Accu-Chek Combo Training Handbook Download Page 61

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Preparation and start-up

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Summary of Contents for Combo

Page 1: ...ACCU CHEK Combo Accu Chek Combo Insulin Pump System Training Handbook Standard Lesson Information for Insulin Pump Users ...

Page 2: ...For product support and ordering pump service pack items Accu Chek Insulin Pump Hotline 1800 633 457 australia insulinpumps roche com www accu chek com au ...

Page 3: ...kly become part of your daily life Roche Diabetes Care This document is not intended to replace training by a qualified diabetes instructor or the User Guide and Owner s Booklets provided with your new system Before starting therapy with your Accu Chek Combo system please consult your Accu Chek Spirit Combo insulin pump User Guide and Accu Chek Performa Combo Meter Owner s booklets for detailed in...

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Page 5: ...in pump Monitor your blood glucose bG level using your Accu Chek Performa Combo After getting some experience in pump therapy you can move on to the Advanced Lesson where you will learn to use the complete range of convenient and helpful features of your new Accu Chek Combo system At the end of the Advanced Lesson you will know how to Use Bolus Advice Interpret the values of your personal data col...

Page 6: ...nce 33 3 5 Setting the time and date 34 3 6 Procedure for programming your basal rate profile 36 3 7 Copying an hourly basal rate 38 3 8 Connecting the cartridge adapter and infusion set 40 3 9 Returning the piston rod 41 3 10 Inserting a new insulin cartridge 42 3 11 Priming the infusion set 45 4 Starting and stopping insulin delivery 47 4 1 Starting insulin delivery 47 4 2 Stopping insulin deliv...

Page 7: ...andard bolus 72 9 3 Programming a Temporary Basal Rate TBR 75 9 4 Cancelling a Temporary Basal Rate 77 9 5 Pump Settings 78 10 Warnings and Errors 83 11 Switching Bluetooth On Off 87 11 1 Switching OFF Bluetooth on the Pump 87 11 2 Switching OFF Bluetooth on the Meter 88 12 Measuring your blood glucose bG level 89 12 1 Coding your Meter 89 12 2 Running a control test 90 12 3 Performing a blood glu...

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Page 9: ...9 1 Features of your Accu Chek Combo system Accu Chek Performa Combo Meter Accu Chek Spirit Combo Insulin Pump ...

Page 10: ...10 Your Accu Chek Spirit Combo Insulin Pump ...

Page 11: ...ofiles to match varying daily routines Administers four different types of bolus covering your insulin needs for all kinds of food intake as well as for a variety of health related situations j j Adapts to your knowledge and experience in managing your diabetes offering three different user menus from beginner to professional j Communicates with the Meter to enable remote control and shared data h...

Page 12: ...12 Your Accu Chek Combo Meter ...

Page 13: ... Accu Chek Spirit Combo Insulin Pump j Manages your diabetes related data in a diary and reports them as graphics and statistics j Provides you with bolus advice j Less than one minute from bG test through Bolus Advice to bolus delivery j Reminds you about a variety of therapy related tasks ...

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Page 15: ...eparation and start up 2 1 Filling the cartridge Prepare the materials an insulin vial at room temperature an Accu Chek Spirit 3 15ml cartridge system a disinfectant solution or tissue 2 3 Unpack the cartridge system Wash your hands 1 ...

Page 16: ...and hold it in this position 4 Clean the rubber membrane of the insulin vial with a disinfectant wipe 5 Pull the plunger of the cartridge back until you feel some resistance Push the cartridge onto the insulin vial until it snaps into place 6 ...

Page 17: ...lled completely pull the plunger gently to draw more insulin 8 Slowly turn the complete system upside down carefully holding all components in place 11 Remove the plunger by turning it anti clockwise Remove any air bubbles by tapping the cartridge pushing them back into the vial Then pull the vial from the cartridge system 10 ...

