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
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 ACCU-CHEK Spirit Insulin Pump
Display
To malfunction
 Hint
Backlight
Pump 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 mode
Exiting menus, function screens,
Information screens without saving
 Locking Keys Using KeyLock Feature
Screens
RUN Screen
 Information, Function, and Setup Screens
Stop Screen
Quick Info Screen
 Follow the steps below to navigate through the screens
Status Screen Messages, Beeps, and Vibrations
 Alarm Signals
STOP-Warning
To Turn Off the STOP-Warning
 Accessories and Disposables
Or void your warranty
Sterile 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
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 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 appears
Insulin pump
Pump Support at
 Contact Pump Support at
 Getting Started
 Since you may not receive the correct information for
 Setting Time and Date
Settings are identical
Insulin 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 Settings
Insulin 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
 Connecting the Cartridge, Adapter, and Infusion Set
Have the following materials ready
These parts
 Follow the instructions below
Do not over-tighten
Result 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 Using
During insulin pump therapy
Pocket knives, and coins
 Acceptable temperature range
 When Not to Wear Your Pump
Electromagnetic Fields and Hazardous Areas
Pump if you have a cardiac pacemaker
 Sports and Exercise
Traveling
If you have questions, contact Pump Support at
 Your Insulin Pump and Water
Disconnect and take off your insulin pump
Accidental Contact with Water
 What to Do After Any Water Contact
Other Liquids
Fog 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 mode
Resuming 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
 Understanding Boluses
Your pump can deliver three types of boluses
Standard Bolus
 Team check your personal settings
Personal settings
Inappropriate insulin delivery
Insulin ratio and your correction bolus ratio
 Programming a Standard Bolus
There are two ways to program a Standard Bolus
Programming a Quick Standard Bolus
 RUN
 Cancelling a Quick Standard Bolus
Using the a and s keys of your insulin pump
During 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
 If you want to cancel the bolus
At any function screen you have three options to exit
If 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
 Programming a Temporary Basal Rate TBR
Insulin pump therapy
Typically, 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
 Cancelling a Temporary Basal Rate
No Temporary Basal Rate is delivered
Temporary 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 Data
Each Bolus History screen displays
107
 Press d to move to the Information screen Press f to select
Press a or s to review the entries Press f to exit
108
 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
 Setup Menu Standard
Turning KeyLock On or Off
113
 114
 115
 116
Adjusting the Beep Volume
 Setting Up Alarm Signals
Beep and vibrate
117
 Automatic Off
Or healthcare team
118
 119
Battery Type
 120
Display Orientation
 By 180, the a and s keys will also reverse their
Your screen orientation
121
 Alarm Clock See the section Alarm Clock
Advanced User Menu
122
 123
Basal Rate Profiles
 Check your personal settings
Programming Additional Basal Rate Profiles
124
 125
Selecting a Basal Rate Profile
 126
 Alarm Clock
Set Single or Multiple Alarms
127
 128
Turning Off the Alarm Clock
 Setup Menu Advanced
Time Format
129
 You can set the date in the following formats American
Date Format
European
130
 Bolus increment
May cause inappropriate insulin delivery
131
 132
Prime Quantity
 133
Lock Basal Rate Profiles
 Language
To choose a language, do the following
134
 Your pump lets you adjust the display contrast
Display Contrast
135
 136
Custom User Menu
 System Inspection Checklist
Care of Your ACCU-CHEK Spirit Insulin Pump
137
 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
Maintenance
Battery Information
Damage the pump
 142
Repair
 143
Troubleshooting
 Therapy-Related Issues
Troubleshooting Table Problem Recommended Actions
144
 Problem Recommended Actions
Single use only
145
 146
 147
Alerts and Errors
 When you confirm A1 Cartridge LOW , E1 Cartridge Empty
Confirming an Alert or Error
Follow the steps below to confirm an alert or error
148
 List of Alerts
Alert A1 Cartridge LOW
149
 Alert A2 Battery LOW
Alert A3 Review Time and Date
150
 See the section Alarm Clock page 127 for more information
Alert A4 Alarm Clock
Alert A5 Pump Timer
151
 152
Alert A6 TBR Cancelled Temporary Basal Rate Cancelled
 Alert A8 Bolus Cancelled
Alert A7 TBR Over Temporary Basal Rate Over
153
 List of Errors
Error E1 Cartridge Empty
154
 Battery is out of power. Replace it immediately
Error E2 Battery Depleted
Gathered data might not be meaningful
155
 Error E4 Occlusion
Error E3 Automatic OFF
Your 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 E10 Cartridge Error
Error E11 SET not Primed
162
 163
Error E12 Data Interrupted
 Error E13 Language Error
See the section Data Transfer page 104 for more information
164
 Appendix a Technical Data
General Technical Data
165
 166
 167
 168
 Technical Standards on Electromagnetic Emissions
Compliance
169
 KHz to 80 MHz MHz to
E1 in V/m
100
170
 IEC Compliance Electromagnetic
Technical Standards on Electromagnetic Immunity
Test 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 Parameter
Bolus
178
 179
Typical Range Maximum Parameter Parameter Settings
 180
Appendix C Abbreviations
 Appendix D Beeps and Melodies
Each press
181
 Appendix E Vibrations
Your ACCU-CHEK Spirit insulin pump vibrates when
182
 Appendix F Symbols
General Symbols
183
 184
 185
Symbol Definition
 186
 187
 Appendix G Sterile Products and Accessories
Name Comments
188
 189
 Appendix H Glossary
 Headset also known as cannula housing
Factory settings
Daily insulin total
Diabetes Data Management DDM
 RUN mode
Luer-lock connector
Infusion site
Insulin
 Stop mode
Settings
Timeout
Scrolling
 194
Limited FOUR-YEAR Warranty
 195
Index
 KeyLock
77-80
Turning On 80-82 Turning Off
196
 No. Error What You Need to Do
Quick Reference Table for Errors
200
197
 Diagram of User Menus
Quick Reference Table for Alerts
No. Alert What You Need to Do
 Disetronic Medical Systems AG