Accu-Chek Combo Training Handbook
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Accu-Chek Combo Training Handbook

Insulin pump system
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Accu-Chek Combo Insulin Pump System
Training Handbook - Standard Lesson
Information for Insulin Pump Users

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Summary of Contents for Accu-Chek Combo

  • Page 1 CCU- Combo ® Accu-Chek Combo Insulin Pump System Training Handbook - Standard Lesson Information for Insulin Pump Users...
  • Page 2 For product support and ordering pump service pack items: Accu-Chek Insulin Pump Hotline 1800 633 457 australia.insulinpumps@roche.com www.accu-chek.com.au...
  • Page 3 Your new insulin pump system will help you to manage your diabetes quickly and easily. The discretion offered by the Accu-Chek Combo system will let you stay in control while your pump stays out of sight. This Handbook is provided as part of your training on your new Accu-Chek Combo system.
  • Page 5 The Handbook is divided into a Standard Lesson and an Advanced Lesson. This will enable you to learn all the features and functions of your new Accu-Chek Combo system easily, whether you are new to pump therapy or already experienced.

  • Page 6: Table Of Contents

    Table of Contents 1 Features of your Accu-Chek Combo system ............9 2 Preparation and start-up ...................15 2.1 Filling the cartridge .....................15 2.2 Choosing your infusion set ................19 2.3 Inserting an infusion set: Example Accu-Chek FlexLink .......20 3 Your Accu-Chek Spirit Combo Insulin Pump .............25 3.1 Summary of functions ..................26...
  • Page 7 7 Preparation and start-up ...................59 7.1 Setup Wizard ......................59 7.2 STANDARD user menu ..................67 8 Using your Accu-Chek Combo system ..............69 8.1 Using the Meter to control the Pump ............69 8.2 Operating your Pump ..................70 9 Standard menu functions ..................71 9.1 Checking your Pump ...................71...

  • Page 9: Features Of Your Accu-Chek Combo System

    1 Features of your Accu-Chek Combo system Accu-Chek Performa Combo Meter Accu-Chek Spirit Combo Insulin Pump...
  • Page 10 Your Accu-Chek Spirit Combo Insulin Pump...
  • Page 11 Delivers insulin 24 hours a day, 365 days a year, according to your daily insulin need. Basal insulin delivered in 20 intervals per hour to best simulate physiological insulin supply. Five basal rate profiles to match varying daily routines. Administers four different types of bolus, covering your insulin needs for all kinds of food intake as well as for a variety of health-related situations.
  • Page 12 Your Accu-Chek Combo Meter...
  • Page 13 Measures your blood-glucose (bG) level in five seconds. Enables remote control of your Accu-Chek Spirit Combo Insulin Pump. Manages your diabetes-related data in a diary and reports them as graphics and statistics. Provides you with bolus advice. Less than one minute from bG test through Bolus Advice to bolus delivery.

  • Page 15: Preparation And Start-Up

    Preparation and start-up 2 Preparation and start-up 2.1 Filling the cartridge Prepare the materials: · an insulin vial at room temperature · an Accu-Chek Spirit 3.15 ml cartridge system · a disinfectant solution or tissue Wash your hands. Unpack the cartridge system.
  • Page 16 Clean the rubber membrane of the insulin vial with a disinfectant wipe. Pull the plunger of the cartridge back until you feel some resistance. Push the cartridge onto the insulin vial until it snaps into place. Press the plunger to its stop-point and hold it in this position.
  • Page 17 Preparation and start-up Slowly turn the complete system upside down, carefully holding all components in place. Slowly release the plunger to let the insulin flow into the cartridge. If the cartridge is not filled completely pull the plunger gently to draw more insulin.
  • Page 18 Remove the filling aid while turning it anti-clock- wise and pulling at the same time. For storage, push the protective cap onto the cartridge tip until it clicks. The plunger and the filling aid can be disposed (check local regulations for any specific sharps disposal instructions in your area).

