NovoPen Echo®
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Quick guide
Important: Read the complete
user guide before you use your
pen for insulin delivery the first time
NovoPen Echo® remembers your last dose
Your pen has a dose memory that saves information about how much
insulin you last injected and the time passed since then.
The number in the dose memory display is the number of units last
injected.
The segments around the edge show how many full hours have passed
since your last injection. When a full hour has passed, one segment will be
shown. Another segment will appear when another full hour has passed.
The examples below show you how to read the dose memory.
More than 12 hours ago
(All 12 segments shown)
16.5 units injected
More than 1 hour ago, but less than 2
(One segment shown)
16.5 units injected
Less than 1 hour ago
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(No segments shown)
16.5 units injected
How to check your last dose
• Make sure the dose counter shows “0“ before you
start.
• Pull out the dose button.
• Push the dose button back in to check your last
dose.
Start-up display
First you see the start-up display. All display
elements are shown to confirm that it is working.
Next, the display shows the details of your last
dose. After 10 seconds, it turns off.
8-4251-31-001-X
NovoPen Echo®
User guide
Read this user guide carefully before you use your
NovoPen Echo® for insulin delivery the first time
Find a quick guide at the back of this manual
Rx only
For Single Patient Use Only
Contents
Overview of pen
parts ...............................Inside cover
Introduction...................Inside cover
Important notes...............................1
Prepare the pen for an injection
Insert an insulin cartridge ..................................2
Attach a new needle .........................................6
ALWAYS test the insulin flow before you inject..8
Select your dose..............................................10
Inject your dose .............................12
After your injection.......................14
How to use the dose memory
What is the dose memory?..............................16
How to read the dose memory ........................17
How to check your last dose ...........................18
Special display messages .................................19
How to replace a used insulin
cartridge.........................................20
How to check how much insulin
is left...............................................22
If you need more insulin than
what is left in the cartridge ..........24
How to care for your pen ..............26
Care................................................................26
Cleaning .........................................................26
Storage...........................................................27
Disposal ..........................................................27
Warranty.........................................28
For more
information go to
novopenecho.com
NovoPen Echo®
Pen
Pen cap
Dose memory
Number of hours since last
injection
Number of units
last injected
Disposable needle
(example)
Outer
needle
cap
Inner
needle
cap
Needle Paper
Insulin
scale
Insulin
window
tab
Cartridge
holder
Threaded end
(for needle
attachment)
Piston
rod head
Piston
rod
Dose
pointer
Dose
counter
Dose
button
LOT
number
Dose
memory
Insulin cartridge
(PenFill® cartridge 3 mL)
Colored
band
Piston
Introduction
Thank you for choosing NovoPen Echo®.
NovoPen Echo® is a re-usable insulin pen
with a dose memory function.
You should read this guide carefully
before you use your pen – even if you
have used NovoPen Echo® or similar Novo
Nordisk delivery systems before. It will tell you
all you need to know about your pen and
how to use it.
The NovoPen Echo® is a re-usable pen
injector designed for single patient use by
diabetics for the self-injection of a desired
dose of insulin. The pen injector uses PenFill®
3 mL cartridges of Novo Nordisk insulin and a
single use detachable and disposable pen
needle (supplied separately). The pen injector
allows the user to dial the desired dose from
0.5 to 30 units in 0.5 unit increments.
The pen has a dose memory that helps you
remember the number of units you last
injected and the time passed since that
injection.
The pen is durable, which means that you
can use it again and again. When you have
used all the insulin in a cartridge, you simply
replace it with a new one.
You can get the pen in red or blue. It is
recommended that you use a different
colored pen for each type of insulin you use.
About this user guide:
Throughout this guide, instructions on how
to use your pen are presented step by step.
Important information and additional
information are clearly marked by the
symbols you see below:
Important information
Pay special attention to these notes as
they are important for safe use of the
pen.
