® Patch Insulin Pump System MTM-I Patch Insulin Pump System Instruction Manual
Table of Contents 1 Foreward 2 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 Brief Introduction Indications Patients Contraindications Before Use How to Use This Guide Getting Help Prepare for Emergencies Insulin Pump Precautions Portable Diabetes Assistant (PDA) Precautions 2.10 Blood Glucose Test Module Precautions 2.11 Important Safety Information 3 Component Descriptions 3.1 Pump System Components 3.2 Accessories 4 Getting Started 4.1 PDA Setup 1 1 1 1 2 2 3 3 4 4 4.2 Charging the Batteries 4.
7 Therapy Setup 7.1 Infusion Set Setup 7.2 Removing the Infusion Set 7.3 Filling the Reservoir 7.4 Assembling Reservoir to Pump 7.5 Disassembling the Reservoir 8 Replacing the Patch Pump 9 Replacing the Reservoir 9.1 Setup 49 49 51 51 54 55 56 64 64 10 The Built-in Blood Glucose Meter 70 10.1 Operating Principle 70 10.2 Application 70 10.3 Blood Sampling 70 10.4 Lancet Removal 73 10.5 Ejecting Test Strips 10.6 Testing Blood Glucose 10.7 Comparing Meter and Lab Results 10.8 Quality Control Tests 10.
14.1 Audio Player 14.2 Auto-Off 14.3 Food Database 100 100 100 15 Suspend/Resume 15.1 How to Suspend/Resume 101 101 16 Alarms and Troubleshooting 16.1 Patch Pump Alarms 16.2 PDA Alarms 16.3 Alarm System Delay 103 105 106 107 17 Maintenance 17.1 Cleaning 17.2 Avoid Extreme Temperatures 17.3 Avoid Immersion in Water 17.4 Test Strips 17.5 Control Solution 17.6 X-Ray, MRI, and CT Scans 17.7 Wireless Connection 17.8 Precautions 108 108 108 109 109 110 112 112 112 17.9 Disposal 17.10 Transportation 17.
1 Foreward 2 Introduction ® Thank you for choosing the Equil patch insulin pump system. We believe ® that Equil will help you gain better control of your diabetes and will help you live a healthy and active life. This user guide is designed to help you understand insulin pump therapy and ® the operation of your Equil patch pump. We strongly recommend that you work closely with your healthcare professional to ensure you understand the pump functions and can begin therapy safely and effectively. 2.
concentration does not exceed 500 mg/dL. 3 Non-critically ill patients (such as those with severe dehydration or ketoacidosis, etc.). 2.3 Contraindications Patients who: • Are unwilling to receive insulin treatment. • Are unable to control their blood glucose, or unwilling to implant a cannula. 2.4 Before Use Before starting to use your Equil system, your healthcare professional should provide some important information regarding the management of your diabetes.
remains active and available in your body after a correction bolus. Quick acting U100 Insulin should be used in the pump. 3 Target Blood Glucose Level Insulin pump therapy requires a target blood glucose level. The purpose of an insulin pump is to keep the patient’s blood glucose within a target blood glucose level range. Please read this user guide carefully in the correct chapter order. In many cases subsequent chapters refer to information detailed in previous chapters.
2.7 Prepare for Emergencies 2.8 Insulin Pump Precautions Patients with diabetes should always carry an emergency kit to quickly respond to any diabetes emergencies. Your emergency kit should include the following items: The pump is used to administer insulin for people with diabetes. If it is used improperly, it could cause life-threatening situations. • • • Blood glucose test strips Ketone test supplies 1-2 sets of pump disposables (reservoirs, infusion sets, etc.
effects of hyper and hypoglycemia and how to prevent these conditions. • If the pump fails to deliver your needed insulin, immediately stop using the system and consider using your emergency kit to supplement insulin. Contact your healthcare provider and/or MicroTech support. • Please be sure to operate in strict accordance with this instruction manual, because failure to follow the instructions can cause problems.
inaccurate results. • The blood glucose meter test range is 1.1-33.3mmol/L (20-600 mg/dL). • Triglycerides above 3,000 mg/dL and cholesterol above 500 mg/dL will lead to inaccurate test results. • Patients with serious illness (such as severe dehydration or ketoacidosis) are not suitable for measuring blood sugar using the blood sugar test system. • The blood glucose meter is only suitable for clinical screening tests or family self-monitoring.
professional if you experience excessively high or low blood glucose levels, or if you have any questions about your care. However, there is no guarantee that interference will not occur in a particular installation.If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: 2.11.
