Animas IR 1200 User Manual

100

Page of 100

Download

Print this page

Bookmark us

Page 1

1 2 3 4 5 6 7 Next › »

Summary of IR 1200

Page 1
Page 1.
Page 2: Technical and Clinical Help
Page 2 technical and clinical help if there is anything you don’t understand in the user guide, if you have a question, or need assistance with your pump, our pump support department is available to you 24/7. In the united states and canada, call 1-877-767-7373 for assistance every minute of every d...
Page 3: Table Of Contents
Page 3 table of contents welcome and congratulations! ................................................................................................................. 7 technical and clinical help .........................................................................................................
Page 4
Page 4 chapter 6 using the normal bolus feature ............................................................................................. 33 chapter 7 using basal program features ............................................................................................... 35 setting a basal p...
Page 5
Page 5 battery cap with o-ring and vent............................................................................................................ 69 cleaning ...............................................................................................................................................
Page 6
Page 6.
Page 7: Welcome and Congratulations!
Page 7 welcome and congratulations! You have begun a new way of life with your animas ir 1200 insulin pump. Your choice of pump therapy is a sign that you are committed to taking excellent care of yourself. The ir 1200 pump has been specially designed to help you manage your diabetes, using advanced...
Page 8
Page 8 technical and clinical help if there is anything you don’t understand in the user guide or if you have a question or need assistance with your pump, our pump support department is available to you 24/7. In the united states and canada, call 1-877-767-7373 for assistance every minute of every ...
Page 9
Page 9 chapter 1 important information 1 your user guide the user guide contains information about how to use, program and maintain your new pump. It is important to read it carefully. Even if you are an experienced pumper, keep your user guide handy until you become thoroughly familiar with your pu...
Page 10
Page 10 1 contraindications the pump is not indicated for anyone unable or unwilling to: • test bg levels at least 4 – 6 times per day or as recommended by healthcare team • demonstrate adequate carbohydrate counting skills • maintain good diabetes self-care skills • see his/her healthcare team regu...
Page 11
Page 11 radiology quick reference chart 1.
Page 12
Page 12 1 amusement parks very powerful electromagnets are sometimes used on “free-fall” amusement park rides. Insulin pumps should be removed and not taken on these “free-fall” types of rides. High gravity forces can be experienced when riding on some roller-coasters. It is recommended that you dis...
Page 13
Page 13 1 if using the download feature*, keep the communication window free of obstructions and refer to the instructions for use included with the ir accessory kit. *ezmanager plus software and accessory kit each sold separately. Safety information the animas ir 1200 is designed only for continuou...
Page 14
Page 14 1 never prime tubing while infusion set is connected to your body. Before bedtime to ensure proper delivery, do not change your infusion set just before bedtime or if you will not be able to test your blood sugar 1 to 2 hours after new set is placed. Always check that your cartridge has enou...
Page 15
Page 15 chapter 2 package contents 2 take a minute to check your ir 1200 pump kit box. It should include: • your animas ir 1200 • two energizer lithium l91 aa batteries (1.5v)* • a user guide • an envelope that includes o your registration card. (in the us, send the card directly to animas corporati...
Page 16
Page 16.
Page 17: S/n
Page 17 chapter 3 explanation of symbols 3 shown below are symbols you will find on your ir 1200 insulin pump and its packaging. On the front of the pump: up arrow button down arrow button enter button or your pump may have an ok button instead on the top of the pump: backlight button on the back of...
Page 18
Page 18.
Page 19
Page 19 chapter 4 introduction to your ir 1200 pump 4 an insulin pump is a tool to allow you to better manage your diabetes by mimicking the way a healthy pancreas delivers insulin. When connected to a properly inserted infusion set, your pump delivers insulin at a continuous, low level (basal) rate...
Page 20
Page 20 4 audio bolus/ezbolus this button allows you to program a bolus discreetly, without looking at the pump, by using audible tones to confirm programming and delivery*. If you choose not to activate the audio bolus feature, this button provides a shortcut to the normal bolus screen. *when you f...
