Deltec Cozmo Step by Step Training Guide

Personalized Options / Basal Pattern...20 Maximum Basal Rate...20 Review or Edit Basal Pattern ...20 Select Name and Patterns 1-4 ...20

Personalized Options / Temporary Rate ...21-22 Temporary Rate in Menu ...21 Program Temporary Rate Using Percent or Units/Hour...21 Running Temporary Rate Reminder ...21 Give Reminder When Temporary Rate Complete...21 Display Temporary Rate Home Screen ...21 Review or Edit Custom Temporary Rate ...21-22 Temp Rate 1 Temp Rate 2 Temp Rate 3 Temp Rate 4

Using the Meal MakerTM Feature ...23-24 Programming the Meal MakerTM Feature...23 Entering Food Item’s Carb Grams ...23 Total Carb Grams Screen...23 Bolus Calculation Screen ...24 Bolus Delivery ...24

Review...25 Review Checklist ...25 Optional Home Screens ...25 Insulin on Board (IOB) Blood Glucose (BG) Site Reminder (SR) Temporary Rate (TR)

Table of Contents / Introduction

Personalized Options / Correction Bolus...19 Correction Bolus Display - Main Menu and Meal Bolus ...19 Blood Glucose Measured in mg/dl or mmol/L...19 Edit or Review Correction Factor by Time of Day ...19 Duration of Insulin Action ...19 Target Blood Glucose ...19 Display Insulin On Board Home Screen...19

Introduction Smart design and a friendly user interface make the Deltec Cozmo® Insulin Pump easy to personalize and use for more effective diabetes management. Most major functions are easily accessible, so important information is right at the user’s fingertips. This self-directed guide will assist you in learning how to set up and use the Deltec Cozmo® Insulin Pump. The Deltec Cozmo® Insulin Pump is menudriven. Words on the screen correspond to the keys below the words. Highlighted menu items are either boxed on the screen or shown in bold. Boxed

Bold

A checkmark appears next to a menu item that has been set or programmed. Checkmark

USER TRAINING TIPS The Deltec Cozmo® Insulin Pump must contain a cartridge in order for you to practice setting up features and using the pump. The pump must also have a programmed basal rate or it will alert the user to program a basal rate. 3

Pump Information / Setup

Pump Information/ Setup

Basic Pump Information Before you begin programming the Deltec Cozmo® Insulin Pump, please look it over to become familiar with its many features and information.

TOP OF PUMP 2

If you are training with a demo pump, the back label information is different than what is shown below.

1. Battery cap

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2. Cartridge cap

RIGHT SIDE OF PUMP

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3. Touch bolus button Raised button

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FRONT OF PUMP 4. Left program key This key is used to go back (Back) to a previous menu, to complete a programming step (Done), to review (Rev) or to stop (Stop) the pump. 5. Right program key This key is used to access menu screens. The two programming keys have different functions depending on the menu. The word above the key corresponds to its function. 6. Up and down arrow keys These keys allow you to move up and down within a selected (highlighted) menu item.

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Cartridge viewing window

IR windows

2004-03 A02695

7. Cover the cartridge tip with the white cartridge cap. Turn the cap clockwise to tighten.

USER TRAINING TIPS For today’s training session:

8. Turn plunger counterclockwise to remove it. Discard plunger.

• Your demo pump contains a cartridge.

• You will use air OR saline

9. Set cartridge aside.

Battery

Your demo pump has a basal rate programmed into it, and you will learn how to set and change basal rates.

The Deltec Cozmo® Insulin Pump uses one AAA alkaline battery. 2002-09-16 D. Zurn «cozmo-turn-batt-cover.eps»

Cartridge Assembly and Fill 1. Open the cartridge package by peeling back the upper edge of the clear plastic cover. Remove the contents. There are 3 items in the package: a needle with a clear cover, a 300-unit (3 ml) cartridge with plunger, and a white cartridge cap. 2. Attach the covered needle to the cartridge by turning the needle/cover clockwise. Remove the needle cover. 3. Prepare the cartridge by sliding the plunger up and down several times to distribute the invisible plunger lubricant, similar to sliding an insulin syringe plunger.

