Addresses - Asante Snap
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1. accidentally being pressed If you cannot clear the alert contact customer service Alarm History KEY ALERT 120 Asante Snap Insulin Pump User Manual 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 28 Alarm History DEAD PUMP BODY BATTERY ALERT Very Low Cartridge Alert Message VERY LOW CARTRIDGE OK The cartridge has 1 5 units of insulin left Replace the pump body and insulin cartridge see page 28 Alarm History VERY LOW CARTRIDGE Very Low Power Alert Message VERY LOW POWER OK The Snap System battery has very low power remaining Replace the pump body and insulin cartridge see page 28 Alarm History VERY LOW POWER Troubleshooting 121 Low Cartridge Alert Message LOW CARTRIDGE OK The cartridge has reached the level set in the Low Insulin setting in the Setup menu see Low Insulin Alert on page 98 If you do not turn on the Low Insulin feature you will not get 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 LON CARTRIDGE Daily Alert Alert Message DAILY ALERT 6 00 PM OK i is the daily alert that you set see page 100 If you do not2. 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 Delivery Complete Message lt DELIVERY TYPE gt XX XXU FINISHED INSULIN ON BOARD XX XXU Notes Delivery type is Now Combo or Timed bolus or temp basal IOB appears only for a bolus delivery and only when the Smart bolus is 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 124 Asante Snap Insulin Pump User Manual 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 can connect a new pump body that has flashlight time 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 64 Action Consider your recent bolus deliveries when programming a
3. 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 and action 1s the alert message as it appears in the Alarm History screen in the Logbook See Alarm History on page 93 Troubleshooting 119 Bolus Stopped PCr MGS AES BOLUS STOPPED 01 4 Cause The bolus was stopped because the pump body was disconnected from the controller Reconnect the pump body to the controller After acknowledging the PUMP CONNECTED and MISSED BOLUS messages reprogram the remaining bolus BOLUS STOPPED Temp Basal Alert Message TEMP BASAL XXUH ZZ Example TEMP BASAL 0 30YH 35 DONEIN XH YYM DONE IN 4H15M 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 Action Check your BG Assess if the temp basal rate is still needed Cancel the temp basal if it is not needed see page 49 TEMP BASAL ALERT Key Alert Alert Message in A button has been pressed for more than 60 seconds Action Check the position of your pump to ensure a button is not
4. Assembling the Pump System on page 28 If no tubing connector was installed connect an infusion set as described in Assembling the Pump System on page 28 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 dau Message 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 103 Action Check your programming Monitor your BG and be aware that low BG may occur if excess insulin is programmed Discuss your pump settings and the Hourly Delivery Limit setting with your healthcare professional DELIVERY LIMIT ALARM 114 Asante Snap Insulin Pump User Manual Detach and Reconnect Pump Body Alarm Message DETACH AND RECONNECT PUMP BODY OK Cause A connection 1ssue 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 36 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 ihe wi after silencing the alarm to FROM YOUR BODY NOW display the second message OK
5. Cl SNAP Insulin Pump User Manual Copyright 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 Trademarks Glucagon Emergency Kit and Humalog are registered trademarks of Eli Lilly and Company comfort and inset are trademarks of Unomedical a ConvaTec Company Disclaimer 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 Caution Federal United States law restricts this device to sale by or on the order of a physician Addresses Manufacturer ull Asante Solutions Inc 352 East Java Dr Sunnyvale CA 94089 Telephone 408 716 5600 www asantesolutions com Authorized Representative EC REP i Emergo Europe Molenstraat 15 2513 BH The Hague The Netherlands Telephone 31 70 345 8570 C Coie LBL 1052 Rev E February 2013 Vill 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 glyc
6. 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 ena earner VERSION MISMATCH REPLACE PUMP BODY YES NO Cause The pump body was previously used with a controller that had a prior version of software You cannot use this pump body with the new software in this controller Replace the pump body and insulin cartridge VERSION MISMATCH ALARM 118 Asante Snap Insulin Pump User Manual Alerts Your pump will notify you 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 This tone pattern will play for 20 seconds while the alert message is shown on the screen The alert will repeat every minute until you press OK to acknowledge it What To Do When You Get an Alert 1 Press OK to silence the tone
7. 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 OK The insulin cartridge is empty Replace the pump body and insulin cartridge see page 28 Alarm History CARTRIDGE EMPTY ALARM Troubleshooting 115 Off No Power Alarm Message OFF NO POWER NOTE This alarm immediately produces sweeping tones at OK maximum volume The battery in your pump body has run out of power Replace the pump body and insulin cartridge see page 28 Alarm History NO POWER ALARM Pump Body Disconnected Alarm Message PUMP BODY DISCONNECTED OK 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 lasi Message 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 116 Asante Snap Insulin Pump Use
8. body When the insulin in the cartridge is finished you can dispose of the pump body the empty cartridge and the tubing However if the tubing becomes damaged and you need to replace it follow these instructions 1 2 Disconnect the infusion set tubing from the cannula 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 and match the line on the tubing connector with the top of the arrow on the pump body Press down on the tubing connector and turn slightly clockwise until you feel it click into place The line on the tubing Troubleshooting 109 connector will now match up with the line on the pump body and the edge of the tubing connector should align with the edge of the pump body as shown edges align P g g a 5 Connect the controller by aligning the click 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 6 Press OK when the pump connected message appears PUMP BODY CONNECTED OK If basal i
9. 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 Cause The insulin sensitivity you entered in the Smart bolus is acceptable but outside the normal clinical range Action Select YES to continue with the insulin sensitivity value Or select NO to change the value Troubleshooting 125 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 Missed Bolus Insulin Message MISSED BOLUS XX XXU if downtime is less than 12 hours MISSED BOLUS X X DAYS if downtime is more 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
