Instructions for Use, Handling & Disposal: NovoMix 30 FlexPen is a unique dial-a-dose insulin pen. Doses from 1-60 units in increments of 1 unit can be selected. NovoMix 30 FlexPen is designed to be used with NovoFine or NovoTwist disposable needles up to length of 8 mm. As a precautionary measure, always carry a spare insulin delivery device in case NovoMix 30 FlexPen is lost or damaged.
Getting Started: Check the label to ensure the correct type of insulin. Always use a new needle for each injection to prevent contamination.
Preparing NovoMix 30 FlexPen: Before the 1st injection with a new NovoMix 30 Flexpen, the insulin must be re-suspended. Let the insulin reach room temperature before using it. This makes it easier to re-suspend. Pull off the pen cap.
Roll the pen between the palms 10 times. It is important that the pen is kept horizontal.
Then move the pen up and down 10 times between 2 positions, so the glass ball moves from 1 end of the cartridge to the other. Repeat rolling and moving the pen until the liquid appears uniformly white and cloudy.
For every following injection, move the pen up and down between the 2 positions at least 10 times until the liquid appears uniformly white and cloudy. After having re-suspended the insulin, complete all the following steps of injection without delay.
Always check if there are at least 12 units of insulin left in the cartridge to allow re-suspension. If there are <12 units left, use a new FlexPen.
Attaching a Needle: Disinfect the rubber membrane with a medicinal swab.
Remove the protective tab from a new disposable needle. Screw the needle straight and tightly onto NovoMix 30 FlexPen.
Pull off the big outer needle cap and keep it for later.
Pull off the inner needle cap and dispose of it.
Always use a new needle for each injection to prevent contamination. Be careful not to bend or damage the needle before use. To reduce the risk of unexpected needle sticks, never put the inner needle cap back on when removing it from the needle.
Checking the Insulin Flow: Prior to each injection, small amounts of air may collect in the cartridge during normal use. To avoid injection of air and ensure proper dosing: Turn the dose selector to select 2 units.
Hold NovoMix 30 FlexPen with the needle pointing upwards and tap the cartridge gently with a finger a few times to make any air bubbles collect at the top of the cartridge.
Keeping the needle upwards, press the push-button all the way in. The dose selector returns to 0. A drop of insulin should appear at the needle tip. If not, change the needle and repeat the procedure no more than 6 times.
If a drop of insulin still does not appear, the pen is defective, and a new 1 must be used.
Selecting the Dose: Check that the dose selector is set at 0.
Turn the dose selector to select the number of units needed to inject.
The dose can be corrected either up or down by turning the dose selector in either direction until the correct dose lines up with the pointer. When turning the dose selector, be careful not to push the push-button as insulin will come out.
A dose larger than the number of units left in the cartridge cannot be selected.
Do not use the residual scale to measure the dose of insulin.
Making the Injection: Insert the needle into the skin. Use the injection technique shown by the doctor or nurse.
Inject the dose by pressing the push-button all the way in until 0 lines up with the pointer. Be careful only to push the push-button when injecting.
Turning the dose selector will not inject insulin.
Keep the push-button fully depressed after the injection until the needle has been withdrawn from the skin.
The needle must remain under the skin for at least 6 sec. This will ensure that the full dose has been injected.
Lead the needle tip into the big outer needle cap without touching the big outer needle cap. When the needle is covered, carefully push the big outer needle cap completely on and then unscrew the needle.
Dispose it carefully and put the pen cap back on.
Always remove the needle after each injection and store NovoMix 30 FlexPen without the needle attached. Otherwise, the liquid may leak out which can cause inaccurate dosing.
Caregivers should be most careful when handling used needles to avoid needle sticks.
Dispose the used FlexPen carefully without the needle attached.
Do not share NovoMix 30 FlexPen with anyone else.
Maintenance: NovoMix 30 FlexPen is designed to work accurately and safely. It must be handled with care. If it is dropped or crushed, there is a risk of damage and leakage of insulin.
Clean the exterior of NovoMix 30 FlexPen by wiping it with a medicinal swab.
Do not soak it, wash or lubricate it as it may damage the pen.
Do not refill NovoMix 30 FlexPen.
Do Not Use NovoMix 30: In insulin infusion pumps; if FlexPen is dropped, damaged or crushed as there is a risk of leakage of insulin; if it has not been stored correctly or has been frozen; if the insulin is not uniformly white and cloudy when it is re-suspended and if clumps of material are present or if solid white particles stick to the bottom or the wall of the cartridge giving a frosted appearance.
NovoMix 30 FlexPen is for SC injection. Never inject the insulin directly into a vein or muscle.
Always vary the sites to inject, to avoid lumps. The best places to give an injection are: The front of the waist (abdomen); the buttocks; the front of the thighs or upper arms. The insulin will work more quickly if injected around the waist.
Special Precautions for Disposal and Other Handling: NovoFine and NovoTwist needles are designed to be used with the pre-filled pen. Detailed instructions accompanying the NovoMix 30 FlexPen must be followed.
NovoMix 30 FlexPen is for use by 1 person only.
The NovoMix 30 FlexPen must not be refilled.
The necessity of re-suspending the NovoMix 30 suspension immediately before use is to be stressed to the patient. The re-suspended liquid must appear uniformly white and cloudy.
NovoMix 30 FlexPen which has been frozen must not be used.
The patient should be advised to discard the needle after each injection.
Any unused product or waste material should be disposed of in accordance with local requirements.