1. Introduction 2. Positioning the Syringe 3. Installing Insulin Vials on
Contents
1. 1 m a Return to the RECTANGULAR BASE of the Prodigy Count a dose Place the palm of your hand on the front and use your thumb or index finger to locate the rectangular hole on the top 2 Now remove the protective cap covering the needle Remember the syringe fits loosely in the Prodigy Count a dose so you must keep your hand around it holding the syringe firmly in place Hold the Prodigy Count a dose pointing the needle of the syringe toward the ceiling Pick up the T BAR and turn the insulin vials upside down so the bottoms of the vials are pointed upward Position the T BAR so the type of insulin you intend to draw first is on the left side above the needle CAUTION 6 The T BAR must fit into the rectangular hole Use the tab of the T BAR to locate your extended finger and guide the tab into the rectangular hole As the tab is being inserted the needle will penetrate the rubber stopper of the insulin vial The needle should slide easily into the vial If you encounter resistance such as ticking of the needle against plastic gently lift the T BAR realigning it and again slide the tab into the rectangular hole This technique eliminates the possibility of damage to or contamination of the needle NOTE The RECTANGULAR BASE of the Prodigy Count a dose and the T BAR guide are positioned so that when the needle is inserted into the rubber stopper all but2. On one end of the cross piece is a single large raised dot on the other end are two large raised dots These dots can be used to correspond to a type of insulin T SHAPED BAR Insulin Identification Dots D 2 Rubber lined Q Holes Rectangular Hole Click Dial Flange Notch Minus Sign Flange RECTANGULAR BASE You can place the regular insulin on the end with one dot and the suspension insulin on the end with two dots Insulin vials can be further identified by placing a rubber band or piece of tape on the Regular insulin vial Braille markings can be used to indicate the type of insulin contained in a vial and the expected date when this insulin vial will be empty This product is guaranteed to perform satisfactorily for a period of one year If for any reason your Prodigy Count a dose fails to operate properly return it with the original box and a copy of your sales slip to Prodigy Diabetes Care LLC for a free replacement L is i 2 Positioning the Syringe The syringe fits into the channel on the left side of the Prodigy Count a dose base To place the syringe in the channel you must remove the plastic cap covering the plunger Do not remove the long narrow cap protecting the needle at this time Push the plunger of the syringe in as far as it will go If the plunger is out even a fraction the syringe will not seat properly Also make sure the click dial on the
3. Prodigy Count a dose is turned completely toward the minus sign If it is not rotated as far as it will go the syringe will not seat properly t l oS U Lq t Q AS 4 Place the plunger against the flat side of the raised area as shown above The flanges will seat in their notches properly only if they are lying horizontally Slip the barrel of the syringe under the clip into the channel as shown below You may find it easier to reverse the procedure for positioning the syringe This means you would place the barrel of the syringe under the clip and then grasp the flanges and the plunger placing the plunger against the flat side of the raised area 5 The syringe fits loosely under the clip and the flanges on the syringe can be rocked from side to side G To be certain that your syringe is properly seated in the channel place your thumb on the click dial and move the dial a number of clicks toward the plus sign If the bracket is drawing the plunger out of the syringe the syringe is seated properly 7 Move the click dial all the way down toward the minus sign This will push the plunger back up into the barrel of the syringe 8 Set the rectangular base of the Prodigy Count a dose aside NOTE You will need to pressurize or inject air into your insulin vials to replace the insulin that you take out A procedure for pressurizing your insulin vials using the Prodigy Count a do
4. If you would like to measure 10 units of regular insulin and 15 units of suspension insulin you would usually begin by measuring the regular insulin If you are measuring suspension insulin first there is no need to change your procedure in order to use the Prodigy Count a dose 4 The dial of the count a dose should be rolled all the way down toward the minus sign 5 With the regular insulin placed on the left or syringe side move the dial 10 clicks toward the plus sign Each click of the dial toward the plus sign will draw 1 unit of insulin into the syringe 6 To add the suspension insulin into the same syringe switch the vials by lifting the T BAR off the base of the Prodigy Count a dose rotate the T BAR 180 degrees and insert the tab back into the rectangular hole The suspension insulin vial will then slip over the needle of the syringe 7 There should be no air bubbles in your syringe if you followed previously described procedure 2 above so do not attempt to clear air bubbles from the syringe once you have moved to the second bottle Do not move the dial toward the minus sign This will contaminate your second vial of insulin with liquid from the first vial 8 Move the dial toward the plus sign one click for every unit of insulin For 15 units of suspension insulin move the dial 15 clicks toward the plus sign You have now measured a total of 25 units of insulin 10 units of
