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If you need more insulin than what is left in the cartridge

24

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

dispose of the used cartridge.

• Insert a new cartridge,

see pages 2-5.

• Attach a new needle and

test the insulin flow,

see pages 6-9.

• Select and inject your

full dose with the new cartridge,

see pages 12-15.

1

2

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8-4251-31-001-X_v1-27:Layout 1 2013-06-28 10:43 AM Page 24

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Summary of Contents for NovoPen

Page 1: ...ay is the number of units last injected The segments around the edge show how many full hours have passed since your last injection When a full hour has passed one segment will be shown Another segment will appear when another full hour has passed The examples below show you how to read the dose memory 16 5 units injected More than 1 hour ago but less than 2 One segment shown 16 5 units injected M...

Page 2: ... display shows the details of your last dose After 10 seconds it turns off Start up display Make sure the dose counter shows 0 before you start Pull out the dose button Push the dose button back in to check your last dose How to check your last dose 16 5 units injected Less than 1 hour ago No segments shown 8 4251 31 001 X 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 42 AM Page Out1 Page 320 of 38...

Page 3: ...uide carefully before you use your NovoPen Echo for insulin delivery the first time Find a quick guide at the back of this manual Rx only For Single Patient Use Only 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 42 AM Page Out4 Page 323 of 387 ...

Page 4: ...before you inject 8 Select your dose 10 What is the dose memory 16 How to read the dose memory 17 How to check your last dose 18 Special display messages 19 How to use the dose memory How to replace a used insulin cartridge 20 If you need more insulin than what is left in the cartridge 24 How to check how much insulin is left 22 How to care for your pen 26 Care 26 Cleaning 26 Storage 27 Disposal 2...

Page 5: ... window Dose memory LOT number Dose counter Piston rod Piston rod head Dose button Dose pointer Outer needle cap Inner needle cap Needle Paper tab Disposable needle example Threaded end for needle attachment Colored band Piston Insulin cartridge PenFill cartridge 3 mL 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 42 AM Page In1 Page 325 of 387 ...

Page 6: ...ired dose from 0 5 to 30 units in 0 5 unit increments The pen has a dose memory that helps you remember the number of units you last injected and the time passed since that injection The pen is durable which means that you can use it again and again When you have used all the insulin in a cartridge you simply replace it with a new one You can get the pen in red or blue It is recommended that you u...

Page 7: ...8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 42 AM Page In3 Page 327 of 387 ...

Page 8: ...ge Slide the cartridge into the cartridge holder with the threaded end first Twist the cartridge holder back on 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 Pull off the inner needle cap and throw it away Do not share your pen and needles Use a new needle for each injection...

Page 9: ...re is no longer a gap between the piston rod head and the piston Select your dose Pull out the dose button if it is not already out Make sure the dose counter shows 0 before you start Turn the dose button to select the dose you need You can turn forward or backward Inject your dose Insert the needle into your skin and press the dose button until the dose counter shows 0 Then wait and count slowly ...

Page 10: ...lin before your next injection You may need to do it several times before insulin appears at the needle tip NovoPen Echo is designed to be used with PenFill cartridge 3 mL and NovoFine or NovoTwist disposable needles up to a length of 8 mm Novo Nordisk is not responsible for harm due to using NovoPen Echo with products other than these Always check the name and color of the cartridge to make sure ...

Page 11: ...Insert an insulin cartridge Pull off the pen cap Twist off the cartridge holder Put it to one side for later use 1 2 2 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 42 AM Page 2 Page 331 of 387 ...

Page 12: ...tely in until it stops Need help Call 1 800 727 6500 The piston rod and the piston rod head may be loose and move on their own This is natural and does not affect the function of the pen 3 3 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 3 Page 332 of 387 ...

