Roche Accu-Check Insight User Manual
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The Bluetooth® word mark and logos are registered
trademarks owned by Bluetooth SIG, Inc. and any use of such
marks by Roche is under license. All other product names and
trademarks are the property of their respective owners.
ACCU-CHEK, ACCU-CHEK INSIGHT, ACCU-CHEK FLEXLINK,
ACCU-CHEK RAPIDLINK and ACCU-CHEK TENDERLINK
are trademarks of Roche. © 2 011 Roche
Roche Diagnostics GmbH
Sandhofer Strasse 116
68305 Mannheim, Germany
www.accu-chek.com
Accu-Chek® Insight Insulin Pump
00 04 801118 5/C Status: 05-2013
Your insulin pump
Display (Screen)
Note
Your contact for assistance with and additional information about
your Accu-Chek Insight insulin pump*:
q (Quick Bolus) Keys
x (Up) Key
o (OK) Key
z (Down) Key
l Zoom Key
If you do not press o, x or z key for more than 30 seconds, these keys will be locked.
Press x and then z, or z and then x, to unlock the keys to continue the programming.
* Please be aware that the Customer Service Center in your country of residence may only provide support in the corresponding ocial language(s).
Pump details and accessories
Cartridge
Pump
Battery
Battery cover
Adapter & tubing
Dear Accu-Chek Insight insulin pump user,
This User Guide is provided for you, as a person with diabetes,
parent or caregiver for a person with diabetes and for healthcare
professionals. It contains all the information you need for the safe
and ecient use of your new Accu-Chek Insight insulin pump.
Regardless of your level of experience with pump therapy, please
read this manual carefully before using your pump. This manual
should be your first source of information for any questions or
problems you may have when you use your insulin pump. If you
cannot find the answer in these pages, we recommend that you
contact your local pump support (see inside back cover). Your
Accu-Chek Insight insulin pump is intended for the subcutaneous
continuous delivery of U100 insulin, at set and variable rates, for
the management of diabetes mellitus.
Whether insulin pump therapy is the appropriate way of
treating your diabetes mellitus must be decided by your
healthcare professional.
You should not begin pump therapy unless you have attended the
required training course.
The exact insulin type for the treatment of your insulin-dependent
diabetes mellitus will be prescribed by your healthcare
professional.
Do not use your insulin pump for the delivery of medication
other than U100 short-acting regular human insulin or
rapid-acting insulin analogue.
Also consult the instructions coming with your insulin and
infusion set.
About this User Guide
To ensure the safe and convenient use of your Accu-Chek Insight
insulin pump, this User Guide includes the following features for
quick and easy navigation:
w WARNING
A Warning is a safety information that requires your careful
attention and informs you about risks to your health.
Neglecting this information may lead to life-threatening
situations.
Note
A Note contains important information relating to the
ecient and smooth operation of your
Accu-Chek Insight insulin pump.
Example
An Example shows you how a feature could be used in an
everyday life situation. Please note that medical- or
therapy-related details are provided for illustration
purposes only, and are not intended to match your
personal medical needs. Always discuss your personal
therapy requirements with your healthcare professional.
Note
The illustrations in this book may dier
slightly from the design of your actual
device.
Sections highlighted in blue refer to features that are part of the
basic training lesson. It is highly recommended that you read
these sections carefully before you start using the pump.
Sections highlighted in purple refer to features that are part of
the optional training lesson. It is highly recommended that you
read these sections carefully before you start using the according
feature.
