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Snap Insulin Pump User Manual

1. 132 Pump Body Connected asooatesoo so duci dor a XE oie s oues dto es 32 Pump SOPP d gies 3h exe RP ARIS Ead ded ae A 132 Some Settings Were Not Updated 0 cece eee 133 Target BG Outside Normal Clinical Range ooooooooo o 133 WARNING Treat Low BG by Consuming Carbohydrates 133 Pump Maintenance 33 978 nie aca aa 135 CIAO vastos ru oo 4 iae ARE NL Ew NM LEN LE 135 Storage and Battery Preservation nunnana nanan cen 136 Ccrry WC 137 SDBCIIIGallOTIS soos epo Sauter Sanaa aos 143 Technical SPCCuiGavOns cv aso hee wae en ORE RERO e ERR CREE Rh e RS 143 DISCOS ables uu coria eds wee ae esate ae yee ow d 148 POND BOO Sa 2344 A purs a EO ed ob te dale tse net 148 Insulin Cartridge o3 22 23 2 01 924 0 18 10 bb Da EAE Rn fO bod Ded 148 ntuStOH Sells nq odo ste disks sa aaa darc pipa dad 149 Der bus IOS sde dodi teat ed a rere ita 150 Logbook Details s dme pu e rie ponet AURI ted a tad Ea SOR oi god 153 VDO aea E O A E E NO 156 Personal INIOFMAUON oce a a 159 YOU Personal SNES sti Gata A Dead a redd 159 Men Map iie dv Rad OCC RR C RC ACER c RC e ded RC a 165 anl m a 167 Vil vili Asante Snap Insulin Pump User Manual Preface Welcome and Congratulations Thank you for choosing the Asante Snap Insulin Pump System Your choice of pump therapy means that you are committed to maximizing your glycemic control The Sn
2. Target BG Range The target BG setting allows you to set your BG target range Because your targets may vary throughout the day your pump allows you to set up to three BG target ranges per day If you want to set a single target value instead of a range set both the low and high values to the same number If your current BG is above your target BG range the Smart bolus will calculate a correction dose If your current BG 1s below your BG target range the Smart bolus will calculate a correction and subtract it from your food bolus If your BG 1s below 70 mg dL 3 9 mmol L the Smart bolus will not provide a bolus calculation The default target BG range setting in your pump 1s 100 100 mg dL 5 6 5 6 mmol L If you adjust your BG target values outside 90 150 mg dL 5 0 8 3 mmol L the pump displays a message that the values are acceptable but outside the normal clinical range Advanced Bolus Features 67 Insulin on Board Duration The IOB duration is the amount of time that the Smart bolus calculator uses to determine how much insulin from prior boluses you have left in your body The calculator uses this setting and the time that has passed since each bolus to determine how much of the insulin from each bolus has not been used by your body If you still have unused insulin from a previous bolus the Smart bolus calculator will subtract that amount from your estimated bolus See Understanding Insulin on Board on page 68 for mor
3. lower buttons functions vary depending on Press SELECT center button to select BOLUS MENU the screen Learning About Your Pump 15 Pump Screen The screen presents information in various ways such as menus programming options alert and alarm messages and status information Blank Screen In its resting state the screen is blank The blank screen is the starting point for accessing the status screens and the main menu as well as the graph and flashlight If you are currently on a screen and you do not press any buttons for several seconds the blank screen appears to help save battery power You can adjust the length of time from the last button press until the blank screen appears using the Setup menu See Screen Timeout on page 110 To access the blank screen from anywhere within the menus continue pressing EXIT until the blank screen appears o From the blank screen you can e Press any button to take you to the startup screen If the intro screen is enabled it will appear first Press any button to continue past the intro screen or wait 5 seconds for the startup screen to display For information on enabling the intro screen see page 108 Press the upper right button to take you to an Audio bolus or Smart bolus Before using the upper right button as a bolus shortcut you need to program it See Setting the Bolus Button for a Smart Bolus on page 83 or Setting the Bolus Button for an Audio Bolus on pa
4. 3 The startup screen will indicate that an alarm has occurred and whether the pump was stopped View the status screen for information about the alarm See Status Screens on page 18 Troubleshooting 117 4 Refer to the following list of alarms for the appropriate action Also included with the cause and action is the alarm message as it appears in the Alarm History screen in the Logbook See Alarm History on page 97 Auto Off Alarm Message AUTO OFF CHECK BG SOON OK Cause You have not pressed any buttons for the time period you set for the Auto Off setting in the Setup menu see page 105 Clear the alarm to restart your pump Check your BG soon Alarm History AUTO OFF ALARM Blocked Set Alarm Message BLOCKED SET TROUBLESHOOT CANNULA OK Insulin may not be flowing through the tubing and into your body Action 1 Gently massage the infusion site 2 Reprogram any missed bolus as indicated by the pump system If the alarm repeats within 30 minutes Disconnect the infusion tubing from the infusion cannula Remove the cannula from your body Insert a new infusion cannula following the instructions provided with the infusion set Reconnect your infusion set tubing to the cannula and prime the cannula see page 34 Check your BG over the next few hours NOTE If the alarm repeats within 1 hour of replacing the cannula replace the pump body cartridge and infusion set NOTE If these steps do
5. BG log target 106 107 BG prompt 101 102 BG units 102 blood glucose BG ix bolus See Audio Combo Timed or Smart bolus bolus button for Audio bolus 84 for Smart bolus 83 bolus history 91 92 bolus insulin 55 missed 132 bolus limit 57 bolus menu 74 bolus reminder canceling 88 enabling 88 setting 88 bolus step 83 button guard 107 108 buttons 15 locking 107 unlocking 108 C cannula 14 changing 36 inserting 34 priming 34 35 carb ratio 67 editing in Smart bolus 81 cartridge See insulin cartridge 167 cleaning pump 135 Combo bolus 61 enabling 61 setting 63 64 setting a Now bolus during 65 step value 83 stopping 64 connector tubing 14 32 40 controller 14 disconnecting from pump body 38 39 sensor 135 serial number 159 customer service 1 113 D daily alerts 104 105 daily totals 92 94 date and time 99 100 delivery limit 107 disconnecting infusion set during prime 37 42 pump body from controller 38 39 disposables 148 149 E emergency kit 1 enabling bolus reminder 88 Combo bolus 61 Smart bolus 76 Timed bolus 61 E flashlight 13 26 109 168 Asante Snap Insulin Pump User Manual G glossary 137 141 graph 25 H history alarm 97 basal 95 BG 94 bolus 91 92 daily total insulin delivery 92 94 hourly delivery limit 107 infusion set 14 compatible 149 disconnecting 37 42 insulin compatible 3 left in cartridge 19 when you remo
6. DURATION 4 00 EXIT IOB Mode 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt SMART SETUP gt IOB MODE IOB IOB 4 DURATION FODE SELECT EXIT 2 Select CORRECTION or ALL and press SAVE MODE CORRECTION SAVE EXIT 3 Press EXIT to exit the Smart bolus setup 82 Asante Snap Insulin Pump User Manual Setting the Bolus Button for a Smart Bolus The bolus button feature allows you to select which bolus type either Smart bolus or Audio bolus will be assigned to the bolus shortcut button upper right You can have either the Audio bolus or the Smart bolus assigned to the button at one time If you wish to use the Audio bolus set the button for Audio bolus If you wish to use the bolus button for a Smart bolus you cannot use the Audio bolus feature If you do not wish to use either feature set the bolus button feature to OFF 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt BOLUS BUTTON 2 Press to select SMART BUTTO SMARTS BUTTON SAVE EXIT 3 Press SAVE Now when you press the upper right pump button you will go directly to Main menu gt BOLUS MENU gt SMART BOLUS where you can program the delivery of a Smart bolus Setting the Bolus Step Value The bolus step size determines how much the insulin units will increase each time you press when programming a Smart Timed or Combo bolus To set the step size for an Audio bolus see Setting the Audio Bolus Step Value on page 85 1 Main menu gt BOLUS
7. Snap Insulin Pump User Manual 4 asante snap Copyright Trademarks Disclaimer Caution Addresses ud EC REP C C 0086 O 2013 Asante Solutions Inc All rights reserved No part of this publication may be reproduced transmitted transcribed stored in retrieval systems or translated into any form or by any means electronic mechanical magnetic optical or otherwise without the prior written permission of Asante Solutions Inc 352 East Java Dr Sunnyvale CA 94089 United States of America Glucagon Emergency Kit and Humalog are registered trademarks of Eli Lilly and Company comfort and conset are trademarks of Unomedical a ConvaTec Company Asante Solutions Inc reserves the right to change its products and services at any time to incorporate the latest technological developments This guide is subject to change without notice Federal United States law restricts this device to sale by or on the order of a physician Manufacturer Asante Solutions Inc 352 East Java Dr sunnyvale CA 94089 Telephone 855 4Asante 855 427 2683 www snappump com Authorized Representative Emergo Europe Molenstraat 15 2513 BH The Hague The Netherlands Telephone 31 70 345 8570 LBL 1052 Rev J November 2013 Contents PIOIdCO usaras ia aaa IX Welcome and Congratulations 0 0 0 0 0c eens 1X Howto Use This Maita nr a EMI hal AARON o RE ECT RO 3 X CA acces ce qo uta caus QUO ES In Rotor Su
8. 65 Smart Bolus The Smart bolus feature calculates an estimated bolus to support your food intake and or correct for high BG If you want your current BG to be factored into your bolus enter your BG reading If you are going to eat enter your food amount in carbs The smart bolus feature will calculate a bolus for you Always follow the instructions provided by your healthcare professional with respect to adjusting the recommended bolus amount before delivery The Smart bolus calculation does not take into account many factors that could influence your BG levels such as exercise stress or illness The advanced bolus features require input from your healthcare professional Do not attempt to use these features until you have specific information for your treatment plan and have had specific training on these programming features Information the Smart Bolus Feature Uses Before programming the Smart bolus feature you will need your personal settings from the Smart bolus feature settings Refer to your personal Smart bolus settings that you established with the help of your healthcare professional found on page 159 Smart Bolus Settings insulin sensitivity BG change per unit of insulin e carb ratios carb grams per unit of insulin target BG range e JOB duration insulin action time e OB mode Once the settings are programmed you do not have to program them again unless the values change The first time you set up the Sma
9. EXIT 26 Asante Snap Insulin Pump User Manual STATUS 2 Press LIGHT The flashlight will remain on for 15 seconds FLASHLIGHT 1 p REMAINING TIME OFF The flashlight will turn off when you press any button or after 15 seconds Learning About Your Pump 21 28 Asante Snap Insulin Pump User Manual Preparing the Pump for Use Your controller comes with a transparent plastic film covering the screen and buttons for protection during shipping Be sure to remove this protective covering before using the controller When preparing your pump for use you will need to 1 Insert a new cartridge into the pump body attach the infusion set to the pump body then connect the controller to the pump body See Assembling the Pump System on page 30 Make sure the time and date are set correctly See Time and Date on page 99 If necessary prime the infusion set tubing with insulin See Priming the Tubing on page 36 Insert the infusion set into your body See Inserting the Infusion Cannula on page 34 Connect the infusion set tubing to the cannula if it 1s not already connected Prime the cannula See Priming the Cannula on page 34 Preparing the Pump for Use 29 Assembling the Pump System Your system is designed so that each time you need to replace the insulin cartridge you ll also replace the disposable pump body The pump will indicate when it 1s time to change the cartridge with a LOW CARTRIDGE alert or E
10. Example 4 IOB Mode IOB from previous boluses BG Entered Total Carbs Entered bolus estimate carb bolus correction bolus 50 grams carb bolus 2 5 units 20 grams unit 85 mg dL 100 mg dL correction bolus z 0 5units 30 mg dL unit IOB mode is ALL The Smart bolus feature combines the carb and correction parts of the calculation and then subtracts IOB from the total bolus estimate 2 5 units 0 5 units 1 5 units 0 5 units Example 5 IOB Mode IOB from previous boluses BG Entered Total Carbs Entered bolus estimate carb bolus correction bolus 50 grams carb bolus 2 5 units 20 grams unit correction bolus 0 units IOB mode is ALL The Smart bolus feature combines the carb and correction parts of the calculation and then subtracts IOB from the total E NOTE If the BG value entered is within the target BG range the correction bolus will be 0 bolus estimate 2 5 units 0 units 1 5 units 1 0 unit Advanced Bolus Features 73 Setting up the Smart Bolus Feature for the First Time Before you can use the Smart bolus feature you will need to set it up The first time you set it up you will be prompted step by step for the appropriate information Afterwards 1f you need to make changes go to the SMART SETUP menu and select the setting you wish to change You will not be automatically prompted after the initial setup See Editing the
11. Genes beca citt ede DI E Ep aoe eae 18 Men Pr 20 Maia NICH M m 20 Navigatine Through Menus 43 eoe ex VPE REX E PR 24 SM CC o r r a a A a a A A a E a E A e EA 25 TONOS ausi suede twee aad ade him he abdo Td ies 26 PAS MAE OIG EE den EE cus E E A E E A EE 26 Operating the Flashlight llli 26 Preparing the Pump for Use eeseeee nn nn m n BI 29 Assembling the Pump System oooooooooronnrrraaoon o 30 Inserting the Intusior Cannula eoe RR id 34 Prine the CaQQula 4 dier bb bb ede e ah ema it dah diet 34 Clhianeino the Candle dar idet s veg d do omg ee cas da 36 Prine the LUDIAS oe doc oer ok PRESE ER Sb Pe E RI ORI 36 Wen to Prime thie TUD S vue d dus ro oor acto das Pare Sr qaae 36 Priming the UDS se tual aes BA ad ee PARE S S 36 Disconnecting the Pump Body from the Controller 38 Replacino the Infusion Set Tubine siria did 39 Replacing the Tubing tasado Geen ale EAR SR Roe s 39 Prime he TODOS yr Rit ca eee d aus eae ee ake d 4 Basal INSUIIN AN e UO qu Sie adire ue du 43 asa Ie ib di eps she cod eee acabes 43 ASNO A ae a EU SERM DU O 43 Basal Brotes retratada Seba Ee Pp d ers 43 SEALE AO S is ee rre opa bate swage de oe a E e ge bue uoed 44 Programming Your Basal Insulin ooooooooooo ooo 44 Selector Basal PrO S sects an dep pate a Sow REF meo erates 46 11 Asante Snap Insulin Pump User Manual Editing a Basal Prole
12. Limit Or Audio bolus programming exceeded the Bolus Limit Action Select OK to deliver the Smart bolus as defined by the Bolus Limit If programming an Audio bolus the bolus is canceled without delivery Program the Audio bolus again and do not exceed the Bolus Limit Carb Ratio Outside Normal Clinical Range CARB RATIO OUTSIDE NORMAL CLINICAL RANGE CONTINUE Cause The carb ratio you entered in the Smart bolus is acceptable but outside the normal clinical range Action Select YES to continue with the carb ratio value Or select NO to change the value Delivery Canceled Message DELIVERY CANCELED A system reset alarm occurred during a bolus or temp basal delivery Reprogram the bolus or temp basal Troubleshooting 129 Delivery Complete Message DELIVERY TYPE XX XXU FINISHED INSULIN ON BOARD XX XXU A bolus or temp basal delivery is complete Delivery type is Now Combo or Timed bolus or temp basal IOB appears only for a bolus delivery and only when the Smart bolus 1s enabled Do Not Bolus Check BG Soon DO NOT BOLUS CHECK BG SOON Action Given the Smart bolus settings and your BG and carb intake you do not need to bolus at this time Check your BG Flashlight Limit FLASHLIGHT LIMIT REACHED 240 seconds of flashlight time were used for the current pump body The flashlight will work only during alarms and priming not when you select LIGHT from the startup screen You
13. MENU gt BOLUS SETUP gt BOLUS STEP 2 Press amp or to set the bolus step size The step value is the increment that is used when you are programming a Smart Timed or Combo bolus The bolus amount will increase or decrease by the number you enter here BOLUS STEP SIZE 0 10 SAVE EXIT 3 Press SAVE Advanced Bolus Features 83 Audio Bolus The Audio bolus feature allows you to deliver a Now bolus by simply pressing a pump button and listening for specific tones instead of needing to go to a menu Once the Audio bolus feature is set the upper right button will allow you to quickly deliver a Now bolus based on audio feedback After you set up the Audio bolus press the upper right button from the blank screen to increase the Now bolus amount by a fixed amount that you set called a step This fixed amount equals the number of units of insulin for each step The total amount of insulin from all steps cannot exceed your Bolus Limit see page 57 Setting the Bolus Button for an Audio Bolus The bolus button feature allows you to select which bolus type Smart bolus or Audio bolus will be assigned to the bolus shortcut button upper right You can have either the Audio bolus or the Smart bolus assigned to the button at one time If you wish to use the Audio bolus set the button for Audio bolus If you wish to use the bolus button for a Smart bolus you cannot use the Audio bolus feature If you do not wish to use either feature
14. a bolus The Smart bolus feature will be able to calculate your IOB once the period of time equal to your IOB duration has passed Basal rates that are too high or too low can adversely affect BG levels Work with your healthcare professional to fine tune basal rates The way your body uses insulin can be affected by many things Contact your healthcare professional about lifestyle changes such as starting or stopping your exercise program or significant weight loss or gain Your basal rates may need to be modified Asante Snap Insulin Pump User Manual Do not stop using the pump if you are ill Even when you re sick your body still needs insulin When you begin using the Audio bolus feature always look at the screen as you program so that you are completely comfortable with the feature before delivering a bolus via audio prompts only Asante recommends that you have a family member or friend who understands diabetes and pump therapy so in the event of an emergency they can help you Be sure they are familiar with any information given to you by your healthcare professional The Snap System and accessories include components that could pose a choking hazard to small children To ensure proper delivery do not change your infusion set just before bedtime or if you will not be able to test your BG 1 to 2 hours after a new set 1s placed Before going to bed always check that your cartridge has enough insulin to last through the nigh
15. after by moving it to the center and pressing INSERT or ADD if you selected the last rate 4 Select the new time and press NEXT 5 Select the rate for the new basal rate and press SAVE The new basal rate 1s inserted after the selected basal rate 6 30AM BRUM 9 00PM Press INSERT to insert a rate between two rates 0 65U H MUERE O40UH Press ADD to add a rate to the end of the profile INSERT E NOTE The stop time for the new rate you are inserting will be the start time of the next rate ADD appears in place of INSERT only when you are at the end of the profile 6 Press EXIT to see the details for the current basal profile 48 Asante Snap Insulin Pump User Manual To Delete a Basal Rate 5 6 Main menu gt BASAL MENU gt EDIT PROFILE Select the profile BASAL A through BASAL D you wish to edit and press EDIT Select the basal rate you wish to delete by moving it to the center 6 30AM 1 00PM 9 00PM 0 65U H MEU 0 40U H Press EDIT then press DELETE to delete the start time A message appears indicating the rate was deleted and displaying the number of rates that remain li NOTE DELETE appears only for rates that can be deleted For example you cannot delete the start time of 12 am BASAL RATE DELETED 3 RATES REMAIN OK Press OK to return to the profile Press EXIT to see the details for the current basal profile Clearing a Basal Profile When you clear a profile the programmed basal rates and times are cle
16. am midnight and end 24 hours later at 12 00 am midnight Press EDIT to select midnight You cannot modify the start time of the first basal rate MIDNIGHT 0 00U H EDIT 44 Asante Snap Insulin Pump User Manual Press to enter the basal rate SET BASAL RATE 0 25 BACK Press SAVE At this point you have entered one basal rate units hour that will begin at midnight and be delivered for 24 hours MIDNIGHT 0 25U H ADD EDIT EXIT If you wish to add additional rates press ADD Press to select the start time for the second basal rate and press NEXT The start time for your second basal rate becomes the new stop time for the first rate SET BASAL RATE 6 30AM START TIME BACK NEXT DELETE Press to select the rate for the second basal rate Press SAVE 6 30AM 0 65U H ADD EDIT EXIT You have now set two basal rates for this profile one rate starts at midnight the second rate starts at the time you selected in step 7 This second rate will be delivered until the following midnight You can continue adding up to 10 basal rates for different times of the day for this profile Basal Insulin 45 To change or delete rates for this or any profile see Editing a Basal Profile on page 46 10 Once the profile is programmed you must select it if you wish to use it See Selecting a Basal Profile in the following section Selecting a Basal Profile After programming a basal rate or p
17. and disconnect the pump body from the controller by pressing the latch button on the pump body to release it Slide the pump body from the controller The PUMP BODY DISCONNECTED alarm sounds and the flashlight illuminates Cd a a DES 2 Press OK to silence the alarm PUMP BODY DISCONNECTED OK 38 Asante Snap Insulin Pump User Manual 3 Reconnect the pump body and controller by aligning the pump body with the guide on the controller and sliding the pump body onto the controller Squeeze the pump body and controller together until you hear and or feel them click into place 4 Press OK when following screen appears PUMP BODY CONNECTED OK 5 The Prime menu appears If you did not disconnect the pump body to change it or the infusion set press EXIT Otherwise proceed to priming the tubing on page 36 Vice PRIME UNC CANNULA SELECT EXIT li NOTE If basal insulin was missed the pump displays the amount that was missed Consult with your healthcare professional on the best way to handle missed insulin Press OK to return to the startup screen MISSED BASAL 0 10U OK Replacing the Infusion Set Tubing The infusion set tubing should last for the life of the pump body When the insulin in the cartridge 1s finished you can dispose of the pump body empty cartridge and tubing However if the tubing becomes damaged you will need to replace it and prime it Replacing the Tubing 1 Disconnect the infusion
