Accu-Chek insulin pump User Manual
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Accu-Chek insulin pump User Manual

Version 2.xx
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Pump User Guide
ACCU-CHEK
Spirit
™
insulin pump

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Summary of Contents for Accu-Chek insulin pump

  • Page 1 Pump User Guide ACCU-CHEK Spirit ™ insulin pump...
  • Page 2 Thank you for choosing the ACCU-CHEK Spirit insulin pump. This guide will help you to get the most from your ACCU-CHEK Spirit insulin pump. Even if you have used an insulin pump before, it’s important that you do these things before you use the ACCU-CHEK Spirit insulin pump:...

  • Page 3: How To Use This Guide

    How to use this guide This guide is for version 2.XX of the ACCU-CHEK Spirit insulin pump. Note: This user guide presents you with sample screens. The screens in this user guide may look slightly different from your pump screens. If you have questions about what you see on your pump, contact Pump Support at 1-800-688-4578.
  • Page 4 Electromagnetic Compatibility regarding the pump’s use. This section introduces you to the intended use of the ACCU-CHEK Spirit insulin pump, to its safety features, and to warnings and safety information you need to know while using your pump.
  • Page 5 Guarantee Any changes or modifications to the ACCU-CHEK Spirit insulin pump that are not expressly approved by Disetronic Medical Systems, Inc. could void the pump warranty. Do not try to fix the device yourself. ACCU-CHEK Spirit Insulin Pump...

  • Page 6: Table Of Contents

    Contents Chapter 1: Understanding Your New System The ACCU-CHEK Spirit Insulin Pump __________________________9 Display ________________________________________________9 Backlight______________________________________________10 Keys and Key Combinations _______________________________11 Screens _______________________________________________13 STATUS Screen Messages, Beeps, and Vibrations_______________15 Alarm Signals __________________________________________16 Accessories and Disposables ______________________________17 Emergency Kit __________________________________________23 Chapter 2: Getting Started...
  • Page 7 SETUP MENU Advanced __________________________________129 CUSTOM User Menu_____________________________________136 Chapter 6: Care and Maintenance Care of Your ACCU-CHEK Spirit Insulin Pump _________________137 System Inspection Checklist ______________________________137 What to Do When You Drop Your Pump ______________________139 Storing Your ACCU-CHEK Spirit Insulin Pump _________________140...
  • Page 8 Appendix F: Symbols____________________________________183 Appendix G: Sterile Products and Accessories ________________188 Appendix H: Glossary ___________________________________190 Warranty _____________________________________________194 Index _________________________________________________195 Diagram of User Menus ___________________________________198 Quick Reference Table for Alerts Quick Reference Table for Errors ________________________________147 ____________________________199 ____________________________200 ACCU-CHEK Spirit Insulin Pump...
  • Page 9 This page left blank intentionally. ACCU-CHEK Spirit Insulin Pump...

  • Page 10: Chapter 1: Understanding Your New System

    Immediately inspect your insulin pump if it is dropped. CAUTION Do not use your insulin pump if chips or cracks are visible. Chips and cracks may allow water, dust, insulin, or other foreign substances to enter your insulin pump and lead to malfunction.

  • Page 11: Backlight

    If you discover incomplete characters, numbers, or symbols on the display, put your insulin pump into STOP mode and CAUTION perform a system check by simply removing the battery for a few seconds. When you reinsert the battery the system check will occur.

  • Page 12: Keys And Key Combinations

    Never press any of the keys with a sharp or pointed item such as the tip of your fingernail. This could damage the casing of your insulin pump. Use the pad of your fingertip CAUTION instead to avoid puncturing the keys.
  • Page 13 If the keys on your pump are not functioning properly, or you are not able to identify them correctly, disconnect your insulin pump and contact Pump Support at 1-800-688-4578. WARNING Chapter 1: Understanding Your New System...

  • Page 14: Screens

    See the sections “Starting Insulin Delivery” (page 65) for instructions on starting your pump and “Appendix F: Symbols” (page 183) for more information about the symbols. Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump...
  • Page 15 You can reach these screens from either the RUN or STOP screen. Chapter 1: Understanding Your New System Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump ACCU-CHEK Spirit Insulin Pump...

  • Page 16: Status Screen Messages, Beeps, And Vibrations

    Beeps, vibrations, and messages on the display inform you of the status of your insulin pump. Beeps and/or vibrations are used as alarm signals. Your insulin pump also beeps when a key is pressed unless the beep volume is turned off. The beep volume can be turned up or down.

  • Page 17: Alarm Signals

    Check the display of your insulin pump at least every three hours during the day and before you go to sleep, especially if for any reason you are unable to hear the beeps or feel WARNING the vibrations. This is the only way you will be notified of changes in your insulin pump in a suitable amount of time.

  • Page 18: Accessories And Disposables

    Accessories and Disposables Sterile products and accessories are a crucial part of the ACCU-CHEK Spirit insulin pump system and therapy. These products are designed for safe and simple insulin pump therapy. Always follow the instructions given by your doctor or healthcare team for the use of all system components.
  • Page 19 WARNING out of the reach of children. Cartridges Your pump is designed to use ACCU-CHEK 3.15 ml plastic cartridges to hold insulin. Do not reuse a cartridge. Reusing sterile products could lead to infection or could damage your pump. ACCU-CHEK 3.15 ml plastic cartridges come with a protective cartridge cap, as well as a filling needle and plunger rod to aid in filling.
  • Page 20 An ACCU-CHEK infusion set connects your pump to your body to deliver insulin. The insulin travels from the cartridge in your insulin pump through the infusion set into your body. The cannula or needle of the infusion set is placed under the skin, usually in the abdominal area.
  • Page 21 ACCU-CHEK infusion sets come in a wide range of lengths from 60 cm (24 inches) to 110 cm (43 inches). Choose your tubing length based on how you wear your pump.
  • Page 22 The operating temperature of the battery must be between 41°F and 104°F (+5°C and +40°C). The life of any battery is affected by how you use your insulin pump, your personal settings, delivery rates, temperature and other factors. With typical pump use [50 U/day using U100 insulin; operating temperature 72°F ±...
  • Page 23 Standard setup menu (SETUP MENU STANDARD). Always make sure that you remove the battery if your insulin pump is not in use for a long time period in order to preserve the battery lifetime. To prevent water from CAUTION entering the casing, change the battery only in a dry area.

