Owners Booklet
256 Pages
Preview
Page 1
Owner’s booklet. Here’s everything you’ll need to know.
Welcome Congratulations. You have chosen one of the most advanced diabetes management systems available today. Your OneTouch® Ping™ Glucose Management System will play an integral part in the blood glucose management and continuous insulin delivery regimen that you have established with your health care professional. Your OneTouch® Ping™ System combines the functionality of an OneTouch® Ping™ Insulin Pump and a OneTouch® Ping™ Meter Remote through radio frequency (RF) communication. Both devices will work independently of one another, but using them together can provide you with options to help make insulin delivery more discreet and flexible. Your OneTouch® Ping™ Insulin Pump uses the latest advanced technology, providing continuous insulin delivery to help maintain your blood glucose targets as recommended by your health care professional. It delivers insulin in two ways: 1) continuous “basal” insulin delivery and 2) “bolus” insulin delivery to cover foods eaten and/or reduce a high blood glucose level. Your OneTouch® Ping™ Meter Remote combines the accuracy expected from OneTouch® products with features designed to make testing and tracking more convenient. These include a meter remote memory that serves as an electronic logbook for storing all your glucose test results along with other diabetesrelated health records. Another new feature is a Food Database which can be easily accessed on your meter remote. The Food Database helps take the guesswork out of carb counting. When the devices are used together, your OneTouch® Ping™ Meter Remote gives you convenient remote access to insulin delivery functions available with the OneTouch® Ping™ Insulin Pump. Your OneTouch® Ping™ System also allows your most recent blood glucose results from the OneTouch® Ping™ Meter Remote to be automatically entered into bolus insulin calculations to cover carbohydrates in food or to correct for a high blood glucose level. This Owner’s Booklet is designed to provide the information that you are looking for, when you need it. We hope you keep it handy. Of course you may still have questions. If you do, our customer service representatives will be happy to answer your call. You can reach them at Customer Service at 1 877 937-7867. You can also obtain information at www.animascorp.com.
TABLE OF CONTENTS BEFORE YOU BEGIN SECTION I :
I
ONETOUCH ® PING ™ INSULIN PUMP
CHAPTER 1 - Important Information
3
CHAPTER 2 - Explanation of symbols
9
CHAPTER 3 - Introduction to your OneTouch ® Ping ™ Insulin Pump
11
CHAPTER 4 - Getting your pump ready
15
CHAPTER 5 - Using the Normal Bolus feature
27
CHAPTER 6 - Using Basal Program features
29
CHAPTER 7 - Suspend/Resume feature
37
CHAPTER 8 - History feature
39
CHAPTER 9 - Status feature
45
CHAPTER 10 - Advanced features/Setup and activation
49
CHAPTER 11 - Using Advanced features
59
CHAPTER 12 - Care and maintenance
73
CHAPTER 13 - Safety system and alarms
75
CHAPTER 14 - Troubleshooting guidelines
85
CHAPTER 15 - Sick day guidelines
91
CHAPTER 16 - Lifestyle issues
93
CHAPTER 17 - My information
95
CHAPTER 18 - Warranty and other technical information
99
SECTION II :
ONETOUCH ® PING ™ METER REMOTE
CHAPTER 1 - Setting up your OneTouch ® Ping ™ Meter Remote
107
CHAPTER 2 - Setting up and using the Food Database
123
CHAPTER 3 - Estimating bolus insulin amounts with the bolus calculator
125
CHAPTER 4 - Testing your blood glucose
127
CHAPTER 5 - Adding comments to glucose test results
141
CHAPTER 6 - Making logbook entries
145
CHAPTER 7 - FastFacts ® / Using your meter remote logbook
151
CHAPTER 8 - Control solution testing
161
CHAPTER 9 - Caring for your meter remote and test strips
165
CHAPTER 10 - Understanding meter remote error and other messages
169
CHAPTER 11 - Detailed information about your meter remote and test strips
173
SECTION III:
NETOUCH ® PING ™ SYSTEM/USING YOUR ONETOUCH ® PING ™ METER O REMOTE AND ONETOUCH ® PING ™ INSULIN PUMP TOGETHER
CHAPTER 1 - Overview of your OneTouch ® Ping ™ System
177
CHAPTER 2 - Establishing communication between your meter remote and your insulin pump
179
CHAPTER 3 - Pump Home and Meter Home screens on your meter remote
189
