Accu-Chek Spirit Quick Reference Manual
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Accu-Chek Spirit Quick Reference Manual

Insulin pump system
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Pump Therapy
MADE FOR YOU
Quick Reference Guide

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Summary of Contents for Accu-Chek Spirit

  • Page 1 Pump Therapy MADE FOR YOU Quick Reference Guide...

  • Page 3: Table Of Contents

    Table of Contents Insert or Change Battery ..........4 Key Combinations .
  • Page 4 Set Alarm Clock............44 Performing a Bolus Calculation using ACCU-CHEK Pocket Compass Software with Bolus Calculator .
  • Page 5 User Guide, or the learning program. This guide supplies easy access to essential information concerning start-up, programming, bolus delivery and various other functions of your ACCU-CHEK Spirit insulin pump. The Reference Guide addresses the more commonly used pump functions and should therefore be used as a supplement to the learning program and the system User Guides.

  • Page 6: Insert Or Change Battery

    • Remove or disconnect your infusion set from your body as a safety precaution • Use a single non-expired 1.5-volt alkaline AA battery in your pump. Consult your ACCU-CHEK Spirit Insulin Pump User Guide if you are using a rechargeable battery. Step 1: Remove the battery cover from your insulin pump.

  • Page 7: Key Combinations

    Key Combinations Menu Key and Up Key Press the Menu key and Up key at the same time to: • exit a menu, function or information screen without saving • loop backward in the menu. Menu Key and Down Key Press the Menu key and Down key at the same time to unlock the KeyLock (press and hold both keys simultaneously until you hear three beeps when in RUN mode or one beep when in STOP mode).

  • Page 8: Prepare And Fill The Cartridge

    Prepare and Fill the Cartridge Have the following materials ready: • insulin at room-temperature to minimize the formation of air bubbles • new ACCU-CHEK 3.15 ml plastic cartridge with protective cap, plunger rod, and fi lling needle • antiseptic wipe. CAUTION: Never reuse a cartridge! This can cause infection and occlusions, and can drain your pump’s battery.
  • Page 9 Prepare and Fill the Cartridge continued Step 5: Place the fi lling needle with its protective cap onto the cartridge tip. Make sure that the connection is tight. Step 6: Move the plunger rod back and forth two times in the cartridge to distribute the lubricant.
  • Page 10 Prepare and Fill the Cartridge continued Step 11: While holding steady pressure against the plunger rod with your thumb, invert the insulin vial so the fi lling needle and cartridge are pointing upwards into the insulin vial. Make sure the tip of the fi lling needle stays in the insulin.
  • Page 11 Prepare and Fill the Cartridge continued Step 15: Push the air bubbles back into the insulin vial by depressing the plunger rod. TIP: You will know that you have fi lled the cartridge correctly when there are no air bubbles in the cartridge and the plunger touches the bottom of the cartridge. Step 16: Remove the fi...

  • Page 12: Connect Cartridge, Adapter And Infusion Set

    Hold the adapter and twist the infusion set luer-lock connection by hand, clockwise into the adapter (b). Step 4: Carefully prepare a new ACCU-CHEK infusion set for use, priming and insertion, following its instructions for use. CAUTION: Do not over-tighten.

  • Page 13: Insert Insulin Cartridge

    Insert Insulin Cartridge Have the following materials ready: • ACCU-CHEK Spirit insulin pump • fi lled 3.15 ml plastic cartridge with an ACCU-CHEK adapter • new ACCU-CHEK infusion set connected. Step 1: Put your insulin pump in STOP mode (select STOP YOUR ACCU-CHEK screen and press Check key to confi...
  • Page 14 Insert Insulin Cartridge continued Step 6: Hold your insulin pump upright. Hold the new fi lled cartridge so that the connected adapter and infusion tube set point upwards, parallel, and close to the cartridge compartment. CAUTION: Make sure that the bottom edge of the colored part of the adapter is level with the top of the plastic cartridge compartment.
  • Page 15 Insert Insulin Cartridge continued Step 8: Position your insulin pump upright (with the adapter pointing upwards). Insert the cartridge into the cartridge compartment. Twist (don’t push) the adapter clockwise until it sits fl ush with the cartridge compartment. CAUTION: • Do not over tighten the adapter. •...