  • Page 24: Emergency Kit

    However, never use the battery key to attach or to tighten an infusion set. The battery key has a notch that fits all ACCU-CHEK infusion set luer-lock connectors. The battery key should be replaced if it cracks, becomes worn, or if it is lost.
  • Page 25 This page left blank intentionally. Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump...

  • Page 26: Chapter 2: Getting Started

    See the section “Accessories and Disposables – Battery” (page 21) for information on recommended batteries. Keep the Time/Date Settings Correct Always check that the time and date of your insulin pump WARNING are set correctly. The time and date are displayed on the STOP screen.
  • Page 27 Follow the steps below: 1. Press d to move to the STOP YOUR ACCU-CHEK screen. 2. Remove or disconnect your infusion tube set from the headset so that insulin cannot accidentally be delivered. 3. Remove the battery cover. 4. Put the battery cover on the positive (+) end of the battery.
  • Page 28 Therefore, using batteries not recommended by Disetronic Medical Systems 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. Chapter 2: Getting Started Turn the battery cover clockwise to tighten it.

  • Page 29: System Check Start-Up Process

    WARNING 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 Pump Support at 1-800-688-4578.
  • Page 30 3. SELF-TEST appears. 4. Your pump beeps and BEEP TEST appears. Listen for the beeps. If you cannot hear the beeps from your insulin pump, you may not be notified of changes with your insulin pump in CAUTION a suitable amount of time. If you cannot hear the beeps, contact Pump Support at 1-800-688-4578.
  • Page 31 STOP mode. Press and hold a or s until you hear a melody to turn the STOP-Warning off. Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump...
  • Page 32 If you discover incomplete characters, numbers, or symbols on the display, put your insulin pump into STOP mode and CAUTION perform a system check again by simply removing the battery for a few seconds.

  • Page 33: Setting Time And Date

    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 WARNING correct insulin delivery and data memory. Do not make therapy decisions based upon a single result in the insulin pump’s memory.
  • Page 34 Chapter 2: Getting Started set the hour set the minute set the year set the Press f to select. Press a or s to set the hour. Press a or s to set the minutes. ACCU-CHEK Spirit Insulin Pump month set the...
  • Page 35 6. Press d to move to the SET DAY screen. 7. Press f to save and exit. Chapter 2: Getting Started Press a or s to set the year. Press a or s to set the month. Press a or s to set the day. ACCU-CHEK Spirit Insulin Pump...

  • Page 36: Your Personal Settings

    Your Personal Settings Your new ACCU-CHEK Spirit insulin pump must be programmed with your personal settings prior to starting insulin pump therapy. Work with your doctor or healthcare WARNING team to understand how to use the pump. Always check your personal settings before using your new pump in order to avoid incorrect insulin delivery.

  • Page 37: Your Basal Rate Profile

    24 hours a day. This flow of insulin, measured in international units per hour (U/h), is called the basal rate and is calculated to meet your basic insulin needs. An ACCU-CHEK Spirit insulin pump basal rate profile consists of up to 24 different hourly basal rates. Each hourly rate may be changed independently.

  • Page 38: Programming Your Basal Rate Profile

    For your safety and convenience during programming, your insulin pump returns itself to the RUN or STOP screen if no key is pressed within 20 seconds. The changes you made before your insulin pump “times out” will not be saved.
  • Page 39 Chapter 2: Getting Started The daily BASAL RATE TOTAL is displayed. The first hour, which always begins at midnight, 00:00 – 01:00 (12:00 AM – 01:00 AM if the American time format is used), is shown. ACCU-CHEK Spirit Insulin Pump...
  • Page 40 • Press f. Your pump returns to the RUN screen. If you want to undo the changes • Wait for your ACCU-CHEK Spirit insulin pump to return to the RUN screen (timeout), or • Press d+a simultaneously (exit feature) to exit the function screen.
  • Page 41 (scroll). Chapter 2: Getting Started The daily BASAL RATE TOTAL is displayed. A special beep confirms that you are pressing the keys correctly. The same hourly basal rate is copied to the next hour. ACCU-CHEK Spirit Insulin Pump...
  • Page 42 The bolus amount is determined by your doctor or healthcare team’s guidelines, your blood glucose level, your food intake, and your activity level as well as stress and illness. See the section “Understanding Boluses” (page 75) for more information. Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump...

  • Page 43: Preparing The Cartridge

    Preparing the Cartridge Your insulin pump is designed to use an ACCU-CHEK 3.15 ml plastic cartridge. The cartridge is a sterile product intended for single use only. Sterility is guaranteed for WARNING unopened packaging up to the indicated expiration date.
  • Page 44 Note: A filling aid, an optional accessory by Disetronic Medical Systems, helps you fill an empty ACCU-CHEK 3.15 ml plastic cartridge from your vial of insulin. Read the instructions that are included with the filling aid to learn how to use it.
  • Page 45 Pull the plunger back to fill the cartridge with air. Push the tip of the filling needle into the center of the insulin vial’s rubber membrane. Push the plunger rod down so that all air from the cartridge enters the insulin vial. ACCU-CHEK Spirit Insulin Pump...
  • Page 46 The cartridge is full when there are no air bubbles in it and the plunger is at the bottom of the cartridge. 7. Remove the filling needle from the insulin vial. 8. Place the protective cap on the filling needle. Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump...
  • Page 47 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 change system components if needed. Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump...

  • Page 48: Connecting The Cartridge, Adapter, And Infusion Set

    Have the following materials ready: • A filled ACCU-CHEK 3.15 ml plastic cartridge with a luer-lock connection • An ACCU-CHEK Spirit insulin pump adapter • A new ACCU-CHEK infusion set The cartridge and infusion set are sterile products intended for single use only.
  • Page 49 Luer-lock connector Hold the adapter and twist the infusion set luer-lock connection by hand, clockwise into the adapter (b). Carefully prepare a new ACCU-CHEK infusion set for use, priming and insertion, following its instructions for use. Do not over-tighten. To avoid leakage, properly tighten the infusion set to the adapter.

