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Accu-Chek insulin pump - page 1
ACCU-CHEK and ACCU-CHEK SPIRIT are trademarks of Roche. ©2005 Disetronic Medical Systems, Inc. All rights r eserved. 04632753001/V01/11.05 Swiss made Manufactured by: Disetronic Medical Systems AG CH-3401 Bur gdorf, Switzerland Distributed by: Disetronic Medical Systems, Inc. 11800 Exit 5 Parkway , Suite 120 Fishers, IN 46037 Phone 866-703-3476 Fa ...
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Accu-Chek insulin pump - page 2
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. Even if you have used an insulin pump before, it’ s important tha t you do these things before you use the ACCU-CHEK Spirit insulin pump: E read this guide caref ...
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Accu-Chek insulin pump - page 3
How to use this guide This guide is for version 2.XX of the ACCU-CHEK Spirit insulin pump. When you become familiar with your pump, you can quickly refer to the back of this user guide for tables and definitions that can help you to understand pump alerts and warnings, and the symbols on the pump screen. There is also a glossary a t the back that d ...
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Accu-Chek insulin pump - page 4
W orking safely with your ACCU-CHEK Spirit insulin pump Y our 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 insul ...
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Accu-Chek insulin pump - page 5
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 tr y to fix the device yourself. ACCU-CHEK Spirit Insulin Pump 4 ...
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Accu-Chek insulin pump - page 6
ACCU-CHEK Spirit Insulin Pump 5 Contents Chapter 1: Understanding Y our New System _____________________9 The ACCU-CHEK Spirit Insulin Pump __________________________9 Display ________________________________________________9 Backlight ______________________________________________10 Keys and Key Combinations _______________________________11 Scree ...
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Accu-Chek insulin pump - page 7
ACCU-CHEK Spirit Insulin Pump 6 Changing the Infusion Set _________________________________70 Changing the Cartridge and Infusion Set _____________________73 Chapter 4: Boluses and T emporary Basal Rates __________________75 Understanding Boluses ___________________________________75 Programming a Standard Bolus ____________________________77 Progr ...
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Accu-Chek insulin pump - page 8
ACCU-CHEK Spirit Insulin Pump 7 Chapter 7: Alerts and Errors ________________________________147 Confirming an Alert or Error ______________________________148 List of Alerts __________________________________________149 List of Errors __________________________________________154 Appendixes _____________________________________________165 Appendix ...
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Accu-Chek insulin pump - page 9
ACCU-CHEK Spirit Insulin Pump 8 This page left blank intentionally . ...
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Accu-Chek insulin pump - page 10
Chapter 1: Understanding Y our New System The ACCU-CHEK Spirit Insulin Pump Display Y our insulin pump has a Liquid Crystal Display (LCD) screen tha t displays important informa tion. Check the display a t least ever y three hours during the day , before you go to sleep, and if you are not able to hear the beeps or alerts or feel the vibrations. Th ...
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Accu-Chek insulin pump - page 11
Backlight The backlight helps you to see the display in poorly lighted areas. Y ou can turn on the backlight from the RUN screen, from the STOP screen, or when you are browsing the menus. Press the a key to turn on the backlight. The backlight turns itself on when an alert or an error message appears. The backlight turns itself off after 30 seconds ...
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Accu-Chek insulin pump - page 12
Keys and Key Combinations The pump will beep each time a key is pressed, unless the beep tone is set to 0. Single Keys Each key has a specific function when it is pressed by itself. The following table describes the function of each. Key Name Function d Menu scrolling through menus, functions, and information screens f Check • selecting a menu ? ...
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Accu-Chek insulin pump - page 13
Key Combinations Keys can be pressed in pairs for additional functions. In the following table, a plus symbol (+) between 2 keys means that both keys must be pressed simultaneously . ▲ ! If the keys on your pump are not functioning properly , or you are not able to identify them correctly , disconnect your insulin pump and contact Pump Support at ...
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Accu-Chek insulin pump - page 14
Locking Keys Using KeyLock Feature The KeyLock feature lets you lock all four keys on your pump as a safety m ea s u re against accidentally activating functions. Y ou may want to use this funct ion while sleeping, or during sports, for example. The KeyLock function is tu rned on in the ST ANDARD SETUP MENU. All instructions in this user guide are ...
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Accu-Chek insulin pump - page 15
Chapter 1: Understanding Y our New System ACCU-CHEK Spirit Insulin Pump 14 Chapter 1: Understanding Y our New System ACCU-CHEK Spirit Insulin Pump STOP Screen The STOP screen shows the current time and da te, the STOP symbol, reminder information (such as “batter y low”), and special functions (such as KeyLock locked or unlocked). Some function ...
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Accu-Chek insulin pump - page 16
Chapter 1: Understanding Y our New System ACCU-CHEK Spirit Insulin Pump 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 ? ...
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Accu-Chek insulin pump - page 17
Chapter 1: Understanding Y our New System ACCU-CHEK Spirit Insulin Pump 16 Alarm Signals Y our pump gives alerts and errors using beeps and vibrations. Y ou can turn off either the beep or the vibrations but for your safety you cannot turn off both at the same time for the initial alarm signal. See the sections “Alerts and Errors” (page 147), ? ...
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Accu-Chek insulin pump - page 18
Chapter 1: Understanding Y our New System ACCU-CHEK Spirit Insulin Pump 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 follo w the instructions given by your doctor or healthcare ...
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Accu-Chek insulin pump - page 19
See Disetronic Medical Systems’ sterile products and accessories catalogs and brochures for more information. Or , contact Pump Support at 1 -800-688-4578. Cartridges Y our pump is designed to use ACCU-CHEK 3.15 ml plastic cartridges to hold i nsulin. Do not reuse a cartridge. Reusing sterile products could lead to infection or could damage your ...
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Accu-Chek insulin pump - page 20
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. ▲ ! The cartridges are sterile products intended for sin ...
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Accu-Chek insulin pump - page 21
Chapter 1: Understanding Y our New System ACCU-CHEK Spirit Insulin Pump 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 affe ...
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Accu-Chek insulin pump - page 22
Battery Y our pump runs on one AA batter y . Use AA alkaline batteries tha t 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 tha t ha ve a minimum capacity of 1500 mAh . If you use rechargeable batteries, always use a batter y ...
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Accu-Chek insulin pump - page 23
Batter y Co ver The ba tter y cover seals the ba tter y compartment. Change the batter y cover with at least ever y 4 th batter y change. • Remove the battery cover only in a dr y area to prevent water from getting inside the pump. • Make sure tha t the seal is not worn or missing and tha t the ba tter y is properly inserted into the pump. • ...