1 Pump features 1
1.1 Navigating through the menus 6
2 Starting your pump 13
2.1 Inserting the battery 14
2.2 Program Basal Profile 1 23
2.3 Inserting a new cartridge 26
2.4 Filling the infusion set tubing and cannula 30
3 Using your pump in daily life 35
3.1 Wearing your pump 35
3.2 Stopping and starting your pump 39
3.3 Your insulin pump and water 43
3.4 Changing the transfer set (adapter and tubing) 45
3.5 Quick info screens 49
3.6 General safety information 51
4 Administering boluses 53
4.1 Standard Bolus 53
4.2 Quick Bolus 55
4.3 Cancelling a bolus 58
4.4 Extended Bolus 60
4.5 Multiwave Bolus 63
5 Basal profile options 67
5.1 Temporary Basal Rate (TBR) 68
5.2 Additional Basal profiles 72
5.3 Activating a Basal profile 75
6 Viewing your data 77
6.1 Event data 80
6.2 Bolus data 80
6.3 TBR data 81
6.4 Daily totals 81
6.5 Pump timer 82
6.6 Version 82
7 Modes for dierent life situations 83
8 Personalising your pump 87
8.1 Using reminders 89
8.2 Communicating with other devices 94
8.3 Device settings 102
8.4 Therapy settings 115
8.5 Setting the time and date 127
9 Maintaining your pump 131
9.1 Inspecting your pump 131
9.2 Damage to your pump 132
9.3 Repair of your pump 132
9.4 Maintaining your pump 133
9.5 Storing your pump 134
9.6 Disposing of your pump 135
10 Responding to a pump message 137
10.1 List of Reminders 140
10.2 List of Warnings 142
10.3 List of Maintenance messages 144
10.4 List of Errors 147
Appendix A: Technical Data 151
Appendix B: Configuration parameters 166
Appendix C: Abbreviations 170
Appendix D: Icons and Symbols 172
Appendix F: Details on User Profiles 180
Appendix G: List of Accessories 187
Glossary 188
Index 195
Appendix E: Warranty 179
1 Pump features
1
Guided handling sequences (Wizards)
Pump therapy sometimes involves complex steps. For several
functions which need to be performed in a specific order, your
pump oers pre-programmed Wizards to guide you through the
process.
You will find Wizards to help you with:
j Inserting a new cartridge
j Filling the infusion set
j Inserting a new battery
j Pairing
j Bluetooth
®
wireless communication
3 basic modes
RUN mode: When working normally, your pump is in RUN mode.
In this mode your pump is delivering insulin to your body in terms
of the basal rate, boluses and Temporary Basal Rates (TBR).
PAUSE mode: When you remove the battery or cartridge while
your pump is in RUN mode, or after some Maintenance
messages, your pump switches to PAUSE mode. The insulin
delivery stops automatically and restarts as soon as you confirm
the respective messages and insert a new battery or cartridge
where required. Current Temporary Basal Rates and boluses will
continue.
STOP mode: When the pump is in PAUSE mode for more than
15 minutes, it switches to STOP mode. The Pump stopped screen
appears and the pump stops completely and cancels all current
Temporary Basal Rates and boluses. From STOP mode, you have
to restart your pump from the main Menu and program your
Temporary Basal Rates and boluses again. See chapter3.2,
page39. If you want to stop your pump for any reason, you can
also switch it to STOP mode using the main Menu.
1
Adjust the display to suit your needs
User profiles for special situations
You can adjust the brightness of your pump’s full colour display
to best suit your needs. You can also change its background
colour to your personal preference. Rotating the display allows
you to read it from an awkward angle (for example, when the
pump is attached to your belt). See chapter8.3.5, page112,
Adjusting the display.
Enlarge the display texts for better readability
Using the Zoom key you can enlarge the size of the display text
for better readability. See chapter1.1.4, page12, Zoom mode.
With the User profile Expressive enabled, the scrolling functions
of the pump are disabled so that all values can only be
programmed in distinct increments. Additionally, sound patterns
will help you verify that you programmed a value correctly. This
may be helpful if you have impaired eyesight. For more
information, please contact your local pump support (see inside
back cover).
With the User profile Diminished enabled, all acoustic signals will
occur one octave lower. This may be helpful if you have impaired
hearing. See chapter8.3.2, page108, User profile.
Lock the keys against accidental pressing
The Key lock disengages your pump’s keys so they cannot be
pressed accidentally when you wear your pump under clothing.
The Key lock is engaged by default. Quickly press x and then z,
or z and then x to unlock the keys. See chapter8.3.3, page109.
