B u ea ur s Ve rit a
A7+ TouchCare® B ur ea u Ve rit a s Insulin Management System User Guide © 2019, Medtrum Technologies Inc. All rights reserved.
rit a s Humalog® is a trademark of Eli Lilly and Company. NovoRapid® is a trademark of Novo Nordisk A/S. Apidra® is a trademark of Sanofi S.A. B ur ea u Medtrum Technologies Inc. 7F, Building 8, No. 200, Niudun Road Shanghai 201203, China Tel: +86-21-50274781 Fax: +86-21-50274779 www.medtrum.com Ve 0197 Medtrum B.V. Nijverheidsweg 17 5683 CJ Best The Netherlands Tel: +31 (0) 499745037 This product complies with Directive 93/42/EEC (MDD) and Directive 2014/53/EU (RED). REF SY-018 Version: 1.
Contents Contents ........................................................................................ i 1 Introduction ............................................................................... 1 ur ea u Ve rit a s 1.1 Before you begin .......................................................................... 1 1.2 Indications ................................................................................... 1 1.3 Contraindications ...........................................................
3.2.2 Time and Date ............................................................................. 23 3.2.3 Bolus Calculator........................................................................... 24 3.3 Home Screen ............................................................................... 25 3.3.1 Status Bar Icons ........................................................................... 26 3.3.1.1 Battery Icon.....................................................................................
rit a s 3.9.2 Insulin Injection ........................................................................... 43 3.9.3 Carbohydrates Information......................................................... 43 3.9.4 Physical Exercise Information ..................................................... 44 3.9.5 Health Information...................................................................... 45 3.9.6 Other Events................................................................................ 45 3.10 History .
3.11.4.2 Bolus Reminder ............................................................................. 64 3.11.4.3 BG Reminder ................................................................................. 64 3.11.4.4 Cal Reminder ................................................................................. 64 3.11.5 Username .................................................................................. 64 3.11.6 Telephone...........................................................................
4.3.6 Change the time of the Basal Pattern ....................................... 101 4.3.7 Maximum Basal Rate................................................................. 103 4.4 Suspend and Resume ................................................................. 104 4.4.1 Suspend Insulin Delivery ........................................................... 104 4.4.2 Resume Insulin Delivery ............................................................ 107 4.5 Insulin Pump Settings ......................
5.7.2 BG Reminder ............................................................................. 139 5.8 Pump History ............................................................................ 140 5.8.1 Pump History ............................................................................. 140 5.8.1.1 Delivery History ............................................................................. 141 5.8.1.2 Alert History ..................................................................................
rit a s 6.3.1 Enter Your Meter BG ................................................................. 165 6.3.2 Set Calibration Repeat .............................................................. 167 6.3.3 Calibration Reminder ................................................................ 167 6.4 CGM System settings ................................................................. 168 6.4.1 CGM Feature on/off .................................................................. 168 6.4.
rit a s 8.1 Safety System ........................................................................... 197 8.2 Safety Checks ............................................................................ 197 8.3 Alarms ...................................................................................... 197 8.3.1 PDM Alarms ............................................................................... 200 8.3.2 Pump Alarms ............................................................................. 201 8.
1 Introduction 1.1 Before you begin Check with your healthcare provider (diabetes team) regarding your individual training needs. Do NOT attempt to use the A7+ TouchCare® System before you have been properly trained. s As part of your training, your healthcare provider will work with you to establish diabetes management guidelines and settings that best fit your needs. Your healthcare provider can provide you with the initial settings of your insulin Pump and CGM system.
The Patch Pump is indicated for the continuous subcutaneous delivery of insulin, at set and variable rates, for the management of diabetes mellitus in persons requiring insulin. The CGM System is indicated for continuous monitoring of interstitial fluid glucose levels, and detecting possible low and high glucose episodes. Interpretation of the CGM System results should be based on the glucose trends and several sequential readings. 1.
General Precautions Do NOT put skin care products on the A7+ TouchCare® System, that might result in damage to the plastic surface of the products. Wipe off the skin care products such as sunscreen by using a clean cloth. If you find a crack in any part of the A7+ TouchCare® System, contact customer support. The A7+ TouchCare® System includes active medical devices. When you dispose of any device in the A7+ TouchCare® System, follow the local waste disposal regulations.
this will help to avoid the risk of diabetic ketoacidosis (DKA) or very high blood glucose (BG). Do NOT stop using your Pump if you are ill unless instructed to do so by your healthcare provider. Even when you are ill, your body still needs insulin. If failure or damage of your Pump Base is found during usage, please contact customer support or your local Medtrum distributor for replacement. CGM System Precautions The Sensor may create special needs regarding your medical conditions or medications.
distributor if you identify or suspect your PDM has been damaged. Your PDM is designed to be charged by matching charger. Use of anything other than a charger that does not match could permanently damage your PDM and voids its warranty. Operating Temperature Range Your A7+ TouchCare® System is designed to operate between 5°C (41°F) and 40°C (104°F). Do NOT expose the system to temperatures outside that range. Do NOT expose the system to direct sunlight for a long period of time.
Warning: For your protection the Pump Base and Transmitter have undergone extensive testing to confirm appropriate operation when used with consumables manufactured or distributed by Medtrum. We recommend using Medtrum Reservoir Patches and Glucose Sensors as we cannot guarantee appropriate operation if the system is used with consumables offered by thirdparties and therefore we are not responsible for any injury or malfunctioning of the system that may occur in association with such use. 1.4.
Fast-acting glucose tablets or gel BG monitoring supplies Urine ketone testing supplies Insulin syringe Rapid-acting U-100 insulin Extra Medtrum 2.0 mL Reservoir Patches Power Bank Instructions from your healthcare provider about how much insulin to inject if pump delivery is interrupted Alcohol wipes Glucagon emergency kit Emergency contact phone numbers rit a s 1.4.5 Water Ve Both your Patch Pump and Sensor (including the installed Transmitter) are waterproof to a depth of 2.
Store the Sensor at temperatures between 2°C (36°F) and 30°C (86°F), and at humidity levels between 20% and 90% relative humidity for the length of the Sensor’s shelf life. For temperatures greater than 30°C (86°F), the Sensor will require cooled storage at temperatures no lower than 2°C (36°F). You may store the Sensor in the refrigerator if it is within this temperature range. The Sensor should not be stored in the freezer.
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: -Reorient or relocate the receiving antenna. -Increase the separation between the equipment and receiver. -Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. -Consult the dealer or an experienced radio/TV technician for help. RF warning for Portable device.
• If a charger without matching is used with the PDM • If damage results from a Force Majeure or other event beyond the control of Medtrum; or • If damage results from negligence or improper use, including but not limited to improper storage or physical abuse such as dropping or otherwise. This warranty shall be personal to the original end use purchaser.
