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Humulin N Humulin R
USER MANUALHP8804HP8805
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 AvenueToronto, OntarioM1N 2E8
Manufactured by:Eli Lilly and CompanyPharmaceutical Delivery SystemsLilly 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.
FegersheimSite:
Affiliate Barcode:
Previous Item Code (to be destroyed)RA286FSCA00
Item CodeRA286FSCA01
Start Date23 MAY 2013
TechnicalInformation:
Size (mm):432x280
Type:Code:
Folded Size (mm)
Sick CodeN/A
CACAO No.FEG14R072
No. of Pages:
Translations of Variable Data
price:
other:
exp date:
mfgdate:
lot:
PPD Information Box
v4.01
ALRP Information Box
Layout nameFEG-PA025-A
1aProof No. :
N/AFeed Direction:(For labels only)
Printing Colours Technical Colours
Internal to MBS (no Lilly check required)MBS Artwork Ref: 327591Operator 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
Hum
ulin
RHu
mul
in N
Mak
e su
re y
ou h
ave
the
follo
win
g ite
ms:
Getti
ng R
eady
Pen
Part
sKw
ikPe
n an
d Ne
edle
* As
sem
bly
*sol
d se
para
tely
Kwik
Pen
New
Pen
Nee
dle
Alco
hol S
wab
RA28
6FSC
A01
If you
have
any q
uesti
ons o
r pro
blems
with
your
KwikP
en in
sulin
deliv
ery d
evice
, con
tact L
illy at
1-88
8-545
-5972
or yo
ur he
althc
are p
rofes
siona
l for a
ssist
ance
. Fo
r more
infor
matio
n on K
wikP
en an
d ins
ulin,
pleas
e visit
our w
ebsit
e at w
ww.lill
y.ca
Need
leIn
ner N
eedl
eSh
ield
Pape
rTa
b
Pen
Cap
Cap
Clip
Dose
Win
dow
Pen
Body
Dose
Knob
Pen
Labe
l
Rubb
er S
eal
Dose
Indi
cato
rPe
n Ne
edle
Par
ts
(Nee
dles
Not
Incl
uded
)Hu
mul
in K
wik
Pen
Part
s
Oute
r Nee
dle
Shie
ld
1. P
repa
ring
Kwik
Pen
Rout
ine
Use
Fo
llow
thes
e in
stru
ctio
ns fo
r eac
h in
ject
ion
Sele
ct a
new
nee
dle.
Rem
ove
Pape
r Tab
from
Ou
ter N
eedl
e Sh
ield
.
Use
an a
lcoh
ol s
wab
to
wip
e th
e Ru
bber
Sea
l on
the
end
of th
e Ca
rtrid
ge
Hold
er.
Push
cap
ped
need
le
stra
ight
ont
o th
e pe
n.
Scre
w n
eedl
e on
unt
il se
cure
.
Pull
Pen
Cap
stra
ight
off
to
rem
ove.
Do
not t
wis
t the
cap
. Do
not
rem
ove
the
Pen
Labe
l.
Be s
ure
to c
heck
you
r ins
ulin
fo
r:•
Type
• Ex
pira
tion
date
• Ap
pear
ance
Caut
ion:
Alw
ays
read
the
Pen
Labe
l to
ensu
re y
ou a
re u
sing
the
corre
ct in
sulin
type
.
For C
loud
y In
sulin
onl
y:
Gent
ly ro
ll th
e pe
n 10
tim
es.
AND
Inve
rt th
e pe
n 10
tim
es.
Mix
ing
is im
port
ant t
o m
ake
sure
you
get
the
rig
ht d
ose.
Th
e in
sulin
sho
uld
look
ev
enly
mixe
d.
C.D.
A.B.
Dose
Kno
b Co
lor-
Code
Key
:
A.
To d
elive
r the
full
dose
, hol
d Do
se K
nob
in a
nd c
ount
to 5
sl
owly
.
Note
: Che
ck to
mak
e su
re y
ou
see
0 in
the
Dose
Win
dow
to
con
firm
you
rece
ived
the
com
plet
e do
se.
Note
: The
pen
will
not a
llow
you
to d
ial m
ore
than
the
num
ber o
f uni
ts le
ft in
the
pen.