Page 18: ...i clock wise and pulling at the same time 13 For storage push the protective cap onto the cartridge tip until it clicks The plunger and the filling aid can be disposed check local regulations for any specific sharps disposal instructions in your area ...

Page 19: ...ula diameter 0 4 mm Tubing lengths 30 60 or 80 cm Change every 48 72hours Steel cannula Easier to insert manually Flat discreet headset Rapid D Link cannula lengths 6 8 or 10 mm Rapid D Link cannula diameter 0 36mm Tubing lengths 20 50 or 70 cm Change every 24 48hours Vertical insertion Variable angled insertion Manual insertion Automatic insertion with Steel or soft cannula 2 2 Choosing your infu...

Page 20: ... Inserting an infusion set Example Accu Chek FlexLink Examples of recommended infusion sites recommended possible Choose a site away from the waistline bones scar tissue belly button and recent infusion sites ...

Page 21: ... thoroughly 2 Disinfect the infusion site according to the instructions of your healthcare professional 3 Remove both pieces of the adhesive backing paper from the self adhesive Turn and pull to remove the transparent protective cover and expose the introducer needle and cannula 4 ...

Page 22: ...pull it from the cannula housing 6 Press the adhesive plaster firmly onto the infusion site ensuring that it makes smooth contact with the skin Insert the infusion set at a 90 angle Choose an infusion site away from your waistline bones any scar tissue belly button and recent infusion sites 5 ...

Page 23: ...er needle in a straight smooth motion 9 Connect the primed transfer set to the connector plate of the cannula Before resuming insulin pump therapy use an insulin bolus of 1 0 U to fill the head set and the soft cannula Always remember to prime the cannula according to the information accompanying your infusion set ...

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Page 25: ...lin pump 25 Pump details and accessories Cartridge plunger End plate Piston rod Adapter Battery Battery cover Battery key Cartridge Cartridge Compartment Infrared window next to Battery cover 3 Your Accu Chek Spirit Combo Insulin Pump ...

Page 26: ...rences j Four bolus types to match your insulin needs in a variety of situations Quick bolus Standard bolus Extended bolus Multiwave bolus Variable increments can be set for the Quick bolus 0 1 0 2 0 5 1 0 2 0 units j Communication with the Accu Chek Combo Meter using Bluetooth wire less technology enables remote control of the Pump by the Meter as well as transfer of data such as bolus history fo...

Page 27: ...ormal alkaline or lithium batteries or rechargeable batteries AA 1 5V j Use of self filled Accu Chek Spirit 3 15ml cartridge system j Warning and error messages signalled by beeps and or vibrations j Keylock prevents accidental pressing of keys j Fully adjustable volume of beep tone from silent to loud j Screen display shows text and symbols and can be rotated 180 degrees ...

Page 28: ... Up key s Down key Key Name Function d Menu Move through menus function screens and information screens f OK Select a menu Save changes and exit the function and information screens View the Quick Info screen 3 2 Key functions ...

Page 29: ... hear a melody s Down Move backward in the information screens Decrease a setting Turn off the STOP Warning press and hold for 3sec until you hear a melody Combination Function d a Exit menus function screens and information screens without saving your changes Move to a previous menu d s Unlock the keys Press and hold both buttons until the screen changes a s Copy an hourly basal rate to the follo...

Page 30: ...y 1 Remove the battery cover using the battery key to turn the battery cover anti clockwise Insert the battery negative end down positive end up into the compartment 2 Place the cover on the positive end and gently push the battery in while turning the cover clockwise to partially tighten it 3 ...

Page 31: ...ars 3 The screen shows the ACCU CHEK logo 2 The BEEP TEST screen appears and the Pump beeps Listen for the beeps 4 1 The screen shows the software version 5 The VIBRATION TEST screen appears and the Pump vibrates Check the vibrations The screen goes blank Check that the screen is completely blank 6 ...

