Accu-Chek Spirit Guida Utente

Pump User GuidePump TherapyMADE FOR YOU

Chapter 1: Understanding Your New SystemThe ACCU-CHEK Spirit Insulin PumpDisplayYour insulin pump has a Liquid Crystal Display (LCD) screen that displ

Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump99ACCU-CHEK Spirit Insulin Pump99Chapter 5: User MenusYou will need to access various screens so yo

Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump100Selecting a User MenuFollow the steps below:1. Press d to move to the SELECT USER MENU screen.Pr

Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump101ACCU-CHEK Spirit Insulin Pump1012. The current user menu is selected on the SELECT USER MENU scr

Note:At any function screen you have three options to exit:• If you want to confirm and save the changes press f until yourpump returns to the RUN scr

Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump103ACCU-CHEK Spirit Insulin Pump103STANDARD User MenuThe following is a list of menu choices for th

Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump104Data TransferThe pump memory stores up to 4,500 pump events (about 90 days of usage).Pump events

Setup for Data TransferFollow the steps below:1. Put your pump in STOP mode.2. Press d to move to the COMMUNICATION screen.3. Press f. The DATA TRANSF

Note:Your pump returns to STOP mode 15 minutes after the last data transferwhen the DATA TRANSFER screen is selected.You may press d + a simultaneousl

Reviewing Pump DataThe pump memory lets you review specific data such as:• Bolus history last 30 boluses• Alarm history last 30 alerts and errors• His

1. Press d to move to the INFORMATION screen.2. Press f to select.The BOLUS HISTORY screen appears. The mostrecent bolus information is displayed.3. P

BacklightThe backlight helps you to see the display in poorly lighted areas. You can turnon the backlight from the RUN screen, from the STOP screen, o

Review the Alarm HistoryThe alarm history lets you review the last 30 alerts or errors, beginning withthe most recent entry and working backward in ti

Review the History of Daily Insulin TotalsThis history lets you review the last 30 daily totals of insulin delivered (frommidnight to midnight; basal

Review the Temporary Basal Rate HistoryThe Temporary Basal Rate (TBR) history lets you review the last 30 TBRincreases or decreases starting with the

Review the Time RemainingYour pump is designed to be a highly reliable system that will give you worry-freeperformance for a long time. For best perfo

SETUP MENU StandardThe SETUP MENU Standard should not be confused with the STANDARD usermenu. The SETUP MENU Standard is a menu choice that appears in

Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump114Follow the steps below:1. Press d to move to the SETUP MENU STANDARD screen.Press f to select.2.

Unlocking the KeyLockFollow the steps below:1. From the RUN or the STOP screen, press d+s simultaneously (you hearthree beeps in RUN mode one beep in

Adjusting the Beep VolumeYour pump beeps when a key is pressed or when an alert or error occurs.Follow the steps below:1. Press d to move to the SETUP

Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump117Setting Up Alarm SignalsThe ACCU-CHEK Spirit insulin pump lets you choose how you want your pump

Automatic OffAutomatic off is a safety feature that stops insulin delivery and triggers anerror E3: AUTOMATIC OFF if no keys are pressed within a prog

Keys and Key CombinationsThe pump will beep each time a key is pressed, unless the beep tone is set to 0.Single KeysEach key has a specific function w

Battery TypeYour pump lets you choose between using 1.5 volt AA alkaline batteries orrechargeable AA NiMH batteries. If you change from one battery ty

Display OrientationYour pump lets you flip the display orientation by 180° so that you can view itmore conveniently depending on how you are wearing t

▲!If you flip the display orientation of your insulin pumpby 180°, the a and s keys will also reverse theirfunctions. In comparison to the display ori

Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump122ADVANCED User MenuThe ADVANCED user menu offers the full range of the ACCU-CHEK Spiritinsulin pu

Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump123Basal Rate ProfilesYour pump can store up to five different basal rate profiles to match yourcha

Programming Additional Basal Rate ProfilesFollow the steps below:1. Press d to move to the PROGRAM BASAL RATE PROFILE screen.2. The hourly basal rates

Selecting a Basal Rate ProfileFollow the steps below:1. Press d to move to the CHANGE BASAL RATE PROFILE screen.2. Press f to select.The current basal