Pump Information / Setup

to fill a new cartridge and infusion set tubing. You will not be inserting an infusion set into yourself.

D. Zurn, 2001-08-29 needle-attach.ai

1. Use a coin to remove the battery cap. Insert the coin in the center of the battery cap and turn counter-clockwise. Remove the battery cap. 2. Insert the battery into the battery compartment, positive (+) side down. Replace the battery cap by using the coin to turn clockwise.

2002-09-16 D. Zurn «cozmo-insert-AAA.eps»

3. The pump will vibrate first. Then listen for 6 beeps. This is a self-test and indicates the pump is working properly. 4. Refer to the pump screen display. This is a home screen. After 15 seconds, the screensaver display appears.

4. Pull the plunger down to prepare to fill the cartridge with 100 to 300 units of air or saline. 5. Draw up the desired amount. If using saline, knock out bubbles. 6. Replace the needle cover and turn the needle cover counter-clockwise to remove the needle. Discard in a sharps container.

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Pump Information / Setup

Basal Rate Time

Screensaver and Backlight

5. From the Cartridge Menu press the right program key to select Load.

The screensaver displays the current time of day and current basal rate or alert. When the user is at a home screen and no keys or buttons are pressed for 15 seconds, the screensaver display appears, allowing the pump to save battery power.

6. The pump will then tell you to detach set from body, install filled cartridge, then press Load.

• Pressing the down arrow key turns on the screen backlight . The backlight can only be turned on from the screensaver. The backlight automatically turns off when the screensaver reactivates.

• The backlight blinks when the motor is running.

• Press any key on the keypad to deactivate the screensaver and return to the home screen.

7. Remove the cartridge from the pump by first turning the cartridge cap 1/4-turn counterclockwise. Then turn the cartridge 1/4-turn counterclockwise to remove it from the pushrod. 8. Insert the new cartridge into the pump. Do not push down on the cartridge! Attach the cartridge onto the pushrod by gently turning the cartridge 1 /4-turn clockwise to lock it onto the pushrod. PLEASE NOTE

USER TRAINING TIP Pressing the down arrow key turns on the screen backlight.

If the pushrod is not near the top of the cartridge chamber, please follow the prompts on the screen display: Not ready. Pushrod must move forward. Remove the cartridge, then press OK.

Cartridge Removal/ Insertion

The screen display will then read: Fast Forward. Please wait.

1. Press any key to go to any of the three Home Screens.

You will hear and see the pushrod move forward (from the bottom to the top of the chamber) automatically. Resume the cartridge load process below.

2. From the Home Screen select Menu. 3. From this menu with icons, use the down arrow key (located under the screen) to scroll through the menu, highlight Load. 4. Press the right program key to select Load.

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9. Refer to the pump screen. Press Load. You will hear and see the motor automatically load the cartridge into the pump. When the cartridge has completed

the load process, the motor sound will stop and you will return to the Cartridge Menu, where the Load box will be checked. 10. Attach the cartridge cap to the pump. Turn clockwise to tighten.

3. If using saline, when you see 4 or 5 drops of saline at the end of the tubing, press Stop.

4. Press Back to return to the Cartridge Menu.

USER TRAINING TIP After cartridge is loaded, turn the pump upside down. If the cartridge is correctly attached, it will NOT fall out when you turn the pump upside down.

Preparation of Comfort Set 1. Open the infusion set package, remove and unwind the tubing.

USER TRAINING TIP If the user sees air when saline (or insulin) is in the tubing after pressing Stop: 1. Press Start again.

2. Remove the white cartridge cover from the newly filled and inserted cartridge tip. 3. Attach the infusion set tubing through the opening hole in the cartridge cap and firmly tighten it onto the cartridge tip with the luer lock.

Fill Tubing Once you’ve loaded the cartridge, the prompt automatically moves to the Fill Tubing selection. 1. Press Select.

2. Press Start.

2. The screen will then display: Continue to fill tubing? Use the arrow keys to change No to Yes. Press the right program key to Select. 3. Press Stop when the air has moved through and out the tubing and you see 4 or 5 drops of saline at the end of the tubing. 4. Press Back to return to the Load Cartridge Menu. (If no keys are pressed, pump will automatically return to Cartridge Menu.) 5. Then, the pump screen will return to the sleep screen if no keys are pressed and display the word “Alert” next to the time. Pressing any key will return to the Cartridge Menu screen with Fill cannula highlighted. 7

WHEN TRAINING A USER WITH A NEW PUMP

USER TRAINING TIPS User should now insert site.

