Animas 2020 Uživatelská příručka

User Guide.Here’s everything you’ll need to know.

Page 101An extra pump cartridge cap (Call the Customer Care team at 1-866-406-4844 to order •an extra cartridge cap.)Glucagon Emergency Kit•Emergenc

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Page 101Frequently Asked Questions (FAQs)The Wake up screen shows my current basal rate delivery but doesn’t show which Basal 1. Program is active. Ho

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Page 103Glossaryalpha cells – Alpha cells are found in the pancreas. They produce a hormone called glucagon, which raises blood glucose levels.basal r

Page 104gestational diabetes – Gestational diabetes is a form of diabetes that may develop during pregnancy. In some women, certain hormones normally

Page 105insulin limits – Insulin limits are a programmable feature of the Animas® pump. After consulting with your healthcare team, you can use the ad

Page 106subcutaneous – Subcutaneous means beneath the skin. The infusion set needle is placed subcutaneously.Type 1 diabetes – Type 1 diabetes results

Page 107Tech SpecsNote: When applicable, testing used 23" Comfort™ infusion set and temperature of 23°C +/- 1°CNumber of Basal Segments: 12 per P

Page 108Pump Disposal: Contact the Customer Care team at 1-866-406-4844 for pump disposal information.Infrared communication portAudio Bolus Range: 0.

Page 109Animas® Insulin Pump WarrantyAnimas warrants that the Animas® insulin pump will be free from defects in material and workmanship for a period

Page 111Medical Procedures Procedure Patient is Pumper Healthcare Professional/Technician is PumperPacemaker / AICDDisconnect pump and leave outside

Page 110ANIMAS® INSULIN PUMP ACCESSORY WARRANTYLIMITED PRODUCT WARRANTY FOR INSULIN PUMP ACCESSORIES (Cases, Clips, Skins, etc.)Your Animas® insulin p

Page 111active basal program empty alert 79advanced bolus 36, 56, 65advanced features 55aicd 11air bubbles 15aircraft 13alarm history 48amuseme

Page 112rechargeable batteries 16, 25reminders 65, 74replace battery alarm 84replacement pump 15rf welders 10roller-coasters 13safety informatio

MediMark® Europe BP 2332F-38033 Grenoble Cedex 2. FranceTEL +33 (0) 4 76 86 43 22FAX +33 (0) 4 76 17 19 82PN 410-055-51 Rev CRev. Date: 06/2009© 2009

Page 121Radiology (X-rays) and Medical Procedure Quick Reference Chart

Page 131 Amusement ParksVery powerful electromagnets are sometimes used on “free-fall” amusement park rides. Insulin pumps should be removed and not

Page 141Occasionally check to make sure the pump emits audible tones that are easily detectable. For example, the audible tones should be heard ever

Page 151When you begin using the  Audio Bolus feature, always look at the screen as you program so that you are completely comfortable with the feat

Page 161To avoid risk of explosion, do not use the pump in the presence of explosive gases. Your Animas® 2020 pump is designed to achieve optimum per

Page 172Chapter 2 Package ContentsTake a minute to check the contents of your Animas® 2020 shipping box. It should include:Your Animas® 2020 insulin

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Page 193Chapter 3 Explanation of SymbolsShown below are symbols you will find on your Animas® 2020 insulin pump and its packaging.On the front of the

Page 2Technical and Clinical HelpIf there is anything you don’t understand in the User Guide, if you have a question, or need assistance with your pum

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Page 214Chapter 4 Introduction to Your Animas® 2020 PumpAn insulin pump is a tool to allow you to better manage your diabetes by mimicking the way a

Page 224Contrast ButtonPressing this button adjusts the contrast of your display. There are three contrast levels: Dim, Default and Bright. To preserv

Page 234Cartridge Compartment CapThis cap secures your cartridge and infusion set in the pump.Never tighten the cartridge cap when your infusion set i

Page 244When the pump times out, the screen display is blank. The battery life indicator is shaded to show approximate battery life remaining.Main Men

Page 255Chapter 5 Getting Your Pump ReadyBefore proceeding with this chapter, you should have completed your pump start training.To complete this s

Page 265Changing the BatteryEach time you change the battery A full rewind and prime sequence is required.• See this section, Priming the Pump and I

Page 2757. Check the displayed time/date, battery type and language. If correct, scroll down to highlight Confirm and press the OK button. The Home sc

Page 2854. Use the Up/Down arrows to change to your desired settings. Press the OK button to confirm your setting and exit Edit mode. 5. Use the Up/D

Page 295Normal Bolus SoundAudio Bolus Sound (OFF is not an option for this sound setting)Temp Basal SoundThese are the options from the first Setup Sou

Page 3Table of ContentsWelcome and Congratulations ...7Technical and

Page 305The CartridgeFilling the CartridgeRefer to the Instructions for Use included with your cartridges.Connecting the Tubing to the CartridgeThese

Page 3156. Remove cap from the filled cartridge tip. To avoid insulin spillage and introduction of air in the cartridge, it should never be filled beyo