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Accu-Chek insulin pump - page 24
Battery Key The batter y key tightens and loosens the batter y cover . It can also loosen the luer -lock connection between the infusion set and adapter if it cannot be loosened by hand. Ho wever , never use the battery key to attach or to tighten an infusion set. The batter y key has a notch that fits all ACCU-CHEK infusion set luer -lock connecto ...
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Accu-Chek insulin pump - page 25
Chapter 1: Understanding Y our New System ACCU-CHEK Spirit Insulin Pump 24 This page left blank intentionally . ...
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Accu-Chek insulin pump - page 26
Chapter 2: Getting Started Inserting (or Changing) the Batter y Y our pump turns on when you insert the batter y . When you remove the ba tter y , your pump still tracks the time and date for about 1 hour . The pump will always store your pump settings (such as the hourly basal rates, bolus increment and active user menu) and event memory (bolus an ...
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Accu-Chek insulin pump - page 27
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. Y our 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 ba tter y cover . Use the bat ...
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Accu-Chek insulin pump - page 28
5. Use the cover to gently push the batter y all the way in. T urn the ba ttery cover clockwise to tighten it. The batter y 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. ▲ ! Using AA batteries other than those recommended by Disetronic Me ...
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Accu-Chek insulin pump - page 29
System Check Start-Up Process Y our pump performs internal tests at start-up when you insert a ba tter y and when you change the cartridge. When you insert a ba ttery the whole start-up process is performed. When only the cartridge is changed, the start-up process begins at the SELF-TEST screen. 1. Put the pump in STOP mode. 2. The ACCU-CHEK logo a ...
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Accu-Chek insulin pump - page 30
3. SELF-TEST appears. 4. Y our pump beeps and BEEP TEST appears. Listen for the beeps. 5. Y our pump vibrates and VIBRA TION TEST appears. Check for vibrations. 6. The display goes blank. Check that the display is empty . (The backlight turns on during this step.) ▲ ! If you cannot feel the vibration alert, you may not be notified of any changes ...
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Accu-Chek insulin pump - page 31
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. Y ou will also see a n IN F OR M A TI O N s creen. 10. If your pump detects an alert or error during the start-up process, it signals the error or alert a t this point. See the section “Alerts and Errors” (p ...
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Accu-Chek insulin pump - page 32
▲ ! 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 batter y 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 ...
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Accu-Chek insulin pump - page 33
Setting Time and Date Be careful to set the time and date correctly , because the basal rates and all history informa tion 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 T ime. ▲ ! Incorrec ...
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Accu-Chek insulin pump - page 34
Follow the steps below to set the Time and Date: 1. Press d to move to the SET TIME AND DA TE 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. set the hour set the time and date RUN screen set the minute set the year set the month ...
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Accu-Chek insulin pump - page 35
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 DA Y screen. Press a or s to set the day . 7. Press f to save and exit. Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump 34 ...
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Accu-Chek insulin pump - page 36
Y our Personal Settings ▲ ! Y our new ACCU-CHEK Spirit insulin pump must be programmed with your personal settings prior to starting 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 . Record ...
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Accu-Chek insulin pump - page 37
Y our Basal Rate Profile Y our pump delivers insulin ever y 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 ra te and is calculated to meet your basic insulin needs. An ACCU-CHEK Spirit insulin pump basal rate profile consists of up to 24 different h ...
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Accu-Chek insulin pump - page 38
Programming Y our Basal Ra te Profile Note: F or your safety and convenience during programming, your insulin pump returns itself to the RUN or STOP screen if no key is pressed within 20 seconds. The changes you made before your insulin pump “times out” will not be saved. daily basal rate total program profile 1 RUN screen 1st hour 2nd hour … ...
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Accu-Chek insulin pump - page 39
Follow the steps below: 1. Press d to move to the PROGRAM BASAL RA TE PROFILE 1 screen. 2. Press f to select. The daily BASAL RA TE TOT AL 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 sc ...
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Accu-Chek insulin pump - page 40
7. Press f to confirm. The new daily BASAL RA TE TOT AL is displayed. Check the new daily BASAL RA TE TOT AL. 8. Press f to sa ve 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 ...
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Accu-Chek insulin pump - page 41
Copying an Hourly Basal Rate If your basal rate is the same for multiple hours in a row, you can sa ve 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 RA TE PROFILE 1 screen. 2. Press f to select. The daily BASAL RA TE TOT AL is displayed. 3. Press d to move to t ...
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Accu-Chek insulin pump - page 42
6. Press f to confirm. Check the new daily BASAL RA TE TOT AL. 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 w ...
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Accu-Chek insulin pump - page 43
Preparing the Cartridge ▲ ! Y our insulin pump is 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 mater ...
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Accu-Chek insulin pump - page 44
Filling the Cartridge T o fill a cartridge, have the following materials ready: • A new 3.15 ml plastic cartridge with protective cap, plunger rod, filling needle, and • Insulin at room temperature to minimize formation of air bubbles Follow the steps below: 1. W ash your hands. 2. Set the insulin vial on a hard, flat surface, such as a table. ...
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Accu-Chek insulin pump - page 45
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 fil ...
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Accu-Chek insulin pump - page 46
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 ...
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Accu-Chek insulin pump - page 47
Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump 46 Remove the plunger rod by turning it counter -c lockwise 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 ca p tightly onto the cartridge tip until it clicks. The car ...
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Accu-Chek insulin pump - page 48
Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump 47 Connecting the Cartridge, Adapter , and Infusion Set Have the following materials ready: • A filled ACCU-CHEK 3.15 ml plastic cartridge with a luer -lock connection • An ACCU-CHEK Spirit insulin pump adapter • A new ACCU-CHEK infusion set ▲ ! The cartridge and infusion set are ster ...
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Accu-Chek insulin pump - page 49
Follow the instructions below: Remove the protective cap from the cartridge. Do not touch the cartridge tip. Push the adapter all the way onto the cartridge tip to the stop (a). Hold the adapter and twist the infusion set luer -lock connection by hand, clockwise into the adapter (b). Ca r e fu l l y p r ep a r e a new ACCU-CHEK infusion set for use ...
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Accu-Chek insulin pump - page 50
Inserting the Cartridge Have the following materials ready: • Y our insulin pump • A filled ACCU-CHEK 3.15 ml plastic cartridge with a connected ACCU-CHEK Spirit insulin pump adapter • A new ACCU-CHEK infusion set remove the cartridge change the cartridge STOP screen returning piston rod cartridge volume 315 units start-up procedure prime the ...
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Accu-Chek insulin pump - page 51
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. Y our 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 seco ...