If
you
do n
ot th
ink
you
rece
ived
you
r ful
l dos
e, d
o no
t tak
e an
othe
r do
se.
Turn
Dos
e Kn
ob to
the
num
ber
of u
nits
you
nee
d to
inje
ct. I
f yo
u di
al to
o m
any
units
, you
ca
n co
rrect
the
dose
by
dial
ing
back
war
ds.
Exam
ple:
10 u
nits
sho
wn.
Exam
ple:
15 u
nits
sho
wn.
Care
fully
repl
ace
the
Oute
r Ne
edle
Shi
eld.
In
sert
need
le in
to s
kin
usin
g in
ject
ion
tech
niqu
e re
com
men
ded
by y
our
heal
thca
re p
rofe
ssio
nal.
Plac
e yo
ur th
umb
on th
e Do
se K
nob
and
push
firm
ly
until
the
Dose
Kno
b st
ops
mov
ing.
Unsc
rew
the
capp
ed
need
le a
nd th
row
aw
ay
as d
irect
ed b
y yo
ur
heal
thca
re p
rofe
ssio
nal.
Repl
ace
Pen
Cap
by
alig
ning
the
Cap
Clip
with
th
e Do
se In
dica
tor a
nd
push
ing
stra
ight
on.
Note
: Rem
ove
the
need
le
afte
r eac
h in
ject
ion
to k
eep
air o
ut o
f the
car
tridg
e.Do
not
sto
re th
e pe
n w
ith
the
need
le a
ttach
ed.
3. In
ject
ing
Your
Dos
eC.
B.D.
The
even
num
bers
are
prin
ted
on th
e di
al. T
he o
dd n
umbe
rs,
afte
r the
num
ber o
ne, a
re
show
n as
full
lines
.
2. P
rimin
g Kw
ikPe
nCa
utio
n: If
you
do
not p
rime
to a
str
eam
bef
ore
each
inje
ctio
n, y
ou m
ay g
et to
o m
uch
or to
o lit
tle in
sulin
.D.
A.B.
C.5
seco
nds
5 se
cond
s
Pull
off O
uter
Nee
dle
Shie
ld. D
o no
t thr
ow a
way
.
Pull
off I
nner
Nee
dle
Shie
ld
and
thro
w a
way
.
Dial
2 U
nits
by
turn
ing
the
Dose
Kno
b.Po
int p
en u
p.
Tap
Cartr
idge
Hol
der t
o co
llect
air
at to
p.
• W
ith n
eedl
e po
inte
d up
, pu
sh D
ose
Knob
in u
ntil
it st
ops
and
0 is
see
n in
the
Dose
Win
dow
.•
Hold
Dos
e Kn
ob in
and
co
unt t
o 5
slow
ly.
• Pr
imin
g is
com
plet
e w
hen
a st
ream
of i
nsul
in a
ppea
rs
from
the
need
le ti
p.•
If a
stre
am o
f ins
ulin
doe
s no
t app
ear,
repe
at p
rimin
g st
eps
2B th
ru 2
D up
to fo
ur
times
.
Note
: If y
ou d
o no
t see
a s
tream
of i
nsul
in fr
om th
e ne
edle
tip
and
dial
ing
the
pen
is m
ore
diffi
cult,
cha
nge
the
need
le a
nd p
rime
the
pen.
Cartr
idge
Hold
er
Rem
ove
need
le fr
om s
kin.
FegersheimSite:
Affiliate Barcode:
Previous Item Code (to be destroyed)RA286FSCA00
Item CodeRA286FSCA01
Start Date23 MAY 2013
TechnicalInformation:
Size (mm):432x280
Type:Code:
Folded Size (mm)
Sick CodeN/A
CACAO No.FEG14R072
No. of Pages:
Translations of Variable Data
price:
other:
exp date:
mfgdate:
lot:
PPD Information Box
v4.01
ALRP Information Box
Layout nameFEG-PA025-A
1aProof No. :
N/AFeed Direction:(For labels only)
Printing Colours Technical Colours
Internal to MBS (no Lilly check required)MBS Artwork Ref: 327591Operator 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