Note:When you change your user menu your current basal rate profile maynot appear.If the basal rate profile number(s) you want does not appear,• Selec

Chapter 5: User Menus ACCU-CHEK Spirit Insulin Pump127Alarm ClockYou can set the alarm clock for a single alarm or for multiple alarms. Multiplealarms

Turning Off the Alarm ClockWhen the alarm clock goes off, an alert A4: ALARM CLOCK occurs. Press ftwice to confirm and turn off the alert.See the sect

Key CombinationsKeys can be pressed in pairs for additional functions. In the following table,a plus symbol (+) between 2 keys means that both keys mu

SETUP MENU AdvancedThe SETUP MENU Advanced should not be confused with the ADVANCED usermenu. The SETUP MENU Advanced is a menu choice that appears in

Date FormatYou can set the date in the following formats:American: mm/dd/yyyy, example 04/26/06European: dd.mm.yyyy, example 26.04.06Follow the steps

Bolus incrementTo address patients who may need large or small amounts of insulin, the bolusincrement for the ACCU-CHEK Spirit insulin pump is adjusta

Prime QuantityThe prime quantity needed to fill an infusion set depends on the length of theinfusion set tubing being used. The shorter your infusion

Lock Basal Rate ProfilesYour pump lets you change your hourly basal rates as needed. You may lockyour basal rate profiles to provide extra protection

LanguageYour pump is programmed in several languages. These languages includeItalian, English, German, French, Spanish, Portuguese, Czech, Dutch, Swed

Display ContrastYour pump lets you adjust the display contrast.Follow the steps below:1. Press d to move to the SETUP MENU ADVANCED screen.Press f to

CUSTOM User MenuThe CUSTOM user menu contains the 11 most commonly used functions accordingto a customer survey.The following is a list of the functio

Chapter 6: Care and MaintenanceCare of Your ACCU-CHEK Spirit Insulin PumpDisetronic Medical Systems, as the manufacturer, guarantees the functions ofy

Check your pump daily. Make sure that:• The pump casing, the display, and the cartridge are not chipped orcracked and that the display doesn’t show in

Locking Keys Using KeyLock FeatureThe KeyLock feature lets you lock all four keys on your pump as a safety measureagainst accidentally activating func

What to Do When You Drop Your PumpIf the pump is dropped it could be harmed or the seal that protects it against watercould be damaged. Be careful not

Storing Your ACCU-CHEK Spirit Insulin PumpTo store your pump, place in STOP mode, then:• Remove the battery to preserve the battery life• Remove the c

MaintenanceCleaning Your ACCU-CHEK Spirit Insulin PumpThe best time to clean your pump is when you change the cartridge. Use asoft, dry cloth for clea

RepairIf you have problems with your pump, contact Pump Support at 1-800-688-4578.Pump Support can help you and answer many questions over the telepho

Chapter 6: Care and Maintenance ACCU-CHEK Spirit Insulin Pump143TroubleshootingThis section describes problems that may occur while using your ACCU-CH

Chapter 6: Care and Maintenance ACCU-CHEK Spirit Insulin Pump144Therapy-Related IssuesMany factors, such as alcohol consumption, medications other tha

ProblemAir bubbles in the cartridgeand/or infusion setBlood in the infusion set tubingEmpty cartridgeDisconnected or dislodgedinfusion setLeak in syst

ProblemOcclusion in systemFailure to complete primePoor absorption of insulinInfusion site becomes sore,red, or swollen.Recommended ActionsDisconnect

Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump147Chapter 7: Alerts and ErrorsA safety system monitors and controls the function of your pu

Confirming an Alert or ErrorWhen you confirm A1: CARTRIDGE LOW , E1: CARTRIDGE EMPTY,A2: BATTERY LOW , E2: BATTERY DEPLETED, A5: PUMP TIMER or E5:END

Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump14Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin PumpSTOP Scr

Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump149List of AlertsAlert A1: CARTRIDGE LOWThe contents of the insulin cartridge have dropped t

Alert A2: BATTERY LOWThe battery power is low. Be prepared for a battery change as quickly as possible.The battery low symbol ( ) appears in the RUN o