Page 32: ...e Pump displays the STOP screen 10 After the self test press a or s to select the type of battery you inserted Press f to confirm 9 The screen turns black Check that the screen is completely black 8 Always remember to check the time and date on your Pump after performing the battery change and before resuming insulin delivery ...

Page 33: ...OP mode at a glance In STOP mode your Pump does not deliver insulin For safety reasons some menus like for example CARTRIDGE CHANGE or INFUSION SET PRIMING are only accessible in STOP STOP These menus can be accessed through the Pump menu on the Meter ...

Page 34: ...o the MINUTE screen Press a or s to set the minute 3 Press f to select The HOUR screen is displayed Press a or s to set the hour 2 Press d to move to the TIME AND DATE SETTINGS screen Press d to move to the YEAR screen Press a or s to set the year 4 1 ...

Page 35: ... 35 5 Use d a and s to set MONTH DAY TIME FORMAT DATE FORMAT Press f to save and exit 6 When you set up your new Accu Chek Combo Insulin Pump system it s a good idea to set the Pump time and date first since this will be adopted by the Meter ...

Page 36: ...ody 1 Press d to move to the BASAL RATE PROGRAMMING 1 2 3 4 or 5 accordingly screen Press d to move to the first hour This is always 00 00 01 00 12AM 01AM if the American time format is used 2 Press f to select The daily BASAL RATE TOTAL is displayed Press a or s or scroll to set the hourly basal rate given by your doctor or healthcare team 4 3 ...

Page 37: ...nd exit 6 Continue using d and a or s to set the hourly basal rates for the remaining hours This allows you to program your individual basal rate profile on an hour by hour basis Continue until all 24 hours are pro grammed 7 The increments shown depend on the programmed basal rate it will be 0 01U from 0 05U to 1 00U 0 05U from 1 00U to 10 0U and 0 1U from 10 0U to 50 0U ...

Page 38: ...re hours 1 Press d to move to the BASAL RATE PROGRAMMING 1 2 3 4 or 5 accordingly screen Press d to move to the hourly basal rate you want to copy 2 Press f to select The daily BASAL RATE TOTAL is displayed Press a and s simultaneously A special beep confirms that you are pressing the keys correctly The same hourly basal rate is copied to the next hour 4 3 ...

Page 39: ...pirit Combo insulin pump 39 5 If you want to copy the rate to multiple hours press a and s repeatedly or press and hold a and s scroll 6 Press f to confirm Check the new daily BASAL RATE TOTAL Press f to save and exit ...

Page 40: ... new Accu Chek infusion set Remove the protective cap from the cartridge Take care not to touch the cartridge tip Carefully prepare a new Accu Chek infusion set following the instructions supplied for use Hold the adapter and twist the infusion set luer lock connection by hand clockwise into the adapter Do not over tighten Push the adapter thread part first all the way onto the cartridge tip to th...

Page 41: ...completely unscrewed When the piston rod has returned completely the CARTRIDGE VOLUME screen displays the maximum volume 315U 5 The piston rod begins to return Do not touch or otherwise disturb the piston rod while it is rewinding as this could result in damage to your Pump 4 Make sure your infusion set is disconnected and the cartridge has been removed Press and hold f for three seconds until you...

Page 42: ...ess a or s to move the piston rod forward until the end plate of the piston rod is level with the bottom of the cartridge plunger Make sure that the top edge of the threaded part of the adapter is level with the top part of the cartridge compartment The CARTRIDGE VOLUME decreases accord ingly on the screen Tip to prevent air bubbles move the piston rod to at least 310 units 4 see Step 2 see Step 3...

Page 43: ...ectly inserted when the end plate of the piston rod is correctly seated against the cartridge plunger Twist do not push the adapter clockwise until it is correctly seated against the cartridge compart ment If the end plate of the piston rod is not correctly aligned with the cartridge plunger remove the cartridge from the cartridge compartment and repeat steps 1 to 6 5 8 6 7 ...