  • Page 19: Choosing Your Infusion Set

    Preparation and start-up 2.2 Choosing your infusion set Steel or soft cannula? Soft cannula Steel cannula · Flexible, more comfortable when bending, twisting, or exercising. · Easier to insert manually · Flexlink cannula lengths: 6, 8 or 10 mm · Flat, discreet headset ·...

  • Page 20: Inserting An Infusion Set: Example Accu-Chek Flexlink

    2.3 Inserting an infusion set: Example Accu-Chek FlexLink Examples of recommended infusion sites recommended possible Choose a site away from the waistline, bones, scar tissue, belly button and recent infusion sites.
  • Page 21 Preparation and start-up Before unpacking your infusion set, wash your hands thoroughly. Disinfect the infusion site according to the instructions of your healthcare professional. Remove both pieces of the adhesive backing paper from the self-adhesive. Turn and pull to remove the transparent protective cover and expose the introducer needle and cannula.
  • Page 22 Insert the infusion set at a 90° angle. Choose an infusion site away from your waistline, bones, any scar tissue, belly button and recent infusion sites. Press the adhesive plaster firmly onto the infusion site, ensuring that it makes smooth contact with the skin.
  • Page 23 Preparation and start-up Hold the cannula housing firmly to your body. Use the handle to withdraw the introducer needle in a straight, smooth motion. Connect the primed transfer set to the connector plate of the cannula. Before resuming insulin pump therapy, use an insulin bolus of 1.0 U to fill the head set and the soft cannula.

  • Page 25: Your Accu-Chek Spirit Combo Insulin Pump

    Your Accu-Chek Spirit Combo insulin pump 3 Your Accu-Chek Spirit Combo Insulin Pump Pump details and accessories Battery cover Battery Battery key Infrared window (next to Battery cover) Adapter Cartridge Compartment Cartridge Piston End plate Cartridge plunger...

  • Page 26: Summary Of Functions

    Multiwave bolus Variable increments can be set for the Quick bolus (0.1, 0.2, 0.5, 1.0, 2.0 units) Communication with the Accu-Chek Combo Meter using Bluetooth ® wire- less technology enables remote control of the Pump by the Meter, as well as transfer of data such as bolus history for subsequent management in the Meter database.
  • Page 27 Temporary basal rate changes possible on a percentage basis. Normal alkaline or lithium batteries, or rechargeable batteries (AA, 1.5 V). Use of self-filled Accu-Chek Spirit 3.15 ml cartridge system. Warning and error messages signalled by beeps and / or vibrations.

  • Page 28: Key Functions

    3.2 Key functions f OK key d Menu key a Up key s Down key Key Name Function · Move through menus, function screens and information Menu screens · Select a menu · Save changes and exit the function and information screens ·...
  • Page 29 Your Accu-Chek Spirit Combo insulin pump Key Name Function · Move forward in the information screens · Increase a setting · Turn on the backlight · Turn off the STOP-Warning (press and hold for 3 sec. until you hear a melody) ·...

  • Page 30: Inserting / Changing The Battery

    3.3 Inserting / changing the battery Remove the battery cover, using the battery key to turn the battery cover anti-clockwise. Insert the battery, negative (–) end down, positive (+) end up, into the compartment. Place the cover on the positive end and gently push the battery in, while turning the cover clockwise to partially tighten it.
  • Page 31 Your Accu-Chek Spirit Combo insulin pump The start-up process begins The screen shows the software version. The screen shows the ACCU-CHEK logo. The SELF-TEST screen appears. The BEEP TEST screen appears and the Pump beeps. Listen for the beeps. The VIBRATION TEST screen appears and the Pump vibrates.
  • Page 32 The screen shows a pattern. Check that the pattern is even. The screen turns black. Check that the screen is completely black. After the self-test, press a or s to select the type of battery you inserted. Press f to confirm. The end of the start-up process is signalled by a melody, and the Pump displays the STOP screen.

