01_58 5/28/08 8:44 AM Page 58 Note: If you use a soft cannula-type infusion set, you must proceed with a bolus to fill the air space in the cannula after removing the introducer needle according to the instructions for the infusion set you are using. Failure to do so could result in missed insulin dosing. See the section “Programming a Standard Bolus” (page 77) for more information. ▲ ! CAUTION Inspect your infusion site at least once or twice each day for irritation or infection.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 59 Chapter 3: Using Your Pump Before Using ! ▲ CAUTION Training and using your insulin pump requires the support of an experienced doctor or healthcare team. Regular visits to your doctor or healthcare team are absolutely essential during insulin pump therapy. Always follow the instructions given by your doctor or healthcare team. Successful insulin pump therapy requires you to check your blood glucose levels often.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 60 Wear your pump under your clothes or directly on your body in cold or rainy weather. If you have concerns about the weather affecting your pump, check the operating conditions of your pump and contact Pump Support at 1-800-688-4578. See the section “Appendix A: Technical Data” (page 165) for more information on operating conditions. ▲ ! CAUTION Do not place your insulin pump in direct sunlight.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 61 When Not to Wear Your Pump Electromagnetic Fields and Hazardous Areas Do not use your pump around electromagnetic fields such as radar or antenna installations, high-voltage sources, X-Ray sources, MRI, CAT scan, and all other sources of electrical current as they may cause your pump not to work. Insulin delivery may stop and an error E7: ELECTRONIC ERROR may occur. Always stop and remove your pump before you enter these areas.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 62 Do not exceed 10,000 feet (3,000 meters) above sea level. Your pump has not been tested for use above this level. Always stop and remove your pump before you enter these areas. If you have questions, contact Pump Support at 1-800-688-4578. Sports and Exercise Exercise is an important part of diabetes management.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 63 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. Prior to contact with water, disconnect and take off your insulin pump.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 64 What to Do After Any Water Contact Put your pump into STOP mode. Disconnect the pump from your body before inspecting it. Use a soft cloth to dry the outside of the pump. Check the battery compartment and the cartridge compartment for water. If the battery compartment or cartridge compartment are wet, turn your pump upside down to let the water run out and let it air dry.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 65 Starting Insulin Delivery STOP screen start your ACCU-CHEK RUN screen Follow the steps below: 1. Start from the STOP screen. 2. Press d to move to the START YOUR ACCU-CHEK screen. 3. Press f to select. Your pump shows the RUN screen. Insulin delivery begins within 3 minutes. Note: Check the amount of insulin remaining in the cartridge at least once a day.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 66 Stopping Insulin Delivery ▲ ! CAUTION When your insulin pump is in STOP mode, it does not deliver any insulin. You will need to put your insulin pump into RUN mode to continue insulin delivery. There are functions and actions, for your safety, that you can only perform when the pump is in STOP mode.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 67 Note: When an Extended Bolus, a MultiWave Bolus, and/or a Temporary Basal Rate (TBR) is/are active and you put your pump into STOP mode, 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 “Alert A6: TBR CANCELLED” (page 152) and “Alert A8: BOLUS CANCELLED” (page 153) for more information.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 68 Interruption of Insulin Pump Therapy Consult with your doctor or healthcare team about when and for how long your insulin pump therapy can be interrupted. Measure your blood glucose level regularly during any insulin interruption. Use a syringe or insulin pen to inject insulin according to the instructions of your doctor or healthcare team.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 69 Short Interruption 1. Put your pump in STOP mode. 2. Remove or disconnect the infusion tube set from the infusion headset. When using a disconnectable infusion set, disconnect it at your infusion site and use the protective covers that came with the infusion set. Resuming Insulin Pump Therapy 1. Attach a new ACCU-CHEK infusion set and prime it before inserting it. 2.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 70 Changing the Infusion Set When you change the infusion set, keep the following points and warnings in mind: • 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. • Properly tighten the infusion set to the adapter to avoid leakage. Turn the infusion set luer-lock connector until it stops.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 71 Follow the steps below: 1. Wash your hands thoroughly. 2. Make sure your pump is in STOP mode. 3. Remove the infusion tube set from the headset. 4. Remove the infusion tube set from the adapter and dispose of it properly. Note: The battery key has a notch that fits all ACCU-CHEK infusion set luer-lock connectors. You may use the battery key to loosen the luer-lock connector between your infusion set and adapter if it cannot be loosened by hand. 5.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 72 8. Prime the infusion set following all the instructions and warnings found in the section “Priming the Infusion Set” (page 53). 9. Insert a new infusion set following the instructions found in the section “Preparing the Infusion Site and Inserting the Infusion Set” (page 56). 10. Remove the old infusion headset and dispose of it properly. 11. Place the pump in RUN mode. See the section “Starting Insulin Delivery” (page 65).
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 73 Changing the Cartridge and Infusion Set Have the following materials ready: • Your ACCU-CHEK Spirit insulin pump • A disinfectant for your skin • A new ACCU-CHEK infusion set • A filled ACCU-CHEK 3.15 ml plastic cartridge with a luer-lock connection • A new adapter (must be changed at least with every 10 th cartridge) 1. Wash your hands thoroughly. 2. Make sure your insulin pump is in STOP mode. 3. Remove your infusion tube set from the headset. 4.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 74 5. Hold your ACCU-CHEK Spirit insulin pump with the adapter pointing downwards. 6. Remove the adapter and cartridge from your pump by unscrewing the adapter from the pump casing. Pulling the adapter from the pump casing without completely unscrewing it may result in the plunger staying attached to the piston rod. If this should happen, please call Pump Support at 1-800-688-4578. 7.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 75 Chapter 4: Boluses and Temporary Basal Rates Understanding Boluses A bolus is 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 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.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 76 ▲ • Incorrect programming of your insulin pump may cause inappropriate insulin delivery. WARNING • 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.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 77 Programming a Standard Bolus There are two ways to program a Standard Bolus: “Quick” Standard Bolus Using a and s on your insulin pump, with bolus increments determined by the user “Scroll” Standard Bolus Menu-guided using d and f with a and s for programming of the amount The bolus amount per delivery is limited to 25 units using U100 insulin. After you program a Standard Bolus there is a delay of 5 seconds before the bolus delivery starts.
