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Deltec 1700 User Manual

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User Manual

Deltec Cozmo® Insulin Pump
Model 1700
Personalized Insulin Pump

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Summary of Contents for Deltec 1700

  • Page 1: User Manual

    User Manual Deltec Cozmo® Insulin Pump Model 1700 Personalized Insulin Pump...

  • Page 3: Updates To The Manual

    This manual provides information on programming, (40-5291-51C) of the User Manual. The specific pages using and maintaining your Deltec Cozmo® Insulin Pump. It affected by the changes are shown. is very important that you read the manual carefully, and ask questions if there is something you don’t understand.
  • Page 4 If you have comments, questions, or problems… If you have comments or questions about the pump, please call the appropriate number given below. You will be asked for the pump’s serial number, which you will find on the back of the pump. If you have questions about your insulin therapy or your health, contact your healthcare provider.

  • Page 5: Table Of Contents

    Table of contents Features ..................23 Vibration alert ..............23 Updates to the Manual ..............iii Occlusion (blockage) sensor ..........23 Important Information Cartridge sensor..............23 Watertight ................23 Important safety information ............3 History ..................23 Warnings ..................3 The CozMore® Insulin Technology System ........24 Cautions ..................7 CoZmonitor®...
  • Page 6 Using the Pump—Basics Troubleshooting health problems ...........81 Low blood glucose (hypoglycemia) ........81 Loading a cartridge ................45 High blood glucose (hyperglycemia) ........82 Supplies required ...............45 Infusion set and/or access site problems ......83 Filling the cartridge ..............45 Skin infections................83 Attaching an infusion set and loading a filled Diabetic ketoacidosis (DKA) ..........84 cartridge into the pump ............46 My DKA plan ..................84...
  • Page 7 Extended Bolus ................101 Temporary Rate ..............137 Personalizing the extended bolus ..........102 Basal Pattern ...............137 Delivering an extended bolus ..........103 Load Cartridge ..............138 Stopping an extended bolus ...........104 History ................138 Combination Bolus .................105 Pump Settings ..............139 Personalizing the combination bolus ........106 Pump Settings/Personalize/Alerts ........139 Delivering a combination bolus ..........107 Regional Settings ...............140...
  • Page 8 viii...
  • Page 9 Important safety information Warnings and cautions Explanation of symbols Introduction Glossary of terms Pediatric use About this manual...

  • Page 10: Important Information

    Important Information...

  • Page 11: Important Safety Information

    Warnings provider.  The Deltec Cozmo® Insulin Pump is designed only for  If pump operation is interrupted for any reason, you continuous subcutaneous insulin infusion (CSII). Do must be prepared to inject insulin. Since the pump uses not use this pump for any other type of therapy.
  • Page 12 Important Information used accessories, or a pump that has reached the end of  The Deltec Cozmo® Insulin Pump and accessories include small component pieces that could pose a choking hazard its useful life, in an environmentally safe manner, and according to any regulations that may apply.
  • Page 13 If insulin delivery is slowed or stopped, high used with the Deltec Cozmo® Insulin Pump. blood glucose (hyperglycemia) will result.  To avoid accidentally infusing insulin, disconnect the ...
  • Page 14 Important Information  It is vital to get the basal patterns correct. If a basal rate  If you drop the pump or hit it against something hard, is too high or too low, all your insulin delivery throughout always inspect it carefully to make sure it is still work- ing properly.

  • Page 15: Cautions

    Cautions  It is vital that the settings used by the Correction Bolus  Avoid strong electromagnetic fields, like those present are correct. You must work closely with your healthcare with magnetic resonance imaging (MRI) and direct provider to correctly program these settings. x-ray, as they can affect how the pump works.
  • Page 16  Use only Deltec Cozmo® 3 mL Insulin Cartridges; other tronics and result in the need to service your pump. manufacturers’ products will not work with the Deltec Cozmo®...

  • Page 17: Explanation Of Symbols

    Below is a list of symbols you will see on (or on the packaging Indicates that the product was designed and manufactured in accordance with applicable of) the Deltec Cozmo® Insulin Pump and accessories, as well as explanations of what the symbols mean. standards/guidelines and may be sold in the EU (European Union) >...
  • Page 18 Important Information Approximate insulin left in cartridge Keep from direct sunlight Approximate battery life remaining Storage temperature range Home screen page number  Important safety information, warnings and Meal Bolus (menu) cautions Dansk Italiano Correction Bolus (menu) Deutsch Nederlands Temporary Rate (menu) Ελληνικά...

  • Page 19: Introduction

    Indications Basal rates The Deltec Cozmo® Insulin Pump is a syringe infusion pump The pump is programmed to deliver a steady background flow of insulin called the “basal rate.” You can program up to designed for continuous subcutaneous insulin infusion (CSII) for the control of diabetes.

  • Page 20: Meal Bolus

    Important Information Meal bolus Correction bolus The pump is programmed to deliver a “bolus” of insulin to • The correction bolus is used to lower high blood glucose match food eaten. (BG) levels. A correction bolus can be displayed in the main menu, as part of the meal bolus, both, or neither if • You decide how you want to program a meal bolus, either you choose not to use the feature.

  • Page 21: Glossary Of Terms

    Wash your hands thoroughly with soap and water. Do not touch or blow The pump requires the use of the Deltec Cozmo® 3 mL Insulin directly on any part that comes in contact with insulin (the Cartridge and an infusion set (any manufacturers infusion set “fluid path”).
  • Page 22 (Microsoft® Windows®-based) computer program the glucose from food eaten or to lower the blood glucose designed for use with the Deltec Cozmo® Insulin Pump. level when it’s higher than the target range. With the CoZmanager® Software, you can perform pump...
  • Page 23 Gestational diabetes: A form of diabetes that develops in for fuel. Ketones are produced when fat is burned and these ketones change the chemistry of the body. Ketones women during pregnancy. can be detected using a blood or urine test. DKA can hap- Glucose: The main source of fuel for the body.
  • Page 24 Pushrod: On the Deltec Cozmo® Insulin Pump, the cartridge is attached to the pushrod and, when the pump is started, the motor causes the pushrod to move forward and push...