CHAPTER 4 - Insulin delivery functions on your meter remote
191
CHAPTER 5 - Checking the status of your OneTouch ® Ping ™ System
207
CHAPTER 6 - Troubleshooting your OneTouch ® Ping ™ System
211
CHAPTER 7 - OneTouch ® Ping ™ System Communication Technical Specifications
221
Appendix A: Glossary
223
Index
227
BEFORE YOU BEGIN
Do Not attempt to connect to your pump before you have been trained on your pump, or until you have watched the training video. Check with your health care professional regarding your individual training needs. As part of your training, your health care professional will assist you in making the appropriate selections for your insulin pump and meter remote settings. Your insulin pump must be programmed for your own personal use. Your insulin pump settings impact the calculations for insulin delivery using either your meter remote or insulin pump. Be comfortable with using your insulin pump before you activate the RF feature on your insulin pump and meter remote. See the appropriate chapters in Section I, pages 1–106 for the steps on setting up and using your insulin pump. The following insulins have been tested by the pump manufacturer and found to be safe for use in the insulin cartridge of the pump: Humalog®, Novolog®, and Apidra®. Before using a different insulin with this pump, check the insulin drug label to make sure it can be used with the pump. Many people also find it helpful to practice the blood glucose test process with control solution before testing with blood for the first time. See Chapter 8 in Section II, pages 161–164. For best results the use of your insulin pump, or your meter remote to access pump functions, is recommended for people with diabetes who are willing to:
• Test their blood glucose levels four to six times per day or as recommended by their health care team. • Demonstrate adequate carbohydrate counting skills. • Maintain good diabetes self-care skills. • See their health care professional regularly. • Have adequate vision and hearing to recognize the pump alerts. You should carefully read this Owner’s Booklet and any inserts that come with your OneTouch® Ping™ System. These include inserts for:
• OneTouch® Ultra® Test Strips • Food Database Reference Guide • OneTouch® Ultra® Control Solution While reading this Owner’s Booklet, please note the following:
• Display screens throughout the Owner’s Booklet are examples only. They should not be considered suggestions for individual programming and may not be representative of current health states.
• “Blood Glucose” is often abbreviated as BG in both instructional copy as well as in example display screens.
• Your OneTouch® Ping™ Insulin Pump will often be referred to as simply “your pump”. Similarly, your
OneTouch® Ping™ Meter Remote will often be referred to as “your meter remote”. “The devices” will often be used when referring to both the OneTouch® Ping™ Insulin Pump and OneTouch® Ping™ Meter Remote.
Take special note of Warnings and Cautions throughout this Owner’s Booklet, which are identified with .
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BEFORE YOU BEGIN
Intended use Your OneTouch® Ping™ Glucose Management System is indicated for the treatment of insulin-requiring diabetes and for the quantitative measurement of glucose in fresh capillary whole blood. Your OneTouch® Ping™ Insulin Pump is indicated for continuous subcutaneous infusion of insulin for the treatment of insulin-requiring diabetes. Your OneTouch® Ping™ Meter Remote Glucose Monitoring System is intended to be used for the quantitative measurement of glucose in fresh capillary whole blood. When used together with the OneTouch® Ping™ Insulin Pump, it also functions as a wireless (RF) remote control to deliver insulin from the pump. Your OneTouch® Ping™ Meter Remote Glucose Monitoring System is intended for use for self-testing outside the body (in vitro diagnostic use) by people with diabetes at home and by health care professionals in a clinical setting as an aid to monitor the effectiveness of diabetes control. Your OneTouch® Ping™ Meter Remote Glucose Monitoring System is specifically indicated for use on the finger, forearm or palm. It should not be used for the diagnosis of diabetes or testing of newborns.
