OmniPod Pod User manual

32
RYAN OMNIPOD WEARER
Caregiver Guide
Insulet Corporation
9 Oak Park Drive
Bedford, MA 01730 USA
800 591 3455 / 781 457 5098
15569-AW R1 12/12
MyOmniPod.com
WITH THE OMNIPOD

14
>The Pod.........................................................................2
>The PDM (Personal Diabetes Manager)..........................................3
>How to check blood glucose and deliver a bolus ..................................4
>How to change the Pod ..........................................................8
Pod Placement Options .....................................................10
Activate a New Pod ..........................................................11
Step 1: Fill the Pod............................................................11
Step 2: Apply the Pod ....................................................... 13
Step 3: Press Start ........................................................... 15
> How to enter a temporary basal rate ............................................16
>How to suspend insulin delivery................................................. 18
>Supplies........................................................................20
Get to know the OmiPod.With the OmniPod,
you can help make managing
diabetes easier.
As a caregiver for a child with diabetes, you want to know you’re doing the right thing and
providing proper care. With the OmniPod, you can.
The OmniPod is an easy-to-use, two-part insulin delivery system designed to help simplify
diabetes management. With a small, tubing-free Pod that’s worn directly on the body, and
a wireless Personal Diabetes Manager (PDM), you can help make managing and living
with diabetes easier for the child in your care. You can also feel confident knowing that
the OmniPod is trusted by tens of thousands of wearers worldwide, along with caregivers
like you. And, you can count on us to be there for you whenever you need us with 24/7
comprehensive customer support.
Whether you’re a school nurse, daycare provider, parent, grandparent, or other secondary
caregiver for a child using the OmniPod, this guide will lead you through some of the key
functions that you may need to perform.
In an emergency you should call the child's healthcare provider
as well as the parent or emergency contact.
Healthcare provider name Healthcare provider number
Parent name Parent number
Emergency contact name Emergency contact number
Customer Care: 800.591.3455
From outside the US: 781.457.5098
MyOmniPod.com
This guide is intended to be used in conjunction with the child’s Diabetes
Management Plan, input from the parents and/or healthcare provider and the
OmniPod Insulin Management System User Guide. PDM imagery is for illustrative
purposes only and should not be considered suggestions for user settings.
Refer to the OmniPod System User Guide for complete information on how
to use the System, and for all related warnings and cautions. The User Guide is
available online at MyOmniPod.com or by calling Customer Care.
This symbol will remind you to refer to the User Guide.
This guide is for PDM model UST400. The PDM model number is written on the
back cover of each PDM.

32
USB Port
Soft key labels
Soft keys
Home/power
Color LCD Screen
User info/support
Up/down controller
Test strip port with light
MAIN MENU ITEMS
Bolus: Deliver bolus doses to cover carbohydrates
or correct high blood glucose (BG) levels.
More actions:
>Change the Pod
>Add BG readings
>Assign/Edit BG tags
Temp basal: Adjust insulin delivery for exercise or
illness according to the child’s Diabetes Manage-
ment Plan. This menu item is present only if the Temp
basal option is turned on.
My records: Review insulin delivery, blood glucose
history, alarm history, carbohydrate history, and
personal user information.
Settings:
>Enter, edit and name basal programs
>Program temp basal, carbohydrate and bolus
presets
>Customize system settings
Food library: Display reference library with carbohy-
drate, fiber, fat, protein and calorie counts for over
1,000 common food items.
BG history: View blood glucose history screens.
Suspend: Temporarily suspend insulin delivery.
The Pod The PDM
TOP 
Viewing Window
BOTTOM 
Adhesive Backing
Needle Cap
Fill port
A small, lightweight Pod that’s easy to apply and wear daily. A wireless Personal Diabetes Manager (PDM) that’s easy to use.