1. From the Cartridge Menu, scroll to Fill Cannula.

Once you’ve filled the tubing, you must fill the cannula.

2. Press Select.

Fill Cannula

3. Press the up arrow key to select the desired amount to fill the cannula.

WHEN TRAINING WITH A DEMO PUMP

4. Press Fill to fill the cannula.

Your demo pump has an amount of insulin highlighted. This is the amount of insulin used in the last cannula fill. The Deltec Cozmo® Insulin Pump remembers this amount each time the user completes the Fill Cannula step.

5. Press Done to return to Main Menu.

1. In the Cartridge Menu, the prompt automatically moves to the Fill Cannula menu. Press Select. 2. Attach tubing to access site to fill cannula. 3. Press Fill to deliver the amount displayed. The pump will fill the cannula, then return to the Cartridge Menu. 4. Press Done to return to the Main Menu.

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PLEASE NOTE If Done is not pressed, pump will alert that Load is not complete.

Insulin in cartridge Power in battery

Standard Home Screens Home Screen 1 Current basal pattern Current basal rate

Home Screens

Current basal pattern and rate

All programming, operating and alarm/alert information is shown in the Home Screen display. ALL HOME SCREENS DISPLAY 1. Insulin remaining icon: amount of insulin in the cartridge 2. Battery icon: battery power 3. A personalized pump name, or Cozmo if no name has been programmed 5. Stop (above left program key) 6. Up and down arrow icon 7. Menu (above right program key) The Deltec Cozmo® Insulin Pump has three standard Home Screens, plus four optional screens that can be enabled by the user. The following additional information is displayed on each Home Screen:

Stop delivery

Home screen number

Home Screen 2 Last program bolus Amount of bolus and time of delivery Last programmed bolus amount and time programmed; if active, extended or combination bolus active will appear on this screen

Home Screens

4. The Home Screen number

Enter Main Menu

Stop delivery or quick access to review Bolus History

Home Screen 3 Cozmo or personalized name Current date and time Personalized text Date and time (2 additional lines of custom text may be entered using CoZmanagerTM PC Communications Software)

Optional Home Screens When optional Home Screens are selected, use the up and down arrow keys to view. Illustrations of these screens can be seen on page 25.

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To Set Time and Date

Pump Setting Options Users can easily personalize options on their Deltec Cozmo® Insulin Pump. To begin: 1. Press any key to move to a Home Screen. 2. Press right program key below Menu to move to the Main Menu.

Pump Setting Options

3. Use the up and down arrow keys to move between the menu choices. When you make your choice, the menu item is highlighted, or boxed. 4. Press Select to enter into the menu you have chosen. After entering into a menu, you can change the item that is highlighted by using the up and down arrow keys. As you add personalized options, they will be added to the Main Menu. These choices include:

• Correction Bolus - See page 19 for programming information

• Temporary Rate - See page 21 for programming information

• History - See page 14 for programming information

1. Go to the Main Menu. 2. Scroll to and select Pump Settings.

3. From the Pump Settings menu, select Time and Date.

4. Change the highlighted (darkened) item using the up and down arrow keys. 5. Press Next to move to the next set of numbers. 6. Press Done when you’ve made your choices. You will return to the Pump Settings menu.

Set Beep or Vibrate 1. From the Pump Settings menu, select Beep/Vibrate.

2. Beep is the default. Use the arrow keys to change to Vibrate, if desired. 3. Volume default is high. Use arrow keys to select medium or low. Volume can only be adjusted if the Beep option is chosen. 4. Key Beep: Yes is default. Set to No for this training session. 5. Press Next. You will return to the Pump Settings menu.

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TO UNLOCK PROGRAM LOCK USER TRAINING TIP Set the user’s pump to Beep. After using the pump for a few weeks, the user may want to switch to Vibrate.

Program Lock When the pump is in lock mode, pump functions cannot be used until the pump is unlocked, but basal insulin delivery will continue.