  • Page 33: Stop Mode At A Glance

    Your Accu-Chek Spirit Combo insulin pump 3.4 STOP mode at a glance In STOP mode your Pump does not deliver insulin. For safety reasons some menus like for example CARTRIDGE CHANGE or INFUSION SET PRIMING are only accessible in STOP.

  • Page 34: Setting The Time And Date

    3.5 Setting the time and date Press d to move to the TIME AND DATE SETTINGS screen. Press f to select. The HOUR screen is displayed. Press a or s to set the hour. Press d to move to the MINUTE screen. Press a or s to set the minute.
  • Page 35 · DATE FORMAT Press f to save and exit. When you set up your new Accu-Chek Combo Insulin Pump system it’s a good idea to set the Pump time and date first, since this will be adopted by the Meter!

  • Page 36: Procedure For Programming Your Basal Rate Profile

    3.6 Procedure for programming your basal rate profile Make sure that your Pump is in STOP mode and the infusion set is NOT connected to your body. Press d to move to the BASAL RATE PROGRAMMING 1 (2, 3, 4 or 5 accordingly) screen.
  • Page 37 Your Accu-Chek Spirit Combo insulin pump The increments shown depend on the programmed basal rate: it will be 0.01 U from 0.05 U to 1.00 U, 0.05 U from 1.00 U to 10.0 U and 0.1 U from 10.0 U to 50.0 U Press d to move to the next hour.

  • Page 38: Copying An Hourly Basal Rate

    3.7 Copying an hourly basal rate If your basal rate is the same for multiple hours in a row, you can save time by copying an hourly basal rate to one or more hours. Press d to move to the BASAL RATE PROGRAMMING 1 (2, 3, 4 or 5 accordingly) screen.
  • Page 39 Your Accu-Chek Spirit Combo insulin pump If you want to copy the rate to multiple hours, press a and s repeatedly or press and hold a and s (scroll). Press f to confirm. Check the new daily BASAL RATE TOTAL.

  • Page 40: Connecting The Cartridge, Adapter And Infusion Set

    3.8 Connecting the cartridge, adapter and infusion set Have the following materials ready: · A prepared Accu-Chek 3.15 ml cartridge system with luer-lock (see page 15) · An Accu-Chek Spirit Combo Insulin Pump adapter · A new Accu-Chek infusion set Remove the protective cap from the cartridge.

  • Page 41: Returning The Piston Rod

    Your Accu-Chek Spirit Combo insulin pump 3.9 Returning the piston rod Make sure that your Pump is in STOP mode and the infusion set is not connected to your body. If there is a cartridge already in the Pump, remove it: unscrew carefully, and do not pull the cartridge out until it is completely unscrewed.

  • Page 42: Inserting A New Insulin Cartridge

    3.10 Inserting a new insulin cartridge see Step 2 Hold the Pump upright. Hold the new filled cartridge so that the connected adapter and infusion set point upwards, parallel, and close see Step 3 to the cartridge compartment. Make sure that the top edge of the threaded part of the adapter is level with the top part of the cartridge compartment.
  • Page 43 Your Accu-Chek Spirit Combo insulin pump Hold your Pump diagonally with the adapter pointing down. Insert the cartridge into the car- tridge compartment. Twist (do not push) the adapter clockwise until it is correctly seated against the cartridge compart- ment.
  • Page 44 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. Press f after correctly inserting the cartridge. Your Pump performs a self-test. When the self-test is finished, the INFUSION SET PRIMING screen is displayed.

  • Page 45: Priming The Infusion Set

    Your Accu-Chek Spirit Combo insulin pump 3.11 Priming the infusion set Make sure that your Pump is in STOP mode and the infusion set is NOT connected to your body. Press d to move to the INFUSION SET PRIMING screen.

  • Page 47: Starting And Stopping Insulin Delivery

    Starting and stopping insulin delivery 4 Starting and stopping insulin delivery When your Pump is not delivering insulin, this is called STOP mode. When it is delivering insulin, this is called RUN mode. 4.1 Starting insulin delivery In STOP mode, press d to move to the START YOUR PUMP screen.

