Deltec Cozmo Manual do Utilizador

4Symbols and Glossary of Termsspecic insulin-to-carbohydrate ratio(s) to calcu-late your meal or snack bolusCombination Bolus: A meal bolus that comb

94SetupPersonalizeIn the Personalize menu you do the following pump setup:• InAlerts you specify how various alarms and alerts work, and also choose

95Setupthe alert to occur. (Using the CoZmanager® 2.0 so-ware, you can create custom names for these alerts.) Custom alerts are factory preset to No

96Setup•Choosewhenyouwantthelowcartridgealerttooccur(when the volume left in the cartridgereaches5 to 50 units) then press Next.•Choose

97Setup ChooseyourBG Limit (if you have a test result at or below this amount the pump will alarm to remind youtoretest;therangeis:mg/dl: 50

98Setup•PressBack.•PressBack.•PressHome.Historye pump stores history in 2 ways:• Bythedeliverydate;thepumpstoresdelivery information f

99SetupBasal as Percent of TDD (Total Daily Dose) and Average Basal as Percent of TDD: this shows what percent of the total amount of insulin delivere

100Setup•Ifyouwantthereportto appear in the menu, with Yes highlightedpressNext or If you do not want the report to appear in the menu choo

101SetupRegional settingse regional settings determine how the time, date and number format are displayed on the pump. • Time can be displayed as 12

102SetupDisplayDecide how the backlight works. It can be set to light whenever the pump is “awake” (whenever the screensaver is not shown) or only whe

103SetupAdvancedWarning: e Advanced features can be complex and may not be suitable for every pump user. Talk to your healthcare provider to determin

5Symbols and Glossary of Termsfood—bolus over one hour; ethnic food (Chinese, Italian or Mexican)—bolus over two hours; pizza—bolus over a minimum of

104Setup•ChooseSetup then press Select.•ChoosePersonalize then press Select.•ChooseAdvanced then press Select.•IfyoudonotwanttousetheWe

105SetupDeliveryIn the Delivery menu you do the following pump setup:• InMeal Bolus you specify all of the variables that your pump will use when de

106SetupBolus durationFor some people, a bolus delivered very quickly can cause a burning sensation at the infusion site and/or a blockage alert on th

107SetupNOTE: CozFoods™ is only part of the Meal Maker® feature if it has been created using the CoZmanager® 2.0 soware, sent to the pump and enable

108Setup To remove a ratio, press Nextuntiltheboldhigh-lightisoverthetimeseg-ment you want to delete, then press  or  until “- - : - -” i

109Setup If you have chosen a Fixed carbohydrate ratio: specify the ratio and press Next. Whenyouarenished reviewing/editingthecustom bolus

110SetupCorrection bolusWarning: It is vital that the settings used by the Correction Bolus are correct. You must work closely with your healthcare pr

111Setup•PressMenu.•ChooseSetup then press Select.•ChooseDelivery then press Select.•ChooseCorrection Bolus then press Select.•Ifyoudonot

112Setup Press or  to choose a new correction factor, then press Next. To remove a factor, press Nextuntiltheboldhigh-lightisoverthetim

113Setup•IfyoudonotwanttousetheIncrease based on BG feature, with NohighlightedpressNext or If you want to use the In-crease based on BG

6Symbols and Glossary of TermsInfusion set: e tubing that is attached to the end of the cartridge, through which the insulin is deliv-ered into the b

114Setup•ChooseBasal Pattern then press Select.•Chooseyourmaximumbasalrate (0 units/hour to 35 units/hour) then press Next.•Ifyoudonotwan

115SetupTemporary rateTemporary Rate allows you to temporarily raise or lower your basal rate for a specied period of time. is feature can be useful

116Setup•Specifyhowyouwanttoprogramatemporaryrate(Percent or Units/Hr) then press Next.•Specifywhetheryouwantthe pump to beep/vibrate t

117Setup If you do not want the temporary rate to appear in the menu, with Nohigh-lightedpressNext or If you want the temporary rate to appear i

118SetupCoZmanager® 2.0 PC Communication SoftwarePersonalizeis screen is used for pump programming, including: • Personalizing your Deltec Cozmo® In

119Setupq Get from pump button—If enabled, click to get the pump’s current program and load it into the CoZmanager® 2.0 soware. If you have previous