  • Page 25: Pediatric Use

    The Deltec Cozmo® cartridge. Insulin Pump has many safety features that are designed with • Infusion set change reminder—alert that can be pro-...

  • Page 26: About This Manual

    Important Information About this manual • Amount of meal bolus can be programmed in units of insulin or grams of carbohydrate. If using grams of carbohydrate, the user’s insulin to carbohydrate ratio is The first part of this manual (Important Information, About programmed into the pump and used to calculate the the Pump, Using the Pump—Basics and Help) includes in- amount of insulin needed for a specified amount of car- formation on the basic operation and troubleshooting of the...
  • Page 27 Pump Illustrations Pump settings Regional settings Description of features and buttons Time and date Description of pump display and menus Beep or vibrate Screensaver and backlight Personalizing alerts Editing values Stopping and restarting insulin delivery Accessories Program lock Before using the pump for the first time Insert a battery Self tests...

  • Page 28: About The Pump

    About the Pump...

  • Page 29: Pump Illustrations

    Pump illustrations Figure 1 Figure 2 Battery Cartridge Cartridge O-ring viewing window IR windows Display Up key Touch Bolus Left button program Down key Right program key (backlight) About the Pump...

  • Page 30: Description Of Features And Buttons

    About the Pump Description of features and buttons keys (Figure 1) Battery cap and o-ring (Figure 1) keys are used to move around in menus, and Holds the battery in place in the battery compartment. The to program amounts. Whenever you can use the up and down pump uses one AAA (IEC LR03) alkaline battery.

  • Page 31: Features

    Watertight As long as the pump’s labels and outer shell are intact the Deltec Cozmo® Insulin Pump is watertight, so you do not have to remove the pump when showering or bathing, and al- lows unlimited swimming activities. When diving, the pump is watertight to a depth of 8 feet (2.4 meters) for 30 minutes...

  • Page 32: The Cozmore® Insulin Technology System

    All test results are automatically stored in pump history. * The CoZmonitor® Blood Glucose Module will only function when attached to the Deltec Cozmo® Insulin Pump and cannot be used as a standalone device or with any other insulin pump.

  • Page 33: Description Of Pump Display And Menus

    Description of pump display • If you choose to have the Temporary 150 u Rate home screen turned on, a home Cozmo and menus screen is added to show the name of any Exercise current temporary rate and when it is temporary rate ends in 01:00 hrs:min All programming, operating and alarm/alert information scheduled to be complete, or it will tell <Stop...

  • Page 34: Screensaver And Backlight

    About the Pump Screensaver and backlight When you are at the home screen, and no keys or buttons are pressed for 15 seconds, the screensaver display appears. Press any key on the keypad to deactivate the screensaver and return to the home screen (pressing the key turns on the screen backlight;...
  • Page 35 Page 1 of the “Home screen” Sample menu screens In a menu, press to move the edit bar to the item you want, Insulin remaining in the Power remaining in the then press Select cartridge (approximate) Meal Bolus battery (approximate) Correction Bolus Cozmo®...

  • Page 36: Accessories

    Deltec Cozmo® pump. Infusion sets You can use any manufacturers insulin infusion set as long as it has a standard luer lock to connect to the Deltec Cozmo® insulin cartridge. Infrared (IR) adapter If your computer doesn’t have a built-in IR port, you need an IR adapter in order to use the CoZmanager®...

  • Page 37: Before Using The Pump For The First Time

    Before using the pump for the 2. Insert one AAA (IEC LR03) alkaline battery into the com- partment, making sure the + side goes in first (Figure 4); if first time you insert the battery wrong, the pump will not start. ...
  • Page 38 About the Pump tightened further. If you are un- If you insert a new battery and the pump doesn’t turn on, able to tighten the cap and elimi- check to make sure that the battery is in the correct orien- tation (the + side goes in first).

  • Page 39: Self Tests

    Self Tests The first time you insert a battery and your new pump per- forms the self tests, you will see the following alert screens: During the self tests, the pump’s internal computer performs tests on all the major hardware, computer, and electronic • A screen will appear that reads “Program Defaulted Set systems.

  • Page 40: Pump Settings

    About the Pump Pump settings The Pump Settings menu allows you to perform certain Regional settings setup functions, such as setting the time and date, setting up The regional settings determine how certain things are dis- how the pump alarms, and personalizing certain features. played on the pump.
  • Page 41 Regional Settings Choose Choose Pump Choose Regional Personalize, then Start at Settings, then Settings, then press Select Home screen press Select press Select Pump Settings Personalize Press 150 u Menu Menu Menu Cozmo Basal Pattern Time and Date Alerts Load Beep / Vibrate History Basal: Pattern 1...

  • Page 42: Time And Date

    About the Pump Time and date  Warning: The time and date must be set correctly, since NOTE: If your pump is programmed to display a site re- basal patterns and correction factors are time-based, minder alert (see page 37), resetting the time may cause that and all of the history is stored based on time and date.

  • Page 43: Beep Or Vibrate

    Beep or Vibrate Choose Beep or Vibrate* to signal alarms and alerts. Then, want the pump to beep each time you press a key. Low is if using Beep, decide how loud the beep is and whether you quietest and High is loudest. It is factory preset to High. Choose Pump Choose Beep/ Start at Home...

  • Page 44: Personalizing Alerts

    About the Pump Personalizing alerts (reminder not in use). NOTE: you can bypass this alarm when delivering a bolus if you don’t want the alarm but don’t want The pump allows you to set up certain alarms and alerts the to turn the feature off.
  • Page 45 High Blood Glucose reminder: this optional alert allows you Missed meal bolus alerts: missed meal bolus alerts can be to enter a BG limit and time setting as a reminder to retest used to remind you about possible missed meal boluses. You your BG when your blood test has a specified high result.
  • Page 46 Choose Choose when to Choose maximum Choose Pump Personalize, give alert (5 to 50 units (1 to 150 Choose Yes or Start at Home Settings, then then press units) then press units) then press No then press screen press Select Select Press Select Next...

