DANA Diabecare RS User manual

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Quick guide
IFUQ-120-EN (rev.1_180109)

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This quick reference guide is an easy to follow step by step guide to the
most common and frequently used features within the DANA Diabecare
RS Insulin Pump.
The ‘Quick Reference Guide’ (QRG) is supplementary to the IFU
(Instruction For Use). All precautions and warnings within the IFU must
be read and adhered to always. Read the entire IFU before commencing
or using the DANA Diabecare RS Insulin Pump.
Refer to the DANA RS IFU for advanced features instruction and more
complex operation of the DANA Diabecare RS Insulin Pump.

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Inserting a battery and turning the pump on…
1) Using the supplied DANA battery key –open the battery compartment.
2) Install a new DANA lithium battery.
3) Place the battery cap back onto the pump and tighten firmly.
Once the battery is correctly inserted, the pump turns on automatically and performs
“self-checks” to make sure all the systems are working properly.
1. Use the battery key to open the battery cap by turning
counter-clockwise.
2. Insert the battery with
terminals facing down.
3. Tighten the battery cap,
using the battery key, until
it is firm and flush with the
top of the pump.
When changing the
battery –clean the
inside thread of the
pump and the O-ring

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Pump main keypad –navigating the pump
This picture shows how the buttons are used to navigate through the menus.
The DANA RS insulin pump has a new and improved UI. The button does not
operate as a backwards button. The new UI menu works in a circular rotation
through the menu’s using
1. Press to increase insulin dosages, time and date.
2. Press to decrease insulin dosages, time and date
or to exit to previous menu. (cancel/stop button)
3. Press to move to the next function on the LCD
screen or to scroll to the right in menus.
4. Press to select the function highlighted on the
LCD screen. Confirmation button to confirm
settings or start a bolus.

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Pump initial screen –what does it all mean?
This image shows what is displayed on the DANA RS home screen.
①Date
②Time
③Current basal rate in units per
hour. The flashing indicates the
basal is active
④Percentage of basal rate. (100% is
normal basal delivery without a temporary
rate active)
⑤Battery Indicator
⑥Units remaining in the pump reservoir
①
②
③
⑤
④
⑥

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Pump Menu ICON’s

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Loading an Insulin Reservoir
Preparation - things to get ready before starting
•Analog Insulin (room temperature)
•DANA Reservoir (3ml)
•DANA Easy Setter
•Linking Screw
•DANA Infusion Set and Alcohol Swab (if required)
•DANA Insulin Pump
Procedure
1. Remove the round cap at the bottom (back) end of the Insulin Reservoir and discard.
2. Remove the thin white plastic cap from within the reservoir (place aside for using once
full of insulin).
3. Holding the reservoir plunger barrel firmly –attach the linking screw, ensure that it fits
firmly and the teeth are aligned and engaged.
4. Push the linking screw (and barrel of the reservoir) to the top –ready to fill with insulin.
This process ensures that the double O-ring is moving freely and will not cause an
occlusion within the pump.
5. Remove the needle protective cap and insert into the 3ml vial of room temperature
insulin.
6. Using the needle protective cap –push the insulin plunger down so that the insulin is
slowly pushed into the DANA 3ml reservoir. Draw the last bit out by pulling on the
linking screw and barrel.
7. Place the clear needle protective cover back onto the needle. Gently tap the reservoir
with your finger in order to make the air bubbles rise to the top of the reservoir. And
push the plunger up gently to remove the air bubbles from the reservoir.

