MEDTRUM TECHNOLOGIES JN022, MD1026, MD1027 User Manual

B ureau Veritas
2. Select a temp basal type, temp rate or percent and duration, then
Tap Next to review the temporary basal rates set.
Note: If Percent is selected, you can set the temp basal rate, not exceeding the
Max Basal Rate, between 0 and 200% with an increment of 1%. If Rate (U/H) is selected, you can set the temp basal between 0 and the Max Basal Rate with an increment of 0.05 U/H.
Note: You can set the duration between 30 min and 24h with an increment of
30 min.
3. Make sure that the temp basal is correct in this Temp Basal Review, then
Slide to activate.
5.5.2 Cancel a Temp Basal
1. Go to the Cancel Temp Basal screen. Select Cancel Temp Basal.
135
B ureau Veritas
Main MenuBasalCancel Temp Basal
2. Slide to stop temp basal delivery, or tap to continue delivering.
Note: If you suspend insulin delivery while a temp basal rate is active, the temp
basal rate will be canceled.
5.6 Preset Temp Basal
With the preset temp basal feature, you can program temp basal rates for recurring short-term situations. You can set up to seven preset temp basal rates: Heavy Ex, Medium Ex, Light Ex, Sick, Temp 1, and Temp 2 and Temp 3.
5.6.1 Preset Temp Basal Setup
1. Go to the Preset Temp Setup screen.
136
B ureau Veritas
Main MenuSettingsInsulin PumpBasal SetupPreset Temp Setup
2. Select a preset temp basal you want to edit. Choose the temp basal type
(rate or percent).
3. Set the duration and rate/percentage of the preset temp basal. Tap Save
to save settings.
5.6.2 Activate a Preset Temp Basal
You must set up a preset temp basal before you can activate it.
1. Go to the Preset Temp Basal screen.
Main MenuBasalPreset Temp Basal
The programmed preset temp basal types are displayed on this screen. If you have not set up any preset temp basal rate, this screen shows No Presets.
2. Select the preset temp basal you want to activate.
137
B ureau Veritas
3. Confirm your preset temp basal settings.
4. Slide to activate.
5.7 Reminder
5.7.1 Bolus Reminder
When you fail to deliver a Bolus at between time point A and time point B, you will receive a Reminder at time point B.
1. Time Point A
1
You can add, delete, or review Reminders when the Bolus Reminder option is turned on. Go to the Bolus Reminder screen.
Main MenuSettingsReminders Bolus Reminder
2
2. Time Point B
Add Reminder Tap + Add time segment to add one Reminder, setting the start and end time.
138
B ureau Veritas
Note:
(1) The end time should be at least 30 min later than the start time. You can program up to four bolus Reminders.
(2) The Reminders will be saved automatically.
Delete Reminder Slide from right to left on one segment, tap Delete to delete this segment.
5.7.2 BG Reminder
After you deliver a bolus, you may want to check your BG. The BG Reminder is an optional feature that reminds you to check your BG after a bolus.
Go to the BG Reminder Setup screen.
Main Menu SettingsRemindersBG Reminder
139
B ureau Veritas
If you have BG Reminder turned on, the BG REMINDER DURATION screen appears when you set Bolus.
It allows you to set the time before you are reminded to check your blood glucose after a bolus.
The time ranges from 00:30 to 05:00 with an increment of 30 minutes. The default time is 00:30.
You can also turn off the BG reminder after each bolus.
You can accept or modify the time before you are reminded.
5.8 Pump History
5.8.1 Pump History
The Pump History displays the delivery history (bolus, basal and total daily
140
B ureau Veritas
delivery history) and alert history (pump alerts and alarms). Go to the Pump History screen.
Main MenuHistoryPump History
5.8.1.1 Delivery History
You can select one day to review its delivery graph. It displays the summary of basal, bolus and total delivery for one day.
1. Tap the date to switch
between records of different dates
2. Tap the info icon to
review legend meanings.
3. Tap the “Basal, Bolus,
Total “summary chart at the bottom of Delivery History screen to see details.
(1) The legend
141
B ureau Veritas
Legend Abbreviation
Basal Temp Basal
(2) Basal History
This screen displays most detailed Basal information.