  • Page 16: Prime Infusion Set

    Prime Infusion Set After your pump has completed the start-up procedure for changing the plastic cartridge, the pump will prompt you to prime the infusion set. CAUTION: Never prime an infusion set that is connected to your body. Step 1: If your pump times out, press the Menu key to move to the PRIME THE INFUSION SET screen.
  • Page 17 Prime Infusion Set continued TIP: Your infusion tubing set is properly primed when there are no air bubbles visible in the tubing and a drop of insulin has come out of the connector or cannula. You can stop the priming process at any time by pressing any key on your pump. When you do this, your pump returns to STOP mode.

  • Page 18: Change Infusion Set

    • antiseptic wipe for your skin • new ACCU-CHEK infusion set. Step 1: Put your insulin pump in STOP mode (select STOP YOUR ACCU-CHEK screen and press Check key to confi rm setting). CAUTION: Always remove the infusion set from your body before removing it from your pump.
  • Page 19 Change Infusion Set continued Step 6: Prime the infusion set according to manufacturer’s instructions. CAUTION: Never prime an infusion set that is connected to your body. Step 7: Insert the infusion set needle or cannula according to manufacturer’s instructions. Step 8: Remove the old infusion headset.

  • Page 20: Set Time And Date

    Set Time and Date Step 1: Press the Menu key to move to SET TIME AND DATE. Step 2: Press the Check key to select. Step 3: Press or scroll the Up key or Down key to set the hour. Step 4: Press the Menu key to move to SET MINUTE.

  • Page 21: Program Basal Rate Profi Le

    The sum of all 24 hourly basal rates in one Basal Rate Profi le is called the daily Basal Rate Total. In the ADVANCED user menu, up to fi ve Basal Rate Profi les can be programmed into the ACCU-CHEK Spirit insulin pump.
  • Page 22 Program Basal Rate Profi le continued Your Basal Rate Profi le should be reviewed after: • any programming change performed using your ACCU-CHEK Spirit insulin pump • a new battery has been inserted • confi rming an E7: ELECTRONIC ERROR.
  • Page 23 Program Basal Rate Profi le continued TIP: If you want to copy an hourly basal rate to the next hour or hours, press the Up key and Down key at the same time until you have programmed all 24 hours in a day. Step 6: Press the Check key to confi...

  • Page 24: Start Insulin Delivery

    Step 1: Start from the STOP screen. Step 2: Press the Menu key to move to the START YOUR ACCU-CHEK screen. Step 3: Press the Check key to select. Your pump will display the RUN screen and insulin delivery will begin within 3 minutes.

  • Page 25: Stop Insulin Delivery

    • priming the infusion set • transferring data from the pump. Step 1: Press the Menu key to move to the STOP YOUR ACCU-CHEK screen. Step 2: Press the Check key to select. Your pump will display the STOP screen and insulin delivery will stop.

  • Page 26: Program "Quick" Standard Bolus

    Program “Quick” Standard Bolus Step 1: From the RUN screen, press and hold the Up or Down key until you hear a beep and feel a vibration. Step 2: Press the opposite (Up or Down) key used in Step 1 repeatedly until you see the desired bolus amount.

  • Page 27: Cancel "Quick" Standard Bolus

    Cancel “Quick” Standard Bolus During programming (bolus amount blinks): • Press the Up or Down key used in Step 1 on prior page to reset the bolus amount to 0.0 units. The pump will play a melody. If you do not program a new bolus after 5 seconds, your insulin pump will return to RUN mode automatically and beep three times.

  • Page 28: Program "Scroll" Standard Bolus

    Program “Scroll” Standard Bolus The bolus increment for the “Scroll” bolus is fi xed to 0.1 unit. Step 1: Press the Menu key to move to the STANDARD BOLUS screen. Step 2: Press the Check key to select. The BOLUS AMOUNT screen will be displayed.

  • Page 29: Cancel "Scroll" Standard Bolus

    Cancel “Scroll” Standard Bolus During programming: • Do not press any key for 20 seconds; your insulin pump will return to RUN mode (timeout). • Press the Menu key and Up key at the same time to exit to the STANDARD BOLUS screen.
  • Page 30 Cancel “Scroll” Standard Bolus continued During bolus delivery (countdown of bolus amount): • Press and hold the Up key or Down key for 3 seconds until the pump plays a melody. An alert A8: BOLUS CANCELLED occurs. Press the Check key twice to confi...