  • Page 47: Stopping And Restarting Insulin Delivery

    Stopping and restarting insulin delivery You can stop and restart insulin delivery from the home insulin level will start to fall and blood glucose level to screen. NOTE: Stopping and starting delivery from the page 2 rise very quickly (in as little as 60 minutes). You must test your blood glucose when stopping delivery for any home screen view or the BG home screen is slightly different.

  • Page 48: Program Lock

    About the Pump Program Lock  Warning: Once the pump is locked, you will not be able Program Lock allows you to prevent anyone from entering to enter the menu or stop the pump without the proper the menu without the proper code. You can still troubleshoot code.

  • Page 49: Unlocking The Menu

    Unlocking the menu You can use an item in the menu without turning off the Start at Home Program Lock by following the procedure below. To turn screen the Program Lock off, you need to follow the procedure on page 40, but at the “Program Lock/Lock program” screen, Press 150 u choose No.
  • Page 50 About the Pump Notes _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________...
  • Page 51 Loading a cartridge Meal bolus Standard bolus (units of insulin): setup Standard bolus: delivery Carbohydrate bolus: setup Carbohydrate bolus: delivery Basal patterns Personalizing basal patterns Editing basal patterns Using basal patterns...

  • Page 52: Using The Pump-Basics

    Using the Pump—Basics...

  • Page 53: Loading A Cartridge

    If desired, you can use the Glucose Reminder and/ with the insulin, cartridge, infusion set, and any other ac- or Custom BG alerts to remind you to test your BG level cessory used with the Deltec Cozmo® Insulin Pump. (see Personalizing Alerts, page 36). 1. Filling the cartridge ...

  • Page 54: Attaching An Infusion Set And Loading A Filled Cartridge Into The Pump

    Using the Pump—Basics 2. Attaching an infusion set and loading a 2. Thread the infusion set tub- ing through the cartridge cap; filled cartridge into the pump remove the protective cap from  Warning: To avoid accidentally infusing insulin, discon- the luer end of the infusion nect the infusion set tubing from the access device (or set and insert the luer through...
  • Page 55 4. Open the pump’s Load menu and load cartridge. NOTE: You will not be able to load a cartridge that contains less than 20 units (the sensor may have trouble sensing the cartridge amount). Start at Home Choose Load, then screen press Select Cartridge...
  • Page 56 Using the Pump—Basics * In order for the pump to assure that the cartridge is correctly connected to the FastForward Not ready pushrod, the pushrod must start in a forward position. If it is not far enough forward when you press Load, or if you attempt to load a cartridge that Pushrod must move Please wait...
  • Page 57 5. Verify, by looking through the cartridge viewing window, that the cartridge is properly attached to the pushrod. Fasten the cartridge cap back onto the pump. Make sure the rib on the cap lines up Align with the rib on the pump, indicating the cap is secured (Figure 11).

  • Page 58: Fill The Tubing

    Using the Pump—Basics 3. Fill the tubing Filling forces insulin from the cartridge into the infusion set  Warning: Never use Fill tubing when the infusion set is tubing and pushes air out of the tubing. Filling is complete connected to your body, or you could deliver an unin- when you see insulin come out of the end of the tubing and tended bolus.

  • Page 59: Choosing An Access Site And Inserting The Access Device

    4. Choosing an access site and inserting the access device • Choose an access site. Anywhere you would normally inject insulin can be used as an access site, including your abdomen, hips, buttocks, upper thighs, etc. Choose an area where you have a sufficient layer of subcutaneous fat. Avoid areas that may be rubbed by clothing (waistband, etc.), and stay at least 2 inches (5 cm) away from your belly button.

  • Page 60: Fill Cannula

    Using the Pump—Basics 5. Fill cannula Filling the cannula is an important step if you are using an infusion set that has a separate access device (needle or can- nula). It delivers a small amount of insulin that fills the access device.

  • Page 61: Set Site Change Reminder And Restart Delivery

    6. Set site change reminder and restart delivery  Warning: You should not change your access site right The Site Change reminder screens appear here if turned on in before bed, as you would be unaware of any problems Pump Settings/Personalize/Alert (see page 37). Setting the with the site.

  • Page 62: Meal Bolus

    Using the Pump—Basics Meal Bolus  Warning: You should receive specific training on pro- Many of the settings you program here will be used by all of gramming and delivering a meal bolus. Please carefully the meal bolus types available on the pump (Extended Bolus, Combination Bolus and any custom meal boluses).

  • Page 63: Meal Maker™ Feature

    Meal Maker™ feature If you use the carbohydrate bolus, the Meal Maker™ feature can also be used. The Meal Maker™ feature allows you to enter several carbohydrate amounts, which the pump then adds together to calculate how much insulin you need for your bo- lus.

  • Page 64: Standard Bolus (Units Of Insulin): Setup

    Using the Pump—Basics Standard bolus (units of insulin): setup Choose Pump Choose Start at Home Settings, then Personalize, Choose Delivery screen press Select then press Select then press Select Press Select Press Delivery Setup Pump Settings Personalize 150 u Menu Menu Menu Program bolus...

  • Page 65: Standard Bolus: Delivery

    Standard bolus: delivery (Menu appears only if more than one Start at Home Press Select Press Select bolus type is available) screen Bolus Menu 150 u Meal Bolus Press Choose amount, then press Deliver Cozmo Meal Bolus Standard Menu –or– To bypass a BG reminder, press Correction Bolus Extended Bolus 2.50...

  • Page 66: Carbohydrate Bolus: Setup

    Choose Choose Pump Personalize, Choose Start at Home Settings, then then press Delivery then screen press Select Select press Select Press Select Press Personalize Delivery Setup Pump Settings 150 u Menu Menu Menu Menu Program bolus Cozmo Basal Pattern Time and Date Alerts using: Meal Bolus...

