The DANA Diabecare RS Insulin Pump is a medical device designed for the continuous subcutaneous delivery of insulin. This quick reference guide provides an easy-to-follow, step-by-step guide to the most common and frequently used features of the pump. It is supplementary to the Instruction For Use (IFU), and users are advised to read the entire IFU, including all precautions and warnings, before commencing or using the pump. For advanced features and more complex operations, users should refer to the DANA RS IFU.
Function Description:
The DANA Diabecare RS Insulin Pump delivers insulin to the user, allowing for precise management of blood glucose levels. It supports various insulin delivery modes, including basal rates, quick boluses, and boluses with correction factors. The pump features a user-friendly interface with a keypad for navigation and an LCD screen for displaying information and menus. It also incorporates a bolus calculator to assist in determining appropriate insulin doses based on blood glucose levels and carbohydrate intake.
Important Technical Specifications:
- Insulin Reservoir: The pump uses a 3ml DANA Reservoir.
- Battery: The pump operates on a DANA lithium battery.
- Insulin Delivery: Basal rates are displayed in units per hour (u/h).
- Display: The LCD screen shows date, time, current basal rate, percentage of basal rate, and units remaining in the pump reservoir.
- Glucose Units: The pump can display Blood Glucose in either mmol/L or mg/dl, depending on the region and user settings.
- Cannula Volume: The preset volume for filling the cannula can be set up to a maximum of 1.0 unit.
Usage Features:
Inserting a Battery and Turning the Pump On:
- Use the supplied DANA battery key to open the battery compartment by turning it counter-clockwise.
- Install a new DANA lithium battery with terminals facing down.
- Place the battery cap back onto the pump and tighten it firmly using the battery key until it is firm and flush with the top of the pump.
- The pump automatically turns on and performs self-checks.
- Maintenance Tip: When changing the battery, clean the inside thread of the pump and the O-ring.
- Battery Advice: New DANA lithium batteries have a passivation film that prevents energy loss during storage. When first loading a new battery, the pump draws a high current to break this film. If the battery does not display 100% after the first bolus, remove and reinsert it 2-3 times to ensure the passivation film is fully broken, which will help the battery last as expected. Wiping a new battery clean with an alcohol swab is also recommended due to manufacturing processes.
Pump Main Keypad - Navigating the Pump:
The pump's UI is new and improved, working in a circular rotation through menus.
- (+) Button: Increases insulin dosages, time, and date.
- (-) Button: Decreases insulin dosages, time, and date, or exits to the previous menu (cancel/stop button).
- Right Arrow Button: Moves to the next function on the LCD screen or scrolls to the right in menus.
- OK Button: Selects the highlighted function on the LCD screen, confirms settings, or starts a bolus.
Pump Initial Screen:
The home screen displays:
- Date (1)
- Time (2)
- Current Basal Rate (3): In units per hour, with a flashing 'B' indicating active basal delivery.
- Percentage of Basal Rate (4): 100% indicates normal basal delivery without a temporary rate.
- Battery Indicator (5)
- Units Remaining in Pump Reservoir (6)
Loading an Insulin Reservoir:
- Preparation: Gather Analog Insulin (room temperature), DANA Reservoir (3ml), DANA Easy Setter, Linking Screw, DANA Infusion Set and Alcohol Swab (if required), and DANA Insulin Pump.
- Procedure:
- Remove and discard the round cap at the bottom (back) of the reservoir.
- Remove the thin white plastic cap from within the reservoir and set it aside.
- Hold the reservoir plunger barrel firmly and attach the linking screw, ensuring alignment and engagement.
- Push the linking screw (and barrel) to the top to prepare for filling, ensuring the double O-ring moves freely to prevent occlusion.
- Remove the needle protective cap and insert it into the 3ml vial of room temperature insulin.
- Use the needle protective cap to push the insulin plunger down, slowly pushing insulin into the DANA 3ml reservoir. Draw out the last bit by pulling on the linking screw and barrel.
- Place the clear needle protective cover back onto the needle. Gently tap the reservoir to make air bubbles rise, then gently push the plunger up to remove them.
- Twist and pull to remove the needle from the reservoir, then use the small white plastic stopper to seal the top.
- Insert the reservoir into the Easy Setter (it will protrude from the top).
- Press the button on the Easy Setter for 3 seconds to wind down the reservoir. Retrieve the adjusted reservoir.
- Remove the reservoir from the Easy Setter gently, without moving the plunger or adjusting the linking screw.
- Insert the reservoir into the pump and screw the reservoir cap down tightly.
- Input the insulin volume via the refill sub-menu, then select the prime option from the refill menu. Attach the new Infusion set tube to the pump and start priming.
- Stop or suspend priming when the tube is full of insulin and no air bubbles are visible (5cm of insulin tube = 1 unit insulin). Use the (-) key to pause.
- If using a Teflon (plastic) cannula, select the prime cannula menu to fill the empty needle after insertion and tube connection.
- Important Note: Priming the new infusion set tube is crucial to displace air with insulin. Failure to do so may result in inaccurate insulin delivery. Ensure insulin is seen moving through the tube and a puddle/droplet is displaced from the end of the tubing during priming.
Setting Basal Rates:
- From the MAIN MENU, select 'Basal'.