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8. Twist and pull to remove the needle from the reservoir and use the small white plastic
stopper put aside earlier to seal the top of the reservoir.
9. Insert the reservoir into the Easy Setter. (the reservoir will protrude from the top of
the Easy Setter)
10. Press the button on the Easy Setter. The reservoir will wind down, continue pressing the
button for a further 3 seconds. Then retrieve the adjusted reservoir from the DANA
Easy Setter.
11. Remove the reservoir from Easy Setter. (Be gentle and do not move the plunger or
adjust the linking screw).
12. Insert the reservoir into the pump and screw the reservoir cap down tightly.
13. Input the volume of insulin by refill sub menu and then select the prime option from
within the refill menu and attach the new Infusion set tube to the pump. Start the
prime…
14. Stop or suspend the prime when the tube is full of insulin and there are no air bubbles
visible in the tube. Using the (-) key will pause the prime. (5cm of insulin tube = 1 unit
insulin)
15. If using a Teflon (plastic) cannula select the prime cannula menu, this fills the empty
needle within the cannula after it has been inserted and after the tubing has been
connected.
Priming of new infusion set tube is very important –it displaces air within the tube
with insulin ready for infusion. If this is not properly completed it is likely that the
pump will not deliver insulin as accurately as expected. Ensure that during PRIME
insulin can be seen moving through the tube and that a puddle/droplet of insulin is
displaced from the end of the infusion set tubing.

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Setting Basal Rates
Select the ‘Basal’ option from main menu
Select the ‘Edit Basal’ option from within the ‘Basal’
menu
Confirm the current Basal profile.
Adjust the start time and end time for the section
(period) being changed or amended.
(Note: TDD = Total Daily Dose)
Next adjust the Basal rate (u/hr) for the period
selected.
When press to save, a 'SETTING SAVED' screen
appears. Press to finish the setting, or press
to move to the start time to set next Basal rate.
To confirm changes, select

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Setting up and personalizing the DANA pump
Select the ‘Option’ from main menu
Select the ‘User Option’ from within the ‘Setting’
menu
Within the ‘User Option’ menu there are 14 options that can be personalized and
configured. These options are specific to individual preferences –such as pump alerts
as beep or vibration and clock display as 12 or 24 hour format?
Note –it is necessary to scroll through all options (even if no changes are made, and
confirm and/all changes by selected ‘Exit’ and confirming ‘YES’ to save options
configured.
When setting or changing any of the selected options the or key changes the
selected option. The key moves to the next option. confirms exit from option (14)
exit.

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DANA pump Setup –User Options menu
Top RH button moves through this menu, or changes individual option.
Select Exit at bottom to save any/all changes.
1. Time display 12 or 24 hour clock
2. Button Scroll On or Off –enables button press and hold to change levels or dial up
Carbohydrate –scrolling quickly.
3. Beep On or Off –this is individual key depression beeps
4. Alarm Sound, Vibration or Both
5. LCD On Time that LCD display remains active before defaulting to sleep mode
6. Backlight On Time that LCD backlight remains on (in-between button press)
7. Language Default language options for pump operation and menu
8. Glucose Unit mmol or Mgdl –usually default setting based upon country of origin
9. Shutdown Time setting before pump alarms due to no button presses. If alarm not
acknowledged –basal will suspend
10. Low Reservoir Personalized low volume level for alarm, 10, 20 30 units in 10u increments
11. Password Enables change to the password for unlocking the Pump
12. Cannula Vol Enables the preset volume for filling cannula to be pre-set (max 1.0 unit)
13. Modify Rate Change the volume of insulin within the pump reservoir.
14. Exit Use this to save any/all changes made

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DANA pump Setup –Personalizing CIR and CF
CIR = Carbohydrate to Insulin Ratio
CF = Correction Factor
Select the ‘Bolus’ option from main menu
Select the ‘Bolus Setting’ option from Bolus Option
menu
Select the first option = ‘CIR/CF’ from setting menu.
Set and personalize CF and CIR ratios for each
specific time of day.
A Healthcare Professional and or Insulin Pump trainer will configure some additional
settings within the DANA ‘Dr. Mode’. These include daily, hourly and bolus maximums,
Basal and Bolus increments, decreasing ratio (duration of active insulin) and target or
Ideal BG.