2
1
Use a standard, easy-to-purchase battery
The power source for your new pump is readily available. To
power up your pump, all you need is a standard AAA, 1.5 V
lithium (FR03) or alkaline (LR03) battery.
Set hourly basal rates from 0.02 to 25 U/h
You can program individual hourly basal rates for every hour of
the day in up to 24 time blocks from 15 minutes to 24 hours. The
hourly basal rate can be set low as 0.02 up to 25 U/h. Remember
that your basalrate profile should always be provided by, or
discussed with, your healthcare professional.
Program up to 5 dierent Basal profiles
You can define up to 5 Basal profiles, each aligned with a
dierent daily routine. For example, you can create one profile for
work days and one for weekends. See chapter5, page67, Basal
profile options.
Use self- or pre-filled cartridges
Your usual insulin works with the 2 ml Accu-Chek Insight insulin
pump cartridge. The Accu-Chek Insight insulin pump cartridge
filling system allows you to automatically fill the cartridges from
vials.
You can also use the pre-filled 1.6 ml NovoRapid
(please check the availability in your country at
www.novonordisk.com or ask your local pump support).
Detect occlusions
Your pump detects any blockage in the infusion set that could
prevent insulin delivery. You will be prompted with an appropriate
Maintenance message. However, the pump cannot detect when
the infusion set is leaking or where the cannula has slipped out
of the infusion site.
®
PumpCart®
3
2 options to deliver a Standard Bolus
Use a delay (lag time) before the bolus delivery
To program and deliver a Standard Bolus, you have 2 options:
either walk through the menus or use the Quick Bolus feature
that allows you to program a Standard Bolus in distinct
increments without even looking at the display. See chapter4.1,
page53, Standard Bolus. See chapter4.2, page55, Quick Bolus.
Adjustable bolus speed
You can adjust the delivery speed of the boluses. This is very
helpful if you have high bolus amounts that cause insulin to leak
from your skin after delivery or if you experience pain during the
bolus delivery. See chapter8.4.2, page118, Bolus settings.
In some situations (e.g. gastroparesis), it might be helpful to start
a bolus after you start eating. With the lag setting you can specify
a delay between programming a bolus and the actual beginning
of the bolus delivery. Discuss using the lag setting with your
healthcare team. See chapter8.4.2, page118, Bolus settings.
Extended Bolus
For situations that require delivery of bolus insulin over a period
of time instead of all at once, you can use an Extended Bolus.
The Extended Bolus amount is delivered over a period of time
that you can adjust as necessary. This can be especially helpful
when you eat slowly digestible foods or attend long-lasting
buets. See chapter4.4, page60, Extended Bolus.
4
1
Multiwave Bolus
In situations where you eat meals containing both slow- and
fast-acting carbohydrates, you might consider having a fast and
a long bolus together. The Multiwave Bolus combines a Standard
and an Extended Bolus, providing both an immediate and a
long-acting part. This could also be a good option when you plan
to eat slow-acting carbohydrates and need to correct an elevated
blood glucose level at the same time. See chapter4.5, page63,
Multiwave Bolus.
Dierent modes for dierent life situations
Your pump oers a range of modes to fit a variety of life
situations.
For example:
j During meetings your pump can be switched to the Quiet
mode. At night it can delay non-critical Warning messages to a
specified wake-up time
j In Flight mode your pump automatically shuts down the
Bluetooth wireless communication
Customisable reminders for missed bolus, change infusion
set, deliver bolus, and alarm clock
Many aspects of your diabetes management require regular
attention and action. Your pump can assist you with a set of
reminders that help you remember:
j To deliver a bolus
j To change the infusion set
j To check when you might have missed a bolus
You can even program alarm clocks for your personal
convenience. See chapter8.1, page89, Using reminders.
See chapter7, page83, Modes for dierent life situations.
