Lilly Humulin N KwikPen User manual

Humulin N Humulin R
USER MANUAL
HP8804
HP8805
Humulin R KwikPen®, Humulin N KwikPen®, 100 units/mL
PLEASE READ THESE INSTRUCTIONS BEFORE USE
RA286FSCA01 • What should I do if I can’t remove the Pen Cap? Pull the cap straight off. If you are having difficulty
removing the cap, gently twist the cap back and forth to realign, and then pull the cap straight off.
Priming KwikPen
Important Notes
• Prime every time. The pen must be primed to a stream of insulin before each injection to make sure the
pen is ready to dose.
• If you do not prime to a stream, you may get too much or too little insulin.
Frequently Asked Questions about Priming
• Why should I prime my pen before each dose?
1. Ensures that the pen is ready to dose.
2. Confirms that a stream of insulin comes out of the tip of the needle when you push the Dose Knob in.
3. Removes air that may collect in the needle or insulin cartridge during normal use.
• What should I do if I cannot completely push in the Dose Knob when priming KwikPen?
1. Attach a new needle.
2. Prime the pen.
• What should I do if I see an air bubble in the cartridge? You need to prime the pen. Remember, do not
store the pen with the needle attached as this may cause air bubbles to collect in the insulin cartridge. A
small air bubble will not affect your dose and you can continue to take your dose as usual.
Injecting Your Dose
Important Notes
• Follow the instructions for sanitary injection technique recommended by your healthcare professional.
• Make sure you receive your complete dose by pushing and holding the Dose Knob in and count to 5 slowly
before removing the needle. If insulin is leaking from the pen you may not have held it in your skin long
enough.
• A drop of insulin at the needle tip is normal. It will not affect your dose.
• The pen will not allow you to dial more than the number of units left in the pen.
• If you do not think you received your full dose, do not take another dose. Call your healthcare
professional or Lilly for assistance.
• If your dose is greater than the number of units left in the pen, you may either inject the amount remaining
in your current pen and then use a new pen to complete your dose, OR inject the full dose with a new pen.
• Do not attempt to inject your insulin by turning the Dose Knob. You will NOT receive your insulin by turning
the Dose Knob. You must PUSH the Dose Knob straight in for the dose to be delivered.
• Do not attempt to change the dose while injecting.
• The directions regarding needle handling are not intended to replace local, healthcare professional or
institutional policies.
• Remove the needle after completing each injection.
Frequently Asked Questions about Injecting Your Dose
• Why is it difficult to push the Dose Knob when I try to inject?
1. Your needle may be clogged. Try attaching a new needle. When you do this you may see insulin
come out of the needle. Then prime the pen.
2. Pressing the Dose Knob quickly may make the Dose Knob harder to push. Pressing the Dose
Knob more slowly may make it easier.
3. Using a larger diameter needle will make it easier to push the Dose Knob during your injection.
See your healthcare professional to determine which needle size is best for you.
4. If the Dose Knob continues to be difficult to push after following the steps above, replace the pen.
• What should I do if my KwikPen is jammed? Your pen is jammed if it is difficult to inject a dose or dial a
dose. To clear the jam:
1. Attach a new needle. When you do this you may see insulin come out of the needle.
2. Prime the pen.
3. Dial your dose and inject.
Do not attempt to lubricate your pen as this may damage the mechanism.
The Dose Knob may become harder to push if foreign material (dirt, dust, food, insulin, or other liquids) get
inside the pen. Avoid getting foreign material inside the pen.
• Why is insulin leaking from the needle after I finished my dose? You may have removed the needle
from your skin too quickly or there may be a large air bubble in the insulin cartridge.
1. If there is a large air bubble in the cartridge prime your pen to remove the air.
2. Make sure you see a 0 in the Dose Window.
3. For the next dose, push and hold the Dose Knob in and count to 5 slowly before removing the
needle.
• What should I do if my dose is dialed and the Dose Knob is accidentally pushed in without a needle
attached?
1. Dial back to zero.
2. Attach a new needle.
3. Prime the pen.
4. Dial your dose and inject.
• What should I do if I dial a wrong dose (too high or too low)? Turn the Dose Knob backward or forward
to correct the dose.
• What should I do if I see insulin leaking from the pen needle while dialing the dose or correcting the
dose? Do not inject the dose because you may not get your complete dose. Dial the pen down to zero and
prime the pen again (see Routine Use section, “Priming KwikPen” steps 2B thru 2D). Dial your dose and
inject.
• What should I do if my full dose cannot be dialed? The pen will not allow you to dial a dose greater than
the number of insulin units remaining in the cartridge. For example, if you need 31 units and only 25 units
remain in the cartridge you will not be able to dial past 25. Do not attempt to dial past this point. If a partial
dose remains in the pen you may either:
1. Give the partial dose and then give the remaining dose using a new pen.
or
2. Give the full dose with a new pen.
• Why can I not dial the dose to use the small amount of insulin that remains in my cartridge? The
pen is designed to deliver at least 300 units of insulin. The pen design prevents the cartridge from being
completely emptied because the small amount of insulin that remains cannot be delivered accurately.