3 Component Descriptions Patch Pump 3.1 Pump System Components Battery Contacts Portable Diabetes Assistant (PDA) Bolus Button Motor System 3.
2 Pump Battery 4 PDA Charger 3 Pump Battery Charger ！ Warning The included charger can be used in wall outlets rated at AC 110V-250V 5060Hz. Connection to outlets that are outside this range can cause damage. 5 PDA Charging Cable ！ Warning Use only accessories and disposables that are manufactured by MicroTech Medical, or with the Equil brand name. Use of non-standard components can be unsafe.
Note Only use MicroTech's electrical components and accessories. Other accessories may lead safety problems, including inaccurate insulin delivery.
2 Insert a microSD memory card: 4 Getting Started Insert memory into the slot as shown in Figure 5. 4.1 PDA Setup 1 Remove the battery cover: Holding the PDA firmly with one hand, pry up the battery cover by inserting your fingernail until the slot shown in Figure 4. Figure 5 Note Finger Hold Figure 4 11 ® Equil Patch Insulin Pump System The microSD memory card must be inserted with the battery removed. A microSD card is not provided with your pump package, but you may provide your own.
3 Insert the Battery: Install the 4 Replace the Battery Cover: battery in the orientation shown in Replace the battery cover to the position shown in Figure 7. The battery cover should be attached securely around the perimeter of the PDA, and you may hear a snap sound as the hooks engage. Figure 6. Figure 6 Figure 7 Note Use only batteries and chargers from MicroTech Medical. Use of third party accessories may cause unexpected behaviour and will void your warranty.
1 1 10 11 （Power Button） Power On：Press and hold this key and the PDA will vibrate, begin the startup process, 5 9 and enter the home screen after about 30 6 7 seconds. 8 Screen Off: If the PDA display is on, pressing the Power Button will turn off the LCD display and the PDA will enter standby mode. Note 2 3 The PDA display will also turn off and enter standby mode after a preset time. See Section 13.6 for more information.
help button for more information. Note The help button works in the Home, Basal, Bolus and History screens. without using the touchscreen. Choose down to change selection. 7 （Enter (Select) Button） This can be used to navigate the interface 3 （Home Screen Button） Press this to return to the home screen. 4 without the touchscreen. Choose the Enter button to select an action. Note （Back Button） Press this to return to the previous screen, or close a dialog box.
11 3.5mm Headphone Jack 2 12 Test Strip Ejector PDA, and the large end of the cable into the Used to eject a blood glucose test strip. Insert the small end of the cable into the PDA charger as shown in Figure 9. See section 10.5 . 13 Speaker 4.2 Charging the Batteries The patch pump and PDA batteries should be fully charged before use. Note Use only batteries and chargers from MicroTech Medical. Use of third party accessories may cause unexpected behavior and will void your warranty. 4.2.
Note If the PDA battery charger does not work, do not try to repair. Please contact your dealer for repair or replacement. 4.2.2 Patch Pump Battery Charger 1 The patch pump battery is inserted into the charger as shown in Figure 10. You should hear a click sound indicating that the battery is correctly inserted. Figure 11 3 Plug the PDA charger into a wall outlet, and the blue LED will turn on, indicating that the battery is charging.
5 Remove the pump battery as shown in Figure 12: lift the battery up from the charger groove. Note If the battery is fully charged, do not leave it inside the charger while disconnected from a wall outlet. Doing so may slowly deplete the battery. ！ Warning Do not touch any metal part of the charger when plugged into a wall outlet as it is a potential shock hazard. 4.3 Settings Wizard Turn on the PDA by pressing the power button.
Figure 14 b) Choose the Time setting to open a dialog box (Fig. 15) that can be used to input the time. Use the “+” and “-“ buttons to select the time, choose OK to save and exit or Cancel to exit without saving. Figure 13 a) Choose the Date setting to open a dialog box (Figure 14) that can be used to input the correct date. Use the “+” and “-” buttons to select the date, choose OK to save and exit or Cancel to exit without Figure 15 saving.
Note If the 12 hour format is chosen, am and pm will be shown. Figure 16 c) If 24-Hour Format is checked, the time and history data will be displayed in 24 hour format. Uncheck the box to use 12hour format. 2 Basic Basal Settings The second screen in the Settings Wizard shows the basic basal settings (Figure 17). 19 ® Equil Patch Insulin Pump System Note Figure 17 For a more detailed description of basal rates, see Section 5.
the appropriate maximum rate. Choose “OK” to save and exit or “Cancel” to exit without saving. Figure 19 Note Figure 18 Note This feature is used to limit the maximum amount of basal delivery that can be administered by accident or misoperation. This value is the most frequently used basal rate, and all other rates will be calculated based on this base rate. c) Choose the Temporary Basal Rate setting to open a dialog box (Figure 20) that will give you options.