4OmniPod Caregiver Guide 5
How to check blood glucose and
deliver a bolus.
A bolus is an extra dose of insulin that helps manage the rapid natural rise in blood
glucose (also known as blood sugar) that results when you eat carbohydrates (sugar or
starch). Follow the steps below to check the child’s blood glucose level, determine the
appropriate bolus and deliver the bolus. These steps assume that the suggested bolus
calculator has been turned on as part of the child’s Diabetes Management Plan.
Because children’s food intake is often unpredictable, consult the child’s Diabetes
Management Plan or healthcare provider to determine the appropriate timing of insulin
delivery.
3:00p 2/11
Light
Calibration code: 16
Apply a blood sample to
the strip.
mg/dL
3:00p 2/11
Done NextTag
Calibration code: 16
150
Are you going to eat
now?
Cancel YesNo
3:00p 2/11
>Insert FreeStyle® test strip into strip port.
>Check that the code on the vial of test strips
matches the code on the PDM screen.
>If the codes do not match, use the Up/down
controller button to match the code on the PDM
to the code on the vial.
>When blood glucose reading appears,
press Next to continue.
>If eating now, press Yes.
OR
>If not eating, press No.
>Wash the finger with soap and water or an alcohol
wipe and dry it completely.
>Prick finger with the lancing device.
>Press Light to illuminate the test strip in low-light
situations.
>Apply blood sample to test strip.
2.
3.
4.
1.

6OmniPod Caregiver Guide 7
Enter carbs.
Back Enter
0g
3:00p 2/11
5.
Confirm
Use these values for
bolus calculations?
BG: 150 mg/dL
Carbs: 18 g
Back
>Review the BG and carb values to make sure they
are correct, then press Confirm.
6.
Suggested bolus: 5.00U
Carbs: 60g
BG: 150mg/dL
Back Enter
5.00 U
3:00p 2/11
Extend
Suggested bolus: 5.00U
Carbs: 60g
BG: 150mg/dL
Insulin on board: 0.00U
Back Enter
5.00 U
3:00p 2/11
Extend
>Press Enter to accept the suggested bolus.
OR
>Press Extend and follow on-screen instructions
to deliver a portion/percentage of the bolus
immediately and the rest over a set period of time.
Only use the Extend option when required by the
child’s Diabetes Management Plan.
>If extended boluses are not part of the child’s
Diabetes Management Plan, the Extend option
will not appear on the screen.
8.
Start bolus?
Now:
Ext:
(0.0 hr)
Total:
Back Confirm
5.00 U
0.00 U
5.00 U
3:00p 2/11
Cancel
Delivering bolus
5.00 U
3:00p 2/11
>The PDM screen will indicate when bolus delivery
has begun. If necessary, you may press Cancel to
stop a bolus while it is being delivered.
>The child does not need to remain near the PDM
during delivery. Delivery time varies based on the
size of the bolus dose.
>Once bolus delivery begins, you may press and
hold the Home/power button to turn o the PDM
screen.
>Press Confirm to start the bolus.
9.
10.
>If eating, press the Up/down controller button
to enter the correct number of carbs, then press
Enter.
How to check blood glucose and deliver a bolus
Suggested bolus: 5.00U
Carbs: 60g
BG: 150mg/dL
Back Enter
5.00 U
3:00p 2/11
Extend
Suggested bolus: 5.00U
Carbs: 60g
BG: 150mg/dL
Insulin on board: 0.00U
Back Enter
5.00 U
3:00p 2/11
Extend
Suggested bolus: 5.00U
Meal: (60/15)= 4.00U
Correction:
(150-100)/50= 1.00U
Insulin on board: -0.00U
Total= 5.00U
Close
3:00p 2/11
>Press the User info/support button to view how
the suggested bolus is calculated. Then press
Close.
7.