About radio frequency (RF) communication Your meter remote and pump have built-in RF capability. RF is a type of wireless communication. Cell phones use RF technology, as do many other devices. RF is how your meter remote and pump communicate and share data. The RF feature on your meter remote and pump will be deactivated when you first receive them. In order to begin using your meter remote and pump together as a system, RF must be activated on both devices and they must be paired (synchronized). Activating RF opens a line of communication on both devices and pairing ensures communication will take place only between one meter remote and one pump. RF communication between your meter remote and pump will work up to a distance of about 10 feet (3.0 meters) and will transmit through clothing. Direct line of sight is not required for RF communication. As long as you have a good RF signal and are within range, you can use your meter remote to access pump functions. When conditions or distance cause RF communication to be lost or interrupted, you will not be able to use your meter remote to access pump functions. This also means that data transfer between the two devices will stop temporarily. As soon as the problem is resolved, RF communication will resume. Any status records stored in your pump during the RF interruption will then be sent to your meter remote. Your meter remote and pump are subject to and comply with U.S. Federal regulations, Part 15 of the Federal Communications Commission (FCC) Rules regarding devices with RF capability. From these regulations, the two conditions of operation specific to your device are given in the following FCC required statement: This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: 1) this device may not cause harmful interference, and 2) this device must accept any interference received, including interference that may cause undesired operation.
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BEFORE YOU BEGIN
Compliance with these guidelines means that under normal day-to-day circumstances your OneTouch® Ping™ System should not affect the operation of other devices. Additionally, your OneTouch® Ping™ System should operate normally in the presence of other devices in a normal household environment. In the event there is interference from another device, it is recommended that you increase distance between your system and that device, or turn off the interfering device. Alternatively, you may turn off RF communication between the meter remote and pump and perform insulin delivery functions directly from your pump (see Chapter 2 in Section III, pages 179–188). Changes or modifications not expressly approved by the manufacturer (Animas® Corporation) could void the user’s authority to operate the equipment. There are environments where it is recommended that you not use the RF communication feature linking your meter remote and pump. When you are in radiology and MRI departments and around radiology equipment, it is recommended you first deactivate the RF communication feature on both your meter remote and your pump. Then you must remove both devices and leave them outside the MRI room. Any metal needle infusion sets should also be removed and left outside the MRI room. Likewise, during air travel your airline may have specific restrictions about using your System with RF communication activated. It is recommended that you deactivate the RF feature on your pump and meter remote during flights, or check with your airline’s RF restrictions when making your travel plans. To learn more about deactivating the RF feature on your pump and meter remote, see Chapter 2 in Section III, pages 179–188. Your pump has additional environmental restrictions. See Chapter 1 in Section I, pages 3–8 for recommendations regarding the use of pumps in the presence of radiology equipment.
Using your meter remote and pump together as a system Once you have established communication between your meter remote and pump, you can access certain pump functions directly from your meter remote. These include delivering a bolus, monitoring pump status, and confirming many pump alarms and warnings. Your pump has its own set of display screens and buttons to provide stand-alone insulin delivery without the use of your meter remote. Some of the buttons work the same way as the buttons on your button on your meter remote, meter remote. One example is the button on your pump. Like the the button on your pump is used to confirm entries. Be sure you know how the buttons work on both your pump and meter remote before you begin using the devices together as a system. When you use your meter remote to access pump functions, your meter remote display screens will closely resemble your pump display screens.