%: Temporary basal rates will be displayed relative to your current basal rate. Figure 20 After you have finished choosing the Basic Basal settings, choose Next to enter the third Settings Wizard screen, or Previous to enter the previous setting screen. 3 Note Figure 21 For a more detailed description of boluses, see Section 6.
Note This feature is used to limit the maximum amount of bolus delivery that can be administered by accident or misoperation. c) Choose the Extended Bolus setting to open a dialog box (Figure 24) that will give you options. Off: Extended Bolus function is disabled. Figure 22 b) The Maximum Bolus setting allows you to set an upper limit on the amount of insulin given in a single bolus (Figure 23). Use the “+” and “-“ buttons to select the value.
After you have finished choosing the a) The Quick Bolus function allows the Basic Bolus settings, choose Next to enter user to administer a bolus using only the fourth Settings Wizard screen, or Back one button. This feature is turned off by to enter the previous setting screen. default. For more detailed information 4 about this feature, see Section 6.7 Advanced Bolus Settings The fourth screen in the Settings Wizard shows the Advanced Bolus Settings (Figure 25).
choose the Low Reservoir Alert Threshold After you have completed the Settings setting, a dialog box will open that allows Wizard, choose Finish to finalize your you to choose when the device will give settings and return to the Home Screen. To you an alert warning when the amount of continue modifying settings on previous insulin remaining in the reservoir is low screens, choose Previous. and that you should consider filling a new reservoir.
Status Bar Information Display Area related to the pump (blue), and the icons on the right are generally related to the PDA (green). Each Icon in the Status Bar is described below: • Username：Displays the name of the user. • Insulin Pump Serial Number: Displays the serial number of the pump that is currently connected • ！ Alert icon: If an alert appears, this icon will appear on the status bar.
• Note PDA Battery Level：Shows the PDA's battery level status in varying degree. If thePDA is charging, it displays If more than one BG Reminder has been programmed, only the next BG Reminder is shown in the enlarged Status Bar. If no BG Reminders are programmed, nothing is shown. . Press the button at the middle of the Status Bar and it will enlarge as in Figure 28.
basal rate. automatically after a period of non-use, 3 the display can be turned on again by start a new reservoir, initiate a new pump, enter the lock screen as shown in Figure 29. Time and Date Actions: Pressing this button takes you to the Actions Screen where you can manually enter your blood glucose level, pressing the power button. The PDA will access the food library, or access the music Information Display Area player. 4 History：Takes you to therapy history and historical averages.
The Lock Screen is divided into three main sections: Time and Date, Information Display Area, and the Unlock Area. Time and Date Display Area Displays the current time, day, date and year. Information Display Area Shows your last blood glucose level, the last bolus administered, and the current basal rate; or that status of a special function. Note The content of the Information Display Area in the Home Screen is identical. Unlock Area Unlock the device by swiping from left to right in this area.
5 Basal Rate Adjustment 5.1 Understanding Basal Rate Basal insulin is the pump’s way to simulate the secretion of non-mealtime insulin. Even if a non-diabetic person 5.3 Editing Basal Programs (List Display) In the Home Screen, press the basal function button to enter the basal screen shown in Figure 30. You will see three Basal Program Tabs, a Basal Time Period List, and Basal Program Action buttons.
Note When the PDA is in portrait orientation, the List Display is shown. If the PDA is rotated into landscape orientation, you will enter the Graph Display. However, if you are editing a particular time period, rotating the display will not change the Display until you have completed the entry。 When you first use the Basal Screen, no basal program is active. If you choose to activate one of the three basal programs, the previous basal rate will automatically stop.
screen as shown in Figure 32. Figure 31 4 Editing Basal Programs a) Add new basal rate：The base basal rate was set in the Settings Wizard, so by default all 24 hours of the basal program are set to this delivery rate.
Press the button to add a new basal time period (Figure 33). After editing is complete (Figure 34), the base rate time will automatically be divided into multiple time periods. Figure 33 Figure 34 b) Editing a basal time period: You can edit a basal time period entry by pressing the icon. c)Deleting a basal time period: You can delete a basal time period entry by pressing the icon. The time period will revert to the base basal rate.