  • Page 50: Inserting The Cartridge

    Have the following materials ready: • Your insulin pump • A filled ACCU-CHEK 3.15 ml plastic cartridge with a connected ACCU-CHEK Spirit insulin pump adapter • A new ACCU-CHEK infusion set Chapter 2: Getting Started 3 sec.
  • Page 51 Follow the steps below: 1. Press d to move to the STOP YOUR ACCU-CHEK screen. 2. Press f to select and put the pump in STOP mode. 3. Press d to move to the CHANGE THE CARTRIDGE screen. 4. Press f to select.
  • Page 52 7. Press 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. 8. Position your insulin pump upright (with the adapter pointing upwards). Insert the cartridge into the cartridge compartment.
  • Page 53 See the section “Priming the Infusion Set” (page 53) for more information. Start from the point in those instructions where the pump screen matches the screen above. Chapter 2: Getting Started Your pump performs a self test. See the section “System Check Start-Up Process” (page 28). ACCU-CHEK Spirit Insulin Pump...

  • Page 54: Priming The Infusion Set

    WARNING The ACCU-CHEK Spirit insulin pump stops priming after 25 units of insulin. If no insulin has emerged from the tube set needle after priming, repeat the priming function. When insulin comes from the tip of the needle, press any pump key to stop priming.
  • Page 55 Follow the steps below: 1. Press d to move to the STOP YOUR ACCU-CHEK screen. 2. Press f to select and put the pump in STOP mode. 3. Prepare the tubing or cannula/needle for priming per infusion set instructions for use.
  • Page 56 When the priming process is finished, your pump returns to STOP. The infusion tubing set is properly primed when You can stop the priming process at any time by pressing any key. Your pump displays the STOP PRIMING screen. ACCU-CHEK Spirit Insulin Pump...

  • Page 57: Preparing The Infusion Site And Inserting The Infusion Set

    It is important to prepare the infusion site properly to reduce the risks of infection. Your doctor or healthcare team will give you infusion site preparation guidelines. Have the following materials ready: • Your ACCU-CHEK Spirit insulin pump • A disinfectant for your skin • A new ACCU-CHEK infusion set Follow the steps below: 1.
  • Page 58 3. Disinfect the infusion site and let it dry completely. 4. Make sure your pump is in STOP mode. 5. Insert your ACCU-CHEK infusion set according to the instructions for its use. Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump...
  • Page 59 If you have read and followed all instructions, cautions, warnings, and notes found in this chapter, your pump should now be ready to use. However, please read the complete manual before starting. Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump...

  • Page 60: Chapter 3: Using Your Pump

    Successful insulin pump therapy requires you to check your blood glucose levels often. It is a good idea to check your blood glucose (using an ACCU-CHEK blood glucose monitor) at least four times a day, or as often as you are directed by your doctor or healthcare team.
  • Page 61 1-800-688-4578. See the section “Appendix A: Technical Data” (page 165) for more information on operating conditions. 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 and CAUTION temperatures over 104°F (40°C) and below 41°F (5°C).

  • Page 62: When Not To Wear Your Pump

    Always stop and remove your pump before you enter these areas. See “Appendix A: Technical Data” (page 165) for more information about electromagnetic fields. Your insulin pump has not been tested with cardiac pacemakers. Do not use the ACCU-CHEK Spirit insulin pump if you have a cardiac pacemaker.
  • Page 63 When you travel across time zones, make sure that the time and date on your pump are set correctly to the local time. The ACCU-CHEK insulin pump has not been tested at altitudes in excess of 10,000 feet (3,000 meters) above sea level. If your travels take you to an area in excess of 10,000 feet (3,000 meters) above sea level, stop and remove your pump.

  • Page 64: Your Insulin Pump And Water

    To make it easy to remove your pump, use disconnectable ACCU-CHEK infusion sets. Consult your doctor or healthcare team to find out how long your insulin pump therapy can safely be interrupted.
  • Page 65 Do not use warm air such as a hair dryer to dry the pump as this could damage the pump’s electronics. Do not re-insert the battery or the cartridge until the compartments are completely dry. See the section “Cleaning Your ACCU-CHEK Spirit Insulin Pump” (page 141) for more information. Other Liquids You do not have to worry about contact between your pump and: •...

  • Page 66: Starting Insulin Delivery

    Follow the steps below: 1. Start from the STOP screen. 2. Press d to move to the START YOUR ACCU-CHEK screen. 3. Press f to select. Your pump shows the RUN screen. Note: Check the amount of insulin remaining in the cartridge at least once a day.

  • Page 67: Stopping Insulin Delivery

    Stopping Insulin Delivery When your insulin pump is in STOP mode, it does not deliver any insulin. You will need to put your insulin pump into RUN CAUTION mode to continue insulin delivery. There are functions and actions, for your safety, that you can only perform when the pump is in STOP mode.
  • Page 68 Press either a or s for 3 seconds to turn off the STOP-Warning. A melody plays indicating the STOP-Warning is turned off. Note: The volume of the STOP-Warning cannot be changed. It is independent of the programmed beep volume. Chapter 3: Using Your Pump 67 67 ACCU-CHEK Spirit Insulin Pump...

  • Page 69: Interruption Of Insulin Pump Therapy

    Since only rapid-acting insulin is used for insulin pump therapy, there is only a small insulin reserve in the body. If insulin is interrupted for any reason, such as: WARNING •...
  • Page 70 Measure your blood glucose level within 2 hours of restarting pump therapy to check the function of the system and to ensure insulin delivery. Interruption of Use of Your Insulin Pump for a Long Period of Time There may be times when you may need to interrupt your pump therapy for more than one day.

  • Page 71: Changing The Infusion Set

    You risk uncontrolled insulin delivery into your body. Always follow the instructions for the infusion set you are using. Have the following materials ready: • Your ACCU-CHEK Spirit insulin pump • A disinfectant for your skin • A new ACCU-CHEK infusion set...
  • Page 72 4. Remove the infusion tube set from the adapter and dispose of it properly. 5. Carefully prepare a new ACCU-CHEK infusion set for use. 6. Turn the ACCU-CHEK infusion set by hand clockwise into the adapter. 7. Properly tighten the luer-lock connector by hand.
  • Page 73 Change the infusion headset according to the instructions for the infusion set you are using and your doctor or healthcare team’s recommendations. Chapter 3: Using Your Pump ACCU-CHEK Spirit Insulin Pump...

  • Page 74: Changing The Cartridge And Infusion Set

    • A new adapter (must be changed at least with every 10 1. Wash your hands thoroughly. 2. Make sure your insulin pump is in STOP mode. 3. Remove your infusion tube set from the headset. 4. Remove the infusion tube set from the adapter and dispose of it properly.
  • Page 75 5. Hold your ACCU-CHEK Spirit insulin pump with the adapter pointing downwards. 6. Remove the adapter and cartridge from your pump by unscrewing the adapter from the pump casing. Pulling the adapter from the pump casing without completely unscrewing it may result in the plunger staying attached to the piston rod.

