Error E3 Automatic OFF, Error E4 Occlusion | Accu-Chek insulin pump

Error E3: AUTOMATIC OFF

Automatic off is a safety feature that stops insulin delivery and triggers an error E3: AUTOMATIC OFF if no keys are pressed within a programmed time period in RUN mode.

1.Press f twice to turn off and to confirm the error.

2.Put your pump in RUN mode.

Error E4: OCCLUSION

▲	If an error E4: OCCLUSION occurs, immediately check your
!	blood glucose level, and check again in about 2 hours,
WARNING	because insulin delivery has been interrupted. If your blood
	glucose level is high, take appropriate actions according to
	your doctor’s or healthcare team’s instructions.

Insulin (a maximum of 3.5 units of U100 insulin) was not delivered. This may be due to:

•a blocked infusion set,

•a reused cartridge, or

•a dirty or damaged piston rod.

Note:

The display of this error depends on several factors including your current hourly basal rate and boluses. For example, a blocked infusion set with a basal rate of 2.0 U/h (U100 insulin and no additional boluses) would trigger an error E4: OCCLUSION in approximately three hours or less, depending on the type and severity of the blockage.

Chapter 7: Alerts and Errors

156

ACCU-CHEK Spirit Insulin Pump

Image 157

Accu-Chek insulin pump Error E3 Automatic OFF, Error E4 Occlusion, Your doctor’s or healthcare team’s instructions, 156

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 Symbols183 This 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 will Keys and Key Combinations Key Combinations One beep in Stop modeExiting menus, function screens, Information screens without saving Screens 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 Vibrations STOP-Warning Alarm SignalsTo Turn Off the STOP-Warning Or void your warranty Accessories and DisposablesSterile Products Cartridges Out of the reach of children Recommended Possible Use only Adapter Battery Always make sure that you remove the battery if your Battery Cover Emergency Kit Battery Key This page left blank intentionally 32 for more information Inserting or Changing the Battery Press d to move to the Stop Your ACCU-CHEK screen Follow the steps below Pump begins its start-up process Use the cover to gently push the battery all the way System Check Start-Up Process Put the pump in Stop mode ACCU-CHEK logo appearsInsulin pump Pump Support at Contact 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 ratio Your 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 changes Copying an Hourly Basal Rate Basal Rate and Bolus Preparing the Cartridge Always handle the items with clean hands To fill a cartridge, have the following materials ready Filling the Cartridge Plunger 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 Cartridge Follow the steps below Cartridge volume decreases accordingly on the display Press f after correctly inserting the cartridge To your body Priming the Infusion Set Stop Stopping the Priming Process Infusion Site Preparation Infusion Site Selection Getting Started Healthcare team’s recommendations Healthcare team Wearing Your Pump Before UsingDuring insulin pump therapy Pocket knives, and coins Acceptable 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 delivery STOP-Warning Interruption of Insulin Pump Therapy Short Interruption Put your pump in Stop modeResuming Insulin Pump Therapy For a long period of time Changing 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 ratio There 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 delivered Programming a Menu-Guided Scroll Standard Bolus Set the bolus amount to 0.0 units. Press f to exit Cancelling a Menu-Guided Scroll Standard Bolus Boluses 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 Bolus Boluses 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 Bolus When 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 Menu 100 Selecting a User Menu 101 102 New basal rate 103 Standard User Menu 104 Data Transfer 105 Setup for Data Transfer 106 Review the Bolus History Reviewing Pump DataEach Bolus History screen displays 107 Press 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 History 110 Review the History of Daily Insulin Totals 111 Review the Temporary Basal Rate History 112 Review the Time Remaining Turning KeyLock On or Off Setup Menu Standard113 114 115 116 Adjusting the Beep Volume Beep and vibrate Setting Up Alarm Signals117 Or healthcare team Automatic Off118 119 Battery Type 120 Display Orientation Your 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 Profiles Programming Additional Basal Rate Profiles Check your personal settings124 125 Selecting a Basal Rate Profile 126 Set Single or Multiple Alarms Alarm Clock127 128 Turning Off the Alarm Clock Time Format Setup Menu Advanced129 You can set the date in the following formats American Date FormatEuropean 130 May cause inappropriate insulin delivery Bolus increment131 132 Prime Quantity 133 Lock Basal Rate Profiles To choose a language, do the following Language134 Display Contrast Your pump lets you adjust the display contrast135 136 Custom User Menu Care of Your ACCU-CHEK Spirit Insulin Pump System Inspection Checklist137 138 139 What to Do When You Drop Your Pump Disposal Storing Your ACCU-CHEK Spirit Insulin Pump Cleaning Your ACCU-CHEK Spirit Insulin Pump MaintenanceBattery Information Damage the pump 142 Repair 143 Troubleshooting Troubleshooting Table Problem Recommended Actions Therapy-Related Issues144 Single use only Problem Recommended Actions145 146 147 Alerts and Errors When you confirm A1 Cartridge LOW , E1 Cartridge Empty Confirming an Alert or ErrorFollow the steps below to confirm an alert or error 148 Alert 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 151 152 Alert A6 TBR Cancelled Temporary Basal Rate Cancelled Alert 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 155 Error E4 Occlusion Error E3 Automatic OFFYour doctor’s or healthcare team’s instructions 156 157 158 Error E5 END of Operation 159 Error E6 Mechanical Error 160 Error E7 Electronic Error 161 Error E8 Power Interrupt Error E11 SET not Primed Error E10 Cartridge Error162 163 Error E12 Data Interrupted See 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 170 IEC Compliance Electromagnetic Technical Standards on Electromagnetic ImmunityTest Level 171 172 173 Accuracy of Flow Rate for Plastic Cartridges 174 Start-up graph over the stabilization period 175 176 Bolus≤ 177 Appendix B Configuration Parameters Basal Rate Maximum ParameterBolus 178 179 Typical Range Maximum Parameter Parameter Settings 180 Appendix C Abbreviations Each 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 Definition 186 187 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 DDM RUN mode Luer-lock connectorInfusion site Insulin Stop mode SettingsTimeout Scrolling 194 Limited FOUR-YEAR Warranty 195 Index KeyLock 77-80Turning On 80-82 Turning Off 196 No. Error What You Need to Do Quick Reference Table for Errors200 197 Quick Reference Table for Alerts Diagram of User MenusNo. Alert What You Need to Do Disetronic Medical Systems AG