Roche Accu-Chek Insight User manual

User’s Manual
Accu-Chek Insight insulin pump
PDF
LAN
ExA
Kat. 04
Approved according to
SOP 04.07.08 – Anl. A, Vers. 03
The Signature will not be printed!
man_06719414001_K_en-UK.indb 1 27.06.2019 22:16:18

Your Insulin Pump
Note
If you are in the status screen and you do not press the o, xor zkey for
more than 10 seconds, these keys will be locked. The key lock does not lock
the quick bolus keys. See chapter 8.3.3, page 72.
qQuick bolus keys
lZoom key
Display (screen) oOK key
zDown key
xUp key
Pump Details and Accessories
Pump
Battery Battery cover
Adapter & Tubing
Cartridge
man_06719414001_K_en-UK.indb 2 27.06.2019 22:16:20

3
Connected Insulin Pump
man_06719414001_K_en-UK.indb 3 27.06.2019 22:16:20

4
TABLE OF CONTENTS
Table of Contents
1 Pump Features 9
1.1 Navigating Through Menus 12
2 Starting Your Pump 17
2.1 Choosing the Correct Battery Type 17
2.2 Changing the Battery 18
2.3 Start-Up Process and Setup Wizard 21
2.4 Program Basal Profile 1 24
2.5 Changing the Cartridge and Transfer Set 26
3 Using Your Pump in Daily Life 33
3.1 Wearing Your Pump 33
3.2 Stopping and Starting Your Pump 34
3.3 Your Insulin Pump and Water 36
3.4 Quick Info Screens 37
4 Administering Boluses 39
4.1 Standard Bolus 39
4.2 Quick Bolus 40
4.3 Cancelling a Bolus 41
4.4 Extended Bolus 43
4.5 Multiwave Bolus 44
5 Basal Profile Options 47
5.1 Temporary Basal Rate (TBR) 47
5.2 Additional Basal Profiles 49
5.3 Activating a Basal Profile 51
6 Viewing Your Data 53
6.1 Event Data 54
6.2 Bolus Data 54
6.3 TBR Data 54
6.4 Daily Totals 55
6.5 Pump Timer 55
6.6 Version 55
7 Modes for Different Life Situations 57
man_06719414001_K_en-UK.indb 4 27.06.2019 22:16:20

5
TABLE OF CONTENTS
8 Personalising Your Pump 59
8.1 Using Reminders 59
8.2 Communicating with Other Devices 62
8.3 Device Settings 68
8.4 Therapy Settings 76
8.5 Setting the Time and Date 83
9 Maintaining Your Pump 85
9.1 General Safety Information 85
9.2 Inspecting Your Pump 85
9.3 Maintaining Your Pump 85
9.4 Damage to Your Pump 86
9.5 Repairing Your Pump 87
9.6 Storing Your Pump 87
9.7 Disposal 87
10 Responding to a Pump Message 89
10.1 List of Reminders 91
10.2 List of Warnings 92
10.3 List of Maintenance Messages 93
10.4 List of Errors 95
Appendix A: Technical Data 98
Appendix B: Configuration Parameters 110
Appendix C: Abbreviations 113
Appendix D: Icons and Symbols 114
Appendix E: Warranty and Declaration of Conformity 119
Appendix F: Details on User Profiles 120
Appendix G: List of Accessories 124
Glossary 125
Index 129
man_06719414001_K_en-UK.indb 5 27.06.2019 22:16:20

