Accu-Chek Spirit 3.15 ml cartridge system Manufacturer’s reference: SB_RDC_2024_05SRN number: DE-MF-000006276 In November 2024, Roche Diabetes Care sent out a field safety notice related to a manufacturing issue for the Accu-Chek Spirit 3.15 ml cartridge systems which can potentially lead to insulin leakage. Please use this form to acknowledge that you have read and understood the information in this Field Safety Notice. Download and read this Field Safety Notice: For patients in the UK and Ireland If known, please add your Accu-Chek Customer ID below (starts with ACC). Customer Id Contact details First name Last name Email address Postcode/Eircode Acknowledgement - Select -I acknowledge and I am an Accu-Chek Combo userI am still on a Roche pump but no longer on Accu‑Chek ComboI am no longer a Roche pump user Roche Diagnostics International AG, Basel Branch Diabetes Care and Roche Diabetes Care Limited (United Kingdom) will process your data to record your acknowledgement against your unique customer ID. Further information (e.g. on retention and sharing of your data) and your data subject rights is available in our Privacy Notice. Leave this field blank