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Accu-Chek insulin pump - page 52
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. 7. Press a or s to move the plunger rod forward until the ...
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Accu-Chek insulin pump - page 53
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 ac ...
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Accu-Chek insulin pump - page 54
Priming the Infusion Set The ACCU-CHEK Spirit insulin pump stops priming after 25 units of insulin. If n o insulin has emerged from the tube set needle after priming, repea t the priming function. When insulin comes from the tip of the needle, press any pump key to stop priming. The amount of insulin used in priming is not added to the pump’ s hi ...
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Accu-Chek insulin pump - page 55
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. Y our 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. start p ...
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Accu-Chek insulin pump - page 56
5. Press f to select. The priming amount of 25 units of insulin is sho wn on the display . 6. When ST ART 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 . Y our pump stops priming after 25 units. When the priming process is finished, ...
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Accu-Chek insulin pump - page 57
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 Y our doctor or healthcare team will help you select you ...
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Accu-Chek insulin pump - page 58
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. Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump 57 ...
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Accu-Chek insulin pump - page 59
If you have read and followed all instructions, cautions, warnings, and notes found in this cha pter , your pump should no w be read y to use. However , please read the complete manual before starting. ▲ ! Inspect your infusion site at least once or twice each day for ir rit a ti on or infection. Signs of infection may include, but are not limite ...
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Accu-Chek insulin pump - page 60
Chapter 3: Using Y our Pump ACCU-CHEK Spirit Insulin Pump 59 Chapter 3: Using Y our Pump Before Using Successful insulin pump therapy requires you to check your blood glucose levels often. It is a good idea to check your blood glucose (using an ACCU-CHEK blood glucose monitor) at least four times a day , or as often as you are directed by your doct ...
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Accu-Chek insulin pump - page 61
Wear your pump under your c lothes or directly on your body in cold or rainy weather . If you have concerns about the wea ther affecting your pump, check the operating conditions of your pump and contact Pump Support at 1 -8 0 0 -6 8 8- 4 5 78. See the section “A ppendix A: T echnical Data” (page 165) for mo re i nf orm at i o n on operating co ...
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Accu-Chek insulin pump - page 62
When Not to Wear Y our 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, CA T 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: ELECTRO ...
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Accu-Chek insulin pump - page 63
Do not exceed 10,000 feet (3,000 meters) above sea level. Y our 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 -800-688-457 8. Sports and Exercise Exercise is an important part of diabetes management. Disetronic Medical Systems design ...
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Accu-Chek insulin pump - page 64
Y our Insulin Pump and Water Disconnect and remove your pump before entering a bathtub, Jacuzzi or whirlpool, shower , or swimming pool. Avoid exposing your pump to high humidity , such as in a sauna, as this could damage your pump. T o make it easy to remove your pump, use disconnectable ACCU-CHEK infusion sets. Consult your doctor or healthcare t ...
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Accu-Chek insulin pump - page 65
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 batter y compartment and the cartridge compartment for water . If the batter y compartment or cartridge compartment are wet, turn your pump upside down to let the water ...
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Accu-Chek insulin pump - page 66
Starting Insulin Deliver y Follow the steps below: 1. Start from the STOP screen. 2. Press d to move to the ST AR T YOUR ACCU-CHEK screen. 3. Press f to select. Y our pump sho ws the RUN screen. Insulin deliver y begins within 3 minutes . Note: Check the amount of insulin remaining in the cartridge at least once a day . If you press the f key from ...
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Accu-Chek insulin pump - page 67
Chapter 3: Using Y our Pump ACCU-CHEK Spirit Insulin Pump 66 Stopping Insulin Deliver y There are functions and actions, for your safety , that you can only perform when the pump is in STOP mode. These functions and actions include: • changing the cartridge • connecting and disconnecting the adapter and/or infusion set, and • priming the infu ...
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Accu-Chek insulin pump - page 68
STOP-Warning The STOP-Warning is turned on by the pump each time your pump switches from RUN mode to STOP mode, and when a ba ttery is inserted. The STOP-Warning is a long beep and a vibration occurring ever y minute. It warns you that insulin deliver y has stopped. If you are aware of the situation and don’t wish to be reminded, you can turn off ...
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Accu-Chek insulin pump - page 69
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. ▲ ! S ...
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Accu-Chek insulin pump - page 70
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 befo ...
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Accu-Chek insulin pump - page 71
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 da te. Do not use sterile products if the package is damaged. • Properly tighten the infusio ...
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Accu-Chek insulin pump - page 72
Chapter 3: Using Y our Pump ACCU-CHEK Spirit Insulin Pump 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 . 5. Carefully prepare a new ACCU-CHEK infusion set for use. 6. T u ...
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Accu-Chek insulin pump - page 73
Chapter 3: Using Y our Pump ACCU-CHEK Spirit Insulin Pump 72 8. Prime the infusion set following all the instructions and warnings found in the section “Priming the Infusion Set” (pa ge 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 ...
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Accu-Chek insulin pump - page 74
Chapter 3: Using Y our Pump ACCU-CHEK Spirit Insulin Pump 73 Changing the Cartridge and Infusion Set Have the following materials ready: • Y our 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 ch ...
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Accu-Chek insulin pump - page 75
Chapter 3: Using Y our Pump ACCU-CHEK Spirit Insulin Pump 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 at ...
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Accu-Chek insulin pump - page 76
Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump 75 Chapter 4: Boluses and T emporar y 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 ...
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Accu-Chek insulin pump - page 77
Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump 76 ▲ ! • Incorrect programming of your insulin pump may cause inappropriate insulin delivery . • Y our 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. • I ...
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Accu-Chek insulin pump - page 78
Programming a Standard Bolus There are two ways to program a Standard Bolus: “Quick” Standard Bolus “Scroll” Standard Bolus Using a and s on your Menu-guided using d and f insulin pump, with bolus increments with a and s for determined by the user programming of the amount The bolus amount per delivery is limited to 25 units using U100 insu ...
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Accu-Chek insulin pump - page 79
Follow the steps below: 1. From the RU N screen press and hold s ( a ) until you hear a beep sequence and feel a vibration. This activates the “Quick” ST ANDARD BOLUS function. 2. Press a ( s ) repeatedly until the bolus amount is reached. Each press of the a ( s ) key adds one bolus increment to the bolus amount. Y our pump beeps and vibrates ...
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Accu-Chek insulin pump - page 80
Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump 79 Cancelling a “Quick” Standard Bolus – during programming (the bolus amount blinks): • Press the key s or a you used to enter the “Quick” Standard Bolus programming option. This will reset the bolus amount to 0.0 units. A melod y will play . If no new bolus is programmed, your ...