Page 13: ...cially important if you take more than one type of insulin Check that the cartridge is not damaged for example by cracks See how to do this in the PenFill cartridge 3 mL leaflet that comes with the PenFill cartridge 3 mL package Check that the insulin looks the way it should The PenFill cartridge 3 mL leaflet will tell you how your type of insulin should look NovoPen Echo is designed to be used wi...

Page 14: ...5 5 Twist the cartridge holder back on as illustrated until you hear or feel a click 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 5 Page 334 of 387 ...

Page 15: ...it after the injection to safely remove the needle from the pen 2 1 Always use a new needle for each injection This reduces the risk of blocked needles contamination infection and inaccurate dosing Never use a bent or damaged needle Do not attach a new needle to your pen until you are ready for your next injection 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 6 Page 335 of 387 ...

Page 16: ... This is normal but you must still test the insulin flow Need help Call 1 800 727 6500 NovoPen Echo is designed to be used with PenFill cartridge 3 mL and NovoFine or NovoTwist disposable needles up to a length of 8 mm 7 3 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 7 Page 336 of 387 ...

Page 17: ...n is getting through the needle Dose button out 2 units selected 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 Pull out the dose button if it is not already out Turn the dose button to select 2 units 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 ...

Page 18: ...e needle tip If no insulin appears after several attempts change the needle and test the insulin flow again The insulin flow test is complete when you see insulin squirt from the needle tip and when there is no longer a gap between the piston rod head and the piston 9 3 Do not try to inject if no insulin appears You may not receive any insulin even though the dose counter may move This could lead ...

Page 19: ...e you need You can turn the dose button forward or backward The dose button changes the number of units Only the dose counter and the dose pointer will show how many units you select per dose You can select up to 30 units per dose Half units are shown as lines between the figures 1 2 10 2 5 units selected 12 units selected 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 10 Page 339 of 387 ...

Page 20: ...he cartridge see pages 24 25 11 Always look through the insulin window to make sure that the insulin in your pen looks the way it should The PenFill cartridge 3 mL leaflet will tell you how your type of insulin should look Always use the dose counter and the dose pointer to see how many units you select Do not use the insulin scale on the cartridge holder It only shows approximately how much insul...

Page 21: ...line up with the dose pointer You may then hear or feel a click Keep the needle in your skin after the dose counter has returned to 0 and count slowly to 6 If the needle is removed earlier you may see a squirt of insulin coming from the needle tip If so the full dose will not be delivered and you should increase the frequency of checking your blood sugar levels ALWAYS test the flow before you inje...

Page 22: ...l 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 If the dose button stops before the dose counter shows 0 the needle may be blocked Turn the dose counter back to 0 and replace the needle with a new one Test the insulin flow and inject your full dose 8 4251 31 001 X_v1 27 Layout 1 20...

Page 23: ...the needle is covered carefully push the outer needle cap completely on Hold the black cartridge holder and unscrew the needle Dispose of it carefully as your healthcare professional has instructed you 1 2 3 14 Never try to put the inner needle cap back on the needle You may stick yourself with the needle 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 14 Page 343 of 387 ...

Page 24: ...eal and throw it away as described by your healthcare professional and local or state authorities Do not throw away used needles in household trash or recycling bins 15 4 Always hold the black cartridge holder when you unscrew the needle Otherwise you may twist your pen apart If this happens twist the pen together again replace the needle and test the insulin flow before your next injection Always...

Page 25: ...e display is activated The example on the left shows 5 5 units injected more than 3 hours ago but less than 4 Note that the dose memory only saves information about the last injection or insulin flow test If for example you test the insulin flow with 2 units and then inject 15 units the dose memory only saves information about the 15 units injected and the time passed since then 16 The dose memory...

Page 26: ...More than 12 hours ago All 12 segments shown 16 5 units injected More than 1 hour ago but less than 2 One segment shown 16 5 units injected Less than 1 hour ago No segments shown How to read the dose memory 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 17 Page 346 of 387 ...

