Accu-Chek Spirit pump User guide

Accu-Chek Spirit pump User guide
INSULIN PUMP
User Guide
The Accu-Chek Spirit – At a Glance
Display
Menu key
Up key
Down key
Check key
Infusion set
Adapter
Cartridge
This user’s guide is valid for version 2.XX of the Accu-Chek Spirit.
Dear Accu-Chek Spirit insulin pump user,
Congratulations on your new Accu-Chek Spirit insulin pump. You and
your Accu-Chek Spirit insulin pump are unique. Therefore, it is important
that you, your doctor or healthcare team fill in the following information:
Serial number of your Accu-Chek Spirit insulin pump
Insulin (name/type)
Accu-Chek Spirit Training Place
Date(s)
Trainer
Useful addressesYour contact for medical emergencies and/or
information about insulin pump therapy
(doctor/healthcare team)
Phone
1
Your contact for assistance with and/or additional information about
your Accu-Chek Spirit insulin pump:
United Kingdom:
Roche Diagnostics Ltd.
Charles Avenue, Burgess Hill,
West Sussex, RH15 9RY, England
Phone: +44 1444 256 000
Pump Care Line:
UK : 0800 731 22 91
IRELAND: 1800 88 23 51
[email protected]
www.accu-chek.co.uk/insulinpumps
Australia:
Roche Diagnostics Australia Pty. Ltd.
31 Victoria Avenue
Castle Hill, NSW 2154, Australia
Pump Hotline 1800 633 457
1800 802 409 (Orders)
Fax 1800 066 598 (Orders)
[email protected]
www.accu-chek.com.au
2
New Zealand:
Roche Diagnostics N.Z. Ltd.
15 Rakino Way
P.O. Box 62089
Mt. Wellington, Auckland 1641
New Zealand
Accu-Chek Enquiry Line: 0800 80 22 99
Phone +64 9 276 4157
Fax
+64 9 276 8917
[email protected]
www.accu-chek.co.nz
South Africa:
Roche Products (Pty) Ltd.
Diagnostics Division
P.O. Box 1927, Randburg 2125
9 Will Scarlet Road
Randburg
South Africa
Phone +27 11 504 4600
Fax
+27 11 781 0269
www.diabetes.co.za
Content
1 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.1 Who this user guide is written for. . . . . . . . . . . . . . . . . . . . . . 9
1.2 How to use this user guide. . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.3 Working safely with your Accu-Chek Spirit insulin pump . . 10
1.4 Intended use of your Accu-Chek Spirit insulin pump. . . . . . 11
2 Before you begin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.1 Warnings and cautions for proper use and your safety . . . . 13
2.1.1 Set-up warnings and cautions . . . . . . . . . . . . . . . . . . . . 13
2.1.2 Warnings and cautions regarding hygiene. . . . . . . . . . . . 15
2.1.3 Warnings and cautions on proper use. . . . . . . . . . . . . . . 16
2.1.4 Warnings and cautions for secure use . . . . . . . . . . . . . . 18
2.1.5 Warnings and cautions about environmental hazards . . . 20
2.1.6 Warnings and cautions regarding safe battery use . . . . . 21
2.1.7 Warnings and cautions about wearing
the insulin pump. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
2.2 Guarantee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3 The Accu-Chek Spirit insulin pump . . . . . . . . . . . . . . . . . . . . . . . 25
3.1 Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
3.2 Backlight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
3.3 Keys and key combinations. . . . . . . . . . . . . . . . . . . . . . . . . . 26
3.4 KeyLock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
3.5 Scrolling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
3.6 STATUS screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
3.7 Alarm signals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
3.8 RUN and STOP modes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
3.9 STOP-Warning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
4 Accessories, disposables and software. . . . . . . . . . . . . . . . . . . . 35
4.1 Sterile products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
4.1.1 Cartridge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
4.1.2 Infusion sets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
4.2 Adapter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.3 Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
4.4 Battery cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
4.5 Battery key. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
4.6 Emergency kit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
4.7 Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
3
Content
5 Prepare the pump for use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
5.1 Insert and change the battery. . . . . . . . . . . . . . . . . . . . . . . . 45
5.2 Start-Up procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
5.2.1 Prepare the cartridge. . . . . . . . . . . . . . . . . . . . . . . . . . . 52
5.2.2 Fill the cartridge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
5.3 Insert the cartridge, adapter and infusion set. . . . . . . . . . . . 58
5.3.1 Connect the cartridge, adapter and infusion set . . . . . . . 58
5.3.2 Insert the cartridge . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
5.4 Prime the infusion set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
5.5 Prepare the infusion site . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
5.6 Change the infusion set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
5.7 Change the cartridge and infusion set . . . . . . . . . . . . . . . . . 71
5.8 Change the adapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
5.9 How to wear your pump. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
6 Select a user menu (STANDARD, ADVANCED or CUSTOM). . . . . . 75
6.1 The three levels of the Accu-Chek Spirit. . . . . . . . . . . . . . . . 75
6.2 Navigate through the menus. . . . . . . . . . . . . . . . . . . . . . . . . 76
6.2.1 Scrolling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
6.2.2 Looping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
6.2.3 Backward loop. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
6.2.4 Exit options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
6.2.5 Select a user menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
7 STANDARD user menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
7.1 Set time and date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
7.2 Basal rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
7.2.1 Program a basal rate profile . . . . . . . . . . . . . . . . . . . . . . 88
7.2.2 Copy an hourly basal rate. . . . . . . . . . . . . . . . . . . . . . . . 90
7.2.3 Basal rate and bolus. . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
7.3 Start insulin delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
7.4 Stop insulin delivery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
7.5 Program a bolus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
7.5.1 Standard bolus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
7.5.2 Program a “Quick” Standard bolus . . . . . . . . . . . . . . . . . 97
7.5.3 Cancel a “Quick” Standard bolus . . . . . . . . . . . . . . . . . . 99
7.5.4 Program a menu-guided “Scroll” Standard bolus . . . . . 100
7.5.5 Cancel a menu-guided “Scroll” Standard bolus. . . . . . . 101
4
Content
7.6 Temporary basal rate (TBR). . . . . . . . . . . . . . . . . . . . . . . . . 102
7.6.1 Program a temporary basal rate. . . . . . . . . . . . . . . . . . 103
7.6.2 Cancel a temporary basal rate . . . . . . . . . . . . . . . . . . . 105
7.7 Setup menu standard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
7.7.1 KeyLock function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
7.7.2 Adjust the beep volume . . . . . . . . . . . . . . . . . . . . . . . . 109
7.7.3 Alarm signals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
7.7.4 Automatic off. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
7.7.5 Battery type. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
7.7.6 Display orientation. . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
7.8 Review data memory (INFORMATION). . . . . . . . . . . . . . . . . 114
7.8.1 Review the bolus history. . . . . . . . . . . . . . . . . . . . . . . . 114
7.8.2 Review the alarm history . . . . . . . . . . . . . . . . . . . . . . . 116
7.8.3 Review the daily insulin totals history. . . . . . . . . . . . . . 116
7.8.4 Review the temporary basal rate history. . . . . . . . . . . . 117
7.8.5 Review the time remaining. . . . . . . . . . . . . . . . . . . . . . 118
7.8.6 Quick info screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
8 ADVANCED user menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
8.1 Extended bolus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
8.1.1 Program an Extended bolus . . . . . . . . . . . . . . . . . . . . . 123
8.1.2 Cancel an Extended bolus. . . . . . . . . . . . . . . . . . . . . . . 124
8.2 MultiWave bolus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
8.2.1 Program a MultiWave bolus . . . . . . . . . . . . . . . . . . . . . 127
8.2.2 Cancel a MultiWave bolus. . . . . . . . . . . . . . . . . . . . . . . 129
8.3 Basal rate profiles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
8.3.1 Set an additional basal rate profile. . . . . . . . . . . . . . . . 131
8.3.2 Select a basal rate profile. . . . . . . . . . . . . . . . . . . . . . . 132
8.4 Alarm clock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
8.5 Setup menu advanced. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
8.5.1 Time format. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
8.5.2 Date format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
8.5.3 Bolus increment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
8.5.4 Prime quantity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
8.5.5 Lock basal rate profiles. . . . . . . . . . . . . . . . . . . . . . . . .138
8.5.6 Language. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
8.5.7 Display contrast. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
5
Content
9 Data transfer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
10 Alerts and errors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
10.1 Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
10.1.1 Alert A1: CARTRIDGE LOW. . . . . . . . . . . . . . . . . . . . . 147
10.1.2 Alert A2: BATTERY LOW. . . . . . . . . . . . . . . . . . . . . . . 148
10.1.3 Alert A3: REVIEW TIME AND DATE . . . . . . . . . . . . . . . 148
10.1.4 Alert A4: ALARM CLOCK . . . . . . . . . . . . . . . . . . . . . . 149
10.1.5 Alert A5: PUMP TIMER. . . . . . . . . . . . . . . . . . . . . . . . 149
10.1.6 Alert A6: TBR CANCELLED
(Temporary Basal Rate cancelled). . . . . . . . . . . . . . . 150
10.1.7 Alert A7: TBR OVER (Temporary Basal Rate over). . . . 151
10.1.8 Alert A8: BOLUS CANCELLED. . . . . . . . . . . . . . . . . . . 151
10.2 Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
10.2.1 Error E1: CARTRIDGE EMPTY. . . . . . . . . . . . . . . . . . . 152
10.2.2 Error E2: BATTERY DEPLETED. . . . . . . . . . . . . . . . . . 153
10.2.3 Error E3: AUTOMATIC OFF. . . . . . . . . . . . . . . . . . . . . 153
10.2.4 Error E4: OCCLUSION . . . . . . . . . . . . . . . . . . . . . . . . 154
10.2.5 Error E5: END OF OPERATION. . . . . . . . . . . . . . . . . . 157
10.2.6 Error E6: MECHANICAL ERROR . . . . . . . . . . . . . . . . . 158
10.2.7 Error E7: ELECTRONIC ERROR. . . . . . . . . . . . . . . . . . 159
10.2.8 Error E8: POWER INTERRUPT . . . . . . . . . . . . . . . . . . 160
10.2.9 Error E10: CARTRIDGE ERROR. . . . . . . . . . . . . . . . . . 161
10.2.10 Error E11: SET NOT PRIMED. . . . . . . . . . . . . . . . . . 162
10.2.11 Error E12: DATA INTERRUPTED. . . . . . . . . . . . . . . . 163
10.2.12 Error E13: LANGUAGE ERROR. . . . . . . . . . . . . . . . . 164
11 Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
12 Life with your Accu-Chek Spirit insulin pump. . . . . . . . . . . . . . 169
12.1 Recommendations for daily use . . . . . . . . . . . . . . . . . . . . 169
12.1.1 Short interruption of insulin pump therapy . . . . . . . . 169
12.1.2 Continuation of insulin pump therapy. . . . . . . . . . . . 170
12.1.3 Interruption of insulin pump therapy for
a longer period of time. . . . . . . . . . . . . . . . . . . . . . . 170
12.2 Weather conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171
6
Content
13
14
15
16
17
18
19
12.3 Your insulin pump and water. . . . . . . . . . . . . . . . . . . . . . . 172
12.3.1 Daily situations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
12.3.2 Accidental contact with water. . . . . . . . . . . . . . . . . . 173
12.3.3 What to do after water contact. . . . . . . . . . . . . . . . . 173
12.3.4 Other liquids. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
On the go with your Accu-Chek Spirit insulin pump . . . . . . . . . 175
13.1 Electromagnetic fields and hazardous areas . . . . . . . . . . 175
13.2 Sports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
13.3 Travelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 176
Care of your Accu-Chek Spirit insulin pump . . . . . . . . . . . . . . . 177
14.1 System check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
14.2 Maintenance and cleaning. . . . . . . . . . . . . . . . . . . . . . . . . 179
14.2.1 Cleaning your Accu-Chek Spirit insulin pump . . . . . . 179
14.2.2 Battery information. . . . . . . . . . . . . . . . . . . . . . . . . . 179
14.3 Storing your Accu-Chek Spirit insulin pump. . . . . . . . . . . 180
14.4 When your insulin pump is dropped . . . . . . . . . . . . . . . . . 181
14.5 Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
14.6 Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Technical data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
15.1 General technical data. . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
15.2 Technical standards on electromagnetic emissions. . . . . 190
15.3 Technical standards on electromagnetic immunity . . . . . 191
15.4 Configuration parameters . . . . . . . . . . . . . . . . . . . . . . . . . 196
Annexes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
16.1 Abbreviations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
16.2 Beeps and melodies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
16.3 Vibrations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
16.4 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
16.4.1 General symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
16.4.2 Display symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
16.5 Sterile products and accessories. . . . . . . . . . . . . . . . . . . .208
16.5.1 Sterile products . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208
16.5.2 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
Glossary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Alert overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
7
8
Introduction
1 Introduction
1.1 Who this user guide is written for
You are a highly motivated diabeties patient who is willing to work with
your doctor and/or healthcare team on insulin therapy. From the start it is
very important that you
E take the time to train with a healthcare professional on the
insulin pump
E take the time for frequent testing of your blood glucose levels,
for example using an Accu-Chek blood glucose meter in order to
help you find your personal settings quickly and avoid incorrect
dosages at an early stage
This user guide is written for you as well as for healthcare professionals.
It is designed to provide you with the necessary information for safe and
efficient use of your Accu-Chek Spirit insulin pump. Regardless of your
experience with pump therapy, please read this user guide carefully
before using your Accu-Chek Spirit insulin pump. Always refer to this
user guide for questions about operating and troubleshooting your
Accu-Chek Spirit insulin pump.
Roche Diagnostics is proud to work with you in the management of your
diabetes therapy. However, remember that Roche Diagnostics does not
make any recommendations about your diabetes therapy, such as how to
set up your personal programming or define what features are appropriate. Always follow the instructions given by your doctor or healthcare
team. Before using your Accu-Chek Spirit insulin pump, you must be
trained by your doctor and/or healthcare team on insulin pump therapy as
well as on your Accu-Chek Spirit insulin pump.
9
Introduction
We also recommend that you have someone around you (e.g. family,
friends) who understands diabetes and pump therapy with your
Accu-Chek Spirit insulin pump to help you in case of an emergency.
Should you have any questions, we urge you to contact your local
Customer Care Area, your doctor or healthcare team. In this way you can
be assured of a trouble-free experience with the Accu-Chek Spirit insulin
pump.
1.2 How to use this user guide
NoteThe Accu-Chek Spirit user guide presents you with sample
screens only. The screens in this user guide may vary
slightly from your actual pump screens.
At the back of this user guide you will find various references in the form
of tables and definitions.
1.3 Working safely with your Accu-Chek Spirit insulin pump
Your Accu-Chek Spirit insulin pump meets the safety requirements of
your national medical device legislation and complies with or exceeds the
international standards for Electromagnetic Compatibility regarding its
use. Section 1.4 introduces you to the intended use of the Accu-Chek
Spirit insulin pump, its safety features, and to warnings and precautions
you should be aware of while using your insulin pump.
When your insulin pump is in use, its two microprocessor safety systems
continuously monitor and control the insulin pumps functioning. Over
9 million safety checks are performed daily. If your insulin pump detects
a deviation of its normal state, an alert (warning instruction) or an error
(error message) will occur.
10
Introduction
See the sections 10 “Alerts and errors” and 15 “Technical data” for further
information on how to address these issues.
NoteYour insulin pump is a valuable medical device. We strongly
encourage you to add your insulin pump to your
homeowner’s insurance policy to protect you in case of
accidental damage or loss. Ask your insurance agent for
details.
1.4 Intended use of your Accu-Chek Spirit insulin pump
Your Accu-Chek Spirit insulin pump is a prescription device and has been
developed exclusively for the continuous subcutaneous delivery of U100
short-acting insulin or fast-acting insulin analogue. The insulin type for
the treatment of your insulin dependent diabetes mellitus will be
prescribed by your doctor or healthcare team.
Do not use your insulin pump for the delivery of medications other than
U100 short-acting insulin or fast-acting insulin analogue.
11
12
Before you begin
2 Before you begin
2.1 Warnings and cautions for proper use and your safety
To ensure that there is no risk to you or your health, you should be aware
of the following warnings regarding set-up, hygiene and secure use prior
to using your Accu-Chek Spirit insulin pump.
Please read through these warnings and cautions before starting.
Warnings, cautions and other important safety information can be found
in this section and are clearly visable throughout the user guide.
2.1.1 Set-up warnings and cautions
➨ Before using a new Accu-Chek Spirit insulin pump, always
check your personal settings before use in order to avoid
incorrect insulin delivery. Record your personal settings from
your current insulin pump and ensure that they are correctly
programmed into a new Accu-Chek Spirit insulin pump. Make sure
that the time and date are set correctly. If you are not sure about
your personal settings or you are less experienced, contact your
doctor or healthcare team to check your personal settings.
➨ Do not interrupt the start-up procedure by pressing keys or
by any handling on the insulin pump. Interruption of the start-up
procedure may lead to malfunctions of your insulin pump.
➨ Incorrect programming of your insulin pump may cause
inappropriate insulin delivery. Your insulin pump must be
programmed with your personal settings prior to starting insulin
pump therapy. Do not operate your insulin pump without knowing
your personal settings. If you are not sure about your personal
settings or you are less experienced, have your doctor or healthcare
team check them. Work with your doctor or healthcare team to
13
Before you begin
determine the timing as well as the amount and type of bolus you
need to deliver. Make sure you know your personal carbohydrate
insulin ratio and your correction bolus ratio.
➨ When your insulin pump is in STOP, it does not deliver any
insulin. Put your insulin pump into RUN to continue the insulin
delivery.
➨ After inserting a new battery, always ensure that the time
and date of your insulin pump are set correctly. Incorrect
programming of the time and date may cause incorrect insulin
delivery.
➨ If your insulin pump “times out” before you finish
programming a bolus, no bolus is delivered. Check the bolus
history screens on your insulin pump for the bolus amount
delivered with time and date and program a new bolus if necessary.
➨ If you do not set the correct battery type on your insulin pump,
the alert A2: BATTERY LOW may not occur in time to provide you
sufficient warning to replace your battery.
➨ 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 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
keys will not change in their function, but will remain the same,
regardless of your screen orientation.
➨ If data transfer between your PC and your insulin pump is
disrupted in any way, the configuration may be incomplete and an
error E12: DATA INTERRUPTED occurs. The data transfer must be
completed successfully before you can put your insulin pump into
RUN.
14
Before you begin
2.1.2 Warnings and cautions regarding hygiene
➨ Your insulin pump was designed to use an Accu-Chek
3.15 ml plastic cartridge. The cartridge is a sterile product
intended for single use only. Sterility is guaranteed for unopened
packaging up to the indicated expiration date. Do not use sterile
products if the package is damaged.
➨ Do not reuse single use materials. Reuse of single use
materials might lead to a malfunction of your insulin pump and
to incorrect insulin delivery and/or an infection.
➨ Always handle the items with clean hands. Avoid any contact
of the infusion set and especially the connecting parts of your
insulin pump with antiseptics, antibiotic creams, soaps, perfumes,
deodorants, body lotions or any other cosmetics. They may
contaminate these parts.
➨ Avoid deliberate contact with water. In case of deliberate
contact with water disconnect and take off your insulin pump.
➨ Check daily that your insulin pump and its sterile products are
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.
➨ Only use sterile products and accessories that are designed
for use with your insulin pump. Other sterile products and
accessories have not been tested for compatibility with your insulin
pump and may therefore endanger your health if used.
15
Before you begin
➨ Always have extra sterile products and accessories with you.
This allows you to exchange components when needed. Materials
designed for single use (such as cartridges and infusion sets) may
not be reused due to the increased risk of infections, malfunctions
and/or incorrect insulin delivery.
➨ Always remove the cartridge and adapter and place your
insulin pump in STOP while cleaning. Avoid pressing the keys of
your insulin pump during cleaning, as this may accidentally change
your settings. Do not use alcohol, solvents, strong detergents,
bleaching agents, scouring pads or sharp instruments (knife, key,
screw driver, etc.) for cleaning as they may damage your insulin
pump.
2.1.3 Warnings and cautions on proper use
➨ Training and use of your insulin pump requires the support of
an experienced doctor or healthcare team. Regular visits with
your doctor or healthcare team are absolutely essential during
insulin pump therapy. Change your personal settings only after
consulting your doctor or healthcare team. Always follow the
instructions given by your doctor or healthcare team.
➨ Do not perform any servicing or repair on your insulin
pump by yourself. Do not use any lubricant on the insulin pump
mechanism. For additional questions contact your local Customer
Care Area.
➨ 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 finger tip instead to prevent
puncturing the keys.
16
Before you begin
➨ Check the amount of insulin remaining in the cartridge at
least once a day. Before going to bed, make sure that the cartridge
contains enough insulin to last through the night.
➨ Contact your doctor or healthcare team for an alternate
therapy plan when you interrupt the insulin pump therapy for a
longer period of time.
➨ The bolus increment that can be programmed into your insulin
pump determines the “Quick” Standard bolus amount using the
a and s keys of your insulin pump. To ensure correct insulin
delivery be sure the bolus increment is set appropriate for your
therapy.
➨ Do not use the Accu-Chek Spirit insulin pump if you are not
able to read the display, hear the beeps or you are not able to
feel the vibrations. The display, beeps and vibrations indicate
critical alert information and must be addressed immediately by the
insulin pump user. Failure to see, hear or feel the alerts from the
insulin pump could result in serious harm or death of the user.
➨ If insulin administration is interrupted for any reason (e.g.
stopping the pump by the user, technical problem of the insulin
pump, leakage in the cartridge, occlusion of the infusion set tube or
of the infusion set needle, infusion set needle has slipped out of the
infusion site), you must be prepared to replace the missing insulin
immediately.
➨ Always carry spare sterile products and accessories
(infusion set, insulin cartridge, batteries) as well as an insulin
pen/syringe and insulin with you. Without insulin, diabetic
ketoacidosis may develop and this may require in-patient hospital
treatment.
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Before you begin
2.1.4 Warnings and cautions for secure use
➨ The interruption of insulin delivery (e.g. due to a leak,
occlusion or loss of insulin potency) or the malfunction of your
insulin pump can result in a rapid rise of your blood glucose
level. Although your insulin pump has an internal security check
system, it cannot alert you if your infusion set is leaking or if the
insulin you are using has lost its potency.
➨ Do not use any adapter from another insulin pump (e.g.
H-TRON / H-TRONplus adapters) for your Accu-Chek Spirit.
➨ If an error E4: OCCLUSION occurs, immediately check your
blood glucose level, because insulin delivery has been interrupted.
If your blood glucose level is high, take appropriate actions
according to your doctor’s or healthcare team’s instructions.
➨ Properly tighten the infusion set to the adapter to avoid
leakage. Turn the infusion set luer-lock connector only as far as to
the stop. Do not turn it any further and do not use any auxiliary
tools as this may crack the infusion set luer-lock connector and
result in leakage.
➨ Your insulin pump cannot detect infusion set leakage. You must
inspect all parts of your infusion set at least every three hours
during the day and before you go to sleep. Should you detect any
loss of insulin and all parts are correctly tightened, immediately
replace the leaking component. Immediately check your blood
glucose level, because insulin delivery has been interrupted.
➨ Air bubbles in the cartridge and infusion set may cause the
infusion of air instead of insulin. Your body does not receive the
required amount of insulin. An error E4: OCCLUSION may be
delayed. Remove these bubbles while filling the cartridge and
priming the infusion set and without having the infusion set
connected to your body.
18
Before you begin
➨ Cold insulin may release air when warmed. Use only insulin
at room temperature when filling the cartridge and priming the
infusion set. Inspect the cartridge and the infusion set for air
bubbles at least every three hours during the day and before you
go to sleep. Remove any air bubbles and, if necessary, change
system components.
➨ Only use your insulin pump for insulin delivery if it is fully and
correctly equipped (including cartridge, adapter and infusion set)
and programmed with your personal settings approved by your
doctor or healthcare team.
➨ Do not carry out the CHANGE THE CARTRIDGE function if
the cartridge compartment is not completely dry. During the
rewinding of the piston rod liquid might enter your insulin pump
and could lead to malfunction.
➨ Programming your insulin pump for a relatively low basal rate
(0.1 U/h) can result in a delayed error E4: OCCLUSION.
Roche Diagnostics recommends to use plastic cartridges when a
low basal rate is required for your therapy.
➨ Never prime an infusion set that is connected to your body.
You risk uncontrolled insulin delivery into your body. With
disconnectable infusion sets, make sure you have disconnected
the tubing from your site prior to priming. Always follow the
instructions provided with your infusion set.
➨ To prevent free flow of insulin move the piston rod to the
proper position and twist the adapter until the cartridge plunger
sits flush with the end plate of the piston rod. Free flow of insulin
from the cartridge or infusion set can occur when the cartridge
plunger and the piston rod are not properly connected and you
position your insulin pump at a higher level than the infusion site.
19
Before you begin
➨ If the piston rod does not return completely to its base after
the cartridge has been removed, immediately contact your local
Customer Care Area for support.
➨ After the occurrence of an error, your insulin pump will be in
STOP and the insulin delivery is interrupted. In order to maintain
insulin delivery, you must act immediately according to the
instructions given for each error code. Put your insulin pump into
RUN to continue the insulin delivery.
➨ Your insulin pump and its sterile products and accessories
include small component pieces that could pose a choking
hazard to children. Keep sterile products and accessories out of
reach of children.
2.1.5 Warnings and cautions about environmental hazards
➨ Avoid electromagnetic fields of radar or antenna installations,
high-voltage sources, X-Ray sources, MRI, CAT scan or other
sources of electrical current. Do not use your insulin pump in such
areas. Electromagnetic fields may cause malfunction to your insulin
pump. Always stop and remove your insulin pump prior to entering
these areas. In other cases, the insulin delivery may be stopped
immediately and an error E7: ELECTRONIC ERROR occurs.