• If damage results from negligence or improper use, including but not limited to improper storage or physical abuse such as dropping or otherwise. This warranty shall be personal to the original end use purchaser. Any sale, rental or other transfer or use of the Pump Base covered by this warranty to or by a user other than the original end use purchaser shall cause this warranty to immediately terminate. This warranty only applies to the Pump Base and does not apply to other products or accessories.
This warranty shall be personal to the original end use purchaser. Any sale, rental or other transfer or use of the Transmitter covered by this warranty to or by a user other than the original end use purchaser shall cause this warranty to immediately terminate. This warranty only applies to the Transmitter and does not apply to other products or accessories. B ur ea u Ve rit a s THE REMEDIES PROVIDED FOR IN THIS WARRANTY ARE THE EXCLUSIVE REMEDIES AVAILABLE FOR ANY WARRANT CLAIMS.
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2 Your A7+ TouchCare® System 2.1 Personal Diabetes Manager (PDM) The Personal Diabetes Manager (PDM) monitors and controls your Patch Pump and Continuous Glucose Monitoring System via wireless RF communication. It stores your Pump and Sensor data of the last 90 days. Keep the PDM with you at all times so that, when needed, you are able to deliver a bolus, change the basal rate, check your glucose level and so on.
✓ Ve ✓ Reservoir Patch (MD-JN-011, consumable) rit a s precise dispensing screw, a plunger, an actuator, a needle, a buzzer and a battery to power your Pump. The delivery system and enclosure of the Reservoir Patch are applied parts of the Pump. Pump Base (JN022) u 2.3 Glucose Sensing System (Optional) B ur ea The Glucose Sensing System is an optional part of the A7+ TouchCare® System which consists of a disposable Glucose Sensor and a reusable Transmitter.
✓ Transmitter (MD1026, Chargeable) Ve rit a s Glucose Sensor (MD3026, Consumable) u USB charging cable (LQ005) ur ea ✓ B ✓ 17
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3 How to use the PDM 3.1 Basics of the PDM We recommend that your PDM is only used by an intended and qualified operator. 3.1.1 Turn on/off the PDM 1) Turn-on s ⚫ When you long-press the power button, a green light will flash, the screen will light up, the PDM is successfully turned on. When you short-press the power button, a yellow light will go on for about 8 seconds but the PDM is not turned on.
3.1.2 Charge the PDM As a safety measure, the PDM will give you “PDM BATTERY LOW” or “CHARGE PDM NOW” alert when you keep the PDM working at a low power level. If you receive a “PDM BATTERY LOW” alert, respond to the alert and continue. Though the PDM will still function normally, the battery life could be decreased. The PDM requires an AC adapter with an output of DC 5.0V that complies with IEC 60601-1 and IEC 60950 such as UES06WNCPU-050 100SPA, (input: 100-240V, 50/60Hz, 0.2A; output: 5.0V DC, 1.0A).
s rit a 3.1.3 Power Mode Ve The PDM has two power modes: 1. Sleep Mode ur ea u The PDM enters the Sleep Mode after screen backlight timeout and the screen shuts down. You can turn the PDM into Lock Screen of Awake Mode by short-pressing the Power button. a. The activated basal, temporary basal and all bolus functions will not be changed. B b. The screen will be locked after screen backlight timeout. c. Press Power button, and the screen lights up, the PDM displays the Lock Screen. 2.
s Ve 3.1.4 Scroll Bar An Alarm occurs when the screen is not locked. rit a An Alarm occurs when the screen is locked. B ur ea u If there is excessive text length for the screen, a scroll bar appears on the right side of the screen. You can view any additional text by scrolling up and down. 3.2 Setting up the PDM 3.2.1 Select language and country/region 1. Select your language, then tap Next.
B ur ea u Ve rit a 2. Select your country/region, then tap Next. s You can change language. See “Language” in Section “Settings” for setup instructions. 3.2.2 Time and Date When starting PDM for the first time, you need to set the time and date. Setting the correct time and date in your PDM is necessary for accurate basal insulin delivery and enables you to keep a correct record of your insulin delivery and Sensor readings. You can select a 12-hour or 24-hour clock format. 1.
s to decrease hour on the to decrease minute on the B ur ea u Ve rit a (1) Choose the time. (2) Tap the blue button to increase and left. Tap the blue button to increase and right. (3) When finish, tap Done. 2. Select the Date, then tap Next. (1) Choose the date. (2) Adjust the day, month and year separately. (3) When finish, tap Done. 3.2.3 Bolus Calculator After you finish the settings for date and time, you can choose whether you shall use the Bolus Calculator.
directly to Lock Screen. See “Bolus Calculator” in Chapter “Advanced Pump Feature” for more information. rit a s If you choose Setup, the Bolus Calculator function will be forced to turn on; If you choose Skip, the Bolus Calculation function will stay turned-off. Ve 3.3 Home Screen B ur ea u The Home Screen is the starting point to access the programming screens. You can return to the Home Screen by tapping the Home Key.
Note: At this screen, slide on the screen from right to left, you can open main menu screen. Slide from left to right to open status screen. Slide PDM from top to bottom to open alert notification screen. Slide on the screen from bottom to top to open shortcut screen. 3.3.1 Status Bar Icons 3.3.1.1 Battery Icon The battery icon shows the remaining battery life. s ➢ When the PDM is not charging There are five icons, indicating different battery conditions.
➢ ➢ 02:00 p 12-hour format 14:00 24-hour format 3.3.1.3 Audio Icon There are eight kinds of audio icons, indicating different Reminder types, you can set it in the General Settings menu and CGM Settings menu. Audio Vibrate Audio and Vibrate Audio off /Vibrate off rit a Alert Silence + Vibrate Reminder s Alert Silence + Audio Reminder Alert Silence + Audio and Vibrate 3.3.1.
3.3.2 Pump Status 1. EasyLoop Icon 2. Insulin Pump Delivering Status 3. IOB (Insulin on Board) 4. Pump RF Signal rit a You can view the Pump Status on the Home Screen. s 5. Insulin left Insulin Delivering Status icons in different situations: Description u Grey ring indicates that there is no activated Pump. ur ea Grey ring Ve Shape and Color Green ring B Icon Green ring represents the basal delivery.
Purple and dark purple ring Purple ring represents the extend Bolus, the deep purple part indicates the progress of delivery. Red ring Red ring represents the delivery suspend status. B ur ea u Ve rit a s The status information is indicated by text below: Basal(U/H) 1.00: The current basal rate is 1.00U/H. Temp Basal(U/H) 1.00: Temp Basal is activated and the active temp basal rate is 1.00U/H. Temp Basal(U/H) 1.00 85%: Temp Basal is activated and the active temp basal rate is 1.
