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
130
Flushing the Side Port Catheter
Program minimal basal rate
Place the PPC in a sterile bag and program the pump to “SUSPEND” mode, the
basal rate will be 0.2 U/h.
Remove insulin and fill with rinse buffer
The INSULIN is removed from the Pump and the system is filled with RINSE
BUFFER. This procedure uses the following volumes in syringes 1, 2, and 3:
• Syringe 1 with 5 ml RINSE BUFFER
• Syringe 2 with 20 ml RINSE BUFFER
• Syringe 3 with 30 ml RINSE BUFFER
Syringe 1: Rinse Buffer
1. Prime the needle and close the stopcock. Weigh the syringe.
2. Obtain a vacuum by pulling back on the plunger until it locks. Press the lock
into the plunger groove and be sure it is firmly secured.
3. Enter the Pump with the refill needle.
4. Open the stopcock and withdraw the INSULIN. After the INSULIN appears
to have stopped rising in the syringe, wait an additional 30 seconds to make
sure all of the INSULIN and air are removed.
NOTE: Air in the Pump System has been shown to be a
significant agonist to aggregation of INSULIN. Proper
degassing of all solutions that enter the Pump is
essential.
5. When the time has elapsed, close the stopcock, remove the syringe. Weigh
the syringe and record the weight on the Refill Worksheet.
Syringe 2: Rinse Buffer - Degassed
1. Prime the needle and close the stopcock.
2. Enter the Pump with the refill needle.