Deltec Cozmo User Manual

User ManualDeltec Cozmo™ Insulin Pumpijg

Important Information4PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»vider for health advice and Deltec, Inc. for information onservicing y

Using the Pump - More Features90Personalizing the combination bolusThe programming shown on this page is only for makingthe Combination Bolus appear i

Using the Pump - More Features91Delivering a combination bolus*If Correction Bolus is personal-ized to display in Meal Bolus,these screens appear.Cozm

Using the Pump - More Features92Stopping a combination bolusSelect deliveryto stopAll DeliveryTemporary RateCombination<Home Select>Cozmo<Sto

Using the Pump - More Features93Temporary RateTemporary Rate allows you to temporarily raise or loweryour basal rate. This feature can be useful when

Using the Pump - More Features94Personalizing the temporary rate*Temporary rates which will appear in the menu are indicated by ;.**Preselected names

Using the Pump - More Features95Using the temporary rate*This screen only appears if more than1 temporary rate is available.**If running a custom temp

Using the Pump - More Features96Stopping a temporary rateCozmo<Stop Menu>Basal: Pattern 1Rate: 1.150 u/hrTemporaryRateRemainingTime: 0

Using the Pump - More Features97Notes:________________________________________________________________________________________________________________

Using the Pump - More Features98Notes:________________________________________________________________________________________________________________

6 History & CommunicationsHistory Personalizing history Viewing history on the pumpCommunications My Treatment Assistant™ PC Communications Sy

Important Information5PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»lems, remove the pump from use.☞The pump may be damaged if stored in e

History & Communications99HistoryThe pump stores history in 2 ways:• by the delivery date; the pump stores delivery infor-mation for the previous

History & Communications100Personalizing historyCozmo<Stop Menu>Basal: Pattern 1Rate: 1.150 u/hrBasal PatternLoadHistoryPump Settings<Ho

History & Communications101Viewing history on the pumpOnce the reports are set to display in the menu, you canview them as part of History in the

History & Communications102CommunicationsMy Treatment Assistant™ PC Communica-tions SystemMy Treatment Assistant™ is a Microsoft® Windows®-based p

History & Communications103For specific information on installing My TreatmentAssistant™ on your computer and connecting yourpump to the computer,

History & Communications104Notes:_________________________________________________________________________________________________________________

7Technical InformationPump development standardsPump specificationsDescription of pump safety systemsInspecting the pumpWhat’s In This Section?Myriad

Technical Information105Pump development standardsAAMI ID26: 1998 - Medical Electrical Equipment — Part 2:Particular requirements for the safety of in

Technical Information106ment 1 (1996; Amendment 2 (1996)CISPR14 (1993) - International Special Committee on RadioInterference, limits and methods of m

Technical Information107Bolus volume at blockage (occlusion) release:Approximately 4 unitsPower source:One AAA (IEC LR03) alkaline battery.☞Caution: D

Important Information6PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»QAppears in pump display, with a message, to in-dicate a question you

Technical Information108Blockage (occlusion) alert:18 psi ± 5psiBolus accuracy at set value of 0.1u:± 15% (measurement error ± 10%)Bolus accuracy at s

Technical Information109Bolus increment: 0.05 units, 0.10 units, 0.50 units or1.00 unitsDefault: 0.10 unitsCarb ratio: 1u per 2grams to 1u per 50grams

Technical Information110mmol/L: 0.2 to 12 mmol/L in the following increments:• 0.2 to 1.5 mmol/L in increments of 0.05 mmol/L• 1.5 to 5 mmol/L in incr

Technical Information111Basal PatternUser can edit (4 patterns, each with a possible 48 time/ratesegments) and start using basal patternsDelivery Spec

Technical Information112Averages: User chooses number of days to average over:2 to 30 days in 1 day incrementsDefault: 7 daysPump Settings / Personali

Technical Information113Default: 08:00Display site reminder: Yes or NoDefault: NoMissed Meal Bolus Alerts: User can program up to 4;active alerts indi

Technical Information114Accuracy test resultsThe following graphs are designed to show flow accu-racy of the pump against given time periods. All grap

Technical Information115Flow rate from startupTime interval: 15 minutesTotal time: 1485 minutes(24 hours, 45 minutes)Programmed rate: 0.05 units/hrFlo

Technical Information116Safety features and fault detectionHardware safety featuresKey hardware safety features include a watchdog timercircuit, motor

