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Accu-Chek Combo

Frequently Asked Questions

Living with an insulin pump

<p>No. Due to the high temperatures in saunas and steam rooms we recommend that you disconnect your pump and also remove your infusion set before entering. High temperatures can affect the insulin within your pump and also potentially cause damage to the pump itself.

<p>Please consult with your healthcare professional to determine what precautions you should take prior to entering a sauna or steam room.

Both the Accu-Chek Combo and Accu-Chek Insight insulin pumps have an IPX8 rating. This means that both pumps are protected from brief immersion in water. As small hairline cracks in the housing of the device, or adapters and battery caps not being tightened enough could cause water to get into the device and cause damage, we recommend that you disconnect your insulin pump and leave it in a safe place before swimming, showering or bathing. This should only be done following advice from your healthcare professional, and you should test and correct as necessary at least every hour.

When going on holiday, you should always take extra supplies to make sure that you are covered for anything that might happen during your trip.

Remember to take the following with you when you go away:

  • Plenty of cannula and infusion sets
  • Spare batteries
  • Insulin and pump cartridges
  • Test strips and lancets
  • Emergency contact details
  • Fast acting carbohydrate to treat hypos
  • Travel letter from hospital / diabetes team
  • Details of how to manage illness / pump failure or loss
  • Back up insulin pens, cartridges and needles

Your insulin pump allows you to quickly and precisely adjust your insulin levels before, during and after exercise, to carefully match your individual needs.

All Accu-Chek insulin pumps are suitable to use during most types of exercise, however we recommend that you remove the insulin pump before taking part in any contact sports (e.g. rugby or martial arts) in order to prevent damage to the device or harm to yourself.

Many theme park rides, such as rollercoasters, are operated by high powered magnetic equipment, which have the potential to affect your insulin pump. Please check with the Theme Park Occupational Health and Safety officer about the magnetic equipment they use and what distance in meters / feet the field surrounds them. When within these fields do not wear or operate your insulin pump.

Please disconnect from your insulin pump and leave it in a safe place until you are no longer within the range of these magnets. If there is nowhere safe for you to leave your insulin pump, you should take it with you, however you will need to put it in STOP mode and disconnect it from your body before entering the field of exposure. Leave your insulin pump in STOP mode until you are outside the magnetic field. When it is safe to do so, please reconnect and START your insulin pump. Please remember to check your blood glucose levels before and after entering the field of exposure.

Always carry backup supplies – including hyper / hypo treatments and a backup insulin pen with you. If you are disconnected from your insulin pump for longer than 30 – 60 minutes you may need to reconnect to your insulin pump and give a correction dose (if safe to do so) or give a correction dose with your back up insulin delivery mechanism if you are still within the exposure range. You should follow your healthcare professional’s instructions to replace missed insulin or to correct a hypo.

General questions

Because Accu-Chek insulin pumps can be disconnected at the infusion site you can remove the pump temporarily (for up to an hour) to bathe, go swimming or take part in contact sports.

Always remember to check your blood glucose and correct as needed before disconnecting your insulin pump and again when you reconnect. If you are intending to be disconnected from your pump for longer than an hour, you should check your blood glucose regularly throughout the time you are disconnected, reconnecting and correcting as necessary.

You should discuss your personal requirements for disconnecting from your insulin pump with your healthcare professional before going ahead.

Some types of medical examinations, such as MRIs, CT scans and X-Rays, may interfere with the operation of your insulin pump. As such, you should disconnect the insulin pump from the body and leave it in a safe place outside of the treatment room.

If you use a steel infusion set, you may also be required to remove the infusion set for some procedures. Please consult with a healthcare professional prior to the procedure.

Bubbles naturally occur in all liquids, including insulin, when they undergo a fairly rapid temperature change, i.e. warm to cool.

To help to prevent bubbles, remove insulin from the fridge at least an hour before use. If you are self-filling cartridges, make sure to fill the cartridge with room-temperature insulin and draw it from the vial slowly and steadily.

You should regularly check your cartridge and tubing for bubbles and prime out any that you find. Always remember to disconnect from your insulin pump before priming.

The technical warranty of your Accu-Chek insulin pump is 4 years from the day that you start on your insulin pump. It covers technical issues with the device, but does not cover loss or damage due to misuse.

See Health and Safety Information

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Accu-Chek Combo

Accu-Chek Combo
Item Description

Do more of the things you love, without worries, thanks to the Accu-Chek Combo insulin pump system.