Note Note After deleting a basal time period, the PDA may merge adjacent basal time periods if the basal rates are the same. 5 Changing the Basal Program Name Press the Change Basal Program Name button to open the Change Name dialog box (Fig 35). Change to the desired name . If you press the Back button( )， while in the Basal Edit screen, a dialog box will open to confirm that you would like to exit. Choose OK to discard your changes. Choose Cancel to continue editing. 5.
Figure 36 1 Reviewing Basal Programs The vertical axis of the chart represents the basal rate while the horizontal axis Figure 37 b) By pressing the buttons, or the touchscreen, you can choose a different represents the time, which shows 24 hours basal time period.Press to pop up the Basal Rate Setting window as shown in of the day. Figure 34. 2 Add a Basal Time Period a) In the graph display, press and hold on any area of the graph to enter the edit mode as in Figure 37.
Note If you have edited a basal program that is currently running on the pump, a dialog box will open asking if you would like to send the updated program to the pump. Choose OK to update and save or Cancel to return to the Basal Edit screen. 5.5 Activating a Basal Program From the Home Screen, press the Basal Function Button to enter the Basal Screen shown in Figure 31. Select the correct basal program by choosing the correct tab.
Enter your temporary basal rate and Note Each person’s physical condition is different. Set your temporary basal rate carefully under your doctor's guidance. From the Home Screen, press the basal function button to enter the Basal Screen, make sure that the Current Basal Program tab is open, and press the Temporary Basal Rate button to bring up a temporary basal rate settings dialog box (Figure 38）. the amount of time.
1 Maximum Basal Rate: Used to limit the Note By default, the Temporary Basal Rate function is off. If the button is greyed out, activate the function using the settings menu (Chapter 5.7) maximum basal rate that can be set in the Basal Menu Note This feature is used to limit the maximum amount of bolus delivery that can be administered by accident or misoperation. 5.7 Settings From the Home Screen, choose “Settings – Insulin Delivery Settings” as shown in Figure 40 to change delivery settings.
6 Boluses 6.2 Manual Boluses Manual boluses are used to offset high 6.1 Understanding Boluses Diabetics have elevated blood sugar levels after meals, requiring bolus doses blood glucose levels. From the Home Screen, choose the Bolus button to enter the Bolus Screen (Figure 42) . of insulin to lower blood sugar levels. A bolus refers to the amount of insulin that is quickly infused before a meal. Carbohydrates, proteins, and fats all affect your blood glucose level differently (Fig. 41).
Choose the Bolus button in the upper left corner to open the dialog box (Figure 43). Choose your bolus size and press OK. Figure 43 If the Bolus amount is not 0, the Start button will be green, and you can choose the Start button to begin to administer the Figure 44 bolus. A confirmation window will open to confirm the amount, choose OK to confirm and the PDA will send a command to the pump to start delivery.
1 3 Bolus Presets Add Preset: If a preset is empty, you may press anywhere on the button to open the Preset dialog box (Figure 46). Edit the parameters to create a new Preset. Figure 46 2 Using a Preset：If a Preset is already programmed, press the left area of the Figure 45 You can set up each of the three preset boluses (they are empty by default). button and the value will appear in the bolus amount to the far left.
47). You can administer the bolus now by pressing the Start button as in Section 6.2. Note All three presets can be administered in any order, but only one can be administered at a time. 6.4 Extended Boluses 6.4.1 Extended Bolus with Amount Now An Extended Bolus with Amount Now can be useful when you eat meals with both rapidly and slowly absorbed carbohydrates such as some fast foods.
Bolus button to enter the Bolus Screen and then enter a bolus amount (Section 6.2). Press Extend Bolus to open the Extend Bolus window (Figure 48). Note By default, the Extend Bolus function is off. If the button is greyed out, be sure to activate the function using the settings menu (Section 6.7). Note The Amount Now can be set in absolute units (U) or relative to the total bolus amount (%). See Section 6.7 to change this setting. Press OK to accept this setting and go back to the Bolus Screen.
Choose the Start button to begin to administer the bolus. A confirmation window will open to confirm the amount, choose OK to confirm and the PDA will send a command to the pump to start delivery. While the pump is delivering, the PDA will revert to the Home Screen and display the bolus status (Figure 50). 6.4.