120SetupPersonalizing the pump program and sending it to the pump• Ifnecessary,click . (If you are already at the Personalize screen, you will no

121SetupMeal Maker® featuree Meal Maker® feature is used to create a list of foods which can then be sent to your pump and used when programming and

122Setupq Get from pump button—If enabled, click to get the pump’s CozFoods™ list and load it into the CoZmanager® 2.0 soware. If you have previousl

123Setup1$ Open—Click to open an existing CozFoods™ list.1% Save—Click save Meal Maker® to the PC.1^ Save As—Click to save Meal Maker® under a new nam

7Important safety information  • Warnings  • Cautions

124SetupCreating Master Foods and CozFoods™ listsIf necessary, click . (If you are already at the Meal Maker screen, you will not need to perform th

125SetupCozFoods™ lesYou can store CozFoods™ lists in les on your PC’s hard drive. is allows you to store dierent lists for dierent purposes. For

126SetupViewing reportsView reports is used to view, print, e-mail or save the list as a report (the same procedure is used for his-tory reports when

127Setup______________________________________________________________________________________________________________________________________________

128Setup______________________________________________________________________________________________________________________________________________

129LoadingacartridgeStoppingandrestartinginsulindeliveryDeliveringabolus • Standard“unitsofinsulin”bolus • Standard“carbohydrate”bol

130Delivering Insulin

131Delivering InsulinLoading a cartridgee Load feature in the pump menu takes you through each step needed to load a lled cartridge in the pump and

132Delivering InsulinFill the cartridgeUse aseptic technique (see page 4).• FillthecartridgeaccordingtotheInstructions for Usesuppliedwithth

133Delivering Insulin•WithLoadhighlighted,pressSelect.•Makesuretheinfusionsetisnot connected to your body, then press Load (seerightfor

8Important Information

134Delivering InsulinAttach and ll the tubing• Removethewhitecapfromthecartridgetip• AttachtheinfusionsetLuer to the tip of the cartridg

135Delivering Insulin When the site reminder alert is set, the pump returnstothecartridgemenu with all of the menu items checked. PressDone.•

136Delivering InsulinStopping and restarting insulin deliveryYou can stop and restart insulin delivery from the home screen.NOTE: Stopping and startin

137Delivering InsulinStopping insulin delivery from the Blood Glucose home screenStopping delivery from the Blood Glucose home screen is very similar

138Delivering InsulinStopping insulin delivery from home screen 2Stopping delivery from the home screen 2 (bolus his-tory) is very similar to stopping

139Delivering InsulinDelivering a meal bolusere are several methods available on the pump for delivering a Meal Bolus. Depending on how you have pers

140Delivering InsulinStandard bolus delivery using grams of carbohydrate___________________________•PressMenu.•WithMeal Bolushighlighted,press S

141Delivering Insulin•Verifythebolusamountthenpress Deliver(orchangetheamountusingthe or  key then press Deliver) or PresstheTouchB

142Delivering Insulin•PresstheTouchBolusbuttononce to activate the touch bolus feature (two beeps or two vibrations).NOTE: If you press and hold

143Delivering InsulinEnhanced Meal Maker® bolus deliveryYou can only use the enhanced Meal Maker® feature to deliver a bolus if you are using the gram

9Important InformationImportant safety informationWARNING: Read this entire manual before using the Deltec Cozmo® insulin pump. If you do not understa

144Delivering InsulinExtended bolus deliverySome meals release glucose into the bloodstream slowly. e extended bolus is designed to deliver the bolus

145Delivering Insulin•Specifytheduration(theperiod of time you want the extended bolus to deliver over;15minutesto08:00hours) then press Nex

146Delivering Insulin If you have personalized your pump to allow editing your BG target when program-ming a correction bolus: chooseyourBGtarget

147Delivering Insulin•WithMeal Bolus highlighted,press Select.•ChooseCombination then press Select.•Pressthe key to specify the bolus amount

148Delivering Insulin•Specifytheduration(theperiod of time you want the extended portion of the combination bolus to deliver over;15minutesto

149Delivering InsulinDelivering a correction bolus (main menu)Correction Bolus only appears in the main menu if you have personalized your pump that

150Delivering Insulin•Thescreencountsupasthebolus is delivered. Tocancelthecorrectionbolusbefore it is complete, press Cancel. PressHom