Page 44: ...rrect use can cause damage to your insulin pump Do NOT hold your Pump upright when inserting the cartridge This could lead to insulin flowing into the cartridge compartment and cause a blockage of the piston rod The Pump may then display an E6 or E10 error message or stop Do NOT insert the cartridge into the insulin pump without the infusion set tubing connected This could lead to insulin flowing ...

Page 45: ...he priming amount of 25 units is shown on the screen To ensure that any air bubbles are removed always hold your Pump upright After the insulin has entered the tubing gently tap the pump s bottom part with the palm of your hand 2 Press and hold f for three seconds until you hear a melody The priming process begins A count up is shown on the screen Your Pump stops priming after 25 units You can sto...

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Page 47: ...y When your Pump is not delivering insulin this is called STOP mode When it is delivering insulin this is called RUN mode 4 1 Starting insulin delivery 1 In STOP mode press d to move to the START YOUR PUMP screen 2 Press f Your Pump switches to RUN mode and starts delivering insulin ...

Page 48: ...insulin Turning off the STOP warning As long as your Pump is in STOP mode it emits two short beeps and vibrates once every minute to remind you that no insulin is being delivered To turn off the STOP warning press either a or s on the Pump for three seconds You then hear a melody and or feel a vibration confirming that the STOP warning has been turned off ...

Page 49: ...r Pump is delivering insulin to your body according to you basal rate settings and the boluses you program Some functions such as STANDARD BOLUS and TEMPORARY BASAL RATE are only accessible in RUN RUN These menus can be accessed through the Pump menus on the Meter ...

Page 50: ...r a beep sequence and feel a vibration This activates the Quick bolus function Each time you press the key your Pump beeps and vibrates once for each programmed bolus increment 2 Press a once for each increment until the required bolus amount is reached 3 Five seconds after the last press of s the Pump confirms the total bolus amount with one beep and vibration for each bolus increment programmed ...

Page 51: ... then begins to deliver the total bolus amount programmed A countdown of the remaining bolus amount appears on the display By default the increment for the Quick bolus is 0 5U per key press Ask your healthcare professional to change the increment to 0 1 0 2 1 0 or 2 0U per key press if necessary You will learn how to do that your self in the Advanced Lesson of the training ...

Page 52: ...s three times after five seconds No bolus is delivered During confirmation and the start delay Press a or s You hear a melody and the Pump returns to the RUN screen A Warning W8 BOLUS CANCELLED occurs Press f twice to snooze and confirm the Warning No bolus is delivered During bolus delivery Press and hold a or s until you hear a melody about three seconds A Warning W8 BOLUS CANCELLED occurs Press...

Page 53: ...bG monitoring j Blood Glucose results in five seconds j Small sample size that allows testing from the fingertip as well as from other sites e g palm or forearm j Unreliable blood samples are detected automatically j Remote control of your Accu Chek Spirit Combo Insulin Pump using Bluetooth wireless technology for discreet and convenient pump therapy ...

Page 54: ...s insulin to carbohydrate ratio and insulin sensitivity correction factor Optional Reminders Help you memorise a great variety of therapy related tasks Event reminders visit to the doctor lab test infusion set change Blood glucose test reminders after high bG after low bG after meal Alarm clock reminders can be set for up to eight individual tasks CHANGING THE CARTRIDGE including RETURNING PISTON ...

Page 55: ...2 Button functions The button functions are slightly different when you are in the Pump menu of the Meter See chapter 8 2 for more details Left Right Soft Button Enter x Up z Down Right Left Power On Off Button Teststrip slot Backlight Button ...

Page 56: ...roll left in an information screen Right arrow move through screens scroll right in an information screen x Up arrow move through menus functions and information screen scroll up in an information screen increase a value in a setting screen z Down arrow move through menus functions and information screen scroll down in an information screen reduce a value in a setting screen ...

Page 57: ...e changes exit Left soft button select a menu on the display above the button Right soft button select a menu on the display above the button Press and hold simultane ously enables Keylock disables Keylock Press and hold simultane ously enables pairing mode for Bluetooth wireless technology ...