  • Page 76: Chapter 4: Boluses And Temporary Basal Rates

    Your pump can deliver three types of boluses: Standard Bolus Extended Bolus MultiWave Bolus Chapter 4: Boluses and TBRs fast delivery delivery over a programmed period of time combines fast delivery with delivery over a programmed period of time ACCU-CHEK Spirit Insulin Pump...
  • Page 77 • Your insulin pump must be programmed with your WARNING 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.

  • Page 78: Programming A Standard Bolus

    “Quick” Standard Bolus Using on your insulin pump, with bolus increments determined by the user The bolus amount per delivery is limited to 25 units using U100 insulin. After you program a Standard Bolus there is a delay of 5 seconds before the bolus delivery starts.
  • Page 79 BOLUS function. Each press of the a (s) key adds one bolus increment to the bolus amount. Your pump beeps and vibrates simultaneously once for each programmed bolus increment. ) blinks for 5 seconds (the bolus delivery ACCU-CHEK Spirit Insulin Pump...
  • Page 80 The bolus increment that can be programmed into your insulin pump determines the Standard Bolus amount WARNING using the a and s keys of your insulin pump. Incorrect programming of the bolus increment may cause inappropriate insulin delivery. See the section “Bolus Increment”...
  • Page 81 2. Press f to select. The BOLUS AMOUNT screen appears. 3. Press or scroll a to increase or s to decrease the bolus amount. 4. Press f to confirm the bolus amount. Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump...
  • Page 82 Bolus delivery is interrupted. Please refer to section “Alert A8: BOLUS CANCELLED” (page 153) for more information. Chapter 4: Boluses and TBRs ) blinks for five seconds (the bolus delivery is blinking): ACCU-CHEK Spirit Insulin Pump...
  • Page 83 Please refer to the section “Review the Bolus History” (page 107) for more information. Make sure that the cancellation was intended and then program a new Standard Bolus, if needed. Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump...

  • Page 84: Programming An Extended Bolus

    Extended Bolus, put the pump in STOP mode to cancel the current bolus and to program a new one. screen stop your ACCU-CHEK A8: bolus cancelled Chapter 4: Boluses and TBRs Extended bolus bolus amount bolus duration ACCU-CHEK Spirit Insulin Pump...
  • Page 85 Chapter 4: Boluses and TBRs The duration of the last Extended Bolus delivered appears, or when using your pump for the first time, a default value appears. Press a to increase or s decrease the bolus duration. ACCU-CHEK Spirit Insulin Pump...
  • Page 86 If a Temporary Basal Rate is active at the same time as the Extended Bolus, the remaining time and amount of the bolus and the amount of the increased or decreased hourly basal rate are displayed in the RUN screen. Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump...
  • Page 87 BOLUS HISTORY screen. See the section “Review the Bolus History” (page 107) for more information. When your insulin pump is in STOP mode, it does not deliver any insulin. Put the pump in RUN mode to continue the CAUTION insulin delivery.
  • Page 88 See the sections “Alert A6: TBR CANCELLED” (page 152) and “Alert A8: BOLUS CANCELLED” (page 153) for more information. Make sure that the cancellation was intended and then program a new Extended Bolus (and/or Temporary Basal Rate), if needed. Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump...

  • Page 89: Programming A Multiwave Bolus

    MultiWave Bolus or an Extended Bolus is blocked. If you need a different MultiWave Bolus, put your pump in STOP mode to cancel the current bolus and program a new one. Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump...
  • Page 90 The first time you press a, the bolus duration of the last MultiWave Bolus appears, except when you are using your pump for the first time, in which case, a default value appears. ACCU-CHEK Spirit Insulin Pump bolus duration 5 sec. delay...
  • Page 91 Press a or s to correct and set the immediate bolus amount. Press a or s to correct and set the Extended Bolus duration in increments of 15 minutes for up to 24 hours. ) blinks for 5 seconds (bolus delivery ACCU-CHEK Spirit Insulin Pump...
  • Page 92 • You can cancel the immediate delivery 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. Chapter 4: Boluses and TBRs blinks): ACCU-CHEK Spirit Insulin Pump...
  • Page 93 See the section “Review the Bolus History” (page 107) for more information. When your insulin pump is in STOP mode, it does not deliver any insulin. Put your insulin pump in RUN mode to continue the insulin delivery.

  • Page 94: Programming A Temporary Basal Rate (Tbr)

    WARNING insulin pump therapy. Do not operate your insulin pump without knowing your personal settings. If you are not sure about your personal settings or if you are less experienced, have your doctor or healthcare team check your personal settings.
  • Page 95 100%. If a Temporary Basal Rate is active, its duration and percentage appear on the RUN screen. 4. Press a or s to increase or decrease the basal rate. Chapter 4: Boluses and TBRs temporary precentage basal rate duration The TBR PERCENTAGE screen appears. ACCU-CHEK Spirit Insulin Pump...
  • Page 96 • Wait for your pump to return to the RUN screen (timeout), or • Press d+a simultaneously (exit feature) to exit the function screen. • Set volume to 100% and press f. Chapter 4: Boluses and TBRs Press a or s to correct and set the duration. ACCU-CHEK Spirit Insulin Pump...
  • Page 97 At the end of a Temporary Basal Rate, an alert A7: TBR OVER occurs. Press f twice to confirm and turn off the alert. See the section “Alert A7: TBR OVER” (page 153) for more information. Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump...
  • Page 98 The Temporary Basal Rate delivery is interrupted. An alert A6: TBR CANCELLED occurs. Press f twice to confirm and turn off the alert. Chapter 4: Boluses and TBRs The TBR PERCENTAGE screen appears. Press f to save and exit. ACCU-CHEK Spirit Insulin Pump...
  • Page 99 When your insulin pump is in STOP mode, it does not deliver any insulin. Put your insulin pump in RUN mode to continue the insulin delivery. CAUTION Note: If an Extended Bolus or a MultiWave Bolus is active at the same time, it is also cancelled when your pump is put into STOP mode.

  • Page 100: Chapter 5: User Menus

    • The STANDARD User Menu This menu offers all the functions you need for successful insulin pump therapy and lets you change between the user menus. If you are new to pump therapy, start with this menu. Later, as your comfort with pump therapy grows, you may choose the features offered in the ADVANCED user menu.