Normal Bolus Extended Bolus
Auto Suspend
Manual Suspend
Stop
New Patch
Significance Basal Rate infusion curve
Temp Basal Rate infusion curve
Normal Bolus delivery icon Extended Bolus delivery icon
This tag appears when any of the following alarms occurs: AUTO OFF, PREDICTIVE LOW SUSPEND, LOW SUSPEND, EXCEEDS MAX TDD, EXCEEDS MAX 1HR DELIVERY ALARM. Manually suspend all insulin delivery
Including deactivate patch, discard patch, and alarms: OCCLUSION DETECTED, PATCH EXPIRED, PATCH ERROR, PATCH BATT DEPLETED, PUMP BASE ERROR, EMPTY RESERVOIR.
When you activate a new patch, this icon appears.
142
B ureau Veritas
(3) Bolus history
The summary information includes:
The start time of this bolus; Status of bolus: completed, canceled, delivering; Bolus type; Amount of bolus delivered |Amount of bolus programmed.
Bolus Type:
N: Normal Bolus E: Extended Bolus C: Combo Bolus Normal: Normal Bolus by Manual Bolus Extended: Extended Bolus by Manual Bolus
143
B ureau Veritas
Combo: Combo Bolus by Manual Bolus Calc-N: Normal Bolus by Bolus Calculator Calc-E: Extended Bolus by Bolus Calculator Calc-C: Combo Bolus by Bolus Calculator
Tap record line to view more detailed information. See Chapter “Advanced Pump Features” for more information.
(4) Daily Totals
This screen displays most detailed Daily Totals information.
N represents Normal Bolus. E represents Extended Bolus. C represents Combo Bolus. FoodBolus 7.30U #1 means that there is one food bolus doses in the
selected day with a total amount of 7.30U.
CorrBolus 2.10U #1 means that there is one correction bolus doses in the
selected day with a total amount of 2.10U.
Food+Corr 0.00U #0 means that there is no bolus dose that both covers
carbs and corrects glucose in the selected day.
ManualBo 9.70U #2 means that there are two manual bolus doses in the
selected day with a total amount of 9.70U.
144
B ureau Veritas
5.8.1.2 Alert History
Go to the pump Alert History screen.
Main MenuHistoryPump HistoryAlert History
Tap the date to switch between records of different dates. Tap each Alert/Alarm to view alert detail information. Tap to return to the previous menu.
See Section “Alert Icons” in Chapter How to us the PDM for more information about how to address alarms and alerts and the meanings of different alarm/alert icons.
5.8.2 Pump Summary History
5.8.2.1 Summary History: Insulin History
This screen displays the insulin delivery summary history. Go to the Insulin History screen.
Main MenuHistorySummary History Insulin History
145
B ureau Veritas
Daily Insulin: Total daily dose of insulin delivered per day. Daily Basal: Average daily dose and percentage of insulin delivered as Basal. Daily Bolus: Average daily dose and percentage of insulin delivered as Bolus. Daily Carbs: Average daily amount of carbs.
5.8.2.2 Summary History: Bolus History
This screen displays the Bolus summary history.
Main MenuHistorySummary History Bolus History
Carbs Bolus Only: Average daily dose and the number of times of Food Bolus only on the selected days.
BG Correction Only: Average daily dose and the number of times of BG correction Bolus only on the selected days.
5.9 Troubleshooting Pump issues
Can I take a sauna with a Patch Pump on?
No. Firstly, the operating temperature range for the Patch Pumps is +5°C ~ +40°C. Secondly, if you take a sauna, insulin will be absorbed faster into your body, and
your blood glucose can fluctuate.
Can I dive with a Patch Pump on?
No.
146
B ureau Veritas
Your Patch Pump is waterproof to a depth of 2.5 meters (8 feet) for up to 60 minutes (IPX8).
It means the maximum pressure the device can tolerate equals the pressure in
2.5m deep in STILL water instead of flowing water. It is OK to take a shower or go swimming with the devices on, but if you go diving,
the water pressure may be too high for the devices.
I didn’t see an alert message, but it appeared in History.
