Table of Contents 4.2 Charging the Batteries Foreword 4.3 Settings Wizard 4.4 Home Screen Brief Introduction 4.5 Lock Screen 2.1 Indications 2.2 Patients 5 Basal Rate Adjustment 2.3 Contraindications 5.1 Understanding Basal Rate 2.4 Before Use 5.2 Base Basal Rate 2.5 How to Use This Guide 5.3 Editing Basal Programs (List Display)...
Page 4
Therapy Setup Reading Manually 7.1 Infusion Set Setup 10.10 Settings 7.2 Removing the Infusion Set 10.11 Blood Glucose Meter 7.3 Filling the Reservoir Troubleshooting 7.4 Assembling Reservoir to Pump 7.5 Disassembling the Reservoir Bolus Calculator 11.1 Introduction Replacing the Patch Pump 11.2 Using the Bolus Calculator 11.3 Settings Replacing the Reservoir...
Page 5
17.10 Transportation Additional Features 17.11 Storage 14.1 Audio Player 17.12 Other Considerations 14.2 Auto-Off 14.3 Food Database Specifications 18.1 General Specifications Suspend/Resume 18.2 Delivery 15.1 How to Suspend/Resume 18.3 Blood Glucose Meter 18.4 Bolus Calculator Alarms and Troubleshooting 103 18.5 Bolus Delivery 16.1 Patch Pump Alarms 18.6 Infusion Precision 16.2 PDA Alarms...
Thank you for choosing the Equil™ Insulin Patch Pump system. We believe This product is intended for that Equil™ will help you gain better control subcutaneous (under the skin) delivery of your diabetes to be able to live a of insulin at set and variable rates for healthy and active life.
concentration does not exceed 5.6 mmol/L. 2.4 Before Use 2.3 Contraindications • • Basal Rate • • configured with up to 48 scheduled basal • rate changes within one day. However, if you • • • Active Insulin Time •...
Homemed (Pty) Ltd, user guide thoroughly. Your healthcare can provide technical support for the device, professional can help you understand the usage in even greater detail. but cannot provide treatment advice for your medical condition. Equil Insulin Patch Pump System...
Instructions from your healthcare close supervision with a qualified professional regarding the amount of healthcare professional. insulin to administer if the pump is • interrupted, as well as your healthcare professional's contact phone number in case of emergency Equil Insulin Patch Pump System...
30-55%. • The PDA is the main interface for the High levels of vitamin C or other entire system. Please note the following reducing agents can lead to inaccurate results. precautions: Equil Insulin Patch Pump System...
NYHA Class IV or peripheral arterial occlusive disease. • Patients undergoing oxygen therapy may yield falsely low results. • Discard the used test strips and lancets according to your local infection control procedures. Equil Insulin Patch Pump System...
Page 12
If you suspect that your pump has failed, follow the instructions listed in Section 16: Alarms and Troubleshooting. Equil Insulin Patch Pump System...
Component Descriptions Patch Pump Pump System Components Battery Contacts Personal Diabetes Assistant (PDA) Bolus Button Motor System 3.2 Accessories Cannula Inserter Equil Insulin Patch Pump System...
Page 14
PDA Charging Cable Warning ! Use only accessories and disposables that are manufactured by MicroTech Medical, or with the Equil brand name. Use of non-standard components may affect safety of the device. Equil Insulin Patch Pump System...
Page 15
Note Summary of components included with the Equil Insulin Patch Pump System: • Disposable components not included Patch Pump: MTM-1 with this system, that need to be • Personal Diabetes Assistant (PDA): purchased separately: MTM-2 • Equil Insulin Reservoir •...
However, secondary functions such as data transfer capability and MP3 player functions will not work correctly Finger Hold without a memory card inserted. Figure 4 Equil Insulin Patch Pump System...