Additional information
Insert an insulin
cartridge
Attach a new
needle
1
• Pull off the pen cap.
• Twist off the cartridge
holder.
• The piston rod may stick
out of your pen. If so, push
it in until it stops.
2 3
• Take a new insulin cartridge
and check that:
– It contains the right insulin,
which looks as it should.
– It has no cracks or
damage.
• Slide the cartridge into the
cartridge holder with the
threaded end first.
• Twist the cartridge holder
back on.
• Take a new needle, and tear
off the paper tab.
• Push the needle straight
onto the pen. Turn until it is
on tight.
• Pull off the outer needle cap
and save it.
• Pull off the inner needle cap
and throw it away.
Do not share your pen and
needles. Use a new needle
for each injection.
ALWAYS test
the insulin flow
Select your dose
Inject your dose
4 5 6
ALWAYS test the flow
before you inject. Keep
testing until insulin squirts from
the needle tip. This makes sure
that any gap and air bubbles
are removed and that insulin is
getting through the needle.
• Select 2 units and press the
dose button until the dose
counter shows “0”.
• If no insulin appears or there
is a gap in the insulin window,
repeat the insulin flow test. The
insulin flow test is complete
when you see insulin squirt and
there is no longer a gap
between the piston rod head
and the piston.
• Pull out the dose button, if
it is not already out.
• Make sure the dose
counter shows “0“ before
you start.
• Turn the dose button to
select the dose you need.
You can turn forward or
backward.
Wait and
count slowly
• Insert the needle into your
skin and press the dose
button until the dose
counter shows “0”.
• Then wait and count
slowly to 6 before you
remove the needle from
your skin.
• Safely remove and
dispose of the needle.
Put the pen cap back on.
Do not store your pen with
a needle attached.
Important notes
1
• Do not use NovoPen Echo® without proper
training from your healthcare professional.
Make sure you are confident in making an
injection with the pen before you start your
treatment with it. Refresh the training at any
time by taking a look at the training video
online at novopenecho.com.
• If you are blind or have severe visual
problems, do not use NovoPen Echo®
without help. Get help from a person with
good eyesight who is trained to use NovoPen
Echo®.
• ALWAYS test the insulin flow before each
injection. Do not use the pen if insulin does
not squirt from the needle tip when you test
the insulin flow. If you do not test the insulin
flow, you may get too little or too much or no
insulin at all.
• If you drop your pen, check the insulin
cartridge for damages, for example cracks.
Replace the cartridge with a new one if
necessary.
• If you accidentally twist your pen apart
between injections, it is important to test the
flow of insulin before your next injection. You
may need to do it several times before insulin
appears at the needle tip.
• NovoPen Echo® is designed to be used
with PenFill® cartridge 3 mL and
NovoFine® or NovoTwist® disposable
needles up to a length of 8 mm.
Novo Nordisk is not responsible for harm
due to using NovoPen Echo® with products
other than these.
• Always check the name and color of the
cartridge to make sure that it contains the
type of insulin you need. This is especially
important if you take more than one type of
insulin.
• Always carry a spare pen, extra insulin of
the same type(s) you use, and new needles
with you in case of loss or damage.
• Never share your pen, insulin cartridges,
and needles with other people. They are for
your use ONLY.
• Always keep your pen, insulin cartridges,
and needles out of sight and reach of
others, especially children.
• Always keep your pen with you. Do not
leave it in a car or other place where it can
get too hot or too cold.
• Caregivers must be very careful when
handling used needles to reduce the risk
of needle sticks and cross-infection.
Insert an insulin cartridge
2
1
2
• Pull off the pen cap.
• Twist off the cartridge holder. Put it to one side for later
use.
3
• The piston rod may stick out of your pen. If so, push it
completely in until it stops.
Need help?
Call 1-800-727-6500
The piston rod and the piston rod head may be loose
and move on their own. This is natural and does not
affect the function of the pen.
3
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