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
 To malfunction
ACCU-CHEK Spirit Insulin Pump
Display
 Key in areas of poor lighting as this will
Backlight
Hint
Pump Support at 1-800-688-4578 immediately
 Keys and Key Combinations
 Information screens without saving
One beep in Stop mode
Key Combinations
Exiting menus, function screens,
 RUN Screen
Locking Keys Using KeyLock Feature
Screens
 Quick Info Screen
Information, Function, and Setup Screens
Stop Screen
 Follow the steps below to navigate through the screens
Status Screen Messages, Beeps, and Vibrations
 To Turn Off the STOP-Warning
Alarm Signals
STOP-Warning
 Sterile Products
Accessories and Disposables
Or void your warranty
 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
 Pump Support at
Put the pump in Stop mode ACCU-CHEK logo appears
System Check Start-Up Process
Insulin pump
 Contact Pump Support at
 Getting Started
 Since you may not receive the correct information for
 Insulin pump’s memory
Setting Time and Date
Settings are identical
 Follow the steps below to set the Time and Date
 Getting Started
 Your correction bolus ratio
Your Personal Settings
Team to understand how to use the pump
Insulin delivery
 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
 These parts
Connecting the Cartridge, Adapter, and Infusion Set
Have the following materials ready
 Result in leakage
Follow the instructions below
Do not over-tighten
 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
 Pocket knives, and coins
Before Using
Wearing Your Pump
During insulin pump therapy
 Acceptable temperature range
 Pump if you have a cardiac pacemaker
When Not to Wear Your Pump
Electromagnetic Fields and Hazardous Areas
 If you have questions, contact Pump Support at
Sports and Exercise
Traveling
 Accidental Contact with Water
Your Insulin Pump and Water
Disconnect and take off your insulin pump
 Fog your display
What to Do After Any Water Contact
Other Liquids
 Starting Insulin Delivery
 Stopping Insulin Delivery
Mode to continue insulin delivery
 STOP-Warning
 Interruption of Insulin Pump Therapy
 For a long period of time
Put your pump in Stop mode
Short Interruption
Resuming Insulin Pump Therapy
 Changing the Infusion Set
 Follow the steps below
 Using Your Pump
 Changing the Cartridge and Infusion Set
 Using Your Pump
 Standard Bolus
Understanding Boluses
Your pump can deliver three types of boluses
 Insulin ratio and your correction bolus ratio
Personal settings
Team check your personal settings
Inappropriate insulin delivery
 Programming a Quick Standard Bolus
Programming a Standard Bolus
There are two ways to program a Standard Bolus
 RUN
 No bolus is delivered
Using the a and s keys of your insulin pump
Cancelling a Quick Standard Bolus
During programming the bolus amount blinks
 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 deliver the bolus
If you want to cancel the bolus
At any function screen you have three options to exit
 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
 Typically, a basal rate is set to 100%, but you can
Programming a Temporary Basal Rate TBR
Insulin pump therapy
 Press a or s to increase or decrease the basal rate
 If you want to save the changes
 TBR Over Alert
 Temporary Basal Rate delivery is interrupted
Cancelling a Temporary Basal Rate
No Temporary Basal Rate is delivered
 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
 107
Reviewing Pump Data
Review the Bolus History
Each Bolus History screen displays
 108
Press d to move to the Information screen Press f to select
Press a or s to review the entries Press f to exit
 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
 113
Setup Menu Standard
Turning KeyLock On or Off
 114
 115
 116
Adjusting the Beep Volume
 117
Setting Up Alarm Signals
Beep and vibrate
 118
Automatic Off
Or healthcare team
 119
Battery Type
 120
Display Orientation
 121
By 180, the a and s keys will also reverse their
Your screen orientation
 122
Alarm Clock See the section Alarm Clock
Advanced User Menu
 123
Basal Rate Profiles
 124
Check your personal settings
Programming Additional Basal Rate Profiles
 125
Selecting a Basal Rate Profile
 126
 127
Alarm Clock
Set Single or Multiple Alarms
 128
Turning Off the Alarm Clock
 129
Setup Menu Advanced
Time Format
 130
Date Format
You can set the date in the following formats American
European
 131
Bolus increment
May cause inappropriate insulin delivery
 132
Prime Quantity
 133
Lock Basal Rate Profiles
 134
Language
To choose a language, do the following
 135
Your pump lets you adjust the display contrast
Display Contrast
 136
Custom User Menu
 137
System Inspection Checklist
Care of Your ACCU-CHEK Spirit Insulin Pump
 138
 139
What to Do When You Drop Your Pump
 Disposal
Storing Your ACCU-CHEK Spirit Insulin Pump
 Damage the pump
Maintenance
Cleaning Your ACCU-CHEK Spirit Insulin Pump
Battery Information
 142
Repair
 143
Troubleshooting
 144
Therapy-Related Issues
Troubleshooting Table Problem Recommended Actions
 145
Problem Recommended Actions
Single use only
 146
 147
Alerts and Errors
 148
Confirming an Alert or Error
When you confirm A1 Cartridge LOW , E1 Cartridge Empty
Follow the steps below to confirm an alert or error
 149
List of Alerts
Alert A1 Cartridge LOW
 150
Alert A2 Battery LOW
Alert A3 Review Time and Date
 151
Alert A4 Alarm Clock
See the section Alarm Clock page 127 for more information
Alert A5 Pump Timer
 152
Alert A6 TBR Cancelled Temporary Basal Rate Cancelled
 153
Alert A8 Bolus Cancelled
Alert A7 TBR Over Temporary Basal Rate Over
 154
List of Errors
Error E1 Cartridge Empty
 155
Error E2 Battery Depleted
Battery is out of power. Replace it immediately
Gathered data might not be meaningful
 156
Error E3 Automatic OFF
Error E4 Occlusion
Your doctor’s or healthcare team’s instructions
 157
 158
Error E5 END of Operation
 159
Error E6 Mechanical Error
 160
Error E7 Electronic Error
 161
Error E8 Power Interrupt
 162
Error E10 Cartridge Error
Error E11 SET not Primed
 163
Error E12 Data Interrupted
 164
Error E13 Language Error
See the section Data Transfer page 104 for more information
 165
Appendix a Technical Data
General Technical Data
 166
 167
 168
 169
Technical Standards on Electromagnetic Emissions
Compliance
 170
E1 in V/m
KHz to 80 MHz MHz to
100
 171
Technical Standards on Electromagnetic Immunity
IEC Compliance Electromagnetic
Test Level
 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
 178
Maximum Parameter
Basal Rate
Bolus
 179
Typical Range Maximum Parameter Parameter Settings
 180
Appendix C Abbreviations
 181
Appendix D Beeps and Melodies
Each press
 182
Appendix E Vibrations
Your ACCU-CHEK Spirit insulin pump vibrates when
 183
Appendix F Symbols
General Symbols
 184
 185
Symbol Definition
 186
 187
 188
Appendix G Sterile Products and Accessories
Name Comments
 189
 Appendix H Glossary
 Diabetes Data Management DDM
Factory settings
Headset also known as cannula housing
Daily insulin total
 Insulin
Luer-lock connector
RUN mode
Infusion site
 Scrolling
Settings
Stop mode
Timeout
 194
Limited FOUR-YEAR Warranty
 195
Index
 196
77-80
KeyLock
Turning On 80-82 Turning Off
 197
Quick Reference Table for Errors
No. Error What You Need to Do
200
 No. Alert What You Need to Do
Diagram of User Menus
Quick Reference Table for Alerts
 Disetronic Medical Systems AG