Page 17
Figure 6 Figure 7 Note Use only batteries and chargers from MicroTech Medical. Use of third party accessories may cause unexpected errors and will void your warranty. Equil Insulin Patch Pump System...
Page 18
(Help Button) If you need help with commands or functions of the PDA, you can press the Figure 8 Equil Insulin Patch Pump System...
Page 19
Blood Glucose Test Strip Port Inserting a MicroTech Exactive EQ blood glucose test strip into this port will activate the blood glucose test menu. For more information on how to use the blood glucose meter, refer to Section 10. Equil Insulin Patch Pump System...
If the PDA is on, the battery icon will however, the battery will charge faster if change to the charging icon. If the PDA is the PDA is off. off, a charging animation will appear. Equil Insulin Patch Pump System...
Page 21
Note If the PDA battery charger does not work, do not try to repair it. Please contact your local supplier for a replacement. 4.2.2 Patch Pump Battery Charger Figure 11 Figure 10 Equil Insulin Patch Pump System...
After entering the Settings Wizard, you a decrease in capacity or even battery will be presented with the Time and Date damage. setup screen shown in Figure 13. Equil Insulin Patch Pump System...
Page 23
Figure 14 box (Figure 15) that can be used to input the Figure 13 Figure 15 Equil Insulin Patch Pump System...
Page 24
The second screen in the Settings to open a dialog box (Figure 18) that can Wizard shows the basic basal settings be used to input the maximum basal rate. (Figure 17). Use the “+” and “- “ buttons to select Equil Insulin Patch Pump System...
Page 25
Figure 19 Note Figure 18 Note This feature is used to limit the maximum amount of basal delivery that can be administered by accident or maloperation. Off: U/hr: Equil Insulin Patch Pump System...
Page 26
Basic Bolus Settings The Bolus Increment setting (Figure 22) The third screen in the Settings Wizard allows you to set the interval used when shows the Basic Bolus settings (Figure 21). increasing or decreasing bolus amounts. Equil Insulin Patch Pump System...
Page 27
Note This feature is used to limit the maximum amount of bolus delivery that can be administered by accident or maloperation. Off: Figure 22 Figure 24 Figure 23 Equil Insulin Patch Pump System...
Page 28
Advanced Bolus settings, choose Next to enter the fifth Settings Wizard screen, or Previous to enter the previous setting screen. Alert Options The fifth screen in the Settings Wizard shows the Alert Options (Figure 26). If you Figure 25 Equil Insulin Patch Pump System...
After you have completed the Settings Wizard for the first time, you may return to the Wizard by going to the Home Screen and choosing Settings and then Settings Wizard. 4.4 Home Screen Figure 26 Equil Insulin Patch Pump System...
Page 30
Blood Glucose Test Reminder (BG Reminder): This icon will appear on describe the status of the pump and PDA. the status bar if a Test Reminder has been The icons shown on the left are generally programmed. Equil Insulin Patch Pump System...
Page 31
• Note PDA Battery Level: Press the button in the middle of the Status Bar and it will enlarge as in Figure Information Display Area: Function Buttons: Figure 28 Equil Insulin Patch Pump System...
4.5 Lock Screen If you press the power button to switch Unlock Area the display off, or the display switches off Figure 29 Equil Insulin Patch Pump System...
Page 33
Time and Date Display Area Information Display Area Note Unlock Area Note Equil Insulin Patch Pump System...
In the next sections you will learn to edit a basal program by modifying the base basal rate in different time periods. Basal Program Action Buttons Figure 30 Equil Insulin Patch Pump System...
Page 35
Quick Basal Program Setup Note Browsing Settings Reviewing Basal Programs Note The Quick Basal Program Setup is only an estimate of your daily basal needs. Consult your healthcare professional for more specific dosages. Equil Insulin Patch Pump System...
Page 36
Settings Wizard, so by default all 24 hours of the basal program are set to this delivery rate. To add a new basal time period, press the Change Settings button to enter the basal edit Equil Insulin Patch Pump System...
