User's Manual

Table Of Contents
Medt
ronic MiniMe
d Implant W
orksheet For
m
Prep Date:_
________ Cente
r:_________ Pa
tient Code:___
Patient nam
e:___________
_____________
_________
Pump Labe
l:
Cat
heter Label:
PPC Label:
Insu
lin Lot Number:
_________
Com
municator-settin
gs:
Pati
ent Communicat
or ID:________
Supervisor Cod
e:__
Max
meal bolus:___
_ U Max basal
rate:_______U/
h
Ma
ximums (locked/
unlocked):__ Al
arm feedback "O
N":__
Bas
al rate programm
ed with PPC:__
______U/h
Weight of ful
l "IN 2" syringe
before filling the
res
ervoir:________
_____________
g (1)
Weight of ful
l "IN 2" syringe
after filling the r
eservoir and
re
moving 2ml from
the pump:____
_____________
_ g (2)
Total amoun
t placed in the re
servoir
(1
-2):__________
_______ g
Verification
of alarm feedbac
k: yes / no
Time d
elivery started, p
riming bolus:__
___________
C
alculated stroke
volume:______
_____________
_
a) number o
f strokes deliver
ed:___________
_____
b) tota
l volume deliver
ed:___________
______
c
) calculated stro
ke volume (b/a)
:__________ ul
Verification
of the delivery
from the cathete
r tip: yes / no
Impla
nt date:_______
______
Surgeon name:_
_____________
__
Anesthesia
:____________
________
Pock
et depth:______
___cm
Catheter fixatio
n:____________
____
Pump fixa
tion:_________
_
Cath
eter type:_____
__________
Pump type:___
____________
Pump ori
entation:
Com
plications: