Manuals / Accu-Chek / Personal Care / Blood Glucose Meter

Accu-Chek insulin pump Therapy-Related Issues, Troubleshooting Table Problem Recommended Actions

Models: insulin pump

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Therapy-Related Issues

Many factors, such as alcohol consumption, medications other than insulin, ineffective or expired insulin, decreased activity, illness, and stress can affect blood glucose levels. Contact your doctor or healthcare team for advice on how to manage these or any other therapy related issues.

Troubleshooting Table

Problem	Recommended Actions
Individual characters, numbers, or	Contact Pump Support at
symbols on the display are shown	1-800-688-4578.
incompletely or not at all.
Your insulin pump does not beep	Check that the beep volume and alarm
or vibrate.	signals are turned on. Check and
	change the battery. If your insulin pump
	still does not beep or vibrate, contact
	Pump Support at 1-800-688-4578.
Self-test incomplete (after an error	Remove the battery, wait a few
E7: ELECTRONIC ERROR).	seconds, and insert it again. If the
	self-test remains incomplete, contact
	Pump Support at 1-800-688-4578.
Incorrect insulin delivery due to	The correct hourly basal rate cannot be
incorrect time setting.	delivered if the time is not set correctly.
	Check and reset the time if it is wrong.
	Do the same check when you change
	the battery.
Incorrect insulin delivery due to	Always review changes made in basal
incorrect basal rate programming.	rate programming. Confirm that you are
	using your correct basal rate profile.

Chapter 6: Care and Maintenance

144

ACCU-CHEK Spirit Insulin Pump

Image 145

Accu-Chek insulin pump manual Therapy-Related Issues, Troubleshooting Table Problem Recommended Actions, 144

