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
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1. Prime the needle. Close the stopcock.
2. Obtain a vacuum 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 the stopcock closed.
4. Open the stopcock.
5. Program and deliver a 4 unit bolus to open the valve in the Pump mechanism.
6. Observe syringe 3. When the level of the RINSE BUFFER approaches 2 mL,
close the stopcock to prevent air from entering the Pump. Observe syringe 2.
When at least 1 mL of RINSE BUFFER has entered syringe 2 close both
stopcocks and remove the syringes. If less than 1 ml enters, repeat the bolus
from Step 6. Some Pumps may require 3 successive boluses to obtain 1 ml.
Discard syringe 2 and set aside syringe 3 to be used later to remove the
RINSE BUFFER.
Flush side port catheter
The Side Port Catheter is flushed using syringe 4 which is completely filled with
RINSE BUFFER.
Approximately 13 units of INSULIN remain in the
distal Side Port Catheter. This INSULIN will be
delivered to the patient rapidly in the next three
steps. Alternatively, the INSULIN may be removed
prior to flushing by programming continuous
bolus amounts. Closely monitor blood glucose dur-
ing INSULIN delivery, and administer intravenous
glucose or glucogen as needed.
Syringe 4: Rinse Buffer
1. Prime the needle. Close the stopcock.
2. Enter the side port with the needle.
3. When the needle is firmly positioned in the side port, open the stopcock and
quickly push the plunger all the way down. This should take no longer than
one to two minutes.
4. After flushing, close the stopcock, remove and discard the syringe.
!
WARNING