Technical Information117verifies this function during the watchdog test describedabove.Voltage detector circuitLow voltage detection is performed by p

Important Information7PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»IntroductionCongratulations! You have selected the Deltec Cozmo™ Insu-

Technical Information118ent from the written data, the software stops insulindelivery, initiates an alarm (either beep or vibrate) and asystem fault a

Technical Information119Data used in calculationsCalculations on data used in some way to controldelivery of insulin are performed redundantly.The 2 c

Index120IndexAAccess site 9, 41, 69Accessories 20belt clip 23cartridge 20infusion set 20IR adapter 20Accuracy test results 114Alarms 27, 55, 5

Index121display in menu 86stopping 88FFactor 11Fill cannula 42Fill tubing 40Fluid path 9, 11GGastroparesis 11Glucose Reminder 2, 28, 35HHistor

Index122RRegional Settings 24date format 24number format 24time format 24Restarting delivery 31SSafety features and faultdetection 116hardware

Warranty123Limited WarrantyDeltec, Inc. (the “Manufacturer”) warrants to the Original end-userPurchaser that the Deltec Cozmo™ Insulin Pump (the “Pump

Warranty124sible for any incidental, special or consequential damages of any kindor nature caused by or arising out of a defect or malfunction of theP

PROOF (LR #3557), 2002-11-21 «5118-51A Cover, Cozmo User Manual»Deltec Cozmo, Deltec Cozmo logo design, The Freedom to Be You and My Treatment Assista

Important Information8PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Correction bolus• The correction bolus is used to lower high Blood Glu

Important Information9PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Glossary of TermsThe following is a list of terms that you should know

Important Information10PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»CSII: Continuous Subcutaneous Insulin Infusion.DKA: See Diabetic Keto

Important Information11PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Extended bolus: A meal bolus delivered over an extended pe-riod of ti

Important Information12PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»sweating, dizziness, cold or clammy skin, looking pale, tin-gling and

Important Information13PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Pediatric useUse of an insulin pump by pediatric patients should alwa

iPROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Congratulations! You have selected the Deltec Cozmo™Insulin Pump to help you in the treatme

Important Information14PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»bohydrate, the user’s insulin to carbohydrate ratio is pro-grammed in

2 About the PumpPump IllustrationsDescription of features and buttonsDescription of pump display and menusDeltec AccessoriesBefore using the pump for

About the Pump15Pump illustrationsFigure 1Figure 2Touch BolusbuttonCartridge capDown key(backlight)DisplayRight programkeyLeft programkeyBattery capIR

About the Pump16Description of features and buttonsBattery cap (Figure 1)Holds the battery in place in the battery compartment.The pump uses one “AAA”

About the Pump17FeaturesVibration alertIf you don’t want the pump to beep during alarms andalerts, you can program it to vibrate instead. Thisfeature

About the Pump1810:10AM 1.12 u/hrkeypad to deactivate thescreensaver and return tothe home screen (pressingthe c key turns on thescreen backlight; the

About the Pump19PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Time and DateTime: 08 : 00 AMDate: 06 / 28 / 02<Done Next>nNext><

About the Pump20Deltec accessoriesDeltec offers a variety of products for use with yourpump. A complete list of accessories with orderinginformation i

About the Pump21Before using the pump for the firsttimeInserting a battery, programming the regional settings (ifrequired), and setting the time and d

About the Pump22Self TestsDuring the self tests, the pump’s internal computerperforms tests on all the major hardware, computer, andelectronic systems

iiPROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Important InformationImportant safety information ...

About the Pump23Attach the belt clip (Optional)Slide the pump into the belt clip withthe keypad facing out (see Figure 6).You can rotate the clip to w

About the Pump24Pump settingsThe Pump Settings menu allows you to perform certainsetup functions, such as setting the time and date,setting up how the

About the Pump25Regional SettingCozmo<Stop Menu>Basal: Pattern 1Rate: 1.150 u/hrPressMenuPressHomePressBackPressBackStart athome screenChoose P

About the Pump26Time and date☞Warning: The time and date must be set correctly,since basal patterns are time-based, and all of thehistory is stored ba

About the Pump27Beep or VibrateChoose Beep or Vibrate* to signal alarms and alerts.Then, if using Beep, decide how loud the beep is. Lowis quietest an

About the Pump28Personalizing alertsThe pump allows you to set up certain alarms and alertsthe way you prefer. These alerts/alarms are associatedwith