8OmniPod Caregiver Guide 9
3:00p 2/11
Back Select
Change Pod
Add BG reading
Assign/Edit BG tags
View food library
Status Select
3:00p 2/11
Bolus
More actions
Temp basal
My records
Settings
Food library
BG history
Suspend
3:00p 2/11
Press “Confirm” to
begin the pod change
process.
This will deactivate your
current pod.
Back Confirm
How to change the Pod.
You may need to change the Pod:
>When the reservoir is low or empty, or the Pod is nearing expiration
>In response to an alarm
>If the Pod has become dislodged
>If the child has a blood glucose reading of 250 mg/dL or more and has moderate to
large ketones
3:00p 2/11
Last BG 150mg/dL
2:51p today
Last bolus 1.00U
2:01p today
No active pod.
Would you like to
activate a pod now?
No Yes
>Turn on the PDM.
>Press the Home/power button,
then select More actions.
>Select Change pod.
>Press Confirm to deactivate Pod.
>Gently remove the deactivated Pod by slowly
peeling back the adhesive. A commercial solvent
or baby oil can be used to soften the adhesive if
necessary.
>Press Yes to activate a new Pod.
>Follow the steps on pages 11 and 12 to fill a new Pod
with insulin. As you proceed, if the PDM screen
times out, press and hold the Home/power button
to turn it back on.
If the PDM screen times out during the process, press and hold the Home/power button to continue.
4.
3.
2.
1.
NOTES

10 OmniPod Caregiver Guide 11
The Pod may be placed over any subcutaneous tissue where one would deliver an insulin injection.
Please note the recommended positioning for each body area. The child’s Diabetes Management Plan
or healthcare provider should indicate any preferred sites.
POD POSITIONING
Arm and Leg:
Position the Pod vertically or at a slight angle.
Back, Abdomen and Buttocks:
Position the Pod horizontally or at a
slight angle.
SITE SELECTION
Change the site location each time you apply
a new Pod; improper site rotation can reduce
insulin absorption. The new site should be at
least 1 inch away from the previous site,
2 inches away from the navel, and not over a
mole or scar.
OPTIMAL ADHESION
Always clean the site thoroughly with an
alcohol swab to remove all body oils and
lotions, which may loosen the Pod’s adhesive.
Let the site air dry completely; do not blow on
the site to dry it.
POD PLACEMENT OPTIONS ACTIVATE A NEW POD
>Assemble the following supplies:
• Vial of insulin at room temperature
(U-100, rapid-acting). See User Guide for insulins
approved for use with the OmniPod System.
• One sealed Pod
• PDM
• Alcohol prep swab
>Wash your hands.
>Remove the Pod from its sterile packaging.
>Use the alcohol prep swab to clean the top
of the insulin vial.
>Assemble the fill syringe by twisting the needle
onto the syringe.
>Remove the protective cap.
How to change the Pod
If the PDM screen times out during the process, press and hold the Home/power button to continue.
1.1
1.2
CAUTION: Do not use any other type of needle
or filling device besides the syringe provided with
each Pod.
CAUTION
WARNING
TIP
NOTE:
CAUTION
WARNING
COATED
UNCOATED
TIP
NOTE:
CAUTION
CAUTION
WARNING
WARNING
STEP : FILL THE POD
arm
back
buttocks
leg
abdomen
leg
FRONT BACK

