4Symbols and Glossary of Termsspecic 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:• InAlerts 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•Choosewhenyouwantthelowcartridgealerttooccur(when the volume left in the cartridgereaches5 to 50 units) then press Next.•Choose
97Setup ChooseyourBG Limit (if you have a test result at or below this amount the pump will alarm to remind youtoretest;therangeis:mg/dl: 50
98Setup•PressBack.•PressBack.•PressHome.Historye pump stores history in 2 ways:• Bythedeliverydate;thepumpstoresdelivery 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•Ifyouwantthereportto appear in the menu, with Yes highlightedpressNext or If you do not want the report to appear in the menu choo
101SetupRegional settingse 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•ChooseSetup then press Select.•ChoosePersonalize then press Select.•ChooseAdvanced then press Select.•IfyoudonotwanttousetheWe
105SetupDeliveryIn the Delivery menu you do the following pump setup:• InMeal 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 soware, sent to the pump and enable
108Setup To remove a ratio, press Nextuntiltheboldhigh-lightisoverthetimeseg-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. Whenyouarenished reviewing/editingthecustom 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•PressMenu.•ChooseSetup then press Select.•ChooseDelivery then press Select.•ChooseCorrection Bolus then press Select.•Ifyoudonot
112Setup Press or to choose a new correction factor, then press Next. To remove a factor, press Nextuntiltheboldhigh-lightisoverthetim
113Setup•IfyoudonotwanttousetheIncrease based on BG feature, with NohighlightedpressNext 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•ChooseBasal Pattern then press Select.•Chooseyourmaximumbasalrate (0 units/hour to 35 units/hour) then press Next.•Ifyoudonotwan
115SetupTemporary rateTemporary Rate allows you to temporarily raise or lower your basal rate for a specied period of time. is feature can be useful
116Setup•Specifyhowyouwanttoprogramatemporaryrate(Percent or Units/Hr) then press Next.•Specifywhetheryouwantthe pump to beep/vibrate t
117Setup If you do not want the temporary rate to appear in the menu, with Nohigh-lightedpressNext or If you want the temporary rate to appear i
118SetupCoZmanager® 2.0 PC Communication SoftwarePersonalizeis 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 soware. If you have previous
120SetupPersonalizing the pump program and sending it to the pump• Ifnecessary,click . (If you are already at the Personalize screen, you will no
121SetupMeal Maker® featuree 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 soware. 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 dierent lists for dierent 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______________________________________________________________________________________________________________________________________________
129LoadingacartridgeStoppingandrestartinginsulindeliveryDeliveringabolus • Standard“unitsofinsulin”bolus • Standard“carbohydrate”bol
130Delivering Insulin
131Delivering InsulinLoading a cartridgee 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).• FillthecartridgeaccordingtotheInstructions for Usesuppliedwithth
133Delivering Insulin•WithLoadhighlighted,pressSelect.•Makesuretheinfusionsetisnot connected to your body, then press Load (seerightfor
8Important Information
134Delivering InsulinAttach and ll the tubing• Removethewhitecapfromthecartridgetip• AttachtheinfusionsetLuer to the tip of the cartridg
135Delivering Insulin When the site reminder alert is set, the pump returnstothecartridgemenu with all of the menu items checked. PressDone.•
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 bolusere 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___________________________•PressMenu.•WithMeal Bolushighlighted,press S
141Delivering Insulin•Verifythebolusamountthenpress Deliver(orchangetheamountusingthe or key then press Deliver) or PresstheTouchB
142Delivering Insulin•PresstheTouchBolusbuttononce 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•Specifytheduration(theperiod of time you want the extended bolus to deliver over;15minutesto08:00hours) then press Nex
146Delivering Insulin If you have personalized your pump to allow editing your BG target when program-ming a correction bolus: chooseyourBGtarget
147Delivering Insulin•WithMeal Bolus highlighted,press Select.•ChooseCombination then press Select.•Pressthe key to specify the bolus amount
148Delivering Insulin•Specifytheduration(theperiod of time you want the extended portion of the combination bolus to deliver over;15minutesto
149Delivering InsulinDelivering a correction bolus (main menu)Correction Bolus only appears in the main menu if you have personalized your pump that
150Delivering Insulin•Thescreencountsupasthebolus is delivered. Tocancelthecorrectionbolusbefore it is complete, press Cancel. PressHom
151Delivering Insulin•TheHypo Manager screen is displayed.PressNext.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: thesug-gestednumberoffast-actingcarbs you shou