6
man_06719414001_K_en-UK.indb 6 27.06.2019 22:16:20

7
Dear User of the
Accu-Chek Insight insulin
pump,
This User’s Manual is provided for you as a
person with diabetes, as a parent or
caregiver of a person with diabetes or as a
healthcare professional. It contains all the
information you need for the safe and
efficient use of your new Accu-Chek Insight
insulin pump. Regardless of your level of
experience with pump therapy, read this
manual carefully before using your pump.
This manual should be your first source of
information for any questions or problems
you may have when using your insulin
pump. If you cannot find the answer in
these pages, we recommend that you
contact your local pump support (see inside
back cover page). Make sure that you carry
out the instructions in this manual exactly
as described. Failure to do so could lead to
underdelivery or overdelivery of insulin and
may result in death or serious
consequences for your health. Your
Accu-Chek Insight insulin pump is intended
for the subcutaneous continuous delivery of
U100 insulin, at set and variable rates, for
the management of diabetes mellitus.
Whether insulin pump therapy is the
appropriate way of treating your diabetes
mellitus must be decided by your
healthcare professional.
You should not begin pump therapy unless
you have attended the required training
course.
The exact insulin type for the treatment of
your diabetes will be prescribed by your
healthcare professional.
Your insulin pump is contraindicated for
the delivery of medication other than
U100 short-acting regular human insulin
or rapid-acting insulin analogue.
Also consult the instructions that come with
your insulin and infusion set.
wWARNING
Do not modify the Accu-Chek Insight
insulin pump or its system components.
Only use the Accu-Chek Insight insulin
pump or its system components as
described in this User’s Manual.
Otherwise this may result in severe
consequences for your health.
About this User’s Manual
To ensure the safe and convenient use of
your Accu-Chek Insight insulin pump, this
User’s Manual includes the following
features for quick and easy navigation:
wWARNING
A warning contains safety information
that requires your careful attention and
informs you about risks to your health.
Neglecting this information may lead to
life-threatening situations.
Note
A note contains important information
relating to the efficient and smooth
operation of your Accu-Chek Insight
insulin pump.
man_06719414001_K_en-UK.indb 7 27.06.2019 22:16:20

8
Example
An example shows you how a feature
could be used in an everyday-life
situation. Note that medical or therapy-
related details are provided for illustration
purposes only, and are not intended to
match your personal medical needs.
Always discuss your personal therapy
requirements with your healthcare
professional.
Sections highlighted in blue refer to features
that are part of the basic training lesson. It
is highly recommended that you read these
sections carefully before you start using the
pump.
Sections highlighted in purple refer to
features that are part of the optional training
lesson. It is highly recommended that you
read these sections carefully before you
start using the according feature.
Note
The illustrations in this User’s Manual
may differ slightly from the design of your
actual device.
man_06719414001_K_en-UK.indb 8 27.06.2019 22:16:20

1
9
PUMP FEATURES
1 Pump Features
Guided handling sequences (wizards)
Pump therapy sometimes involves complex
steps. For several functions which need to
be performed in a specific order, your pump
offers pre-programmed wizards to guide
you through the process.
You will find wizards to help you with:
ºInserting a new cartridge
ºFilling the infusion set
ºInserting a new battery
ºPairing
ºBluetooth®wireless technology
3 basic modes
RUN mode: When working normally, your
pump is in RUN mode. In this mode your
pump is delivering insulin to your body in
terms of the basal rate, boluses and
Temporary Basal Rates (TBR).
PAUSE mode: When you remove the battery
or cartridge while your pump is in RUN
mode, or after some maintenance
messages, your pump switches to PAUSE
mode. The insulin delivery stops
automatically and restarts as soon as you
confirm the respective messages and insert
a new battery or cartridge where required.
Any current Temporary Basal Rates and
boluses will continue. Furthermore, the
basal rate missed while the pump was in
PAUSE mode will be delivered on top of the
ongoing basal rate once the pump is back in
RUN mode.
STOP mode: When the pump is in PAUSE
mode for more than 15 minutes, it switches
to STOP mode. The Pump stopped screen
appears and the pump stops completely and
cancels all current Temporary Basal Rates
and boluses. From STOP mode, you have to
restart your pump from the main Menu and
program your Temporary Basal Rates and
boluses again. See chapter 3.2, page 34.
If you want to stop your pump for any
reason, you can also switch it to STOP mode
using the main Menu.
Adjust the display to suit your needs
You can adjust the brightness of your
pump’s full colour display to best suit your
needs. You can also change its background
colour to your personal preference. Rotating
the display allows you to read it from an
awkward angle (for example, when the
pump is attached to your belt). See
chapter 8.3.5, page 74.
Enlarge the display texts for better
readability
Using the zoom key you can enlarge the size
of the display text for better readability. See
chapter 1.1.4, page 15.
User profiles for special situations
With the user profile Expressive enabled, the
scrolling functions of the pump are disabled
so that all values can only be programmed
in distinct increments. Additionally, sound
patterns will help you verify that you
programmed a value correctly. This may be
helpful if you have impaired eyesight. For
man_06719414001_K_en-UK.indb 9 27.06.2019 22:16:20

