Novo Nordisk NovoPen Echo Plus User Manual

Novo Nordisk NovoPen Echo Plus User Manual

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User guide
Read this user guide carefully before you use your
NovoPen Echo® Plus for insulin delivery the first time
Find a quick guide at the back of this manual

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Summary of Contents for Novo Nordisk NovoPen Echo Plus

  • Page 1 User guide Read this user guide carefully before you use your NovoPen Echo® Plus for insulin delivery the first time Find a quick guide at the back of this manual...
  • Page 2: Table Of Contents

    Contents If you need more insulin than Overview of pen parts Inside cover what is left in the cartridge Introduction Inside cover How to replace a used insulin Important notes cartridge Prepare the pen for an injection Special display messages Insert an insulin cartridge How to care for your pen If you use white and cloudy insulin...
  • Page 3 Insulin Piston rod Dose Dose LOT number window head pointer button (on reverse side) Pen cap Insulin Cartridge Piston Dose Pen ID Dose scale holder counter memory Dose memory Number of units last injected Time passed since last injection (hh:mm:ss) Single-use needle Insulin cartridge (example)
  • Page 4 – even if you have used Always remember to check the name and colour of NovoPen Echo® Plus or similar Novo Nordisk the cartridge to make sure it contains the correct delivery systems before. It will tell you all you need type of insulin before every injection.
  • Page 5: Important Notes

    8 mm. • Novo Nordisk is not responsible for harm Make sure you are confident in making an injection with the pen before you start your due to using NovoPen Echo®...
  • Page 6: Insert An Insulin Cartridge

    Insert an insulin cartridge • Pull off the pen cap. • Twist off the cartridge holder. Put it to one side for later use. • The piston rod may stick out of your pen. If so, push it completely in until it stops. The piston rod and the piston rod head may be loose and move on their own.
  • Page 7 • Take a new insulin cartridge. Hold the cartridge holder and let the cartridge slide in with the threaded end first as illustrated. The colour of your cartridge may differ from the one shown in the illustration. It depends on the type of insulin you use. Check the name and colour of the cartridge to make sure that it contains the type of insulin you need.
  • Page 8 • Twist the cartridge holder back on, as illustrated, until you hear or feel a click.
  • Page 9: If You Use White And Cloudy Insulin

    If you use white and cloudy insulin If you use an insulin cartridge with cloudy-looking insulin (white insulin suspension), always resuspend this right before injection. See the Penfill® cartridge 3 ml leaflet on how to resuspend your type of insulin. Make sure there is enough space in the cartridge before you resuspend the insulin: The piston must be above the white line on the cartridge...
  • Page 10: Attach A New Needle

    Attach a new needle • Take a new needle, and tear off the paper tab. • Push the needle straight onto the pen. Turn until it is on tight. • Pull off the outer needle cap and save it. You will need it after the injection, to safely remove the needle from the pen.
  • Page 11 • Pull off the inner needle cap and throw it away. A drop of insulin may appear at the needle tip. This is normal, but you must still test the insulin flow. The needle is covered by two caps. You must remove both caps.
  • Page 12: Always Test The Insulin Flow Before You Inject

    ALWAYS test the insulin flow before you inject ALWAYS test the flow before you inject. Keep testing until insulin squirts from the needle tip. This makes sure that any gap and air bubbles are removed and that insulin is getting through the needle.
  • Page 13 • Press the dose button until the dose counter shows “0”. The “0” must line up with the dose pointer. • Check that insulin squirts from the needle tip. If no insulin appears, repeat steps 1-3 until insulin squirts from the needle tip.
  • Page 14: Select Your Dose

    Select your dose • Pull out the dose button, if it is not already out. • Make sure the dose counter shows “0” before you start. • The “0” must line up with the dose pointer. • Turn the dose button to select the dose you need. You can turn the dose button forward or backward.
  • Page 15 If you need more than 30 units, you may choose to use another Novo Nordisk insulin delivery device with a higher maximum dose. The dose button should turn easily. Do not force it to turn.
  • Page 16: Inject Your Dose

    Inject your dose ALWAYS test the flow before you inject. • Check the name and colour of the cartridge to make sure that it contains the type of insulin you need. If you take a wrong type of insulin, your blood sugar level may get too high or too low. •...
  • Page 17 • Remove the needle from your skin. Always inject by pressing the dose button. Do not turn it. If you turn the dose button, you will not inject insulin. Always watch the dose counter to know how many units you inject. Do not count the pen clicks. The dose counter will show the exact number of units.
  • Page 18: After Your Injection

    After your injection • Remove the needle right away by screwing it into a sharps container. • If you do not have a sharps container, follow a one-handed needle recapping method. Lead the needle tip into the outer needle cap on a flat surface without touching the needle.
  • Page 19 • Hold the black cartridge holder and unscrew the needle. Throw it away carefully as your doctor or nurse has instructed you. • Put the pen cap on your pen after each use to protect the insulin from light. • Store your pen carefully. The pen should be out of sight and reach of others, especially children, see page 31 on how to store the pen.
  • Page 20: What Is The Dose Memory