  • Page 31: Program Extended Bolus

    Program Extended Bolus With the Extended bolus function, you can set a bolus to be delivered over a period of time. This is especially helpful during long meals, or when eating meals that are digested slowly. People with delayed digestion, a condition called gastroparesis, can also benefi t from an Extended bolus.
  • Page 32 Program Extended Bolus continued TIP: Press the Menu key to loop between programming the BOLUS AMOUNT and BOLUS DURATION, if necessary. Step 6: Press the Check key to confi rm the BOLUS AMOUNT and BOLUS DURATION. Your pump will play a melody; the bolus delivery will begin within the next 3 minutes and end after the bolus duration you set unless deliberately cancelled.

  • Page 33: Cancel Extended Bolus

    Cancel Extended Bolus During programming: • Do not press any key for 20 seconds; your insulin pump will return to RUN mode (timeout). • Press the Menu key and Up key at the same time to exit to the EXTENDED BOLUS screen.

  • Page 34: Program Multiwave Bolus

    Program MultiWave Bolus The MultiWave bolus is available only in the ADVANCED user menu and, depending on your personal settings, in the CUSTOM user menu. This bolus is designed to better simulate your body’s insulin delivery since it combines an immediate bolus delivery followed by an extended bolus delivery. This function can be helpful when you have meals that include both rapid and slowly absorbed carbohydrates.
  • Page 35 Program MultiWave Bolus continued TIP: As you increase or decrease the TOTAL BOLUS AMOUNT, the suggested immediate bolus amount increases or decreases proportionally. Step 4: Press the Menu key to move to the IMMEDIATE BOLUS screen. Step 5: Press or scroll the Up key or Down key to select the immediate bolus amount. Step 6: Press the Menu key to move to the BOLUS DURATION screen.
  • Page 36 Program MultiWave Bolus continued During the next 5 seconds, while bolus delivery start is delayed, the MultiWave bolus symbol will blink. Your pump will then beep three times and start to deliver the immediate bolus you programmed. The countdown of the immediate bolus will appear in the display as it is delivered. Once the immediate bolus is delivered, the remaining time, bolus amount, and the current hourly basal rate are displayed in the RUN screen.

  • Page 37: Cancel Multiwave Bolus

    Cancel MultiWave Bolus During programming: • Do not press any key for 20 seconds; your insulin pump will return to the RUN screen (timeout). • Exit to the MULTIWAVE BOLUS screen by pressing the Menu key and Up key at the same time.
  • Page 38 Cancel MultiWave Bolus continued During delivery: • Press and hold the Up key or Down key for 3 seconds until a melody plays. This will cancel the whole bolus (immediate and extended bolus delivery). An A8: BOLUS CANCELLED alert is displayed. Press the Check key twice to confi rm and turn off the alert.

  • Page 39: Program Temporary Basal Rate (Tbr)

    Program Temporary Basal Rate (TBR) You can program your pump to temporarily deliver an increased or decreased basal rate. This function is helpful in matching your changing insulin needs due to increased or decreased activity level, illness, or stress. A typical basal rate is set to 100%. You can, however, increase the basal rate to as high as 200% or to as low as 0% for up to 24 hours.
  • Page 40 Program Temporary Basal Rate (TBR) continued Step 1: Put your insulin pump in Run mode. Step 2: Press the Menu key to move to the TEMPORARY BASAL RATE (TBR) screen. Step 3: Press the Check key to select. Step 4: Press or scroll the Up key to increase or the Down key to decrease the basal rate in increments of 10% from 0% to 200%.

  • Page 41: Cancel Temporary Basal Rate (Tbr)

    • Set the TBR percentage to 100% and press the Check key to confi rm this setting. • Put your insulin pump into STOP mode (select STOP YOUR ACCU-CHEK screen and press Check to confi rm setting). The Temporary Basal Rate delivery is interrupted.

  • Page 42: Review Bolus History

    Review Bolus History The Bolus History feature enables you to review up to the last 30 boluses delivered, in reverse chronological order starting with the most recent entry. Each Bolus History screen displays: • bolus type • amount of bolus •...

  • Page 43: Review Alarm History

    Review Alarm History Using the Alarm History on your pump, you can review the last 30 alerts or errors in reverse chronological order, starting with the most recent entry. Each Alarm History screen displays: • number and type of the alert or error (for example, A6) •...