  • Page 101: Selecting A User Menu

    ADVANCED user menu. Follow the steps below: 1. Press d to move to the SELECT USER MENU screen. Chapter 5: User Menus user menu desired Press f to select. ACCU-CHEK Spirit Insulin Pump select basal rate profile basal rate...
  • Page 102 Press a or s to select a different user menu. The selected basal rate profile and its daily insulin total appear, if the previous basal rate profile is not available from the selected user menu, dashes appear instead. ACCU-CHEK Spirit Insulin Pump ACCU-CHEK Spirit Insulin Pump...
  • Page 103 RUN screen, • If you want to undo the changes press d+ a simultaneously to exit the function screen, or • Wait for your pump to return to the RUN screen (timeout). Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump...

  • Page 104: Standard User Menu

    CHANGE THE CARTRIDGE–See the section “Inserting the Cartridge” (page 49) PRIME THE INFUSION SET–See the section “Priming the Infusion Set” (page 53) START YOUR ACCU-CHEK–See the section “Starting Insulin Delivery” (page 65) STOP YOUR ACCU-CHEK–See the section “Stopping Insulin Delivery”...

  • Page 105: Data Transfer

    Pump events include alerts and errors, programming operations, and insulin delivery records. Some or all of the pump memory may be transferable to compatible software. The built-in infrared interface inside the bottom cover of your insulin pump allows for wireless data transfer. Chapter 5: User Menus...

  • Page 106: Setup For Data Transfer

    Set up your pump with a cartridge, adapter, and a new infusion set and put it in the RUN mode, if necessary. Chapter 5: User Menus start data transfer stop data transfer ACCU-CHEK Spirit Insulin Pump ACCU-CHEK Spirit Insulin Pump...
  • Page 107 You may press d+ a simultaneously to exit while data is being transferred. The data transfer is interrupted and an error E12: DATA INTERRUPTED occurs. See the section, “Error E12: DATA INTERRUPTED” (page 163) for more information. Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump...

  • Page 108: Reviewing Pump Data

    Chapter 5: User Menus last 30 boluses last 30 alerts and errors last 30 daily totals of insulin delivered last 30 increases and decreases remaining time in days until the pump timer expires Extended Bolus or MultiWave Bolus), ACCU-CHEK Spirit Insulin Pump...
  • Page 109 3. Press a or s to review the entries. Chapter 5: User Menus bolus history alarm history daily total TBR The BOLUS HISTORY screen appears. The most recent bolus information is displayed. Press f to exit. ACCU-CHEK Spirit Insulin Pump history...
  • Page 110 1. Press d to move to the INFORMATION screen. 2. Press d to move to the ALARM HISTORY screen. 3. Press a or s to review the entries. Chapter 5: User Menus Press f to select. Press f to exit. ACCU-CHEK Spirit Insulin Pump A6),...
  • Page 111 1. Press d to move to the INFORMATION screen. 2. Press d to move to the DAILY TOTALS screen. 3. Press a or s to review the entries. Chapter 5: User Menus Press f to select. Press f to exit. ACCU-CHEK Spirit Insulin Pump...
  • Page 112 1. Press d to move to the INFORMATION screen. 2. Press d to move to the TBR HISTORY screen. 3. Press or scroll a or s to review the entries. Chapter 5: User Menus Press f to select. Press f to exit. ACCU-CHEK Spirit Insulin Pump...
  • Page 113 For best performance, a pump timer limits the operating time of the pump. This timer counts the number of days of operation remaining for the ACCU-CHEK Spirit insulin pump. Before the pump timer expires, an alert will remind you of the upcoming end of operating time so that you can arrange to get a new one.

  • Page 114: Setup Menu Standard

    To use the KeyLock function, it must be turned on. See the section “Keys and Key Combinations” (page 11) for more information. RUN / STOP setup screen standard Chapter 5: User Menus KeyLock beep volume alarm signals automatic off battery type o rientation ACCU-CHEK Spirit Insulin Pump...

  • Page 115: Press F To Save And Exit

    If no key is pressed for 10 seconds after your pump has returned to the RUN screen or STOP screen and if the KeyLock is turned on, all four keys are locked. Chapter 5: User Menus Press f to select. Press f to save and exit. ACCU-CHEK Spirit Insulin Pump...
  • Page 116 KeyLock is unlocked. 2. If no key is pressed for 10 seconds after your pump has returned to the RUN or the STOP screen, all four keys are automatically locked. Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump...
  • Page 117 These beeps will steadily increase in volume until the maximum level is reached if the alert or error is not cancelled. Chapter 5: User Menus Press f to select. The active beep volume is displayed. ACCU-CHEK Spirit Insulin Pump...
  • Page 118 Setting Up Alarm Signals The ACCU-CHEK Spirit insulin pump lets you choose how you want your pump to alert you when an alarm occurs. You have three options: beep only vibrate only beep and vibrate Follow the steps below: 1. Press d to move to the SETUP MENU STANDARD screen.
  • Page 119 0 hours and OFF appears on the display. 5. Press f to save and exit. Chapter 5: User Menus Press f to select. The current status is displayed at the bottom left of the screen. ACCU-CHEK Spirit Insulin Pump...
  • Page 120 2. Press d to move to the BATTERY TYPE screen. 3. Press a or s to select the battery type ALKALINE or NiMH (rechargeable) battery. Chapter 5: User Menus Press f to select. The current battery type is displayed. Press f to save and exit. ACCU-CHEK Spirit Insulin Pump...
  • Page 121 1. Press d to move to the SETUP MENU STANDARD screen. Press f to select. 2. Press d to move to the ORIENTATION screen. 3. Press a or s to select the display orientation. 4. Press f to save and exit. Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump...
  • Page 122 If you flip the display orientation of your insulin pump by 180°, the a and s keys will also reverse their functions. In comparison to the display orientation, the CAUTION upper key will be the a and the lower key will be s.

  • Page 123: Advanced User Menu

    ADVANCED User Menu The ADVANCED user menu offers the full range of the ACCU-CHEK Spirit insulin pump functions. The ADVANCED user menu includes all functions from the STANDARD user menu, plus a wide range of functions for the more experienced user.