6.5 Quick Bolus The Equil patch insulin pump system has a Quick Bolus feature that allows the user to administer a bolus without using the touchscreen or looking at the PDA Display. This feature can be handy if you forget your PDA, or would like to administer a bolus discretely. Note By default, the Quick Bolus function is off. To enable, be sure to activate the function using the settings menu (Section 6.7) 6.5.
a beep from the PDA to confirm that you Note have pressed the button. Each time you If you would like to cancel, simply press the Back button or wait 10 seconds for the system to revert to the lock screen press the button, the tone will ascend in pitch (up to 5, and then repeating) to help you remember the number of times you have pressed the button. Note The maximum number of increments for a quick bolus is 20.
in the settings menu (Section 6.7). Also, every time you press the Enter (Select) button, you will hear a beep from the pump to confirm that you have pressed the button. Each time you press the button, the tone will ascend in pitch (up to 5, and then repeating) to help you remember the number of times you have pressed the button. Note The maximum number of increments for a Quick Bolus is 20. Note If there is no activity for 10 seconds, the pump exits the Quick Bolus mode.
1 Bolus Rate: The normal bolus delivery rate is 3.0U/min. Use this menu to 6.7 Settings From the Home Screen, the Bolus settings can be found at "Settings - Bolus Settings" as shown in Figure 52. decrease the bolus rate to 1.5U/min. 2 Bolus Increment Setting: This is the amount that the requested bolus changes when pressing the "+" or "-" button. 3 Maximum Bolus Setting: This is the maximum bolus that the user can choose in the bolus menu.
as a % of the total bolus amount. 5 Quick Bolus Settings: Check the checkbox next to Quick Bolus to enable the Quick Bolus function. Additional Quick Bolus settings will be activated. a) Quick Bolus Increment: Sets the amount that the bolus increases with every Quick Bolus button press.
2 7 Therapy Setup 7.1 Infusion Set Setup 1 First wash your hands and the infusion site and let everything dry. Remove the pump base from its packaging and place it on one of the suggested areas shown in Fig. 53 (abdomen, upper arm, thigh, lower back, etc.) Avoid sites that may rub against other objects like belts, waistbands or tight clothing. Also make sure that your infusion site is at least 2-3cm away from your navel. Do not use the abdomen if you are late in pregnancy.
3 Remove the protective sleeve as shown in Figure 55. Figure 55 ！ Warning Exercise caution when the needle is exposed ！ 4 Place the inserter onto the pump base as shown in Figure 56. Use the triangle on the inserter to orient it correctly in relation to the pump base. Push the two snaps into the pump base until it securely held together. Press the two white buttons toward each other and the cannula will be inserted into the base and infusion site.
6 If the needle remains in the inserter, place the protective sleeve back onto the 7.2 Removing the Infusion Set needle hub. Firmly push the top of the Peel up one end of the tape as shown in inserter to eject the needle hub (Figure 58) Figure 59 and continue to peel away from and dispose of properly. the skin until the entire infusion set has been removed. Figure 59 7.3 Filling the Reservoir Figure 58 Note Dispose of the insertion needle properly in a medical sharps container.
4 Tap the side of the reservoir to encourage any air bubbles to rise to the top of the reservoir (Figure 62). Figure 60 3 With the insulin vial on top, slowly pull the pullrod and draw insulin into the reservoir as in Figure 61. Figure 62 5 Push the pullrod slowly to eject the bubbles back into the vial, and then slowly pull to draw more insulin into the reservoir. Repeat until the reservoir has enough insulin and there are no air bubbles (Figure 63).
7 Pull the two release tabs (shown in Figure 65) away from the reservoir to release the fill adapter. Note The fill adapter contains a needle, please dispose of properly. Figure 63 6 Remove the insulin vial from the fill adapter (Figure 64).
图65 Figure 66 7.4 Assembling Reservoir to Pump Figure 77 illustrates the sequence to attach the reservoir and battery to the pump. Always install a fully charged battery with a newly filled reservoir.
immediately to make sure that a fresh battery is always installed with a new reservoir. Dispose of the used reservoir in a medical sharps container. Note Figure 67 Be sure that the battery is inserted in the Pay close attention to the orientation of the pump during disassembly. Incorrect disassembly may cause damage. orientation shown in Figure 67. Figure 68 7.
8 Replacing the Patch Pump ！ 73). Press Continue to go to the next page. Warning Before continuing, please make sure you are familiar with frequently used pump setup operations such as installing/removing an infusion set, filling a new reservoir, and assembling/ disassembling the reservoir (Chapter 7). This section explains how to connect a new patch pump to the PDA or replace an old one.