Storage and Disposal
Important Notes
• A pen should not be used after it has been unrefrigerated beyond the time specified in the Consumer
Information Leaflet.
• Do not store the pen with the needle attached. If the needle is left on, insulin may leak from the pen, insulin
may dry inside the needle causing the needle to clog, or air bubbles may form in the cartridge.
• Prior to first use, pens must be refrigerated at temperatures between +2°C and +8°C. Do not use a pen if
it has been frozen.
• The pen you are currently using should be kept at room temperature and away from heat and light.
• Refer to the Consumer Information Leaflet for complete insulin storage instructions.
• Keep the pen out of the reach of children.
• Dispose of used needles in a closable puncture-resistant sharps container (like a biohazard container) or as
directed by your healthcare professional.
• Dispose of used pens as instructed by your healthcare professional and without the needle attached.
• Do not recycle the filled sharps container.
• Ask your healthcare professional about options available in your area to throw away the sharps container
properly. You can also check the Canadian Diabetes Association website at www.diabetes.ca for information
on sharps disposal.
• The directions regarding needle handling are not intended to replace local, healthcare professional or
institutional policies.
If you have any questions or problems with your KwikPen insulin delivery device, contact Lilly at
1-888-545-5972 or your healthcare professional for assistance.
For more information on KwikPen and insulin, please visit our website at www.lilly.ca
Distributed by:
Eli Lilly Canada Inc.
3650 Danforth Avenue
Toronto, Ontario
M1N 2E8
Manufactured by:
Eli Lilly and Company
Pharmaceutical Delivery Systems
Lilly Corporate Center, Indianapolis, IN 46285, USA
HUMULIN and KWIKPEN are registered trademarks owned or licensed by Eli Lilly and Company, its subsidiaries
or affiliates.
Copyright © 2013, Eli Lilly and Company. All rights reserved.
Document Revision Date: 11 November 2013
The KwikPen insulin delivery device meets the current dose accuracy and functional
requirements of ISO 11608-1:2000
www.lilly.ca
Introduction
The KwikPen®insulin delivery device (“pen”) is designed for ease of use. It is a disposable pen containing
3 mL (300 units) of U-100 (100 units/mL) insulin. You can inject from 1 to 60 units of insulin in one injection.
You can dial your dose one unit at a time. If you dial too many units, you can correct the dose by dialing back
to your desired dose without wasting any insulin.
Before using KwikPen, read the entire manual completely and follow the directions carefully.
If you do not follow these directions completely, you may get too much or too little insulin.
Your KwikPen insulin delivery device must be used only for your injections. Do not share your
pen or needles as this may risk transmission of infectious agents. Use a new needle for each
injection.
DO NOT USE your pen if any part appears broken or damaged. Contact Lilly at 1-888-545-5972
or your healthcare professional for a replacement pen. Always carry an extra pen in case yours
is lost or damaged (see Storage and Disposal).
This pen is not recommended for use by the blind or visually impaired persons without the
assistance of a person trained in the proper use of the product.
Preparing KwikPen
Important Notes
• Read and follow the directions provided in the Consumer Information Leaflet.
• Check the label on your pen before each injection for the expiration date and to make sure you are using the
correct type of insulin. Do not remove the pen label.
Note: The color of your KwikPen Dose Knob matches the insulin-specific color band shown on the
Pen Label. In this user manual, the Dose Knob is shown in gray. The Pen Body of the Humulin
KwikPen is beige to indicate that it contains Humulin.
Dose Knob Color-code key:
• Your healthcare professional has prescribed the best type of insulin for you. Any changes in insulin
therapy should be made only under medical supervision.
• KwikPen is recommended for use with BD pen needles.
• Be sure the needle is completely attached to the pen before use.
• Keep these directions for future reference.
Frequently Asked Questions about Preparing KwikPen
• What should my insulin look like? Some insulins are cloudy while others are clear, be sure to refer to
your Consumer Information Leaflet for the appearance of your specific insulin.
• What do I do if my dose is higher than 60 units? If your dose is higher than 60 units of insulin, multiple
injections will be required or you may contact your healthcare professional.
• Why should I use a new needle for each injection? If needles are reused, you may get the wrong
amount of insulin, a clogged needle, a jammed pen, or an infection, because sterility is not ensured.
• What should I do if I am not sure how much insulin remains in my cartridge? Hold the pen with the
needle end pointing down. The scale on the clear Cartridge Holder shows an estimate of the number of
units remaining. These numbers should NOT be used for measuring an insulin dose.
Fegersheim
Site:
Affiliate Barcode:
Previous Item Code (to be destroyed)
RA286FSCA00
Item Code
RA286FSCA01
Start Date
23 MAY 2013
Technical
Information:
Size (mm):
432x280
Type:
Code:
Folded Size (mm)
Sick Code
N/A
CACAO No.