Page 27: ...rm that it is working Next the display shows the details of your last dose After 10 seconds it turns off 1 2 18 Start up display Do not turn the dose button when you check your last dose Turning and then pushing it will overwrite the details of your last dose If you turn the dose button by accident simply turn it back to 0 before you push it in This will not overwrite the details of your last dose...

Page 28: ...new pen You can still use your pen for insulin delivery until you get a new one See page 28 for warranty information The dose memory is not activated or the battery is dead The battery will last four to five years When it is running low and the dose memory display has shown End for a while it will turn blank and stop working For your safety the battery is non replaceable Contact Novo Nordisk at 1 ...

Page 29: ...dle is still on see pages 14 15 Twist off the cartridge holder 1 2 20 When you twist off the cartridge holder the piston rod sticks out of your pen It may move back or forth on its own Push it back in as instructed on page 3 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 20 Page 349 of 387 ...

Page 30: ...ridge slide out Dispose of it as your healthcare professional has instructed you Insert a new cartridge push the piston rod back in and twist the cartridge holder back on 21 3 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 21 Page 350 of 387 ...

Page 31: ...e dose button until it stops Check the dose counter If it shows 30 30 units or more are left in the cartridge If it shows less than 30 It is showing the number of units left in the cartridge Turn the dose button back until the dose counter shows 0 1 22 Dose counter stopped 23 units left 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 22 Page 351 of 387 ...

Page 32: ... in the insulin cartridge If you need more insulin than what is left in the cartridge take your full dose from a new cartridge see page 24 23 2 Insulin scale shows approx how much insulin is left 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 23 Page 352 of 387 ...

Page 33: ... a new cartridge Remove the needle Twist off the cartridge holder and dispose of the used cartridge Insert a new cartridge see pages 2 5 Attach a new needle and test the insulin flow see pages 6 9 Select and inject your full dose with the new cartridge see pages 12 15 1 2 3 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 43 AM Page 24 Page 353 of 387 ...

Page 34: ... make a note of it Turn the dose button until it stops The dose counter then shows you the number of units left in the cartridge Inject all the insulin left in the cartridge Work out how many more units you need to complete your dose Remove the used needle and cartridge Insert and prepare a new cartridge for injection Attach a new needle and test the insulin flow Select and inject the rest of your...

Page 35: ...idge 3 mL leaflet that comes with the PenFill cartridge 3 mL package Do not try to repair your pen or pull it apart The battery lasts for four to five years For your safety it is non replaceable When the battery is dead contact your supplier to get a new pen You can still use your pen for insulin delivery without using the dose memory Cleaning Only clean your pen with mild detergent on a moistened...

Page 36: ...ted on the cartridge is for unused cartridges under refrigeration Never use the cartridge after the expiration date on the cartridge or its box Store your pen in its case when possible Disposal Do not throw the pen out with your household waste Dispose of your pen as instructed by your healthcare professional pharmacist or local authorities Consider the environment when you dispose of your pen It ...

Page 37: ...e registered trademarks owned by Novo Nordisk A S Denmark If you think your pen is not working the right way contact Novo Nordisk at 1 800 727 6500 For assistance or further information write to Novo Nordisk Inc 800 Scudders Mill Road Plainsboro New Jersey 08536 USA www novonordisk us com Or call 1 800 727 6500 This warranty will be invalid and Novo Nordisk Inc cannot be held responsible in the ca...

Page 38: ...covered under US Patent Nos 6 248 090 6 277 098 6 663 602 7 241 278 and other patents pending Novo Nordisk NovoPen NovoPen Echo NovoFine NovoTwist and PenFill cartridge 3 mL are registered trademarks of Novo Nordisk A S 2013 Novo Nordisk www novonordisk us com Novo Nordisk A S 2880 Bagsværd Denmark 8 4251 31 001 X_v1 27 Layout 1 2013 06 28 10 42 AM Page Out3 Page 322 of 387 ...

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