151Delivering Insulin•TheHypo Manager screen is displayed.PressNext.NOTE: If you eat the exact amount that Hypo Man-ager™ recommends, you may want

152Delivering Insulin› If you were attempting to deliver an extended bolus with correction bolus: thesug-gestednumberoffast-actingcarbs you shou

153Delivering Insulin Thisscreenonlyappearsif you have chosen more than one pattern to appear in the menu in Setup. Choosethepatternyouwant

10Important Information• ere are potential health hazards associated with improper disposal of batteries, electron-ics, and contaminated (used) infu

154Delivering InsulinUsing basal patternsMany of the screens in the Basal Pattern menu can be personalized by programming the pump or by using the CoZ

155Delivering InsulinUsing the temporary rateTemporary rate only appears in the main menu if you have chosen to have it activated in Setup.Temporary r

156Delivering InsulinStopping a temporary rate___________________________•PressStop.•ChooseTemporary Rate then press Select.•Ifyouwanttostop

157Delivering InsulinWeekly scheduleIn order to use the Weekly Schedule, it must be turned on in Setup > Personalize > Advanced (see page 103).O

158Delivering Insulin If only one pattern is turned on in your pump, the screen at left will not appear. Onlythosepatternsthathave been activat

159Delivering InsulinEdit meal alertsMissed meal bolus alert sets can be used to remind you about possible missed meal boluses. You can review or edit

160Delivering InsulinContinuetoenableandeditalert sets and individual alerts as desired. Whenyouhavenished reviewingandeditingthealer

161Delivering Insulin•Pressthe or  key to specify which alerts you want associatedwiththespeciedday then press Next.NOTE: Only those missed

162Delivering Insulin•If you chose to start the temporary pattern Now: the home screen will display the new pattern.•If you chose to have the temp

163Delivering InsulinDisconnectIn order to use the Disconnect feature it must be enabled in Setup > Personalize > Advanced (see page 103).e Di

11Important Information• You should receive specic training on program-ming and delivering a meal bolus. Please careful-ly read all instructions and

164Delivering InsulinReconnectOnce disconnected, the pump will stop insulin delivery for the amount of time you specied. To reconnect, you can eithe

165Delivering InsulinAutomatic reconnect___________________________•PressOK.•Ifyouhavenotreconnectedto the pump, press No and reconnect. If y

166Delivering Insulin IfusingtheCoZmonitor®module, insert a FreeStyle® test strip now and perform abloodglucosetestor  Performabloodgluc

167Delivering InsulinNotes____________________________________________________________________________________________________________________________

168Delivering InsulinNotes____________________________________________________________________________________________________________________________

169AboutalarmsTroubleshooting • Alarmsandalerts • OthermessagesCleaningyourpumpServicingyourpumpDisconnectingfromthepumpYourpumpand

170Help

171HelpAbout alarms (beep/vibrate settings)e pump can be set to “Beep” or “Vibrate” when an alert or alarm occurs (see page 90). With Beep se-lected,

172HelpTroubleshootingAlarms and alertsMessage in display What it means / Alarm type How to make it stopYou are using the “Units of insulin”-type

173HelpDelivery stops. ere is something preventing insulin from being delivered. A bolus delivered too quickly can also cause this alert. Continuous

12Important Information• If you drop the pump or hit it against something hard, always inspect it carefully to make sure it is still working properly

174HelpAlarms and alert—continuedMessage in display What it means / Alarm How to make it stope cartridge is nearly empty. Basal delivery continue

175HelpAlarms and alert—continuedMessage in display What it means / Alarm How to make it stopIt is time to recheck your blood glucose aer a low t

176HelpAlarms and alerts—continuedMessage in display What it means / Alarm How to make it stope pump has calculated that the “Current Blood Gluco

177HelpAlarms and alerts—continuedMessage in display What it means / Alarm How to make it stopYou attempted to deliver a bolus, but the cartridge

178HelpAlarms and alerts—continuedMessage in display What it means / Alarm How to make it stopAll pump settings are reset to default values (usual

179HelpAlarms and alerts—continuedMessage in display What it means / Alarm How to make it stope pump was delivering a Temporary Rate, which is no