  • Page 44: Review Daily Insulin Totals

    Review Daily Insulin Totals With this history, you can review, in reverse chronological order, the last 30 daily totals of insulin delivered (from midnight to midnight; basal rate plus boluses) starting with the most recent entry. Each Daily Insulin Totals History screen displays: •...

  • Page 45: Review Temporary Basal Rate History

    Review Temporary Basal Rate History Using the TBR History, you can review, in reverse chronological order, the last 30 TBR increases or decreases starting with the most recent entry. Each TBR History screen displays: • TBR increase or decrease in percentage •...

  • Page 46: Set Alarm Clock

    Set Alarm Clock The alarm clock is a handy feature on your pump that can remind you: • when it’s time to test your blood glucose • about other personal events. You can set the alarm clock for a single alarm, or for an alarm that is repeated every day. Step 1: Press the Menu key to move to the ALARM CLOCK screen.
  • Page 47 Set Alarm Clock continued Step 7: Press the Up key or Down key to set the minute. Step 8: Press the Check key to save these settings and exit. TIP: When the alarm clock goes off, an alert A4: ALARM CLOCK will occur. Press the Check key twice to turn off the alert.

  • Page 48: Performing A Bolus Calculation Using Accu-Chek Pocket Compass Software With Bolus Calculator

    Performing a Bolus Calculation using ACCU-CHEK Pocket Compass Software with Bolus Calculator Refer to the ACCU-CHEK Pocket Compass Software with Bolus Calculator User Guide for more information on the use of this software. Before calculating a bolus using the bolus calculator •...
  • Page 49 Performing a Bolus Calculation using ACCU-CHEK Pocket Compass Software continued Step 3: Enter the amount of carbohydrates for your meal. Click Next. Step 4: If the calculated bolus is greater than 0, if needed select a temporary adjust- ment. Or check the Normal box (default setting) for a 0% change. Click Next.

  • Page 50: Alerts

    Alerts Alert Code Name Meaning Action Cartridge The cartridge is almost empty • Press the Check key twice to turn (it has only 20 units of U100 off and confi rm the alert. insulin remaining). • Change the cartridge before it’s empty.
  • Page 51 Alert Code Name Meaning Action Alarm Goes off at the time you have • Press the Check key twice to turn Clock programmed on the pump. off and confi rm the alert. • Put your insulin pump into RUN mode if necessary. A temporary increase or •...

  • Page 52: Errors

    Errors Errors Code Name Meaning Action Cartridge The cartridge is empty. Change the cartridge immediately. Empty • Press the Check key twice to turn off and confi rm the error. • Disconnect or remove the infusion set from your infusion site. •...
  • Page 53 Errors Code Name Meaning Action Automatic This safety function interrupts • Press the Check key twice to turn insulin delivery if no keys are off and confi rm the error. pressed within a certain period • Put you insulin pump into RUN mode of time.
  • Page 54 Errors Code Name Meaning Action Mechanical The pump has detected a • Press the Check key twice to turn Error mechanical problem. off and confi rm the error. • Remove or disconnect the infusion Note: If this error continues, set from your infusion site. contact Disetronic Pump •...
  • Page 55 Errors Code Name Meaning Action Electronic The pump has detected an You cannot turn off and confi rm Error electronic problem. this error by pressing the Check key twice. You must remove the battery instead. Note: If this error continues, •...
  • Page 56 Errors Code Name Meaning Action Power You either removed a battery • Press the Check key twice to turn Interrupt without putting your pump into off and confi rm the error. STOP fi rst, or you dropped • Your insulin pump goes into your pump.
  • Page 57 • Reset the language on your pump. • Put your insulin pump into RUN mode. Refer to ACCU-CHEK Spirit Insulin Pump User Guide for complete instruction, warnings, cautions and precautions. CAUTIONS: • No insulin is delivered when an Error Code appears on the display. Immediate action must be taken to correct the Error Code.
  • Page 58 888-810-0758 For technical assistance, call Pump Support at 800-688-4578. accu-chek.com ACCU-CHEK, ACCU-CHEK SPIRIT, LIVE LIFE THE WAY YOU WANT and PUMP THERAPY MADE FOR YOU are trademarks of Roche. ©2008 Disetronic Medical Systems Inc. All rights reserved. 10315V02BG 0508 PW...

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