Page 37
Press the button to add a new basal time period (Figure 33). After editing is complete (Figure 34), the basal rate time will automatically be divided into multiple time periods. Figure 33 Figure 34 Equil Insulin Patch Pump System...
first time, you must start basal on when and how to set a temporary delivery by activating a basal program. basal rate. Thereafter, activating a new basal program will supersede any programs that were previously running. Equil Insulin Patch Pump System...
Page 41
Note The Rate can either be set in U/hr or by % of the current basal rate. For more info about settings, see Section 5.7 Figure 39 Figure 38 Equil Insulin Patch Pump System...
The corresponding Temporary Basal Rate button will be greyed out. U/hr: Temporary Basal Rate will be displayed in U/hr. %: Temporary Basal Rate will be displayed as a % of the current basal rate. Figure 40 Equil Insulin Patch Pump System...
Carbohydrates, proteins and fats all affect your blood glucose level differently (Figure 41). There are two types of boluses that can be administered to address different types of food intake. Blood Glucose Carbohydrate Protein Figure 42 Time Figure 41 Equil Insulin Patch Pump System...
(Your last bolus amount and time will be The Bolus Screen contains three shown as a reminder). programmable preset boluses (Figure 45). While the pump is delivering, the PDA will revert to the Home Screen and display the bolus status (Figure 44). Equil Insulin Patch Pump System...
Equil Insulin Patch Pump System You can administer the bolus now by Note 6.2. pressing the Start button as in Section All three presets can be administered in any order, but only one can be administered at a time. 6.4 Extended Boluses 6.4.1 Extended Bolus with...
Page 47
Bolus window (Figure 48). Note Figure 48 Amount Now: The bolus amount to be administered immediately Extend amount: Total Bolus ‒ Amount Now Extend Time: The time period over which Figure 49 the extended amount will be administered. Equil Insulin Patch Pump System...
Page 48
Section 6.4.1. To administer an Extended Bolus Without Amount Now, set the Amount Now to 0 (zero). No immediate bolus will be administered, and the total bolus amount will be administered over the time period specified. Figure 50 Equil Insulin Patch Pump System...
6.5 Quick Bolus The Equil Insulin Patch Pump System has Note 6.5.1 Quick Bolus Using the PDA Figure 51 Equil Insulin Patch Pump System...
Page 50
With each subsequent button press, the If the number of tones is correct, press the bolus size will increase by a predetermined Enter (Select) button one last time, and the increment. This increment can be set bolus will be administered. Equil Insulin Patch Pump System...
OFF: Extended bolus function is off, and corresponding button will be greyed out (default) U: The Amount Now will be displayed Figure 52 in Units of insulin (U). %: The Amount Now will be displayed Equil Insulin Patch Pump System...
Page 53
Quick Bolus Settings: Check the checkbox next to Quick Bolus to enable the Quick Bolus function. Additional Quick Bolus settings will be activated. a) Quick Bolus Increment: Sets the amount that the bolusincreases with every Quick Bolus button press. Equil Insulin Patch Pump System...
2-3cm away from your use only infusion accessories from navel. Do not use the abdomen if you are in MicroTech such as HRN-S-60, HRN-S-90, your 3rd trimester of pregnancy. HRN-H-45, or HRN-H-65. Front Back Figure 53 Equil Insulin Patch Pump System...
Page 55
Figure 54 Figure 56 Note When pressing the release button, the other hand must be pressed against the bottom of Figure 55 the cannula inserter and the baseplate cannot be lifted. Equil Insulin Patch Pump System...
Firmly push the top of been removed. the inserter to eject the needle hub (Figure 58) and dispose of properly. Note Dispose of the insertion needle properly in a medical sharps container. Figure 59 Equil Insulin Patch Pump System...
fill adapter as in Figure 60. Figure 61 Figure 60 With the insulin vial or cartridge on top, slowly pull the pullrod and draw insulin into the reservoir as in Figure 61. Figure 62 Equil Insulin Patch Pump System...