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Quick Bolus - delivering a Food Bolus without a Correction
(This bolus ignores any residual Active Insulin)
Select the ‘Bolus’ option from main menu
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
will offer a range of bolus types.
1. ‘Step’ is a standard bolus.
2. ‘Extended’ enables the bolus to be delivered over
a long period.
3. ‘Dual Pattern’ is a combination of both above bolus
types.
Select to start the delivery.

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Delivering a Food Bolus with a Correction
Select the ‘Bolus’ option from main menu
Select the ‘BG Bolus Calculator’ option from the Bolus
menu.
Input actual BG and grams of carbohydrate in meal.
The next screen shows the pre-programmed Ideal BG,
Carb to Insulin ratio and Correction factor.
Each of these can be altered or select (OK) to confirm
settings.
The pump calculates the suggested dose. (G + C –A)
This can be adjusted up or down if change is needed.
Select to start the delivery.
DANA Insulin Pumps are set to display Blood Glucose in either mmol/L or mg/dl –
depending upon the region they are sold, some regions the option can be changed
from within the ‘user option menu’.

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Temporary Rate Start and Stop
Starting a new temporary rate
Select TEMPORARY BASAL from the main menu.
Select the duration of the intended temporary rate
and the percentage of standard basal rate.
-150% is a 50% increase in standard rate
-80% is a 20% reduction in standard rate
Select to start the TEMP. RATE
Stopping a temporary rate
Select TEMPORARY BASAL from the main menu.
The TEMP. STATE screen is displayed, press to
STOP the TEMPORARY RATE.
Confirm the STOP TEMP. RATE with .

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Flying with an Insulin Pump
1. Refill the pump before flight.
a. Ensure there is no air in reservoir.
b. Only load enough insulin for 1 or 2 days (preferably only about 1ml).
2. Upon aircraft take off –disconnect pump for ½ hour or until cruising altitude is
reached.
3. Prior to aircraft decent –disconnect pump and prime the tubing once landed before reconnecting.
4. Always carry plenty of supplies and spare insulin.
5. In the event of a mid-air emergency and if the oxygen masks fall –disconnect the pump. Reconnect
after departed from the aircraft or when normal cabin pressure is achieved.
6. Take a medical certificate advising use of an Insulin Pump.
7. Ensure to test BG levelsfrequently –especially during long haul flights.
8. On all flights carry non-liquid hypo treatment in accessible carry-on luggage.
9. Get comprehensive travel insurance and ensure that it covers diabetes and wearing
an Insulin Pump and make sure it is named/listed on the policy.
10. Change the pump time to destination time once at cruising altitude –Complete this for each separate
flight with successive long haul flights.
11. Take at least one spare glucose meter, batteries and test strips. Change the time on the glucose meter
at the same time as pump.
12. Before departure, enquire about how to get supplies from each destination travelling to. If necessary,
ensure someone back at home knows exactly what supplies and medication is required and make
arrangements so they can freight extra supplies if required.

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DANA Pump Battery
Ok - so here is some battery advice that I trust helps all people with DANA insulin pumps.
All batteries when manufactured are subjected to a long dirty process. This process
often involves close contact with highly toxic and corrosive chemicals. For this reason
specific tooling is often covered with wax and/or grease to prevent deterioration. IMO
some of this ends up on the battery. Therefore wipe a new battery clean using an alcohol
swab. Also within the DANA lithium batteries - they have a passivation film - which
separates the chemicals within the battery. This prevents any loss of energy whilst in
storage. This passivation film gets stronger the longer from manufacture. When first
loading a new battery, the DANA pump startup procedure draws a high current across
the battery, to purposefully break the passivation film. Unfortunately sometimes this
just doesn’t complete the process perfectly, so the battery appears to be depleted in a
short time. Within the IFU instructions suggest checking that a new battery displays
100% following the first bolus? If it does not remove and reinsert 2-3 times. This often
achieves the purpose of breaking the passivation film and will ensure the batteries last
as expected.