10. 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 splash screen if it is enabled If the splash 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 160 with associated sub menus Menu Map 159 paluwesboJd si dnd y moy uo Buipuadap seadde ou Aew 10 Aew anjg yep ui p8 9119 suoido nuan toes 49 69 49 69 09 49 G9 0 u9eJ0S dnueS u 19S ysejds u 19S Yue g Asante Snap Insulin Pump User Manual 160 This page intentionally left blank
11. emic control The Snap 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 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 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 408 716 5600 General Troubleshooting The screen appears distorted The screen may appear distorted 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 e Make sure the pump is not exposed to heat or cold e Avoid using glasses with polarized lenses The screen is blank Extreme levels
12. m is indicated by four repeating audible tones that play for 20 seconds a message displayed on the screen and the flashlight intermittently illuminating The alarm will repeat every minute until you press OK to acknowledge it If not acknowledged the alarm tones will get louder and eventually be replaced with a sweeping tone 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 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 408 716 5600 What To Do When You Get an Alarm 1 Press OK to silence the tone 2 Read the alarm message When you understand the reason for the alarm press OK to clear the message 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 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 93 112 Asante Snap Insulin Pump User Manual Auto Off Alarm Message n K Cause You have not pressed any buttons for the time period you set for the A
13. nsulin 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 MISSED BASAL 0 10U OK 7 Make sure your infusion set tubing is not connected to the cannula Perform a tubing prime as outlined in Priming the Tubing on page 32 You will need to perform a tubing prime to program additional insulin to fill the tubing up to 20 units may be required Continue to prime until drops appear at the end of the tubing E NOTE If drops do not appear within 20 units of priming replace the pump body cartridge and infusion set 8 Connect the infusion set tubing to your infusion cannula It is not necessary to prime the cannula unless a new one was inserted 110 Asante Snap Insulin Pump User Manual 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 replacement 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 correc
14. 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 32 and check your settings If the screen 1s 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 107 dropped my pump 1 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 115 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 28 1 Ifyou did not receive the alarm messages mentioned above disconnect the infusion set tubing 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 32 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
15. prepare a new pump for use starting on page 28 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 28 1 Ifyou did not receive the alarm mentioned above disconnect the infusion set tubing from the cannula 2 Dry the outside of the 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 108 Asante Snap Insulin Pump User Manual 6 7 Reattach the pump body to the controller Prime 2 units of insulin through the tubing as outlined in Priming the Tubing on page 32 Verify that insulin drops form at the end of the infusion set If drops do not appear replace the pump body cartridge and infusion set Reconnect the tubing to the infusion cannula Check your BG several times over the next 3 hours What if need to replace my infusion set tubing The infusion set tubing should last for the life of the pump
16. r Manual Replace Pump Body Pump Error Alarm Message REPLACE PUMP BODY PUMP ERROR OK The system detected a possible error in the drive system Action Disconnect the pump body from the controller and reconnect see page 36 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 ann Mae 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 ate been used for an extended period Action _ Set amp DATE ALARM System Error Alarm Message ERROR NOTE Message text will vary XX_XXXXXXXXXXXXXXXXXAXX VVV 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 95 If this alarm occurs often contact customer service Alarm History Does not appear in Alarm History Troubleshooting 117 Setting Mismatch eae 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 if you wish to use the settings in the pump body
17. set a Reminder you will not get this alert E II Reminder Check BG Alert Message REMINDER CHECK BG OK This is the BG Prompt reminder that you set see page 97 If you do coe i turn on the BG Prompt feature you will not get this alert Check your BG soon Alarm History REMINDER CHECK BG 122 Asante Snap Insulin Pump User Manual Bolus Reminder Alert Message BOLUS REMINDER DO YOU WISH TO START A BOLUS NOW YES NO Cause This is the Bolus Reminder that you set see page 83 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 Calculation is Above the Bolus Limit Message NOTE CALCULATION IS ABOVE THE BOLUS LIMIT Cause The Smart bolus has calculated a bolus that exceeds the Bolus 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 Troubleshooting 123
18. t 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 27 How do extend the battery life If the battery is running out of power too soon follow these tips to help extend the life e Set the screen timeout to FAST see page 106 for details e Disable the flashlight or avoid using it See Disabling the Flashlight on page 105 for information on disabling it Troubleshooting 111 e Respond to alarms and alerts as soon as possible 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 alar
19. the pump system Action Verify that the date and time you entered are correct To change the date and time select NO 126 Asante Snap Insulin Pump User Manual Pump Body Connected PUMP BODY CONNECTED Pump Stopped some Settings Were Not Updated Message 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 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 Troubleshooting 127 WARNING Treat Low BG by Consuming Carbohydrates WARNING TREAT LOW BG BY CONSUMING CARBOHYDRATES 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 128 Asante Snap Insulin Pump User Manual This page intentionally left blank 158 Asante Snap Insulin Pump User Manual Menu Map The menu map on the following page allows you to see the menu structure at a glance From the Blank Screen a e Press the upper right
20. uto Off setting in the Setup menu see page 101 Clear the alarm to restart your pump Check your BG soon Alarm History AUTO OFF ALARM Blocked Set Alarm Message BLOCKED SET 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 not resolve the alarm check the sensor on the controller for moisture dirt or scratches See Cleaning on page 129 for details BLOCKED SET ALARM Troubleshooting 113 Check Tubing Connector alai 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
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