  • Page 67: Carbohydrate Bolus: Delivery

    Carbohydrate bolus: delivery (Menu appears only if more than Start at Home Press Select one bolus type is available) –or– screen Press Touch Choose amount Meal Maker Carbohydrates Bolus Menu Bolus button for item 1, then 150 u Total = 0 gms Press Press Cozmo...

  • Page 68: Basal Patterns

    Using the Pump—Basics Basal patterns  Warning: You should receive specific training on pro- gramming and using basal patterns. Please carefully read all instructions and talk to your healthcare provider. These settings should be programmed before you actually program (edit) the individual basal patterns. The pump allows up to 4 basal patterns, each of which can contain up to 48 time/rate segments.

  • Page 69: Personalizing Basal Patterns

    Personalizing basal patterns Choose Choose Pump Personalize, Choose Delivery Choose Basal Start at Home Settings, then then press then press Pattern then screen press Select Select Select press Select Press Delivery Setup Pump Settings Personalize 150 u Menu Menu Menu Menu Maximum basal Basal Pattern...

  • Page 70: Editing Basal Patterns

    Using the Pump—Basics Editing basal patterns  Warning: It is vital to get the basal patterns correct. If a basal rate is too high or too low, all your insulin delivery throughout the day and night will be incorrect, including boluses.
  • Page 71 Editing basal patterns Choose Basal Choose Edit Choose a pattern Start at Pattern, then to edit then press then press Home screen press Select Select* Select* Press Edit Press Basal Pattern Pattern 2 Pattern 2 150 u Pattern 2 Total 15.90 u Menu Menu Total ???? u...

  • Page 72: Using Basal Patterns

    Using the Pump—Basics Using basal patterns Many of the screens in the Basal Pattern menu can be per- basal patterns. Talk to your healthcare provider about any sonalized by programming the pump or by using the CoZ- personalization which was done to your pump. If you are manager®...
  • Page 73 Notes _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Using the Pump—Basics...
  • Page 74 Using the Pump—Basics Notes _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________...
  • Page 75 About the alarms (beep/vibrate settings) Personal pump removal guidelines Troubleshooting Your pump and: Alarms Extreme temperatures Alerts Water Other messages Contact sports Cleaning your pump Your basal rates, boluses, and: Your weight Servicing your pump Your level of exercise Troubleshooting health problems Your growth Low blood glucose Your mentrual period...

  • Page 76: Help

    Help...

  • Page 77: About Alarms (Beep/Vibrate Settings)

    About alarms • Attention alarm: Indicates a problem that you need to re- spond to, however it is not serious enough to have stopped (Beep/Vibrate settings) insulin delivery. Examples include low cartridge volume, low battery, etc. The pump can be set to “Beep” or “Vibrate” when an alert Beep: 4 double-beeps, repeated once per minute.

  • Page 78: Troubleshooting

    Help Troubleshooting Alarms Message in display What it means / Alarm How to make it stop Battery Delivery stops. The battery does You must change the battery immediately. If the depleted not have enough power for the repeating 2 beep alarm occurs, power may be so low Delivery stopped pump to work.
  • Page 79 Alarms—continued Message in display What it means / Alarm How to make it stop Press OK. You must load a new cartridge now. Delivery stops. The cartridge is Cartridge empty empty. Continuous alarm. Insert filled cartridge to continue delivery Delivery stops. Pump detected that Press OK.
  • Page 80 Help Alarms—continued Message in display What it means / Alarm How to make it stop Delivery stops. The pump’s com- Disconnect the tubing from the access device. Re- System fault move the battery to silence the alarm and contact puter has detected a problem with Call for service the pump.

  • Page 81: Alerts

    Alerts Message in display What it means / Alarm How to make it stop Press OK. Due to “insulin on board” (from 1 or The pump has calculated that Alert more previous boluses which are still affecting your the “Current Blood Glucose” you BG is below target or BG level), the pump has calculated a 0 (zero) bolus entered would result in a BG level...
  • Page 82 Help Alerts—continued Message in display What it means / Alarm How to make it stop To deliver the rest of the bolus, press Yes. If you do Bolus Your last bolus was interrupted. Interrupted not want to deliver the rest of the bolus, press No. The amount not delivered (and Remaining remaining duration, if applicable)
  • Page 83 Alerts—continued Message in display What it means / Alarm How to make it stop Press OK. Alert screen and alarm (beep or vibration) Delivery The pump is stopped, and no is stopped occur every 5 minutes until Resume is pressed to insulin is being delivered.
  • Page 84 Help Alerts—continued Message in display What it means / Alarm How to make it stop No bolus Press OK. Load a new cartridge, then deliver the You attempted to deliver a bolus, but allowed bolus. the cartridge volume is too low. Cartridge volume is Single alarm.

  • Page 85: Other Messages

    Alerts—continued Message in display What it means / Alarm How to make it stop Press OK. Pump has returned to the normal basal The pump was delivering a Tempo- pattern. rary Rate, which is now completed. Temporary Rate Attention alarm. Complete Other messages Message in display...
  • Page 86 Help Messages—continued Message in display What it means / Alarm How to make it stop Press OK. Reprogram the value. An alarm or alert occurred while Edit not saved you were programming/editing a Editing was not saved value. Single alarm. because an alarm occurred You have attempted to use the...
  • Page 87 Messages—continued Message in display What it means / Alarm How to make it stop Press OK to cancel temporary rate and change basal Temporary You have attempted to change the Rate Active basal pattern while a temporary pattern, or press Cancel to continue temporary rate Changing basal pattern rate is active.

  • Page 88: Cleaning Your Pump

    Help Cleaning your pump  Caution: Never use abrasive cleaners, solvents, bleach, Routinely clean your pump to prevent buildup of dirt or dried fluids. Try to wipe spills off the pump right away to avoid a scouring pads or sharp instruments when cleaning your pump, as they can scratch, discolor or damage the sticky buildup, which will be harder to wipe off later.

  • Page 89: Servicing Your Pump

    Servicing your pump Troubleshooting health problems If your pump becomes damaged or broken, or if it is not working properly, you will need to call Smiths Medical MD, Low blood glucose (hypoglycemia) Inc. Blood glucose lower than target. Signs and symptoms may Before contacting Smiths Medical, please be sure that you include: shakiness, sweating, dizziness, cold or clammy skin, know the pump serial number (located on the back of the...