Page 21: Basic Display Screens
Page 21 4 basic display screens wake-up screen this is the first screen that is displayed when you “wake up” your pump. It shows the time of day, a battery life indicator, if you have an extended bolus or temp basal currently active, current basal rate amount and how much insulin remains in your car...
Page 22
Page 22.
Page 23
Page 23 chapter 5 getting your pump ready 5 before proceeding with this chapter, you should have completed your pump start training and/or watched your training video. To complete this section, you will need the following items: • animas ir 1200 insulin pump • energizer aa l91 lithium battery (1.5v)...
Page 24
Page 24 5 2. Check your battery cap to be sure the colored (blue or yellow) o-ring is not torn or damaged. 3. Check the vent hole on the top of the battery cap to be sure it is clear of debris. This vent maintains pressurization while preventing water from entering the compartment. The battery cap s...
Page 25
Page 25 setup – basics 5 setting/changing the time and date when you change your battery, the verify screen allows you to edit the time and date. You can also access the time/date screen by selecting setup from the main menu. 1. From the wake up screen, press ok/enter to select menu. Scroll to setup...
Page 26
Page 26 5 sounds - setting/changing normal bolus sound audio bolus sound (off not an option for this sound setting) temp basal sound these are the options from the first setup sound menu. They can be set to one of the following: vibrate, low volume, medium volume, high volume or can be shut off comp...
Page 27: The Cartridge
Page 27 5 the cartridge filling the cartridge refer to the instructions for use included with your cartridges. Connecting the tubing to the cartridge these steps must be followed sequentially. To complete this section, you will need the following: • filled animas ir 1200 cartridge* • infusion set co...
Page 28
Page 28 5 6. Remove cap from the filled cartridge tip. To avoid insulin spillage and introduction of air in the cartridge, it should never be filled beyond the 2.0 ml mark. The plunger is properly positioned for maximum fill when the black o-ring nearest the plunger tip is centered on the 2.0 ml mar...
Page 29
Page 29 priming the pump and infusion set 5 these steps must be followed in order. 1. Make sure you are disconnected from the pump. 2. From main menu, select prime/rewind. 3. On primesmart menu, rewind is highlighted. Press ok/enter. The rewind motor screen is displayed. 4. Scroll up to go rewind. P...
Page 30
Page 30 5 8. On the rewind complete screen, continue is highlighted. Press ok/enter. The pump will align the piston rod with the cartridge. The load cartridge active screen is displayed, followed by the prime screen. The pump will beep once to let you know the cartridge is aligned with the piston ro...
Page 31
Page 31 5 12. From the prime/rewind menu, fill cannula is highlighted. Press the ok/enter button. The fill cannula screen is displayed. 13. Use the up/down arrows to enter the amount of insulin needed to bolus to fill the cannula. Refer to the instructions for use included with your infusion set for...
Page 32
Page 32.
Page 33
Page 33 chapter 6 using the normal bolus feature 6 your ir 1200 offers several advanced bolus options, which can be activated from the setup advanced menu. You and your healthcare team can determine which features are best for you. See chapter 11, advanced features. This chapter covers the basics of...
Page 34
Page 34 6 note: if you have advanced bolus features turned on, the bolus menu at right will be displayed when you select bolus from the main menu. Select normal and press ok/enter. Follow steps 2 through 4 in this section..
Page 35
Page 35 chapter 7 using basal program features 7 you can program your ir 1200 to display either 1 or 4 basal program options. Having more than one pre-set basal program makes it easy for you to switch based on your weekday needs versus weekend needs, accommodate for shift work and menstruation. If y...
Page 36
Page 36 7 4. The basal options screen is displayed. Edit is highlighted. Press the ok/enter button. From the edit basal screen, you can edit the basal segments of the selected program. 5. Scroll to the desired u/hr field. Press ok/enter to activate edit mode (indicated by flashing cursor). 6. Use up...