See the section 10.2.7 “Error E7: ELECTRONIC ERROR” for
further information.
➨ Do not use your insulin pump in hyperbaric chambers and in
hazardous areas of any classification (such as areas where
explosive or flammable gases or vapours could exists) as this
might interfere with insulin delivery and/or lead to harmful
situations.
20
Before you begin
➨ Your insulin pump is designed to work in normal barometric
conditions from 70 to 106 kPa (700 to 1060 mbar). Do not exceed
3000 meters (10000 feet) above sea level. It has not been tested
for use in hazardous areas of any classification. Always stop and
remove your insulin pump prior to entering these areas.
➨ Your insulin pump has not been tested with other electronic
medical devices. Therefore, do not use the Accu-Chek Spirit
insulin pump with another electronic medical device unless advised
by your doctor or healthcare team.
➨ Temperatures over +40°C (+104°F) and below +5°C (+41°F)
may damage the insulin, the electronics of your insulin pump and
may cause a malfunction of the battery. Do not place your insulin
pump in direct sunlight. Overheating of the insulin and your insulin
pump must be avoided.
➨ Protect your insulin pump from direct exposure to cold wind.
In cold weather wear your insulin pump under your clothes or
directly on your body. Refer to the instructions for use of the
insulin you are using for information on the admissible temperature
range for the insulin.
2.1.6 Warnings and cautions regarding safe battery use
➨ Always have extra AA batteries available with you and pay
attention to the following:
• Always keep batteries in their original package until ready to use.
• Prevent early discharge by avoiding contact between batteries
themselves and between batteries and any other metal objects
(e.g. coins, keys).
• To operate your insulin pump, the operating temperature of the
battery must be +5°C to +40°C (+41°F to +104°F).
• Do not use a battery that has been dropped.
21
Before you begin
➨ Change the battery in a dry environment. Tighten or loosen the
battery cover with the Accu-Chek Spirit battery key (sharp objects
could damage the insulin pump). Do not over-tighten. Over-tightening may cause damage to the battery cover and to the insulin pump
casing. The battery cover is correctly inserted and tightened when
the battery cover is even with the insulin pump casing.
➨ Do not use the insulin pump if the battery cover is not
correctly inserted. See the section 5.1 “Insert and change the
battery” for information on changing the battery and battery cover.
➨ Using AA batteries other than those supplied or recommended
by Roche Diagnostics may significantly reduce battery usage
time and void the warranty. They may leak and corrode the battery
contacts within your insulin pump.
➨ Always make sure that you remove the battery if your insulin
pump is not in use for a longer time period in order to preserve the
battery lifetime. Old or used batteries may cause a failure at the
insulin pump start-up.
➨ Change the battery only in a dry environment to prevent water
from entering the casing, and make sure that the seal is not worn
out or missing and that the battery is properly inserted.
2.1.7 Warnings and cautions about wearing the insulin pump
➨ Avoid any contact with objects that may damage or
accidentally press the keys of your insulin pump (e.g. keychain,
garment buttons, pocket knives, coins).
➨ If you cannot hear the beeps your insulin pump needs to be
returned since you may not be notified of any changes of your
insulin pump in a suitable amount of time. Contact your local
Customer Care Area.
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Before you begin
➨ If you cannot feel the vibration alert, your insulin pump needs
to be returned since you may not be notified of any changes of
your insulin pump in a suitable amount of time. Contact your local
Customer Care Area.
➨ If you discover incomplete characters, numbers or symbols
on the display, your insulin pump needs to be returned since
you may not be notified of any changes of your insulin pump in a
suitable amount of time. Contact your local Customer Care Area.
➨ Check the display of your insulin pump at least every three
hours during the day, before you go to sleep, and especially if for
any reason you might be unable to hear the beeps or to feel the
vibrations. This is the only way you will be notified of any changes
of your insulin pump in a suitable amount of time.
➨ If the buttons on your pump are not functioning properly or
you are unable to identify the buttons, disconnect your insulin
pump and contact your local Customer Care Area.
If you have any additional questions about these warnings and
cautions please feel free to contact your local Customer Care
Area.
2.2 Guarantee
➨ Any changes or modification to the devices not expressly
approved by Roche Diagnostics could void your operating
warranty for the Accu-Chek Spirit insulin pump.
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24
The Accu-Chek Spirit insulin pump
3 The Accu-Chek Spirit insulin pump
Caution
Check your insulin pump and its sterile products and
accessories for chips and cracks at least once per day,
especially if they have been dropped. Do not use them if
chipped or cracked. In the presence of chips and cracks,
water, dust, insulin, or other foreign substances may
enter your insulin pump and lead to malfunction.
3.1 Display
Your insulin pump has a full graphic LCD (Liquid Crystal Display) which
displays important current and historical information. Check the display
of your insulin pump at least every three hours during the day, before
you go to sleep, and especially if for any reason you might be unable to
hear the beeps or to feel the vibrations. This is the only way you will be
notified of any changes of your insulin pump in a suitable amount of time.
For your convenience you can flip the display orientation by 180° and
adjust the display contrast if desired. See the sections 7.7.6 “Display
orientation” and 8.5.7 “Display contrast” for further information.
Caution
If you discover incomplete characters, numbers or
symbols on the display, put your insulin pump into
STOP and perform a system check by simply removing
the battery for a few seconds. Upon reinsertion of the
battery the system check will occur. If the incomplete
characters, numbers or symbols remain, your insulin
pump needs to be returned since you may not receive
the correct information for operating your pump. Put
your insulin pump into STOP and contact your local
Customer Care Area immediately.
25
The Accu-Chek Spirit insulin pump
3.2 Backlight
The backlight helps you use your insulin pump or read the information in
poorly lighted areas. You can turn on the backlight from the RUN screen,
from the STOP screen or when browsing the menus, by pressing a.
The backlight turns on automatically when an alert or error message
appears. The backlight turns off automatically after 20 seconds h if no
further keys are pressed.
NoteIn areas of poor lighting, turn the backlight on before you
start programming.
3.3 Keys and key combinations
Your insulin pump’s four keys are all you need to program the beeps,
vibration alerts and messages which appear on the display.
Caution
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 finger
tip instead to prevent puncturing the keys.
26
The Accu-Chek Spirit insulin pump
The use of your insulin pump requires the use of four keys and three key
combinations. Each key or key combination has a specific function:
Key
Name
Function
d
Menumove through menus, function and
information screens
f
Check
select a menu
save changes and exit the function and
information screen
view the quick info screen
a
Up
increase or decrease a setting
s
Down
move forward or backward in the information screens
program a Standard bolus
cancel a Standard bolus
turn off the STOP-Warning (press and hold a or s
for 3 seconds until you hear a melody)
a
Up
turn on the backlight
27
The Accu-Chek Spirit insulin pump
A plus symbol (+) connecting 2 key functions means that both keys
must be pressed simultaneously:
Key
Combination
Name
Function
d+a
Menu and UpExit a menu or function and information
screens.
Loop backward in the menu structure.
d+s
Menu and DownUnlock the KeyLock (press and hold
simultaneously until you hear three beeps in
RUN or one beep when in STOP).
a+s
Up and Down
Copy an hourly basal rate to the next hour(s).
a sPress either key when two key symbols are
unconnected to set a desired value.
a(s)You can program some sequence starting
either with the a or s key. For the
recommended sequences press the key
without parenthesis, here the a key. For
the alternative sequence press the key in
the parenthesis, here the (s) key.
You will hear a beep each time a key is pressed, unless the beep tone has
been set to 0.
Warning
If the buttons on your pump are not functioning
properly or you are unable to identify the buttons,
disconnect your insulin pump and contact your local
Customer Care Area.
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The Accu-Chek Spirit insulin pump
Symbol Timeout g
For your safety and convenience during programming,
your insulin pump automatically returns to the RUN or
STOP screen if no key is pressed within 20 seconds h.
For your safety, the changes you made before your
insulin pump “times out” will not be saved.
Within this user guide the symbol g represents the
timeout feature.
3.4 KeyLock
Symbol
Beep
Display
A sequence of beeps
means that all
(you will hear 3 beeps
4 keys are locked
in RUN and 1 beep in
(except a for turning
STOP).
on the backlight).
Comment
If no KeyLock symbol
appears in the RUN
or STOP screen, the
KeyLock function is
turned off.
means that all
4 keys are unlocked.
The KeyLock function allows you to lock all four keys on your insulin
pump and serves as an additional safety measure against unintentional
activation of functions (e.g. while sleeping, during sports). To make use of
the KeyLock function, it must be turned on in the SETUP MENU
STANDARD.
If the KeyLock function is turned on, it needs to be unlocked or turned off
before any programming of your insulin pump can be performed. All
instructions in this user guide are given with the assumption that the
KeyLock is NOT turned on. To unlock the KeyLock, press d+s
simultaneously (you will hear three beeps in RUN, or one beep in STOP)
and hold for 3 seconds until you hear again three beeps (in RUN) or one
beep (in STOP).
29
The Accu-Chek Spirit insulin pump
3.5 Scrolling
In order to enter larger or smaller values, the a or s key must
normally be pressed many times with small increments per press.
However, in most menus, you can hold the a or s key (scrolling) until
the desired number is displayed. This value can be corrected by a single
press of s or a if needed.
If activated, your insulin pump will beep once when you start scrolling.
Key
Beep
Display
A short initial beep
Pressing the key
identifies the
results in a change
scrolling function.
of display information.
a
s
30
Comment
By pressing the a or
the s key you can
change a value. Each
press of the key will
increase or decrease the
value by one increment.
The Accu-Chek Spirit insulin pump
3.6 STATUS screen
Beeps, vibrations and messages on the display inform you of the status of
your insulin pump. Your insulin pump beeps when a key is pressed,
regardless of how the alarm signals are set. You can turn off either the
beeps or the vibrations as alarm signals, but not both at the same time.
The beep volume can be adjusted to different levels.
See the sections 7.7.2 “Adjust the beep volume”, 7.7.3 “Alarm signals”
and 16.2 “Beeps and melodies” for further information.
NoteIf the beep volume is turned off, your insulin pump will not
beep when a key is pressed.
Caution
Check the display of your insulin pump at least every
three hours during the day, before you go to sleep, and
especially if for any reason you might be unable to hear
the beeps or to feel the vibrations. This is the only way
you will be notified of changes in your insulin pump in a
suitable amount of time.
3.7 Alarm signals
Your insulin pump communicates the alerts and errors using beeps and
vibrations. You can turn off either the beeps or the vibrations, but not both
at the same time for the initial alarm signal.
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The Accu-Chek Spirit insulin pump
3.8 RUN and STOP modes
During normal use, your insulin pump is in RUN and insulin is delivered
(basal rate) at the rate you have programmed. The RUN screen is considered the “home” screen and will be displayed whenever the pump is in
RUN. After any programming or review of information, the insulin pump
will return to the RUN screen. On this screen, you will see the current
time, the current basal rate profile and the current hourly basal rate in
units per hour. In addition, possible reminder information (e.g. cartridge
low) and, information on special functions (e.g. a running Extended bolus
or KeyLock locked or unlocked) may appear on the RUN screen.
basal rate
time
current hourly
basal rate
KeyLock locked
pump timer
cartridge low
battery low
active basal rate profile
See the sections 7.3 “Start insulin delivery”, 7.7.3 “Alarm signals” and
16.4 “Symbols” for further information on the definition of these symbols.
Some functions must be programmed with your insulin pump in STOP,
during which insulin will not be delivered. Your insulin pump must be in
STOP to change the cartridge. Always disconnect your pump from the
infusion site and place the pump in STOP when you prime the infusion set
and/or transfer data.
The time and date, the STOP symbol, possible reminder information (e.g.
battery low) and special functions (e.g. KeyLock locked or unlocked)
appear on the STOP screen. See the section 7.4 “Stop insulin delivery” for
further information.
32
The Accu-Chek Spirit insulin pump
time
date
KeyLock unlocked
pump timer
cartridge low
battery low
3.9 STOP-Warning
The STOP-Warning is turned on each time your pump is changed from
RUN into STOP or when a battery is inserted. This reminder is to inform
you that insulin delivery is currently interrupted. If the STOP-Warning is
turned on, it occurs every minute with a long beep and a vibration.
Turning off the STOP-Warning stops this warning function.
To turn off the STOP-Warning
Action
Result
Press and hold
a or s
(for 3 seconds).
You hear a melody.
The STOP-Warning
is turned off.
If you press a or s too
briefly, the STOP-Warning
is not suppressed and occurs again.
The volume of the STOP-Warning is
independent of the programmed beep
volume. It always occurs at the
maximum level.
The STOP-Warning will be reactivated the next time your pump is
changed from RUN into STOP or with the next battery change.
The operation of your insulin pump is logical and simple. For your
convenience a “map” of these functions is found in the back of this user
guide.
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34
Accessories, disposables and software
4 Accessories, disposables and software
Accu-Chek sterile products, accessories and software complete your
Accu-Chek Spirit insulin pump system. They are specially designed for
safe and convenient insulin pump therapy.
Caution
Only use sterile products and accessories that are
designed for use with your insulin pump. The proper
functionality of your insulin pump can only be
guaranteed in conjunction with Accu-Chek sterile products and Accu-Chek Spirit accessories. All Accu-Chek
sterile products and accessories designed for the
Accu-Chek Spirit insulin pump have been thoroughly
tested and approved for use with your insulin pump.
Other sterile products and accessories have not been
tested for compatibility with your insulin pump and may
therefore endanger your health if used.
Your Accu-Chek Spirit insulin pump, sterile products, accessories and
software should be used for the first time in the presence of your doctor
or healthcare team. Regular medical examinations are required. Always
follow the instructions given by your doctor or healthcare team and the
instructions for use of the sterile products and accessories you are using.
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Accessories, disposables and software
Caution
Always have extra sterile products and accessories with
you. This allows you to exchange components when
needed. Materials designed for single use (such as
cartridges and infusion sets) should not be reused due
to the increased risk of infections, malfunctions and/or
incorrect insulin delivery.
Consult our sterile products brochures and accessories catalogue or your
local Customer Care Area for more information.
Warning
Your insulin pump and its sterile products and
accessories include small component pieces that could
pose a choking hazard to children. Keep sterile products
and accessories out of the reach of children.
4.1 Sterile products
Accu-Chek sterile products are a critical part of your Accu-Chek Spirit
insulin pump system and therapy. Sterile products are designed for single
use only to enable proper function of your Accu-Chek Spirit insulin pump
and to avoid infections.
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Accessories, disposables and software
4.1.1 Cartridge
Your insulin pump was designed to use an Accu-Chek 3.15 ml plastic
cartridge. The cartridge is a sterile product intended for single use only.
Sterility is guaranteed for unopened packaging up to the indicated
expiration date. Do not use sterile products if the package is damaged.
Warning
Do not reuse single use materials. Reuse of single use
materials might lead to a malfunction of your insulin
pump and to incorrect insulin delivery and/or an infection. Always handle the items with clean hands.
Use specified cartridges only. The use of other cartridges
can endanger your health and may void the warranty.
E Look at the sections 5.2.1 “Prepare the cartridge”,
5.3.1 “Connect the cartridge, adapter and infusion set” and
5.7 “Change the cartridge and infusion set” for further
information.
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Accessories, disposables and software
4.1.2 Infusion sets
The Accu-Chek infusion sets connect your insulin pump to your body and
are a crucial part of your insulin pump therapy. The insulin is delivered
from the cartridge in your insulin pump through the infusion set into your
subcutaneous tissue. The cannula or needle of the infusion set is usually
placed in the abdomen.
Infusion sets can be:
E disconnectable
E non-disconnectable
Use only infusion sets with a luer-lock connector. All current Accu-Chek
infusion sets have luer-lock connectors and are the preferred use for your
Accu-Chek Spirit insulin pump. All Accu-Chek infusion sets are PVC free.
They are made of materials which are skin-friendly and neutral to insulin.
The diameter of the Accu-Chek infusion set tubing has been reduced in
order to achieve faster and more economical priming and to minimize
waste of insulin.
38
Accessories, disposables and software
Roche Diagnostics offers a wide range of infusion sets:
Common lengths of the tubing
Filling volume with U100 insulin
30 cm / 12"
60 cm / 24"
80 cm / 31"
110 cm / 43"
7 units
10 units
13 units
18 units
See the sections 5.3.1 “Connect the cartridge, adapter and infusion set”,
5.4 “Prime the infusion set”, 5.5 “Prepare the infusion site”, 5.6 “Change
the infusion set” and 4 “Accessories, disposables and software” for
further information.
4.2 Adapter
Vents
Seal outside the adapter
Seal inside the adapter
The adapter physically connects the cartridge and the infusion set. It has
two seals and forms an efficient seal against water ingress for the
cartridge compartment of your insulin pump. The two small vents on the
adapter allow air pressure to equalize. The adapter only works correctly
when the vents are not plugged or dirty and when the seals are not worn
out or missing. The adapter should be replaced with at least every 10th
cartridge change.
See the sections 5.3.1 “Connect the cartridge, adapter and infusion set”
and 5.8 “Change the adapter” for further information.
39
Accessories, disposables and software
4.3 Battery
Your insulin pump has been designed for use with AA ALKALINE batteries
with a minimum capacity of 2500 mAh. Do not use lithium, carbon zinc or
nickel cadmium (NiCd) batteries. If you prefer rechargeable batteries,
Roche Diagnostics recommends NiMH batteries with a minimum capacity
of 1500 mAh. If you use rechargeable batteries, always use a battery
charger recommended by the battery manufacturer.
The battery life is approximately four weeks for alkaline batteries and one
week for rechargeable batteries if used in a typical usage pattern
(50 U/day; operating temperature 22°C ±3°C [72°F ±6°F]).
NoteIf you change from using regular batteries to rechargeable
batteries or vice versa, you must change the battery type in
the SETUP MENU STANDARD.
See the section 7.7.5 “Battery type” for further information.
Caution
Using AA batteries other than those supplied or recommended by Roche Diagnostics may significantly reduce
battery usage time. Batteries other than those
recommended could leak and corrode the battery contacts within your insulin pump. Therefore, the use of
batteries not supplied or recommended by Roche
Diagnostics may void the warranty.
40
Accessories, disposables and software
NoteMany types of batteries on the market are not designed to
provide adequate power for your insulin pump. To ensure
that the battery lasts as long as possible, be sure to use
alkaline batteries with a minimum capacity of 2500 mAh or
NiMH (rechargeable) batteries with a minimum capacity of
1500 mAh.
A lkaline batteries supplied by Roche Diagnostics are the
correct batteries for providing a maximum battery life. The
operating temperature of the battery must be between +5°C
and +40°C (+41°F and +104°F). The lifetime of the battery
is affected by usage of your insulin pump, your personal
settings, delivery rates, temperature and other factors.
4.4 Battery cover
open
Seal
The battery cover forms an efficient seal for the battery compartment of
your insulin pump. The battery cover should be replaced with at least
every 4th battery change.
• Change the battery in a dry environment to prevent water from
entering the casing.
• Make sure that the seal is not worn out or missing and that the
battery is properly inserted into your insulin pump.
• Tighten or loosen the battery cover only with the Accu-Chek Spirit
battery key (using knives, screwdrivers or other sharp objects
may harm your insulin pump).
• Do not over-tighten as this may cause damage to the battery
cover and to the casing. The battery cover is correctly inserted
and tightened when the battery cover is even with the casing.
41
Accessories, disposables and software
See the section 5.1 “Insert and change the battery” for further
information.
Caution
Always make sure that you remove the battery if your
insulin pump is not in use for a longer time period in
order to preserve the battery lifetime. To prevent water
from entering the casing, change the battery only in a
dry environment and make sure that the seal of the
battery cover is not worn out or missing and that the
battery is properly inserted.
4.5 Battery key
Use the battery key to tighten and to loosen the battery cover. You may
also use it to loosen the luer-lock connection between your infusion set
and adapter if it cannot be loosened by hand. The battery key has a notch
that fits the luer-lock connectors of the Accu-Chek FlexLink and the
Accu-Chek TenderLink infusion sets. Never use the battery key to attach
or tighten an infusion set.
42
Accessories, disposables and software
4.6 Emergency kit
It is recommended that you take a small amount of supplies with you in
case of an emergency. This allows you to exchange components when
needed. Such an emergency kit may contain:
• A new Accu-Chek infusion set
• A new AA Alkaline battery
• A new 3.15 ml plastic cartridge
• A pen or syringe for alternate therapy
• A vial of insulin
• Treatment for low blood glucose levels
• Blood glucose monitoring supplies
(such as an Accu-Chek blood glucose monitor)
• A disinfectant for skin
• A new site dressing
• The battery key
The above list is only an example of what this emergency kit should
contain. Ask your doctor or healthcare team how to compose your
personal emergency kit.
43
Accessories, disposables and software
4.7 Software
The Accu-Chek Insulin Pump Configuration Software is an optional insulin
pump programming tool for the Accu-Chek Spirit insulin pump*. This
software allows for fast and easy change of parameters and settings
directly from your Microsoft Windows compatible PC.
Accu-Chek Insulin Pump Configuration Software is designed to allow
insulin pump users to conveniently program new settings to their insulin
pump using a Microsoft Windows compatible PC, to transfer settings and
information to and from their insulin pump.
Accu-Chek Insulin Pump Configuration Software Pro for healthcare
professionals is designed to allow healthcare professionals to program
the insulin pump and to effectively manage patients’ insulin pump data.
Using Accu-Chek Insulin Pump Configuration Software Pro for
healthcare professionals allows healthcare professionals to program
additional settings.
Contact your local Customer Care Area for further information or refer to
the Accu-Chek Insulin Pump Configuration Software user manual.
* Available in selected countries depending on registration approval.
44
Prepare the pump for use
5 Prepare the pump for use
This section will show you how to get your pump up and running.
5.1 Insert and change the battery
Your insulin pump turns on as soon as you insert the battery. When you
remove the battery, your insulin pump keeps track of the time and date for
approximately 1 hour. Your insulin pump settings (such as the hourly basal
rates, bolus increment and active user menu) and the event memory
(bolus and alarm history, history of daily insulin totals and temporary basal
rates) are saved, regardless of battery voltage and the time your insulin
pump has been without a battery.
Keep the time/date settings correct
Always ensure that the time and date of your insulin
pump are set correctly. Incorrect programming of the
time and date may cause incorrect insulin delivery. If
you or your healthcare team store and analyse your
therapy data electronically and the time and date of the
devices used are not set identically, the gathered data
might not be meaningful.
45
Prepare the pump for use
Caution
To prevent water from entering the casing, change the
battery only in a dry environment and make sure that
the seal is not worn out or missing and that the battery
is properly inserted. Tighten or loosen the battery cover
with the Accu-Chek Spirit battery key (use of knives,
screwdrivers or other sharp objects may harm your
insulin pump). Do not over-tighten as this may cause
damage to the battery cover and to the casing. The
battery cover is correctly inserted and tightened when
the battery cover is level with the insulin pump casing.
Your insulin pump is powered with a single 1.5 volt AA battery.
See chapter 4.3 “Battery” for more detailed information on recommended
batteries.
Make sure your insulin pump is in STOP and the
KeyLock is unlocked or turned off.
Remove or disconnect your infusion set from the
infusion site to ensure that no risk of insulin
delivery may occur.
46
Prepare the pump for use
Remove the battery cover from your insulin
pump. Use the battery key to turn the battery
cover counter-clockwise as indicated by the
arrow on the battery cover.
Make sure the opening of the battery
compartment and the seal are clean and
undamaged.
Put the battery cover on the positive end of the
battery.
Insert the battery with cover, with the flat
(negative) end first, into the battery
compartment.
Carefully push the battery with cover in and turn
the battery cover clockwise. The battery cover is
correctly inserted and tightened when the battery
cover is even with the casing. Do not overtighten.
Your insulin pump will now perform its start-up
procedure.
A melody signals the end of the start-up procedure, and your insulin pump returns to the STOP
screen.
47
Prepare the pump for use
NoteIf your insulin pump was in RUN before you removed
the battery, an error E8: POWER INTERRUPT occurs.
Press twice f to confirm and to turn off the error.
Check the time and date in the STOP screen and correct,
if necessary.
Put your insulin pump into RUN, if necessary.
Caution
When you remove the battery your insulin pump
remembers the settings you made and saved. If your
Accu-Chek Spirit insulin pump remains without a battery
for more than one hour, check the time and date upon
reinsertion of a battery.
Using AA batteries other than those supplied or
recommended by Roche Diagnostics may significantly
reduce the battery usage time. Batteries other than
those recommended may leak and corrode the battery
contacts within your insulin pump. Therefore, the use of
batteries not supplied or recommended by Roche
Diagnostics may void the warranty. Do not insert old or
used batteries into your insulin pump as this may cause
a failure at the insulin pump start-up.
5.2 Start-Up procedure
Your insulin pump performs a start-up procedure (internal tests) when
you insert a battery and when you change the cartridge. When the battery
is changed the entire start-up procedure will be performed. When only
changing the cartridge, the start-up procedure will begin at the SELF-TEST
step.
48
Prepare the pump for use
Warning
Do not interrupt the start-up procedure by pressing keys
or by any handling on the insulin pump. Interruption of
the start-up procedure may lead to malfunctions of your
insulin pump.
If your insulin pump does not beep and vibrate as
described, or if individual numbers, letters, symbols or
lines are shown incompletely or not at all, contact your
local Customer Care Area for support.
NoteWhen your insulin pump is in use, its safety system
monitors its functioning continuously. If it detects a deviation
from the normal state, an alert (warning instruction) or an
error (error message) occurs.
The software version (SW VERSION) of your
insulin pump appears on the display.
The Accu-Chek logo appears.
SELF-TEST appears.
Your insulin pump beeps and BEEP TEST
appears.