P59_98.qxp:05006529_GUTS3&4 3 sec. RUN screen bolus delivery 5/28/08 3 sec. 8:39 AM Page 78 bolus amount if O unit 5 sec. delay confirmation of amount 5 sec. delay A8: bolus cancelled Follow the steps below: 1. From the RUN screen press and hold s (a) until you hear a beep sequence and feel a vibration. This activates the “Quick” STANDARD BOLUS function. Hint: Start programming with the a key in areas of poor lighting, as this will also turn on the backlight. 2.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 79 ▲ The bolus increment that can be programmed into your insulin pump determines the Standard Bolus amount WARNING using the a and s keys of your insulin pump. Incorrect programming of the bolus increment may cause inappropriate insulin delivery. See the section “Bolus Increment” (page 131) for more information.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 80 You can view the actual bolus amount delivered prior to the cancellation by looking at the bolus history. See the section “Review the Bolus History” (page 107) for more information. Make sure that the cancellation was intended, and then program a new Standard Bolus, if needed. Programming a Menu-Guided “Scroll” Standard Bolus Regardless of the bolus increment setting, the bolus increments for the “Scroll” Standard Bolus are fixed to 0.1 unit.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM The Standard Bolus symbol ( start delay). Page 81 ) blinks for five seconds (the bolus delivery After this bolus delivery start delay, your pump beeps three times and begins to deliver the total bolus amount programmed. The countdown of the remaining bolus amount appears on the display.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 82 You can view the actual bolus amount delivered prior to the cancellation by looking at the bolus history. Please refer to the section “Review the Bolus History” (page 107) for more information. Make sure that the cancellation was intended and then program a new Standard Bolus, if needed.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 83 Programming an Extended Bolus The Extended Bolus is available in the ADVANCED and CUSTOM user menus. The Extended Bolus function lets you program a bolus to be delivered over a period of time. This function is helpful during long meals, dinners, or receptions, or when you have meals that are digested slowly. The Extended Bolus may also be appropriate for people who have gastroparesis (delayed digestion).
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 84 Follow the steps below: 1. Press d to move to the EXTENDED BOLUS screen. 2. Press f to select. The BOLUS AMOUNT screen appears. 3. Press a to increase or s decrease the bolus amount. The duration of the last Extended Bolus delivered appears, or when using your pump for the first time, a default value appears. 4. Press d to move to the BOLUS DURATION screen. Press a to increase or s decrease the bolus duration.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 85 Note: At any function screen you have three options to exit: If you want to deliver the bolus • Press f. Your pump returns to the RUN screen. If you want to cancel the bolus • Wait for your pump to return to the RUN screen (timeout), or • Press d+a simultaneously (exit feature) to exit the function screen. • Set the bolus amount to 0.0 units and press f.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 86 Cancelling an Extended Bolus – during programming (the bolus amount or bolus duration blinks): You have three options for cancelling an Extended Bolus during programming: • If you do not press any key for 20 seconds, your pump returns to the RUN screen (timeout). • Exit to the EXTENDED BOLUS menu by pressing d+a simultaneously. • Set the bolus amount to 0.0 units and press f. No bolus is delivered.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 87 Note: If a Temporary Basal Rate is active at the same time, it is also cancelled when your pump is put into STOP mode. An alert A8: BOLUS CANCELLED and an alert A6: TBR CANCELLED occur. Press f twice to confirm and turn off the first alert. The second alert appears on the display. Press f twice to confirm and turn off the second alert. Both alerts are recorded in the alarm history.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 88 Programming a MultiWave Bolus The MultiWave Bolus function is available in the ADVANCED 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 you have meals that include both rapid and slowly absorbed carbohydrates. The duration of bolus delivery can be programmed in 15-minute intervals for up to 24 hours.
P59_98.qxp:05006529_GUTS3&4 5/28/08 RUN screen 3 sec. 8:39 AM MultiWave bolus Page 89 bolus amount bolus delivery immediate bolus or stop your ACCU-CHEK bolus duration 5 sec. delay A8: bolus cancelled Follow the steps below: 1. Select the ADVANCED user menu or turn on the MULTIWAVE BOLUS menu choice in the CUSTOM user menu. Also, your pump must be in RUN mode. 2. Press d to move to the MULTIWAVE BOLUS screen. 3. Press f to select. The BOLUS AMOUNT screen appears. 4.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 90 5. Press d to move to the IMMEDIATE BOLUS screen. Press a or s to correct and set the immediate bolus amount. 6. Press d to move to the BOLUS DURATION screen. Press a or s to correct and set the Extended Bolus duration in increments of 15 minutes for up to 24 hours. Note: Press d to loop between programming the total bolus amount, immediate bolus amount, and Extended Bolus duration. 7.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 91 Note: Once the immediate bolus is delivered, the remaining time, bolus amount, and the current hourly basal rate are displayed on 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 on the RUN screen.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 92 Note: If the alert A8: BOLUS CANCELLED does not occur, the bolus delivery was not cancelled. Cancel the extended delivery (see below). • You can cancel the extended delivery by putting the pump in STOP mode. This cancels the Extended Bolus. An alert A8: BOLUS CANCELLED occurs. Press f twice to confirm and turn off the alert. Bolus delivery is interrupted. See the section “Alert A8: BOLUS CANCELLED” (page 153) for more information.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 93 Programming a Temporary Basal Rate (TBR) Your pump lets you temporarily increase or decrease your basal rate. This lets you match changing insulin needs from increased or decreased activity level, illness, or stress. ▲ Incorrect programming of your insulin pump may cause incorrect insulin delivery. Your insulin pump must be WARNING programmed with your personal settings prior to starting insulin pump therapy.