153Delivering Insulin Thisscreenonlyappearsif you have chosen more than one pattern to appear in the menu in Setup. Choosethepatternyouwant
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___________________________•PressStop.•ChooseTemporary Rate then press Select.•Ifyouwanttostop
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. Onlythosepatternsthathave 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 InsulinContinuetoenableandeditalert sets and individual alerts as desired. Whenyouhavenished reviewingandeditingthealer
161Delivering Insulin•Pressthe or key to specify which alerts you want associatedwiththespeciedday 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 specic 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 specied. To reconnect, you can eithe
165Delivering InsulinAutomatic reconnect___________________________•PressOK.•Ifyouhavenotreconnectedto the pump, press No and reconnect. If y
166Delivering Insulin IfusingtheCoZmonitor®module, insert a FreeStyle® test strip now and perform abloodglucosetestor Performabloodgluc
167Delivering InsulinNotes____________________________________________________________________________________________________________________________
168Delivering InsulinNotes____________________________________________________________________________________________________________________________
169AboutalarmsTroubleshooting • Alarmsandalerts • OthermessagesCleaningyourpumpServicingyourpumpDisconnectingfromthepumpYourpumpand
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 stope 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 aer a low t
176HelpAlarms and alerts—continuedMessage in display What it means / Alarm How to make it stope 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 stope 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 pumpere 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 signicant eect on how your body uses insulin. If you experience a signicant
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
191Bloodglucosetestingandhistory • TheCoZmonitor®BloodGlucoseModule • UsingtheBGmenu
Blood Glucose Testing192
193Blood Glucose TestingBlood glucose testing and historyNOTE: For 10 minutes aer 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“LastBG”homescreenis updated with the
Blood Glucose Testing196Notes_________________________________________________________________________________________________________________________
197Historyonthepump • Viewinghistory • Bolussummary • Viewbloodglucosehistory(quickaccess) • Viewbolushistory (quickaccess)Histo
198Viewing History
199Viewing HistoryHistorye pump stores history in 2 ways:• Bythedeliverydate.epumpstoresdelivery 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 dierent than other history reports. Bolus Summary can also be viewed from home s
202Viewing History•PressHome.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. ___________________________•Fromho
15Preparingforyourpumpstart • Priortopumpstartday • PumpstartdayDeltecCozmo®InsulinPumpbolusoptionsCarbohydratecountingbasics •
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• Ifnecessary,click . (If you are already in the History Reports screen, you will not need to per-
207FinetuningHowtoadjustyourbasalrate(s) • Guidelinesfortestingyourbasal ratesBasaltesting • Testsetup • Activatingabasaltest •
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•Chooseatestthenpress Select (in this example, we willbechoosingOvernight).•Specifyyourlowbloodglu-coselimit
Finetuning Your Settings212•PressHome.Activating a basal testOnce you have set up the desired test, it can be per-formed at any time. Before beginni
213Finetuning Your Settings•ReviewtheBGLimits;iftheyare acceptable press Next. If the BG Limits are unaccept-able, press Cancel then make chan
16Preparing for CozMore®
Finetuning Your Settings214•PressBack.•PressHome.Ending a basal test early___________________________•PressMenu.•ChooseBasal Testing then pres
215Finetuning Your Settings•PressHome.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___________________________•PressMenu.•ChooseBasal Testing then press Select.•ChooseH
217Finetuning Your SettingsFrom the BG home screen•PressStop-BG.•FromeithertheBolusHis-tory Menu or Blood Glucose Menu(dependingonwhichhome
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:BatteryinpumpTopic:BolusdeliveryTopic:CoZmonitor®moduletipsTopic:CoZmanager®2.0softwaretipsTopic:HistorylogsTop
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• Makesurethatthebat-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.• Makesureyouareusingthebatterycapthatwassupp
Frequently Asked Questions (FAQ)228Topic: CoZmanager® 2.0 PC Communications Software tipsCommunicating with the pump• Makesurethesowareisinsta
229Frequently Asked Questions (FAQ)Topic: Infusion sets and cartridgesWhy do I have site pain with my infusion set?• Ifthepainoccursatthetimeo
Frequently Asked Questions (FAQ)230I have bubbles in the cartridge.• Fillyourcartridgewithroom temperature insulin. If you use cold insulin, as i
231Patientresourcesforpumptherapy
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 day1 Conrm that you have all of your Deltec Cozmo® insulin pump supplies.
