User's Manual
Table Of Contents
- Table of contents
- List of figures
- CHAPTER 1 Description
- CHAPTER 2 Indications and contraindications
- CHAPTER 3 Personal Pump Communicator (PPC)
- CHAPTER 4 Pump implantation
- Preprogramming and pre-testing the Pump
- CHAPTER 5 Pump refill procedure
- CHAPTER 6 Explanting the Pump System
- CHAPTER 7 Warnings and precautions
- CHAPTER 8 Adverse reactions
- CHAPTER 9 System alarms and messages
- Pump alarms
- Alarm feedback
- Pump low battery
- Depleted pump battery
- System error
- Pump self test fail
- PPC low battery
- PPC alarms
- Low reservoir
- Empty reservoir
- Telemetry communication error
- Initialize alarm
- PPC not initialized
- Battery replacement
- Initialize to factory defaults
- Pump stopped
- Pump suspended
- Auto off
- Hourly maximum exceeded
- Pump alarm table
- Pump alarms
- CHAPTER 10 Troubleshooting Pump System under-delivery
- CHAPTER 11 Technical specifications
- APPENDIX A Label information symbol dictionary
- APPENDIX B Implant worksheet
- APPENDIX C Refill form
- APPENDIX D Precautions and general procedures
- APPENDIX E Pump rinse procedure
- APPENDIX F Side Port Catheter flush procedure
- Supplies and solutions
- Preparing for the procedure
- Flushing the Side Port Catheter
- Program minimal basal rate
- Remove insulin and fill with rinse buffer
- Equilibrate and pull rinse buffer through system
- Flush side port catheter
- Remove rinse buffer and fill with insulin
- Equilibrate and pull insulin through system
- Remove guide needles and record refill amount
- Program new basal rate
- Remove rinse buffer from catheter
- APPENDIX G Stroke volume measurement
125
Equilibrate and pull insulin through system
The reservoir pressure in the Pump is equilibrated with outside ambient pressure
and INSULIN is pulled through the fluid system. This procedure uses the follow-
ing volumes in syringes 6 and 7:
• Syringe 7 with residual INSULIN from previous step.
• Syringe 6 with 5 ml solution. To perform this procedure with syringes 6 and
7, follow the steps below:
Syringe 7: Insulin - Residual
1. Maintain syringe 7 with approximately 10 ml of residual INSULIN in the
Pump fill port. Verify that the stopcock on syringe 7 is open.
Syringe 6: Insulin - Residual
1. Prime the syringe 6 needle. Close the stopcock.
2. Obtain a vacuum in syringe 6 by pulling back on the plunger until it locks.
Press the lock into the plunger groove to be sure it is firmly secured.
3. Enter the side port with syringe 6 - stopcock closed.
4. Open the stopcock on syringe 6.
5. Using the PPC, program and deliver a 4 unit bolus.
6. Observe syringe 7. If the level of INSULIN approaches 2 ml, close the
stopcock to prevent air from entering the Pump. Observe syringe 6. At least 1
ml of INSULIN must pass into syringe 6 to assure removal of all the RINSE
BUFFER from the side port. If less than 1 ml enters, repeat the bolus from
Step 6, some Pumps may require 3 successive boluses to obtain 1 ml.
7. Close both stopcocks. Remove syringe 7 from the Pump. Set aside the
syringe to be weighed.
8. With the stopcock closed, remove syringe 6 from the side port. Syringe 6 will
have a vacuum from the previous step. Enter the Pump fill port with syringe
6 and open the stopcock to remove 2 ml. This will restore the negative
pressure safety feature of the Pump.
9. Close the stopcock, remove syringe 6 from the Pump, and set it aside to be
weighed.