1
10
PUMP FEATURES
more information, contact your local pump
support (see inside back cover page).
With the user profile Diminished enabled, all
acoustic signals will occur one octave
lower. This may be helpful if you have
impaired hearing. See chapter 8.3.2,
page 71.
Lock the keys to prevent accidental
pressing
The key lock disables the keys on the front
of your pump so that they cannot be
pressed accidentally when wearing your
pump under clothing. The key lock is
activated by default. The key lock does not
lock the quick bolus keys q. The quick
bolus keys qstill work even if the key
lock for the front keys is active. To unlock
the front keys, press the following keys
within 1 second: One of the qkeys and
then xand then z, or one of the qkeys
and then zand then x. See chapter 8.3.3,
page 72.
Set hourly basal rates from 0.02 to
25 U/h
You can program individual hourly basal
rates for every hour of the day in up to 24
time blocks from 15 minutes to 24 hours.
The hourly basal rate can be set from as low
as 0.02 up to 25 U/h. Remember that your
basal rate profile should always be provided
by, or discussed with, your healthcare
professional.
Program up to 5 different basal profiles
You can define up to 5 basal profiles, each
aligned with a different daily routine. For
example, you can create one profile for
work days and one for weekends. See
chapter 5, page 47.
Use self-filled or pre-filled cartridges
You can use self-filled and pre-filled
cartridges with your insulin pump. For more
information refer to the extra information
paper that explains which cartridges can be
used with the Accu-Chek Insight insulin
pump.
Check the availability in your country or ask
your local pump support.
Detect occlusions
Your pump detects any blockages in the
infusion set that could prevent insulin
delivery. You will be prompted with an
appropriate maintenance message.
However, the pump cannot detect when the
infusion set is leaking or when the cannula
has slipped out of the infusion site.
2 options to deliver a standard bolus
To program and deliver a standard bolus,
you have 2 options: either walk through the
menus or use the quick bolus feature that
allows you to program a standard bolus in
distinct increments without even looking at
the display. See chapter 4.1, page 39.
See chapter 4.2, page 40.
man_06719414001_K_en-UK.indb 10 27.06.2019 22:16:20

1
11
PUMP FEATURES
Adjustable bolus speed
You can adjust the delivery speed of the
boluses. A lower bolus delivery speed may
be helpful if you have high bolus amounts
that cause insulin to leak from your skin
after delivery or if you experience pain
during bolus delivery. See chapter 8.4.2,
page 77.
Use a delay (lag time) before bolus
delivery
In some situations (for example
gastroparesis), it might be helpful to start a
bolus after you start eating. With the lag
setting you can specify a delay between
programming a bolus and the actual start of
bolus delivery. Discuss using the lag setting
with your healthcare team. See
chapter 8.4.2, page 77.
Extended bolus
For situations that require delivery of bolus
insulin over a period of time instead of all at
once, you can use an extended bolus. The
extended bolus amount is delivered over a
period of time that you can adjust as
necessary. This can be especially helpful
when you eat foods that are slow to digest
or attend long-lasting buffets. See
chapter 4.4, page 43.
Multiwave bolus
In situations where you eat meals containing
both slow- and fast-acting carbohydrates,
you might consider having a fast and a long
bolus together. The multiwave bolus
combines a standard and an extended
bolus, providing both an immediate and a
long-acting part. This could also be a good
option when you plan to eat slow-acting
carbohydrates and need to correct an
elevated blood glucose level at the same
time. See chapter 4.5, page 44.
Different modes for different life
situations
Your pump offers a range of modes to fit a
variety of life situations.
For example:
ºDuring meetings your pump can be
switched to Quiet mode. At night it can
delay non-critical warning messages to a
specified wake-up time.
ºIn flight mode your pump’s
communication ability via Bluetooth
wireless technology is turned off.
See chapter 7, page 57.
Customisable reminders
Many aspects of your diabetes management
require regular attention and action. Your
pump can assist you with a set of reminders
that help you remember:
ºTo deliver a bolus
ºTo change the infusion set
ºTo change the battery
ºTo check when you might have missed a
bolus
You can even program alarm clocks for your
personal convenience. See chapter 8.1,
page 59.
man_06719414001_K_en-UK.indb 11 27.06.2019 22:16:21

1
12
PUMP FEATURES
1.1 Navigating Through Menus
Key Function
q
In most situations the 2
qkeys have an identical
function and can be used
alternatively:
ºMoves to previous entry
field (back)
ºCancels a setting
ºStops a function
ºStarts the quick bolus
programming
ºSets the quick bolus
amount
ºCancels a bolus
ºMoves to the status
screen (double click)
ºStops the repetitive
STOP mode warning
Key Function
x
ºMoves you up in a menu
screen
ºIncreases a setting
ºFunction to access
quick info screen
o
ºMoves to the next menu
level
ºConfirms a setting
ºStarts a function
z
ºMoves you down in a
menu screen
ºDecreases a setting
ºFunction to access
quick info screen
qQuick bolus keys
lZoom key
Display (screen) oOK key
zDown key
xUp key
man_06719414001_K_en-UK.indb 12 27.06.2019 22:16:21