Page 58
Figure 65) away from the reservoir to release the fill adapter. Note The fill adapter contains a needle, please dispose of properly. Figure 63 Remove the insulin vial or cartridge from the fill adapter (Figure 64). Figure 65 Equil Insulin Patch Pump System...
Holding the pump and reservoir in the orientation shown in Figure 69, bend the assembly along the seam line as shown until the reservoir separates from the pump. Be sure to recharge the battery Figure 69 Equil Insulin Patch Pump System...
Figure 70. Apply a new infusion set (Section 7.1), assemble a filled reservoir and a charged battery (Section 7.3 and 7.4) to the pump as shown in Figure 70. Equil Insulin Patch Pump System...
Page 63
(Section 7.5), dispose of the old reservoir and then assemble a filled reservoir and a charged battery to the pump as shown in Figure 70 on previous page. Press Continue to go to the next page. Note Equil Insulin Patch Pump System...
Page 64
Enter the New Pump Serial Number in the space provided (Figure 73) using the onscreen keyboard. Press the Back button to exit the keyboard and press Continue. The PDA will attempt to connect Figure 71 Equil Insulin Patch Pump System...
Page 66
Connect the pump to the infusion set as shown in Figure 77 and press Continue. Figure 75 Needle Tip Figure 76 Equil Insulin Patch Pump System...
filling a new reservoir, and assembling/ disassembling the reservoir (Section 7). If the insulin reservoir connected to your pump is empty, you should replace the reservoir. infusion set as shown in Figure 79. Press Equil Insulin Patch Pump System...
Page 70
Figure 80. Press Continue to go to the next page. Note Be sure to use a fully charged battery. A low battery may require you to change reservoirs more frequently, resulting in wasted insulin. Equil Insulin Patch Pump System...
Page 72
(Figure 82). The Figure 81 background of the "Next" button will be enabled when it changes from grey to green. Press Continue to go to the next step. Needle Tip Figure 82 Equil Insulin Patch Pump System...
Page 74
Now choose whether or not to prime the cannula (Figure 84). Upon completion, the Figure 84 pump will begin to deliver. Note Skip only if the infusion set was not replaced (and thus cannula doesn't need to be filled). Equil Insulin Patch Pump System...
It can be used for both self-testing A lancing device is not included with the and professional use. Test results can be Equil Insulin Patch Pump System, but can be purchased separately from the used to manage blood glucose levels, but local distributor.
Page 76
Figure 86. Figure 87 Carefully install the lancing device cap onto the lancing device, avoid touching the lancet needle tip (Figure 88). Figure 86 Figure 88 Equil Insulin Patch Pump System...
Page 77
Washing your hands in hot water increases blood circulation. You can also massage from wrist to finger to promote better blood circulation (Figure 91). Figure 89 Equil Insulin Patch Pump System...
(Figure 92). callouses. 10.4 Lancet Removal Unscrew the lancing device cap. Firmly push the needle into the safety cap as shown in Figure 93. Equil Insulin Patch Pump System...
Page 79
Clean your lancing device before and after use with an alcohol wipe or a disinfectant wipe. Be sure to clean the part of the device that touches the finger. Do not immerse the lancing device in water. • Figure 94 Equil Insulin Patch Pump System...
EQ test strip and the blood glucose meter strip by sliding the ejector button as shown screen will appear (Figure 96). in Figure 95. Figure 95 Figure 96 After the strip has been inserted, apply blood as shown on the screen. When Equil Insulin Patch Pump System...
Page 81
After the test has been completed, slide Figure 97 the test strip ejector to pop out the test Test Result Area: strip. Ejecting the test strip or pressing the back button will return the display to your last screen Equil Insulin Patch Pump System...