12 OmniPod Caregiver Guide 13
Fill a new pod with
insulin.
After filling pod, listen
for 2 beeps, then press
“Next.”
NOTE: Do not remove
needle cap at this time.
Cancel
Discard
Prepare infusion site.
Remove pod’s needle
cap.
If cannula sticks out as
shown below, press
“Discard.”
>Draw air into the fill syringe equal to the amount
of insulin indicated in the child’s Diabetes
Management Plan.
>Depress air into the vial of insulin.
>Turn the vial and syringe upside down.
>Withdraw insulin from the vial and fill the syringe
with the amount of insulin indicated in the child’s
Diabetes Management Plan; fill at least to the MIN
line.
>Remove any air bubbles from the syringe.
>Insert the needle straight down into the fill port on
the underside of the Pod. To ensure proper fill, do
not insert fill syringe at an angle into the fill port.
>Completely empty the syringe into the Pod.
>The Pod will beep twice, indicating that the System
is ready to proceed.
>Select the infusion site,
being careful to avoid
areas where the Pod will be
aected by folds of skin.
Refer to the figures on
page 10 for recommended
sites and placement tips.
>Return to the PDM. If the PDM screen times out,
press and hold the Home/power button to turn it
back on.
>Press Next.
>The PDM establishes a one-to-one relationship
with the Pod, which will not allow it to
communicate with any other Pod while this Pod
is active. Once the Pod successfully completes its
priming and safety checks, the PDM will beep.
How to change the Pod
>For optimal adhesion, always clean the site
thoroughly with an alcohol swab to remove all
body oils and lotions, which may loosen the Pod’s
adhesive. Let the site air dry completely; do not
blow on the site to dry it.
WARNING: NEVER inject air into the fill port.
Doing so may result in unintended or interrupted insulin delivery.
WARNING: NEVER use a Pod if you hear a crackling noise or feel resistance
when you depress the plunger. These conditions can result in underdelivery
of insulin.
CAUTION
WARNING
TIP
NOTE:
CAUTION
WARNING
COATED
UNCOATED
TIP
NOTE:
CAUTION
CAUTION
WARNING
WARNING
CAUTION
WARNING
TIP
NOTE:
CAUTION
WARNING
COATED
UNCOATED
TIP
NOTE:
CAUTION
CAUTION
WARNING
WARNING
STEP : APPLY THE POD
If the PDM screen times out during the process, press and hold the Home/power button to continue.
1.51.3
2.1
1.4
2.2
Discard
Remove pod’s adhesive
backing.
If pod is wet or dirty, or
adhesive is folded, press
“Discard.”
If pod OK, apply to site.
Back

14 OmniPod Caregiver Guide 15
3:00p 2/11
Press “Start” to insert
cannula and begin basal
delivery.
Start
>Remove the needle cap.
>Remove and discard the white paper
backing from the adhesive.
>Apply the Pod to the selected site.
>Run your finger around the adhesive to secure it.
>Press Next on the PDM.
>To facilitate insertion, place one hand over the
Pod and make a wide pinch around the skin
surrounding the viewer window; this step is critical
if the insertion site does not have much fatty
tissue. Release the skin after the cannula inserts.
>Press Start. The Pod automatically inserts the
cannula and delivers a prime bolus to fill the
cannula with insulin. It takes a few seconds to
complete this process.
How to change the Pod
If the PDM screen times out during the process, press and hold the Home/power button to continue.
3:00p 2/11
Pod is active.
“basal 1” has been
programmed.
Check infusion site and
cannula.
Is cannula properly
inserted?
No Yes
>Once complete, the PDM indicates that the Pod is
active and asks you to check the infusion site.
>Look through the Pod’s viewing window to check
that the cannula is properly inserted, then press Yes.
WARNING: NEVER inject insulin (or anything
else) into the fill port while the Pod is on the
child’s body. Doing so may result in unintended or
interrupted insulin delivery.
CAUTION
WARNING
TIP
NOTE:
CAUTION
WARNING
COATED
UNCOATED
TIP
NOTE:
CAUTION
CAUTION
WARNING
WARNING
3.2
2.5
3.1
2.4
2.3
STEP : PRESS START
Reminder:
Always check BG after a
pod change.
Check infusion site and
ensure cannula is
properly inserted.
OK
WARNING: The PDM will generate an automatic
reminder to check the child’s blood glucose 1.5
hours after each Pod change. If the cannula is
not properly inserted, hyperglycemia may result.
Verify there is no wetness or scent of insulin,
which may indicate the cannula has dislodged.
CAUTION
WARNING
TIP
NOTE:
CAUTION
WARNING
COATED
UNCOATED
TIP
NOTE:
CAUTION
CAUTION
WARNING
WARNING
3.3