180HelpOther messagesMessage in display What it means / Alarm How to make it stopYou have turned the Weekly Schedule feature o while running a Te

181HelpYour Basal Test is complete, and the test data are ready for review. Single alarm. Press OK. If desired, upload your history to the CoZmanager

182HelpYou are using the Basal Testing feature, and it is time to take a blood glucose test. Single alarm.Press Snooze if you would like to wait 15 m

183HelpYou have attempted to edit a weekly pattern day, but doing so would cancel a temporary basal pattern scheduled to start at midnight. Single ala

13Important Information• e CoZmonitor® Blood Glucose Module will only function when attached to the Deltec Cozmo® insulin pump and cannot be used as

184HelpYou have attempted to load a cartridge while a Basal Test was in process. Single alarm.If you need to load a cartridge and end the Basal Test,

185HelpYou have attempted to use the “Load” portion of the load cartridge menu, but no cartridge is detected. It may also mean that you lled the cart

186HelpYou have attempted to change the basal pattern while a temporary rate is active. Single alarm.Press OK to cancel temporary rate and change basa

187HelpCleaning your pumpRoutinely clean your pump to prevent buildup of dirt or dried uids. Try to wipe spills o the pump right away to avoid a sti

188HelpDisconnecting from your Deltec Cozmo® insulin pumpere may be times when you want to disconnect from your pump. Check with your physician/heal

189HelpYour basal rates, boluses, andYour weightYour weight can have a signicant eect on how your body uses insulin. If you experience a signicant

190HelpIf you drop your pump or hit it hardIf you drop your pump or hit it against something hard, you will need to immediately look it over care-full

191Bloodglucosetestingandhistory • TheCoZmonitor®BloodGlucoseModule • UsingtheBGmenu

Blood Glucose Testing192

193Blood Glucose TestingBlood glucose testing and historyNOTE: For 10 minutes aer a BG reading is manu-ally entered or automatically entered using th

14Important Information

Blood Glucose Testing194Enter BG valueUse Enter BG Value to manually input your blood glucose testing result. You enter the test result, and the pump

195Blood Glucose Testing• Press or  to scroll to the result from your blood test, then press Save.• The“LastBG”homescreenis updated with the

Blood Glucose Testing196Notes_________________________________________________________________________________________________________________________

197Historyonthepump • Viewinghistory • Bolussummary • Viewbloodglucosehistory(quickaccess) • Viewbolushistory (quickaccess)Histo

198Viewing History

199Viewing HistoryHistorye pump stores history in 2 ways:• Bythedeliverydate.epumpstoresdelivery information for the previous 90 days• As

200Viewing HistoryViewing history in the History menuOnce the reports are set to display in the menu (see Setup > Personalize > History, page 98

201Viewing HistoryBolus SummaryViewing the Bolus Summary is somewhat dierent than other history reports. Bolus Summary can also be viewed from home s

202Viewing History•PressHome.View blood glucose history (quick access)You can quickly access your blood glucose history using this feature. (Average

203Viewing HistoryView bolus history (quick access)You can quickly access your Bolus history using this feature. ___________________________•Fromho

15Preparingforyourpumpstart • Priortopumpstartday • PumpstartdayDeltecCozmo®InsulinPumpbolusoptionsCarbohydratecountingbasics •

204Viewing HistoryViewing, saving, printing and e-mailing History Reports using the CoZmanager® 2.0 PC Communications SoftwareYou can download all of

205Viewing HistoryGeneral information about the History viewButtons designated 1, 2 and 4 are not always enabled, or available for use. Button 1 (Get

206Viewing HistoryGetting history from the pump• Ifnecessary,click . (If you are already in the History Reports screen, you will not need to per-

207FinetuningHowtoadjustyourbasalrate(s) • Guidelinesfortestingyourbasal ratesBasaltesting • Testsetup • Activatingabasaltest •

Finetuning Your Settings208

209Finetuning Your SettingsFinetuningDuring the rst three months and/or as directed by your healthcare provider you should monitor and record:• Bloo

Finetuning Your Settings210Overnight basal testTest and adjust your overnight basal rate rst. If this basal rate(s) is correct, the amount of insulin

211Finetuning Your Settings•Chooseatestthenpress Select (in this example, we willbechoosingOvernight).•Specifyyourlowbloodglu-coselimit