1. Go to any Home Screen and select Menu.

2. Lock Code will appear. Use up arrow key to enter 17. Press Next.

3. This brings up the Main Menu. Select Pump Settings.

TO SET PROGRAM LOCK 1. From the Pump Settings Menu select Program Lock.

2. Enter code. Use up arrow key until you reach 17. This is the default code, and it is NOT changeable. The pump will not allow you to turn the lock on or off unless you know the proper code. Enter code number 17 (this code number cannot be changed), then press Next.

4. Scroll to Program Lock and press Select.

5. Enter code. Use the up arrow key until you reach 17. Press Next. 6. Change Yes to No. 7. Press Next.

Pump Setting Options

The pump is now unlocked, and you will return to the Pump Settings menu.

3. Press Next. 4. Choose Yes to lock program. 5. Press Back until you reach a Home Screen. This activates the lock program.

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DELIVERY LIMIT ALARM

Personalized Options

Alerts

Default is 40 u. Range is 1-150 u. These numbers represent the hourly insulin delivery limit. 1. 40 u will be displayed. Use the up and down arrow keys to change, if desired. 2. Press Next.

Alerts GLUCOSE REMINDER ALERT 1. From the Pump Settings Menu, select Personalize.

Default is 2 hours. Range is 1 to 4 hours in 15 minute increments. 1. After: 02:00 hr will be displayed.

2. This brings up the Personalize Menu. Alerts will be highlighted. Press Select.

2. Use the arrow keys to change No to Yes.

The screens that follow personalize the following:

4. Use arrow keys to set amount of time.

Personalized Options Alerts

• Low Cartridge Alert • Delivery Limit Alarm • Glucose Reminder Alert • Review or Edit Custom Alerts? • Low Blood Glucose Alert • High Blood Glucose Alert • Automatic Off Alarm • Site Reminder Alert • Review or Edit Missed Meal Bolus Alert?

To Program Alerts LOW CARTRIDGE ALERT Default is 20 u. Range is 5-50 u. 1. 20 u will be displayed. Use the up and down arrow keys to change, if desired. 2. Press Next.

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3. Press Next.

5. Press Next. REVIEW OR EDIT CUSTOM ALERTS? Default is No. 1. Use the arrow key to change No to Yes. 2. Press Select. At this point, the user can choose to create up to four custom blood glucose (BG) alerts and four additional reminder alerts. Program BG Alert 1 as a sample. 3. Press Edit to select BG Alert 1. 4. Use alert default is No. Use arrow keys to change No to Yes. 5. Press Next. 6. Time default is 12:00 AM. Range is 12:00 AM to 11:55 PM. Use arrow keys to change time in 5-minute increments.

7. Press Next. 8. Default type is Single. Use arrow keys to change type of alert to Daily. 9. Press Next. 10. You will return to Custom Alerts menu, where user can set custom alerts, as desired. 11. Press Done when all desired custom alerts have been set.

5. Default blood glucose limit is 200 mg/dl. Range is 150 to 300 mg/dl. Use arrow keys to change limit. 6. Press Next. AUTOMATIC OFF ALARM Default is No. 1. Use arrow keys to change No to Yes. 2. Press Next.

LOW BLOOD GLUCOSE ALERT Default is No. 1. Use arrow keys to change No to Yes. 2. Press Next. 3. Default time is 15 minutes. Range is 5 minutes to 1 hour. Use arrow keys to change time in 5-minute increments. 4. Press Next. 5. Default blood glucose limit is 70 mg/dl. Range is 50 to 100 mg/dl. Use arrow keys to change limit. 6. Press Next. HIGH BLOOD GLUCOSE ALERT

3. Default is 8 hours. Range is 1 to 24 hours. Use arrow keys to change time. 4. Press Next. SITE REMINDER ALERT 1. Site Reminder Alert default is No. Use arrow keys to change No to Yes. 2. Press Next.

3. Default setting for Display Site Reminder Home Screen is No. Use arrow keys to change No to Yes.

Default is No. 1. Use arrow keys to change No to Yes. 2. Press Next.

REVIEW OR EDIT MISSED MEAL BOLUS ALERT Default is No.