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Page 59: ... should be set by default Time your Meter should adopt the time and date from the Pump as soon as you switch it on Units for Carbohydrates Warning limit for low blood glucose level hypoglycaemia Warning limit for high blood glucose level hyperglycaemia One Time Block For the standard setup do NOT setup Bolus Advice or Reminder Settings These settings will be setup later according to the procedure ...

Page 60: ...t Next and continue with step 6 English Language Language Press enter to display available options Next 1 Press until the Meter powers up The Accu Chek screen appears for a few seconds You may be prompted with a Warning that the time and date on your Meter have been changed by more than five minutes due to the synchronisation with the Pump Press to confirm Meter time has been changed by more than ...

Page 61: ...l Deutsch English Españiol Français Language Next English Language 7 Otherwise press to change Time Format Time Format Time Date 10 00 am 1 Jan 17 Cancel HH MM A P DD MMM YY Time Date 12 hr 24 hr 6 The Time Date screen appears If you wish to keep the default time press to select Next and continue with step 12 Time Format Time Date 10 00 1 Jan 17 Back Next HH MM DD MMM YY Time Date 24 hr ...

Page 62: ...H MM DD MMM YY Time Date 24 hr 30 10 Time Format Time Date hrs Back HH MM DD MMM YY Time Date 24 hr 30 10 2 Feb 17 Next 9 Press to change the hour Time Format Time Date 00 1 Jan 17 Cancel HH MM DD MMM YY Time Date 24 hr hrs 30 8 8 Press x or z to select 12hr or 24hr Time Format Press to save the changes Time Format Time Date 10 00 am 1 Jan 17 Cancel HH MM A P DD MMM YY Time Date 12 hr 12 hr ...

Page 63: ...s screen appears 15 Use x z and to set the Hyper High bG Warning Limit Select the upper Hyper and lower Hypo limits of your bG 4 0 mmol L 16 5 mmol L Back Next Warning Limits Hypo Hyper 12 The Units screen appears Press to select Next if you wish to keep the default settings Carbs Back Next Grams Units Select the upper Hyper and lower Hypo limits of your bG 220 mg dL Cancel Warning Limits Hypo Hyp...

Page 64: ... to enter the lowest blood glucose value for the Target Range Edit at least one time block by selecting a time block and pressing enter Setup Back Next 4 00 0 00 mmol L 8 0 mmol L Cancel Time Blocks 4 0 The display Would you like to receive bolus advice from your Meter appears Press to select No Would you like to receive bolus advice from your Meter Setup No Yes 16 Use x z and to set the Hypo Low ...

Page 65: ...rget Range Press to confirm 4 00 0 00 140 mg dL Cancel Time Blocks Target Range 4 5 mm dL 6 5mmol L 22 Press once to save the changes Press again to select Next The Setting copied to all Time Blocks screen appears Press to select OK 23 The screen Would you like to set up bG Test Reminders Press to select No 4 00 0 00 Cancel Time Blocks Target Range 4 5 mmol L Save 6 5 mmol L Would you like to set ...

Page 66: ...our Meter to continue setting up your Pump Setup Completed Successfully Setup Next Bolus Advice Pump My Data Settings bG Test 10 02 2 Feb 17 Before you can measure your bG level with your Meter you must check the code chip inserted in your Meter matches your accompanying test strips You should also perform a control test ...

Page 67: ... following is a list of menu options from the STANDARD user menu To view the order in which they appear on the display refer to the menu diagram below Press d to move forwards Press d a simultaneously to move backwards f f RUN STOP only accessible on Pump ...

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Page 69: ... the Pump keys but then for safety reasons the communication with the Meter is interrupted As soon as you turn on your Meter while the Pump screen is blank the devices start to communicate Time and date settings are synchronised according to Pump time and date settings and the event history files such as bolus history are updated While the Pump and the Meter are communicating the Pump screen displ...

