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Twiist by Sequel

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The twiist™ Automated Insulin Delivery (AID) System is designed to provide personalized diabetes management. Powered by the Tidepool Loop algorithm, the twiist AID System offers customizable target glucose ranges from 87-180 mg/dL, fast occlusion detection, and full control from iPhone or connected Apple Watch.
The twiist AID System includes flexible wear options, 300-unit insulin capacity with a small discreet size, retroactive adjustable carb entries and pre-meal and exercise presets.

For more information, visit twiist by Sequel

Activity Settings:
Yes, the Workout Preset allows user to temporarily adjust target prior to and/or during exercise
Automatic Correction Boluses:
No
Closed Loop Functionality:
Yes
Automatic Insulin Adjustments:
Yes
Calibration Not Required:
Yes
Waterproof:
Yes; IP28, indicating protection from continuous immersion in water up to 12 feet for 1 hour.
Medicare Covered:
NA yet
Remote Software Update Capability:
Yes
Multiple Languages:
Yes. English and Spanish
Bolus Management Smartphone:
Yes, iPhone and Apple Watch
Food Database:
No
Additional Features:
  • Carb absorption easily selected using food emojis, select the emoji to reflect food types and absorption times (fast, medium and slow carb effects)
  • 3-ways to bolus: On-pump, via smartphone or Apple Watch
  • Correction is delivered via automated basal adjustments over 30 minutes
  • Retroactive meal adjustments
  • Pre-meal and exercise presets
  • iiSure™ technology directly measures the volume of insulin delivered and includes 4 checkpoints along the way to help ensure accurate delivery
  • Glucose target range: 87 mg/dL - to 180mg/dL

Size Weight:
< 2.0 oz
Approved For Ages:
6 years and up
Tubeless:
No
Battery:
Rechargeable lithium ion
Reservoir Capacity:
300 Units/3 mL
Infusion Set:
The primary infusion set for the twiist system will be the Smiths Medical Cleo 90 Infusion Set. Other compatible infusion sets are the Unomedical Comfort, Medtronic MiniMed Silhouette and Medtronic MiniMed Quick-set Infusion Sets.
Basal Range:
The twiist AID System supports a minimum value of 0.00 units per hour and a maximum of 30 units per hour as scheduled basal rates.

The minimum basal rate of delivery is 0.1 units per hour and then increases by 0.05 units per hour from there. 

Basal rates may be set in 30 minute intervals throughout the day.
Bolus Range:
Programmable from 0.05 units in 0.01 unit increments; maximum is 25 units
Transmitter Range:
33 feet (10 meters)

Details coming soon.

    Insurance details coming soon, twiist will be available through pharmacy channels.

    Healthcare Professional Site

    Contact Us twiist 

    Expected pharmacy availability; details forthcoming

    Details coming soon

    Indications for Use:

    The twiist system is intended for the subcutaneous delivery of insulin, at set and variable rates, for the management of diabetes mellitus in persons requiring insulin, ages six and above.

    The pump can reliably and securely communicate with compatible, digitally connected devices, including automated insulin dosing software, to receive, execute, and confirm commands from these devices. The pump is intended for single patient, home use and requires a prescription.

    Loop is intended for use with compatible integrated continuous glucose monitors (iCGM) and the twiist alternate controller enabled (ACE) insulin infusion pump to automatically increase, decrease, and suspend delivery of basal insulin based on iCGM readings and predicted glucose values. It can also recommend, and with the user’s confirmation, control the delivery of correction boluses when glucose values are predicted to exceed user configurable thresholds.

    Loop is intended for the management of type 1 diabetes mellitus in persons six years of age and greater and is intended for single-patient use.

    The twiist automated insulin delivery system is for prescription use only.

    The simple bolus calculator, available when Loop is off, is indicated for use for aiding the user in determining the bolus insulin dosage for management of diabetes mellitus based on consumed carbohydrates, operator-entered blood glucose, insulin sensitivity, insulin to carbohydrate ratio, correction range, and current active insulin.

    The twiist AID system will be compatible with a commercially available iCGM at the time of launch.

    Contraindications
    The twiist automated insulin delivery system is not intended for anyone unable or unwilling to:
    • Test blood glucose (BG) levels as recommended by their healthcare provider.
    • Maintain sufficient diabetes selfcare skills.
    • See their healthcare provider regularly.
    • Demonstrate adequate carbohydrate-counting skills

    The user must not:

    • Have difficulty seeing.
    • Have difficulty hearing.
    • Have deficient cognitive capabilities.
    • Have physical impairments which would make operating the pump or iPhone difficult.

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    DISCLAIMERS: 

    This site and its services do not constitute the practice of medical advice, diagnosis or treatment. Always talk to your diabetes care and education specialist or health care provider for diagnosis and treatment, including your specific medical needs. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. To find a diabetes care and education specialist near you, visit the ADCES finder tool.

    ADCES and danatech curate product specifics and periodically review them for accuracy and relevance. As a result, the information may or may not be the most recent. We recommend visiting the manufacturer's website for the latest details if you have any questions.

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