Accu-Chek insulin pump User manual

ACCU-CHEK and ACCU-CHEK SPIRIT are trademarks of Roche.
©2005 Disetronic Medical Systems, Inc. All rights reserved. 04632753001/V01/11.05
Swiss made
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 [phone]
Fax [phone]
For technical assistance, call Pump Support at
800-688-4578.
www.accu-chek.com
Pump User Guide
ACCU-CHEK™Spirit
insulin pump

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:
Eread this guide carefully
Ework with your doctor or healthcare team to understand how to use
the pump
Etest your blood glucose level often to find your personal settings and
to avoid getting the wrong dosage of insulin. (An ACCU-CHEK blood
glucose meter is one way to test blood glucose levels; talk to your
doctor or healthcare team to decide the best way for you.)
It’s a good idea to inform family members or friends about diabetes and pump
therapy so that they can help you in an emergency.
Disetronic Medical Systems is proud to help you manage your diabetes therapy.
However, Disetronic Medical Systems cannot recommend specific diabetes
therapy.Always followthe instructions given to you by your doctor or healthcare
team. If you have questions about your pump, or problems with it, refer to this
guide and talk to your doctor or healthcare team. We also invite you to contact
Pump Support at1-800-688-4578.
Note:
Your insulin pump is a valuable medical device. Consider adding your
pump to your homeowner’s insurance policy to protect you in case it is
damaged or lost. Ask your insurance agent for details.

How to use this guide
This guide is for version 2.XX of the ACCU-CHEK Spirit insulin pump.
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 warnings, and the symbols on the pump screen. There is also
aglossary at the back that defines terms used in this guide, and a table that
lists the technical specifications for your pump. All of this information can help
you and your doctor or healthcare team to understand the pump and use it to
best manage your insulin pump therapy.
Warnings and Cautions
Read all warnings and cautions in this guide before you use the pump. This
information is important to protect your health and the function of your pump.
If you have anyquestions about a warning or caution, contact Pump Support
at 1-800-688-4578. Warnings and Cautions are indicated by triangles.
▲
!CAUTIONS are indicated by a triangle and the word
CAUTION.
▲
!WARNINGS are indicated by a triangle and the word
WARNING.
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.
ACCU-CHEK Spirit Insulin Pump2
WARNING
CAUTION

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 safety systems monitor and control the
pump’s functioning. The pump performs more than nine million safety checks
every day. If your pump detects a change from its normal state, an alert or an
error message is delivered.
See the sections “Alerts and Errors” (page 147) and “Appendix A: Technical Data”
(page 165) for information on how to address errors and alerts.
Intended use of your ACCU-CHEK Spirit insulin pump
The ACCU-CHEK Spirit insulin pump is intended for the subcutaneous continuous
delivery of insulin, at set and variable rates, for the management of diabetes
mellitus in persons requiring insulin as prescribed by a physician.
The ACCU-CHEK Spirit insulin pump is intended for the use of U100 rapid-
acting insulin.
ACCU-CHEK Spirit Insulin Pump
3

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 Pump4

ACCU-CHEK Spirit Insulin Pump
5
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
Accessories and Disposables ______________________________17
Emergency Kit__________________________________________23
Chapter 2: Getting Started __________________________________25
Inserting (or Changing) the Battery__________________________25
System Check Start-Up Process ____________________________28
Setting Time and Date____________________________________32
Your Personal Settings ___________________________________35
Your Basal Rate Profile ___________________________________36
Programming Your Basal Rate Profile________________________37
Preparing the Cartridge___________________________________42
Connecting the Cartridge, Adapter, and Infusion Set_____________47
Inserting the Cartridge ___________________________________49
Priming the Infusion Set __________________________________53
Preparing the Infusion Site and Inserting the Infusion Set ________56
Chapter 3: Using Your Pump_________________________________59
Before Using ___________________________________________59
Wearing Your Pump______________________________________59
When Not to Wear Your Pump ______________________________61
Your Insulin Pump and Water ______________________________63
Starting Insulin Delivery __________________________________65
Stopping Insulin Delivery _________________________________66
Interruption of Insulin Pump Therapy ________________________68