(preferably eight hours) before testing. Bring your PDA, test strips, and control solution to the lab. Ensure that the time between tests with Figure 98 your PDA and the laboratory is within 15 minutes. Equil Insulin Patch Pump System...
first drop and drop the second drop onto a clean nonabsorbent surface. Now touch the second drop to the sample area of the test strip. Do not let the bottle come into Equil Insulin Patch Pump System...
Page 84
If a big bubble forms, wipe with clean cotton wool, and then do the following: If the test window is not full, do not add more solution. Discard and try again with a new strip. Equil Insulin Patch Pump System...
Page 88
Status Bar. Pressing the OK Button will return you to the main BG Reminders screen and your new BG reminder will appear. Now, you can enable/disable the reminder by checking/unchecking the box (Figure 104). Equil Insulin Patch Pump System...
If you have recently taken a bolus, there could still be active insulin in your body. The Bolus Calculator automatically subtracts the amount of active insulin based on your last bolus and the Active Insulin Time you enter in the settings. Equil Insulin Patch Pump System...
Page 92
If you do not intend to eat and do not want a meal bolus, choose No and skip to step 3. Note If you are not eating, the bolus calculator will not take into account carbohydrates that you will eat. Figure 106 Equil Insulin Patch Pump System...
Page 93
BG Reading, carb intake and active insulin. The last item is the Suggested Bolus amount. Note Action Buttons: • Extend Bolus: extended bolus features (see Section 6.4). • Start: • Details: Figure 107 Bolus Amount: Equil Insulin Patch Pump System...
Bolus Calculator settings boluses. Since everyone has a different by pressing Settings then Insulin Delivery metabolism, set this value under the Settings. guidance of your healthcare professional. Equil Insulin Patch Pump System...
Page 95
Insulin Sensitivity Factor (ISF) Note Since everyones values are different, choose your settings under the guidance of your healthcare professional. Negative Correction Active Insulin Time Equil Insulin Patch Pump System...
Below the date, you can see the BG average, Total Carbs, Total Insulin and bolus % of total insulin for the day. Equil Insulin Patch Pump System...
Page 97
12.1.2 Graph Display Insulin Delivery Amount: If you hold the PDA in landscape orientation, daily information will be displayed in a Graph Display mode (Figure 109). Figure 109 Equil Insulin Patch Pump System...
Figure 110 At the bottom of the screen, you can choose different filters to show, for example, the averages of all readings that were taken Before/After Exercise or Before/After a meal. Equil Insulin Patch Pump System...
Page 99
The left side of the screen shows the time, while the top of the screen shows the day. You can scroll through and tap different time periods to view detailed information regarding BG level, Carbs entered and bolus amounts. Equil Insulin Patch Pump System...
Therapy must be suspended before time and date settings can be modified. 13.2 About the System From General Settings, choose About System. Figure 112 Equil Insulin Patch Pump System...
Software version: History Export: PDA Serial Number: 13.5 Display Pump Serial Number: Brightness: 13.3 Language Screen Timeout: time that it takes the display to switch off due to inactivity. 13.4 Memory Card Total Space: Available Space: Equil Insulin Patch Pump System...
Note Once the factory settings have been restored, all saved settings will be lost (except for time). Please make a note of all important settings before restoring factory settings. Figure 113 Equil Insulin Patch Pump System...
Page 103
Using the devices on the list, the PDA has the following Bluetooth options: If a device on the list is not paired, press the device name to pair it with the PDA and a pop up window will open to enter the Equil Insulin Patch Pump System...
Page 104
If a device is already paired with the PDA, pressing the device name will open a dialog box (Figure 117) that will allow you to either export history via Bluetooth or unpair the device. Figure 117 Equil Insulin Patch Pump System...
Note allow the pump to rewind. Remember that While in Suspend mode, the PDA will rewinding the pump will require priming beep every 15 minutes to remind you the reservoir again. that delivery has stopped. Equil Insulin Patch Pump System...