  • Page 124: Basal Rate Profiles

    Discuss additional basal rate profiles with your doctor or healthcare team. Consult with your doctor or healthcare team before changing basal rate profiles, as this may change how you use your pump. Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump...
  • Page 125 Your insulin pump must be programmed with your personal settings prior to starting WARNING 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.
  • Page 126 3. Press a or s to select a basal rate profile. The selected basal rate profile and its daily insulin total appear. 4. Press f to select. The new basal rate profile is active immediately. Chapter 5: User Menus BR profile no. … The current basal rate profile is displayed. ACCU-CHEK Spirit Insulin Pump...
  • Page 127 • Program the basal rate profile to an available basal rate profile number A running Temporary Basal Rate increase or decrease stays active, even if you change the basal rate profile on your pump. Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump...

  • Page 128: Alarm Clock

    5. Press d to move to the SET ALARM MINUTE screen. 6. Press f to save and exit. Chapter 5: User Menus Press a or s to set the hour. Press a or s to set the minute. ACCU-CHEK Spirit Insulin Pump ), or EVERY...
  • Page 129 When the alarm clock goes off, an alert A4: ALARM CLOCK occurs. Press f twice to confirm and turn off the alert. See the section “Alert A4: ALARM CLOCK” (page 151) for more information. Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump...

  • Page 130: Setup Menu Advanced

    1. Press d to move to the SETUP MENU ADVANCED screen. 2. The TIME FORMAT screen appears. 3. Press f to save and exit. Chapter 5: User Menus Press f to select. Press a or s to select a time format. ACCU-CHEK Spirit Insulin Pump...
  • Page 131 1. Press d to move to the SETUP MENU ADVANCED screen. 2. Press d to move to the DATE FORMAT screen. 3. Press f to save and exit. Chapter 5: User Menus Press f to select. Press a or s to select a date format. ACCU-CHEK Spirit Insulin Pump...
  • Page 132 To address patients who may need large or small amounts of insulin, the bolus increment for the ACCU-CHEK Spirit insulin pump is adjustable. The “Quick” Standard Bolus is initially set to 0.5 units per key press but can be changed in the SETUP MENU ADVANCED to 0.1, 0.2, 0.5, 1.0, or 2.0 units.
  • Page 133 2. Press d to move to the PRIME QUANTITY screen. 3. Press f to save and exit. Chapter 5: User Menus Press f to select. Press a or s to select a prime quantity between 0.0 and 30.0 units. ACCU-CHEK Spirit Insulin Pump...
  • Page 134 Chapter 5: User Menus Press f to select. Press a or s to turn the basal rate lock ON or OFF. ), the programming of the basal symbol in the BASAL RATE TOTAL screen ACCU-CHEK Spirit Insulin Pump symbol appears...
  • Page 135 1. Press d to move to SETUP MENU ADVANCED screen. 2. Press d to move to the LANGUAGE screen. 3. Press f to save and exit. Chapter 5: User Menus Press f to select. Press a or s to select a language. ACCU-CHEK Spirit Insulin Pump...
  • Page 136 1. Press d to move to the SETUP MENU ADVANCED screen. 2. Press d to move to the DISPLAY CONTRAST screen. 3. Press f to save and exit. Chapter 5: User Menus Press f to select. Press a or s to select a contrast level. ACCU-CHEK Spirit Insulin Pump...

  • Page 137: Custom User Menu

    – CHANGE BASAL RATE PROFILE – PROGRAM BASAL RATE PROFILE 1 – PROGRAM BASAL RATE PROFILE 2 – ALARM CLOCK – SET DATE AND TIME – SETUP MENU STANDARD – SELECT USER MENU Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump...

  • Page 138: Chapter 6: Care And Maintenance

    Chapter 6: Care and Maintenance Care of Your ACCU-CHEK Spirit Insulin Pump Do not perform any servicing or repair on your insulin pump. For servicing or repairs contact Pump Support at 1-800-688-4578. CAUTION Disetronic Medical Systems, as the manufacturer, guarantees the functions of your pump according to its specifications only if all servicing of your pump is done and/or authorized by Disetronic Medical Systems.
  • Page 139 • The time and date are set correctly. • The Temporary Basal Rate changes are set according to your doctor’s or healthcare team’s recommendations. • The beeps and/or vibrations are set. • You have your personal emergency kit. Chapter 6: Care and Maintenance ACCU-CHEK Spirit Insulin Pump...

  • Page 140: What To Do When You Drop Your Pump

    If the pump is dropped it could be harmed or the seal that protects it against water could be damaged. Be careful not to drop your pump. Use the proper ACCU-CHEK Spirit insulin pump carrying system to help avoid dropping your pump. See Disetronic Medical Systems sterile products and accessories catalogs and brochures for more information.

  • Page 141: Storing Your Accu-Chek Spirit Insulin Pump

    Storing Your ACCU-CHEK Spirit Insulin Pump When your insulin pump will not be in use for a long period of time, it should be properly stored, to prevent a malfunction. CAUTION To store your pump, place in STOP mode, then: •...

  • Page 142: Maintenance

    It is important to change your battery regularly and to have spare batteries ready. The life of any battery is affected by how you use your insulin pump, your personal settings, delivery rates, temperature, and other factors. With typical pump use [50 U/day using U100 insulin;...

  • Page 143: Repair

    Repair Do not perform any servicing or repair on your insulin pump. Do not use any lubricants on the pump mechanism. If you have questions, contact Pump Support at 1-800-688-4578. CAUTION If you have problems with your pump, contact Pump Support at 1-800-688-4578.

  • Page 144: Troubleshooting

    You need to know that the interruption of insulin delivery (due to a leak, occlusion, or loss of insulin potency, for example) or the malfunction of your insulin pump can result in a rapid rise of your blood glucose level. Although your 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.
  • Page 145 Contact Pump Support at 1-800-688-4578. Check that the beep volume and alarm signals are turned on. Check and change the battery. If your insulin pump still does not beep or vibrate, contact Pump Support at 1-800-688-4578. Remove the battery, wait a few seconds, and insert it again.
  • Page 146 Check your blood glucose level. Change your infusion set and infusion site. 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. ACCU-CHEK Spirit Insulin Pump...
  • Page 147 Change your infusion headset and infusion site immediately. Use proper insertion technique. Check blood glucose level. Follow the planned infusion site rotation pattern and advice given by your doctor or healthcare team. ACCU-CHEK Spirit Insulin Pump...