  • Page 90: High Blood Glucose (Hyperglycemia)

    Help High blood glucose (hyperglycemia) Problem Corrective Action Blood glucose level higher than target. Signs and symptoms Blockage (occlusion) See Troubleshooting Pump Alarms, this include: increased thirst, frequent urination, blurred vision chapter and high BG reading upon testing. See the table at right and Increased food/meal Deliver a correction bolus to lower your on the following pages for some possible causes of high blood...

  • Page 91: Infusion Set And/Or Access Site Problems

    Skin infections Infusion set and/or access site problems Skin infections may be experienced when using an insulin Problem Corrective Action pump because the cannula or needle remains in place for 2 to 3 days. It is vital that proper aseptic technique be used. Signs Poor insulin Check access site for lumps, scarring or and symptoms of a skin infection may include: redness, swell-...

  • Page 92: Diabetic Ketoacidosis (Dka)

    Help My DKA plan Diabetic ketoacidosis (DKA) A serious condition that occurs when there is not enough in- _____________________________________________ sulin to allow the glucose in the blood to be used by the cells in your body for energy. The cells begin to burn the body’s _____________________________________________ stored fat reserves for fuel.

  • Page 93: Tips For Sick Days

    Tips for sick days My sick day plan During illnesses like colds and flu, controlling your BG level _____________________________________________ may be more difficult. _____________________________________________ You can use the Temporary Rate program to increase or de- _____________________________________________ crease your basal rate for the duration of your illness. _____________________________________________ ...

  • Page 94: Emergency Supplies

    Help Emergency supplies Personal pump removal guidelines Always have emergency supplies on hand. The supplies should include: _____________________________________________ • Emergency contact phone numbers _____________________________________________ • Medical ID (bracelet, etc.) _____________________________________________ • Blood glucose monitoring supplies _____________________________________________ • Urine ketone test strips _____________________________________________ • Glucose tablets, glucose gel or other source of fast-acting _____________________________________________ glucose (juice or hard candy) _____________________________________________ • Injectable rapid/short-acting insulin _____________________________________________ • Syringe(s) and needle(s), or an insulin pen _____________________________________________...

  • Page 95: Your Pump And

    Your pump and: You must use a watertight dressing on your access site when entering the water. Extreme temperatures Contact sports Insulin in the cartridge can freeze if exposed to temperatures When participating in sports, particularly contact sports, talk below 32°F (0°C) and can lose its potency. If you are outside to your healthcare provider about whether you need to re- in very cold temperatures for any length of time, keep the move your pump.

  • Page 96: Your Basal Rates, Boluses And

    Help Your basal rates, boluses and: Starting new medications/supplements Certain medications can have an effect on how your body Your weight uses insulin. This is particularly true with steroid medication like prednisone and cortisone. Always make sure that any Your weight can have a significant effect on how your body physician prescribing medications to you knows about your uses insulin.

  • Page 97: If You Drop Your Pump Or Hit It Hard

    If you drop your pump or  Warning: If you drop the pump or hit it against some- thing hard, always inspect it carefully to make sure it hit it hard is still working properly. Make sure the display is work- ing correctly, and the cartridge, cartridge cap, battery cap If you drop your pump or hit it against something hard, you and infusion set are connected correctly.
  • Page 98 Help Notes _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________...
  • Page 99 Programming and using these features Combination bolus Personalizing the combination bolus Correction bolus Delivering a combination bolus Personalizing the correction bolus Stopping a combination bolus Delivering a correction bolus Temporary rate Touch bolus Personalizing the temporary rate Making touch bolus available Using the temporary rate Delivering a touch bolus Stopping a temporary rate...

  • Page 100: Using The Pump-More Features

    Using the Pump—More Features...

  • Page 101: Programming And Using These Features

    Programming and using these Correction Bolus features The Correction Bolus is designed to lower a high BG level. You determine where the correction bolus appears; in the  Warning: Programming and using the features de- main menu, as part of your meal bolus, both, or neither. You scribed in this chapter includes information that may also select how you measure your blood glucose (in the USA, require a greater understanding of insulin pump thera-...
  • Page 102 Using the Pump—More Features 5 to 30 mg/dl in 1 mg/dl increments; Target Blood Glucose 30 to 100 mg/dl in 5 mg/dl increments; You will work with your healthcare provider to determine a 100 to 400 mg/dl in 10 mg/dl increments target blood glucose level specifically for you.

  • Page 103: Personalizing The Correction Bolus

    Choose Pump Choose Start at Home Settings, then Personalize, then Choose Delivery Choose Correction screen press Select press Select then press Select Bolus then press Select Press Correction Pump Settings Personalize Delivery Setup 150 u Menu Bolus Display Menu Menu Menu Correction Cozmo...

  • Page 104: Delivering A Correction Bolus (Main Menu*)

    Using the Pump—More Features Delivering a correction bolus (main menu*) Start at Home screen 150 u Current Blood Press Cozmo Choose Meal Bolus Enter your current BG from Glucose Menu Correction Bolus Correction Bolus Basal: Pattern 1 testing (mg/dl: 20 to 600; Temporary Rate mg/dl then press Select...

  • Page 105: Touch Bolus

    Touch Bolus The Touch Bolus feature allows you to bypass the menu when delivering a meal bolus. It is called the Touch Bolus since you can program and deliver a bolus using sound or vibrations, without having to look at the pump’s screen. The Touch Bolus button, on the side of the pump, is pressed to activate and use Touch Bolus.

  • Page 106: Making Touch Bolus Available

    Using the Pump—More Features Making Touch Bolus available Choose Pump Choose Choose Start at Settings, then Personalize, Delivery then Home screen press Select then press Select press Select Press Select Press Delivery Setup Personalize Pump Settings 150 u Menu Menu Menu Program bolus Menu...