Page 37
Page 37 7 note: if your screen display has timed out (gone to sleep) before you have selected save/review while editing, a warning screen will remind you the basal edit has not been saved. See chapter 14, safety system and alarms. 11. Review is highlighted. Press ok/enter to review your entries for ...
Page 38
Page 38 7 b. If you’ve edited an inactive program, select the program from the basal menu. Press ok/enter. Select go from the basal options screen to activate the program you’ve selected. When you select go, the wake-up screen is displayed, which shows the current rate of delivery for the program th...
Page 39
Page 39 7 if you have cleared your active basal program, the pump will alert you with beep tones (if you have turned on the alert sounds in setup) and the alert screen shown at right. This alert screen does not need confirmation and does not progress to higher audible alarms. The pump will not deliv...
Page 40
Page 40 7 the lowest basal delivery amount possible is 0.025 u/hr. When you set a negative temporary basal rate, the pump will beep and display an alert screen to remind you of the minimum delivery limit. This screen will display once for 5 seconds and give one audible alert (if you turned on alert ...
Page 41
Page 41 chapter 8 suspend/resume feature 8 this feature allows you to stop basal insulin delivery quickly and easily. It also cancels delivery of any temp basal or bolus, including combo bolus that may be currently active. The combo bolus feature is covered later in this user guide. Suspending deliv...
Page 42
Page 42 8 resuming delivery 1. From the main menu, scroll down to suspend/resume. 2. Resume is highlighted. Press ok/enter. 3. The wake up screen is displayed to show you the pump is no longer in suspend mode. Your previously active basal program is automatically resumed..
Page 43
Page 43 chapter 9 history feature 9 your ir 1200 stores important records for your review. You can access your pump’s history and view it directly on the pump screen or download* it onto your pc. *ezmanager plus software and accessory kit each sold separately. The pump stores these records indefinit...
Page 44
Page 44 9 total daily dose (tdd) history your ir 1200 displays the last 120 tdd records. 1. From the history menu, select tdd. This screen displays the following: • record number • date of record • if temp basal was active on that date • if suspend was activated on that date • total bolus for the da...
Page 45
Page 45 prime history 9 your ir 1200 displays the last 60 prime records. 1. From the history menu, select prime. The screen displays the following: • record number • date of prime • time of prime • amount of prime 2. Scroll up to highlight the record field. Press ok/enter to activate review mode (in...
Page 46
Page 46 9 basal history your ir 1200 displays the last 270 basal delivery records. 1. From the history menu, select basal. The screen displays the following: • record number • date and time basal rate was adjusted • basal rate adjustment 2. Scroll up to highlight the record field. Press ok/enter to ...
Page 47
Page 47 chapter 10 status feature 10 this feature gives you easy access to a summary of information about your pump’s current programming and performances. There are 7 status screens. 1. From the main menu or from the wake-up screen, scroll to status and press ok/enter. Status screen 1 – active basa...
Page 48
Page 48 10 • if suspend has been active between midnight and today’s current time • total bolus amount delivered since midnight and up to today’s current time • total basal amount delivered since midnight and up to today’s current time • total insulin delivered (excluding prime amounts) since midnig...
Page 49
Page 49 10 status screen 6 – codes the screen displays the following information: • software revision • serial number of pump • code for manufacturer’s use • code for manufacturer’s use • code for manufacturer’s use • code for manufacturer’s use the cursor is flashing on the status screen number 6. ...
Page 50
Page 50
Page 51
Page 51 11 chapter 11 advanced features –setup and activation now you’ve made it through the basics! Your ir 1200 offers many advanced features that you may find helpful in managing your diabetes. Consult with your healthcare team to determine which advanced features are appropriate for you. This ch...
Page 52
Page 52 11 setup advanced 2 – advanced bolus features and multiple basal programs this screen allows you to: • turn advanced bolus features on or off o carbsmart bolus o ezbg bolus o combo bolus • turn personal reminders feature on or off • select bolus delivery speed (normal: 1 u every second or sl...
