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
iv
Fill the Pump with insulin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Measure stroke volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Prepare the Side Port Catheter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Performing the surgical procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Pre-operative evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Formation of the pump pocket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Catheter placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Post-operative management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Post-operative hospitalization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Post-operative x-rays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
CHAPTER 5 Pump refill procedure . . . . . . . . . . . . . . . . . . . 69
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Supplies and solutions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Supplies: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Solutions: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Prepare for pump refill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Perform the refill procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Fill out the refill form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Label syringes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Prepare the refill syringe for emptying the Pump . . . . . . . . . . . . . . . . . . 72
Prepare the refill syringe for filling the Pump . . . . . . . . . . . . . . . . . . . . . 73
Empty the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Refill the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Calculate extracted and refill amounts . . . . . . . . . . . . . . . . . . . . . . . . 77
Calculate refill accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
CHAPTER 6 Explanting the Pump System . . . . . . . . . . . . . 79
Explant considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Returning devices/components to Medtronic MiniMed . . . . . . . . . . . . . . . . 79