18. and priming until Introduction 5 drops appear you can account for the bubble shrinkage and avoid potential missed insulin delivery Before reattaching the infusion set to your body perform a tubing prime of at least 2 units and observe drops exiting the infusion set The change in altitude may increase the likelihood of bubble formation Therefore it 1s important to check for bubbles frequently during and after air travel Be sure to check your BG frequently during air travel particularly after takeoff and landing Aircraft without Cabin Pressurization If you are planning to fly in aircraft without cabin pressurization or in aircraft used for aerobatics or combat simulation pressurized or not disconnect the infusion set tubing from the cannula Precautions Although the pump has multiple safety alarms it cannot notify you if the infusion set 1s leaking or the insulin has lost its potency Be sure to test your BG levels at least four times per day Avoid an infusion cannula location that will be irritated by clothing and accessories or by rigorous stretching and exercise Avoid extreme temperatures Avoid exposing your pump to temperatures above 104 F 40 C or below 40 F 5 C Insulin solutions freeze near 32 F 0 C and degrade at high temperatures If you are outside in cold weather wear your pump close to your body and cover it with warm clothing If you are in a warm environment do your best to keep your pump an
19. bolus is delivered The timer will begin as soon as the bolus programming is completed If you do not want to use the BG Prompt feature leave the option set to OFF The pump can store only the last BG Prompt that was programmed Therefore if you program a second bolus with a BG Prompt before the first BG Prompt goes off the first BG Prompt will be canceled E NOTE BG Prompt is not available after an Audio bolus is programmed 1 Main menu gt SETUP MENU gt BG PROMPT 2 Press to turn ON the setting and press NEXT ON NEXT EXIT SET BG PROMPT 3 Press M or to set the time from 15 minutes to 6 hours in 15 minute increments to receive a prompt to check your BG after a bolus delivery SET BG PROMPT TIME BACK 4 Press SAVE The BG Prompt feature is now enabled The next time a bolus is delivered your pump will display a message requesting if you would like to receive a prompt to check your BG You can select YES or NO to receive the prompt PROMPT TO CHECK BG IN Where X and YY are the hours and minutes that X HOURS AND YY MINUTES you set YES No Setup 101 When the BG Prompt alert sounds your pump beeps and the following message appears on the screen Press OK to acknowledge and silence the alert Check your BG REMINDER CHECK BG oK BG Units You can set your pump to match the units of measure used by your blood glucose meter Choose mg dL milligrams per deciliter or mmol L millimoles per lit
20. eRe Seed ee ee at ata nd 109 is IE OUI aet x8 eet inden dae A NER ahaa Bike RPM MU 110 PUD Pp AICI 4 wx acs o P ie ede hee ok ws awa oe MER See d 110 Troubleshooting 23 2 traiciones 113 General TOUDIGSNOONNG tse o REPE 113 The screen appears distorted 0 0 ccc ee ooo 113 THE SCreeh iS DIdBK zs sat eee ok d dC hea Shed Pda ee 113 D dropped PUMP qud ofer b dta oie oe atate t bets 114 I submerged my pump in water llle 114 Drops did not appear during the tubing prime 005 115 How do I restore my settings from a used pump body 116 How do I extend the battery life o oooooooooooooooooo 116 PARTING et rd a e ea bio 117 What To Do When You Get an Alarm o o oooooooooo ooo 117 UO AP 118 BlOCKSTSEL vans nc SSH eRNSEESE OE REEXeRAS d ead bat 118 Check Tubie COBnector unoeeon eu ene ale P EE Labs 119 Delivery Limit Reached sumerieni aos Bea hes Dede Wc S ae uera 119 Detach and Reconnect Pump Body iei cde Sae Rae RES 120 Disconnect Infusion Set from Your Body Pump Damaged Dropped 120 Et pty Candee asar 120 Of NO POW aics sd dau pEr ra bao dd mehbe ta bios ts 121 Pump Body Disconnected 0 0 cc eens 121 Pump Damaged Web dota add adas T21 Pump Error Detach and Reconnect Replace Pump Body 122 Der lime Dates cm 122 SSENT ETON sn ates a RATE uta a fein uat e IES pe e Ad 122 Sette MISMAICH a rahe ERREUR A A eee UE 123 Ver
21. feature will be on Ensure it is on and press SAVE SET SMART BOLUS ON EXIT Insulin Sensitivity 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt SMART SETUP gt INSULIN SENS SMART MINSA CARB ON OFF ESN RATIO gt SELECT EXIT 80 Asante Snap Insulin Pump User Manual 2 Press EDIT to adjust the value or ADD INSERT to add a new start time and value then press SAVE Press EXIT when you re finished MIDNIGHT 50 U ADD EDIT EXIT Carb Ratio 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt SMART SETUP gt CARB RATIO INSULIN CARB TARGET SENS RATIO BG SELECT EXIT 2 Press EDIT to adjust the value or ADD INSERT to add a new start time and value then press SAVE Press EXIT when you re finished MIDNIGHT SET CARB 1 5 0 30 0G U RATIO ADD EDIT EXIT BACK Target BG 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt SMART SETUP gt TARGET BG CARB WECH IOB RATIO BG DURATION SELECT EXIT 2 Press EDIT to adjust the low and or high target BG value or ADD INSERT to add a new start time and values then press SAVE Press EXIT when you re finished MIDNIGHT 100 140 SET LOW mg dL SET HIGH mg dL TARGET BG 1 00 TARGET BG 1 40 BACK BACK Advanced Bolus Features 81 IOB Duration 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt SMART SETUP gt IOB DURATION le IOB DURON MODE gt SELECT EXIT TARGET 4 BG 2 Adjust the time and press SAVE IOB
22. following section Priming the Tubing After replacing the infusion set tubing you will need to prime it to fill it with insulin up to 20 units may be required Continue to prime until drops appear at the end of the tubing 1 Main menu PRIME MENU PRIME TUBING 2 Press SELECT to start SV PRIME Ne CANNULA SELECT EXIT 3 Press amp or EB to set the number of units necessary to fill the tubing and press NEXT We recommend 10 units The maximum number of units 1s 10 SET PRIME 10 00 AMOUNT EXIT BACK Preparing the Pump for Use 4 A message appears to remind you to disconnect the infusion set from your body DISCONNECT INFUSION SET FROM BODY BACK START EXIT 4 Make sure the infusion set tubing is disconnected from TY your body and press START to begin the prime FS The flashlight illuminates during the prime to help you Ly see the insulin drops appearing at the tip of the cannula PRIMING U 0 05 Example your infusion SOR set may look different 5 Watch carefully for insulin drops at the tip of the infusion set f you see a droplet appear press any button to stop the prime Make sure there are no air bubbles in the tubing If there is air 1n the tubing repeat the prime PRIME U STOPPED 8 25 OK If you do not stop the prime a message will notify you when the selected amount is reached PRIME compete 10 00 OK Ifyou do not see a droplet appear but the prime c
23. from the cannula 2 Check the pump body and controller for cracks 3 Perform a tubing prime as outlined in Priming the Tubing on page 36 Verify that insulin drops appear at the end of the infusion set If drops do not appear replace the pump cartridge and infusion set Follow the steps to prepare a new pump for use starting on page 30 4 Check the infusion set including the tubing for damage or loose adhesive tape 5 Reconnect the tubing to the infusion cannula 6 Check your BG several times over the next 3 hours submerged my pump in water Do not submerge your pump in water Do not allow your pump to get wet during bathing swimming or other water activities Always disconnect your pump before you get in the water and reconnect it when you get out If you receive a PUMP DAMAGED WET alarm replace the pump body and cartridge Follow the steps to prepare a new pump for use starting on page 30 1 Ifyou did not receive the alarm mentioned above disconnect the infusion set tubing from the cannula 2 Dry the outside ofthe pump system Do not use hot air to dry your pump This may damage the electronics 3 Disconnect the pump body from the controller and dry each piece separately 114 Asante Snap Insulin Pump User Manual 4 Reattach the pump body to the controller 5 Prime 2 units of insulin through the tubing as outlined in Priming the Tubing on page 36 Verify that insulin drops form at the end of the infusion s
24. lowest BG values entered in the Smart bolus as well as the average BG HIGH BG 245 mg dL LOW BG 74 mg dL AVG BG 160 mg dL OK EXIT 5 Press OK or EXIT to return to the Daily Totals screen 6 Press 4 or to continue scrolling through the Daily Totals or press EXIT to return to the Logbook menu BG History The BG History screen allows you to view BG results that you entered in the Smart bolus 1 Main menu gt LOGBOOK gt BG HISTORY The pump displays the last BG result with time and date BG mg dL 1 25PM LOG 155 OCT 04 2 Press to scroll through the previous BG results 3 Press EXIT to return to the Logbook menu 94 Asante Snap Insulin Pump User Manual Basal History Basal History allows you to view information related to your basal insulin 1 Main menu gt LOGBOOK gt BASAL HISTORY The pump displays the basal events such as edits made to the basal rate the current basal rate selected temporary basal rates and 1f the pump was stopped or disconnected 06PM q dein 1 1 2 OCT 04 EXIT Press to scroll through the previous basal events Press EXIT to return to the Logbook menu Average Report Average Report allows you to view pump information averaged over a number of days which you select 1 Main menu gt LOGBOOK gt AVERAGE REPORT 2 Press E or to set the number of days for which you wish to get averages SET NUMBER OF DAYS IN AVERAGE oK 147 EXIT Press OK to
25. menu option is on the center segment This option is highlighted with a black background To select an option use 4 or to place the Learning About Your Pump 21 option in the center of the screen then press the SELECT button below it to select it If part of the screen appears blank you are either at the beginning or end of the list BOLUS STOP A O O O O E JUNE WENU E SELECT EXIT ee c eS LoG HEEE B 4 BOOK MENU indicates end of menu SELECT l EXIT V cum indicates beginning of menu 22 Asante Snap Insulin Pump User Manual Main Menu Options BOLUS MENU Contains the settings related to setting up and delivering a bolus For information on a Now bolus and other basic features see Bolus Basics on page 55 For information on a Smart bolus and more advanced bolus features see Advanced Bolus Features on page 59 STOP MENU Allows you to stop the pump from delivering an active bolus or basal insulin delivery See Stopping the Pump on page 89 for more information BASAL MENU Contains all settings related to setting up and delivering your basal insulin See Basal Insulin on page 43 for information on the features in the basal menu PRIME MENU Contains the settings for priming the tubing and cannula See Priming the Tubing on page 36 and Priming the Cannula on page 34 for more information LOGBOOK Provides access to the log of activities stored in the pump You can also access the Lo
26. not resolve the alarm check the sensor on the controller for moisture dirt or scratches See Cleaning on page 135 for details BLOCKED SET ALARM 118 Asante Snap Insulin Pump User Manual Check Tubing Connector ADE aSa CHECK TUBING CONNECTOR OK Cause The Snap System has detected that the connection for the infusion set is either missing or out of position Action 1 Disconnect the infusion set tubing from the cannula 2 Disconnect the pump body from the controller 3 If the tubing connector is present disconnect it from the pump body and carefully reconnect it as described in Assembling the Pump System on page 30 If no tubing connector was installed connect an infusion set as described in Assembling the Pump System on page 30 4 Reconnect the pump body to the controller Be sure that the pump body is correctly aligned with the controller 5 Reconnect the infusion set tubing to the cannula CONNECTOR ERROR Delivery Limit Reached ES DELIVERY LIMIT REACHED CHECK BG SOON OK Cause You have programmed more insulin within an hour than the amount set in the Hourly Delivery Limit setting in the Setup menu see page 107 Action Check your programming Monitor your BG and be aware that low BG may occur if excess insulin 1s programmed Discuss your pump settings and the Hourly Delivery Limit setting with your healthcare professional DELIVERY LIMIT ALARM Troubleshooting 119 Detach and Re
27. pump emits audible tones that are easily detectable To verify your pump alarm is functional disconnect the pump body from the controller you should receive an alarm If you do not contact the Asante Help Line at 855 4Asante 855 427 2683 The Snap System is designed only for Continuous Subcutaneous Insulin Infusion CSI It is not intended for use with any other delivery substance This user manual gives instructions on how to program and operate the pump Asante does not make any recommendations on specific programming related to your diabetes care program Consult your healthcare professional for instructions specific to your treatment plan Consult your healthcare professional before using the pump to determine which programming features are appropriate for you Some features require a greater knowledge of insulin pumping and advanced self care skills Additionally some advanced programming features require that testing and fine tuning of basic settings be completed in order to achieve the best possible results Your healthcare professional will give you specific training on programming and using your pump After you ve programmed your pump with the help of your healthcare professional write down all your pump settings Be sure to update your written settings 1f you make any changes Introduction 7 Use of the Smart bolus Combo bolus and Timed bolus features require input from your healthcare professional Do not attempt to us
28. replacing 39 42 U unit of measure BG 102 user safety 2 12 W warnings 4 6 171 This page intentionally left blank
29. set tubing from the cannula Preparing the Pump for Use 39 40 Turn the pump over and disconnect the pump body from the controller by pressing the latch on the pump body to release it Slide the pump body from the controller An alarm will indicate that the pump body was disconnected Press OK PUMP BODY DISCONNECTED OK Gently push down and twist the tubing connector counter clockwise to remove it from the pump body Discard the used infusion set tubing Hold the pump body vertically Align the new tubing connector above the pump body as shown The line on the tubing connector should be above the tail of the arrow match line on tubing connector with tail of arrow Press down on the tubing connector press down e dr Gently turn the connector clockwise until the marks are aligned Do not overtighten The pointed edge of the made connector should align with the and pointed edge of the pump body as edges shown align turn clockwise Asante Snap Insulin Pump User Manual 8 Connect the controller by aligning the snap pump body with the guide on the controller and sliding the pump body onto the controller Squeeze the pump body and controller together until you hear and or feel them click into place 9 Press OK when the pump connected message appears PUMP BODY CONNECTED OK 10 Make sure your infusion set tubing is not connected to the cannula Prime the tubing as described in the
30. taken during X ray 10 Asante Snap Insulin Pump User Manual Procedure Patient is Pumper Healthcare Professional is Pumper Therapeutic DO NOT expose pump to radiation No need to disconnect Radiation treatment Follow normal radio protection Oncology Disconnect pump prior to radiation practices and proceed to cancer treatment and leave in dressing designated safe area while treatment room patient is undergoing treatment radiation If cannula doesn t interfere with area being treated it can remain in place during radiation CT scans and DO NOT bring pump into exam MRI DO NOT bring pump MRIs room at any time into same room as MRI Magnetic Disconnect pump prior to exam machine at any time Resonance and leave in dressing room If pump is accidentally allowed Imaging If pump is accidentally allowed in in MRI room disconnect pump exam room disconnect pump immediately and contact the immediately and contact the Asante Help Line for Asante Help Line for instructions instructions CT Scan No need to disconnect Follow normal CT scan safety practices and proceed to designated safe area when scans are performed Electrocautery Disconnect prior to surgery and No need to disconnect surgery leave in dressing room If cannula doesn t interfere with area being treated it can remain in place during surgery Pacemaker Disconnect the pump and leave it Follow normal safety practices and AICD outside the room during dev
31. temp basal and resumes the regular programmed basal insulin delivery 1 Main menu gt BASAL MENU gt CANCEL TEMP The pump cancels the temporary basal rate and resumes delivery of the regular basal rate TEMP BASAL CANCELED OK 2 Press OK to see the details for the current basal profile Basal Insulin 53 The screen displays the selected basal profile with the total daily insulin delivery and the current basal rate BASAL BASAL A 9 95 CURRENT RATE 0 45 oK 3 Press OK to return to the main menu 54 Asante Snap Insulin Pump User Manual Bolus Basics A bolus is a single dose of insulin A bolus is given when you eat food that contains carbohydrates or when you have a high BG that you want to correct This chapter describes how to set a Now bolus For information on setting other types of boluses such as a Timed bolus or Combo bolus as well as setting a bolus reminder and using the Smart bolus and Audio bolus features to deliver a bolus see Advanced Bolus Features on page 59 Now Bolus A Now bolus delivers an immediate bolus of insulin at a rate of 3 units per minute It can be used to cover the carbohydrates in a meal or snack and or to correct a high BG You can deliver a Now bolus at any time except during another Now bolus or when the pump is stopped During the delivery of a Now bolus access to programming features other than stopping the bolus is limited Setting a Now Bolus 1 Main menu gt BOLUS M
32. than 12 hours Cause Bolus insulin was missed because the pump was stopped or a bolus was stopped Action Follow your healthcare professional s advice for missed dose recovery Notes Delivery is available when the pump is restarted reconnected and the notice is cleared New Time is Prior to Last Known Time Continue NEW TIME IS PRIOR TO LAST KNOWN TIME CONTINUE Cause You entered a time and or date that is prior to the last known time in the pump system Action Verify that the date and time you entered are correct To change the date and time select NO Pump Body Connected PUMP BODY CONNECTED Pump Stopped PUMP STOPPED Repeats every 15 minutes 132 Asante Snap Insulin Pump User Manual Some Settings Were Not Updated SOME SETTINGS WERE NOT UPDATED CHECK SETTINGS Cause A pump body with an older version of software was used to restore settings into a newer controller not all settings were available for transfer Action Check all the settings in the controller and program additional settings as necessary Notes None Target BG Outside Normal Clinical Range TARGET BG OUTSIDE NORMAL CLINICAL RANGE CONTINUE Cause The target BG you entered in the Smart bolus is acceptable but outside the normal clinical range Action Select YES to continue with the target BG value Or select NO to change the value WARNING Treat Low BG by Consuming Carbohydrates WARNING TREAT LOW BG BY CONSUMING C
33. to set the hourly delivery limit value SET HOURLY U H DELIVERY LIMIT 20 SAVE EXIT 3 Press SAVE Button Guard The Button Guard feature locks all access to the menus to prevent the accidental pressing of a pump button Locking the Buttons 1 Main menu gt SETUP MENU gt BUTTON GUARD 2 Press E to turn ON the setting SET BUTTON GUARD O N EXIT Setup 107 3 Press SAVE The next time the blank screen appears for at least 10 seconds the buttons will lock If you press any button BUTTON GUARD ON appears with an arrow flashing towards the left pump button BUTTON GUARD ON Unlocking the Buttons 1 Press and hold the upper left pump button for 2 seconds A prompt appears BUTTON GUARD ON PRESS 2 SEC TO UNLOCK OK 2 Release the button and press OK within 1 second to unlock the buttons The startup screen or intro screen appears Intro Screen You can select to have a message displayed when you press any key from the blank screen The message indicating that this 1s an insulin pump will appear for 5 seconds before the startup screen 1s displayed The intro screen will not appear when the Button Guard see page 107 1s on 1 Main menu gt SETUP MENU gt INTRO SCREEN 2 Press to turn ON the setting SET INTRO SCREEN ON SAVE EXIT 3 Press SAVE 108 Asante Snap Insulin Pump User Manual Now when you press any button from the blank screen the intro screen will appear for 5 sec
34. turn off the button 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt BOLUS BUTTON 2 Press to select AUDIO and press NEXT BOLUS BUTTON AUDIO SAVE EXIT 3 Press SAVE The bolus shortcut button 1s now assigned to deliver an Audio bolus based on the step size you program See Setting the Audio Bolus Step Value on page 85 84 Asante Snap Insulin Pump User Manual Setting the Audio Bolus Step Value The step size setting for the Audio bolus is independent of the step size for the other boluses 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt AUDIO STEP 2 Press EM or to set the Audio bolus step size The step value is the increment you will use to deliver an Audio bolus AUDIO BOLUS U STEP SIZE 0 1 0 EXIT 3 Press SAVE A confirmation screen appears displaying the step size AUDIO BOLUS STEP SIZE SET TO 0 10U STEP 01 4 4 Press OK Delivering an Audio Bolus We recommend that the first few times you use the Audio bolus you look at the screen while programming The buttons you will use are embossed to help you find them After you are familiar with the Audio bolus you can use the audible tones for bolus delivery without having to look at the screen Before setting an Audio bolus set the step value See Setting the Audio Bolus Step Value above Press to begin programming an Audio bolus E NOTE An Audio bolus works only from the blank screen Advanced Bolus Features 85 E NOTE You ca
35. you wish to prolong the life of the pump body battery set the screen timeout to FAST The SLOW setting may be useful when you are first learning to use the Snap System Once you are comfortable with programming you can use the FAST setting SET SCREEN TIMEOUT SLOW SAVE EXIT Press SAVE Pump Alert You can set a reminder letting you know how long your pump has been 1n use See Notification Timing on page 103 for information on setting when you wish to receive this alert 1 110 Main menu gt SETUP MENU gt PUMP ALERT Asante Snap Insulin Pump User Manual 2 Press to select ON or OFF _SET PUMP ALERT ON NEXT EXIT 3 Press EH or to set the time from 6 hours to 9 days and 18 hours in 6 hour increments SET PUMP ALERT TIME 4 Press SAVE The Pump Alert message will appear after the length of time you set has elapsed to remind you that your pump has been in use for the designated length of time When the Pump Alert reminder message appears press OK to acknowledge it and restart the timer PUMP REMINDER 3 DAYS 0 HOURS OK Setup 111 112 Asante Snap Insulin Pump User Manual Troubleshooting If you have any problem with your Snap System that you cannot resolve using this manual or you have questions about what you see on the pump screen contact the Asante Help Line at 855 4Asante 855 427 2683 General Troubleshooting The screen appears distorted The screen may appear distorte