  • Page 107: Delivering A Touch Bolus

    Delivering a Touch Bolus Delivering a Touch Bolus is performed by pressing the Touch 2. Then, within 10 seconds, press the Touch Bolus button Bolus button on the side of the pump. A Touch Bolus can 5 times (for 25 grams of carbohydrate). only be initiated when the pump is at the screensaver or home NOTE: If you press and hold the button for longer than screen.
  • Page 108 Using the Pump—More Features Delivering Touch Bolus Touch Touch Bolus Bolus: 2.50 u Carbohydrate Bolus 2.50 Administer bolus 0.75 of 2.50u? Amount Amount Deliver <Cancel Cancel Home> Press Touch Bolus Press button to program Listen for confirmation Screen counts up as button once (2 beeps amount (24 presses maximum, beeps/vibrations—one for...

  • Page 109: Extended Bolus

    Extended Bolus Some meals release glucose into the bloodstream slowly. The extended bolus is designed to deliver the bolus of insulin over this extended period. The extended bolus can be used when you eat a high protein or high fat meal, when you eat over a prolonged period (such as at a banquet), or if you have gastroparesis.

  • Page 110: Personalizing The Extended Bolus

    Using the Pump—More Features Personalizing the extended bolus Choose Pump Choose Start at Choose Home Settings, then Personalize, then Delivery then press Select screen press Select press Select Press Select Press Delivery Setup Pump Settings Personalize 150 u Menu Menu Menu Menu Program bolus...

  • Page 111: Delivering An Extended Bolus

    Start at Home Choose Extended screen Press Select then press Select – or – Choose amount for Press Touch Meal Maker Extended Extended Bolus Menu 150 u Total = 0 gms item 1, then press Bolus Bolus Bolus button Cozmo Press Next;...

  • Page 112: Stopping An Extended Bolus

    Using the Pump—More Features Stopping an extended bolus Start at Home screen 150 u Cozmo Press Basal: Pattern 1 Stop Rate: 1.150 u/hr <Stop Menu> Select delivery to stop Choose Extended, All Delivery Temporary Rate then press Select Extended <Home Select>...

  • Page 113: Combination Bolus

    Combination Bolus The combination bolus combines the features of the standard and extended bolus, which can be used when your meal con- sists of both rapidly and slowly absorbed carbohydrates, such as pizza. You program a percentage of the bolus to be deliv- ered immediately, then the remainder over a programmed period of time.

  • Page 114: Personalizing The Combination Bolus

    Using the Pump—More Features Personalizing the combination bolus Choose Pump Choose Start at Settings, then Personalize, then Choose Delivery Home screen press Select press Select then press Select Press Select Press Delivery Setup Personalize Pump Settings 150 u Menu Menu Menu Menu Program bolus...

  • Page 115: Delivering A Combination Bolus

    Choose Choose amount (units of insulin Start at Home Combination or grams of carbohydrate), then screen Press Select then press Select press Next – or – Choose amount Press Touch Meal Maker Combination Combination Bolus Menu 150 u Total = 0 gms for item 1, then Bolus Bolus...

  • Page 116: Stopping A Combination Bolus

    Using the Pump—More Features Stopping a combination bolus Start at Home screen 150 u Cozmo Press Basal: Pattern 1 Stop Rate: 1.150 u/hr <Stop Menu> Select delivery to stop Choose Combination, All Delivery Temporary Rate then press Select Combination <Home Select>...

  • Page 117: Temporary Rate

    Temporary Rate Temporary Rate allows you to temporarily raise or lower your If you want to be able to easily check the 150 u basal rate. This feature can be useful when you need less in- status of your temporary rates, you can Cozmo sulin (for example, during exercise), or when you need more add the optional Temporary Rate home...

  • Page 118: Personalizing The Temporary Rate

    Using the Pump—More Features Personalizing the temporary rate Choose Pump Choose Temporary Choose Start at Home Settings, then Personalize, then Choose Delivery Rate then press screen press Select press Select then press Select Select Press Delivery Setup Personalize Pump Settings Temporary Rate 150 u Menu...

  • Page 119: Using The Temporary Rate

    Using the temporary rate Choose Temporary Start at Home Rate the press Choose type, then screen Select press Select* Temporary 150 u Rate Menu Press Cozmo Meal Bolus Standard Temporary Temporary Correction Bolus Menu Exercise Basal: Pattern 1 Rate Temporary Rate Rate Temp Rate 3 Rate: 1.150 u/hr...

  • Page 120: Stopping A Temporary Rate

    Using the Pump—More Features Stopping a temporary rate Start at Home screen 150 u Select delivery Press Cozmo to stop Basal: Pattern 1 Stop Rate: 0.950 u/hr All Delivery Temp Rate Active Temporary Rate <Stop Menu> Combination <Home Select> Choose Temporary Rate, then press Select Temporary...
  • Page 121 Notes _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Using the Pump—More Features...
  • Page 122 Using the Pump—More Features Notes _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________...
  • Page 123 History Personalizing history Viewing history in the History menu Using the BG menu Enter BG value View BG history (quick access) Stopping insulin delivery from the BG home screen View bolus history (quick access) Communications CoZmanager® PC Communications Software...
  • Page 124 History and Communications...

  • Page 125: History

    History 2. As an Average. In this method, the pump reviews the daily The pump stores history in 2 ways: total for a number of days (you specify 2 to 30 days), and • By the delivery date; the pump stores delivery information calculates an average. for the previous 90 days The available history reports are: • As events; the pump stores information for the previous 4000 events.
  • Page 126 History and Communications BG History and Average BG History: if you decide to have the BG home screen turned on, you can enter into pump history the time, date and result of your BG tests. BG history then tracks this information and displays it as the BG His- tory report.

  • Page 127: Personalizing History

    Personalizing history Choose Pump Choose History Choose Yes or Choose Start at Home Settings, then Personalize, then No, then press then press screen press Select press Select Select Next Press Bolus History Pump Settings Personalize 150 u Menu Menu Menu Cozmo Alerts Basal Pattern...