Finetuning Your Settings212•PressHome.Activating a basal testOnce you have set up the desired test, it can be per-formed at any time. Before beginni

213Finetuning Your Settings•ReviewtheBGLimits;iftheyare acceptable press Next. If the BG Limits are unaccept-able, press Cancel then make chan

16Preparing for CozMore®

Finetuning Your Settings214•PressBack.•PressHome.Ending a basal test early___________________________•PressMenu.•ChooseBasal Testing then pres

215Finetuning Your Settings•PressHome.Viewing basal test historyYou can view the results of your basal rate test either directly on the pump screen

Finetuning Your Settings216Viewing test history on the pump___________________________•PressMenu.•ChooseBasal Testing then press Select.•ChooseH

217Finetuning Your SettingsFrom the BG home screen•PressStop-BG.•FromeithertheBolusHis-tory Menu or Blood Glucose Menu(dependingonwhichhome

Finetuning Your Settings218What is standard deviation and what does it tell me?In most cases, it will be your healthcare provider who will be interes

219Finetuning Your Settingsmeans that your readings are very stable around the average (which will hopefully be close to your Target blood glucose). A

Finetuning Your Settings220Notes______________________________________________________________________________________________________________________

221Topic:BacklightTopic:BatteryinpumpTopic:BolusdeliveryTopic:CoZmonitor®moduletipsTopic:CoZmanager®2.0softwaretipsTopic:HistorylogsTop

Frequently Asked Questions (FAQ)222

223Frequently Asked Questions (FAQ)Topic: BacklightHow do I turn on my backlight?You can personalize your pump so that the backlight lights in one of

17Preparing for CozMore®IntroductionCongratulations! You have selected the Deltec Cozmo® Insulin Pump to help you in the treatment of your diabetes.P

Frequently Asked Questions (FAQ)224• Makesurethatthebat-tery cap is fully tight-ened. e battery cap is fully tightened when the battery cap o-ri

225Frequently Asked Questions (FAQ)Topic: Bolus deliveryI want to give a meal bolus using grams of carbo-hydrate instead of units of insulin.If you wa

Frequently Asked Questions (FAQ)226Topic: CoZmonitor® module tipsNOTE: e CoZmonitor® Blood Glucose Module may not be available in all markets. If you

227Frequently Asked Questions (FAQ)The CoZmonitor® module doesn’t t securely against my pump.• Makesureyouareusingthebatterycapthatwassupp

Frequently Asked Questions (FAQ)228Topic: CoZmanager® 2.0 PC Communications Software tipsCommunicating with the pump• Makesurethesowareisinsta

229Frequently Asked Questions (FAQ)Topic: Infusion sets and cartridgesWhy do I have site pain with my infusion set?• Ifthepainoccursatthetimeo

Frequently Asked Questions (FAQ)230I have bubbles in the cartridge.• Fillyourcartridgewithroom temperature insulin. If you use cold insulin, as i

231Patientresourcesforpumptherapy

Resources232

233ResourcesPatient resources for insulin pump therapy• Advanced Carbohydrate Counting, American Diabetes Association and American Dietetic Associat

18Preparing for CozMore®Preparing for your pump startPrior to pump start day1 Conrm that you have all of your Deltec Cozmo® insulin pump supplies.

Resources234

235PumpdevelopmentstandardsSpecications • General • DeliveryAccuracytestresultsSafetyfeaturesandfaultdetectionInspectingthepumpWarranty

Technical Information236

237Technical InformationPump development standardsIEC 61000-4-3 (2002)—Electromagnetic Compatibility (EMC), Part 4: Testing and measurement techniques

Technical Information238Guidance and manufacturer’s declaration—electromagnetic emissionsThePumpisintendedforuseintheelectromagneticenvironme

239Technical InformationGuidance and manufacturer’s declaration—electromagnetic immunityThePumpisintendedforuseintheelectromagneticenvironmen

Technical Information240SpecicationsGeneral specications (nominal)Minimum increment of resolution:0.005 Units per activationSize:3.2 in × 1.8 in × 0

241Technical InformationDelivery rate during bolus:Approximately 0.01 units per second minimum, 2.5 units per second maximum (based on bolus amount an

Technical Information242Temporary RateIf enabled, user can program and deliver a temporary basal rate. If enabled, any custom temporary rates appear i