1. Trend Arrow 2. The last senor reading or status 3. Time of the last sensor reading 4. The scope of glucose limit 5. High Limit of glucose limit 6. Low Limit of glucose limit 7. CGM Curve 8. Last Glucose point s 9. The scope of time rit a 10. Calibration ➢ Trend arrow Stable Rising ur ea Slowly-rising u Ve The trend arrow shows the speed and direction of your Sensor glucose readings.
The next calibration is due in 20 to 24 hours. The next calibration is due in 16 to 20 hours. The next calibration is due in 12 to 16 hours. The next calibration is due in 8 to 12 hours. The next calibration is due in 4 to 8 hours. A calibration is needed now. rit a s The next calibration is due in 0 to 4 hours. Ve If your Sensor is on a 12-hour calibration routine, the calibration icon grows fuller as the time for the next calibration. ur ea u The next calibration is due in 10 to 12 hours.
s If you disconnect the Sensor for a while and reconnect it, it takes some time to recover the data. The icon indicates that data is being recovered. It disappears when data-recovery is completed. B ur ea u Ve rit a ➢ Special conditions Under normal Sensor conditions, the most recent glucose reading is displayed at the center of the ring on the Home Screen. Under certain conditions, the Sensor reading will be replaced by a Sensor status in the middle of the ring. Warm-Up- the Sensor is warming up.
Low - Sensor glucose is below 2.2 mmol/L (40mg/dL). Underlined reading - Calibration overdue. A new meter BG is needed for calibration. Ve rit a s Note: 1) When the Sensor is warming up, a progress bar is displayed at the bottom of Home Screen. It takes 120 minutes for each Sensor to warm up. ur ea u 2) After you enter a meter BG value to calibrate the Sensor, it may take up to 3 minutes for the Sensor to adjust its readings, with the Sensor glucose reading blinking. 3.3.
3.3.5 Sensor Graph The Y-axis of the Sensor graph is featured by four values: 5, 10, 15, 20 mmol/L (90, 180, 270, 360 mg/dL). The X-axis of the Sensor graph presents a period of the last 3 hours. B ur ea u Ve rit a s The Sensor graph can be switched to a landscape screen display. Long tap the Sensor graph for 1 second and the display will turn horizontal. You can see trend graph of your glucose information for the past 3-hour, 6-hour, 12-hour, and 24-hour periods.
⚫ ⚫ ⚫ ⚫ ⚫ Ve rit a ⚫ s ⚫ Sensor glucose is above 22.2 mmol/L (400mg/dL). (HIGH) and Sensor glucose is below 2.2 mmol/L (40mg/dL). (LOW). After the warm-up phase, the values before the first calibration are replaced by “BG”. When the Sensor calibration expires, the reading values will be underlined. Calibration will be marked with a red dot “ ”. The green square blocks in the graph background represent the Low and High limits of glucose.
3.4 Lock Screen The PDM displays the Lock Screen every time you turn it on to view glucose Information, insulin delivery information, alarm/alert information, date and time. You also can customize this screen by editing your username and telephone number. See “Username” and “Telephone” in Section “Settings” for more information. The PDM displays the Lock Screen after display timeout. When the screen’s gone dark, short press the Power button to activate the Lock Screen. ur ea u Ve rit a s 1.
See Chapter “Safety System and Alarms/Alerts” for more information about Alarm, Alert or Reminder status. 3.5 Notification Screen ur ea u Ve rit a s Notification Screen only records alert and alarm notifications which are still effective today. You can slide from top to bottom on Home Screen to call the Notification Screen. 1) If there is no daily Alert and Alarm notification, the screen displays No Record.
ur ea u Ve rit a s 1) Calibration Shortcut icon “ ” 2) Bolus Shortcut icon “ ” ⚫ If the Food/Correction Bolus function is turned on, then you’ll enter Food/Correction Bolus by tapping this icon. ⚫ If not, you’ll enter Manual Bolus by tapping this icon. 3) Audio Option icon There are two icons of Audio Option, each changing after one tap: Audio off “ ”, High volume “ ”. 4) Vibration Option icon There are two icons of Vibration Option, each changing after one tap: Vibration off “ ”, Vibration on “ ”.
ur ea u Ve rit a s The Status Screen displays the following information.
3.8 Menus rit a s The Main menu consists of nine sub-menus: Bolus, Basal, Suspend, Patch, Sensor, History, Events, EasyLoop, Settings. Slide from right to left on the Home Screen to open Main Menu. Ve Note: After all insulin delivery is suspended, the Suspend icon on the Main Menu turns into Resume icon. ur ea u 3.8.1 Bolus 3.8.2 Basal B The Bolus menu contains the settings and functions for bolus deliveries.
When a Bolus is being delivered, with the Suspend function you can suspend Bolus or all insulin deliveries (basal and bolus) for a set period of time. See Section “Suspend and Resume” in Chapter “How to use Patch Pump” for more information. 3.8.4 Patch You can change your Reservoir Patch and check Pump Base SN on Patch menu. See Chapter “How to use Patch Pump” for more information. 3.8.5 Sensor s The Sensor menu contains calibration and connection functions of the Glucose Sensor.
glucose, carbs, insulin injection, health condition, exercise and others. This information can help you and your healthcare provider make better decisions about your diabetes management plan. 3.9.1 BG Measurement u 1. Select BG Type in the Events screen. Ve rit a s Go to Events Screen. You can select event type you want to record. Main Menu➔Events ur ea 2. Choose the date and time for BG event. Note: The time refers to blood sampling time. 3.
5. When finished, tap Save to confirm input. Or press rit a s 3.9.2 Insulin Injection to cancel. Select Injection in the Events screen. 2. Choose the date and time for insulin injection. 3. Tap Type option, you can choose the insulin type between “Rapid-acting”, “Intermediate-acting”, “Long-acting”, “Pre-mixed” and “unselected”. 4. Tap Dose value to select the amount of insulin you use. The input range is 0.1-99 units. 5. When finished, tap Save to confirm input. Or press B ur ea u Ve 1.
2. Choose the date and time for carbohydrate intake. 4. When finished, tap Save to confirm or press rit a s 3. Tap Carbs value to select the carbohydrates you eat or drink. The input range is 0-200 grams. to cancel. 1. Select Exercise in the Events screen. Ve 3.9.4 Physical Exercise Information ur ea u 2. Choose the date and time for physical exercise. 3. Tap Intensity option to select the intensity of physical exercise. You can choose the intensity between “Light”, “Medium”, and “Heavy”. B 4.
3.9.5 Health Information Select Health in the Events screen. 2. Choose the date and time for health information 3. Tap Health option to select the physical condition. You can choose the intensity between “Illness”, “Stress”, “High Symptoms”, “Low Symptoms”, “Menstruation” and “Alcohol”. 4. When finished, tap Save to confirm input. Or press ur ea u Ve rit a s 1. 3.9.6 Other Events This section shows how to enter other markers. Select Others in the Events screen. 2.