5
1.1 Navigating through the menus
q (Quick Bolus) Keys
Display (Screen)
x (Up) Key
o (OK) Key
z (Down) Key
l Zoom Key
6
1
Key Function
j Moves to the next menu level
o
q
x
z
j Confirms a setting
j Starts a function
In most situations the 2 q keys have an
identical function and can be used
alternatively:
j Moves to previous entry field (back)
j Cancels a setting
j Stops a function
j Starts the Quick Bolus programming
j Sets the Quick Bolus amount
j Cancels a bolus
j Moves to the status screen (double click)
j Stops the repetitive STOP mode warning
j Moves you up in a menu screen
j Increases a setting
j Function to access quick info screen
j Moves you down in a menu screen
j Decreases a setting
j Function to access quick info screen
Key Function
l
In many cases the screen gives you additional information about
using the keys.
j Enlarges the characters on the display
j Reduces enlarged characters on the display
x and then z
or
z and then x
j When pressed in quick succession will
disengage the key lock
7
1.1.1 Navigating through the screens
This chapter describes in general how to navigate through the
screen and use your pump’s functions.
1 2
From the Status screen, press o.
The main Menu screen appears.
8
Press x or z to move to the desired
submenu.
Press o to enter the highlighted menu.
3
The x and z keys move the blue bar
(cursor) up and down in the menu.
1
4
When the blue bar highlights the menu
item of your choice, press o to enter
the next menu level.
7
If you need to go back to the previous
level and cancel a function, press q.
However, when you do this any settings
you made will not be saved.
5
When a specific setting is highlighted and
shown with small Up and Down arrows,
the x and z keys will increase and
decrease the value.
Note
Single pressing of the x or z changes the value by
increment, while pressing and holding x
or z changes the value rapidly
(“scrolling”).
6
To confirm a value, press the o key.
After you complete the setting, press o
again to confirm and start the function.
9
1.1.2 Understanding the screen
In the main menu you will find the
following functions:
Bolus
Basal
Stop pump
Start pump
Pump data
Modes
Settings
Cartridge and infusion set
Home
A scroll bar on the right indicates when
there are more items available than
currently visible on the screen.
10
In each menu you can use the Home
function to return to the Status screen:
Press z to move to Home.
Press o to select.
If several steps are part of a sequence
(Wizard), numbers in the upper right
corner of the screen indicate how many
steps still need to be completed.
1.1.3 Status screen
The Status screen shows the current state of your pump. For
example you can see whether your pump is in RUN, STOP or
PAUSE mode and if boluses or Temporary Basal Rates are
currently running.
Battery status Current date
Key lock active
Flight mode
1
Current time
Basal rate icon
Active Basal profileCurrent hourly basal rate
You can review the complete list of display icons in Appendix D: Icons and Symbols, page172.
Status icon
11
1.1.4 The screen design
You can choose between dierent designs for your pump’s
screen. By default the pump will use the dark background colour
and normal font size.
Background colour dark
12
You will learn how to personalise the screen design in the
chapter about Settings. See chapter8.3.5, page112, Adjusting the
display.
Background colour light Zoom mode
With the Background colour light the
screen will show black characters on
white background.
When you press l for 1 second, the
characters on the screen will be enlarged.
When you press l for 1 second again,
the characters will be shown in normal
size again.
With the Background colour dark the
screen will show white characters on
black background.
Note
In Zoom mode not all screen
content may be visible.
The l is illuminated as long as
the Zoom mode is
switched on.
2 Starting your pump
2
This chapter explains how to prepare your new insulin pump and
begin pump therapy.
Before you can start your pump, you need to:
j Insert the battery
j Set the time and date
j Program at least one basal profile
j Insert the cartridge
j Connect the infusion set’s tubing with the adapter to the pump
and fill it with insulin
j Connect the tubing to the infusion set’s head set and fill the
head set with insulin (prime the infusion set)
Remember that successful pump therapy requires you to check
your blood glucose level frequently. It is therefore recommended
that you use a blood glucose meter as often as instructed by your
doctor or healthcare team (at least 4 times a day).
13
2.1 Inserting the battery
Your Accu-Chek Insight insulin pump requires a 1.5 V AAA
alkaline (LR03) or lithium (FR03) battery.
