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
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4. Inspect the outlet of the Pump for debris. Debris, especially fibers, left in the
fluid path will compromise the function of the Catheter check valve. Rinse
the outlet tube of the Pump with water from a syringe, if necessary. Avoid
wiping the Pump with gauze or drapes that will leave fibrous debris.
5. Pull the locking bar out and gently push the Catheter straight down onto the
Pump outlet. Never twist the connector.
6. Only after the Catheter is seated, squeeze the connector (see Figure 10, item
1), firmly against the Pump between the thumb and forefinger of one hand.
Then push the locking bar (item 2) into place with the thumb of the other
hand.
Figure 10: Proper attachment of the Side Port Catheter to Pump
7. Verify the Catheter is securely attached to the Pump. Look into the connector
and observe the position of the locking bar with respect to the Pump
connector outlet. Check the side port connector hub for abnormalities (e.g.,
cracks, misalignment.)
8. Using the IN2 refill syringe, enter the Catheter side port cone and push a
small amount of INSULIN out the Catheter tip. Verify that no insulin flow is
observed at the Pump/Catheter interface. Remove and reseat the Catheter if
flow is noted. Remove the syringe.
9. Confirm insulin delivery from the tip of the Catheter and note it on the
Implant Worksheet. The INSULIN will form a dome on the tip of the
Catheter. Pulsatile delivery will not be obvious. If the priming bolus has
already ended, program an immediate bolus (about 20 units) to confirm
delivery. (This bolus may be canceled after delivery is verified.)