Alert A4: ALARM CLOCKAn alarm clock reminder was programmed into the pump.1. Press f twice to turn off and to confirm the alert.2. If necessary, put y

4. Move to the PUMP TIMER screen.The days until the pump timer expires are shown.When the PUMP TIMER reaches zero, the pump will change to STOP mode a

Alert A7: TBR OVER (Temporary Basal Rate Over)A Temporary Basal Rate has ended. The original basal rate (100%) will resumeautomatically once the alert

List of ErrorsError E1: CARTRIDGE EMPTYThe insulin cartridge is empty. Change the cartridge immediately.1. Press f twice to turn off and to confirm th

Error E2: BATTERY DEPLETEDThe battery is out of power. Replace it immediately.1. Press f twice to turn off and to confirm the error.2. Replace the bat

Error E3: AUTOMATIC OFFAutomatic off is a safety feature that stops insulin delivery and triggers anerror E3: AUTOMATIC OFF if no keys are pressed wit

If the occlusion (blockage) was inside your infusion set, follow thesteps below.1. Press f twice to turn off and to confirm the error.2. Disconnect or

Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump158If the error E4: OCCLUSION occurs again, prime your pump without acartridge. Follow the s

Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump15Follow the steps below to navigate through the screens.1. Press the d key to m

Chapter 7: Alerts and Errors ACCU-CHEK Spirit Insulin Pump1592. Contact Pump Support at 1-800-688-4578 to discuss your options for furtheruse of the A

If the error E6: MECHANICAL ERROR occurs again in spite of these actions,contact your doctor or healthcare team for an alternate therapy plan. Contact

Error E8: POWER INTERRUPTA power interrupt error occurs when you insert a new battery without first placingthe pump in STOP mode. See the section “Ins

Error E10: CARTRIDGE ERRORThe CHANGE THE CARTRIDGE function was not correctly carried out.1. Press f twice to turn off and to confirm the error.2. Rem

1. Press f twice to turn off and to confirm the error.2. Remove or disconnect the infusion set from your infusion site.3. Prime the infusion set.4. Re

See the section “Data Transfer” (page 104) for more information.Error E13: LANGUAGE ERRORThe language setting needs to be checked.1. Press f twice to

AppendixesAppendix A: Technical DataGeneral Technical DataAir humidity • During operation: 20 to 90%relative humidity• Stored in its shipping case:5 t

Bolus The max. bolus amount per deliveryis 25 units when using U100 insulin.The bolus amount for the “Quick”Standard Bolus is adjustable inincrements

Flow (delivery rate) 0.2 U/sec during infusion setpriming and bolus when usingU100 insulin.Infusion sets ACCU-CHEK infusion sets withluer-lock connect

Safety system Alert system, beeps, informationon the display, vibrations, dualmicroprocessor. The insulin pump iscontrolled by two microprocessors.The

Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump16Alarm SignalsYour pump gives alerts and errors using beeps and vibrations. You

Technical Standards on Electromagnetic EmissionsThe standard concerning electromagnetic compatibility of medical equipment(IEC 60601-1-2) requires the

Note 1 At 80 and 800 MHz, the higher frequency range applies.Note 2 These guidelines may not apply in all situations. Electromagneticpropagation is af

Appendixes ACCU-CHEK Spirit Insulin Pump171Technical Standards on Electromagnetic ImmunityGuidance and manufacturer’s declaration – electromagnetic im

Appendixes ACCU-CHEK Spirit Insulin Pump172IEC 60601 Compliance ElectromagneticImmunity Test Test Level Level Environment – GuidanceRadiated RF 3 V/m

Accuracy of Flow Rate for Plastic CartridgesTrumpet curve plotted from data after the end of the stabilization periodThe trumpet curve shows the accur

Start-up graph over the stabilization periodThe start-up graph shows changes in the flow rate over the stabilization time.The measurements were made a

Trumpet curve plotted from data after the end of the stabilization periodThe trumpet curve shows the accuracy of the delivery rate in relation to theo

Start-up graph over the stabilization periodThe start-up graph shows changes in the flow rate over the stabilization time.The measurements were made a

Appendix B: Configuration ParametersYour pump is built by Disetronic Medical Systems with a standard configuration(factory settings). A list containin