ACCU-CHEK Spirit Insulin Pump6
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 5: User Menus_____________________________________99
Selecting a User Menu __________________________________100
STANDARD User Menu___________________________________103
Data Transfer__________________________________________104
Setup for Data Transfer __________________________________105
Reviewing Pump Data ___________________________________107
SETUP MENU Standard __________________________________113
ADVANCED User Menu___________________________________122
Basal Rate Profiles _____________________________________123
Alarm Clock___________________________________________127
SETUP MENU Advanced__________________________________129
CUSTOM User Menu_____________________________________136
Chapter 6: Care and Maintenance ___________________________137
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
Disposal _____________________________________________140
Maintenance __________________________________________141
Repair _______________________________________________142
Troubleshooting________________________________________143

ACCU-CHEK Spirit Insulin Pump
7
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
Appendix D: Beeps and Melodies __________________________181
Appendix E: Vibrations __________________________________182
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 ____________________________199
Quick Reference Table for Errors ____________________________200

ACCU-CHEK Spirit Insulin Pump8
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Chapter 1: Understanding Your New System
The ACCU-CHEK Spirit Insulin Pump
Display
Your insulin pump has a Liquid Crystal Display (LCD) screen thatdisplays
important information. Check the display atleast every three hours during
the day, before you go to sleep, and if you are not able to hear the beeps or
alerts or feel the vibrations. This is the only way you will be aware of important
changes in your pump.
▲
!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.
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.
Display
Up key
Down key
Infusion set
Adapter
Cartridge
Check key
Menu key
Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump
9
CAUTION

Backlight
The backlight helps you to see the display in poorly lighted areas. You can turn
on the backlight from the RUN screen, from the STOP screen, or when you are
browsing the menus. Press the akey to turn on the backlight. The backlight
turns itself on when an alert or an error message appears. The backlight turns
itself off after 30 seconds if no keys are pressed.
Hint:
Start programming with the akey in areas of poor lighting as this will
also turn on the backlight.
Note:
To make the display easier to read, you can flip the display orientation
by 180°and adjust the display contrast lighter or darker. See the sections
“Display Orientation” (page 120) and “Display Contrast” (page 135) for
more information.
▲
!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
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 1-800-688-4578 immediately.
Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump10
CAUTION

Keys and Key Combinations
The pump will beep each time a key is pressed, unless the beep tone is set to 0.
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
dMenu scrolling through menus, functions, and
information screens
fCheck •selecting a menu
•saving changes and exiting screen
•viewing the QUICK INFO screen
aUp •increasing a setting
•moving forward in the information screens
•turning on the backlight
sDown •decreasing a setting
•moving backward in the information screens
▲
!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
instead to avoid puncturing the keys.
Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump
11
Either aor scan be used for programming or cancelling a Standard
bolus. Pressing either key for 3 seconds (until you hear a melody) will
also temporarily turn off the STOP-Warning.
CAUTION

Key Combinations
Keys can be pressed in pairs for additional functions. In the following table,
aplus symbol (+) between 2 keys means that both keys must be pressed
simultaneously.
▲
!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.
Combination Function
d+a•exiting menus, function screens, and
information screens without saving
•moving backwards to a previous menu
d+sunlocking the keys (press and hold both
keys until you hear three beeps in RUN mode
and one beep in STOP mode.)
a+scopying an hourly basal rate to the next hour(s)
Note:
Increase or decrease the values by pressing the aor skeys. If
you want to make large changes to a value, in most cases you can do
this faster by pressing and holding down the aor skey (scrolling)
until the number you want is displayed. If needed, the value can still
be corrected by a single press of the sor a. Your pump will beep
once when you start scrolling.
Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump12
WARNING

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 various screens on its display for you to access information
and functions.
RUN Screen
During normal use, your pump is in RUN mode and insulin is delivered into
your bodybased on the basal rate you have programmed. The RUN screen is
the “home” screen and is displayed when the pump is in RUN mode. After you
program or review information, the pump returns to the RUN screen. This
screen shows the current time, the current basal rate profile, and the current
hourly basal rate in units per hour. The RUN screen will also display reminder
information (such as “cartridge low”) and special functions (such as KeyLock
locked or unlocked) in the form of symbols.
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
13
basal rate
time current hourly
basal rate
pump timer
batterylow
active basal rate profile
cartridge low
KeyLock locked

Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump14Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump
STOP Screen
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 the pump in STOP mode when you prime the infusion
set and/or when you transfer data. See the section “Stopping Insulin Delivery”
(page 66) for instructions on stopping your pump.
QUICK INFO Screen
If you press the fkey from the RUN or STOP
screen,your pump displays the remaining cartridge
content in units. Symbols for activated functions and
features (like the beep and vibration alarm signals) are displayed. Your pump will
return to the RUN or STOP screen after 8 seconds.
Information, Function, and Setup Screens
You will need to access various screens so you can view stored information,
program the pump, perform a function, or change a setting. You can reach
these screens from either the RUN or STOP screen.
time
pump timer
battery low
cartridge low
date
KeyLock unlocked

Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump
15
Follow the steps below to navigate through the screens.
1. Press the dkey to move to a screen displaying your first choice. Think
of these screens as menu choices.
2. Press the dkey 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 made. There may be only one
function screen or multiple screens.
4. Press the aor skey to increase or decrease the selected value. Or,
press the dkey again to move to the next function screen you want to
change. After you reach the last function screen you will “loop” back to
the first function screen.
5. Press fto save your changes. The pump returns to the RUN or STOP
screen and the changes are saved.
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.
Note:
The menu choices that appear depend on the menu that is selected.
Your pump can display a Standard, Advance, or Custom user menu.
See the section “User Menus” (page 99) for more information.
Pressing d+asimultaneously lets you move backwards in the
menu structure or to return to menus you just skipped. If you are
within a function screen, pressing d+asimultaneously lets you
move up to the corresponding menu without saving the current changes.

Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump16
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 for the initial alarm signal. See the sections “Alerts and Errors”
(page 147), “Adjusting the Beep Volume” (page 116), and “Setting Up Alarm
Signals” (page 117) for more information.
STOP-Warning
The STOP-Warning is turned on by the pump each time your pump switches from
RUN mode to STOP mode, and when a batteryis inserted. The STOP-Warning
is a long beep and a vibration occurring every minute. This warns you that
insulin deliveryhas been interrupted.
To Turn Off the STOP-Warning
Press either aor sfor 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.
▲
!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
the vibrations. This is the only way you will be notified of
changes in your insulin pump in a suitable amount of time.
WARNING

Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump
17
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 should be used only once. Reusing these products could
lead to infection or could damage your pump. Do not use a sterile product if
the package is damaged or opened.
Sterility is guaranteed up to the indicated expiration date for all ACCU-CHEK
sterile products that are in the original, unopened packaging.
▲
!Your insulin pump was designed for use with U100 insulin.
Only use sterile products and accessories that are designed
for use with your insulin pump. The proper functionality
of your insulin pump can only be guaranteed if you use
ACCU-CHEK brand sterile products and ACCU-CHEK Spirit
accessories. All ACCU-CHEK brand sterile products and
accessories designed for the ACCU-CHEK Spirit insulin pump
have been thoroughly tested and approved for use with
your insulin pump. Other sterile products and accessories
have not been tested for compatibility with your insulin
pump and, if used, may therefore endanger your health
or void your warranty.
WARNING

See Disetronic Medical Systems’ sterile products and accessories catalogs and
brochures for more information. Or, contact Pump Support at 1-800-688-4578.
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.
filling needle with protective cap
cartridge
cartridge protective cap
plunger rod
plunger
▲
!Your insulin pump and its sterile products and accessories
include small component pieces that could pose a choking
hazard to children. Keep sterile products and accessories
out of the reach of children.
▲
!Always have extra sterile products and accessories with you.
This allows you to exchange components when needed.
Materials designed for single use (such as cartridges and
infusion sets) should not be reused due to the increased risk
of infections, malfunctions, and/or incorrect insulin delivery.
Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump18
CAUTION
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.
▲
!The cartridges are sterile products intended for single
use only.
Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump
19
Recommended
Possible
WARNING