P59_98.qxp:05006529_GUTS3&4 5/28/08 RUN screen 8:39 AM temporary basal rate Page 94 precentage duration Follow the steps below: 1. Put your pump in RUN mode. 2. Press d to move to the TEMPORARY BASAL RATE (TBR) screen. 3. Press f to select. 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. 4.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 95 Note: When you increase (or decrease) the Temporary Basal Rate the duration of your previous Temporary Basal Rate increase (or decrease) appears. When you use your pump for the first time, a default value appears. 5. Press d to move to the TBR DURATION screen. Press a or s to correct and set the duration. Note: Press d to loop between programming the basal rate percentage and duration. 6. Press f to save and exit.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 96 Note: During the Temporary Basal Rate delivery, the increase or decrease in percentage, the increased or decreased hourly basal rate (hourly basal rate plus TBR percentage), and the remaining time are displayed in the RUN screen. An arrow pointing up symbolizes a Temporary Basal Rate increase; an arrow pointing down symbolizes a Temporary Basal Rate decrease.
P59_98.qxp:05006529_GUTS3&4 5/28/08 8:39 AM Page 97 Cancelling a Temporary Basal Rate – during programming: There are three ways to cancel a Temporary Basal Rate during programming: • Do not press any key for 20 seconds. The pump returns to the RUN screen (timeout). • Exit to the TEMPORARY BASAL RATE (TBR) screen by pressing d+ a simultaneously. • Set the TBR percentage to 100%. Press f to save and exit. No Temporary Basal Rate is delivered.
P59_98.qxp:05006529_GUTS3&4 ▲ ! CAUTION 5/28/08 8:39 AM Page 98 When your insulin pump is in STOP mode, it does not deliver any insulin. Put your insulin pump in RUN mode to continue the insulin delivery. Note: If an Extended Bolus or a MultiWave Bolus is active at the same time, it is also cancelled when your pump is put into STOP mode. An alert A8: BOLUS CANCELLED and an alert A6: TBR CANCELLED occur. Press f twice to confirm and turn off the first alert. The second alert appears on the display.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 99 Chapter 5: User Menus You will need to access various screens so you can view stored information, program the pump, perform a function, or change a setting. Your pump offers a choice of three different user menus: • The STANDARD User Menu This menu offers all the functions you need for successful insulin pump therapy and lets you change between the user menus. If you are new to pump therapy, start with this menu.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 100 Selecting a User Menu RUN screen select the user menu user menu select basal rate profile Note: When you change the user menu, your current basal rate profile will not appear if it is not activated. Make sure that your desired basal rate profile number(s) is/are activated. This can be done through the previous user menu or the ADVANCED user menu. Follow the steps below: 1. Press d to move to the SELECT USER MENU screen. Press f to select.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 101 2. The current user menu is selected on the SELECT USER MENU screen. Press a or s to select a different user menu. 3. Press f to confirm. The selected basal rate profile and its daily insulin total appear, or if the previous basal rate profile is not available from the selected user menu, dashes appear instead. 4. Press a or s to select a basal rate profile, if needed. Check the (new) basal rate profile and its daily insulin total. 5.
P99_146.qxp:05006529_GUTS5&6 ! ▲ CAUTION 5/28/08 8:43 AM Page 102 A running increased or decreased Temporary Basal Rate will remain active, even if you changed the basal rate profile. The temporary basal rate is based on the new basal rate.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 103 STANDARD User Menu The following is a list of menu choices for the STANDARD user menu as they are addressed in the manual. To view the order in which they appear on the pump, refer to the menu diagrams at the back of the manual. Some of the functions have already been described earlier in the manual. The remaining functions are described following this list.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 104 Data Transfer The pump memory stores up to 4,500 pump events (about 90 days of usage). Pump events include alerts and errors, programming operations, and insulin delivery records. Some or all of the pump memory may be transferable to compatible software. The built-in infrared interface inside the bottom cover of your insulin pump allows for wireless data transfer.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 105 Setup for Data Transfer STOP screen communication start data transfer stop data transfer Follow the steps below: 1. Put your pump in STOP mode. 2. Press d to move to the COMMUNICATION screen. 3. Press f. The DATA TRANSFER screen appears and a melody signals that your pump is ready to deliver data. When the data transfer is finished, press f to return to the STOP screen.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 106 Note: Your pump returns to STOP mode 15 minutes after the last data transfer when the DATA TRANSFER screen is selected. You may press d+ a simultaneously to exit while data is being transferred. The data transfer is interrupted and an error E12: DATA INTERRUPTED occurs. See the section, “Error E12: DATA INTERRUPTED” (page 163) for more information.
P99_146.