    What is the dose memory? Your pen has a dose memory that shows how much insulin you last injected and the time passed since your last injection: Number of units • The number at the top shows the number of units last last injected injected.
  • Page 21 What does it remember? The dose memory in your pen also saves your injection history for the past three months. You can only view this information if you transfer it to, for example, a smartphone, tablet, PC or BG meter. See pages 20-21 on how to use the information to keep a personal injection log.
  • Page 22: How To Check Your Last Dose

    How to check your last dose • Make sure the dose counter shows “0“ before you start. The “0” must line up with the dose pointer. • Pull out the dose button. • Push the dose button back in. The dose memory will now show the details of your last dose.
  • Page 23 If you suspect that the dose memory displays incorrect details, for example if you have handled the pen differently than intended, always check your blood sugar level before you select the dose for your next injection. Do not turn the dose button when you check your last dose.
  • Page 24: How To Keep A Personal Injection Log

    If your device does not have a compatible app or other software, locate and download one or contact your Novo Nordisk supplier for information. Check your app or other software to see: • how to prepare the device for information transfer.
  • Page 25 Transfer your injection history to your device. on history to your device. • Hold the dose memory of the pen straight against the NFC ory of the pen straight against the NFC spot on your device. • Wait while the details of your latest injections are ls of your latest injections are automatically transferred to your device.
  • Page 26: How To Check How Much Insulin Is Left

    How to check how much insulin is left The dose counter will show exactly how much insulin is left in the cartridge, when there is less than 30 units left. • Turn the dose button until it stops. • Check the dose counter: - If it shows “30”: 30 units or more are left in the cartridge.
  • Page 27 • Use the insulin scale to see approximately how much insulin Insulin scale is left in the insulin cartridge. shows approx. how much insulin is left If you need more insulin than what is left in the cartridge, take your full dose from a new cartridge, see page 24.
  • Page 28: If You Need More Insulin Than What Is Left In The Cartridge

    If you need more insulin than what is left in the cartridge • If you need more insulin than what is left in the cartridge, take your full dose from a new cartridge. • Remove the needle. Twist off the cartridge holder and throw away the used cartridge.
  • Page 29 Only if trained or advised by your doctor or nurse, you may split your dose between two cartridges. If you become distracted, make a miscalculation or forget to test the flow, you may get a single under- or overdose which may lead to too high or too low blood sugar levels. If you feel unwell after splitting the dose, check your blood sugar and/or contact your doctor or nurse.
  • Page 30: How To Replace A Used Insulin Cartridge

    How to replace a used insulin cartridge • Remove and throw away the needle from your pen if the needle is still on, see pages 14-15. • Twist off the cartridge holder. When you twist off the cartridge holder, the piston rod sticks out of your pen.
  • Page 31 • Tilt the cartridge holder and let the cartridge slide out. Throw it away as your doctor or nurse has instructed you. • Push the piston rod back in. Then insert a new cartridge and twist the cartridge holder back on. Attach a new needle and test the insulin flow, see pages 6-9.
  • Page 32: Special Display Messages

    Special display messages Dose memory inactive or battery flat Battery is flat or the dose memory has not been activated What to do? Pull out the dose button, then push it back in to show the details of your last dose. If the display stays blank, the battery is flat.
  • Page 33 Last injection not registered Pen approaching end of life The dose memory has not registered your last The battery is running low, and the dose injection. memory is approaching end of life. What to do? What to do? Normally, the dose memory will start working The pen will last four to five years.
  • Page 34: How To Care For Your Pen

    How to care for your pen Care Cleaning • Only use your NovoPen Echo® Plus as • Only clean your pen with a mild detergent described in this guide. on a moistened cloth. • Do not drop your pen or knock it against •...
  • Page 35: Storage

    Storage Disposal • With an insulin cartridge inserted, please see • Do not throw the pen out with your the storage instructions in the Penfill® household waste. cartridge 3 ml leaflet that comes with the • Throw away your pen as instructed by Penfill®...
  • Page 36: Warranty

    NovoPen Echo® Plus fulfils the specification limits for reason to believe that a serious incident occurred, dose accuracy (essential performance) according to please report it to Novo Nordisk A/S and to your ISO 11608-1 Pen-Injectors for Medical use, national authority.
  • Page 37 Protection against ingress NovoPen Echo® Plus is marked with IP50, where: – 5 indicates protection against harmful amounts of dust. – 0 indicates that the device is not protected against liquid ingression. Protection against electrical shock Type: Internally Powered ME Equipment.
  • Page 38 Date of issue: 2019/05 © 2019 novonordisk.com Manufactured by: Novo Nordisk (China) Pharmaceuticals Co. Ltd. 99 Nanhai Road, TEDA 300457 Tianjin, P.R.China For: Novo Nordisk A/S Novo Allé DK-2880 Bagsværd, Denmark 8-4261-00-004-1...

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