36. 87 Enabling the Bolus Reminder Feature ooooooooooooo ooo 88 Setting a Bolus Reminder o o o o ooooooooooooor eens 88 Canceling a Bolus Reminder 0 0 cc ccc ccc eens 88 Stopping and Starting Your PUMP 00 c cece eee eee eee eee 89 STOP Pio Tie PUP abia Da anra Ee ins Beal Cer qc od Edo eds 89 ptaftime tas UMD ANA aid 90 Bobo A cnens eis ashe an adbeast ee ates te canes 91 DosboOl VIC Bl ts wR E adt A OI ere 9 Iso Noii ME T LIP 9 Baly Totale A reee ae a a e aa a aA 92 BETA rica 94 Basal HIStOly A 95 Averai e REDONE si aca 49 qos Pedo Pra a ca hace a GR as ide ar OA eg a 95 Alar Histo y da oe eS AA OE ORO Cup oC CR Ine TREES 97 iv Asante Snap Insulin Pump User Manual vamus MP 99 ici Dat stas ES NS 99 BSO iones det Jk curd e iva depu Bobo cicle dei t 101 BONOS Socr a a a ana 102 Pal TTA IT LT T TUR TIT 102 IN GI CAO ME TT HU D s so fas ert cs al Anata A eae Aa he 103 DA A PPP r A E a a A A E AE O 104 AMOO ri AARE D a RE ERR aia 105 Beeo OIUING Qo anos Denies dendo aes age ne ae eee eee eG ree 106 SS O NP Oo E A EESE 106 Hourly Delivery Dll aea aho o AASE dea a dd aoe A a At HOS 107 BOO CRUCE AAA svete A eden nate ia ee apttd ta pep ae pd RUE E 107 Loeckins TAS BUNODS ues sit bobo et netta Sone seh Gee Ne ees 107 Untockine the Butions eii b RE EEG EAE WES 108 rtt SOC CL ga c fossi tgn ok feast hop O aban ee 108 AS A a 109 Disabling the Flashlight ovio CEPEDA 109 Operatino the Pla HO a
37. ARBOHYDRATES You entered a BG below 70 mg dL while programming a Smart bolus Action Your BG is low Take action to increase your BG for example eat carbs and monitor your BG closely Troubleshooting 133 134 Asante Snap Insulin Pump User Manual Pump Maintenance Cleaning A CAUTION Never use sharp objects organic solvents such as nail polish remover lighter fluid or paint thinner to clean your pump Do not use lubricants with your pump Do not steam or attempt to sterilize your pump Do not submerge it in water or other liquids 1 Wipe down the outside of the pump body and controller with a damp cloth moistened with water and a mild detergent If necessary disconnect the pump body from the controller and wipe each unit 2 Follow with a cloth moistened with clean water 3 Dry with a clean cloth 4 Ensure that the sensor on the controller is clean and free of moisture and scratches Clean sensor area on controller 5 Ifyou need to disinfect your pump use a 70 alcohol wipe or isopropyl alcohol Pump Maintenance 135 Storage and Battery Preservation If you wish to remove and store your pump system make sure you have a written record of your pump settings and have kept your most recent pump body 1 Setthe active basal profile to a rate of 0 00 units hour for the entire 24 hour period You can also select a basal profile that has not yet been defined 2 Set the Auto Off feature to OFF See Au
38. BEEP 3 Press SAVE BG Log Target The BG Log Target setting allows you to set your BG Log range that is used for Logbook calculations and the graph If you want to set a single value instead of a range set both the low and high values to the same number E NOTE These values are not used by the Smart bolus calculator The BG targets used by the Smart bolus calculator are set in the SMART SETUP menu 1 Main menu gt SETUP MENU gt BG LOG TARGET 2 Press amp or EJ to set the lower value of the BG Log Target range and press NEXT SET LOW BG mell LOG TARGET 00 BACK NEXT EXIT 3 Press amp or to set the upper value of the BG Log Target range SET HIGH BG mg dL LOG TARGET L 50 BACK SAVE EXIT 4 Press SAVE 106 Asante Snap Insulin Pump User Manual A summary screen appears displaying the settings for the low and high BG targets HIGH TARGET BG 190 ee LOW TARGET BG 10079 OK Hourly Delivery Limit Hourly Delivery Limit is a safety feature that limits the total amount of basal and bolus insulin you can receive within an hour When the combined basal and bolus delivery reaches the limit within an hour you will receive the DELIVERY LIMIT REACHED alarm Acknowledge the alarm to resume insulin delivery Discuss this setting with your healthcare professional For information on the alarm see the Delivery Limit Reached alarm on page 119 1 Main menu gt SETUP MENU gt DELIVERY LIMIT 2 Press E or Eg
39. Cannula in the following section Priming the Cannula Each time you insert a cannula and remove the introducer needle you will need to prime the cannula with insulin If the infusion set tubing 1s not connected to the cannula be sure to connect it before priming the cannula Refer to the instructions that came with your infusion set for details on connecting the tubing and inserting the cannula E NOTE Cannula prime amounts depend on the type of infusion set you are using Refer to your infusion set instructions for the prime amount 1 Main menu gt PRIME MENU gt PRIME CANNULA 34 Asante Snap Insulin Pump User Manual If you just completed the steps to fill the tubing the PRIME CANNULA option is already selected Press SELECT PRIME BIZ 4 TUBING FeANNOE SELECT EXIT 2 Press amp or amp to set the number of units necessary to fill the cannula The maximum number of units is 2 0 Your pump will default to the number of units needed the last time you primed a cannula SET PRIME 0 50 AMOUNT BACK START EXIT Use the following prime amounts as a guide when priming the cannula for your infusion set mason meme nf cn nf Tn cami 3 Press START When the cannula prime is complete a message appears prompting you to test your BG soon PRIME COMPLETE 0 50 CHECK BG SOON OK 4 Press OK to go to the blank screen Check your BG in 1 to 2 hours Preparing the Pump for Use 35 Changing the Cannu
40. ENU gt NOW BOLUS 2 Press to increase the units of insulin 0 00 EXIT SET NOW BOLUS START 3 Press START to start the bolus To cancel the bolus delivery press EXIT E NOTE If you programmed your pump to remind you to check your BG after a bolus delivery the BG Prompt message appears Press YES to receive a prompt Press NO for no prompt See BG Prompt on page 101 for information about this Bolus Basics 55 feature PROMPT TO CHECK BG IN X HOURS AND YY MINUTES YES NO The pump displays the bolus units as they are delivered The pump screen will briefly go blank every 10 seconds during a bolus delivery NOW BOLUS DELIVERY 0 05 STOP 4 Press OK when the bolus delivery is finished E NOTE Insulin on Board appears only if the Smart bolus is enabled NOW BOLUS 2 80 FINISHED INSULIN ON BOARD 2 80 OK Stopping a Now Bolus You may stop delivery of a Now bolus while it is being delivered 1 Press any button during the bolus delivery bauvery 0 05 STOP 2 Select YES to stop the bolus STOP BOLUS YES NO The pump stops delivery of the bolus The basal insulin continues to be delivered BOLUS STOPPED BASAL RUNNING 0 K 56 Asante Snap Insulin Pump User Manual 3 Press OK to display the amount of bolus insulin missed Consult with your healthcare professional on the best way to handle missed insulin MISSED BOLUS 0 10U OK Setting a Bolus Limit Bolus Limit is a safet
41. L Example 1 IOB Mode IOB from previous boluses BG Entered Total Carbs Entered bolus estimate carb bolus correction bolus 50 grams carb bolus 2 5 units 20 grams unit 200 mg dL 140 mg dL correction bolus 2 units 30 mg dL unit IOB mode is CORRECTION If the correction bolus is greater than the IOB the smart bolus feature subtracts IOB from the correction bolus Thus 2 units 1 5 units 0 5 units bolus estimate 2 5 units 0 5 units 3 units Advanced Bolus Features 71 Example 2 IOB Mode IOB from previous boluses BG Entered Total Carbs Entered bolus estimate carb bolus correction bolus 50 grams carb bolus 2 5 units 20 grams unit 200 mg dL 140 mg dL correction bolus 2 units 30 mg dL unit IOB mode is CORRECTION If the correction bolus is less than the IOB the correction bolus will be 0 bolus estimate 2 5 units 0 units 2 5 units Example 3 IOB Mode IOB from previous boluses BG Entered Total Carbs Entered bolus estimate carb bolus correction bolus 50 grams carb bolus 2 5 units 20 grams unit 200 mg dL 140 mg dL l correction bolus 2 units 30 mg dL unit IOB mode is ALL The Smart bolus feature combines the carb and correction parts of the calculation and then subtracts IOB from the total bolus estimate 2 5 units 2 units 1 5 units 3 units 72 Asante Snap Insulin Pump User Manual
42. MPTY CARTRIDGE alarm However you will need to change the infusion cannula every 2 to 3 days See Changing the Cannula on page 36 When changing the pump body and or infusion set always clean your hands and work in a clean area Y WARNING Always use a new pump body and a new insulin cartridge A used pump body or cartridge could result in inaccurate insulin delivery Y WARNING Never insert the insulin cartridge into the pump body while the pump system infusion set is connected to your body Doing so could result in an accidental infusion of insulin 1 Gather the following new items together for assembly e pump body controller e insulin cartridge allow it to reach room temperature infusion set alcohol wipes 2 Clean the workspace where you will be connecting the infusion set to the cartridge Wash your hands thoroughly with soap and water 30 Asante Snap Insulin Pump User Manual 3 Remove the adhesive tab from the gt pump body adhesive tab 4 Insert the cartridge into the e opening of the pump body as shown Press down firmly 5 When the cartridge is properly inserted the bottom of the red cap is seated slightly below the edge of the pump body as shown Disinfect the rubber septum of the insulin cartridge with an alcohol wipe cap Preparing the Pump for Use 31 6 Hold the pump body vertically Align the tubing connector above the pump body as shown The li
43. Manual Menu Map The menu map on the following page allows you to see the menu structure at a glance From the Blank Screen NNNM e Press the upper right button to program an Audio bolus or a Smart bolus depending on how this bolus shortcut button 1s set e Press any button to take you to the intro screen if it is enabled If the intro screen is not enabled the startup screen below appears From the Startup Screen e Press STATUS to access the status screen e Press MENU to access the main menu shown on page 166 with associated sub menus Menu Map 165 991 qonun 428r dung uynsu dvus ajupsy Blank screen Intro screen Startup screen BOLUS BUTTON SET TO AUDIO SMART BOLUS MENU BEEP VOLUME Menu options shown in gray may or may not appear depending on how the pump is programmed SETUP MENU A air travel 5 alarm history 97 alarms 117 123 alerts 124 126 assistance 1 113 Audio bolus 84 delivering 85 87 setting bolus button 84 step value 85 auto off 105 average report 95 97 B backlight 17 18 basal history 95 basal insulin missed 131 profiles 43 programming 44 46 basal limit 50 basal profile adding rate 48 adjusting start time or rate 47 clearing 49 deleting rate 49 editing 46 49 reviewing 50 selecting 46 start and stop times 44 temp basal rate 51 54 basal rate current 19 battery pump 13 136 beep volume 106 Index BG history 94
44. RT Very Low Cartridge Alert Message VERY LOW CARTRIDGE X XX UNITS LEFT oK The cartridge has 1 5 units or less of insulin left Replace the pump body and insulin cartridge see page 30 Alarm History VERY LOW CARTRIDGE X XX UNITS LEFT Very Low Power Alert Message VERY LOW POWER REPLACE PUMP BODY SOON oK The Snap System battery has very low power remaining Replace the pump body and insulin cartridge see page 30 Alarm History VERY LOW POWER REP PUMP BODY 126 Asante Snap Insulin Pump User Manual Low Cartridge Alert Message LOW CARTRIDGE XX XX UNITS LEFT OK Cause The cartridge has reached the level set for the Low Insulin setting in the Setup menu see Low Insulin Alert on page 102 If you do not turn on the Low Insulin feature you will not get this alert The Notification Timing setting determines when you will see this alert Action Get ready to replace your pump body and insulin cartridge If you acknowledge the alert but do not change the pump body you will get the VERY LOW CARTRIDGE alert and the EMPTY CARTRIDGE alarm as the cartridge is emptied LOW CARTRIDGE XX XX UNITS LEFT Daily Alert Alert Message DAILY ALERT 6 00 PM oK Cause This is the daily alert that you set see page 104 If you do not set a Daily Reminder you will not get this alert Press OK to acknowledge Alarm History DAILY ALERT Reminder Check BG Alert Message REMINDER CHECK BG 0 Cause Th
45. S ON FREQUENCY DAILY TIME 9 30 AM oK 9 Select another alert and press SELECT to enter a new alert or press EXIT to return to the Setup menu 9 30AM DAILY SELECT EXIT When the alert sounds press OK to acknowledge and silence it Auto Off Auto Off is a safety feature that will stop insulin delivery after a specified period of time from 8 to 24 hours if no pump buttons are pressed You may choose to program this feature based on the number of hours that you usually sleep at night Discuss this setting with your healthcare professional The default setting is ON and the default time is 12 HRS 1 Main menu gt SETUP MENU gt AUTO OFF 2 Press to turn ON the setting and press NEXT ON NEXT EXIT SET AUTO OFF ALARM 3 Press mor to set the time from 8 to 24 hours The pump will stop delivering insulin and sound an AUTO OFF alarm if no pump buttons are pressed within the specified period of time SET AUTO OFF TIME 12 HHS BACK SAVE EXIT 4 Press SAVE When the alarm sounds press OK to acknowledge and silence it Setup 105 Beep Volume You can adjust the volume of some of the tones your pump delivers You cannot disable any of the tones and you cannot adjust the volume for the alarm tones 1 Main menu gt SETUP MENU gt BEEP VOLUME 2 Press amp or to set the volume lowest bottom to highest top The pump will provide feedback on the tones as you move through the settings SET
46. START to begin the prime FS The flashlight illuminates during the prime to help you see the insulin drops appearing at the tip of the cannula PRIMING U 0 05 Example your infusion sor set may look different 4 Watch carefully for insulin drops at the tip of the infusion set e f you see a droplet appear press any button to stop the prime Make sure there are no air bubbles in the tubing If there is air in the tubing repeat the prime PRIME U STOPPED 1 25 OK If you do not stop the prime a message notifies you when the selected amount is reached PRIME COMPLETE 2 00 OK Ifyou do not see a droplet appear but the prime completes press OK and repeat the PRIME TUBING with another 2 units If after repeating the prime you still do Preparing the Pump for Use 37 not see drops appear see Drops did not appear during the tubing prime on page 115 of the troubleshooting section WARNING If you do not see insulin drops appear do not use the pump 5 You can now insert the infusion cannula into your body Once it is inserted proceed to Priming the Cannula on page 34 Disconnecting the Pump Body from the Controller When you are ready to replace your pump body you will need to disconnect it from the controller When the pump body is disconnected from the controller the only functions available are viewing the status screens and Logbook and acknowledging alerts and alarms 1 Turn the pump over
47. Smart Bolus Settings on page 80 Once the information is complete you need only enter your food items and BG value to program a Smart bolus You should always review the calculation and make necessary adjustments prior to delivery to be sure the bolus amount agrees with your healthcare professional s therapy recommendations E NOTE The first time you set up the Smart bolus you can set one carb ratio one insulin sensitivity and one target BG range If you wish to add additional values up to eight for these settings see the instructions in Editing the Smart Bolus Settings on page 80 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt SMART SETUP 2 Press to turn ON the option and press NEXT To cancel the Smart bolus setup press EXIT at any time SET SMART BOLUS ON BACK NEXT EXIT 3 Press EM or to set the insulin sensitivity and press NEXT If the insulin sensitivity you set 1s outside the normal clinical range a message appears Check to make sure your setting 1s correct You can leave the setting outside the normal clinical range or change the setting SET INSULIN SENSITIVITY BACK NEX mg dL U 50 5 EXIT 4 Press EM or to set the carb ratio and press NEXT 74 Asante Snap Insulin Pump User Manual If the carb ratio you set is outside the normal clinical range a message appears Check to make sure your setting is correct You can leave the setting outside the normal clinical range or change the set
48. Timed Additionally the bolus will appear in the Bolus History as either Now or Timed ADJUST NOW 0 50 50 TIMED 0 50 5096 BACK EXIT 4 Press amp or to set the delivery time 30 minutes to 5 hours in 15 minute increments This 1s the period of time over which you want the bolus delivered SET BOLUS DURATION 2 00 BACK START EXIT 5 Press START to deliver the bolus E NOTE If you programmed your pump to remind you to check your BG after a bolus delivery the BG Prompt message appears Press YES to receive a prompt Press NO for no prompt See BG Prompt on page 101 for information about this feature PROMPT TO CHECK BG IN X HOURS AND YY MINUTES YES NO Advanced Bolus Features 63 The Now bolus portion will be delivered immediately When the delivery 1s complete the insulin on board appears if the Smart bolus feature is enabled NOW BOLUS 2 80 FINISHED INSULIN ON BOARD 2 80 OK The Timed bolus begins automatically The screen displays the total units and time over which the Timed bolus will be delivered TIMED BOLUS STARTED 1 00 DONE IN 120 MINUTES OK Stopping a Timed or Combo Bolus You can stop a Timed or Combo bolus at any time during delivery If you have a Combo bolus running you can stop the delivery of the Now portion while it is being delivered by pressing any button then selecting STOP BOLUS see page 56 for details 1 Main menu gt STOP MENU gt STOP BOLUS The pu
49. ails for any given day 92 Asante Snap Insulin Pump User Manual The pump displays the units of basal bolus and total insulin delivered as well as the percentage of basal and bolus insulin BASAL INSULIN 44 00U 81 BOLUS INSULIN 10 00U 19 P TOTAL INSULIN 54 00U 4 Press to view the following information for that day Press OK or EXIT at any time to return to the Daily Totals screen units of insulin delivered using the Smart bolus manual bolus and total bolus as well as the percentage of insulin from Smart bolus and manual bolus SMART BOLUS 00 00U 0 MANUAL BOLUS 10 00U 100 b TOTAL BOLUS 10 00U average units from Smart bolus and manual bolus deliveries AVG SMART BOLUS 1 00U 4 AVG MANUAL BOLUS 5 00U gt OK EXIT number of times the Smart bolus was used and number of times you changed the Smart bolus recommendation SMART BOLUS USED 2 TIMES 4 TOTAL CHANGED 0 TIMES P OK EXIT total carbs entered for the day amount of insulin calculated based on those carbs and percentage of the total daily dose TDD that the carb insulin represents TOTAL CARBS 188G CARB INSULIN 12 5U PERCENTAGE OF TDD 28 1 OK EXIT Logbook 93 number of BG values entered into the Smart bolus amount of insulin calculated as a result of those BG entries and percentage of total daily dose TDD that those deliveries represent BG TESTS 7 BG INSULIN 0 00U PERCENTAGE OF TDD 0 le EXIT highest and
50. al Accessory case and clip Service life at least 12 months Delivery Accuracy tested per IEC 60601 2 24 Basal Accuracy 1 0 units hr typical or intermediate rate 5 95 confidence p gt 0 975 0 3 units hr low rate 10 95 confidence p gt 0 975 Basal accuracy testing was performed at operating environmental conditions which included variations in temperature pressure altitude humidity and vibration as follows e temperature 40 F to 104 F 5 C to 40 C e altitude 1 000 to 13 000 ft relative humidity 20 to 90 non condensing vibration per the following table IEC60601 2 24 section 21 1 Sweep rate of 1 octave minute Frequency Range Hz Displacement or Acceleration Number of Sweep Cycles in Each ied MES aiio AN value Direction axis Accuracy rate may be lower at basal rates less than 0 30 units hr Bolus Accuracy 25 units maximum 3 0 1 units minimum 27 95 confidence p gt 0 975 Specifications 145 1 0 U Hr Startup Curve 20 18 mb o A mb N Flow ul h o 0 500 1000 1500 2000 2500 Elapsed time min Figure 1 Start up graph 1 0 U Hr Trumpet Curve 15 00 10 00 5 00 0 00 Error flow 5 00 10 00 15 00 0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 Time min Figure 2 Trumpet curve 146 Asante Snap Insulin Pump User Manual Blocke
51. and press OK SET BOLUS REMINDER Un S oK EXIT E NOTE The Bolus Reminder message will appear after the length of time you set has elapsed to remind you to administer a bolus When the message appears press YES to advance to the BOLUS MENU or NO if you do not want a bolus BOLUS REMINDER DO YOU WISH TO START A BOLUS NOW YES Ne Canceling a Bolus Reminder 1 Main menu gt BOLUS MENU gt BOLUS REMINDER 2 Press YES to cancel the reminder THE BOLUS REMINDER IS ACTIVE CANCEL REMINDER Oo YES N 3 Press OK to return to the BOLUS MENU 88 Asante Snap Insulin Pump User Manual Stopping and Starting Your Pump Stopping the Pump Stopping the pump will stop the delivery of all insulin both basal and any active boluses Your pump will not deliver insulin until you start it again The startup screen will indicate that insulin delivery has stopped 3 3 43PM NOTICE E PUMP STOPPED E LIGHT MENU EXIT ee The pump will beep every 15 minutes to remind you that it is not delivering insulin While the pump is stopped you can access the status screens at any time to view how long the pump has been stopped and how much insulin you have missed You can also find this information in the Logbook under BASAL HISTORY When the pump is stopped START PUMP is the only main menu option available Startup screen HdV PUMP STOPPED 21 MIN 1 MISSED INSULIN 0 10 Mele ele MENU EXIT 1 Main menu STOP MENU 2 Pre
52. ap System has been specially designed to help you manage your diabetes using advanced technology and sophisticated safety systems Your pump is used for insulin therapy to help maintain your blood glucose BG targets as recommended by your healthcare professional It is important to remember that successful pump therapy is a partnership of advanced technology and responsible self care Even if you are an experienced pump user it is important that you read and thoroughly understand this user manual and receive appropriate training from a qualified healthcare professional before attempting to use the Snap System Y WARNING Do not use the Snap System before you receive training from a qualified healthcare professional and you thoroughly understand the user manual Be sure to follow all warnings and precautions 1X How to Use This Manual This user manual contains information about how to use program and maintain your Snap System It is important to read all instructions carefully Even if you are an experienced pump user keep your user manual handy for reference You can download a PDF of the latest version of the manual from www snappump com Use the table of contents and index to locate information See the troubleshooting section on page 113 for general troubleshooting as well as information on alerts alarms and other messages A glossary on page 137 defines terms used in this manual Conventions Pump Pump buttons F
53. ared The profile will now appear in the menus with a rate of 0 00 U H and a daily total of 0 00 U 1 2 Main menu gt BASAL MENU gt CLEAR PROFILE Select the profile you wish to clear and press CLEAR BASALA ESSEN BASALC 1 30100 MEAN 32 00U CLEAR EXIT The following message appears The profile that you selected will appear DO YOU WISH TO CLEAR BASAL B example YES NO Basal Insulin 49 3 Ifyou select YES the profile will be cleared BASAL BASAL B 0 00 OK 4 Press OK to return to the BASAL MENU Reviewing Basal Profiles You can view the details for each of your basal profiles 1 Main menu gt BASAL MENU gt REVIEW PROFILE 2 Select the profile BASAL A through BASAL D you wish to review and press REVIEW 3 Scroll to view each time frame MID Nela 6 30AM VIA 0 65U H EXIT A start time and basal rate for each time frame appears The start time for a rate 1s the end time of the previous rate A profile initially starts at 12 00 am and ends 24 hours later at 12 00 am Although the end of the profile does not appear the last time frame begins at the last specified time and ends at 12 00 am Setting the Basal Limit The Basal Limit is a safety feature which limits the amount of basal insulin that can be delivered per hour This limit applies to all basal rates including a temporary temp basal It is important to discuss what your maximum basal rate should be with your healthcare professio