For example, when you want to enter “a”, tap abc and select “a”. rit a Tap and choose the letters for text input. B ur ea u Ve 4. s Tap ABC to switch to capital. Note: Use no more than 22 characters to describe an event. 5. When finished, tap Save to confirm input. Or press to cancel. 3.10 History Your PDM stores insulin delivery history, Sensor history, PDM history, Event history, BG history and Summary history to help you manage diabetes. Go to the History screen.
s 3.10.1 Pump History rit a On the Pump History menu you can review Pump History. See Section “Pump History” in Chapter “Advanced Pump Features” for more information. Ve 3.10.2 Sensor History ur ea u On the Sensor History menu you can review Sensor History. See Section “Sensor History” in Chapter “How to use CGM system” for more information. 3.10.3 PDM Alert History PDM History stores PDM Alert history.
Tap the date to switch between records of different dates. Tap each Alert to view alert detail information. Tap to return to the previous menu. See “Alert Icons” for more information about how to address alarms and alerts and the meanings of different alarm/alert icons. 3.10.4 Event History Go to the Event History screen. ur ea u Ve rit a s Main Menu➔History➔Event History Tap Type option to select event type for viewing records accordingly.
, to switch between records of different dates. rit a Tap the date or and BG input during s BG History contains BG from Calibration , Event BG Bolus delivery through Bolus Calculator . Ve 3.10.6 Summary History ur ea u The Summary History displays a summary of past histories including Insulin History, Bolus History, BG history, Sensor History and Low Suspend History. Go to Summary History screen.
3.10.6.1 Summary History: Insulin History See Section “Pump Summary History” in Chapter “Advanced Pump Features” for more information. 3.10.6.2 Summary History: Bolus History See Section “Pump Summary History” in Chapter “Advanced Pump Features” for more information. 3.10.6.3 Summary History: BG History ur ea u Ve rit a s This screen displays the BG result summary history. Main Menu➔History➔Summary History➔BG B BG Test: Total number of BG readings entered manually on the selected days.
rit a 3.11.1 CGM System (Optional) s 3.11 Settings ur ea u Ve Tap CGM System on the Settings screen to enter the CGM System screen. You can set your Sensor in CGM System Screen. You can turn CGM System on or off, set Transmitter SN, set calibration alert repeat time, set alert silence, set Sensor expiration alert on or off. See Chapter “How to use CGM system” for more information. 3.11.2 Insulin Pump B Tap Insulin Pump on the Settings screen to enter the Insulin Pump screen.
3.11.3.1 Language s You can change your PDM Language. B ur ea u Ve rit a Main Menu ➔Settings➔General➔Language 3.11.3.2 Time/Date Setting the correct time and date in your PDM is essential to accurate basal insulin delivery and keeping an accurate record of your insulin delivery and other events. You can select a 12-hour or 24-hour clock.
Main Menu ➔Settings➔General➔Time/Date rit a Date keyboard and Time keyboard B ur ea u Ve 2. s If you turn the switch on, the time is set as 24-hour-format. 3.11.3.3 Audio Options Audio/Vibrate You can choose one of the four audio options for your alerts and alarms: audio, vibrate, audio and vibrate, or both off. The factory setting is audio and vibrate. Your choice applies to both your PDM and Patch Pump. If Audio is selected, both your PDM and Patch Pump will beep when an alert occurs.
If Audio off/Vibrate off is selected, your PDM and Patch Pump will not beep or vibrate. But there are exceptions: If an alarm is not cleared within 10 minutes, your PDM or/and Patch Pump will make a siren sound until the alarm is cleared. When “BELOW 3.1mmol/L (BELOW 56mg/dL)” occurs, your PDM emits threepulse vibration every three minutes. If not cleared within 9 minutes, your PDM will make a siren until the alert is cleared. See ”Audio Icons” for significance of different audio icons.
s Slide or tap to adjust the brightness, you can choose between 10 brightness levels. Lower level consumes less power. rit a 3.11.3.
Save rit a ⚫ s Note: If there is an active Reservoir Patch, Reset Settings and Restore Settings will be disabled. Take these steps to save your current PDM settings: Select Save in the User Settings screen. 2. If this is the first time saving your PDM settings, this screen appears: B ur ea u Ve 1.
Read the instructions on the screen; then tap Next to save your current settings. This screen indicates that your user settings have been saved. ⚫ Restore B ur ea u Ve rit a s 3. Take these steps to restore the most recent PDM settings you have saved to your PDM. 1. Select Restore in User Settings screen. 2. Read the instructions on the screen, and then tap OK to restore the settings.
This screen indicates that your user settings have been restored. Tap OK to exit the menu and check your system settings. ⚫ Reset B ur ea u Ve rit a s 3. Warning: Do NOT reset your PDM settings unless directed by your healthcare provider. If you reset your PDM settings, it will be necessary to reprogram all your personal PDM settings as directed by your healthcare provider. Take the following steps to reset PDM settings: 1. Select Reset in the User Settings screen. Then select Yes.
Tap OK. The PDM will be reset to the factory default settings and restart. ur ea u Ve rit a s 2. B ⚫ Settings History On this screen you can review all recent user settings operation records and the date and time. 1. Select Settings History in User Settings screen. 2. Slide to scroll up/down to view the entire settings history.
3.11.3.7 Passcode Lock B ur ea u Ve rit a s The passcode lock function is a safety feature that prevents improper operation by unintended user. Main Menu ➔Settings➔General➔Passcode Lock Tap Set Passcode, enter the old passcode and then set a new one.
ur ea u Ve rit a s Enter the 4-digit passcode. Note: The default passcode is 0000. B Enter the new passcode twice.
s Turn on Passcode Lock and enter the Passcode to activate Lock, the Passcode Lock is only for one-time use, you need to enter the passcode each time you turn on the function. Ve rit a With the Passcode Lock feature turned on, only the Lock Screen is displayed. You have to enter the correct passcode after you slide to unlock the PDM. Once you unlock the PDM, the Passcode Lock is automatically deactivated. 3.11.4 Reminders B ur ea u Tap Reminders on the Settings to enter the Reminders screen. 3.11.
Main Menu➔Settings➔Reminders➔Personal Reminder ur ea u Ve rit a s Tap ＋Add Reminder to add a reminder, choose the time and tap Done. B Note: (1) You can set up to 4 Reminders. (2) The Reminders will be saved automatically. Slide from right to left on one reminder, tap Delete to delete this segment.
