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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7. Open the stopcock and remove the INSULIN. After the fluid level stops
moving, wait an additional 30 seconds for all INSULIN and air to be
removed.
8. When the time has elapsed, close the stopcock and remove the syringe.
Discard all but 5 mL of the solution. Remove the air and set aside the
syringe.
Syringe 6: Insulin - Degassed
1. Weigh and record the combined weight of syringes 5 and 6 on the Refill
Worksheet. Prime the needles.
2. Close the stopcocks. Enter the Pump fill port with the refill needle.
3. Open the stopcock and allow the Pump to fill completely with INSULIN.
When the fluid level stops moving, the Pump is filled. Approximately 10 mL
of INSULIN will remain in the syringe. Leave the syringe in place for the
next step.
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 5 and 6:
• Syringe 6 with residual INSULIN from the previous step
• Syringe 5 with 5 mL solution of Rinse Buffer.
Syringe 6: Insulin - Residual
1. Maintain syringe 6 with approximately 10 mL of residual insulin in the Pump
fill port. Verify that the stopcock on syringe 6 is open.
Syringe 5: Rinse Buffer -Residual
1. Prime the syringe 5 needle and close the stopcock.
2. Obtain a vacuum in syringe 5 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 side port with syringe 5 - stopcock closed.
4. Open the stopcock on syringe 5.