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Roche/Disetronic Accu-Chek Spirit
Medtronic/MiniMed Paradigm
522/722
Note: On each pump’s individual comparison
page, “Unique Advantages” and
“Potential Drawbacks” are features that are specific to just that pump.
Features common
to all pumps include:
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Ÿ Similar pricing Ÿ 4-yr warranty Ÿ Multiple basal
programs Ÿ Vibrate option Ÿ Easy-filling
cartridges Ÿ Lighted screen Ÿ Small/lightweight Ÿ Over-the-counter
batteries Ÿ Extensive memory Ÿ Beeper-like
appearance Ÿ Temp basal option Ÿ Splash resistant Ÿ 24-hour toll-free
helpline |
Ÿ Internal safety checks Ÿ Child button lock-out Ÿ Full
Training Incl. Ÿ Easy-programming Ÿ Multiple infusion set
options Ÿ Extended bolus
options Ÿ Programmable
reminders Ÿ Download to PC Ÿ Low batt. warning Ÿ Low insulin warning Ÿ Upgradeable software Ÿ User-set active insulin time |
InsuletOmniPod |
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Unique Advantages
|
Potential Drawbacks |
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Ì
Reduced up-front
costs Ì
Can program through
clothing Ì
Very discrete size Ì
No tubing (minimizes
wasted insulin, no tangling/snagging, less awkward) Ì
Automated cannula insertion Ì
Air pockets purged
mechanically from reservoir Ì
Pump is fully
watertight Ì
Temp basals can be customized/preset Ì
Freestyle meter
built into handheld programmer Ì
Can customize
programming text without PC linkup Ì
Large screen
w/full-sentence text |
¾ Must use handheld programmer to do any programming ¾ Insulin-On-Board calculation neglects to include insulin
given for food ¾ Cannot do programming or editing while bolus is delivering ¾ Cannula may not insert properly on curved body parts ¾ Only one cannula type/length; may
not work for all body types ¾ Max reservoir volume 200u ¾ Pod stops working after 72 hours (plus grace period) ¾ Handheld will not calculate bolus if BG < 50 ¾ Company new to insulin pump market ¾ Dislodged cannula requires
complete pod replacement ¾ “Disconnection” requires complete pod replacement ¾ No vibrate option on pod or handheld ¾ Only 1 handheld provided – must purchase backup ¾ Programming basal rates requires start and end-time entries ¾ No data download option ¾ Temp basal limited to 12 hours max. |
AnimasIR 1250 |
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Unique Advantages
|
Potential Drawbacks |
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Ì
Locally-based
company ( Ì
Very compact size Ì
Dedicated light
button; can use at any time Ì
AA Lithium battery
lasts 6-8 weeks Ì
Adjustable screen
contrast Ì
.025-Unit basal
increments Ì
User-defined timeout
setting Ì
User-defined
occlusion sensitivity Ì
Customizable tune
for alerts Ì
Cartridges very easy
to fill without air bubbles |
¾ Time segments are pre-set for I:C ratios, target BS and
insulin sensitivity ¾ ¾ Cannot see cartridge inside pump ¾ No direct link with a blood glucose meter ¾ Extra button presses required with most standard
programming ¾ No data averages or statistics generated ¾ Cannot recall blood glucose or carb
history ¾ Insulin On-Board is not subtracted uniformly ¾ Blank screen in rest mode ¾ 200-Unit cartridge limit ¾ Cursor speed (scroll) difficult to master ¾ Bolus delivery may be too rapid for some |
AnimasIR 2020 |
|
Unique Advantages
|
Potential Drawbacks |
|
Ì
Locally-based
company ( Ì
Very compact size Ì
Very bright,
full-color screen; easy to read Ì
Dedicated light
button; can use at any time Ì
AA Lithium battery
lasts 6-8 weeks Ì
Adjustable screen
contrast Ì
.025-Unit basal
increments Ì
User-defined timeout
setting Ì
User-defined
occlusion sensitivity Ì
Customizable tune
for alerts Ì
Cartridges very easy
to fill without air bubbles |
¾ ¾ Cannot see cartridge inside pump ¾ No direct link with a blood glucose meter ¾ Extra button presses required with most standard
programming ¾ No data averages or statistics generated ¾ Cannot recall blood glucose or carb