Listen for the beeps.
49
Prepare the pump for use
Caution
If you cannot hear the beeps your insulin pump needs to
be returned since you may not be notified of any
changes of your insulin pump in a suitable amount of
time. Contact your local Customer Care Area.
Your insulin pump vibrates and VIBRATION TEST
appears.
Check the vibrations.
Caution
If you cannot feel the vibrations your insulin pump
needs to be returned since you may not be notified of
any changes of your insulin pump in a suitable amount
of time. Contact your local Customer Care Area.
The display turns white.
Check that the display is empty.
The backlight should turn on during this step.
The display shows a pattern.
Check that the pattern is uniform.
The display turns black.
Check that the display is completely black.
50
Prepare the pump for use
Caution
If you discover incomplete characters, numbers or
symbols on the display, your insulin pump needs to be
returned since you may not be notified of any changes
of your insulin pump in a suitable amount of time.
Contact your local Customer Care Area.
Additionally, you will see an information screen.
This data can be modified by you or your
physician with the Accu-Chek Insulin Pump
Configuration Software. Please see the
Accu-Chek Insulin Pump Configuration Software
user manual for additional information.
NoteIf your insulin pump detects an alert or error during the
start-up procedure, it occurs at this point.
See the section 10 “Alerts and errors” for further
information.
Your insulin pump goes into STOP.
The STOP-Warning occurs every minute with a
long beep and a vibration to remind you that no
insulin is delivered in STOP.
Press and hold s or a until you hear a
melody to turn the STOP-Warning off.
NoteIf the voltage of the inserted battery is too low, the start-up
procedure cannot be performed completely.
Your insulin pump beeps a five tone and keeps restarting the
start-up procedure until you remove the battery or the
battery is depleted.
51
Prepare the pump for use
5.2.1 Prepare the cartridge
Warning
Your insulin pump was designed to use an Accu-Chek
3.15 ml plastic cartridge. The cartridge is a sterile
product intended for single use only. Sterility is
guaranteed for unopened packaging up to the indicated
expiration date.
E Do not use sterile products if the package is
damaged.
E Do not reuse single use materials. Reuse of single
use materials might lead to a malfunction of your
insulin pump and to incorrect insulin delivery and/or
an infection.
E Always handle the items with clean hands.
E Use specified cartridges only. The use of other
cartridges can endanger your health and may void
the warranty.
52
Prepare the pump for use
A cartridge set consists of the following items:
1. 3.15 ml plastic cartridge with protective cap, plunger rod and
filling needle.
cartridge
plunger rod
plunger
cartridge protective cap
filling needle with protective cap
2. Instructions for use
53
Prepare the pump for use
5.2.2 Fill the cartridge
A filling aid by Roche Diagnostics can be used to help you fill an empty
3.15 ml plastic cartridge from your vial of insulin. For detailed instructions
for using a filling aid consult the instructions included with that item.
To fill a cartridge, have the following materials ready:
E New 3.15 ml plastic cartridge with protective cap, plunger rod
and filling needle
E insulin at room temperature to minimize formation of air
bubbles.
Wash your hands.
Set the insulin vial on a hard and flat surface,
like a table.
Clean the rubber membrane of the vial with an
antiseptic wipe.
Remove the cartridge, the cartridge protective
cap and the filling needle with its protective cap
from their packaging.
54
Prepare the pump for use
Place the filling needle with protective cap onto
the cartridge tip and make sure the connection
is tight.
Move the plunger rod twice back and forth in
the cartridge to distribute the lubricant.
Pull the plunger back to fill the cartridge with
air.
Remove the protective cap from the needle.
Ensure that you do not touch anything with the
needle.
Push the tip of the filling needle into the centre
of the insulin vial’s rubber membrane.
Push the plunger rod down so that all air from
the cartridge enters the insulin vial.
55
Prepare the pump for use
hile holding steady pressure against the plunger rod
W
with your thumb, invert the insulin vial so that the
filling needle and cartridge are pointing upwards into
the insulin vial.
Make sure that the tip of the filling needle stays in the
insulin.
Slowly release the pressure against the plunger rod
and allow the insulin to flow into the cartridge.
Do not pull or push the plunger rod while it is moving
on its own (this would cause the formation of air
bubbles).
Slowly pull the plunger rod straight down to fill the
cartridge.
Remove any air bubbles by tapping on the cartridge to
dislodge them. Push the air bubbles back into the
insulin vial with the plunger rod.
T he cartridge is completely filled when there are no
air bubbles in the cartridge and the plunger is at the
bottom of the cartridge.
Remove the filling needle from the insulin vial.
56
Prepare the pump for use
Place the protective cap onto the filling needle.
Remove the plunger rod by turning it clockwise out of
the plunger.
Remove the filling needle with its protective cap from
the cartridge by turning counter-clockwise.
Push the cartridge protective cap tightly onto the
cartridge tip until it clicks.
The cartridge is now ready for use.
Note Do not pull or push the plunger rod during removal.
Caution
Air bubbles in the cartridge and infusion set may cause
the infusion of air instead of insulin. Your body does
not receive the required amount of insulin. An error
E4: OCCLUSION may be delayed. Remove these bubbles
while filling the cartridge and priming the infusion set
and without having the infusion set connected to your
body.
Cold insulin may release air when warmed. Use only
insulin at room temperature when filling the cartridge
and priming the infusion set. Inspect the cartridge and
the infusion set for air bubbles at least every three hours
during the day and before you go to sleep. Remove
any air bubbles and, if necessary, change system
components.
57
Prepare the pump for use
5.3 Insert the cartridge, adapter and infusion set
NotePrior to changing the cartridge, adapter and infusion set,
care should be taken to ensure that your insulin pump is in
good, working order. See the section 14.1 “System check”
for the inspection checklist.
Free flow of insulin from the cartridge or infusion set can
occur when the cartridge plunger and the piston rod are not
properly connected and you position your insulin pump at
a higher level than the infusion site. Prevent free flow by
correctly inserting the cartridge: move the piston rod to the
proper position and twist the adapter until the cartridge
plunger sits flush with the end plate of the piston rod.
When inserting an approved cartridge and adapter into the
cartridge compartment twist the adapter clockwise until the
adapter sits flush with the cartridge compartment. In this
position the cartridge plunger must also sit flush against
the end plate of the piston rod. This flush fit provides an
additional safety measure to prevent the free flow of insulin
and minimizes the occlusion volume.
5.3.1 Connect the cartridge, adapter and infusion set
Have the following materials ready:
E A filled Accu-Chek 3.15 ml plastic cartridge with
a luer connection
E An Accu-Chek Spirit adapter
E A new Accu-Chek infusion set
58
Prepare the pump for use
Warning
The cartridge and infusion set are sterile products
intended for single use only. Sterility is guaranteed for
unopened packaging up to the indicated expiration date.
Do not use sterile products if the packaging is
damaged.
Do not reuse single use materials. Reuse of single use
materials might lead to a malfunction of your insulin
pump and to incorrect insulin delivery and/or an
infection. Always handle the items with clean hands.
Avoid any contact of the infusion set and especially the
connecting parts of your insulin pump with antiseptics,
antibiotic creams, soaps, perfumes, deodorants, body
lotions or any other cosmetics. They may contaminate
these parts.
Remove the cartridge protective cap.
Make sure that you do not touch the cartridge tip.
b
Luer-lock connector
a
P ush the adapter onto the cartridge tip as far as to the
stop (a).
Carefully prepare a new Accu-Chek infusion set
for use.
Hold the adapter and twist the infusion set by hand
clockwise into the adapter (b).
Do not overtighten.
59
Prepare the pump for use
Caution
To avoid leakage, properly tighten the infusion set to
the adapter. Turn the luer-lock connector only as far as
to the stop. Do not turn it any further and do not use
any auxiliary tools as this may crack the infusion set
luer-lock connector and result in leakage.
NoteYour insulin pump cannot detect infusion set leakage. You
must inspect all parts of the infusion set at least every three
hours during the day and before you go to sleep. Should you
detect any loss of insulin and all parts are correctly
tightened, immediately replace the leaking component.
Because insulin delivery has been interrupted, check your
blood glucose level and take appropriate actions according to
your doctor’s or healthcare team’s instructions.
5.3.2 Insert the cartridge
Caution
Do not carry out the CHANGE THE CARTRIDGE function
if the cartridge compartment is not completely dry.
During the rewinding of the piston rod liquid might enter
your insulin pump and could lead to malfunction.
Should the piston rod not return completely, contact your local Customer
Care Area for support.
60
Prepare the pump for use
STOP
screen
change the
cartridge
remove the
cartridge
3 sec.
returning
piston rod
cartridge volume
315 units
start-up
procedure
prime the
infusion set
Have the following materials ready:
E Your Accu-Chek Spirit insulin pump
E A filled 3.15 ml plastic cartridge with a connected
FC_change_cartridge_EN.eps
Accu-Chek Spirit adapter and a new Accu-Chek infusion set.
Make sure your insulin pump is in STOP.
Press d to move to the CHANGE THE
CARTRIDGE menu.
Select with f.
Remove the current cartridge, if necessary.
Press and hold f (for 3 seconds) until you
hear a melody.
Your insulin pump starts to return the piston rod.
61
Prepare the pump for use
When the piston rod has returned completely,
the CARTRIDGE VOLUME screen displays the
maximum cartridge volume (315 U).
Base plate of
piston rod
Cartridge plunger
Hold your insulin pump upright. Hold the new
filled cartridge with connected adapter and
infusion set pointing upwards and hold them
parallel and close to the cartridge compartment.
Make sure that the bottom edge of the coloured
part of the adapter is level with the top of the
cartridge compartment.
Press or scroll a or s to move the plunger
rod forward until the end plate of the piston rod
is level with the bottom of the cartridge plunger.
The cartridge volume decreases accordingly on
the display.
Position your insulin pump upright. Insert the
cartridge with attached adapter and infusion set
into the cartridge compartment. Twist (do not
push) the adapter clockwise until it sits flush
with the cartridge compartment. It is not
necessary to apply pressure as the twisting will
properly position the cartridge. The cartridge has
been correctly inserted when the end plate of the
piston rod sits flush against the cartridge
plunger. Do not overtighten the adapter as this
may make removal of the cartridge difficult.
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.
62
Prepare the pump for use
Press or scroll a or s to move the piston rod
forward until the base plate of the piston rod and
the cartridge plunger are level. The displayed
cartridge volume decreases accordingly.
Re-insert the cartridge into the cartridge
compartment.
– Continue with these instructions when the
cartridge is correctly inserted (the end plate of
the piston rod sits flush against the cartridge
plunger), or
– Repeat this step until the cartridge is correctly
inserted (the end plate of the piston rod sits
flush against the cartridge plunger).
When the cartridge has been inserted correctly
press f. Your insulin pump performs a self
test.
See the section 5.2 “Start-Up procedure” for
further information.
Check that the infusion set luer-lock connector is
still correctly connected to the adapter.
Tighten the infusion set by hand clockwise until
it sits tightly in the adapter.
When the start-up procedure is finished, the
PRIME THE INFUSION SET menu is displayed.
See the section 5.4 “Prime the infusion set” for
further information. Start from the point in those
instructions where the insulin pump screen
matches the menu to the left.
63
Prepare the pump for use
5.4 Prime the infusion set
Warning
Never prime an infusion set that is connected to your
body. You risk uncontrolled insulin delivery into your
body. With disconnectable infusion sets, make sure you
have disconnected the tubing from your site prior to
priming. Always follow the instructions for use of the
infusion set you are using.
Your insulin pump automatically stops priming after 25 units h of insulin.
If insulin has not emerged from the infusion set needle after priming,
repeat the prime function. When insulin emerges from the tip of the
needle, press any of your insulin pump’s keys to stop priming. The
amount of insulin used for the priming is not added to the history of
daily insulin totals.
During the priming process your insulin pump should be positioned
upright, with the adapter pointing upwards so as to maximize the removal
of air bubbles from the cartridge and the infusion set.
Warning
Air bubbles in the cartridge and infusion set may cause
the infusion of air instead of insulin. Your body will not
receive the required amount of insulin. An error E4:
OCCLUSION may be delayed. Inspect the cartridge and
the infusion set for air bubbles at least every three hours
during the day and before you go to sleep. Remove
these bubbles while filling the cartridge and priming
the infusion set and without having the infusion set
connected to your body.
Ensure that the connections between the infusion set
and the adapter as well as between the adapter and the
pump are properly tightened.
64
Prepare the pump for use
start-up
procedure
STOP
screen
prime the
infusion set
FC_prime_EN.eps
start
priming
3 sec. stop
priming
Make sure your insulin pump is in STOP.
Press d to move to the PRIME THE INFUSION
SET menu.
Select with f.
START PRIMING and the priming amount of
25 units h of insulin is shown on the display.
Press and hold f until you hear a melody and
the piston rod moves forward. The priming
process starts and a count-up is shown on the
display. Your insulin pump automatically stops
priming after 25 units h of insulin.
When the priming process is finished, your
insulin pump returns to STOP.
The infusion set is properly primed when no air
bubbles are visible in the tubing anymore and a
bubble-free flow of insulin emerges from the tip
of the needle.
65
Prepare the pump for use
Stop priming
The priming process can be stopped at any time
by pressing any key. Your insulin pump returns to
the STOP screen.
5.5 Prepare the infusion site
Always follow the instructions given by your doctor or healthcare team
and the instructions for use of the infusion set you are using.
Infusion site selection
Your doctor or healthcare team will help you select your infusion site areas
according to a planned infusion site rotation pattern. You should avoid your
waistline, bones, recent infusion sites, bruises and sores. Make sure to
choose an infusion site at least 2.5 cm (one inch) away from the navel and
previous infusion sites.
Infusion site preparation
Proper infusion site preparation is essential to reduce the risks of infection.
Your doctor or healthcare team will give you infusion site preparation
guidelines.
66
Prepare the pump for use
Have the following materials ready:
E Your Accu-Chek Spirit insulin pump with filled cartridge,
connected Accu-Chek Spirit adapter and a new primed
infusion set
E A disinfectant for skin
Wash your hands thoroughly.
Desinfect the infusion site and let it dry
completely.
Make sure your insulin pump is in STOP.
Insert your Accu-Chek infusion set according
to the corresponding instructions for use.
67
Prepare the pump for use
NoteIf you use a soft cannula-type infusion set, you must bolus
to fill the air space in the cannula after removing the
introducer needle and connecting the tubing according to the
instructions for the infusion set you are using. Failure to do
so could result in missed insulin dosing.
See the section 7.5 “Program a bolus” for further information.
Inspect your infusion site at least once or twice each day for
irritation or infection. Signs of infection may include, but are
not limited to, pain, lumps, redness, heat or seepage.
If you see redness or swelling, change your infusion set
and infusion site immediately and contact your doctor or
healthcare team.
You should change your infusion site according to the
instructions for use of the infusion set you are using and
your doctor’s or healthcare team’s recommendations.
Make sure your insulin pump is correctly equipped (including cartridge,
adapter and infusion set) and programmed with your personal settings
approved by your doctor or healthcare team.
After you have carried out all steps required for the selection and
preparation of the infusion site, your insulin pump is ready for operation.
Program your insulin pump with your personal settings prior to starting
insulin pump therapy. See the section 7 “STANDARD user menu” for
further information.
Warning
Incorrect programming of your insulin pump may cause
inappropriate insulin delivery. Your insulin pump must
be programmed with your personal settings prior to
starting insulin pump therapy. Do not operate your
insulin pump without knowing your personal settings.
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Prepare the pump for use
5.6 Change the infusion set
When changing the infusion set, please keep the following points clearly
in mind:
E Infusion sets are sterile products intended for single use only.
Sterility is guaranteed for unopened packaging up to the
indicated expiration date. Do not use sterile products if the
package is damaged.
Do not reuse single use materials. Reuse of single use materials
might lead to a malfunction of your insulin pump and to
incorrect insulin delivery and/or an infection. Always handle
the items with clean hands.
E Properly tighten the infusion set to the adapter to avoid leakage.
Turn the infusion set luer-lock connector only as far as to the
stop. Do not turn it any further and do not use any auxiliary tools
as this may crack the infusion set luer-lock connector and result
in leakage.
E Your insulin pump cannot detect infusion set leakage. You must
inspect all parts of your infusion set at least every three hours
during the day and before you go to sleep. Should you detect
any loss of insulin and all parts are correctly tightened, immediately replace the leaking component. Immediately check your
blood glucose level, because insulin delivery has been
interrupted. Check your blood glucose level and take appropriate
actions according to your doctor’s or healthcare team’s
instructions.
E Never change the cartridge or prime with an infusion set inserted
into your body. You risk uncontrolled insulin delivery into your
body. With disconnectable infusion sets, make sure you have
disconnected the tubing from your site prior to changing or
priming.
69
Prepare the pump for use
Have the following materials ready:
E Your Accu-Chek Spirit insulin pump
E A new Accu-Chek infusion set
E A disinfectant for skin
Make sure your insulin pump is in STOP.
Remove your infusion set from your infusion
site.
Remove the infusion set from the adapter and
dispose of it properly.
NoteThe battery key has a notch that fits the luer-lock connectors
of the Accu-Chek FlexLink and the Accu-Chek TenderLink
infusion sets. 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.
Carefully prepare a new Accu-Chek infusion set
for use.
Turn the Accu-Chek infusion set by hand
clockwise into the adapter. Properly tighten the
luer-lock connector by hand.
Prime the infusion set.
When finished, put your insulin pump into RUN (see section 7.3 “Start
insulin delivery”).
70
Prepare the pump for use
5.7 Change the cartridge and infusion set
Have the following materials ready:
E Your Accu-Chek Spirit insulin pump
E A filled Accu-Chek 3.15 ml plastic cartridge
E A new Accu-Chek infusion set
E A new adapter (must be changed at least with every
10th cartridge)
E A disinfectant for skin
Make sure your insulin pump is in STOP.
Remove your infusion set from your infusion
site.
Remove the infusion set from the adapter and
dispose of it properly.
NoteThe battery key has a notch that fits the luer-lock connectors
of the Accu-Chek FlexLink and the Accu-Chek TenderLink
infusion sets. 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.
71
Prepare the pump for use
a. Hold your Accu-Chek Spirit with the adapter
pointing downwards, to prevent the remaining
insulin from flowing into the cartridge
compartment.
b. Remove the adapter and cartridge from your
insulin pump by unscrewing the adapter from
the insulin pump casing.
NoteEnsure that the cartridge plunger has been completely
unscrewed from the piston rod before you pull the cartridge
out of the cartridge compartment. When unscrewing the
adapter, the cartridge plunger also needs to turn.
c. Remove the cartridge from the adapter and
dispose of it properly.
d. Hold the adapter up to the light to check for
signs of wear or dirt (especially on the seals
inside and outside of the adapter).
e. Clean the adapter with water and dry it, if
necessary. If it shows signs of wear or dirt,
replace it immediately.
f. Set up your insulin pump with a new cartridge
and a new infusion set.
See the sections 5.2.1 “Prepare the cartridge”, 5.3 “Insert the cartridge,
adapter and infusion set”, 5.4 “Prime the infusion set” and 7.3 “Start
insulin delivery” for further information.
NoteCheck the amount of insulin remaining in the cartridge at
least once a day. Before going to sleep, make sure that the
cartridge contains enough insulin to last through the night.
72
Prepare the pump for use
5.8 Change the adapter
It is recommended to replace the adapter at least after every 10th insulin
cartridge. Replace an used adapter with a new one while changing a
cartridge. See the section 5.3.1 “Connect the cartridge, adapter and
infusion set” for further information.
5.9 How to wear your pump
Caution
When wearing your insulin pump make sure to
prevent any contact with objects that may damage
or accidentally press the keys of your insulin pump
(e.g. keychain, garment buttons, pocket knives, coins).
Attach your insulin pump safely to your body or clothes to prevent
damage. Specially designed carrying systems allow you to carry your
insulin pump on or underneath your clothes. All specified accessories
have been tested and approved for use with your Accu-Chek Spirit insulin
pump. The proper functionality of your insulin pump can only be
guaranteed in conjunction with Accu-Chek Spirit accessories.
Consult our sterile products brochures and accessories catalogue for
more information or contact your local Customer Care Area.
73
74
Select a user menu (STANDARD, ADVANCED or CUSTOM)
6Select a user menu
(STANDARD, ADVANCED or CUSTOM)
6.1 The three levels of the Accu-Chek Spirit
The operation of your insulin pump is divided into three levels.
1st level
2nd level
3rd level
RUN screen and
Menus
STOP screen Function screens and
information screens
This level is the home
screen for your insulin
pump’s operation.
You can get to all other
functions from this level.
This level consists
of all functions.
This level consists
of all available menus.
Move through the menus
to get to a specific
function or information.
When no keys are pressed, your pump automatically returns to
the 1st level.
75
Select a user menu (STANDARD, ADVANCED or CUSTOM)
6.2 Navigate through the menus
1st level
3rd level
2nd level
(2.)
RUN
screen
menu
(3.)
(4.)
function
screen
(1.)
backward
loop
looping
function
screen
(5.)
exit
timeout
menu
looping
1. Press d to move to the menus (2nd level).
2. When you reach the desired menu, press f to enter (3rd level).
FC_navigation_EN.eps
3. Press a or s to increase or decrease the selected value.
4. Press d again to move to the next function screen you want
to change.
5. When finished, press f to confirm the changes you have
made.
Your insulin pump saves the changes and returns to the RUN or
STOP screen.
NoteFlow Chart information printed in black is described in the
instructions.
Gray printed information illustrates additional options.
– Three dots (…) indicates alternative ways to exit a menu.
Your insulin pump is equipped with advanced features to make
programming even easier.
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Select a user menu (STANDARD, ADVANCED or CUSTOM)
6.2.1 Scrolling
You can hold a or s pressed to enter larger or smaller values until
the desired number is displayed. This value can be corrected by single key
presses up or down if necessary.
6.2.2 Looping
The menus and screens are set up in a “loop” so that you automatically
return to the first function or information screen within a menu once you
have reached the last choice within a menu.
6.2.3 Backward loop
Pressing d+a simultaneously allows you to move backwards in the
menu structure or to return to menus you just skipped.
NoteWithin a function and information screen (3rd level) pressing
d+a simultaneously allows you to move up to the
corresponding menu (2nd level) without saving the current
changes.
6.2.4 Exit options
At any function screen you have three options to exit:
if you want to confirm and save the changes
– press f. Your insulin pump returns to the RUN screen.
if you want to undo the changes
– wait for your insulin pump to return to the RUN screen
(timeout), or
– press d+a simultaneously (exit feature) to exit
the current function screen.
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Select a user menu (STANDARD, ADVANCED or CUSTOM)
6.2.5 Select a user menu
A user menu comprises a fixed or an individually composed selection
of the Accu-Chek Spirit menus. Your insulin pump offers a choice of
3 different user menus:
NoteIn the flap at the end of this user guide you will find diagrams
for the STANDARD and ADVANCED user menus.
•S
TANDARD user menu
offers all the functions you need for a successful insulin pump
therapy and the ability to change between the user menus. We
recommend that patients new to pump therapy first use this
feature. Later, as your comfort with pump therapy grows, you
may wish to choose the additional features offered in the
ADVANCED user menu.
•A
DVANCED user menu
offers the full range of the Accu-Chek Spirit functions. The
ADVANCED user menu includes all functions from the STANDARD
user menu, plus a wide range of additional functions for the more
experienced user.
•C
USTOM user menu
because the Accu-Chek Spirit has so many features, you may
want to selectively choose those features that you see when
scrolling through the menus. The CUSTOM user menu can be
adjusted to your individual needs by you (using Accu-Chek
Insulin Pump Configuration Software) or by your doctor (using
Accu-Chek Insulin Pump Configuration Software Pro for
healthcare professionals). Adjusting this feature allows you to
display or hide menus. Menus that are fundamental for insulin
pump therapy will always be seen and the function settings
within a hidden menu remain as set (e.g. on or off) when menus
are hidden.
78
Select a user menu (STANDARD, ADVANCED or CUSTOM)
For your personalized CUSTOM user menu you can turn the
following menus on or off by using Accu-Chek Insulin Pump
Configuration Software:
– EXTENDED BOLUS
– MULTIWAVE BOLUS
– TEMPORARY BASAL RATE (TBR)
– CHANGE BASAL RATE PROFILE
– PROGRAM BASAL RATE PROFILE 2, 3, 4 and/or 5
– ALARM CLOCK
– SETUP MENU STANDARD
– SETUP MENU ADVANCED
Using Accu-Chek Insulin Pump Configuration Software Pro for
healthcare professionals, your healthcare professionals can also
turn on or off the following menus and functions:
– PROGRAM BASAL RATE PROFILE 1
– SELECT USER MENU
See the Accu-Chek Insulin Pump Configuration Software Pro for
healthcare professionals user manual for further information on
customizing your user menus.
NoteWhen you change your 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
with Accu-Chek Insulin Pump Configuration Software Pro
for healthcare professionals, or select the previous or the
ADVANCED user menu.
79
Select a user menu (STANDARD, ADVANCED or CUSTOM)
RUN
screen
select the
user menu
user
menu
select basal
rate profile
Press d to move to the SELECT USER MENU.
FC_select_user_profiles_EN.eps
Select with f.
The current user menu is displayed.
NoteIf the SELECT USER MENU is not available, contact your
doctor or healthcare team.
Press a or s to select the desired user
menu.
Confirm with f.
The newly selected basal rate profile and its daily
insulin total appear.
or
if the previously turned on basal rate profile is
not available from the newly selected user menu,
dashes appear instead.
Press a or s to select an available basal rate
profile, if necessary.
80
Select a user menu (STANDARD, ADVANCED or CUSTOM)
Check the (new) basal rate profile and its daily
insulin total.
Save and exit with f.
The new user menu and basal rate profile are
active immediately.