P99_146.qxp:05006529_GUTS5&6 RUN screen 5/28/08 information menu 8:43 AM Page 108 bolus history alarm history daily totalTBR history maintenance 1. Press d to move to the INFORMATION screen. 2. Press f to select. The BOLUS HISTORY screen appears. The most recent bolus information is displayed. 3. Press a or s to review the entries. Press f to exit.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 109 Review the Alarm History The alarm history lets you review the last 30 alerts or errors, beginning with the most recent entry and working backward in time. Each alarm history screen displays the: • number and type of the alert or error (example A6), • alert or error (example TBR CANCELLED), • time ( ), • date ( ) and • entry number (01 is the most recent) of total entries (example: 01/30) of an alert or error. 1.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 110 Review the History of Daily Insulin Totals This history lets you review the last 30 daily totals of insulin delivered (from midnight to midnight; basal rate plus boluses), starting with the most recent entry and working backward in time.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 111 Review the Temporary Basal Rate History The Temporary Basal Rate (TBR) history lets you review the last 30 TBR increases or decreases starting with the most recent entry and working backward in time. Each TBR history screen displays the: • TBR increase ( ) or decrease ( ) in percentage, • TBR duration ( ), • time ( ) • date ( ) and • entry number (01 is the most recent) of total entries (example 01/30) of a delivered Temporary Basal Rate.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 112 Review the Time Remaining Your pump is designed to be a highly reliable system that will give you worry-free performance for a long time. For best performance, a pump timer limits the operating time of the pump. This timer counts the number of days of operation remaining for the ACCU-CHEK Spirit insulin pump. Before the pump timer expires, an alert will remind you of the upcoming end of operating time so that you can arrange to get a new one.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 113 SETUP MENU Standard The SETUP MENU Standard should not be confused with the STANDARD user menu. The SETUP MENU Standard is a menu choice that appears in STANDARD and ADVANCED user menus. The SETUP MENU Standard allows you to “set up” certain features and settings. The following features and settings can be changed using the SETUP MENU Standard menu choice.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 114 Follow the steps below: 1. Press d to move to the SETUP MENU STANDARD screen. Press f to select. 2. The current KeyLock status (ON or OFF) appears. 3. Press a or s to turn the KeyLock ON or OFF. Press f to save and exit. If no key is pressed for 10 seconds after your pump has returned to the RUN screen or STOP screen and if the KeyLock is turned on, all four keys are locked.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 115 Unlocking the KeyLock RUN screen locked 3 sec. 10 sec. RUN screen unlocked Follow the steps below: 1. From the RUN or the STOP screen, press d+s simultaneously (you hear three beeps in RUN mode one beep in STOP mode) and hold for 3 seconds until you again hear three beeps (in RUN mode) one beep (in STOP mode) to confirm that the KeyLock is unlocked. 2.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 116 Adjusting the Beep Volume Your pump beeps when a key is pressed or when an alert or error occurs. Follow the steps below: 1. Press d to move to the SETUP MENU STANDARD screen. Press f to select. 2. Press d to move to the BEEP VOLUME screen. The active beep volume is displayed. 3. Press a or s to adjust the beep volume. There are five volume levels: no beeps (beeps are turned off) very low low normal maximum 4. Press f to save and exit.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 117 Setting Up Alarm Signals The ACCU-CHEK Spirit insulin pump lets you choose how you want your pump to alert you when an alarm occurs. You have three options: beep only vibrate only beep and vibrate Follow the steps below: 1. Press d to move to the SETUP MENU STANDARD screen. Press f to select. 2. Press d to move to the ALARM SIGNALS screen. The active alarm signals are displayed. 3. Press a or s to set the alarm signals. 4.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 118 Automatic Off ▲ ! Discuss using the automatic off function with your doctor or healthcare team. CAUTION Automatic off is a safety feature that stops insulin delivery and triggers an error E3: AUTOMATIC OFF if no keys are pressed within a programmed time period in RUN mode. The automatic off can either be set to OFF or programmed up to 24 hours in 1-hour intervals in the SETUP MENU STANDARD screen. Follow the steps below: 1.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 119 Battery Type ▲ If you do not set the correct battery type on your insulin pump, the alert A2: BATTERY LOW may not occur in time WARNING to provide you sufficient warning to replace your battery. ! Your pump lets you choose between using 1.5 volt AA alkaline batteries or rechargeable AA NiMH batteries. If you change from one battery type to the other, you must also change the battery type setting.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 120 Display Orientation Your pump lets you flip the display orientation by 180° so that you can view it more conveniently depending on how you are wearing the pump. Follow the steps below: 1. Press d to move to the SETUP MENU STANDARD screen. Press f to select. 2. Press d to move to the ORIENTATION screen. 3. Press a or s to select the display orientation. 4. Press f to save and exit.