About the Pump29should occur. For example, if you eat breakfast everyday between 7:00AM and 9:00AM, you could select6:45AM for the “Start” time, and 9

About the Pump30Basal PatternLoadHistoryPump Settings<Home Select>Cozmo<Stop Menu>Basal: Pattern 1Rate: 1.150 u/hr<Back Select>Pump

About the Pump31Stopping and restarting insulindeliveryYou can stop and restart insulin delivery from the homescreen.☞Warning: When stopping delivery,

About the Pump32Program LockProgram Lock allows you to prevent anyone fromentering the menu without the proper code. You canstill troubleshoot most al

iiiPROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»2. Attaching an infusion set and loading a filledcartridge into the pump ...

About the Pump33Unlocking the menuYou can use an item in the menu without turning off theProgram Lock by following the procedure below. Toturn the Pro

About the Pump34Notes:________________________________________________________________________________________________________________________________

3Using the Pump -BasicsLoading a cartridgeMeal bolus Standard bolus (units of insulin): setup Standard bolus: delivery Carbohydrate bolus: setup

Using the Pump - Basics35Loading a cartridgeThe Load feature in the pump menu takes you througheach step needed to load a filled cartridge in the pump

Using the Pump - Basics362. Attaching an infusion set and loading a filled car-tridge into the pump☞Warning: To avoid accidentally infusing insulin,di

Using the Pump - Basics374. Open the pump’s Load menu and load cartridge.NOTE: You will not be able to load a cartridge thatcontains less than 20 unit

Using the Pump - Basics38FastForwardPlease wait...FastForwardPlease wait...Not readyPushrod must moveforward.Remove cartridgethen press OKOKNo cartrid

Using the Pump - Basics395. Verify, by looking through thecartridge viewing window, that thecartridge is properly attached tothe pushrod. Fasten the c

Using the Pump - Basics403. Fill the tubingFilling forces insulin from the cartridge into the infusionset tubing and pushes air out of the tubing. Fil

Using the Pump - Basics414. Choosing an access site and inserting the accessdevice•Choose an access site. Anywhere you would normallyinject insulin ca

ivPROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Stopping an extended bolus ... 88Combination Bolus ..

Using the Pump - Basics425. Fill cannulaFilling the cannula is an important step if you are usingan infusion set that has a separate access device (ne

Using the Pump - Basics436. Set site change reminder and restart deliveryThe Site Change reminder screens appear here if turnedon in Pump Settings / P

Using the Pump - Basics44Meal Bolus☞Warning: You should receive specific training onprogramming and delivering a meal bolus. Pleasecarefully read all

Using the Pump - Basics45Standard bolus (units of insulin): setup*This screen will only appear if any extended orcombination custom boluses were progr

Using the Pump - Basics46Standard bolus: deliveryCozmo<Stop Menu>Basal: Pattern 1Rate: 1.150 u/hrPressMenuPressSelectPress Select(Menu appears

Using the Pump - Basics47Carbohydrate bolus: setup*Prenamed custom carbohydrate boluses includeBreakfast, Lunch and Dinner. If any custom boluseswere

Using the Pump - Basics48Carbohydrate bolus: deliveryCozmo<Stop Menu>Basal: Pattern 1Rate: 1.150 u/hrPressMenuPressSelectPress Select(Menu appe

Using the Pump - Basics49Basal patterns☞Warning: You should receive specific training onprogramming and using basal patterns. Pleasecarefully read all

Using the Pump - Basics50Personalizing basal patternsCozmo<Stop Menu>Basal: Pattern 1Rate: 1.150 u/hrBasal PatternLoadHistoryPump Settings<H

Using the Pump - Basics51Editing basal patterns☞Warning: It is vital to get the basal patternscorrect. If a basal rate is too high or too low, all you

1Important InformationImportant Safety Information Warnings and CautionsExplanation of symbolsIntroductionGlossary of termsPediatric useAbout this ma

Using the Pump - Basics52Cozmo<Stop Menu>Basal: Pattern 1Rate: 1.150 u/hrPressMenuPressHomePressBackPressBackPressBackSelect Basal Pattern, the

Using the Pump - Basics53Using basal patternsMany of the screens in the Basal Pattern menu can bepersonalized by programming the pump or by using MyTr

Using the Pump - Basics54Notes:_______________________________________________________________________________________________________________________