Typical Range and Maximum ParameterParameter Settings RangeBasal Rate– hourly basal rate + U100: 62.5 IU/h Insulin TypeMax. Amountmax. TBR U100 0 – 62

Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump17Accessories and DisposablesSterile products and accessories are a crucial part

Typical Range and Maximum ParameterParameter Settings RangePrime volume U100: 25.0 U Insulin TypeMax. AmountU100 0 – 25.0 IU/hDisplay orientation stan

Appendix C: Abbreviationsapprox. ApproximatelyBR Basal rateBRP Basal rate profileDDM Diabetes Data Managementh Hour(s)IEC International Electrotechnic

Appendix D: Beeps and MelodiesYou can turn off either the pump beeps or the vibrations, but not bothsimultaneously. Please refer to sections “Adjust t

Appendix E: VibrationsYour pump signals alerts and errors using beeps and vibrations. You can turn offeither the beeps or the vibrations, but you cann

Appendix F: SymbolsGeneral SymbolsRead user guideSterilized using ethylene oxideSterilized using radiationSterilized using antisepticsYear of manufact

Appendixes ACCU-CHEK Spirit Insulin Pump184Protect from heat and sunlightFor single use onlyDoes not contain pyrogenDoes not contain PVCRecyclingDo no

Appendixes ACCU-CHEK Spirit Insulin Pump185Symbol DefinitionStart your ACCU-CHEK Spirit insulin pumpSTOP screen and Stop insulin deliveryTime, and Set

Standard Bolus and Bolus increment programmingExtended Bolus and Extended delivery of the MultiWave BolusMultiWave BolusImmediate bolus delivery of Mu

Set beep volumeScreen orientationEuropean date formatAmerican date formatAlarm clock turned onAlarm clock turned offSingle alarm when setting an alarm

Appendix G: Sterile Products and AccessoriesSterile ProductsCartridgesName CommentsEmpty ACCU-CHEK Plastic cartridges are single-use3.15ml Plastic Car

See Disetronic Medical Systems’ sterile products and accessories catalogs andbrochures for more information. Or, contact Pump Support at 1-800-688-457

AccessoriesName CommentsAdapter Replace your adapter with every10thcartridge.Battery If used in a typical usage patternOne 1.5 AA alkaline battery wit

Appendix H: GlossaryAdapterThe adapter connects the cartridge and infusion set. It has two seals for thecartridge compartment of your insulin pump. Th

Daily insulin totalThe total amount of insulin delivered (basal rate plus boluses) in a 24-hour day,beginning at midnight. This amount does not includ

Infusion siteThe place where the infusion set cannula or needle is inserted into yoursubcutaneous tissue to deliver insulin.InsulinA hormone that help

Appendixes ACCU-CHEK Spirit Insulin Pump193SettingsSettings are individually programmable values and parameters that affect theway your pump works.Scr

LIMITED FOUR-YEAR WARRANTYDISETRONIC MEDICAL SYSTEMS, INC. (“DISETRONIC”) WARRANTS THE ACCU-CHEK SPIRITINSULIN PUMP (“INSULIN PUMP”) AGAINST DEFECTS I

Accessories; 17-23, 189Adapter; 9, 20, 47-48, 190Advanced User Menu; 99, 122-128Air Bubbles; 45, 53, 145Alarm Clock; 127-128, 151Alarm History; 109Ala

Index ACCU-CHEK Spirit Insulin Pump196Immunity; 171-172Infusion Set; 9, 19-20Changing the; 70-72Not Primed; 162-163Priming; 53-55Infusion Site; 56-57,

Index ACCU-CHEK Spirit Insulin Pump1Stopping;Insulin Delivery; 66Priming; 55System Check; 28-31Temporary Basal Rate;Cancelling; 97History; 111Over; 96

Index ACCU-CHEK Spirit Insulin Pump198programprofile no. 5programprofile no. 4program profile no. 3program profile no. 2Standardbolusstop yourAccu-Che

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 A

Infusion SetAn ACCU-CHEK infusion set connects your pump to your body to deliver insulin.The insulin travels from the cartridge in your insulin pump t

