Accu-Chek Spirit User manual

05504929001/D Status:07-2012
TheBluetooth
®wordmarkandlogosareregisteredtrademarks
ownedbyBluetoothSIG,Inc.andanyuseofsuchmarksbyRoche
isunderlicense.Othertrademarksandtradenamesarethoseof
theirrespectiveowners.
ACCU-CHEK,ACCU-CHEKSPIRITCOMBO,ACCU-CHEKAVIVACOMBO,
ACCU-CHEKFLEXLINKandACCU-CHEKULTRAFLEXaretrademarksofRoche.
USA:
Manufactured for and distributed by:
RocheInsulinDeliverySystemsInc.
Fishers,IN46037,USA
Tollfree1-800-280-7801
Manufacturer:
RocheDiagnosticsGmbH
SandhoferStrasse116
68305Mannheim,Germany
www.accu-chek.com Swiss made
INSULIN PUMP
User Guide

f OKkey
d Menukey
aUpkey
sDownkey
Your insulin pump
Adapter LuerlockofinfusionsetCartridgecompartmentwithcartridge
Yourcontactforassistancewithand /oradditionalinformationabout
yourAccu-ChekSpiritComboinsulinpump:
Distributed in USA by:
RocheInsulinDeliverySystemsInc.
11800Exit5Parkway,Suite120
Fishers,IN46037,USA
TollFree1-800-280-7801
www.accu-chek.com
Fortechnicalsupportpleasecontact
Accu-ChekCustomerCareat1-800-688-4578

Pump details and accessories
Cartridge plungerEnd platePiston rod
Adapter
BatteryBattery cover
Battery key
Cartridge
Infrared window
(next to Battery cover)
Cartridge Compartment

jPress d to move forward
jPress d + a simultaneously
to move backward
jPress f to select or save
jPress a to go up
jPress s to go down
BRP = Basal Rate Prole 2–4
Overview of ADVANCED user menu
ff
BRP 4
BRP 3
BRP 2
BRP 4
BRP 3
BRP 2
RUN STOP

ff
RUN STOP
Accessible menus in CUSTOM user
menu can be selected using
Accu-Chek PC software (sold
separately).
jPress d to move forward
jPress d + a simultaneously
to move backward
jPress f to select or save
jPress a for up
jPress s for down
=
not accessible in STANDARD
user menu
Overview of STANDARD and CUSTOM user menus

Dear Accu-Chek Spirit Combo insulin pump user,
This User Guide is provided for you, as a person with diabetes,
and for healthcare professionals. It contains all the necessary
information for safe and efcient use of your Accu-Chek
Spirit Combo insulin pump. Regardless of your level of experience
with pump therapy, please read this document carefully before
beginning insulin pump therapy. Always refer to this document
rst, when you have questions about or have problems using
your insulin pump. If you cannot nd the solution to your problem
in this document, then we recommend that you contact your
Accu-Chek Customer Care. You will nd the address and phone
number on the inside back cover of this manual.
Intended Use of the Accu-Chek Spirit Combo insulin pump
The Accu-Chek Spirit Combo 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 Combo insulin pump is intended for the
use of U 100 rapid-acting insulin. Humalog® (insulin lispro,
rDNA origin)*, Apidra® (insulin glulisine, rDNA origin)** and
NovoLog® (insulin aspart)*** have been tested and found to
be safe for use in the Accu-Chek Spirit Combo insulin pump.
Do not use your insulin pump for the delivery of medication other
than U100 rapid-acting insulin. Before using a different insulin
with the Accu-Chek Spirit Combo insulin pump, check the insulin
label and accompanying documents to make sure it can be used
with this device.
Your Accu-Chek Spirit Combo insulin pump is a valuable medical
device. We strongly encourage you to add your insulin pump to
your home contents insurance policy to protect you in case of
accidental damage or loss. Ask your insurance agent for details.
* Humalog® is a registered trademark of Eli Lilly and Company.
** Apidra® is a registered trademark of the sano-aventis group.
*** NovoLog® is a registered trademark of Novo Nordisk A/S.