Resources234
235PumpdevelopmentstandardsSpecications • General • DeliveryAccuracytestresultsSafetyfeaturesandfaultdetectionInspectingthepumpWarranty
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 emissionsThePumpisintendedforuseintheelectromagneticenvironme
239Technical InformationGuidance and manufacturer’s declaration—electromagnetic immunityThePumpisintendedforuseintheelectromagneticenvironmen
Technical Information240SpecicationsGeneral specications (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, Aernoon, Evening, OvernightLow blood glucose limit
Technical Information248Accuracy test resultse 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, 187Soware 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 labele nutrition label has the facts. Nearly everything in the grocery store except fresh produce, meat,
22Preparing for CozMore®Meal bolusInsulin-to-carbohydrate ratioe amount of rapid/short act-ing insulin required to cover a specic 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 Manuale following updates were made to this version (40-5506-51C) of the User Manual. e specic pages aected by the changes are s
24Preparing for CozMore®Correction bolusCorrection bolus variablese 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 eectively 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• Incorrectorforgotteninsulindoses• Emptycartridge• Expiredinsu
29Preparing for CozMore®TreatmentPrompt treatment of hyperglycemia is essential. When your blood glucose is above 250 mg/dl (14 mmol/L): • Bolususi
30Preparing for CozMore®
31Infusionsiteselectionandinfusionsetchange • Changingyourinfusionset • FAQ(frequentlyaskedquestions) • Othertips
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• Chooseatimeofdaywhenyouwillnotbeinter-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 aer 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
39Sickdaymanagement • Generalguidelines • Pumptipsduringillness • TroubleshootingduringillnessTravelguidelines • Airportscreeninggu
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• Checkthevialofinsulinyouusedtollyourcartridge. Make sure the insulin had been properly stored, not exposed t
43Tips for Practical PumpingTravel guidelinese Transportation Safety Administration (TSA) has provided guidelines for the security screening pro-cess
ve 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• Checkwithyourhealthcareproviderforindi-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: • Conditiono
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• Ifyouchangedanyofyourpumpsettingsforyourprocedure 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 ...193e CoZmonitor® Blood Glucose Module ...
54Tips for Practical Pumping
55Introduction • indications • ContraindicationsDeliveryfeatures • Basalrates • Mealbolus • Correctionbolus • Disconnectfeature • H
56Introduction to the Pump
57Introduction to the PumpIndicationse Deltec Cozmo® insulin pump is a syringe infu-sion pump designed for continuous subcutaneous insulin infusion (
58Introduction to the Pumpthe CoZmanager® 2.0 soware, 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• Parentsorcaregiverscaneasilyrecallpumpdelivery history to view all delivery events.• epumpcanbeprogrammedwi
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 keysere 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 Softwaree CoZmanager® 2.0 PC Communications Soware 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• Removethepump’s cartridgecapbyturningitleft (counterclockwise) approximately ¼ turn. • I
70Introduction to the PumpAdditional alert screens that may appear___________________________ Ifthecartridgecontainsless than 20 units or if the
71Introduction to the PumpRemoving a cartridge from the pump• Removethecartridgecapbyturningitleft(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___________________________•PressMenu.•PressSelecttoprogramand deliver a meal bolus; ext
76Introduction to the Pump•PressSelect to enter the Setupmenu(seepage76 forinformationonnavigatingSetup).•PressSelect to perform a basal
77Introduction to the Pump› Personalize: PressSelect. ChooseAlerts then press Select to personalize certain alarm and alert settings. ChooseHi
78Introduction to the PumpConventions used in this manuale 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 • ChoicesforprogrammingTheQuickStart™feature • Timeanddatesettings • Mealbolussettings • Correctionbolussettings • 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.• Inth
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-ingthe and/or key, then press Next to move thehighlighttothenextvalue (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 Nextuntiltheboldhigh-lightisover“- - : - -“; press or to choose a time then press Next. Press or to
89SetupPump SettingsIn the Pump Settings menu you do the following pump setup:• InTime and Date you will set the current time and date. • InBeep
90Setup•ChooseTime and Date then press Select.•Choosethecorrecthourbypressingthe or key, then press Next to move the highlighttothenex
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•Thepumpwillnotallowyouto 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 specic soware information on your pump. Occasionally you will be asked for this information when
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