P99_146.qxp:05006529_GUTS5&6 ▲ ! CAUTION 5/28/08 8:43 AM Page 121 If you flip the display orientation of your insulin pump by 180°, the a and s keys will also reverse their functions. In comparison to the display orientation, the upper key will be the a and the lower key will be s. This change applies for all a and s functions including turning on the backlight. The d and f will not change in their function, but will remain the same, regardless of your screen orientation.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 122 ADVANCED User Menu The ADVANCED user menu offers the full range of the ACCU-CHEK Spirit insulin pump functions. The ADVANCED user menu includes all functions from the STANDARD user menu, plus a wide range of functions for the more experienced user. The following is a list of additional menu choices that appear in the ADVANCED user menu. Some of the functions have already been discussed earlier in the manual.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 123 Basal Rate Profiles Your pump can store up to five different basal rate profiles to match your changing insulin needs (for example, Monday-Friday versus Exercise Day versus Sleeping Late Day). Discuss additional basal rate profiles with your doctor or healthcare team. Consult with your doctor or healthcare team before changing basal rate profiles, as this may change how you use your pump.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 124 Programming Additional Basal Rate Profiles ▲ Incorrect programming of your insulin pump may cause incorrect insulin delivery. Your insulin pump must be WARNING programmed with your personal settings prior to starting insulin pump therapy. Do not operate your insulin pump without knowing your personal settings.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 125 Selecting a Basal Rate Profile RUN screen change the BR profile BR profile no. … Follow the steps below: 1. Press d to move to the CHANGE BASAL RATE PROFILE screen. 2. Press f to select. The current basal rate profile is displayed. Note: Only basal rate profiles that are accessible in your current user menu are available. 3. Press a or s to select a basal rate profile. The selected basal rate profile and its daily insulin total appear. 4.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 126 Note: When you change your user menu your current basal rate profile may not appear. If the basal rate profile number(s) you want does not appear, • Select the ADVANCED user menu, or • Program the basal rate profile to an available basal rate profile number A running Temporary Basal Rate increase or decrease stays active, even if you change the basal rate profile on your pump.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 127 Alarm Clock You can set the alarm clock for a single alarm or for multiple alarms. Multiple alarms repeat at the set time every day. Alarms can be set to remind you of blood glucose testing or other important events. Set Single or Multiple Alarms 1. Press d to move to the ALARM CLOCK screen. 2. Press f to select. The current alarm clock status (OFF, ONCE, or EVERY DAY) and alarm time appear. 3.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 128 Turning 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 “Alert A4: ALARM CLOCK” (page 151) for more information.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 129 SETUP MENU Advanced The SETUP MENU Advanced should not be confused with the ADVANCED user menu. The SETUP MENU Advanced is a menu choice that appears in the ADVANCED user menu. The SETUP MENU Advanced allows you to “set up” certain features and settings. The following features and settings can be changed using the SETUP MENU Advanced menu choice.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 130 Date Format You can set the date in the following formats: American: European: mm/dd/yyyy, example 04/26/06 dd.mm.yyyy, example 26.04.06 Follow the steps below: 1. Press d to move to the SETUP MENU ADVANCED screen. Press f to select. 2. Press d to move to the DATE FORMAT screen. Press a or s to select a date format. 3. Press f to save and exit.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 131 Bolus increment ▲ The bolus increment that can be programmed into your insulin pump determines the “Quick” Standard Bolus WARNING amount using the a and s keys of your insulin pump. Incorrect programming of the bolus increment may cause inappropriate insulin delivery. ! To address patients who may need large or small amounts of insulin, the bolus increment for the ACCU-CHEK Spirit insulin pump is adjustable.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 132 Prime Quantity The prime quantity needed to fill an infusion set depends on the length of the infusion set tubing being used. 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 units of U100 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 pump’s keys to stop priming.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 133 Lock Basal Rate Profiles Your pump lets you change your hourly basal rates as needed. You may lock your basal rate profiles to provide extra protection against accidentally changing a basal rate during normal operation. When this function is activated, your hourly basal rates cannot be changed. Follow the steps below: 1. Press d to move to the SETUP MENU ADVANCED screen. Press f to select. 2. Press d to move to the BASAL RATE LOCK screen.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 134 Language Your pump is programmed in several languages. These languages include Italian, English, German, French, Spanish, Portuguese, Czech, Dutch, Swedish, Norwegian, Polish, and Greek. To choose a language, do the following: 1. Press d to move to SETUP MENU ADVANCED screen. Press f to select. 2. Press d to move to the LANGUAGE screen. Press a or s to select a language. 3. Press f to save and exit.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 135 Display Contrast Your pump lets you adjust the display contrast. Follow the steps below: 1. Press d to move to the SETUP MENU ADVANCED screen. Press f to select. 2. Press d to move to the DISPLAY CONTRAST screen. Press a or s to select a contrast level. 3. Press f to save and exit.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 136 CUSTOM User Menu The CUSTOM user menu contains the 11 most commonly used functions according to a customer survey. The following is a list of the functions included in the CUSTOM user menu. All of these functions have been addressed in detail in STANDARD and ADVANCED user menu sections.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 137 Chapter 6: Care and Maintenance Care of Your ACCU-CHEK Spirit Insulin Pump ▲ ! CAUTION Do not perform any servicing or repair on your insulin pump. For servicing or repairs contact Pump Support at 1-800-688-4578. Disetronic Medical Systems, as the manufacturer, guarantees the functions of your pump according to its specifications only if all servicing of your pump is done and/or authorized by Disetronic Medical Systems.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 138 Check your pump daily. Make sure that: • The pump casing, the display, and the cartridge are not chipped or cracked and that the display doesn’t show 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 on the QUICK INFO screen.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 139 What to Do When You Drop Your Pump If the pump is dropped it could be harmed or the seal that protects it against water could be damaged. Be careful not to drop your pump. Use the proper ACCU-CHEK Spirit insulin pump carrying system to help avoid dropping your pump. See Disetronic Medical Systems sterile products and accessories catalogs and brochures for more information. Or, contact Pump Support at 1-800-688-4578.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 140 Storing Your ACCU-CHEK Spirit Insulin Pump ! ▲ When your insulin pump will not be in use for a long period of time, it should be properly stored, to prevent a malfunction.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 141 Maintenance Cleaning Your ACCU-CHEK Spirit Insulin Pump The best time to clean your pump is when you change the cartridge. Use a soft, dry cloth for cleaning. If the pump compartments are very dirty, contact Pump Support at 1-800-688-4578 for more instructions. ▲ ! CAUTION Always remove the cartridge and adapter and place your insulin pump in STOP mode while cleaning.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 142 Repair ! ▲ CAUTION Do not perform any servicing or repair on your insulin pump. Do not use any lubricants on the pump mechanism. If you have questions, contact Pump Support at 1-800-688-4578. If you have problems with your pump, contact Pump Support at 1-800-688-4578. Pump Support can help you and answer many questions over the telephone. Pump Support may direct you to return your pump to Disetronic Medical Systems for repair.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 143 Troubleshooting This section describes problems that may occur while using your ACCU-CHEK Spirit insulin pump. See “Alerts and Errors” (page 147) for more information. Note: The solutions in this guide are only suggestions. Do not use these procedures without approval of your doctor or healthcare team. Always follow your doctor’s or healthcare team’s recommendations, and contact them if you have any concerns about your insulin pump therapy.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 144 Therapy-Related Issues Many factors, such as alcohol consumption, medications other than insulin, ineffective or expired insulin, decreased activity, illness, and stress can affect blood glucose levels. Contact your doctor or healthcare team for advice on how to manage these or any other therapy related issues.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 145 Problem Recommended Actions Air bubbles in the cartridge and/or infusion set Check blood glucose level. In the cartridge: Disconnect the infusion tube set from the headset and re-prime your infusion tube set. If the air bubbles remain, replace the cartridge. Make sure to fill the cartridge with insulin at room temperature. In the infusion set: Disconnect and prime your infusion set. Reconnect and make sure all connections are tight and secure.