  • Page 48: Stopping Insulin Delivery

    4.2 Stopping insulin delivery In RUN mode, press d to move to the STOP YOUR PUMP screen. Press f. Your Pump switches to STOP mode and stops delivering insulin. Turning off the STOP-warning As long as your Pump is in STOP mode, it emits two short beeps – and vibrates once every minute to remind you that no insulin is being delivered.

  • Page 49: Run Mode At A Glance

    RUN mode at a Glance 5 RUN mode at a glance In RUN mode your Pump is delivering insulin to your body according to you basal rate settings and the boluses you program. Some functions such as STANDARD BOLUS and TEMPORARY BASAL RATE are only accessible in RUN.

  • Page 50: Programming A Quick Bolus

    5.1 Programming a Quick bolus For discreet and convenient bolus programming without your Meter, you can use the Quick bolus feature on your Pump: From the RUN screen, press and hold s until you hear a beep sequence and feel a vibration. This activates the Quick bolus function.
  • Page 51 RUN mode at a Glance The Standard bolus symbol blinks for 5 seconds (the bolus delivery start delay). After the bolus delivery start delay, the Pump beeps three times and then begins to deliver the total bolus amount programmed. A countdown of the remaining bolus amount appears on the display. By default the increment for the Quick bolus is 0.5 U per key press.
  • Page 52 Cancelling a Quick bolus Press a (s) the key you used to enter the Quick Bolus programming option. This will reset No bolus During the bolus amount to 0.0 units. You hear a melody. Quick Bolus If no new bolus is programmed, your Pump delivered programming: returns to the RUN screen and beeps three...

  • Page 53: Your Accu-Chek Performa Combo Meter

    Small sample size that allows testing from the fingertip as well as from other sites (e.g. palm or forearm). Unreliable blood samples are detected automatically. Remote control of your Accu-Chek Spirit Combo Insulin Pump using Bluetooth ® wireless technology for discreet and convenient pump...
  • Page 54 All pump functions can be controlled from the Meter except: · CHANGING THE CARTRIDGE (including RETURNING PISTON ROD) · INFUSION SET PRIMING · DATA TRANSFER · DISPLAY ORIENTATION and DISPLAY CONTRAST · BLUETOOTH SETTINGS · UNLOCKING THE KEY LOCK Data management and reports: Collects all your diabetes-related data, such as blood glucose values, boluses and, Health Events within a reliable and synchronised timescale, and reports them as statistics, graphics and tables.

  • Page 55: Button Functions

    Your Accu-Chek Performa Combo Meter 6.2 Button functions The button functions are slightly different when you are in the “Pump” menu of the Meter. See chapter 8.2 for more details. Left / Right Soft Button Enter * Backlight Button Down >...
  • Page 56 Key Name Function Power · turn the Meter on and off On / Off · adjust the backlight level (low, medium high) Backlight · switch Bluetooth ® on and off · move through screens < Left arrow · scroll left in an information screen ·...
  • Page 57 Your Accu-Chek Performa Combo Meter Key Name Function · select a menu or option Enter · save changes · exit Left soft · select a menu on the display above the button button Right soft · select a menu on the display above the button...