Page 325Priming the Pump and Infusion SetThese steps must be followed in order.Note: As each step is completed, the checkbox on the ezPrime menu will

Page 335Never prime tubing or tighten the cartridge cap while the infusion set is connected to your body. Doing so while the infusion set is connect

Page 34512. From the ezPrime Menu, Fill Cannula is highlighted. Press the OK button. The Fill Cannula screen is displayed.13. Use the Up/Down arrows

Page 356Chapter 6 Using the Normal Bolus FeatureYour Animas® 2020 offers several advanced bolus options, which can be activated from the Setup Advanc

Page 366Note: You can check when you last gave a bolus by looking in History or Status. These features are covered later.Note: If you have Advanced Bo

Page 377Chapter 7 Using Basal Program FeaturesYou can program your Animas® 2020 to display either 1 or 4 basal program options. Basal insulin is deli

Page 387Note: You do not have to Suspend the pump to edit an active program. When you select Edit from the Basal Menu, your Animas® 2020 automatically

Page 397Note: The next available empty basal segment will appear automatically as you program the previous segment. If the next empty basal segment do

Page 4Chapter 6 Using the Normal Bolus Feature ...35Chapter 7 Using Basal Program Featu

Page 4075. Check that the AM/PM settings are correct.If you program a segment to start at the same time as an existing segment, the previously ente

Page 417Clearing Basal ProgramsThis feature allows you to clear all information from a basal program.1. From Basal Menu, scroll to desired program.2.

Page 4271. From Basal Menu, scroll to Temp. Press OK.2. The Change % field will flash to indicate Edit mode. Use the Up/Down arrows to enter the perce

Page 4376. The Home screen is displayed and shows your Temp Basal is active, the percentage change, the duration and how much time is left. When the

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Page 458Chapter 8 Suspend/Resume FeatureThis feature allows you to stop basal insulin delivery quickly and easily. It also cancels delivery of any Te

Page 468Resuming Delivery1. From the Main Menu, scroll down to Suspnd/Resum.2. Resume is highlighted. Press OK.3. The Home screen is displayed to s

Page 479Chapter 9 History FeatureYour Animas® 2020 stores important records for your review. You can access your pump’s history and view it directly

Page 489Total Daily Dose (TDD) HistoryYour Animas® 2020 displays the last 120 TDD records.1. From the History Menu, select TDD. This screen displays

Page 499Prime HistoryYour Animas® 2020 displays the last 60 Prime records.1. From the History Menu, select Prime. The screen displays the following:R

Page 5Combo Bolus ...73Reminders ...

Page 509Basal HistoryYour Animas® 2020 displays the last 270 Basal delivery records.1. From the History Menu, select Basal. The screen displays the f

Page 5110Chapter 10 Status FeatureThis feature gives you easy access to a summary of information about your pump’s current programming and performanc

Page 5210Status Screen 3 – Delivery TodayThe screen displays the following information:Insulin type•If Temp Basal has been active between midnight an

Page 5310Status Screen 6 – CodesThe screen displays the following information:Software revision•Serial number of pump•Code for manufacturer’s use•C

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Page 5511Chapter 11 Advanced Features – Setup and ActivationNow you’ve made it through the basics! Your Animas® 2020 offers many advanced features th

Page 5611Setup Advanced 2 – Advanced Bolus Features and Multiple Basal ProgramsThis screen allows you to:Turn • Advanced Bolus Features on or offezCa

Page 5711Setup Advanced 4 – Language Setup, Display Timeout, Contrast and Battery TypeThis screen allows you to:Select a different language•Set the l

Page 5811Setup Advanced 6 – Low Cartridge Warning Setting and Occlusion Sensitivity SettingThis screen allows you to:Set your low cartridge warning to

Page 59115. To move to the next I:C Ratio screen, scroll to the forward arrows and press OK.6. Scroll up to the time field and press OK to change to

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Page 60116. Scroll up to the time field and press OK to change to flashing cursor for Edit mode.7. Use the Up/Down arrows to change the segment start

Page 61117. To move to the next BG Target screen, scroll to the forward arrows and press OK.8. Scroll up to the time field and press OK to change to

Page 6211To return to the Home screen, scroll to Home and press OK.Note: The pump is constantly tracking insulin on board, so when you turn on the fea

Page 6312Chapter 12 Using Advanced FeaturesUsing the features in this chapter requires an advanced understanding of insulin pump therapy and should

Page 6412Within 5 seconds, the pump will respond with a number of confirmation beeps equal to 4. the number of times you pressed the audio bolus button

Page 6512ezBolus™If you do not have your Audio Bolus feature turned on, the button on the end of the pump will function as a short cut to the Normal B

Page 6612Entering Carbs Manually (no food database)From the 1. Bolus Menu, scroll to ezCarb. Press OK. The ezCarb Home screen is displayed.The cursor

Page 6712If you wish to give a Combo Bolus, scroll to the Type field and press OK to edit.7. Use the Up/Down arrows to select bolus type: Normal (defau