1
13
PUMP FEATURES
Key Function
l
ºEnlarges the characters
on the display
ºReduces enlarged
characters on the
display
One q
key and
then xand
then z
or
one qkey
and then z
and then x
Unlocks the key lock when
pressed in quick
succession within 1 second
1.1.1 Navigating Through the
Screens
This chapter describes in general how to
navigate through the screen and use your
pump’s functions.
1
From the status screen, press o.
The main Menu screen appears.
2
Press xor zto move to the desired
submenu.
Press oto enter the highlighted menu.
3
The xand zkeys move the blue bar
(cursor) up and down in the menu.
4
When the blue bar highlights the menu
item of your choice, press oto enter
the next menu level.
man_06719414001_K_en-UK.indb 13 27.06.2019 22:16:21

1
14
PUMP FEATURES
5
When a specific setting is highlighted and
shown with small Up and Down arrows,
the xand zkeys will increase and
decrease the value.
6
To confirm a value, press the okey.
After you complete the setting, press o
again to confirm and start the function.
7
If you need to go back to the previous
level and cancel a function, press q.
However, when you do this any settings
you made will not be saved.
Note
Single pressing of the xor zchanges
the value by increment, while pressing
and holding xor zchanges the value
rapidly (“scrolling”).
1.1.2 Understanding the Screen
In the main Menu you will find the following
functions:
Bolus
Basal
Stop pump
Start pump
Pump data
Modes
Settings
Cartridge and infusion set
Home
A scroll bar on the right indicates when
there are more items available than
currently visible on the screen.
man_06719414001_K_en-UK.indb 14 27.06.2019 22:16:24

1
15
PUMP FEATURES
In each menu you can use the Home
function to return to the status screen:
Press zto move to Home.
Press oto select.
If several steps are part of a sequence
(wizard), numbers in the upper right corner
of the screen indicate how many steps still
need to be completed.
1.1.3 Status Screen
The status screen shows the current state
of your pump. For example you can see
whether your pump is in RUN, STOP or
PAUSE mode and if boluses or Temporary
Basal Rates are currently running.
Current time
Status icon
Active basal
profile
Current hourly
basal rate
Basal rate
icon
Key lock active
Battery status
Current date
Flight mode
You can review the complete list of display
icons in Appendix D: Icons and Symbols,
page 114.
1.1.4 The Screen Design
You can choose between different designs
for your pump’s screen. By default the
pump will use the dark background colour
and normal font size.
You will learn how to personalise the screen
design in the chapter about settings. See
chapter 8.3.5, page 74.
man_06719414001_K_en-UK.indb 15 27.06.2019 22:16:24

1
16
PUMP FEATURES
Background colour dark
With the dark background colour the screen
will show white characters on black
background.
Background colour light
With the background colour light the screen
will show black characters on white
background.
Zoom mode
When you press lfor 1 second, the
characters on the screen will be enlarged.
When you press lfor 1 second again, the
characters will be shown in normal size
again.
Note
In Zoom mode not all screen content may
be visible.
The lis illuminated as long as the Zoom
mode is switched on.
man_06719414001_K_en-UK.indb 16 27.06.2019 22:16:24

2
17
STARTING YOUR PUMP
2 Starting Your Pump
This chapter explains how to prepare your
new insulin pump and begin pump therapy.
Before you can start your pump, you need
to:
ºInsert the battery
ºSet the time and date
ºProgram at least one basal profile
ºInsert the cartridge
ºConnect the infusion set’s tubing with
the adapter to the pump and fill it with
insulin
ºConnect the tubing to the infusion set’s
head set and fill the head set with insulin
(prime the infusion set)
Remember that successful pump therapy
requires you to check your blood glucose
level frequently. It is therefore
recommended that you use a blood glucose
meter as often as instructed by your doctor
or healthcare team (at least 4 times a day).
wWARNING
This product contains small parts. There
is a risk of suffocation if small parts (e.g.
covers, caps or similar objects) are
swallowed.
2.1 Choosing the Correct
Battery Type
Your Accu-Chek Insight insulin pump
requires a 1.5 V AAA battery.
wWARNING
We recommend Energizer®Ultimate
Lithium batteries (FR03) as these were
successfully tested with the Accu-Chek
Insight insulin pump. See Appendix A:
Technical Data, page 98 for more
information about the lifetime of battery.
If you intend to use a different type of
lithium battery, this battery must comply
with IEC 60086-4. In this case contact
your local pump support.
If you intend to use alkaline batteries, the
batteries must be suitable for energy-
intensive devices, such as camera flash
units.
Alkaline batteries have a significantly
shorter lifetime compared to lithium
batteries. Use alkaline batteries only if
you have no lithium batteries at hand.
Do not use any other batteries, such as
carbon zinc batteries, rechargeable
batteries, used or expired batteries. These
batteries have a significantly reduced
battery lifetime and may cause your
insulin pump to shut down with no prior
warning.
Make sure you specify the correct battery
type on your insulin pump. Otherwise, the
remaining battery lifetime may not be
calculated correctly.
man_06719414001_K_en-UK.indb 17 27.06.2019 22:16:25