  • Page 59: Preparation And Start-Up

    Preparation and start-up 7 Preparation and start-up Remove the protective film from the Meter display. 7.1 Setup Wizard You must complete the Setup Wizard before you can use your Meter. For the standard setting, you need to set: · Language (your local language should be set by default.) ·...
  • Page 60 Press + until the Meter powers up. The Accu-Chek screen appears for a few seconds. Warning You may be prompted with a Warning that the Time time and date on your Meter have been changed Mismatch by more than five minutes, due to the...
  • Page 61 Preparation and start-up Language Language English Deutsch English Press enter to display Press to select the language. Españiol available options Français Cancel Language Language English Press to save the setting. Press to select Save. Next Time/Date Time Format 24 hr The Time / Date screen appears.
  • Page 62 Time/Date 12 hr Time Format 12 hr Time 00 am Press to select 12 hr or 24 hr Time Format. Date 1 Jan Press to save the changes. DD MMM Cancel Time/Date Time Format 24 hr Time Press to change the hour. Date 1 Jan DD MMM...
  • Page 63 Preparation and start-up Units Carbs Grams The Units screen appears. Press to select Next if you wish to keep the default settings. Back Next Units Carbs Grams Otherwise, press to change the units for Grams carbohydrates and continue using to select and save. Cancel Warning Limits Hyper...
  • Page 64 Warning Limits Hyper 12.5 mmol/L mmol/L to set the Hypo- (Low bG) 60 mg/dL Hypo Warning Limit. Select the upper (Hyper) and lower (Hypo) Press to select Next. limits of your bG Cancel Setup The display “Would you like to receive bolus Would you like to receive bolus advice advice from your Meter?”...
  • Page 65 Preparation and start-up Time Blocks 0:00 4:00 Press to select the lowest blood glucose mmol/L 8.0 mmol/L value for the Target Range. Cancel Time Blocks 0:00 4:00 to enter and edit the highest Target Range mmol/L 140 mg/dL 4.5 mm/dL blood glucose value for the Target Range.
  • Page 66 Setup The Setup Wizard is complete. Setup Completed Press to select Next and enter the main Successfully menu. Next 10:02 2 Feb 17 bG Test Bolus Advice Switch off the Meter. Pump Now you can use your Meter to continue setting My Data Settings up your Pump.

  • Page 67: Standard User Menu

    Preparation and start-up 7.2 STANDARD user menu The following is a list of menu options from the STANDARD user menu. To view the order in which they appear on the display, refer to the menu diagram below: · Press d to move forwards ·...

  • Page 69: Using Your Accu-Chek Combo System

    Using your Accu-Chek Combo system 8 Using your Accu-Chek Combo system 8.1 Using the Meter to control the Pump System behaviour If you do not press any key for more than 20 seconds, the Pump screen goes blank to save battery life.

  • Page 70: Operating Your Pump

    In the lower half of the display, you see the attribution of the Pump keys to the Meter buttons: < > You can also perform the following procedures directly on the Pump using the attributed pump keys. For detailed information, please refer to the Accu-Chek Spirit Combo Insulin Pump User Guide.

  • Page 71: Standard Menu Functions

    Standard menu functions 9 Standard menu functions 9.1 Checking your Pump 10:02 2 Feb 17 bG Test Bolus Advice Make sure your Pump screen is blank. Select Pump My Data Pump in the Meter main menu. Settings The RUN screen appears. >...

  • Page 72: Programming A Standard Bolus

    9.2 Programming a Standard bolus 10:02 2 Feb 17 bG Test Make sure your Pump is in RUN mode and the Bolus Advice Pump screen is blank. Select Pump in the Meter main My Data menu. Settings < Press until the STANDARD BOLUS screen appears.
  • Page 73 Standard menu functions Press to increase or decrease the value until the required bolus amount is adjusted. > Press to confirm and the bolus delivery is activated. The Standard bolus symbol flashes for five seconds before the bolus delivery starts. If you do not confirm within 20 seconds, the Pump automatically returns to RUN without delivering a bolus.
  • Page 74 Cancelling a Standard bolus Press on the Meter or d and a on the During Pump to return to the STANDARD BOLUS No bolus programming screen or wait 20 seconds until the Pump has been you can: returns to RUN automatically or set the delivered >...

  • Page 75: Programming A Temporary Basal Rate (Tbr)

    Standard menu functions 9.3 Programming a Temporary Basal Rate (TBR) 10:02 2 Feb 17 bG Test Make sure your Pump is in RUN mode and the Bolus Advice Pump screen is blank. Select Pump from the Meter My Data main menu. Settings <...
  • Page 76 Press to increase or decrease the percentage. < Press to move to the TBR DURATION screen. Press to set the duration. > Press to save and exit. > When the duration of the TBR has ended a W7: TBR OVER occurs. Press twice to snooze and confirm the warning.