About this User Guide
To ensure safe and convenient use of your new Accu-Chek
Spirit Combo insulin pump, some information in this User Guide
requires particular attention. This information is presented as
“Warning”, “Caution” or “Note”.
jA “Warning” informs you about risks to your health. Neglecting
this information may even lead to life-threatening situations in
some cases.
jA “Caution” informs you about risks to your device. Malfunction
or damage may result if you do not follow these instructions.
jA “Note” contains important information relating the efcient
and smooth operation of your new Accu-Chek Spirit Combo
insulin pump.

1 Understanding your new system 7
1.1 Overview 7
1.2 Display and sounds 9
1.3 Keys and key combinations 15
1.4 Accessories and disposables 19
1.5 Emergency kit 22
1.6 General safety information 23
2 Getting started 25
2.1 Before you begin 25
2.2 Inserting the battery 25
2.3 Start-up process 29
2.4 Setting the time and date 32
2.5 Your basal rate prole 35
2.6 Connecting the cartridge, adapter and infusion set 42
2.7 Inserting the cartridge 44
2.8 Priming the infusion set 49
2.9 Positioning the infusion set 52
2.10 Starting insulin delivery 55
2.11 Stopping insulin delivery 56
2.12 General safety information 57
3 Using your pump in daily life 61
3.1 Wearing your pump 61
3.2 Interruption of insulin pump therapy 64
3.3 Your insulin pump and water 67
3.4 Changing the infusion set 69
3.5 Changing the cartridge and infusion set 73
3.6 General safety information 76
4 Boluses and Temporary Basal Rates 77
4.1 Understanding boluses 77
4.2 Programming a Standard Bolus 78
4.3 Programming an Extended Bolus 84
4.4 Programming a Multiwave Bolus 89
4.5 Programming a Temporary Basal Rate (TBR) 93
4.6 General safety information 98
5 Personalizing your pump 99
5.1 Introduction 99
5.2 Selecting a user menu 101
5.3 STANDARD user menu 103
5.4 Viewing your pump data 105
5.5 Transferring your data to a computer 111
5.6 Pump settings 113
5.7 ADVANCED user menu 120
5.8 Basal rate proles 121
5.9 Setting a Reminder 124
5.10 Therapy settings 126
5.11 CUSTOM user menu 130

6 Using the Accu-Chek Spirit Combo insulin
pump with the Meter 133
6.1 Meter 133
6.2 Switching Bluetooth
® ON and OFF 135
6.3 Pairing your pump with the Meter 136
6.4 Troubleshooting the Bluetooth
® connection 139
7 Care and Maintenance 143
7.1 Inspecting your pump 143
7.2 Damage to your pump 145
7.3 Your insulin pump and water 146
7.4 Repair of your pump 148
7.5 Maintaining your pump 149
7.6 Storing your pump 150
7.7 Disposing of your pump 150
8 Warnings and Errors 151
8.1 Conrming a Warning or Error 152
8.2 List of Warnings 153
8.3 List of Errors 159
8.4 List of Reminders 170
9 Troubleshooting 171
9.1 Therapy-related issues 172
Appendix A: Technical Data 175
Appendix B: Conguration parameters 189
Appendix C: Sterile products and accessories 192
Appendix D: Abbreviations 194
Appendix E: Beeps and melodies 195
Appendix F: Symbols 201
Appendix G: Warranty 206
Glossary 208
Index 213
Quick reference table for Errors, Warnings and Reminders 217
Bluetooth ® registration 220
My notes 222

7
1
1.1 Overview
Your Accu-Chek Spirit Combo insulin pump has many helpful
features that help to ensure safe and efcient pump therapy.
Note In this User Guide the term “Meter” always refers to the
Accu-Chek Aviva Combo Blood Glucose Meter.
1.1.1 Summary of features
Interaction with the Meter
The Accu-Chek Spirit Combo insulin pump is designed for use
with the Meter. This new product is an intelligent blood glucose
meter that can remote control the pump using Bluetooth ®
wireless technology.
Three user menus
Your Accu-Chek Spirit Combo insulin pump has been designed to
adapt to your level of experience in pump therapy – whether you
are a beginner or an experienced pump user. Your pump “grows”
with you!
You can use one of three menus – STANDARD, ADVANCED or
CUSTOM – to access the functions and settings you will need
from day to day.
1 Understanding your new system