Caution
A running temporary basal rate increase or decrease will
remain active, even if you changed the basal rate profile.
81
82
STANDARD user menu
7 STANDARD user menu
This chapter will familiarize you with the basic functions of your
Accu-Chek Spirit insulin pump that are necessary for a successful therapy.
7.1 Set time and date
You must take care to set the time and date correctly, because the basal
rates and all history information are stored on the basis of time and date.
When travelling across time zones make sure that the time and date
are set correctly.
The format can be either European or American:
American
European
12-hour clock
month/day/year
24-hour clock
day.month.year
See the sections 8.5.1 “Time format” and 8.5.2 “Date format” for further
information.
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STANDARD user menu
Warning
Incorrect setting of time and date can lead to incorrect
insulin delivery. Make sure that the time and date of
your insulin pump is programmed correctly to ensure
the correct insulin delivery and data memory. Do not
make therapy decisions based upon a single result in
the insulin pump’s memory.
If you, your doctor or healthcare team review your
therapy data electronically, it is essential that time and
date of your insulin pump, your blood glucose measurement system (such as an Accu-Chek Blood Glucose
Meter), PC and other used devices, are set identically. If
they are not, the gathered data might not be meaningful.
Check regularly that the time and date of your insulin
pump, your blood glucose measurement system, PC and
other used devices are identical.
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STANDARD user menu
Set time and date
RUN
screen
set the time
and date
set the
hour
set the
minute
set the
year
set the
month
set the
day
FC_set_time_EN.eps
Press d to move to the SET TIME AND DATE
menu.
Select with f.
Press a or s to set the hour.
Press d to move to the minutes.
Press a or s to set the minutes.
Press d to move to the year.
Press a or s to set the year.
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STANDARD user menu
Press d to move to the month.
Press a or s to set the month.
Press d to move to the day.
Press a or s to set the day.
Save and exit with f.
NoteAt any screen you have three options to exit:
if you want to confirm and save the changes
– press f. Your insulin pump returns to the RUN screen.
if you want to undo the changes
– wait for your insulin pump to return to the RUN screen
(timeout), or
– press d+a simultaneously (exit feature) to exit
the current function screen.
Review the time and date
The time is displayed on the RUN screen and STOP screen.
The date (and time) can be reviewed on the STOP screen.
86
STANDARD user menu
7.2 Basal rate
Your insulin pump delivers insulin, 20 doses each hour, 24-hours a day.
This flow of insulin, measured in international units per hour (U/h),
is called the basal rate and is calculated to meet your basic insulin needs.
An Accu-Chek Spirit basal rate profile consists of up to 24 different hourly
basal rates. Each hourly rate may be changed independently. The sum of
all 24 hourly basal rates in one basal rate profile is called the (daily) basal
rate total.
Your basal rate profile should be reviewed:
• after any programming change performed with your insulin pump
or the Accu-Chek Insulin Pump Configuration Software,
• after a new battery has been inserted and
• after confirming an error E7: ELECTRONIC ERROR.
Insulin delivery is not interrupted during basal rate programming.
Note The insulin amounts and other values used in this user guide
are examples only. Your personal values may differ.
Caution
Programming your insulin pump for a relatively low
basal rate (0.1 U/h) can result in a delayed error
E4: OCCLUSION. Roche Diagnostics recommends to use
plastic cartridges when a low basal rate is required for
your therapy.
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STANDARD user menu
7.2.1 Program a basal rate profile
RUN
screen
program
profile 1
daily basal
rate total
1st hour
2nd hour
…
24th hour
Press d to move to the PROGRAM BASAL
FC_program_BRP1_EN.eps RATE PROFILE 1 menu.
Select with f.
The daily BASAL RATE TOTAL is displayed.
Press d to move to the first hour.
The first hour, which always begins at midnight
(00:00 – 01:00 or 12:00 AM – 01:00 AM if the
American time format is used) is shown.
Press a or s or scroll to set the hourly basal
rate given by your doctor or healthcare team.
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STANDARD user menu
Press d to move to the next hour.
Continue using d and the a and s keys to
set the hourly basal rates for the remaining
hours. In this way you can program your individ­
ual basal rate profile hour-by-hour. Continue until
all 24 hours are programmed.
Confirm with f.
The new daily BASAL RATE TOTAL is displayed.
Check the new daily BASAL RATE TOTAL.
Save and exit with f.
If the currently active basal rate profile is the
same as the newly programmed basal rate, it is
active immediately.
NoteAt any screen you have three options to exit:
if you want to confirm and save the changes
– press f. Check the new daily basal rate total.
Press f again. Your insulin pump returns to the RUN
screen.
if you want to undo the changes
– wait for your insulin pump to return to the RUN screen
(timeout), or
– press d+a simultaneously (exit feature) to exit
the current function screen.
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STANDARD user menu
7.2.2 Copy an hourly basal rate
An hourly basal rate can be copied for 1 or more hours.
Press d to move to the PROGRAM BASAL
RATE PROFILE 1 menu.
Select with f.
The daily BASAL RATE TOTAL is displayed.
Press d to move to the hourly basal rate which
you want to copy.
Press a+s simultaneously.
A special beep confirms that you are pressing
the keys correctly.
The same hourly basal rate is copied to the next
hour or hours, if you press a+s repeatedly.
Press and hold a+s (scroll) to copy the
same hourly basal rate for multiple hours.
Confirm with f.
Check the new daily BASAL RATE TOTAL.
Save and exit with f.
If the currently active basal rate profile is the
same as the newly programmed basal rate, it is
active immediately.
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STANDARD user menu
7.2.3 Basal rate and bolus
– During normal use, your insulin pump is in RUN and insulin is
continuously delivered (basal rate).
– A bolus can be programmed when needed. Unless you are
currently changing settings, giving a bolus or reviewing information, the RUN screen is displayed.
NoteSince only short-acting insulin or fast-acting insulin
analogues are used for insulin pump therapy, there is only a
small insulin reserve in the body. If insulin administration is
interrupted for any reason (e.g. stopping the insulin pump by
the user, technical problem with the insulin pump, leakage in
the cartridge, occlusion of the infusion set tube or of the
infusion set needle, infusion set needle has slipped out of the
infusion site), you must be prepared to replace the missing
insulin immediately.
Always carry spare sterile products and accessories (infusion
set, insulin cartridge, batteries) as well as an insulin
pen/syringe and insulin with you. Without insulin, diabetic
ketoacidosis may develop and may require in-patient hospital
treatment.
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STANDARD user menu
7.3 Start insulin delivery
STOP
screen
start your
ACCU-CHEK
RUN
screen
Insulin delivery starts at the moment you put your insulin pump into RUN.
FC_start_EN.eps
Start from the STOP screen.
Press d to move to the START YOUR
ACCU-CHEK menu.
Confirm with f. Your insulin pump shows the
RUN screen.
Insulin delivery begins within the next 3 minutes
at the hourly basal rate shown on the display.
NoteCheck the amount of insulin remaining in the cartridge at
least once a day.
Before going to sleep, make sure that:
• the cartridge contains enough insulin to last through the
night.
• the time and date are set correctly.
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STANDARD user menu
7.4 Stop insulin delivery
For your safety there are functions and actions that require that your
insulin pump is in STOP. These functions and actions include:
• changing the cartridge
• connecting and disconnecting the adapter and/or infusion set
• priming the infusion set and
• data transfer from the insulin pump to the PC and vice versa
using Accu-Chek Insulin Pump Configuration Software.
Caution
When your insulin pump is in STOP, it does not deliver
any insulin. Put your insulin pump into RUN to continue
the insulin delivery.
Press d to move to the STOP YOUR
ACCU-CHEK menu.
Confirm with f. Your insulin pump returns to
the STOP screen and insulin delivery stops.
Press f from the RUN screen or STOP screen
(quick info screen) to check for symbols of
activated functions and features (like the beep
and vibration alarm signals).
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STANDARD user menu
NoteWhen an Extended bolus, a MultiWave bolus and/or a temporary basal rate (TBR) is/are active and you put your insulin
pump into STOP, an alert A6: TBR CANCELLED and/or an
alert A8: BOLUS CANCELLED occur(s).
Press f twice for each appearing alert to confirm and
turn off.
See the sections 10.1.6 “Alert A6: TBR CANCELLED”
and 10.1.8 “Alert A8: BOLUS CANCELLED” for further
information.
STOP-Warning
The STOP-Warning is turned on each time your insulin
pump is put from RUN into STOP or when a battery is
inserted. To inform you that the insulin delivery is inter­
rupted, your insulin pump reminds you every minute
with a long beep and a vibration. Turning off the
STOP-Warning suppresses this warning function.
Turn off the STOP-Warning
Press and hold s or a until you hear a melody. The STOP-Warning is
turned off.
NoteThe volume of the STOP-Warning is independent of the
programmed beep volume. It always occurs at the maximum
level.
The STOP-Warning will be reactivated the next time your pump is
changed from RUN to STOP or with the next battery change.
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STANDARD user menu
7.5 Program a bolus
The bolus type and amount is determined by your doctor or healthcare
team’s guidelines, your blood glucose level, your food intake, your health
condition and your activity level. Discuss the timing, amount and type of
bolus you need to deliver with your doctor or healthcare team. The time,
date and amount of the last 30 boluses can be reviewed in the bolus history.
See the section 7.8.1 “Review the bolus history” for further information.
Your insulin pump allows for the delivery of three types of boluses:
Standard bolus
(fast delivery)
Extended bolus(delivery over a programmed period of
time)
MultiWave bolus(combines fast delivery with delivery
over a programmed period of time)
For instructions on how to program an Extended bolus and a MultiWave
bolus please refer to section 8 “ADVANCED user menu”.
Warning
E Incorrect programming of your insulin pump may
cause inappropriate insulin delivery.
E Your insulin pump must be programmed with your
personal settings prior to starting insulin pump therapy.
E Do not operate your insulin pump without knowing
your personal settings.
E If you are not sure about your personal settings or you
are less experienced, have your doctor or healthcare
team check your personal settings.
E Work with your doctor or healthcare team to determine
the timing, amount and type of bolus you need to
deliver.
E Make sure you know your personal carbohydrate
insulin ratio and your correction bolus ratio.
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STANDARD user menu
7.5.1 Standard bolus
Your insulin pump offers you two possibilities to program a Standard
bolus:
“Quick” Standard bolus
“Scroll” Standard bolus
Using the a and s keys of your
insulin pump, with bolus increments
determined by the user.
Menu-guided using the d and f
keys with the a and s keys for
programming of the amount.
The bolus amount per delivery is limited to 25 units h of insulin.
Programming a Standard bolus includes a short start delay of 5 seconds
before the actual bolus delivery. If necessary, this allows you to cancel the
bolus before the bolus delivery has started by the press of the a or s
key. Alert A8: BOLUS CANCELLED will occur. Press f twice to confirm
and turn off the alert. See the section 10.1.8 “Alert A8: BOLUS
CANCELLED” for further information.
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STANDARD user menu
7.5.2 Program a “Quick” Standard bolus
The following programming sequence involves only the a and s keys
of your insulin pump. The sequence is “reversible”, meaning you can start
with either key. The recommended sequence is always described with the
first key appearing (without parenthesis), e.g. a. For the alternative
sequence press the key in the parenthesis, e.g. (s).
NoteBecause your insulin pump beeps and vibrates to safely
guide you through the programming, you may program
the “Quick” bolus with one finger. Once the bolus is
programmed, you can count the beeps and vibrations of
your insulin pump to verify the correct programming.
The bolus increment for the “Quick” Standard bolus is
initially set to 0.5 units h. It can be changed in the SETUP
MENU ADVANCED or by using Accu-Chek Insulin Pump
Configuration Software.
3 sec.
RUN
screen
bolus
delivery
3 sec.
bolus
amount
if O unit
5 sec. delay
confirmation
of amount
5 sec. delay
A8: bolus cancelled
From the RUN screen press and hold s (a)
until you hear a beep sequence and feel a
FC_standard_bolus_miTRON_EN.eps
vibration. This activates the “Quick” STANDARD
BOLUS function.
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STANDARD user menu
NoteWe recommend starting with the s key in areas of good
lighting and, starting with the a key in areas of poor
lighting as this will also turn on the backlight.
Press a (s) repeatedly until the desired
bolus amount is reached.
Each press of the a (s) key adds one bolus
increment to the bolus amount. Your insulin
pump simultaneously beeps and vibrates once
for each programmed bolus increment.
5 seconds h after the last press of a (s),
your insulin pump confirms the total bolus
amount with one simultaneous beep and
vibration for each bolus increment programmed.
For 5 seconds h (bolus delivery start delay),
the Standard bolus symbol ( ) blinks.
After this bolus delivery start delay, your insulin
pump beeps three times and starts to deliver the
total bolus amount programmed. The countdown
of the remaining bolus amount appears on the
display.
Warning
The bolus increment that can be programmed into your
insulin pump determines the “Quick” Standard bolus
amount using the a and s keys of your insulin
pump. To ensure correct insulin delivery be sure the
bolus increment is set appropriate for your therapy.
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STANDARD user menu
7.5.3 Cancel a “Quick” Standard bolus
– During programming (the bolus amount blinks):
• Press the key you started programming with (s [a]) to reset
the bolus amount to 0.0 units. You hear a melody.
If no new bolus is programmed, your insulin pump returns to the
RUN screen and beeps three times after 5 seconds h.
No bolus is delivered.
– During confirmation (when the beeps and vibrations occur), or during
the start delay ( blinks):
• Press s or a. You hear a melody. Your insulin pump returns
to the RUN screen. An alert A8: BOLUS CANCELLED occurs.
Press f twice to confirm and turn off the alert. See the section
10.1.8 “Alert A8: BOLUS CANCELLED” for further information.
No bolus is delivered.
– During bolus delivery (countdown of bolus amount):
• Press and hold the s or a key for 3 seconds until you hear a
melody.
An alert A8: BOLUS CANCELLED occurs. Press f twice to
confirm and turn off the alert. See the section 10.1.8 “Alert A8:
BOLUS CANCELLED” for further information.
Bolus delivery is interrupted.
The actual bolus amount delivered prior to the cancellation
can be reviewed in the bolus history. Please refer to the section
7.8.1 “Review the bolus history” for further information.
Ensure that the cancellation was intended and program a new Standard
bolus, if necessary.
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STANDARD user menu
7.5.4 Program a menu-guided “Scroll” Standard bolus
The bolus increments for the “Scroll” Standard bolus are fixed to 0.1 unit.
You can program this bolus in the STANDARD BOLUS menu by holding
the a or s key (scrolling) until the desired bolus amount is displayed.
Press d to move to the STANDARD BOLUS
menu.
Select with f. The BOLUS AMOUNT screen
appears.
Press or scroll a to increase or s to
decrease the bolus amount.
Press f to confirm the bolus amount.
During 5 seconds h (bolus delivery start delay),
the Standard bolus symbol ( ) blinks.
After this bolus delivery start delay, your insulin
pump beeps three times and starts to deliver the
total bolus amount programmed. The countdown
of the remaining bolus amount appears on the
display.
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STANDARD user menu
7.5.5 Cancel a menu-guided “Scroll” Standard bolus
– During programming (the bolus amount blinks):
You have three options for cancelling a “Scroll” Standard bolus during
programming:
• If you do not press any key for 20 seconds h, your insulin pump
returns to the RUN screen (timeout).
• Exit to the STANDARD BOLUS menu by pressing d+a
simultaneously.
• Set the bolus amount to 0.0 units. Exit with f.
No bolus is delivered.
– During the start delay ( blinks):
• Press s or a. You hear a melody. Your insulin pump returns to
the RUN screen.
An alert A8: BOLUS CANCELLED occurs. Press f twice to
confirm and turn off the alert. No bolus is delivered.
Please refer to section 10.1.8 “Alert A8: BOLUS CANCELLED” for
further information.
– During bolus delivery (countdown of bolus amount):
• Press and hold the s or a key for 3 seconds until you hear a
melody. An alert A8: BOLUS CANCELLED occurs. Press f twice
to confirm and turn off the alert. Bolus delivery is interrupted.
Please refer to section 10.1.8 “Alert A8: BOLUS CANCELLED” for
further information.
Bolus delivery is interrupted.
The actual bolus amount delivered prior to the cancellation
can be reviewed in the bolus history. Please refer to the section
7.8.1 “Review the bolus history” for further information.
Ensure that the cancellation was intended and program a new Standard
bolus, if necessary.
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STANDARD user menu
7.6 Temporary basal rate (TBR)
Your insulin pump allows you to temporarily increase or decrease your
basal rate. This function is helpful in matching changing insulin needs due
to increased or decreased activity level, illness or stress.
Warning
Incorrect programming of your insulin pump may cause
inappropriate insulin delivery. Your insulin pump must be
programmed with your personal settings prior
to starting insulin pump therapy. 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.
Typically, a basal rate is set to 100%, but you can
E increase it to 200% h
E decrease it to 0% for up to 24 hours h
When you increase or decrease your basal rate, each hourly basal rate for
the duration you program is effected.
The characteristic shape of your basal rate profile remains if the change is
larger than 0%. With a temporary basal rate of 0% no insulin (except
boluses) is delivered during the programmed duration.
Discuss programming a temporary basal rate with your doctor or
healthcare team.
NoteA running temporary basal rate increase or decrease remains
active, even if you change the basal rate profile.
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STANDARD user menu
7.6.1 Program a temporary basal rate
RUN
screen
temporary
basal rate
precentage
duration
Make sure your insulin pump is in RUN.
FC_temporary_BR_EN.eps
Press d to move to the TEMPORARY BASAL
RATE (TBR) menu.
Select with f. The TBR PERCENTAGE screen
appears.
NoteIf 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.
Press a to increase or s to decrease
the basal rate.
NoteWhen you increase (or decrease) the temporary basal rate
the duration of your previous temporary basal rate increase
(or decrease) appears automatically, or when using your
insulin pump for the first time, a default value appears.
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STANDARD user menu
Press d to move to the TBR DURATION.
Press a or s to correct and set the duration.
NotePress d to loop between programming the basal rate
percentage and duration, if necessary.
Save and exit with f.
The programmed temporary basal rate is
immediately activated.
Note At any screen you have three options to exit:
if you want to confirm and save the changes
– press f. Your insulin pump returns to the RUN screen.
if you want to undo the changes
–w
ait for your insulin pump to return to the RUN screen
(timeout), or
– p ress d+a simultaneously (exit feature) to exit
the current function screen.
– set precentage to 100% and press f.
NoteDuring the TBR delivery, the increase or decrease in percentage, the increased or decreased hourly basal rate (hourly
basal rate plus/minus 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 a temporary basal rate
decrease.
NoteIf 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 the increased or decreased hourly basal rate
are displayed in the RUN screen.
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STANDARD user menu
At the end of a temporary basal rate, an alert A7: TBR OVER
occurs h.
Press f twice to confirm and turn off the alert.
See the section 10.1.7 “Alert A7: TBR OVER” for further information.
7.6.2 Cancel a temporary basal rate
– During programming:
You have three options for cancelling a temporary basal rate during
programming:
• If you do not press any key for 20 seconds h, your insulin pump
returns to the RUN screen (timeout).
• Exit to the TEMPORARY BASAL RATE (TBR) menu by pressing
d+a simultaneously.
• Set the TBR percentage to 100%. Save and exit with f.
No temporary basal rate is active!
– During delivery:
You have two options for cancelling a temporary basal rate during
delivery:
• Set the TBR percentage to 100%:
Press d to move to the TEMPORARY BASAL
RATE (TBR) menu.
Select with f. The TBR PERCENTAGE screen
appears.
Press a or s to return the basal rate
to 100%.
Save and exit with f.
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STANDARD user menu
• Put your insulin pump into STOP.
The temporary basal rate delivery is interrupted.
An alert A6: TBR CANCELLED occurs. Press f twice to confirm
and turn off the alert.
See the section 10.1.6 “Alert A6: TBR CANCELLED” for further
information.
Caution
When your insulin pump is in STOP, it does not deliver
any insulin. Put your insulin pump into RUN to continue
the insulin delivery.
NoteIf an Extended bolus or a MultiWave bolus is active at the
same time, it is also cancelled when your insulin pump is put
into STOP. An alert A8: BOLUS CANCELLED and an alert
A6: TBR CANCELLED occur.
Press f twice to confirm and turn off the first alert. Then
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.
See the sections 10.1.6 “Alert A6: TBR CANCELLED”
and 10.1.8 “Alert A8: BOLUS CANCELLED” for further
information.
Ensure that the cancellation was intended and program a new temporary
basal rate (and/or an Extended or MultiWave bolus), if necessary.
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STANDARD user menu
7.7 Setup menu standard
Warning
Incorrect programming of your insulin pump may cause
inappropriate insulin delivery. Your insulin pump must
be programmed with your personal settings prior
to starting insulin pump therapy. Do not operate your
insulin pump without knowing your personal settings.
If you are not sure about your personal settings or you
are less experienced, have your doctor or healthcare
team check your personal settings.
For all SETUP MENU STANDARD settings the Accu-Chek Spirit can save
or exit using the same simple method. For all of the features in this
section you may do the following when you are finished with a section:
if you want to confirm and save the changes
– press f. Your insulin pump returns to the RUN screen.
if you want to undo the changes
– wait for your insulin pump to return to the RUN screen
(timeout), or
– press d+a simultaneously (exit feature) to exit
the current function screen.
7.7.1 KeyLock function
The KeyLock function allows you to lock the four keys of your insulin
pump and serves as an additional safety measure against unintentional
activation of functions (e.g. while sleeping, during contact sports).
To make use of the KeyLock function, it must be turned on.
See the section 3.3 “Keys and key combinations” for further information.
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STANDARD user menu
RUN / STOP
screen
setup
standard
KeyLock
beep
volume
alarm
signals
automatic
off battery
typeorientation
Turn the KeyLock on or off
FC_KeyLock_EN.eps
Make
sure the KeyLock is unlocked (press and
hold d+s simultaneously for 3 seconds until
it is unlocked) or turned off.
Press d to move to the SETUP MENU
STANDARD.
Select with f.
The current KeyLock status (ON or OFF) appears.
Press a or s to turn the KeyLock ON or OFF.
Save and exit with f.
If no further key is pressed for 10 seconds h
after your insulin pump has returned to the RUN
screen or STOP screen, all four keys are
automatically locked if the KeyLock is turned on.
NoteThe only function which can still be activated is the
backlight (press a).
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STANDARD user menu
Unlock the KeyLock
RUN screen
locked
3 sec.
10 sec.
RUN screen
unlocked
From the RUN screen or STOP screen, press
d+s simultaneously (you hear three beeps
FC_unlock_KeyLock_EN.eps
in RUN, respectively one beep in STOP) and hold
for 3 seconds until you hear again three beeps
(in RUN), respectively one beep (in STOP) to
confirm that the KeyLock has been unlocked.
If no further key is pressed for 10 seconds h
after your insulin pump has returned to the RUN
screen or STOP screen, all four keys are
automatically locked.
7.7.2 Adjust the beep volume
Your insulin pump beeps when a key is pressed or when an alert or error
occurs. The volume of these beeps can be changed.
Press d to move to the SETUP MENU
STANDARD.
Select with f.
Press d to move to the BEEP VOLUME screen.
The active beep volume is displayed.
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STANDARD user menu
Press a or s to adjust the beep volume.
You can choose between 5 volume levels:
no beeps (beeps are turned off)
very low
low
normal
maximum
Save and exit with f.
NoteThe volume of the STOP-Warning is independent of the
programmed beep volume. It always occurs at the maximum
level. When the beeps are turned off and an alert or error
occurs, the beeps will become activated after a short period
of time to ensure that you are aware of the alarm or error.
These beeps will steadily increase in volume until the
maximum level occurs if the alert or error is not cancelled
7.7.3 Alarm signals
The Accu-Chek Spirit allows you to choose how you want your pump to
alert you when an alarm occurs. You have three options:
beep only
vibrate only
beeps and vibrate
Press d to move to the SETUP MENU
STANDARD.
Select with f.
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STANDARD user menu
Press d to move to the ALARM SIGNALS
screen. The active alarm signals are displayed.
Press a or s to set the alarm signals as
desired.
Save and exit with f.
7.7.4 Automatic off
Caution
Discuss the use of the automatic off function with your
doctor or healthcare team.
Automatic off is a safety feature which stops all insulin delivery by
triggering an error E3: AUTOMATIC OFF if no keys are pressed within a
programmed time period in RUN.
The automatic off can either be set to OFF or programmed up to 24 hours
in 1 hour intervals in the SETUP MENU STANDARD.
Press d to move to the SETUP MENU
STANDARD.
Select with f.
Press d to move to the AUTOMATIC OFF
screen. The active status is displayed.
Press or scroll a to increase or s to
decrease the duration for the automatic off in 1
hour intervals. If you would like to set the automatic off function to OFF, press or scroll s
until 0 hours and OFF appear on the display.
Save and exit with f.
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STANDARD user menu
7.7.5 Battery type
Warning
If you do not set the correct battery type on your insulin
pump, the alert A2: BATTERY LOW may not occur in
time to provide you sufficient warning to replace your
battery.
Your insulin pump has the option of using 1.5 volt AA Alkaline batteries or
rechargeable AA NiMH batteries. If you change from one battery type to
the other, you must change the battery type accordingly in the SETUP
MENU STANDARD.
See the section 4.3 “Battery” for further information on recommended
batteries.
Press d to move to the SETUP MENU
STANDARD.
Select with f.
Press d to move to the BATTERY TYPE screen.
The current battery type is displayed.
Press a or s to select the desired battery
type (ALKALINE or NiMH [rechargeable] battery).
Save and exit with f.
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STANDARD user menu
7.7.6 Display orientation
Your insulin pump allows you to flip the display
orientation by 180° so that you can view it
more conveniently depending on how you are
wearing the insulin pump.