54. art time and the rate You cannot adjust the start time for the first rate which starts at midnight If appropriate press E or Eg to adjust the start time and press NEXT SET BASAL RATE 6 30AM START TIME BACK NEXT DELETE If appropriate press ES or to adjust the basal rate and press SAVE 0 65 BACK SAVE DELETE SET BASAL The new time and rate are displayed 6 30AM 0 65U H ADD EDIT EXIT Continue editing 1f appropriate After the last start time and basal rate press SAVE Press EXIT to see the details for the current basal profile BASAL BASAL A 30 10UD CURRENT RATE 0 654 o K Basal Insulin 47 8 The profile ends at 12 midnight so the last start time rate you programmed before midnight will end at midnight If after programming the profile you wish to insert additional rates or delete a rate see Adding and Deleting Basal Rates Within Your Profile on page 48 Press OK to return to the BASAL MENU If you wish to run this profile you must select it See Selecting a Basal Profile on page 46 Adding and Deleting Basal Rates Within Your Profile Once you have completed your profile you may wish to add an additional basal rate within the profile or delete one of the rates To Add a Basal Rate 1 Main menu gt BASAL MENU gt EDIT PROFILE 2 Select the profile BASAL A through BASAL D you wish to edit and press EDIT 3 Select the basal rate that you wish to insert a new basal rate
55. can be adjusted A CAUTION The Smart bolus feature cannot correctly determine the IOB in your body after you have taken a manual injection of insulin The manual injection will not be recorded by the pump so your IOB amount will be read as too little After an injection you need to wait until the insulin from that injection has been consumed by your body before you can rely on the Smart bolus feature to calculate your IOB A CAUTION If you change the date and time setting in your pump the Smart bolus feature may not be able to calculate the insulin on board IOB in your system If this happens you will receive the following message when you finish setting the time and date INSULIN ON BOARD RESET AVOID BOLUS STACKING OK If you receive this message you will need to take your recent bolus deliveries into account when programming a bolus The Smart bolus feature will be able to calculate your IOB once the period of time equal to your IOB duration has passed Advanced Bolus Features 69 How the Smart Bolus Feature Calculates a Bolus The Smart bolus feature uses your estimated carb intake and or recent BG result along with the Smart bolus settings as follows Bolus estimate carb bolus correction bolus where total carbs entered carb bolus carb ratio BG value entered target BG value correction bolus insulin sensitivity f the BG value entered is within the target BG range the corre
56. can connect a new pump body that has flashlight time 130 Asante Snap Insulin Pump User Manual Insulin On Board Reset Avoid Bolus Stacking INSULIN ON BOARD RESET AVOID BOLUS STACKING The date and or time setting was changed The Smart bolus feature may not be able to accurately calculate your IOB for the period of time set for your IOB duration see Insulin on Board Duration on page 68 Action Consider your recent bolus deliveries when programming a bolus during your IOB duration Notes The Smart bolus feature will be able accurately calculate a bolus once the IOB duration period passes Insulin Sensitivity Outside Normal Clinical Range INS SENS OUTSIDE NORMAL CLINICAL RANGE CONTINUE The insulin sensitivity you entered in the Smart bolus is acceptable but outside the normal clinical range Select YES to continue with the insulin sensitivity value Or select NO to change the value Missed Basal Insulin Message MISSED BASAL XX XXU if downtime is less than 12 hours MISSED BASAL X X DAYS if downtime is more than 12 hours Basal insulin was missed because the pump was stopped Action Follow your healthcare professional s advice for missed dose recovery Notes Delivery is available when the pump is restarted reconnected and the notice is cleared Troubleshooting 131 Missed Bolus Insulin Message MISSED BOLUS XX XXU if downtime is less than 12 hours MISSED BOLUS X X DAYS if downtime is more
57. connect Pump Body Alarm Message DETACH AND RECONNECT PUMP BODY OK Cause A connection issue was detected between the controller and the pump body or an error signal was detected during priming Action Disconnect the pump body from the controller and reconnect see page 38 If this does not resolve the issue replace the pump body and cartridge PUMP BODY CONNECTION ALARM Disconnect Infusion Set from Your Body Pump Damaged Dropped Alarm Message DISCONNECT INFUSION SET Meo after d the alarm to FROM YOUR BODY NOW disp ay the second message OK NOTE This alarm immediately PUMP DAMAGED DROPPED produces sweeping tones at REPLACE PUMP BODY maximum volume OK Cause The Snap System has detected an impact that may have caused internal damage to the system The pump body must be replaced Action Disconnect the infusion set tubing from the cannula NOW then replace the pump body and cartridge Do not reconnect this pump body to your cannula Check your BG over the next few hours DAMAGED PUMP DROP Empty Cartridge Alarm Message EMPTY CARTRIDGE PUMP STOPPED OK The insulin cartridge 1s empty Replace the pump body and insulin cartridge see page 30 Alarm History CARTRIDGE EMPTY ALARM 120 Asante Snap Insulin Pump User Manual Off No Power Alarm Message OFF NO POWER NOTE This alarm immediately PUMP STOPPED produces sweeping tones at EE EN I NN maximum volume The battery in your pump body
58. ction bolus will be 0 above the target BG range the upper value of the range is used in the calculation below the target BG range the lower value of the range is used in the calculation The bolus estimate will be reduced by the resulting correction bolus below 70 mg dL no bolus estimate will be given The IOB mode setting determines how the Smart bolus feature will apply the IOB to the bolus estimate e When the IOB mode is set to CORRECTION Ifthe correction bolus is greater than the IOB the Smart bolus feature subtracts the IOB from the correction bolus Ifthe correction bolus is less than the IOB the correction bolus will be 0 Ifthe BG value is lower than the target BG range IOB is not included in the calculation and the bolus estimate will be reduced by the resulting correction bolus e When the IOB mode is set to ALL fa BG value is entered the Smart bolus feature combines the carb and correction parts of the calculation and then subtracts IOB from the total Ifno BG value is entered IOB will not be used in the bolus calculation 70 Asante Snap Insulin Pump User Manual Smart Bolus Examples The following examples are provided to help you understand the Smart bolus calculations These examples are not intended to provide any therapy recommendations settings for all examples e carb ratio 20 grams unit insulin sensitivity 30 mg dL unit target BG range 100 to 140 mg d
59. cturer s instructions that came with your insulin Insulin Cartridge The following insulin cartridge is compatible with your Snap System Lilly prefilled Humalog cartridge Humalog Insulin Lispro Injection USP rDNA Origin 100 units per mL U 100 3 mL The insulin cartridge is provided in sterile packaging For information on insulin storage handling duration of use and expiration date read the manufacturer s instructions that came with your insulin 148 Asante Snap Insulin Pump User Manual Infusion Sets Infusion sets compatible with your Snap Pump are manufactured for Asante by Unomedical Infusion Devices A ConvaTec company Compatible infusion sets feature the appropriate tubing connector to attach to the Snap System The infusion sets compatible with your pump are e comfort M Model Number Cannula Length Tubing Length e conset M Model Number Cannula Length Tubing Length The infusion set 1s provided in sterile packaging For information on connecting the infusion set as well as appropriate storage and handling requirements and expiration date refer to the manufacturer s instructions that came with your infusion set Your healthcare professional can assist you with choosing an infusion set that fits your needs Specifications 149 Default Settings The Snap System maintains the following information in non volatile memory ensuring that the most recent data 1s stored Low oia dE Alert Bows un
60. d and Combo bolus and Bolus Reminder features appear in the Bolus menu only after they have been enabled in the Bolus Setup menu The Timed or Combo bolus feature will not appear in the menu if a Timed or Combo bolus is currently being delivered Advanced Bolus Features 59 Timed Bolus and Combo Bolus There are three main bolus types that you can deliver using your pump e Now bolus is delivered immediately after programming e Timed bolus is delivered over a specified time e Combo bolus is delivered some now and some over a specified time This section describes how to program a Timed bolus and Combo bolus as well as how to set a Now bolus during a Timed or Combo bolus For information on manually setting a Now bolus see Setting a Now Bolus on page 55 You can also review your bolus deliveries from the Logbook See Bolus History on page 91 See the following graphics for a visual depiction of the different bolus types Now Timed Combo Entire bolus amount Bolus amount delivered Part of bolus delivered delivered immediately evenly over a specified immediately remainder period of time delivered evenly over a specified period of time Insulin gt L 60 Asante Snap Insulin Pump User Manual Timed Bolus A Timed bolus delivers a bolus evenly over a period of time 30 minutes to 5 hours This bolus can be used for delivering insulin if you have delayed food digestion due to gastroparesis or meals tha
61. d 1f you are in bright sunlight wearing polarized eye glasses or in extreme high or low temperatures If your screen appears distorted e Move into the shade Make sure the pump 1s not exposed to heat or cold e Avoid using glasses with polarized lenses The screen is blank Extreme levels of electrostatic discharge ESD or static electricity can cause insulin pumps to reset and or sound an alarm ESD typically occurs in low humidity If you experience a blank screen after static shock wait 10 seconds and press any button If your pump system restores to the Time amp Date screen reset the date and time see page 36 and check your settings If the screen is still blank disconnect the pump body from the controller then reattach it If you continue to get a blank screen attach a new pump body to the controller wait 30 seconds then press any button Troubleshooting 113 dropped my pump y WARNING If you receive the alarm DISCONNECT INFUSION SET FROM YOUR BODY NOW and PUMP DAMAGED DROPPED each message is displayed on a separate screen see page 120 immediately disconnect the infusion set tubing from the cannula Dispose of the pump body and cartridge Do not reconnect this pump body to your infusion cannula Then replace the pump body and cartridge following the steps to prepare a new pump body for use starting on page 30 1 Ifyou did not receive the alarm messages mentioned above disconnect the infusion set tubing
62. d Tubing Occlusion Detection Typical Case Worst Case Time to Time to Time to Delivery alarm alarm alarm Occlusion Maximum occlusion pressure 13 6 psi Bolus volume after occlusion release 3 85 units maximum Maximum Volume Infused Under Single Fault Condition Mechanical error 1 0 unit Electronic and or software error such as a short to the motor circuit 0 05 units Cartridge Capacity 3 0 mL or 300 units Protection from Equipment Error More than 8 million redundant safety cross checks per day for both hardware and software functionality Specifications 147 Disposables The Snap System uses disposable pump bodies insulin cartridges and infusion sets for insulin delivery Y WARNING The Snap System is designed to operate with the recommended insulin cartridge and Asante infusion sets Use only the recommended disposable parts designed for the system We cannot guarantee proper operation if the Snap System 1s used with other third party infusion sets that are not compatible with the Snap System Asante cannot be responsible for any injury or malfunctioning of the pump that may occur in association with such use Pump Body Each pump body has an internal battery that powers the Snap System Replace the pump body and cartridge when the cartridge 1s empty or after 7 days even if there is insulin left 1n the cartridge For information on insulin storage handling and duration of use read the manufa
63. d action 1s the alert message as it appears in the Alarm History screen in the Logbook See Alarm History on page 97 124 Asante Snap Insulin Pump User Manual Bolus Stopped PCr MGS AES BOLUS STOPPED OK Cause The bolus was stopped because the pump body was disconnected from the controller Action Reconnect the pump body to the controller After acknowledging the PUMP CONNECTED and MISSED BOLUS messages reprogram the remaining bolus BOLUS STOPPED Temp Basal UH 350 Alert Message TEMPBASAL XXUH ZZ Example TEMP BASAL 0 30 35 DONE IN XH YYM DONE IN 4H 15M OK Cause A temp basal rate was set with a duration of 6 hours or more and a percentage of less than 50 or more than 150 The Notification Timing setting determines when you will see this alert Action Check your BG Assess if the temp basal rate is still needed Cancel the temp basal if it is not needed see page 53 Alarm History TEMP BASAL ALERT Key Alert Alert Message A button has been pressed for more than 60 seconds Action Check the position of your pump to ensure a button is not accidentally being pressed If you cannot clear the alert contact customer service Troubleshooting 125 Replace Pump Body Dead Battery Alert Message REPLACE PUMP BODY DEAD BATTERY OK The pump body you connected has no battery power Replace the pump body and insulin cartridge see page 30 Alarm History DEAD PUMP BODY BATTERY ALE
64. d insulin cool Allow insulin to reach room temperature before using Do not steam sterilize or autoclave your pump The pump body and controller are sealed devices that should be opened only by the manufacturer If the seals are broken by anyone other than an authorized Asante factory technician the warranty is voided and damage may occur If the back label is removed or damaged the warranty is voided Do not use the pump if this occurs Placing the Snap System relative to the infusion site the pump system should be positioned vertically within 12 inches 30 cm of the infusion site to ensure accurate insulin delivery Failure to position the pump system within 12 inches vertically from the infusion site could result in inaccurate insulin delivery Asante Snap Insulin Pump User Manual The pump body and infusion set are for single use only Occasionally check the infusion cannula for proper placement and leaks Improperly placed infusion cannulas or leaks around the infusion site can result in inadequate insulin delivery Occasionally check the infusion set for any damage leaks or kinks while using the pump Damaged leaking or kinked tubing may restrict or stop insulin delivery and result in inadequate insulin delivery Always dispose of used cartridges pump bodies and infusion sets following the regulations in your community Occasionally check that your pump settings are correct During routine use check to make sure the
65. dition of the digestive system that slows down the emptying of food from the stomach The amount that unit of insulin will decrease your BG Insulin on board also known as active insulin is the bolus insulin that has already been delivered to your body but has not yet been used The length of time that insulin takes to finish working from the time it was delivered An immediate delivery of a specified amount of insulin The process of filling the tubing and or the cannula after you connect a new infusion set to the pump body Glossary 139 profile pump body pump system S Smart bolus status screen step T target BG One or more basal rates each with a start and stop time which define your insulin needs for a 24 hour period Each profile can have up to 10 basal rates A disposable part of the pump system that holds the insulin cartridge and delivers insulin through the infusion set to your body All components controller pump body insulin cartridge and infusion set working as one system A pump feature that calculates a recommended bolus amount based on food and or your BG value as well as personal information that you enter into the pump Displays the current pump information including the date and time details of the last bolus delivered insulin on board the current basal profile and basal rate the amount of insulin left in the cartridge and details of the last prime A value you s
66. e The alarm and alert tones can drain the power significantly A pump left unattended while alarming will exhaust the battery within a few hours e After programming use the EXIT button to reach the blank screen rather than waiting for the pump to time out Alarms Your pump continuously performs safety checks to monitor its function If the pump detects a problem it will stop delivering insulin and notify you with an alarm An alarm is indicated by four repeating audible tones that play for 20 seconds ALARM displayed on the screen and the flashlight intermittently illuminating The alarm will repeat every minute until you acknowledge it If not acknowledged the alarm tones will get louder and eventually be replaced with a sweeping tone Some alarms will require the pump body and cartridge to be replaced before they can be resolved To verify your pump alarm is functional disconnect your pump body from the controller You should receive a PUMP BODY DISCONNECTED alarm If you do not contact the Asante Help Line at 855 4Asante 855 427 2683 E NOTE Alarms override alerts If both an alert and an alarm occur at the same time the alarm will appear before the alert Once you acknowledge the alarm you will be presented with the alert What To Do When You Get an Alarm 1 Press SILENCE to silence the tone ALARM SILENCE 2 Read the alarm message When you understand the reason for the alarm press OK to clear the message
67. e 106 for details The Bolus deliveries appear at the top edge of the graph Smart bolus deliveries appear as solid markers y and manual bolus deliveries appear as hollow markers V As each bolus is delivered it appears on the graph at the far right Over time it moves to the left as the graph scrolls to always show the last 12 hours Below the Smart bolus marker is a plus sign indicating the BG value entered during Smart bolus programming Below the glucose value at the bottom edge of the graph is a meal marker A representing the carbs entered during Smart bolus programming 1 To access the graph press GRAPH from the startup screen example shows mg dL manual bolus hollow Smart bolus solid o a ui s E o E BG value entered in m omart bolus time 12 hours ago left to present right meal marker BG target range 2 Press LEGEND upper left button to get details about the graph The legend explains the markings on the graph as well as the x and y axes Y SMART BOLUS BG VALUE v MANUAL BOLUS HIGH LOW BG A MEAL X LAST 12 HRS 3 Press any button to get back to the graph Press EXIT upper right button from the graph screen to return to the startup screen Learning About Your Pump 25 Tones Your pump uses different tones beeps to provide feedback on programming steps and button presses Tones are also used to indicate alerts and alarms Confirmation tones are used when you change a setti
68. e information Your healthcare professional should determine the IOB duration that 1s best for you insulin on Board Mode The IOB mode setting determines how the Smart bolus feature will calculate your estimated bolus amount Select CORRECTION or ALL See How the Smart Bolus Feature Calculates a Bolus on page 70 for information on how the Smart bolus feature uses this setting to calculate a bolus E NOTE If you have experience with an insulin pump other than the Snap System you can use the IOB mode to set your Snap Pump so that it applies IOB to the bolus calculation similar to the way your prior system worked Your healthcare professional can assist you with this Understanding Insulin on Board Insulin on board or IOB also known as active insulin 1s the bolus insulin that has already been delivered to your body but has not yet been used The Smart bolus feature considers your insulin on board and determines 1f there is any active insulin still in your body from prior bolus deliveries This may help prevent hypoglycemia caused by overcorrecting for high BG or failing to account for IOB when your BG is close to normal The Smart bolus feature automatically tracks IOB for you based on your IOB duration or insulin action time and subtracts the appropriate amount from the bolus estimate when your BG 1s above target 68 Asante Snap Insulin Pump User Manual Your pump s default IOB duration setting 1s 4 hours The IOB time settings
69. e these features until you have specific information for your treatment plan and have had specific training on these programming features Only your healthcare team can determine your insulin to carbohydrate ratios insulin sensitivity BG target ranges and insulin on board or active insulin duration Be sure to follow the instructions provided by your healthcare professional with respect to adjusting the bolus amount before delivery The Smart bolus calculation does not take into account many factors that could influence your BG levels such as exercise stress or illness The Smart bolus feature cannot correctly determine the insulin on board in your body after you have taken a manual injection of insulin The manual injection will not be recorded by the pump system so your insulin on board amount will be read as too little You must generally wait up to 8 hours after an injection before relying on the Smart bolus feature to calculate your insulin on board The length of time you need to wait depends on your insulin on board setting in the Smart bolus feature If you change the date and time setting in your pump the Smart bolus feature may not be able to calculate the insulin on board IOB in your system If this happens you will receive the message INSULIN ON BOARD AVOID BOLUS STACKING when you finish setting the time and date If you receive this message you will need to take your recent bolus deliveries into account when programming
70. ectromagnetic interference including airport and store security systems However like all portable electronic devices the pump should not be exposed to very strong electromagnetic fields such as in MRI s RF welders or magnets used to lift automobiles f you plan to undergo an MRI remove your pump beforehand and keep it outside the room during the procedure Amusement Parks Very powerful electromagnets are sometimes used on free fall amusement park rides Remove your insulin pump and do not take it on these free fall types of rides High gravity forces can be experienced when riding on some roller coasters Disconnect the infusion set tubing from the cannula while on roller coasters or other high gravity effect activities rides Air Travel When traveling by airplane disconnect the infusion set from your body during takeoff and landing As with any insulin pump during takeoff the pressure change in the cabin will cause any air bubbles in the cartridge and infusion set to expand If you fail to disconnect the expanding bubbles will push insulin into your body and lead to potential overdelivery By disconnecting the infusion set before takeoff and keeping it disconnected until after the plane reaches cruising altitude you can avoid any inadvertent delivery caused by the change in air pressure During landing air bubbles will contract back to their original size as air pressure returns to normal By disconnecting the infusion set