Page 53
Page 53 11 should you attempt a delivery that exceeds the limits you have set, the pump will alert you and display a text message. See chapter 14, safety system and alarms, for additional information. Setup advanced 4 – language setup, display timeout setting and battery type this screen allows you ...
Page 54
Page 54 11 setup advanced 6 – low cartridge warning setting and occlusion sensitivity setting this screen allows you to: • set your low cartridge warning to alert you at 10, 20, 30, 40 or 50 units remaining • set your occlusion detection sensitivity to high (more sensitive) or low (less sensitive) 1...
Page 55
Page 55 11 setup advanced 8 – insulin on board setting even with rapid-acting insulin, your body takes some time to use your entire bolus. This feature allows you to program the rate at which your body uses your bolus. When this feature is activated and you give a bolus, your pump will tell you how ...
Page 56
Page 56.
Page 57
Page 57 chapter 12 using advanced features 12 using the features in this chapter requires an advanced understanding of insulin pump therapy and should not be used without training and advice from your healthcare team. In order to achieve optimal results, some of these features should only be used on...
Page 58
Page 58 12 4. Within 5 seconds, the pump will respond with a number of confirmation beeps equal to the number of times you pressed the audio bolus button. Note: do not press any of the function buttons at this time unless you wish to cancel delivery. 5. Within 5 seconds, the pump will beep twice to ...
Page 59
Page 59 12 advanced bolus features • carbsmart • ezbg • combo bolus • reminders all advanced bolus features are activated in the setup advanced menu. See chapter 11, advanced features. When the advanced bolus features are activated, the bolus menu screen below is displayed. The screen displays shown...
Page 60
Page 60 12 note: editing the i:c ratio during carbsmart programming will not permanently change i:c ratio for current time of day – it is only changed for this programming sequence. 4. Show result is highlighted. Press ok/enter. 5. The bolus calc screen is displayed. The bolus amount field is highli...
Page 61
Page 61 12 3. The actual field is highlighted and flashing to indicate edit mode. Use the up/down arrows to enter your bg value. Press ok/enter. 4. The target field is highlighted. A. If the target is correct, scroll to the insulin sensitivity factor (isf) field and go to step 5. Consult your health...
Page 62
Page 62 12 ezbg this feature allows you to enter your bg reading and your ir 1200 will calculate a correction bolus. If the insulin on board (iob) feature is activated, your ir 1200 will calculate a reduced dose for your review. 1. From the bolus menu, select ezbg. Press the ok/enter button. 2. The ...
Page 63
Page 63 12 5. Show result is highlighted. Press ok/enter. 6. The ezbg total screen is displayed with a suggested bolus amount. The bolus amount field is highlighted and flashing to indicate you can enter the total amount as shown or adjust as needed. Enter your bolus amount. Press ok/enter to delive...
Page 64
Page 64 12 combo bolus the combo bolus feature is used to give both a normal and extended bolus. This feature is useful for consumption of high fat meals such as pizza, if you will be “grazing” over a few hours or if you have gastroparesis. You can program part of your bolus amount to be delivered i...
Page 65
Page 65 12 6. Scroll to go and press ok/enter to activate. The wake-up screen displays and shows combo bolus active. To cancel an active combo bolus from the bolus menu, select combo. Details of the active combo bolus will be displayed. Scroll to cancel and press ok/enter to cancel the combo bolus. ...
Page 66
Page 66 12 bg check reminder 1. From the reminders menu, select bg check. Press ok/enter to activate edit mode to turn this reminder on or off. Press ok/enter to confirm and exit edit mode. 2. Scroll down to highlight the after bolus field. Press ok/enter to select the field and activate edit mode. ...
Page 67
Page 67 12 multiple basal programs this feature allows 4 different basal programs to show on your basal menu screen. Users find this feature beneficial if their activity level is different during the week than on weekends. Switching work shifts at work is another reason to use multiple basal program...
Page 68
Page 68.