Manufactured by:Disetronic Medical Systems AGCH-3401 Burgdorf, SwitzerlandDistributed by:Disetronic Medical Systems Inc.11800 Exit 5 Parkway, Suite 12

Chapter 1: Understanding Your New System ACCU-CHEK Spirit Insulin Pump20Use only infusion sets that have a luer-lock connector. All current ACCU-CHEKi

BatteryYour pump runs on one AA battery. Use AA alkaline batteries that have a minimumcapacity of 2500 mAh. Do not use lithium, carbon zinc, or nickel

Battery CoverThe battery cover seals the battery compartment. Change the battery coverwith at least every 4thbattery change.• Remove the battery cover

Battery KeyThe battery key tightens and loosens the battery cover. It can also loosen theluer-lock connection between the infusion set and adapter if

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Chapter 2: Getting StartedInserting (or Changing) the BatteryYour pump turns on when you insert the battery. When you remove the battery,your pump sti

Follow the steps below:1. Press d to move to the STOP YOUR ACCU-CHEK screen.Press f to select and put the pump in STOPmode. Your pump returns to the S

5. Use the cover to gently push the battery all the way in.Turn the battery cover clockwise to tighten it.The battery cover is correctly tightened whe

System Check Start-Up ProcessYour pump performs internal tests at start-up when you insert a battery and whenyou change the cartridge. When you insert

How to use this guideThis guide is for version 2.XX of the ACCU-CHEK Spirit insulin pump.When you become familiar with your pump, you can quickly refe

3. SELF-TEST appears.4. Your pump beeps and BEEP TEST appears.Listen for the beeps.5. Your pump vibrates and VIBRATION TEST appears.Check for vibratio

7. The display shows a pattern. Check that the pattern is even.8. The display turns black. Check that the display is completely black.9. You will also

▲!If you discover incomplete characters, numbers, or symbolson the display, put your insulin pump into STOP mode andperform a system check again by si

Setting Time and DateBe careful to set the time and date correctly, because the basal rates and allhistory information are stored on the basis of time

Follow the steps below to set the Time and Date:1. Press d to move to the SET TIME AND DATE screen.Press f to select.2. The SET HOUR screen displays.P

4. Press d to move to the SET YEAR screen.Press a or s to set the year.5. Press d to move to the SET MONTH screen.Press a or s to set the month.6. Pre

Your Personal Settings▲!Your new ACCU-CHEK Spirit insulin pump must beprogrammed with your personal settings prior to startinginsulin pump therapy. Wo

Your Basal Rate ProfileYour pump delivers insulin every 3 minutes, in 20 equal doses each hour,24 hours a day. This flow of insulin, measured in inter

Programming Your Basal Rate ProfileNote:For your safety and convenience during programming, your insulinpump returns itself to the RUN or STOP screen

Follow the steps below:1. Press d to move to the PROGRAM BASAL RATE PROFILE 1 screen.2. Press f to select.The daily BASAL RATE TOTAL is displayed.3. P

Working safely with your ACCU-CHEK Spirit insulin pumpYour ACCU-CHEK Spirit insulin pump meets the safety requirements of nationalmedical device legis

7. Press f to confirm.The new daily BASAL RATE TOTAL is displayed.Check the new daily BASAL RATE TOTAL.8. Press f to save and exit.If the current acti

Copying an Hourly Basal RateIf your basal rate is the same for multiple hours in a row, you can save timeprogramming by copying an hourly basal rate t

6. Press f to confirm.Check the new daily BASAL RATE TOTAL.7. Press f to save and exit.If the current active basal rate profile is the same as the new

Preparing the Cartridge▲!Your insulin pump is designed to use an ACCU-CHEK3.15 ml plastic cartridge. The cartridge is a sterile productintended for si

Filling the CartridgeTo fill a cartridge, have the following materials ready:• A new 3.15 ml plastic cartridge with protective cap, plunger rod,fillin

3. Remove the cartridge, the cartridge protective cap, and the filling needlewith its protective cap from their packaging.4. Place the filling needle

6. Hold steady pressure against the plunger rod with your thumb, and at thesame time turn the insulin vial over so that the filling needle and cartrid

Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump46Remove the plunger rod by turning it counter-clockwiseout of the plunger.Remove the filling