71. eft to right Press to advance through the screens number of units and the time the last bolus was delivered or status of current Combo or Timed bolus LAST BOLUS 2 45 TIMED BOLUS 0 65 LEFT 1 NOW BOLUS 2 25PM 4 DONE IN 54 MINUTES DETAILS MENU EXIT DETAILS MENU EXIT Press DETAILS to get more information If the bolus was delivered using the Smart bolus feature the Smart bolus details appear If the bolus was delivered manually no carbohydrate BG or IOB insulin on board are available LAST BOLUS 240 CALC 1 15U 1 NOW BOLUS 4 xu ZAD DETAILS DETAILS If you have a bolus reminder set the time remaining until it becomes active appears as well as the time of day it becomes active BOLUS REMINDER IN 0 15 2 20PM Mele ele MENU EXIT insulin on board IOB appears only if the Smart bolus is set up INSULIN U ON BOARD 0 48 o c 10 0 MENU EXIT basal profile and current basal rate or current temporary basal rate If the pump is stopped the length of time and missed insulin appears BASAL BASAL A 28 30 PUMP STOPPED 21 MIN Y CURRENT RATE 1 500 gt 4 MISSED INSULIN 0 10 gt ole elele MENU EXIT iKe c 1e e q MENU EXIT amount of insulin left in the cartridge and how long ago it was started INSULIN LEVEL 218 15 4 STARTED 30 DAYS AGO Mele ele MENU EXIT Learning About Your Pump 19 pump alert the time left until the reminder or OFF if the feat
72. elect a 12 hour or 24 hour clock y WARNING Always check that the time and date are set correctly Incorrect programming of the pump s time and date may cause incorrect insulin delivery 1 Main menu gt SETUP MENU gt TIME DATE If this is the first time you are connecting the pump body to the controller the SET TIME amp DATE alarm will prompt you Press OK to set the time and date setup 99 2 Press EM or to set the time format 12 hour or 24 hour and press NEXT SET TIME FORMAT 12 HR BACK NEXT EXIT 3 Press EM or to set the hours and press NEXT AM and PM appear only for the 12 hour format HOUR 3 PM BACK NEXT EXIT 4 Press E or to set the minutes and press NEXT 43 NEXT EXIT a m 201 1 BACK NEXT EXIT 6 Press EN or to set the month and press NEXT MONTH OCT BACK NEXT EXIT 7 Pres or to set the day and press SAVE SET DAY 4 BACK SAVE EXIT The date and time are displayed OCT 4 2009 3 43 PM 100 Asante Snap Insulin Pump User Manual BG Prompt When a bolus is delivered you may want to check your BG afterwards BG Prompt is an optional feature that displays a message to remind you to check your BG after a bolus The default setting for this feature is OFF If you turn the BG Prompt feature ON during bolus programming your pump will display a question asking if you would like to receive a BG prompt You can then confirm whether or not you want a prompt after your
73. ement controller by attaching a used pump body to your controller It is a good idea to save a recently used pump body A CAUTION Perform this procedure only when you wish to load your pump settings onto a new or replacement controller 1 Make sure the pump is not connected to your body 2 Attach the used pump body with the settings you wish to restore to the controller Be sure to use a pump body that has the correct settings You will receive the following alarm SETTINGS MISMATCH USE PUMP BODY SETTINGS YES NO 3 Press YES to restore the settings from the used pump body to the controller E NOTE Press NO to use the settings from the controller The used pump body will be updated to match the settings in the controller 4 The PUMP CONNECTED message appears Press OK The controller now contains the settings from the pump body 5 Verify that the settings are correct 6 Disconnect the used pump body from the controller and attach a new pump body You are now ready to continue See Preparing the Pump for Use on page 29 How do extend the battery life If the battery 1s running out of power too soon follow these tips to help extend the life Set the screen timeout to FAST see page 110 for details e Disable the flashlight or avoid using it See Disabling the Flashlight on page 109 for information on disabling it 116 Asante Snap Insulin Pump User Manual Respond to alarms and alerts as soon as possibl
74. er The default setting 1s mg dL E NOTE This option affects how BG values are used and presented throughout the pump system If you have target BG values and insulin sensitivity values set in the Smart bolus these value will be automatically converted when you change this setting 1 Main menu gt SETUP MENU gt BG UNITS 2 Press to select mg dL or mmol L mg dL SAVE EXIT SET BG UNITS 3 Press SAVE Low Insulin Alert You can program your pump to sound an alert when a specified number of insulin units remain in the cartridge See Notification Timing on page 103 for information on setting when you wish to receive this alert E NOTE Keep in mind that you will always receive a VERY LOW CARTRIDGE alert when 1 5 units are left in the cartridge And you will always receive an EMPTY CARTRIDGE alarm when the cartridge is empty 1 Main menu SETUP MENU LOW INSULIN 102 Asante Snap Insulin Pump User Manual 2 Press to turn ON the setting and press NEXT SET LOW INSULIN ON NEXT EXIT 3 Press Bor to set the units from 2 to 20 units in 1 unit increments and 20 to 100 units in 5 unit increments The default setting is 20 units SET LOW U INSULIN LEVEL 20 4 Press SAVE When the insulin level in the cartridge reaches the number of units you set an alert will sound Press OK to acknowledge and silence the alert Notification Timing Notification timing pertains to the optional Low Insuli
75. et If drops do not appear replace the pump body cartridge and infusion set 6 Reconnect the tubing to the infusion cannula 7 Check your BG several times over the next 3 hours Drops did not appear during the tubing prime If you attached a new infusion set to a new pump body and cartridge the infusion set tubing should automatically fill with insulin during assembly and drops should appear at the end of the infusion set If drops did not appear at the end of the infusion set tubing even after you primed the tubing twice follow these steps 1 Detach the infusion set tubing from the cannula if it not already disconnected Y WARNING Make sure the infusion set tubing is disconnected from your body before you prime the tubing Detach the pump body from the controller Remove the tubing connector from the pump body Reconnect the tubing connector to the pump body Reattach the pump body to the controller Repeat the tubing prime process up to 2 more times nN oO Cc Bb OQO N If this does not result in droplets appearing at the end of the infusion set tube replace the pump body cartridge and infusion set WARNING If you do not see insulin drops do not use the pump Troubleshooting 115 How do restore my settings from a used pump body Each pump body contains a Settings Vault that stores the settings while the pump body is attached to the controller You can restore previous pump settings onto a new or replac
76. et to be used when setting a bolus Each time you press Bd the bolus amount increases the value of a single step Press the appropriate number of times to achieve the desired bolus value The BG values provided by your healthcare professional which you use for your Smart bolus 140 Asante Snap Insulin Pump User Manual Temp basal rate Timed bolus TDD tubing connector A temporary change to your basal insulin with a specified amount and duration The Temp basal rate feature 1s useful for managing BG levels during unusual short term activities or conditions such as an illness or physical activity that is not part of your daily routine A bolus that is delivered evenly over a specified period of time Total Daily Dose The total amount of insulin basal and bolus delivered over a 24 hour period The end of the infusion set that connects to the pump body Glossary 141 This page intentionally left blank 142 Asante Snap Insulin Pump User Manual Specifications Technical Specifications E NOTE When applicable testing used 110 cm comfort infusion set and temperature of 23 C 1 C Basal Programming Number of basal profiles Number of basal rates per profile Maximum basal rate Basal limit Basal rate range Temp basal range Temp basal duration Basal delivery Bolus Programming Range Bolus limit Combo Timed bolus duration Bolus reminder Bolus programming step up to
77. four up to 10 4 units hr 0 10 to 4 0 units hr default 2 units hr 0 0 1 to Basal Limit 0 0 00 units hr to 500 or the basal limit whichever is lower of current basal rate set as a percentage in 0 05 unit hr steps 15 min to 24 hr in 15 min increments delivered in 0 05 unit pulses 0 10 to 25 units 0 to 25 units in 1 unit increments default 10 units 30 min to 5 hr in 15 min increments 15 to 480 min in 15 min increments 0 05 0 10 0 25 0 50 1 00 2 00 5 00 units Specifications 143 Pump Body Internal battery type single 1 5 V AAA alkaline continuous operation internally powered device no user serviceable battery Battery life typical use up to 7 days or 300 units of delivery whichever comes first Follow the insulin manufacturer s instructions on proper use Shelf life at least 6 months Service life at least 10 days Storage and Operating Conditions 40 F to 104 F 5 C to 40 C Outside these temperatures the flow accuracy and time to occlusion could be compromised 20 to 90 relative humidity non condensing 69 64 kPa to 105 kPa Transportation Conditions shipping AF to 122 F 20 C to 50 C 10 to 90 relative humidity non condensing 69 64 kPa to 105 kPa Delivery Rates Bolus 3 units min maximum Basal variable up to 4 units hr maximum Controller Shelf life at least 12 months Service life at least 4 years 144 Asante Snap Insulin Pump User Manu
78. gbook from the status screens See Logbook on page 91 for more information SETUP MENU Allows you to set general pump settings that are not related to basal or bolus insulin programming See Setup on page 99 Learning About Your Pump 23 Navigating Through Menus The following convention is used throughout the manual to guide you to specific screens Example 1 1 Main menu gt BASAL MENU gt EDIT PROFILE What it Means The arrow gt indicates a path of menu choices This means to do the following 1 Access the main menu Press any button from the blank screen to access the startup screen then press MENU to get to the main menu BOLUS MENU SELECT 2 Goto BASAL MENU Press to place BASAL MENU in the center segment and press SELECT STOP BASAL PRIME MENU MENU MENU SELECT EXIT 3 Goto the EDIT PROFILE screen Press to place EDIT PROFILE in the center segment and press SELECT SELECT EDIT REVIEW PROFILE iwst alu PROFILE gt SELECT EXIT 24 Asante Snap Insulin Pump User Manual Graph The graph displays the last 12 hours of manual and Smart bolus deliveries BG values are displayed on the vertical axis in the units you selected in the Setup menu Time is displayed on the horizontal axis Three tick marks divide the time axis into four 3 hour segments The dotted horizontal lines represent the low and high glucose target values entered in the Setup menu See BG Log Target on pag
79. ge BG HIGH BG PERCENTAGE 0 LOW BG PERCENTAGE 0 AVG BG 160 mg dL Asante Snap Insulin Pump User Manual 5 Press OK or EXIT to return to the Average Report screen and EXIT again to return to the Logbook menu Alarm History Alarm History allows you to view the details of recent alarm and alert events by time and date For more information on alarms and alerts see page 117 and page 124 respectively 1 Main menu gt LOGBOOK gt ALARM HISTORY The last alarm alert event with time and date appears REMINDER 1 45PM 4 CHECK BG MAY 04 EXIT 2 Press 4 to scroll through the alarm alert events 3 Press EXIT to return to the Logbook menu Logbook 97 This page intentionally left blank 98 Asante Snap Insulin Pump User Manual Setup Setup Menu The Setup menu contains options that allow you to customize your pump for your individual use Work with your healthcare professional to determine the settings that are best suited for you The Setup menu contains the following features Time and Date Daily Alerts Button Guard e BG Prompt e Auto Off ntro Screen BG Units Beep Volume Flashlight Low Insulin Alert BG Log Target Screen Timeout Notification Timing Delivery Limit e Pump Alert Time and Date Setting the correct time and date in your pump is necessary for accurate basal insulin delivery and allows you to keep an accurate record of your insulin delivery and other pump functions You can s
80. ge 84 16 Asante Snap Insulin Pump User Manual Startup Screen The startup screen is the first screen to appear from the blank screen unless you programmed an intro screen See Intro Screen on page 108 If you programmed an intro screen it will appear for 5 seconds followed by the startup screen The startup screen displays the current time and date If the time and date are not correct you will need to change these before you start using your pump See Time and Date on page 99 o m 0 Startup screen LIGHT MENU EXIT During an Alert Alarm or Notice When an alert or alarm occurs the startup screen displays ALARM or ALERT see below NOTICE appears for certain messages that are neither alerts nor alarms If the delivery of insulin is stopped PUMP STOPPED will also appear Press STATUS to get more information about the alert alarm or notice See Troubleshooting for a list of alarms and alerts 1 3 43PM ALERT 4 OCT 4 2010 LIGHT MENU EXIT 3 43PM ALARM E PUMP STOPPED amp LIGHT MENU EXIT examples of alert alarm and notice on the startup screen ia l4 59 ia A4 E2 3 43PM NOTICE E PUMP STOPPED E LIGHT MENU EXIT 9 Navigating from the Startup Screen From the startup screen you can press e GRAPH to display a graph of recent pump activity see Graph on page 25 e LIGHT to turn on the flashlight see Flashlight on page 26 e MENU to display the main menu see Mai
81. has run out of power Replace the pump body and insulin cartridge see page 30 Alarm History NO POWER ALARM Pump Body Disconnected Alarm Message PUMP BODY DISCONNECTED e q Cause The pump body was disconnected from the controller and is not delivering insulin This message will repeat every hour for 24 hours starting 1 hour after your last button press PUMP BODY DISCONNECT ALARM Pump Damaged Wet PONI MES PUMP DAMAGED WET REPLACE PUMP BODY OK The Snap System has detected water within the pump body Replace the pump body and cartridge DAMAGED PUMP WET Troubleshooting 121 Pump Error Detach and Reconnect Replace Pump Body Alarm Message PUMP ERROR DETACH amp Press OK after silencing the alarm to RECONNECT PUMP BODY display the second message OK IF ALARM REPEATS REPLACE PUMP BODY OK Cause The system detected a possible error in the drive system Action Disconnect the pump body from the controller and reconnect see page 38 If this does not resolve the issue replace the pump body and cartridge Check your BG over the next few hours PUMP DRIVE ERROR Set Time amp Date sie SET TIME amp DATE OK Cause You will get this alarm when you first start using the system You may also get the alarm if the system has lost the time and date settings This can happen after a system error or if the controller has m IM been used for an extended period LN E amp DATE ALARM System Error A
82. i2 2a exer SS RECS RORIS EORR UR Ee es Rd 46 Modifying an Existing Basal Profile 0 0 00 00 eae 47 Adding and Deleting Basal Rates Within Your Profile 48 Clearing a Basal Prone ieu ve eee be RN eed eG he x SER SORE RES RE 49 Reviewing Basal Promesa bae ENS SUE RR Eques 50 etme the Basal Limit uoa Gari beh EUR Ko we ES co HA REUS 50 Temp Basal RAGS acct ss cacy haan oy ae eee eee ene ee deh i Eb ane eae 51 Selle a Temp Bisa Rates Ex MES SEEN SE NUEVE A 51 Verifying Temp Basal Delivery wmv oia OPE pde a 53 Canceling a Temp Basal Rate asta rod S aac aca c et s 53 BOWS Basie caian ropita 55 NOW DOU atat vuota Dario d ted ah aee dot ed dab ae ace seme ans 55 Seine dq NOW BOIS usos adato Es lade soda NESARA OREL S BES ws 55 Stopping a Now Bolus Vii GURRE RN awd bbe vee ah awees 56 Deine a Dolus MINI E AS tea tet aed Tera nea 57 Advanced Bolus Features cc cece cece eee e eee eee ee eens 59 BOS MEU o o aso ed bot n eos e das cdo toa 59 Timed Bolus and Combo Bolus ose Rex EVER ERES 60 Tune do THIS i nro II oberen O A 61 COMBOS OUS via ird Sou te ate RO tat NI QUEREMOS web gre we GCE 61 Enabling the Bolus Features Combo Timed 005 61 petting a Timed Bolus 10 E Oe e RRE SES m RSS A m Bend 62 petting a Combo BOWS dmca ERR GR RE RRESA XR Sis 63 Stopping a Timed or Combo Bolus 0 0 0 ccc nee 64 Setting a Now Bolus During a Timed or Combo Bolus 65
83. ic Ketoacidosis DKA or very high BG you must be prepared to give yourself an injection of insulin if delivery from the pump 1s interrupted for any reason Asante infusion sets are specifically designed for use with the Snap pump Do not attempt to modify your infusion set Do not use your pump below 1 000 feet below sea level or above 13 000 feet of elevation Do not attempt to connect to the pump before you have been trained on its use or unless your pump trainer or healthcare professional is present Incorrect use of your pump failure to follow the instructions in this user manual or improper inadequate self care techniques can lead to death or serious injury If Asante Snap Insulin Pump User Manual you do not understand something or have questions ask your healthcare professional or call the Asante Help Line at 855 4Asante 855 427 2683 Never prime the tubing or tighten the tubing connector while the infusion set tubing is connected to your body Doing so can result in unintended delivery of insulin which can result in serious injury or death Your pump can withstand common electromagnetic interference including airport security systems Never use expired insulin infusion sets or pump bodies Check package integrity before using Do not use any product with damaged or improperly sealed packaging Interfering Equipment Your pump has been designed to operate in the presence of common sources of electrostatic and el
84. ice proceed to the designated safe area insertion and reprogramming The while each X ray 1s taken and cannula can remain in place during reprogramming No need to disconnect the pump No need to disconnect the pump Introduction 11 Procedure Patient is Pumper Healthcare Professional is Pumper Cardiac Disconnect the pump and leave it Follow normal safety practices and catheterization outside the room during the proceed to the designated safe area procedure while each X ray 1s taken Nuclear stress Disconnect the pump and leave it Follow normal safety practices and test outside the room during the scan proceed to the designated safe area while each scan is taken Colonoscopy Disconnect prior to procedure and No need to disconnect the pump leave in dressing room fcannula doesn t interfere with area being treated it can remain in place during procedure Lasersurgery The pump and infusion set can be The pump and infusion set can be worn however some lasers may worn however some lasers can create interference and may cause the create interference and cause the pump to alarm pump to alarm General Determination based on what medical Determination based on what anesthesia equipment is being used in the medical equipment is being used in procedure the procedure 12 Asante Snap Insulin Pump User Manual Learning About Your Pump The Parts of Your Pump System Your pump system consists of five basic pa
85. ime menu appears SISTI PRIME EINE CANNULA SELECT EXIT 12 Check the tubing for air bubbles If air bubbles are present you will need to prime the tubing See Priming the Tubing on page 36 13 You can now insert the infusion cannula into your body See Inserting the Infusion Cannula on page 34 WARNING If you do not see insulin drops appear at the end of the tubing your pump will not be ready to deliver insulin You will need to prime the infusion set tubing before inserting the infusion cannula into your body See Priming the Tubing on page 36 Preparing the Pump for Use 33 Inserting the Infusion Cannula It is important that you change your infusion cannula every 2 to 3 days Failure to change your infusion cannula may result in site infections or decreased insulin absorption at the site Read the instructions that came with your infusion set for information on inserting it Y WARNING While the infusion set is connected to your body do not unscrew and retighten the tubing connector Doing so may cause insulin to be accidentally delivered Do not insert the infusion cannula into your body until after you have inserted the insulin cartridge into the pump body connected the tubing connector end of the infusion set to the pump body connected the controller to the pump body e primed the infusion set tubing with insulin After your infusion cannula is inserted continue to Priming the
86. in manufacturer s instructions Using any insulin other than fast acting U 100 can result in serious injury or death Introduction 3 There are several infusion sets that are compatible with your Snap System For more information see Infusion Sets on page 149 Y Warnings Clinicians Consider the accuracy variability specifications when prescribing the use of the Snap System to determine if it is clinically appropriate for your patient Your pump body and insulin cartridge may need to be replaced if dropped If you receive the alarm DISCONNECT INFUSION SET FROM YOUR BODY NOW and PUMP DAMAGED DROPPED each message displayed on a separate screen immediately disconnect the infusion set tubing from the cannula Dispose of the pump body and cartridge Do not reconnect this pump body to your infusion cannula Then replace the pump body and cartridge following the steps to prepare a new pump body for use starting on page 30 Do not submerge your pump If your pump gets wet you may have to replace the pump body and insulin cartridge Follow the instructions on page 114 of the Troubleshooting section Ensure that you have access to a replacement infusion set insulin cartridge and pump body Several alarms cannot be resolved without replacing one or more of these items Because the Snap System is designed to reliably deliver only Humalog fast acting insulin you will not have long acting insulin in your body To avoid the risk of Diabet
87. ing diabetes The Snap System is designed only for Continuous Subcutaneous Insulin Infusion CSII It is not intended for use with any other delivery substance The Snap System should be used by only one person prescribed by his her physician The Snap System should be used by those who have sufficient vision and hearing to operate the pump and recognize the alarms and alerts The Snap System should be used by those willing to perform a minimum of four 4 blood glucose tests per day or as recommended by their healthcare professional The Snap System should be used with Humalog prefilled U 100 glass cartridges Contraindications The Snap System should not be used for the infusion of blood or blood products The Snap System should not be used by those who do not have sufficient vision and hearing to operate the pump and recognize the alarms and alerts The Snap System is not indicated for anyone unable or unwilling to e Perform a minimum of four 4 blood glucose tests per day or as recommended by your healthcare professional e Demonstrate adequate carbohydrate counting skills Maintain good diabetes self care skills e Keep in contact with your healthcare professional regularly Limitations of Use Do not use any other drugs medications in this pump Use only new full non expired Humalog prefilled U 100 glass cartridges that have been prescribed by your physician Be sure to use the insulin in accordance with the insul