III
BEFORE YOU BEGIN
OneTouch® Ping™ System Carton Contents Your OneTouch® Ping™ System carton includes your insulin pump, your meter remote, and other accessories you will need to begin using both devices. Your meter remote and BG testing supplies are included within a separate kit within the carton. Check the contents of your carton to make sure all items are included. If any items are missing call Customer Service at 1 877 937-7867. Your OneTouch® Ping™ System carton includes:
• The OneTouch® Ping™ Insulin Pump and pump accessories:
a
c b
a. OneTouch® Ping™ Insulin Pump b. One Energizer® Lithium L91 AA battery (1.5V) for your pump c. Low Profile Clip d. Owner’s Booklet
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BEFORE YOU BEGIN
• The OneTouch® Ping™ Meter Remote kit which includes: c
d e
f h
g
b a
i
a. OneTouch® Ping™ Meter Remote b. OneTouch® Ultra® Control Solution c. OneTouch® Lancing Device If another type of lancing device is included, see the separate instructions for that lancing device. d. OneTouch® AST™ Clear Cap e. OneTouch® UltraSoft® Sterile Lancets f. Carrying Case g. Two 1.5V AAA Alkaline Batteries* (batteries included but not installed) h. OneTouch® Ultra® Test Strips i. USB Cable A warranty card for your meter remote is also included. * See Chapter 9 in Section II, pages 165–168, for important information on the correct way to install the batteries in your meter remote.
WARNING: Keep the pump, meter remote, and accessories away from young children. Small
items such as the battery door, batteries, battery cap, clip, test strips, lancets, protective disks on the lancets, and control solution vial cap are choking hazards.
V
BEFORE YOU BEGIN
Supply Reordering You can place orders for cartridges, infusion sets, skin prep, test strips, batteries and many meter remote and pump accessories by calling our Reorder Department or by visiting our eStore at https://estore.animascorp.com/. In the United States, Canada and Puerto Rico, you may also call 1 877 937-7867.
Emergency Kit Keep an emergency kit with you at all times to make sure you always have necessary supplies. This kit should include but is not limited to:
• Quick-acting glucose tablets or gel • BG monitoring supplies including meter, test strips, lancing device, lancets, meter remote batteries (2 AAA alkaline)
• Blood or urine ketone testing supplies • Rapid-acting and other insulin as recommended by your health care team • Extra infusion sets and Animas® 2.0mL Cartridges (200 unit/2ml) • Dressing and adhesive, if used • An extra Energizer® Lithium L91 AA battery for your pump • An extra pump battery cap • An extra pump cartridge cap (In the U.S., Canada and Puerto Rico, call 1 877 937-7867 to order an extra cartridge cap. All other customers contact your local Animas® distributor.)
• Glucagon Emergency Kit® • Emergency contact phone numbers Be sure to inform a family member, co-worker and/or friend where this emergency kit is kept.
VI
BEFORE YOU BEGIN
VII
Section I
OneTouch® Ping™ Insulin Pump
Welcome and Congratulations
Your pump is used for insulin therapy to help maintain your blood glucose (BG) targets as recommended by your health care team. You program it to deliver two ways: a continuous, 24-hour “basal” rate and “bolus” insulin deliveries to accommodate for immediate doses to cover foods eaten and high BG. It is important to remember that successful pump therapy is a partnership of advanced technology and responsible self-care. Please take a moment to look at the back of your pump and write down the serial number. My pump serial number is: ______________________________________
ONETOUCH® PING™ INSULIN PUMP
24/7 TECHNICAL SUPPORT
West Chester, PA
Rx ONLY (U.S.)
IPX8 MRI
US patent pending Made in USA
1-877-937-7867 Serial Number (S/N)
FCC ID: VWT115 Label P/N: 400-274-00 Rev.A
Technical and Clinical Help If there is anything you do not understand in the Owner’s Booklet or if you have a question or need assistance with your pump, our Customer Service Department is available to you every minute of every day. In the United States, Canada and Puerto Rico, call 1 877 937-7867 for assistance every minute of every day. For non-urgent technical questions, please email [email protected]. We understand that you may have questions and concerns when using a new product. Please do not hesitate to call for assistance!