3.11.4.2 Bolus Reminder rit a s See Section “Reminder” in Chapter “Advanced Pump Features” for more information. 3.11.4.3 BG Reminder Ve See Section “Reminder” in Chapter “Advanced Pump Features” for more information. 3.11.4.4 Cal Reminder 3.11.5 Username ur ea u See Section “Calibration Reminder” in Chapter “How to use CGM system” for more information. B 1. Go to the Username screen. Main Menu➔Settings➔ Username 2. Tap ------ to enter your username.
ur ea 3.11.6 Telephone u Ve rit a s (1) Use the keyboard to enter the username. For example, when you want to enter “a”, tap abc key, “a”,”b”,”c” appear on the top of the keyboard , then select “a”. (2) When finish, tap Done. (3) Tap the name in blue to edit Username again. Note: You can enter as many as 18 letters including spaces. Your username will be displayed on the Lock Screen. The PDM displays the username on Lock Screen to help you identify your own PDM.
(1) Use the keyboard to enter the telephone number . (2) When finish, tap Done. (3) Tap the number in blue to edit telephone number again. Note: You can enter as many as 18 letters including spaces. The PDM displays the Telephone number on Lock Screen, which works in two optional ways: 1. to help you find your PDM if your PDM is lost. ur ea u Ve rit a s 2. to display your emergency-call number (family members, doctor, healthcare center). 3.11.7 Diagnostics 1.
The PDM will beep three times and vibrate one time while the screen suggests checking alarms. 4. When checking is completed, tap OK to return to the last menu. B ur ea u Ve rit a s 3.
Warning: If the PDM fails to beep or vibrate, call customer support. To continue using the PDM may put your health at risk. Note: Your PDM uses battery power to beep and vibrate. Checking alarms often will result in reduced battery life and the “CHARGE PDM NOW” Alarm may appear sooner than expected. Ve rit a s 3.11.8 About Us ur ea u Here you can see the Company name, PDM SN, PDM program version, and code. 3.
We recommend that you charge the PDM when a PDM BATTERY LOW alert happens. PDM does not power on after you press the Power button: 1. PDM battery is too low. Charge the PDM. B ur ea u Ve rit a s 2. PDM is outside of its operating temperature range. Move the PDM to a temperature between +5°C ~ +40°C and then try to power it on.
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4 How to use Patch Pump 4.1 Change the reservoir patch The Reservoir Patch requires replacement and shall not be reused. The Reservoir Patch should be replaced approximately every 2-3 days or as directed by your healthcare provider. s Warning: Do NOT attempt to apply or use a Patch Pump before you have been trained by your healthcare provider. Use of the device with inadequate training or improper setup could put your health and safety at risk.
Note: The syringe provided by Medtrum matches the fill port on the Reservoir Patch. Other syringes and needles meeting the following specifications are also permitted. Specifications of syringe: Reservoir volume: 2.0 mL Needle size: 26G Needle length: 8 mm (0.31’’) Make sure that the syringe with fill needle has been properly sterilized.
Several seconds later, you will see a message showing that the Patch has been deactivated. ur ea u Ve rit a s 2. 1. B 4.1.1.2 Remove the Current Reservoir Patch After the Reservoir Patch is deactivated, press the needle release button on the side of the Reservoir Patch, and slide it to the direction of the arrow to retract the needle. Gently lift the edge of the adhesive tape from your skin and remove the entire Reservoir Patch.
Note: To avoid possible skin irritation, remove the Reservoir Patch slowly and gently. If any adhesive remains on your skin, remove it with soap and water. Warning: Check the infusion site for signs of infection. Press and hold the two release buttons on both ends of the Pump Base and pull the Pump Base off the old Reservoir Patch. Discard the old Reservoir Patch according to your local waste disposal regulations. rit a s 2. Warning: Do NOT discard your Pump Base. It is reusable. 4.1.1.
rit a s 1. You can either enter SN manually or search for the SN if it is the first time you enter the SN. B ur ea u Ve 2. You can only enter SN manually if you want to update the SN. Enter SN manually Tap --------- or the existing Pump base SN, you will see the following screen. Then enter the SN to your PDM and tap Done.
Note: If it is an 8-digit SN, enter space ” ” at the end. rit a s Search for the SN You can select Search to search for the SN if it is the first time you enter the SN. B ur ea u Ve Make sure that your Pump Base is connected to a new Reservoir Patch and move the PDM closer to your Pump before searching for the SN. See Section “Connect the Pump Base to a New Reservoir Patch” for more information. If your PDM finds one Pump, the Pump Base SN appears on the screen.
s If your PDM finds multiple Pumps, the SNs won’t be displayed to prevent you from selecting the wrong SN. B ur ea u Ve rit a Tap OK to go back to Patch Menu, then select “---------” to enter the SN manually. If your PDM does not find a Pump, make sure that your Pump Base is connected to a new Reservoir Patch, move the PDM closer to your Pump, and search again or enter the SN manually. 4.1.
rit a Tap Next on your PDM and you will see the following message on the screen. B ur ea u Ve 1. s 4.1.3 Connect the Pump Base to a New Reservoir Patch Warning: Do NOT use a Reservoir Patch if its sterile package has been damaged or already opened, or if the Reservoir Patch has expired, or if the Reservoir Patch is damaged in any possible way. 2. Place your thumb and index finger on the Pump Base. Hold the new Reservoir Patch with your other hand.
The Pump performs a series of safety checks immediately after the two parts are connected. The safety checks take about twenty seconds. The indicator light flashes in the order of blue, green, yellow, and red, and the Pump beeps four times. rit a s 3. Ve Warning: If the Pump fails to beep or the indicator light fails to flash, call customer support. It may put your health at risk if you continue to use the Pump.
With the help of your healthcare provider, decide on the amount of insulin (70 U-200 U) you need to insert into the Reservoir Patch. 4. Draw air into the syringe up to the amount of insulin you need. 5. Insert the needle into the insulin vial and push down on the plunger to pressurize the vial. 6. While still holding the plunger rod, flip the vial over so the vial is on top, and then slowly pull down on the plunger to fill the syringe with the number of desired units.
9. Make sure that the needle is still in the fill port and release the plunger. Pressure will pull the plunger to its neutral position, but it will NOT push any air back inside the reservoir. ur ea u Ve rit a s 10. Withdraw the needle from the fill port. Turn the syringe upright and pull on the plunger. Flick the syringe to make sure that any air bubbles rise to the top.
Warning: Do NOT use a Reservoir Patch if you hear a crackling noise or feel abnormally strong resistance when you press down on the plunger. These conditions can result in not delivering enough insulin. Warning: Do NOT inject air into the fill port. Doing so may result in unintended or interrupted insulin delivery. Warning: Do NOT fill the Reservoir Patch when you are wearing it. Doing so may cause serious harm to your life and health. 12.
rit a s Hold the Patch Pump on a clean flat surface with one hand, and with the other hand, press the top square part of the button cover all the way until you hear a click, indicating the needle button is locked in place by the two hooks on the button cover. B ur ea u Ve Warning: Do not start priming before the top square part of the button cover is fully pressed. After that, tap Next on your PDM to prime the Pump.