Page 70: ... Pump My Data Settings bG Test 10 02 2 Feb 17 1 While the Pump screen is blank press to switch on the Meter In the lower half of the display you see the attribution of the Pump keys to the Meter buttons a s d f x z You can also perform the following procedures directly on the Pump using the attributed pump keys For detailed information please refer to the Accu Chek Spirit Combo Insulin Pump User G...

Page 71: ...ure your Pump screen is blank Select Pump in the Meter main menu Bolus Advice Pump My Data Settings bG Test 10 02 2 Feb 17 2 The RUN screen appears 3 Press to view the QUICK INFO screen Press to view the BOLUS DATA screen Press z to view older bolus data Press to return to RUN screen 4 ...

Page 72: ...o select The BOLUS AMOUNT screen appears 3 Press until the STANDARD BOLUS screen appears 2 1 Make sure your Pump is in RUN mode and the screen is blank Select Pump in the Meter main menu Bolus Advice Pump My Data Settings bG Test 10 02 2 Feb 17 ...

Page 73: ...he required bolus amount is adjusted 4 If you do not confirm within 20 seconds the Pump automatically returns to RUN without delivering a bolus 5 Press to confirm and the bolus delivery is activated The Standard bolus symbol flashes for five seconds before the bolus delivery starts ...

Page 74: ...to 0 0 and press No bolus has been delivered During the delivery start delay Press and hold x or z until you hear a short beep A Warning W8 BOLUS CANCELLED occurs Press twice to snooze and confirm the Warning No bolus has been delivered During bolus delivery Press and hold x or z until you hear a short beep An Warning W8 BOLUS CANCELLED occurs Press twice to snooze and confirm the Warning Bolus de...

Page 75: ...te TBR Press to select The TBR PERCENTAGE screen appears 3 Press to move to the TEMPORARY BASAL RATE screen 2 1 Make sure your Pump is in RUN mode and the screen is blank Select Pump from the Meter main menu Bolus Advice Pump My Data Settings bG Test 10 02 2 Feb 17 ...

Page 76: ...uration Press to save and exit When the duration of the TBR has ended a W7 TBR OVER occurs Press twice to snooze and confirm the warning Press x or z to increase or decrease the percentage Press to move to the TBR DURATION screen 4 ...

Page 77: ... to confirm A Warning W6 TBR CANCELLED occurs Press twice to snooze and confirm the Warning Your Pump returns to RUN mode Or Press to move to the STOP YOUR PUMP screen Press to confirm A Warning W6 TBR CANCELLED occurs Press twice to snooze and confirm the Warning Your Pump returns to STOP mode Press to move to the START YOUR PUMP screen Press to confirm Your Pump returns to RUN mode ...

Page 78: ...the PUMP SETTING screen Press to select 2 9 5 Pump Settings Turning Keylock ON OFF 1 Make sure your Pump screen is blank Select Pump in the Meter main menu Bolus Advice Pump My Data Settings bG Test 10 02 2 Feb 17 Press x or z to turn the Keylock ON or OFF Press to save and exit 4 ...

Page 79: ...interrupted To unlock the Pump keys press d and s simultaneously for three seconds Three beeps indicate that you are pressing the keys correctly While operating the Pump keys the Bluetooth communication will be interrupted Now you can operate the keys on the Pump Remember that the Bluetooth communication between Meter and Pump is lost as soon as you press any pump key while the keys are unlocked ...

Page 80: ...screen Press x or z to adjust the beep volume Press to save and exit 3 Press to move to the PUMP SETTING screen Press to enter 2 1 Make sure that your pump screen is blank Select Pump in the Meter main menu Bolus Advice Pump My Data Settings bG Test 10 02 2 Feb 17 ...

Page 81: ... Press to move to the PUMP SETTING screen Press to enter 2 1 Make sure that your pump screen is blank Select Pump in the Meter main menu Bolus Advice Pump My Data Settings bG Test 10 02 2 Feb 17 Press x or z to set the alarm signals beep only vibration only beep and vibrate Press to save and exit 4 ...