Your pump turns on as soon as you insert the battery.
When you remove the battery, your pump stores the time and
date for about 10 hours.
When you remove the battery while your pump is delivering
insulin (RUN mode), the insulin delivery stops automatically
(PAUSE mode) and restarts as soon as you insert a new battery.
After a confirmation, Temporary Basal Rates and boluses that are
currently running will continue. The pump will emit a beep every
8 seconds as long as the battery is removed while the pump is in
PAUSE mode.
However, the pump stops completely and cancels Temporary
Basal Rates and boluses when it is without a battery for more
than 15 minutes (STOP mode). Once you have replaced the
battery, you then have to restart it from the main Menu screen
and program any Temporary Basal Rates and boluses again. See
chapter3.2, page39.
Your insulin pump settings (such as the basal rates and bolus
increment) and event memory (bolus and alarm history, history of
daily insulin totals and Temporary Basal Rates) are always saved,
regardless of battery condition or the amount of time your pump
has been without power.
To ensure your pump remains watertight the battery
compartment cover needs to be changed every 3 months.
Appendix G: List of Accessories, page187.
Do not use rechargeable or carbon zink batteries. These as
well as very old batteries may leak and corrode the battery
contacts in your pump. This could lead to an electronic short
circuit resulting in dangerous heat development up to 60 °C
(140 °F).
Before inserting batteries make sure that they are not damaged
(e.g. damaged plastics isolation coating) or leaking as damaged
or leaking batteries could damage your pump.
14
Insert the battery
Ensure that no dirt or dust can enter the battery compartment
while changing or inserting the battery. When you start your
pump for the first time, begin with step 6.
2
1
To avoid accidental insulin delivery,
ensure that the infusion set is not
connected to your body.
2
120°
Turn the adapter anti-clockwise to a 120°
position.
3
Note
You can change the battery
without removing the adapter if
you turn the adapter to only 90°.
Push the battery cover release in the
direction of the arrow (towards the
cartridge compartment).
15
4 6
5
16
You can use the flip up handle to easily
remove the battery cover.
7 8
Place the battery cover on top of the
battery.
Remove the battery cover and the old
battery.
Push the battery cover all the way into the
battery compartment until you hear the
release click.
Insert the new battery into the battery
compartment, positive end first, negative
end pointing out.
After you insert the battery the pump begins its start-up process.
If the pump does not begin the start-up process after the battery
is inserted, make sure that the battery is inserted correctly
(positive end first).
The first time you insert a battery or after the pump has been
without battery for more than 10 hours, the Setup Wizard
launches to help you program your pump’s initial settings, such
as the time and date.
2
17
Start-up process and Setup Wizard
After you insert a new battery, your pump immediately performs
a self-test. Check the display and the beeps and vibrations to be
sure that your pump is working properly.
If anything in the self-test does not seem to work properly
contact your local pump support.
The start-up process is dierent when you:
j Start your pump for the first time
j Start your pump after it has been out of power for more than
10 hours
j Insert a new battery while the pump is in RUN mode
You will learn more about this in the following chapter.
Note
If you do not press o, x or z key for
more than 30 seconds, these keys will be
locked.
Press x and then z, or z and then x, to
unlock the keys to continue the programming.
You can adjust the time before the Key
lock engages. See chapter8.3.3, page109.
18
Self-test sequence
1 2
2
3
After the battery cover is closed, the
Pump self-test starts automatically.
4
The display turns blue. Make sure that the
area is completely blue.
The display turns red. Make sure that the
area is completely red.
5
The display turns black. Make sure that
the area is completely black.
The display turns green. Make sure that
the area is completely green.
19
6
7
20
The Vibration test screen appears and the
pump vibrates. Make sure you can feel
the vibration.
If this is the first time you have started your pump, or if it has
been without power for over 10 hours, the Setup Wizard guides
you through the time and date setting steps. Otherwise, the
start-up process continues with step 6 on the next page.
The Sound test screen appears and the
pump emits a series of beeps. Make sure
you can hear them.
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