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 E Vibrations Appendix F Symbols183
Appendix C Abbreviations
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 Display
ACCU-CHEK Spirit Insulin Pump
To malfunction
 Pump Support at 1-800-688-4578 immediately
Backlight
Hint
Key in areas of poor lighting as this will
 Keys and Key Combinations
 Exiting menus, function screens,
One beep in Stop mode
Key Combinations
Information screens without saving
 Screens
Locking Keys Using KeyLock Feature
RUN Screen
 Stop Screen
Information, Function, and Setup Screens
Quick Info Screen
 Status Screen Messages, Beeps, and Vibrations
Follow the steps below to navigate through the screens
 STOP-Warning
Alarm Signals
To Turn Off the STOP-Warning
 Or void your warranty
Accessories and Disposables
Sterile Products
 Out of the reach of children
Cartridges
 Use only
Recommended Possible
 Adapter
 Battery
 Battery Cover
Always make sure that you remove the battery if your
 Battery Key
Emergency Kit
 This page left blank intentionally
 Inserting or Changing the Battery
32 for more information
 Follow the steps below
Press d to move to the Stop Your ACCU-CHEK screen
 Use the cover to gently push the battery all the way
Pump begins its start-up process
 Insulin pump
Put the pump in Stop mode ACCU-CHEK logo appears
System Check Start-Up Process
Pump Support at
 Contact Pump Support at
 Getting Started
 Since you may not receive the correct information for
 Settings are identical
Setting Time and Date
Insulin pump’s memory
 Follow the steps below to set the Time and Date
 Getting Started
 Insulin delivery
Your Personal Settings
Team to understand how to use the pump
Your correction bolus ratio
 Your Basal Rate Profile
 Programming Your Basal Rate Profile
 Follow the steps below
 If you want to save the changes
If you want to undo the changes
 Copying an Hourly Basal Rate
 Basal Rate and Bolus
 Always handle the items with clean hands
Preparing the Cartridge
 Filling the Cartridge
To fill a cartridge, have the following materials ready
 Plunger Plunger rod
 Getting Started
 System components if needed
 Have the following materials ready
Connecting the Cartridge, Adapter, and Infusion Set
These parts
 Do not over-tighten
Follow the instructions below
Result in leakage
 Inserting the Cartridge
Use a soft cloth to dry the compartment
 Follow the steps below
 Cartridge volume decreases accordingly on the display
 Press f after correctly inserting the cartridge
 Priming the Infusion Set
To your body
 Stop
 Stopping the Priming Process
 Infusion Site Selection
Infusion Site Preparation
 Getting Started
 Healthcare team
Healthcare team’s recommendations
 During insulin pump therapy
Before Using
Wearing Your Pump
Pocket knives, and coins
 Acceptable temperature range
 Electromagnetic Fields and Hazardous Areas
When Not to Wear Your Pump
Pump if you have a cardiac pacemaker
 Traveling
Sports and Exercise
If you have questions, contact Pump Support at
 Disconnect and take off your insulin pump
Your Insulin Pump and Water
Accidental Contact with Water
 Other Liquids
What to Do After Any Water Contact
Fog your display
 Starting Insulin Delivery
 Mode to continue insulin delivery
Stopping Insulin Delivery
 STOP-Warning
 Interruption of Insulin Pump Therapy
 Resuming Insulin Pump Therapy
Put your pump in Stop mode
Short Interruption
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 Boluses
Standard Bolus
 Inappropriate insulin delivery
Personal settings
Team check your personal settings
Insulin ratio and your correction bolus ratio
 There are two ways to program a Standard Bolus
Programming a Standard Bolus
Programming a Quick Standard Bolus
 RUN
 During programming the bolus amount blinks
Using the a and s keys of your insulin pump
Cancelling a Quick Standard Bolus
No bolus is delivered
 Programming a Menu-Guided Scroll Standard Bolus
 Cancelling a Menu-Guided Scroll Standard Bolus
Set the bolus amount to 0.0 units. Press f to exit
 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 bolus
If you want to deliver the bolus
 Cancelling an Extended Bolus
During bolus delivery
 Boluses and TBRs
 Programming a MultiWave Bolus
 ACCU-CHEK
 Boluses and TBRs
 Cancelling a MultiWave Bolus
Set the total bolus amount to 0.0 units and press f
 When your insulin pump is in Stop mode, it does not deliver
 Insulin pump therapy
Programming a Temporary Basal Rate TBR
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