Warning: Do NOT remove the button cover before priming is completed. B ur ea u Ve rit a s Once completed, the next screen “Attach and Insert” appears, and the Pump vibrates three times. Warning: If the Pump fails to vibrate, call customer support. To continue using the Pump may put your health at risk. 4.1.6 Select and Prepare the Infusion Site The place on your body where you attach the Pump is important for the success of your therapy.
- The area stays flat during normal daily activities without bending or creasing. When choosing the location for the Pump, avoid the following: ur ea u Ve rit a s Areas that are constrained by clothing, such as the belt line or waist. Curved or rigid areas due to muscle or bone. Areas that involve rigorous movement during exercise. Areas of skin with scars, tattoos, or irritation. 5.0 cm (2 inches) around the navel. Areas with excess hair.
Note: If you have sensitive skin or your skin gets irritated, contact your healthcare provider. 4.1.7 Attach the Patch Pump Remove the button cover. 2. Peel off the adhesive liner from the bottom of the Reservoir Patch. Remove the liner and expose the adhesive. 3. Avoid touching the stickiness of the adhesive pad, press the Pump against the skin at the selected infusion site. 4. Hold your Pump in place for 5-10 seconds.
Note: The adhesive of the Reservoir Patch keeps the Patch position secured for up to 3 days. Several products are available to enhance adhesion if necessary. Ask your healthcare provider about these products. Avoid getting body lotion, creams, or oil near the infusion site because it may loosen the adhesive. rit a s Note: The adhesive is designed for one-time use. Once removed, a Reservoir Patch cannot be reapplied. 4.1.
Warning: Check the infusion site and needle after insertion to ensure that the needle has been properly inserted. If the needle is not properly inserted, hyperglycemia may ensue. Slide to activate basal delivery if the needle is properly inserted. Or tap Home Key if you find a problem with the needle, then the PDM will instruct you to discard the Reservoir Patch. Ve rit a s 3. Now your new Reservoir Patch is activated. B 4.
Warning: Check the infusion site frequently for improper placement and leaks that can result in inadequate infusion. You can also check blood glucose level to ensure normal infusion. 4.2 Bolus A bolus dose is insulin you deliver to cover meals or snacks, or to correct high blood glucose. Consult your healthcare provider about how to set your bolus dose. Go to the Bolus screen.
Set your bolus amount. 3. Select Normal Bolus type. Bolus type is Normal Bolus, Extended Bolus or Combo Bolus. 4. Tap Next to confirm if the bolus setting is correct. B ur ea u Ve rit a s 2.
Note: You can set a bolus dose between 0 and the Max Bolus. When an extend Bolus is already being delivered, you can only choose a Normal Bolus. Slide to deliver the bolus. As the Normal Bolus is being delivered, the amount shown on the screen will add up to the actual bolus amount which is delivered. B ur ea u 5. Ve rit a s Note: The BG Reminder screen will appear if you have BG Reminder turned on. See Section “BG Reminder” in Chapter “Advanced Pump Features” for more information.
7. B ur ea u Ve rit a s 6. You can cancel an active Normal Bolus in the Suspend Menu even after insulin delivery has started. Slide to Stop to cancel the bolus. An on-screen message will tell you how much insulin has been delivered. Tap OK to go back to the Home Screen.
If the total Bolus in the last 30 minutes has already exceeded 10 U, the screen will show the following reminder: 9. If connection between PDM and Pump failed during delivery, the screen shows “Checking Pump status”, the delivery cannot be cancelled. B ur ea u Ve rit a s 8.
When insulin delivery is completed, PDM display returns to the Home Screen automatically. 10. When a Normal Bolus is being delivered, if the PDM screen goes dark as a result of display timeout, you can slightly shake the PDM to light up the screen again. 4.2.2 Max Bolus The maximum bolus (Max Bolus) is a safety feature that limits the amount of insulin to be delivered in a single bolus. The factory setting is 10 units. You can set the limit from 0 to 30 units.
4.3.1 Your Basal Settings You must program your basal settings before you deliver any basal insulin. Keep a written record of your basal settings. You can program up to 8 basal patterns with the A7+ TouchCare® System. Having more than one pre-set basal pattern makes it easy for you to switch between patterns to cater to your different needs such as weekends, weekdays, shift work, and menstruation. Standard: Your normal basal pattern that supports your usual day-to-day activity.
4.3.2 Edit Your Standard Basal Pattern We recommend that you get acquainted with the Standard basal pattern before using multiple basal patterns. You can set up to 48 basal segments in the Standard basal pattern. Go to the Edit Basal screen. Main Menu➔Settings➔Insulin Pump➔Basal Setup➔Edit Basal Select the Standard pattern to edit it. u Ve rit a s 1. ur ea Note: The active basal pattern is check-marked. Select the desired pattern and slide to activate it.
2. The edit screen appears. Tap +Add time segment to add a new segment. Enter the end time for this segment. Then tap Done. Ve rit a s Note: ➢ The first basal segment always starts at 00:00 (12:00 am). ➢ The last basal segment always ends at 23:59 (11:59 pm). ➢ Segments can start since each hour or each half-hour. The end time point of the last time segment is always set to be midnight. ➢ Tap +Add time segment to create and edit a new segment.
24 Hour Total rit a s Note: If all 48 basal segments were added, the +Add time segment button disappears automatically. Set your basal segments as recommended by your healthcare provider. 4.3.3 Check the Current Basal Rate Ve The Home Screen and the Status Screen show the information of the current basal rate. B ur ea u 1. Home Screen 2.
s 4.3.4 Review Your Basal Patterns 1. rit a The Basal Review screen shows your daily basal rates of all patterns. Go to the Basal Review screen. B ur ea u Ve Main Menu➔Settings➔Insulin Pump➔Basal Setup➔Basal Review 2. Choose the basal pattern that you want to review. Tap it to review your programmed settings.
s 4.3.5 Delete a time segment of Basal Pattern B ur ea u Ve rit a 1. Select segment, slide to left on each and a delete button will appear. Tap Delete to delete the selected segment. Slide back to right to close Delete. The last segment cannot be deleted and the starting time of all segments cannot be changed. 2. After the selected segment is deleted, the starting time of the next segment following the deleted segment will change to the ending time of the last segment before the deleted one.
s 4.3.6 Change the time of the Basal Pattern rit a Note: Only the ending time of a segment is editable. 1. Change the ending time point of a segment to a later time point. ur ea u Ve When the ending time point A of a segment is changed to a later time point B (for example: 12:00 is changed to 15:00), all previous segments between time point A and time point B will be deleted, leaving only the edited segment featuring a period between its original starting time point and ending time point B.