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Accu-Chek insulin pump - page 81
Y ou can view the actual bolus amount delivered prior to the cancellation by looking at the bolus histor y . 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 ...
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Accu-Chek insulin pump - page 82
The Standard Bolus symbol ( ) blinks for five seconds (the bolus delivery start delay). After this bolus delivery start delay , your pump beeps three times and begins to deliver the total bolus amount programmed. The countdo wn of the remaining bolus amount appears on the display . Cancelling a Menu-Guided “Scroll” Standard Bolus – during pro ...
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Accu-Chek insulin pump - page 83
Y ou can view the actual bolus amount delivered prior to the cancellation by looking at the bolus histor y . 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. Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin P ...
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Accu-Chek insulin pump - page 84
Programming an Extended Bolus The Extended Bolus is available in the ADV ANCED and CUSTOM user men us. The Extended Bolus function lets you program a bolus to be delivered over a p er io d o f ti me . T hi s fu nc ti o n is helpful during long meals, dinners, or receptions, or when yo u ha ve m e al s th at are digested slowly . The Extended Bolus ...
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Accu-Chek insulin pump - page 85
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 DURA TI ...
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Accu-Chek insulin pump - page 86
Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump 85 Note: If a T emporar y Basal Rate is active a t the same time as the Extended Bolus, 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. Note: During the entire bolus delivery , the remaining time and a ...
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Accu-Chek insulin pump - page 87
Cancelling an Extended Bolus – during programming (the bolus amount or bolus duration blinks): Y ou 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 th ...
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Accu-Chek insulin pump - page 88
Make sure that the cancellation was intended and then program a new Extended Bolus (and/or T emporary Basal Ra te), if needed. Note: If a T emporary Basal Ra te 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 ...
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Accu-Chek insulin pump - page 89
Programming a MultiW ave Bolus The MultiWave Bolus function is available in the ADV ANCED user menu. It is designed to better simulate a body’ s insulin delivery . It combines an immediate bolus delivery follo wed by an Extended Bolus delivery . This function can be helpful when you have meals that include both rapid and slowly absorbed carbohydr ...
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Accu-Chek insulin pump - page 90
Follow the steps below: 1. Select the ADV ANCED user menu or turn on the MUL TIWA VE BOLUS menu choice in the CUSTOM user menu. Also, your pump must be in RUN mode. 2. Press d to move to the MUL TIWA VE BOLUS screen. 3. Press f to select. The BOLUS AMOUNT screen appears. 4. Press a or s to increase or decrease the total bolus amount. The first time ...
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Accu-Chek insulin pump - page 91
5. Press d to move to the IMMEDIA TE BOLUS screen. Press a or s to correct and set the immedia te bolus amount. 6. Press d to move to the BOLUS DURA TION screen. Press a or s to correct and set the Extended Bolus duration in increments of 15 minutes for up to 24 hours. 7. Check the total and immediate bolus amounts and the extended bolus duration p ...
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Accu-Chek insulin pump - page 92
Cancelling a MultiWave Bolus – during programming (a bolus amount or the bolus duration blinks): There are three ways to cancel a MultiWave Bolus during programming: • Do not press any key for 20 seconds. The pump returns to the RUN screen (timeout). • Exit to the MUL TIWA VE BOLUS screen by pressing d + a simultaneously . • Set the total b ...
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Accu-Chek insulin pump - page 93
• Y ou 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” (pa ge 153) for more information. Y ou can review the actual bolus amount de ...
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Accu-Chek insulin pump - page 94
Programming a T emporar y Basal Ra te (TBR) Y our 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. T ypically , a basal rate is set to 100%, but you can: • Increase it to 200% for up to 24 hours • Decrease it to 0% for up to ...
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Accu-Chek insulin pump - page 95
Follow the steps below: 1. Put your pump in RUN mode. 2. Press d to move to the TEMPORARY BASAL RA TE (TBR) screen. 3. Press f to select. The TBR PERCENT AGE screen a ppears. 4. Press a or s to increase or decrease the basal rate. Note: If no T emporary Basal Ra te is currently active, the percentage is set to 100%. If a T emporary Basal Ra te is a ...
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Accu-Chek insulin pump - page 96
5. Press d to move to the TBR DURA TION screen. Press a or s to correct and set the duration. 6. Press f to save and exit. The new T emporar y Basal Ra te is immediately activa ted. Note: At any function screen you have three options to exit: if you want to save the changes • Press f . Y our pump returns to the RUN screen. if you want to undo the ...
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Accu-Chek insulin pump - page 97
TBR OVER Alert At the end of a T emporar y Basal Ra te, an alert A7: TBR OVER occurs. P re ss f twice to confirm and turn off the alert. See the section “Alert A7: TBR OVER” (pa ge 153) for more information. Note: If an Extended Bolus or a MultiWave Bolus is active at the same time, the remaining time and amount of the bolus and the amount of t ...
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Accu-Chek insulin pump - page 98
Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump 97 Cancelling a T emporar y Basal Rate – during programming: There are three ways to cancel a T emporary Basal Ra te during programming: • Do not press any key for 20 seconds. The pump returns to the RUN screen (timeout). • Exit to the TEMPORAR Y BASAL RA TE (TBR) screen by pressing d ...
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Accu-Chek insulin pump - page 99
Make sure that the cancellation was intended and then program a new T emporar y Basal Rate (and/or an Extended or MultiWave Bolus), if needed. 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 . Pres ...
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Accu-Chek insulin pump - page 100
Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 99 ACCU-CHEK Spirit Insulin Pump 99 Chapter 5: User Menus Y ou will need to access various screens so you can view stored information, program the pump, perform a function, or change a setting. Y our pump offers a choice of three different user menus: • The ST AND ARD User Menu This menu offers ...
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Accu-Chek insulin pump - page 101
Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 100 Selecting a User Menu Follow the steps below: 1. Press d to move to the SELECT USER MENU screen. Press f to select. Note: When you change the user menu, your current basal ra te profile will not appear if it is not activated. Make sure that your desired basal rate profile number(s) is/are acti ...
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Accu-Chek insulin pump - page 102
Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 101 ACCU-CHEK Spirit Insulin Pump 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 availabl ...
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Accu-Chek insulin pump - page 103
Note: At any function screen you have three options to exit: • If you want to confirm and save the changes press f until your pump returns to the RUN screen, • If you want to undo the changes press d + a simultaneously to exit the function screen, or • Wait for your pump to return to the RU N screen (timeout). ▲ ! A running increased or dec ...
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Accu-Chek insulin pump - page 104
Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 103 ACCU-CHEK Spirit Insulin Pump 103 ST ANDARD User Menu The following is a list of menu choices for the ST ANDARD user menu as they are addressed in the manual. T o 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 a ...