Contents

Pump User Guide Dear ACCU-CHEKSpirit insulin pump owner How to use this guide Intended use of your ACCU-CHEK Spirit insulin pump Guarantee Contents Boluses and Temporary Basal Rates Appendix C Abbreviations Appendix E Vibrations Appendix F Symbols183This page left blank intentionally Display ACCU-CHEK Spirit Insulin PumpTo malfunction Hint BacklightPump Support at 1-800-688-4578 immediately Key in areas of poor lighting as this willKeys and Key Combinations Key Combinations One beep in Stop modeExiting menus, function screens, Information screens without savingScreens Locking Keys Using KeyLock FeatureRUN Screen Stop Screen Information, Function, and Setup ScreensQuick Info Screen Follow the steps below to navigate through the screens Status Screen Messages, Beeps, and VibrationsSTOP-Warning Alarm SignalsTo Turn Off the STOP-Warning Or void your warranty Accessories and DisposablesSterile Products Cartridges Out of the reach of childrenRecommended Possible Use onlyAdapter Battery Always make sure that you remove the battery if your Battery CoverEmergency Kit Battery KeyThis page left blank intentionally 32 for more information Inserting or Changing the BatteryPress d to move to the Stop Your ACCU-CHEK screen Follow the steps belowPump begins its start-up process Use the cover to gently push the battery all the waySystem Check Start-Up Process Put the pump in Stop mode ACCU-CHEK logo appearsInsulin pump Pump Support atContact Pump Support at Getting Started Since you may not receive the correct information for Settings are identical Setting Time and DateInsulin pump’s memory Follow the steps below to set the Time and Date Getting Started Team to understand how to use the pump Your Personal SettingsInsulin delivery Your correction bolus ratioYour Basal Rate Profile Programming Your Basal Rate Profile Follow the steps below If you want to undo the changes If you want to save the changesCopying an Hourly Basal Rate Basal Rate and Bolus Preparing the Cartridge Always handle the items with clean handsTo fill a cartridge, have the following materials ready Filling the CartridgePlunger Plunger rod Getting Started System components if needed Have the following materials ready Connecting the Cartridge, Adapter, and Infusion SetThese parts Do not over-tighten Follow the instructions belowResult in leakage Use a soft cloth to dry the compartment Inserting the CartridgeFollow the steps below Cartridge volume decreases accordingly on the display Press f after correctly inserting the cartridge To your body Priming the Infusion SetStop Stopping the Priming Process Infusion Site Preparation Infusion Site SelectionGetting Started Healthcare team’s recommendations Healthcare teamWearing Your Pump Before UsingDuring insulin pump therapy Pocket knives, and coinsAcceptable temperature range Electromagnetic Fields and Hazardous Areas When Not to Wear Your PumpPump if you have a cardiac pacemaker Traveling Sports and ExerciseIf you have questions, contact Pump Support at Disconnect and take off your insulin pump Your Insulin Pump and WaterAccidental Contact with Water Other Liquids What to Do After Any Water ContactFog your display Starting Insulin Delivery Stopping Insulin Delivery Mode to continue insulin deliverySTOP-Warning Interruption of Insulin Pump Therapy Short Interruption Put your pump in Stop modeResuming Insulin Pump Therapy For a long period of timeChanging the Infusion Set Follow the steps below Using Your Pump Changing the Cartridge and Infusion Set Using Your Pump Your pump can deliver three types of boluses Understanding BolusesStandard Bolus Team check your personal settings Personal settingsInappropriate insulin delivery Insulin ratio and your correction bolus ratioThere are two ways to program a Standard Bolus Programming a Standard BolusProgramming a Quick Standard Bolus RUN Cancelling a Quick Standard Bolus Using the a and s keys of your insulin pumpDuring programming the bolus amount blinks No bolus is deliveredProgramming a Menu-Guided Scroll Standard Bolus Set the bolus amount to 0.0 units. Press f to exit Cancelling a Menu-Guided Scroll Standard BolusBoluses and TBRs Programming an Extended Bolus Follow the steps below At any function screen you have three options to exit If you want to cancel the bolusIf you want to deliver the bolus During bolus delivery Cancelling an Extended BolusBoluses and TBRs Programming a MultiWave Bolus ACCU-CHEK Boluses and TBRs Set the total bolus amount to 0.0 units and press f Cancelling a MultiWave BolusWhen your insulin pump is in Stop mode, it does not deliver Insulin pump therapy Programming a Temporary Basal Rate TBRTypically, a basal rate is set to 100%, but you can Press a or s to increase or decrease the basal rate If you want to save the changes TBR Over Alert No Temporary Basal Rate is delivered Cancelling a Temporary Basal RateTemporary Basal Rate delivery is interrupted Insulin delivery Custom User Menu Advanced User Menu100 Selecting a User Menu101 102 New basal rate103 Standard User Menu104 Data Transfer105 Setup for Data Transfer106 Review the Bolus History Reviewing Pump DataEach Bolus History screen displays 107Press a or s to review the entries Press f to exit Press d to move to the Information screen Press f to select108 109 Review the Alarm History110 Review the History of Daily Insulin Totals111 Review the Temporary Basal Rate History112 Review the Time RemainingTurning KeyLock On or Off Setup Menu Standard113 114 115 116 Adjusting the Beep VolumeBeep and vibrate Setting Up Alarm Signals117 Or healthcare team Automatic Off118 119 Battery Type120 Display OrientationYour screen orientation By 180, the a and s keys will also reverse their121 Advanced User Menu Alarm Clock See the section Alarm Clock122 123 Basal Rate ProfilesProgramming Additional Basal Rate Profiles Check your personal settings124 125 Selecting a Basal Rate Profile126 Set Single or Multiple Alarms Alarm Clock127 128 Turning Off the Alarm ClockTime Format Setup Menu Advanced129 You can set the date in the following formats American Date FormatEuropean 130May cause inappropriate insulin delivery Bolus increment131 132 Prime Quantity133 Lock Basal Rate ProfilesTo choose a language, do the following Language134 Display Contrast Your pump lets you adjust the display contrast135 136 Custom User MenuCare of Your ACCU-CHEK Spirit Insulin Pump System Inspection Checklist137 138 139 What to Do When You Drop Your PumpDisposal Storing Your ACCU-CHEK Spirit Insulin PumpCleaning Your ACCU-CHEK Spirit Insulin Pump MaintenanceBattery Information Damage the pump142 Repair143 TroubleshootingTroubleshooting Table Problem Recommended Actions Therapy-Related Issues144 Single use only Problem Recommended Actions145 146 147 Alerts and ErrorsWhen you confirm A1 Cartridge LOW , E1 Cartridge Empty Confirming an Alert or ErrorFollow the steps below to confirm an alert or error 148Alert A1 Cartridge LOW List of Alerts149 Alert A3 Review Time and Date Alert A2 Battery LOW150 See the section Alarm Clock page 127 for more information Alert A4 Alarm ClockAlert A5 Pump Timer 151152 Alert A6 TBR Cancelled Temporary Basal Rate CancelledAlert A7 TBR Over Temporary Basal Rate Over Alert A8 Bolus Cancelled153 Error E1 Cartridge Empty List of Errors154 Battery is out of power. Replace it immediately Error E2 Battery DepletedGathered data might not be meaningful 155Error E4 Occlusion Error E3 Automatic OFFYour doctor’s or healthcare team’s instructions 156157 158 Error E5 END of Operation159 Error E6 Mechanical Error160 Error E7 Electronic Error161 Error E8 Power InterruptError E11 SET not Primed Error E10 Cartridge Error162 163 Error E12 Data InterruptedSee the section Data Transfer page 104 for more information Error E13 Language Error164 General Technical Data Appendix a Technical Data165 166 167 168 Compliance Technical Standards on Electromagnetic Emissions169 KHz to 80 MHz MHz to E1 in V/m100 170IEC Compliance Electromagnetic Technical Standards on Electromagnetic ImmunityTest Level 171172 173 Accuracy of Flow Rate for Plastic Cartridges174 Start-up graph over the stabilization period175 176 Bolus≤177 Appendix B Configuration ParametersBasal Rate Maximum ParameterBolus 178179 Typical Range Maximum Parameter Parameter Settings180 Appendix C AbbreviationsEach press Appendix D Beeps and Melodies181 Your ACCU-CHEK Spirit insulin pump vibrates when Appendix E Vibrations182 General Symbols Appendix F Symbols183 184 185 Symbol Definition186 187 Name Comments Appendix G Sterile Products and Accessories188 189 Appendix H Glossary Headset also known as cannula housing Factory settingsDaily insulin total Diabetes Data Management DDMRUN mode Luer-lock connectorInfusion site InsulinStop mode SettingsTimeout Scrolling194 Limited FOUR-YEAR Warranty195 IndexKeyLock 77-80Turning On 80-82 Turning Off 196No. Error What You Need to Do Quick Reference Table for Errors200 197Quick Reference Table for Alerts Diagram of User MenusNo. Alert What You Need to Do Disetronic Medical Systems AG