5. regular insulin and 15 units of suspension insulin 9 Remove the T BAR and set it aside Insert your finger gently under the syringe plunger to unseat it from the slot Grasp the syringe by the flanges or the barrel and rotate it out from under the clip Do not allow the needle to slide under the clip where it might be contaminated 10 Return the bracket to zero by moving the dial back to the minus sign The bracket is very flexible and could be dislodged or bent if returned by pushing with the palm of your hand NOTE If you are using only one type of insulin the procedures are similar to what has just been described Follow the instructions for Drawing a Dose of Insulin steps 1 through 5 and steps 9 and 10 omit steps 6 through 8 Pressurizing Insulin Vials 1 After you have mounted your syringe in the Prodigy Count a dose move the click dial as far as it will go toward the plus sign This will draw 50 units of air into the syringe 2 Clean the top of your insulin vials mounted in the T BAR with an alcohol swab 3 Remove the protective cap covering the needle of your syringe 4 Mount the T BAR on the RECTANGULAR BASE of the Prodigy Count a dose 5 Move the click dial as far as it will go toward the minus sign This will inject 50 units of air into your insulin vial Repeat this procedure on your second insulin vial if you use two types of insulin 6 Use this procedure to press
6. 1 Introduction Before using your Prodigy Count a dose you should familiarize yourself with its physical characteristics and its operation The Prodigy Count a dose consists of a RECTANGULAR BASE which holds the syringe and a T SHAPED BAR which holds the insulin vials Lay the base of the Prodigy Count a dose on a table in front of you In one of the corners there is a rounded raised area Place this rounded raised area in the lower left corner This raised area has a round side and a flat side The flat side is where the plunger of the syringe will be seated Along the left side of the base is a channel The barrel and flanges of the syringe lie in this channel There are notches to secure the flanges Toward the upper left corner there is a clip that holds the barrel of the syringe in place The upper right corner is a flat smooth panel Immediately below this panel is a large raised B D 1 2 cc SYRINGE Rounded Raised plus sign below the Area plus sign is a notched click dial near the lower right corner is large raised minus sign On the top end of the RECTANGULAR BASE of the Prodigy Count a dose is a small rectangular hole in which the T BAR is mounted The T BAR of the Prodigy Count a dose consists of a small flat tab that slides into the rectangular hole and a cross piece that contains two rubber lined holes used to mount the insulin vials
7. a very small amount of insulin can be drawn from the vial Syringe batches may vary causing minor dosage discrepancies when used with Prodigy Count a dose To date reported discrepancies have not exceeded 1 unit greater or lesser than the desired insulin dose and have usually been lesser If up to a 1 unit discrepancy might significantly affect your diabetes control please discuss the matter immediately with your physician or diabetes educator Additionally we recommend that a sighted person verify the accuracy and or discrepancy of dosage whenever you begin to use a new batch of syringes Should you have any questions or concerns please call us at 1 800 243 2636 for technical support 6 Drawing a Dose of Insulin L itis absolutely necessary that the bottom of the insulin vial s be pointed straight up toward the ceiling when air bubbles are being removed from the syringe or when insulin is being drawn with the Prodigy Count a dose 2 Eliminate air bubbles in the syringe by drawing some insulin into the syringe and then ejecting it back into the vial To do this move the dial a few clicks toward the raised plus sign then move the dial all the way down to the raised minus sign Repeat this procedure 2 or 3 times in succession to clear the syringe of any air bubbles NOTE The following instructions are an example of a dose of insulin and do not apply specifically to your insulin requirements 3
8. se is described at the end of these instructions 3 Installing Insulin Vials on the T BAR 3 Turn the T BAR upside down placing the bottom of the insulin vials on the table 1 Place the top of the regular insulin vial in the rubber lined hole of the T BAR on the end with the single dot 4 Press down on the T BAR to be sure the vials are securely mounted Even when properly mounted the vials can be wiggled from side to side 2 If you are using a suspension insulin roll the vial gently between your palms mixing the cloudy material evenly through the solution Now mount the top of the vial of the suspension insulin in the other rubber lined hole on the end with two dots NOTE For daily use you do not need to remove the suspension insulin vial to mix it Simply roll the T BAR between your palms or rock it gently from side to side 4 Cleaning the Insulin Vials 1 The rubber stoppers on the tops of your insulin vials must be cleaned before you insert the needle 2 Place the bottoms of the insulin vials on the table with the tab of the T BAR pointing up 3 Examine the surface of the T BAR on both sides of the tab There are two small holes one on each side of the tab 4 You must swab in and around the holes with an alcohol swab to clean the rubber stoppers on the top of the insulin vials 5 Set the T BAR with mounted insulin vials aside 5 Mounting the T BAR on the RECTANGULAR BASE
9. urize your insulin vials whenever necessary If you would like information about blindness and diabetes contact The National Federation of the Blind 1800 Johnson Street Baltimore MD 21230 410 659 9314 e www ntfb org diabetes htm PRODIGY vs Count a dose These are instructions for operating your single increment lo dose Prodigy Count a dose If you have difficulty understanding these instructions you should seek assistance from someone knowledgeable about the Prodigy Count a dose blindness and diabetes The Prodigy Count a dose is a simple system to learn is well adapted to the use of non sighted alternative techniques and allows a blind diabetic to measure from one to fifty units of insulin in single unit increments The Prodigy Count a dose uses a BD Becton Dickinson lo dose 50 unit 1 2 cc insulin syringe Manufactured by Prodigy Diabetes Care LLC P O Box 481928 Charlotte NC 28269 USA 1 800 243 2636 www prodigymeter com 2010 Diagnostic Devices Inc Prodigy is a registered trademark of DDI Count a dose is trademark of DDI All other trademarks are property of their respective owners All rights reserved Cl Guide Rev 1 09 10
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