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Accu-Chek insulin pump - page 105
Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 104 Data T ransfer The pump memory stores up to 4,500 pump events (about 90 days of usa ge). 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 insid ...
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Accu-Chek insulin pump - page 106
Setup for Data T ransfer Follow the steps below: 1. Put your pump in STOP mode. 2. Press d to move to the COMMUNICA TION screen. 3. Press f . The DA T A TRANSFER screen appears and a melody signals that your pump is read y to deliver data. When the data transfer is finished, press f to return to the STOP screen. Set up your pump with a cartridge, a ...
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Accu-Chek insulin pump - page 107
Note: Y our pump returns to STOP mode 15 minutes after the last da ta transfer when the DA T A TRANSFER screen is selected. Y ou may press d + a simultaneously to exit while data is being transferred. The da ta transfer is interrupted and an error E12: DA T A INTERRUPTED occurs. See the section, “Error E12: DA T A INTERRUPTED” (page 163) for mo ...
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Accu-Chek insulin pump - page 108
Reviewing Pump Data The pump memory lets you review specific da ta such as: • Bolus history last 30 boluses • Alarm history last 30 alerts and errors • Histo ry of d aily insul in to tals last 30 daily totals of insulin delivered • T emporar y Basal Rate histor y last 30 increases and decreases • Maintenance (pump timer) remaining time in ...
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Accu-Chek insulin pump - page 109
1. Press d to move to the INFORMA TION screen. 2. Press f to select. The BOLUS HISTOR Y screen a ppears. The most recent bolus information is displayed. 3. Press a or s to review the entries. Press f to exit. information menu RUN screen alarm histo ry daily total TBR histo ry mainten ance bolus histo ry Chapter 5: User Menus ACCU-CHEK Spirit Insuli ...
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Accu-Chek insulin pump - page 110
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 ...
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Accu-Chek insulin pump - page 111
Review the History of Daily Insulin T otals 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. Each daily insulin total screen displays the following histor y: • daily total of insulin delivered ( ), • ...
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Accu-Chek insulin pump - page 112
Review the T emporar y Basal Rate Histor y The T emporary Basal Ra te (TBR) histor y 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 ? ...
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Accu-Chek insulin pump - page 113
Review the Time Remaining Y our pump is designed to be a highly reliable system that will give you worr y-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 ale ...
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Accu-Chek insulin pump - page 114
SETUP MENU Standard The SETUP MENU Standard should not be confused with the ST ANDARD user menu. The SETUP MENU Standard is a menu choice that a ppears in ST ANDARD and ADV ANCED user menus. The SETUP MENU Standard allows you to “set up” certain features and settings. The following fea tures and settings can be changed using the SETUP MENU Stan ...
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Accu-Chek insulin pump - page 115
Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 114 Follow the steps below: 1. Press d to move to the SETUP MENU ST ANDARD 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 ...
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Accu-Chek insulin pump - page 116
Unlocking the KeyLock Follow the steps below: 1. From the RU N 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. I f no key is pressed for 10 seconds after yo ...
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Accu-Chek insulin pump - page 117
Adjusting the Beep V olume Y our 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 ST ANDARD 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 leve ...
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Accu-Chek insulin pump - page 118
Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 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. Y ou have three options: beep only vibrate only beep and vibrate Follow the steps below: 1. Press d to move to the SETUP MENU ST ANDARD screen. Press f to select ...
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Accu-Chek insulin pump - page 119
Automatic Off Automatic off is a safety feature tha t stops insulin delivery and triggers an error E3: AUTOMA TIC 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 ST ANDARD screen. Follow the steps below: 1. Press d t ...
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Accu-Chek insulin pump - page 120
Battery T ype Y our pump lets you choose between using 1.5 volt AA alkaline batteries or recha rgeab le AA NiMH ba tteries. If you change from one batter y type to the other , you must also change the ba ttery type setting. See the section “Accessories and Disposables – Battery” (page 21) for more information on recommended batteries. Follow ...
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Accu-Chek insulin pump - page 121
Display Orientation Y our pump lets you flip the display orientation by 180° so tha t 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 ST ANDARD screen. Press f to select. 2. Press d to move to the ORIENT A TION screen. 3. Press a or s to select the display or ...
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Accu-Chek insulin pump - page 122
▲ ! 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 functi ...
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Accu-Chek insulin pump - page 123
Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 122 ADV ANCED User Menu The ADV ANCED user menu offers the full range of the ACCU-CHEK Spirit insulin pump functions. The ADV ANCED user menu includes all functions from the ST ANDARD user menu, plus a wide range of functions for the more experienced user . The following is a list of additional me ...
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Accu-Chek insulin pump - page 124
Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 123 Basal Rate Profiles Y our pump can store up to five different basal rate profiles to ma tch 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 docto ...
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Accu-Chek insulin pump - page 125
Programming Additional Basal Rate Profiles Follow the steps below: 1. Press d to move to the PROGRAM BASAL RA TE PROFILE screen. 2. The hourly basal rates for each additional basal rate profile are set in the same way as for basal rate profile 1. See the section “Programming your Basal Rate Profile” (pa ge 37) for more informa tion. Note: Only ...
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Accu-Chek insulin pump - page 126
Selecting a Basal Rate Profile Follow the steps below: 1. Press d to move to the CHANGE BASAL RA TE PROFILE screen. 2. Press f to select. The current basal rate profile is displayed. 3. Press a or s to select a basal rate profile. The selected basal rate profile and its daily insulin total a ppear . 4. Press f to select. The new basal ra te profile ...
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Accu-Chek insulin pump - page 127
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 ADV ANCED user menu, or • Program the basal rate profile to an available basal ra te profile number A running T emporary Basal Ra te increase or decrease stays active, even if you chan ...
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Accu-Chek insulin pump - page 128
Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 127 Alarm Clock Y ou can set the alarm clock for a single alarm or for multiple alarms. Multiple alarms repeat at the set time ever y 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 ...
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Accu-Chek insulin pump - page 129
T urning 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 informa tion. Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 128 ...
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Accu-Chek insulin pump - page 130
SETUP MENU Advanced The SETUP MENU Advanced should not be confused with the ADV ANCED user menu. The SETUP MENU Advanced is a menu choice that appears in the ADV ANCED user menu. The SETUP MENU Advanced allo ws you to “set up” certain features and settings. The following fea tures and settings can be changed using the SETUP MENU Advanced menu c ...
