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Accu-Chek insulin pump manual Infusion Site Selection, Infusion Site Preparation

Models: insulin pump

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Preparing the Infusion Site and Inserting the Infusion Set

Always follow the instructions given to you by your doctor or healthcare team and the instructions for the infusion set you are using.

Change your infusion set as frequently as recommended by the manufacturer.

Infusion Site Selection

Your doctor or healthcare team will help you select your infusion site areas according to a planned rotation pattern. Avoid your waistline, bones, scar tissue, recent infusion sites, bruises, and sores. Choose an infusion site at least one inch (2.5 cm) away from the navel and previous infusion sites.

Infusion Site Preparation

It is important to prepare the infusion site properly to reduce the risks of infection. Your doctor or healthcare team will give you infusion site preparation guidelines.

Have the following materials ready:

•Your ACCU-CHEK Spirit insulin pump

•A disinfectant for your skin

•A new ACCU-CHEK infusion set

Follow the steps below:

1.Make sure your pump is correctly set up (including cartridge, adapter and infusion set) and is programmed with your personal settings.

Chapter 2: Getting Started

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ACCU-CHEK Spirit Insulin Pump

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Accu-Chek insulin pump manual Infusion Site Selection, Infusion Site Preparation

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 ACCU-CHEK Spirit Insulin Pump DisplayTo 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 savingLocking Keys Using KeyLock Feature ScreensRUN Screen Information, Function, and Setup Screens Stop ScreenQuick Info Screen Follow the steps below to navigate through the screens Status Screen Messages, Beeps, and VibrationsAlarm Signals STOP-WarningTo Turn Off the STOP-Warning Accessories and Disposables Or void your warrantySterile 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 Setting Time and Date Settings are identicalInsulin 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 Connecting the Cartridge, Adapter, and Infusion Set Have the following materials readyThese parts Follow the instructions below Do not over-tightenResult 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 When Not to Wear Your Pump Electromagnetic Fields and Hazardous AreasPump if you have a cardiac pacemaker Sports and Exercise TravelingIf you have questions, contact Pump Support at Your Insulin Pump and Water Disconnect and take off your insulin pumpAccidental Contact with Water What to Do After Any Water Contact Other LiquidsFog 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 Understanding Boluses Your pump can deliver three types of bolusesStandard Bolus Team check your personal settings Personal settingsInappropriate insulin delivery Insulin ratio and your correction bolus ratioProgramming a Standard Bolus There are two ways to program 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 If you want to cancel the bolus At any function screen you have three options to exitIf 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 Programming a Temporary Basal Rate TBR Insulin pump therapyTypically, 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 deliveredTemporary 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 d to move to the Information screen Press f to select Press a or s to review the entries Press f to exit108 109 Review the Alarm History110 Review the History of Daily Insulin Totals111 Review the Temporary Basal Rate History112 Review the Time RemainingSetup Menu Standard Turning KeyLock On or Off113 114 115 116 Adjusting the Beep VolumeSetting Up Alarm Signals Beep and vibrate117 Automatic Off Or healthcare team118 119 Battery Type120 Display OrientationBy 180, the a and s keys will also reverse their Your screen orientation121 Alarm Clock See the section Alarm Clock Advanced User Menu122 123 Basal Rate ProfilesCheck your personal settings Programming Additional Basal Rate Profiles124 125 Selecting a Basal Rate Profile126 Alarm Clock Set Single or Multiple Alarms127 128 Turning Off the Alarm ClockSetup Menu Advanced Time Format129 You can set the date in the following formats American Date FormatEuropean 130Bolus increment May cause inappropriate insulin delivery131 132 Prime Quantity133 Lock Basal Rate ProfilesLanguage To choose a language, do the following134 Your pump lets you adjust the display contrast Display Contrast135 136 Custom User MenuSystem Inspection Checklist Care of Your ACCU-CHEK Spirit Insulin Pump137 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 TroubleshootingTherapy-Related Issues Troubleshooting Table Problem Recommended Actions144 Problem Recommended Actions Single use only145 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 148List of Alerts Alert A1 Cartridge LOW149 Alert A2 Battery LOW Alert A3 Review Time and Date150 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 A8 Bolus Cancelled Alert A7 TBR Over Temporary Basal Rate Over153 List of Errors Error E1 Cartridge Empty154 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 E10 Cartridge Error Error E11 SET not Primed162 163 Error E12 Data InterruptedError E13 Language Error See the section Data Transfer page 104 for more information164 Appendix a Technical Data General Technical Data165 166 167 168 Technical Standards on Electromagnetic Emissions Compliance169 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 AbbreviationsAppendix D Beeps and Melodies Each press181 Appendix E Vibrations Your ACCU-CHEK Spirit insulin pump vibrates when182 Appendix F Symbols General Symbols183 184 185 Symbol Definition186 187 Appendix G Sterile Products and Accessories Name Comments188 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 197Diagram of User Menus Quick Reference Table for AlertsNo. Alert What You Need to Do Disetronic Medical Systems AG