Medium priority alarms occur when the delivery function has stopped due Note to technical failure, requiring the user to intervene in the operation of the pump, change the pump, or possibly inject insulin manually to control BG levels. Equil Insulin Patch Pump System...
Page 109
PDA Alarm Priority Level s Alarm Level Visual Signal Audio Signal Patch Pump Alarm Priority Levels Alarm Level Visual Signal Audio Signal Vibration Signal Audio Alarm Volume Device Sound Pressure Level ( dB) Patch Pump Equil Insulin Patch Pump System...
Please check the preprogrammed this way. For details, battery connection and the pump status, please refer to 14.2. Measure your blood glucose level. Equil Insulin Patch Pump System...
A pop-up window will appear on the PDA display to show more information and proposed Note solutions to the alarm. Press“OK”to close the pop-up window. Replace the reservoir to re-initialize the system and continue delivery. Equil Insulin Patch Pump System...
T5-T4: The amount of time between when the PDA receives the alarm to issuing the alarm signal ≤0.1s. ALARM SIGNAL generation Algorithm variable response Instantaneous signal from PATIENT ALARMLIMIT Figure 121 Graphical Representation of Alarm Delay Equil Insulin Patch Pump System...
PDA. Sold in a Vial: • Store test strips in a clean, dry • Test strips should be stored in the tightly environment at 5-30℃ (41-86 ℉). Do not capped vial that is provided. Equil Insulin Patch Pump System...
first opened and discard after 6 months. Test Strip Precautions: in vitro removing it from the package, otherwise the test results may not be accurate. • • Equil Insulin Patch Pump System...
Page 116
Do not swallow or inject. Store the control solution in the temperature range 5-30°C (41-86°F). • Control solution should be shaken • before use. Do not refrigerate or freeze the control solution. • Quality control tests should be carried Equil Insulin Patch Pump System...
PDA will not be able 17.10 Transportation communicate with the pump. Avoid placing heavy objects on top of the patch pump and PDA. Avoid direct sunlight and rain. Transport according to the transportation conditions. Equil Insulin Patch Pump System...
1-24 hours, 1 hour increments, 10 hours by default Memory Behavior During Power Off All settings and records retained after power off. Frequency: 2.402GHz~2.48 GHz Bandwidth: 1Mbps Wireless Frequency and Bandwidth Wireless Modulation GFSK Radiated Power -2dBm Warranty 4 Years Equil Insulin Patch Pump System...
18.6 Infusion Precision At 1U/h delivery rate, the error was measured at 0.4% as shown in Figure 122. Note Figure 122 The above test results were achieved using pump serial number 0A001 and reservoir batch number G13B25001 Equil Insulin Patch Pump System...
18.8 Occlusion Alarm Time The Table below shows two delivery Rate Typical Time Maximum Time Before Alarm Before Alarm Figure 123 18.7 Occlusion Detection (Maximum Infusion Pressure) 18.9 Overdose/Underdose The pump contains sensors that verify the infusion accuracy. Equil Insulin Patch Pump System...
Portable and mobile RF communication Performance Specific Description interference may have an impact on the device. Infusion Precision within the ±5% Please use the cables and accessories provided. The cable information is as follows: Equil Insulin Patch Pump System...
Page 126
3 A/m 400 A/m The power frequency magnetic field (50/60 Hz) should have the characteristics of power magnetic field frequency magnetic field level at a IEC 61000-4-8 typical place in a typical commercial and hospital environment Equil Insulin Patch Pump System...
Page 127
Guidance and manufacturer's declaration ‒ electromagnetic immunity Immunity Test IEC 60601 Compliance Electromagnetic environment ‒ guidance Test Level Level √P √ √ Equil Insulin Patch Pump System...
Page 128
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Equil Insulin Patch Pump System...
Need help?
Do you have a question about the MTM-I and is the answer not in the manual?
Questions and answers