  • Page 128: Viewing History In The History Menu

    History and Communications Viewing history in the History menu To view reports in History, select the history report you want Once the reports are set to display in the menu, you can view them as part of History in the main menu. to view, then press Select.

  • Page 129: Using The Bg Menu

    Using the BG menu If the BG home screen is turned on in Pump Settings/ Personalize/History, you will be able to open and use the BG menu. In the menu you can enter a BG test result into pump history, review your BG history and stop insulin delivery.

  • Page 130: Enter Bg Value

    History and Communications Enter BG Value NOTE: The pump uses the current time and date when you Use Enter BG Value to input your BG testing result. You enter a current blood glucose. It is recommended that you enter the test result, and the pump notes the time and date for display on the BG home screen and as part of your BG testing enter your test results immediately so that the BG history record is correct.

  • Page 131: View Bg History (Quick Access)

    View BG History (Quick Access) You can quickly access you BG history using this feature. Average BG history is only viewable in the History menu. Choose Review Start at Home BG History, then screen press Select Press Blood Glucose BG History 150 u The most recent test result you Menu...

  • Page 132: Stopping Insulin Delivery From The Bg Home Screen

    History and Communications Stopping insulin delivery from the BG home screen Stopping delivery from the BG home screen is very similar to stopping from any of the other home screens. Choose Stop Choose Restart Start at Home Delivery, then Delivery, then screen press Select Press Yes...

  • Page 133: View Bolus History (Quick Access)

    View Bolus history (Quick Access) You can quickly access your Bolus history using this feature. Start at page 2 of the Home screen Press Select Press Bolus History Bolus History 150 u Menu Stop-Rev The most recent bolus is displayed, along Cozmo 09:00 AM 06/04/05 Bolus History...

  • Page 134: Cozmanager® Pc Communications Software

    CoZmonitor® Blood Glucose Module with your pump, there is an additional report available in the • Personalizing your Deltec Cozmo® Insulin Pump—you can CoZmanager® software called the Logbook which con- program everything for the pump, including setting up tains all delivery information as well as information for all basal patterns and rates and all of your bolus settings;...
  • Page 135 Configure: this page is used to configure the CoZmanager® Other features Software. You decide whether you want: “Help” is displayed right on the screen, and help for a specific task can be viewed by pressing the s icon near the group • Access to the CoZmanager® Software to be password box.
  • Page 136 History and Communications Notes _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________...
  • Page 137 Pump development standards Pump specifications Description of pump safety systems Inspecting the pump...

  • Page 138: Technical Information

    Technical Information...

  • Page 139: Pump Development Standards

    Pump development standards AAMI ID26: 1998—Medical Electrical Equipment—Part 2: IEC 60601-1-4 (1996)—Medical Electrical Equipment, Part Particular requirements for the safety of infusion pumps and 1: General requirements for safety—4. Collateral standard: controllers Programmable electrical medical systems ANSI/AAMI HE48: 1993—Recommended Practice—Hu- IEC 60601-2-24 (1998-02)—Medical Electrical Equipment, man factors engineering guidelines and preferred practices Part 2–24: Particular requirements for safety of infusion...

  • Page 140: Specifications

    Technical Information Specifications IEC 61000-4-8 (1993)—Electromagnetic Compatibility (EMC), Part 4: Testing and measurement techniques, Section 8: Power frequency magnetic field immunity test, 1993 General specifications (nominal) CISPR11 (1990)—Limits and methods of measurement of Minimum increment of resolution: electromagnetic disturbance characteristics of industrial, 0.005 Units per activation scientific and medical (ISM) radio frequency equipment.
  • Page 141 Maximum time to blockage (occlusion) alarm: (approximately 40 hours after AAA battery installed), the internal battery maintains pump programming and history Minimum Maximum for approximately 30 days. The life of the internal battery is Bolus 5 u 24 sec 48 sec 10 years minimum under normal use conditions.

  • Page 142: Delivery Specifications

    Technical Information Delivery specifications System definition: Deltec Cozmo® Insulin Pump with Deltec Cozmo® 3 mL Insulin Cartridge and a Unomedical Comfort™ Infusion Main Menu Meal Bolus Blockage (occlusion) alert: User can program and deliver a meal bolus. If displayed, 18 psi ± 5 psi extended and combination bolus appear in menu.

  • Page 143: Correction Bolus

    Setup in Pump Settings/Personalize/Delivery/Meal Display Combination bolus: Yes or No bolus menu Default: No Type: Grams - Carb or Units - Insulin Allow Touch bolus: Yes or No Default: Units - Insulin Default: Yes Maximum Bolus: 1.00 units to 75.00 units in 1.00 unit Touch bolus increment: increments Units of Insulin: 0.05, 0.10, 0.50, 1.00, 2.00 or 5.00 units...
  • Page 144 Technical Information mmol/L: 1.1 to 30.0 mmol/L in 0.1 mmol/L increments mmol/L: 0.2 to 23.0 mmol/L in the following Default: Target or BG test result entered in last 10 increments: minutes • 0.2 to 1.5 mmol/L in increments of 0.05 mmol/L Setup in Pump Settings/Personalize/Delivery/ • 1.5 to 5 mmol/L in increments of 0.25 Correction Bolus menu mmol/L Display in Main Menu: Yes or No • 5.0 to 23.0 mmol/L in increments of 0.5...

  • Page 145: Temporary Rate

    End alarm (Give alert when complete): Yes or No Temporary Rate Default: Yes If displayed, user can program and deliver a temporary basal rate. If displayed, any custom temporary rates ap- Display Temporary Rate home screen: Yes or No pear in menu Default: No Delivery Specification: Custom Temporary Rates:...

  • Page 146: Load Cartridge

    Technical Information Review or Edit Basal Pattern: Yes or No History Default: No User selects displayed report for viewing If Yes: Number of patterns: 1 to 4 patterns may be View: displayed or not displayed Memory: Default: 1 pattern displayed Reports: last 90 days, arranged from most recent to oldest Events: last 4000 events, arranged from most recent to Pattern names: Pattern “X”...