8
STANDARD This is the most basic menu – designed for
simplicity and comfort.
ADVANCED This menu helps you to adjust your therapy
to a wider range of situations.
CUSTOM The CUSTOM menu enables you to
ne-tune your pump according to your
personal needs and skill level.
See chapter 5 Personalizing your pump.
Five basal rate proles
You can choose from ve basal rate proles, in line with your
different daily routines.
Four bolus types
Your Accu-Chek Spirit Combo insulin pump enables you to program
four bolus types, each corresponding to different situations you
may encounter, and this provides you with a lot of exibility.
Quick Bolus
You can program a Quick Bolus without looking at the display
screen and check that it is correctly programmed by counting the
beeps and vibrations. This is particularly useful when you want
to program the bolus discreetly in public.
Dual signalling of Warnings and Errors
For your safety, Warnings and Errors are signalled using both
audible beeps and vibration of the pump. In addition, the beep
tones are fully adjustable – from silent to loud.
Data transfer
The infrared port on the bottom of your Accu-Chek Spirit Combo
insulin pump enables you to transfer information between your
pump and a personal computer or handheld device.
Rotating display
Your pump’s display can be rotated 180 degrees, and you can
also adjust its contrast. Combined with the backlight, these
features make the display easier to read.

9
1
Reminder
As well as Warnings and Errors, your pump can signal Reminders.
This works like an electronic alarm clock.
Choice of batteries
Your Accu-Chek Spirit Combo insulin pump can be powered by
either disposable or rechargeable batteries. (If you decide to use
rechargeable batteries, you will need a battery charger recom-
mended by the battery manufacturer.)
Key Lock
The Key Lock feature allows you to lock all four keys on your
pump to prevent the accidental activation of functions. For
example, you can use Key Lock while you are asleep or when
playing sports.
1.2 Display and sounds
Your Accu-Chek Spirit Combo insulin pump has a Liquid Crystal
Display (LCD) screen. This display, together with the four keys,
enables you to program the pump. It also shows important
information about the status of your pump.
w WARNING
Changes in the status of your pump can be life-threatening. If
for any reason you cannot hear the audible signals or feel the
vibrations of your pump, looking at the display is the only way
that you will be aware of changes or malfunctions in your
pump.

10
1.2.1 Backlight
The backlight helps you to read the information on the display in
poorly-lit areas. You can turn on the backlight while in RUN or
STOP mode, or when navigating through the menus, by pressing
a.
The backlight turns on automatically when a Reminder, Warning
or Error message is displayed, and turns off automatically after
10 seconds if no further keys are pressed.
Tip: In poorly-lit areas, begin programming with the a.
1.2.2 Rotating display
Your pump’s display can be rotated 180 degrees. See section
5.6.4 Display orientation.
Note that when you rotate the display, the s and a key
functions are reversed.
c CAUTION
If incomplete characters, numbers or symbols appear on the
display, put your pump into STOP mode and remove the
battery for a few seconds. When you reinsert the battery, the
pump will perform a system check. If this does not resolve the
problem, put your pump into STOP mode and contact your
Accu-Chek Customer Care. For details see inside the back
cover.

11
1
1.2.3 Display screens
The screens displayed by your pump relate to one of the
following modes:
jRUN, STOP and Quick Info
jInformation
jFunction
jSet-up
The Information, Function and Set-up screens are all accessed
from the user menus. See section 5.2 Selecting a user menu.
Note To save battery life, the screen of your Accu-Chek
Spirit Combo insulin pump goes blank when you do not
press any key for more than 20 seconds. As long as your
pump is showing a blank screen, you have to press any
key before any other operation can be performed.
RUN screen
By default the screen is blank, to save energy, and becomes
blank again after 20 seconds without key pressing. By pressing
any key, the RUN screen is displayed when the pump is in RUN
mode. This means that insulin is being delivered to your body
according to the basal rate you have programmed.
Key Lock locked
Pump timer
Cartridge low
Battery low
Active basal rate prole
Time
Current hourly
basal rate
The above screen shows all the possible symbols, including the
current time, the current basal rate prole, and the current hourly
basal rate in units per hour.