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Accu-Chek insulin pump - page 131
Date Format Y ou can set the date in the follo wing formats: American: mm/dd/yyyy , example 04/26/06 European: dd.mm.yyyy , example 26.04.06 Follow the steps below: 1. Press d to move to the SETUP MENU ADV ANCED screen. Press f to select. 2. Press d to move to the DA TE FORMA T screen. Press a or s to select a date format. 3. Press f to save and ex ...
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Accu-Chek insulin pump - page 132
Bolus increment T o address patients who may need large or small amounts of insulin, the bolus increment for the ACCU-CHEK Spirit insulin pump is adjustable. The “Quick” Standard Bolus is initially set to 0.5 units per key press but can be changed in the SETUP MENU ADV ANCED to 0.1, 0.2, 0.5, 1.0, or 2.0 units. Units for the scroll “Standard? ...
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Accu-Chek insulin pump - page 133
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. Follow the steps below: 1. Press d to move to the SET ...
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Accu-Chek insulin pump - page 134
Lock Basal Rate Profiles Y our pump lets you change your hourly basal rates as needed. Y ou 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 SE ...
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Accu-Chek insulin pump - page 135
Language Y our pump is programmed in several languages. These languages include Italian, English, German, French, Spanish, P ortuguese, Czech, Dutch, Swedish, Norwegian, Polish, and Greek. T o choose a language, do the following: 1. Press d to move to SETUP MENU ADV ANCED screen. Press f to select. 2. Press d to move to the LANGUAGE screen. Press a ...
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Accu-Chek insulin pump - page 136
Display Contrast Y our pump lets you adjust the display contrast. Follow the steps below: 1. Press d to move to the SETUP MENU ADV ANCED screen. Press f to select. 2. Press d to move to the DISPLA Y CONTRAST screen. Press a or s to select a contrast level. 3. Press f to save and exit. Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump 135 ...
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Accu-Chek insulin pump - page 137
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 ST ANDARD and ADV ANCED user menu sections. – ST ANDARD BOLUS – EXTENDED BOLUS – TEMPORARY BASAL ...
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Accu-Chek insulin pump - page 138
Chapter 6: Care and Maintenance Care of Y our ACCU-CHEK Spirit Insulin Pump Disetronic Medical Systems, as the manufacturer , guarantees the functions of your pump according to its specifications only if all ser vicing of your pump is done and/or authorized by Disetronic Medical Systems. System Inspection Checklist Y our pump must be well maintaine ...
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Accu-Chek insulin pump - page 139
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. • Y ou visually inspect the cartridge. Make sure that the actual amount of insulin in the cartridge equals the displayed cartridge amount on the QUIC ...
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Accu-Chek insulin pump - page 140
What to Do When Y ou Drop Y our Pump If the pump is dropped it could be harmed or the seal that protects it against wa ter could be damaged. Be careful not to drop your pump. Use the proper ACCU-CHEK Spirit insulin pump carrying system to help a void dropping your pump. See Disetronic Medical Systems sterile products and accessories catalogs and br ...
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Accu-Chek insulin pump - page 141
Storing Y our ACCU-CHEK Spirit Insulin Pump T o store your pump, place in STOP mode, then: • Remove the battery to preser ve the ba ttery life • Remove the cartridge • Insert the battery cover and the ada pter • Store your pump in its shipping case Storage Conditions T empera ture 41°F to 1 13°F (+5°C to +45°C) Air humidity 5 to 85% rel ...
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Accu-Chek insulin pump - page 142
Maintenance Cleaning Y our 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 ver y dirty , contact Pump Support at 1 -800-688-4578 for more instructions. Battery Information It is important to change your batter y regularly and to have sp ...
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Accu-Chek insulin pump - page 143
Repair If you have problems with your pump, contact Pump Support at 1 -8 00 - 68 8- 45 78. 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 . For example, you might need to return your pump if an alert or error could not be cleared by fol ...
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Accu-Chek insulin pump - page 144
Chapter 6: Care and Maintenance ACCU-CHEK Spirit Insulin Pump 143 T roubleshooting This section describes problems that may occur while using your ACCU-CHEK Spirit insulin pump. See “Alerts and Errors” (pa ge 147) for more information. Note: The solutions in this guide are only suggestions. Do not use these procedures without approval of your d ...
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Accu-Chek insulin pump - page 145
Chapter 6: Care and Maintenance ACCU-CHEK Spirit Insulin Pump 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 ho w to manage these or any ...
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Accu-Chek insulin pump - page 146
Problem Air bubbles in the cartridge and/or infusion set Blood in the infusion set tubing Empty cartridge Disconnected or dislodged infusion set Leak in system Recommended Actions 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 ...
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Accu-Chek insulin pump - page 147
Problem Occlusion in system Failure to complete prime Poor absorption of insulin Infusion site becomes sore, red, or swollen. Recommended Actions 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” (pa ge 156). Re-prim ...
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Accu-Chek insulin pump - page 148
Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump 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 (err ...
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Accu-Chek insulin pump - page 149
Confirming an Alert or Error When you confirm A1: CARTRIDGE LOW , E1: CARTRIDGE EMPTY , A2: BA TTERY LOW , E2: BA TTERY DEPLETED, A5: PUMP TIMER or E5: END OF OPERA TION, 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 th ...
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Accu-Chek insulin pump - page 150
Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump 149 List of Alerts Alert A1: CAR TRIDGE LOW The contents of the insulin cartridge have dropped to 20 units of insulin. Be prepared to replace the cartridge as soon as possible. The cartridge low symbol ( ) appears in the RUN or STOP screen as a reminder until you change the cartridge. 1. Pr ...
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Accu-Chek insulin pump - page 151
Alert A2: BA TTERY LOW The batter y power is low. Be prepared for a ba tter y change as quickly as possible. The batter y low symbol ( ) appears in the RUN or STOP screen as a reminder until you change the batter y . 1. Press f twice to turn off and to confirm the alert. Replace the batter y as soon as possible (within a few hours). Failure to chan ...
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Accu-Chek insulin pump - page 152
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. See the section “Alarm Clock” (pa ge 127) for more information. Alert A5: PUMP TIMER Y our pump’ s opera ting time will expire soon. It is recommended that you replace ...
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Accu-Chek insulin pump - page 153
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 OPERA TION, 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 ...
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Accu-Chek insulin pump - page 154
Alert A7: TBR OVER (T emporar y Basal Rate Over) A T emporar y 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 T emporary Basal Ra te change is needed. If necessar y , pr ogram a new T emporar y Basal Rat ...
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Accu-Chek insulin pump - page 155
List of Errors Error E1: CAR TRIDGE EMPTY The insulin cartridge is empty . Change the cartridge immediately . 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 cartridge and prime the infusion set. 4. Reconnect the infusion set a t your infusion site. 5. Put your ...
