4070889_Cover 8/10/04 10:35 AM Page 1 Deltec Cozmo® Insulin Pump Step-by-Step Training Guide
4070889_Cover 8/10/04 10:35 AM Page 2 DELTEC COZMO® INSULIN PUMP STEP-BY-STEP TRAINING GUIDE Table of Contents Introduction.................................................... 3 Pump Information and Setup ........................4-8 Basic Pump Information ...............................4 Cartridge Assembly and Fill...........................5 Battery ........................................................5 Screensaver and Backlight ............................6 Cartridge Removal/Insertion ............
4070889_inside_die 8/10/04 10:33 AM Page 1 Personalized Options / Basal Pattern...............20 Maximum Basal Rate..................................20 Review or Edit Basal Pattern .......................20 Select Name and Patterns 1-4 ....................20 Personalized Options / Temporary Rate ......21-22 Temporary Rate in Menu .............................21 Program Temporary Rate Using Percent or Units/Hour............................................21 Running Temporary Rate Reminder ..............
Pump Information / Setup 4070889_inside_die 8/10/04 10:33 AM Page 2 Pump Information/ Setup Basic Pump Information Before you begin programming the Deltec Cozmo® Insulin Pump, please look it over to become familiar with its many features and information. TOP OF PUMP 2 1. Battery cap 1 2. Cartridge cap If you are training with a demo pump, the back label information is different than what is shown below. RIGHT SIDE OF PUMP 3 7 3. Touch bolus button Raised button 4 6 5 FRONT OF PUMP 4.
4070889_inside_die 8/10/04 10:33 AM Page 3 7. Cover the cartridge tip with the white cartridge cap. Turn the cap clockwise to tighten. USER TRAINING TIPS For today’s training session: 8. Turn plunger counterclockwise to remove it. Discard plunger. • Your demo pump contains a cartridge. • You will use air OR saline 9. Set cartridge aside. Battery Your demo pump has a basal rate programmed into it, and you will learn how to set and change basal rates.
4070889_inside_die 8/10/04 Pump Information / Setup Basal Rate Time 10:33 AM Page 4 Screensaver and Backlight 5. From the Cartridge Menu press the right program key to select Load. The screensaver displays the current time of day and current basal rate or alert. When the user is at a home screen and no keys or buttons are pressed for 15 seconds, the screensaver display appears, allowing the pump to save battery power. 6.
4070889_inside_die 8/10/04 10:33 AM Page 5 the load process, the motor sound will stop and you will return to the Cartridge Menu, where the Load box will be checked. 10. Attach the cartridge cap to the pump. Turn clockwise to tighten. 3. If using saline, when you see 4 or 5 drops of saline at the end of the tubing, press Stop. 4. Press Back to return to the Cartridge Menu. USER TRAINING TIP After cartridge is loaded, turn the pump upside down.
4070889_inside_die 8/10/04 10:33 AM Page 6 WHEN TRAINING A USER WITH A NEW PUMP USER TRAINING TIPS User should now insert site. 1. From the Cartridge Menu, scroll to Fill Cannula. Once you’ve filled the tubing, you must fill the cannula. 2. Press Select. Fill Cannula 3. Press the up arrow key to select the desired amount to fill the cannula. WHEN TRAINING WITH A DEMO PUMP 4. Press Fill to fill the cannula. Your demo pump has an amount of insulin highlighted.
4070889_inside_die 8/10/04 10:33 AM Page 8 Insulin in cartridge Power in battery Standard Home Screens Home Screen 1 Current basal pattern Current basal rate Home Screens Current basal pattern and rate All programming, operating and alarm/alert information is shown in the Home Screen display. ALL HOME SCREENS DISPLAY 1. Insulin remaining icon: amount of insulin in the cartridge 2. Battery icon: battery power 3. A personalized pump name, or Cozmo if no name has been programmed 5.
4070889_inside_die 8/10/04 10:33 AM Page 9 To Set Time and Date Pump Setting Options Users can easily personalize options on their Deltec Cozmo® Insulin Pump. To begin: 1. Press any key to move to a Home Screen. 2. Press right program key below Menu to move to the Main Menu. Pump Setting Options 3. Use the up and down arrow keys to move between the menu choices. When you make your choice, the menu item is highlighted, or boxed. 4. Press Select to enter into the menu you have chosen.