243Technical InformationView:Memory: Reports: last 90 days, arranged from most recent to oldest Events: last 4000 events, arranged from most recent t

19Preparing for CozMore®Deltec Cozmo® insulin pump bolus optionsBolus: A bolus is a pre-meal or pre-snack amount of rapid/short acting insulin given t

Technical Information244PersonalizePersonalize is a sub-menu.AlertsLow cartridge volume: Alert at 5 units to 50 units in 1 unit increments Default: 2

245Technical InformationBolus Summary: Yes or No Default: YesRegional SettingsTime Format: 12-hour or 24-hour Default: 12-hourDate Format: mm/dd/yy

Technical Information246 mmol/L: 11.5 to 30 mmol/L in increments of 0.5 mmol/L Default: 14, 16.5, 22 and 28 mmol/L Percent: 1% to 100% in increment

247Technical InformationBasal TestingUser programs and conducts basal rate test(s).Tests: Morning, Aernoon, Evening, OvernightLow blood glucose limit

Technical Information248Accuracy test resultse following graphs are designed to show ow accuracy of the pump against given time periods. All graphs

249Technical InformationSafety features and fault detectionHardware safety featuresKey hardware safety features include a watchdog timer circuit, moto

Technical Information250Software safety featuresHardware-related software safety featuresProgram memory checkAt power up and regular intervals therea

251Technical InformationInspecting the pumpOther than periodic visual inspection and cleaning of the pump, no testing of the pump is required. e pump

Technical Information252this chirp, the pump should not be used. Contact your pump provider or Smiths Medical.• Inspect the pump’s battery cap. e b

253WarrantyLimited Warranty Smiths Medical MD, Inc. (the “Manufacturer”) warrants to the Original end-user Purchaser that the Deltec Cozmo® Insuli

20Preparing for CozMore®Carbohydrate counting basicsWhat is carbohydrate?Food contains three nutrients: carbohydrate, pro-tein, and fat. Carbohydrate

Index254IndexAAccuracy 240, 248Advanced menu 103, 245Disconnect bolus 163Weekly schedule, setup 156, 161Alerts/Alarms 94, 95, 240Automatic o

255IndexExtended bolus 5, 19, 58, 175Delivery 144Setup 105FFill cannula 134Filling the tubing 134Fluid path 5Food database 107GGeneral speci

Index256Site reminder alert 89, 95, 97, 174, 178Site reminder home screen 72, 95Smiths Medical MD, Inc. Contacts 17, 187Soware safety featur

Deltec Cozmo, CoZmanager, CozMore, Meal Maker, Cleo, CoZmonitor, Hypo Manager, CozFoods, QuickStart and the Smiths Medical design mark are trademarks

21Preparing for CozMore®Reading a nutrition labele nutrition label has the facts. Nearly everything in the grocery store except fresh produce, meat,

22Preparing for CozMore®Meal bolusInsulin-to-carbohydrate ratioe amount of rapid/short act-ing insulin required to cover a specic number of grams of

23Preparing for CozMore®How to adjust your insulin-to-carbohydrate ratio and meal bolusWhen your blood glucose is not within your target level three o

iiiUpdates to the Manuale following updates were made to this version (40-5506-51C) of the User Manual. e specic pages aected by the changes are s

24Preparing for CozMore®Correction bolusCorrection bolus variablese Deltec Cozmo® insulin pump can be used to de-liver a Correction Bolus. e purpose

25Preparing for CozMore®Duration of insulin actionDuration of insulin action is the amount of time insulin eectively lowers blood glucose. Most peopl

26Preparing for CozMore®Insulin on boardInsulin on board refers to the amount of insulin that is still active from a previous bolus. e Deltec Cozmo®

27Preparing for CozMore®Hypoglycemia (blood glucose level below 70 mg/dl [4 mmol/L]) can result from too much insulin, not enough food, exercise and

28Preparing for CozMore®High blood glucose (hyperglycemia) and ketonuriaCauses• Incorrectorforgotteninsulindoses• Emptycartridge• Expiredinsu

29Preparing for CozMore®TreatmentPrompt treatment of hyperglycemia is essential. When your blood glucose is above 250 mg/dl (14 mmol/L): • Bolususi