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OneTouch® Ping™ Insulin Pump
Your choice of pump therapy is a sign that you are committed to taking excellent care of yourself. Your pump has been specially designed to help you manage your diabetes, using advanced technology and sophisticated safety systems.
I
You have begun a new way of life with your OneTouch® Ping™ Insulin Pump.
Important Note
OneTouch® Ping™ Insulin Pump
I
Do Not Remove the New Factory-Installed Plastic Display Lens Protection Film. Your pump now comes with a new factory-installed transparent plastic lens protection film covering the display lens. This protective film is highly durable and is designed to protect your pump display lens from incidental damage. Please do not attempt to remove this film. This protective film must remain in place at all times to fully protect your pump display lens from scratches and other cosmetic damage. This film will not protect your pump display lens from extreme abuse. Should the pre-installed lens protection film become damaged or separate from the display, the film should be replaced. Replacement films are available through the following sources: In the United States and Puerto Rico, call Animas® at 1 877 YES-PUMP (1 877 937-7867) and press 2 for Reorders. In Canada, call Animas® Canada Customer Care at 1 866 406-4844 and select the desired language. In the United Kingdom, call (free phone) 0800 055 6606. In Ireland, call 1 800 812715. All other countries, call your local Animas® distributor. Please note that the Animas® insulin pump limited warranty does not cover damage resulting from normal wear and tear, accidents, negligence or misuse, and abuse, including scratched display lenses. We urge you to protect your pump screen from damage and use a lens protection film at all times.
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This section of the Owner’s Booklet contains information about how to use, program and maintain your new pump. It is important to read it carefully. Even if you are an experienced pumper, keep your Owner’s Booklet handy for reference. Warnings, cautions and safety tips are found throughout this Owner’s Booklet, indicated by a symbol.
• Do Not attempt to connect to your pump before you have been trained on your pump or unless your certified OneTouch® Ping™ Insulin Pump trainer is present.
• Incorrect use of your pump, failure to follow the instructions in this Owner’s Booklet or
improper/inadequate self-care and troubleshooting techniques can lead to death or serious injury. If you do not understand something or have questions, ask your health care team or call our Customer Service representatives at 1 877 937-7867.
• Your pump is designed to deliver insulin reliably but because your pump uses only rapid-
acting insulin, you will not have long-acting insulin in your body. To avoid the risk of diabetic ketoacidosis (DKA) or very high BG, you must be prepared to give yourself an injection of insulin if delivery is interrupted for any reason.
• Your pump is designed and calibrated to deliver U100 insulin. Use of any insulin with lesser or greater concentration can result in serious injury or death.
• Never prime tubing or tighten the cartridge cap while the infusion set is connected to your body. Doing so while the infusion set is connected to your body can result in unintended delivery of insulin, which can result in serious injury or death.
Warnings and Precautions Radiology Equipment Your pump has been designed to operate in the presence of common sources of electrostatic and electromagnetic interference, including airport and store security systems. However, like all portable electronic devices, your pump should not be exposed to very strong electromagnetic fields, such as in MRI’s, RF welders or magnets used to lift automobiles. Very strong magnetic fields, such as in an MRI, can re-magnetize the portion of the motor that regulates insulin delivery. If you plan to undergo an MRI, remove your pump beforehand and keep it outside the room during the procedure.
3
OneTouch® Ping™ Insulin Pump
WARNING:
1 I
CHAPTER 1 - 1IMPORTANT INFORMATION CHAPTER - IMPORTANT INFORMATION
CHAPTER 1 - IMPORTANT INFORMATION
Medical Procedures and Equipment
Patient is Pumper
Health Care Professional/Technician is Pumper
Pacemaker/ Automatic Implantable CardioverterDefibrillator (AICD)
Disconnect pump and leave outside room during insertion of device and reprogramming. Infusion set can remain in place.
Follow normal safety practices and proceed to the designated safe area while each X-ray is taken and during reprogramming.
No need to disconnect.
No need to disconnect.
Cardiac Catheterization
Disconnect pump and leave outside room during procedure.
