These are the components of your Accu-Check Spirit Combo insulin pump:
The insulin reservoir that is placed into the insulin pump is called an insulin cartridge. When the insulin pump is in run mode, the piston rod inside the insulin pump moves down bit by bit on the plunger of the insulin cartridge to deliver insulin throughout the day and night. One of the first things you need to learn is how to fill the insulin cartridge with insulin.
This lesson focuses on filling the insulin cartridge. Future lessons focus on preparing the infusion set and the insulin pump for start-up.
At the end of this lesson, you will know how to:
Prepare the materials:
Never reuse an insulin cartridge! This can cause infection and blockages or occlusions.
Wash your hands well with soap and water. Dry them.
Unpack the cartridge system.
Clean the rubber membrane of the insulin vial with a disinfectant wipe.
Screw the plunger rod on the cartridge plunger in a clockwise direction. Pull the plunger rod back until you feel some resistance.
Push the cartridge onto the insulin vial until it snaps into place.
Press the plunger rod to its stop-point and hold it in this position.
Slowly turn the complete system upside down, carefully holding all components in place.
Slowly release the plunger rod to let the insulin flow into the cartridge. If the cartridge is not filled completely, pull the plunger rod gently to draw more insulin.
Remove any air bubbles by tapping the cartridge, pushing them back into the vial. Then pull the vial from the cartridge system.
Remove the plunger rod by turning it counter-clockwise.
Remove the filling aid while turning it counter-clockwise and pulling at the same time.
Push the protective cap tightly onto the cartridge tip until it clicks. Discard the plunger rod and filling aid according to local regulations.
If you plan to pre-fill plastic cartridges and store them in the fridge, the protective cap should be connected to the cartridge and not removed until just prior to being used. For further instructions, see steps 2, 3 and 4 later on in the section basics / Your Pump / Connecting cartridge, adapter and infusion set. The fridge temperatures must not exceed the manufacturers recommendation for storage of insulin.
You have completed the filling the cartridge section. It’s time to move to the next lesson.
Lesson - 5