P99_146.qxp:05006529_GUTS5&6 5/28/08 8:43 AM Page 146 Problem Recommended Actions Occlusion in system Disconnect and re-prime your infusion set. Check your blood glucose. If the occlusion remains, prime the pump without the cartridge inserted. See the section “Error E4: OCCLUSION” (page 156). Failure to complete prime Re-prime the infusion set. Always prime until a bubble-free insulin flow emerges from the tip of the needle. Make sure the tubing is free of air.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 147 Chapter 7: Alerts and Errors A safety system monitors and controls the function of your pump. This safety system performs more than 9 million safety checks every day. If it detects a change from the pump’s normal state, it will trigger an alert (warning instruction) or an error (error message). Beeps, vibrations, and messages on the pump display indicate the cause of an alert or error.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 148 Confirming an Alert or Error When you confirm A1: CARTRIDGE LOW , E1: CARTRIDGE EMPTY, A2: BATTERY LOW , E2: BATTERY DEPLETED, A5: PUMP TIMER or E5: END OF OPERATION, the symbol for that alert or error stays in the RUN screen or STOP screen as a reminder. For other alerts or errors, alarm information is cleared from the display but stays in the alarm history and the event memory. Follow the steps below to confirm an alert or error: 1.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 149 List of Alerts ! ▲ After an alert occurs, your insulin pump may be in STOP mode and the insulin delivery may be interrupted. In order WARNING to maintain insulin delivery, you must act immediately according to the instructions given for each error code or put your insulin pump in RUN mode to continue the insulin delivery. Alert A1: CARTRIDGE LOW The contents of the insulin cartridge have dropped to 20 units of insulin.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 150 Alert A2: BATTERY LOW The battery power is low. Be prepared for a battery change as quickly as possible. The battery low symbol ( ) appears in the RUN or STOP screen as a reminder until you change the battery. 1. Press f twice to turn off and to confirm the alert. Replace the battery as soon as possible (within a few hours). Failure to change the battery within a few hours of receiving the alert could result in additional error messages. 2.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 151 Alert A4: ALARM CLOCK An alarm clock reminder was programmed into the pump. 1. Press f twice to turn off and to confirm the alert. 2. If necessary, put your pump in RUN mode. Note: If you have set the alarm occurrence to EVERY DAY, the same alert occurs every 24 hours. Turn the alarm clock function OFF if you do not want the alarm to go off again at that same time every day. See the section “Alarm Clock” (page 127) for more information.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 152 4. Move to the PUMP TIMER screen. The days until the pump timer expires are shown. When the PUMP TIMER reaches zero, the pump will change to STOP mode and no longer operate. An error, E5: END OF OPERATION, will appear on the display. Contact Pump Support at 1-800-688-4578 to discuss your options for further use of your ACCU-CHEK Spirit insulin pump.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 153 Alert A7: TBR OVER (Temporary Basal Rate Over) A Temporary Basal Rate has ended. The original basal rate (100%) will resume automatically once the alert has been confirmed. 1. Press f twice to turn off and confirm the alert. 2. Decide whether a further Temporary Basal Rate change is needed. If necessary, program a new Temporary Basal Rate. Alert A8: BOLUS CANCELLED A bolus was cancelled during the start delay or after delivery began. 1.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 154 List of Errors ! ▲ After the occurrence of an error, your insulin pump will be in STOP mode and the insulin delivery is interrupted. In order WARNING to maintain insulin delivery, you must act immediately according to the instructions given for each error code. Error E1: CARTRIDGE EMPTY The insulin cartridge is empty. Change the cartridge immediately. 1. Press f twice to turn off and to confirm the error. 2.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 155 Error E2: BATTERY DEPLETED The battery is out of power. Replace it immediately. ▲ After inserting a new battery, always check that the time and date of your insulin pump are set correctly. Incorrect WARNING programming of the time and date may cause incorrect insulin delivery.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 156 Error E3: AUTOMATIC OFF Automatic off is a safety feature that stops insulin delivery and triggers an error E3: AUTOMATIC OFF if no keys are pressed within a programmed time period in RUN mode. 1. Press f twice to turn off and to confirm the error. 2. Put your pump in RUN mode.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 157 If the occlusion (blockage) was inside your infusion set, follow the steps below. 1. Press f twice to turn off and to confirm the error. 2. Disconnect or remove the infusion set from your infusion site. 3. Change the infusion set and prime it. 4. Reconnect the infusion set (tubing) at your infusion site. 5. Put your pump in RUN mode. In rare cases, the cartridge itself can be the cause of the occlusion.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 158 If the error E4: OCCLUSION occurs again, prime your pump without a cartridge. Follow the steps below: 1. Press f twice to turn off and to confirm the error. 2. Disconnect or remove the infusion set from your infusion site. 3. Remove the cartridge, adapter and infusion set from your pump. 4. Carry out the PRIME THE INFUSION SET function without the cartridge, adapter, and infusion set inserted. 5.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 159 2. Contact Pump Support at 1-800-688-4578 to discuss your options for further use of the ACCU-CHEK Spirit insulin pump. Note: The alert A5: PUMP TIMER ALERT and the error E5: END OF OPERATION are based on running time (the total time the pump is in RUN mode) and not calendar years. However, the warranty is based on the date the pump was purchased.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 160 If the error E6: MECHANICAL ERROR occurs again in spite of these actions, contact your doctor or healthcare team for an alternate therapy plan. Contact Pump Support at 1-800-688-4578 for more assistance. Error E7: ELECTRONIC ERROR An electronic error was discovered during a routine automatic system check and the insulin delivery has stopped. You cannot turn off and confirm an error E7: ELECTRONIC ERROR by pressing f.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 161 Error E8: POWER INTERRUPT A power interrupt error occurs when you insert a new battery without first placing the pump in STOP mode. See the section “Inserting (or Changing) the Battery” (page 25) for instructions on how to change your battery. The error can also occur if the pump was dropped. If the pump was dropped, see the section “What to Do When You Drop Your Pump” (page 139) for more information. 