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Accu-Chek insulin pump - page 156
Error E2: BA TTERY DEPLETED The batter y is out of power . Replace it immediately . 1. Press f twice to turn off and to confirm the error . 2. Replace the batter y . 3. Put your pump in RUN mode. See the section “Accessories and Disposables – Battery” (pa ge 21 ) for more information on recommended batteries. See the section “Inserting (or ...
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Accu-Chek insulin pump - page 157
Error E3: AUTOMA TIC OFF Automatic off is a safety feature tha t stops insulin delivery and triggers an error E3: AUTOMA TIC 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. Error E4: OCCLUSION Insulin (a maximum of 3.5 units of U100 insulin ...
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Accu-Chek insulin pump - page 158
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 case ...
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Accu-Chek insulin pump - page 159
Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump 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 pum ...
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Accu-Chek insulin pump - page 160
Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump 159 2. Contact Pump Support at 1 -800-6 88-45 7 8 to discuss your options for further use of the ACCU-CHEK Spirit insulin pump. Error E6: MECHANICAL ERROR A mechanical error was discovered during a routine automa tic system check and insulin delivery has stopped. 1. Press f twice to turn of ...
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Accu-Chek insulin pump - page 161
If the error E6: MECHANICAL ERROR occurs again in spit e of the se ac ti ons , contact your doctor or healthcare team for an alternate therapy pla n. Contact Pump Support at 1 -8 0 0- 68 8- 4 578 for more assistance. Error E7: ELECTRONIC ERROR An electronic error was discovered during a routine automatic system check and the insulin delivery has st ...
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Accu-Chek insulin pump - page 162
Error E8: POWER INTERRUPT A power interrupt error occurs when you insert a new batter y without first placing the pump in STOP mode. See the section “Inserting (or Changing) the Batter y” (p a g e 2 5 ) for instructions on ho w to change your batter y . The error can also occur if the pump was dropped. If the pump was dropped, see the section ? ...
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Accu-Chek insulin pump - page 163
Error E10: CAR TRIDGE ERROR The CHANGE THE CAR TRIDGE 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 CAR TRIDGE menu. 4. Prime the infusion set. 5. Reconnect the infusion set (tubing) a t your infusion site. 6. ...
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Accu-Chek insulin pump - page 164
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” ( ...
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Accu-Chek insulin pump - page 165
See the section “Data T ransfer” (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 – Langua ge” (page 134) to change the language. 3. Put your pump in RUN mode. Chapter 7: Alert ...
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Accu-Chek insulin pump - page 166
Appendixes Appendix A: T echnical Da ta General T echnical 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]. Ba s a l r a t e ...
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Accu-Chek insulin pump - page 167
Bol us The max. bolus amount per deliver y 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. The duratio ...
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Accu-Chek insulin pump - page 168
Flow (deliver y rate) 0.2 U/sec during infusion set priming and bolus when using U100 insulin. Infusion sets ACCU-CHEK infusion sets with luer -lock connector . IPX 8 Protected against the effects of temporary immersion in wa ter under standardized conditions [up to 60 minutes and 8 feet (2.5 meters)]. Maximum time for an error Plastic cartridges* ...
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Accu-Chek insulin pump - page 169
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 ...
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Accu-Chek insulin pump - page 170
T echnical 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 ...
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Accu-Chek insulin pump - page 171
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. a Field strengths from fixed transmitters, such as base sta tions for radio (cellular/cordless) telephones and land mobile ra ...
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Accu-Chek insulin pump - page 172
Appendixes ACCU-CHEK Spirit Insulin Pump 171 T echnical 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 t ...
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Accu-Chek insulin pump - page 173
Appendixes ACCU-CHEK Spirit Insulin Pump 172 IEC 60601 Compliance Electromagnetic Immunity T est T est Level Level Environment – Guidance Radiated RF 3 V/m 10 V/m Portable and mobile RF communications equipment IEC 61000-4-3 80 MHz to 80 MHz should be used no closer to 2.5 GHz 2.5 GHz any part of the ACCU-CHEK Spirit insulin pump, includ- (I EC 6 ...
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Accu-Chek insulin pump - page 174
Accuracy of Flow Rate for Plastic Cartridges T rumpet cur ve plotted from data after the end of the stabilization period The trumpet curve sho ws the accuracy of the delivery rate in relation to the observa tion 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 s ...
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Accu-Chek insulin pump - page 175
Start-up graph over the stabilization period The start-up graph shows changes in the flo w rate over the stabiliza tion 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. Influence of height on delivery accuracy The average devia t ...
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Accu-Chek insulin pump - page 176
T rumpet cur ve plotted from data after the end of the stabilization period The trumpet curve sho ws the accuracy of the delivery rate in relation to the observa tion 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 ...
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Accu-Chek insulin pump - page 177
Start-up graph over the stabilization period The start-up graph shows changes in the flo w rate over the stabiliza tion 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 F or U100 insulin the delivery accuracy of a maximum b ...
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Accu-Chek insulin pump - page 178
Appendix B: Configura tion P arameters Y our pump is built by Disetronic Medical Systems with a standard configuration (factory settings). A list containing the important factor y settings is added to the original insulin pump package when your pump is first shipped. Y ou may need to adapt the factor y settings to meet your individual needs. Set th ...
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Accu-Chek insulin pump - page 179
T ypical Range and Maximum P arameter P arameter Settings Range Basal Rate – hourly basal rate + U100: 62.5 IU/h Insulin T ype Max. Amount max. TBR U100 0 – 62.50 IU/h (hourly basal rate combined with temporary basal rate, max. increase) – hourly basal rates 0.1 U increment – hourly basal rates U100: 10.0 IU/h Insulin T ype Max. Amount U100 ...
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Accu-Chek insulin pump - page 180
T ypical Range and Maximum P arameter P arameter Settings Range Prime volume U100: 25.0 U Insulin T ype Max. Amount U100 0 – 25.0 IU/h Display orientation standard standard or inverted Display contrast medium 13 steps User menus ST ANDARD 3 (ST ANDARD, ADVANCED or CUSTOM) Volume (for beeps) maximum off, 1 – 4 steps Alarm signals turned on beeps ...
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Accu-Chek insulin pump - page 181
Appendix C: Abbrevia tions approx. Approxima tely BR Basal rate BRP Basal rate profile DDM Diabetes Data Management h Hour(s) IEC International Electrotechnical Commission incl. Inc lusive IR Infrared I.U., IU Interna tional Units in context with biological effectiveness of a certain insulin amount kPa Kilo pascals LCD Liquid Crystal Display LED Li ...