Page 69
Page 69 chapter 13 care and maintenance 13 the vents your ir 1200 features a redundant vent safety system. Vents serve two purposes. First, they allow air to pass through the pump so that pressure is equalized under a variety of environmental circumstances, such as changes in altitude. Second, the v...
Page 70
Page 70
Page 71
Page 71 chapter 14 safety system and alarms 14 alerts, warnings and alarms your animas pump has a progressive warnings and alarms safety system. This means if you do not confirm the warning or alarm, it will progress to the sweep alarm with vibrate within one hour. At the high volume stage, if you d...
Page 72
Page 72 14 alerts, warnings and alarms alert: suspend (temp basal/combo bolus canceled) cause pump suspended. Effect any active temp basal/combo bolus canceled. Message displayed once for 3 seconds. Action none required. Beeps/vib user selected, one time. No progression. Alert: low bg cause bg entry...
Page 73
Page 73 alerts, warnings and alarms 14 alert: clearing basal segments cause clear command selected from basal options screen. Effect requires user confirmation to continue. Message displayed until confirmed or until pump goes to sleep. Action select clear program or basal options. Beeps/vib user sel...
Page 74
Page 74 14 alerts, warnings and alarms warning: low cartridge cause low insulin level reached. Effect deliveries may continue until empty cartridge alarm is triggered. Message displayed when manually awakened until confirmed. Action press ok/enter to confirm. Replace with filled cartridge. Beeps/vib...
Page 75
Page 75 alerts, warnings and alarms 14 warning: exceeds max basal cause basal delivery (or temp basal) exceeds user-set maximum. Effect basal delivery stops. Message displayed when awakened (by basal delivery attempt every 3 min. Or manually) until confirmed. Action press ok/enter to confirm. Reprog...
Page 76
Page 76 14 alerts, warnings and alarms alarm: empty cartridge cause cartridge empty. Effect all deliveries stop. Message continuous until confirmed. Action press ok/enter to confirm. Replace with full cartridge. Option to select suspend (see suspend). Beeps/vib user-selected every 3 minutes. If not ...
Page 77
Page 77 chapter 15 troubleshooting guidelines 15 it’s a good idea to set up a troubleshooting procedure to use anytime you suspect something might be wrong. Work with your healthcare team to establish guidelines in the event of a problem. Hypoglycemia low blood sugar is a risk for anyone using insul...
Page 78
Page 78 15 possible cause of low bg suggested solution activity (continued) low carbohydrate intake prior to exercise if not decreasing insulin prior to exercise, must eat foods containing carbohydrate prior to exercise. Unplanned activity (shopping) if bg is frequent bg testing before, during and a...
Page 79
Page 79 15 several things can cause a high bg reading. The most common problems and causes of high blood sugar are listed in the following table, as are some suggested solutions. Possible cause of high bg suggested solution infusion set redness, irritation, inflammation, swelling, discharge or disco...
Page 80
Page 80 15 other medications (steroids, terbutaline, other hormone treatments) inform physician of all medication changes or additions. Infection, illness, virus refer to sick day management guidelines. Pre-menstrual cycle consult healthcare team. May need to use temp basal or set additional basal p...
Page 81
Page 81 chapter 16 sick day guidelines 16 during periods of short-term illness, it may be more difficult to maintain good control of your diabetes. Examples of minor illness are: dental surgery, colds, nausea/vomiting, sore throat, mild infections, diarrhea, fever. However, you should call your heal...
Page 82
Page 82.
Page 83
Page 83 chapter 17 lifestyle issues 17 exercise and sports there are many options for wearing your pump during exercise and sports activities. During “low-contact” sport activities, such as walking, biking or aerobics, the pump can be clipped to the waistband, or for added security, placed in a “spo...
Page 84
Page 84 17 • country equivalent) or your local airport security office before traveling by air to obtain prescription/medical supply carry-on regulations • adjust your pump’s clock when crossing time zones • insulin pumps will rarely set off airport metal detectors, so there is no need to remove you...