If one of the following alerts happened, the PDM would beep/vibrate and display a message first, and if you missed that alert, later when you checked the PDM, the condition that triggered the alert had changed (for example, your glucose level returned to the target range), then you wouldn't see any message on the screen, you would only find it in History.
Alert Alert change EXCEEDS MAX TDD After insulin delivery automatically starts
again, alert is switched to BASAL RESUMED.
EXCEEDS MAX 1HR DELIVERY After insulin delivery automatically starts
again, alert is switched to BASAL RESUMED.
If one of the following alerts happened, the PDM would beep/vibrate and display a message first, and if you missed that alert, later when you checked the PDM, the alert may have escalated to another alert/alarm, and you will ONLY see the message of the escalated alert/alarm. The first alert will appear in History.
Alert Alert escalation LOW RESERVOIR EMPTY RESERVOIR PATCH EXP ADVISORY PATCH EXP IN 1 HOUR, then PATCH EXPIRED
AUTO OFF ALERT AUTO OFF
Lights on the Patch Pump
Once you connect the pump base with a new Reservoir Patch, you will see the indicator light flashing in the order of blue, green, yellow, and red. When you are activating the new patch, you will see the green light flashing until the basal pattern is activated.
A yellow (orange) light indicates an alert, while a red light indicates an alarm.
147
B ureau Veritas
If the PDM is away from the Patch Pump, how will the basal rate be delivered?
The selected basal pattern is stored in the pump base, which means that even if the PDM is away, the basal pattern will continue as planned.
Can I fill the patch with insulin when the patch is on body?
NO. NEVER DO THAT. Insulin can go directly into your body, which is very dangerous.
No magnetic objects around when activating (priming)
When you are filling the Reservoir Patch, make sure that it is at least 30 cm (12 inches) from any magnetic objects, such as magnets, mobile phones, tablets, other Reservoir Patches, TVs, refrigerators, and sound options. The Patch Pump will detect the volume of insulin in the reservoir once it is filled, and if the Patch Pump is in a magnetic field, the volume detected can be inaccurate.
148
B ureau Veritas
149
B ureau Veritas
150
B ureau Veritas
6 How to use CGM system (Optional)
6.1 Glucose Alerts
Set your Low and High glucose alerts before using the sensor. See Section
“Glucose Alerts” in Chapter “How to use (P)LGS” for more information.
6.2 Change Sensor
Your Sensor gives glucose readings for up to fourteen days. When a Sensor expires or fails, your Sensor session ends automatically, and PDM displays no more glucose readings. You must remove the Sensor and disconnect the Transmitter.
6.2.1 Disconnect Sensor from Your PDM
Go to Disconnect Sensor screen.
Main MenuSensorDisconnect Sensor
Note: The Disconnect Sensor option is only available when a Sensor is currently
connected to the PDM.
151
B ureau Veritas
6.2.2 Remove the Current Sensor and Disconnect the
Transmitter
1. Gently peel the adhesive pad off your skin in one continuous movement
to remove the Sensor and Transmitter.
2. Pinch the ribbed release tabs on the sides of the Sensor support mount,
and gently pull the Transmitter away from the Sensor support mount.
3. Discard the Sensor support mount and reuse the Transmitter.
Note: Do Not discard your Transmitter. It is reusable and rechargeable. Note: Make sure that you completely disconnect the Transmitter from the
Sensor when you do. Do NOT store the Transmitter connecting a Sensor or a USB charging cable on which may kill the Transmitter battery.
6.2.3 Charge the Transmitter
The Transmitter is charged via a USB charging cable which is plugged into a USB
2.0/3.0 port or a power adapter with a rated voltage of DC 5V and a rated current higher than DC 1000mA. The device with the USB port and the power adapter must comply with EN 60950-1 or EN 60601-1.
152
B ureau Veritas
The battery must be fully charged the first time you use the Transmitter, which may take up to 2 hours. It is recommended to recharge the Transmitter after each Sensor session. If a Transmitter is stored for two months, you must fully charge the Transmitter battery to ensure it works properly.
The indicator light will flash when the Transmitter is being charged, and go off when the Transmitter is fully charged.