Press d to move to the SETUP MENU
STANDARD.
Select with f.
Press d to move to the ORIENTATION screen.
Press a or s to select the desired display
orientation.
Save and exit with f.
Caution
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 keys
will not change in their function, but will remain the
same, regardless of your screen orientation.
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STANDARD user menu
7.8 Review data memory (INFORMATION)
The memory of your insulin pump stores all events (i.e. alerts and errors,
programming operations and insulin delivery records) for up to 4500
events. This data memory corresponds typically to about the last 90 days
of usage and is accessible via Accu-Chek information management
products.
The following data can be reviewed directly on your insulin pump:
• Bolus history
last 30 boluses
• Alarm history
last 30 alerts and errors
• History of daily insulin totalslast 30 daily totals of insulin
delivered
• Temporary basal rate history last 30 increases and decreases
• Pump Timerremaining time in days until the
pump timer expires
• Quick info screen
remaining cartridge content
7.8.1 Review the bolus history
The bolus history enables review of up to the last 30 bolus deliveries
starting with the most recent entry in chronological order.
Each bolus history screen displays the
• bolus type ( Standard bolus, Extended bolus or
MultiWave bolus),
• bolus duration ( only displayed for an Extended or a MultiWave
bolus),
• time ( ),
• date ( ) and
• e ntry number (01 is the most recent) of total entries (e.g. 01/30)
of a delivered bolus.
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STANDARD user menu
RUN
screen
information
menu
bolus
history
alarm
history
daily
totalTBR
history
pump timer
Press d to move to the INFORMATION menu.
Select with f.
The BOLUS HISTORY screen appears. The most
recent bolus information is displayed.
Press a or s to review the entries.
Exit with f.
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STANDARD user menu
7.8.2 Review the alarm history
The alarm history enables you to review the last 30 alerts or errors
starting with the most recent entry in chronological order.
Each alarm history screen displays the
• number and type of the alert or error (e.g. A6),
• alert or error (e.g. TBR CANCELLED),
• time ( ),
• date ( ) and
• entry number (01 is the most recent) of total entries (e.g. 01/30)
of an alert or error.
Press d to move to the INFORMATION menu.
Select with f.
Press d to move to the ALARM HISTORY
screen.
Press a or s to review the entries.
Exit with f.
7.8.3 Review the daily insulin totals history
This history enables you to review the last 30 daily totals of insulin
delivered (from midnight to midnight; basal rate plus bolus deliveries)
starting with the most recent entry in chronological order.
Each daily insulin total screen displays the following history
• daily total of insulin delivered ( ),
• date ( ) and
• e ntry number (01 is the most recent) of total entries (e.g. 01/30)
of a daily insulin total.
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STANDARD user menu
Press d to move to the INFORMATION menu.
Select with f.
Press d to move to the DAILY TOTALS screen.
Press or scroll a or s to review the entries.
Exit with f.
7.8.4 Review the temporary basal rate history
The temporary basal rate history enables you to review the last 30 TBR
increases or decreases starting with the most recent entry in chronological
order.
Each TBR history screen displays the
• TBR increase ( ) or decrease ( ) in percentage,
• TBR duration ( ),
• time when TBR was over ( ),
• date ( ) and
• e ntry number (01 is the most recent) of total entries (e.g. 01/30)
of a delivered temporary basal rate.
Press d to move to the INFORMATION menu.
Select with f.
Press d to move to the TBR HISTORY screen.
Press or scroll a or s to review the entries.
Exit with f.
117
STANDARD user menu
7.8.5 Review the time remaining
Your insulin pump has been designed to be a highly reliable system that
will provide worry-free performance for a long period of time. To ensure
optimal performance, a pump timer will limit the operating time of the
pump. This timer counts the number of days of operation remaining in the
Accu-Chek Spirit insulin pump.
Before the pump timer expires, an alert occurs to remind you of the
upcoming end of operating time so that you can make the necessary
arrangements. The pump timer symbol ( ) appears in the RUN screen or
STOP screen as a reminder. When the timer expires, an error occurs and
your insulin pump goes into STOP. It can no longer be put into RUN.
See the sections 10.1.5 “Alert A5: PUMP TIMER” and 10.2.5 “Error E5:
END OF OPERATION” for further information.
The time remaining in days until the pump timer expires can be reviewed
in the INFORMATION menu.
Press d to move to the INFORMATION menu.
Select with f.
Press d to move to the PUMP TIMER screen.
The time remaining in days until the pump timer
expires is shown.
Exit with f.
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STANDARD user menu
7.8.6 Quick info screen
With the press of the f key, your insulin pump
will display the remaining cartridge content in
units and the insulin concentration. Symbols for
activated functions and features (like the beep
and vibration alarm signals) are displayed.
To get to the quick info screen
E Press f from the RUN screen or STOP screen.
E After 8 seconds h, your insulin pump automatically returns to
the RUN screen or STOP screen.
119
120
ADVANCED user menu
8 ADVANCED user menu
This chapter introduces you to the advanced functions of your insulin
pump. The ADVANCED user menu activates all of the therapy options you
have with your pump.
The Accu-Chek Spirit insulin pump allows you to choose the menus that
you wish to view. This allows you to adjust your pump’s features to better
fit your level of diabetes management.
To turn on all functions:
E choose the SELECT USER MENU function,
E select the ADVANCED user menu.
To use the functions individually:
E choose the SELECT USER MENU function,
E select the CUSTOM user menu and turn the individual features
on or off as desired using Accu-Chek Insulin Pump
Configuration Software.
As was done with the STANDARD user menu settings on the Accu-Chek
Spirit, you can save or exit your programming using the same three
simple methods. For all of the features in this section you may do the
following when you are finished:
if you want to confirm and save the changes
– press f. Your insulin pump returns to the RUN screen.
if you want to undo the changes
– wait for your insulin pump to return to the RUN screen
(timeout), or
– press d+a simultaneously (exit feature) to exit
the current function screen.
121
ADVANCED user menu
Warning
Incorrect programming of your insulin pump may cause
inappropriate insulin delivery. Your insulin pump must
be programmed with your personal settings prior
to starting insulin pump therapy. Do not operate your
insulin pump without knowing your personal settings.
If you are not sure about your personal settings or you
are less experienced, have your doctor or healthcare
team check your personal settings.
8.1 Extended bolus
The Extended bolus is only available in the ADVANCED user menu and
may be turned on or off in the CUSTOM user menu. The Extended bolus
function allows you to program a bolus to be delivered over a period of
time. This function can be helpful during long meals, during dinners or
receptions, or having meals which are digested slowly. The use of the
Extended bolus may also be appropriate with people who have
gastroparesis (delayed digestion).
The duration of bolus delivery can be programmed in 15 minute h
intervals up to 12 hours h and begins immediately after confirmation.
NoteYou can add a Standard bolus to an ongoing Extended bolus.
If you cancel the Standard bolus, the Extended bolus remains
running.
During the delivery of an Extended bolus, the programming of
another Extended bolus or a MultiWave bolus is blocked.
If you want to program a different Extended bolus, put
your insulin pump into STOP to cancel the current bolus and
program a new one.
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ADVANCED user menu
8.1.1 Program an Extended bolus
stop your
ACCU-CHEK
RUN
screen
Extended
bolus
bolus
amount
bolus
duration
A8: bolus cancelled
Press d to move to the EXTENDED BOLUS
menu.
FC_extended_bolus_EN.eps
Select with f. The BOLUS AMOUNT screen
appears.
Press a to increase or s to decrease the
bolus amount.
The bolus duration of the last Extended bolus
delivered appears, or when using your insulin
pump for the first time, a default value appears.
Press d to move to the BOLUS DURATION.
Press a to increase or s decrease the bolus
duration.
NotePress d to loop between programming the bolus amount
and bolus duration, if necessary.
Check the bolus amount and duration
programmed on the display.
123
ADVANCED user menu
Press f to confirm the bolus amount and
duration.
You hear a melody and the bolus delivery begins
within the next 3 minutes.
NoteDuring the entire bolus delivery, the remaining time and
amount of the Extended bolus and the current hourly basal
rate are displayed in the RUN screen.
NoteIf a temporary basal rate is active at the same time, the
remaining time and amount of the bolus and the amount of
the increased or decreased hourly basal rate are displayed in
the RUN screen.
8.1.2 Cancel 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 h, your insulin 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.
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ADVANCED user menu
– During bolus delivery:
• If the Extended bolus delivery has begun, it can be cancelled by
putting your insulin pump into STOP. This cancels the bolus
delivery and an alert A8: BOLUS CANCELLED occurs. Press f
twice to confirm and turn off the alert. See the section
10.1.8 “Alert A8: BOLUS CANCELLED” for further information.
Bolus delivery is interrupted.
The bolus amount delivered up to the cancellation can be
reviewed in the BOLUS HISTORY screen.
See the section 7.8.1 “Review the bolus history” for further
information.
Caution
When your insulin pump is in STOP, it does not deliver
any insulin. Put your insulin pump into RUN to continue
the insulin delivery.
NoteIf a temporary basal rate is active at the same time, it is also
cancelled when your insulin pump is put into STOP. An alert
A8: BOLUS CANCELLED and an alert A6: TBR CANCELLED
occur.
Press f twice to confirm and turn off the first alert. Then
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.
See the sections 10.1.6 “Alert A6: TBR CANCELLED”
and 10.1.8 “Alert A8: BOLUS CANCELLED” for further
information.
Ensure that the cancellation was intended and program a new Extended
bolus (and/or temporary basal rate), if necessary.
125
ADVANCED user menu
8.2 MultiWave bolus
The MultiWave bolus is only available in the ADVANCED user menu and
depending on your personal settings in the CUSTOM user menu. It is
designed to better simulate a body’s insulin delivery. It combines an
immediate bolus delivery followed by an Extended bolus delivery. This
function can be helpful when having meals with both rapid and slowly
absorbed carbohydrates (e.g. pizza).
The duration of bolus delivery can be programmed in 15 minute h
intervals up to 12 hours h and begins immediatly after confirmation.
NoteYou can add a Standard bolus to an ongoing MultiWave
bolus.
If you cancel the Standard bolus, the MultiWave bolus
remains running.
During the delivery of a MultiWave bolus, the programming
of another MultiWave bolus or an Extended bolus is blocked.
If you need a different MultiWave bolus, put your insulin
pump into STOP to cancel the current bolus and program a
new one.
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ADVANCED user menu
8.2.1 Program a MultiWave bolus
RUN
screen
3 sec.
or
stop your
Accu-Chek
MultiWave
bolus
bolus
delivery
bolus
amount
immediate
bolus
bolus
duration
5 sec. delay
A8: bolus cancelled
Press d to move to the MULTIWAVE BOLUS
menu.
FC_multi_wave_bolus_EN.eps
Select with f. The BOLUS AMOUNT screen
appears.
Press a to increase or s to decrease the total
bolus amount.
With the first press of the a key, the bolus
duration of the last MultiWave bolus appears, or
when using your insulin pump for the first time,
a default value appears.
In addition, as you increase or decrease the total
bolus amount, the suggested immediate bolus
amount increases or decreases proportionally.
127
ADVANCED user menu
Press d to move to the IMMEDIATE BOLUS
amount.
Press a or s to correct and set the
immediate bolus amount.
Press d to move to the BOLUS DURATION.
Press a or s to correct and set the Extended
bolus duration in increments of 15 minutes h up
to 12 hours h.
NotePress d to loop between programming the total bolus
amount, immediate bolus amount and Extended bolus
duration, if necessary.
• Check the total and immediate bolus amounts and the Extended
bolus duration programmed on the display. The set values can be
viewed in the total bolus amount, immediate bolus and bolus
duration screen.
• Press f to confirm both bolus amounts and the bolus duration.
• For 5 seconds h (bolus delivery start delay), the MultiWave bolus
symbol ( ) blinks.
• Your insulin pump beeps three times and the immediate bolus
delivery begins. The countdown of the remaining bolus continues
to appear on the display.
128
ADVANCED user menu
NoteOnce the immediate bolus is delivered, the remaining time,
bolus amount and the current hourly basal rate are displayed
in the RUN screen.
If a temporary basal rate is active at the same time, the
remaining time and amount of the bolus and the amount of
the increased or decreased hourly basal rate are displayed in
the RUN screen.
8.2.2 Cancel a MultiWave bolus
– During programming (the bolus amount or bolus duration blinks):
You have three options for cancelling a MultiWave bolus during
programming:
• If you do not press any key for 20 seconds h, your insulin pump
returns to the RUN screen (timeout).
• Exit to the MULTIWAVE BOLUS menu by pressing d+a
simultaneously.
• Set the total bolus amount to 0.0 units and press f.
No bolus is delivered.
– During the start delay ( blinks):
• Press s or a. Your Accu-Chek Spirit beeps and vibrates.
Your insulin pump returns to the RUN screen.
An alert A8: BOLUS CANCELLED occurs. Press f twice to
confirm and turn off the alert.
See the section 10.1.8 “Alert A8: BOLUS CANCELLED” for further
information.
No bolus is delivered.
– During bolus delivery:
• The immediate delivery can be cancelled by pressing and holding
s or a for 3 seconds until you hear a melody. This cancels the
whole bolus (immediate and extended bolus delivery). An alert
A8: BOLUS CANCELLED occurs.
129
ADVANCED user menu
NoteIf the alert A8: BOLUS CANCELLED does not occur, the bolus
delivery was not cancelled. Cancel the extended delivery (see
below).
• The extended delivery can be cancelled by putting your insulin
pump into STOP. This cancels the Extended bolus. An alert A8:
BOLUS CANCELLED occurs. Press f twice to confirm and turn
off the alert.
See the section 10.1.8 “Alert A8: BOLUS CANCELLED” for further
information.
Bolus delivery is interrupted.
The actual bolus amount delivered prior to the cancellation can be
reviewed in the bolus history.
See the section 7.8.1 “Review the bolus history” for further
information.
Caution
When your insulin pump is in STOP, it does not deliver
any insulin. Put your insulin pump into RUN to continue
the insulin delivery.
NoteIf a temporary basal rate is active at the same time, it is also
cancelled when your insulin pump is put into STOP. An alert
A8: BOLUS CANCELLED and an alert A6: TBR CANCELLED
occur.
Press f twice to confirm and turn off the first alert. Then
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.
See the sections 10.1.6 “Alert A6: TBR CANCELLED”
and 10.1.8 “Alert A8: BOLUS CANCELLED” for further
information.
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ADVANCED user menu
Ensure that the cancellation was intended and program a new MultiWave
bolus (and/or temporary basal rate), if necessary.
8.3 Basal rate profiles
Your insulin pump offers the option of delivering up to five h different
basal rate profiles in order to easily meet changing insulin needs (for
example Monday-Friday versus Exercise Day versus Sleeping Late Day).
Discuss programming additional basal rate profiles with your doctor or
healthcare team.
Consult your doctor or healthcare team before changing basal rate
profiles as this may change how you utilize your insulin pump.
If you and your doctor or healthcare team decide that additional basal rate
profiles are not necessary you may hide basal rate profiles 2 to 5 in the
CUSTOM user menu using Accu-Chek Insulin Pump Configuration Software
Pro for healthcare professionals (see the Accu-Chek Insulin Pump
Configuration Software user manual for additional information).
8.3.1 Set an additional basal rate profile
1. Make sure the PROGRAM BASAL RATE
PROFILE menu to be set is turned on.
2. Press d to move to the desired PROGRAM
BASAL RATE PROFILE menu.
NoteOnly basal rate profiles that are accessible in your current
user menu are available.
3. 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
7.2.1 “Program a basal rate profile” for further information.
131
ADVANCED user menu
8.3.2 Select a basal rate profile
RUN
screen
change the
BR profile
BR profile
no. …
Make sure the CHANGE BASAL RATE PROFILE
menu is turned on.
FC_BRP_change_EN.eps
Press d to move to the CHANGE BASAL RATE
PROFILE menu.
Select with f.
The current basal rate profile is displayed.
NoteOnly basal rate profiles that are accessible in your current
user menu are available.
Press a or s to select the desired basal rate
profile. The newly selected basal rate profile and
its basal rate total appear.
Save and exit with f.
The new basal rate profile is active immediately.
132
ADVANCED user menu
NoteWhen you change the user menu your current basal rate
profile might not appear. Make sure that your desired basal
rate profile numbers are activated with Accu-Chek Insulin
Pump Configuration Software.
Should your desired basal rate profile number(s) not appear,
– select the ADVANCED user menu, or
– add or have your doctor or healthcare team add your
desired basal rate profile number(s) to the CUSTOM user
menu (see Accu-Chek Insulin Pump Configuration
Software user manual), or
– program the desired basal rate profile to an available basal
rate profile number.
A running temporary basal rate increase or decrease remains
active, even if you change the basal rate profile on your
pump.
8.4 Alarm clock
The alarm clock can be set for a single alarm and for multiple alarms.
Multiple alarms are repeated every day. These alarms may be utilized to
remind you of blood glucose testing or other important personal events.
Set single or multiple alarms
Make sure the ALARM CLOCK menu is turned on.
Press d to move to the ALARM CLOCK menu.
Select with f.
The current alarm clock status (OFF, ONCE [single
alarm] or EVERY DAY) and alarm time appear.
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ADVANCED user menu
Press a or s to set the alarm clock to OFF
( ), to a single alarm ( ) or to every day ( ).
Press d to move to the SET ALARM HOUR
screen.
Press a or s to set the hour.
Press d to move to the SET ALARM MINUTE
screen.
Press a or s to set the minute.
Save and exit with f.
To turn off the alarm clock
When the alarm clock goes off, an alert A4: ALARM CLOCK occurs.
Press f twice to confirm and turn off the alert.
See the section 10.1.4 “Alert A4: ALARM CLOCK” for further information.
8.5 Setup menu advanced
8.5.1 Time format
The time can be set in the following formats:
European: 24-hour clock (00:00–23:59), e.g. 13:39
American: 12-hour clock (AM/PM), e.g. 1:39 PM
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ADVANCED user menu
Make sure the SETUP MENU ADVANCED is
turned on.
Press d to move to the SETUP MENU
ADVANCED.
Select with f.
The TIME FORMAT screen appears.
Press a or s to select the desired time
format.
Save and exit with f.
8.5.2 Date format
The date can be set in the following formats:
European: dd.mm.yy, e.g. 26.04.06
American: mm/dd/yy, e.g. 04/26/06
Make sure the SETUP MENU ADVANCED is
turned on.
Press d to move to the SETUP MENU
ADVANCED.
Select with f.
Press d to move to the DATE FORMAT screen.
Press a or s to select the desired date
format.
Save and exit with f.
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ADVANCED user menu
8.5.3 Bolus increment
Warning
The bolus increment that can be programmed into your
insulin pump determines the “Quick” Standard bolus
amount using the a and s keys of your insulin pump.
To ensure correct insulin delivery be sure the bolus
increment is set appropriate for your therapy.
To address patients that may need large or small amounts of insulin,
the bolus increment for the Accu-Chek Spirit is adjustable. The “Quick”
Standard bolus is initially set to 0.5 units h per key press but can be
changed in the SETUP MENU ADVANCED or by using Accu-Chek Insulin
Pump Configuration Software to 0.1, 0.2, 0.5, 1.0 or 2.0 units. Units for
the “Scroll” Standard bolus, which may be adjusted by simply holding
down the a or s keys, will move at a constant 0.1 units.
See the section 7.5.1 “Standard bolus” for further information.
Make sure the SETUP MENU ADVANCED is
turned on.
Press d to move to the SETUP MENU
ADVANCED.
Select with f.
Press d to move to the BOLUS INCREMENT
screen.
Press a or s to select the desired bolus
increment.
Save and exit with f.
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ADVANCED user menu
8.5.4 Prime quantity
The prime quantity necessary to completely fill an infusion set depends
on the length of the infusion set tubing. The shorter your infusion set
tubing, the less insulin will be required to prime the infusion set. The
default setting for the prime quantity is 25 h units of insulin.
NoteThe amount of insulin used for the priming is not added to
the history of daily insulin totals.
You can press any of your insulin pump’s keys to stop
priming.
Make sure the SETUP MENU ADVANCED is
turned on.
Press d to move to the SETUP MENU
ADVANCED.
Select with f.
Press d to move to the PRIME QUANTITY
screen.
Press a or s to select the desired prime
quantity.
Save and exit with f.
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ADVANCED user menu
8.5.5 Lock basal rate profiles
Your insulin pump allows you to change your hourly basal rates as needed.
This feature provides additional protection against accidentally changing a
basal rate during normal operation. When this function is activated, your
hourly basal rates cannot be changed.
Make sure the SETUP MENU ADVANCED is
turned on.
Press d to move to the SETUP MENU
ADVANCED.
Select with f.
Press d to move to the BASAL RATE LOCK
screen.
Press a or s to turn the basal rate
lock ON ( ) or OFF ( ).
Save and exit with f.
NoteIf the basal rate lock is set to ON ( ), the programing of the
basal rate profiles 1, 2, 3, 4 and 5 is blocked. To check if the
basal rate lock is ON, move with d to a PROGRAM BASAL
RATE menu and select with f. The symbol in the BASAL
RATE TOTAL screen indicates the lock of the basal rate programing (The symbol appears in the BASAL RATE TOTAL
screen only). Using d the hourly basal rates can be viewed
but they can not be changed by using a and s.
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ADVANCED user menu
8.5.6 Language
Your insulin pump is programmed in several languages. To use the
language of your choice, do the following:
Make sure the SETUP MENU ADVANCED is
turned on.
Press d to move to SETUP MENU
ADVANCED.
Select with f.
Press d to move to the LANGUAGE screen.
Press a or s to select the desired language.
Save and exit with f.
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ADVANCED user menu
8.5.7 Display contrast
Your insulin pump allows you to adjust the display contrast.
Make sure the SETUP MENU ADVANCED is
turned on.
Press d to move to the SETUP MENU
ADVANCED.
Select with f.
Press d to move to the DISPLAY CONTRAST
screen.
Press a or s to select the desired contrast.
Save and exit with f.
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Data transfer
9 Data transfer
Caution
If data transfer between your PC and your insulin pump
is disrupted in any way, the configuration may be
incomplete and an error E12: DATA INTERRUPTED
occurs. The data transfer must be completed successfully before you can put your insulin pump into RUN.
See section 10.2.11 “Error E12: DATA INTERRUPTED”
for further information.
The built-in infrared interface in the bottom cover of your insulin pump
allows for wireless data transfer from your insulin pump to a PC. Pump
programming information may be exchanged between Accu-Chek Insulin
Pump Configuration Software on your computer and your Accu-Chek
Spirit insulin pump using this data transfer. Infrared communication with
your PC is established via an infrared adapter, which is connected to your
PC’s RS232 serial interface.
Refer to the user manuals of the corresponding Accu-Chek information
management products for detailed infrared adapter information and for
further instructions on the data transfer feature.
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Data transfer
Setup for data transfer
STOP
screen
communication
start data
transfer
stop data transfer
Prepare your PC and Accu-Chek Insulin Pump
FC_Data_transfer_neu_EN.eps
Configuration Software for data transfer (see
Accu-Chek Insulin Pump Configuration Software
user manual).
Make sure your insulin pump is in STOP.
Press d to move to the COMMUNICATION
menu.
Select with f.
The DATA TRANSFER screen appears and a
melody signals that your insulin pump is ready
to receive data from or deliver data to your PC.
Follow the instructions in the Accu-Chek Insulin
Pump Configuration Software user manual.
When the data transfer is finished, press f to
return to STOP.
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Data transfer
Check the configuration on your insulin pump to
make sure that all parameters are written
correctly.
Set up your insulin pump with a cartridge,
adapter and a new infusion set and put it into
RUN, if necessary.
NoteYour insulin pump automatically returns to STOP 15 minutes
h after the last data transfer respectively when the DATA
TRANSFER screen has been selected.
You may press d+a simultaneously to exit while data is
being transferred. The data transfer is interrupted and an
error E12: DATA INTERRUPTED occurs.
See section 10.2.11 “Error E12: DATA INTERRUPTED” for
further information.
143
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Alerts and errors
10 Alerts and errors
When your insulin pump is in use, a two microprocessor safety system
continuously monitors and controls the insulin pump. Over 9 million
safety checks are performed daily to secure all relevant functions. If your
insulin pump detects a deviation of its normal state, an alert (warning
instruction) or an error (error message) will occur. Beeps, vibrations and
messages on the display inform you of the status or malfunction of your
insulin pump. Check the display of your insulin pump at least every
three hours during the day, before you go to sleep, and especially if
for any reason you might be unable to hear the beeps or to feel the
vibrations. This is the only way you will be notified of any changes of
your insulin pump in a suitable amount of time.
In general, alerts and errors are signalled by both beeps and vibrations.
If you have turned off either the beeps or vibrations, only the turned on
alarm signal goes off when the alert or error occurs for the first time.
If you do not confirm the alert or error within 60 seconds, it occurs again
with both beeps and vibrations. When the beeps are turned off or
programmed at a lower than maximum volume level, the beep volume
increases within 10 seconds up to the maximum volume level. The beeps
and vibrations will continue at this level until confirmed.
NoteThe volume of the STOP-Warning is independent of the
programmed beep volume. It always occurs at the maximum
level.
The KeyLock is automatically unlocked each time an alert or
error occurs.
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Alerts and errors
To confirm an alert or error
Press f to turn off the beeps and vibrations.
The alert or error code remains on the display.
Confirm that you have seen and understood the
alert or error code and messages by pressing
f again.
Take the appropriate action, if necessary.
If more than one alert and/or error occur at the same time, press f
twice for each alert or error to turn off and confirm.
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 and error stays in the RUN screen or STOP screen as a
reminder. For the other alerts and errors, the alarm information
is cleared from the display and remains only in the alarm history
and the event memory.
After the occurrence of an alert or error, it is important to make sure that
your insulin pump is returned to RUN, if desired.