Page 85
Page 85 chapter 18 my information 18 this chapter provides tables and forms to record various information needed for programming your pump. Consult your healthcare team for correct information for your personal treatment plan. Insulin to carb ratios (i:c) daily time slot my i:c ratio 4am – 10am 10am...
Page 86
Page 86 18 program 1 program 2 program 3 program 4 weekday other weekend exercise segment start time units/hr units/hr units/hr units/hr basal programming date: ______________.
Page 87
Page 87 18 program 1 program 2 program 3 program 4 weekday other weekend exercise segment start time units/hr units/hr units/hr units/hr basal programming date: ______________.
Page 88
Page 88 18 program 1 program 2 program 3 program 4 weekday other weekend exercise segment start time units/hr units/hr units/hr units/hr basal programming date: ______________.
Page 89
Page 89 18 program 1 program 2 program 3 program 4 weekday other weekend exercise segment start time units/hr units/hr units/hr units/hr basal programming date: ______________.
Page 90
Page 90 frequently asked questions (faqs) 1. The wake up screen shows my current basal rate delivery but doesn’t show which basal program is active. How do i find this information? From the wake up screen, use the up/down arrows to highlight status and press ok/enter. Status screen 1 shows the name ...
Page 91: Glossary
Page 91 glossary alpha cells - alpha cells are found in the pancreas. They produce a hormone called glucagon, which raises blood glucose levels. Basal rate - the basal rate is the amount of insulin that is continuously delivered by an insulin pump. It is measured in units per hour (u/hr). The basal ...
Page 92
Page 92 glucagon - glucagon is a hormone produced by the alpha cells in the pancreas. It causes blood glucose levels to rise. Glucose - glucose is a carbohydrate and the body’s most important source of energy. It is produced from digested food, by the normal action of the liver, and is carried by th...
Page 93
Page 93 lcd - liquid crystal display. This is the kind of display screen used on the animas pump. What makes the animas lcd display screen different from others is its graphic display. Graphic displays make it easier to change languages and are more efficient in using space. Luer-lock - a luer-lock,...
Page 94: Tech Specs
Page 94 tech specs note: when applicable testing used 23” comfort™ infusion set and temperature of 23 c +/- 1c number of basal segments: 12 per program number of basal programs: 4 basal delivery frequency (minimum): every 3 minutes temp basal range: -90% to +200%, in 10% increments, off temp basal d...
Page 95
Page 95 flow rate accuracy* delivery mode accuracy bolus +/- 5% 0.100 u/hr basal and higher +/- 5% *accuracy rate will be lower at basal rates less than 0.100 u/hr. Occlusion detection time to alarm** typical maximum bolus 3 units or more 8 sec. 30 sec. 0.025 u/hr basal 72 hrs. 120 hrs. 1.0 u/hr bas...
Page 96: Patient’S Bill of Rights
Page 96 patient’s bill of rights it is the intent of animas corporation to address and respect patients' rights in providing care and services. It is the policy of animas corporation to provide services to all persons without regard to race, color, national origin, religion, sex, age or disability. ...
Page 97: Supplier Standards
Page 97 supplier standards animas complies with all medicare guidelines relating to your supplies. We are pleased to make you aware of the following supplier standards . 1. Animas will fill orders from its own inventory or inventory of other companies with which it has contracts to fill such orders;...
Page 98: Index
Page 98 index advanced bolus, 34, 52, 59 advanced features, 51 air bubbles, 14 aircraft, 12 alarm history, 44 amusement parks, 12 audio bolus, 13, 20, 26, 51, 57, 94 audio bolus delivery step size, 51 auto-off feature, 53 backlight, 17, 19 basal history, 46 basal program features, 35 battery, 14, 25...
Page 99
Page 99.
Page 100
Page 100 © 2004 -2006, animas corporation. All rights reserved. Ir 1200™, ezbolus™ are trademarks of animas corporation. Glucagon emergency kit® is a trademark of eli lilly and company. Energizer® is a trademark of the eveready company. Duracell® is a trademark of the gilette company. 200 lawrence d...