88. is 1s the BG Prompt reminder that you set see page 101 If you do not turn on the BG Prompt feature you will not get this alert Check your BG soon Alarm History REMINDER CHECK BG Troubleshooting 127 Pump Alert Alert Message PUMP REMINDER X DAYS XX HOURS OK Cause The duration you set for the Pump Alert setting see page 110 has elapsed since you attached a new or different pump body completed a cannula prime changed the Pump Alert setting or responded to a prior pump alert The Notification Timing setting determines when you will see this alert Press OK to acknowledge the alert PUMP REMINDER ALERT Bolus Reminder Alert Message BOLUS REMINDER DO YOU WISH TO START A BOLUS NOW O A Cause This 1s the Bolus Reminder that you set see page 87 If you do not set a Bolus Reminder you will not get this alert Program a bolus if you wish Alarm History BOLUS REMINDER Notices Following is a list of messages that may appear on the controller screen These messages do not appear in the Alarm History screen in the Logbook Active Bolus ACTIVE BOLUS X XX U XX MIN PRESS OK TO CONTINUE Cause A Timed or Combo bolus is currently running and you tried to deliver a Now bolus Press OK to acknowledge 128 Asante Snap Insulin Pump User Manual Calculation is Above the Bolus Limit NOTE CALCULATION IS ABOVE THE BOLUS LIMIT Cause The Smart bolus has calculated a bolus that exceeds the Bolus
89. it increments Maximum basal rate cannot be set lower than highest programmed basal rate for all profiles BG Units mg dL mg dL mmol L 1 mmol L 18 01 mg dL Bolus Reminder Off On 15 min to 8 hr in 15 min increments Bolus Step 0 05 units step 0 05 0 1 0 25 0 5 1 0 2 0 5 0 units step Audio Bolus Step 0 10 units step 0 1 0 25 0 5 1 0 2 0 5 0 units step 4 Basal Profiles 0 00 units hr starting Up to 10 rates per basal profile with 15 min at midnight with a resolution on programming rate start and stop total daily delivery of times 0 00 units day Programming range shall be 0 or 0 1 units hr Names to the maximum basal rate setting BASAL A BASAL B BASAL C BASAL D Specifications 151 Active Aver 3 BASAL A BASAL A first Any of aaya es four profiles profile Insulin Sensitivity 50 mg dL unit Shall be set in units of measure based on the 2 8 mmol L unit BG unit setting 10 125 mg dL unit or appropriate range when converted to mmol L Resolution shall be to the nearest 1 mg dL or to the nearest 0 1 mmol L Insulin Sensitivity can be set as a single value or as a profile with up to 3 values per day Carb Ratio 30 grams unit 3 10 grams unit in 0 1 gram unit increments 10 80 grams unit in 1 0 gram unit increments Insulin to carb ratio can be set as a single value or as a profile with up to 8 values per day Target BG 100 mg dL Target BG shall be set in units of measure Smart bolus 5 6 mmol L f
90. its OO eee On 2 20 units in 1 unit increments 20 100 units in 5 unit increments Auto Off On 12 hr Off On 8 24 hr in 1 hr increments BG Log Target 150 mg dL 70 250 mg dL 3 9 13 9 mmol L High used in 8 3 mmol L Resolution shall be to the nearest 1 mg dL or logbook to the nearest 0 1 mmol L BG Log Target 100 mg dL 70 250 mg dL 3 9 13 9 mmol L Low used in 5 6 mmol L Resolution shall be to the nearest 1 mg dL or logbook to the nearest 0 1 mmol L BG Prompt Off On 15 min to 6 hr in 15 min increments Daily Alert 1 to 5 Default time for daily Time of day in 1 min increments alert 1s displayed Occurrence every day weekdays only using dashes weekends only Default occurrence is Alert State On Off Every Day Default state is Off Default message 1s DAILY ALERT Delivery Limit 20 units hr 1 100 units in 1 unit increments Notification Timing Immediate Immediate Delayed used with Low Cartridge and Pump Reminder alerts 150 Asante Snap Insulin Pump User Manual Pump Alert TN Off On 6 hr to 9 days 18 hr Time Format Format 12 ibe 12 12h 24br 24 hr Beep E BEEN 4 DE 5 NOTE Alarm volume is not adjustable Bolus Button If Smart Bolus is enabled the options are Function Off Audio bolus Smart bolus If Smart Bolus is disabled the options are Off Audio bolus Bolus Limit 10 0 units 0 25 0 units in 1 unit increments Basal Limit 2 units hr 0 1 4 units hr in 0 05 un
91. ive function Te ue usarlo ascund the sereen TRE Pune are located around the screen The function of these buttons changes depending on the screen that is displayed These buttons allow you to make selections They can move you through menus or screens 4 and or increase or decrease a value when programming ES and Eg For more information on pump buttons see Buttons on page 15 Italics are used for emphasis MENU A special font is used for pump buttons and text that appears on the pump screen The arrow indicates a path of menu choices For example Main menu gt BOLUS MENU gt BOLUS SETUP means to access the main menu select BOLUS MENU then select BOLUS SETUP For a detailed example see Navigating Through Menus on page 24 E NOTE Points out additional information that may be helpful A CAUTION Alerts you to situations that could result in damage to the pump system failure in a procedure or possible inaccurate programming or insulin delivery X Asante Snap Insulin Pump User Manual T y WARNING Alerts you to situations io aclarar could result in death or serious injury BG O Blood glucose is abbreviated throughout this user manual as BG The screen displays shown in the manual are examples only and should not be considered suggestions for individual programming If you have any questions about what you see on the pump screen contact the Asante Help Line at 855 4Asante 855 427 2683 Xl This
92. la Change the infusion cannula every 2 to 3 days Read the instructions that came with your infusion set 1 Disconnect the infusion set tubing from the cannula 2 Remove the cannula from your body 3 Insert the new cannula into your body Refer to the instructions that came with your infusion set 4 Attach the new cannula to the infusion set tubing 5 Perform a cannula prime as outlined in Priming the Cannula on page 34 Priming the Tubing Your infusion set tubing must be filled with insulin before you attach it to your body When to Prime the Tubing e if you did not see drops appear at the end of the infusion set when you assembled the tubing connector onto the pump body e toremove air bubbles from the tubing Y WARNING Make sure the infusion set tubing is disconnected from your body before you prime the tubing Priming the Tubing 1 When you attach a new pump body to the controller the Prime menu appears automatically Press SELECT to start IST PRIME ONM CANNULA SELECT EXIT 36 Asante Snap Insulin Pump User Manual 2 Press E or EB to set the number of units necessary to fill the tubing and press NEXT We recommend 2 units SET PRIME AMOUNT BACK NEX g 2 00 A message appears to remind you to disconnect the infusion set from your body DISCONNECT INFUSION SET FROM BODY BACK START EXIT 3 Make sure the infusion set tubing is disconnected from SS your body and press
93. larm Message ER NOTE Message text will vary ROR XX 20000000000000000000Cyyy depending on what caused the error Line RESET The pump has encountered an internal error The processor needs to be reset Action Press RESET to clear the alarm You will need to reset the date and time see page 99 If this alarm occurs often contact customer service Alarm History Does not appear in Alarm History 122 Asante Snap Insulin Pump User Manual Setting Mismatch PODIUM SETTINGS MISMATCH USE PUMP BODY SETTINGS YES NO Cause The system stores a copy of the settings in the pump body When a pump body is connected to a controller that has different settings you will be asked 1f you wish to use the settings in the pump body Action Choose the settings you wish to use from the pump body or the controller If you press YES the settings from the pump body will be used and will replace those stored in the controller If you press NO the settings from the controller will be left as 1s Alarm History CHOOSE SETTINGS ALARM Version Mismatch Pardon VERSION MISMATCH REPLACE PUMP BODY YES NO Cause The pump body was previously used with a controller that uses a different format for storing the pump settings in the pump body You cannot use this pump body with the new software in this controller Replace the pump body and insulin cartridge VERSION MISMATCH ALARM Troubleshooting 123 Alerts Your pump will notify yo
94. ll be incapacitated for more than a short period of time the pump should be removed and an alternative means of insulin administration established prior to the procedure see this table for information on what to do with your pump if you plan to have one of the following procedures Consult with your physician for specific procedures Patient is Pumper Healthcare Professional is Pumper Dental X rays No need to disconnect No need to disconnect Pump should remain covered by Follow normal X ray practices lead apron placed on patient by and proceed to designated safe dentist or technician area when each X ray 1s taken Ultrasound No need to disconnect No need to disconnect Transducer should not be pointed Transducer should not be directly at pump or site If site 1s pointed directly at pump or site directly in range of transducer cannula should be removed Mammogram DO NOT expose pump to test No need to disconnect and bone Disconnect pump prior to test and Follow normal safety practices density test leave pump in dressing room and proceed to designated safe Cannula can remain in place area while each test 1s being during test performed Body X rays DO NOT expose pump to X ray No need to disconnect Fluoroscopy beam Follow normal X ray safety chest neck Disconnect pump prior to exam practices and proceed to abdomen and leave in dressing room designated safe area when each torso etc Cannula can remain in place X ray is
95. lthcare professional s advice when adjusting the bolus amount It is important to consider conditions other than your current food intake and BG reading CALCULATED BOLUS TOTAL 2 a0 BACK START DETAILS If the Combo and Timed bolus features are not enabled then the only option for delivering the bolus is a Now bolus Press START to deliver a Now bolus E NOTE If NEXT appears in place of START then a Combo and or Timed bolus is enabled Proceed to step 10 for information on selecting a Combo or Timed bolus Asante Snap Insulin Pump User Manual 10 11 E NOTE If a Timed bolus is already running you must deliver the new bolus as a Now bolus CALCULATED U BOLUS TOTAL 2 o0 BACK START DETAILS E NOTE If you programmed your pump to prompt you to check your BG after a bolus delivery the BG Prompt message appears Press YES to receive a prompt Press NO for no prompt See BG Prompt on page 101 for information about this feature PROMPT TO CHECK BG IN where X and YY are the hours and minutes that you set X HOURS AND YY MINUTES YES NO Press OK when the Now bolus delivery is finished to return to the blank screen NOW BOLUS 2 80 FINISHED INSULIN ON BOARD 2 80 OK If NEXT appears in place of START at the bolus amount screen then a Combo and or Timed bolus is enabled Press NEXT to select the method for how you wish to deliver the bolus CALCULATED BOLUS TOTAL 2 80 BACK NEXT DETAILS Press a
96. lus based on these elements indication if the delivered amount was different from the suggested amount Specifications 153 Selected record from basal Daily Totals bolus Smart bolus and units manual bolus and units average Smart bolus size units average manual bolus size units of times Smart bolus used of times user adjusted the Smart bolus recommendation total carbs for the day resulting carb insulin carb insulin to total daily dose total correction insulin of correction to total daily dose of BG tests on that day average BG result high BG value low BG value BG History BG values entered into Smart bolus process user entered BG values shall be retained even if bolus is not given Basal History Listing of basal events starting with today and working backward each element identified by time and date of occurrence and the total insulin amount profile selection editing a profile temporary basal rate use 154 Asante Snap Insulin Pump User Manual Average Report average daily total e basal bolus Smart bolus and units manual bolus and units average Smart bolus size units average manual bolus size units average of times Smart bolus was used of times user adjusted the Smart bolus recommendation average carbs per day average resulting carb insulin carb insulin to total daily dose average correction insulin per day of correction to total daily dose average of BG tests
97. mber of steps you programmed You must listen for all the tones to Asante Snap Insulin Pump User Manual be played back Pressing any button before the tone playback is complete will cancel the Audio bolus programming CONFIRM AUDIO BOLUS 1 7 u EXIT 4 Ifthe number of tones played back matches the number you programmed press START to deliver the bolus Pressing any other button will cancel the Audio bolus programming If you do not hear the number of tones you expect do not press START Allow the pump to time out Then start the programming again while looking at the screen to ensure the correct units DELIVER AUDIO BOLUS 1 1 0 START EXIT The pump delivers the bolus NOW BOLUS U DELIVERY 0 05 STOP 5 Press OK when the bolus delivery is complete NOW BOLUS 1 10 FINISHED OK Bolus Reminder The Bolus Reminder allows you to set a timer to remind you to deliver a bolus When the timer goes off a message will appear To set a Bolus Reminder you must first enable the feature then set the timer Advanced Bolus Features 87 Enabling the Bolus Reminder Feature The Bolus Reminder allows you to set a reminder to administer a bolus 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt REMINDER SETUP 2 Press to turn on the option e EXIT SET BOLUS 7 REMINDER 3 Press SAVE Setting a Bolus Reminder 1 Main menu gt BOLUS MENU gt BOLUS REMINDER 2 Press to increase the time from 15 minutes to 8 hours
98. mp or to select the bolus type Now Timed or Combo If you wish to set a Now bolus press START If you wish to set a Timed bolus follow the steps starting with step 3 on page 62 If you wish to set a Combo bolus follow the steps starting with step 3 on page 63 E NOTE If there is an adjustment to correct for high BG then a Timed bolus will not be available If you select Combo your pump will deliver that portion of the bolus as a Now bolus and you cannot change the Now bolus portion to a value below the correction bolus amount Advanced Bolus Features 79 Press BACK if you wish to return to the previous screen where you adjust the bolus amount A TIMED BACK NEXT EXIT Editing the Smart Bolus Settings The first time you set up the Smart bolus feature it allows you to set one insulin sensitivity one carb ratio and one target BG range Because these values may vary throughout the day you can go back to the Smart bolus setup and add additional values up to three insulin sensitivity settings up to three target BG ranges and up to eight carb ratios for different times of the day for these settings You can also go back at any time to change your target BG IOB duration and or IOB mode E NOTE The following programming steps are similar to Editing a Basal Profile See page 46 for details 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt SMART SETUP gt SMART ON OFF 2 Ifyou already set up the Smart bolus feature the
99. mp stops delivery of the bolus The basal insulin continues to be delivered BOLUS STOPPED BASAL RUNNING oK 2 Press OK The amount of programmed bolus that was not delivered is displayed MISSED BOLUS 0 10U OK 64 Asante Snap Insulin Pump User Manual Setting a Now Bolus During a Timed or Combo Bolus You can set a Now bolus while a Timed or Combo bolus is running However you cannot set a Timed or Combo bolus while another Timed or Combo bolus is running 1 Main menu gt BOLUS MENU gt NOW BOLUS If a Timed or Combo bolus is currently running a message appears ACTIVE BOLUS 0 35 29 PRESS OK TO CONTINUE OK EXIT 2 Press OK if you wish to continue programming the Now bolus 3 Press to increase the units of insulin BOLUS 0 00 START EXIT 4 Press START to deliver the bolus immediately E NOTE If you programmed your pump to remind you to check your BG after a bolus delivery the BG Prompt message appears Press YES to receive a prompt Press NO for no prompt See BG Prompt on page 101 for information about this feature PROMPT TO CHECK BG IN X HOURS AND YY MINUTES YES NO The pump displays the bolus units as they are delivered To stop the bolus delivery press STOP then OK E NOTE If you stop the Now bolus during delivery you will also stop the Timed bolus that is running NOW BOLUS DELIVERY 0 05 STOP 5 Press OK when the bolus delivery is finished Advanced Bolus Features
100. n Menu on page 20 e EXIT to return to the blank screen e STATUS to access the status screen then to scroll through the status screens Learning About Your Pump I7 Backlight When you activate a screen by pressing any button from the blank screen a backlight automatically appears After a few seconds of inactivity the backlight turns off A few seconds later the screen times out and the blank screen appears Press any button to activate the screen and turn on the backlight Status Screens The status screens show you information about your pump s current status and settings To access the status screens press STATUS upper right button from the startup screen 73 43PM OCT 4 2010 Press to select STATUS LIGHT MENU EXIT OOO If an alarm or alert is active the first status screen to appear shows you which alarm or alert 1s active PUMP BODY DISCONNECTED we EXIT Press EXIT from any status screen to return to the startup screen Press to scroll ahead through the status screens Press 4 to move backwards through the status screens Press LOGBOOK from a status screen to access the Logbook You can also access the Logbook from the main menu See Logbook on page 91 for more information Press MENU to access the main menu from the status screens MENU is not available when an alarm is active 18 Asante Snap Insulin Pump User Manual The status screens display the following information from l
101. n affects how BG values are used and presented throughout the pump system See BG Units on page 102 or more information on this setting L mg dL L mmol L Basal Rate Basal insulin is required to maintain your target BG values when you are not eating Your pump can be programmed for up to four basal profiles A B C and D to accommodate your varying insulin needs on different days of the week for example weekday or weekend day Each profile can have up to 10 basal rates When you first start your pump therapy your healthcare professional may have you program only one or two basal rates Get your basal rate settings from you healthcare professional For more information on programming basal profiles see Basal Profiles on page 43 Personal Information 159 Snap Settings uz Profile A Profile B Basal Rate Start Time Basal Rate Basal Rate Start Time Basal Rate Number units hour Number units hour ge O a qp Profile C Profile D Basal Rate Start Time Basal Rate Basal Rate Start Time Basal Rate Number units hour Number units hour 1 mun e 0 160 Asante Snap Insulin Pump User Manual Smart Bolus Settings Insulin Sensitivity BG units U Insulin sensitivity is the amount your BG level is reduced by 1 unit of insulin Insulin Sensitivity mg dL U or mmol L U A E Carb Ratio G U Carb ratios are used to calculate your meal boluses This ratio 1s the number of carb grams covered by 1 unit of ins
102. n alert see page 102 the Pump Alert see page 110 and the Temp Basal alert see page 125 This feature allows you to choose between being notified immediately or delaying the notification until the next time a pump button 1s pressed 1 Main menu gt SETUP MENU gt NOTIF TIMING 2 Press to select IMMEDIATELY or DELAYED If you wish to receive this alert when it occurs set the timing to IMMEDIATELY Select DELAYED and this alert will sound the next time a pump button is pressed NOTIFICATION TIMING IMMEDIATELY SAVE EXIT 3 Press SAVE setup 103 Daily Alerts You can program your pump to display an alert message at a particular time on a weekday weekend day or every day You can set up to five daily alerts and use them for reminders for whatever you would like 1 Main menu gt SETUP MENU gt DAILY ALERTS 2 Select the alert you wish to set and press SELECT 3 Press to turn ON the alert and press NEXT SET ALERT 1 ON BACK NEXT EXIT 4 Press amp or to set the hour you wish to receive the alert and press NEXT KEV EXIT 5 Press E or to set the minutes and press NEXT SET MINUTE 30 BACK NEXT EXIT 6 Press E or amp to set the alert frequency You can set the alert to go off daily every weekday WKDAY or on the weekend WKEND PREG DAI LY BACK SAVE EXIT 7 Press SAVE 104 Asante Snap Insulin Pump User Manual 8 Press OK at the alert summary screen STATU
103. nal Once your basal profiles have been set you cannot set a Basal Limit that 1s less than any of the programmed basal rates nor can you program a basal rate that 1s greater than your Basal Limit This includes profiles and temporary basal rates 1 Main menu gt BASAL MENU gt BASAL LIMIT 50 Asante Snap Insulin Pump User Manual 2 Press amp or to set the limit for your maximum basal amount per hour 2 00 SAVE EXIT BASAL LIMIT 3 Press SAVE Temp Basal Rates The temp basal rate feature is useful to manage BG levels during short term activities or conditions These conditions could be an illness or unplanned physical activity that is not part of your daily routine A temporary basal rate allows an immediate short term change to your basal insulin for a specified period of time 15 minutes to 24 hours This rate can be up to your maximum basal limit setting See Setting the Basal Limit on page 50 It offers an easy way to immediately meet short term insulin needs for temporary activities or situations During a temp basal delivery all other basal programming is temporarily overridden After the temp basal delivery is completed your pump will return to the programmed basal delivery A temp basal is dependent on your current basal rate The temp basal is delivered only once for the time period that you specify and does not repeat If you want another temp basal you must program another one For any temp basal
104. ne on the tubing connector should be aligned above the tail of the arrow with tail of arrow match line on tubing connector WARNING Hold the pump body vertically when connecting the tubing connector This allows any air bubbles to rise to the top of the cartridge where 32 they can be cleared The presence of air bubbles may cause you to miss insulin during delivery Press down on the tubing connector until it stops press down Gently turn the connector clockwise until the marks are aligned Do not overtighten The pointed edge of the m dii m i marks connector should align with the and turn clockwise pointed edge of the pump body as edges shown align You should see drops of insulin appear at the end of the infusion set If drops do not appear you will need to prime the tubing after you attach the controller Asante Snap Insulin Pump User Manual 10 Connect the controller by aligning the pump body with the guide on the controller and sliding the pump body onto the controller Firmly squeeze the pump body and controller together until you hear and or feel them snap into place guide snap gt m Gel 11 Press OK when the following message appears PUMP BODY CONNECTED OK E NOTE If this is the first time you are connecting a pump body to the controller you may receive an alarm prompting you to set the date and time See Time and Date on page 99 The pr
