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
Pump implantation
60
Figure 8: Testing Pump stroke volume with a pipette
6. Insert the pipette into the hub. A meniscus of fluid will be present in the
pipette. This should be done on a flat surface with the pipette/tubing
assembly horizontal (see Figure 8).
7. Note the exact location of the fluid meniscus in the pipette.
8. Measure the stroke volume by noting the volume displaced by a minimum of
10 pulses. Record the total volume delivered and the number of pulses on the
Implant Worksheet. Divide the total volume delivered by the total number of
pulses used to deliver that volume. The volume per stroke must be between
0.40 and 0.60 µL. Record this value on the Implant Worksheet.
Prepare the Side Port Catheter
The Side Port Catheter (“Catheter”) is attached to the Pump before implantation;
however, it must be primed with INSULIN and inspected before being attached
to the Pump.
Never insert a needle into the connector end of the
Catheter for priming or for testing. There is a preci-
sion sealing surface in the connector that may be
damaged by the insertion of any needle.
1. Keep the Catheter in its package until the Pump is prepared and stroke
volume has been verified. Remove the Catheter from its sterile package and
document the serial number on the Implant Worksheet.
2. Using the last insulin syringe (IN2) from the Pump preparation procedure,
enter the Catheter port cone and push a small volume of insulin out of the
connector end of the Catheter. This primes the proximal portion of the
Catheter and cleans any debris from the connector outlet. Remove the
syringe.
!
WARNING