  • Page 147: Pump Settings

    Average Blood Glucose History: Yes or No Glucose Reminder: Yes or No Default: No Default: No Display BG home screen: Yes or No If Yes, user chooses interval of 01:00 to 04:00 hours Default: No in 00:15 increments Default: 02:00 Pump Settings Custom Alerts: User can program up to 8;...

  • Page 148: Regional Settings

    Technical Information High Blood Glucose Alert: Yes or No Missed Meal Bolus Alerts: User can program up to 4; Default: No active alerts indicated by : Yes or No Default: No If Yes, user chooses interval Time for alert: 00:30 to 2:00 in 00:05 minute increments If Yes, user determines interval start and end time Default: 01:30...

  • Page 149: Personalization Using Cozmanager® Pc Communications Software

    Pump label: User can create name or other label on home the pump against given time periods. All graphs were plotted screen pages using a Deltec Cozmo® 3 mL Insulin Cartridge (21-1750) and Home screen label: User can create personal information Unomedical Comfort™ Infusion Set.

  • Page 150: Flow Rate Error

    Technical Information Flow rate error Flow rate error Programmed rate: 2.00 units/hr Programmed rate: 0.05 units/hr Average flow rate: 2.00 units/hr Average flow rate: 0.05 units/hr Mean flow error: 0.18% Mean flow error: -0.67% Trumpet Curve Epmax Epmax T (min) % Error T (min) % Error...

  • Page 151: Safety Features And Fault Detection

    Safety features and fault the microprocessor was not expecting it, the microprocessor traps the event, an alarm is given (either beep or vibrate), and detection an error message appears in the display. Motor drive/motor watchdog circuit Hardware safety features Motor drive circuitry is composed of a series of FET transis- Key hardware safety features include a watchdog timer circuit, tors, passive components, two voltage comparators and the motor driver and motor watchdog circuits, and a voltage de-...

  • Page 152: Software Safety Features

    Technical Information Software safety features converter (ADC) built into the microprocessor allows the microprocessor, via software, to monitor the battery voltage. At the low battery warning threshold, the microprocessor Hardware-related software safety features enables an alarm (either beep or vibrate) and displays the low Program memory check battery alert in the display.

  • Page 153: Keypad Encoder Check

    Data handling and software to deliver insulin. During every pump activation, the software checks to see whether the motor completes 1 activation. If safety features the motor fails to turn, or fails to complete an activation, the software stops insulin delivery, initiates an alarm (either beep or vibrate) and a system fault alarm message appears in the Data stored in RAM display.

  • Page 154: Timer Data Registers

    Technical Information Inspecting the pump Timer data registers The data in the real time clock is checked at regular intervals. Other than periodic visual inspection and cleaning of the If the data is not reasonable, the software stops insulin deliv- pump, no testing of the pump is required.
  • Page 155 • Make sure that the battery cap is • Inspect the pump’s battery cap. The battery cap should fully tightened. The battery cap is be free of damage. If the cap shows signs of wear, such as fully tightened when the battery cracks, or if the slot becomes worn, the battery cap should cap o-ring is not visible, the cap be replaced before the pump is used.

  • Page 156: Collect Separately

    Technical Information Collect Separately This product contains electrical and electronic components (including batteries) that may con- tain materials which, if disposed of with general waste, could be damaging to the environment. In accordance with Directive 2002/96/EC Waste Electrical and Electronic Equipment, residents of the European Union must follow specific disposal or recycling instructions for this product.

  • Page 157: Limited Warranty

    Smiths Medical MD, Inc. (the “Manufacturer”) warrants to the User’s Manual. The warranty will be void in the following cases: Original end-user Purchaser that the Deltec Cozmo® Insulin Pump 1. The Pump has been altered, misused (misuse includes, but is not (the “Pump”), excluding accessories, shall be free from defects in...
  • Page 158 Warranty Warranty Procedure Notice of the claimed warranty defect must be made in writing, fax or by telephone to the Manufacturer as follows: Smiths Medical MD, Inc., 1265 Grey Fox Road, St. Paul, MN 55112 U.S.A. Telephone: 1 800.826.9703. Facsimile: 1 800.209.2145 or if outside the USA con- tact your local distributor.
  • Page 159 Index Custom BG reminder 5, Aseptic technique 5, 13, 45, Blood glucose (BG) levels 14 36, 45 mg/dl 16, 93 Display site reminder 37 Automatic off alarm 37, 72 mmol/L 16, 93 Site reminder home Blood glucose home screen 25, screen 37 Glucose reminder 5, 36, Bolus 14...
  • Page 160 Index Insulin on board home screen Diabetic ketoacidosis (DKA) Glucose reminder alerts 36 Site reminder 25, 37 25, 94 14, 84 Bypassing alert 36 Temporary rate 25, 137 mg/dl 16 Ketones 16 Custom glucose reminder 36 Temporary rate home mmol/L 16 Display 12, 22, 25 High blood glucose reminder screen 109...
  • Page 161 Low battery alert 73 Meal Maker 55 Safety information 3 Low blood glucose reminder Menu 25, 27, 32 Screensaver 26 Pediatric use 17 Basal patterns 109 Self tests 31 Programming keys 22 Low cartridge 36 Correction bolus 93 Servicing your pump 81 Pump development standards Low cartridge alert 36 Delivery...
  • Page 162 Index Temporary rate home screen 25, 109 Vibrate 23, 35, 69 Using 111 Temporary Rate home screen 25, 109, 137 Time and date 4, 32, 34 Warranty 149 Time format 32 Watertight 13, 23, 87 Time-out 26 Touch bolus 22, 54, 97, 99 Allow feature 98 Delivering 99 Increment 97, 135...
  • Page 164 WD24 4LG, UK Tel. +44 (0)1923 246434 Deltec Cozmo, CoZmanager, Meal Maker, CoZmonitor, and the Smiths Medical and Deltec Cozmo design marks are trademarks of the Smiths Medical family ® of companies. The symbol indicates the trademark is registered in the U.S.

This manual is also suitable for:

Cozmo 1700

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