®
Innovo
Instruction Manual
Read this carefully before
®
you use Innovo
Making insulin
easy to live with
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Look at the diagram inside this
cover for the names of the
®
different parts of Innovo .
You can unfold the diagram to
help you while you follow the
instructions.
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®
Innovo
Window Residual Slide
scale
Display
LOT
number
Push
button
Dose
selector
Release
button
Cap
®
®
NovoFine
Penfill 3 ml
6 mm or 8 mm w
White bar code
band
Rubber Coloured
membrane band
Rubber
stopper
(plunger)
Outer needle Inner needle Needle Protective
cap cap tab
Colour-coded
Glass ball
(for insulin suspensions only
)
cap
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Contents
2
Page
4
Introduction
Getting started
®
10
Priming Innovo
12
Choosing your dose
14
Making the injection
16 Checking your previous injection
18 Subsequent injections
®
What to do when Penfill is nearly empty
20
®
22 Changing Penfill
23 Function check
24 What do I do if...?
®
28
How to store and look after your Innovo insulin doser
30 Display information
32 Important information
æ
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Introduction
®
Thank you for choosing Innovo , the
insulin doser designed to make insulin
therapy easier to live with.
Easy to read. The display on
Innovo is large and clear, making it
easy to read the dose of insulin
dialled and delivered.
®
This manual contains instructions for
using, storing, and cleaning your
Innovo . Here are some of the unique
®
®
Easy to remember. Innovo has a
®
features Innovo has to offer:
built-in memory function, displaying
your previous dose of insulin and
the time passed since your last
delivery.
®
Easy to carry. Innovo is short and
compact, making it easy to carry in
your pocket or purse.
®
Easy to dial. Innovo is accurate to
®
Easy to inject. Innovo is designed to
use, and can easily be dialled to
deliver doses from 1 to 70 units,
in steps of 1 unit.
fit perfectly in your hand, and is ideal
for making quick and discreet
injections.
2
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INTRODUCTION
Easy to change dose. The insulin
dose can easily be changed without
wasting insulin simply by dialling up
or down.
(including priming). After this time,
the display flashes to tell you that
®
Innovo will expire.
®
Be sure to replace Innovo within
30 days. The battery cannot be
changed. This is to guarantee
quality and safety at all times.
®
®
Easy to change Penfill . Innovo is
specially designed for the easy
changing of Penfill 3 ml cartridges
and NovoFine needles with a length
®
®
®
Thank you for choosing Innovo .
of up to 8 mm. (Be sure to look for
the s on the NovoFine packaging
when selecting needles).
It is important that you follow the
instructions carefully to make
insulin therapy as easy to live with
as possible.
®
®
Easy reminders. Innovo has a
battery that lasts for about 5 years
from manufacturing date when used
at a rate of four daily injections
3
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Getting started
Pull off the cap. Put the cap to one side and
keep it. You will need to replace the cap
after your injection.
The very first time the cap is pulled off, the
display stays blank until the slide is opened.
4
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GETTING STARTED
Make sure that the push button is pressed
completely in. Otherwise the slide will be
locked.
Open the slide in the direction of the arrow
shown below.
The display now shows 0.
5
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GETTING STARTED
®
In the Penfill leaflet you will find
instructions on how to:
®
• check that Penfill is intact (e.g. no fissures).
®
• resuspend the insulin, if Penfill contains an
insulin suspension (cloudy insulin).
®
®
Put Penfill into Innovo by pushing it
slightly backwards as shown. The end with
the rubber stopper goes in first.
6
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GETTING STARTED
Make sure that the colour-coded cap fits
firmly into place.
7
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GETTING STARTED
Close the slide completely. The release
button is locked until the slide has been
closed.
®
Keep the slide closed until Penfill is empty.
8
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GETTING STARTED
®
Take the protective tab off a NovoFine
needle and screw the needle tightly onto
the colour-coded cap.
Pull off the outer and inner needle caps.
Do not bend or damage the needle
before use.
9
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®
Priming Innovo
®
Always prime your Innovo to ensure the
insulin flow:
æ
• before each injection
• after changing Penfill
®
• after changing the needle
• after opening and closing the slide.
It is important that insulin appears at the
tip of the needle before you make your
injection. Otherwise you will not receive
the full insulin dose.
®
How to prime your Innovo
• Make sure that a needle is mounted, the
push button is pressed completely in, and
the slide is closed. If the slide is not closed,
the release button will be locked.
• Press the release button a.
You will see that the push button jumps
out.
A
10
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®
PRIMING INNOVO
• Dial 1 unit b.
®
When inserting a new Penfill , start with
8 units.