1.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 162 Error E10: CARTRIDGE ERROR The CHANGE THE CARTRIDGE function was not correctly carried out. 1. Press f twice to turn off and to confirm the error. 2. Remove or disconnect the infusion set from your infusion site. 3. Start the CHANGE THE CARTRIDGE menu. 4. Prime the infusion set. 5. Reconnect the infusion set (tubing) at your infusion site. 6. Put your pump into RUN mode. 7.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 163 1. Press f twice to turn off and to confirm the error. 2. Remove or disconnect the infusion set from your infusion site. 3. Prime the infusion set. 4. Reconnect the infusion set (tubing) at your infusion site. 5. Put your pump in RUN mode. See the sections “Changing the Cartridge and Infusion Set” (page 73) and “Priming the Infusion Set” (page 53) for more information.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 164 See the section “Data Transfer” (page 104) for more information. Error E13: LANGUAGE ERROR The language setting needs to be checked. 1. Press f twice to turn off and to confirm the error. 2. Follow the steps in the section “SETUP MENU Advanced–Language” (page 134) to change the language. 3. Put your pump in RUN mode.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 165 Appendixes Appendix A: Technical Data General Technical Data Air humidity • During operation: 20 to 90% relative humidity • Stored in its shipping case: 5 to 85% relative humidity Barometric pressure During operation or stored in its shipping case: 700 to 1,060 mbar [do not exceed 10,000 feet (3,000 meters) above sea level]. Basal rate Minimum 0.1 U/h; maximum 25 U/h There are 24 hourly basal rates adjustable in 0.1 unit increments.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 166 Bolus The max. bolus amount per delivery is 25 units when using U100 insulin. 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.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Flow (delivery rate) Page 167 0.2 U/sec during infusion set priming and bolus when using U100 insulin. ACCU-CHEK infusion sets with luer-lock connector. Infusion sets IPX 8 Protected against the effects of temporary immersion in water under standardized conditions [up to 60 minutes and 8 feet (2.5 meters)]. Maximum time for an error E4: OCCLUSION Plastic cartridges* • at med. basal rate 1.0 U/h using U100 insulin ≤ 5h • at min. basal rate 0.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 168 Safety system Alert system, beeps, information on the display, vibrations, dual microprocessor. The 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, as identified by the supervisor processor, the motor is immediately switched off and an error E7: ELECTRONIC ERROR occurs.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 169 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. The following is Guidance and manufacturer’s declaration on electromagnetic emissions.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 170 Note 1 At 80 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.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 171 Technical Standards on Electromagnetic Immunity Guidance and manufacturer’s declaration – electromagnetic immunity The ACCU-CHEK Spirit insulin pump is intended for use in the electromagnetic environment specified below. The customer or the user of the ACCU-CHEK Spirit insulin pump should assure that it is used in such an environment.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM IEC 60601 Immunity Test Test Level Compliance Level Radiated RF 10 V/m 3 V/m IEC 61000-4-3 80 MHz to 2.5 GHz Page 172 Electromagnetic Environment – Guidance Portable and mobile RF communications equipment 80 MHz should be used no closer to 2.5 GHz any part of the ACCU-CHEK Spirit insulin pump, includ(IEC 60601-2-24) ing cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 173 Accuracy of Flow Rate for Plastic 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 measurements were made at a medium basal rate of 1.0 U/h according to IEC 60601-2-24:1998 with a Disetronic Classic infusion set PC 16/110 at room temperature.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 174 Start-up graph over the stabilization period The start-up graph shows changes in the flow rate over the stabilization time. The measurements were made at a medium basal rate of 1.0 U/h according to IEC 60601-2-24:1998 with a Disetronic Classic infusion set PC 16/110 at room temperature.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 175 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 measurements were made at a medium basal rate of 0.1 U/h according to IEC 60601-2-24:1998 with a Disetronic Classic infusion set PC 16/110 at room temperature. The average deviation of the delivered amount (overall mean percentage flow error) for U100 insulin is ≤ ± 20%.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 176 Start-up graph over the stabilization period The start-up graph shows changes in the flow rate over the stabilization time. The measurements were made at a medium basal rate of 0.1 U/h according to IEC 60601-2-24:1998 with a Disetronic Classic infusion set PC 16/110 at room temperature. Bolus For U100 insulin the delivery accuracy of a maximum bolus is ≤ ± 5% and the delivery accuracy of a minimum bolus is ≤ ± 30%.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 177 Appendix B: Configuration Parameters Your pump is built by Disetronic Medical Systems with a standard configuration (factory settings). A list containing the important factory settings is added to the original insulin pump package when your 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.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 178 Typical Range and Parameter Settings Basal Rate – hourly basal rate + max. TBR (hourly basal rate combined with temporary basal rate, max. increase) U100: 62.5 IU/h – hourly basal rates increment 0.1 U – hourly basal rates U100: 10.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 179 Typical Range and Parameter Settings Prime volume Display orientation Display contrast U100: 25.0 U Maximum Parameter Range Insulin Type U100 Max. Amount 0 – 25.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 180 Appendix C: 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.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 181 Appendix D: Beeps and Melodies You can turn off either the pump beeps or the vibrations, but not both simultaneously. Please refer to sections “Adjust the Beep Volume”(page 116), and “Setting Up Alarm Signals” (page 117) for more information.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 182 Appendix E: Vibrations Your pump signals alerts and errors using beeps and vibrations. You can turn off either the beeps or the vibrations, but you cannot turn off both simultaneously. When you program a “Quick” Standard Bolus, your ACCU-CHEK Spirit insulin pump confirms all programming by vibrating. You cannot turn off these vibrations.