  • Page 77: Cancelling A Temporary Basal Rate

    Standard menu functions 9.4 Cancelling a Temporary Basal Rate Either: · < Press to move to the TEMPORARY BASAL RATE screen. > · Press to select. Press to set the percentage to 100 %. > · Press to confirm. · A Warning W6: TBR CANCELLED occurs.

  • Page 78: Pump Settings

    9.5 Pump Settings Turning Keylock ON / OFF 10:02 2 Feb 17 bG Test Bolus Advice Make sure your Pump screen is blank. Select Pump My Data Pump in the Meter main menu. Settings Press < to move to the PUMP SETTING screen. Press >...
  • Page 79 Standard menu functions If you press any of the Pump keys while the keys are locked and the screen is blank, the Keylock symbol appears on the Pump screen. The Bluetooth ® communication will not be interrupted. To unlock the Pump-keys press d and s simultaneously for three seconds. Three beeps indicate that you are pressing the keys correctly.
  • Page 80 Adjusting the beep volume 10:02 2 Feb 17 bG Test Bolus Advice Make sure that your pump screen is blank. Pump My Data Select Pump in the Meter main menu. Settings < Press to move to the PUMP SETTING screen. >...
  • Page 81 Standard menu functions Setting the alarm signals 10:02 2 Feb 17 bG Test Bolus Advice Make sure that your pump screen is blank. Pump My Data Select Pump in the Meter main menu. Settings < Press to move to the PUMP SETTING screen. >...

  • Page 83: Warnings And Errors

    Warnings and Errors 10 Warnings and Errors Warnings and Errors emitted by the Pump make you aware of situations that require your special attention; for example, that the battery is about to expire or the insulin cartridge is almost empty. A Warning informs you that an action will soon be required.
  • Page 84 Handling messages on your Pump Press f to snooze the signal. Press f again to confirm that you are aware of the meaning of the Warning or Error. For further information about the meaning of the specific Warning or Error, and appropriate action, please refer to List of Warnings and Errors at the end of this Handbook.
  • Page 85 Warnings and Errors Handling Pump messages using your Meter Press + to start your Meter. When the Pump signals a Warning or Error the Meter switches immediately into the pump menu and displays the message. > Press to snooze the signal. >...

  • Page 87: Switching Bluetooth ® On / Off

    Switching Bluetooth ® On / Off 11 Switching Bluetooth On / Off ® Bluetooth ® wireless technology must be switched off separately on the Pump and the Meter! Always remember to switch off the Bluetooth® communication on the Pump and the Meter before boarding an aircraft. 11.1 Switching OFF Bluetooth ®...

  • Page 88: Switching Off Bluetooth ® On The Meter

    11.2 Switching OFF Bluetooth on the Meter ® 10:02 2 Feb 17 bG Test From the main menu, press to move to Bolus Advice Pump Settings. My Data Settings Press to enter. 10:02 2 Feb 17 Reminders Bolus Advice Press to move to Meter.

  • Page 89: Measuring Your Blood Glucose (Bg) Level

    Measuring your blood glucose (bG) level 12 Measuring your blood glucose (bG) level Before you can measure your blood glucose level with your Meter you must check the code chip inserted in your Meter matches your accompanying test strips. You should also perform a control test. 12.1 Coding your Meter Your Meter will come with a code chip already inserted.

  • Page 90: Running A Control Test

    12.2 Running a control test You need: · a new test strip · a control solution level 1 or 2. The control level is printed on the bottle label. Place your Meter on a flat surface (for example, a table) and insert the test strip into the Test Strip Slot in the direction of the arrow.
  • Page 91 Measuring your blood glucose (bG) level Remove the cap from the control solution bottle and wipe the tip with a tissue. Squeeze the bottle until a tiny drop forms at the tip. Apply the drop to the front edge of the yellow window of the test strip.
  • Page 92 Compare the result to the acceptable range shown on the label of the test strip container. Press to display the Control Level screen. Control Result 10:02 2 Feb 17 Press to select the control solution level. No Entry Press to confirm. Level 1 Level 2 Cancel...