B
After opening and closing the slide you
will need to dial a larger number of units,
depending on the amount of insulin left
®
in Penfill .
®
• Hold Innovo with the needle upwards
and tap the slide gently with your finger
C
a few times c.
• Press the push button completely in until
it locks d.
• A drop of insulin should appear at the
needle tip.
• If not, repeat the procedure dialling
1 unit until a drop of insulin appears.
D
11
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Choosing your dose
Make sure that a needle is mounted and that
the push button is pressed completely in.
æ
Press the release buttona and the push
button will jump out. The display will show 0.
Dial the number of units you need by turning
the dose selector at a steady speedb. In this
example a dose of 10 units has been dialled.
The number of units you have dialled is shown
in the display. You cannot use the clicks as you
dial to determine the dose.
B
12
A
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CHOOSING YOUR DOSE
Changing a dose
If you accidentally dial a larger dose than
you need, dial back to the correct number
of units. The dose dialled can be changed
until you press the push button.
Cancelling a dose
If you want to cancel a chosen dose, dial
back to zero and press the push button
completely in. Your last delivered dose
(or priming) and the time passed since its
delivery will reappear on the display.
13
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Making the injection
Follow the injection technique
demonstrated by your doctor or nurse.
To inject, press the push button completely
in until it locks. You will probably feel that
it becomes a little harder to press at the
end.* This is normal.
Do not change the dose after you have
pressed the push button.
æ
With all insulin injection devices the needle
should be left under the skin for at least
6 seconds to ensure that the full insulin
®
dose has been delivered. Innovo helps you
to do this by providing a built-in timer.
When the push button is pressed
completely in, the segments turn on two
by two telling you to leave the needle
under your skin.
When the circle appears, the full insulin
dose has been delivered and you can
withdraw the needle.
14
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MAKING THE INJECTION
After you have withdrawn the needle,
a few drops of insulin may appear at the
needle tip. This is normal and has no
effect on the dose delivered.
Put the outer needle cap on and unscrew
the needle. Discard it carefully.
®
Always replace the cap after using Innovo .
*Thin needles reduce pain, but you may need to
press the push button firmly when injecting your
®
insulin. NovoFine needles, made using thin-wall
technology, minimise the amount of pressure
needed.
15
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Checking your previous
injection
Pull off the cap.
After the display test, your previous dose
(or priming) and the time passed since
delivery can be seen on the display.
Each timer segment represents 1 hour.
16
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CHECKING YOUR PREVIOUS INJECTION
For example, if 4 segments are displayed,
more than 4 hours have passed since the
previous injection.
If 12 segments are displayed, more than
12 hours have passed. In this example the
display tells you that a dose of 10 units were
delivered more than 12 hours ago.
If the last thing you did before replacing
the cap was to dial a dose, this dose will
appear on the display.
®
Always replace the cap after using Innovo .
17
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Subsequent injections
Pull off the cap.
When the cap is pulled off, all the display
symbols are turned on telling you that the
display is fully functioning.
Your previous dose (or priming) and the
time passed since delivery then appear on
the display.
18
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SUBSEQUENT INJECTIONS
®
Check that Innovo contains the type
of insulin you want to inject.
®
If Penfill contains a soluble insulin, follow
the instructions from page 9 in this manual.
®
If Innovo contains an insulin suspension
(cloudy insulin), you must resuspend the
®
insulin as described in the Penfill leaflet.
Then carry on as shown from page 9
and inject shortly after resuspending
the insulin suspension.
19
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®
What to do when Penfill is
nearly empty
Do not try to inject an insulin suspension
(cloudy insulin) if the rubber stopper is below
the arrow marks on the slide as shown in the
picture. The glass ball must have adequate
space to resuspend the insulin.
®
Innovo will not let you dial a larger
®
dose than that remaining in Penfill .
Do not force the dose selector to turn;
instead change Penfill .
æ
®
If you need more insulin than the amount in
the cartridge, you can either:
®
• change Penfill and inject the whole dose
at once,
or
• inject the remaining insulin and insert
®
a new Penfill cartridge for the rest of
your dose.
20
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WHAT TO DO WHEN PENFILL® IS...
®
Change Penfill as described on page 22.
®
Then prime Innovo as described on
page 10-11.
Dial the remaining number of units to
complete your dose.
Inject, making sure that you have now
injected your full dose.
®
If you have changed Penfill so your total
dose was divided into two doses, note that
®
Innovo will only remember the second of
the two doses given.
21
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®
Changing Penfill
• Make sure that the push button is pressed
completely in.
• Unscrew the needle.
• Open the slide.
®
• Take out the used Penfill cartridge.
®
• Take a new Penfill cartridge and continue
as described from page 6.