2. Press Select.

4. Press Next.

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Personalized Options Alerts

3. Default time is 1:30. Range is 30 minutes to 2 hours. Use arrow keys to change time in 5-minute increments.

1. Use arrow keys to change No to Yes.

3. The Missed Meal Bolus Alert programming screen will appear. Press Edit to choose Alert 1. 4. Default is No. Use arrow keys to change No to Yes.

Personalized Options

History

5. Press Next. 6. Default start time is 12:00 AM. Range is 12:00 AM to 11:30 PM. Use arrow keys to change start time.

1. From the Personalize Menu, scroll to History.

7. Press Next.

2. Press Select.

8. Default end time is 12:00 AM. Range is 12:00 AM to 11:30 PM. Use arrow keys to change end time.

The following is a list of options that can be displayed in the History menu. Choosing Yes to any of these options will add History as a choice on the Main Menu.

9. Press Next. 10. You will return to the Missed Meal Bolus Alert screen.

11. To program additional alerts, scroll to the next alert, press Edit and follow the above steps. 12. Press Done when all Missed Meal Bolus Alerts have been programmed. You will return to the Personalize Menu.

Personalized Options History / Regional Settings

History

Bolus History shows the date, time and amount of all boluses - including meal and correction boluses - currently contained in the “complete history” report. Complete History includes delivery totals, alerts, errors, battery changes, cartridge changes, changes to the pump program, etc. Each “event” in the complete history includes the date and time of its occurrence. It includes the last 4,000 events. Delivery Summary is a daily breakdown of insulin delivery and includes the daily total, meal bolus, carbohydrates, correction bolus and basal amounts. Avg Delivery Summary looks at parameters described in delivery summary, totals them over a number of days (2 to 30), and calculates an average.

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Personalized Options History / Regional Settings

Basal as Percent of TDD shows what percent of the total amount of insulin delivered each day is basal insulin.

Personalized Options

Regional Settings Avg Basal as Percent of TDD looks at what percent of the total amount of insulin delivered over a number of days (2 to 30) is basal insulin and calculates an average.

Blood Glucose History

Blood Glucose History allows you to add and view the results of your BG test if you decide to add the BG Home Screen. Average Blood Glucose History provides an average over a selected period of time if you have entered the above information. Display BG home screen? can be turned on in Pump Settings / Personalized / History. 3. For today’s demonstration, change all of the No default settings to Yes. 4. Press Next after each selection. When completed, you will return to the Personalize Menu. When you view your Main Menu later, you will see History as a new menu item with these options.

Regional Settings 1. From the Personalize Menu, scroll to Regional Settings. 2. Press Select.

3. Default Time Format is 12 Hour. Use arrow keys to change to 24 Hour, if desired. 4. Press Next. 5. Default Date Format is mm/dd/yy. Use arrow keys to change date format to dd/mm/yy, if desired. 6. Press Next. 7. Default for Number Format Decimal place is Period. Use arrow keys to change to Comma, if desired. 8. Press Next. You will return to the Personalize Menu.

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Personalized Options Meal Bolus

8. Press Next.

Personalized Options

Meal Bolus 1. From the Personalize Menu, scroll to Delivery and press Select.

2. The Delivery Setup Menu appears with Meal Bolus highlighted.

9. Screen will display: Meal Bolus In Menu. This asks the user to select an Extended and/or Combination Bolus as choices in the Meal Bolus Menu. Default for both is No. Use arrow keys to change No to Yes. 10. Press Next after each selection. 11. Extended and Combination Bolus will now appear in your bolus menu. 12. Screen will display: Touch Bolus. Default is Yes. 13. Press Next.

3. Press Select. USER TRAINING TIP TO PROGRAM A MEAL BOLUS USING UNITS-INSULIN 1. Once you select Meal Bolus from the Delivery Setup menu, the screen will display: Units-Insulin as the default setting.

Pressing the Touch Bolus button while on the Screensaver or any Home screen will allow the user to program a Touch Bolus.