Follow normal safety practices and proceed to the designated safe area while each X-ray is taken.
Nuclear Stress Test
Disconnect pump and leave outside room during scan. Can remain connected during injection of radioisotope.
Follow normal safety practices and proceed to the designated safe area while each X-ray is taken.
Colonoscopy
No need to disconnect.
No need to disconnect.
Laser Surgery
Pump and infusion set can be Pump and infusion set can be worn; worn; however some lasers can however some lasers can create create interference and cause interference and cause pump to alarm. pump to alarm.
OneTouch® Ping™ Insulin Pump
I
Procedure
EKG
General Anesthesia
Determination based on what medical equipment is being used in the procedure.
Determination based on what medical equipment is being used in the procedure.
For procedures not included above or on the chart on the following page, call (in advance of your procedure) 1 877 937-7867 in the U.S., Canada and Puerto Rico.
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CHAPTER 1 - IMPORTANT INFORMATION
Patient is Pumper
Health Care Professional/Technician is Pumper
Dental X-Rays
• No need to disconnect. • Pump should remain covered by lead apron placed on the patient by the dentist or technician.
• No need to disconnect. • Follow normal X-ray safety practices and proceed to the designated safe area when each X-ray is taken.
Ultrasound
• No need to disconnect. • Transducer should not be pointed directly at pump or site. If site is directly in range of transducer, site should be removed.
• No need to disconnect. • Transducer should not be pointed directly at pump or site.
Mammogram and Bone Density Test
• Do Not expose pump to test. • Disconnect pump prior to test and leave pump in locked dressing room. • Infusion set can remain in place during test.
• No need to disconnect.
Body X-Rays, Fluoroscopy (chest, neck, abdomen, torso, etc.)
• Do Not expose pump to X-ray beam. • Disconnect pump prior to exam and leave pump in locked dressing room. • Infusion set can remain in place during X-ray.
• No need to disconnect. • Follow normal X-ray safety practices and proceed to the designated safe area when each X-ray is taken.
Therapeutic Radiation/ Oncology (cancer treatment radiation)
• Do Not expose pump to radiation treatment. • Disconnect pump prior to radiation treatment and leave pump in locked dressing room. • If the infusion set doesn’t interfere with the area being treated, the set can remain in place during radiation.
• No need to disconnect. • Follow normal radio-protection practices and proceed to the designated safe area while the patient is undergoing treatment.
CT Scans and MRI’s (Magnetic Resonance imaging)
o Not bring pump into the exam room at any •D time. isconnect pump and metal needle infusion •D set prior to exam and leave in a locked dressing room. • Soft cannula infusion sets can remain in place. • If pump is accidentally allowed in the exam room disconnect pump immediately and contact Customer Service for instructions.
• MRI: Do Not bring pump into the same room as the MRI machine at any time. • If pump is accidentally allowed in the MRI room disconnect pump immediately and contact Customer Service for instructions. • CT Scan: No need to disconnect. • Follow normal CT Scan safety practices and proceed to the designated safe area when each Scan is performed.
Electro-cautery surgery
• Disconnect from pump during surgery. • Disconnect prior to surgery and leave pump in locked dressing room. • If the infusion set doesn’t interfere with the area being treated, the set can remain in place during surgery.
• No need to disconnect.
• Follow normal safety practices and proceed to the designated safe area while each test is being performed.
When in doubt, disconnect and leave pump in locked dressing room. Follow usual instructions for bolusing to cover any missed basal insulin when you reconnect. 5
OneTouch® Ping™ Insulin Pump
Procedure
I
Medical Procedures and Equipment
CHAPTER 1 - IMPORTANT INFORMATION
OneTouch® Ping™ Insulin Pump
I
Amusement Parks Very powerful electromagnets are sometimes used on “free-fall” amusement park rides. Pumps should be removed and not taken on these “free-fall” types of rides. High gravity forces can be experienced when riding on some roller-coasters. It is recommended that you disconnect (NOT suspend) your pump while on roller-coaster rides.