2. Change the ending time point of a segment to an earlier time point Ve rit a s When the ending time point B of a segment is changed to an earlier time point A, all previous segments between time point A and time point B will be deleted, leaving only the edited segment featuring a period between its original starting time point and ending time point A. ur ea u The ending time Point A equals to the starting time point of the segment that follows.
4.3.7 Maximum Basal Rate Maximum (Max) basal rate is a safety limit for the amount of basal insulin to be delivered within an hour. This maximum rate applies to every basal rate that is set, including a temporary basal. Once your basal rates have been set, you cannot set a maximum basal rate that is less than any of the programmed basal rates. The factory default is 2.00 U/H. The setting range is: 0.00U/H~25U/H. Please set the maximum basal rate with the help of your healthcare provider. 1.
4.4 Suspend and Resume 4.4.1 Suspend Insulin Delivery ur ea u Ve rit a s Sometimes you may need to suspend insulin delivery. When no bolus is being delivered, you can suspend basal insulin delivery for a set period of time. When the Bolus is being delivered, you can choose to suspend all insulin deliveries (basal and bolus) for a set period of time or to just stop the bolus currently being delivered. a. When no bolus is being delivered: 1. Go to the Suspend screen.
s Note: When you suspend insulin delivery, Bolus and Temp Basal will be canceled and cannot be resumed. The PDM will give an on-screen message to let you know that insulin delivery is indeed suspended. 4. The remaining suspend time can be found on Home Screen. B ur ea u Ve rit a 3.
b. When a Normal/Extended/Combo Bolus is being delivered. B ur ea u Ve rit a Main Menu➔Suspend s 1. You can choose to suspend all insulin delivery or only the bolus. 2. If you select All, the same to the situation when no bolus is being delivered. The feature can stop all insulin. 3. If you select Bolus, the delivery status of respectively a Normal or an Extended Bolus will show following screen. Slide to stop to stop bolus insulin.
Stop Normal Bolus Stop Extended Bolus rit a s 4.4.2 Resume Insulin Delivery B ur ea u Ve After all insulin delivery is suspended, Tap Resume on the Main Menu screen, and the following screen appears. Slide to resume Basal delivery.
s Note: Only basal pattern can be resumed, Bolus and Temp Basal cannot be resumed. rit a 4.5 Insulin Pump Settings B ur ea u Ve Go to Insulin Pump Settings screen. You can turn on or off Insulin Pump, set Pump SN, set Bolus Setup, set Basal Setup and set Pump Alerts. 4.5.1 Add/Change the Pump Base SN Every time you use a new Pump Base, you need to add the Pump Base SN to your PDM. Your PDM and Pump Base will connect automatically after each Reservoir Patch change process.
Tap Pump Base SN to edit it. You can use your PDM to search for your Pump Base (only for the first time), or you can enter the SN printed on your Pump Base manually. The Pump Base SN can only be changed when there is no activated Reservoir Patch. See Section “Activate a New Reservoir Patch” for more information. 4.5.2 Bolus Setup ur ea u Ve rit a s Tap Bolus Setup on the Insulin Pump screen to enter the Bolus Setup screen. You can set Bolus Calculator, Preset Bolus and Max Bolus in the Bolus Setup.
4.5.3 Basal Setup rit a s Tap Basal Setup on the Insulin Pump screen to enter the Basal Setup screen. You can edit basal, check basal review, set preset temp basal and set Max basal. Ve 1. Edit Basal See Section “Basal” in Chapter “How to use Patch Pump” for more information. You can set up to 48 basal rates for any basal pattern. ur ea u 2. Basal Review See Section “Basal” in Chapter “How to use Patch Pump” for more information.
s 4.5.4 Pump Alerts rit a 1. Patch Expiration B ur ea u Ve Here you can turn on/off “PATCH EXPIRED” Alarm, “PATCH EXP ADVISORY” Alert, and “PATCH EXP IN 1 HOUR” Alert. When the alerts are turned on, if you do not remove a Reservoir Patch after 72 hours’ use, the “PATCH EXPIRED” Alarm repeats every hour until the system automatically deactivates the current Reservoir Patch after 80 hours’ use. You can set the “PATCH EXP ADVISORY” Alert period from 2 hours to 24 hours before expiration. 2.
A specified number of units that remain in the Reservoir Patch A specified maximum amount of time that remains before the Reservoir Patch will be empty rit a s Ve Note: You can set the amount of insulin between 5 U and 50 U with an increment of 1 U. You can set the time between 2h and 24h with an increment of 30 min. 3. Max Delivery ur ea u Note: If a bolus is being delivered when a “LOW RESERVOIR” Alert occurs, your remaining insulin may be less than the value on the alert screen.
Note: If you resume insulin delivery manually after the hourly/daily max was exceeded, the previously delivered amount in this hour/day will be cleared and the PDM will record the hourly/daily amount from zero. 4. Auto Off s You may program your PDM to automatically suspend basal delivery and give an alarm if the PDM does not receive a Patch Pump status in a set number of hours. Obtain Patch Pump status by pressing any button on your PDM.
114 B u ur ea s rit a Ve
5 Advanced Pump Features 5.1 Bolus Calculator With your input of the number of carbs eaten and your current (actual) BG value, this feature can automatically calculate your Food Bolus and Correction Bolus, based on your Insulin-to-Carbohydrate ratio (I:C ratio), Insulin Sensitivity Factor (ISF), BG Target and the amount of IOB for the current time. Consult your healthcare provider for your personal I:C ratios, Insulin Sensitivity Factor (ISF), BG Target ranges and IOB Time. s 5.1.
Turn on or off Bolus Calculator. The factory default is off. ur ea u Ve rit a s 2. B Note: IC Ratios is the abbreviation for Insulin-to-Carb Ratios. BG is the abbreviation for blood glucose. Insulin to Carb (I:C) Ratios An Insulin to Carb (I:C) ratio features the amount of carbs you can cover with one unit of insulin. Because this ratio may vary throughout the day, you can program up to eight I:C ratios.
1. The first segment always starts at midnight. The Carbs field is indicated by the blue editable digit. You can tap the blue digit to change it. Note: You can set the carbs between 1.0 g and 200 g. When the carbs is between 1.0 g and 9.9 g, the increment is 0.1 g. When the carbs is between 10 g and 200 g, the increment is 1 g. Ve rit a s 2. Tap +Add time segment to create a new segment. u Note: Add time segments by choosing from 00:30-23:30 or 12:30A-11:30P, with an increment of 00:30.
4. When finished, press exit the edit mode. to save settings. Or Press to cancel setup and Insulin Sensitivity An insulin sensitivity factor (ISF) evaluates the blood glucose level you can expect to lower with one unit of insulin. This value is used to calculate a suggested insulin dose to correct a high BG. Because this amount may vary throughout the day, you can set up to eight different time slots.