4070889_inside_die 8/10/04 10:33 AM Page 10 TO UNLOCK PROGRAM LOCK USER TRAINING TIP Set the user’s pump to Beep. After using the pump for a few weeks, the user may want to switch to Vibrate. Program Lock When the pump is in lock mode, pump functions cannot be used until the pump is unlocked, but basal insulin delivery will continue. 1. Go to any Home Screen and select Menu. 2. Lock Code will appear. Use up arrow key to enter 17. Press Next. 3. This brings up the Main Menu. Select Pump Settings.
4070889_inside_die 8/10/04 10:33 AM Page 12 DELIVERY LIMIT ALARM Personalized Options Alerts Default is 40 u. Range is 1-150 u. These numbers represent the hourly insulin delivery limit. 1. 40 u will be displayed. Use the up and down arrow keys to change, if desired. 2. Press Next. Alerts GLUCOSE REMINDER ALERT 1. From the Pump Settings Menu, select Personalize. Default is 2 hours. Range is 1 to 4 hours in 15 minute increments. 1. After: 02:00 hr will be displayed. 2.
4070889_inside_die 8/10/04 10:33 AM Page 13 7. Press Next. 8. Default type is Single. Use arrow keys to change type of alert to Daily. 9. Press Next. 5. Default blood glucose limit is 200 mg/dl. Range is 150 to 300 mg/dl. Use arrow keys to change limit. 6. Press Next. 10. You will return to Custom Alerts menu, where user can set custom alerts, as desired. AUTOMATIC OFF ALARM 11. Press Done when all desired custom alerts have been set. 1. Use arrow keys to change No to Yes. Default is No. 2.
4070889_inside_die 8/10/04 10:33 AM Page 14 3. The Missed Meal Bolus Alert programming screen will appear. Press Edit to choose Alert 1. 4. Default is No. Use arrow keys to change No to Yes. Personalized Options History 5. Press Next. 6. Default start time is 12:00 AM. Range is 12:00 AM to 11:30 PM. Use arrow keys to change start time. 1. From the Personalize Menu, scroll to History. 7. Press Next. 2. Press Select. 8. Default end time is 12:00 AM. Range is 12:00 AM to 11:30 PM.
4070889_inside_die 8/10/04 10:33 AM Page 15 Personalized Options History / Regional Settings Basal as Percent of TDD shows what percent of the total amount of insulin delivered each day is basal insulin. Personalized Options Regional Settings Avg Basal as Percent of TDD looks at what percent of the total amount of insulin delivered over a number of days (2 to 30) is basal insulin and calculates an average.
Personalized Options Meal Bolus 4070889_inside_die 8/10/04 10:33 AM Page 18 8. Press Next. Personalized Options Meal Bolus 1. From the Personalize Menu, scroll to Delivery and press Select. 9. Screen will display: Meal Bolus In Menu. This asks the user to select an Extended and/or Combination Bolus as choices in the Meal Bolus Menu. Default for both is No. Use arrow keys to change No to Yes. 10. Press Next after each selection. 11. Screen will display: Touch Bolus. Default is Yes. 12. Press Next.
4070889_inside_die 8/10/04 10:34 AM Page 19 TO PROGRAM A MEAL BOLUS USING GRAMS-CARBS 1. Once you select Meal Bolus from the Delivery Setup menu, the screen will display: Program bolus using: Units-Insulin. Use arrow keys to change Units-Insulin to Grams-Carbs. 2. Press Next. 4. Press Next. 5. Screen will display: When changing Carbohydrates increment by: 5 grams. This is the default. Options are 1-5, 10 or 15 grams. Use arrow keys to make selection. 6. Press Next. 7.
4070889_inside_die 8/10/04 10:34 AM Page 20 Personalized Options Correction Bolus USER TRAINING TIP The Review or Edit custom bolus screen will only display in the pump when grams-carbs have been selected. With CoZmanager™ PC Communications System, 12 Custom Meal Boluses can be set using units of insulin or different insulin-to-carb ratios and names; however, the method of delivery must be set to extended or combination.