22
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Function check
®
If you think that Innovo is not working
properly, follow this procedure.
®
• Screw on a new NovoFine needle as
described on page 9.
®
• Prime Innovo as described on page 10-11.
• Put the outer needle cap over the needle.
• Dispense 20 units into the outer needle cap.
The insulin should fill the lower part of the
®
outer needle cap. If Innovo has released
too much or too little insulin, repeat the test.
®
If it happens again, do not use your Innovo .
Contact your supplier. Do not try to repair
®
a faulty Innovo .
23
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What do I do if...?
The display is off.
Here are the answers to some
If the display goes off, press the
release button, and the push
button will jump out. Press the
push button completely in, and
the display should reappear. If the
display does not reappear, open
questions you might ask when using
your Innovo insulin doser.
®
Display
The display does not respond
when I turn the dose selector.
Press the release button so that
the push button jumps out before
a dose can be dialled.
®
and close the slide. Prime Innovo
as described on page 10. If the
®
display remains off, Innovo is
not working. Do not use Innovo
®
but contact your supplier to get
®
a new Innovo .
The display shows a minus sign.
The dose selector has been dialled
below 0. Dial forward until the
display shows the correct number
of units.
Priming
No insulin appears when I try
®
to prime Innovo .
The needle may be blocked.
Change the needle and prime
®
Innovo until insulin appears at
the needle tip.
24
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WHAT DO I DO IF...?
Check that the push button is
Choosing the dose
pressed completely in and locked.
Open the slide and make sure that
Penfill is inserted correctly. If Penfill
I cannot release the push button.
Make sure that the slide is closed
completely. The release button is
locked until the slide is closed.
®
®
is damaged or empty, change it.
Check that the slide is closed, and
®
prime Innovo until insulin appears
at the needle tip.
I want to cancel or change
the dialled dose.
Dial back to zero and press the push
button completely in. Your last dose
and the time passed since delivery
will reappear on the display. You can
increase, decrease or cancel the
dialled dose until you press the push
button.
No insulin appears when I prime
Innovo and the push button will
not go in.
®
The needle may be blocked. Change
®
the needle and prime Innovo until
insulin appears at the needle tip.
To open the slide, dial back to zero
and press the push button
Do not change the dose after you
have pressed the push button.
completely in until it locks. Then
®
change Penfill as described on
page 22.
25
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WHAT DO I DO IF...?
®
Check if Penfill is damaged. Dial
Insulin is delivered when I
turn the dose selector.
back to zero and press the push
button completely in until it locks.
Then open the slide and change
Penfill as described on page 22.
Prime Innovo until insulin appears
You have dialled the maximum
dose of 70 units and then carried
on dialling. If you need to inject
a dose of insulin larger than
70 units, you must divide the
dose into amounts equal to or
less than 70 units.
®
®
at the needle tip.
Please observe that part of the
insulin dose may have been injected.
Injection
If the push button still cannot be
pressed completely in, contact your
supplier.
The push button blocks during
the injection.
Do not try to force the push
button in.
The needle may be blocked.
Change the needle and
®
prime Innovo as described
on page 10.
26
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WHAT DO I DO IF...?
®
Changing Penfill
Function check
®
I cannot open the slide.
Put on a new needle. Press the
push button completely in until
it locks. Remove the needle and
open the slide. If the slide still
cannot be opened, contact your
supplier.
I do not think that my Innovo
is working properly.
Carry out the function check
described on page 23. Make
sure that the lower part of the
outer needle cap is filled with
20 units of insulin.
Do not try to force the slide
open.
®
Never use your Innovo unless
you are sure that it is working
properly.
27
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How to store and look
®
after your Innovo
insulin doser
Storage and handling
®
• Do not expose Innovo Insulin
Doser to temperatures below
minus 25°C.
®
Your Innovo insulin doser is
designed to work accurately and
safely. It should be handled with
care. Avoid situations where your
Innovo insulin doser can be
damaged. Always replace the cap
®
• With Penfill inserted, store
®
®
Innovo at room temperature
(up to 25°C).
®
after using Innovo .
®
• Your Innovo is tough but can
Please read the leaflet in the
Penfill pack. This will tell you how
to store the cartridges and how
long to keep them.
still be damaged. Handle it with
care and protect it against direct
sunlight, water, dust and dirt.
®
28
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HOW TO STORE AND LOOK AFTER YOUR...
Cleaning
Remember
• Clean off dirt and dust with
• Do not try to repair a faulty
®
a dry, soft brush.
Innovo .
®
®
• You can clean your Innovo by
• Innovo must only be used
wiping it with cotton wool
moistened with ethyl or isopropyl
alcohol.
according to the instructions in
this manual. The manufacturer will
not be held responsible for any
equipment problems if you have
not followed these instructions.