  • Page 148: Chapter 7: Alerts And Errors

    The volume of the STOP-Warning is separate from the programmed beep volume and cannot be changed. It always occurs at the maximum level. KeyLock is unlocked by the system each time an alert or error occurs. Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump...

  • Page 149: Confirming An Alert Or Error

    5. After an alert or error, make sure that your pump is returned to RUN mode. Chapter 7: Alerts and Errors , E1: CARTRIDGE EMPTY, The alert or error code stays on the display. ACCU-CHEK Spirit Insulin Pump or E5:...

  • Page 150: List Of Alerts

    List of Alerts After an alert occurs, your insulin pump may be in STOP mode and the insulin delivery may be interrupted. In order to maintain insulin delivery, you must act immediately WARNING according to the instructions given for each error code or put your insulin pump in RUN mode to continue the insulin delivery.
  • Page 151 Battery” (page 25) for instructions on how to change your battery. Alert A3: REVIEW TIME AND DATE The pump was without power for more than one hour. The ACCU-CHEK Spirit insulin pump settings and history data are saved in memory regardless of power loss.
  • Page 152 Your pump’s operating time will expire soon. It is recommended that you replace your pump after a period of four years of running time. After the alert A5: PUMP TIMER occurs, the ACCU-CHEK Spirit insulin pump will display the symbol remind you to check the timer.
  • Page 153 An error, E5: END OF OPERATION, will appear on the display. Contact Pump Support at 1-800-688-4578 to discuss your options for further use of your ACCU-CHEK Spirit insulin pump. Note: The alert A5: PUMP TIMER ALERT and the error E5: END OF OPERATION are based on running time (the total time the pump is in RUN mode) and not calendar years.
  • Page 154 Note: The actual bolus amount that was delivered before the cancellation can be reviewed in the bolus history. See the section “Review the Bolus History” (page 107) for more information. Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump...

  • Page 155: List Of Errors

    List of Errors After the occurrence of an error, your insulin pump will be in STOP mode and the insulin delivery is interrupted. In order to maintain insulin delivery, you must act immediately WARNING according to the instructions given for each error code.
  • Page 156 Error E2: BATTERY DEPLETED The battery is out of power. Replace it immediately. After inserting a new battery, always check that the time and date of your insulin pump are set correctly. Incorrect programming of the time and date may cause incorrect WARNING insulin delivery.
  • Page 157 2.0 U/h (U100 insulin and no additional boluses) would trigger an error E4: OCCLUSION in approximately three hours or less, depending on the type and severity of the blockage. Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump...
  • Page 158 2. Disconnect or remove the infusion set from your infusion site. 3. Change the cartridge and prime the infusion set. 4. Reconnect the infusion set (tubing) at your infusion site. 5. Put your pump in RUN mode. Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump...
  • Page 159 Before this error occurs, an alert A5: PUMP TIMER will remind you to replace your pump soon. 1. Press f twice to turn off and to confirm the error. Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump...
  • Page 160 2. Contact Pump Support at 1-800-688-4578 to discuss your options for further use of the ACCU-CHEK Spirit insulin pump. Note: The alert A5: PUMP TIMER ALERT and the error E5: END OF OPERATION are based on running time (the total time the pump is in RUN mode) and not calendar years.
  • Page 161 If the error E7: ELECTRONIC ERROR occurs again, contact Pump Support at 1-800-688-4578 for assistance. Contact your doctor or healthcare team if you need an alternate therapy plan. Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump...
  • Page 162 6. Program a new bolus and/or Temporary Basal Rate if you need them. See “Boluses and Temporary Basal Rates” (page 75). If an error E8: POWER INTERRUPT occurs during programming, check your settings. Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump...
  • Page 163 The cartridge was changed but the infusion set was not primed. The error will display when you try to put your pump in RUN mode. Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump...
  • Page 164 E12: DATA INTERRUPTED occurs. The data transfer must be completed successfully before you can put your insulin pump into RUN mode. Data transfer between your pump and a PC was interrupted before it was completed.
  • Page 165 1. Press f twice to turn off and to confirm the error. 2. Follow the steps in the section “SETUP MENU Advanced–Language” (page 134) to change the language. 3. Put your pump in RUN mode. Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump...

  • Page 166: Appendixes

    If used in a typical usage pattern [50 U/day using U100 insulin; operating temp. of 72°F ± 6°F (22°C ± 3°C)] the battery life is approx. four weeks for alkaline and one week for rechargeable batteries. ACCU-CHEK Spirit Insulin Pump...
  • Page 167 (bolus history, history of daily insulin totals, Temporary Basal Rate history, alarm history) are saved, regardless of battery voltage and time the insulin pump has been without a battery. Infrared interface 1/20th of the current hourly basal rate in 3-minute intervals.
  • Page 168 AA rechargeable batteries a minimum capacity of 1500 mAh. Use only a battery charger officially recommended by the battery manufacturer. Shock, scratch, pharmaceutical resistant plastic. All edges are rounded. ACCU-CHEK Spirit Insulin Pump ≤ ≤ ≤ 3.5 U ≤ 1.0 U...
  • Page 169 Weight Appendixes Appendixes Alert system, beeps, information on the display, vibrations, dual microprocessor. The insulin pump is controlled by two microprocessors. The safety concept is based on one processor (supervisor processor) supervising the other (main processor). Whenever a defect or...
  • Page 170 IEC 61000-3-3 Appendixes Electromagnetic Environment – Guidance The ACCU-CHEK Spirit insulin pump 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.
  • Page 171 RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the ACCU-CHEK Spirit insulin pump is used exceeds the applicable RF compliance level above, the ACCU-CHEK Spirit insulin pump should be observed to verify normal operation.
  • Page 172 The ACCU-CHEK Spirit insulin pump is intended for use in the electromagnetic environment specified below. The customer or the user of the ACCU-CHEK Spirit insulin pump should assure that it is used in such an environment. IEC 60601 Immunity Test Test Level Electrostatic ±...
  • Page 173 Portable and mobile RF communications equipment 80 MHz should be used no closer to 2.5 GHz any part of the ACCU-CHEK Spirit insulin pump, includ- (IEC 60601-2-24) ing cables, than the recom- mended separation distance calculated from the equation applicable to the frequency of the transmitter.
  • Page 174 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. ≤ The average deviation of the delivered amount (overall mean percentage flow error) for U100 insulin is ± 5%. Appendixes ACCU-CHEK Spirit Insulin Pump...
  • Page 175 ≤ The average deviation of the delivered amount (overall mean percentage flow error) for U100 insulin is ± 10% when your ACCU-CHEK Spirit insulin pump is located 3.3 feet (1 m) above/below the level of infusion site. Appendixes ACCU-CHEK Spirit Insulin Pump...
  • Page 176 IEC 60601-2-24:1998 with a Disetronic Classic infusion set PC 16/110 at room temperature. ≤ The average deviation of the delivered amount (overall mean percentage flow error) for U100 insulin is ± 20%. Appendixes Appendixes ACCU-CHEK Spirit Insulin Pump ACCU-CHEK Spirit Insulin Pump...
  • Page 177 The measurements were made according to IEC 60601-2-24:1998 with a Disetronic Classic infusion set PC 16/110 at room temperature. Delivery Mode Delivery Rate/Volume Basal Bolus Appendixes Accuracy 0.1 U/h ±20% 0.1 U ±30% ACCU-CHEK Spirit Insulin Pump Range 0.08 - 0.12 U/h 0.07 - 0.13 U...