The Accu-Chek Combo insulin pump system couples a handset with an insulin pump to bring you a level of freedom that fits your lifestyle better. It’s completely discreet, customisable to your needs and simple to use - and it fits in the palm of your hand.

  • Interactive two-way communication - information flows between the handset and the insulin pump automatically or on command, as appropriate.
  • Two-way Bluetooth® communication between the insulin pump and handset - with the Accu-Chek Aviva Combo handset, you have full remote control over pump functionality, you can quickly and discreetly deliver a bolus, and you have full visibility of pump status and activity. All of this is available on one device, in the palm of your hand so there is no need to touch the pump.
  • Built-in bolus advisor on the Accu-Chek Aviva Combo handset - Quick, easy and discreet bolus delivery with assistance from a fully customisable bolus advisor.
  • Data transfer option - with the Accu-Chek 360° software. Flexibility of data transfer to a computer fits your needs, capabilities and requirements.
  • Preset and customisable reminders, warnings and error messages for glucose level excursions, blockages in tubing and more - to support you in managing your daily pump therapy.
Product Manuals

Maximum dimensions

Approximately 82.5 x 56 x 21 mm without adapter

Weight

Approximately 110 g (Insulin pump with battery, full plastic cartridge and infusion set)

Cartridges

Accu-Chek Spirit 3.15 ml cartridge system and Accu-Chek 3.15 ml plastic cartridge with a lure-lock connection.

Infusion Sets

Accu-Chek infusion sets with a luer-lock connector.

Insulin pump benefits and features
  • Customisable insulin pump menus - 3 menus (standard, advanced, custom) on the pump to allow you to learn about your Accu-Chek Spirit Combo insulin pump step by step and customise it for daily use
  • IPX8 waterproof rating (2.5 meters/8 feet, 60 minutes) when leaving factory. Ex-factory pump rated for accidental contact with water - Roche guarantees protection against brief accidental water contact, such as rain, water splashes or accidental immersion
  • Tactile buttons - allow for confident and discreet bolus delivery even when the handset is not available. The pump can be operated from under clothing using the buttons.
  • 315 U insulin reservoir capacity - convenient, easy-to-fill cartridge saves time with less frequent reservoir filling.
  • A small hourly basal rate (0.05 U/hr) - delivered in small pulses over the entire hour.
Technical Specifications
Maximum dimensions:

Approximately 82.5 x 56 x 21 mm (3.2 x 2.2 x 0.8 inches) without adapter

Weight:
  • Empty insulin pump: approx. 80 g (2.8 ounces)
  • Insulin pump with battery, full plastic cartridge and infusion set: approx. 110 g (3.9 ounces)
Pump Casing:
  • Shock and scratch-resistant plastic
  • Rounded edges for more comfortable wearing
Temperature Ranges:

During operation: 5°C–40°C (41°F–104°F)

Air Humidity (Relative Humidity)::

During operation: 20%–90%

Barometric Pressure:

During operation: 70–106 kPA (700–1060 mbar) (do not exceed 3000 meters [10,000 feet] above sea level)

Basal Rate:

Minimum = 0.05 U/h, maximum. = 50 U/h.

There are 24 hourly basal rates, adjustable in unit increments of 0.01 (up to 1.00 U/h), 0.05 (up to 10.0 U/h) and 0.1 (up to 50.0 U/h).

Bolus:
  • Maximum: 50 insulin units
  • Quick bolus: adjustable in unit increments of 0.1, 0.2, 0.5, 1.0 and 2.0
  • Standard bolus, extended bolus and multiwave bolus: adjustable in fixed increments of 0.1 units
  • Duration of extended bolus and multiwave bolus: adjustable in intervals of 15 minutes (from 15 minutes up to 12 hours)
Temporary Basal Rate:

Adjustable in 10% increments, 0%–90% (decreases), 110%–500% (increases).

The duration is adjustable in 15-minute intervals, up to a maximum of 12 hours.

The last programmed duration is given by default for the next temporary basal rate change programmed.

Maximum Pressure:

400 kPa (4.0 bar), for plastic cartridges and infusion sets

Flow (Delivery Rate):

During infusion-set priming and bolus: 0.2 U/sec.

Data Transfer:

Infrared interface

Water Tightness:

IPX 8—protected against the effects of temporary immersion in water under standardized conditions (60 minutes and 2.5 meters [8 feet])

Power Supply:

1 1.5-volt AA alkaline (LR6) or lithium (FR6) battery or 1 1.2-volt rechargeable NiMH AA (HR6) battery.