2. Press Next. 3. Screen will display: When changing bolus maximum is: Default is 15.00 u. Range is 1.00 to 75.00 u. Use arrow keys to choose desired amount. 4. Press Next. 5. Screen will display: When changing bolus increment by: Default is 0.10 u. Options are 0.05, 0.10, 0.50, 1.00, 2.00, 5.00 u. Use arrow keys to choose desired amount. 6. Press Next. 7. Screen will display: Bolus Duration. Default is 1 minute. Options are 1, 2, 3, 4 or 5 minutes. Use arrow keys to choose minutes. 16

14. Screen will display: When changing Touch Bolus increment by: 0.10. This is the default. Options are 0.05, 0.10, 0.50, 1.00, 2.00, 5.00 u. Use arrow keys to make selection. 15. Press Next. You will return to the Delivery Setup Menu.

TO PROGRAM A MEAL BOLUS USING GRAMS-CARBS 1. Once you select Meal Bolus from the Delivery Setup menu, the screen will display: Program bolus using: Units-Insulin. Use arrow keys to change Units-Insulin to Grams-Carbs. 2. Press Next.

4. Press Next. 5. Screen will display: When changing Carbohydrates increment by: 5 grams. This is the default. Options are 1-5, 10 or 15 grams. Use arrow keys to make selection. 6. Press Next. 7. Screen will display: When changing bolus maximum is: 15.00 u. This is the default. Options are 1 to 75 u. Use arrow keys to make selection. 8. Press Next. 9. Screen will display: When changing bolus increment by: 0.10 u. This is the default. Options are 0.05, 0.10, 0.50, 1.00, 2.00 and 5.00 u. Use arrow keys to make selection. 10. Press Next. 11. Screen will display: Bolus Duration 1 minute. This is the default. Options are 1, 2, 3, 4 or 5 minutes. Use arrow keys to make selection.

14. Default for both is No. Use arrow keys to change No to Yes.

Personalized Options Meal Bolus

3. Screen will display: Insulin to Carb Ratio: 1 unit per 15.0 grams. This is the default. You can use arrow keys to choose desired ratio amount.

13. Screen will display: Meal Bolus In Menu. This asks the user if s/he wants to have Extended and/or Combination Bolus as choices in the Meal Bolus Menu.

15. Press Next after each selection.

TO PROGRAM A TOUCH BOLUS 1. Menu will display: Touch Bolus. Default is Yes. 2. Press Next.

3. Screen will display: When changing Touch Bolus increment by: 5 grams. This is the default. Options are 1-5, 10 or 15 grams. Use arrow keys to make selection. 4. Press Next.

REVIEW OR EDIT CUSTOM BOLUS 1. Screen will display: Review or Edit custom bolus? No is the default. Use arrow keys to change No to Yes. 2. Continue to set up to 6 different carb ratios (3 meals and 3 snacks).

12. Press Next.

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Personalized Options Correction Bolus

USER TRAINING TIP The Review or Edit custom bolus screen will only display in the pump when grams-carbs have been selected. With CoZmanager™ PC Communications System, 12 Custom Meal Boluses can be set using units of insulin or different insulin-to-carb ratios and names; however, the method of delivery must be set to extended or combination. There is no programmable feature to set up a Custom Meal Bolus for a standard meal bolus delivery in units of insulin.

3. Press Edit for Breakfast. Follow the screen prompts.

4. Press Next when you have made your choices.

5. You will return to the Custom Bolus Menu. Press Done.

6. You will return to the Delivery Setup Menu.

USER TRAINING TIP Notice the checkmark in the box after you have set the carb ratio for the meal or snack. This indicates the user will have these meals and/or snacks listed in the Meal Bolus menu.

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12. Press Edit.

Personalized Options

Correction Bolus 1. From the Delivery Setup Menu, scroll to Correction Bolus. 2. Press Select.

14. Press Next. The user can personalize up to 24 different correction factors by time of day at half-hour start times. 15. Press Done when all desired correction factors have been entered. 16. Press Back after reviewing correction factors. 17. Screen will display: Duration of insulin action. Default is 3 hours. Range is 2 to 8 hours in 15-minute increments. Use arrow keys to make selection.

4. Press Next.

18. Press Next.

5. Default for Meal Bolus is No. Use the arrow keys to change No to Yes. This will allow the user to program a correction bolus with a meal bolus.