Aircraft without Cabin Pressurization If flying in aircraft without cabin pressurization or flying in aircraft used for aerobatics or combat simulation (pressurized or not), it is recommended that you disconnect (NOT suspend) pump.
Precautions • Your pump is a sealed device that should be opened ONLY by the manufacturer. If your pump seal is broken by anyone other than an authorized Animas® factory technician, the warranty is voided and your pump is no longer waterproof. If the back label on your pump is removed or damaged, the warranty is voided and your pump is no longer waterproof.
• When using your pump, if the pump is placed at a vertically higher position than the infusion site, a very small amount of additional insulin infusion may occur. To minimize this condition and maintain pump delivery accuracy, the vertical distance between your pump and the infusion site should be no more than 12 inches (30 centimeters). If your pump is placed at a vertically lower position than the infusion site, this condition is eliminated.
• Occasionally check the infusion site for proper placement and leaks. Improperly placed infusion sites or leaks around the infusion site can result in under infusion.
• Occasionally check the infusion set tubing for any damage, leaks or kinks while using your pump. Damaged, leaking or kinked tubing may restrict or stop insulin delivery and result in under infusion.
• Only use Animas® 2.0mL Cartridges (200 unit/2ml) infusion sets with a standard Luer connector. Efficacy of pump cannot be guaranteed if cartridges other than those manufactured by Animas® Corporation are used or if cartridges are used more than once.
• Always dispose of used cartridges and infusion sets following the regulations in your community. Failure to follow these guidelines may pose health hazards.
• Prior to replacing the battery cap, make sure the o-ring fits securely and is not damaged. A damaged o-ring may impact the battery contact and/or the waterproof feature of your pump. See Chapter 4 in Section I, pages 15–26.
• Prior to inserting a cartridge into your pump, check the o-rings on the cartridge to be sure they are not damaged. Damaged cartridge o-rings can result in under or over delivery of insulin.
• Occasionally check the vents to be sure they are clear of debris. See Chapter 12 in Section I, pages 73–74.
• Occasionally check that your pump personal settings are correct. • Occasionally check to make sure your pump emits audible tones that are easily detectable and that the vibrate feature is working correctly. For example, audible tones should be heard and the vibration pulse felt every time you replace the battery. 6
CHAPTER 1 - IMPORTANT INFORMATION
• If using the upload or download feature, keep the communication window free of obstructions and
I
refer to the Instructions for Use included with the IR (infra-red) Accessory Kit. Contact your local Animas® distributor for information on ezManager® Software and IR Accessory Kit.
Additionally, certain warnings (e.g., Low Cartridge Warning, Occlusion Alarm) take precedence over less critical ones (e.g., Low Battery Warning). This means if you do not confirm the more critical warning, battery life will be reduced and your pump may skip the Low Battery Warning and go directly to the Replace Battery Alarm, or battery life will end before a Replace Battery Alarm is displayed.
Safety Information • Your pump is designed only for Continuous Subcutaneous Insulin Infusion (CSII). It is not intended for use with any other delivery substance.
• This section of the Owner’s Booklet gives instruction on how to program and operate your pump. Animas® Corporation does not make any recommendations on specific programming related to your diabetes care program. Consult your health care team for instructions specific to your treatment plan. your health care team before using your pump to determine which programming features ˚ Careonsult appropriate for you. Some features require a greater knowledge of insulin pumping and advanced self-care skills. Additionally, some advanced programming features require that testing and fine-tuning of basic settings be completed in order to achieve the best possible results. Your health care team will give you specific training on programming and using your pump. of Extended Bolus, Combo Bolus, ezCarb (carb calculator), Insulin on Board (IOB) and ezBG ˚ U(BGse correction calculator) all require input from your health care team. Do Not attempt to use these features until you have specific information for your treatment plan and have had specific training on each programming feature. nly your health care team can determine your Insulin to Carbohydrate (I:C) ratios, Insulin ˚ OSensitivity Factors (ISFs), BG Target ranges and duration of Insulin on Board (IOB). asal rates that are too high or too low can adversely affect BG levels. Work with your health care ˚ Bteam to fine-tune basal rates. he way your body uses insulin can be affected by many things. Contact your health care team ˚ Tabout lifestyle changes such as starting/stopping your exercise program or significant weight loss/gain. Your basal rates may need to be modified.