Batteries should have a minimum capacity of 2500 mAh.

Use only a battery charger officially recommended by the battery manufacturer.

Data storage time:

The time and date are safely stored in the memory for about 1 hour after the battery has been removed. Other insulin pump settings (the hourly basal rates, remaining cartridge content, bolus increments and active user menu) and the event memory (bolus history, history of daily insulin totals, temporary basal rate history, and alarm history) are saved, regardless of battery voltage and the time your insulin pump has been without a battery.

Cartridges:

Accu-Chek Spirit 3.15 ml cartridge system and Accu-Chek 3.15 ml plastic cartridge with a lure-lock connection. Insuman cartridges*** have been evaluated and approved for use with the Accu-Chek Spirit Combo insulin pump.

Data Storage Time:

The time and date are safely stored in the memory for about 1 hour after the battery has been removed. Other insulin pump settings (the hourly basal rates, remaining cartridge content, bolus increments and active user menu) and the event memory (bolus history, history of daily insulin totals, Temporary Basal Rate history, and alarm history) are saved, regardless of battery voltage and the time your insulin pump has been without a battery.

Infusion Sets:

Accu-Chek infusion sets with a luer-lock connector. (Accu-Chek infusion sets are PVC and latex free.)

Safety Systems:

Alert system, beeps, information on the display, vibrations, and dual microprocessors.

The insulin pump is controlled by two microprocessors.

The safety concept is based on one processor (supervisor processor) supervising the other (main processor).

Whenever a defect or fault occurs in the main processor, it is identified by the supervisor processor.

The motor is immediately switched off and an “Error E7: ELECTRONIC ERROR” occurs.

Conversely, the main processor can also determine at any time whether the supervisor is working correctly.

The motor also constitutes an important safety component, as the combination of the main and supervisor processor and brushless motor provides the best possible reliability and accuracy in insulin delivery.

*** INSUMAN INFUSAT is a registered trademark of Sanofi S.A.s

Handset benefits and features
  • Full-colour display - with a colour display, graph clarity is enhanced and key items are highlighted.
  • Discretion and convenience when delivering an insulin dose - wirelessly send your bolus within 2 metres (6.5 feet) of the pump via Bluetooth®
  • Easy to use menu - intuitively designed menu helps you to quickly navigate to the correct menu item and allows you to understand the features in more detail as you get more comfortable with pump therapy
  • Integrated bolus advisor - straightforward and intuitive bolus advice from blood glucose measurement to insulin delivery
  • Customisable reminders - you can set reminders for infusion set changes, doctor and lab visits, retesting after meals and out-of-range blood glucose readings
  • Confidence - you don’t have to keep track of everything in your head, by programming reminders into the system
  • Discretion - you don’t have to get the pump out to view and act on reminders
Technical Specifications
Dimensions:

94 x 55 x 25 mm

Weight:

Approximately 103 grams with batteriescell

Display:

Colour dot matrix

Automatic power:
  • Auto-on with correct strip insertion
  • Auto-off after removing strip (2 minutes)
  • Auto-off after 2 minutes if meter not used
Power supply:

3 AAA alkaline batteries

System operating conditions:

See Accu-Chek Aviva test strip package insert

Meter storage conditions:

10°C to 50°C with batteries inserted

Relative humidity operating range:

10%–90%

Memory capacity:

1000 diary records

Construction:

Handheld

Data port:

Infrared (IR) window to download to information management solutions

Test principle:

Electrochemical

Test averages:

7, 14, 30, 60, 90 days

Data management:
  • Logbook
  • Trend graph
  • Target report
  • Standard week
  • Standard day
Bolus advisor::
  • Up to 8 time blocks
  • Entry for health events (e.g. exercise, stress, illness, etc.)
Reminders:
  • Event-based reminders (after low blood glucose, after high blood glucose and after meal)
  • Alarm clock (up to 8 times—e.g., use to remind for blood glucose test)
  • Date reminders (e.g., doctor visit, lab visit, infusion change)
Customisable parameters:
  • Vibrate and beep feature (one must be on at all times)
  • 12-hr vs. 24-hr clock
  • Key lock
  • Select language from a list loaded to the meter (holds up to 4)
  • Select carbohydrate units (g, KE, BE, CC)
  • Backlight—low, med, high
  • Hyper and hypo warning limits (beep and/or vibrate)