19. Screen will display: Target Blood Glucose. Default is 150 mg/dl. Range is 80 to 200 mg/dl. Use arrow keys to make selection. 20. Press Next.

6. Press Next. 7. When Yes is set, the following screen will display: Blood glucose (BG) measured in: Default is mg/dl. Can choose mmol/L. Use arrow keys to make selection. 8. Press Next. 9. Screen will display: Correction Factor 40 mg/dl Edit or review? Default is No. Use arrow key to change No to Yes.

21. Screen will display: Display insulin on board home screen? Default is No. Use arrow keys to change No to Yes. 22. Press Next. You will return to the Delivery Setup Menu.

10. Press Next. 11. Screen will display: Correction Factor. The two column headings are Time and mg/dl. The default time setting is Midnight and the default mg/dl is 40. 19

Personalized Options Correction Bolus

3. Screen will display: Correction Bolus Display. Default for Main Menu is No. Use the arrow keys to change No to Yes. This will allow the user to program a correction bolus without a meal bolus.

13. Use arrow keys to change factor. Range is 5 to 30 mg/dl in 1 mg/dl increments; 30 to 100 mg/dl in 5 mg/dl increments; and 100 to 400 mg/dl in 10 mg/dl increments.

Personalized Options

Basal Pattern

11. Users can name Patterns 1, 2, 3 and 4. Use the arrow keys to choose a pattern number or one of five names that are programmed into the pump. Personalized names can be set with CoZmanager™ PC Communication Software. 12. Press Next.

1. From the Delivery Setup Menu, scroll to Basal Pattern. 2. Press Select.

Personalized Options Basal Pattern / Temp Rate

3. Screen will display: Maximum basal rate. Default is 2.00 u/hr. Range is 0.0035.00 u/hr in 0.05 u increments. Use arrow keys to make selection. 4. Press Next. 5. Screen will display: Review or Edit Basal Pattern. Default is No. Use arrow keys to change No to Yes. 6. Press Select. 7. Screen will display: Select pattern. 8. Press Edit to edit Pattern 1.

9. Screen will display: Pattern 1. Default for In Menu is Yes. Name Pattern 1. 10. Press Next.

USER TRAINING TIP The Deltec Cozmo® Insulin Pump must have a programmed Basal Pattern or the pump will alert the user. Make sure you enter appropriate rates for each pattern desired. 20

13. You will return to the Select Pattern menu, where the user can select additional patterns, if desired. 14. Press Done when you have selected the pattern(s) to appear as choices in the Basal Pattern menu. Basal rates are set from the Basal Pattern menu. You will return to the Delivery Setup Menu.

Personalized Options

Temporary Rate 1. From the Delivery Setup Menu, scroll to Temporary Rate. 2. Press Select. 3. Screen will display: Temporary Rate In menu. Default is No. Use arrow key to change No to Yes.

11. Screen will display: Display Temporary rate home screen? Default is No. Can change No to Yes. 12. Press Next. 13. Screen will display: Review or Edit Custom Temporary Rate? Default is No. Can change No to Yes. 14. Press Select. If No is selected, you will return to the Delivery Setup Menu. If Yes is selected: 1. Press Select.

4. Press Next. 5. Screen will display: Program Temp Rate using: Default is Percent. Can choose Units/Hr. 6. Press Next.

8. Press Next. 9. Screen will display: Give reminder when Temporary Rate complete? Default is Yes. Can change Yes to No. 10. Press Next.

3. Press Edit. 4. Screen will display: Custom Temp Rate: Temp Rate 1. 5. Scroll to In Menu. Default is No. Use arrow keys to change No to Yes. 6. Press Next. 7. Default Rate is 100%. Range is 1 to 250% in 5% increments. Use arrow keys to make selection. 8. Press Next.

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Personalized Options Basal Pattern / Temp Rate

7. Screen will display: When running Temporary Rate. Default Reminder is Yes. Can change Yes to No. Default for How often is 00:15 hr. Can choose 15 minutes to 2 hours in 15-minute increments. Use arrow keys to make selection.

2. Choose Temp Rate 1. The user can program four Custom Temporary Rates with one of four pattern numbers or one of three names. Eight additional Custom Temporary Rates can be programmed with CoZmanager™ PC Communications Software.