Note: We recommend that your Transmitter is only charged by an intended and
qualified operator.
6.2.4 Add the Transmitter SN
Any time when you switch to a new Transmitter and/or a PDM you must add the Transmitter SN.
Main MenuSensorTransmitter SN
1. Tap Connect Sensor if you have set the Transmitter SN.
Note: Don’t forget to update the SN if you change to a new Transmitter. Note: You can only change the Transmitter SN when there is no Sensor
connected. You can find the Transmitter SN on the product box or on the back of the
Transmitter.
153
B ureau Veritas
2. You can either enter SN manually or search for the SN if it is the first time you enter the SN.
3. You can only enter SN manually if you want to update the SN.
154
B ureau Veritas
Enter SN manually
Tap --------- or the existing Transmitter SN, you will see the following screen. Then enter the SN to your PDM and press Done.
Search for the SN
If you select Search, make sure that your Transmitter is connected to a new Sensor and move the PDM closer to your CGM before searching. See Section
“Insert a New Sensor” for more information.
If you tap Search in Sensor, you will see the following message when you search for the SN.
155
B ureau Veritas
If your PDM finds one Transmitter, the Transmitter SN appears on the screen. Confirm it once it matches the SN printed on your Transmitter. If it is correct, tap OK.
If your PDM finds multiple Transmitters, tap OK to go back to Sensor Menu, then select “---------” to enter the SN manually.
156
B ureau Veritas
If your PDM does not find a Transmitter, make sure that your Transmitter is connected to a new Sensor, move the PDM closer to your CGM, and enter the SN manually.
6.2.5 Insert a New Sensor
6.2.5.1 Select an Insertion Site
When choosing the location for the Sensor, consider the following:
That you can comfortably reach the Sensor. That you apply the Sensor to a flat area of skin with adequate
subcutaneous fat.
That the area stays flat during normal daily activities without bending or
creasing.
When choosing the location for the Sensor, avoid the following:
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. Within 7.5 cm (3 inches) of an insulin pump infusion site or manual
injection site.
Shown here are the best body areas (shaded) for Sensor insertion.
157
B ureau Veritas
Front Back Front Back
If you choose an insertion site on your abdomen (buttock for children), apply the Sensor horizontally. If you choose an insertion site on your upper arm, apply
the Sensor vertically. Have a rotation schedule for choosing a new site. Using the same site too often
might not allow the skin to heal and can possibly cause scarring or skin irritation.
6.2.5.2 Prepare the Insertion Site
1. Wash your hands thoroughly with soap and water and wait for them dry
up.
2. Wipe the selected insertion area with rubbing alcohol and wait for the area
to dry up. This may help prevent infection. Do NOT insert the Sensor until the cleaned area is dry. This will make the Sensor adhesive stay on the skin more firmly.
Warning: If the Sensor dislodges because the Sensor support adhesive fails to
adhere to the skin, you may get false or no readings. Improper site selection and improper site preparation may result in poor adhesion.
6.2.5.3 Unpack the Glucose Sensor
Open the Sensor package by peeling off the paper on the back of the package. Pay attention to the following:
Warning: Do NOT use a Sensor if its sterile package has been damaged or
opened, or the Sensor has expired, or the Sensor is damaged in any way.
Note: Wash your hands with soap and water and let them dry before opening
the Sensor package and handling the Sensor. After opening the package, avoid touching any Sensor surface that will be in contact with the body, i.e., adhesive
158
B ureau Veritas
surface. You may contaminate the insertion site and suffer an infection if you have unclean hands while inserting the Sensor.
6.2.5.4 Remove the Protective Liner from the Sensor Support Mount
Bend the two-piece protective liner slightly on the edge so you can see the seam between the two pieces. Hold the inserter part of the Sensor, and try not to touch the adhesive surface. Remove the liners from the Sensor support mount one after another.
6.2.5.5 Locate the Sensor Support Mount
If you are inserting the Sensor on your abdomen or lower back, place the Sensor horizontally on your skin.
If you are inserting the Sensor on your upper arm or thigh, place the Sensor vertically on your skin.
Move your fingers around the adhesive pad to secure it to your skin.