Page 6812The 5. Bolus Total screen is displayed and the Bolus amount field is highlighted and flashing. Enter the Bolus amount. Go is highlighted. Pres

Page 6912Add Item6. is highlighted. If you wish to add an item to your meal, press OK. The Food List is displayed. Follow steps 2 through 5 until yo

Page 7Welcome and CongratulationsYou have begun a new way of life with your Animas® 2020 insulin pump.Your choice of pump therapy is a sign that you a

Page 7012Note: The max limit for ezCarb Total is 999g. If your meal total is more than 999g, the pump display will show the actual total and the max a

Page 7112ezBGThis feature allows you to enter your BG reading and your Animas® 2020 will calculate a correction bolus based on the Insulin Sensitivity

Page 72125. The ezBG Total screen is displayed with a suggested bolus amount. The bolus amount field is highlighted and flashing to indicate you can en

Page 7312Combo Bolus The Combo Bolus feature is used to give both a Normal and Extended Bolus. This feature is useful for consumption of high fat meal

Page 74126. Scroll to Go and press OK to activate. The Home screen shows Combo Bolus active.To cancel an active Combo Bolus from the Bolus Menu, sele

Page 7512BG Check Reminder1. From the Reminders Menu, select BG Check. Press OK to activate Edit mode to turn this reminder on or off. Press OK to co

Page 7612Note: If a program other than 1-Weekday is active, you cannot change this setting to display 1 basal program. The Alert screen shown here wil

Page 7713Chapter 13 Care and MaintenanceThe VentsYour Animas® 2020 features a redundant Vent Safety System. Vents serve two purposes. First, they all

Page 7813General Wear and TearIf you drop the pump or it has been hit against something hard, inspect it to be sure it is still working properly. Chec

Page 7914Chapter 14 Safety System and AlarmsAlerts, Warnings and AlarmsYour Animas® pump has a progressive Warnings and Alarms safety system. This me

Page 8Technical and Clinical HelpIf there is anything you don’t understand in the User Guide or if you have a question or need assistance with your pu

Page 8014Alert: Low BG ♪Cause BG entry below 3.9 mmol/L.Effect Requires user confirmation to continue.Message Displayed until confirmed.Action Press

Page 8114Warning: Basal Delivery Suspended ♪Cause Basal Edit was not saved.Effect Basal delivery stopped.Message Displayed when manually awakened u

Page 8214Warning: Low Battery ♪Cause Battery life ends in minimum 1 hour.Effect Deliveries continue.MessageDisplays when pump is awake until confirm

Page 8314Warning: Exceeds Max Basal ♪CauseBasal delivery rate (or Temp Basal delivery) exceeds user-set maximum.Effect Basal delivery stops.Message

Page 8414Alarm: Empty Cartridge ♪Cause Cartridge empty.Effect All deliveries stop.Message Continuous until confirmed.ActionPress OK to confirm. Repla

Page 8515Chapter 15 Troubleshooting GuidelinesIt’s a good idea to set up a troubleshooting procedure to use anytime you suspect something might be wr

Page 8615Possible Cause of Low BG Suggested SolutionAlcohol consumption May cause hypoglycemia.Eat food when drinking alcohol.Be cautious with bedtime

Page 8715Several things can cause a high BG reading. The most common problems and causes of high blood glucose are listed in the following table, as a

Page 8815SMBG (Self-monitoring of BG)Insufficient BG testing Check more often when BG is elevated.Rebound high BG after low BG (Somogyi Effect)Check 3

Page 8915Problems with Infusion Sets and SitesA number of problems can occur with infusion sets and sites, the most common of which are listed in the

Page 91Chapter 1 Important InformationThis User Guide contains information about how to use, program and maintain your new pump. It is important to r

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Page 9116Chapter 16 Sick Day GuidelinesDuring periods of short-term illness, it may be more difficult to maintain good control of your diabetes. Examp

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Page 9317Chapter 17 Lifestyle IssuesExercise and SportsThere are many options for wearing your pump during exercise and sports activities. During “lo

Page 9417Traveling, continued:Pack your insulin carefully so that it is not exposed to extreme temperatures or •temperature changesPack your pump sup

Page 9518Chapter 18 My InformationThis chapter provides tables to record information needed for programming your personal settings into the pump. Con

Page 9618Temp Basal Rate Decrease for ActivityActivity Type % DecreaseSet Temp in advance of activity (yes or no)Minutes to set in advanceLight (gard

Page 9718Basal Programming Date: ______________SEGMENTSTART TIMEProgram 1 Program 2 Program 3 Program 4Weekday______________Other_______________Weeken

Page 9818Basal Programming Date: ______________SEGMENTSTART TIMEProgram 1 Program 2 Program 3 Program 4Weekday______________Other_______________Weeken

Page 9918Basal Programming Date: ______________SEGMENTSTARTTIMEProgram 1 Program 2 Program 3 Program 4Weekday______________Other_______________Weekend