  • Page 93: Performing A Blood Glucose (Bg) Test

    Measuring your blood glucose (bG) level 12.3 Performing a blood glucose (bG) test You need: · your lancing device with lancet drum · a new test strip Prepare the lancing device according to the instructions provided. Wash and dry your hands. Place your Meter on a flat surface (for example, a table) and insert the test strip into the Test Strip Slot in the direction of the arrow.
  • Page 94 bG Test Apply Sample The “Apply Sample” screen appears and a beep indicates that the strip is ready for testing. Prick your finger with your lancing device. Gently squeeze your finger to get a blood drop. Apply the blood drop to the front edge of the yellow window of the test strip.
  • Page 95 Measuring your blood glucose (bG) level bG Result 10:02 2 Feb 17 Your bG Result appears on the display. mmol/L bG Result About three seconds later the detailed “bG 10:02 Result” screen appears. mmol/L Meal Time Here you can enter information about meal time, Carbs the carbs you are planning to eat and your Health...
  • Page 96 Understanding your bG result The coloured bar on the bG Result screen indicates the meaning of your bG result: If the bar is Your bG level is above Hyper Warning Limit. It is highly recommended that Blue Hyper you check for ketones and measure your bG level frequently. Blue above your Target Range but below Hyper Warning Limit.

  • Page 97: Summary Of Advanced Lesson

    It is essential that you discuss all the settings necessary for setting up Bolus Advice, Reminders and additional basal rates with your doctor or healthcare team before setting up these features. You can use the protocol form accompanying your Accu-Chek Combo system to note all the required settings.

  • Page 99: Appendix

    Accu-Chek Spirit Combo Insulin Pump. (For Backup Pumps Contact your healthcare professional for ONLY) alternative insulin therapy options. See Accu-Chek Spirit Combo User Guide or MECHANICAL ERROR contact your local pump support. See Accu-Chek Spirit Combo User Guide or ELECTRONIC ERROR contact your local pump support.
  • Page 100 END OF OPERATION Accu-Chek Spirit Combo Insulin Pump. Contact your healthcare professional for (For Loan Pumps ONLY) alternative insulin therapy options. See Accu-Chek Spirit Combo User Guide or CARTRIDGE ERROR contact your local pump support. SET NOT PRIMED Prime your infusion set.
  • Page 101 (For Backup Pumps replacement of Pump within the scheduled ONLY) pump operation time. Put your Accu-Chek Spirit Combo insulin pump into RUN if necessary. Ensure the TBR CANCELLED cancellation was intended and program a new Temporary Basal Rate if necessary.
  • Page 102 TIMER. Arrange for replacement of Pump (For Loan Pump ONLY) within the scheduled pump loan time. Re-do pairing procedure for Insulin Pump and BLUETOOTH FAULT Meter. For further assistance with any of the Warnings listed, contact the Accu-Chek Insulin Pump Hotline on 1800 633 457.
  • Page 103 END OF WARRANTY Contact your Pump Support. Some Reminders and Warnings are country specific and may never occur on your Pump. For further assistance with any of the Reminders listed, contact the Accu-Chek Insulin Pump Hotline on 1800 633 457.
  • Page 104 For people with diabetes. Use only as directed. Consult your healthcare professional for advice. Accu-Chek lancing devices are for single patient use only. The same device must not be used for multiple patients. ACCU-CHEK, ACCU-CHEK SPIRIT, ACCU-CHEK SPIRIT COMBO, PERFORMA COMBO, COMBO, ACCU-CHEK PERFORMA, ACCU-CHEK LINKASSIST, ACCU-CHEK FLEXLINK, ACCU-CHEK TENDERLINK, ACCU-CHEK RAPID-D LINK, FASTCLIX, ACCU-CHEK SMART PIX and ACCU-CHEK 360°...

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