FEG14R072
No. of Pages:
Translations of
Variable Data
price:
other:
exp
date:
mfg
date:
lot:
PPD Information Box
v4.01
ALRP Information Box
Layout name
FEG-PA025-A
1a
Proof No. :
N/A
Feed Direction:
(For labels only)
Printing Colours Technical Colours
Internal to MBS (no Lilly check required)
MBS Artwork Ref: 327591
Operator Name: ME
Other Regulated
Elements
Die Cut
N/A
N/A
N/A
N/A
N/A
144x56,5
1/2
4/4 YELLOW
3/4 MAGENTA
2/4 CYAN
1/4 BLACK N/A
N/A
N/A

Dose Knob
Humulin R
Humulin N
Make sure you have the following items:
Getting Ready
Pen Parts KwikPen and Needle* Assembly *sold separately
KwikPen New Pen Needle Alcohol Swab
RA286FSCA01
If you have any questions or problems with your KwikPen insulin delivery device, contact Lilly at 1-888-545-5972 or your healthcare professional for assistance. For more information on KwikPen and insulin, please visit our website at www.lilly.ca
Needle
Inner Needle
Shield
Paper Tab
Pen Cap
Cap Clip
Dose WindowPen Body
Dose Knob
Pen Label
Rubber Seal
Dose Indicator
Pen Needle Parts
(Needles Not Included) Humulin KwikPen Parts
Outer Needle
Shield
1. Preparing KwikPen
Routine Use Follow these instructions for each injection
Select a new needle. Remove Paper Tab from Outer Needle Shield. Use an alcohol swab to wipe the Rubber Seal on the end of the Cartridge Holder.
Push capped needle straight onto the pen. Screw needle on until secure.
Pull Pen Cap straight off to remove. Do not twist the cap. Do not remove the Pen Label. Be sure to check your insulin for: • Type • Expiration date • Appearance Caution: Always read the Pen Label to ensure you are using the correct insulin type.
For Cloudy Insulin only: Gently roll the pen 10 times. AND Invert the pen 10 times. Mixing is important to make sure you get the right dose. The insulin should look evenly mixed.
C. D.A. B.
Dose Knob Color-Code Key:
A.
To deliver the full dose, hold Dose Knob in and count to 5 slowly.
Note: Check to make sure you see 0 in the Dose Window to confirm you received the complete dose.
Note: The pen will not allow you to dial more than the number of units left in the pen. If you do not think you received your full dose, do not take another dose.
Turn Dose Knob to the number of units you need to inject. If you dial too many units, you can correct the dose by dialing backwards. Example: 10 units shown. Example: 15 units shown.
Carefully replace the Outer Needle Shield.
Insert needle into skin using injection technique recommended by your healthcare professional. Place your thumb on the Dose Knob and push firmly until the Dose Knob stops moving.
Unscrew the capped needle and throw away as directed by your healthcare professional. Replace Pen Cap by aligning the Cap Clip with the Dose Indicator and pushing straight on.
Note: Remove the needle after each injection to keep air out of the cartridge. Do not store the pen with the needle attached.
3. Injecting Your Dose
C.B. D.
The even numbers are printed on the dial. The odd numbers, after the number one, are shown as full lines.
2. Priming KwikPen Caution: If you do not prime to a stream before each injection, you may get too much or too little insulin.
D.A. B. C. 5 seconds
5 seconds
Pull off Outer Needle Shield. Do not throw away. Pull off Inner Needle Shield and throw away.
Dial 2 Units by turning the Dose Knob.
Point pen up. Tap Cartridge Holder to collect air at top.
• With needle pointed up,
push Dose Knob in until it stops and 0 is seen in the Dose Window.
• Hold Dose Knob in and
count to 5 slowly.
• Priming is complete when
a stream of insulin appears from the needle tip.
• If a stream of insulin does
not appear, repeat priming steps 2B thru 2D up to four times.
Note: If you do not see a stream of insulin from the needle tip and dialing the pen is more difficult, change the needle and prime the pen.
Cartridge
Holder
Remove needle from skin.
Fegersheim
Site:
Affiliate Barcode:
Previous Item Code (to be destroyed)
RA286FSCA00
Item Code
RA286FSCA01
Start Date
23 MAY 2013
Technical
Information:
Size (mm):
432x280
Type:
Code:
Folded Size (mm)
Sick Code
N/A
CACAO No.
FEG14R072
No. of Pages:
Translations of
Variable Data
price:
other:
exp
date:
mfg
date:
lot:
PPD Information Box
v4.01
ALRP Information Box
Layout name
FEG-PA025-A
1a
Proof No. :
N/A
Feed Direction:
(For labels only)
Printing Colours Technical Colours
Internal to MBS (no Lilly check required)
MBS Artwork Ref: 327591
Operator Name: ME
Other Regulated
Elements
Die Cut
N/A
N/A
N/A
N/A
N/A
144x56,5
2/2
4/4 YELLOW
3/4 MAGENTA
2/4 CYAN
1/4 BLACK N/A
N/A
N/A