- From the 'Basal' menu, select 'Edit Basal'.
- Confirm the current Basal profile.
- Adjust the start and end times for the section (period) being changed. (TDD = Total Daily Dose).
- Adjust the Basal rate (u/hr) for the selected period.
- Press OK to save. A 'SETTING SAVED' screen appears. Press OK to finish, or use the right arrow button to move to the start time to set the next Basal rate.
- Confirm changes by selecting OK.
Setting Up and Personalizing the DANA Pump (User Options):
- From the MAIN MENU, select 'Option'.
- From the 'Setting' menu, select 'User Option'.
- There are 14 customizable options, including pump alerts (beep or vibration) and clock display (12 or 24 hour).
- Navigation: The right arrow button moves through the menu, while the (+) or (-) buttons change individual options.
- Saving Changes: Scroll through all options (even if no changes are made) and confirm all changes by selecting 'Exit' and confirming 'YES' to save.
- Options List:
- Time display (12 or 24 hour clock).
- Button Scroll On or Off (enables press and hold for quick scrolling).
- Beep On or Off (individual key depression beeps).
- Alarm Sound, Vibration or Both.
- LCD On Time (duration LCD display remains active before sleep mode).
- Backlight On Time (duration backlight remains on between button presses).
- Language (default language options).
- Glucose Unit (mmol or Mgdl, usually based on country of origin).
- Shutdown Time (setting before pump alarms due to no button presses; if unacknowledged, basal suspends).
- Low Reservoir (personalized low volume level for alarm, 10, 20, 30 units in 10u increments).
- Password (enables changing the pump unlock password).
- Cannula Vol (enables preset volume for filling cannula, max 1.0 unit).
- Modify Rate (change insulin volume within the reservoir).
- Exit (saves all changes).
Personalizing CIR and CF (Carbohydrate to Insulin Ratio and Correction Factor):
- From the MAIN MENU, select 'Bolus'.
- From the 'Bolus Option' menu, select 'Bolus Setting'.
- Select the first option, 'CIR/CF', from the setting menu.
- Set and personalize CF and CIR ratios for specific times of day.
- Dr. Mode Settings: A Healthcare Professional or Insulin Pump trainer will configure additional settings in 'Dr. Mode', including daily, hourly, and bolus maximums, Basal and Bolus increments, decreasing ratio (duration of active insulin), and target or Ideal BG.
Quick Bolus - Delivering a Food Bolus without a Correction:
This bolus ignores any residual Active Insulin.
- From the MAIN MENU, select 'Bolus'.
- Select 'Bolus' to deliver a standard food bolus without including a correction dose and without reducing the dose for Active Insulin.
- If enabled (extended bolus) in user options, the pump offers various bolus types:
- 'Step' is a standard bolus.
- 'Extended' delivers the bolus over a long period.
- 'Dual Pattern' is a combination of both types.
- Select OK to start delivery.
Delivering a Food Bolus with a Correction:
- From the MAIN MENU, select 'Bolus'.
- Select the 'BG Bolus Calculator' option from the Bolus menu.
- Input actual BG and grams of carbohydrate in the meal.
- The next screen displays the pre-programmed Ideal BG, Carb to Insulin ratio, and Correction factor. These can be altered or confirmed with OK.
- The pump calculates the suggested dose (G + C - A), which can be adjusted up or down.
- Select OK to start delivery.
- Note: DANA Insulin Pumps display Blood Glucose in mmol/L or mg/dl, depending on the region. This option can be changed in the 'user option menu'.
Temporary Rate Start and Stop:
- Starting a New Temporary Rate:
- From the MAIN MENU, select 'TEMPORARY BASAL'.
- Select the duration and percentage of the standard basal rate (e.g., 150% for a 50% increase, 80% for a 20% reduction).
- Select OK to start the TEMP. RATE.
- Stopping a Temporary Rate:
- From the MAIN MENU, select 'TEMPORARY BASAL'.
- The 'TEMP. STATE' screen is displayed. Press OK to STOP the TEMPORARY RATE.
- Confirm the STOP TEMP. RATE with OK.
Flying with an Insulin Pump:
- Before Flight:
- Refill the pump, ensuring no air in the reservoir.
- Load only enough insulin for 1 or 2 days (preferably about 1ml).
- During Flight:
3. Upon aircraft takeoff, disconnect the pump for ½ hour or until cruising altitude is reached.
4. Prior to aircraft descent, disconnect the pump and prime the tubing once landed before reconnecting.
5. In a mid-air emergency with oxygen masks deployed, disconnect the pump. Reconnect after departing the aircraft or when normal cabin pressure is achieved.
6. Carry a medical certificate advising insulin pump use.
7. Test BG levels frequently, especially during long-haul flights.
8. Carry non-liquid hypo treatment in accessible carry-on luggage.
9. Obtain comprehensive travel insurance covering diabetes and insulin pump use, ensuring it is named/listed on the policy.
10. Change pump time to destination time once at cruising altitude for each separate long-haul flight.
11. Take at least one spare glucose meter, batteries, and test strips. Change the glucose meter time with the pump.
12. Before departure, inquire about obtaining supplies at the destination. If necessary, arrange for someone at home to freight extra supplies.
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