30Preparing for CozMore®

31Infusionsiteselectionandinfusionsetchange • Changingyourinfusionset • FAQ(frequentlyaskedquestions) • Othertips

32Infusion Sets

33Infusion SetsInfusion site selection and infusion set change Before beginning, you must load a cartridge into the pump (instructions for loading a 

ivTable of contentsUpdates to the Manual ...iiiSymbols and Glossary of TermsExplanatio

34Infusion SetsChanging your infusion set• Chooseatimeofdaywhenyouwillnotbeinter-rupted or disturbed. Changing your infusion set just befor

35Infusion SetsRememberDaily: Check your site for tenderness and tape/ dressing adherence. Check your tubing for air bubbles.Every two to three days,

36Infusion SetsWhy would my blood glucose rise soon after changing my infusion set?Your blood glucose may rise aer changing your infusion set if you

37Infusion SetsIf dropping your pump is an issue, choose tubing length that is longer than the distance from your in-fusion site to the oor. If the p

38Infusion Sets

39Sickdaymanagement • Generalguidelines • Pumptipsduringillness • TroubleshootingduringillnessTravelguidelines • Airportscreeninggu

40Tips for Practical Pumping

41Tips for Practical PumpingSick day managementIllness, including stress, has an impact on your dia-betes. Sick day management requires frequent blood

42Tips for Practical Pumping• Checkthevialofinsulinyouusedtollyourcartridge. Make sure the insulin had been properly stored, not exposed t

43Tips for Practical PumpingTravel guidelinese Transportation Safety Administration (TSA) has provided guidelines for the security screening pro-cess

ve CozMore® Insulin Technology System ...63CoZmonitor® Blood Glucose Module ...63CoZmanage

44Tips for Practical PumpingAdjusting for exercise and activityBlood glucose control includes a balance between your food intake, insulin regimen, and

45Tips for Practical PumpingPersonalizing your Deltec Cozmo® insulin pump for exercise and activityExercise is important for your overall well-being a

46Tips for Practical PumpingWearing your Deltec Cozmo® insulin pump during exercise/activityCaution: e CoZmonitor® module is NOT waterproof. Do not i

47Tips for Practical PumpingDisconnecting your Deltec Cozmo® insulin pump during exercise/activity• Checkwithyourhealthcareproviderforindi-vidu

48Tips for Practical PumpingEmergency room guidelines Provide the following information to the hospital sta during an emergency room visit. Emergency

49Tips for Practical PumpingDocument pump removal or temporary discontinuation of insulin pump therapy. Include in your documentation: • Conditiono

50Tips for Practical PumpingTips for outpatient procedures and outpatient surgery (Including dental procedures/surgery)Before your procedure or surger

51Tips for Practical PumpingAfter your outpatient procedure/surgery• Ifyouchangedanyofyourpumpsettingsforyourprocedure or surgery, reprogra

52Tips for Practical PumpingInpatient hospital tipsOvernight hospital stays have a direct impact on your diabetes control. Continuing insulin pump the

53Tips for Practical Pumpingtaken/given by injection (subcutaneously) or IV (intravenously). When disconnected for any reason, your pump should be sto

viBlood glucose testingBlood glucose testing and history ...193e CoZmonitor® Blood Glucose Module ...

54Tips for Practical Pumping

55Introduction • indications • ContraindicationsDeliveryfeatures • Basalrates • Mealbolus • Correctionbolus • Disconnectfeature • H

56Introduction to the Pump

57Introduction to the PumpIndicationse Deltec Cozmo® insulin pump is a syringe infu-sion pump designed for continuous subcutaneous insulin infusion (

58Introduction to the Pumpthe CoZmanager® 2.0 soware, which you then send to the pump. en when programming a bolus you can choose among the foods an

59Introduction to the PumpCaution: e CoZmonitor® module is NOT wa-terproof. Do not immerse the CoZmonitor® module in any liquid. Before bathing, swi

60Introduction to the Pump• Parentsorcaregiverscaneasilyrecallpumpdelivery history to view all delivery events.• epumpcanbeprogrammedwi

61Introduction to the PumpPump illustrationsFeatures and buttonsq Battery cap with w o-ringHolds the battery in place in the battery compart-ment. e

62Introduction to the Pumpr, t Le and right programming keysere are 2 keys on the front of the pump right below the display that do not have any nam

63Introduction to the PumpFeaturesVibration alert If you don’t want the pump to beep during alarms and alerts, you can program it to vibrate instead.