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Alerts and errors
10.1 Alerts
Warning
After the occurrence of an alert, your insulin pump may
be in STOP and the insulin delivery may be interrupted.
In order to maintain insulin delivery, you must act
immediately according to the instructions given for each
error code or put your insulin pump into RUN to
continue the insulin delivery.
10.1.1 Alert A1: CARTRIDGE LOW
If the remaining content in the insulin cartridge reaches 20 units h of
insulin, an alert A1: CARTRIDGE LOW occurs. Your insulin pump displays
that the cartridge is almost empty. Be prepared to replace the cartridge as
quickly as possible. The cartridge low symbol ( ) appears in the RUN or
STOP screens as a reminder until you change the cartridge.
Press f twice to turn off and confirm the alert.
Change the cartridge before it is empty.
Put your insulin pump into RUN, if necessary.
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Alerts and errors
10.1.2 Alert A2: BATTERY LOW
Your insulin pump checks the battery voltage before each insulin delivery
(at least every 3 minutes). If it falls below a certain voltage value, the alert
A2: BATTERY LOW occurs. Be prepared for a battery change as quickly as
possible. The battery low symbol ( ) appears in the RUN screen or
STOP screen as a reminder until you insert a new battery.
Press f twice to turn off and confirm the alert.
Replace the battery within the next hours.
Put your insulin pump into RUN, if necessary.
10.1.3 Alert A3: REVIEW TIME AND DATE
If the battery is removed for more than 1 hour, it may be necessary to
enter the time and date again. Other Accu-Chek Spirit settings and the
event memory are not affected and are preserved, regardless of battery
voltage and time your insulin pump has been without a battery.
Press f twice to turn off and confirm the alert.
Review the time and date and correct them, if
necessary.
Put your insulin pump into RUN, if necessary.
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Alerts and errors
10.1.4 Alert A4: ALARM CLOCK
An alert A4: Alarm clock will occur at the time that you have programmed
into the pump.
Press f twice to turn off and confirm the alert.
Put your insulin pump into RUN, if necessary.
NoteIf you have set the alarm occurrence to EVERY DAY, the
same alert occurs again every 24 hours. Turn the alarm clock
function to OFF, if you do not want additional alarms at that
same time.
10.1.5 Alert A5: PUMP TIMER
To ensure that insulin delivery is optimized, your pump features a pump
timer.
To inspect the pre-set lifetime of your Accu-Chek Spirit pump before you
start using it, please refer to the “Accu-Chek Spirit Pump Protocol”
included in the starter kit. During use, the remaining lifetime in days
until the expiration date of your insulin pump can be reviewed in the
INFORMATION menu (see “Review the time remaining”).
To ensure you are aware of this timing feature, the alert A5: PUMP TIMER
will remind you 60 days prior to the end of operation to check your
pump’s programmed remaining operation time.
When the PUMP TIMER has reached zero, the
pump will change into STOP and will no longer
operate.
An E5: END OF OPERATION will appear on the
display.
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Alerts and errors
Press f twice to turn off and confirm the alert.
Put your insulin pump into RUN.
Check the INFORMATION screen on your pump
for the PUMP TIMER display. The amount shown
is the remaining number of programmed days
in your insulin pump.
After the alert A5: PUMP TIMER occurs, the
Accu-Chek Spirit insulin pump will display the
symbol to remind you to check the timer.
Contact your local HelpDesk to discuss your
options for further use of the Accu-Chek Spirit
insulin pump.
NoteThe alert A5: PUMP TIMER and the error E5: END OF
OPERATION are based on running time (period with pump in
RUN) and not calendar years. Your actual warranty is based
upon the date the pump was first purchased.
10.1.6 Alert A6: TBR CANCELLED (Temporary Basal Rate cancelled)
An alert A6: TBR CANCELLED occurs when a temporary increase or
decrease of the basal rate has been cancelled. The original basal rate
(100%) will resume automatically.
Press f twice to turn off and confirm the alert.
Put your insulin pump into RUN, if necessary.
Ensure that the cancellation was intended and, if
necessary, program a new temporary basal rate.
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Alerts and errors
10.1.7 Alert A7: TBR OVER (Temporary Basal Rate over)
An alert A7: TBR OVER occurs when a temporary basal rate has ended.
Once the alert has been confirmed, the original basal rate (100%) will
resume automatically.
Press f twice to turn off and confirm the alert.
Decide whether a further temporary basal rate
change is appropriate and program, if necessary.
NoteIf desired, the alert A7: TBR OVER can be turned off using
Accu-Chek Insulin Pump Configuration Software. If turned
off, the alert does not occur when a temporary basal rate
ends.
10.1.8 Alert A8: BOLUS CANCELLED
If a bolus is cancelled during the start delay or after delivery has begun, an
alert A8: BOLUS CANCELLED occurs.
Press f twice to turn off and confirm the alert.
Put your insulin pump into RUN, if necessary.
Ensure that the cancellation was intended and,
if necessary, program a new bolus.
NoteThe actual bolus amount delivered prior to the cancellation
can be reviewed in the bolus history.
See the section 7.8.1 “Review the bolus history” for further
information.
151
Alerts and errors
10.2 Errors
Warning
After the occurrence of an error, your insulin pump
will be in STOP and the insulin delivery is interrupted.
In order to maintain insulin delivery, you must act
immediately according to the instructions given for each
error code.
10.2.1 Error E1: CARTRIDGE EMPTY
If the cartridge is empty, an error E1: CARTRIDGE EMPTY occurs. Change
the cartridge immediately.
Press f twice to turn off and confirm the error.
Disconnect or remove the infusion set from your
infusion site.
Change the cartridge and prime the new
infusion set.
Reconnect the infusion set (tubing) at your
infusion site or insert the new infusion set.
When finished, put your insulin pump into RUN.
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Alerts and errors
10.2.2 Error E2: BATTERY DEPLETED
Warning
After inserting a new battery, always ensure that the
time and date of your insulin pump are set correctly.
Incorrect programming of the time and date may cause
incorrect insulin delivery. If you or your healthcare team
store and analyse your therapy data electronically and
the time and date of the devices used are not set
identically, the gathered data might not be meaningful.
If the battery is depleted, an error E2: BATTERY DEPLETED occurs.
Replace it immediately.
Press f twice to turn off and confirm the error.
Replace the battery.
When finished, put your insulin pump into RUN.
NoteYour insulin pump stores the settings you made and saved
before the battery was depleted. If your insulin pump
remains without power for more than one hour, check the
time and date.
10.2.3 Error E3: AUTOMATIC OFF
This safety function interrupts insulin delivery if no keys are pressed
within a certain period of time.
Refer to section 7.7.4 “Automatic off” for more information.
Press f twice to turn off and confirm the error.
Put your insulin pump into RUN.
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Alerts and errors
10.2.4 Error E4: OCCLUSION
Warning
If an error E4: OCCLUSION occurs, immediately check
your blood glucose level, because insulin delivery has
been interrupted. If your blood glucose level is high,
take appropriate actions according to your doctor’s or
healthcare team’s instructions.
An error E4: OCCLUSION occurs if insulin (a maximum of 3.5 units of
insulin when using plastic cartridges or a maximum of 6 units of insulin
when using Aventis Insuman Infusat glass cartridges*) is failed to be
delivered. This may be caused by:
– a blocked infusion set or
– a reused cartridge or
– a dirty or damaged piston rod.
This error is dependent upon several factors including your current
hourly basal rate and boluses. For example, a blocked infusion set –
with a basal rate of 2.0 U/h (no additional boluses) would have an error
E4: OCCLUSION in approximately three hours or less using Accu-Chek
3.15 ml plastic cartridges, depending on the type and severity of the
blockage.
* Insuman® Infusat produced by Aventis Pharma Deutschland GmbH, a member and a brand
of the sanofi-aventis group.
154
Alerts and errors
With a disconnectable infusion set do the following:
Press f twice to turn off and confirm the error.
Disconnect the infusion set tubing from the
infu-sion site. Activate the PRIMING function.
If no error E4: OCCLUSION occurs, the occlusion is within the infusion
set cannula. Change the infusion set cannula and reconnect the infusion
set tubing. Put you insulin pump into RUN.
If however still an error E4: OCCLUSION occurs, remove the infusion set
tubing from the insulin pump. Activate the PRIMING function without an
attached infusion set. Hold your insulin pump with the adapter pointing
downwards to avoid that insulin flows through the adapter into the
cartridge compartment.
If no error E4: OCCLUSION occurs, the occlusion was within the infusion
set tubing. Change the infusion set tubing. Prime the new infusion set
tubing and connect it to your infusion site. Put you insulin pump into
RUN.
If however still an error E4: OCCLUSION occurs, the cartridge can be the
cause of the occlusion. Remove the cartridge and activate the PRIMING
function (without cartridge and without attached adapter and infusion set).
If no error E4: OCCLUSION occurs, the occlusion was within the
cartridge. Activate the CHANGE THE CARTRIDGE function. Insert a new
filled cartridge with attached adapter and a new infusion set tubing into
the insulin pump. Prime the new infusion set tubing and connect it to your
infusion site. Put you insulin pump into RUN.
If all these corrective actions do not help and the error E4: OCCLUSION
continues to occur, contact your doctor or healthcare team for an
alternate therapy plan. Contact your local Customer Care Area for further
assistance.
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Alerts and errors
With a non-disconnectable infusion set do the following:
Press f twice to turn off and confirm the error.
Remove your infusion set from the infusion site
and afterwards from your insulin pump. Activate
the PRIMING function without an attached
infusion set. Hold your insulin pump with the
adapter pointing downwards to avoid that insulin
flows through the adapter into the cartridge
compartment.
If no error E4: OCCLUSION occurs, the occlusion was within the infusion
set. Change the infusion set. Prime the new infusion set and insert it in a
new infusion site. Put you insulin pump into RUN.
If however still an error E4: OCCLUSION occurs, the cartridge can be the
cause of the occlusion. Remove the cartridge and activate the PRIMING
function (without cartridge and without attached adapter and infusion set).
If no error E4: OCCLUSION occurs, the occlusion was within the
cartridge. Activate the CHANGE THE CARTRIDGE function. Insert a new
filled cartridge with attached adapter and a new infusion set into the
insulin pump. Prime the new infusion set and insert it into a new infusion
site. Put you insulin pump into RUN.
If all these corrective actions do not help and the error E4: OCCLUSION
continues to occur, contact your doctor or healthcare team for an
alternate therapy plan. Contact your local Customer Care Area for further
assistance.
156
Alerts and errors
10.2.5 Error E5: END OF OPERATION
The error E5: END OF OPERATION indicates that your pump timer has
reached zero. The pump will no longer operate. Before this error occurs
an alert A5: PUMP TIMER will occur to ensure that you are able to replace
your pump within sufficient time.
When the PUMP TIMER has reached zero, it will
change into STOP and will no longer operate. An
E5: END OF OPERATION will appear on the
display.
Press f twice to turn off and confirm the error.
To ensure that insulin delivery is optimized, your
pump features a pump timer.
To inspect the pre-set lifetime of your Accu-Chek
Spirit pump before you start using it, please refer
to the “Accu-Chek Spirit Pump Protocol”
included in the starter kit. During use, the
remaining lifetime in days until the expiration
date of your insulin pump can be reviewed
in the INFORMATION menu (see “Review the
time remaining”).
Contact your local HelpDesk to discuss your
options for further use of the Accu-Chek Spirit
insulin pump.
NoteThe alert A5: PUMP TIMER and the error E5: END OF
OPERATION are based on running time (period with pump in
RUN) and not calendar years. Your actual warranty is based
upon the date the pump was first purchased.
157
Alerts and errors
10.2.6 Error E6: MECHANICAL ERROR
With every insulin delivery (at least every 3 minutes) and each time you
put your insulin pump into RUN, the safety system of your insulin pump
reviews all mechanical parameters. If a mechanical error is discovered
during this process, the insulin delivery is stopped and an error E6:
MECHANICAL ERROR occurs.
Press f twice to turn off and confirm the error.
Press f to get to the Quick Info Screen. Note
down the remaining cartridge content.
Remove or disconnect the infusion set from your
infusion site.
Remove the cartridge, adapter, infusion set
(tubing) and battery from your insulin pump.
Insert a new battery. Rewind the piston rod.
Start the CHANGE THE CARTRIDGE function.
When the cartridge volume is displayed, press or
scroll a or s to move the plunger rod
forward until it reaches the remaining cartridge
content, which was noted down.
Set up your insulin pump with the cartridge and
a new infusion set. Prime the infusion set.
Reconnect the infusion set (tubing) at your
infusion site.
When finished put your insulin pump into RUN.
Should the error E6: MECHANICAL ERROR occur again in spite of these
actions, contact your doctor or healthcare team for an alternate therapy
plan. Contact your local Customer Care Area for further assistance.
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Alerts and errors
10.2.7 Error E7: ELECTRONIC ERROR
The safety system of your insulin pump continuously monitors the
functioning of your insulin pump. If an electronic error is discovered, the
insulin delivery is stopped and an error E7: ELECTRONIC ERROR occurs.
You cannot turn off and confirm an error E7: ELECTRONIC ERROR by
pressing f, remove the battery instead.
Remove or disconnect the infusion set from your
infusion site.
Insert a new battery into the pump.
Prime the infusion set.
Reconnect the infusion set (tubing) at your
infusion site or insert the new infusion set.
When finished, put your insulin pump into RUN.
If an error E7: ELECTRONIC ERROR occurs during programming
(i.e. basal rate, time and date) check your settings.
If the error E7: ELECTRONIC ERROR occurs again, contact your local
Customer Care Area for assistance. Contact your doctor or healthcare
team for an alternate therapy plan, if necessary.
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Alerts and errors
10.2.8 Error E8: POWER INTERRUPT
A power interrupt may occur when you change the battery without
putting your insulin pump into STOP first, or when your insulin pump
was dropped.
Press f twice to turn off and confirm the error.
Your insulin pump goes into STOP.
Check the time and date and correct,
if necessary.
If a bolus and/or a temporary basal rate was interrupted by the error,
review the bolus and/or the temporary basal rate history for the delivered
amount and duration.
When finished, put your insulin pump into RUN,
if necessary.
If necessary, program a new bolus and/or
temporary basal rate.
If an error E8: POWER INTERRUPT occurs during programming, check
your settings.
160
Alerts and errors
10.2.9 Error E10: CARTRIDGE ERROR
If the CHANGE THE CARTRIDGE function was not correctly carried out, an
error E10: CARTRIDGE ERROR will occur.
Press f twice to turn off and confirm the error.
Remove or disconnect the infusion set from your
infusion site.
Remove the cartridge. Start the CHANGE THE
CARTRIDGE menu. Reinsert the cartridge.
Prime the infusion set.
Reconnect the infusion set (tubing) at your
infusion site or insert the new infusion set.
When finished, put your insulin pump into RUN.
If an error E10: CARTRIDGE ERROR occurs
during the winding of the piston rod, insert a
new battery into the pump and repeat the steps
above.
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Alerts and errors
10.2.10 Error E11: SET NOT PRIMED
Warning
Never prime an infusion set that is connected to your
body. You risk uncontrolled insulin delivery into your
body. With disconnectable infusion sets, make sure you
have disconnected the tubing from your site prior to
priming. Always follow the instructions provided with
your infusion set.
If you changed the cartridge and infusion set but did not prime the
infusion set, an error E11: SET NOT PRIMED occurs when you try to put
your insulin pump into RUN.
Press f twice to turn off and confirm the error.
Remove or disconnect the infusion set from your
infusion site.
Prime the infusion set.
Reconnect the infusion set (tubing) at your
infusion site or insert the new infusion set.
When finished, put your insulin pump into RUN.
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Alerts and errors
10.2.11 Error E12: DATA INTERRUPTED
Caution
If data transfer between your PC and your insulin pump
is disrupted in any way, the configuration may be
incomplete and an error E12: DATA INTERRUPTED
occurs. The data transfer must be completed successfully before you can put your insulin pump into RUN.
When data transfer between your insulin pump and a PC is interrupted an
error E12: DATA INTERRUPTED occurs. Restart communication between
your insulin pump and the PC and make sure that the data transfer is
completed correctly. Before you can put your insulin pump into RUN,
the data transfer must be successfully concluded.
Refer to the Accu-Chek Insulin Pump Configuration Software user manual
for further instructions on using the data transfer feature.
Press f twice to turn off and confirm the error.
Restart the data transfer.
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Alerts and errors
10.2.12 Error E13: LANGUAGE ERROR
When an error E13: LANGUAGE ERROR occurs check the language and
reset if necessary.
Press f twice to turn off and confirm the error.
Refer to the ADVANCED SETUP MENU for
instructions on how to change the language.
When finished, put your insulin pump into RUN,
if necessary.
164
Troubleshooting
11 Troubleshooting
This section describes some potential problems that may occur while
using your Accu-Chek Spirit insulin pump.
See sections 10 “Alerts and errors”, 12 “Life with your Accu-Chek Spirit
insulin pump” and 14 “Care of your Accu-Chek Spirit insulin pump” for
further information.
NoteThe possible solutions given 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 with your insulin pump therapy.
Be aware that the interruption of insulin delivery (e.g. due to
a leak, occlusion or loss of insulin potency) or the malfunction of your insulin pump can result in a rapid rise of your
blood glucose level. Although your insulin pump has an
internal security check system, it cannot alert you if your
infusion set is leaking or if the insulin you are using has lost
its potency.
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Troubleshooting
Problems with your Accu-Chek Spirit
Problem
Recommended Actions
Individual characters, numbers or
symbols on the display are shown
incompletely or not at all.
Contact your local Customer Care Area.
Your insulin pump does not beep or
vibrate.
Check that the beep volume and the
alarm signals are turned on. Check and
change the battery. If your insulin pump
still does not beep or vibrate, contact
your local Customer Care Area.
Self-test incomplete (after an error
E7: ELECTRONIC ERROR).
Remove the battery, insert it again after
a few seconds. If the self-test remains
incomplete, contact your local Customer
Care Area.
Incorrect insulin delivery due to
incorrect time setting.
The correct hourly basal rate cannot be
delivered if the time is not set correctly.
Check and reset the time as necessary.
Do the same check when changing the
battery.
Incorrect insulin delivery due to
incorrect basal rate programming.
Always review any changes made in
basal rate programming. Confirm that
you are using your correct basal rate
profile.
Incorrect insulin delivery due to
incorrect insulin concentration
used.
Your insulin pump has been developed
exclusively for the continuous
subcutaneous delivery of U100 shortacting insulin or U100 fast-acting insulin
analogue. Do not use your insulin pump
for the delivery of medications other
than U100 short-acting insulin or U100
fast-acting insulin analogue.
166
Troubleshooting
Problem
Recommended Actions
Air bubbles in the cartridge and/or
infusion set
In the cartridge: Disconnect and re-prime
your infusion set. Should the air bubbles
remain, replace the cartridge.
In your infusion set: Disconnect and
prime your infusion set. Make sure all
connections are tight and secure.
Blood in infusion set tubing
Change your infusion set and infusion
site.
Empty cartridge
Replace the cartridge. Cartridges are
for single use only.
Disconnected or dislodged
infusion set
Test the connections for their security.
Inspect connections for leaking insulin.
Check your blood glucose level. Change
your infusion set and infusion site.
Leak in system
Check for leaking insulin at all
connections and on the skin. Change your
infusion set, infusion site, cartridge and
adapter. Check your blood glucose level.
Occlusion in system
Disconnect and re-prime your infusion
set. If the occlusion remains, carry out
the PRIME THE INFUSION SET function
without the cartridge inserted.
See the section “Error E4: OCCLUSION”.
Failure to complete prime
Disconnect and 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.
Poor absorption of insulin
Choose infusion sites without scar tissue,
bruises, or tissue build-up.
Do not use an infusion set or infusion site
longer than recommended by your doctor
or healthcare team.
167
Troubleshooting
Problem
Recommended Actions
Infusion site becomes sore, red or
swollen
Change your infusion set and infusion
site immediately.
Use proper insertion technique and
always follow the planned infusion site
rotation pattern and advice given by
your doctor or healthcare team.
Therapy-related issues
Many additional factors, such as alcohol consumption, medications other
than insulin, ineffective or expired insulin, decreased activity, illness and
stress can also potentially affect blood glucose levels. Contact your doctor
or healthcare team for recommendations on how to manage these, or any
other therapy related issues.
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Life with your Accu-Chek Spirit insulin pump
12 Life with your Accu-Chek Spirit insulin pump
12.1 Recommendations for daily use
Caution
Training and use of your insulin pump require the
support of an experienced doctor or healthcare team.
Regular visits with your doctor or healthcare team are
absolutely essential during insulin pump therapy.
Only change your personal settings after consulting
your doctor or healthcare team. Always follow the
instructions given by your doctor or healthcare team.
Successful insulin pump therapy requires frequent self-monitoring of
blood glucose levels. It is recommended to check your blood glucose at
least four times a day, or as directed by your doctor or healthcare team.
12.1.1 Short interruption of insulin pump therapy
Consult your doctor or healthcare team about when and for how long
insulin pump therapy can be interrupted.
1. Put your insulin pump into STOP.
2. Remove or disconnect your infusion set from your infusion site.
When using a disconnectable infusion set, disconnect at your
infusion site and use the protective covers provided for the
infusion set.
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.
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Life with your Accu-Chek Spirit insulin pump
12.1.2 Continuation of insulin pump therapy
1. Attach a new Accu-Chek infusion set and prime it prior to
insertion. When using a disconnectable infusion set, reconnect
the tubing.
2. Follow the instructions for the infusion set you are using, and
put your insulin pump into RUN.
Measure your blood glucose level within 2 hours in order to check the
functionality of the system and to ensure insulin delivery.
12.1.3 Interruption of insulin pump therapy for a longer period of time
Before using a different Accu-Chek Spirit insulin pump, always check your
personal settings in order to avoid incorrect insulin delivery. Make sure
that the time and date are set correctly.
Caution
Contact your doctor or healthcare team for an alternate
therapy plan when you interrupt the insulin pump
therapy for a longer period of time.
There may be times when you may interrupt your insulin pump therapy for
more than 1 day.
To interrupt the use of your insulin pump
1. Put your insulin pump into STOP.
2. Remove the cartridge, adapter and infusion set.
3. Reinsert the adapter.
4. Remove the battery and reinsert the battery cover.
5. Store your insulin pump properly. (See the section 14.3 “Storing
your Accu-Chek Spirit insulin pump” for further information.)
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Life with your Accu-Chek Spirit insulin pump
12.2 Weather conditions
Wear your insulin pump under your clothes or directly on your body in
cold and rainy weather. In case of doubt regarding these conditions, check
the operating conditions of your insulin pump and contact your local
Customer Care Area.
Caution
Do not place your insulin pump in direct sunlight.
Overheating of the insulin and your insulin pump must
be avoided. Protect your insulin pump from direct
exposure to cold wind. Temperatures over 40°C (104°F)
and below 5°C (41°F) may damage the insulin and the
electronics of your insulin pump and may cause a
malfunction of the battery.
See the instructions for use of the insulin you are using
for information on the admissible temperature range for
the insulin.
See the section 15.1 “General technical data” for further information of
operating conditions.
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Life with your Accu-Chek Spirit insulin pump
12.3 Your insulin pump and water
Caution
Avoid deliberate contact with water. Check daily that
your insulin pump is not chipped, cracked or damaged
in any way and that the battery cover and the adapter
are correctly closed. In the presence of chips and
cracks, water, dust, insulin, or other foreign substances
may enter your insulin pump and lead to malfunction.
In case of deliberate contact with water disconnect and
take off your insulin pump.
12.3.1 Daily situations
Your insulin pump is protected against unintentional water contact such
as splashes or rain. For deliberate contact with water like bathing (e.g.
tubs, jacuzzis or whirlpools), taking showers, swimming or any other
water activities disconnect and take off your insulin pump. Avoid
deliberate exposure with high humidity (e.g. saunas, etc.) as this may
also harm your insulin pump. For your convenience we recommend to
use disconnectable Accu-Chek infusion sets.
Consult your doctor or healthcare team for the length of time insulin
pump therapy can safely be interrupted.
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Life with your Accu-Chek Spirit insulin pump
12.3.2 Accidental contact with water
You and your insulin pump do not have to worry about accidental
temporary water contact. Examples of accidental temporary water contact
include:
• rain, snow;
• water splashes while biking, jogging, hiking and similar activities;
• accidental immersions into the sink or bath tub.
Caution
You must inspect your insulin pump immediately after
an accidental immersion in water.
12.3.3 What to do after water contact
Put your insulin pump into STOP. Disconnect your insulin pump prior to
inspection. Use a soft cloth to dry the outside casing of your insulin
pump. Check the battery compartment and the cartridge compartment for
any water ingress. Should the battery compartment or cartridge compartment get wet, turn your insulin pump upside down to let the water run out
and let it dry. Do not use warm air (e.g. a hair dryer) to dry as this could
damage the internal electronics of your insulin pump. Do not insert the
battery or the cartridge before these compartments are completely dry.
See the section 14.2.1 “Cleaning your Accu-Chek Spirit insulin pump” for
further information.
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Life with your Accu-Chek Spirit insulin pump
12.3.4 Other liquids
You and your insulin pump do not have to worry about:
• sweat
• saliva
You must check your insulin pump immediately after an accidental contact
with other liquids such as:
• cleaning solutions
• alcohol
• beverages
See the section 14.2.1 “Cleaning your Accu-Chek Spirit insulin pump” for
further information.
Caution
Avoid any contact of your insulin pump, the infusion
set and the connecting parts of your insulin pump with
health and beauty items (e.g. antiseptics, antibiotic
creams, soaps, perfumes, deodorants, body lotions or
any other cosmetics).