Chapter 2: Getting Started ACCU-CHEK Spirit Insulin Pump47Connecting the Cartridge, Adapter, and Infusion SetHave the following materials ready:• A fi

Follow the instructions below:Remove the protective cap from the cartridge. Do not touch the cartridge tip.Push the adapter all the way onto the cartr

GuaranteeAny changes or modifications to the ACCU-CHEK Spirit insulin pump thatare not expressly approved by Disetronic Medical Systems, Inc. could vo

Inserting the CartridgeHave the following materials ready:• Your insulin pump• A filled ACCU-CHEK 3.15 ml plastic cartridge with a connectedACCU-CHEK

Follow the steps below:1. Press d to move to the STOP YOUR ACCU-CHEK screen.2. Press f to select and put the pump in STOP mode.Your pump displays the

6. Hold your pump upright. Hold the new filled cartridge so that the connectedadapter and infusion tube set point upwards, parallel, and close to thec

If the end plate of the piston rod does not sit flush against the cartridge plunger,remove the cartridge from the cartridge compartment. Hold the cart

Priming the Infusion SetThe ACCU-CHEK Spirit insulin pump stops priming after 25 units of insulin. If noinsulin has emerged from the tube set needle a

Follow the steps below:1. Press d to move to the STOP YOUR ACCU-CHEK screen.2. Press f to select and put the pump in STOP mode.Your pump displays the

5. Press f to select. The priming amount of 25 units of insulin is shown onthe display.6. When START PRIMING is displayed, press and hold f until you

Preparing the Infusion Site and Inserting the Infusion SetAlways follow the instructions given to you by your doctor or healthcare teamand the instruc

2. Wash your hands thoroughly.3. Disinfect the infusion site and let it dry completely.4. Make sure your pump is in STOP mode.5. Insert your ACCU-CHEK

If you have read and followed all instructions, cautions, warnings, and notesfound in this chapter, your pump should now be ready to use. However, ple

ACCU-CHEK Spirit Insulin Pump5ContentsChapter 1: Understanding Your New System _____________________9The ACCU-CHEK Spirit Insulin Pump _______________

Chapter 3: Using Your Pump ACCU-CHEK Spirit Insulin Pump59Chapter 3: Using Your PumpBefore UsingSuccessful insulin pump therapy requires you to check

Wear your pump under your clothes or directly on your body in cold or rainyweather. If you have concerns about the weather affecting your pump,check t

When Not to Wear Your PumpElectromagnetic Fields and Hazardous AreasDo not use your pump around electromagnetic fields such as radar or antennainstall

Do not exceed 10,000 feet (3,000 meters) above sea level. Your pump hasnot been tested for use above this level.Always stop and remove your pump befor

Your Insulin Pump and WaterDisconnect and remove your pump before entering a bathtub, Jacuzzi orwhirlpool, shower, or swimming pool. Avoid exposing yo

What to Do After Any Water ContactPut your pump into STOP mode. Disconnect the pump from your body beforeinspecting it. Use a soft cloth to dry the ou

Starting Insulin DeliveryFollow the steps below:1. Start from the STOP screen.2. Press d to move to the START YOUR ACCU-CHEK screen.3. Press f to sele

Chapter 3: Using Your Pump ACCU-CHEK Spirit Insulin Pump66Stopping Insulin DeliveryThere are functions and actions, for your safety, that you can only

STOP-WarningThe STOP-Warning is turned on by the pump each time your pump switches fromRUN mode to STOP mode, and when a battery is inserted. The STOP

Interruption of Insulin Pump TherapyConsult with your doctor or healthcare team about when and for how long yourinsulin pump therapy can be interrupte

ACCU-CHEK Spirit Insulin Pump6Changing the Infusion Set _________________________________70Changing the Cartridge and Infusion Set ___________________

Short Interruption1. Put your pump in STOP mode.2. Remove or disconnect the infusion tube set from the infusion headset. Whenusing a disconnectable in

Changing the Infusion SetWhen you change the infusion set, keep the following points and warnings in mind:• Infusion sets are sterile products intende

Chapter 3: Using Your Pump ACCU-CHEK Spirit Insulin Pump71Follow the steps below:1. Wash your hands thoroughly.2. Make sure your pump is in STOP mode.