4 HelpAbout the alarms (beep/vibrate settings)Troubleshooting Alarms Alerts Other MessagesCleaning your pumpServicing your pumpTroubleshooting healt

Help55PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»About the alarms (Beep/Vibratesettings)The pump can be set to “Beep” or “Vibrate” when

Help56PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»TroubleshootingAlarmsMessage in display What it means / Alarm How to make it stopBatte

Help57PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Alarms - continuedMessage in display What it means / Alarm How to make it stopCartridg

Help58PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Alarms - continuedMessage in display What it means / Alarm How to make it stop*No key

Help59PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Alerts - continuedMessage in display What it means / Alarm How to make it stopCheck bl

Help60PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Alerts - continuedMessage in display What it means / Alarm How to make it stopAlertBG

Important Information1PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Important safety informationWARNING: Read this entire manual before us

Help61PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Alerts - continuedMessage in display What it means / Alarm How to make it stopSite cha

Help62PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Other messagesMessage in display What it means / Alarm How to make it stopYour pump wa

Help63PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Messages - continuedMessage in display What it means / Alarm How to make it stopNotcom

Help64PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Messages - continuedMessage in display What it means / Alarm How to make it stopThis b

Help65PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Cleaning your pumpRoutinely clean your pump to prevent buildup of dirt ordried fluids.

Help66PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Servicing your pumpShould your pump become damaged or broken, or if it isnot working p

Help67PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Troubleshooting health problemsLow blood glucose (hypoglycemia)Blood glucose lower tha

Help68PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»High blood glucose (hyperglycemia)Blood glucose level higher than target. Signs and sy

Help69PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Infusion Set and/or Access Site problems :Problem Corrective ActionPoor insulin absorp

Help70PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Diabetic Ketoacidosis (DKA)A serious condition that occurs when there is not enoughins

Important Information2PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»☞Make sure that all caregivers, including for instanceschool personnel

Help71PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Tips for sick daysDuring illnesses like colds and flu, controlling your BGlevel may be

Help72PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Emergency suppliesAlways have emergency supplies on hand. The suppliesshould include:•

Help73PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Personal pump removal guidelines______________________________________________________

Help74PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»minutes. Dry the pump off with a clean towel when youare finished. If swimming in salt

Help75PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Herbal supplements may also have an effect on your health.Never begin taking any herba

Help76PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»Notes:________________________________________________________________________________

5Using the Pump -More FeaturesProgramming and using these featuresCorrection bolus Personalizing the correction bolus Delivering a correction bolus

Using the Pump - More Features77Programming and using thesefeatures☞Warning: Programming and using the features de-scribed in this chapter includes in

Using the Pump - More Features78Once your duration of insulin action is correctly pro-grammed, when you use the correction bolus featureany still acti

Using the Pump - More Features79Personalizing the correction bolusCozmo<Stop Menu>Basal: Pattern 1Rate: 1.150 u/hrBasal PatternLoadHistoryPump

Important Information3PROOF (LR #3557), 2002-11-25 «5118-51A Cozmo User Manual»of leakage can also mean opportunity for contamination lead-ing to inf

Using the Pump - More Features80*Delivering a correction bolus with a meal bolus is discussed in the meal bolus(meal bolus, extended bolus and combina

Using the Pump - More Features81Touch BolusThe Touch Bolus feature allows you to bypass the menuwhen delivering a meal bolus. It is called the TouchBo

Using the Pump - More Features82Making Touch Bolus availableThe programming shown on this page is only for making theTouch Bolus available. If you wan

Using the Pump - More Features83Delivering a Touch BolusDelivering a Touch Bolus is performed by pressing theTouch Bolus button on the side of the pum

Using the Pump - More Features844. When the number of beeps or vibrations is correct, pressand hold the Touch Bolus button until it beeps or vi-brates

Using the Pump - More Features85Extended BolusSome meals release glucose into the bloodstream slowly.The extended bolus is designed to deliver the bol

Using the Pump - More Features86Personalizing the extended bolusThe programming shown on this page is only for makingthe Extended Bolus appear in the

Using the Pump - More Features87Delivering an extended bolus*If Correction Bolus is personal-ized to display in Meal Bolus,these screens appear.Cozmo&

Using the Pump - More Features88Stopping an extended bolusSelect deliveryto stopAll DeliveryTem porary RateExtended<Home Select>Cozmo<Stop Me

Using the Pump - More Features89Combination BolusThe combination bolus combines the features of thestandard and extended bolus, which can be used when