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Page 83: ...ple Warning W1 the cartridge is low You will have to change it soon An Error informs you that immediate action is necessary For example Error E1 the cartridge is empty You must change it immediately If an Error occurs your Pump will switch to STOP mode and no more insulin will be delivered Put your Pump back in RUN mode after providing the appropriate response to the Error When your Pump signals a...

Page 84: ...that you are aware of the meaning of the Warning or Error 2 1 Press f to snooze the signal For further information about the meaning of the specific Warning or Error and appropriate action please refer to List of Warnings and Errors at the end of this Handbook ...

Page 85: ... 3 Press to snooze the signal 2 1 Press to start your Meter When the Pump signals a Warning or Error the Meter switches immediately into the pump menu and displays the message For further information about the meaning of the specific Warning or Error and appropriate action please refer to List of Warnings and Errors at the end of this Handbook ...

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Page 87: ...ion on the Pump and the Meter before boarding an aircraft Press s to select OFF Press f to save and exit 3 Press f to select The BLUETOOTH ON OFF screen appears 2 1 Press d to move to the BLUETOOTH SETTINGS screen 11 1 Switching OFF Bluetooth on the Pump Use the above procedure to switch Bluetooth on accordingly This screen is not accessible in the Pump menu on the Meter You must enter it on the P...

Page 88: ...tings bG Test 10 02 2 Feb 17 Bolus Advice Meter Sound Vibrate Menu Reminders 10 02 2 Feb 17 Time Date Time Blocks Press and hold backlight button until Bluetooth icon changes Meter Name METER12345678 Back Bluetooth When Bluetooth is switched off the Bluetooth symbol disappears Use the above procedure to switch Bluetooth on accordingly Press x or z to move to Bluetooth Press to enter 3 Key Lock War...

Page 89: ...ode number facing away from you reinsert the code chip into the Meter until it stops 3 Turn the Meter display side down Remove the code chip turn it over and check the code written on the chip is 222 2 1 Ensure that the Meter is off Leave the code chip in the Meter after this initial check You should never need to discard this code chip 12 1 Coding your Meter Your Meter will come with a code chip ...

Page 90: ...the code number on the screen matches the code number on the test strip container 2 Place your Meter on a flat surface for example a table and insert the test strip into the Test Strip Slot in the direction of the arrow The Meter turns on Match Code to Vial Code 222 bG Test The Apply Sample screen appears and a beep indicates that the strip is ready for testing 3 Apply Sample bG Test 1 ...

Page 91: ...and then put the cap on the bottle tightly 6 Squeeze the bottle until a tiny drop forms at the tip Apply the drop to the front edge of the yellow window of the test strip Analyzing bG Test Remove the cap from the control solution bottle and wipe the tip with a tissue 4 The Control Result screen appears 7 10 02 2 Feb 17 Control Result Menu Level mmol L 2 5 5 ...

Page 92: ... and Meter are working properly Remove and dispose of the test strip 10 10 02 2 Feb 17 Control Result Menu mmol L Within range 2 5 Level 1 Compare the result to the acceptable range shown on the label of the test strip container Press to display the Control Level screen 8 10 02 2 Feb 17 Level 1 Level 2 No Entry Cancel Control Result ...

Page 93: ... example a table and insert the test strip into the Test Strip Slot in the direction of the arrow The Meter turns on 1 Prepare the lancing device according to the instructions provided Wash and dry your hands The Match Code to Vial screen appears Make sure that the code number on the screen matches the code number on the test strip container 3 2 Match Code to Vial Code 222 bG Test ...

Page 94: ...e of the yellow window of the test strip Prick your finger with your lancing device The Apply Sample screen appears and a beep indicates that the strip is ready for testing 4 Apply Sample bG Test 6 5 The Analyzing screen appears as soon as you have applied enough blood 7 Analyzing bG Test ...