 No Temporary Basal Rate is delivered
Cancelling a Temporary Basal Rate
Temporary Basal Rate delivery is interrupted
 Insulin delivery
 Advanced User Menu
Custom User Menu
 Selecting a User Menu
100
 101
 New basal rate
102
 Standard User Menu
103
 Data Transfer
104
 Setup for Data Transfer
105
 106
 Each Bolus History screen displays
Reviewing Pump Data
Review the Bolus History
107
 Press a or s to review the entries Press f to exit
Press d to move to the Information screen Press f to select
108
 Review the Alarm History
109
 Review the History of Daily Insulin Totals
110
 Review the Temporary Basal Rate History
111
 Review the Time Remaining
112
 Turning KeyLock On or Off
Setup Menu Standard
113
 114
 115
 Adjusting the Beep Volume
116
 Beep and vibrate
Setting Up Alarm Signals
117
 Or healthcare team
Automatic Off
118
 Battery Type
119
 Display Orientation
120
 Your screen orientation
By 180, the a and s keys will also reverse their
121
 Advanced User Menu
Alarm Clock See the section Alarm Clock
122
 Basal Rate Profiles
123
 Programming Additional Basal Rate Profiles
Check your personal settings
124
 Selecting a Basal Rate Profile
125
 126
 Set Single or Multiple Alarms
Alarm Clock
127
 Turning Off the Alarm Clock
128
 Time Format
Setup Menu Advanced
129
 European
Date Format
You can set the date in the following formats American
130
 May cause inappropriate insulin delivery
Bolus increment
131
 Prime Quantity
132
 Lock Basal Rate Profiles
133
 To choose a language, do the following
Language
134
 Display Contrast
Your pump lets you adjust the display contrast
135
 Custom User Menu
136
 Care of Your ACCU-CHEK Spirit Insulin Pump
System Inspection Checklist
137
 138
 What to Do When You Drop Your Pump
139
 Storing Your ACCU-CHEK Spirit Insulin Pump
Disposal
 Battery Information
Maintenance
Cleaning Your ACCU-CHEK Spirit Insulin Pump
Damage the pump
 Repair
142
 Troubleshooting
143
 Troubleshooting Table Problem Recommended Actions
Therapy-Related Issues
144
 Single use only
Problem Recommended Actions
145
 146
 Alerts and Errors
147
 Follow the steps below to confirm an alert or error
Confirming an Alert or Error
When you confirm A1 Cartridge LOW , E1 Cartridge Empty
148
 Alert A1 Cartridge LOW
List of Alerts
149
 Alert A3 Review Time and Date
Alert A2 Battery LOW
150
 Alert A5 Pump Timer
Alert A4 Alarm Clock
See the section Alarm Clock page 127 for more information
151
 Alert A6 TBR Cancelled Temporary Basal Rate Cancelled
152
 Alert A7 TBR Over Temporary Basal Rate Over
Alert A8 Bolus Cancelled
153
 Error E1 Cartridge Empty
List of Errors
154
 Gathered data might not be meaningful
Error E2 Battery Depleted
Battery is out of power. Replace it immediately
155
 Your doctor’s or healthcare team’s instructions
Error E3 Automatic OFF
Error E4 Occlusion
156
 157
 Error E5 END of Operation
158
 Error E6 Mechanical Error
159
 Error E7 Electronic Error
160
 Error E8 Power Interrupt
161
 Error E11 SET not Primed
Error E10 Cartridge Error
162
 Error E12 Data Interrupted
163
 See the section Data Transfer page 104 for more information
Error E13 Language Error
164
 General Technical Data
Appendix a Technical Data
165
 166
 167
 168
 Compliance
Technical Standards on Electromagnetic Emissions
169
 100
E1 in V/m
KHz to 80 MHz MHz to
170
 Test Level
Technical Standards on Electromagnetic Immunity
IEC Compliance Electromagnetic
171
 172
 Accuracy of Flow Rate for Plastic Cartridges
173
 Start-up graph over the stabilization period
174
 175
 Bolus≤
176
 Appendix B Configuration Parameters
177
 Bolus
Maximum Parameter
Basal Rate
178
 Typical Range Maximum Parameter Parameter Settings
179
 Appendix C Abbreviations
180
 Each press
Appendix D Beeps and Melodies
181
 Your ACCU-CHEK Spirit insulin pump vibrates when
Appendix E Vibrations
182
 General Symbols
Appendix F Symbols
183
 184
 Symbol Definition
185
 186
 187
 Name Comments
Appendix G Sterile Products and Accessories
188
 189
 Appendix H Glossary
 Daily insulin total
Factory settings
Headset also known as cannula housing
Diabetes Data Management DDM
 Infusion site
Luer-lock connector
RUN mode
Insulin
 Timeout
Settings
Stop mode
Scrolling
 Limited FOUR-YEAR Warranty
194
 Index
195
 Turning On 80-82 Turning Off
77-80
KeyLock
196
 200
Quick Reference Table for Errors
No. Error What You Need to Do
197
 Quick Reference Table for Alerts
Diagram of User Menus
No. Alert What You Need to Do
 Disetronic Medical Systems AG