history ¾ Insulin On-Board is not subtracted uniformly ¾ Blank screen in rest mode ¾ 200-Unit cartridge limit ¾ Cursor speed (scroll) difficult to master ¾ Bolus delivery may be too rapid for some |
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Smith/Deltec Cozmo 1800 |
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Unique Advantages
|
Potential Drawbacks |
|
Ì
Free software
upgrades Ì
Attachable Freestyle
meter transmits blood glucose directly into pump Ì
Customizable Site
Change Reminder Ì
Temp basals can be preset & labeled Ì
Customizable home
screen text Ì
Can suspend delivery
without canceling temp basal and ext. bolus Ì
75-unit maximum
bolus Ì
I:C ratios specified
for each meal/snack or by time of day Ì
Can pre-set I:C
ratios for exercise Ì
Very fine increments
for I:C ratios Ì
Setting changes can
be made easily using download/upload software Ì
300-Unit cartridge
volume Ì
Provides specific
recommendations for treating/preventing hypoglycemia Ì
Snooze feature with
most reminders Ì
Therapy
effectiveness “scorecard” Ì
Backlight can come
on by default Ì
Safety reminders
with extended disconnection Ì
Customizable food
list/meal maker program Ì
Alerts and basal
patterns can be customized by day of the week Ì
Optional basal
testing parameters |
¾ Low screen contrast; characters may be difficult to see
without backlight ¾ Unused insulin based on linear action ¾ Slightly thicker design than other pumps ¾ Dedicated bolus button difficult to press; button cover has
a tendency to peel off ¾ Lacks a compact, attachable clip ¾ Difficult to switch between “bolus calculator” and “normal
bolus” modes ¾ Extended bolus option does not utilize custom meal boluses ¾ Advanced features can be complex to program ¾ Downloading data via infrared can be complex and
time-consuming ¾ Download software provides limited data analysis |
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Roche/Disetronic Accu-Chek Spirit |
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Unique Advantages
|
Potential Drawbacks |
|
Ì
Can use rechargeable
batteries Ì
Display can be
flipped 180° Ì
Fully tactile
buttons Ì
Includes separate palmOne/Zire with software for calculating boluses Ì
Approx. 1-month
battery life |
¾ Basal rates limited to .1-unit increments ¾ Must program 24 separate basal rates (1 for each hour) ¾ No bolus calculations on the pump itself ¾ Cartridges difficult to fill/remove bubbles; very long
filling needle. ¾ Slow entry of large boluses doses ¾ Must memorize button sequences (no on-screen menus) ¾ No direct link with a blood glucose meter ¾ Pump does not know exact insulin level; must set volume
manually ¾ Some functions require “combination” button presses ¾ Noisy clicks during bolus delivery ¾ 25-Unit maximum bolus ¾ Smallest screen ¾ No compact attachable clip ¾ Must stop pump to change cartridge ¾ No cannula-fill process (insulin
usage totals will be inaccurate) ¾ Sharp corners on casing |
Medtronic/MiniMedParadigm 522/722 |
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Unique Advantages
|
Potential Drawbacks |
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Ì
Company in pump
business 20+ years Ì
Links with optional
Continuous Glucose Monitor Ì
Quickest/simplest bolus
programming Ì
Can program bolus by
unit entry even when “bolus wizard” calculator is turned on Ì
Slim/streamlined
attachable clip Ì
Optional remote
control (@ addl. cost) Ì
Low reservoir alert
in units or hrs left Ì
Radio frequency
communication with up to 3 BD blood glucose meters Ì
Easily downloadable
to online Carelink program for complete data
analysis |
¾ Volatile RAM – memory can be lost ¾ Not water-tight ¾ No food database ¾ Must use proprietary infusion sets ¾ Slowest bolus delivery ¾ 25-Unit maximum bolus ¾ Smallest bolus increment is .1 units ¾ Backlight “flashes” during programming ¾ Must pay for loaner/backup pumps ¾ Holds 180 units; 300-unit version is slightly larger ¾ Short battery life (avg 2-3
weeks) |
Ó copyright 2007, Gary Scheiner MS, CDE – Integrated Diabetes
Services