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
Description
4
The Pump has six major components. These components are outlined below:
• medication reservoir
• pumping mechanism
• microelectronics
• antenna
• battery
• tone transducer
Other components of the Pump include the inlet valve, fill port, septum,
cyclopentane gas and 20µm filter. Figure 3 shows the interior components of the
Pump.
Figure 3: Interior of the Implantable Insulin Pump
The Medication Reservoir stores approximately 15 ml or 6,000 units of a
special U-400 insulin. Depending on an individual’s insulin requirements, the
medication reservoir is refilled once in approximately every two to three months.
The medication reservoir is maintained at a negative pressure (vacuum) at all
times to allow for safe and reliable filling. This vacuum prevents any risk of
insulin leakage in the event of a breach in the Pump case or reservoir. The
reservoir is refilled with a special needle (Medtronic MiniMed Refill Needle
MMT-4102). The fill port has a 20 micron filter to prevent particulate material
from entering the Pump and a redundant septum and valve configuration to
prevent entry of body fluids.