16 OmniPod Caregiver Guide 17
Status Select
3:00p 2/11
Bolus
More actions
Temp basal
My records
Settings
Food library
BG history
Suspend
Back Next
3:00p 2/11
Would you like to
increase or decrease
your basic basal rate?
Increase
Decrease
Enter
Enter temp basal
increase.
Back
25%
MORE
basal insulin
Enter
Enter duration for temp
basal increase.
Back
0.5 hr
Time Period:
3:00p-3:30p
Confirm
Start temp basal
increase?
Back
25%
MORE basal insulin
for
0.5 hr
3:00p 2/11
Last BG 150mg/dL
12:28p today
Last bolus 1.00U
12:28p today
Temp basal
0.25 U/hr 0:30 remains
Home
Pod exp 6:28a 2/14
50+U
The basal rate refers to the steady dose of insulin the child receives at all times.
You may need to:
>Temporarily increase the basal rate in response to high blood sugar, if, for instance, the child is ill
or insulin delivery has been interrupted.
>Temporarily decrease the basal rate prior to increased physical activity (physical education or
organized sports) or in response to low blood sugar that does not respond to oral carbohydrates
or other eorts.
The child’s Diabetes Management Plan or healthcare provider should provide the
appropriate temp basal rates.
>Turn on the PDM.
>Press the Home/power button,
then select Temp basal.
>If temporary basal rates are not part of the child’s
Diabetes Management Plan, the Temp basal
option will not appear on the screen.
>Choose Increase or
Decrease basal rate, then
press Next.
>Enter % change (or temp
basal rate), then press Enter
(Shown here is an example of
a temporary basal increase.
In this example, 25% MORE
insulin will be delivered).
How to enter a temporary basal rate.
>Enter the length of time the temp basal should
be delivered (in half-hour increments), then press
Enter.
>Press Confirm to start the temporary basal rate
shown on the screen (In this example, 25% more
basal insulin will be delivered for 0.5 hours). The
Pod beeps to indicate that the temporary basal
rate is running.
>The Status screen indicates the temp basal rate
and the remaining delivery time.
3.
4.
5.
1.
2.

18 OmniPod Caregiver Guide 19
If the child has severe low blood sugar you may need to suspend
insulin delivery.
Status Select
3:00p 2/11
Bolus
More actions
Temp basal
My records
Settings
Food library
BG history
Suspend
Suspend insulin delivery.
Enter duration:
Back Enter
0.5 hr
3:00p 2/11
Suspend ALL delivery?
Set advisory for:
Back Confirm
0.5 hr
3:00p 2/11
End of insulin suspend.
Press “OK” to resume
basal rate delivery.
OK
3:30p 2/11
3:00p 2/11
Last BG 65 mg/dL
2:45p today
Last bolus 1.00U
2:01p today
Home
Pod exp 1:48p 2/14
50+U
INSULIN SUSPENDED
How to suspend insulin delivery.
>The Status screen indicates that insulin delivery
has been suspended.
>The Pod will beep every 15 minutes until the
end of the suspension period. At the end of the
suspension period, a Pod advisory alarm will occur.
At this time, turn the PDM on and press OK to
resume the active basal program.
>Enter the length of time the suspension should last
(minimum 0.5 hour, maximum 2.0 hours), then
press Enter.
>Turn on the PDM.
>Press the Home/power button,
then select Suspend.
>Press Confirm.
CAUTION: The Pod remains suspended and the
Status screen shows INSULIN SUSPENDED until
you press OK to resume insulin delivery.
CAUTION
WARNING
TIP
NOTE:
CAUTION
WARNING
COATED
UNCOATED
TIP
NOTE:
CAUTION
CAUTION
WARNING
WARNING
5.
4.
3.
1.
2.

2120
>You should have the following supplies on hand at all times.
>Several new sealed Pods
>Extra new PDM batteries (at least two AAA alkaline)
>A vial of rapid-acting insulin
>Syringes or pens/needles for injecting insulin
>Instructions from the child’s healthcare provider about how much
insulin to inject if delivery from the Pod is interrupted
>Blood glucose test strips
>Ketone test strips
>Lancing device and lancets
>Glucose tablets or another fast-acting source of carbohydrate
>Alcohol prep swabs
>If traveling, a copy of a letter from the child’s healthcare provider
for airline security
>Phone numbers for the child’s parents, healthcare provider,
and emergency contact
>Glucagon emergency kit and written instructions for giving an injection
Supplies
NOTES
“ I can feel confident knowing we’re
taking better care of my son’s
health for the long-term with the
OmniPod. And I know he feels
better about himself.”
—NANCY, mother of 12-year-old Ryan