2
18
STARTING YOUR PUMP
Battery selection screen
2.2 Changing the Battery
Ensure that you always have a new battery
with you. It is vital to change the lithium
battery every 2 weeks, regardless of the
battery indicator.
Before changing the battery, make sure that
it is not damaged (e.g. damaged plastic
isolation coating) or leaking; a damaged or
leaking battery could damage your pump. If
you dropped the battery, use a new one.
After changing the battery, check the status
screen of your insulin pump and make sure
that time, date and basal rate are set
properly. If this is not the case, put your
insulin pump in STOP mode, then back in
RUN mode or contact your local pump
support.
You can optimise the battery lifetime by
following these recommendations:
ºIf no device is paired with your insulin
pump, you can switch off communication
via Bluetooth wireless technology to
reduce energy consumption.
ºIf your insulin pump is paired with a
device that allows you to control the
insulin pump, use this device to reduce
frequent usage of the pump display.
ºYou can lower the display brightness.
ºProtect your insulin pump from direct
exposure to cold wind and temperatures
over 40 °C (104 °F) and below 5 °C
(41 °F).
ºChange your battery cover if it looks used
or dirty and at least every 6 months.
Removing the battery
If you remove the battery while your pump
is delivering insulin (RUN mode), the insulin
delivery pauses automatically (PAUSE
mode). The pump will emit a beep every
8 seconds for as long as the battery is
removed while the pump is in PAUSE mode.
When you remove the battery, your pump
stores the time and date for about 10 hours.
If you insert a new battery within
15 minutes, Temporary Basal Rates and
boluses that were running before the pump
went in PAUSE mode will continue.
Furthermore, the basal rate missed while
the pump was in PAUSE mode will be
delivered on top of the ongoing basal rate
once the pump is back in RUN mode.
If the pump has been without a battery for
more than 15 minutes, the pump stops
completely (STOP mode) and cancels
Temporary Basal Rates and boluses. Once
you have replaced the battery, you have to
restart the pump from the main Menu
screen and program any Temporary Basal
Rates and boluses again. See chapter 3.2,
page 34.
Your insulin pump settings (such as the
basal rates, remaining cartridge content,
bolus increment, active user profile, or
alarm settings) and event memory (bolus
and alarm history, history of daily insulin
totals and Temporary Basal Rates) are
always saved, regardless of the battery
man_06719414001_K_en-UK.indb 18 27.06.2019 22:16:26

2
19
STARTING YOUR PUMP
condition or the amount of time your pump
has been without power.
Inserting the battery
Ensure that no dirt or dust can enter the
battery compartment while changing the
battery. When you start your pump for the
first time, begin with step 6.
1
To avoid accidental insulin delivery,
ensure that the infusion set is not
connected to your body.
2
90°
Turn the adapter anti-clockwise to a 90°
position.
3
Push the battery cover release in the
direction of the arrow (towards the
cartridge compartment).
4
You can use the flip-up handle to easily
remove the battery cover.
man_06719414001_K_en-UK.indb 19 27.06.2019 22:16:30

2
20
STARTING YOUR PUMP
5
Remove the battery cover and the old
battery.
6
(—)
Insert the new battery into the battery
compartment, positive (+) end first,
negative (−) end pointing outwards.
7
Place the battery cover on top of the
battery.
8
Push the battery cover all the way into the
battery compartment until you hear the
release click.
Once you have inserted the battery, the
pump begins its start-up process. If the
pump does not begin the start-up process
after the battery has been inserted, make
sure that the battery is inserted correctly
(+positive end first).
The first time you insert a battery or after
the pump has been without a battery for
more than 10 hours, the setup wizard
man_06719414001_K_en-UK.indb 20 27.06.2019 22:16:35