6.2.5.6 Remove the Safety Lock
Hold the Glucose Sensor with one hand. Firmly squeeze the two release tabs of the safety lock with your thumb and index finger of the other hand, as you lift the safety lock away from the inserter. Keep the safety lock, you will need it later.
159
B ureau Veritas
6.2.5.7 Insert the Sensor
Hold the inserter as shown below and press the two buttons at the same time. You might feel a slight pinch as the Sensor is placed just under your skin.
6.2.5.8 Remove the Inserter
Pinch and hold the ribbed release tabs on the sides of the Sensor support mount with one hand, twist the inserter about 40° in the direction (anticlockwise) shown with the other hand, until the orange triangle marked on the inserter lines up with the orange line on the Sensor support mount, and then lift the inserter vertically away from the mount. Only the Sensor support mount will be left on your body.
160
B ureau Veritas
6.2.5.9 Check the Sensor Support Mount
Confirm that the Sensor support mount remains tightly adhered to your skin by sliding your finger along the edges of the adhesive pad and examine for any gaps in adhesion.
Warning: If bleeding occurs at the insertion site, do not attach the Transmitter
to the Sensor. Apply steady pressure using a sterile gauze or clean cloth for up to 3 minutes. If bleeding stops, attach the Transmitter to the Sensor. If bleeding continues, remove the Sensor, treat the site as necessary, and insert a new Sensor at a different site.
Warning: Check the insertion site frequently for infection or inflammation
redness, swelling or pain. Remove the Sensor and seek professional medical help if one of these conditions occurs.
6.2.5.10 Discard the Sensor Inserter Safely
Attach the safety lock on the inserter to cover its opening and conceal the needle inside. Follow local waste disposal regulations when discarding the inserter. We recommend discarding the Sensor inserter into a sharps container or a puncture-proof container with a tight lid.
6.2.6 Attach Your Transmitter
Note: If you are changing Sensor, make sure that your Transmitter was
disconnected from the old Sensor at least one minute before being connected to the new Sensor.
Before attaching the Transmitter to the Sensor, you must have the Transmitter battery fully charged and the PDM set up.
Snap the Transmitter into the Sensor support mount until the two flexible arms fit into the notches on the Transmitter. The indicator light will flash green after
161
B ureau Veritas
successful connection, three times after properly connected and another six times after successful system check.
Note: Make sure that you hear a click when you snap the Transmitter in place.
If it is not fully snapped in, electrical connection and waterproof can be compromised, which can lead to inaccurate Sensor glucose readings.
Tape the Sensor Support Mount (Optional) The Sensor support mount should stay on your skin using its own adhesive. But, if you find that the Sensor support mount is not adhering well during daily activities, you can use medical tape for extra support. Only tape over the white adhesive pad on all sides for even support. Do NOT tape over the Transmitter or any of the plastic parts on the Sensor support mount.
6.2.7 Connect Sensor to Your PDM
1. Go to Connect Sensor screen.
Main MenuSensorConnect Sensor
162
B ureau Veritas
Note: The Connect Sensor option is only available when no Sensor is currently
connected to the PDM.
2. Make sure that your Transmitter is connected to a Sensor and that your Transmitter SN is found or entered, and then continue by tapping Next.
3. If the sensor is calibration-free, enter the sensor code on the sensor label
which is unique for each sensor. Once the sensor code is entered successfully, the calibrations aren’t required.
Or, skip the sensor code input step and go to Connection screen. The sensor need to be calibrated twice (once every 12 hours) on the first day and then once every 24 hours since the second day.
4. When finished, the following screen appears.
163
B ureau Veritas
Note:
If you want to remove a Sensor before its expiration, disconnect it from your PDM first before you connect a new Sensor. When you connect a new Sensor directly, a “SENSOR RECONNECTED” message will appear on your PDM.
6.3 Calibrate Your Sensor
Each time the PDM prompts you with the message “METER BG NOW” or “SENSOR CAL REMINDER”, you must enter a BG measurement to calibrate your
Sensor.
Go to the Sensor Calibration screen.
Main MenuSensorSensor Calibration
164
Loading...
+ 75 hidden pages