4070889_inside_die 8/10/04 10:34 AM Page 22 12. Press Edit. Personalized Options Correction Bolus 1. From the Delivery Setup Menu, scroll to Correction Bolus. 2. Press Select. 14. Press Next. The user can personalize up to 24 different correction factors by time of day at half-hour start times. 15. Press Done when all desired correction factors have been entered. 16. Press Back after reviewing correction factors. 17. Screen will display: Duration of insulin action. Default is 3 hours.
4070889_inside_die 8/10/04 10:34 AM Page 23 Personalized Options Basal Pattern 11. Users can name Patterns 1, 2, 3 and 4. Use the arrow keys to choose a pattern number or one of five names that are programmed into the pump. Personalized names can be set with CoZmanager™ PC Communication Software. 12. Press Next. 1. From the Delivery Setup Menu, scroll to Basal Pattern. 2. Press Select. Personalized Options Basal Pattern / Temp Rate 3. Screen will display: Maximum basal rate. Default is 2.00 u/hr.
4070889_inside_die 8/10/04 10:34 AM Page 24 Personalized Options Temporary Rate 1. From the Delivery Setup Menu, scroll to Temporary Rate. 2. Press Select. 3. Screen will display: Temporary Rate In menu. Default is No. Use arrow key to change No to Yes. 11. Screen will display: Display Temporary rate home screen? Default is No. Can change No to Yes. 12. Press Next. 13. Screen will display: Review or Edit Custom Temporary Rate? Default is No. Can change No to Yes. 14. Press Select.
4070889_inside_die 8/10/04 10:34 AM Page 25 9. Default Duration is 00:30. Range is 30 minutes to 72 hours in 30-minute increments. Use arrow keys to make selection. 10. Press Next. 11. Default Name is Temp Rate 1. Use arrow keys to select the pattern number or name. 12. Press Next. 13. You will return to the Custom Temporary Rate menu, where the user can set additional temporary rates, if desired. 14. Press Done when Custom Temporary Rates have been set.
4070889_inside_die 8/10/04 10:34 AM Page 26 Using the Meal Maker Feature 5. The Meal Maker™ screen will appear, asking you for the number of grams (gms) for Item 1. ™ The Meal Maker™ feature makes counting carbs easy. Users simply enter carbohydrate grams for each meal item. The Deltec Cozmo® Insulin Pump automatically totals all the carbohydrate grams and then calculates the amount of insulin required, based on the user’s personal insulin-to-carb ratio(s).
4070889_inside_die 8/10/04 10:34 AM Page 27 12. The Carbohydrates screen will appear with 40 gm (as the total gm). 13. Press Next. 0.30 u insulin on board 14. The Add Correction Bolus? screen will appear. The default is Yes if there is no insulin on board. The default is No if there is insulin on board, as there is in this example. 15. Press Next. 16. The Deltec Cozmo® Insulin Pump calculates the bolus needed for a 40 gram carb meal. The screen will display 2.65 u. 17. Press Deliver. 18.
4070889_inside_die 8/10/04 10:34 AM Page 28 Review Follow the pump screen prompts to complete the following assignments. Refer to the Deltec Cozmo® Insulin Pump User Manual for additional guidance. Deliver a meal bolus. Deliver a touch bolus. Deliver a correction bolus. Review Optional Home Screens See pages 9 –13 for instructions on accessing Home Screens 1, 2 and 3. Insulin on Board (IOB) See page 19 for how to turn on this screen.
8/10/04 Notes 4070889_inside_die Notes 26 10:34 AM Page 30
4070889_Cover 8/10/04 10:35 AM Page 27 Notes 27
4070889_Cover 8/10/04 10:35 AM Page 28 Smiths Medical MD, Inc. St. Paul, MN 55112 USA www.DeltecCozmo.com Customer Service (USA ONLY): 1-800-826-9703 Fax: 1-800-209-2145 U.S. and foreign patent(s) pending. Deltec Cozmo and Deltec Cozmo logo design are trademarks of the Smiths Medical family of companies. The ® indicates the trademark is registered in the U.S. Patent and Trademark Office and certain other countries. ©2004 Smiths Medical family of companies. All rights reserved.