3. Continue to set ISF segments as recommended by your healthcare provider. rit a s Note: Select segment, slide to left on each and a delete button will appear. Tap delete to delete the selected segment. The first segment cannot be deleted and the starting time of first segment cannot be changed. ur ea u Ve 4. When finished, press to save settings. Or Press to cancel setup and exit the edit mode. BG Target A BG Target is your personal goal for keeping your BG levels under control.
2．Tap + Add time segment to create a new segment. rit a s Note: Add time segments by choosing from 00:30-23:30 or 12:30A-11:30P, with an increment of 00:30. Ve Note: If +Add time segment does not appear, you have programmed all possible segments. 3．Continue to set the BG Target segments as recommended by your healthcare provider. B ur ea u Note: Select segment, slide to left on each and a delete button will appear. Tap Delete to delete the selected segment.
The IOB feature shows how much insulin from a previous bolus dose might still be active in your body. The actual amount of insulin left in your body is determined by the rate at which your body utilizes insulin, your infusion site, your activity level, and other factors. Your PDM uses a curvilinear algorithm that mimics the way insulin is metabolized to track IOB. The IOB setting lets the PDM know which IOB to use in calculating the amount of IOB to subtract before estimating a bolus.
ur ea u Ve rit a s 2. Tap BG value to enter your BG and tap Carbs value to enter your carbohydrate amount. B Note: (1) If you are not entering a BG and want a bolus for food, enter only your carbohydrate amount, the bolus calculator feature will calculate an estimate of insulin for your food entry without considering your BG level. (2) You can enter a BG value between 1.1 mmol/L and 33.3 mmol/L (20 mg/dL and 600 mg/dL) with an increment of 0.1 mmol/L (1 mg/dL). The factory default is 5.
After BG and Carbs input, the recommended Bolus dose according to the Bolus Calculator appears on the right side of the BG value and carbohydrate amount. For example: 4. The following screen appears with the calculated bolus amount. You can adjust the recommended Bolus amount for the Set Bolus as needed. Then choose the Bolus type and tap Next. B ur ea u Ve rit a s 3. Note: The BG Reminder screen will appear if you have BG Reminder turned on.
See “BG Reminder” in this chapter for more information. s Slide to Deliver to begin the bolus delivery. As the Normal Bolus is being delivered, the amount shown on the screen will add up to the actual bolus amount which is delivered. B ur ea u Ve rit a 5. Note: You can cancel an active Normal Bolus (one that is currently being delivered) even after insulin delivery has started. Slide to Stop to cancel the bolus. 5.
See the following graphic for a description of the different bolus types. rit a s Note: It is important that you consult with your healthcare provider before using a Combo/Extended Bolus. You should be familiar with the basic functions of your PDM before exploring these options. Ve 5.2.1 Combo/Extended Bolus Without Bolus Calculator Calculate your food and/or correction bolus amount. 2. In the Bolus Menu screen, select Manual Bolus. B ur ea u 1.
Tap Type option to choose Extended Bolus. Then tap Next. c. Enter the amount of time you want the Extended Bolus to last and tap Next. rit a s b. B ur ea u Ve Note: You can set the duration between 30 min and 8 h with an increment of 30 min. d. Details of the Extended Bolus will be displayed, then Slide to deliver to start delivery. Note: The BG Reminder screen will appear if you have BG Reminder turned on.
Note: You can set a bolus dose between 0 and the Max Bolus. Note: The number of units you enter for the Combo Bolus is a total amount of Normal Bolus and Extended Bolus units. Tap Type option to choose Combo Bolus. Then tap Next. c. Tap the blue icon to increase Normal Bolus. Tap the purple icon increase Extended part. d. Enter the amount of time you want the Extended Bolus to last and tap Next to continue. to B ur ea u Ve rit a s b.
Details of the Combo Bolus will be displayed. Slide to Deliver to start delivery. s e. rit a 5.2.2 Combo/Extended Bolus Using Bolus Calculator u Ve If you are using the bolus calculator feature to calculate your extended or Combo Bolus amounts, you will be prompted to enter your BG reading and/or carb intake. The bolus calculator feature will use this input to calculate your suggested bolus amount. You can also change the estimated bolus if desired.
Note: If you need to make any changes in the previous menu, press to return to the previous menu, select Bolus Calculator, and re-enter the values. You can adjust the Set Bolus as needed. rit a s 3. Note: You can set a bolus dose between 0 and the Max Bolus. Ve Note: If there is an active Extended Bolus, the extended or Combo Bolus will not be available until the active Extended Bolus finished.
rit a Details of the Extended Bolus will be displayed, then slide to deliver to start delivery. B ur ea u Ve b. s Note: You can set the duration between 30 min and 8 h with an increment of 30 min. Note: The BG Reminder screen will appear if you have BG Reminder turned on. You can accept or modify the time before you are reminded to check your blood glucose after a bolus. See “BG Reminder” in this chapter for more information. Combo Bolus To set a Combo Bolus, follow these steps: a.
s Note: You can set the duration between 30 min and 8 h with an increment of 30 min. Ve rit a Note: The BG Reminder screen will appear if you have BG Reminder turned on. You can accept or modify the time before you are reminded to check your blood glucose after a bolus. See “BG Reminder” in this chapter for more information. B ur ea u c. Details of the Combo Bolus will be displayed. Slide to deliver to start delivery. 5.
5.3.1 Preset Bolus Setup 1. Go to the Preset Bolus Setup screen. rit a s Main Menu➔Settings➔Insulin Pump➔Bolus Setup➔Preset Bolus Setup Select a preset bolus you want to edit. If it has been edited, the current settings will appear. 3. Choose a bolus type. For a Normal Bolus, set the bolus amount. For an Extended Bolus, set the bolus amount and duration. For a Combo Bolus, set the bolus amount, normal/extended percentages and duration. B ur ea u Ve 2.
Tap Save to save the settings. Tap settings. or Home button and tap No to quit the s 4. rit a 5.3.2 Deliver a Preset Bolus 1. Go to the Preset Bolus screen. Ve You must set up a preset bolus before you can deliver it. B ur ea u Main Menu➔Bolus➔Preset Bolus The existing preset bolus settings are displayed on this screen. If you have not set up any preset bolus, this screen shows No Presets. 2. Select the preset bolus you want to deliver.
3. Verify your preset bolus settings. 4. Start bolus delivery. 5.4 Select a Basal Pattern 1. Go to the Select Pattern screen. Main Menu➔Basal➔Select Pattern Select the desired pattern to activate. ur ea 5.5 Temp Basal u Ve rit a s 2. B With a temp basal rate, you can adjust your basal rate for a short period of time to manage glucose levels during temporary activities or different conditions. For example, you might want to increase basal rate on sick days or decrease during exercise.
