Page 11 - IM 2017 2018 Full Line Catalog
P. 11

ROCHE DIABETES CARE (DI)
ACCU-CHEK® Combo Service Pack, Small
Includes one adapter, one battery cover and one battery key for use with the ACCU-CHEK Combo insulin pump system. Battery cover and adapter must be replaced at least every two months.
ITEM # HCPCS SOLD BY
05337330001 E1399 ea
ACCU-CHEK® Spirit Battery Cover Kit
Battery cover features an integrated O-ring to help protect the pump from dirt and moisture. Battery cover must be replaced with every fourth battery change. For use with the ACCU-CHEK Spirit insulin pump system.
ACCU-CHEK® Tender Infusion Sets
Provide maximum insertion control and wearing comfort. Variable insertion angle (20° – 45°) for optimal, site-speci c placement depth. Multiple cannula lengths for optimal  t with body type and infusion site. Flexible cannula for round-the-clock comfort. Feature a window in base unit for viewing infusion site. Angled insertion ensures controlled, two-handed, manual insertion. Include Soft Te on® cannula; 27-gauge insertion
needle; 25-gauge cannula; at-site connector; 13-mm or 17-mm cannulas; and 24˝, 31˝ or 43˝ tubing. Hypoallergenic, skin friendly and self-adhesive. ACCU-CHEK® Tender I packaging includes 10 complete sets. ACCU-CHEK® Tender II packaging includes 10 complete sets with 10 additional cannula “heads” to allow use of two cannulas for each tube set, saving money on primed insulin and the time it takes to prime the tubing. Change infusion set every 2 – 3 days.
ITEM #
04569709001
HCPCS
E1399
SOLD BY
2/pk
ITEM #
4541405001 4541413001 4541391001
4541464001 4541472001 4541456001
4541430001 4541448001 4541421001
4541502001 4541529001 4541499001
HCPCS SOLD BY
A4230 10/bx A4230 10/bx A4230 10/bx
A4230 10/bx A4230 10/bx A4230 10/bx
A4230 10/bx A4230 10/bx A4230 10/bx
A4230 10/bx A4230 10/bx A4230 10/bx
ACCU-CHEK® Spirit Adapter Kit
13-MM CANNULA TENDER I MINI SET
24˝ (60-cm) tubing
31˝ (80-cm) tubing
43˝ (110-cm) tubing
13-MM CANNULA TENDER II MINI SET 24˝ (60-cm) tubing
31˝ (80-cm) tubing
43˝ (110-cm) tubing
17-MM CANNULA TENDER I SET 24˝ (60-cm) tubing
31˝ (80-cm) tubing
43˝ (110-cm) tubing
17-MM CANNULA TENDER II SET 24˝ (60-cm) tubing
31˝ (80-cm) tubing
43˝ (110-cm) tubing
ACCU-CHEK® Rapid-D Infusion Sets
Adapter is the link between the pump, insulin cartridge and infusion set. Features an integrated O-ring and must be replaced with every 10th cartridge change. For use with the ACCU-CHEK Spirit insulin pump system.
ITEM #
04569652001
INSULIN PUMP INFUSION SETS
ACCU-CHEK® Ultra ex Infusion Sets
HCPCS
E1399
SOLD BY
2/pk
Silicone-coated, tapered cannula ensures smooth, comfortable insertion. Multiple cannula lengths for optimal  t with body type and infusion site. Flexible cannula for round-the-clock comfort and a reversible, at-site connector for simple connect/ disconnect. 90° insertion angle. Include Soft Te on® cannula; 27-gauge insertion needle; 25-gauge cannula; at-site connector; 6-mm, 8-mm or 10-mm cannulas and 12˝, 24˝, 31˝ or 43˝ tubing. Hypoallergenic, skin friendly and self-adhesive. Includes 10 complete sets. Option to use ACCU-CHEK® LinkAssist insertion device. Change infusion set every 2 – 3 days.
Provide straightforward insertion and ease of use. Multiple cannula lengths for optimal  t with body type and infusion site. Ultralow pro le for close-to-body  t under clothing. Ultrathin cannula ensures quick and comfortable, one-handed insertion. 90° insertion angle. Include surgical stainless-steel cannula; ultrathin, 28-gauge cannula; one-step priming; offsite connector; 6-mm, 8-mm or 10-mm cannulas; and 24˝, 31˝ or 43˝ tubing.
Hypoallergenic, skin friendly and self-adhesive. Each box contains 15 needles,  ve transfer sets and  ve protective caps. Tubing is labeled for six-day use, meaning one box contains a 30-day supply of needles and tubing.
6-MM CANNULA ULTRAFLEX I SET
12˝ (30-cm) tubing
24˝ (60-cm) tubing
31˝ (80-cm) tubing
8-MM CANNULA ULTRAFLEX I SET 24˝ (60-cm) tubing
31˝ (80-cm) tubing
43˝ (110-cm) tubing
10-MM CANNULA ULTRAFLEX I SET 24˝ (60-cm) tubing
31˝ (80-cm) tubing
43˝ (110-cm) tubing
ITEM #
06593968001 06593976001 06593984001
4626583001 4626591001 4626605001
4626613001 4626621001 4626648001
HCPCS SOLD BY
A4230 10/bx A4230 10/bx A4230 10/bx
A4230 10/bx A4230 10/bx A4230 10/bx
A4230 10/bx A4230 10/bx A4230 10/bx
6-MM CANNULA
24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing 8-MM CANNULA
24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing 10-MM CANNULA 24˝ (60-cm) tubing 31˝ (80-cm) tubing 43˝ (110-cm) tubing
ITEM #
4541090001 4541103001 4541111001
4541120001 4541138001 4541146001
4541154001 4541162001 4541189001
INSULET (OM)
HCPCS
A4231 A4231 A4231
A4231 A4231 A4231
A4231 A4231 A4231
SOLD BY
15/bx 15/bx 15/bx
15/bx 15/bx 15/bx
15/bx 15/bx 15/bx
ACCU-CHEK® LinkAssist Insertion Device
For virtually painless insertion and consistent placement of the ACCU-CHEK® Ultra ex infusion set. Features an open base with viewing window that allows user to see the insertion site. Automatic safety lock and single-release button allow easy and safe activation with only one  nger. Ideal option for those with vision or dexterity issues, caregivers or those who prefer assistance inserting their infusion set.
ITEM # HCPCS SOLD BY
04530039001 E1399 ea
OmniPod® Personal Diabetes Manager Starter Kit
Tubing-free OmniPod® System simpli es pump therapy with only two parts that integrate the reservoir, infusion set and inserter. Designed to be worn almost anywhere on the body, the small, waterproof Pod delivers up to 200 units of U-100 rapid acting
insulin. Hands-free, automated insertion is virtually pain-free; and because the Pod is tubing-free, there is nothing to snag, tangle or disconnect, making insulin therapy truly continuous. User-friendly, handheld PDM (Personal Diabetes Manager) wirelessly programs insulin delivery and has a convenient, built-in blood glucose meter. Additional features include a suggested bolus calculator, food library and customized alerts. PDM also stores and summarizes insulin delivery, blood glucose and carbohydrate records. OmniPod® Starter Kit contains one PDM, one soft carrying case and one user guide.
ITEM # HCPCS SOLD BY
14603 E0784
7
ea
DIABETES INSULIN DELIVERY SYSTEMS


































































































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