Roche ACCU-CHEK Spirit Combo User manual

INSULIN PUMP
User Guide
en: 05957613001/E Last update: 12-2014 Master: 05184843001/K
© 2015 Roche Diagnostics
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,
PERFORMA COMBO, ACCU-CHEK TENDERLINK,
ACCU-CHEK FLEXLINK, ACCU-CHEK RAPIDLINK,
ACCU-CHEK RAPID-D LINK and ACCU-CHEK ULTRAFLEX
are trademarks of Roche.
In Canada, distributed by:
Roche Health Solutions Inc.
Fishers, IN 46037, USA
Toll Free 1-800-280-7801
Roche Diagnostics GmbH
Sandhofer Strasse 116
68305 Mannheim, Germany
www.accu-chek.com
User Guide
man_05957613001_E_en.indb 1 02.03.2015 10:43:47

Your contact for assistance with and/or additional information about
your Accu-Chek Spirit Combo insulin pump:
South Africa
Accu-Chek Customer Care Centre:
080-DIABETES (Dial 080-34-22-38-37)
www.diabetes.co.za
India
Accu-Chek Customer Helpline: 1800 120 6020 (Toll-free)
www.accu-chek.in
Canada
Accu-Chek Pump Support: 1-800-688-4578 (toll free)
www.accu-chek.ca
Singapore
Accu-Chek ExtraCare line: 6272 9200
www.accu-chek.com.sg
fOK key
dMenu key
aUp key
sDown key
Your insulin pump
Adapter Luer lock of infusion setCartridge compartment with cartridge
United Kingdom
Distributed in the United Kingdom by:
Roche Diabetes Care Limited
Charles Avenue, Burgess Hill
West Sussex, RH15 9RY, United Kingdom
Accu-Chek Pump Careline 1):
UK Freephone number: 0800 731 22 91
ROI Freephone number: 1 800 88 23 51
1) calls may be recorded for training purposes
[email protected]
www.accu-chek.co.uk
www.accu-chek.ie
Australia
Accu-Chek Enquiry Line: 1800 251 816
Pump Support: 1800 633 457
www.accu-chek.com.au
New Zealand
Accu-Chek Enquiry Line: 0800 80 22 99
Pump Hotline: [phone]
www.accu-chek.co.nz
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Pump details and accessories
Cartridge plungerEnd platePiston rod
Adapter
BatteryBattery cover
Battery key
Cartridge
Infrared window
(next to Battery cover)
Cartridge Compartment
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jPress d to move forwards
jPress d+ asimultaneously
to move backwards
jPress fto select or save
jPress ato go up
jPress sto 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
man_05957613001_E_en.indb 2 02.03.2015 10:43:51

ff
RUN STOP
Accessible menus in CUSTOM user
menu can be selected using
Accu-Chek PC software (sold
separately).
jPress d to move forwards
jPress d+ asimultaneously
to move backwards
jPress fto select or save
jPress afor up
jPress sfor down
=
not accessible in STANDARD
user menu
Overview of STANDARD and CUSTOM user menus
man_05957613001_E_en.indb 3 02.03.2015 10:43:53

Dear Accu-Chek Spirit Combo insulin pump user,
This User Guide is provided for you, as a diabetes patient, 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 local pump support.
You will nd the address on the inside back cover of this manual.
Your Accu-Chek Spirit Combo insulin pump has been developed
exclusively for the continuous subcutaneous delivery of U100
short-acting insulin or fast-acting insulin analogue. Whether
insulin pump therapy is the appropriate way of treating your
diabetes must be decided by your healthcare professional.
The exact insulin type for the treatment of your insulin-dependent
diabetes mellitus will be prescribed by your doctor or healthcare
team. You should not begin pump therapy unless you have
attended the appropriate training course.
Do not use your pump for the delivery of medication other than
U100 short-acting regular human insulin or rapid-acting insulin
analogue.
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.
man_05957613001_E_en.indb 4 02.03.2015 10:43:53

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.
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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
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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 207
Glossary 208
Index 213
Quick reference table for Errors, Warnings and Reminders 217
Reminder 219
Bluetooth®registration 220
My notes 222
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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 or
Accu-Chek Performa 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 3 menus – STANDARD, ADVANCED or
CUSTOM – to access the functions and settings you will need
from day to day.
1Understanding your new system
* The Accu-Chek Performa Combo Blood Glucose Meter has not been licensed
for sale in Canada.
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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 5 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
4 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 through 180 degrees, and
you can also adjust its contrast. Combined with the backlight,
these features make the display easier to read.
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9
1
Reminder
As well as Warnings and Errors, your pump can signal Remind-
ers. 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 4 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 4 keys,
enables you to program the pump. It also shows important
information about the status of your pump.
wWARNING
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.
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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 through 180 degrees. See
section 5.6.4 Display orientation.
Note that when you rotate the display, the sand akey
functions are reversed.
cCAUTION
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
local pump support. For details see inside the back cover.
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11
1
1.2.3 Display screens
The screens displayed by your pump relate to one of 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. 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.
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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 fkey while
in RUN or STOP mode. The QUICK INFO screen shows the
remaining insulin content of the cartridge in units.
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13
1
By pressing f again you enter the BOLUS DATA function. You
can view the last 30 boluses by pressing aor s.
You can leave the QUICK INFO screen either pressing fagain
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 dkey to select a screen of your choice.
2. Press the dkey 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
fbutton.
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 sor akey to increase or decrease the
displayed value, or press the dkey 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 fbutton to save your changes.
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14
You can move backwards through the main menu screens by
pressing the dkey and akey 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 perceptibility 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 8Warnings 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 emits 2 beeps and vibrates once every minute. This warns
you that insulin delivery has been interrupted.
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15
1
To turn off the STOP-Warning, press either aor sfor 3
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 4 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
aUp key
sDown key
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16
The following table lists the keys and their functions.
Key Name Function
dMenu jMove through menus, function screens
and information screens
fOK jSelect a menu
jSave changes and exit the function and
information screens
jView the QUICK INFO screen
aUp 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
sDown 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)
cCAUTION
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.
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