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Accu-Chek insulin pump - page 182
Appendix D: Beeps and Melodies Y ou 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” (pa ge 117) for more information. Each press of Each press of Each press of confirms each programmed bo lus increment when progra ...
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Accu-Chek insulin pump - page 183
Appendix E: Vibra tions Y our pump signals alerts and errors using beeps and vibrations. Y ou 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. Y ou cannot turn off these vibra tions. ...
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Accu-Chek insulin pump - page 184
Appendix F: Symbols General Symbols Read user guide Sterilized using ethylene oxide Sterilized using radiation Sterilized using antiseptics Y ear of manufacture Batch number Expiration date Item number Serial number Admissible temperature range during operation Admissible temperature range Admissible humidity range Admissible air pressure range Fra ...
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Accu-Chek insulin pump - page 185
Appendixes ACCU-CHEK Spirit Insulin Pump 184 Protect from heat and sunlight For single use only Does not contain pyrogen Does not contain PVC Recyc ling 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 a ...
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Accu-Chek insulin pump - page 186
Appendixes ACCU-CHEK Spirit Insulin Pump 185 Symbol Definition Start your ACCU-CHEK Spirit insulin pump STOP screen and Stop insulin delivery Time, and Set the time and da te menu Date Locked keys when the KeyLock function is turned on Unlocked keys when the KeyLock function is turned on Change the cartridge menu and cartridge content Cartridge low ...
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Accu-Chek insulin pump - page 187
Standard Bolus and Bolus increment programming Extended Bolus and Extended delivery of the MultiWave Bolus MultiWave Bolus Immediate bolus deliver y of MultiWave Bolus Decreased T emporary Basal Ra te (0–90%) Increased T emporary Basal Ra te (110–200%) Remaining duration of an ongoing Extended Bolus, MultiWave Bolus, TBR, or automatic off Daily ...
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Accu-Chek insulin pump - page 188
Set beep volume Screen orientation European date format American date format Alarm clock turned on Alarm clock turned off Single alarm when setting an alarm clock Every day repea t alarm when setting an alarm clock PC communication Set beep volume Check key Up key Down key Timeout of a menu Appendixes ACCU-CHEK Spirit Insulin Pump 187 ...
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Accu-Chek insulin pump - page 189
Appendix G: Sterile Products and Accessories Sterile Products Cartridges Name Comments Empty ACCU-CHEK Plastic cartridges are single-use 3.15ml Plastic Cartridge items. Do not reuse cartridges. Refer to the instructions of the insulin you are using for informa tion of proper use and acceptable tempera ture range for storage and handling. ACCU-CHEK ...
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Accu-Chek insulin pump - page 190
Accessories Name Comments Adapter Replace your adapter with ever y 10 t h cartridge. Batter y If used in a typical usage pattern One 1.5 AA alkaline battery with a [50 U/day using U100 insulin; minimum capacity of 2500mAh operating temp. of 72°F ± 6°F (22°C ± 3°C)] the batter y life is approx. four weeks for alkaline. Rechargeable Batter y If ...
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Accu-Chek insulin pump - page 191
Appendix H: Glossar y 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. In insulin pump therapy , your basal rate is determined b ...
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Accu-Chek insulin pump - page 192
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. Diabetes Data Management (DDM) Diabetes Data Management is the recording of the thera py-relevant data gained from your insulin delivery syste ...
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Accu-Chek insulin pump - page 193
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 ...
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Accu-Chek insulin pump - page 194
Appendixes ACCU-CHEK Spirit Insulin Pump 193 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 occ ...
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Accu-Chek insulin pump - page 195
LIMITED FOUR-YEAR WARRANTY DISETRONIC MEDICAL SYSTEMS, INC. (“DISETRONIC”) WARRANTS THE ACCU-CHEK SPIRIT INSULIN PUMP (“INSULIN PUMP”) AGAINST DEFECTS IN MA TERIALS AND WORKMANSHIP FOR A PERIOD OF FOUR (4) YEARS FROM THE DA TE OF PURCHASE. PROOF OF PURCHASE DA TE MA Y BE REQUIRED. THIS WARRANTY DOES NOT INCLUDE SUPPLIES AND ACCESSORIES, INC ...
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Accu-Chek insulin pump - page 196
Accessories; 17-23, 189 Adapter; 9, 20, 47-48, 190 Advanced User Menu; 99, 122-128 Air Bubbles; 45, 53, 145 Alarm Clock; 127-128, 151 Alarm History; 109 Alarm Signals; 16, 117 Alcohol Consumption; 144 Alerts and Errors; 147-164, 199-200 Automatic Off; 118, 156 Backlight; 10 Basal Rate Profile; 36, 123, 126, 190 Lock; 133 Programming; 37-41, 124 Sel ...
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Accu-Chek insulin pump - page 197
Index ACCU-CHEK Spirit Insulin Pump 196 Immunity; 171-172 Infusion Set; 9, 19-20 Changing the; 70-72 Not Primed; 162-163 Priming; 53-55 Infusion Site; 56-57, 72 Insulin Delivery; Starting; 65 Stopping; 66 Insulin Pump Therapy; Interruption of; 68-69 Resuming; 69 KeyLock; 13 T urning On; 113-114 T urning Off; 113-114 Unlocking; 181, 185 Keys; 11 Key ...
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Accu-Chek insulin pump - page 198
Index ACCU-CHEK Spirit Insulin Pump 1 Stopping; Insulin Delivery; 66 Priming; 55 System Check; 28-31 T emporar y Basal Rate; Cancelling; 97 History; 111 Over; 96, 153 Programming; 93-96 Time and Date; 32 American; 32, 130 European; 32, 130 Time and Date, Review; 150 Time Remaining; 112 T roubleshooting; 143-146 T ubing; 20, 132 UP Key; 9, 187 User ...
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Accu-Chek insulin pump - page 199
Index ACCU-CHEK Spirit Insulin Pump 198 program profile no. 5 program profile no. 4 program profile no. 3 program profile no . 2 Standard bolus stop your Accu-Chek «Scroll» Stan- dard bolus bolus amount Extended bolus bolus amount bolus duration temporary basal rate percentage duration select the user menu user menu BR profile no.… information ...
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Accu-Chek insulin pump - page 200
ACCU-CHEK and ACCU-CHEK SPIRIT are trademarks of Roche. ©2005 Disetronic Medical Systems, Inc. All rights r eserved. 04632753001/V01/11.05 Swiss made Manufactured by: Disetronic Medical Systems AG CH-3401 Bur gdorf, Switzerland Distributed by: Disetronic Medical Systems, Inc. 11800 Exit 5 Parkway , Suite 120 Fishers, IN 46037 Phone 866-703-3476 Fa ...
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