P147_192.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 184 Protect from heat and sunlight 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 to the standard IEC 60601-1. Protection against electrical shock. Symbol for protection against the effect of temporary immersion in water [up to 60 minutes and 2.5 meters (8 feet)], according to IEC 60529.
P147_192.
P147_192.
P147_192.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 188 Appendix G: Sterile Products and Accessories Sterile Products Cartridges Name Comments Empty ACCU-CHEK 3.15ml Plastic Cartridge Plastic cartridges are single-use items. Do not reuse cartridges. Refer to the instructions of the insulin you are using for information of proper use and acceptable temperature range for storage and handling.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 189 Accessories Name Comments Adapter Replace your adapter with every 10th cartridge. Battery One 1.5 AA alkaline battery with a minimum capacity of 2500mAh If used in a typical usage pattern [50 U/day using U100 insulin; operating temp. of 72°F ± 6°F (22°C ± 3°C)] the battery life is approx. four weeks for alkaline.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 190 Appendix H: Glossary Adapter The adapter connects the cartridge and infusion set. It has two seals for the cartridge compartment of your insulin pump. The two small vents on the adapter let air pressure equalize. Basal rate The amount of insulin needed to cover your own basic insulin needs.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 191 Daily insulin total The total amount of insulin delivered (basal rate plus boluses) in a 24-hour day, beginning at midnight. This amount does not include any insulin needed for the priming of infusion sets.
P147_192.qxp:701267_P147_192 5/28/08 8:41 AM Page 192 Infusion site The place where the infusion set cannula or needle is inserted into your subcutaneous tissue to deliver insulin. Insulin A hormone that helps cells turn glucose into energy. Insulin is produced in the beta cells of the pancreas (also called islets of Langerhans). Insulin, rapid-acting (insulin analog) A type of insulin created using recombinant DNA technology. The onset time of insulin analog is 5 to 15 minutes.
P193_196.qxp:701267_P193_196 5/28/08 8:40 AM Page 1 Settings Settings are individually programmable values and parameters that affect the way your pump works. Scrolling Scrolling allows fast and easy programming of larger values. STOP mode When your pump is in STOP mode, it does not deliver any insulin. The insulin delivery is only stopped if an error occurs or if your pump is put into STOP mode (for example, when changing the cartridge, adapter or infusion set, or for data transfer).
P193_196.qxp:701267_P193_196 5/28/08 8:40 AM Page 2 LIMITED FOUR-YEAR WARRANTY DISETRONIC MEDICAL SYSTEMS, INC. (“DISETRONIC”) WARRANTS THE ACCU-CHEK SPIRIT INSULIN PUMP (“INSULIN PUMP”) AGAINST DEFECTS IN MATERIALS AND WORKMANSHIP FOR A PERIOD OF FOUR (4) YEARS FROM THE DATE OF PURCHASE. PROOF OF PURCHASE DATE MAY BE REQUIRED. THIS WARRANTY DOES NOT INCLUDE SUPPLIES AND ACCESSORIES, INCLUDING BUT NOT LIMITED TO, CARTRIDGES, BATTERIES, OR INFUSION SETS.
P193_196.
P193_196.
P197_200.qxp:Layout 1 5/28/08 8:42 AM Page 1 Quick Reference Table for Errors No. Error What You Need to Do E1 CARTRIDGE EMPTY Change the cartridge. E2 BATTERY DEPLETED Change the battery. E3 AUTOMATIC OFF If necessary, put your ACCU-CHEK Spirit in RUN mode. E4 OCCLUSION 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.
P197_200.qxp:Layout 1 5/28/08 8:42 AM Page 2 Quick Reference Table for Alerts Diagram of User Menus In all cases, turn off and confirm the alert prior to addressing the issue. Your Insulin pump STANDARD MENU No. Alert What You Need to Do A1 CARTRIDGE LOW Change cartridge before it is completely empty. A2 BATTERY LOW Replace the battery as soon as possible. A3 REVIEW TIME AND DATE Set the time and date. A4 ALARM CLOCK Put your ACCU-CHEK Spirit in RUN mode, if necessary.
Manufactured by: Disetronic Medical Systems AG CH-3401 Burgdorf, Switzerland Distributed by: Disetronic Medical Systems Inc. 11800 Exit 5 Parkway, Suite 120 Fishers, IN 46037 Phone 866-703-3476 Fax 888-810-0758 For technical assistance, call Pump Support at 800-688-4578. accu-chek.com ACCU-CHEK, ACCU-CHEK SPIRIT, LIVE LIFE THE WAY YOU WANT and PUMP THERAPY MADE FOR YOU are trademarks of Roche. ©2008 Disetronic Medical Systems Inc. All rights reserved. 04632753001/V03/05.