12
The RUN screen also displays Reminder information (such as
“cartridge low”) and special functions (such as Key Lock –
locked or unlocked) in the form of symbols. (See Appendix F:
Symbols)
Note After you program or review information, the pump
returns to the RUN screen.
STOP screen
The STOP screen is displayed when the pump is in STOP mode.
This means that insulin is no longer being delivered to your body.
The STOP screen shows the current time and date, and the STOP
symbol.
Key Lock unlocked
Pump timer
Cartridge low
Battery low
Time Date
The STOP screen also displays Reminder information (such as
“battery low”) and special functions (such as Key Lock – locked
or unlocked) in the form of symbols.
Your pump must be in STOP mode in the following situations:
You are
jprogramming specic functions
jchanging the cartridge and / or the infusion set
jpriming the infusion set
jtransferring data to or from the pump
jchanging the battery
Quick Info menu
You display the QUICK INFO screen by pressing the f key while
in RUN or STOP mode. The QUICK INFO screen shows the
remaining insulin content of the cartridge in units.

13
1
By pressing f again you enter the BOLUS DATA function. You
can view the last 30 boluses by pressing a or s.
You can leave the Quick Info screen either by pressing f again
or pressing no key for 20 seconds.
Information, Function and Set-up screens
You access these screens when you program the pump, perform
a function, change a setting, or store or transfer information. You
can reach these screens from either the RUN or STOP screen.
1.2.4 Navigating through the screens
The following procedure explains how to navigate through
the screens. Think of these screens as menu choices. See
section 1.2.3 Display screens.
1. Press the d key to select a screen of your choice.
2. Press the d key again to see the next available choice in
the menu. (After you reach the last menu choice, you will
return to the rst menu choice.)
3. When you reach the screen of your choice, press the
f button.
The next set of screens are called Function screens, and all
relate to the choice you have just made. There may be one or
several Function screens.
4. Press the s or a key to increase or decrease the
displayed value, or press the d key again to move to the
next Function screen to make further changes. (After you
reach the last Function screen, you will return to the rst
Function screen.)
5. Press the f button to save your changes.

14
You can move backwards through the main menu screens by
pressing the d key and a key simultaneously.
In any sub-menu the same key combination will move you back
to the main menu screen.
Note Changes that you made in the sub-menu will not be
saved.
1.2.5 Status messages and alarm signals
Your Accu-Chek Spirit Combo insulin pump informs you of
the status of your pump using audible beeps, vibrations and
displayed messages. It is vital that you be able to hear and / or
feel the beeps and vibrations. Be aware that some carrying
pouches may hinder the perception of the signals.
You can turn off either beeps or vibrations, but for your safety
you cannot turn off both at the same time for the initial alarm
signal.
See chapter 8 Warnings and Errors for a description of the full
range of Warnings and Errors.
STOP-Warning
The STOP-Warning is triggered when your pump switches from
RUN mode to STOP mode, or when a battery is inserted. The
pump beeps twice and vibrates once every minute. This warns
you that insulin delivery has been interrupted.

15
1
To turn off the STOP-Warning, press either a or s for three
seconds. You then hear a melody, conrming that the STOP-
Warning has been turned off. If you press the key too briey, the
STOP-Warning will not be turned off.
Note For your safety, the volume of the STOP-Warning cannot
be changed. It is independent of the programmed beep
volume.
1.3 Keys and key combinations
You use the four keys on the Accu-Chek Spirit Combo insulin
pump to program functions, access information, and set up the
pump. Each time you press a key the pump will beep, unless
the beep tone is set OFF.
f OK key
d Menu key
a Up key
s Down key

16
The following table lists the keys and their functions.
Key Name Function
d Menu jMove through menus, function screens
and information screens
f OK jSelect a menu
jSave changes and exit the function and
information screens
jView the Quick Info screen
a Up jMove forward in the information screens
jIncrease a setting
jTurn on the backlight
jProgram a Quick Bolus
jCancel a Quick Bolus
jTurn off the STOP-Warning (press and
hold 3 sec. until you hear a melody)
Key Name Function
s Down jMove backward in the information
screens
jDecrease a setting
jProgram a Quick Bolus
jCancel a Quick Bolus
jTurn off the STOP-Warning (press and
hold 3 sec. until you hear a melody)
c CAUTION
Do not press the keys with a sharp or pointed item such as the
tip of your ngernail, as this could damage the casing of your
Accu-Chek Spirit Combo insulin pump. Instead, use the pad of
your ngertip to avoid puncturing the keys.