Chapter 3: Using Your Pump ACCU-CHEK Spirit Insulin Pump728. Prime the infusion set following all the instructions and warnings found inthe section “P

Chapter 3: Using Your Pump ACCU-CHEK Spirit Insulin Pump73Changing the Cartridge and Infusion SetHave the following materials ready:• Your ACCU-CHEK S

Chapter 3: Using Your Pump ACCU-CHEK Spirit Insulin Pump745. Hold your ACCU-CHEK Spirit insulin pumpwith the adapter pointing downwards.6. Remove the

Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump75Chapter 4: Boluses and Temporary Basal RatesUnderstanding BolusesA bolus is the amount of i

Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump76▲!• Incorrect programming of your insulin pump may causeinappropriate insulin delivery.• Yo

Programming a Standard BolusThere are two ways to program a Standard Bolus:“Quick” Standard Bolus “Scroll” Standard BolusUsing a and s on your Menu-gu

Follow the steps below:1. From the RUN screen press and hold s (a) until you hear a beepsequence and feel a vibration.This activates the “Quick” STAND

ACCU-CHEK Spirit Insulin Pump7Chapter 7: Alerts and Errors ________________________________147Confirming an Alert or Error ___________________________

Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump79Cancelling a “Quick” Standard Bolus– during programming (the bolus amount blinks):• Press t

You can view the actual bolus amount delivered prior to the cancellation bylooking at the bolus history. See the section “Review the Bolus History” (p

The Standard Bolus symbol ( ) blinks for five seconds (the bolus deliverystart delay).After this bolus delivery start delay, your pump beeps three tim

You can view the actual bolus amount delivered prior to the cancellationby looking at the bolus history. Please refer to the section “Review theBolus

Programming an Extended BolusThe Extended Bolus is available in the ADVANCED and CUSTOM user menus. TheExtended Bolus function lets you program a bolu

Follow the steps below:1. Press d to move to the EXTENDED BOLUS screen.2. Press f to select. The BOLUS AMOUNT screen appears.3. Press a to increase or

Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump85Note:If a Temporary Basal Rate is active at the same time as the Extended Bolus,the remaini

Cancelling an Extended Bolus– during programming (the bolus amount or bolus duration blinks):You have three options for cancelling an Extended Bolus d

Make sure that the cancellation was intended and then program a newExtended Bolus (and/or Temporary Basal Rate), if needed.Note:If a Temporary Basal R

Programming a MultiWave BolusThe MultiWave Bolus function is available in the ADVANCED user menu. It isdesigned to better simulate a body’s insulin de

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Follow the steps below:1. Select the ADVANCED user menu or turn on the MULTIWAVE BOLUS menuchoice in the CUSTOM user menu. Also, your pump must be in

5. Press d to move to the IMMEDIATE BOLUS screen.Press a or s to correct and set the immediatebolus amount.6. Press d to move to the BOLUS DURATION sc

Cancelling a MultiWave Bolus– during programming (a bolus amount or the bolus duration blinks):There are three ways to cancel a MultiWave Bolus during

• You can cancel the extended delivery by putting the pump in STOPmode. This cancels the Extended Bolus. An alert A8: BOLUS CANCELLEDoccurs. Press f t

Programming a Temporary Basal Rate (TBR)Your pump lets you temporarily increase or decrease your basal rate. This letsyou match changing insulin needs

Follow the steps below:1. Put your pump in RUN mode.2. Press d to move to the TEMPORARY BASAL RATE (TBR) screen.3. Press f to select.The TBR PERCENTAG

5. Press d to move to the TBR DURATION screen.Press a or s to correct and set the duration.6. Press f to save and exit.The new Temporary Basal Rate is

TBR OVER AlertAt the end of a Temporary Basal Rate, an alert A7: TBR OVER occurs. Press ftwice to confirm and turn off the alert. See the section “Ale

Chapter 4: Boluses and TBRs ACCU-CHEK Spirit Insulin Pump97Cancelling a Temporary Basal Rate– during programming:There are three ways to cancel a Temp

Make sure that the cancellation was intended and then program a newTemporary Basal Rate (and/or an Extended or MultiWave Bolus), if needed.Note:If an