1Explanation of symbols Glossary of terms

64Introduction to the PumpCoZmanager® 2.0 PC Communications Softwaree CoZmanager® 2.0 PC Communications Soware is a Microso® Windows® based program

65Introduction to the PumpBefore using the pump for the rst timeBefore using the pump, you must receive proper training on programming, troubleshooti

66Introduction to the Pump3. Place the battery cap back over the compart-ment. Push down and turn the cap clockwise (right). Again use a smooth-edged

67Introduction to the PumpSelf testsDuring the self tests, the pump’s internal computer performs tests on all the major hardware, computer, and electr

68Introduction to the PumpPracticing cartridge loadingOpen the cartridge package by peeling back the paper cover from the so plastic package. e pack

69Introduction to the PumpLoad it into the pump• Removethepump’s cartridgecapbyturningitleft (counterclockwise) approximately ¼ turn. • I

70Introduction to the PumpAdditional alert screens that may appear___________________________ Ifthecartridgecontainsless than 20 units or if the

71Introduction to the PumpRemoving a cartridge from the pump• Removethecartridgecapbyturningitleft(counterclock-wise) approximately ¼ turn.

72Introduction to the PumpThe pump display and menusAll programming, operating and alarm/alert infor-mation is shown in the display. Programming of th

73Introduction to the PumpScreensaver and backlightYou decide the screensaver activa-tion period. e screensaver al-lows the pump to save on battery p

2Symbols and Glossary of Terms

74Introduction to the PumpA sample “Home” screenq Insulin remaining icon: amount of insulin in the cartridge (approximate)w Pump name: pump name (or a

75Introduction to the PumpNavigating the pump main menu___________________________•PressMenu.•PressSelecttoprogramand deliver a meal bolus; ext

76Introduction to the Pump•PressSelect to enter the Setupmenu(seepage76 forinformationonnavigatingSetup).•PressSelect to perform a basal

77Introduction to the Pump› Personalize: PressSelect. ChooseAlerts then press Select to personalize certain alarm and alert settings. ChooseHi

78Introduction to the PumpConventions used in this manuale instructions in this manual are intended to help you easily navigate through the pump menu

79Introduction to the PumpSome features on the pump are optional, so you can choose whether or not you want to use them. In those cases if you choose

80Introduction to the Pump

81Setup • ChoicesforprogrammingTheQuickStart™feature • Timeanddatesettings • Mealbolussettings • Correctionbolussettings • Curren

82Setup

83SetupSetupMost programming setup on the pump is accom-plished in the Setup menu. ere are several sub-menus that are part of the Setup menu.• Inth

3Symbols and Glossary of TermsExplanation of symbolsBelow is a list of symbols you will see on (or on the packaging of) the Deltec Cozmo® Insulin Pump

84SetupQuickStart™ featureIn QuickStart™ you can access and set up the basic functions of the pump, including the Time and Date, standard Meal Bolus s

85SetupYou can set up to 24 correction factors, in half hour increments. Factors will be in either mg/dl or mmol/L, depending on which you use to meas

86Setup If you chose to edit: choose the correct hour by press-ingthe and/or  key, then press Next to move thehighlighttothenextvalue (in t

87SetupNOTE: You can choose to turn the correction bolus feature on in the main menu and o with a meal bolus through the Setup Delivery menu (see pag

88Setup To add a target, press Nextuntiltheboldhigh-lightisover“- - : - -“; press  or  to choose a time then press Next. Press or  to

89SetupPump SettingsIn the Pump Settings menu you do the following pump setup:• InTime and Date you will set the current time and date. • InBeep

90Setup•ChooseTime and Date then press Select.•Choosethecorrecthourbypressingthe or  key, then press Next to move the highlighttothenex

91Setup If you chose Beep, choose the volume (Low, Medium or High) then press Next. If you chose Beep, choose whether you want a beep to occur ea

92Setup•Thepumpwillnotallowyouto turn the lock on or o unless you know the proper code. Enter code (the code is number 17—this code cannot

93SetupPump IDPump ID allows you to easily view the specic soware information on your pump. Occasionally you will be asked for this information when