®
• Do not soak Innovo in alcohol,
wash it or lubricate it. This may
damage the mechanism.
®
• If you find that Innovo is faulty,
Novo Nordisk will replace it if:
- you return Innovo to your supplier
®
within 1 year of receiving it
- you enclose any documents you
were given when you received
®
Innovo
®
- Novo Nordisk can inspect Innovo
and confirm that it is faulty.
29
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Display Information
Segment
If the display does not reappear,
open and close the slide. Prime
Innovo as described on
page 10.
If the display remains off, Innovo
Circle
Dose
®
®
®
is not working. Do not use Innovo
but contact your supplier to get
a new Innovo .
®
Display is off
The very first time the cap is
pulled off, the display stays
blank until the slide is opened.
Display test
When the cap is pulled off, all the
display symbols are turned on,
telling you that the display is fully
functional.
If the display goes off, press
the release button, and the push
button will jump out. Press the
push button completely in, and
the display should reappear.
æ
Dialling a dose
The display shows the number of
insulin units dialled.
30
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During delivery
Flashing display
The segments turning on two by
two tell you to leave the needle
under the skin during injection.
A flashing display indicates
that the battery power is low.
Be sure to replace your Innovo
within 30 days. The battery
cannot be changed. Contact
your supplier to get a new
®
After delivery
The display shows the number
of insulin units delivered.
The circle confirms that the
delivery has been completed.
®
Innovo .
Minus sign
A minus sign on the display
tells you that the dose selector
has been dialled below 0.
Dial forward until the display
shows the number of units
required.
Previous injection
The display shows the number
of insulin units delivered. The
segments indicate the time
passed since delivery. One
segment represents 1 hour. In
this example more than 4 hours
®
have passed since Innovo
delivered the previous dose.
31
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Important information
æ
®
®
®
• Always prime your Innovo
(as described on page 10-11)
to ensure the insulin flow:
• before each injection
Penfill is inserted into Innovo , the
coloured band is visible through the
slide. Before each injection make sure
that you are using the right type of
insulin.
®
• after changing Penfill
• after changing the needle
• after opening and closing the slide
• If you are treated with more than
one type of insulin in Penfill® 3 ml
cartridges, you should use two
®
®
• With a Penfill in Innovo , never
press the push button unless
a needle is mounted.
• Always make sure that the push
button is pressed completely in
and locks.
devices, one for each type of insulin.
• Do not use the residual scale to
measure the amount of insulin to be
injected.
®
• Take the needle off Innovo
The display confirms completed
delivery when the segments turn on
two by two and then the circle
appears.
immediately after each injection.
If you do not remove it, temperature
changes may cause liquid to leak
out of the needle. With an insulin
suspension (cloudy insulin), this may
change the concentration of the insulin.
• Do not change the dose after you
have pressed the push button.
• On the Penfill® label there is a
coloured band that is unique to the
different types of insulin. When
• Do not initiate injection of an insulin
suspension (cloudy insulin) if the rubber
stopper is below the arrow marks on
the slide.
32
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IMPORTANT INFORMATION
®
• Your Innovo insulin doser is designed
been dropped or knocked, you must
carry out a function check
(see page 23).
®
to work accurately and safely. Innovo
has built-in safety features to ensure
that the insulin dose injected is the
dose that has been dialled. In the
unlikely event of a malfunction your
®
• Never use your Innovo unless you are
sure that it is working properly.
• Always replace the cap after using
®
Innovo doser will lock to prevent you
from receiving a wrong dose.
®
Innovo .
• Do not play with the dose selector
or the push button as this can cause
• As a precautionary measure, always
carry a spare insulin delivery device
®
Innovo to wear out.
®
in case your Innovo is lost or
®
®
®
• Keep Innovo , Penfill and NovoFine
damaged.
out of the reach of children.
• A flashing display tells you that
battery power is low. Be sure to
®
• Your Innovo is for use by you alone.
Do not allow anyone else to use it.
®
replace Innovo within 30 days.
• Health care professionals, relatives
and other carers should follow
general precautionary measures
for removal and disposal of
The battery cannot be changed.
This is to guarantee quality and
safety at all times. Contact your
®
supplier to get a new Innovo .
needles to eliminate the risk of
unintended needle penetration.
®
• Innovo is tough but could still be
damaged. So handle it with care, do
not drop it and avoid knocking it
®
against hard surfaces. If Innovo has
33
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0088
© 2001 Novo Nordisk A/S
Revision date: October 2002
Novo Nordisk A/S
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8-4249-00-004-1
2880 Bagsvaerd, Denmark
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