105. ng or make a change to insulin delivery Cancellation tones are used when you cancel or back out of a menu while in the process of programming or when you wait too long to complete a programming step and the pump screen times out To adjust the volume of the confirmation cancellation and alert tones see Beep Volume on page 106 Alert and alarm tones are used to inform you that your attention 1s needed These tones repeat every minute until you silence them Alarm tones use different sounds and patterns than alert tones Alarm tones are set to the maximum volume You cannot change the volume of the alarm tones Flashlight The Snap System has a built in flashlight that you can use whenever you need a small light The flashlight has a limit of 4 minutes of illumination time per pump body If you wish to turn off the flashlight see Disabling the Flashlight on page 109 The flashlight will automatically illuminate during a tubing prime to help you see droplets form at the tip of the cannula in low light conditions It automatically turns off after the prime is complete Additionally the flashlight will flash intermittently when an alarm or alert occurs The illumination during primes alarms and alerts will occur even if you exceed the 4 minutes of user illumination time or turn off the flashlight Operating the Flashlight 1 Press any button from the blank screen to access the startup screen s 3 43PM OCT 4 2010 LIGHT MENU
106. nnot deliver an Audio bolus if a Timed bolus is currently running Before trying to deliver an Audio bolus determine the number of steps you will need to deliver the bolus We recommend using a calculator or paper and pencil to calculate the number of steps Example If your step size is 0 10 and you wish to deliver a 1 1 unit bolus divide 0 10 into 1 1 1 1 units 11 steps 0 10 units step To Deliver an Audio Bolus 1 86 Press the upper right pump button from the blank screen This button press counts towards the bolus total The pump plays a tone and displays the amount of insulin based on the step size you set SET poss MINIS EXIT Continue pressing the number of times needed for your bolus amount Watch the amount change on the screen with each press of the button The pump will sound a different tone in a four tone sequence with each press Example You want to deliver 1 1 units Your step size 1s set to 0 10 units per step Each time you press Eg the bolus units increase by the step amount To deliver 1 1 units you will need to press a total of eleven 11 times 0 10 units per step X 11 presses 1 1 units When you have pressed the button the required number of times to equal the total bolus you wish to deliver press NEXT The pump will sound a confirmation tone then play back the sequence of tones You must count the tones and verify that the number of tones played back is the same as the nu
107. ompletes press OK and repeat the PRIME TUBING with another 10 units If after repeating the prime you still do not see drops appear see Drops did not appear during the tubing prime on page 115 of the troubleshooting section 1 WARNING If you do not see insulin drops do not use the pump 6 Connect the infusion set tubing to your infusion cannula It is not necessary to prime the cannula unless a new one was inserted 42 Asante Snap Insulin Pump User Manual Basal Insulin Basal Menu The Basal menu contains options that allow you to program and manage your basal insulin settings The Basal menu contains the following options Temp Basal Review Profile e Select Profile Clear Profile Edit Profile e Basal Limit Basal Insulin Once you have followed the steps to prepare your pump for use you are ready to program your basal insulin Basal insulin 1s required to maintain your glucose values when you are not eating Your healthcare professional will calculate this rate for you Your pump will deliver basal insulin continuously over 24 hours Basal Profiles You can set your insulin pump to change rates during the day to match your needs by programming a basal delivery from 0 1 units hour to 4 0 units hour Some people use only one rate throughout the day while others find they need different rates Once set these rates make up your 24 hour basal pattern and are repeated daily The pump allows you to program up to fou
108. onds before the startup screen appears To go directly to the startup screen press any button while the intro screen is displayed INSULIN PUMP FOR DIABETES DO NOT REMOVE THIS PUMP 911 IF UNCONSCIOUS OR ILL Flashlight The Snap System has a built in flashlight that you can use whenever you need a small light The flashlight has a limit of 4 minutes of illumination time per pump body The flashlight will automatically illuminate during a tubing prime and turn off after the prime is complete The flashlight will also flash intermittently when an alarm or alert occurs The illumination during primes alarms and alerts will occur even if you exceed the 4 minutes of user illumination time or disable the flashlight Disabling the Flashlight 1 Main menu gt SETUP MENU gt FLASH LIGHT 2 Press to select ON or OFF SET e FLASHLIGHT SAVE EXIT 3 Press SAVE Operating the Flashlight 1 Press LIGHT from the startup screen 13 43PM OCT 4 2010 LIGHT MENU EXIT STATUS Setup 109 The flashlight turns on and will remain on for 15 seconds The flashlight will turn off when you press any button or after 15 seconds FLASHLIGHT 1 pr REMAINING TIME OFF Screen Timeout You can select the time from the last button press until the blank screen appears 1 2 Main menu gt SETUP MENU gt SCREEN TIMEOUT Press to select SLOW or FAST SLOW allows 30 seconds before the blank screen appears and FAST allows 10 seconds If
109. or both based on the BG unit setting 1e either mg dL calculator upper and lower or mmol L value 70 250 mg dL or appropriate range when converted to mmol L Resolution shall be to the nearest 1 mg dL or to the nearest 0 1 mmol L Target BG can be set as a single pair of values high and low value or as a profile of high and low values with up to 3 paired values per day In no case shall the lower value in each pair be higher than the upper value IOB Duration 2 8 hr in 15 min increments IOB Mode Correction All correction and r 152 Asante Snap Insulin Pump User Manual Logbook Details The Snap System stores approximately 90 days worth of data for a typical use pattern This data can be transferred to an external program or viewed directly in the logbook section of the Snap System The following information is stored in non volatile memory Bolus History Listing of prior boluses in order of delivery time and date of the start of bolus total amount delivered Daily Totals Totals are derived from the Bolus History and Basal History logbook entries date total of daily dose midnight to midnight or current day available dosage indication if the delivered amount was different from the suggested amount Selected record from Details of bolus delivery including Bolus History amount type time date of completion Smart bolus details if used including carb total BG IOB resulting components of the bo
110. page intentionally left blank xii Asante Snap Insulin Pump User Manual Introduction Your Snap System is designed to help you gain more control of your diabetes whether you are beginning pump therapy for the first time or upgrading from a previous model This chapter contains important information that you should read before you get started with your pump Assistance If there is anything you don t understand in this user manual or if you have a question or need assistance with your pump Asante provides 24 hour assistance In the United States call 855 4Asante 855 427 2683 Emergency Kit Keep an emergency kit with you at all times to make sure that you always have necessary supplies Inform a family member co worker and or friend where this emergency kit is kept See User Safety on page 2 for more information on pump safety Your emergency kit should include the following items e fast acting glucose tablets e blood glucose monitoring supplies e ketone monitoring supplies spare pump body infusion set and insulin cartridge e dressing and adhesive e Glucagon Emergency Kit insulin syringe or insulin pen and fast acting insulin follow insulin labeling and instructions from your healthcare professional copies of all your prescriptions Introduction l A CAUTION If you use a syringe to give yourself insulin the Smart bolus feature will not be able to calculate the correct amount of insulin on board o
111. per day average BG result of readings above high BG target value of readings below low BG target value Alarm Alert History Listing of alarms and or alerts date and time e alarm alert Specifications 155 Symbols Symbol Meaning Caution See accompanying documents Refer to instructions for use Do not reuse EO Sterilized using ethylene oxide Date of manufacture year month Manufactured by Batch code O Use by year month Catalog number Serial number Storage temperature range Type CF equipment protection from electrical shock eh EST SEU POP 1 Un 6 Asante Snap Insulin Pump User Manual Meaning Conforms to IEC60601 1 sub clause 44 6 and IEC60529 standards Recycle European Conformity Authorized representative in the European community Federal law USA restricts this device to sale by or on the order of a physician Electronic device dispose of properly Specifications 157 This page intentionally left blank 158 Asante Snap Insulin Pump User Manual Personal Information Your Personal Settings You may need the following information from your healthcare professional before going to your pump start appointment If you are unsure contact your healthcare professional or pump trainer for instructions Controller Serial Number Enter your controller serial number d 408 TET E TSN cw1026000285 controller serial number BG Units This optio
112. r active insulin in your system Normally you should wait up to 8 hours after an injection before relying on the Smart bolus feature to calculate your insulin on board The actual length of time you need to wait depends on your insulin on board duration setting in the Smart bolus feature See Understanding Insulin on Board on page 68 for more information If You Remove Your Pump Pump Settings There may be times when you need or want to remove your pump for an extended period greater than 12 hours To disconnect the pump for an extended time set the basal rates to 0 units hour for the entire 24 hour period or select a basal profile that has not yet been programmed Also set the Auto Off feature to Off See Auto Off on page 105 for information Insulin Your body still needs insulin while your pump is stopped or removed lt is important that you consult with your healthcare professional to determine an alternate method of receiving your insulin If you stop or remove your pump you will have to use another method to take insulin User Safety Indication for Use The Asante Snap Pump System provides continuous subcutaneous delivery of fast acting U 100 insulin at programmable basal and bolus rates for the management of diabetes mellitus in patients requiring insulin 2 Asante Snap Insulin Pump User Manual Intended Use The Snap Insulin Pump System is intended for use by adult patients for the control of insulin requir
113. r basal profiles A B C and D each with up to 10 rates You may wish to use different profiles to meet your changing insulin needs For example you may have a profile for weekdays and a different profile for weekends when sleep patterns may be different Basal Insulin 43 Start and Stop Times Your basal rates are made up of insulin deliveries that have start and stop times When you set your basal rates in the Basal menu your pump prompts you to set the start time for each basal rate The stop time for one basal rate 1s by default the time that the next basal rate starts In the example below the stop time for the 1st basal rate is the start time for the 2nd basal rate 8 am The first start time is already set for you at 12 am 1st basal rate 2nd basal rate 3rd basal rate 4th basal rate 12 00 am 8 00 am 4 00 pm 7 00 pm 12 00 am start 1st stop 1st start 2nd stop 2nd start 3rd stop 3rd start 4th stop 4th start 1st Programming Your Basal Insulin You must program your basal settings before you can deliver basal insulin Set your basal rates with the help of your healthcare professional Keep a written record of your basal settings in Your Personal Settings on page 159 1 Main menu gt BASAL MENU gt EDIT PROFILE 2 Select the profile you wish to program For example you may want to start with BASAL A Press EDIT ANO BASAL B 0 00 U 0 00 U EDIT EXIT 3 The first basal rate you enter will begin at 12 00
114. r dub etos sean dei Woo de p ard X Introqub TION 2 esa cuo ors alte rac Roe a ce DIR te bait Ge Uo D ES 1 JA SSISLIC A O aE POOR PO OEE D RU D EM ELM iar eed id v Idee ooo ooa o Poo O O If You Remove Y OUP PUMP soja a S ations Re He eR E tatus Ne Moe feos 2 AAS EULER E AENA ee ee EN E 2 SUH as rat e EO da ut da da s 2 WISER ACW aus ros EE E E E E E EEE EE 2 Indication for Use ak ss cera ee ake ROR a BARA RRR 2 Intended USE 2 25 SD ok s Dh e dete D Sra acd ae Eton ich 3 ContrabtditlOoEis o soo qao UD RCRUM Aes 3 Limitations of Use a o UR 3 EIS O ROSTER 4 IUS Grs LULA 6 0k M CR gems ERRORIS TIR UP PARLE 6 Medical Procedures and Radiology X rays o ooooooooooo ooo 10 Learning About Your PUMP cc cece eee cece eee I n n nn 13 The Parts of Your Pump System 43 2 odo dia eb 99a Hark NL CR ae eed 13 PUMP BOO pysyi headed esee p edd dae pid ea ud 13 COMPROMISE cut ta dr RALIS ERU e BORG RC o UR 14 OSTIAS 3 95 vsu du EA 14 A 14 O A E 15 Upper Let Richt BULOAS ers 15 DOWOIDULOBS usais E AGE EUR RR AC Moe OPER EMO SOR ES 15 PUMP SChECM uade buon ead ae y e bun cue ER Dee ede e pod 16 Blank Serec 2404 Geen e dare es CER dox SRS RS OER 16 DUDO CECE soe qoos onn gated EE NOUS CRURA RR a RERUM Goes 17 During an Alert Alarm or Notice o o oooooooooooooooooooo 17 Navigating from the Startup Screen 20 0 eee 17 Backhoe cos dp ee ede oe Reg UR ee b Sheed bte act 18 DIAS o ie epee teak ced Grac cach eu
115. rate that is programmed with a percentage of either less than 50 or greater than 150 and with a duration of 6 hours or more you will receive a temp basal alert after 3 hours and every 6 hours thereafter See Notification Timing on page 103 for information on setting when you wish to receive this alert When you receive the alert check your BG and make sure that the temp basal you have set 1s still needed Setting a Temp Basal Rate Programming a temp basal rate starts at 100 of the current basal rate The maximum limit is based on the percentage of the largest basal rate in the active profile 1 Main menu gt BASAL MENU gt TEMP BASAL Basal Insulin 51 5 52 The screen displays your current basal rate with a percentage of 100 If the current basal rate is 0 units per hour a temp basal is not available and TEMP BASAL UNAVAILABLE appears SET TEMP BASAL TEMP BASAL RATE Adjust the value to a new basal rate or a percentage of your current basal and press NEXT The temp basal rate 1s adjusted in 0 05 unit steps so not all percentages are possible For example if you want to deliver a temporary basal rate that 1s 50 less than your current basal rate decrease the rate until you get a rate as close to 50 as possible Because the temp basal rate is adjusted in 0 05 unit steps you may not be able to achieve 50 exactly SET TEMP BASAL TEMP BASAL RATE Enter the time period 15 minutes to 24 hour
116. re you must set it up with your personal settings See Setting up the Smart Bolus Feature for the First Time on page 74 Once the Smart bolus dosage has been calculated and you have confirmed that it meets your healthcare professional s therapy guidelines you can deliver the bolus dose with one of the following bolus delivery options Now bolus Combo bolus Timed bolus See the appropriate bolus section for more information on delivering a bolus using a particular bolus type You Will Need to Know at Least One of the Following e Carbs You need to know how many grams of carbohydrates you are going to eat You need to know what foods contain carbohydrates and understand carb counting The maximum total carbs you can enter is 400 grams per bolus e BGreading You need a recent BG measurement The highest BG value you can enter is 500 mg dL 27 8 mmol L 76 Asante Snap Insulin Pump User Manual To Deliver a Smart Bolus 1 Main menu gt BOLUS MENU gt SMART BOLUS Or use the bolus shortcut button upper right to access the Smart bolus feature from the blank screen Make sure the bolus button is set to SMART See Setting the Bolus Button for a Smart Bolus on page 83 E NOTE If SMART BOLUS does not appear in the Bolus menu the Smart bolus feature is not enabled See Disabling the Smart Bolus Feature on page 76 Press amp or to enter your BG result and press NEXT If you have not checked your BG simply pres
117. rofile you must select it to start the delivery of basal insulin 1 Main menu gt BASAL MENU gt SELECT PROFILE The selected profile appears with an asterisk 2 Select the profile and press SELECT SS BASAL B An asterisk appears in front of the selected profile 3 Press OK to return to the BASAL MENU BASAL BASAL A 30 10 CURRENT RATE Add O K The pump begins delivering the basal insulin defined by the profile The screen displays the selected profile and the total units of insulin that will be delivered throughout the programmed period of time If you have multiple profiles programmed and you wish to switch to a new profile follow the steps above to select the new profile The profile will begin as soon as you select it Editing a Basal Profile After you program your basal profile you may need to go back and adjust either a start time or a rate You can also insert a new rate within the profile or delete a rate 46 Asante Snap Insulin Pump User Manual Modifying an Existing Basal Profile To adjust a start time or a rate within a profile follow these steps 1 2 Main menu gt BASAL MENU gt EDIT PROFILE Select the profile BASAL A through BASAL D you wish to edit and press EDIT JUGUM BASAL B A oou EDIT EXIT Select the rate you wish to edit and press EDIT MIDEN 6 30AM PAYA 0 65U H INSERT EDIT EXIT Depending on the rate you selected you will be prompted to adjust the st
118. rt bolus after you program one setting the pump will automatically prompt you for the next required setting After you program all your settings review them to make sure they are correct 66 Asante Snap Insulin Pump User Manual Insulin Sensitivity Your insulin sensitivity also known as blood glucose ratio or correction factor 1s the amount your BG level 1s reduced by 1 unit of insulin This value is used to calculate a suggested insulin dose to correct a high BG Because this amount may vary throughout the day your pump lets you set up to three insulin sensitivity values per day Your healthcare professional may have you program one or two when you first start using the Smart bolus feature Insulin sensitivity values are normally between 20 100 mg dL 1 1 5 6 mmol L If your value falls outside this range a message appears indicating that the value is acceptable but outside the normal clinical range Carb Ratio Carb carbohydrate ratio is the amount of carbs in grams that are covered by 1 unit of insulin Because this ratio may vary throughout the day your pump allows you to set up to eight carb ratios per day Your healthcare professional may have you program one or two carb ratios when you first start using the Smart bolus feature Carb ratio values are normally between 5 50 grams U If your ratio value 1s outside the range a message appears indicating that the value 1s acceptable but outside the normal clinical range
119. rts the pump body the controller the insulin cartridge and an infusion set All parts are disposable except the controller Read on to learn more about each component controller pump body flashlight insulin cartridge in pump body infusion set Pump Body The pump body is a disposable component used to deliver the insulin from the insulin cartridge through the infusion set to your body You will need to replace the cartridge and pump body when the cartridge is empty or Mb insulin at the end of 7 days even if there is insulin left cartridge in the cartridge Since the battery 1s replaced apu viewing window with each new pump body you will never need to change the battery Learning About Your Pump 13 Controller The controller is the portion of the pump with the screen and buttons The controller houses the electronics which control your pump Insulin Cartridge The insulin cartridge contains the insulin E When your cartridge is empty you will replace it along with the pump body Refer to the insulin manufacturer s instructions for information on insulin storage handling and duration of use See Insulin Cartridge on page 148 for information on the cartridge HE that works with the Snap System Infusion Set tubing The infusion set 1s the tubing and cannula connector system that delivers the insulin from the cartridge in your pump to your body One end has a cannula
120. s in 15 minute increments over which you wish to have the temporary basal rate delivered TEMP BASAL E DURATION 1 00 BACK START EXIT Press START The pump begins delivering the new temporary basal rate The screen displays the percentage of your previous basal rate and the time period over which it will be delivered TEMP BASAL 56 607 oK Press OK to return to the main menu Asante Snap Insulin Pump User Manual E NOTE If your current basal rate changes based on your profile during the temp basal delivery period this basal rate and any subsequent rates will also be delivered at the temp basal percentage You cannot make changes to your normal basal rate while a temp rate is active You must either wait until the temp basal is finished or cancel the temp basal in order to reprogram your normal basal rate To cancel the temp basal rate see Canceling a Temp Basal Rate on page 53 Verifying Temp Basal Delivery Temp basal information 1s available in the status screens only 1 Press any button to access the startup screen from the blank screen 2 Press STATUS to access the status screen then press until the temp basal screen appears The screen displays the basal rate and the duration left TEMP BASAL 0 5 5696 DONE IN 56 MINUTES Rec Jeje d MENU EXIT Canceling a Temp Basal Rate You can cancel the temp basal rate at any time during delivery Canceling the temp basal immediately stops the
121. s NEXT To cancel the Smart bolus delivery press EXIT at any time Press EM to enter the grams of carbohydrates for your first food item and press NEXT If you are not eating simply press NEXT ENTER FIRST 37 CARBS ron 37 BACK NEXT EXIT Continue entering food items When you are finished press NEXT to select DONE instead of entering a food item Sue DONE BACK NEXT EXIT The Smart bolus estimate appears Press DETAILS to view the Smart bolus details before making adjustments CALCULATED BOLUS TOTAL 2 a0 BACK START DETAILS Advanced Bolus Features TI 78 The first details screen appears showing the results related to your BG reading 1f any CURRENT BG 179 mg dL INSULIN SENS 50 mg dL U P BG INSULIN 1 58U EXIT Press to view the remaining details The second screen shows the results related to your carb input if any FOOD CARBS 37G CARB RATIO 30 0G U b CARB INSULIN 1 23U EXIT The last screen provides a summary of how the glucose and food entries combine with insulin on board to determine the bolus estimate BG CARB INSULIN 2 81U CARB INSULIN 1 80U INSULIN ON BOARD 0 00U BG INSULIN IOB 30 0U BOLUS TOTAL 2 80U BOLUS TOTAL 1 50U EXIT EXIT Example when IOB mode is set to All Example when IOB mode is set to Correction After viewing the details press EXIT to return to the bolus amount If you wish to adjust or change the bolus amount press E or Eg Follow your hea
122. see the averages for the units of basal bolus and total insulin per day U D for the last X number of days you selected as well as the percentage of basal and bolus insulin AVG BASAL INS 42 00U D 88 AVG BOLUS INS 6 00U D 12 gt AVG TOTAL INS 48 00U D oK Press to view the following information Press OK or EXIT at any time to return to the Average Report screen Logbook 95 96 average units per day of insulin delivered using the Smart bolus manual bolus and total bolus as well as the percentage of insulin from Smart bolus and manual bolus AVG SMART 16 02U D 78 AVG MANUAL 4 16U D 22 b AVG TOTAL 20 18U D e average units from Smart bolus and manual bolus deliveries AVG SMART BOLUS 4 AVG MANUAL BOLUS e average number of times the Smart bolus was used and percentage of times you changed the Smart bolus recommendation AVG SMART USED 4 SMART TOTAL CHANGED e average grams of carbs entered per day average amount of insulin calculated based on those carbs and average percentage of the total daily dose TDD that the carb insulin represents AVG CARBS 128G D AVG CARB INSULIN 8 06U D AVG PERCENTAGE OF TDD 0 e average BG tests and average BG insulin per day and average percentage of total daily dose TDD that the BG insulin represents AVG BG TESTS AVG BG INSULIN AVG PERCENTAGE OF TDD e percentage of BG values above and below the BG Log Targets and the avera