  • Page 178: Appendix B: Configuration Parameters

    Your pump is built by Disetronic Medical Systems with a standard configuration (factory settings). A list containing the important factory settings is added to the original insulin pump package when your pump is first shipped. You may need to adapt the factory settings to meet your individual needs. Set the configuration parameters directly on your insulin pump.
  • Page 179 15 min U100: 25.0 IU/h Insulin Type 0.5U 0.1, 0.2, 0.5, 1.0 or 2.0 U max. 24 h 15 min ACCU-CHEK Spirit Insulin Pump Range Max. Amount U100 0 – 62.50 IU/h Max. Amount U100 0 – 25.0 IU/h 0 – 200% 15 min –...
  • Page 180 STANDARD 3 (STANDARD, ADVANCED maximum beeps, vibrations or both AA battery AA NiMH rechargeable battery American (12 h am/pm) or ACCU-CHEK Spirit Insulin Pump Range Max. Amount U100 0 – 25.0 IU/h standard or inverted 13 steps or CUSTOM) off, 1 –...

  • Page 181: Appendix C: Abbreviations

    Temporary Basal Rate see I.U. Amount of International Units of insulin delivered per hour U100 Each milliliter of liquid contains 100 International Units of insulin mm/dd/yy American date format: month/day/year dd.mm.yy European date format: day.month.year Appendixes ACCU-CHEK Spirit Insulin Pump...

  • Page 182: Appendix D: Beeps And Melodies

    Lock the KeyLock in STOP mode Exit a screen Cancel a running bolus or stop priming Start-up procedure successful Copy an hourly basal rate Alert and error Maximum amount reached Minimum amount reached Appendixes confirms each programmed bolus confirms the STOP-Warning ACCU-CHEK Spirit Insulin Pump...

  • Page 183: Appendix E: Vibrations

    Your pump signals alerts and errors using beeps and vibrations. You can turn off either the beeps or the vibrations, but you cannot turn off both simultaneously. When you program a “Quick” Standard Bolus, your ACCU-CHEK Spirit insulin pump confirms all programming by vibrating. You cannot turn off these vibrations.

  • Page 184: Appendix F: Symbols

    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 Appendixes ACCU-CHEK Spirit Insulin Pump...
  • Page 185 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. Federal Communications Commission, part 15 on radio frequency devices. Manufacturer Appendixes ACCU-CHEK Spirit Insulin Pump...
  • Page 186 Symbol Definition Start your ACCU-CHEK Spirit insulin pump 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...
  • Page 187 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 Beeps and vibrations turned on Appendixes ACCU-CHEK Spirit Insulin Pump...
  • Page 188 Alarm clock turned off Single alarm when setting an alarm clock Every day repeat alarm when setting an alarm clock PC communication Set beep volume Check key Up key Down key Timeout of a menu Appendixes ACCU-CHEK Spirit Insulin Pump...

  • Page 189: Appendix G: Sterile Products And Accessories

    Variable insertion angle and choice of cannula for maximum control and comfort. Ultra-fine stainless needle inserts easily with one hand and is a great option for new pumpers or those with vision or dexterity issues. ACCU-CHEK Spirit Insulin Pump...
  • Page 190 (22°C ± 3°C)] the battery life is approx. one week for rechargeable batteries. Replace your battery cover with every 4 battery. Disetronic Medical Systems offers a wide range of carrying system solutions to best fit your lifestyle. ACCU-CHEK Spirit Insulin Pump...

  • Page 191: Appendix H: Glossary

    Your basal rate is delivered by your insulin pump according to your personal basal rate profile or profiles.
  • Page 192 The standard configuration (“factory settings”) on a new pump. These settings can be adapted to your individual needs directly on your pump. Filling aid An accessory that can be used to help you fill an empty ACCU-CHEK 3.15 ml plastic cartridge from your vial of insulin. Free flow...
  • Page 193 Personal settings Your 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 that can be tailored to your individual needs on your pump.
  • Page 194 Settings Scrolling STOP mode STOP STOP STOP STOP screen STOP Temporary Basal Rate Timeout STOP U100 Appendixes ACCU-CHEK Spirit Insulin Pump...

  • Page 195: Warranty

    LIMITED FOUR-YEAR WARRANTY Appendixes ACCU-CHEK Spirit Insulin Pump...

  • Page 196: Index

    Index ACCU-CHEK Spirit Insulin Pump...
  • Page 197 Index ACCU-CHEK Spirit Insulin Pump...
  • Page 198 No. Error What You Need to Do Index ACCU-CHEK Spirit Insulin Pump Quick Reference Table for Errors ACCU-CHEK Spirit Insulin Pump Index ACCU-CHEK Spirit Insulin Pump...

  • Page 199: Diagram Of User Menus

    24th hour set the battery type For a complete review of your insulin pump features as well as display the warnings and precautions associated with its use, please orientation refer to your ACCU-CHEK Spirit Insulin Pump User Guide.

  • Page 200: Quick Reference Table For Alerts

    11800 Exit 5 Parkway, Suite 120 Fishers, IN 46037 Phone 866-703-3476 888-810-0758 For technical assistance, call Pump Support at 800-688-4578. www.accu-chek.com ACCU-CHEK and ACCU-CHEK SPIRIT are trademarks of Roche. ©2005 Disetronic Medical Systems, Inc. All rights reserved. 04632753001/V01/11.05 Swiss made...

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