Page 95: ...enu Bolus Meal Time bG Result 5 9 10 10 02 Cancel bG Result 5 9 Carbs Health U Active Insulin Meal Time mg dL Carbs Health Meal Time No Entry Pre Meal Post Meal Bedtime Other Press x or z to move to the Meal Time box or Carbs Health accordingly and press to enter Press x or z to select a value Press to save the value If you enter values for carbs and health here they are adopted to the Bolus Advic...

Page 96: ...for ketones and measure your bG level frequently Blue above your Target Range but below Hyper Warning Limit Green within your Target Range Yellow below your Target Range but above your Hypo Warning Limit Hypo Red below your Hypo Warning Limit It is highly recommended that you eat an appropriate amount of fast acting carbs immediately Discuss appropriate action for each of the situations with your ...

Page 97: ...arameter Your Personal Setting Meter Language Time Format o 12h o 24h Carb Units o Grams o BE o KE o CC Warning Limits Hyper high BG Level mg dL or mmol L Hypo low BG Level mg dL or mmol L Time Block End Time Lower Target Limit mg dL or mmol L Upper Target Limit mg dL or mmol L Carb Ratio Insulin Sensitivity Insulin Unit Grams BE KE or CC Insulin Units mg dL or mmol L 1 2 3 4 5 6 7 8 Advice Option...

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Page 99: ...5 END OF OPERATION For Backup Pumps ONLY Arrange for immediate replacement of your Accu Chek Spirit Combo Insulin Pump Contact your healthcare professional for alternative insulin therapy options E6 MECHANICAL ERROR See Accu Chek Spirit Combo User Guide or contact your local pump support E7 ELECTRONIC ERROR See Accu Chek Spirit Combo User Guide or contact your local pump support E8 POWER INTERRUPT...

Page 100: ...sulin therapy options E10 CARTRIDGE ERROR See Accu Chek Spirit Combo User Guide or contact your local pump support E11 SET NOT PRIMED Prime your infusion set E12 DATA INTERRUPTED Restart the data transfer E13 LANGUAGE ERROR See Accu Chek Spirit Combo User Guide or contact your local pump support For further assistance with any of the Errors listed contact the Accu Chek Insulin Pump Hotline on 1800...

Page 101: ...up Pumps ONLY In the MY DATA menu check for the remaining operation time under the menu PUMP TIMER For backup and loan pump only Arrange for replacement of Pump within the scheduled pump operation time W6 TBR CANCELLED Put your Accu Chek Spirit Combo insulin pump into RUN if necessary Ensure the cancellation was intended and program a new Temporary Basal Rate if necessary W7 TBR OVER Decide whethe...

Page 102: ...ecessary W9 LOANTIME WARNING For Loan Pump ONLY In the MY DATA menu check for the remaining insulin pump loan time under the menu PUMP TIMER Arrange for replacement of Pump within the scheduled pump loan time W10 BLUETOOTH FAULT Re do pairing procedure for Insulin Pump and Meter For further assistance with any of the Warnings listed contact the Accu Chek Insulin Pump Hotline on 1800 633 457 ...

Page 103: ...pirit Combo Insulin Pump into RUN if necessary END OF WARRANTY Contact your Pump Support Some Reminders and Warnings are country specific and may never occur on your Pump For further assistance with any of the Reminders listed contact the Accu Chek Insulin Pump Hotline on 1800 633 457 ...

Page 104: ...ERFORMA ACCU CHEK LINKASSIST ACCU CHEK FLEXLINK ACCU CHEK TENDERLINK ACCU CHEK RAPID D LINK FASTCLIX ACCU CHEK SMART PIX and ACCU CHEK 360 are trademarks of Roche 2017 Roche Diabetes Care All rights reserved The Bluetooth word mark and logos are registered trademarks of Bluetooth SIG Inc and any use of such marks by Roche is under license All other trademarks are the property of their respective o...

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