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On the go with your Accu-Chek Spirit insulin pump
13 On the go with your Accu-Chek Spirit
insulin pump
13.1 Electromagnetic fields and hazardous areas
Avoid electromagnetic fields of radar or antenna installations, high-voltage
sources, X-Ray sources, MRI, CAT scan or other sources of electrical current. Do not use your insulin pump in such areas. Electromagnetic fields
may cause malfunction to your insulin pump. Always stop and remove
your insulin pump prior to entering these areas. In other cases, the insulin
delivery may be stopped immediately and an error E7: ELECTRONIC
ERROR occurs.
For further information regarding electromagnetic immunity, please refer
to the section 15 “Technical data”.
Warning
Your insulin pump has not been tested with other
electronic medical devices. Therefore do not use the
Accu-Chek Spirit insulin pump with another electronic
medical device unless advised by your doctor or
healthcare team.
Your insulin pump has been tested and found to comply with the
regulations concerning unintentional electromagnetic interference.
Security systems for transit checks in airports as well as anti-theft
monitoring devices (e.g. department stores, etc.) should not affect the
functionality of your insulin pump.
Because of the high variety of devices with electromagnetic radiation such
as cellular phones, their influence on your insulin pump and vice versa
cannot be ruled out completely. It is advisable to keep your insulin pump
at a distance of at least 10 cm (4 inches) from such devices while the
other device is being operated.
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On the go with your Accu-Chek Spirit insulin pump
Do not use your insulin pump in hyperbaric chambers and in hazardous
areas of any classification (such as areas where explosive or flammable
gases or vapours could exists) as this might interfere with insulin delivery
and/or lead to harmful situations.
Your insulin pump is designed to work in normal barometric conditions
from 70 to 106 kPa (700 to 1060 mbar). Do not exeed 3000 meters
(10000 feet) above sea level.
Your pump has not been tested for use in hazardous areas of any
classification. Always stop and remove your insulin pump prior to
entering these areas.
If you have additional questions, contact your local Customer Care Area.
13.2 Sports
Exercise is an important aspect in the management of diabetes. Of course,
you can perform sporting activities with the Accu-Chek Spirit insulin
pump. However, prior to starting these types of activities be sure to
protect your insulin pump. Do not wear your insulin pump during sports
with body contact (e.g. boxing, football, hockey or rugby) as this type of
activity could damage your insulin pump.
Consult our sterile products brochures and accessories catalogue for
additional information regarding carrying systems or contact your local
Customer Care Area for further information.
13.3 Travelling
Ask your doctor or healthcare team about any special precautions needed
prior to travelling. Make sure you take extra insulin pump and bloodglucose testing supplies. It is highly recommend to make sure you know
where you can obtain additional supplies while travelling.
When travelling across time zones make sure that the time and date of
your insulin pump are set correctly. For further information please refer to
the section 7.1 “Set time and date”.
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Care of your Accu-Chek Spirit insulin pump
14 Care of your Accu-Chek Spirit insulin pump
Caution
Do not perform any servicing or repair on your insulin
pump by yourself. For any questions contact your local
Customer Care Area.
Roche Diagnostics as the manufacturer guarantees the functions of
your insulin pump according to its specifications, on the condition that all
servicing of your insulin pump is done and/or authorized by Roche
Diagnostics.
14.1 System check
Only a well maintained system guarantees an accurate insulin delivery.
Check the display of your insulin pump at least every three hours
during the day, before you go to sleep, and especially if for any reason
you might be unable to hear the beeps or to feel the vibrations. Use
only sterile products and accessories designed for use with your insulin
pump. Replace and discard these items according to your doctor’s or
healthcare team’s recommendations and according to the specifications in
the corresponding instructions for use.
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Care of your Accu-Chek Spirit insulin pump
Check your insulin pump daily. Make sure that:
• The pump casing, the display and the cartridge are free of chips
or cracks and the display is free of incomplete or abnormal letters
or symbols.
• You visually inspect the cartridge. Make sure that the actual
amount of insulin in the cartridge equals the displayed cartridge
amount. This may be checked on the quick info screen.
•Y
ou inspect all parts of your infusion set at least every three
hours during the day and before you go to sleep. Should you
detect any loss of insulin immediately replace the leaking
component.
• The battery cover is correctly tightened (even with the pump
casing).
• The adapter is inserted properly and correctly tightened.
• Your infusion set is primed, free of air bubbles and tight in the
adapter.
• Your infusion set is inserted according to the corresponding
instructions for use.
• Your infusion site is secure, comfortable and free of irritation or
infection.
• The cartridge is free of air bubbles.
• Your insulin pump is in RUN.
• The basal rates are set correctly according to your doctor’s or
healthcare team’s recommendations.
• The time and date are correctly set.
• The temporary basal rate changes are set according to your
doctor’s or healthcare team’s recommendations.
• The beeps and/or vibrations are set as desired.
• You have your personal emergency kit with you.
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Care of your Accu-Chek Spirit insulin pump
14.2 Maintenance and cleaning
14.2.1 Cleaning your Accu-Chek Spirit insulin pump
The ideal time to clean your insulin pump is during the change of a
cartridge. Only use a soft, dry cloth for cleaning. If the insulin pump
compartments are excessively dirty, consult your local Customer Care
Area for further instructions.
Caution
Always remove the cartridge and adapter and place your
insulin pump in STOP while cleaning. Avoid pressing
the keys of your insulin pump during cleaning, as this
may accidentally change your settings. Do not use
alcohol, solvents, strong detergents, bleaching agents,
scouring pads or sharp instruments for cleaning as they
may damage your insulin pump.
14.2.2 Battery information
Caution
To prevent water from entering the pump casing, change
the battery only in a dry environment and make sure
that the seal of the battery cover is not worn out or
missing and that the battery is properly inserted.
Always have an extra battery available and pay attention to the following:
• Use only 1.5 volt AA Alkaline batteries with a minimum capacity of
2500 mAh supplied and/or recommended by Roche Diagnostics
or NiMH rechargeable batteries with a minimum capacity of
1500 mAh.
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Care of your Accu-Chek Spirit insulin pump
• There are many types of AA batteries that are not designed to
provide adequate power for your insulin pump. To ensure that
the battery lasts as long as possible, be sure to use alkaline or
NiMH (rechargeable) batteries in your Accu-Chek Spirit insulin
pump. Alkaline batteries supplied by Roche Diagnostics are the
correct batteries for providing a maximum battery life.
• To operate your insulin pump, the operating temperature of the
battery must be +5°C to +40°C (+41°F to +104°F).
• T ighten or loosen the battery cover with the Accu-Chek Spirit
battery key (use of knives, screwdrivers or other sharp objects
may harm your insulin pump). Do not over-tighten as this may
cause damage to the battery cover and to the pump casing. The
battery cover is correctly inserted and tightened when the battery
cover is even with the pump casing.
The battery life is approximately four weeks for alkaline batteries and
one week for rechargeable batteries if used in a typical usage pattern
(50 U/day using U100 insulin; operating temperature 22°C ±3°C
[72°F ±6°F]).
14.3 Storing your Accu-Chek Spirit insulin pump
Caution
When your insulin pump will not be in use for a long
period of time, it should be properly stored, to prevent a
malfunction.
To store your insulin pump:
• Remove the battery to preserve the battery lifetime
• Remove the cartridge
• Insert the battery cover and the adapter
• Store your insulin pump in its shipping case
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Care of your Accu-Chek Spirit insulin pump
Storage conditions
Temperature
+5 to +45°C (+41 to +113°F)
Air humidity
5 to 85% relative air humidity
Barometric pressure
70 to 106 kPa (700 to 1060 mbar)
14.4 When your insulin pump is dropped
Dropping may harm your insulin pump and damage the seal against
water. Make sure that your insulin pump is not dropped. Use the proper
Accu-Chek Spirit carrying systems for the various daily situations to
prevent dropping.
If your insulin pump is dropped:
• Check that all connections regarding your infusion set are still
tight and reconnect, if necessary
• Check your insulin pump, its sterile products and accessories for
chips and cracks
AND
• Change the cartridge, if necessary.
Caution
Check your insulin pump and its sterile products and
accessories for chips and cracks at least once per day,
especially if they have been dropped. Do not use them if
chipped or cracked. In the presence of chips and cracks,
water, dust, insulin, or other foreign substances may
enter your insulin pump and lead to malfunction.
In case of doubt, contact your local Customer Care Area.
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Care of your Accu-Chek Spirit insulin pump
14.5 Repair
Caution
Do not perform any servicing or repair on your insulin
pump by yourself. Do not use any lubricant on the pump
mechanism. For additional questions contact your local
Customer Care Area.
When experiencing problems with your insulin pump, contact your
local Customer Care Area. The local Customer Care Area can
address your concerns via the telephone or internet. Your insulin
pump may need to be returned to Roche Diagnostics when
approved by the local Customer Care Area. Return of your insulin
pump would occur if an alert or error could not be cleared by
following the procedures described in the section 10 “Alerts and
errors”.
Pack your insulin pump with the used cartridge, battery, battery cover,
adapter and infusion set safely to avoid damage during transportation.
Place your insulin pump back in the shipping case and put the case in a
package that will not rip or tear. It is best to send your insulin pump with
a carrier that tracks the shipment.
Remember to include a note with
• a description of the reason for returning your insulin pump
• your name and address
• your daytime phone
• the serial number of your insulin pump
AND
• any RMA (Return Material Authorization) number received from
the local Customer Care Area.
By returning your insulin pump to Roche Diagnostics, you allow Roche
Diagnostics to undertake any testing (including destructive testing) on
your insulin pump necessary for a proper inspection.
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Care of your Accu-Chek Spirit insulin pump
14.6 Disposal
Accu-Chek Spirit insulin pump
If necessary, return your insulin pump to your local Customer Care Area
for professional disposal.
Battery
Dispose of depleted batteries at your nearest battery disposal center.
Cartridge, infusion set, adapter and additional accessories
Dispose of these items in your normal garbage. To prevent injury to
others, replace the needle protective cap or insert the needle of the
infusion set into a disposable object, or put it into a hard shell container.
183
184
Technical data
15 Technical data
15.1 General technical data
Maximum dimensions
(without adapter)
Approx. 81 × 55 × 20 mm
(3.2 × 2.2 × 0.8 inches)
Weight
• an empty insulin pump:
approx. 80 g (2.8 ounces)
• insulin pump inclusive battery, full
plastic cartridge and infusion set:
approx. 110 g (4.0 ounces)
Pump casing
Shock- and scratch-resistant plastic,
resistant to pharmaceuticals, all edges
rounded
Temperature ranges*
During operation
Storage in its
shipping case
Air humidity
Barometric pressure
During operation
Storage in its
shipping case
+5 to +40°C
(+41 to +104°F)
+5 to +45°C
(+41 to +113°F)
20 to 90% rel.
5 to 85% rel.
During operation
70 to 106 kPa
or storage in its
(700 to 1060 mbar)
shipping case(do not exeed
3000 meters
[10000 feet]
above sea level)
* See the instructions for use of the insulin you are using for information on the acceptable
temperature range for storage and handling.
185
Technical data
Power supply
One 1.5 volt AA Alkaline battery or
one rechargeable NiMH AA battery.
Alkaline batteries should have a
minimum capacity of 2500 mAh and
NiMH AA rechargeable batteries a minimum capacity of 1500 mAh. Use only a
battery charger officially recommended
by the battery manufacturer.
Lifetime of battery
If used in a typical usage pattern
(50 U/day using U100 insulin;
operating temperature 22°C ±3°C
[72°F ±6°F]) the battery life is approximately four weeks for alkaline batteries
and one week for rechargeable batteries.
Data storage time
The time and date is safely stored in
the memory for about 1 hour after the
battery has been removed. Your insulin
pump’s settings (the hourly basal rates,
remaining cartridge content, bolus
increments and active user menu) and
the event memory (bolus history, history
of daily insulin totals, temporary basal
rate history, alarm history) are saved,
regardless of battery voltage and time
your insulin pump has been without a
battery.
Delivery
At an average 1/20 of the current
hourly basal rate 20 times per hour.
Test interval: every 3 minutes
Basal rate
Min. 0.1 U/h, max. 25 U/h. There
are 24 hourly basal rates adjustable
in 0.1 unit increments.
186
Technical data
Bolus
The max. bolus amount per delivery is
25 insulin units. The bolus amount for
the “Quick” Standard bolus is adjustable
in increments of 0.1, 0.2, 0.5, 1.0 and
2.0 units. For the “Scroll” Standard
bolus, the Extended bolus and the
MultiWave bolus, the amount is
adjustable in fixed increments of 0.1
units. The duration of the Extended
bolus and the MultiWave bolus is
adjustable in intervals of 15 minutes
(15 minutes up to 12 hours).
Temporary basal rate
Adjustable in 10% increments, 0 – 90%
for decreases, 110 – 200% for increases.
The duration is adjustable in 15 minute
intervals, up to a maximum of 24 hours.
The last programmed duration is given
by default for the next temporary basal
rate change programmed.
Maximum time for an error
E4: OCCLUSION**
Plastic cartridges:
– at med. basal rate 1.0 U/h:
– at min. basal rate 0.1 U/h:
The typical time for an error
was 3.5 hours.
≤5h
≤ 50 h
Aventis Insuman Infusat glass
cartridges*:
– at med. basal rate 1.0 U/h:
≤ 10 h
– at min. basal rate 0.1 U/h: ≤ 100 h
** Insuman® Infusat produced by Aventis Pharma Deutschland GmbH, a member and a brand
of the sanofi-aventis group.
** Determined using measurement methods according to IEC 60601-2-24-1998.
187
Technical data
Maximum volume before error
E4: OCCLUSION**
Plastic cartridges:
≤ 3.5 U
The typical volume for an error
was 2.3 U.
Aventis Insuman Infusat
glass cartridges*:
≤ 6.0 U
Maximum pressure
400 kPa (4.0 bar),
for plastic and Aventis Insuman Infusat
glass cartridges*.
Flow (delivery rate)
During infusion set priming and bolus
0.2 U/sec.
Maximum quantity delivered at
a single fault condition
≤ 1.0 U
Cartridge
Accu-Chek 3.15 ml plastic cartridges
with a luer connection and by Roche
Diagnostics approved third party
products. Aventis Insuman Infusat
cartridges* have been evaluated and
approved for use with the Accu-Chek
Spirit insulin pump.
Infusion sets
Accu-Chek infusion sets with a luer-lock
connector.
Accu-Chek Infusion sets are PCV and
latex free.
Data transfer
Infrared interface
** Insuman® Infusat produced by Aventis Pharma Deutschland GmbH, a member and a brand
of the sanofi-aventis group.
** Determined using measurement methods according to IEC 60601-2-24-1998.
188
Technical data
Safety system
Alert system, beeps, information on
the display, vibrations, dual
microprocessors.
Your insulin pump is controlled by two
microprocessors. The safety concept is
based on one processor (supervisor
processor) supervising the other (main
processor). Whenever a defect or fault
occurs in the main processor, it is identified by the supervisor processor. The
motor is immediately switched off and
an error E7: ELECTRONIC ERROR
occurs. Conversely, the main processor
can also determine at any time whether
the supervisor is working correctly. The
motor also constitutes an important
safety component, as the combination
of the main and supervisor processor
and brushless motor provides the best
possible reliability and accuracy in
insulin delivery.
IPX8
Protected against the effects of
temporary immersion in water under
standardized conditions (up to 60
minutes and 2.5 meters [8 feet])
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Technical data
15.2 Technical standards on electromagnetic emissions
The standard concerning electromagnetic compatibility of medical
equipment (IEC 60601-1-2) requires the concrete specification of the corresponding levels which refer to specified electromagnetic interferences.
Guidance and manufacturer’s declaration – electromagnetic emissions
Emissions test
Compliance
RF emissions
Group 1
CISPR 11
Electromagnetic environment - guidance
The Accu-Chek Spirit uses RF energy only for its
internal function. Therefore, its RF emissions are
very low and are not likely to cause any interference in nearby electronic equipment.
RF emissions
Class B
CISPR 11 The Accu-Chek Spirit is suitable for use in all
establishments, including domestic establishments and those directly connected to the public
low-voltage power supply network that supplies
buildings used for domestic purposes.
Harmonic
emissions
IEC 61000-3-2
Not
applicable
–
Voltage
Not
fluctuations/
applicable
flicker emissions
IEC 61000-3-3
–
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Technical data
15.3 Technical standards on electromagnetic immunity
Guidance and manufacturer’s declaration – electromagnetic immunity
The Accu-Chek Spirit is intended for use in the electromagnetic environment
specified below. The customer or the user of the Accu-Chek Spirit should assure
that it is used in such an environment.
Immunity test
IEC 60601 test
Compliance level
level
Electromagnetic
environment –
guidance
Electrostatic
± 6 kV contact
± 8 kV contact
discharge (ESD)
± 8 kV air
± 15 kV air
IEC 61000-4-2
(IEC 60601-2-24)
Avoid any contact
with synthetic
materials. A relative
humidity of 10%
will allow ESD to be
more likely.
Power frequency 3 A/m 400 A/m
400 A/m
(50/60Hz)
magnetic field
(IEC 60601-2-24)
IEC 61000-4-8
Power frequency
magnetic fields
should be at levels
characteristic of a
typical location in a
typical commercial
or hospital
environment.
Guidance and manufacturer’s declaration – electromagnetic immunity
The Accu-Chek Spirit is intended for use in the electromagnetic environment
specified below. The customer or the user of the Accu-Chek Spirit should assure
that it is used in such an environment.
Immunity test
IEC 60601
test level
Compliance
level
Conducted RF
IEC 61000-4-6
3 Vrms
150 kHz to
80 MHz
Not applicable
Electromagnetic environment –
guidance
191
Technical data
Radiated RF
3 V/m
10 V/m
Portable and mobile RF
communications equipment
IEC 61000-4-3 80 MHz to 80 MHz to
should be used no closer to any
2.5 GHz
2.5 GHz
part of the Accu-Chek Spirit,
including cables, than the
(IEC 60601-2-24)recommended separation distance
calculated from the equation
applicable to the frequency of
the transmitter.
Recommended separation
distance:
d = 0.4  
P
80 MHz
to 800 MHz
d = 0.7  
P
800 MHz
to 2.5 GHz
where P is the maximum output
power rating of the transmitter
in watts (W) according to the
transmitter manufacturer and d
is the recommended separation
distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by
an electromagnetic site survey
(a), should be less than the
compliance level in each
frequency range (b).
Interference may occur in the
vicinity of equipment marked
with the following symbol:
192
Technical data
Note 1
At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2These guidelines may not apply in all situations. Electromagnetic
propagation is affected by absorption and reflection from
structures, objects and people.
aField strengths from fixed transmitters, such as base stations for
radio (cellular/cordless) telephones and land mobile radios, amateur
radio, AM an FM radio broadcast and TV broadcast cannot be
predicted theoretically with accuracy. To asses the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site
survey should be considered. If the measured field strength in the
location in which the Accu-Chek Spirit is used exceeds the applicable
RF compliance level above, the Accu-Chek Spirit should be observed
to verify normal operation. If abnormal performance is observed,
additional measures may be necessary, such as reorienting or
relocating the Accu-Chek Spirit.
bOver the frequency range 150 kHz to 80 MHz, field strengths
should be less than 10 V/m.
V1 in V:
Rated maximum
output power
of transmitter W
10.00
150 kHz to 80 MHz
out of ISM
E1 in V/m:
80 MHz to
800 MHz
10.00
800 MHz to
2.5 GHz
(Industrial, Scientific,
Medical Band)
Separation distance according to frequency of transmitter m
0.01
0.04
0.04
0.07
0.1
0.11
0.11
0.22
1
0.35
0.35
0.70
10
1.11
1.11
2.21
100
3.50
3.50
7.00
193
Technical data
Accuracy of flow rate for both Accu-Chek 3.15 ml plastic cartridges
and Aventis glass cartridges***
Trumpet curve plotted from data after the end of the stabilization
period
The trumpet curve shows the accuracy of the delivery rate in relation to
the observation period.
The maximum deviation of the delivered amount (overall mean percentage
flow error) for U100 insulin is ≤ ±5%*.
** 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.
*** Insuman® Infusat produced by Aventis Pharma Deutschland GmbH, a member and a brand
of the sanofi-aventis group.
194
Technical data
Start-up graph over the stabilization period
The start-up graph shows changes in the flow rate over the stabilization
time.
Bolus
For U100 insulin the maximum deviation of a maximum bolus is ≤ ±5%
and the maximum deviation of a minimum bolus is ≤ ±30%**.
** The measurements were made according to IEC 60601-2-24:1998 with a Disetronic Classic
infusion set PC 16/110 at room temperature.
195
Technical data
15.4 Configuration parameters
Your insulin pump is provided by Roche Diagnostics with a standard
configuration (factory settings). A list containing the important factory
settings is added to the original insulin pump package when your insulin
pump is first shipped. You may need to adapt the factory settings to meet
your individual needs. Set the configuration parameters directly on your
insulin pump and/or by using the Accu-Chek Insulin Pump Configuration
Software. Always consult your doctor or healthcare team before changing
parameters.
The Accu-Chek Spirit allows you to customize your user menus. If a menu
does not appear, see the section 6 “Select a user menu (STANDARD,
ADVANCED or CUSTOM)” and the Accu-Chek Insulin Pump Configuration
Software user manual for further information on addressing all menus on
your insulin pump.
The following list provides you with the full range of the adjustable
configuration parameters on your insulin pump. Additionally, included
are examples for typical range and parameter settings.
196
Technical data
Basal rate
– h ourly basal rate + max.
TBR (hourly basal rate
combined with temporary
basal rate, max. increase)
Typical range available
on the pump and
standard parameter
settings*
Maximum parameter range
adjustable with the Accu-Chek
Insulin Pump Configuration
Software
20.0 IU/h
max. amount
0 – 62.50 IU/h
– h ourly basal rates
increment
0.1 IU
– hourly basal rates
10.0 IU/h
max. amount
0 – 25.0 IU/h
– temporary basal rate
TBR increase or decrease
in increments of
TBR duration
TBR duration increments
0 – 200%
0 – 250%
10%
15 min – 24 h
15 min
10%
15 min – 24 h
15 min, 30 min, 1 h
1–5
on or off
presetting: off
1–5
on or off
25.0 IU
max. amount
0 – 25.0 IU
0.1, 0.2, 0.5, 1.0 or 2.0 IU
presetting: 0.5 IU
0.1, 0.2, 0.5, 1.0 or 2.0 IU
15 min – 12 h
15 min – 24 h
15 min
15 min, 30 min, 1 h
0 – 30.0 IU
presetting: 25 IU
max. amount
0 – 30.0 IU
– basal rate profiles available
– basal rate lock
Bolus
–m
ax. bolus amount per bolus
delivery
– b olus amount increments
for “Quick” Standard bolus
– b olus duration (Extended
bolus, MultiWave bolus)
in increments of
Prime volume
* Note: these factory settings may vary in some countries and depend on the changes you,
your doctor or healthcare team made using your insulin pump or pump programming
software for healthcare professionals.
197
Technical data
Typical range available
on the pump and
standard parameter
settings*
Display orientation
standard or inverted
presetting: standard
Display contrast
7 steps
presetting: medium
User menus
3 (STANDARD, ADVANCED or CUSTOM)
presetting: ADVANCED
Volume (for beeps)
off, 1 – 4 steps
presetting: medium
Alarm signals turned on
beeps, vibrations or both
presetting: beeps and vibration
Battery type
AA ALKALINE or
AA NiMH rechargeable battery
presetting: AA ALKALINE battery
KeyLock
turned on or off
presetting: off
Automatic off
turned on (1 – 24 h) or off (0 h)
presetting: off
Alarm clock
turned on or off
when on: once or every day’s occurrence
presetting: off
Time format
European (24 h) or
American (12 h, am/pm)
presetting: European
Date format
European (dd.mm.yy) or
American (mm/dd/yy)
presetting: European
* Note: these factory settings may vary in some countries and depend on the changes you,
your doctor or healthcare team made using your insulin pump or pump programming
software for healthcare professionals.
198
Annexes
16 Annexes
16.1 Abbreviations
approx.
Approximately
BR
Basal rate
BRP
Basal rate profile
DDM
Diabetes Data Management
h
Hour(s)
IEC
International Electrotechnical Commission
incl.
Inclusive
IR
Infrared
I.U., IUInternational Units in context with biological
effectiveness of a certain insulin amount
kPa
Kilo pascals
LCD
Liquid Crystal Display
LEDLight Emitting Diode for infrared communication
with e.g. a PC
NiMHNickel metal hydride (used with rechargeable
batteries)
rel.
Relative
sec.
Second(s)
TBR
Temporary Basal Rate
U
See I.U.
U/hAmount of International Units of insulin delivered
per hour
199
Annexes
U100This is the insulin concentration. Each millilitre of
liquid contains 100 International Units of insulin.
dd.mm.yy
European date format: day.month.year
mm/dd/yy
American date format: month/day/year
200
Annexes
16.2 Beeps and melodies
You can turn off the beeps or the vibrations, but not both at the same
time. Please refer to sections 7.7.2 “Adjust the beep volume” and
7.7.3 “Alarm signals” for further information.
Each press of
a
Each press of
s
Each press of d , respectively
confirmation of each programmed bolus increment when
programming a “Quick” Standard bolus
Each press of f , respectively
confirm the STOP Warning
Temporary basal rate active
Unlock the KeyLock in RUN, enter the RUN or INFO
screen, start a temporary basal rate
Lock the KeyLock in RUN
Unlock the KeyLock in STOP, enter STOP screen.
Lock the KeyLock in STOP
Exit a screen
Cancel a running bolus or stop priming
Start-up procedure successfully concluded
Copy an hourly basal rate
Alert and error
Maximum amount reached
Minimum amount reached
201
Annexes
16.3 Vibrations
Your insulin pump communicates alerts and errors using beeps and
vibrations. You can turn off either the beeps or the vibrations, but not
both at the same time. When you program a “Quick” Standard bolus, your
Accu-Chek Spirit confirms all programming with vibrations. You cannot
turn off these vibrations.