• Do Not stop using your pump if you are ill. Even when you’re sick, your body still needs insulin. See Chapter 15 in Section I, pages 91–92.
• When you begin using the Audio Bolus feature, always look at the screen as you program so that you are completely comfortable with the feature before delivering a bolus via audio prompts only.
• Animas® Corporation recommends that you have someone around you (family, friends, etc.) who understands diabetes and pump therapy, so in the event of an emergency, they can help you. Be sure they are familiar with any information given to you by your health care team. 7
OneTouch® Ping™ Insulin Pump
NOTE: Your pump uses battery power to notify you of alerts, warnings, and alarms. If you do not confirm the notification, your pump will continue to use battery power as the notifications repeat and progress. This will result in reduced battery life and the Replace Battery Alarm screen appearing sooner than expected.
CHAPTER 1 - IMPORTANT INFORMATION
OneTouch® Ping™ Insulin Pump
I
• Before Bedtime to arrange infusion set changes at meals or one to two hours before bedtime. If a change ˚ Tisryneeded at bedtime, then check BG in one to two hours. Always check BG one to two hours after infusion set change. lways check that your cartridge has enough insulin to last through the night before going to bed. ˚ AUnless otherwise recommended by your health care team, Do Not use the vibrate feature during sleep. It is recommended that you set the volume to high for all warnings and alarms before going to sleep.
• Always remove all air bubbles from cartridge and tubing before beginning insulin delivery. Air bubbles can compromise accuracy of delivery. Refer to the Instructions for Use included with your cartridge packaging.
• Interference with your pump electronics by cell phones can occur if worn in close proximity. It is recommended that you wear your pump and cell phone at least 6 inches (15.2 centimeters) apart. When RF is turned on and you are using your pump and meter remote together as a system, RF interference is possible. See Chapter 7 in Section III, pages 221–222.
• If you return your pump for service and a replacement pump is sent, Do Not use the replacement pump until all the settings specific to your treatment plan have been programmed.
• If you drop your pump or it has been hit against something hard, inspect it to be sure it is still working properly. Check that the display screen is working and clear, that the cartridge cap, battery cap and infusion set are properly in place. Check for leaks around the cartridge by wrapping a piece of tissue around the connection area. Cracks, chips or damage to your pump may impact the battery contact and/or the waterproof feature of your pump. Call our Customer Service representatives at 1 877 937-7867 if you identify or suspect your pump has been damaged. They will help determine if your pump should be replaced.
• Your pump is designed to operate in conditions where temperatures are between 40°F (5°C) and 104°F (40°C). If your pump is exposed to temperatures outside these parameters, extra care should be taken to protect it from extreme temperatures.
• Your pump and pump cartridges are latex free. • To avoid risk of explosion, Do Not use your pump in the presence of explosive gases. • Your pump is designed to achieve optimum performance and battery life with an Energizer® Lithium L91 AA battery (1.5V). Rechargeable batteries and Carbon-Zinc batteries do not have the necessary characteristics to power your pump and should not be used. Some AA lithium batteries are available with other voltages such as 3.6V or 4.0V. Do Not use these batteries. Use of anything other than a 1.5V battery could permanently damage your pump and voids its warranty.
• Do Not use household cleaners, chemicals, solvents, bleach, scouring pads or sharp instruments to clean your pump. Never put your pump in the dishwasher or use very hot water to clean it.
• Never use a hair dryer, microwave oven or baking oven to dry your pump. Use a soft towel. WARNING: Your pump and pump accessories include small component pieces that could pose a choking hazard for small children.
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