Summary of the content on the page No. 1
Pump User Guide
™
ACCU-CHEK Spirit
insulin pump
Manufactured by:
Disetronic Medical Systems AG
CH-3401 Burgdorf, Switzerland
Distributed by:
Disetronic Medical Systems, Inc.
11800 Exit 5 Parkway, Suite 120
Fishers, IN 46037
Phone 866-703-3476
Fax 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
Summary of the content on the page No. 2
™ Dear ACCU-CHEK Spirit insulin pump owner, Thank you for choosing the ACCU-CHEK Spirit insulin pump. This guide will help you to get the most from your ACCU-CHEK Spirit insulin pump. Even if you have used an insulin pump before, it’s important that you do these things before you use the ACCU-CHEK Spirit insulin pump: E read this guide carefully E work with your doctor or healthcare team to understand how to use the pump E test your blood glucose level often to find your personal settings and
Summary of the content on the page No. 3
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. When you become familiar with your pump, you can quickly refer to the back of this user guide for tables and definitions that can help you to understand pump alerts and warnin
Summary of the content on the page No. 4
Working safely with your ACCU-CHEK Spirit insulin pump Your ACCU-CHEK Spirit insulin pump meets the safety requirements of national medical device legislation and meets or exceeds the international standards for Electromagnetic Compatibility regarding the pump’s use. This section introduces you to the intended use of the ACCU-CHEK Spirit insulin pump, to its safety features, and to warnings and safety information you need to know while using your pump. While your pump is in use, two internal saf
Summary of the content on the page No. 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. 4 ACCU-CHEK Spirit Insulin Pump
Summary of the content on the page No. 6
Contents Chapter 1: Understanding Your New System _____________________9 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 Accessori
Summary of the content on the page No. 7
Changing the Infusion Set_________________________________70 Changing the Cartridge and Infusion Set _____________________73 Chapter 4: Boluses and Temporary Basal Rates__________________75 Understanding Boluses ___________________________________75 Programming a Standard Bolus ____________________________77 Programming an Extended Bolus ___________________________83 Programming a MultiWave Bolus ___________________________88 Programming a Temporary Basal Rate (TBR) __________________93 Chapter
Summary of the content on the page No. 8
Chapter 7: Alerts and Errors ________________________________147 Confirming an Alert or Error ______________________________148 List of Alerts __________________________________________149 List of Errors __________________________________________154 Appendixes_____________________________________________165 Appendix A: Technical Data_______________________________165 Appendix B: Configuration Parameters ______________________177 Appendix C: Abbreviations _______________________________180 Append
Summary of the content on the page No. 9
This page left blank intentionally. 8 ACCU-CHEK Spirit Insulin Pump
Summary of the content on the page No. 10
Chapter 1: Understanding Your New System The ACCU-CHEK Spirit Insulin Pump Display Menu key Up key Down key Check key Infusion set Adapter Cartridge Check your insulin pump and its sterile products, like an ! infusion set and accessories, at least every three hours. ▲ 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 an
Summary of the content on the page No. 11
If you discover incomplete characters, numbers, or symbols ! on the display, put your insulin pump into STOP mode and ▲ perform a system check by simply removing the battery for a CAUTION few seconds. When you reinsert the battery the system check will occur. If the incomplete characters, numbers, or symbols remain, your insulin pump may need to be returned since you may not receive the correct information for operating your pump. Put your insulin pump into STOP mode and contact Pump Support at
Summary of the content on the page No. 12
Keys and Key Combinations The pump will beep each time a key is pressed, unless the beep tone is set to 0. 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. Single Keys Each key has a specific function when it is pressed by itself. The following table describes the function of each. Key Name Function d Menu scrolling through
Summary of the content on the page No. 13
Note: Increase or decrease the values by pressing the a or s keys. If you want to make large changes to a value, in most cases you can do this faster by pressing and holding down the a or s key (scrolling) until the number you want is displayed. If needed, the value can still be corrected by a single press of the s or a. Your pump will beep once when you start scrolling. Key Combinations Keys can be pressed in pairs for additional functions. In the following table, a plus symbol (+) between 2
Summary of the content on the page No. 14
Locking Keys Using KeyLock Feature The KeyLock feature lets you lock all four keys on your pump as a safety measure against accidentally activating functions. You may want to use this function while sleeping, or during sports, for example. The KeyLock function is turned on in the STANDARD SETUP MENU. All instructions in this user guide are given on the assumption that the KeyLock is off. For more information see the section “Turning KeyLock On or Off” (page 113). Screens Your pump displays vario
Summary of the content on the page No. 15
STOP Screen time date KeyLock unlocked pump timer cartridge low battery low The STOP screen shows the current time and date, the STOP symbol, reminder information (such as “battery low”), and special functions (such as KeyLock locked or unlocked). Some functions must be programmed while your pump is in STOP mode, when insulin is not being delivered. Your pump must also be in STOP mode before you can change cartridges. Additionally, always disconnect your pump from the infusion site and place th
Summary of the content on the page No. 16
Follow the steps below to navigate through the screens. 1. Press the d key to move to a screen displaying your first choice. Think of these screens as menu choices. 2. Press the d key again to see your next choice on the menu. After you reach the last menu choice you will “loop” back to the first menu choice. 3. When you reach the screen displaying the choice you want (e.g., SET THE TIME AND DATE), press f. The next set of screens are called function screens. They all relate to the choice you ma
Summary of the content on the page No. 17
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. Alarm Signals Your pump gives alerts and errors using beeps and vibrations. You can turn off either the beep or the vibrations but for your safety you cannot turn off both at the same time
Summary of the content on the page No. 18
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. Use your ACCU-CHEK Spirit insulin pump, sterile products, and accessories for the first time in the presence of your doctor or healthcare team. Sterile Products Each sterile product
Summary of the content on the page No. 19
Always have extra sterile products and accessories with you. ! This allows you to exchange components when needed. ▲ Materials designed for single use (such as cartridges and CAUTION infusion sets) should not be reused due to the increased risk of infections, malfunctions, and/or incorrect insulin delivery. See Disetronic Medical Systems’ sterile products and accessories catalogs and brochures for more information. Or, contact Pump Support at 1-800-688-4578. Your insulin pump and its sterile pro
Summary of the content on the page No. 20
The cartridges are sterile products intended for single ! use only. ▲ WARNING Infusion Set An ACCU-CHEK infusion set connects your pump to your body to deliver insulin. The insulin travels from the cartridge in your insulin pump through the infusion set into your body. The cannula or needle of the infusion set is placed under the skin, usually in the abdominal area. Recommended Possible Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump 19