Your Accu-Chek insulin pump vibrates when
(Short vibration)
Your Accu-Chek Spirit performs a start-up procedure
(medium vibration) Your Accu-Chek Spirit confirms the programmed
bolus amount of the “Quick” Standard bolus.
(Long vibration) You reset the “Quick” Standard bolus amount to
zero,
You cancel the “Quick” Standard bolus, or
When the STOP-Warning occurs.
See the sections 7.5.1 “Standard bolus” and 7.7.3 “Alarm signals” for
further information.
202
Annexes
16.4 Symbols
16.4.1 General symbols
Read user guide
Sterilized using ethylene oxide
Sterilized using radiation
Sterilized using antiseptics
Year 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
Fragile – handle with care
Protect against moisture
Protect from heat and sunlight
203
Annexes
For single use only
Does not contain pyrogen
Does not contain PVC
Recycling
Do not throw away
Do not use if the package is damaged
Flammable
See
Electronic device of type BF according the standard IEC
60601-1. Protection against electrical shock.
IPX8 Symbol for protection against the effect of temporary
immersion of water (up to 60 minutes and 2.5 meters
[8 feet]), according to IEC 60529.
Marking of conformity according to the European Medical
Device Directive MDD 93/42/EEC with the number of the
notified body.
Federal law (USA) restricts this device to sale by or on the
order of a physician.
Manufacturer
204
Annexes
16.4.2 Display symbols
Start your Accu-Chek Spirit
STOP screen and
Stop insulin delivery
Time, and
Set the time and date 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 warning
Empty cartridge
Low battery
Empty battery
Regular AA battery
Rechargeable AA battery
Amount of International Units of insulin delivered per
hour
Basal rate profile
Temporary basal rate
TBR percentage
Daily basal rate total
Basal rate programming unlocked
Basal rate programming locked
205
Annexes
Standard bolus and
Bolus increment programming
Extended bolus and
extended delivery of the MultiWave bolus
MultiWave bolus
Immediate bolus delivery of MultiWave bolus
Decreased temporary basal rate (0 – 90%)
Increased temporary basal rate (110 – 200% h)
Remaining duration of an ongoing Extended bolus,
MultiWave bolus, TBR or automatic off
Daily total of insulin delivered
(basal rate plus boluses)
Prime the infusion set (menu)
Alert or error occurring
Alert
Error
Information menu
Pump Timer
Select the user menus STANDARD, ADVANCED or
CUSTOM
SETUP MENU STANDARD menu
SETUP MENU ADVANCED menu
Beeps turned on
Vibrations turned on
206
Annexes
Beeps and vibrations turned on
Set beep volume
Screen orientation
European date format
American date format
Alarm clock turned on
Alarm clock turned off
Single alarm when set an alarm clock
Every day repeat alarm when set an alarm clock
PC communication
Menu key
Check key
Up key
Down key
Timeout of a menu
This setting may have been changed (by using your pump
programming software).
207
Annexes
16.5 Sterile products and accessories
16.5.1 Sterile products
Cartridges
Name
Accu-Chek 3.15 ml Plastic Cartridge
Aventis Insuman Infusat Pre-filled
3.15 ml Glass Cartridges* (U100)
Comments
Plastic cartridges are single-use items
only.
Do not reuse cartridges.
Refer to the instructions for use of the
insulin you are using for information on
the acceptable temperature range for
storage and handling.
Accu-Chek infusion sets
Name
Accu-Chek RapidLink
Accu-Chek TenderLink
Accu-Chek FlexLink
Accu-Chek Rapid-D Link
Comments
All Accu-Chek infusion sets are
available in various tubing and needle
lengths. Talk with your doctor and/or
healthcare team to find the infusion set
that fits you best.
Roche Diagnostics recommends that
infusion sets are changed every two to
three days, or at the recommendation of
your doctor or healthcare team.
* Insuman® Infusat produced by Aventis Pharma Deutschland GmbH, a member and a brand
of the sanofi-aventis group.
208
Annexes
16.5.2 Accessories
Name
Adapter
Batteries
One 1.5 volt AA Alkaline battery with a
minimum capacity of 2500 mAh.
Rechargeable Batteries
AA NiMH rechargeable batteries with
a minimum capacity of 1500 mAh.
Battery Cover
Carrying Systems
Accu-Chek Insulin Pump
Configuration Software
Travel Size Guide
Comments
Replace your adapter with every
10th cartridge.
If used in a typical usage pattern
(50 U/day using U100 insulin;
operating temperature 22°C ±3°C
[72°F ±6°F]) the battery life is approximately four weeks.
If used in a typical usage pattern
(50 U/day using U100 insulin;
operating temperature 22°C ±3°C
[72°F ±6°F]) the rechargeable battery
life is approximately one week.
Rechargeable batteries are not provided
by Roche Diagnostics. Use only a
battery charger officially recommended
by the battery manufacturer.
Replace your battery cover with
every 4th battery.
Roche Diagnostics offers a wide range
of carrying system solutions to best fit
your lifestyle. If used in a normal usage
pattern, the carrying systems have a life
of approximately one year.
Two versions of the pump configuration
software are available; a consumer
version and a healthcare professional
version.
This is a convenient pocket size
reference that you may take with you to
assist with your insulin pump questions.
209
210
Glossary
17 Glossary
Accu-Chek Insulin Pump Configuration Software
Roche Diagnostic’s insulin pump programming tool. This software allows
the fast and easy change of parameters and settings directly from your
Microsoft Windows compatible PC.
Adapter
The adapter physically connects the cartridge and infusion set. It has two
seals and forms an efficient seal for the cartridge compartment of your
insulin pump.The two small vents on the adapter allow air pressure to
equalize.
Basal rate
The amount of insulin delivered per hour that is needed to cover your
basic insulin needs. In insulin pump therapy, your basal rate is determined
together with your doctor or healthcare team and can be adjusted to meet
your individual physiological needs throughout the day. Your basal rate is
delivered by your insulin pump according to the curve of your personal
basal rate profile or profiles.
Basal rate profile
Your insulin pump offers the option of delivering up to 5 different basal
rate profiles in order to easily meet changing insulin needs (for example
during the week versus on the weekend). A basal rate profile consists of
24 programmed hourly basal rates.
Basal rate total
The sum of all 24 hourly basal rates in one basal rate profile is called the
(daily) basal rate total.
211
Glossary
Bolus
The amount of insulin delivered (in addition to the basal rate) to cover the
intake of food and correct high blood glucose levels. The bolus amount is
determined by your doctor or healthcare team’s guidelines, your blood
glucose level, your food intake and your activity level.
Carrying system
A wide variety of carrying systems made of different materials are
specially designed to suit your individual needs while wearing your insulin
pump.
Cartridge
The insulin reservoir of your insulin pump. It holds 3.15 ml (315 IU) of
short acting insulin or fast acting insulin analogue.
Cartridge compartment
The opening in your insulin pump for the cartridge.
Daily insulin total
The total amount of insulin delivered (basal rate plus boluses) delivered 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 therapy relevant data
gained from your insulin delivery system and your blood glucose measurement system (such as an Accu-Chek blood glucose monitor) in order to
analyse and illustrate this data on a PC or other communication devices.
Factory settings
Your insulin pump is provided by Roche Diagnostics with a standard
configuration (factory settings). These settings can be adapted to your
individual needs directly on your insulin pump or by using the Accu-Chek
Insulin Pump Configuration Software.
212
Glossary
Filling aid
The filling aid can be used to help you fill an empty Accu-Chek 3.15 ml
plastic cartridge from your vial of insulin.
Free flow
Free flow of insulin from the infusion may occur when two conditions are
met. First, the cartridge with a connected infusion set and the piston rod of
your insulin pump are not correctly connected and second, you position
your insulin pump at a higher level than the infusion site.
Hourly basal rate
An hourly basal rate is the amount of insulin delivered by your insulin
pump for a given hour.
Infusion set
Infusion sets connect your insulin pump to your body. The insulin is
delivered from the cartridge through the infusion set tubing and cannula
or needle into your subcutaneous tissue.
Infusion sets can be disconnectable and non-disconnectable.
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 transform glucose into energy. Insulin is produced in the beta cells of the pancreas (also called islets of Langerhans).
Insulin, fast-acting (insulin analogue)
A type of insulin created using recombinant DNA technology. The onset
time of insulin analogue is 5 to 15 minutes.
Insulin, short-acting (regular insulin)
A type of insulin created using recombinant DNA technology. The onset
time of regular insulin is 30 to 45 minutes.
213
Glossary
IPX8 according to IEC 60529
Protection against the effects of temporary immersion in water. Ingress of
water in quantities causing harmful effects is not possible when the device
is temporarily immersed in water under standardized conditions (maximal
60 minutes a day and 2.5 meters [8 feet]).
Luer-lock connector
A standardized fitting at the end of the infusion set, the cartridge and the
adapter which allows them to be locked together without leaking.
Personal settings
Your insulin pump must be programmed with your personal settings prior
to starting insulin pump therapy. Personal settings include the basal rate
profile(s), the correct time and date and all other variable values which can
be tailored to your individual needs on your insulin pump or using
Accu-Chek Insulin Pump Configuration Software.
RUN
During normal use, your insulin pump is in RUN and insulin is
continuously delivered. Boluses, temporary basal rates and almost all
functions can be programmed from RUN.
RUN screen
The RUN screen is the starting point for all functions which can be
accessed while your insulin pump delivers insulin. Your insulin pump
displays the RUN screen during normal use when no programming is
currently being performed. The time, current hourly basal rate, basal rate
profile and all functions currently activated appear on the RUN screen.
Settings
Settings are individually programmable values and parameters that affect
the way your insulin pump works.
Scrolling
Scrolling allows a fast and easy programming of larger values.
214
Glossary
STOP
When your insulin pump is in STOP, it does not deliver any insulin. The
insulin delivery is only stopped if an error occurs or if your insulin pump
is put into a necessary STOP, (e.g. when changing the cartridge, adapter
or infusion set or for data transfer). Functions such as Extended bolus or
temporary basal rate are interrupted by putting your insulin pump into
STOP.
STOP screen
The STOP screen is the starting point for all functions that require that
your insulin pump does not deliver insulin.
Temporary basal rate
Temporary increase or decrease of your basal rate profile in percentages
(from 0 – 200%) to match changing insulin needs due to increased or
decreased activity level, illness or stress.
Timeout
For your safety and convenience, your insulin pump automatically returns
to the RUN or STOP screen if no key is pressed within a certain time limit.
Any changes made are not saved.
U100
This is the insulin concentration. Each millilitre of liquid contains 100
International Units of insulin. Your insulin pump has been developed
exclusively for delivery of U100 short-acting insulin or fast-acting insulin
analogue.
215
216
Index
Index
Accessories . . . . . . . . . . . . . . . 35
Accu-Chek Insulin Pump
Configuration Software. . . . . 44, 78
Adapter. . . . . . . . . . . . . . . . . . . 39
Advanced setup menu. . . . . . . 134
Advanced user menu . . . . . 78, 121
Alarm. . . . . . . . . . . . . . . . . 31, 110
Alarm clock. . . . . . . . . . . . 133, 149
turning off. . . . . . . . . . 134, 149
Alarm history . . . . . . . . . . . . . 116
Alarm signals. . . . . . . . . . . . . 110
Alcohol consumption. . . . . . . . 168
Alerts and errors. . . . . . . . . . . 145
confirming. . . . . . . . . . . . . 146
Automatic off . . . . . . . . . . . . . 153
Backlight . . . . . . . . . . . . . . . . . 26
Backward loop . . . . . . . . . . . . . 77
Basal rate. . . . . . . . . . . . . . . . . 87
and Bolus . . . . . . . . . . . . . . 91
Basal rate profile. . . . . . . . . . . . 88
reviewing. . . . . . . . . . . . . . . 87
Battery. . . . . . . . . . . . . . . 112, 179
battery depleted. . . . . . . . . 153
battery low . . . . . . . . . . . . 148
type. . . . . . . . . . . . . . . 112, 179
Beeps. . . . . . . . . . . . . . . . . . . 109
adjusting the volume. . . . . 109
beeps and vibrations. . . . . 145
Blood glucose. . . . . . . . . . . . . 168
checking. . . . . . . . . . . . . . 169
Bolus . . . . . . . . . . . . . . . . . . . . 95
cancel a “Quick” Standard. . 99
cancel a MultiWave . . . . . . 129
cancel an Extended. . . . . . 124
cancelled. . . . . . . . . . . . . . 151
Extended. . . . . . . . . . . . 95, 122
increment . . . . . . . . . . . . . 136
MultiWave. . . . . . . . . . . 95, 126
program a “Quick”
Standard. . . . . . . . . . . . . 95, 97
program a MultiWave. . . . . 127
program an Extended. . . . . 123
Bolus history. . . . . . . . . . . . . . 114
Cartridge. . . . . . . . . . . . . . . . 37, 52
air bubbles in the. . . . . . . . . 57
cartridge empty. . . . . . . . . 152
cartridge low. . . . . . . . . . . 147
change the cartridge . . . 71, 161
filling the. . . . . . . . . . . . . . . 54
inserting . . . . . . . . . . . . . 58, 60
plunger rod . . . . . . . . . . . . . 62
Check key. . . . . . . . . . . . . . . . . 27
Cleaning. . . . . . . . . . . . . . . . . 179
see also “Maintenance”
Connector. . . . . . . . . . . . . . . . . 38
Connect the cartridge, adapter
and infusion set . . . . . . . . . . . . 58
Copy an hourly basal rate. . . . . 90
217
Index
Daily insulin totals history. . . . 116
Daily totals history . . . . . . . . . 116
Data interrupted. . . . . . . . . . . 163
Data memory . . . . . . . . . . . . . 114
Data transfer. . . . . . . . . . . . . . 141
interruption of . . . . . . . . . . 141
setting up . . . . . . . . . . . . . 142
Date. . . . . . . . . . . . . 114, 116, 117
Date and time setting; see “Time
and date”. . . . . . . . . . . . . . . . . 83
Date and time settings . . . . . . . 45
Date format . . . . . . . . . . . . . . 135
Display. . . . . . . . . . . . . . . . . . . 25
contrast. . . . . . . . . . . . . . . 140
orientation. . . . . . . . 14, 25, 113
Disposal. . . . . . . . . . . . . . . . . 183
Down key. . . . . . . . . . . . . . . . . 27
Electromagnetic
emissions . . . . . . . . . . . . . 190
fields. . . . . . . . . . . . . . . . . 175
immunity. . . . . . . . . . . . . . 191
Electronic error. . . . . . . . . . . . 159
Emergency kit. . . . . . . . . . . . . . 43
Entry number . . . . . . 114, 116, 117
Errors. . . . . . . . . . . . . . . . . . . 152
Exit options. . . . . . . . . . . . . . . . 77
Graphic LCD. . . . . . . . . . . . . . . 25
Guarantee. . . . . . . . . . . . . . . . . 23
Hygiene . . . . . . . . . . . . . . . . . . 67
218
Infection. . . . . . . . . . . . . . . . . . 66
Infusion set. . . . . . . . . . . . . . . . 38
changing. . . . . . . . . . . . . . . 69
disconnectable. . . . . . . . . . . 38
instructions for use . . . . . . . 67
non-disconnectable. . . . . . . 38
not primed. . . . . . . . . . . . . 162
priming. . . . . . . . . . . . . . . . 64
Infusion site . . . . . . . . . . . . . . . 66
preparation . . . . . . . . . . . . . 66
selection. . . . . . . . . . . . . . . 66
Insulin. . . . . . . . . . . . . 11, 116, 213
expired . . . . . . . . . . . . . . . 168
Insulin delivery. . . . . . . . . . . 92, 93
start. . . . . . . . . . . . . . . . . . . 92
stop. . . . . . . . . . . . . . . . . . . 93
Insulin pump. . . . 25, 169, 175, 177
Insulin pump therapy
continuation. . . . . . . . . . . . 170
interruption . . . . . . . . . . . . 169
KeyLock; see also “Keys”. . . . . 29
making use of . . . . . . . . . . . 29
symbols. . . . . . . . . . . . . . . . 29
turn on/off. . . . . . . . . . . . . 108
unlocking. . . . . . . . . . . . . . 109
Keys. . . . . . . . . . . . . . . . . . . . . 26
and key combinations . . . . . 26
Language. . . . . . . . . . . . . . . . 139
Language error. . . . . . . . . . . . 164
Liquids. . . . . . . . . . . . . . . . . . 174
Looping . . . . . . . . . . . . . . . . . . 77
Luer-lock . . . . . . . . . . . 38, 42, 214
Index
Maintenance. . . . . . . . . . . . . . 179
Malfunction. . . . . . . . . . . . . . . . 37
reusing single use materials
Mechanical error. . . . . . . . . . . 158
Memory . . . . . . . . . . . . . . . . . 114
Menu . . . . . . . . . . . . . . . . . . . . 76
3 different. . . . . . . . . . . . . . 78
navigating through. . . . . . . . 76
navigation levels . . . . . . . . . 76
personalized . . . . . . . . . . . . 79
Menu key. . . . . . . . . . . . . . . . . 27
Microsoft Windows; see “Software”
MultiWave. . . . . . . . . . . . . . 95, 126
cancelling . . . . . . . . . . . . . 129
Occlusion. . . . . . . . . . . . . . . . 154
Orientation; see “Display”. . . . 113
Power interrupt. . . . . . . . . . . . 160
Prepare the pump for use. . . . . 45
Prime quantity . . . . . . . . . . . . 137
Priming; see “Infusion set”. . . . 64
stop. . . . . . . . . . . . . . . . . . . 66
Products. . . . . . . . . . . . . . . . . . 35
Profile. . . . . . . . . . . . . . . . . 87, 131
Programming . . . . . . . . . . . 88, 103
additional basal rates. . . . . 131
Pump. . . . . . . . . . . . . . . . . . . . 25
stopping the. . . . . . . . . . . . . 93
storing conditions . . . . . . . 181
storing. . . . . . . . . . . . . . . . 180
wearing. . . . . . . . . . . . . . . . 73
Pump programming software . . 44
Pump therapy. . . . . . . . . . . . . 9, 11
Pump timer. . . . . . . . 114, 118, 149
Quick info screen . . . . . . . . . . 119
Repair. . . . . . . . . . . . . . . . . . . 182
Review time and date. . . . . . . 148
RUN. . . . . . . . . . . . . . . . . . . . . 32
Safety. . . . . . . . . . . . . . . . . . . . 29
Screen . . . . . . . . . . . . . . . . . . . 49
Scrolling. . . . . . . . . . . . . . . . . . 77
Selecting profile. . . . . . . . . . . 132
Self-test. . . . . . . . . . . . . . . . . . 49
Setup menu advanced. . . . . . . 134
Setup menu standard. . . . . . . 107
Software. . . . . . . . . . . . . . . . . . 44
Standard user menu. . . . . . . . . 83
Start-up procedure. . . . . . . . . . 48
STATUS screen. . . . . . . . . . . . . 31
Sterile product . . . . . . . . . . . . . 35
STOP . . . . . . . . . . . . . . . . . . 32, 93
Stop-Warning. . . . . . . . . . . . 33, 94
turning off. . . . . . . . . . . . . . 94
Supplies. . . . . . . . . . . . . . . . . . 35
System check. . . . . . . . . . . . . 177
219
Index
TBR; see “Temporary
basal rate”. . . . . . . . . . . . . . . 102
Temporary basal rate . . . . . . . 102
cancelled. . . . . . . . . . . . . . 150
decrease. . . . . . . . . . . . . . 102
duration. . . . . . . . . . . . 104, 117
history. . . . . . . . . . . . . . . . 117
increase. . . . . . . . . . . . . . . 102
interruption of . . . . . . . . . . 106
over. . . . . . . . . . . . . . . . . . 151
Time. . . . . . . . . 114, 116, 117, 118
Time and date
american. . . . . . . . . . . . . . . 83
european. . . . . . . . . . . . . . . 83
review. . . . . . . . . . . . . . . . . 86
setting. . . . . . . . . . . . . . . . . 83
Time format . . . . . . . . . . . . . . 134
Time remaining. . . . . . . . . . . . 118
Troubleshooting . . . . . . . . . . . 165
Tubing . . . . . . . . . . . . . . . . . . . 39
Up key . . . . . . . . . . . . . . . . . . . 27
User menu
advanced. . . . . . . . . . . . 78, 121
custom . . . . . . . . . . . . . 78, 121
standard . . . . . . . . . . . . . 78, 83
Water. . . . . . . . . . . . . . . . . . . 172
accidental contact. . . . . . . 173
Wireless communication. . . . . 141
220
Your Insulin pump STANDARD MENU
KeyLock
Standard
bolus
quick info
KeyLock
quick info
“Scroll” Standard bolus
bolus
amount
temporary
basal rate
stop your
Accu-Chek
percentage
start your
Accu-Chek
duration
change the
cartridge
prime the
infusion set
communication
information
menu
program
profile no.1
set the time
and date
setup menu
standard
select the
user menu
remove the
cartridge
start
priming
data transfer
to PC
bolus
history
daily basal
rate total
set the
hour
KeyLock
user menu
returning the
piston rod
stop
priming
alarm
history
1st hour
set the
minute
beep
volume
BR profile
no.…
fill volume
315 units
daily insulin
totals
2nd hour
set the
year
alarm
signals
start-up
procedure
TBR history
…
set the
month
automatic
off
maintenance
24th hour
set the
day
battery
type
Standard
bolus
(A) “Quick”
Standard bolus
with direct access from the RUN screen
using the a and s keys of your
insulin pump.
(B) “Scroll”
Standard bolus
menu-guided using the STANDARD BOLUS
menu and the scroll function of the
a and s keys for programming the
bolus amount.
For a complete review of your insulin pump features as well as
the warnings and precautions associated with its use, please
refer to your Accu-Chek Spirit Insulin pump user’s guide.
display
orientation
Your Insulin pump ADVANCED MENU
KeyLock
Standard
bolus
quick info
KeyLock
quick info
“Scroll” Standard bolus
bolus
amount
Extended
bolus
MultiWave
bolus
temporary
basal rate
bolus
amount
bolus
amount
percentage
bolus
duration
immediate
bolus
duration
bolus
duration
stop your
Accu-Chek
start your
Accu-Chek
change the
cartridge
prime the
infusion set
communication
information
menu
change your
BR profile
program
program
program
program
program
profile
profile
no.
profile
profile
1no.profile
no.
2 no.
3 no.
4 5
alarm clock
set the time
and date
setup menu
standard
setup menu
advanced
select the
user menu
remove the
cartridge
start
priming
data transfer
to PC
bolus
history
BR profile
no. …
daily basal
rate total
alarm
occurance
set the
hour
KeyLock
time
format
user menu
returning the
piston rod
stop
priming
alarm
history
1st hour
alarm
hour
set the
minute
beep
volume
date
format
BR profile
no.…
fill volume
315 units
daily insulin
totals
2nd hour
alarm
minute
set the
year
alarm
signals
bolus
increment
start-up
procedure
TBR history
…
set the
month
automatic
off
prime
quantity
maintenance
24th hour
set the
day
battery
type
basal
rate lock
display
orientation
language
display
contrast
221
19 Alert overview
In all cases, turn off and confirm the alert prior to addressing the issue.
No
Alert
What you have to do
Page
No
Error
What you have to do
Page
A1
CARTRIDGE LOW
Change cartridge before it is
completely empty.
147
E1
CARTRIDGE EMPTY
Change the cartridge.
152
A2
E2
BATTERY DEPLETED
Change the battery.
153
BATTERY LOW
Replace the battery as soon as
possible.
148
E3
AUTOMATIC OFF
Put your Accu-Chek Spirit in RUN if
necessary.
153
A3
REVIEW TIME AND DATE
Set the time and date.
148
E4
OCCLUSION
ALARM CLOCK
Put your Accu-Chek Spirit into RUN if
necessary.
149
See the appropriate section in this user
guide for detailed information.
154
A4
E5
END OF OPERATION
PUMP TIMER
In your INFORMATION menu check for
the insulin pump operation remaining
under the menu PUMP TIMER.
Arrange for replacement of pump
within the remaining pump operation
time (60 days).
149
Arrange for immediate replacement of
your insulin pump. Contact your
healthcare professional for alternative
insulin therapy options.
157
A5
E6
MECHANICAL ERROR
See the appropriate section in this user
guide for detailed information.
158
Put your Accu-Chek Spirit into RUN if
necessary. Ensure the cancellation was
intended and program a new
temporary basal rate if necessary.
150
E7
ELECTRONIC ERROR
See the appropriate section in this user
guide for detailed information.
159
E8
POWER INTERRUPT
See the appropriate section in this user
guide for detailed information.
160
E10
CARTRIDGE ERROR
See the appropriate section in this user
guide for detailed information.
161
E11
SET NOT PRIMED
Prime your infusion set.
162
E12
DATA INTERRUPTED
Restart the data transfer.
163
E13
LANGUAGE ERROR
See the appropriate section in this user
guide for detailed information.
164
A6
TBR CANCELLED
A7
TBR OVER
Decide whether a further temporary
basal rate change is appropriate and
program one if necessary.
151
A8
BOLUS CANCELLED
Put your Accu-Chek Spirit into RUN
if necessary. Ensure that the cancellation was intended and program a new
bolus if necessary.
151
223
Status: 04-2011
Roche Diabetes Care AG
3401 Burgdorf, Switzerland
www.accu-chek.com
Swiss made
04540344001/F
ACCU-CHEK, ACCU-CHEK SPIRIT,
ACCU-CHEK TENDERLINK, ACCU-CHEK FLEXLINK,
ACCU-CHEK RAPIDLINK and DISETRONIC
are trademarks of Roche.
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