123. sion MISUIBBICIE escasa b e Rabat d baee ps 123 dg pec Pn 124 What To Do When You Get an Alert o o oooooooooooo oo 124 BOWS SOPP d 2245544 antequam Ease ono s ut a St dado ies 125 Temp Basal abd dang c 125 Key Zeb a ouod iae be S aas ideis adt hae Geek cep ps 125 Replace Pump Body Dead Battery o o ooooooooooo eee 126 Nery Low qaia T LIE 126 NE LOW POWST L 126 LOW CArtEId PE uud ode uc ace d Ko ears tee rd sae eat a 127 Bossi ML ML RC 127 Reminder t heck BU a ga oaa SOURCES SCRI Ste A AA EUR end 127 POUMPA A A E EENT 128 Bous RR Chick 2c adios e Serb edo bao dedo e auro NO fusus et e dos 128 NOHCES dace ed bee o ac dH oet nde Spin Ao ao E ou ede lue eet dod 128 ACUSE BOS t itera ede Uere atado Ge ee eee qn 128 Calculation is Above the Bolus Limit o oooooooooooo 129 Carb Ratio Outside Normal Clinical Range ooooooooo 129 Delivery Canceled do Sand iG ue axes hee Bw hed wish a biden Kw edo 129 Delivery Complete copiar e SES eee dde d 130 vi Asante Snap Insulin Pump User Manual Do Not Bolus Check BG Soon eee 130 Pasto Wt Mimi sats ease HERE EE RN e dex 130 Insulin On Board Reset Avoid Bolus Stacking 131 Insulin Sensitivity Outside Normal Clinical Range 131 MissediBasalasulifi 4 00 be d Eu AT NUR RU b ote A 131 Missed Bolus TMS Unt ela 132 New Time is Prior to Last Known Time Continue
124. sired value and press NEXT S BOLUS 1 00 BACK NEXT EXIT Press E or to set the delivery time 30 minutes to 5 hours in 15 minute increments This 1s the period of time over which you want the bolus delivered Press START to deliver the bolus E NOTE If you programmed your pump to remind you to check your BG after a bolus delivery the BG Prompt message appears Press YES to receive a prompt Press NO for no prompt See BG Prompt on page 101 for information about this feature PROMPT TO CHECK BG IN X HOURS AND YY MINUTES YES NO The screen displays the total units and time over which the Timed bolus will be delivered TIMED BOLUS STARTED 1 00 DONE IN 120 MINUTES K ie Asante Snap Insulin Pump User Manual Setting a Combo Bolus A Combo bolus delivers part of the insulin immediately and the remainder over a specified period of time which you set Before setting a Combo bolus you must enable this feature See Enabling the Bolus Features Combo Timed on page 61 1 Main menu gt BOLUS MENU gt COMBO BOLUS 2 Press to increase the total Now Timed bolus units to the desired value and press NEXT SET COMBO U BOLUS 1 00 BACK NEXT EXIT 3 Press E or EM to adjust the units or percentage of insulin you want delivered now versus the amount you want delivered over time and press NEXT E NOTE If the Now or Timed portion is set to 100 the bolus will be delivered using only that method Now or
125. ss SELECT to select STOP PUMP If a bolus is programmed STOP BOLUS will also appear in the menu Selecting STOP BOLUS stops the bolus delivery only the basal delivery will continue STOP PUMP SELECT The pump 1s stopped PUMP STOPPED oK 3 Press OK to return to the startup screen Stopping and Starting Your Pump 89 Starting the Pump The only time you would need to start your pump is if you stopped it When the pump is stopped START PUMP is the only main menu option available Select START PUMP when you wish to continue your basal delivery 1 Main menu gt START PUMP 2 Press OK to select START PUMP START PUMP oK The pump is started PUMP STARTED OK 3 Press OK to return to the startup screen E NOTE If the pump was off long enough for basal insulin to be missed the amount that was missed appears Consult with your healthcare professional on the best way to handle missed insulin Press OK to acknowledge MISSED BASAL 0 10U OK 90 Asante Snap Insulin Pump User Manual Logbook Logbook Menu The Logbook menu contains options that allow you to view the history of various features The Logbook screens are read only which means they display information for viewing only You are not required to enter information The Logbook menu contains the following information e Bolus History e Daily Totals e BG History e Basal History e Average Report e Alarm History Bolus History Bolus Hi
126. story allows you to view your previously delivered boluses with date time bolus type and delivery details This feature 1s helpful for record keeping or to check if you bolused at your last meal 1 Main menu LOGBOOK BOLUS HISTORY The Bolus History screen displays the date time and units of the last bolus delivered BOLUS 1 15PM LOG 1 50 OCT05 DETAILS EXIT 2 Press 4 to scroll through the previous bolus deliveries Logbook 91 3 Press DETAILS at any bolus to see the type of bolus and amount NOW NOW 1 50 MORE EXIT 4 Press MORE to see the Smart bolus calculation if applicable carbs BG result insulin on board IOB Press OK to return to the DETAILS screen 8 03 CALC MANUAL BOLUS aou 0 350 NO CARB OR BG DETAILS OK EXIT 5 Press EXIT to return to the Bolus History screen and EXIT again to return to the Logbook menu Daily Totals Daily Totals provides a history of the total amount of insulin that was delivered each day This screen includes all bolus and basal amounts delivered from 12 am to 12 am as well as the details from a Smart bolus E NOTE The insulin used to fill the infusion set tubing and cannula are not included in the Daily Totals 1 Main menu gt LOGBOOK gt DAILY TOTALS The Daily Totals screen appears showing the total amount of insulin delivered today e TOTAL 44 90 OCT 04 DETAILS EXIT 2 Press 4 to scroll through the previous Daily Totals 3 Press DETAILS to see the det
127. t Always prime the tubing to remove all air bubbles from the tubing before beginning insulin delivery Air bubbles can compromise the accuracy of delivery see Priming the Tubing on page 36 for information Interference with the pump electronics by cell phones can occur if worn close together It is recommended that you wear the pump and cell phone at least 6 inches 15 cm apart If you return your controller for service and a replacement controller is sent do not use the replacement controller until all the settings specific to your treatment plan have been programmed and you have verified that they are correct See How Do I Restore my Settings from a Used Pump Body on page 116 for information on updating your replacement controller with the latest settings Do not use household cleaners chemicals solvents bleach scouring pads or sharp instruments to clean your pump Never put your pump in the dishwasher or use very hot water to clean it Do not use sharp objects such as pens to press the pump buttons Never use a hair dryer microwave oven or oven to dry your pump Use a soft cloth Introduction 9 Medical Procedures and Radiology X rays For all medical procedures discuss the use of the pump with the physician surgeon anesthesiologist and other appropriate medical personnel If the pump is to be disconnected for more than a short period of time discuss the need for alternative insulin administration If you wi
128. t break down slowly Since insulin delivery extends over a period of time the insulin 1s more likely to be available to match your individual needs Combo Bolus A Combo bolus delivers a combination of an immediate Now bolus followed by a Timed bolus The Timed portion 1s delivered evenly over a period of time 30 minutes to 5 hours A Combo bolus is useful for meals with both rapidly and slowly absorbed carbohydrates For example a Combo bolus would be appropriate for fruit with cheese and crackers The Combo option meets both immediate and extended insulin needs A Combo bolus is also useful for correcting elevated BG before a meal Enabling the Bolus Features Combo Timed 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt COMBO SETUP TIMED SETUP 2 Press to turn ON the option Example below shows Combo bolus ON SAVE EXIT SET COMBO BOLUS 3 Press SAVE The bolus option that you enabled will now be available from the Bolus menu If a Timed or Combo bolus is currently programmed neither the Timed nor Combo Bolus option will be available in the Bolus menu Advanced Bolus Features 61 Setting a Timed Bolus A Timed bolus delivers the insulin over a specified period of time which you set Before setting a Timed bolus you must enable this feature See Enabling the Bolus Features Combo Timed on page 61 1 2 3 62 Main menu gt BOLUS MENU gt TIMED BOLUS Press to increase the bolus units to the de
129. ting SET CARB G U 7 RATIO 30 0 BACK NEXT EXIT Press amp or to set the low target BG value and press NEXT If the low target BG you set 1s outside the normal clinical range a message appears Check to make sure your setting 1s correct You can leave the setting outside the normal clinical range or change the setting SET LOW mg dL TARGET BG 00 BACK NEXT EXIT Press ES or to set the high target BG value and press NEXT If the high target BG you set 1s outside the normal clinical range a message appears Check to make sure your setting 1s correct You can leave the setting outside the normal clinical range or change the setting SET HIGH mg dL TARGET BG 1 40 BACK SAVE EXIT Press amp or to set the IOB insulin on board duration and press NEXT EN 4 00 BACK NEXT EXIT Press or to set the IOB mode time P CORRECTION BACK SAVE EXIT Press SAVE Advanced Bolus Features 75 Disabling the Smart Bolus Feature The first time you set up the Smart bolus feature you will be prompted to turn on the feature Later you may decide to turn off the Smart bolus feature If you turn it off you will not be able to select SMART BOLUS from the BOLUS MENU to deliver a Smart bolus 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt SMART SETUP gt SMART ON OFF 2 Press to turn OFF the option Gum OFF SAVE EXIT 3 Press SAVE Delivering a Smart Bolus Before you can use the Smart bolus featu
130. to Off on page 105 for information 3 Leave a pump body with an infusion set attached to the controller When you remove your pump from storage replace the pump body cartridge and infusion set before resuming therapy 136 Asante Snap Insulin Pump User Manual A active insulin alarm alert Audio bolus B backlight basal insulin BG Glossary Bolus insulin that has been delivered to your body but has not yet been used by your body to lower your BG Also referred to as insulin on board IOB An audible indicator that notifies you that the pump needs immediate attention In the event of an alarm your pump will stop delivering insulin An audible indicator that reminds you of helpful information or notifies you of a situation that requires your attention A bolus you can set by pressing the upper right button and listening for a particular audible tone which indicates the bolus amount With each press you will increase the bolus amount by the specified step size Lighting that appears in the background of the controller screen when the screen 1s activated If no button 1s pressed the backlight turns off automatically A continuous infusion of insulin to keep the BG stable between meals and during the night Your pump 1s programmed to deliver insulin continuously throughout the day to meet the body s non food related insulin needs Blood glucose Glossary 137 BG log target BG units bolus b
131. u of situations that require your attention Alerts assist you with operating the pump Some alerts are simple reminders for example a reminder to check your BG Others may indicate a condition that requires an action soon Alerts have lower priority than alarms For example you will get an alert when the insulin level in the cartridge is low yet there is still plenty of time to change the pump body When the cartridge is empty you will get an alarm An alert is indicated by three audible tones followed by a short pause and the flashlight intermittently illuminating This tone pattern will play for 20 seconds while ALERT is shown on the screen The alert will repeat every minute for 5 minutes or until you acknowledge it After 5 minutes the alert tone will no longer be active but the alert details can be viewed by pressing any button The VERY LOW POWER alert will repeat for up to 30 minutes What To Do When You Get an Alert 1 Press SILENCE to silence the tone l SILENCE l 2 Read the alert message When you understand the reason for the alert press OK to clear the message 3 The startup screen will indicate that an alert has occurred After you acknowledge the alert the startup screen will indicate alert conditions that are persistent View the status screen for information about the alert See Status Screens on page 18 4 Refer to the following list of alerts for the appropriate action if necessary Also included with the cause an
132. ulin Target BG mg dL or mmol L Your normal blood E levels E EN NENNEN Insulin on Board IOB Duration The amount of time that bolus insulin lasts in your body IOB duration hours minutes Insulin on Board IOB Mode Determines how the Smart bolus calculator estimates the bolus amount IOB mode Correction All Personal Information 161 Duplicate Copy pate Profile A Profile B Basal Rate Start Time Basal Rate Basal Rate Start Time Basal Rate Number units hour Number M NE mW Profile C Profile D Basal Rate Start Time Basal Rate Basal Rate Start Time Basal Rate Number units hour Number units hour 1 meum O 162 Asante Snap Insulin Pump User Manual Insulin Sensitivity BG units U Insulin sensitivity is the amount your BG level is reduced by 1 unit of insulin Insulin Sensitivity mg dL U or mmol L U 1 pom poo Carb Ratio G U Carb ratios are used to calculate your meal boluses This ratio is the number of carb grams covered by 1 unit of insulin Target BG mg dL or mmol L Your normal blood p levels wage AE EY Insulin on Board IOB Duration The amount of time that bolus insulin lasts in your body IOB duration hours minutes Insulin on Board IOB Mode Determines how the Smart bolus calculator estimates the bolus amount IOB mode Correction All Personal Information 163 This page intentionally left blank 164 Asante Snap Insulin Pump User
133. ure not enabled PUMP ALERT IN 3DAYS 3HOURS iKe c 1e o q MENU EXIT last prime the type tubing or cannula and when it was performed LAST PRIME CANNULA 0 35 ENDED 2 DAYSAGO Mele lele 4 MENU EXIT e software version number SW REV Dec 14 2009 17 31 47 S DEVICE THHHEHHHHEHHE Ke c jeje d Menus The pump presents information using a main menu and various submenus When first learning to use the pump if you navigate to a place that s not familiar or you don t think you belong simply press EXIT to get back to the main menu or continue pressing EXIT to go all the way back to the blank screen For a graphical overview of the menu structure see Menu Map on page 165 Main Menu The main menu is the top level menu which contains options for operating and programming your pump Within the main menu are submenus display only screens and programming screens 20 Asante Snap Insulin Pump User Manual To access the main menu from the blank screen press any button to first access the startup screen Then press MENU 2 3 43PM IBN OCT 4 2010 LIGHT EN HUE EXIT O O O Press to select MENU The main menu contains a list of options that are displayed from left to right Three options appear on the screen at a time unless you are at the beginning or end of the list Press to scroll through the options SORIN STOP MENO MENU MON OOO The focus for selecting a
134. us 80 sensor 135 serial number 159 setting Audio bolus step value 85 auto off 105 basal limit 50 beep volume 106 BG log target 106 107 BG prompt 101 102 BG units 102 bolus button for Audio bolus 84 bolus button for Smart bolus 83 bolus limit 57 bolus reminder 88 bolus step value 83 button guard 107 108 Combo bolus 63 64 daily alerts 104 105 delivery limit 107 flashlight 109 intro screen 108 109 low insulin alert 102 103 notification timing 103 Now bolus 55 Now bolus during Timed or Combo 65 pump usage alert 110 111 screen timeout 110 temp basal rate 51 time and date 99 100 Timed bolus 62 Smart bolus 66 delivering 76 80 disabling enabling 76 editing 80 82 examples 71 73 170 Asante Snap Insulin Pump User Manual initial setup 74 75 personal settings 66 68 setting bolus button 83 step value 83 viewing details 77 78 specifications 143 155 starting pump 90 startup screen 17 status screens 18 20 step value Audio bolus 85 smart Timed Combo bolus 83 stopping Now bolus 56 pump 89 Timed Combo bolus 64 storage pump 136 T target BG 67 editing in Smart bolus 81 temp basal rate canceling 53 setting 51 verifying delivery 53 time and date 99 100 Timed bolus 61 enabling 61 setting 62 setting a Now bolus during 65 step value 83 stopping 64 tones 26 adjusting volume 106 alarm 117 alert 124 travel 5 troubleshooting 113 126 tubing connector 14 priming 36 42
135. utton guard C cannula carb ratio carb units Combo bolus controller D daily totals 138 Your BG target range that you set with the help of you healthcare professional This target range 1s used for Logbook calculations Blood glucose unit of measure mg dL or mmol L A dose of insulin given to cover an expected rise in BG such as for a meal or to lower a high BG A pump setting which allows you to lock the pump buttons so a button cannot be accidentally pressed A small tube that 1s inserted into the body Carbohydrate ratio The amount of carbohydrates covered by 1 unit of insulin This value is used by the Smart bolus to calculate a correction to your food bolus when counting carbohydrates in grams The food entry when using the Smart bolus Entered as carbohydrate grams A bolus that is a combination of a Now bolus followed by a Timed bolus Part of the bolus is delivered immediately and part is delivered over a specified period of time The part of the pump system with the screen and buttons It contains the electronics which control the pump A daily history of the total amount of insulin basal and bolus that was delivered for the past 30 days Asante Snap Insulin Pump User Manual F food bolus G gastroparesis insulin sensitivity IOB IOB duration N Now bolus P prime A dose of insulin given to cover the expected rise in BG that occurs after eating A con
136. ve your pump 2 insulin cartridge 14 compatible 148 empty alarm 120 insulin level 19 low level alert 102 103 127 viewing window 13 insulin on board understanding 68 when taking manual injection 2 69 insulin on board duration 68 editing in Smart bolus 82 insulin on board mode 68 editing in Smart bolus 82 insulin sensitivity 67 editing in Smart bolus 80 intro screen 108 109 L logbook alarm history 97 average report 95 97 basal history 95 BG history 94 bolus history 91 92 daily totals 92 94 low insulin alert 102 103 main menu 20 23 menu basal 44 bolus 55 logbook 91 map 166 prime 34 41 setup 99 stop 89 menus 20 main 20 23 navigating through 24 N notification timing 103 Now bolus 55 setting 55 stopping 56 P personal information 159 163 precautions 6 9 priming cannula 34 35 tubing 36 42 pump assembling 30 33 backlight 17 battery 13 136 buttons 15 cleaning 135 flashlight 26 menus 20 removing 2 screen 16 starting 90 stopping 89 storage 136 tones 26 106 pump alert 110 111 pump body 13 148 disconnecting from controller 38 39 pump screen 16 backlight 18 blank 16 113 distorted 113 startup 17 status 18 20 pump system 13 R removing your pump 2 replacing tubing 39 42 S safety 2 12 screen 16 backlight 18 blank 16 113 distorted 113 startup 17 status 18 20 169 screen timeout 110 sensitivity insulin 67 editing in Smart bol
137. vint indo a TL eye E aa 66 Information the Smart Bolus Feature Uses o o ooooooooo oo 66 Insulin SCUSINVILY sirisser ete RETA S DIAS ee ee eee eee S Eg 67 Carb ISO HO edenda Poe E det ode ie ch a dut eed Gt deed qus 67 T dtbetD OH QE 86 sors acce rA o e a SR acu E eA opel gel a doter E p 67 Insulin on Board Duration 00 ccs 68 Insulin on Board Mode 0 0 ccc eens 68 Understanding Insulin on Board 0 0 0 cece eee 68 iii How the Smart Bolus Feature Calculates a Bolus 70 Smart Bolus Bxamples sss ewe A eee Sabe eee ee eax 71 Setting up the Smart Bolus Feature for the First Time 74 Disabling the Smart Bolus Feature o o ooooooooooooo oo 76 D livermp a smart DOUS lt td oia 76 Editing the Smart Bolus Settings oooooooooooooono 80 ASUS CASINO data 80 COD ROO trato aa y ida y dd e Ra 81 Taget BO ero ARA 81 IOB Duration xvn REP eee bVE Rn OR RR OE I Pa eE E 82 IOB IOS estara 3 oi oe sanan Suc spur be I E S s 82 Setting the Bolus Button for a Smart Bolus o o ooooooooo 83 Settine the Bolus Step Value aie Ged he Re AR REO Rec Kw eR 83 AUTO BONT REPRISES A AS AA ER Ar laa 84 Setting the Bolus Button for an Audio Bolus o 84 Setting the Audio Bolus Step Value o oooooooooooo o 85 Delvenne an Audio Bos si Ai 85 Bolus Remindee 3 54 74d dd nop nod thew ber Leo ber doe
138. which you insert under your skin The other end of the infusion set is called the tubing connector which attaches to the pump body See Infusion Sets on page 149 for information on the infusion sets that work with the Snap System For information on your infusion set read the manufacturer s instructions 14 Asante Snap Insulin Pump User Manual Buttons Five buttons one on each side of the screen and three below are used to navigate through the menus and screens and program the features Upper Left Right Buttons The two upper buttons one on each side of the screen allow you to move from right to left and back within a menu They appear on the screen as arrows 4 and They also allow you to increase or decrease a value when you are programming settings In this case they appear on the screen as and symbols ES and ES The right button can also act as a shortcut to the Smart bolus or Audio bolus feature Lower Buttons The three buttons located below the screen allow you to perform various functions depending on the screen displayed Press the button directly below the function you wish to perform When a menu appears on the screen as shown below use the center button SELECT to select the highlighted menu option appearing directly above the button left button e moves to left in a menu e decreases a value right button moves to right in a menu e increases a value e bolus shortcut SELECT
139. y feature that limits the amount of insulin that can be delivered in a single bolus The default setting 1s 10 0 units You can specify the limit from 0 0 to 25 0 units It 1s important to discuss this feature with your healthcare professional to determine your maximum bolus amount E NOTE If the Audio bolus or Smart bolus is used to enter a bolus and the bolus amount exceeds the Bolus Limit the following message will appear NOTE CALCULATION IS ABOVE THE BOLUS LIMIT If you are delivering an Audio bolus you will need to reprogram the bolus and not exceed the Bolus Limit If you are delivering a Smart bolus you can continue however the bolus amount delivered will be up to the Bolus Limit 1 Main menu gt BOLUS MENU gt BOLUS SETUP gt BOLUS LIMIT 2 Press EM or to set the maximum units to the desired value MT 10 00 EXIT 3 Press SAVE Bolus Basics 57 This page intentionally left blank 58 Asante Snap Insulin Pump User Manual Advanced Bolus Features Bolus Menu The Bolus menu contains all the options you need for setting up and delivering a bolus This chapter covers how to set up and deliver a Smart bolus It also has information on Timed and Combo boluses as well as how to set a bolus reminder and use an Audio bolus to deliver a Now bolus For information on a Now bolus see Now Bolus on page 55 e Smart Bolus e Timed Bolus Now Bolus e Bolus Reminder Combo Bolus Bolus Setup The Smart Time

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